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Doctors' Memorial Hospital Inc
Perry, FL 32347
| Bed count | 48 | Medicare provider number | 100106 | 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: 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.
Operating expenses $ 21,448,603 Total amount spent on community benefits as % of operating expenses$ 1,082,457 5.05 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 54,423 0.25 %Medicaid as % of operating expenses$ 1,028,034 4.79 %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: 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$ 2,483,040 11.58 %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? NO 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? YES 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? NO
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
- 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 $ 14460017 including grants of $ 0) (Revenue $ 19331263) THE HOSPITAL PROVIDED INPATIENT, OUTPATIENT, RURAL HEALTH CLINIC AND EMERGENCY SERVICES TO APPROXIMATELY 19,0000 RESIDENTS OF TAYLOR COUNTY FL AND SURROUNDING COUNTIES. TAYLOR COUNTY BOARD OF COMMISSIONERS PROVIDED 1,200,150 IN-KIND DONATIONS INCLUDING THE HOSPITAL BUILDING AND 227,721 IN MEDICAL EQUIPMENT.
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Facility Information
FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH CHNA. THE NEEDS LISTED IN THE CHNA ARE: HEALTH AND HEALTH CARE HEALTH BEHAVIORS CHILDREN IN SINGLE PARENT HOMES LACK OF INSURANCE SEVERE HOUSING PROBLEMS NO PRENATAL CARE INCREASE IN DOMESTIC VIOLENCE INJURY DEATHS GRADUATION RATE LENGTH OF LIFE QUALITY OF LIFE AVAILABILITY OF HEALTH RESOURCES SMOKING AND OBESITY UNEMPLOYMENT POVERTY ACCESS TO EXERCISE OPPORTUNITIES VEHICLE CRASHES AND DEATHS ILLEGAL DRUG AND ALCOHOL USE
FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 5 THE COMMUNITY HEALTH ASSESSMENT RELIED ON A PARTICIPATORY, COLLABORATIVE APPROACH GUIDED BY THE MOBILIZATION FOR ACTION THROUGH PLANNING AND PARTNERSHIPS PROCESS (MAPP). THE TAYLOR COUNTY HEALTH DEPARTMENT WORKED WITHA NUMBER OF COMMUNITY HEALTH PARTNERS AND COMMUNITY RESIDENTS. MEETINGS AND WORKSHOPS WERE HELD TO IDENTIFY AND ASSESS PERCEPTIONS, HEALTH CONCERNS, STRENGTHS AND WEAKNESSES AND OTHER RELATED ISSUES ABOUT THE HEALTH PROGRAMS AND SERVICES AVAILABLE WITHIN TAYLOR COUNTY. THESE COMMUNITY HEALTH PARTNERS INCLUDED BOTH PUBLIC AND PRIVATE ORGANIZATIONS AND INDIVIDUAL MEMBERS ARE IDENTIFIED IN THE REPORT. THE COMMUNITY HEALTH STATUS PROFILE WAS CONDUCTED, A FORCES OF CHANGE WORKSHOP OCCURED AND INCLUDED 12 COMMUNITY HEALTH PARTNERS REPRESENTING SIX AGENCIES. THERE WAS ALSO A COMMUNITY THEMES AND STRENGTHS WORKSHOP WITH A SIGNIFICANT NUMBER OF COMMUNITY HEALTH PARTNERS ATTENDING. SOME WERE: TAYLOR COUNTY HEALTH DEPARTMENT TAYLOR COUNTY EMERGENCY MANAGEMENT BIG BEND AHEC HEALTH START TAYLOR COUNTY SCHOOL DISTRICT FLORIDA DEPARTMENT OF HEALTH
FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 6B TO LEVERAGE RESOURCES AND MOST EFFECTIVELY WORK TOGETHER, THE FLORIDA DEPARTMENT OF HEALTH, TAYLOR COUNTY, PARTNERED ITH DOCTORS' MEMORIAL HOSPITAL, INC. TO COMPLETE THE CHNA.
FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 7D THE TAYLOR COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS MADE AVAILABLE TO THE GENERAL PUBLIC VIA THE FLORIDA DEPARTMENT OF HEALTH-TAYLOR COUNTY WEBSITE AS WELL AS DOCTORS' MEMORIAL HOSPITAL, INC. WEBSITE. A HARDCOPY MAY BE VIEWED AT THE OFFICE OF THE FDOH OR AT THE HOSPITAL. COPIES OF THE REPORT HAVE BEEN MADE AVAILABLE TO ALL OF THE COMMUNITY HEALTH PARTNERS.
FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 11 OBESITY WAS IDENTIFIED AS A SIGNIFICANT HEALTH NEED IN THE SERVICE AREA BUT WILL NOT BE ADDRESSED IN THIS CHNA. DUE TO A CONSTRAINT OF RESOURCES AND THE EFFORT REQUIRED TO ADDRESS THE HEALTH NEEDS, OBESITY WILL NOT BE DIRECTLY ADDRESSED AT THIS TIME.
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Supplemental Information
SCHEDULE H, PART I, LINE 7 THE COSTS FOR PART I, LINE 7A AND 7C WERE DETERMINED USING THE RATIO OF COSTS TO CHARGES CALCULATED USING WORKSHEET 2 IN THE IRS INSTRUCTIONS TO FORM 990 SCHEDULE H. THE COST TO CHARGE RATIO AND THE MEDICAID SHORTFALL CALCULATIONS ARE ADJUSTED FOR HOSPITAL BASED PROVIDER TAXES AND MEDICAID SUPPLEMENTAL REVENUES.
SCHEDULE H, PART III, LINE 4 PROVISION FOR BAD DEBTS AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATION TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED UNDER THE HOSPITAL'S POLICIES.
SCHEDULE H, PART III, LINE 8 THE AMERICAN HOSPITAL ASSOCIATION HAS REPORTED THE MEDICARE AND MEDICAID PROGRAMS PAID HOSPITALS 86 & 89 CENTS RESPECTIVELY FOR EACH DOLLAR SPENT ON PATIENT CARE. OUR HOSPITAL HAS EXPERIENCED A REDUCTION IN THESE PAYMENTS WITH THE EXPANSION OF MANAGED CARE. THIS SHORTFALL IS A GROWING FINANCIAL BURDEN ON RURAL HOSPITALS AND IS A BENEFIT TO PATIENTS WHO ARE RECEIVING THIS UNCOMPENSATED CARE. SEE UNCOMPENSATED SERVICES ON PAGE 19 OF AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 9B THE HOSPITAL ATTEMPTS TO IDENTIFY PATIENTS WHO QUALIFY FOR FINANCIAL ASSSITANCE AT THE TIME OF ADMISSION. IF THE PATIENT IS IDENTIFIED PRIOR TO RECEIVING SERVICE, THE PATIENT DOES NOT RECEIVE A BILL. IF THE PATIENT IS NOT IDENTIFIED PRIOR TO SERVICE, THE PATIENT WILL RECEIVE A BILL. THE BILL INCLUDES A NOTICE ADVISING THE PATIENT OF THE FINANCIAL ASSISTANCE PROGRAM AND ENCOURAGING THEM TO APPLY.
SCHEDULE H, PART VI, LINE 3 THE HOSPITAL INFORMS & EDUCATES PATIENTS REGARDING OPTIONS FOR RESOLUTION OF THEIR ACCOUNT BALANCE, INCLUDING ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IN A VARIETY OF WAYS. SIGNAGE & BROCHURES ARE PLACED IN LOCATIONS WHERE PATIENTS REGISTER FOR CARE, PATIENT ACCESS AREAS AND VARIOUS POINTS OF ENTRY SUCH AS THE ER DEPARTMENT. ASSISTANCE FROM A FINANCIAL COUNSELOR IS AVAILABLE UPON REQUEST. ADMISSION SOFTWARE HAS THE CAPABILITY OF EVALUATING QUALIFICATION FOR ASSISTANCE BASED UPON INCOME LEVEL. THE PATIENT IS THEN PROVIDED AN APPLICATION AND REFERRED TO A FINANCIAL COUNSELOR.
SCHEDULE H, PART VI, LINE 4 THE HOSPITAL PROVIDES HEALTH CARE SERVICES TO CITIZENS OF TAYLOR, LAFAYETTE, AND SURROUNDING COUNTIES IN FLORIDA.
SCHEDULE H, PART VI, LINE 5 THE HOSPITAL PROMOTES COMMUNITY HEALTH THROUGH EDUCATION, COUNSELING & SUPPORT SERVICES, HEALTH SCREENINGS, EDUCATION IN A CLINICAL SETTING, SPECIALTY IN-SERVICE PROGRAMS, SCHOLARSHIPS FOR HEALTH PROFESSIONAL'S EDUCATION, SPONSORSHIPS FOR RELAY FOR LIFE, PARTICIPATION IN COMMUNITY HEALTH FESTIVALS AND SUPPORT FOR THE BOY & GIRLS CLUB IN PERRY, FL.
