Community Benefit Insight - Tax-exempt hospital

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Williamsburg Regional Hospital

Williamsburg Regional Hospital

Williamsburg Regional Hospital
Kingstree, SC 29556

Bed count	25	Medicare provider number	421303	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 570468486

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

6.88%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

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.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 0 0 %
Medicaid as % of operating expenses	$ 1,753,044 6.88 %
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	$ 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	$ 1,413,726 5.55 %
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	$ 393,016 27.80 %

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:
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: 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

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 $ 25478892 including grants of $ 0) (Revenue $ 23080475)
WILLIAMSBURG REGIONAL HOSPITAL IS AN ACUTE CARE HOSPITAL IN KINGSTREE, SOUTH CAROLINA. THE GOAL OF THE HOSPITAL IS TO DELIVER THE BEST HEALTHCARE AVAILABLE TO THE RESIDENTS OF WILLIAMSBURG COUNTY AND THE SURROUNDING AREA AS WE SEEK TO MAKE THE COMMUNITY HEALTHIER. THE HOSPITAL'S MISSION IS TO PROVIDE EXCELLENCE IN PATIENT CARE IN AN ENVIRONMENT THAT IS RESPECTFUL OF OTHERS, ADAPTAVE TO CHANGE, ACCOUNTABLE FOR OUTCOMES, AND ATTENTIVE TO THE NEEDS OF THE COMMUNITY. WE TREAT OUR PATIENTS AS WE WOULD OUR FAMILIES; VISITORS AND FELLOW EMPLOYEES AS WE WOULD OUR FRIENDS; THE COMMUNITY AS OUR PARTNER; AND OUR HOSPITAL AS WE WOULD OUR HOME. CONTINUED ON SCHEDULE OWILLIAMSBURG REGIONAL HOSPITAL PROVIDES EXCELLENCE IN PATIENT CARE IN AN ENVIRONMENT THAT IS RESPECTFUL OF OTHERS, ADAPTIVE TO CHANGE, ACCOUNTABLE FOR OUTCOMES, AND IS ATTENTIVE TO THE NEEDS OF THE COMMUNITY. THE HOSPITAL PROVIDES AN ARRAY OF SERVICES, INCLUDING PAIN MANAGEMENT, SURGICAL SERVICES, LABORATORY, SLEEP LAB, RADIOLOGY, MAMMOGRAPHY, INTENSIVE CARE, MEDICAL/SURGICAL INPATIENT CARE, STROKE CARE, WOUND CARE, GYNECOLOGY, OPERATION OF A RURAL HEALTH CENTER, PHYSICAL THERAPY, NEPHROLOGY, EMERGENCY SERVICES, AND CARDIOLOGY SERVICES.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

PART V, SECTION A:
WILLIAMSBURG REGIONAL HAD TO TEMPORARILY SUSPEND OPERATIONS IN THE MAIN HOSPITAL BUILDING DURING FEBRUARY 2016 DUE TO DAMAGES RECEIVED DURING THE CAROLINA FLOOD IN OCTOBER 2015. IN DECEMBER 2016, WILLIAMSBURG REGIONAL OPENED A TEMPORARY FACILITY FOR INPATIENT AND OUTPATIENT SERVICES.

WILLIAMSBURG REGIONAL HOSPITAL
PART V, SECTION B, LINE 5: INTERVIEWS WERE CONDUCTED WITH A NUMBER OF LOCAL HEALTHCARE EXPERTS IN THE AREA. THE ONE-ON-ONE DISCUSSSIONS WERE CONDUCTED USING AN INTERVIEW GUIDE, SO EACH WOULD COVER IN A STRUCTURED MANNER THE FOLLOWING TOPICS: SOCIO-DEMOGRAPHIC NEEDS, HEALTH LITERACY, CHRONIC DISEASE INFORMATION, AND HOSPITAL SERVICES AND CARE.

WILLIAMSBURG REGIONAL HOSPITAL
PART V, SECTION B, LINE 11: DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THREE COMMUNITY HEALTH PRIORITIES WERE SELECTED USING A MIXED-METHODS APPROACH. FIRST, PRIMARY DATA WAS COLLECTED THROUGH THE COMMUNITY HEALTH NEEDS SURVEY, FOCUS GROUPS, AND ONE-ON-ONE INTERVIEWS. SECONDARY DATA WAS COLLECTED THROUGH ONLINE DATA REPOSITORIES. THE PRIMARY AND SECONDARY DATA WAS USED BY THE STEERING COMMITTEE IN THEIR FINAL SELECTION OF PRIORITIES THAT WERE IDENTIFIED THROUGH THE COMMUNITY HEALTH FORUM. THE STEERING COMMITTEE REVIEWED THIS INFORMATION FROM A VARIETY OF SOURCES IN TERMS OF MAGNITUDE, SEVERITY, THE COMMUNITY WILL, AND FEASIBILITY. THE THREE HEALTH PRIORITIES ULTIMATELY SELECTED WERE: (1) ACCESS TO HEALTH CARE, (2) CHRONIC DISEASE, AND (3) BEHAVIORAL AND MENTAL HEALTH.WILLIAMSBURG REGIONAL HOSPITAL IS A SMALL, RURAL CRITICAL ACCESS HOSPITAL DEDICATED TO SERVING ITS PATIENTS AND COMMUNITY. SINCE IT SERVES ONE OF THE POOREST COUNTIES IN THE STATE, THERE ARE NOT AMPLE RESOURCES TO ADDRESS THE IDENTIFIED NEEDS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, WILLIAMSBURG REGIONAL HOSPITAL IS COMMITTED TO ADDRESSING THESE NEEDS AND WILL USE INTERNAL AND EXTERNAL RESOURCES AT ITS DISPOSAL.THE IMPLEMENTATION OF THIS COMMUNITY HEALTH IMPROVEMENT PLAN WILL BE LED BY WILLIAMSBURG REGIONAL HOSPITAL LEADERSHIP AND STAFF. COORDINATED EFFORTS FROM APPROPRIATE COMMUNITY PARTNERS, LIKE THE WILLIAMSBURG COUNTY INTERAGENCY COUNCIL, WHO SHARE THE COMMON GOAL OF ADVANCING THE WELL-BEING OF THE COMMUNITY SERVED, WILL PROVIDE ADDITIONAL SUPPORT TO THE MAINTENANCE AND SUSTAINABILITY OF THE PLAN. A LIST OF KEY PARTNERS HAS BEEN PROVIDED FOR EACH STRATEGY, HOWEVER, IT SHOULD BE NOTED THAT THESE LISTS MAY NOT INCLUDE ALL OF THE REQUIRED PARTNERSHIPS FOR THE IMPLEMENTATION OF THE PLAN.

WILLIAMSBURG REGIONAL HOSPITAL
PART V, SECTION B, LINE 16J: CHARITY PROGRAM MENTIONED UPON PATIENT ADMISSION AND DISCHARGE AND DURING THE COLLECTION PROCESS IF THE PATIENT INQUIRES. ALSO IF PATIENTS ARE UNINSURED, THEY RECEIVE A DISCOUNT IMMEDIATELY UPON BILLING.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 3C:
THE HOSPITAL USES DIFFERENT SOURCES OF INFORMATION SUCH AS INCOME LEVEL, HOUSEHOLD SIZE, HOUSEHOLD INCOME, AND ASSETS.

PART I, LINE 7:
THE ORGANIZATION USED THE IRS WORKSHEETS TO CALCULATE THE AMOUNTS REPORTED ON SCHEDULE H.

PART II, COMMUNITY BUILDING ACTIVITIES:
WILLIAMSBURG REGIONAL HOSPITAL CURRENTLY OPERATES OUT OF A TEMPORARY FACILITY FOR BOTH IN AND OUTPATIENT SERVICES. WILLIAMSBURG REGIONAL HOSPITAL PLANS ON CEASING OPERATIONS IN JANUARY 2023 WITH MUSC BUILDING A NEW STATE OF THE ART FACILITY IN WILLIAMSBURG COUNTY TO SUPPORT THE COMMUNITY.

PART III, LINE 2:
THE HOSPITAL ESTIMATES BAD DEBT EXPENSE BY COMPARING THE TOTAL OF ALL CHARGES BILLED OVER A CERTAIN TIME PERIOD, TO THE TOTAL AMOUNT SITTING UNPAID IN BAD DEBT STATUS . A PERCENTAGE IS DERIVED BY COMPARING THESE TOTALS AND THE PERCENTAGE IS APPLIED TO ACCOUNTS RECEIVABLE CURRENTLY OUTSTANDING. ALL ACCOUNTS RECEIVABLE OLDER THAN 180 DAYS IS CONSIDERED TO BE 100% BAD DEBT. ALL ACCOUNTS IN THE BILLING AND RECEIVABLE SYSTEM HAVE STATEMENTS THAT GO OUT EVERY 30 DAYS ON SELF PAY BALANCES. IF AN ACCOUNT RECEIVES FOUR STATEMENTS WITH NO PAYMENT, THAT ACCOUNT IS TRANSFERRED TO THE BAD DEBT LEDGER. IF PAYMENTS ARE RECEIVED ON THE ACCOUNT, THE ACCOUNT MAY NOT TRANSFER OVER TO BAD DEBT UNTIL 5 OR 6 STATEMENTS HAVE BEEN GENERATED. ONCE AN ACCOUNT IS TRANSFERRED TO BAD DEBT, ANY PAYMENTS/ADJUSTMENTS POSTED TO THOSE ACCOUNTS WOULD BE NETTTED AGAINST THE BAD DEBT EXPENSE.

PART III, LINE 3:
WILLIAMSBURG COUNTY PERSONS IN POVERTY PERCENTAGE ACCORDING TO 2020 TENTATIVE CENSUS FOR WILLIAMSBURG COUNTY IS ROUGHLY 28%. APPLYING THIS PERCENTAGE TO THE TOTAL BAD DEBT WOULD BE ACCEPTABLE IN THIS REGION IF NOT A HIGHER PERCENTAGE CONSIDERING HOUSEHOLDS WELL ABOVE THIS LINE ARE ASSUMED TO MIGRATE OUTWARDS FOR HEALTHCARE NEEDS.

PART III, LINE 8:
THE HOSPITAL PROVIDES MEDICAL SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A RESULT, THE HOSPITAL INCURRS LOSSES BY SERVIING MEDICARE PATIENTS.THE UNREIMBURSED COSTS THE HOSPITAL PROVIDES TO THE COMMUNITY SHOULD BE CONSIDERED A COMMUNITY BENEFIT, SINCE THE HEALTHCARE NEEDS OF THE COMMUNITY WOULD OTHERWISE GO UNMET IF THE HOSPITAL DID NOT EXIST.

PART III, LINE 9B:
IT IS THE POLICY OF WILLIAMSBURG REGIONAL HOSPITAL TO PRESERVE THE ASSETS OF THE HOSPITAL WHILE ACHIEVING THE GOAL OF ADMINISTERING MEDICAL CARE TO THOSE IN NEED, WITHOUT REGARD TO RACE, COLOR, ANCESTRY, NATIONAL ORIGIN, RELIGION, SEXUAL ORIENTATION, AGE, SEX, MARITAL OR DISABILITY STATUS. ALL WHO RECEIVE MEDICAL CARE AND ARE CAPABLE OF PAYING FOR ALL OR PART OF THE COST OF THESE SERVICES MUST DO SO. IT IS THE POLICY OF WILLIAMSBURG REGIONAL HOSPITAL TO COLLECT PAYMENT FOR SERVICES RENDERED OR PROVIDE FINANCIAL ASSISTANCE TO ALL PATIENTS WHO OWE OUTSTANDING PATIENT BALANCES. FINANCIAL COUNSELORS WILL SCREEN OR PRESCREEN ANY PATIENT OR RESPONSIBLE PARTY THAT IS UNEMPLOYED OR WHO INDICATES THAT FINANCIAL ASSISTANCE MAY BE NEEDED. THE PATIENTS MUST PROVIDE REQUESTED INFORMATION AND THE FINAL DETERMINATION OF ASSISTANCE IS MADE BY THE HOSPITAL CEO. EACH APPLICATION FOR ASSISTANCE MUST BE RENEWED/REASSESSED AFTER ONE YEAR.

PART VI, LINE 2:
IN COMPLETING THE LATEST COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL FOLLOWED GUIDELINES PUBLISHED BY THE IRS. OUR METHODOLOGY INCLUDED:1. DEFINING THE HOSPITAL'S SERVICE AREA;2. COMPILING AND ANALYZING DATA ON THE HEALTH NEEDS AND HEALTH SERVICES USED BY THE RESIDENTS OF WILLIAMSBURG COUNTY;3. GATHERING INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; 4. DETERMINING AND PRIORITIZING MAJOR HEALTH ISSUES;5. INVENTORYING HEALTHCARE RESOURCES AVAILABLE TO THE RESIDENTS OF WILLIAMSBURG COUNTY; AND6. CREATING AN ACTION PLAN TO ADDRESS HIGH PRIORITY HEALTH NEEDS TO THE EXTENT THEY CAN BE ADDRESSED

PART VI, LINE 3:
UPON REGISTRATION FOR NEEDED MEDICAL SERVICES, IF PATIENTS ARE IDENTIFIED AS HAVING NO INSURANCE OR MEANS TO PAY FOR THE SERVICE, REGISTRATION STAFF WILL ASSIST THE PATIENTS WITH APPLYING FOR MEDICAID OR ANY OTHER AVAILABLE COVERAGE. IF NO RESOURCES OR COVERAGE CAN BE OBTAINED, PATIENTS ARE TOLD ABOUT THE HOSPITAL'S CHARITY PROGRAM AND INVITED TO APPLY TO EITHER ASSIST WITH THE COST OF THE SERVICE OR COVER THE SERVICE IN FULL. ALL INCOME TESTING IS STRICTLY ADHERED TO TO DETERMINE THE PATIENTS ABILITY/NON ABILITY TO PAY.

PART VI, LINE 4:
WILLIAMSBURG COUNTY HAS A POPULATION ESTIMATE OF 30,484 RESIDENTS IN THE 2020 CENSUS. OVER 64% OF THESE RESIDENTS ARE AFRICAN-AMERICAN, AND 80% OF THE RESIDENTS HOLD A HIGH SCHOOL DIPLOMA OR HIGHER EDUCATION. WILLIAMSBURG REGIONAL IS THE ONLY HOSPITAL IN WILLIAMSBURG COUNTY. OTHER HEALTH PROVIDERS ARE SCDHEC, SC DEPT OF MENTAL HEALTH, A FEDERALLY QUALIFIED HEALTH CENTER, AND A LOCAL COUNCIL ON AGING.

PART VI, LINE 5:
WILLIAMSBURG REGIONAL HOSPITAL PARTICIPATED IN A PROGRAM THROUGH SCDHHS CALLED HEALTHY OUTCOMES. HEALTHY OUTCOMES FOCUSES ON PROVIDING A MEDICAL HOME TO CHRONICALLY ILL PATIENTS WHO FREQUENT THE EMERGENCY ROOM FOR TREATMENT OF ASTHMA, COPD, HYPERTENSION, DIABETES, AND/OR BEHAVIORAL HEALTH CONDTIONS.

PART VI, LINE 6:
N/A

PART VI, LINE 7, REPORTS FILED WITH STATES
SC

Operating expenses	$ 25,478,892
Total amount spent on community benefits as % of operating expenses	$ 1,753,044 6.88 %