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Hutcheson Medical Center Inc
Fort Oglethorpe, GA 30742
| Bed count | 179 | Medicare provider number | 110004 | Member of the Council of Teaching Hospitals | YES | 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: 2012
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 $ 74,877,724 Total amount spent on community benefits as % of operating expenses$ 3,921,761 5.24 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 3,667,823 4.90 %Medicaid as % of operating expenses$ 253,938 0.34 %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: 2012
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$ 10,639,846 14.21 %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$ 7,332,837 68.92 %- 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 Filed lawsuit Not available Placed liens on residence Not available 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.
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? YES
Community Health Needs Assessment Activities: 2012
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? NO Did the CHNA define the community served by the tax-exempt hospital? Not available Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? Not available Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? Not available 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? Not available
Supplemental Information: 2012
- 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 $ 66498295 including grants of $ 0) (Revenue $ 70466357) HMC INCLUDES AN ACUTE CARE HOSPITAL, A SKILLED NURSING SUB ACUTE CARE UNIT, AND A NURSING HOME. ADDITIONALLY, HMC OFFERS HOSPICE RELATED SERVICES. HMC PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF HMC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICE. FURTHER, HMC'S MISSION IS TO SERVE THE COMMUNITY WITH RESPECT, PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE IS PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND AN INDIVIDUAL'S ABILITY TO PAY COEXIST. THESE ACTIVITIES INCLUDE HEALTH EVALUATION, SCREENING PROGRAMS AND SPECIFIC SERVICES FOR THE ELDERLY AND HOME BOUND AS WELL AS A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. HMC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH HMC BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED.
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Supplemental Information
PART I, L7 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 $10,639,846.
PART III, LINE 4: BAD DEBTS ARE MEASURED ON AN ACCRUAL BASIS ESTIMATING UNCOLLECTIBLE AMOUNTS NOT ACCOUNTED FOR AS CHARITY AND BAD DEBT AND THEREFORE INCLUDES ACCOUNTS NOT RECLASSIFIED AFTER WRITE-OFF AND ACTIVE ACCOUNTS NOT YET QUALIFIED AS CHARITY.DIFFERENCE IN AMOUNT FROM CHARITY LOGS AND AMOUNT CLASSIFIED AS CHARITY ON THE GENERAL LEDGER IS ASSUMED TO HAVE BEEN CAPTURED IN BAD DEBT EXPENSE ESTIMATES AND ACCRUALS.
PART III, LINE 8: AMOUNTS WERE OBTAINED FROM THE MEDICARE COST REPORT BASED ON COST CALCULATED UNDER MEDICARE METHODOLOGY. HUTCHESON DOES NOT CLAIM MEDICARE LOSS AS PART OF ITS COMMUNITY BENEFIT.
PART III, LINE 9B: COLLECTIONS AGENCIES ARE EDUCATED IN THE FAP PRACTICES OF HUTCHESON AND HAVE AUTHORITY TO ACCEPT APPLICATIONS AND APPLY APPROPRIATE DISCOUNTS.
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
HUTCHESON MEDICAL CENTER INC PART V, SECTION B, LINE 14G: HOSPITAL COORDINATES WITH A 3RD PARTY VENDOR FOCUSED ON MEDICAID ELIGIBILITY AND ITS COLLECTION AGENCIES TO MAKE PATIENT AWARE OF FAP AND OPTIONS TO THE PATIENT
PART VI, LINE 2: THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH PHYSICIAN, HOSPITAL BOARD, AND COMMUNITY LEADER GUIDANCE. ADDITIONALLY, THE HOSPITAL HOSTS COMMUNITY FORUMS TO GARNER FEEDBACK FROM THE PUBLIC ABOUT COMMUNITY HEALTH CARE NEEDS.
PART VI, LINE 4: HUTCHESON MEDICAL CENTER SERVES THE PRINCIPAL AREA OF CATOOSA, DADE, AND WALKER COUNTIES IN NORTH GEORGIA PER THE 2011 CENSUS, THE POPULATION OF CATOOSA COUNTY IS 65,046, PRIMARILY CAUSASIAN, WITH A MEDIAN INCOME OF $46,549. 12.2% OF THE POPULATION IS BELOW POVERTY LEVEL. THE POPULATION OF WALKER COUNTY IS 68,094, PRIMARILY CAUSASIAN, WITH A MEDIAN INCOME OF $39,578, 16.0% OF THE POPULATION IS BELOW POVERTY LEVEL. THE POPULATION OF DADE COUNTY IS 16,490, PRIMARILY CAUCASIAN, WITH MEDIAN INCOME OF $41,629, 16.3% OF THE POPULATION IS BELOW POVERTY LEVEL.
PART VI, LINE 5: IN ORDER TO PROMOTE COMMUNITY HEALTH, THE HOSPITAL PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE THROUGH A LOCAL, INDEPENDENT BOARD OF DIRECTORS. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO QUALIFIED COMMUNITY PHYSICIANS WHEN APPROPRIATE. SURPLUS FUNDS ARE REINVESTED IN THE HOSPITAL TO PURCHASE MEDICAL EQUIPMENT.
