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Community Health Association dba Jackson General Hospital
Jackson General Hospital
122 Pinnell StRipley, WV 25271
| Bed count | 82 | Medicare provider number | 510018 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
EIN: 550462730
Display data for year:
Community Benefit Spending- 2011
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
5.96%
Spending by Community Benefit Category- 2011
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2011
Additional data
Community Benefit Expenditures: 2011
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 $ 27,725,373 Total amount spent on community benefits as % of operating expenses$ 1,652,983 5.96 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 567,329 2.05 %Medicaid as % of operating expenses$ 1,055,884 3.81 %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.$ 29,770 0.11 %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: 2011
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$ 1,320,021 4.76 %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 YES Filed lawsuit Not available Placed liens on residence YES Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court) 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? YES 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? Not available 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: 2011
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? Not available Did the tax-exempt hospital execute the implementation strategy? Not available Did the tax-exempt hospital participate in the development of a community-wide plan? Not available
Supplemental Information: 2011
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 $ 21637488 including grants of $ 0) (Revenue $ 27404058) Services provided included 5,045 inpatient days, 12,194 emergency room visits, and 14,392 rural health clinic visits. Charity care for the year amounted to $1,684,042.
4B (Expenses $ 92385 including grants of $ 0) (Revenue $ 42615) The organization provided several community health improvement services including a patch 21 program, free breast cancer screenings, lunch and learn programs, patient/community resource center, free sports physicals, prostate screenings, cardiac kids, advance directives presentations, CPR classes, diabetic counseling, dinner discussions, health fairs, aid the Jackson County Drug Coalition, and various other programs.
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Supplemental Information
Schedule H (Form 990) Part VI
"Part I, Line 3c: The organization determines eligiblity for discounted care on a case-by-case basis based on ineligibility for other coverage, income and prepay or ""quick pay"" discounts."
Community benefit report Schedule H, Part I, line 6a Community leaders and other health care providers in the community who were involved in Community Needs Assessment were provided copies of the final report. This report is available to the general public upon request.
Part I, Line 7: The cost of charity care, Medicaid at cost and other means tested goverment programs were estimated using a cost to charge ratio derived from Worksheet 2 of the Schedule H instructions.
Part III, Line 4: Patient accounts receivable are carried at the original charge less an estimate made for doubtful or uncollectible accounts. The allowance is based upon a review of the outstanding balances aged by financial class. Management uses collection percentages based upon historical collection experience to determine collectibility. Management also reviews troubled, aged accounts to determine collection potential. Patient accounts receivable are written off when deemed uncollectible.Recoveries of accounts previously written off are recorded as a reduction to bad debt expense when received. Interest is not charged on patient accounts receivable.In order to claim a receivable as a bad debt, it must be established that the debt relates to covered services and is derived from deductible, coinsurance amounts and/or noncovered services that ABN has been signed by patient and processed by Medicare as patient responsible, reasonable collection efforts were made, that the debt was actually uncollectible when claimed, and that sound business judgment indicates there is no likelihood of future recovery.
Part III, Line 9b: We use the same policy and procedure for all patients, regardless of whether we know they have/had qualified in the past. Any patient that presents for assistance will go through the same application process. Even if they have been previously approved. This is required in case of any financial changes to assure patient still qualifies for assistance, no change in employment or insurance acquired. Once a patient qualifies for charity care, and service is provided, we issue a financial assistance card effective with first date service is performed. This card is valid at our facility only, for services up to 6 months. The patient must re-apply once additional services are performed after terminiation date. Once approved and within valid time frames if these patients present for services they are then registered as Charity Care instead of Self Pay.
Jackson General Hospital Part V, Section B, Line 11h: We publicize that the application is available and for assistance to call. We also list on the back of our statements our notice of charity applications, discounts, etc. with contact information.
Jackson General Hospital Part V, Section B, Line 13g: Jackson General Hospital Financial Counselors attempt to call patients and uses scripting that includes notifying the patient of charity applications, prompt pay discounts, contract agreements, etc.
Jackson General Hospital Part V, Section B, Line 15e: Jackson General Hospital places claims with collection agency if they are over 120 days old with no response or any type of contact from the patient or guarantor.
Jackson General Hospital Part V, Section B, Line 16e: Our collection agency reports any non payments to the credit bureau, also may file against an estate.
Jackson General Hospital Part V, Section B, Line 17e: Jackson General Hospital Staff also attempts to call the patient and/or send a pre-bad debt letter to the patient advising if no response is received, their account may be turned over to an outside agency.
Jackson General Hospital Part V, Section B, Line 19d: All our patients are charged the same fee for all services, whether insured or uninsured. We do offer prompt pay discounts for same day services/payment in full at 40% of charges for uninsured patients. Every patient underinsured or uninsured has the opportunity to discounts once the first statement is received. Balances over $100.00 if paid within first 30 days of statement can qualify for 25% discount, within 60 days of statement it drops to 15% discount. Note: For emergency patients financials are not discussed the day of service but once the patient is triaged/medical assessed the patient can make a payment (charges are not complete) then once the statement is complete the patient will qualify for the same 40% option.
Part VI, Line 2: Jackson General Hospital assesses the health needs of the communities it serves through community needs assessments, patient satisfaction survey results, the complaint resolution process, and through interviews with the medical staff, employees, vendors and guests, as well as through collaboration with the local health department, EMS, county nursing homes and home health agencies. The latest formal Community Needs Assessment was performed in 2012.
Part VI, Line 3: The organization has a Resource Center Coordinator that educates and discusses federal/state and/or local government guideline options with all Inpatients/Observations patients.The organization posts, at each point of registration, all services advising of prompt pay discounts, charity care program and discounted care program. Every statement has on the back stating how to inquire about charity assistance program and/or discount opportunities.Once statements are received, the organization's Financial Counselors attempt to contact every Self Pay individual for discussion of their payment options.
Part VI, Line 4: Jackson County is a rural community with a population of 29,211. As of February 2012, the unemployment rate in Jackson County was 10.6%. The median household income in 2010 for Jackson County was $41,405, with 17.8% of residents below the federal poverty guideline. 7% of the hospital's patients are uninsured and 13% are covered by Medicaid.Jackson County is designated a medically underserved area. Surrounding counties are also federally designated to be medically underseved areas either entirely or partially, including Cabell County, Kanawha County, Mason County and Roane County.
Part VI, Line 5: Jackson General Hospital has a governing board comprised largely of independent community members representing the makeup of the area we serve. Jackson General Hospital is privileged to have an open medical staff comprised of qualified physicians who work with us to provide care to our community. All qualified physicians who are granted privileges to serve must undergo thorough and comprehensive credentialing and ongoing peer review processes. Jackson General Hospital reinvests all surplus funds back in to the community we serve though expanded health services, new and updated technologies, and facility improvements. In fiscal year 2012, Jackson General Hospital expended more than $232,000 for capital projects, most notably for a new General Electric X-Ray room and Sterilization equipment for the Surgery Department. Jackson General Hospital provides an emergency room 24 hours per day open to all those in need of emergency care, regardless of patient's ability to pay. Specialized services provided at Jackson General Hospital include general surgery, anesthesia, urology, ophthalmology, ENT, and emergency services. Jackson General Hospital is helped through the charitable efforts of the Jackson General Hospital Foundation Board and JGH Hospital Auxiliary. The report of community benefit is included as a written report and summarizes activities and programs to improve health including proactive community health services conducted during the prior year. The annual report is simply a snapshot of how the organization distinguishes itself in its vision to be the outstanding rural healthcare provider in WV through recruitment and retention of high quality medical staff and employees, through reasonable investment in new technology, and through networking with local and regional healthcare partners and to have a key leadership role in providing high quality acute care services and improve the health status of the community through outreach, networking, and implementation of community based programs. The Jackson General Hospital Community Benefit Report can be found at www.jacksongeneral.com.Jackson General Hospital provides a full range of inpatient and outpatient services to the people of Jackson and surrounding counties. The hospital conducts all activities and serves its health care purpose without regard to race, color, creed, religion, gender, orientation, disability, age or national origin. Jackson General Hospital collaborates with communities, churches, businesses, and other health care organizations to facilitate and strengthen accessibility of quality comprehensive health care services for all, particularly the vulnerable and underserved populations. JGH also supports local community health services, offering convenient locations for primary and urgent care, mobile outreach programs, and other outreach services such as free health physicals, health fair activities offering basic lab testing at cost, as well as free patient education on an outpatient basis. Jackson General Hospital is dedicated to improving the health status of the community through programs that place needed services where they are needed the most, with special attention and preference given to programs that support and benefit the health and welfare of the poor and underserved. Jackson General Hospital is one of the community's largest private employers.
Part VI, Line 6: The organization is not part of an affiliated health care system.
