Civic Intelligence

Hillsboro Medical Center

EIN 45-0230400 • 501(c)3

PO Box 60958045
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

89th percentile

0.86x

Higher debt load relative to assets than 89% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2012

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2012

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2012

Top Officer Pay

Score unavailable

No value available

No filing with officer or executive compensation is available for this organization yet.

Asset Growth

42nd percentile

2.0%

Faster asset growth than 42% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2011 to 2012

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Assets

Up

$16,039,565

Up $321,542 (+2.0%) from 2011

Liabilities

Up

$13,792,723

Up $380,166 (+2.8%) from 2011

Net Assets

Down

$2,246,842

Down $58,624 (-2.5%) from 2011

Revenue

-

No earlier filing loaded for comparison.

Expenses

Up

$8,155,257

Up $286,732 (+3.6%) from 2011

Net Income

-

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2010: $16,155,907Liabilities 2010: $13,571,478Net Assets 2010: $2,584,4292010Assets 2011: $15,718,023Liabilities 2011: $13,412,557Net Assets 2011: $2,305,4662011Assets 2012: $16,039,565Liabilities 2012: $13,792,723Net Assets 2012: $2,246,8422012

Highlighted filing

2012

Assets$16,039,565
Liabilities$13,792,723
Net Assets$2,246,842

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10M$5.0M$0Expenses 2010: $7,367,4552010Expenses 2011: $7,868,5252011Expenses 2012: $8,155,2572012

Highlighted filing

2012

Revenue-
Expenses$8,155,257
Net Income-

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2011 to Jun 30, 2012
Signed
May 6, 2013
Return Version
2011v1.5
Gross Receipts
$8,138,945
Filing and Contact Details

Filer

EIN
45-0230400
Raw XML AppendixShowing 400 of 658 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Description0The Hospital/Home provides medical care to the community and long-term care to the elderly regardless of the individual's ability to pay for the services received.Medical services offered include critical access hospital services, skilled nursing services, emergency services and ambulance services. To fulfill its mission of community service, the Medical Center provides care to patients and residents who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the Medical Center does not pursue collection of amounts determined to qualify for charity care, they are not reported as patient and resident service revenue.The Medical Center maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy and equivalent service statistics. The amounts of charges foregone, based on established rates, were $9,563 and $14,804 for the years ended June 30, 2012 and 2011.Hillsboro Medical Services also operates a skilled nursing facility. The Home provides nursing services, meals, housekeeping, laundry and activities for residents.
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IRS990/NameOfPrincipalOfficerPerson0Jac McTaggart
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IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation0The Medical Center holds tenant security deposits from assisted living residents. These funds are included in cash and accounts payable in the consolidated financial statements. Tenant security deposits totaled $15,672 and $14,288 at June 30, 2012 and 2011.
IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation1The Medical Center and the Foundation are organized as North Dakota nonprofit corporations and have been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Medical Center and the Foundation are required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS annually. In addition, the Medical Center and the Foundation are subject to income tax on any net income that is derived from business activities that are unrelated to its exempt purpose. The Medical Center and the Foundation believe they have appropriate support for any tax positions taken affecting the annual filing requirements for the Medical Center and the Foundation, and as such, do not have any uncertain tax positions that are material to the consolidated financial statements. The Medical Center and the Foundation would recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax expense if such interest and penalties are incurred.
IRS990ScheduleD/Form990ScheduleDPartXIV/Identifier0Description of Uncertain Tax Positions Under FIN 48:
IRS990ScheduleD/Form990ScheduleDPartXIV/ReturnReference0Part IV, Line 2b:
IRS990ScheduleD/Form990ScheduleDPartXIV/ReturnReference1Part X:
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IRS990ScheduleH/Form990ScheduleHPartVI/Explanation0Part I, Line 3c: Throughout the payment and collection process, the business office staff attempt to identify to the extent possible, patients who may be eligible for charity care considerations. Individuals with accounts to be considered for charity reductions are asked to complete a financial statement form, which provides pertinent financial information necessary to determine financial need. The charity care application asks for items such as employment information, current income, current expenses, assets owned as well as other miscellaneous items. Credit reports are also used to verify and assist in the decision process. This information is also compared against the federal poverty guidelines. Review of potential charity requests are performed monthly by the Business Manager and certain recommendations are forwarded to the Administrator. The Administrator reviews all information in the charity care application and bases a decision for charity care on all factors included in the application.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation1Part I, Line 7: An average ratio of cost to gross charges, which addresses all patient segments, was used to determine the amount of Financial Assistance at cost on Part I, line 7a. Unreimbursed Medicaid on line 7b was calculated using the costing methods to prepare the cost reports. Subsidized health services on line 7g was calculated using the cost report. Community health improvement services, line 7e, were calculated based on estimated costs.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation2Part I, L7 Col(f): The amount of bad debt expense removed from total expenses to determine the percentage was $121,077.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation3Part II: n/a
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation4Part III, Line 4: Financial Statement Bad Debt Expense Footnote:The carrying amount of patient and resident receivables is reduced by a valuation allowance that reflects management's estimate of amounts that will not be collected from patients, residents, and third-party payors. Management reviews patient and resident receivables by payor class and applies percentages to determine estimated amounts that will not be collected from third parties under contractual agreements and amounts that will not be collected from patients and residents due to bad debts. Management considers historical write-off and recovery information in determining the estimated bad debt provision.All discounts and payments on a patient's account are accounted for prior to determining bad debt expense. Hillsboro Medical Center reports amounts as bad debt once they are 120 days overdue and have been turned over to a collection agency. Historically, almost all of these amounts remain unpaid as the patient does not have sufficient resources and likely would qualify for the Charity Care Program. Based on this assumption, 75% of the bad debt amount is considered charity care.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation5Part III, Line 8: Medicare allowable costs of care are based on the Medicare Cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation6Part III, Line 9b: As of 6/30/12, the collection policy did not contain specific written provisions on collection practices to be followed for patients who are known to qualify for financial assistance. However in practice, when it is appropriate, a review is done to determine if a patient qualifies for charity care (all patients are evaluated on an individual basis). This can be discussed with the patient during the phone call prior to sending to collections. All collection efforts are reversed if a patient is determined to be eligible for financial assistance.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation7The Organization began re-writing some of their policies during the year in order to be in compliance with IRC 501(r). This process was halted because the Organization was in the process of becoming affiliated with Sanford Health and knew that when the affiliation was official they would adopt the policies and procedures of Sanford Health. The Organization will become part of Sanford Health as of January 1st, 2013.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation8Part V, Section B, Line 9: We have a charity care application available requesting financial and employment information. Items requested include but are not limited to, household income, household expense, insurance benefits, and assets. Administration reviews the application and bases a decision for charity care on all factors and compares data to federal poverty guidelines. Notes are made on the statements informing patients that charity care applications are available if they are unable to pay.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation9Part V, Section B, Line 10: No discounted care was provided during the fiscal year.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation10Part V, Section B, Line 13g: The Organization informs patients about the Charity Care Policy during the collection process and indicates which pertinent information is needed in order to determine financial need. As of the fiscal year end, the Organization is working on making the Charity Care Policy more widely available to the public in order to be in compliance with IRC 501(r).
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation11Part V, Section B, Line 19d: During the fiscal year, individuals who were eligible for charity care received a 100% write off applied to the gross charges on their bill. There were no other lesser discounts offered.Effective January 2013, the Organization will be affiliated with Sanford Health. They will adopt the amounts generally billed calculations currently in use by Sanford Health. The minimum discount for those that qualify will be calculated by using the weighted average of the contractual adjustments provided to the three largest commercial insurance companies during the prior calendar year.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation12Part VI, Line 2: The Assistant Director of Nursing and the Medical Providers at Hillsboro Medical Center assess the needs of outpatient services utilized by the community. We re-evaluate the services we provide and have added multiple needed outpatient treatments. These services enhanced patient care and provided services within our community instead of needing to travel outside the Hillsboro area for these services. The Organization began planning a Community Health Needs Assessment during the year as well to help assess the needs of the community. We will continue to review the needs of the community and the services that we offer.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation13Part VI, Line 3: During the collection process for outstanding bills, Hillsboro Medical Center (HMC) informs the patients that they do have a Charity Care Policy and they will send out a financial statement form, which will provide pertinent patient financial information necessary to determine financial need. Also, HMC discusses with the patients that they could apply with the county for Medicaid assistance. The final determination for Charity Care is approved by the Administrator after reviewing all pertinent factors.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation14Part VI, Line 4: Hillsboro Medical Center is a 16-bed acute care hospital, a 36-bed nursing facility, and a 16-unit assisted living facility located in Hillsboro, North Dakota. Hillsboro has a population of approximately 1,603 per the 2010 Census data. Per the 2007-2011 American Community Survey's 5 year estimates, the median income for a household in the city was $43,629 and the median income for a family was $56,719. Males (working year-round and full-time) had a median income of $43,182 versus $30,655 for females. The per capita income for the city was $20,791. About 4.2% of families and 8.4% of the population were below the poverty line, including 7.6% of those under age 18 and 11.2% of those age 65 or over. Sanford-Mayville Hospital is another hospital that serves the community in an 18 mile radius.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation15Part VI, Line 5: The mission of the Hillsboro Medical Center is to provide quality health care and living services with dignity and individualized care. Hillsboro Medical Center provides community meetings about CPR, Advance Directives, Child Passenger Safety, Alzheimer's, etc. to promote information and well-being to people in our community. Hillsboro Medical Center also provides a room for Hospice and UND Journal Club free of charge so they can conduct their meetings for the care of people in the community and surrounding areas. The majority of the organization's governing body is comprised of individuals who reside in the primary service area. These individuals are not employees, nor contractors or family members of the organization. The organization extends medical staff privileges to qualified physicians in the community. Surplus funds, if available, are re-invested in the facility to improve patient care.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation16Part VI, Line 6: n/a
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier0Hillsboro Medical Center
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier1Hillsboro Medical Center
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier2Hillsboro Medical Center
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier3Hillsboro Medical Center

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