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Summersville Regional Medical Center
Summersville, WV 26551
| Bed count | 105 | Medicare provider number | 510082 | 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: 2018
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 $ 49,687,707 Total amount spent on community benefits as % of operating expenses$ 275,252 0.55 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 0 0 %Medicaid as % of operating expenses$ 275,252 0.55 %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: 2018
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$ 5,064,580 10.19 %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? 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: 2018
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: 2018
- 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 $ 42744946 including grants of $ 0) (Revenue $ 46913241) THE HOSPITAL PROVIDED 25,951 INPATIENT DAYS OF CARE AS FOLLOWS 4,319 ACUTE INTENSIVE CARE, 3,550 SWING BED AND 18,082 LONG-TERM CARE. OTHER SERVICES PROVIDED INCLUDE 45,308 OUTPATIENT PROCEDURES, 16,562 EMERGENCY ROOM VISITS AND 28,384 RURAL HEALTH CLINIC VISITS. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. CHARGES FOREGONE FOR CHARITY DURING THE YEAR AMOUNTED TO 467,647 FOR HOSPITAL SERVICES. THE LEVEL OF FINANCIAL ASSISTANCE PROVIDED BY THE HOSPITAL HAS DECREASED OVER THE LAST COUPLE OF YEARS DUE TO THE FACT THAT THE STATE OF WEST VIRGINIA EXPANDED MEDICAID. WITH THE MEDICAID EXPANSION, INDIVIDUALS WITH INCOME AT 138% OF THE POVERTY GUIDELINES ARE NOW ELIGIBLE FOR MEDICAID. PRIOR TO THE MEDICAID EXPANSION, THE LEVEL OF INCOME TO QUALIFY FOR MEDICAID WAS MUCH LOWER.
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Facility Information
SUMMERSVILLE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: INPUT FOR COMPLETION OF THE CHNA WAS OBTAINED FROM PUBLIC HEALTH OFFICIALS, LOCAL HEALTH DEPARTMENTS AND AGENCIES, PUBLICLY ELECTED OFFICIALS, RELIGIOUS OFFICIALS, LONG-TERM CARE AND WORK SHELTER EXECUTIVES, AND REPRESENTATIVES OF OUR MEMBERS OF CHRONIC DESEASE GROUPS OR ORGANIZATIONS.
SUMMERSVILLE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: FINANCIAL CONSTRAINTS PREVENT THE HOSPITAL FROM ADDRESSING ALL NEEDS.
PART V, SECTION B, LINE 5 INPUT FOR COMPLETION OF THE CHNA WAS OBTAINED FROM PUBLIC HEALTH OFFICIALS, LOCAL HEALTH DEPARTMENTS AND AGENCIES, PUBLICALLY ELECTED OFFICIALS, RELIGIOUS OFFICIALS, LONG-TERM CARE AND WORK SHELTER EXECUTIVES, AND REPRESENTATIVES OF CHRONIC DISEASE GROUPS OR ORGANIZATIONS.
PART V, SECTION B, LINE 10A URL FOR IMPLEMENTATION STRATEGY: HTTPS://WVUMEDICINE.ORG/SUMMERSVILLE/WP-CONTENT/UPLOADS/SITES/47/2019/06/FINAL-SUMMERSVILLE-COMMUNITY-HEALTH-IMPLEMENTATION-PLAN-V2.PDF
PART V, SECTION B, LINE 16A URL FOR FAP: HTTPS://WVUMEDICINE.ORG/RUBY-MEMORIAL-HOSPITAL/WP-CONTENT/UPLOADS/SITES/3/2018/04/FINANCIALASSISTANCEPOLICY-462018.PDF
PART V, SECTION B, LINE 16B URL FOR FAP APPLICATION: HTTPS://WVUMEDICINE.ORG/WP-CONTENT/UPLOADS/2018/06/FINANCIAL-ASSISTANCE-APPLICATION-AND-CHECKLIST-6152018.PDF
PART V, SECTION B, LINE 16C URL FOR FAP PLAIN LANGUAGE SUMMARY: HTTPS://WVUMEDICINE.ORG/WP-CONTENT/UPLOADS/2015/11/PLAIN-LANGUAGE-SUMMARY-102015.PDF
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Supplemental Information
PART I, LINE 7: CHARITY CARE AT COST AND UNREIMBURSED MEDICAID ARE COMPUTED USING THE COST TO CHARGE RATIO METHOD IN WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS.
PART I, LN 7 COL(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 $5,064,580.
PART III, LINE 2: BAD DEBT EXPENSE AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS.
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 HISTROCIAL COLLECTION EXPERIENCE TO DETERMINE COLLECTABILITY. 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.
PART III, LINE 8: THE ORGANIZATION USED THE MEDICARE COST REPORT INFORMATION FOR REVENUES AND EXPENSES. THE ORGANIZATION DOES NOT CONSIDER THIS TO BE A COMMUNITY BENEFIT EXPENSE DUE TO FLUCTUATIONS IN REIMBURSEMENTS RELATED TO MEDICARE AUDITS.
PART VI, LINE 2: TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY SERVED, THE HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY 3 YEARS. THE DATA OBTAINED FROM THE RESEARCH IS THEN UTILIZED TO IMPLEMENT A STRATEGY TO PROVIDE ADDITIONAL SERVICES AND/OR IMPROVE CURRENT SERVICES TO BETTER SERVE THE NEEDS OF THE COMMUNITY.
PART VI, LINE 3: TO EDUCATE PATIENTS REGARDING THE FINANCIAL ASSISTANCE AVAILABLE, THE HOSPITAL PROVIDES A COPY OF THE FINANCIAL ASSISTANCE APPLICATION AND POLICY ON THEIR WEBSITE.
PART VI, LINE 4: WE ARE A SMALL RURAL HOSPITAL WHICH IS SURROUNDED BY CRITICAL ACCESS HOSPITALS AND ALSO THE ONLY REMAINING HOSPITAL IN NICHOLAS COUNTY AS THE OTHER HOSPITAL CLOSED IN BANKRUPTCY IN 2008. WE HAVE A GROUP OF VOLUNTEERS WHO ARE ABLE TO GAIN CHARITABLE SUPPORT IN ORDER TO ENCOURAGE CHARITABLE DONATIONS BY PROVIDING ACTIVITIES THROUGHOUT OUR FACILITY AND THROUGH THE STATE OF WEST VIRGINIA NIPS PROGRAMS THAT WERE NOT PREVIOUSLY AVAIABLE TO OUR COMMUNITY. AS OF 2017, THE POPULATION OF NICHOLAS COUNTY IS ESTIMATED TO 25,043. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2017 IS $37,400 VESUS A MEDIAN OF $43,200 FOR THE WHOLE STATE OF WEST VIRGINIA. AS ESTIMATED 21.4% OF RESIDENTS LIVED BELOW THE POVERTY LEVEL IN 2017.
PART VI, LINE 5: THE HOSPITAL OPERATED THREE PRIMARY CARE CLINICS, TWO OF WHICH ARE LOCATED IN RICHWOOD, WEST VIRGINIA AND ANSTED, WEST VIRGINIA. BOTH RICHWOOD AND ANSTED ARE LOCATED IN VERY RURAL AREAS WITH VERY SMALL POPULATIONS. THESE CLINICS HAVE BEEN CLOSED DUE TO YEARS OF OPERATING LOSSES. THE HOSPITAL PROVIDES 24/7 EMERGENCY ROOM SERVICES TO THE PATIENTS RESIDING IN THE HOSPITAL'S SERVICE AREA. DUE TO THE LOW NUMBER OF PATIENTS BEING SERVED, AND THE PAYOR MIX OF THE PATIENTS THE HOSPITAL DOES TREAT, THE HOSPITAL HAS TO PROVIDE A SUBSIDY TO THE PHYSICIAN GROUP WHO STAFFS THE EMERGENCY ROOM. EVEN THOUGH THE AFFORDABLE CARE ACT WAS SUPPOSED TO ENCOURAGE MEDICAID PATIENTS TO PRIMARY CARE CLINICS, THIS HAS NOT BEEN AS SUCCESSFUL AS THE INDUSTRY HAD HOPED. CONSEQUENTLY, THE EMERGENCY ROOM STILL TREATS A LARGE NUMBER OF MEDICAID PATIENTS. OUR BOARD OF DIRECTORS ALL RESIDE IN OUR PRIMARY CARE AREA OF NICHOLAS COUNTY, WEST VIRGINIA. THE BOARD IS COMPRISED OF SMALL BUSINESS, UNION, LOW INCOME, MEMBERS AT LARGE, MEDICAL STAFF DIRECTOR, AND THE MAYOR OF THE CITY OF SUMMERSVILLE. BOARD MEMBERS ARE NOT EMPLOYEES, CONTRACTORS OF THE ORGANIZATION NOR FAMILY MEMBERS. WE EXTEND MEDICAL STAFF PRIVILEDGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY OR PROVIDERS WHO HAVE A VISITING CLINIC IN OUR COMMUNITY. ANY SURPLUS FUNDS ARE REINVESTED BACK INTO THE ORGANIZATION THROUGH CAPITAL EXPENDITURE PROJECTS, OR PAYMENT ON EXISTING DEBT, WHICH HAS BEEN SECURED ON A TAX-FREE BASIS. OUR EMERGENCY ROOM IS AVAILABLE TO ALL CLIENTS REGARDLESS OF ABILITY TO PAY.
PART VI, LINE 6: THE ORGANIZATION WAS NOT PART OF THE HEALTH CARE SYSTEM FOR ANY OF 2018.
