Community Benefit Insight - Tax-exempt hospital

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Bath Community Hospital

Bath County Community Hospital

Route 220
Hot Springs, VA 24445

Bed count	25	Medicare provider number	491300	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 540505913

Display data for year:

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

13.75%

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

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

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	$ 92,346 0.31 %
Medicaid as % of operating expenses	$ 1,806,607 6.02 %
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	$ 2,226,746 7.42 %
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	$ 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: 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	$ 902,527 3.01 %
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 $ 24957398 including grants of $ 5331948) (Revenue $ 21489805)
"BATH COMMUNITY HOSPITAL OPERATES A 25-BED CRITICAL ACCESS HOSPITAL, TWENTY-FOUR-HOUR EMERGENCY SERVICES, PRIMARY CARE, AND A SELECT RANGE OF DIAGNOSTIC SERVICES, REHABILITATIVE SERVICES, AND SPECIALTY CLINICS. IN ADDITION, BATH COMMUNITY HOSPITAL HOLDS VARIOUS EVENTS, FREE OF CHARGE, THROUGHOUT THE YEAR THAT BENEFIT THE HEALTH AND WELLNESS OF THE COMMUNITY. IN 2021, BATH COUNTY COMMUNITY HOSPITAL (BCCH) HAD TOTAL ADMISSIONS OF 279 WITH TOTAL INPATIENT DAYS OF 1,730, WHICH INCLUDES SWING BEDS. BCCH ALSO HAD 2,549 EMERGENCY DEPARTMENT VISITS, 13,444 HOSPITAL OUTPATIENT VISITS. OUTPATIENT CLINIC VISITS TOTALED 19,077, OF WHICH, 4,699 WERE IN HOT SPRINGS, 11,309 IN COVINGTON, 1,261 IN MILLBORO, AND BEHAVIORAL HEALTH SERVICES WHICH INCLUDED 1,808 CLINIC VISITS. BCCH SERVED A TOTAL OF 91 PATIENTS THROUGH ITS CHARITY CARE/FINANCIAL ASSISTANCE PROGRAM, 64 THROUGH THE HOSPITAL AND 27 THROUGH THE CLINICS.BATH COUNTY COMMUNITY HOSPITAL (BCCH) PROVIDES FREE HEALTH CARE SERVICES THROUGH CLINICS, HEALTH FAIRS, AND OTHER ORGANIZED EVENTS. BENEFITS INCLUDE HEALTH EDUCATION ON DIABETES, PULMONARY AND RESPIRATORY ENCOUNTERS, AND BLOOD PRESSURE SCREENINGS. BCCH PARTNERS WITH THE LARGEST EMPLOYER IN THE AREA TO PROVIDE A FREE ANNUAL COMMUNITY HEALTH FAIR THAT PROVIDES FLU AND COVID-19 VACCINATIONS, CHOLESTEROL & BLOOD SUGAR PANELS, AND PROSTATE TESTS. EDUCATIONAL HANDOUTS AND ON-SITE BLOOD PRESSURE CHECKS ARE PROVIDED BY THE HOSPITAL STAFF'S PARTICIPATION IN ORGANIZED ACTIVITIES COMMUNITY WIDE. EXAMPLES INCLUDE FREE SPORTS PHYSICALS IN AREA HIGH SCHOOLS, FOOD BANK DISTRIBUTION IN ALLEGHANY AND BATH COUNTIES, AND LOCAL LAW ENFORCEMENT'S ANNUAL ""NIGHT OUT AGAINST CRIME."" BCCH PARTNERS WITH, COLLABORATES WITH, AND SUPPORTS THOSE ORGANIZATIONS THAT SHARE THE SAME MISSION OF IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITY. BCCH PARTNERS AND SUPPORTS MANY COMMUNITY AGENCIES IN A JOINT MISSION TO IMPROVE HEALTH AND WELLNESS, PARTICULARLY THOSE NEEDS THAT SURFACED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). SOME ORGANIZATIONS INCLUDE BATH, HIGHLAND, ALLEGHANY/COVINGTON PUBLIC SCHOOLS; LAW ENFORCEMENT, SAFEHOME SYSTEMS, INC.; UNITE VA; COMMUNITY ACTION FOR POSITIVE PREVENTION (CAPP); LIVE WELL ALLEGHANY HIGHLANDS; ROCKBRIDGE AREA COMMUNITY SERVICES (RACS); VALLEY PROGRAM FOR AGING SERVICES (VPAS); VIRGINIA DEPARTMENT OF HEALTH AND REGIONAL DISTRICTS TO INCLUDE CENTRAL SHENANDOAH, AND ROANOKE ALLEGHANY; AUGUSTA HEALTH'S EVERY WOMAN'S HEALTH (EWH); AND NEWLY FORMED COMMUNITY FOUNDATION FOR ROCKBRIDGE, BATH, AND ALLEGHANY."

Facility Information

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

BATH COMMUNITY HOSPITAL
PART V, SECTION B, LINE 5: IN THE SUMMER OF 2021, BATH COUNTY COMMUNITY HOSPITAL (BCCH) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE RESIDENTS (APPROXIMATELY 21,000) OF BATH, HIGHLAND AND ALLEGHANY COUNTIES. THE CHNA WAS CONDUCTED WITH ASSISTANCE FROM EIDE BAILLY LLP, AN ACCOUNTING AND CONSULTING FIRM SPECIALIZING IN FINANCIAL, OPERATIONAL, AND HEALTH-NEED CONSULTING WITH HEALTHCARE ORGANIZATIONS.TO ENSURE INPUT FROM PERSONS WITH BROAD KNOWLEDGEE OF THE COMMUNITY, A FOCUS GROUP MEETING WAS HELD ON JULY 29, 2021. INVITATIONS WERE SENT TO INDIVIDUALS REPRESENTING VARIOUS COMMUNITY, BUSINESS, AND EDUCATIONAL ORGANIZATIONS. REPRESENTATIVES FROM LOCAL HEALTHCARE PROVIDERS AND THE COMMUNITY HEALTH DEPARTMENTS WERE INCLUDED TO BRING ADDITIONAL PROFESSIONAL PERSPECTIVES. FOR INVITEES UNABLE TO ATTEND THE FOCUS GROUP SESSIONS, INPUT WAS GATHERED VIA THE COMMUNITY SURVEY.COMMUNITY REPRESENTATION AT THE JULY 29, 2021 FOCUS GROUP INCLUDE THE FOLLOWING ORGANIZATIONS:O NEW RIVER VALLEY COMMUNITY SERVICES - BLACKSBURG, VAO DABNEY S. LANCASTER COMMUNITY COLLEGE - CLIFTON FORGE, VAO BATH COUNTY PUBLIC SCHOOLS - WARM SPRINGS, VAO ALLEGHANY HIGHLANDS KIWANIS CLUB - COVINGTON, VAO FEEDING SOUTHWEST VA - SALEM, VAO GOODWILL - COVINGTON, VAO BATH COMMUNITY HOSPITAL STAFF - HOT SPRINGS, VAO ALLEGHANY COUNTY/COVINGTON HEALTH DEPARTMENT - COVINGTON, VATHE INDIVIDUALS IDENTIFIED TO PARTICIPATE IN THE PROCESS HAVE DIRECT ASSESS TO INDIVIDUALS ACROSS ALL SUBSECTIONS OF THE COMMUNITY AND THEREFORE CAN ADDRESS NEEDS THAT MAY IMPACT THOSE POPULATIONS THAT ARE MEDICALLY UNDERSERVED OR MOST IN NEED.IN ORDER TO OBTAIN INPUT FROM THE BROADER COMMUNITY, AS SURVEY WAS CREATED WITH QUESTIONS TO IDENTIFY HEALTH NEEDS AND CONCERNS IN THE COMMUNITY. THE SURVEY WAS ADMINISTERED FROM JULY 7 TO JULY 16, 2021. THE ONLINE SURVEY LINK WAS MAILED OUT AND MADE AVAILABLE ON THE BCCH WEBSITE, AND POSTED AT:- LOCAL PRINT AND ONLINE NEWSPAPERS AND THEIR SOCIAL MEDIA PAGES- THE ALLEGHANY JOURNAL (REGIONAL ELECTRONIC JOURNAL)- RADIO STATION SOCIAL MEDIA PAGES (WXCF, WKEY, AMR 1370- BCCH WEBSITE AND SOCIAL MEDIA PAGES FOR ALL ENTITIES: BATH COMMUNITY PHYSICIANS GROUP, BATH COMMUNITY REHAB AND WELLNESS, AND THE BISTRO (HOSPITAL CAFETERIA)- PATIENTPOINT SCREENS IN ALL PATIENT WAITING ROOMS THROUGHOUT THE HOSPITAL AND CLINICS- SIGNAGE POSTED THROUGOUT ALL BCCH OUTLETS- PAPER COPIES WERE ALSO MADE AVAILABLE AT BCCH, BATH COMMUNITY PHARMACY, AND ALL BATH COMMUNITY PHYSICIAN GROUP CLINIC LOCATIONS, INCLUDING MILLBORO, COVINGTON AND HOT SPRINGS.- EMAILS WERE SENT TO COMMUNITY ALTERNATIVES FOR POSITIVE PREVENTION (CAPP) MEMBERS WITH REQUEST TO SHARE THE SURVEY LINK.THERE WERE 115 SURVEY RESPONSES. BCCH ACKNOWLEDGES THAT HIGHLAND COUNTY WAS (UNINTENDEDLY) UNDER-REPRESENTED IN THE SURVEY. BCCH WILL MAKE GREATER EFFORTS TO ATTRACT SURVEY RESPONSES FROM HIGHLAND COUNTY RESIDENTS IN THE NEXT CHNA PROCESS.

BATH COMMUNITY HOSPITAL
PART V, SECTION B, LINE 6B: O NEW RIVER VALLEY COMMUNITY SERVICES - BLACKSBURG, VAO DABNEY S. LANCASTER COMMUNITY COLLEGE - CLIFTON FORGE, VAO BATH COUNTY PUBLIC SCHOOLS - WARM SPRINGS, VAO ALLEGHANY HIGHLANDS KIWANIS CLUB - COVINGTON, VAO FEEDING SOUTHWEST VA - SALEM, VAO GOODWILL - COVINGTON, VAO BATH COMMUNITY HOSPITAL STAFF - HOT SPRINGS, VAO ALLEGHANY COUNTY/COVINGTON HEALTH DEPARTMENT - COVINGTON, VA

BATH COMMUNITY HOSPITAL
PART V, SECTION B, LINE 7D: FOCUS GROUPS

BATH COMMUNITY HOSPITAL
"PART V, SECTION B, LINE 11: SIGNIFICANT NEEDSNUTRITION; PHYSICAL ACTIVITY; OBESITY; DIABETES:LEAD BY EXAMPLE - OFFER HEALTHIER CHOICES TO HOSPITAL STAFF AND THE PUBLIC IN THE HOSPITAL DINING AREA. DISTRIBUTE PRINTED EDUCATIONAL MATERIAL AT LOCAL FOOD BANKS AND OTHER PUBLIC EVENTS. EDUCATE THE PUBLIC THROUGH 45-MINUTE HEALTH EDUCATION PRESENTATIONS AND INCLUDE OUR PROVIDERS. SHARE MESSAGING PROVIDED THROUGH REGIONAL PREVENTION COALITION FACILITIES, TO SUPPORT THE IMPLEMENTATION OF EXSISTING AND PROVEN SUCCESSFUL PROGRAMS SUCH AS ""TOO GOOD FOR DRUGS; AND ""ALLEGHANY HIGHLANDS HEALTH YOUTH COALITION"". PROMOTE CHRONIC DISEASE MANAGEMENT AVAILABLE TO PATIENTS, INTERNALLY.SUBSTANCE ABUSE:SUPPORT AND PROMOTE EXISTING TREATMENT PROGRAMS AND RESOURCES. BE AN EXTENSION OR ARM FOR DELIVERY OF INFORMATION EXCHANGED. SPONSOR RECOVER FEST IN COVINGTON AND HOST ""ARRIVE ALIVE, DRUNK DRIVING AND DISTRACTED DRIVING SIMULATOR"". GIVE OUT DRUG DEACTIVATION POUCHES AND LOCKBOXES IN PARTNERSHIP WITH CSB. JOIN THE NARRATIVE; NETWORK WITH COMMUNITY GROUPS SHARING A COMMON GOAL TO IMPROVE ALIGNMENT AND COHESIVENESS.TOBACCO USE/VAPING:DISTRIBUTE AND SHARE EXISTING MATERIALS THROUGH ALL OUTLETS AVAILABLE TO US. SPONSOR EXISTING SCHOOL HEALTH PROGRAMS AND PRESENTATIONS FOR PARENTS AND STUDENTS TO KNOW THE SIGNS OF VAPING AND ASSOCIATED ILLNESS.BEHAVIORAL HEALTH:GROW BEHAVIORAL HEALTH TEAM IN ORDER TO BEST MEET THE NEEDS OF THE COMMUNITY CONTINUE TO OFFER TELEHEALTH OPPORTUNITIES. RECONFIGURE OFFICE LOCATION TO ENSURE PATIENT CONFIDENTIALITY DUE TO STIGMA SURROUNDING MENTAL ILLNESS. EDUCATE THE COMMUNTIY ON AVAILABILITY AND EFFECTIVENESS OF SERVICES."

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 3C:
WE ALSO CONSIDER ASSETS SUCH AS MONEY IN THE BANK AND ASSETS THAT COULD BE LIQUIDATED INTO CASH, AND WE REVIEW BANK STATEMENTS TO SEE IF MONEY IS FREQUENTLY SPENT ON LUXURY ITEMS INSTEAD OF NEEDED ITEMS.

PART I, LINE 7:
ALL FIGURES ARE DERIVED FROM THE FINANCIAL STATEMENTS, WHICH ARE PREPARED ON THE INCOME TAX BASIS. THE COST TO CHARGE RATIO FROM WORKSHEET 2 IS USED.

PART I, LINE 7, COLUMN (F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 902,527.

PART III, LINE 4:
ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. BALANCES ARE CONSIDERED DELINQUENT WHEN THEY ARE OUTSTANDING FOR 120 DAYS WITH NO ACTIVITY AT WHICH TIME THE BALANCES ARE TRANSFERRED TO A COLLECTION AGENCY AND THE BALANCE IS MOVED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BALANCES ARE WRITTEN OFF AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN MADE. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED ON HISTORICAL BAD DEBT EXPERIENCE AND MANAGEMENT'S EVALUATION OF THE ACCOUNTS RECEIVABLE. THE BAD DEBT EXPENSE REPORTED ON SCH H, PART III, LINE 2 IS THE ESTIMATED BAD DEBT ATTRIBUTABLE TO CHARGES ON PATIENT ACCOUNTS.

PART III, LINE 8:
NONE SHOULD BE TREATED AS A COMMUNITY BENEFIT. MEDICARE ALLOWABLE COSTS AS DETERMINED BY FILING OF THE CMS 2552-10 COST REPORT.

PART III, LINE 9B:
ONCE ELIGIBILITY FOR FINANCIAL ASSISTANCE HAS BEEN DETERMINED, THE BILLS ARE ADJUSTED FOR PATIENTS WHO QUALIFY.

Operating expenses	$ 29,994,456
Total amount spent on community benefits as % of operating expenses	$ 4,125,699 13.75 %