Learn about community benefit reporting and IRS Form 990 Schedule H:
- Appointing a community benefit/990H team composed of finance and community benefit professionals; identifying important responsibilities for both disciplines
- Reporting requirements of IRS Form 990 Schedule H
- Differences in IRS Form 990 Schedule H reporting requirements for hospitals historically reporting under CHA/VHA guidelines
- Effect of these requirements on hospital community benefit tracking systems
- Specific information required on Schedule H itself - Parts I, II, III, and VI
- Formats recommended by the IRS for the eight supporting community benefit worksheets; how to maintain this information
- How to derive charity care numbers; how to distinguish between charity care and bad debt; how to apportion uncompensated care
- Application of HFMA Statement 15 on accounting for charity care and bad debts (recommended by IRS, but not currently mandated
- How to use the IRS recommended "Ratio of Patient Care Costs to Charges" as an approved alternative costing mechanism
- Accounting for Medicaid unreimbursed costs, and allowable offsets
- Accounting for other Means-tested public programs, e.g., SCHIP
- Accounting for Health Profession Education, e.g., offsetting tuition reimbursement and Medicare and Medicaid reimbursement for GME
- How to "book" the new "specific" financial adjustments designed to eliminate double-counting in Subsidized Health Services
- Treatment of "secondary" community benefits such as Community Building Activities, Medicare and Bad Debt
- CBISA's™ role in maintaining essential information for completing 990 Schedule H, including important audit trails
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