Community Benefit. In carrying out the Corporation’s charitable purposes of promoting health for a broad cross section of the communities served by the Corporation, the Corporation will:
(a) Cause each of its hospitals to provide quality healthcare and health services to all persons needing care without regard to race, creed, color, religion, national origin, citizenship, sex, disability, age, insurance coverage, or ability to pay;
(b) Act consistently with the charity care and financial assistance policies of the Corporation to ensure that quality care services are available and provided to all members of the communities served by the Corporation and that no individual is denied care based on the individual’s financial status or inability to pay for the full cost of services;
(c) Participate in Medicare and Medicaid programs to the extent permitted by applicable law;
(d) Accept all emergency patients without regard to ability to pay;
(e) Maintain an open medical staff except where a hospital approved exception has occurred; and
(f) Provide public health programs of educational benefit and generally promote public health, wellness, and welfare to the communities served by the Corporation, subject, in each case, to changes in governmental law, policy, or regulation.
Community Benefit. For Members meeting NF LOC, the CONTRACTOR shall provide the Community Benefit, as determined appropriate based on the CNA. The CONTRACTOR shall offer Members eligible for the Community Benefit the option to select either the Agency-Based Community Benefit or the SDCB. The CONTRACTOR shall offer Members selecting the Agency-Based Community Benefit the choice of the consumer delegated model or consumer directed model for Personal Care Services (PCS). The SDCB is further described in Section 4.6 of this Agreement. Members may not choose to move between the Agency-Based Community Benefit and the SDCB without prior approval from HCA. The CONTRACTOR shall track each Member's Community Benefit and provide reports on such benefit as directed by HCA. The maximum allowable cost of care (cost limitation) for the Community Benefit will be tied to the State’s cost of care for persons served in a private NF, except as described in Section 4.6.1.7 of this Agreement (for “grandfathered” SDCB Members). However, the maximum allowable cost of care is not an entitlement. The actual amount that can be spent by a Member for the Community Benefit will be determined by the Member’s CNA. The annual cost limitation will be determined by HCA prior to the beginning of each annual period for this Agreement based on the projected cost of placement in a Medicaid custodial Nursing Facility, excluding State Owned NFs for low level of care. The actual amount that can be spent by a Member in their CCP per year is determined by the Member’s CNA. The CONTRACTOR may choose to spend additional amounts but will not be compensated by HCA for expenditures exceeding the cost limitation developed by HCA Section 4.5.7.5.1 and 4.6.1.7.1 of this Agreement. The CONTRACTOR shall ensure that any services covered in this Agreement that could be authorized through a 1915(c) Waiver or a State Plan amendment authorized through Sections 1915(i) or 1915(k) of the Social Security Act are delivered in settings consistent with federal HCB settings requirements. The CONTRACTOR shall monitor the provision of all Community Benefits to ensure provider compliance with all applicable federal HCB settings requirements. The CONTRACTOR must conduct monitoring activities to ensure that all Community Benefit providers, including SDCB employees meet provider requirements per the Managed Care Policy Manual, including individual attendant/Caregiver requirements. The monitoring activities may not be delegated to the provider. T...
Community Benefit. As a special purpose unit of government, the System is committed to meeting the needs and improving the health status of the people of Southwest Florida. The essential services that are provided throughout the System were created from its commitment to the community and not because of an economic opportunity. Therefore, the System regularly assesses the needs of the community so that even the most vulnerable of its citizens are provided care even though a particular service might generate a low or negative margin. The entire cost of providing care to low-income citizens or to fund unprofitable services is subsidized through the Systems tax-exempt status. The System regularly estimates the benefit of its tax-exempt status as compared to the community benefits that are provided to the citizens as well as identifying the types of services that are provided often at significant financial loss to meet the needs of the community. The analysis of the community benefit reveals that the Systems financial benefit of its tax-exempt status was approximately $94.2 million for 2023, $118.6 million for 2022, and $114.7 million for 2021. This financial benefit includes the savings derived from not having to pay certain state and federal taxes, real estate taxes, sales, and intangible taxes, as well as lower malpractice costs due to sovereign immunity as a governmental entity, and lower cost of capital due to the use of tax-exempt financing. Community benefit consists of charity care provided to patients who might not otherwise have access to health care, services that are provided at less than cost to low-income members of the community (e.g., Medicaid or uninsured), and other services provided at a loss, such as community wellness and health education programs. The reported charity benefit also includes the recent update to the Systems financial assistance policy, which allows for a larger discount for uninsured patients. The Systems commitment to its community is summarized into the following community benefit categories as follows (in thousands): Year ended September 30, 2023 2022 2021 Cost of charity care for low-income patients $ 112,942 $ 105,693 $ 106,147 Cost of community outreach and educational programs and one-of-a-kind medical services 71,270 51,852 43,459 Cost of unpaid Medicaid services 88,784 115,959 159,673 Cost of unpaid Medicare and other government programs 479,643 419,381 379,114 Benefit of Services Provided to the Community $ 752,639 $ 692,885 $...
Community Benefit. 4.5.7.1 For Members meeting nursing facility level of care, the CONTRACTOR shall provide the Community Benefit, as determined appropriate based on the Comprehensive Needs Assessment.
4.5.7.2 Members eligible for the Community Benefit will have the option to select either the Agency-Based Community Benefit or the Self-Directed Communit y Benefit.
4.5.7.2.1 Members selecting the Agency-Based Community Benefit will have a choice of the consumer delegated model or consumer directed model for personal care services.
4.5.7.2.2 The Self-Directed Community Benefit is further described in Section 4.6 of this Agreement.
4.5.7.3 Members may not choose to move between the Agency-Based Communit y Benefit and the Self-Directed Community Benefit without prior approval from HSD.
4.5.7.4 The CONTRACTOR shall track each Member's Community Benefit and provide reports on such benefit as directed by HSD.
4.5.7.5 The maximum allowable cost of care for the Community Benefit will be tied to the State’s cost of care for persons served in a private nursing facility, except as described in Section 4.6.1.7. However, the maximum allowable cost of care is not an entitlement. A Member’s actual cost of care for the Community Benefit will be determined by the CNA.
4.5.7.5.1 The annual cost limitation will be determined by HSD prior to the beginning of each annual period for this Agreement based on the projected cost of placement in a Medicaid custodial nursing facility, excluding State Owned Nursing Facilities for low level of care.
4.5.7.5.2 The actual amount that can be spent by a Member in his/her CCP per year is subject to the Member’s CNA.
4.5.7.5.3 The CONTRACTOR may choose to spend additional amounts but will not be compensated by HSD for expenditures exceeding the cost limitation developed by HSD in Section 4.5.7.5.1 and 4.6.1.7.1 of this Agreement.
4.5.7.6 The CONTRACTOR shall ensure that any services covered in this Agreement, or that could be authorized through a 1915(c) Waiver or a State plan amendment authorized through sections 1915(i) or 1915(k) of the Social Security Act shall be delivered in settings consistent with 42 CFR 441.301(c)(4). The CONTRACTOR shall monitor the provision of all community benefits to ensure provider compliance with all applicable federal Home and Community Based settings requirements.
Community Benefit. 19.1 The Consultant shall, where required by the Client, partake in community benefit initiatives, including implementing any actions required to comply with the Client's Community Benefit Strategy.
19.2 The Consultant shall nominate an individual to liaise with the Client's representative and provide the Client's representative with information as required to demonstrate the Consultant's compliance with any community benefit initiatives and/or the Community Benefit Strategy.
19.3 The Consultant shall provide to the Client's representative on a monthly basis, a report (in a format to be agreed with the Client) providing details of the various community benefit activities delivered in the month.
19.4 The Consultant and the Client's representative shall attend a meeting (to be convened by the Client's representative) after completion of the provision of Services to review the completed Services and the Consultant's participation in community benefit initiatives, and to consider the scope for further improvement on future contracts.
19.5 Any and all costs relating to the partaking in community benefit initiatives, compliance with and implementation of any actions required to comply with the Client's Community Benefit Strategy are included in the Fee.
Community Benefit. Provider means those entities that provide the home and community based services and personal care services that are available to Members meeting the nursing facility level of care as identified by the Member’s benefit program.
Community Benefit. Xxxxx Theater agrees to host one fundraising event each year for North High School and one fundraising event each year for Xxxxxxx Middle School. Each respective school shall organize such event and coordinate with Xxxxx Theater for available time. All proceeds above direct costs incurred and accrued in hosting each event shall be donated to the respective school.
Community Benefit. The City agrees to contribute five dollars ($5) per employee per year to a charitable organization identified by the Union in lieu of annual contributions to the Central Labor Council Blood Bank of Alameda County.
Community Benefit. Fellow recognizes that Hospital is a tax-exempt organization with charitable goals, interests and responsibilities, and agrees to support the community benefit, charitable and indigent care initiatives and programs of Hospital as related to patient care at Hospital. In connection with such participation, Fellow agrees to provide uncompensated care as directed by Hospital, and to provide services to patients whose health care services are reimbursed by the Medicare/Medicaid programs, and other programs as may be designated by Hospital from time to time.
Community Benefit. Resident recognizes that Hospital is a tax-exempt organization with charitable goals, interests and responsibilities, and agrees to support the community benefit, charitable and indigent care initiatives and programs of Hospital as related to patient care at Hospital. In connection with such participation, Resident agrees to provide uncompensated care as directed by Hospital, and to provide services to patients whose health care services are reimbursed by the Medicare/Medicaid programs, and other programs as may be designated by Hospital from time to time.
