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Franciscan Hospital For Children Inc
Brighton, MA 02135
| Bed count | 112 | Medicare provider number | 223300 | Member of the Council of Teaching Hospitals | YES | Children's hospital | YES |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
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.
Operating expenses $ 48,262,660 Total amount spent on community benefits as % of operating expenses$ 152,631 0.32 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 4,207 0.01 %Medicaid as % of operating expenses$ -237,196 -0.49 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 210,847 0.44 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 174,773 0.36 %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$ 400,700 0.83 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES 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) 356 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 356 Community building expense
as % of operating expenses$ 400,700 0.83 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 0 0 %Community support as % of community building expenses$ 0 0 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %Coalition building as % of community building expenses$ 0 0 %Community health improvement advocacy as % of community building expenses$ 0 0 %Workforce development as % of community building expenses$ 0 0 %Other as % of community building expenses$ 400,700 100 %Direct offsetting revenue $ 1,200,000 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 $ 1,200,000
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$ 508,769 1.05 %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 Not available 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.
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? NO
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
- 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 $ 22327671 including grants of $ 0) (Revenue $ 29941134) INPATIENT SERVICES - DELIVERY OF MEDICAL, EDUCATIONAL AND OTHER SERVICES TO A SPECIAL NEEDS PEDIATRIC POPULATION IN EASTERN MASSACHUSETTS. FRANCISCAN HOSPITAL FOR CHILDREN HAD 802 ADMISSIONS AND 20,389 PATIENT DAYS DURING FY11.
4B (Expenses $ 15185808 including grants of $ 0) (Revenue $ 17437539) OUTPATIENT SERVICES - DELIVERY OF MEDICAL, EDUCATIONAL AND OTHER SERVICES TO A SPECIAL NEEDS PEDIATRIC POPULATION IN EASTERN MASSACHUSETTS. FRANCISCAN HOSPITAL FOR CHILDREN HAD 285,776 OUTPATIENT PROCEDURES DURING FY11.
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Supplemental Information
PART I, LINE 7: A COSTING METHODOLOGY WAS NOT USED TO CALCULATE AMOUNTS ON PART I, LINE 7. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2.
PART I, LINE 7G: N/A
PART I, L7 COL(F): N/A
PART II: THE ADAPTIVE SKATING PROGRAM IS A 10 SESSION CLASS FOR CHILDREN WITH SPECIAL NEEDS WHO ARE BETWEEN THE AGES OF 5 AND 20. EACH SEASON 20 TO 30 CHILDREN HAVE THE OPPORTUNITY TO GO ON THE ICE WITH COACHES AND THERAPISTS WITH SPECIALIZED EQUIPMENT. WITH THE HELP OF ICE WALKERS AND ICE SLEDS, CHILDREN WHO OTHERWISE WOULD NOT LEARN TO SKATE GET TO DO SO WITH THE SUPPORT OF TRAINED ADULTS. THE PROGRAM IS RUN BY A PHYSICAL THERAPIST FROM THE HOSPITAL WHO IS ASSISTED BY OTHER PTS WHO VOLUNTEER THEIR TIME. CHILDREN WHO PARTICIPATE ARE PATIENTS OF THE HOSPITAL, OTHERS ARE MEMBERS OF THE LOCAL COMMUNITY. THE ADAPTIVE BIKING CAMP IS OFFERED FOR ONE WEEK IN THE SUMMER AND IS OPEN TO SCHOOL-AGED CHILDREN WITH SPECIAL NEEDS. PARTICIPANTS SHOULD BE UNABLE TO RIDE A TYPICAL BICYCLE BUT WOULD LIKE TO LEARN HOW TO RIDE AN ADAPTED BICYCLE OR IMPROVE THEIR RIDING SKILLS. CAMP IS STAFFED BY PHYSICAL AND OCCUPATIONAL THERAPISTS FROM FRANCISCAN HOSPITAL FOR CHILDREN AS WELL AS LOCAL UNIVERSITY STUDENTS. THERE WILL BE A ONE TO ONE CHILD TO STAFF RATIO AND THERE IS SPACE FOR 30 CAMPERS.THE CHILDREN'S WELLNESS INITIATIVE IS FRANCISCAN HOSPITAL FOR CHILDREN'S MENTAL HEALTH OUTREACH PROGRAM. CWI, COMPRISED OF 11 CLINICIANS, 6 GRADUATE LEVEL INTERNS, A PROGRAM DIRECTOR AND A CHILD PSYCHIATRIST, PROVIDE FIVE BOSTON PUBLIC SCHOOLS WITH A COMPREHENSIVE COUNSELING PROGRAM. SERVICES PROVIDED INCLUDE INDIVIDUAL COUNSELING, PARENT OUTREACH, FAMILY TREATMENT, GROUP TREATMENT AND CASE MANAGEMENT. IN ADDITION, STAFF PROVIDES CONSULTATION TO SCHOOL STAFF ABOUT CHILDREN'S SOCIAL, EMOTIONAL AND MENTAL HEALTH ISSUES. MANY OF THE CLIENTS PRESENT WITH SIGNIFICANT MENTAL HEALTH ISSUES THAT INCLUDE DEPRESSION, ANXIETY AND ADHD, AMONG OTHERS. STAFF ALSO PROVIDES CRISIS INTERVENTION WHEN A CLIENT PRESENTS IN NEED OF IN-PATIENT HOSPITALIZATION.
PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE MEDICARE ALLOWABLE COST WAS THE COST TO OUTPATIENT ANCILLARY CHARGE RATIOS AND INPATIENT DAY PER DIEM COST AS REPORTED ON THE MEDICARE 2552 COST REPORT FOR FYE 09/30/2011.
PART III, LINE 9B: LOW INCOME FAMILIES WHO MEET THE FOLLOWING CRITERIA ARE ELIGIBLE FOR PARTIAL FREE CARE:1. MASSACHUSETTS RESIDENTS WHOSE FAMILY INCOME IS FROM 201% TO 400% OF THE FEDERAL POVERTY INCOME GUIDELINES WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR THAT PORTION OF THE BILL WHICH EXCEEDS THEIR FAMILY'S ANNUAL DEDUCTIBLE. THIS WILL BE DETERMINED BY A SLIDING FEE SCALE.2. ANY PARTICIPANT IN THE CHILDREN'S MEDICAL SECURITY PLAN WHOSE FAMILY INCOME IS FROM 201% AND 400% OF THE FEDERAL POVERTY INCOME GUIDELINES WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR THAT PORTION OF THE BILL WHICH EXCEEDS THEIR FAMILY'S ANNUAL DEDUCTIBLE.3. ANY PARTICIPANT IN HEALTH START WHOSE FAMILY INCOME IS FROM 201% AND 400% OF THE FEDERAL POVERTY INCOME GUIDELINES WILL BE ELIGIBLE FOR THAT PORTION OF THE BILL WHICH EXCEEDS THEIR FAMILY'S ANNUAL DEDUCTIBLE.NOTE: THE ANNUAL DEDUCTIBLE FOR PARTIAL FREE CARE EQUALS 40% OF THE DIFFERENCE BETWEEN THE APPLICANT'S FAMILY INCOME AND 200% OF THE FEDERAL POVERTY INCOME GUIDELINES. THE PATIENT IS RESPONSIBLE FOR PAYMENT FOR ALL SERVICES PROVIDED UP TO THIS DEDUCTIBLE AMOUNT. THERE IS ONLY ONE DEDUCTIBLE PER APPROVED PERIOD, THEREFORE, IT IS THE RESPONSIBILITY OF THE PATIENT TO PROVIDE DOCUMENTATION THAT THEIR OBLIGATION HAS BEEN MET.
