Civic Intelligence

South Davis Community Hospital

EIN 87-0257692 • 501(c)3 • Bountiful, UT

Profile

Provide health care services

401 South 400 EastBountiful, UT 84010

www.sdch.com

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

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

Source year 2020

Liabilities / Revenue

5th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $25M-$50M nonprofits • Source year 2020

Net Margin

6th percentile

-42%

Higher net margin than 6% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2020

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2019 to 2020

Revenue Growth

3rd percentile

-60%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2019 to 2020

Assets

Down

$0

Down $22,192,656 (-100%) from 2019

Liabilities

Down

$0

Down $16,192,638 (-100%) from 2019

Net Assets

Down

$0

Down $6,000,018 (-100%) from 2019

Revenue

Down

$14,332,609

Down $21,770,866 (-60%) from 2019

Expenses

Down

$20,389,661

Down $14,085,362 (-41%) from 2019

Net Income

Down

-$6,057,052

Down $7,685,504 (-472%) from 2019

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0Assets 2010: $10,852,868Liabilities 2010: $8,021,615Net Assets 2010: $2,831,2532010Assets 2011: $10,757,037Liabilities 2011: $7,645,961Net Assets 2011: $3,111,0762011Assets 2012: $10,736,309Liabilities 2012: $7,223,871Net Assets 2012: $3,512,4382012Assets 2013: $10,711,615Liabilities 2013: $6,696,046Net Assets 2013: $4,015,5692013Assets 2014: $11,712,711Liabilities 2014: $7,537,046Net Assets 2014: $4,175,6652014Assets 2015: $12,731,990Liabilities 2015: $7,856,781Net Assets 2015: $4,875,2092015Assets 2016: $13,873,231Liabilities 2016: $8,765,600Net Assets 2016: $5,107,6312016Assets 2017: $16,383,900Liabilities 2017: $12,432,050Net Assets 2017: $3,951,8502017Assets 2018: $19,129,839Liabilities 2018: $14,671,108Net Assets 2018: $4,458,7312018Assets 2019: $22,192,656Liabilities 2019: $16,192,638Net Assets 2019: $6,000,0182019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2020

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$40M$20M$0-$20MExpenses 2010: $26,017,4362010Expenses 2011: $28,369,0092011Expenses 2012: $29,647,3612012Revenue 2013: $32,152,737Expenses 2013: $31,649,606Net Income 2013: $503,1312013Revenue 2014: $31,824,185Expenses 2014: $31,664,089Net Income 2014: $160,0962014Revenue 2015: $33,969,531Expenses 2015: $33,292,626Net Income 2015: $676,9052015Revenue 2016: $22,324,590Expenses 2016: $22,136,240Net Income 2016: $188,3502016Revenue 2017: $18,039,432Expenses 2017: $19,195,213Net Income 2017: -$1,155,7812017Revenue 2018: $28,919,964Expenses 2018: $28,648,839Net Income 2018: $271,1252018Revenue 2019: $36,103,475Expenses 2019: $34,475,023Net Income 2019: $1,628,4522019Revenue 2020: $14,332,609Expenses 2020: $20,389,661Net Income 2020: -$6,057,0522020

Highlighted filing

2020

Revenue$14,332,609
Expenses$20,389,661
Net Income-$6,057,052

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 15, 2021
Return Version
2020v4.0
Gross Receipts
$39,912,808
Mission and Program Overview

Mission

Provide health care services

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$11,877,733--
Accounts Receivable$5,601,906--
Savings and Temporary Cash Investments$3,786,771--
Cash and Non-Interest-Bearing Accounts$303,003--
Prepaid Expenses and Deferred Charges$280,051--
Inventories for Sale or Use$220,624--
Intangible Assets$117,253--
Other Notes and Loans Receivable, Net$5,315--
Total Assets$22,192,656$0▼ $22,192,656
Liabilities
Mortgage Notes Payable Secured by Investment Property$13,045,122--
Accounts Payable and Accrued Expenses$2,932,345--
Other Liabilities$215,171--
Total Liabilities$16,192,638$0▼ $16,192,638
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$6,000,018--
Total Net Assets Fund Balance$6,000,018$0▼ $6,000,018
Total Liabilities and Net Assets / Fund Balance$22,192,656$0▼ $22,192,656
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
David a BlandCEOFT$170,000$23,574$193,574
Ronald Scott AndersonDirector ofFT$95,992$15,102$111,094

Board Members and Trustees

NameTitle
Phillip L BrysonChairman
Jim SmithBoard Member
Michael HessBoard Member
Nancy MurphyBoard Member
Rand KerrBoard Member
Ronald P BurtBoard Member
Dick ManoSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$1,500
Program Service Revenue
$16,089,576
Investment Income
$-5,574,443
Other Revenue
$3,815,976
Change in Net Assets
$-6,057,052

Audited Revenue Reconciliation

Revenue per Audited Statements
$14,332,609
Total Revenue per Audited Statements
$14,332,609
Total Revenue per Form 990
$14,332,609
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$9,587,783
Grants and Similar Amounts Paid$5,464,928
Other Expenses$5,336,950
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,117,861$771,588-$7,889,449
Grants to Domestic Orgs$5,464,928--$5,464,928
Fees for Services Other$976,186$105,820-$1,082,006
Other Employee Benefits$877,395$95,111-$972,506
Payroll Taxes$546,883$59,283-$606,166
Depreciation Depletion$501,483$54,361-$555,844
Occupancy$404,517$43,850-$448,367
Interest$293,499$31,816-$325,315
Fees for Services Legal$130,078$14,101-$144,179
Information Technology$127,278$13,797-$141,075
Pension Plan Contributions$107,959$11,703-$119,662
Office Expenses$103,169$11,184-$114,353
Insurance$88,888$9,636-$98,524
Other Expenses$72,348$7,843-$80,191
Fees for Services Accounting$68,871$7,466-$76,337
Travel$63,065$6,836-$69,901
Advertising$32,057$3,475-$35,532
All Other Expenses$7,746$840-$8,586
Conferences and Meetings$5,353$580-$5,933
Total Functional Expenses$18,930,023$1,459,638$0$20,389,661

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$20,389,661
Expenses per Audited Statements$20,332,627
Total Expenses per Audited Statements$20,332,627
Expenses Not Reported on Financial Statements$57,034
Other Expense Adjustments$57,034
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Community Foundation of UtahSalt Lake City, UT501c3Donation$727,080
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Audit committee
Yes
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

No review was or will be conducted.

Form 990, Page 6, Part VI, Line 12C

Employees sign statement at hire, and are then reminded of this at annual training meetings.

Form 990, Page 6, Part VI, Line 15A

Compensation process for top official is approved by the board of directors (part of employee manual)

Form 990, Page 6, Part VI, Line 15B

Formal performance appraisals may be conducted to provide both supervisors and employees with the opportunity to discuss job tasks, identify and correct weaknesses, encourage and recognize strengths, and discuss positive, purposeful approaches for meeting goals. Reviews will be conducted annually. (per employee manual)

Form 990, Page 6, Part VI, Line 19

No documents available to the public

Filing and Contact Details

Filer

Filer Name
South Davis Community Hospital
EIN
87-0257692
Phone
8012952361
Address
401 SOUTH 400 EAST, BOUNTIFUL, UT 84010

Signing Officer

Name
David a Bland
Title
CEO
Phone
8012952361
Signed
2021-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David a Bland
Formed
1976
Legal Domicile
Ut
Voting Board Members
7
Independent Board Members
7
Employees
679
Volunteers
43

Preparer

Firm
Karren Hendrix Stagg Allen & Company
Address
111 E BROADWAY STE 250, SALT LAKE CITY, UT 84111-5225
Preparer
Scott J Hanni
Phone
8015217620
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Book/tax depreciation difference 57,034

Financial Statement Notes

Schedule D, Page 4, Part XII, Line 4B

Book/tax depreciation difference 57,034

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IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt07117861
IRS990/OtherSalariesAndWagesGrp/TotalAmt07889449
IRS990/OthNotesLoansReceivableNetGrp/BOYAmt05315
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt059283
IRS990/PayrollTaxesGrp/ProgramServicesAmt0546883
IRS990/PayrollTaxesGrp/TotalAmt0606166
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt011703
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0107959
IRS990/PensionPlanContributionsGrp/TotalAmt0119662
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0280051
IRS990/PrincipalOfficerNm0DAVID A BLAND
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/Desc0HEALTHCARE SERVICE REVENUE
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt016089576
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt016089576
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt018000
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt014389
IRS990/PYOtherExpensesAmt012572010
IRS990/PYOtherRevenueAmt01276209
IRS990/PYProgramServiceRevenueAmt034794877
IRS990/PYRevenuesLessExpensesAmt01628452
IRS990/PYSalariesCompEmpBnftPaidAmt021903013
IRS990/PYTotalExpensesAmt034475023
IRS990/PYTotalRevenueAmt036103475
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-6057052
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0true
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/RelatedOrganizationsAmt01500
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt016089575
IRS990/SavingsAndTempCashInvstGrp/BOYAmt03786771
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt057034
IRS990ScheduleD/ExpensesSubtotalAmt020332627
IRS990ScheduleD/OtherExpensesNotIncludedAmt057034
IRS990ScheduleD/RevenueSubtotalAmt014332609
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0BOOK/TAX DEPRECIATION DIFFERENCE 57,034
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 4, PART XII, LINE 4B
IRS990ScheduleD/TotalExpensesPerForm990Amt020389661
IRS990ScheduleD/TotalRevenuePerForm990Amt014332609
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt014332609
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt020332627
IRS990ScheduleH/AllHospitalsPolicyInd0X
IRS990ScheduleH/AnnualCommunityBnftReportInd0true
IRS990ScheduleH/BadDebtExpenseAmt085792
IRS990ScheduleH/BadDebtExpenseReportedInd0true
IRS990ScheduleH/CommunityHealthServicesGrp/ActivitiesOrProgramsCnt01
IRS990ScheduleH/CommunityHealthServicesGrp/NetCommunityBenefitExpnsAmt03023
IRS990ScheduleH/CommunityHealthServicesGrp/TotalCommunityBenefitExpnsAmt03023
IRS990ScheduleH/CommunityHealthServicesGrp/TotalExpensePct00.00010
IRS990ScheduleH/CostingMethodologyUsedGrp/OtherInd0X
IRS990ScheduleH/CostOfCareReimbursedByMedcrAmt02646230
IRS990ScheduleH/ExpensesExceedBudgetInd0false
IRS990ScheduleH/FacilityNum02
IRS990ScheduleH/FinancialAssistanceAtCostTyp/ActivitiesOrProgramsCnt01
IRS990ScheduleH/FinancialAssistanceAtCostTyp/NetCommunityBenefitExpnsAmt03903852
IRS990ScheduleH/FinancialAssistanceAtCostTyp/TotalCommunityBenefitExpnsAmt03903852
IRS990ScheduleH/FinancialAssistanceAtCostTyp/TotalExpensePct00.19150
IRS990ScheduleH/FinancialAssistanceBudgetInd0true
IRS990ScheduleH/FinancialAssistancePolicyInd0true
IRS990ScheduleH/FinancialAssistancePrvsnInd0true
IRS990ScheduleH/FPGReferenceDiscountedCareInd0false
IRS990ScheduleH/FPGReferenceFreeCareInd0false
IRS990ScheduleH/FreeCareMedicallyIndigentInd0true
IRS990ScheduleH/HospitalFacilitiesCnt01
IRS990ScheduleH/HospitalFacilitiesGrp/BusinessName/BusinessNameLine1Txt0SOUTH DAVIS COMMUNITY HOSPITAL
IRS990ScheduleH/HospitalFacilitiesGrp/FacilityNum01
IRS990ScheduleH/HospitalFacilitiesGrp/LicensedHospitalInd0X
IRS990ScheduleH/HospitalFacilitiesGrp/OtherDesc0LT HOSPITAL & SKILLED NURSING
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/AddressLine1Txt0401 SO 400 E
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/CityNm0BOUNTIFUL
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/StateAbbreviationCd0UT
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/ZIPCd084010
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AmountsGenerallyBilledInd0false
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AppFinancialAsstExplnInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedInd0false
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CollectionActivitiesInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/DescribedInfoInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/DescribedSuprtDocInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/EligCriteriaExplainedInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ExplainedBasisInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FacilityNum01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPActionsOnNonpaymentInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAppAvlblOnRequestNoChrgInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAvlblOnRequestNoChargeInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPSumAvlblOnRequestNoChrgInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FirstLicensedCYOrPYInd0false
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/GrossChargesInd0false
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/HospitalFacilityName/BusinessNameLine1Txt0SOUTH DAVIS COMMUNITY HOSPITAL
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/IncludesPublicityMeasuresInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/InsuranceStatusCriteriaInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/MadeEffortOrallyNotifyInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/MadePresumptiveEligDetermInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/NoEmergencyCareInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/NondisEmergencyCarePolicyInd0false
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OrganizationIncurExciseTaxInd0false
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/PermitReportToCreditAgencyInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ProcessedFAPApplicationInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ProvidedHospitalContactInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ProvidedNonprofitContactInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ProvidedWrittenNoticeInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ReportingToCreditAgencyInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/TaxExemptHospitalCYOrPYInd0false
IRS990ScheduleH/MedicareSurplusOrShortfallAmt0979213
IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/BusinessName/BusinessNameLine1Txt0ORCHARD COVE
IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/BusinessName/BusinessNameLine1Txt1INN AT BARTON CREEK
IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/FacilityTxt0SKILLED NURSING, HOME HEALTH & HOSPICE
IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/FacilityTxt1ASSISTED LIVING FACILITY
IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/AddressLine1Txt0485 E 500 SO
IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/AddressLine1Txt1499 E 500 SO
IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/CityNm0BOUNTIFUL
IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/CityNm1BOUNTIFUL
IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/StateAbbreviationCd0UT
IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/StateAbbreviationCd1UT
IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/ZIPCd084010
IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/ZIPCd184010
IRS990ScheduleH/ReimbursedByMedicareAmt03625443
IRS990ScheduleH/ReportPublicallyAvailableInd0true
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt0THE FOLLOWING FACTORS WILL BE CONSIDERED WHEN DETERMINING THE AMOUNT OF CHARITY SERVICE FOR WHICH A PATIENT IS ELIGIBLE AT THE TIME OF SERVICE: A.PATIENT SHOULD RESIDE IN THE HOSPITAL'S PRIMARY/SECONDARY SERVICE AREA AND HAVE A PHYSICIAN WHO IS A MEMBER OF THE MEDICAL STAFF. OUT OF AREA APPLICATIONS WILL BE REVIEWED UPON THE REQUEST OF A PHYSICIAN OR COLLECTION SUPERVISOR. B.CONSIDER THE PATIENT'S INDIVIDUAL OR FAMILY INCOME, AS APPROPRIATE, USING THE INCOME GUIDELINES AS ADJUSTED BY THE HOSPITAL, WHICH TAKE INTO CONSIDERATION THE COST OF LIVING FOR THE COMMUNITY AND POVERTY LEVEL GUIDELINES. C.CONSIDER INDIVIDUAL OR FAMILY NET WORTH INCLUDING ALL LIQUID AND NON-LIQUID ASSETS OWNED, LESS LIABILITIES AND CLAIMS AGAINST ASSETS. D.CONSIDER EMPLOYMENT STATUS ALONG WITH FUTURE EARNINGS SUFFICIENT TO MEET THE OBLIGATION WITHIN A REASONABLE PERIOD OF TIME. E.CONSIDER FAMILY SIZE. F.CONSIDER OTHER FINANCIAL OBLIGATIONS INCLUDING LIVING EXPENSES AND OTHER ITEMS OF A REASONABLE AND NECESSARY NATURE. G.CONSIDER THE AMOUNT(S) AND FREQUENCY OF HOSPITAL AND OTHER HEALTHCARE/MEDICATION BILL(S) IN RELATION TO ALL OF THE FACTORS OUTLINED ABOVE. H.ALL OTHER RESOURCES MUST BE APPLIED FIRST, INCLUDING THIRD-PARTY PAYERS, VICTIMS OF CRIME AND MEDICAID. IF A PATIENT DOES NOT HAVE MEDICAID BUT WOULD QUALIFY, HE/SHE MUST COOPERATE WITH THE APPLICATION PROCESS. IF THE APPLICATION IS DENIED, CONSIDER FOR UNCOMPENSATED CARE.
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE H, PART I, LINE 3C
IRS990ScheduleH/TotalCommunityBenefitsGrp/ActivitiesOrProgramsCnt03
IRS990ScheduleH/TotalCommunityBenefitsGrp/NetCommunityBenefitExpnsAmt010606874
IRS990ScheduleH/TotalCommunityBenefitsGrp/TotalCommunityBenefitExpnsAmt010606874
IRS990ScheduleH/TotalCommunityBenefitsGrp/TotalExpensePct00.52020
IRS990ScheduleH/TotalFinancialAssistanceTyp/ActivitiesOrProgramsCnt02
IRS990ScheduleH/TotalFinancialAssistanceTyp/NetCommunityBenefitExpnsAmt010603851
IRS990ScheduleH/TotalFinancialAssistanceTyp/TotalCommunityBenefitExpnsAmt010603851
IRS990ScheduleH/TotalFinancialAssistanceTyp/TotalExpensePct00.52010
IRS990ScheduleH/TotalOtherBenefitsGrp/ActivitiesOrProgramsCnt01

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