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East Orange General Hospital
East Orange, NJ 07018
| Bed count | 211 | Medicare provider number | 310083 | 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: 2014
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 $ 113,083,191 Total amount spent on community benefits as % of operating expenses$ 7,733,297 6.84 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 2,118,054 1.87 %Medicaid as % of operating expenses$ 878,205 0.78 %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$ 4,333,447 3.83 %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.$ 403,591 0.36 %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: 2014
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$ 5,852,938 5.18 %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 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: 2014
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: 2014
- 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 $ 75967058 including grants of $ 0) (Revenue $ 78420016) INPATIENT/OUTPATIENT MEDICAL, SURGICAL, & EMERGENCY: 211 BED ACUTE CARE HOSPITAL THAT PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS OF ESSEX COUNTY. THIS INCLUDES NUMEROUS OUTPATIENT AND AMBULATORY SERVICES AND EMERGENCY CARE. THERE WERE 32,653 ER VISITS IN 2014, 70,486 CLINICS, AND NUMEROUS ANCILLARY SERVICES.
4B (Expenses $ 6481947 including grants of $ 3230839) (Revenue $ 6666118) MENTAL HEALTH: PROVIDE CHILD AND ADULT INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES. AS A STATE DESIGNATED CRISIS CENTER, WE TREATED 1,415 CRISIS CASES, 10,113 CHILDREN, AND 49,086 ADULTS IN 2014.
4C (Expenses $ 3768743 including grants of $ 0) (Revenue $ 3875825) HEMODIALYSIS - OUTPATIENT: DIALYSIS IS PROVIDED TO ITS PATIENTS IN A CARING ENVIRONMENT. 22,036 DIALYSIS TREATMENTS WERE PERFORMED IN 2014.
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Facility Information
EAST ORANGE GENERAL HOSPITAL PART V, SECTION B, LINE 5: EAST ORANGE GENERAL HOSPITAL CONDUCTED A TOTAL OF 11 INTERVIEWS WITH KEY HOSPITAL AND COMMUNITY LEADERS. THE INTERVIEWS FOCUSED ON THE MOST PROMINENT HEALTH ISSUES AND CONCERNS, PROBLEMS AND BARRIERS TO ADDRESSING THESE CONCERNS, CONCERNS ABOUT THE FUTURE, AND THE BEST WAY TO ALLOCATE FUNDING FOR THE COMMUNITY'S BENEFIT. THE NAMES OF THOSE CONSULTED ARE LISTED IN THE APPENDIX OF THE COMMUNITY HEALTH NEEDS ASSESSMENT.
EAST ORANGE GENERAL HOSPITAL PART V, SECTION B, LINE 11: THE 2013 COMMUNITY HEALTH ADVISORY COMMITTEE WAS CONVENED TO OVERSEE THE DEVELOPMENT OF THE HOSPITAL'S CHNA. THE COMMITTEE WHICH WAS MADE UP OF KEY STAKEHOLDERS IN THE COUNTY FOCUSED ON IMPROVING THE HEALTH OF COMMUNITY RESIDENTS. THE FINDINGS AND RECOMMENDATIONS OF THE COMMUNITY HEALTH ADVISORY COMMITTEE LED TO THE SELECTION OF FOUR COMMUNITY HEALTH NEED FOCUS AREAS SPECIFIC TO THE POPULATIONS THE HOSPITAL'S SERVES. ONE OF THE FOCUS AREAS WAS IMPROVING PATIENT CARE AND REDUCING READMISSIONS. THIS WAS SELECTED, BECAUSE NEARLY ONE IN FIVE MEDICARE PATIENTS RETURN TO THE HOSPITAL WITHIN A MONTH OF DISCHARGE. THE EAST ORANGE GENERAL HOSPITAL'S MULTIDISCIPLINARY TRANSITION IN CARE TEAM SINCE THE INCEPTION OF THE PROGRAM FOCUSED ON THE BELOW:- ASSESS LANGUAGE BARRIERS, CULTURAL ISSUES AND RELIGIOUS BELIEFS AND THEIR IMPACT ON READMISSIONS.- EDUCATE THE PATIENT ABOUT HIS OR HER DIAGNOSIS THROUGHOUT THE HOSPITAL STAY.- MAKE APPOINTMENTS FOR CLINICAL FOLLOW-UP, TEST RESULTS, AND POST-DISCHARGE TESTING.- ORGANIZE ALL POST-DISCHARGE SERVICES TO HOME OR ALTERNATIVE CARE SETTING.- IDENTIFY THE CORRECT MEDICINE AND A PLAN FOR THE PATIENT TO OBTAIN THEM.- RECONCILE THE DISCHARGE PLAN TO NATIONAL GUIDELINES AND CLINICAL PATHWAYS.- TEACH A WRITTEN DISCHARGE PLAN THE PATIENT CAN UNDERSTAND.- REVIEW WITH THE PATIENT HOW TO RECOGNIZE PROBLEMS AND WHAT TO DO ABOUT THEM.- ASSESS THE PATIENT'S UNDERSTANDING OF THE DISCHARGE PLAN.- EXPEDITE TRANSITION OF THE DISCHARGE PLAN TO CLINICIANS ACCEPTING CARE OF THE PATIENT.- PROVIDE TELEPHONE REINFORCEMENT OF THE DISCHARGE PLAN.- MAKE VISITS TO THE PATIENT AT HOME BASED ON PATIENT ACUITY WITHIN 24 TO 72 HOURS OF DISCHARGE, OR AS NEEDED BASED ON PROBLEMS ENCOUNTERED AND NOTED VIA TELEPHONE CONTACTS.IMPROVING ACCESS TO PRIMARY CARE SERVICES AND ADDRESSING THE NEEDS OF FREQUENT FLYERS HAS ALSO BEEN A FOCUS AREA FOR THE HOSPITAL. WORKING WITH THE HOSPITAL'S FAMILY HEALTH CENTER, BLOCKED SCHEDULING WAS DEVELOPED TO ALLOW IMMEDIATE APPOINTMENTS FOR PATIENTS PRESENTING TO THE EMERGENCY ROOM OR BEING DISCHARGED FROM INPATIENT CARE. THIS HAS PROVED TO BE SUCCESSFUL AND HAS ALLOWED PATIENTS TO ESTABLISH A RELATIONSHIP WITH A PRIMARY CARE PHYSICIAN. WE HAVE ALSO FOCUSED EFFORTS ON REDUCING CHRONIC DISEASE AND TO COORDINATE MENTAL HEALTH CARE THROUGH THE HOSPITAL'S COMMUNITY OUTREACH. IN THE CALENDAR YEAR 2014 WE EXPANDED OUR WORK WITH COMMUNITY PARTNERS TO PROVIDE HEALTH EDUCATION AND SCREENING PROGRAMS AIMED AT HEART DISEASE AND RELATED RISK FACTORS AND MENTAL HEALTH WHICH RESULTED IN 776 PEOPLE BEING SCREENED AND EDUCATED AT 29 COMMUNITY EVENTS. THE HOSPITAL WILL CONTINUE TO PLAY A SIGNIFICANT ROLE TO ENSURE THE HEALTH STATUS OF THE COMMUNITIES IT SERVES.THE UNMET NEEDS OF THE COMMUNITY EXTEND WELL BEYOND RESIDENTS' NEED FOR HEALTHCARE SERVICES AND INCLUDE THE NEED FOR HOUSING, TRANSPORTATION, JOB TRAINING, LINGUISTIC COMPETENCY, AND ACCESS TO PRIMARY CARE, PREVENTION AND DISEASE MANAGEMENT SERVICES. THE HOSPITAL ADDRESSED THE HEALTH NEEDS MOST LIKELY TO BENEFIT RESIDENTS OF THE AREAS SERVED BY THE HOSPITAL AND TO BE WITHIN ITS PURVIEW, COMPETENCY AND RESOURCES TO IMPACT THE NEEDS IN A MEANIGFUL MANNER.
EAST ORANGE GENERAL HOSPITAL PART V, SECTION B, LINE 16I: EAST ORANGE GENERAL HOSPITAL WRITTEN FINANCIAL ASSISTANCE POLICY DOES NOT SPECIFY THE METHODS REQUIRED TO BE USED TO PUBLICIZE THE INFORMATION IN THE FINANCIAL ASSISTANCE POLICY. INSTEAD, EAST ORANGE GENERAL HOSPITAL FOLLOWS NEW JERSEY CHARITY CARE REGULATIONS FOR PUBLICIZING ITS FINANCIAL ASSISTANCE INFORMATION.
EAST ORANGE GENERAL HOSPITAL PART V, SECTION B, LINE 20E: EAST ORANGE GENERAL HOSPITAL PROVIDED PEOPLE WITH REQUIREMENTS RELATED TO VARIOUS PROGRAMS FOR THE UNINSURED AND UNDERINSURED.
EAST ORANGE GENERAL HOSPITAL PART V, SECTION B, LINE 22D: EAST ORANGE GENERAL HOSPITAL CHARGES PATIENTS WHO ARE UNINSURED AND WHOSE FAMILY INCOME IS LESS THAN 500% OF THE FEDERAL POVERTY LEVEL, AN AMOUNT NO GREATER THAN 115% OF THE APPLICABLE PAYMENT RATE UNDER THE FEDERAL MEDICARE PROGRAM ESTABLISHED PURSUANT TO PUB. L. 89-87 (42 U.S.C.S.1395 ET SEQ.) THE AMOUNT IS IN ACCORDANCE WITH THE SLIDING SCALE BASED ON INCOME DEVELOPED BY THE DEPARTMENT OF HEALTH & SENIOR SERVICES PURSUANT TO THIS ACT.
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Supplemental Information
PART I, LINE 7: THE COSTING METHOD USED TO CALCULATE THE AMOUNTS REPORTED WAS THE MEDICARE OPERATING COST-TO-CHARGE RATIO FOR BOTH OUTPATIENT AND INPATIENT SERVICES.
PART I, LINE 7G: THE HOSPITAL DID NOT INCLUDE SUBSIDIZED HEALTH SERVICE ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART I, LN 7 COL(F): ON A PERIODIC BASIS, THE HOSPITAL EVALUATES ITS PATIENT ACCOUNTS RECEIVABLE AND ESTABLISHES AN ALLOWANCE FOR UNCOLLECTIBLES BASED ON CONTRACTUAL ALLOWANCES, HISTORY OF PAST WRITE-OFFS AND COLLECTION AND CURRENT CREDIT CONSIDERATIONS. PAYMENTS FOR SERVICES IS GENERALLY REQUIRED WITHIN 30 DAYS RECEIPT OF INVOICE OR CLAIM SUBMITTED. SELF-PAY ACCOUNTS AND BALANCES AFTER INSURANCE PAST DUE MORE THAN 90 DAYS ARE CLASSIFIED AS UNCOLLECTIBLE.
PART III, LINE 3: THE HOSPITAL DOES NOT HAVE A RELIABLE METHOD FOR ESTIMATING THE PORTION OF BAD DEBT ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT APPLY. THEREFORE, THIS AMOUNT IS REPORTED AS $0.
PART III, LINE 4: "SEE THE ""CONCENTRATIONS OF CREDIT RISK"" PARAGRAPHS IN NOTE 1 ON PAGE 7 OF THE ATTACHED FINANCIAL STATEMENTS."
PART III, LINE 8: THE COSTING METHOD USED TO DETERMINE ALLOWABLE COSTS ARE THE COSTS IN ACCORDANCE WITH MEDICARE REQUIREMENTS AND REGULATIONS. ONLY COSTS THAT ARE CONSISTENT WITH EFFICIENT, COST-EFFECTIVE MANAGEMENT AND OPERATIONS WERE ALLOWED. ALSO, ONLY OPERATING COSTS THAT ARE DIRECTLY RELATED TO THE DELIVERY OF HEALTH CARE SERVICES TO MEDICARE AND MEDICAID PATIENTS WERE ALLOWED.
PART III, LINE 9B: THE EOGH COLLECTION POLICY PERTAINS TO ALL PATIENTS WITH A SELF PAY BALANCE. IF A PATIENT APPLIES FOR EITHER CHARITY CARE OR ANY OTHER ASSISTANCE PROGRAM SUCH AS MEDICARE AND MEDICAID ALL COLLECTION ACTIVITY IS PUT ON HOLD UNTIL A DETERMINATION OF ELIGIBILITY IS MADE.
PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS THROUGH COMMUNITY OUTREACH, SCREENING, AND HEALTH FAIRS.
PART VI, LINE 3: THE HOSPITAL PLACES HANGING SIGNS IN ALL OF THE MAJOR PATIENT AREAS IN BOTH ENGLISH & SPANISH. PATIENTS ARE GIVEN HANDOUTS EXPLAINING THE PROGRAM AND THEY PROVIDE FINANCIAL COUNSELORS THAT WORK DIRECTLY WITH THE PATIENTS.
PART VI, LINE 4: EAST ORANGE GENERAL HOSPITAL PROVIDES SERVICES FOR OVER 100,000 PEOPLE IN ONE OF THE STATE'S LARGEST URBAN REGION WITH THE MEDIAN INCOME AT OR BELOW 60% OF THE STATE.
PART VI, LINE 5: MEDICAL STAFF, MONTHLY HEALTH FAIR AND HEALTH SCREENING/OUTREACH, FREE TELEVISION, TELEPHONE AND INTERNET SERVICE TO ALL ADMITTED PATIENTS, SUBSIDIZED HOSPITAL BASED PRIMARY CARE AND MENTAL HEALTH CLINICS, AND SUBSIDIZED PATIENT DISCHARGE MEDICAL TRANSPORTATION SERVICE.
PART VI, LINE 6: THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
