Longmont United Hospital 2012 Tax Return

Page 39

LONGMONT UNITED HOSPITAL Supplemental Information

Schedule H (Form 990)

Part VI

84-0460697

Page 8

BAD DEBT EXPENSE AT COST IS CALCULATED BY TAKING TOTAL BAD DEBT EXPENSE AND MULTIPLYING IT BY THE FACILITY COST TO CHARGE RATIO. THAT COST TO CHARGE RATIO IS CALCULATED BY TAKING TOTAL EXPENSES (LESS BAD DEBT) AND DIVIDING BY TOTAL GROSS CHARGES. NO BAD DEBT IS INCLUDED IN OUR COMMUNITY BENEFIT NUMBERS.

PART III, LINE 3: HOSPITAL COLLECTION STAFF WERE ASKED FOR THEIR OPINION OF HOW MUCH BAD DEBT WOULD QUALIFY FOR CHARITY HAD THE PATIENTS COMPLETED THE ELIGIBILITY VERIFICATION PROCESS. THIS IS A BEST ESTIMATE - LONGMONT IS NOT ABLE TO FORMALLY CALCULATE THIS AMOUNT.

PART III, LINE 6: COSTING METHODOLOGY USED LONGMONT USES A COST ACCOUNTING SYSTEM TO CALCULATE UNREIMBURSED COSTS OF MEDICAID.

PART III, LINE 8: SHORTFALL REPORTED IN PART III, LINE 7 LONGMONT DOES NOT INCLUDE MEDICARE REIMBURSEMENT SHORTFALLS AS PART OF COMMUNITY BENEFIT.

PART III, LINE 9B: IF A PATIENT IS KNOWN TO QUALIFY FOR CHARITY CARE, THEIR PATIENT LIABILITY IS EITHER WRITTEN OFF OR WRITTEN DOWN TO THE COLORADO INDIGENT CARE PROGRAM (CICP) COPAYMENT SCHEDULE AMOUNT. THIS PRACTICE APPLIES ONLY TO PATIENTS THAT HAVE BEEN VERIFIED AS ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE. 232271 05-01-12

14280923 138837 4822-00

Schedule H (Form 990)

39 2012.04030 LONGMONT UNITED HOSPITAL

4822-001


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