Civic Intelligence

Burdett Care Center Inc

990 • Fiscal year 2012 • EIN 27-2153849

Jan 01, 2012 to Dec 31, 2012 • Filed on Nov 13, 2013

Organization Profilewww.burdettcarecenter.org
2215 Burdett Ave12180
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

96th percentile

1.23x

Higher debt load relative to assets than 96% of similar nonprofits.

2012 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2012

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2012

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2012

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2012

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2012

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Balance Sheet
Liabilities / Assets96th percentile

Assets

$7,934,777

No earlier filing loaded for comparison.

Net Assets

-$1,862,627

No earlier filing loaded for comparison.

Liabilities

$9,797,404

No earlier filing loaded for comparison.

Revenue And Expenses
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

-

No earlier filing loaded for comparison.

Expenses

$7,670,325

No earlier filing loaded for comparison.

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset GrowthScore unavailable

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0-$5.0MAssets 2012: $7,934,777Liabilities 2012: $9,797,404Net Assets 2012: -$1,862,6272012Assets 2013: $7,801,895Liabilities 2013: $9,995,838Net Assets 2013: -$2,193,9432013Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2012

Assets$7,934,777
Liabilities$9,797,404
Net Assets-$1,862,627
Open 2012 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$10M$5.0M$0-$5.0MExpenses 2012: $7,670,3252012Revenue 2013: $7,155,164Expenses 2013: $7,486,480Net Income 2013: -$331,3162013Revenue 2020: $5,270,279Expenses 2020: $5,253,271Net Income 2020: $17,0082020

Highlighted filing

2012

Revenue-
Expenses$7,670,325
Net Income-
Open 2012 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2012 to Dec 31, 2012
Signed
Nov 13, 2013
Return Version
2012v2.0
Gross Receipts
$6,786,557
Mission and Program Overview

Mission

The Burdett Care Center's mission is to provide high-quality, accessible reproduction-related health care services; to be the provider of choice in the community for women who are having children, as well as women and men who opt not to have children; to be an organization where employees find professional fulfillment and are proud to work.

Filing and Contact Details

Filer

EIN
27-2153849
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IRS990/Description0The Burdett Care Center ("Burdett Care") is a new not-for-profit hospital in Troy, New York that commenced operations on October 1, 2011. Burdett Care is located on the second floor of Samaritan Hospital, in new condominium space previously occupied by Samaritan's maternity department. Burdett Care is dedicated to maternity and reproductive services, other than abortion. Burdett Care was formed to offer high quality maternity services to women in the area and to preserve access by those women to reproductive services (i.e. tubal ligation, Essure and Adiana) in conjunction with maternity services. The Burdett Care concept arose out of merger discussions among Northeast Health, St. Peter's Health Care Services and Seton Health System. The merger parties agreed that Northeast Health would remain secular in connection with its affiliation with the two Catholic systems, but that Northeast Health and its affiliates, including Samaritan Hospital, would abide by the Ethical and Religious Directives for Catholic Health Care Services (the "ERDs"). The merger parties further agreed that, in order to pursue the merger of health systems while preserving reproductive services in Troy, a new hospital - later named The Burdett Care Center - would be formed within the Samaritan facility, with an independent governing board, independent medical staff and independent nursing staff. Burdett Care is not bound by the ERDs.Burdett Care is a 15-bed hospital facility providing high quality inpatient and outpatient reproductive services including maternity, labor, delivery, nursery, contraceptive and sterilization. In 2012 Burdett Care delivered 1,154 babies, and provided sterilization services in connection with 37 of those deliveries.
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IRS990/MissionDescription0The Burdett Care Center's mission is to provide high-quality, accessible reproduction-related health care services; to be the provider of choice in the community for women who are having children, as well as women and men who opt not to have children; to be an organization where employees find professional fulfillment and are proud to work.
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IRS990ScheduleH/Form990ScheduleHPartVI/Explanation01.7 line b, c, - Burdett Care Center used the total ratio of cost to charges from the 2012 cost report to calculate the amounts used in the table. The Hospital applied this ratio to the charges associated with the straight Medicaid payer classification and the Medicaid Managed Care payer classifications.III.8- Burdett Care Center used the total ratio of cost to charges from the 2012 cost report to calculate the amounts used in the table. The Hospital applied this ratio to the charges associated with the Medicare payer classification.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation1As described in Part III Line 4a of the main form, Burdett Care was opened in 2011 to preserve access to sterilization service in the Troy, New York area in the context of the merging of secular and Catholic health systems in the area. In connection with this purpose and to promote womens health generally, Burdett Care continued to hold community forums in 2012, one of which celebrated its One Year Anniversary. Attendees included representatives from a non-profit organization whose mission is to educate the public about maternity care and other community members. Burdett Care also provides Lamaze Childbirth education, Breastfeeding education and support groups, infant massage, and sibling classes.In addition, Burdett Care is managed by a board of directors composed primarily of independent leaders in the community. Burdett Care has an open medical staff. Burdett Care presently operates at a deficit, but any future surpluses will certainly be used to fund the capital and operational needs of Burdett Care's services.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation2Burdett Care considers the community it serves to comprise Albany and Rensselaer Counties. There are several reasons why residents of the Capital Region outside of Albany and Rensselaer Counties are unlikely to seek services from Burdett Care, and should not be considered part of "the Community." First, for most such persons, Burdett Care is more distant than other maternity and reproductive services resources, such as Ellis Hospital, Saratoga Hospital, Albany Medical Center or St. Peter's Hospital. Second, it is significant that Burdett Care is on the Troy side of the Hudson River. While residents of Albany County - particularly eastern Albany County - do use the services in Troy, to residents in population centers further west, northwest or southwest, the river is perceived as a barrier or border. Burdett Care is new, and does not yet have the name recognition or perceived prestige as competing services. But within Rensselaer and Albany counties, Burdett Care is seen as a successor provider to the maternity and reproductive services previously provided by Samaritan Hospital and Seton Health System, which were discontinued when Burdett Care opened. Over 70% of the births performed at Samaritan and Seton in 2010 came from Albany and Rensselaer Counties.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation3In addition to posting Burdett Care Center's financial assistance policy on the hospital's website, Burdett Care Center physically posts the policy at almost all inpatient and outpatient intake desks. All registration personnel are trained to know the procedures for assisting patients who have no insurance. Burdett Care Center has also contracted with a firm that supplies the services of a Medicaid enroller "on-site".
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation4The hospital used the commercial insurance rates negotiated with its highest volume commercial payer, which is consistent with New York State Public Health Law Article 28 requirements.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation5Information regarding the availability of a financial assistance program and who to contact is included on billing invoices to patients.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation6The Burdett Care Center ("Burdett Care") concluded a community health needs assessment intended to comply with Internal Revenue Code 501(r) in February 2012, but much of the work on the assessment was performed during the three-year period from 2009 through 2011. During this period the staff of Northeast Health, which helped form Burdett Care, conducted an assessment of the need for maternity and reproductive-related services in the service area served by Burdett Care. They conducted this assessment through the collection and analysis of discharge and other health data, through interviews and other communications with key stakeholders, and through public hearings. This information was used to complete the community health needs assessment and for the planning necessary for the opening of Burdett Care and the design of its services.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation7If a patient qualifies for financial assistance, their account will not be subject to the usual collection practices during this process. If the patient does not submit the necessary documentation within 120 days, then their account could be forwarded to collections.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation8The financial statements for Burdett Care Center contain the following note regarding bad debt expense.Patient service revenue, net of contractual allowances and discounts, is reduced by the provision for bad debts, and net patient accounts receivable are reduced by an allowance for uncollectible accounts. These amounts are based primarily on management's assessment of historical and expected write-offs and net collections along with the aging status of each major payor source. Management regularly reviews data about these major payor sources of revenue in evaluation the sufficiency of the allowance for uncollectible accounts. Based on historical experience, a portion of Burdett Care Center's self-pay patients who do not qualify for charity care will be unable or unwilling to pay for the services provided. Thus, a provision is recorded for bad debts in the period services are provided related to those patients. After all reasonable collection efforts have been exhausted in accordance with Burdett Care Center's policies, accounts receivable are written off and charged against the allowance for uncollectible accounts.Burdett Care Center provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because BCC does not pursue collection of amounts determined to qualify as charity care, they are not reported in patient service revenue.Charity and Uncompensated Care"Burdett Care Center provides care without charge or at a reduced rate to patients who qualify for charity care accoring to BCC's policy. To the extent that patients do not have the ability to pay, they are reported as charity care. BCC provides care to public program enrollees, which are typically reimbursed at amounts less than the costs. BCC also provides care in which charges are uncollected beyond what is provided under the definition of charity care. BCC calculaes the cost of providing charity and uncompensated care using a cost-to-charge ratio method. The amount of charity care and other uncompensated care at cost, provided the community for the year ended December 31,2012 is as follows:"Charity Care $ 4,215Costs in excess of public program reimburements 164,985 (Medicaid and Medicare) Provision for bad debts 66,093 _________ $235,293
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation9The Hospital's estimate of bad debt expense at cost attributable to patients that may have been eligible under organization's charity care policy, but for whom sufficient information was unable to be obtained in order to make a determination, is based on the following: - We then took the number of incomplete and denied applications for 2012 and researched each account to see what amount was transferred to bad debt and multplied that amount by the appropriate RCC to calculate the bad debt at cost - Accounts are denied or incomplete due to insufficient information or refusal to provide information. We only selected accounts that then actually had balance transferred to bad debt with our rationale being that these patients would have qualified for charity care had they completed the process since they didn't the means to pay and the balances were transferred to bad debt.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation10The Hospital's bad debt expense is calculated on an allowance/reserve basis. Each month, account balances, net of payments, discounts and contractual allowances, are sorted by the age of the receivable and payor group. Each payor and aging group is assigned a percentage that will be used to calculate a reserve/allowance for bad debt. This allowance for doubtful account total is combined with our bad debt account receivable balance to arrive at a total estimated allowance for doubtful accounts. This total is compared to our total allowance for doubtful accounts recorded in the Hospital's general ledger. The difference is recorded as bad debt expense.Account balances on patient accounts are transferred to bad debt accounts receivable once they are determined to be uncollectible. The balances are net of discounts, adjustments and payments that have been applied to these accounts.In order to determine the Hospital's bad debt expense at cost for Part III, line 2, we first identified what portion of the bad debt was inpatient and what portion was outpatient. We then applied the appropriate cost to charge ratio (I/P or O/P) as reported in our 2012 Medicare Cost Report to the bad debt expense amounts (I/P and O/P) to determine bad debt expense at cost. The Hospital's estimate of bad debt expense at cost attributable to patients that may have been eligible under organization's charity care policy, but for whom sufficient information was unable to be obtained in order to make a determination, is based on the following: - We then took the number of incomplete and denied applications for 2012 and researched each account to see what amount was transferred to bad debt and multplied that amount by the appropriate RCC to calculate the bad debt at cost - Accounts are denied or incomplete due to insufficient information or refusal to provide information. We only selected accounts that then actually had balance transferred to bad debt with our rationale being that these patients would have qualified for charity care had they completed the process since they didn't have the means to pay and the balances were transferred to bad debt.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation11Burdett Care Center financial assistance policy uses the Federal Poverty Guidelines to determine eligiblity, and does not use an asset test.
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier0Number of Hospital Faciltiy - 1
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier1Number of Hospital Faciltiy - 1
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier2Number of Hospital Faciltiy - 1
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference0Part VI - Additional Information
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference1Part VI - Community Building Activities
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference2Part VI - Community Information
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference3Part VI - Patient Education of Eligibility for Assistance
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference4Part V, Line 20d - Other Billing Determination of Individuals Without Insurance
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference5Part V, Line 14g - Other Means Hospital Facility Publicized the Policy
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference6Part V, Line 3 - Account Input from Person Who Represent the Community
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference7Part III, Line 9b - Provisions On Collection Practices For Qualified Patients
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference8Part III, Line 4 - Bad Debt Expense
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference9Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference10Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference11Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)
IRS990ScheduleH/Form990ScheduleHPartVSectionA/Address/AddressLine102215 Burdett Ave 200
IRS990ScheduleH/Form990ScheduleHPartVSectionA/Address/City0Troy
IRS990ScheduleH/Form990ScheduleHPartVSectionA/Address/State0NY
IRS990ScheduleH/Form990ScheduleHPartVSectionA/Address/ZIPCode012180
IRS990ScheduleH/Form990ScheduleHPartVSectionA/FacilityNumber01
IRS990ScheduleH/Form990ScheduleHPartVSectionA/LicensedHospital0X
IRS990ScheduleH/Form990ScheduleHPartVSectionA/Name/BusinessNameLine10Burdett Care Center Inc
IRS990ScheduleH/Form990ScheduleHPartVSectionB/ActionsOnNonpayment0true
IRS990ScheduleH/Form990ScheduleHPartVSectionB/AdoptBudget0X
IRS990ScheduleH/Form990ScheduleHPartVSectionB/AdoptImplementStrategy0X
IRS990ScheduleH/Form990ScheduleHPartVSectionB/AllNeedsAddressed0true
IRS990ScheduleH/Form990ScheduleHPartVSectionB/AmountsGenerallyBilled0false
IRS990ScheduleH/Form990ScheduleHPartVSectionB/AvailableOnRequest0X
IRS990ScheduleH/Form990ScheduleHPartVSectionB/CHNAConducted0true
IRS990ScheduleH/Form990ScheduleHPartVSectionB/CHNAWidelyAvailable0true
IRS990ScheduleH/Form990ScheduleHPartVSectionB/CollectionActivities0false
IRS990ScheduleH/Form990ScheduleHPartVSectionB/CommunityDefinition0X
IRS990ScheduleH/Form990ScheduleHPartVSectionB/CommunityDemographics0X

Document Assets

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Filings

Displayed year

2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$7,934,777
Liabilities
$9,797,404
Net assets
-$1,862,627
Revenue
-
Expenses
$7,670,325
Net income
-
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$5.27$5.25$0.02
2013XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.80$10.00$2.19$7.16$7.49$0.33
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.93$9.80$1.86$7.67
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