{"success":true,"data":{"_id":710947623,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"We as a health care organization commit as a team to promote, develop, and provide the best possible total care to all. 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The Hospital provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the Hospital bills third-party payers directly and bills the patient when the patient's liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. The organization used a cost-to charge ratio for the computation of bad debt expense at cost. The cost-to-charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The administrative requirements to determine whether patients who do not cooperate with the financial assistance process would have qualified for charity can be burdensome, particularly for small balances, so a reasonable estimate, based on broad demographic data, should be sufficient to justify community benefit treatment.","community_building_activities":"CCH participates in many community building activities including but not limited to, open health fairs and free health screenings. The staff volunteers and donates, along with the hospital, to various organizations such as Stephanie Minor Women's center, SLV Women's resource center, La Puente homeless shelters, Pioneer days in Manassa Colorado, various school events for prevention and health services, and Conejos County suicide prevention program. Our physicians do sports physicals for the area schools at reduced rates. CCH also contributed over 1,000 pounds of food to the Conejos County Food pantry last year.","community_information":"CCH serves Conejos, Costilla and Alamosa counties. Costilla County is the poorest county in the State of Colorado and historically, Conejos County has been in the top five poorest counties in the state. Conejos and Costilla counties are 56% Hispanic, approx 40% Caucasian and the remainder of the population is native American, Guatemalan and other races.","costing_method_used":"The organization used a cost-to charge ratio for lines 7a and 7b. The cost-to-charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The information for lines 7e through 7i was derived from information in the general ledger and other financial data related specifically to the various types of community benefits.","needs_assessment":"Through our Critical Access Hospital and Two rural health clinics, CCH does an annual review of the patients served as well as the services provided for the service area. The services provided assessment includes but is not limited to primary care, specialty care, acute care, skilled care, mental health and possible new services that are not currently offered. The assessments are done through a collaboration with the physician and providers in the service area as well as county nursing services, the Conejos County Hospital District Board and interviews with local services and community leaders.","other_information":"CCH, on an annual basis, provides charity care services totaling over $1,225,000. This includes $55,000 in true charity care and another $1,080,000 in self pay and reduced costs of services through the sliding scale. With total revenues of just over $8,250,000, charity and community services represent 13.7 % of our total revenues. In some communities, Medicare is the largest payor, and hospitals must accept these patients regardless of whether they make a surplus or deficit from providing such services. If the Medicare participation is premised on this fact, then providing Medicare services promotes access to healthcare services, which is a community benefit. The elderly are often an underserved population who experience issues with access to healthcare services. Without tax exempt hospitals providing Medicare services, CMS would bear the burden of directly providing services to the elderly. Approximately 69% of Conejos' net patient service revenue is from Medicare. Due to the high level of medical services being provided to Medicare patients, there is a smaller opportunity to provide charity care to patients when compared to other non-profit hospitals that do not have as high of a population of Medicare patients.","patient_education_assistance":"The charity care policies are clearly posted at each site and in addition, information is given to each patient upon admission that offers the charity care policies. These programs cover state, federal and local programs. CCH also is a participant in several indigent and reduced rate services such as mammography screenings, colo-rectal screenings and eye care through grants.","percent_of_total_expense":"Total bad debt expense removed from the denominator prior to the percentage calculation = 701,177.","shortfall_as_community_benefit":"Line 6 was computed using allowable costs as reported on Conejos County Hospital Corporation's 2009 Medicare Cost Report. IRS Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. 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The cost-to-charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The information for lines 7e through 7i was derived from information in the general ledger and other financial data related specifically to the various types of community benefits."},{"explanation":"Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The organization used a cost-to charge ratio for the computation of bad debt expense at cost. The cost-to-charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The administrative requirements to determine whether patients who do not cooperate with the financial assistance process would have qualified for charity can be burdensome, particularly for small balances, so a reasonable estimate, based on broad demographic data, should be sufficient to justify community benefit treatment."},{"explanation":"Line 6 was computed using allowable costs as reported on Conejos County Hospital Corporation's 2012 Medicare Cost Report. IRS Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. This implies that treating Medicare patients is a community benefit."},{"explanation":"Any balance due by patients after charity care or financial assistance is subject to the standard collection practices adhered to by all other patients."},{"explanation":"Through our Critical Access Hospital and Two rural health clinics, CCH does an annual review of the patients served as well as the services provided for the service area. The services provided assessment includes but is not limited to primary care, specialty care, acute care, skilled care, mental health and possible new services that are not currently offered. The assessments are done through a collaboration with the physician and providers in the service area as well as county nursing services, the Conejos County Hospital District Board and interviews with local services and community leaders."},{"explanation":"The charity care policies are clearly posted at each site and in addition, information is given to each patient upon admission that offers the charity care policies. These programs cover state, federal and local programs. CCH also is a participant in several indigent and reduced rate services such as mammography screenings, colo-rectal screenings and eye care through grants."},{"explanation":"CCH serves Conejos, Costilla and Alamosa counties. Costilla County is the poorest county in the State of Colorado and historically, Conejos County has been in the top five poorest counties in the state. Conejos and Costilla counties are 56% Hispanic, approx 40% Caucasian and the remainder of the population is native American, Guatemalan and other races."},{"explanation":"CCH participates in health fairs and free health screenings. The staff volunteers and donates, along with the hospital, to various organizations such as Stephanie Minor Women's center, SLV Women's resource center and various school events for prevention. CCH also is a participant in several indigent and reduced rate services such as mammography screenings, colo-rectal screenings and eye care through grants."},{"explanation":"In some communities, Medicare is the largest payor, and hospitals must accept these patients regardless of whether they make a surplus or deficit from providing such services. If the Medicare participation is premised on this fact, then providing Medicare services promotes access to healthcare services, which is a community benefit. The elderly are often an underserved population who experience issues with access to healthcare services. Without tax exempt hospitals providing Medicare services, CMS would bear the burden of directly providing services to the elderly. Approximately 50% of Conejos' net patient service revenue is from Medicare. Due to the high level of medical services being provided to Medicare patients, there is a smaller opportunity to provide charity care to patients when compared to other non-profit hospitals that do not have as high of a population of Medicare patients."},{"explanation":"DIRECT OFFSETTING REVENUE IS GREATER THAN COMMUNITY BENEFIT EXPENSE DUE TO PROVIDER FEE REVENUE DOUBLING FROM THE PREVIOUS 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The cost-to-charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The information for lines 7e through 7i was derived from information in the general ledger and other financial data related specifically to the various types of community benefits."},{"explanation":"The Hospital reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. The Hospital provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the Hospital bills third-party payers directly and bills the patient when the patient's liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. The organization used a cost-to charge ratio for the computation of bad debt expense at cost. The cost-to-charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The administrative requirements to determine whether patients who do not cooperate with the financial assistance process would have qualified for charity can be burdensome, particularly for small balances, so a reasonable estimate, based on broad demographic data, should be sufficient to justify community benefit treatment."},{"explanation":"Line 6 was computed using allowable costs as reported on Conejos County Hospital Corporation's 2010 Medicare Cost Report. IRS Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. This implies that treating Medicare patients is a community benefit."},{"explanation":"Any balance due by patients after charity care or financial assistance is subject to the standard collection practices adherred to by all other patients."},{"explanation":"Through our Critical Access Hospital and Two rural health clinics, CCH does an annual review of the patients served as well as the services provided for the service area. The services provided assessment includes but is not limited to primary care, specialty care, acute care, skilled care, mental health and possible new services that are not currently offered. The assessments are done through a collaboration with the physician and providers in the service area as well as county nursing services, the Conejos County Hospital District Board and interviews with local services and community leaders."},{"explanation":"The charity care policies are clearly posted at each site and in addition, information is given to each patient upon admission that offers the charity care policies. These programs cover state, federal and local programs. CCH also is a participant in several indigent and reduced rate services such as mammography screenings, colo-rectal screenings and eye care through grants."},{"explanation":"CCH serves Conejos, Costilla and Alamosa counties. Costilla County is the poorest county in the State of Colorado and historically, Conejos County has been in the top five poorest counties in the state. Conejos and Costilla counties are 56% Hispanic, approx 40% Caucasian and the remainder of the population is native American, Guatemalan and other races."},{"explanation":"CCH participates in health fairs and free health screenings. The staff volunteers and donates, along with the hospital, to various organizations such as Stephanie Minor Women's center, SLV Women's resource center and various school events for prevention. CCH also is a participant in several indigent and reduced rate services such as mammography screenings, colo-rectal screenings and eye care through grants."},{"explanation":"In some communities, Medicare is the largest payor, and hospitals must accept these patients regardless of whether they make a surplus or deficit from providing such services. If the Medicare participation is premised on this fact, then providing Medicare services promotes access to healthcare services, which is a community benefit. 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The cost-to-charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The information for lines 7e through 7i was derived from information in the general ledger and other financial data related specifically to the various types of community benefits."},{"explanation":"Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The organization used a cost-to charge ratio for the computation of bad debt expense at cost. The cost-to-charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The administrative requirements to determine whether patients who do not cooperate with the financial assistance process would have qualified for charity can be burdensome, particularly for small balances, so a reasonable estimate, based on broad demographic data, should be sufficient to justify community benefit treatment."},{"explanation":"Line 6 was computed using allowable costs as reported on Conejos County Hospital Corporation's 2012 Medicare Cost Report. IRS Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. This implies that treating Medicare patients is a community benefit."},{"explanation":"Any balance due by patients after charity care or financial assistance is subject to the standard collection practices adhered to by all other patients."},{"explanation":"Through our Critical Access Hospital and Two rural health clinics, CCH does an annual review of the patients served as well as the services provided for the service area. The services provided assessment includes but is not limited to primary care, specialty care, acute care, skilled care, mental health and possible new services that are not currently offered. The assessments are done through a collaboration with the physician and providers in the service area as well as county nursing services, the Conejos County Hospital District Board and interviews with local services and community leaders."},{"explanation":"The charity care policies are clearly posted at each site and in addition, information is given to each patient upon admission that offers the charity care policies. These programs cover state, federal and local programs. CCH also is a participant in several indigent and reduced rate services such as mammography screenings, colo-rectal screenings and eye care through grants."},{"explanation":"CCH serves Conejos, Costilla and Alamosa counties. Costilla County is the poorest county in the State of Colorado and historically, Conejos County has been in the top five poorest counties in the state. 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The elderly are often an underserved population who experience issues with access to healthcare services. Without tax exempt hospitals providing Medicare services, CMS would bear the burden of directly providing services to the elderly. Approximately 50% of Conejos' net patient service revenue is from Medicare. 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