Community Benefit Insight - Tax-exempt hospital

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Tas-Cnh Inc

Norwood Hospital, A Caritas Family Hospital

800 Washington Street
Norwood, MA 02062

Bed count	264	Medicare provider number	220126	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 043397716

Display data for year:

Community Benefit Spending- 2010
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

2.93%

Spending by Community Benefit Category- 2010
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2010

Additional data

Community Benefit Expenditures: 2010

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	$ 254,216 1.49 %
Medicaid as % of operating expenses	$ 16,628 0.10 %
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 expenses Note: 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	$ 80,343 0.47 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	NO
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: 2010

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	$ 673,469 3.94 %
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 2022 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	YES
Filed lawsuit	Not available
Placed liens on residence	Not available
Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court)	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.
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: 2010

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?	Not available
Did the CHNA define the community served by the tax-exempt hospital?	Not available
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	Not available
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	Not available
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	Not available
Did the tax-exempt hospital execute the implementation strategy?	Not available
Did the tax-exempt hospital participate in the development of a community-wide plan?	Not available

Supplemental Information: 2010

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 $ 7809728 including grants of $ 0) (Revenue $ 10416645)
Inpatient healthcare services - providing inpatient community-based medicine and tertiary care to the surrounding region consistent with our core values of compassion, accountability, respect and excellence. During FY11, Tas-Cnh, Inc. (F/k/a Caritas Norwood Hospital) provided 5,287 patient days of inpatient services, with 1,139 discharges.

4B (Expenses $ 2998485 including grants of $ 0) (Revenue $ 5192553)
Outpatient healthcare services - providing outpatient clinical services to the surrounding region consistent with our core values of compassion, accountability, respect and excellence. During FY11, Caritas Norwood Hospital had 8,903 outpatient visits.

4C (Expenses $ 1417289 including grants of $ 0) (Revenue $ 927221)
Emergency room services - providing emergency room services to the surrounding region consistent with our core values f compassion, accountability, respect and excellence. During FY11, Caritas Norwood Hospital had 3,318 emergency room visits.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 7: THE COST TO CHARGE RATIO AS DERIVED FROM WORKSHEET 2 WAS USED AS THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT USED TO CALCULATE THE AMOUNTS IN THE TABLE OF LINE 7. PART III, LINE 4: THE HOSPITAL PROVIDES A WIDE VARIETY OF HEALTH CARE SERVICES TO PATIENTS WITHIN THE COMMUNITY IN ORDER TO ENSURE ACCESS TO APPROPRIATE CARE FOR POPULATION IN NEED. THE HOSPITAL, GRANT CREDIT WITHOUT COLLATERAL TO THEIR PATIENTS, MANY OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. THE HOSPITAL PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICIES, BECAUSE THE HOSPITAL DOES NOT PURSUE REPORTED AS REVENUE. PART III, LINE 8: COST REPORTING PRINCIPLES ARE USED TO DETERMINE ALLOWABLE AND NON-ALLOWABLE COSTS BASED ON RULE AND REGULATIONS. THE MEDICARE SHORTFALL IS THE SUBSIDIZED AMOUNT OF CARE PROVIDED TO PATIENTS AND SHOULD BE CONSIDERED A COMMUNITY BENEFIT. PART III, LINE 9B: THE HOSPITAL PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICIES. THE HOSPITAL'S COLLECTION POLICY EXEMPTS THESE INDIVIDUALS AND PATIENTS FROM ANY COLLECTION OR BILLING PROCEDURES PURSUANT TO THE COMMONWEALTH OF MASSACHUSETTS REGULATIONS AND POLICIES. THE COMMONWEALTH OF MASSACHUSETTS OPERATES A 'HEALTH SAFETY NET' TO REIMBURSE HOSPITALS FOR THE COST OF UNCOMPENSATED CARE

PART VI, LINE 2: IN ACCORDANCE WITH THE MASSACHUSETTS ATTORNEY GENERAL'S COMMUNITY BENEFITS GUIDELINES FOR NON-PROFIT HOSPITALS, THE HOSPITAL CONDUCTED A NEEDS ASSESSMENT. MASSACHUSETTS LAW ALSO REQUIRES THAT ALL NON-PROFIT HOSPITALS AND HEALTH PLANS SUBMIT AN ANNUAL COMMUNITY BENEFITS REPORT THAT DETAILS THE EXTENT TO WHICH THESE INSTITUTIONS PROVIDE CHARITY CARE AND SUPPORT COMMUNITY HEALTH ACTIVITIES IN THEIR SERVICE AREAS. THE HOSPITAL CONDUCTS A PERIODIC COMMUNITY HEALTH NEEDS ASSESSMENTS THAT CLARIFY THE LEADING HEALTH CONCERNS, SERVICE GAPS, AND BARRIERS TO ACCESS FOR THEIR PATIENTS. THE PRIMARY AIM OF THESE NEEDS ASSESSMENTS ARE TO HELP ENSURE THAT HOSPITAL AND HEALTH PLAN COMMUNITY BENEFIT ACTIVITIES ARE TARGETED APPROPRIATELY. IN THE SPRING OF 2009, THE HOSPITAL ENGAGED AN OUTSIDE CONSULTING FIRM TO ASSIST WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS ASSESSMENT COMPLIED AN ANALYZED SECONDARY DATA DRAWN FROM EXISTING FEDERAL, STATE, AND LOCAL SOURCES AS WELL AS ANALYZED PRIMARY DATA THAT THE HOSPITAL COLLECTED THROUGH SURVEYS ADMINISTERED TO PATIENTS IN CLINIC WAITING ROOMS. THE NEEDS ASSESSMENT PROCESS EXPLORED ISSUES RELATED TO: HEALTH CARE ACCESS AND PREVENTIVE SERVICES; MATERNAL AND CHILD HEALTH STATUS; THE PREVALENCE OF CHRONIC DISEASE, MENTAL ILLNESS, AND SUBSTANCE ABUSE, AND THE EXTENT TO WHICH PATIENTS ARE INVOLVED IN RISKY BEHAVIORS. THEN THE INFORMATION COLLECTED WAS ANALYZED AND REPORTED.

PART VI, LINE 3: THE HOSPITAL'S POLICY IS THAT NO INDIVIDUAL WILL EVER BE REFUSED CARE. CARE IS PROVIDED REGARDLESS OF AGE, RACE, SEX, RELIGION, NATIONALITY, OR ABILITY TO PAY. THE POLICY IS POSTED ON SIGNS THROUGHOUT THE HOSPITAL ALONG WITH SIGNS INFORMING PATIENTS OF THE AVAILABILITY PUBLIC ASSISTANCE & MASSHEALTH PROGRAMS ARE POSTED AT ALL REGISTRATION POINTS, THE EMERGENCY DEPARTMENT, CASHIER'S WINDOW, AND FINANCIAL COUNSELOR OFFICES. ALL SIGNS ARE LARGE ENOUGH THAT THEY ARE CLEARLY VISIBLE AND LEGIBLE BY PATIENTS VISITING THESE AREAS. SIGNS ARE IN BOTH ENGLISH AND ANY OTHER LANGUAGE SPOKEN BY MORE THAN 10% OF THE POPULATION IN THE HOSPITAL'S SERVICE AREA. THE HOSPITAL ALSO PROVIDES CARE TO THE ELDERLY AND THE INDIGENT UNDER THE MEDICARE AND MEDICAID PROGRAMS, GRANTED AT A DISCOUNT, WHICH IS GENERALLY LESS THAN COST. THE PROPORTION OF SERVICES PROVIDED TO MEDICAID PATIENTS APPROXIMATES THE PROPORTION OF MEDICAID BENEFICIARIES LIVING IN THE MEDICAL CENTER'S SERVICE AREAS. IN ADDITION, THE HOSPITAL PAYS INTO THE HEALTH SAFETY NET FOR HOSPITALS WITHIN THE COMMONWEALTH OF MASSACHUSETTS. THROUGHOUT 2010, THE HOSPITAL CONTINUED TO ENROLL AND PROVIDE REFERRAL AND HEALTH CARE SERVICES FOR THE INDIGENT, UNDERINSURED AND UNINSURED IN OUR COMMUNITY. THE HOSPITAL RECOGNIZES THE DELIVERY OF CARE TO THOSE IN NEED AS AN INTEGRAL PART OF OUR MISSION AND WE WILL CONTINUE TO FOCUS ON MEETING THE HEALTH CARE NEEDS OF THIS POPULATION GOING FORWARD.

PART VI, LINE 4: TAS-CNH, INC, (F/K/A CARITAS NORWOOD HOSPITAL) IS AN ACUTE-CARE FACILITY THAT PROVIDES FULL-SERVICE, QUALITY HEALTH CARE TO THE RESIDENTS OF NORWOOD AND 15 SURROUNDING COMMUNITIES. THE HOSPITAL OFFERS A FULL RANGE OF PATIENT CARE SERVICES, FROM THE SMALL MIRACLES FAMILY BIRTHING CENTER TO THE MODERN EMERGENCY DEPARTMENT, UP-TO-DATE RADIATION ONCOLOGY SERVICES, EXTENSIVE ENDOSCOPY SERVICES, ADVANCED LAPAROSCOPIC AND NEUROLOGICAL SURGERY, AND A CARDIAC CATHETERIZATION LAB. NORWOOD HOSPITAL COMMUNITY INCLUDING CANTON, DEDHAM, DOVER, FOXBORO, FRANKLIN, MANSFIELD, MEDFIELD, NORFOLK, NORTH ATTLEBORO, NORTON, NORWOOD, PLAINVILLE, SHARON, WALPOLE, WESTWOOD AND WRENTHAM.

PART VI, LINE 5: IN FURTHERANCE OF ITS CHARITABLE PURPOSE, THE HOSPITAL PROVIDES A WIDE VARIETY OF SERVICES TO THE COMMUNITY IN ORDER TO ENSURE ACCESS TO APPROPRIATE CARE FOR POPULATIONS IN NEED. THE HOSPITAL, TAX-CC, INC. (F/K/A CARITAS CHRISTI) AND ITS MEMBERS SUPPORT SERVICES WHICH TARGET NOT ONLY THE GENERAL POPULATION IN EACH MEMBER'S RESPECTIVE SERVICE AREA, BUT ALSO PARTICULAR POPULATIONS WITH SPECIAL HEALTH CARE NEEDS, INCLUDING THE POOR, THE ELDERLY, CHILDREN, AND MINORITY POPULATIONS. SUPPORTED SERVICES INCLUDE VARIOUS CLINICS, HEALTH SCREENING PROGRAMS, HEALTH EDUCATION PROGRAMS, AND SUPPORT AREA GROUPS OPERATED IN THE LOCAL AREA. THE ORGANIZATION AND ITS MEMBERS WORK ACTIVELY WITH OTHER SERVICE PROVIDERS TO ENSURE THE DEVELOPMENT OF AN EFFECTIVE COMMUNITY HEALTH NETWORK. THE ORGANIZATION AND ITS MEMBERS ALSO PARTICIPATE IN ACTIVITIES DESIGNED TO FOSTER A VITAL LOCAL ECONOMIC AND CIVIC ENVIRONMENT. SEVERAL OF THE MEMBER ORGANIZATIONS PROVIDE CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE ORGANIZATIONS' CHARITY CARE POLICIES. BECAUSE THE MEMBER ORGANIZATIONS DO BOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. MISSION STATEMENT: BEING PART OF A CATHOLIC HEALTH CARE SYSTEM MEANS THAT OURS IS A MINISTRY WITH ROOTS IN THE TEACHINGS OF THE CHURCH AND THE GOSPEL MESSAGE OF JESUS. AT TAS-CC, INC.

PART VI, LINE 6: TAS-CC, INC. (F/K/A CARITAS CHRISTI) IS A CATHOLIC HEALTH CARE SYSTEM ORGANIZED BY THE ROMAN CATHOLIC ARCHDIOCESE OF BOSTON (RCAB). MEMBER HOSPITAL ORGANIZATION OF TAS-CC, INC. (F/K/A CARITAS CHRISTI) INCLUDE TAS- CAHCS, INC. (F/K/A ST. ANNE'S HEALTH CARE SYSTEM, INC.) AND AFFILIATES, INCLUDING TAS-SAHC, INC. (F/K/A ST. ANNE'S HOSPITAL CORPORATION); TAS-CSEMCB (F/K/A CARITAS ST. ELIZABETH'S MEDICAL CENTER OF BOSTON, INC.); TAS-CVRHS, INC. (F/K/A CARITAS VALLEY REGIONAL HEALTH SYSTEM, INC.) AND AFFILIATES, INCLUDING TAS-CHFH, INC. (F/K/A CARITAS HOLY FAMILY HOSPITAL, INC.); TAS-CCH, INC. (F/K/A CARITAS CARNEY HOSPITAL, INC.); TAS-CNH, INC. (F/K/A CARITAS NORWOOD HOSPITAL, INC.) AND TAS-CGSMC, INC. (F/K/A CARITAS GOOD SAMARITAN MEDICAL CENTER, INC.). TAS-CC, INC. (F/K/A CARITAS CHRISTI) SERVES AS THE SOLE CORPORATE MEMBERS OF EACH OF THESE ORGANIZATIONS. TAX-CC, INC. (F/K/A CARITAS CHRISTI) AND ITS MEMBERS SUPPORT SERVICES WHICH TARGET NOT ONLY THE GENERAL POPULATION IN EACH MEMBER'S RESPECTIVE SERVICE AREA, BUT ALSO PARTICULAR POPULATIONS WITH SPECIAL HEALTH CARE NEEDS, INCLUDING THE POOR, THE ELDERLY, CHILDREN, AND MINORITY POPULATIONS. SUPPORTED SERVICES INCLUDE VARIOUS CLINICS, HEALTH SCREENING PROGRAMS, HEALTH EDUCATION PROGRAMS, AND SUPPORT AREA GROUPS OPERATED IN THE LOCAL AREA. TAS-CC, INC. (F/K/A CARITAS CHRISTI) AND ITS MEMBERS WORK ACTIVELY WITH OTHER SERVICE PROVIDERS TO ENSURE THE DEVELOPMENT OF AN EFFECTIVE COMMUNITY HEALTH NETWORK. TAS-CC, INC.

MA

Operating expenses	$ 17,104,895
Total amount spent on community benefits as % of operating expenses	$ 500,787 2.93 %