Community Benefit Insight - Tax-exempt hospital

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Uch-mhs

1400 E Boulder Street

Colorado Springs, CO 80909

EIN: 460796114

The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more

Individual Facility Details: University Colo Health Memorial Hospital Central

1400 E Boulder St
Colorado Springs, CO 80909

1 hospital in organization:
(click a facility name to update Individual Facility Details panel)

University Colo Health Memorial Hospital Central

Bed count	583	Medicare provider number	060022	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

Uch-mhsDisplay data for year:

Community Benefit Spending- 2013
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

7.87%

Spending by Community Benefit Category- 2013
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2012-2013

Additional data

Community Benefit Expenditures: 2013

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	$ 859,847 0.14 %
Medicaid as % of operating expenses	$ 23,284,287 3.86 %
Costs of other means-tested government programs as % of operating expenses	$ 14,613,067 2.42 %
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 expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 835,356 0.14 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 7,928,880 1.31 %
Community building* as % of operating expenses	$ 108,372 0.02 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
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	$ 108,372 0.02 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 108,372 100 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 0 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: 2013

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	$ 52,300,718 8.67 %
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	YES
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.
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: 2013

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?	YES

Supplemental Information: 2013

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 $ 528124132 including grants of $ 6740904) (Revenue $ 595596941)
MEMORIAL HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE TO COLORADO SPRINGS, COLORADO AND THE SURROUNDING COMMUNITIES. DURING FISCAL YEAR 2014, MEMORIAL HOSPITAL PROVIDED 19,261 ADMISSIONS, 6,353 INPATIENT SURGERIES, 14,067 OUTPATIENT SURGERIES, 134,193 EMERGENCY DEPARTMENT VISITS, AND 399,992 OUTPATIENT VISITS. MEMORIAL'S PATIENTS, REGARDLESS OF CIRCUMSTANCE, HAVE ALWAYS COME FIRST. THIS IS ONE OF THE ORGANIZATION'S MOST DEEPLY HELD VALUES. AS PART OF UCHEALTH, MEMORIAL REMAINS COMMITTED TO PROVIDING CHARITY CARE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNABLE TO PAY.

Facility Information

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

MEMORIAL HOSPITAL CENTRAL
PART V, SECTION B, LINE 3: THE HEALTHY COMMUNITY COLLABORATIVE (HCC) WAS FORMED BY A GROUP OF ROUGHLY 49 COMMUNITY AGENCIES AND OVER 80 MEMBERS BY EL PASO COUNTY DEPARTMENT OF HEALTH & ENVIRONMENT. THE HCC CONSISTS OF REPRESENTATIVES FROM SCHOOLS, HOSPITALS AND HEALTH SYSTEMS (INCLUDING REPRESENTATIVES FROM MEMORIAL HOSPITAL), NON-PROFIT ORGANIZATIONS, CITY AND COUNTY GOVERNMENT AGENCIES, PUBLIC HEALTH, MEDICAL PROVIDERS AND INTERESTED CITIZENS. THROUGHOUT THE HEALTH ASSESSMENT PROCESS, THE HCC ALIGNED ITS WORK WITH COLORADO'S 10 WINNABLE BATTLES (DEVELOPED BY CDPHE) TO PROVIDE A FRAMEWORK FOR SELECTION OF SPECIFIC HEALH INDICATORS AND ASSOCIATED COUNTY-SPECIFIC DATA. COLORADO'S 10 WINNABLE BATTLES ARE PUBLIC HEALTH AND ENVIORNMENTAL PRIORITIES WITH LARGE SCALE IMPACT ON HEALTH AND THE ENVIRONMENT, AND WITH KNOWN, EFFECTIVE STRATEGIES TO ADDRESS THEM. ACKNOWLEDGING THE FINDINGS OF THE HCC, THE ADMINISTRATIVE TEAM CHOSE TO ALSO DIRECT RESOURCES AND IMPLEMENT PLANNING STRATEGIES TO WORK TOWARD IMPROVING HEALTHY EATING AND ACTIVE LIVING FOR RESIDENTS OF EL PASO COUNTY. AN EQUALLY HIGH PRIORITY ISSUE, THE NEED TO INCREASE THE PRIMARY CARE WORKFORCE IN EL PASO COUNTY WAS IDENTIFIED BY THE MEMORIAL HOSPITAL ADMINISTRATIVE TEAM.THE LIST OF COMMUNITY AGENCIES THAT PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AS FOLLOWS:ACADEMY SCHOOL DISTRICT 20ALLIANCE FOR DRUG ENDANGERED CHILDRENAMERICAN CANCER SOCIETYAMERICAN MEDICAL RESPONSEASPEN POINTECARE AND SHARE FOOD BANK FOR SOUTHERN COLORADOCEDAR SPRINGS BEHAVIORAL HEALTHCENTRO DE LA FAMILIACITY OF COLORADO SPRINGSCITY OF COLORADO SPRINGS PARKS, RECREATION & CULTURAL SERVICESCITY OF FOUNTAINCITY OF MANITOU SPRINGSCOLORADO BUSINESS GROUP ON HEALTHCOLORADO SPRINGS CHAMBER OF COMMERCECOLORADO SPRINGS FIRE DEPARTMENTCOLORADO SPRINGS HEALTH PARTNERSCOLORADO SPRINGS REGIONAL BUSINESS ALLIANCECOLORADO SPRINGS SCHOOL DISTRICT 11COMMUNITY HEALTH PARTNERSHIPCOMMUNITY PARTNERSHIP FOR CHILD DEVELOPMENTEL PASO COUNTYEL PASO COUNTY COMMUNITY SERVICESEL PASO COUNTY MEDICAL SOCIETYEL PASO COUNTY PUBLIC HEALTHFORT CARSON WELLNESS SERVICESFOUNTAIN VALLEY COMMUNITY ACTIVITY AND NUTRITIONGOLDEN LOTUS FOUNDATIONHARRISON SCHOOL DISTRICT 2HEARTSMARTKIDSHUNGER FREE COLORADOKAISER PERMANENTEKING SOOPERS/CITY MARKETLATINO AMERICAN HEALTH NETWORKLIVEWELL COLORADO SPRINGSMANITOU SPRINGS SCHOOL DISTRICT 14MEDICALVOYCEMEMORIAL HEALTH SYSTEMNAACPOPEN BIBLE MEDICAL CLINICOWN YOUR OWN HEALTHPARTNERS FOR HEALTHY CHOICESPEAK VISTA COMMUNITY HEALTH CENTERSPENROSE-ST. FRANCIS HEALTH SERVICESPFIZER, INC.PHIL LONG DEALERSHIPSPIKES PEAK AREA COUNCIL OF GOVERNMENTSPIKES PEAK REGION HEALTHIER SCHOOLSROCKY MOUNTAIN HEALTH CARE SERVICESST. FRANCIS MISSION OUTREACHSET FAMILY MEDICAL CLINICSUICIDE PREVENTION PARTNERSHIPTELLER COUNTY PUBLIC HEALTHTRAILS AND OPEN SPACE COALITIONUCCS BETH-EL COLLEGE OF NURSING AND HEALTH SCIENCESURBAN PEAKUS FOODSWELLCENTERSYMCA OF THE PIKES PEAK REGION

MEMORIAL HOSPITAL CENTRAL
PART V, SECTION B, LINE 4: MEMORIAL HOSPITAL NORTHPART V, SECTION B, LINE 5A: HTTPS://WWW.UCHEALTH.ORG/PAGES/ABOUT-UCHEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX

MEMORIAL HOSPITAL NORTH
PART V, SECTION B, LINE 4: MEMORIAL HOSPITAL CENTRALPART V, SECTION B, LINE 5A: HTTPS://WWW.UCHEALTH.ORG/PAGES/ABOUT-UCHEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LN 7 COL (F)
TOTAL BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR PRIOR TO THE PERCENTAGE CALCULATION = $52,300,718

PART III, LINE 4:
PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ALLOWANCES FOR DOUBTFUL ACCOUNTS, CONTRACTUAL ADJUSTMENTS, AND MEDICALLY INDIGENT ALLOWANCES.PART III, LINE 8: THE MEDICARE SHORTFALL IS NOT CONSIDERED COMMUNITY BENEFIT BUT IT DOES INCREASE THE ACCESS TO HEALTH CARE WITHIN THE COMMUNITY. THE COST TO CHARGE RATIO IS PREPARED IN ACCORDANCE WITH THE RULES REQUIRED FOR THE MEDICARE COST REPORT.

PART III, LINE 9B:
PATIENTS MAY APPLY OR REQUEST FOR FINANCIAL ASSISTANCE OR CHARITY CARE VIA PATIENT FINANCIAL SERVICES REPRESENTATIVES.

PART III, LINE 2
ACCOUNTS WITH UNRESOLVED PATIENT LIABILITY AFTER REASONABLE COLLECTION EFFORTS, SET BY POLICY AND IN CONJUNCTION WITH FEDERAL, STATE, AND PAYOR SPECIFIC REGULATIONS, WILL BE ASSIGNED TO BAD DEBT. THESE ACCOUNTS SHALL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY, OR IN SELECTED INSTANCES, ATTORNEYS, FOR ADDITIONAL COLLECTION ACTIVITIES.

PART VI, LINE 2:
MEMORIAL HOSPITAL RECEIVES INPUT VIA THE HOSPITAL BOARD MEMBERS AND VARIOUS COMMUNITY GROUPS THAT IT MEETS WITH ON A REGULAR BASIS WHERE COMMUNITY HEALTH NEEDS ARE DISCUSSED.

PART VI, LINE 3:
INFORMATION IS GIVEN TO PATIENTS UPON ADMISSION FOR CARE AND IS AVAILABLE ON MEMORIAL HOSPITAL'S WEBSITE DESCRIBING THE BILLING PROCESS, INCLUDING BILLING TO GOVERNMENT AND INSURANCE COMPANIES. INFORMATION REGARDING ELIGIBILITY FOR FEDERAL, STATE AND LOCAL INSURANCE AND ASSISTANCE PROGRAMS IS ALSO GIVEN TO PATIENTS AND AVAILABLE ON THE HOSPITAL'S WEBSITE. THE CHARITY POLICY AND FINANCIAL ASSISTANCE POLICY AND PROCESS ARE ALSO GIVEN TO PATIENTS AND AVAILABLE ON THE HOSPITAL'S WEBSITE.

PART VI, LINE 4:
MEMORIAL HOSPITAL AND CHMG SOUTH SERVE SOUTHERN COLORADO AREA. EL PASO COUNTY IS THE PRIMARY DEMOGRAPHIC AREA AND BY POPULATION IS COLORADO'S LARGEST COUNTY WITH OVER 622,000 REPORTED IN THE 2010 CENSUS. 91% OF EL PASO COUNTY RESIDENTS ARE CONSIDERED URBAN WITH 9% POPULATION RURAL. MEMORIAL HOSPITAL ALSO SERVES NEARBY TELLER AND PARK COUNTIES. MEMORIAL HAS THE LARGEST EMERGENCY ROOM IN THE STATE WITH OVER 100,000 VISITS ANNUALLY. DEMOGRAPHICALLY BY AGE, EL PASO COUNTY IS VERY EVENLY DISTRIBUTED WITH SLIGHTLY HIGHER CONCENTRATIONS OF POPULATION IN THE 20-24 AND 25-29 AGE CATEGORIES. COLORADO SPRINGS IS HOME TO FORT CARSON ARMY BASE, PETERSON FIELD AIR FORCE BASE, SCHRIEVER AIR FORCE BASE AND THE AIR FORCE ACADEMY. COLORADO SPRINGS IS ALSO HOME TO UNIVERSITY OF COLORADO COLORADO SPRINGS CAMPUS AND COLORADO COLLEGE. CHILDRENS HOSPITAL OF COLORADO OPERATES THE ONLY LEVEL III NICU IN SOUTHERN COLORADO LOCATED AT MEMORIAL HOSPITAL AND MEMORIAL HOSPITAL EMERGENCY DEPARTMENT IS A LEVEL II TRAUMA CENTER. PATIENTS ARE SERVED FROM SOUTH WESTERN COLORADO TO SOUTH EASTERN COLORADO INCLUDING WESTERN KANSAS.

PART VI, LINE 5:
WE HAVE IMPLEMENTED A BROAD VARIETY OF HEALTHCARE PROGRAMS AND SERVICES TO SPECIFICALLY ADDRESS THE NEEDS OF OUR COMMUNITY, PARTICULARLY THOSE WHO ARE VULNERABLE AND HAVE DIFFICULTY IN RECEIVING HEALTH CARE. MEMORIAL PARTICIPATES IN SEVERAL GRANTS TO HELP OFFSET THE COST OF PROVIDING NEEDED SERVICES TO THE COMMUNITY SUCH AS HEALTHY COMMUNITIES, MEDICAL HOME, SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM AND A CAR SEAT SAFETY PROGRAM.

PART VI, LINE 6:
MEMORIAL HOSPITAL IS PART OF THE UNIVERSITY OF COLORADO HEALTH ORGANIZATION THAT ALSO INCLUDES POUDRE VALLEY HOSPITAL AND MEDICAL CENTER OF THE ROCKIES IN NORTHERN COLORADO AS WELL AS UNIVERSITY OF COLORADO HOSPITAL IN DENVER. THE ORGANIZATION ALSO INCLUDES COLORADO HEALTH MEDICAL GROUP WHICH IS COMPRISED OF A LARGE NUMBER OF PHYSICIANS IN SOUTHERN AND NORTHERN COLORADO. IN SOUTHERN COLORADO, MEMORIAL HOSPITAL AND CHMG SOUTH PROVIDE SERVICES TO RESIDENTS OF SOUTHERN COLORADO COMPREHENSIVE ARRAY OF SERVICES. MEMORIAL AND CHMG ALSO PROVIDE OUTREACH CLINICS FOR SPECIALTY CARE IN MANY LOCATIONS OF SOUTHERN COLORADO FROM THE EASTERN TO WESTERN BORDERS SERVING THE RURAL COMMUNITIES AND IMPROVING ACCESS TO CARE. MEMORIAL HOSPITAL IS ALSO IN PARTNERSHIP WITH CHILDRENS HOSPITAL OF COLORADO WHICH PROVIDES ON SITE CARE FOR ALL PEDIATRIC PATIENTS.

PART VI, LINE 7, REPORTS FILED WITH STATES
CO