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Community Hospital Inc
Tallassee, AL 36078
| Bed count | 69 | Medicare provider number | 010034 | 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 $ 20,351,606 Total amount spent on community benefits as % of operating expenses$ 1,506,717 7.40 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 139,962 0.69 %Medicaid as % of operating expenses$ 0 0 %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$ 1,341,538 6.59 %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.$ 25,217 0.12 %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$ 1,817,348 8.93 %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$ 454,337 25 %- 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? NO
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 $ 2679654 including grants of $ 0) (Revenue $ 2183928) ACUTE INPATIENT SERVICES
4B (Expenses $ 15858693 including grants of $ 0) (Revenue $ 12924895) OUTPATIENT SERVICES
4C (Expenses $ 1077871 including grants of $ 0) (Revenue $ 878469) INPATIENT GERIATRIC PSYCHIATRIC SERVICES
4D (Expenses $ 735388 including grants of $ 0) (Revenue $ 599344) COMMUNITY SERVICE PROGRAMS INCLUDING WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, HEALTH FAIRS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.
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Facility Information
COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 5: NUMEROUS MEETINGS WITH LOCAL AND COUNTY GOVERNMENT OFFICIALS, SCHOOL SYSTEM REPRESENTATIVES, TEACHING AFFILIATES, ECONOMIC DEVELOPMENT OFFICIALS, BUSINESS LEADERS AND HEALTHCARE AUTHORITY OFFICIALS TO GAIN INSIGHT AND PRIORITIZE HEALTHCARE NEEDS.
COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 11: MULTIPLE SOURCES OF HEALTHCARE DATA ARE ANALYZED TO IDENTIFY THE MOST PRESSING HEALTH NEEDS IN THE COMMUNITIES THAT WE SERVE. WORKING IN PARTNERSHIP WITH OTHER ENTITIES THROUGHOUT THE TRI-COUNTY REGION, AND THROUGH COMMUNITY BOARD REPRESENTATION, AN ACTION PLAN TO ADDRESS THESE NEEDS IS DEVELOPED AND APPROVED. THE ACTION PLAN IS ADOPTED AS PART OF OUR STRATEGIC PLAN AND THE STATUS OF EACH ACTION ITEM IS MONITORED. UNMET HEALTHCARE NEEDS ARE IDENTIFIED AS WELL AS THE OBSTACLES ASSOCIATED IN ATTEMPTING TO MEET THOSE NEEDS.
COMMUNITY HOSPITAL, INC: PART V, SECTION B, LINE 22D: DISCOUNTS WILL BE APPLIED AS FOLLOWS:1. UNINSURED PATIENTSINPATIENTA. PATIENTS WITH ANNUAL HOUSEHOLD INCOME(S) GREATER THAN 200% OF THE DHHS POVERTY GUIDELINES WILL PAY THE EQUIVALENT OF THE FACILITIES LARGEST COMMERCIAL PAYOR PER DIEM PLUS 5%.B. PATIENTS WITH ANNUAL HOUSEHOLD INCOME(S) ABOVE THE DHHS POVERTY GUIDELINES BUT LESS THAN 200% OF THE DHHS POVERTY GUIDELINES WILL PAY THE EQUIVALENT OF THE MEDICAID PER DIEM PLUS 5%.C. PATIENTS WITH ANNUAL HOUSEHOLD INCOME(S) AT OR BELOW THE DHHS POVERTY GUIDELINES WILL HAVE ANY ACCOUNT BALANCE WRITTEN OFF AS INDIGENT CARE. OUTPATIENTA. PATIENTS WITH ANNUAL HOUSEHOLD INCOME(S) ABOVE THE DHHS POVERTY GUIDELINES BUT LESS THAN 200% OF THE DHHS POVERTY GUIDELINES, WILL HAVE THE ACCOUNT BALANCE DISCOUNTED BY 50%.B. PATIENTS WITH ANNUAL HOUSEHOLD INCOME(S) AT OR BELOW THE DHHS POVERTY GUIDELINES HAVE THE ACCOUNT BALANCE WRITTEN OFF AS CHARITY CARE.C. PATIENTS WITH ANNUAL HOUSEHOLD INCOME(S) GREATER THAT 200% OF THE DHHS POVERTY GUIDELINES WILL BE OFFERED A 35% DISCOUNT FOR PAYMENT IN FULL. IF THE PATIENT IS UNABLE TO PAY THE ACCOUNT IN FULL, PAYMENT TERMS WILL BE OFFERED.2. INSURED PATIENTSA. ALL DEDUCTIBLES AND CO-PAYMENTS ATTRIBUTABLE TO AN INSURED PATIENT'S ACCOUNT ARE DUE BY THE DATE OF DISCHARGE FOR INPATIENTS AND BY THE DATE OF SERVICE FOR OUTPATIENTS. THIS ALSO INCLUDES ESTIMATED COINSURANCE AMOUNTS FOR BOTH INPATIENT AND OUTPATIENT SERVICES. NO INDIVIDUAL DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER COMMUNITY HOSPITAL FINANCIAL ASSISTANCE POLICIES WILL BE CHARGED MORE FOR EMERGENCY OR MEDICALLY NECESSARY HOSPITAL CARE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO INDIVIDUALS WITH INSURANCE COVERING SUCH CARE.
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Supplemental Information
PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,817,860.
PART III, LINE 4: BAD DEBTS ARE ESTIMATED BASED ON HISTORICAL AMOUNTS DUE BUT UNPAID BY PATIENTS AS COMPARED TO CURRENT AMOUNTS DUE, AND THE AGING OF UNINSURED/UNDERINSURED AMOUNTS DUE FROM PATIENTS WHO HAVE THE ABILITY TO PAY BUT CHOOSE NOT TO. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FAP IS 25%. THIS ESTIMATE REPRESENTS THE PERCENTAGE OF PATIENTS WHO WOULD QUALIFY UNDER THE FAP BUT CHOOSE NOT TO APPLY FOR FINANCIAL ASSISTANCE.
PART III, LINE 8: THE COSTS IN EXCESS OF TREATING MEDICARE BENEFICIARIES AMOUNTS TO $2,677,797 AND SHOULD BE INCLUDED AS A COMMUNITY BENEFIT SINCE THERE ARE NO OTHER PROVIDERS IN THE COMMUNITY.
PART III, LINE 9B: IF PATIENTS ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, THEIR BALANCES DUE ARE WRITTEN OFF ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THEY ARE NOT TURNED OVER TO COLLECTIONS.
PART VI, LINE 2: COMMUNITY HOSPITAL ROUTINELY SURVEYS ITS PHYSICIANS TO SEE IF THERE IS A SERVICE THAT IS NEEDED THAT IS NOT CURRENTLY PROVIDED BY THE HOSPITAL OR A SURROUNDING FACILITY. IF SUCH A SERVICE IS IDENTIFIED, A FINANCIAL ANALYSIS IS PREPARED TO DETERMINE IF IT WOULD BE A SERVICE THAT THE HOSPITAL COULD PROVIDE FINANCIALLY.
PART VI, LINE 3: FINANCIAL ASSISTANCE POLICY SIGNS ARE LOCATED IN ALL REGISTRATION AREAS, E/R, ON WEBSITE AND IN CASHIER'S OFFICES. IN ADDITION, THERE IS A STATEMENT ON THE PATIENT BILLS THAT INDICATES THAT WE HAVE A FAP IN PLACE THAT THE PATIENT MAY QUALIFY FOR.
PART VI, LINE 4: COMMUNITY HOSPITAL IS IN A RURAL AREA SITUATED 30 MILES FROM A METROPOLITAN CITY.
PART VI, LINE 5: HEALTH FAIRS ARE PROVIDED TO LOCAL INDUSTRIES, SENIOR CENTERS, SCHOOLS AND THE GENERAL PUBLIC. PHYSICIANS AND STAFF PARTICIPATE IN WEEKLY RADIO PROGRAMS TO DISCUSS HEALTH TOPICS AND PERIODICALLY WRITE HEALTH COLUMNS FOR THE LOCAL NEWSPAPER AND MONTHLY MAGAZINE.
