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Effingham Hospital Inc
Springfield, GA 31329
| Bed count | 25 | Medicare provider number | 111306 | 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: 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 $ 74,080,730 Total amount spent on community benefits as % of operating expenses$ 4,462,962 6.02 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 1,778,362 2.40 %Medicaid as % of operating expenses$ 2,684,600 3.62 %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$ 11,795,119 15.92 %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: 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 $ 58890074 including grants of $ 0) (Revenue $ 62196049) EFFINGHAM HOSPITAL, INC. (EH) PROVIDES WELLNESS CARE, HEALTH EDUCATION, PREVENTATIVE SCREENINGS, AND COMPREHENSIVE OUT AND INPATIENT MEDICAL SERVICES.
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Facility Information
FACILITY 1, EFFINGHAM HOSPITAL, INC. - PART V, LINE 3E THE 2022 CHNA IDENTIFIED THESE SIGNIFICANT HEALTH NEEDS AS PRIORITIES - 1) MENTAL AND BEHAVIORAL HEALTH, 2) EXPAND ACCESS TO MEDICAL CARE IN THE EFFINGHAM COUNTY COMMUNITY, AND 3) ENHANCE COMMUNITY HEALTH AWARENESS IN THE EFFINGHAM COUNTY COMMUNITY.
FACILITY 1, EFFINGHAM HOSPITAL, INC. - PART V, LINE 5 COMMUNITY INPUT WAS SOLICITED THROUGH FOCUS GROUPS AND A COMMUNITY SURVEY. KEY COMMUNITY STAKEHOLDERS WERE ALSO INVOLVED IN REVIEWING AND INTERPRETING FINDINGS FROM THE CHNA AND DEVELOPING AN IMPLEMENTATION PLAN TO ADDRESS PRIORITIZED COMMUNITY NEEDS. THE COMMUNITY SURVEY AND FOCUS GROUP INTERVIEWS ASSESSED LOCAL HEALTH CARE ACCESS AND NEEDS OF THE EFFINGHAM COUNTY COMMUNITY. THE COMMUNITY SURVEY WAS DISSEMINATED TO RESIDENTS OF THE HOSPITALS PRIMARY SERVICE AREA VIA THE HOSPITALS, WEBSITE, SOCIAL MEDIA WEBPAGES AND EMAIL LISTSERVS, AS WELL AS THOSE OF LOCAL COMMUNITY PARTNERS. FOCUS GROUP PARTICIPANTS WERE ALL KEY COMMUNITY STAKEHOLDERS OF EFFINGHAM COUNTY. THREE VIRTUAL FOCUS GROUPS WERE HELD IN MARCH 2022, WITH AN AVERAGE OF 9 PARTICIPANTS PER FOCUS GROUP. THE HOSPITAL AND THE CHNA STEERING COMMITTEE RECRUITED TWENTY-SEVEN FOCUS GROUP PARTICIPANTS. THEY INCLUDED KEY COMMUNITY STAKEHOLDERS REPRESENTING HEALTH CARE, THE LOCAL PUBLIC HEALTH DEPARTMENT, FAITH-BASED ORGANIZATIONS, THE CHAMBER OF COMMERCE, AND LOCAL BUSINESSES. COLLECTIVELY, PERSPECTIVES OBTAINED FROM THE SURVEYS AND FOCUS GROUPS PROVIDED A HOLISTIC VIEW OF LIFE IN THE COMMUNITY AND THE HEALTH AND HEALTH CARE NEEDS OF THE RESIDENTS. INFORMATION FROM THESE PRIMARY DATA COLLECTION EFFORTS WAS SUPPLEMENTED BY SECONDARY QUANTITATIVE DATA ON THE COMMUNITYS DEMOGRAPHIC AND ECONOMIC PROFILE, HEALTH CARE ACCESS, AND UTILIZATION. THESE DATA WERE OBTAINED FROM MULTIPLE PUBLICLY AVAILABLE SOURCES INCLUDING THE US CENSUS BUREAU, UNIVERSITY OF WISCONSINS COUNTY HEALTH RANKINGS, CENTERS FOR DISEASE CONTROL (CDC), THE BUREAU OF LABOR STATISTICS, AND GEORGIA GOVERNORS OFFICE OF PLANNING AND BUDGET POPULATION PROJECTIONS. THE MOST RECENTLY AVAILABLE DATA WERE OBTAINED FROM ALL DATA SOURCES
FACILITY 1, EFFINGHAM HOSPITAL, INC. - PART V, LINE 6B EFFINGHAM HEALTH SYSTEM PARTNERED WITH THE CENTER FOR PUBLIC HEALTH PRACTICE AND RESEARCH (CPHPR) AT THE JIANN-PING HSU COLLEGE OF PUBLIC HEALTH, GEORGIA SOUTHERN UNIVERSITY TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE HOSPITALS PRIMARY SERVICE AREA OF THE EFFINGHAM COUNTY.
FACILITY 1, EFFINGHAM HOSPITAL, INC. - PART V, LINE 11 SEE PAGES 70-72 OF THE 2022 CHNA FOR A DISCUSSION ON HOW THE ORGANIZATION IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA. ALL 3 OF THE PRIORITIZED COMMUNITY HEALTH NEEDS ARE ADDRESSED IN THE IMPLEMENATION STRATEGY REPORT (WHICH IS INCLUDED IN THE CHNA).
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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 FROM WORKSHEET 2 IN THE IRS INSTRUCTIONS FOR SCHEDULE H. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS.
SCHEDULE H, PART III, LINE 2 AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE.
SCHEDULE H, PART III, LINE 4 THE AUTHORITY PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON AN EVALUATION OF THE OVERALL COLLECTABILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE, THE ACCOUNTS ARE CHARGED AGAINST THE ALLOWANCE.
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 III, LINE 9B THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR FINANCIAL AID OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS.
SCHEDULE H, PART VI, LINE 2 EFFINGHAM HOSPITAL, INC. COMPLETED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN JUNE 2022. BOTH THE 2019 AND 2022 CHNA AND IS REPORTS MAY BE FOUND AT - HTTPS://WWW.EFFINGHAMHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT- IMPLEMENTATION-PLAN/. IN ADDITION TO THE FORMAL CHNA, INPUT IS PERIODICALLY PROVIDED BY MEMBERS OF THE COMMUNITY, THE MEDICAL STAFF AND OTHERS THROUGHOUT THE YEAR.
SCHEDULE H, PART VI, LINE 3 THE BOARD HAS CLEARLY WRITTEN INDIGENT AND FINANCIAL AID POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION WEB SITE AND THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND FINANCIAL AID. PATIENT EDUCATION ON THE ORGANIZATION'S INDIGENT AND FINANCIAL AID PROGRAMS ARE CONDUCTED DURING PRE-REGISTRATION, THROUGH FLOOR VISITS BY BUSINESS OFFICE REPRESENTATIVES FOR PATIENTS THAT STRESS CONCERN IN MEETING THE FINANCIAL OBLIGATIONS FOR THEIR SERVICES, THROUGH OUR CUSTOMER SERVICE DEPARTMENT. BROCHURES ARE PROMINENTLY DISPLAYED AT EACH REGISTRATION BOOTH. THE BUSINESS OFFICE CONTINUOUSLY PROVIDES UPDATED MATERIAL TO PHYSICIAN OFFICES FOR ISSUANCE TO THEIR PATIENTS THAT HIGHLIGHT OUR FINANCIAL ASSISTANCE PROGRAM AND POLICIES. PATIENT STATEMENTS HIGHLIGHT THE ORGANIZATION'S CHARITY PROGRAM AND ENCOURAGE PATIENTS TO CALL FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 4 EFFINGHAM COUNTY IS NESTLED BETWEEN THE OGEECHEE AND SAVANNAH RIVERS JUST NORTH OF GEORGIA'S FIRST CITY, SAVANNAH. EFFINGHAM IS STEEPED IN TRADITION AND HERITAGE AS ONE OF GEORGIA'S ORIGINAL COUNTIES, YET WE ARE KEEPING PACE WITH THE MOST MODERN AMENITIES, SOLID PLANNING AND AN EYE ON OUR BRIGHT FUTURE. EFFINGHAM COUNTY BOASTS ONE OF THE FASTEST GROWTH RATES IN THE STATE OF GEORGIA. WITH THE INFLUX OF NEW RESIDENTS WE MAINTAIN OUR HOME TOWN ATMOSPHERE WITH ALL THE CONVENIENCES OF A RURAL SUBURB. AS OF 2021, THE POPULATION WAS 66,741. THE COUNTY SEAT IS SPRINGFIELD. EFFINGHAM COUNTY IS INCLUDED IN THE SAVANNAH METROPOLITAN AREA. OTHER FACTS FROM THE CHNA - MEDIAN HOUSEHOLD INCOME IS 67,050; 8% OF THE COUNTY POPULATION IS LIVING IN POVERTY.
SCHEDULE H, PART VI, LINE 5 THE ORGANIZATION AND ALL ITS VOLUNTEER BOARD ARE COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS. OUR EMERGENCY DEPARTMENT HAS 24/7 PHYSICIAN COVERAGE AND IS OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE REGION. ANY SURPLUS OF FUNDS IS REINVESTED INTO THE OPERATIONS AND CAPITAL BUDGET OF THE ORGANIZATION.
SCHEDULE H, PART VI, LINE 7 GEORGIA
