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Calhoun-liberty Hospital Association Inc
Blountstown, FL 32424
| Bed count | 25 | Medicare provider number | 101304 | 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 $ 12,492,801 Total amount spent on community benefits as % of operating expenses$ 543,764 4.35 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 33,204 0.27 %Medicaid as % of operating expenses$ 508,221 4.07 %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.$ 2,339 0.02 %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$ 3,154,456 25.25 %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? NO
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 $ 10856920 including grants of $ 0) (Revenue $ 9655348) TO PROVIDE QUALITY HEALTHCARE TO THE COMMUNITY THROUGH INPATIENT CARE, OUTPATIENT CARE, EMERGENCY ROOM CARE AND OTHER RELATED SERVICES.
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Facility Information
FACILITY 1, CALHOUN-LIBERTY PRIMARY CARE - PART V, LINE 3E IN CONSIDERATION OF THE QUANTITATIVE AS WELL AS QUALITATIVE FEEDBACK, THE FOLLOWING COMMUNITY HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED: ACCESS TO HEALTH CARE OBESITY MENTAL HEALTH/SUBSTANCE ABUSE
FACILITY 1, CALHOUN-LIBERTY PRIMARY CARE - PART V, LINE 5 WHILE THE ORGANIZATION MADE PROGRESS ON THEIR 2016 CHNA AND 2017 - 2019 IMPLEMENTATION STRATEGY PLAN, HURRICANE MICHAEL DRAMATICALLY CHANGED THE TRAJECTORY OF THE HOSPITAL'S EFFORTS WHEN IT MADE LANDFALL DIRECTLY ON BLOUNTSTOWN, FLORIDA, ON OCTOBER 10, 2018. THE DAMAGE TO CLH WAS SIGNIFICANT TO SAY THE LEAST. DUE TO THE WIDESPREAD DAMAGE IN THE REGION, RESOURCES WERE LIMITED FOR IMMEDIATE ASSISTANCE TO CLEAN-UP, REPAIR AND RESTORE HOSPITAL DEPARTMENTS IN ORDER TO PROVIDE SERVICES. WHILE IT TOOK SEVERAL WEEKS AND, IN SOME CASES, MONTHS, CLH WAS ABLE TO OPEN ITS DOORS AGAIN IN THE MIDST OF RECOVERY AND CONTINUES TO BE IN A REBUILDING PROCESS. TO THAT END, CLH PARTICIPATED IN THE 2019 - 2021 COMMUNITY HEALTH IMPROVEMENT PLAN WITH THE FLORIDA DEPARTMENT OF HEALTH IN CALHOUN/LIBERTY COUNTIES TO UPDATE THE EXISTING 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND INCLUDE AN IMPLEMENTATION STRATEGY PLAN FOR 2019 - 2021. IN THE PREVIOUS CHNA (2016), THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT IS COMPRISED OF IDENTIFYING THE ISSUES RESIDENTS OF THE COMMUNITY DEEM AS THE MOST IMPORTANT; ALONG WITH DISTINGUISHING ANY RESOURCES AVAILABLE TO AID IN IMPROVING THE HEALTH OF THE COMMUNITY. COMMUNITY SURVEYS WERE DEVELOPED AND FIELDED AT VARIOUS LOCATIONS, INCLUDING GROCERY STORES, CONVENIENCE STORES, HOSPITAL/ER AND MEDICAL CLINICS. WITH THE ASSISTANCE OF THE FLORIDA DEPARTMENT OF COMMUNITY HEALTH, EXISTING DATA WAS REVIEWED AND COMMUNITY HEATLH INDICATORS WERE UPDATED AND REVIEWED.
FACILITY 1, CALHOUN-LIBERTY PRIMARY CARE - PART V, LINE 6B FLORIDA DEPARTMENT OF HEALTH IN CALHOUN/LIBERTY COUNTIES.
FACILITY 1, CALHOUN-LIBERTY PRIMARY CARE - PART V, LINE 11 BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH & SUBSTANCE ABUSE: AS IDENTIFIED DURING THE NEEDS ASSESSMENT CALHOUN LIBERTY HOSPITAL DOES NOT PROVIDE BEHAVIORAL HEALTH SERVICES, AND IT WOULD NOT BE FEASIBLE FOR THE HOSPITAL TO DEVELOP THIS TYPE OF PROGRAM DUE TO FUNDS. THE HOSPITAL WORKS CLOSELY WITH FACILITIES THAT PROVIDE THESE SERVICES TO ASSIST PATIENTS IN ACCESSING CARE. FOOD DESERT: THE HOSPITAL CANT PROVIDE SERVICES FOR THE PROBLEM OF ONLY HAVING ONE GROCERY STORE IN EACH COMMUNITY. THE HOSPITAL DOES NOT HAVE AN AVAILABLE COLD CONTAINER TO HOUSE PERISHABLE ITEMS AND DOES NOT SEE A TIME FRAME THAT THIS WOULD BE FEASIBLE.
FACILITY 1, CALHOUN-LIBERTY PRIMARY CARE - PART V, LINE 13H A PATIENT IS CONSIDERED MEDICALLY INDIGENT IF THEY ARE UNABLE TO PAY THE OUTSTANDING BALANCE IN THEIR ACCOUNT IF, AFTER ALL INSURANCE ANC 3RD PARTY PAYMENTS, THE AMOUNT OUTSTANDING EXCEEDS 5% OF ANNUAL HOUSEHOLD INCOME AND THE TOTAL ANNNUAL HOUSE HOLD INCOME EXCEEDS 300% OF FPG BUT IS LESS THAN 500% OF FPG.
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Supplemental Information
SCHEDULE H, PART I, LINE 7 COSTS FOR PART I, LINE 7A AND 7B WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. SEE ALSO THE DESCRIPTION FOR PART III, LINE 2.
SCHEDULE H, PART III, LINE 3 NET PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE HOSPITAL EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS AND INCLUDES VARIABLE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS, REVIEWS, AND INVESTIGATIONS. GENERALLY, THE HOSPITAL BILLS THE PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED AND/OR THE PATIENT IS DISCHARGED FROM THE FACILITY. REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED BY THE HOSPITAL. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED BASED ON ACTUAL CHARGES INCURRED IN RELATION TO TOTAL EXPECTED (OR ACTUAL) CHARGES. THE HOSPITAL BELIEVES THAT THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS RECEIVING PATIENT CARE SERVICES. THE HOSPITAL MEASURES THE PERFORMANCE OBLIGATION FROM ADMISSION INTO THE HOSPITAL TO THE POINT WHEN IT IS NO LONGER REQUIRED TO PROVIDE SERVICES TO THAT PATIENT, WHICH IS GENERALLY AT THE TIME OF DISCHARGE. THESE SERVICES ARE CONSIDERED TO BE A SINGLE PERFORMANCE OBLIGATION AND HAVE A DURATION OF LESS THAN ONE YEAR. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME IS RECOGNIZED WHEN SERVICES ARE PROVIDED AND THE HOSPITAL DOES NOT BELIEVE IT IS REQUIRED TO PROVIDE ADDITIONAL SERVICES TO THE PATIENT. SEE FOOTNOTE 3 FOR A SUMMARY OF UNCOMPENSATED SERVICES, INCLUDING PRICE CONCESSIONS (BAD DEBTS).
SCHEDULE H, PART III, LINE 4 SEE THE DISCUSSION REGARDING UNINSURED PATIENTS AND BAD DEBT EXPENSE WITH THE NET PATIENT SERVICE REVENUE FOOTNOTE ON PAGES 12-18 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.
SCHEDULE H, PART VI, LINE 2 IN ADDITION TO CONDUCTING A CHNA EVERY 3 YEARS, THE HOSPITAL SEEKS INPUT FROM MEMBERS OF THE COMMUNITY, MEDICAL AND NURSING STAFF AND COMMUNITY HEALTH LEADERS THROUGHOUT THE YEAR.
SCHEDULE H, PART VI, LINE 3 THE FAP, APPLICATION AND SUMMARY ARE POSTED ON THE ORGANIZATION'S WEBSITE. SIGNAGE THROUGHOUT THE HOSPITAL PROVIDES NOTICE OF THE FAP AND PATIENTS ARE INFORMED OF FINANCIAL ASSISTANCE PRIOR TO DISCHARGE. THE APPLICATION, FAP AND PLAIN LANGUAGE SUMMARY ARE AVAILABE UPON REQUEST AT THE HOSPITAL FACILITY'S ADMISSION POINTS.
SCHEDULE H, PART VI, LINE 4 THE HOSPITAL'S SERVICE AREA IS DEFINED AS CALHOUN AND LIBERTY COUNTIES, FLORIDA. THE TOWNS AND CITIES OF BLOUNTSVILLE, BRISTOL, ALTHA, HOSFORD, CLARKVILLE, WEWAHITCHKA AND TELOGIA ARE IN THESE COUNTIES. APPROXIMATLEY 21,600 PEOPLE LIVE IN THESE 2 COUNTIES. THE MEDIAN INCOME OF BOTH COUNTIES IS SUBSTANTIALLY BELOW THE FLORIDA AVERAGE AND APPROXIMATEL 205 OF THE POPULATION IS BELOW THE FEDERAL POVERTY LINE.
SCHEDULE H, PART VI, LINE 5 THE HOSPITAL HAS AN EMERGENCY ROOM OPEN 24/7/365 TO ALL PATIENTS ON A NON- DISCIMINATORY BASIS WITHOUT REGARD FOR THE PATIENT'S ABILITY TO PAY. THE HOSPITAL IS LEAD BY A BOARD OF DIRECTORS COMPRISED ON INDEPENDENT COMMUNITY MEMBERS AND THE MEDICAL STAFF IS OPEN TO PROPERLY CREDENTIALED PHYSICIANS. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS.
SCHEDULE H, PART VI THE HOSPITAL AND ITS SERVICE COMMUNITY WERE SEVERELY IMPACTED BY THE LANDFALL OF HURRICANE MICHAEL, A CATEGORY 5 STORM THAT INFLICTED TREMENDOUS DAMAGE THROUGHT LIBERTY AND CALHOUN COUNTIES AFTER IT CAME ASHORE IN MEXICO BEACH FLORIDA WHICH IS 41 MILES SOUTHWEST OF BLOUNTSTOWN.
