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Fairmont General Hospital Inc
Fairmont, WV 26554
Bed count | 252 | Medicare provider number | 510047 | 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: 2014
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 $ 57,321,429 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? 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: 2014
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$ 1,224,925 2.14 %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 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: 2014
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? NO
Supplemental Information: 2014
- 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 $ 15384270 including grants of $ 0) (Revenue $ 31067064) PATIENT CARE: THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT HOSPITAL CARE TO THE COMMUNITY, INCLUDING GENERAL MEDICAL, INTENSIVE/CARDIAC CARE, WOMEN'S AND CHILDREN'S HEALTHCARE SERVICES AND INPATIENT DRUG AND ALCOHOL REHAB
4B (Expenses $ 1298046 including grants of $ 0) (Revenue $ 178) ANCILLARY SERVICES: THE HOSPITAL HAS ANCILLARY SERVICES WHICH PROVIDE THE NECESSARY DIRECT SUPPORT TO THE PATIENT CARE DEPARTMENTS. SOME OF THE ANCILLARY SERVICES INCLUDE HOUSEKEEPING, NUTRITION, AND STERILE SUPPLY
4C (Expenses $ 2687497 including grants of $ 0) (Revenue $ 7168412) HEALTH DIAGNOSTIC, INTERVENTION, AND TREATMENT: THE HOSPITAL ALSO OFFERS OUTPATIENT DIAGNOSTIC IMAGING SERVICES. SOME OF THE RADIOLOGY DEPARTMENT SERVICES INCLUDE RADIOLOGY DIAGNOSTIC, EKG, ULTRASOUND, MRI, NUCLEAR MEDICINE, CT SCAN, AND PET SCAN
4D (Expenses $ 1538292 including grants of $ 0) (Revenue $ 777805) Wellness Center: The hospital operates a wellness center for the benefit of the community to promote overall physical well-being.
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Facility Information
Schedule H, Part V, Section B, Line 5-FAIRMONT GENERAL HOPSPITAL INC Fairmont General Hospital Inc - A series of focus groups, surveys, and opinions from key informants throughout the community were used in developing a comprehensive health needs assessment for Marion County. In addition to community participants, 22 active physicians participated in the survey process in December 2013.
Schedule H, Part V, Section B, Line 11-FAIRMONT GENERAL HOPSPITAL INC Fairmont General Hospital Inc - The CHNA was conducted in the last quarter of the fiscal year 2013. The hospital and related organizations had not yet determined a plan of action to address the community health needs by the end of the year, but it is currently evaluating the recommendations of the survey.
Schedule H, Part V, Section B, Line 16a-FAIRMONT GENERAL HOPSPITAL INC WWW.FGHI.COM
Schedule H, Part V, Section B, Line 16b-FAIRMONT GENERAL HOPSPITAL INC WWW.FGHI.COM
Schedule H, Part V, Section B, Line 16c-FAIRMONT GENERAL HOPSPITAL INC WWW.FGHI.COM
Schedule H, Part V, Section B, Line 22-FAIRMONT GENERAL HOPSPITAL INC Patient charges are consistent by service regardless of payer (Medicare, commercial, self-pay, etc.). Charges may be discounted for self-pay patients based on the Hospital's Financial Assistance Policy.
Schedule H, Part V, Section B, Line 24-FAIRMONT GENERAL HOPSPITAL INC Fairmont General Hospital Inc - Patient charges are consistent by services regardless of payer (Medicare, commercial, self-pay, etc.) Charges may be discounted for self-pay patients based on the Hospital's Financial Assistance Policy.
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Supplemental Information
Schedule H, Part I, Line 7 N/A
Schedule H, Part III, Section A, Line 4 Patient Accounts Receivable are carried at the original charge less an estimate made for doubtful or uncollectible accounts. In evaluating the collectability of accounts receivable, the hospital analyzes its past history and it identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. 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 collectability. Management also reviews troubled, aged accounts to determine collection potential for receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill). The hospital records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Recoveries of accounts previously written off are recorded as a reduction to the provision for bad debt expense when received. Interest is not charged on patient accounts receivable. The hospital does not maintain a material allowance for doubtful accounts from third-party payors, nor does it have significant write offs from third party payors.
Schedule H, Part III, Section B, Line 8 The hospital provides care to the community at a cost in excess of the payment received for Medicare patients. This absorption of costs benefits the community the organization serves. Line 6 was determined using the cost to charge ratio of .954389 from the 2014 Medicare cost report from Worksheet D-1. The title XVIII PPS hospital general inpatient routine service cost to charge ratio was multiplied by the Medicare receipts in Line 5.
Schedule H, Part III, Section C, Line 9b The organization's debt collection policy is titled The Credit and Collection Policy. It discusses non-discrimination of service, payment responsibilities, insured patients, pre-admission program, pre-admission deposits, third party litigation, payment arrangements, payment agreements, and referred for outside collection and legal action. There is no discussion of charity care in this policy. However, the organization does have a separate charity care policy.
Schedule H, Part VI, Line 2 The hospital provides multi-phasic and lab testing to the Public. The organization also utilizes satellite locations and adjusts its hours of service to appropriately service the community's needs. The organization also conducts health fairs at various locations throughout the community during the year.
Schedule H, Part VI, Line 3 The organization employs a patient eligibility advocate in its patient accounting department. This employee works with patients to assist them with his or her eligibility and filing for state and federal governmental programs. This employee also works with other individuals who are on the organization's financial counseling staff. If a patient is determined not eligible for government programs, the patient is taken to a financial counselor who will assess his or her eligible for government programs.
Schedule H, Part VI, Line 4 The organization serves Marion County and the surrounding areas in North Central West Virginia. The area served is a small rural community.