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Home & Community Services Inc
Commerce, GA 30529
Bed count | 90 | Medicare provider number | 110040 | 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: 2020
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 $ 50,558,818 Total amount spent on community benefits as % of operating expenses$ 686,251 1.36 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 23,597 0.05 %Medicaid as % of operating expenses$ 319,949 0.63 %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$ 342,705 0.68 %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: 2020
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$ 681,412 1.35 %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? YES
Community Health Needs Assessment Activities: 2020
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: 2020
- 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 $ 50558818 including grants of $ 0) (Revenue $ 43874246) PROVIDED A CENTRAL, EFFICIENT, AND COST-EFFECTIVE HEALTH CARE TRANSPORTATION SERVICES AS A MEMBER OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED PHYSICIAN'S CARE TO OTHER ENTITIES WHICH ARE A PART OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS IN COMMERCE, GEORGIA AND SURROUNDING AREAS. PROVIDED HOME HEALTH AND HOSPICE SERVICES TO OTHER ENTITIES WHICH ARE A PART OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM. CONSISTENT WITH THE POLICIES AND PROCEDURES PREVIOUSLY ADOPTED BY THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC., THE SECTION 509(A)(3) SUPPORTING ORGANIZATION AND PARENT ENTITY OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM OF WHICH THE ORGANIZATION IS A MEMBER, THE ORGANIZATION PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITIES IT SERVES PURSUANT TO BOTH COMMUNITY BENEFIT GUIDELINES AND A CHARITY CARE POLICY. THE ORGANIZATION CONTINUES TO ASSESS AND DEVELOP PROGRAMS TO BENEFIT THE COMMUNITY.
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Facility Information
FACILITY 1, NORTHRIDGE MEDICAL CENTER - PART V, LINE 5 SEE SECTION II OF ATTACHED CHNA.
FACILITY 1, NORTHRIDGE MEDICAL CENTER - PART V, LINE 11 THE ORGANIZATION PROVIDES MANY COMMUNITY BENEFIT PROGRAMS THAT WERE IDENTIFIED IN THE HEALTH NEEDS ASSESSMENT. THE ORGANIZATION PROACTIVELY ADDRESSED/ADOPTED THE HEALTH NEEDS IDENTIFIED PRIOR TO THE FINALIZATION OF THE HEALTH NEEDS ASSESSMENT.
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Supplemental Information
SCHEDULE H, PART II NORTHRIDGE MEDICAL CENTER CONTINUALLY EVALUATES THE NEEDS OF ITS LOCAL COMMUNITY AND OFFERS NEW AND TAILORED SERVICES TO ENSURE RESIDENTS OF JACKSON AND BANKS COUNTIES HAVE ACCESS TO THE SAME SERVICES AVAILABLE IN A MORE URBAN SETTING. THIS ENSURES HEALTHCARE FOR ALL RESIDENTS IS TIMELY AND CONVENIENT, ENABLING PATIENTS TO SAVE TIME AND MONEY BY ACCESSING CARE CLOSE TO HOME WHENEVER POSSIBLE RATHER THAN TRAVELING TO ATLANTA, ATHENS, OR OTHER METRO CENTERS. INCREASING ACCESS TO SPECIALISTS LIKE MANY RURAL GEORGIANS, RESIDENTS IN THE NORTHRIDGE SERVICE AREA HAD DIFFICULTY ACCESSING SPECIALIST CARE THAT DID NOT REQUIRE NUMEROUS TRIPS TO A MORE URBAN SETTING. COUNTY PUBLIC HEALTH DATA SHOW THAT COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE) IS A TOP CAUSE OF DEATH IN JACKSON COUNTY; IT IS ALSO ONE OF THE MOST FREQUENT CONDITIONS SEEN IN PATIENTS ADMITTED TO THE HOSPITAL. PREVENTIVE CARE PREVENTIVE CARE IS INCREASINGLY A FOCUS OF HOSPITAL ACTIVITIES DUE TO THE HIGH RATE OF DIABETES, COPD, CARDIOVASCULAR DISEASE, AND OTHER CHRONIC CONDITIONS IN SERVICE AREA. IN ADDITION TO REGULAR PARTICIPATION IN HEALTH FAIRS, NORTHRIDGE RENOVATED ITS WELLNESS CENTER IN JANUARY 2015, MAKING COSMETIC AND AESTHETIC IMPROVEMENTS WHILE INSTALLING A NEW KEY CARD SYSTEM WHICH ENABLES EASY TRACKING OF ATTENDANCE. MEMBERSHIP IS OPEN TO THE PUBLIC AND DISCOUNTS ARE OFFERED TO AREA BUSINESSES AS WELL AS FIRST RESPONDERS. THE WELLNESS CENTER IS ALSO NOW A PARTICIPANT IN THE SILVER SNEAKERS FITNESS PROGRAM WHICH PROVIDES A FREE MEMBERSHIP TO SENIORS VIA MEDICARE AND OTHER INSURANCE PLANS.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE AND AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ARE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS AND TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
SCHEDULE H, PART III, LINE 4 PAGE 6 OF ATTACHED AUDITED FINANCIAL STATEMENTS
SCHEDULE H, PART III, LINE 9B "SEE ATTACHED ""PATIENT FINANCIAL SERVICES"" POLICIES AND PROCEDURES."
SCHEDULE H, PART VI, LINE 3 NORTHRIDGE COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. AT THE TIME OF ADMISSION, NORTHRIDGE MEDICAL CENTER WORKS WITH MEDASSIST TO ENLIST PATIENTS IN QUALIFYING PROGRAMS. THE HOSPITAL MAKES AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY HELP THEM OBTAIN AND PAY FOR HEALTHCARE SERVICES. FINANCIAL COUNSELING IS ALSO PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS AS NEEDED.
SCHEDULE H, PART VI, LINE 5 SEE SCHEDULE O FOR THE ORGANIZATION'S MISSION AND PROGRAM ACCOMPLISHMENTS WHICH INCLUDES AN EMPHASIS ON COMMUNITY BENEFIT AND COMMUNITY HEALTH.
SCHEDULE H, PART VI, LINE 6 THE INTEGRATED HEALTH DELIVERY SYSTEM IS DESCRIBED IN SCHEDULE O AND AFFILIATED ORGNANIZATIONS ARE INCLUDED IN SCHEDULE R.
SCHEDULE H, PART VI, LINE 7 GEORGIA
SCHEDULE H, PART VI, LINE 4 NORTHRIDGE MEDICAL CENTER IS A 90 BED ACUTE CARE HOSPITAL LOCATED IN COMMERCE, GEORGIA. IT IS THE ONLY HOSPITAL IN JACKSON COUNTY. IT INCLUDES A 167 BED SKILLED NURSING FACILITY ON SITE. HOSPITAL SERVICES INCLUDE EMERGENCY MEDICINE, CARDIOLOGY, MAMMOGRAPHY, OCCUPATIONAL THERAPY, OUTPATIENT DIAGNOSTIC SERVICES, PHYSICAL THERAPY, PULMONARY FUNCTION TESTING, RADIOLOGY, REHABILITATION SERVICES, RESPIRATORY THERAPY, SPEECH THERAPY, SWING BED/SHORT TERM REHABILITATION, AND ULTRASOUND. THE PRIMARY SERVICE AREA FOR NORTHRIDGE MEDICAL CENTER IS JACKSON AND BANKS COUNTIES. IN 2021, JACKSON COUNTY AND BANKS COUNTY ACCOUNTED FOR 69% OF ALL INPATIENT ADMISSIONS. IN 2021, JACKSON COUNTY AND BANKS COUNTY REPRESENTED 45% OF ALL OUTPATIENTS. BANKS AND JACKSON COUNTIES ARE LOCATED IN THE NORTHEAST PART OF THE STATE, JUST BEYOND THE MAJOR ATLANTA METROPOLITAN AREA TO THE WEST WHICH IS COMPRISED OF OVER TWO DOZEN COUNTIES. THESE TWO COUNTIES HAVE POORER HEALTH THAN THE ADJOINING METRO ATLANTA COUNTIES AND THOSE IMMEDIATELY TO THE SOUTH AS WELL. JACKSON COUNTY JACKSON COUNTY WAS CREATED IN 1796 FROM PART OF FRANKLIN COUNTY. IT IS NAMED FOR REVOLUTIONARY WAR GENERAL, CONGRESSMAN, AND SENATOR JAMES JACKSON. THE COUNTY SEAT AND MOST POPULOUS CITY IS JEFFERSON. INCORPORATED CITIES INCLUDE ARCADE, BRASELTON, COMMERCE, HOSCHTON, JEFFERSON, MAYSVILLE, NICHOLSON, PENDERGRASS AND TALMO. JACKSON COUNTY COMPRISES THE JEFFERSON, GA MICROPOLITAN STATISTICAL AREA, WHICH IS INCLUDED IN THE ATLANTA-ATHENS-CLARKE COUNTY-SANDY SPRINGS, GA COMBINED STATISTICAL AREA. THE COUNTY IS HOME TO TANGER OUTLETS, COMPRISING ALMOST 100 STORES, AS WELL AS THE PEACH STATE MOTORSPEEDWAY. THE COUNTY ENCOMPASSES 342.2 SQUARE MILES. JACKSON COUNTY HAS MOVED TO THE FOREFRONT IN POULTRY FARMING, CONTINUALLY RANKING IN THE TOP FIVE COUNTIES IN BROILER AND EGG PRODUCTION. THE COUNTY ALSO RANKS NEAR THE TOP IN BEEF CATTLE NUMBERS AND LIVESTOCK INCOME IN THE STATE. BANKS COUNTY BANKS COUNTY WAS CREATED IN 1858 FROM PARTS OF FRANKLIN AND HABERSHAM COUNTIES. IT WAS NAMED FOR DR. RICHARD E. BANKS, A CIRCUIT-RIDING PHYSICIAN WHO TREATED THE SETTLERS AND NATIVE AMERICANS OF NORTHERN GEORGIA AND SOUTH CAROLINA. HOMER, THE COUNTY'S ONLY MUNICIPALITY, WAS INCORPORATED IN 1859 AND WAS NAMED AFTER HOMER JACKSON, A PROMINENT SETTLER. THE NORTHERN BOUNDARY OF BANKS COUNTY IS THE CHATTAHOOCHEE NATIONAL FOREST AND MUCH OF THE COUNTY IS WOODLANDS. THE COUNTY ENCOMPASSES 233.7 SQUARE MILES. COMMERCIAL FORESTRY HAS GIVEN WAY TO SMALL POULTRY FARMS IN RECENT DECADES, ALTHOUGH MUCH OF THE WORKFORCE IS EMPLOYED IN THE MANUFACTURING SECTOR, MOSTLY IN TEXTILES AND APPAREL PRODUCTION. DEMOGRAPHICS JACKSON COUNTY IS FAR MORE POPULOUS THAN BANKS; ITS POPULATION IS MORE EDUCATED AND MORE LIKELY TO HAVE OWNED A HOME. JACKSON COUNTY ALSO HAS A MUCH HIGHER MEDIAN HOUSEHOLD INCOME (2013 -2017) AT 57,999 COMPARED TO BANKS COUNTY (42,182). THE MEDIAN INCOME IN BANKS COUNTY IS ALSO SIGNIFICANTLY LOWER THAN THE GEORGIA NATIONAL AVERAGE (52,977). DATA FROM THE GOVERNOR'S OFFICE OF PLANNING AND BUDGET SHOW THAT THE POPULATION OF JACKSON AND BANKS COUNTIES WILL INCREASE FROM APPROXIMATELY 18,634 RESIDENTS TO 19,442 BETWEEN THE YEARS 2018 AND 2035. THE POPULATION GROWTH WILL BE EVEN MORE PRONOUNCED IN JACKSON COUNTY, WHOSE POPULATION WILL JUMP FROM 67,000 TO 90,000 IN THE NEXT FIFTEEN YEARS. IN ADDITION, SENIORS WILL MAKE UP AN INCREASING PERCENTAGE OF THE POPULATION. JACKSON AND BANKS COUNTIES HAVE A GREATER THAN AVERAGE NUMBER OF INDIVIDUALS AGED 65 AND OLDER COMPARED TO THE REST OF THE STATE AND THIS TREND IS EXPECTED TO CONTINUE. 21.0% OF GEORGIANS IN 2035 WILL BE AGED 65 AND OLDER; IN JACKSON COUNTY THIS INCREASES TO 24.0% IN JACKSON COUNTY AND 27.0% IN BANKS, FOR A TOTAL OF ALMOST 26,000 RESIDENTS IN THIS AGE RANGE BY 2035.