Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE
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https://www.nicklauschildrens.org/patients-and-families/patient-financial-services/financial-assistance-program
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Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE
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https://www.nicklauschildrens.org/patients-and-families/patient-financial-services/financial-assistance-program
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Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE
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https://www.nicklauschildrens.org/patients-and-families/patient-financial-services/financial-assistance-program
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Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation
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39230318
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Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
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THE ORGANIZATION USES THE COST TO CHARGE RATIO IN IRS WORKSHEET 2 TO DETERMINE THE COST OF COMMUNITY BENEFITS AND FINANCIAL ASSISTANCE.
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Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
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Bad debt expense is reported at cost using the cost to charge ratio.
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Schedule H, Part III, Line 3 Bad Debt Expense Methodology
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THE HOSPITAL IS UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED.
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Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
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The System's estimation of the allowance for bad debts is based primarily upon the type and age of the patient accounts receivable and the effectiveness of the System s collection efforts. As a policy, the System reserves for all balances over 180 days old. Certain third-party payors with increased volume are slow payors or are in negotiations to resolve outstanding balances, increasing reserves recorded in 2017. In addition, the System has forgiven balances due from patients which, while they do form as a basis to assist families with their financial obligations, do not qualify as charity care and must be recognized as bad debt.
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Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
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VARIETY CHILDREN'S HOSPITAL ("VCH") ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. VCH BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES. VCH EXPERIENCED LOSSES ($664,574 FOR 2017) DUE TO UNDERPAYMENT FOR THE TREATMENT OF MEDICARE PATIENTS. UNREIMBURSED MEDICARE COSTS REPRESENT A SIGNIFICANT VALUE THAT NONPROFIT HOSPITALS PROVIDE TO THE COMMUNITY AS THE HOSPITAL RELIEVES THE FEDERAL GOVERNMENT OF A FINANCIAL BURDEN WHEN IT PROVIDES ESSENTIAL HEALTHCARE SERVICES TO MEDICARE COVERED PATIENTS. THE MEDICARE COST REPORT AND THE ORGANIZATION'S COST ACCOUNTING SYSTEM ARE USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS.
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Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
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Hospital patient accounts may be subject to the following collection actions to be conducted by the Hospital or an authorized party thereof: 1. Following the initial bill, monthly statements and collection letters are mailed and phone calls are completed in an effort to collect all outstanding balances due. 2. The patient responsible portion of an outstanding balance may be transferred to a bad debt collection agency. 3. Payment plan arrangements may be made for patients who indicate they may have difficulty paying their balance in a single installment.
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Schedule H, Part V, Section B, Line 16a FAP website
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- NICKLAUS Children's Hospital: Line 16a URL: See Part VI;
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Schedule H, Part V, Section B, Line 16b FAP Application website
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- NICKLAUS Children's Hospital: Line 16b URL: See Part VI;
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Schedule H, Part V, Section B, Line 16c FAP plain language summary website
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- NICKLAUS Children's Hospital: Line 16c URL: See Part VI;
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Schedule H, Part VI, Line 2 Needs assessment
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Under direction of the Board of Directors, management strives to provide hope through advanced care for our children and families. The vision is to be where the children are. The hospital uses a quarterly operating calendar to develop programs and communicate goals, accomplishments and gaps in plans. Nicklaus Children's Hospital participates in many community organizations that collectively strive to improve the health status of children. NCH has representation on The Children's Trust, the Miami Dade County Public Schools Wellness Committee, the Greater Miami Chamber of Commerce's Health and Bio-Science Committee and the Health Council of South Florida. Through our involvement with the Health Council, we consistently analyze data to identify unmet needs and serve in an advisory capacity assisting the Council to address health disparities. Additionally, our Preventive Medicine Program deploys a medical and dental van into underserved areas of the community. NCH has a robust mechanism to analyze health data.
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Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
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Nicklaus Children's Hospital has a financial assistance program to assist patients that are uninsured or underinsured and to be given the opportunity to apply for various programs. With the patient/family general consent form, financial agreement for professional services form, and a coordination of benefits form, patients/families are provided referral to an eligibility assistance counselor who will explain various programs offered. The patients are provided pamphlets of the financial assistance policy summary and signage is posted at each location indicating that financial counseling is available and that they may be eligible for financial assistance.
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Schedule H, Part VI, Line 4 Community information
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Nicklaus Children's Hospital - the flagship of Nicklaus Children's Health System - primarily serves the pediatric population of Miami-Dade County. Approximately 587,000 people under the age of 18 reside within the county. In 2017, 65 percent of the health system's patient population was funded by Medicaid. Miami-Dade is comprised of a diverse mixture of residents and visitors, making it one of the most international communities in the nation. According to the 2010 census, the county led the nation in foreign-born residents, at 52 percent, with 66 percent of the population comprised of individuals of Latin or Hispanic descent and 71 percent reporting a language other than English spoken in the home. Classifying the hospital's inpatient population using Experian's MOSAIC segmentation tool, 35 percent of the customer base fits into the Group I: Family Union profile: predominantly Hispanic families living in middle-class comfort within the tri-county area. The hospital also serves children from all over the United States and throughout Florida (patients from every county in the state have been served by the hospital). In 2017, the hospital served international patients from 68 countries. The health system, through its network of 10 outpatient centers, also provides services within Broward, Palm Beach, Lee and Martin counties. The ambulatory centers offer subspecialty physician consultations, urgent care, imaging and outpatient rehabilitation services. According to the latest drive-time trade area analysis conducted in 2013, average drive time to the main hospital was 35 minutes, with a maximum drive-time of two hours for subspecialty care.
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Schedule H, Part VI, Line 5 Promotion of community health
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A majority of the Board of Directors is comprised of persons who live in Miami-Dade County, who are neither employees nor independent contractors of the Hospital, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in the community and applies surplus funds to improvements in patient care, medical education and research. In addition, NICKLAUS Children's Hospital has an active community education program, various camp programs including asthma, diabetes, cancer center, psychiatric programs, early intervention program, preventative medicine program, dental mobile program, after hours program, healthy connections program, medical education residency program, pediatric post graduate program, fellowship programs, pediatric care call program, multiple ambulatory care centers all designed to promote health in the community.
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Schedule H, Part VI, Line 6 Affiliated health care system
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Nicklaus Children's Hospital - the flagship of Nicklaus Children's Health System - primarily serves the pediatric population of Miami-Dade County and is a leading provider of healthcare services for medically needy children. In addition, the hospital is proud to be the largest provider of pediatric medical education in the southeastern United States. NICKLAUS Children's Hospital provides primary care and a medical home to the Medicaid population through its Pediatric Care Center located on the hospital's main campus. The hospital also provides dental services through its Pediatric Dental Residency program. NICKLAUS Children's Hospital also houses Early Steps Southernmost Coast, an early intervention program for children at risk of developmental delays. The program evaluates over 2,000 children annually. NICKLAUS Children's offers primary care services to needy children through the Health Connect in Our Schools program. The hospital provides nursing staff for school-based clinics situated in high-risk communities to ensure that children have access to care. NICKLAUS Children's Hospital's Brain Institute is the first and largest pediatric neuroscience collaboration in the nation. The program is recognized for excellence in treatment of children with brain tumors, intractable epilepsy and other brain anomalies, and offers the latest minimally invasive methods, including Visualase, an image-guided laser technique for epilepsy surgery in children. The Heart Program at NICKLAUS Children's Hospital provides care for more children with congenital heart disorders than any other hospital in Florida. It is consistently ranked among the best programs in the nation for cardiology and heart surgery. NICKLAUS Children's Hospital's Cancer Center is the largest provider of pediatric cancer services in the region. The center participates in research protocols, offering the latest interventions for children receiving treatment for all forms of cancer and blood disorders. NICKLAUS Children's LifeFlight Critical Care Transport team provides transport of critically ill children from referring hospitals to NICKLAUS Children's Hospital critical care units.
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