Community Benefit Insight - Tax-exempt hospital

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Gibson Community Hospital Association

1120 North Melvin

Gibson City, IL 60936

EIN: 370647938

The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more

Individual Facility Details: Gibson Area Hospital And Health Svcs

1120 N Melvin
Gibson City, IL 60936

1 hospital in organization:
(click a facility name to update Individual Facility Details panel)

Gibson Area Hospital And Health Svcs

Bed count	25	Medicare provider number	141317	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

Gibson Community Hospital AssociationDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

15.59%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

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.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 1,723,400 1.30 %
Medicaid as % of operating expenses	$ 10,768,514 8.10 %
Costs of other means-tested government programs as % of operating expenses	$ 170,802 0.13 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 7,288,266 5.48 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 485,050 0.36 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 294,348 0.22 %
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	$ 5,596,422 4.21 %
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	$ 195,875 3.50 %

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:
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.
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.
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.

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

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

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 $ 111769449 including grants of $ 251300) (Revenue $ 129307498)
The organization provides for inpatient and outpatient health care along with long-term care for members of the community and surrounding areas.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

Gibson Area Hospital and Health Services
Part V, Section B, Line 5: In conducting the CHNA, six focus groups were utilized. The needs identified and prioritized through CHNA carried forward variants of previous CHNAs and added others. The identified and prioritized needs selected include:1. Five issues related to mental health, including better access to local mental health counseling for youth; better access to referrals for access to local outpatient services including screening, assessment, and counseling for all ages; access to post-care services for persons returning from inpatient mental health or substance abuse care; community education to support mental health awareness and reduce the stigma of seeking mental healthcare; and local access to Medication-Assisted Treatment2. Transportation - affordable transportation to local and distant medical appointments and non-emergency services, and information about accessing public transportation3. Chronic illness, including high local incidence of cancer; community education programs for families addressing wellness, chronic illness, mental health, and substance abuse; awareness and education programs for youth about obesity and the importance of involvement in lifelong sports4. Need for increased opportunities for exercise and recreation through public leagues and resources5. Need for better access to dental care for low income, uninsured, and underinsured6. Need for additional ambulances and trained emergency medical responders in the service area

Gibson Area Hospital and Health Services
Part V, Section B, Line 6b: The CHNA was conducted including all of the facilities listed on Part V Section A.

Gibson Area Hospital and Health Services
Part V, Section B, Line 11: The Implementation Strategy was developed through a facilitated meeting involving key administrative staff at Gibson Area Hospital & Health Services on October 1, 2018. The group reviewed the needs assessment process completed to that point and considered the prioritized significant needs and supporting documents. They discussed steps taken to address the previous Community Needs Assessment. They also conducted internal and external resources potentially available to address the current prioritized needs. The group then considered each of the prioritized needs. For each of the six categories, actions the hospital intends to take were identified along with the anticipated impact of the actions, the resources the hospital intends to commit to the actions, and external collaborators the hospital plans to cooperate with to address the need. The plan will be evaluated by periodic review of measurable outcome indicators in conjunction with annual review and reporting.Priority #1 - The group identified and prioritized access to mental health services as the first significant issue facing the Gibson Area Hospital & Health Services' report area. The hospital intends to take the following actions: Gibson Area Hospital & Health Services will add a full time psychiatrist to its providers; add behavioral health access services for adults with Medicaid; conduct annual mental health awareness days for youth; expand mental health first aid training; add certification with Medicine Assisted Treatment for a staff physician; explore ways to improve discharge communications from inpatient care facilities; develop a resource tool for mental health and substance abuse referrals; hire an integrated behavioral health clinician to work in the primary care setting; and develop relationships with Schools of Social Work at University of Illinois and Illinois State University to encourage internships and develop future employeesPriority #2 - Transportation - Gibson Area Hospital & Health Services will add a second van to its fleet and will utilize social media to provide information to the community about services, availability times, and routes of area transportation providersPriority #3 - Issues related to chronic illness - Gibson Area Hospital & Health Services will increase the capacity of the Infusion Center; continue AHEC (Area Health Education Center) programs; establish a chronic disease management program; create a youth obesity education program; expand Mental Health First Aid, and encourage Public Health and local governments to explore potential causes of elevated cancer ratesPriority #4 - Increased opportunities for exercises and recreation through public leagues and resources - Gibson Area Hospital & Health Services will continue to expand the ELITE programPriority #5 - Better access to dental care - Gibson Area Hospital & Health Services will open a full service dental clinic that will provide care to low income, underinsured, and uninsured patientsPriority #6 - Need for additional ambulances and trained emergency medical responders in the service area - Gibson Area Hospital & Health Services will explore partners and funding sources to support expansion of ambulances and emergency medical responders; will continue use of chase cars to provide faster response of trained personnel; and will explore a relationship with Parkland College to create a local training rotation site for the emergency medical responders program

Supplemental Information

Schedule H (Form 990) Part VI

Part I, Line 7:
Cost to charge ratio was obtained using Cost Accounting System. This system addresses all patient segments and it is used to calculate the overall cost to charge ratio for the hospital.

Part III, Line 2:
Actual bad debt expense in FY2022 time hospital cost to charge ratio of 43%.

Part III, Line 4:
Cost methodology for numbers in 2, and 3: 2 - actual bad debt expenses in FY 2022 times hospital cost to charge ratio of 43%. 3 - 3.5% of total bad debt expense. Patient Financial Services works towards getting charity eligible patients qualified several times during the collection process. Unpaid patient accounts are turned over to collection agencies that try to collect the patient monies left unpaid. Patients are never turned over to a credit reporting agency nor are they sued over amounts due.

Part III, Line 8:
Part of the shortfall is settled after the CMS intermediary finalizes the cost report.

Part III, Line 9b:
To the extent patients are eligible for charity care and financial assistance, no further collection actions are taken.

Part VI, Line 2:
The hospital has completed an assessment in 2019 on community needs. The assessment is outlined and completed within CMS guidelines.

Part VI, Line 3:
Charity care/financial assistance is posted on the hospital website. It is also discussed during the pre-registration process for all self pay and patients with a high deductible. Informational packets are distributed from each registration area [including ED] for self pay & high deductible. The informational packets have a application, cover letter about the program, and contact info on who/where to call for more info or assistance. Each self pay patient is contacted by Financial Healthcare Resources to discuss the government programs they may be eligible for and/or charity care. Charity care is also offered on the first statement that the patient receives.

Part VI, Line 4:
The hospital is located in Ford County, IL. The hospital also has clinics in Champaign, Livingston, DeWitt, Iroquois and Vermillion counties. The hospital and clinics serve areas that are all considered rural; small towns and farmland. Of the counties listed above, as of 2021, percentage of persons below poverty level: Ford, 13.1%; Livingston 11.9%; DeWitt 11.1%; Iroquois 10.3%; Vermillion 18.6%; Champaign 18.3%; State level is 12.1% . Median Income, 2021: Ford, $55,011; Livingston, $61,419; DeWitt, $60,401; Iroquois, $58,481; Vermillion $49,063; Champaign $56,939; State level is $72,563. Percent of population without health insurance as of 2021: Ford, 6.4%; Livingston, 4.9%; DeWitt 3.6%; Iroquois 6.0%; Vermillion 5.8%; Champaign 4.7%; State level is 7.0%. Closest hospital facilities are 30 miles to the southeast in Champaign/Urbana (Carle, OSF), and 35 miles to the west in Bloomington/Normal (OSF, Carle BroMenn).

Part VI, Line 5:
The entire Board of Directors is comprised of persons who reside in our primary and secondary service areas, as do the Administrative Staff of the hospital. All of the physicians in the community have privileges at the hospital. The organization has also recruited and placed physicians in other rural communities, that also have privileges at the hospital. The hospital runs and maintains EMS services to several rural communities, which the organization runs at a loss every year. Any surplus funds are used to improve medical equipment, purchase needed supplies and pharmaceuticals, recruit providers for needed services, pay for staff to attend educational workshops, and other needed items and services for the betterment of the community. No excess of revenue over expenses are used to pay any shareholders or investors. This organization does not have either of the latter.

Part VI, Line 6:
Gibson Hospital is not part of an affiliated healthcare system.

Part VI, Line 7, Reports Filed With States
IL