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Heartland Health System Inc
Vandalia, IL 62471
| Bed count | 25 | Medicare provider number | 141346 | 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 $ 37,946,849 Total amount spent on community benefits as % of operating expenses$ 4,552,995 12.00 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 528,076 1.39 %Medicaid as % of operating expenses$ 4,024,919 10.61 %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$ 2,113,257 5.57 %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? YES 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? Not available 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? NO 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 $ 33571201 including grants of $ 0) (Revenue $ 39535007) PROVISION OF ACUTE HOSPITAL SERVICES, INCLUDING INPATIENT URGENT CARE, EMERGENCY CARE, OUTPATIENT ANCILLARY SERVICES, PHYSICIAN SERVICES TO THE FAYETTE AND SURROUNDING COUNTIES. IN ADDITION, WE PROVIDE SKILLED NURSING AND LONG TERM NURSING HOME SERVICES.
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Facility Information
FAYETTE COUNTY HOSPITAL PART V, SECTION B, LINE 11: 1. IMPROVE LOCAL ACCESS TO MENTAL HEALTH CARE A. ACCESS TO MENTAL HEALTH CARE HAS BEEN EXPANDED TO THE COMMUNITY WITH THE ADDITION OF KELSEY KINGSBOROUGH, NP SPECIALIZING IN PSYCHIATRY. KELSEY PROVIDES COVERAGE THROUGH THE FCH PHYSICIAN SPECIALTY CLINIC. B. THE CARE COORDINATORS CONTINUE TO ASSESS PATIENTS REGARDING SOCIAL DETERMINANTS OF HEALTH AND MAKE APPROPRIATE REFERRALS WHEN NEEDS ARE IDENTIFIED.2. IMPROVE LOCAL ACCESS TO GERIATRIC SERVICES A. EXPAND SENIOR RENEWAL PROGRAM - MANY COMMUNITY AWARENESS ACTIVITIES REGARDING THE SENIOR RENEWAL PROGRAM TAKE PLACE EACH MONTH.3. IMPROVE COMMUNITY EDUCATION ABOUT AVAILABLE LOCAL RESOURCES FOR PHYSICAL AND MENTAL HEALTH AND WELLNESS SERVICES A. ADDITIONAL EDUCATIONAL INFORMATION HAS BEEN POSTED USING SOCIAL MEDIA AND THE HOSPITAL WEBSITE.4. IMPROVE LOCAL ACCESS TO PEDIATRIC SERVICES A. PLANS ARE IN PLACE TO ADD A PEDIATRIC NURSE PRACTITIONER TO OUR HOSPITAL MEDICAL STAFF JUNE 2023.
PART V, SECTION B, LINE 16: SCHEDULE H, PART V, LINE 16A:HTTPS://WWW.SARAHBUSH.ORG/HOSPITAL-SERVICES/FINANCIAL-ASSISTANCE/SCHEDULE H, PART V, LINE 16B:HTTPS://WWW.SARAHBUSH.ORG/HOSPITAL-SERVICES/FINANCIAL-ASSISTANCE/SCHEDULE H, PART V, LINE 16C:HTTPS://WWW.SARAHBUSH.ORG/HOSPITAL-SERVICES/FINANCIAL-ASSISTANCE/
FAYETTE COUNTY HOSPITAL: PART V, SECTION B, LINE 7A: HTTPS://SBLFCH.ORG/COMMUNITY-NEEDS-ASSESSMENT
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Supplemental Information
PART I, LINE 7: THE COSTING METHODOLOGY THAT WAS USED TO CALCULATE THESE AMOUNTS WAS THE RATIO OF PATIENT CARE COST TO CHARGES CALCULATED ON WORKSHEET 2 OF THE WORKING PAPERS.
PART III, LINE 2: USED THE RATIO OF PATIENT CARE COST TO CHARGES (0.390981) AS COMPUTED ON WORKSHEET 2 OF THE ACCOUNTING WORKPAPERS TO CALCULATE THE BAD DEBT EXPENSE (2,113,256) AT COST (826,243). WE REDUCE BAD DEBT EXPENSE BY THE DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS.
PART III, LINE 4: SEE THE PATIENT ACCOUNTS RECEIVABLE NOTE ON PAGE 7 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8: ALTHOUGH HEARTLAND HEALTH SYSTEM DOES NOT TREAT SHORTFALL FOR MEDICARE AS A COMMUNITY BENEFIT, THERE COULD BE A CASE MADE THAT NOT BEING FULLY REIMBURSED FOR TREATING THE ELDERLY IS CONSIDERED TO BE THE PROVISION OF A BENEFIT TO THE COMMUNITY. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 WAS THE RATIO OF PATIENT CARE COST TO CHARGES CALCULATED ON WORKSHEET 2 AND ALSO DETAILED ON WORKSHEET C OF THE WORKING PAPERS.
PART VI, LINE 2: EVERY THREE YEARS, HEARTLAND HEALTH SYSTEM, INC. ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. THIS ASSESSMENT INCORPORATES DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH (COMMUNITY HEALTH SURVEY THAT IS BASED LARGELY ON THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)) AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA); THESE QUANTITATIVE COMPONENTS ALLOW FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH A SERIES OF KEY INFORMANT FOCUS GROUPS. BASED ON THE RESULTS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, HHS DETERMINED TO FOCUS ON IMPROVING LOCAL ACCESS TO MENTAL HEALTH CARE, IMPROVING LOCAL ACCESS TO GERIATRIC SERVICES, IMPROVING COMMUNITY EDUCATION ABOUT AVAILABLE LOCAL RESOURCES FOR PHYSICAL AND MENTAL HEALTH AND WELLNESS EDUCATION AND SERVICES AND IMPROVING LOCAL ACCESS TO PEDIATRIC SERVICES.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:WHEN A PATIENT IS PRIVATE PAY (OR SHOWS CONCERN ABOUT PAYING THE BILL), OUR REGISTRATION CLERK INFORMS THEM OF OUR FINANCIAL ASSISTANCE POLICY AT THE TIME OF REGISTRATION. ALL STAFF ARE ORIENTED AS TO HOW THE PROGRAM WORKS DURING NEW EMPLOYEE ORIENTATION. WE ALSO HAVE FINANCIAL ASSISTANCE REPRESENTATIVES AVAILABLE DURING NORMAL BUSINESS HOURS TO SPEAK WITH THE PATIENT IF THERE ARE QUESTIONS BEYOND THE REGISTRATION CLERK'S KNOWLEDGE. PATIENTS ARE INFORMED (NOT NECESSARILY AT REGISTRATION) THEY NEED TO APPLY FOR MEDICAID SHOULD THEY HAVE ANY PRE-QUALIFIERS FOR THE PROGRAM (IE: BLIND, DISABLED, DEPENDENT CHILDREN IN THE HOME, ETC.). THIS INFORMATION IS IN THE FINANCIAL ASSISTANCE BROCHURE WITH THE APPLICATION AS WELL. IF A PATIENT NEEDS TO APPLY FOR MEDICAID PRIOR TO FINANCIAL ASSISTANCE, WE PROVIDE THEM THE INFORMATION AND ASSISTANCE TO APPLY AT THE PUBLIC AID OFFICE. ADDITIONALLY, OUR SBL FINANCIAL ASSISTANCE PROGRAM BROCHURES ARE IN EVERY DEPARTMENT AND CLINIC IN THE SYSTEM AND WIDELY AVAILABLE THROUGHOUT THE FACILITY. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE (INCLUDING APPLICATIONS) WITH A DEDICATED PHONE NUMBER.
PART VI, LINE 4: COMMUNITY INFORMATION:HEARTLAND HEALTH SYSTEM SERVES RURAL COMMUNITIES IN EAST CENTRAL ILLINOIS. HHS'S MARKET AREA ENCOMPASSES 9 COUNTIES INCLUDING: CLARK, COLES, CUMBERLAND, DOUGLAS, EDGAR, EFFINGHAM, JASPER, MOULTRIE, AND SHELBY. THE POPULATION OF THE HOSPITAL'S SERVICE AREA IS ESTIMATED AT 157,198 PEOPLE. THE REGION IS PREDOMINANTLY WHITE, WITH FEWER THAN 4 PERCENT OF THE POPULATION IDENTIFYING THEMSELVES AS MEMBERS OF RACIAL MINORITY GROUPGS. THE REGION IS RURAL, WITH MORE THAN 53 PERCENT OF THE POPULATION LIVING IN COMMUNITIES OF LESS THAN 2,500. THE MEDIAN AGE IN EACH COUNTY, EXCEPT COLES, IS HIGHER THAN THE ILLINOIS MEDIAN OF 36.2 YEARS. TWELVE PERCENT OF THE POPULATION AS INCOMES BELOW THE FEDERAL POVERTY LEVEL. AN ESTIMATED 13.5 PERCENT OF ADULT POPULATION UNDER AGE 65 IS WITHOUT HEALTHCARE INSURANCE. ALTHOUGH HHS HAS HAD A POSITIVE IMPACT ON THE PHYSICIAN-TO-POPULATION RATIOS OF THE REGION, THE AREA IS MEDICALLY UNDERSERVED AS DETERMINED BY BOTH FEDERAL AND STATE GUIDELINES.
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:HEARTLAND HEALTH SYSTEM HAS AN OPEN MEDICAL STAFF AS WELL AS A COMMUNITY BOARD.
SCHEDULE H, PART I, LINE 7, COLUMN F: THE ORGANIZATION INCURRED BAD DEBT EXPENSE IN THE AMOUNT OF 2,113,257. HOWEVER, IT HAS BEEN DISREGARDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
