SOI 2011 990 Hospital Facilities

EINEmployer Identification NumberEmployer identification number of Hospital (Page 1, Line D)Beginning, sec.D
FisYrFiscal yearFiscal year (ending year)
NAMEHospital nameName of Organization filing Form 990 (Form 990, Page 1, Line C)Beginning, sec.C1
STATEStateTwo-letter state abbreviation of Organization filing Form 990 (Form 990, Page 1, Line C(3))Beginning, sec.C3
zip5Zip code, 5 digitsFirst 5 digits of zip code of Organization filing Form 990 (Form 990, Page 1, Line C(4))Beginning, sec.C3
SUBSECCDSubsection codeHospital IRS subsection code, e.g. 03=501(c)(3), etc. (Page 1, Line I)
hospfclt_cntNumber of facilitiesNumber of hospital facilities (number of rows in Sch H - Part V sub-table)
hrowRow numberRow Identification Number
fclt_numLine Number of Hospital FacilityLine Number of Hospital Facility (from Sched H, Part V, Section A)
fclty_nameFacility nameName of facility
fclty_zipFacility zipZip code of facility
type_of_fcltyFacility typeType of facility
chna_cndctConduct a needs assessment?Conduct a needs assessment? (Sch H, Part V, Line 1)
chna_descrWhat the needs assessment describesWhat the needs assessment describes (Sch H, Part V, Line 1a-1j)
nds_assmnt_cndctYear needs assessment conductedYear needs assessment conducted (Sch H, Part V, Line 2)
tk_into_acctTake into account input from community?Take into account input from community? (Sch H, Part V, Line 3)
oth_fcltConducted with other facilities?Conducted with other facilities? (Sch H, Part V, Line 4)
chna_wdly_avlblNeeds assessment widely available to public?Needs assessment widely available to public? (Sch H, Part V, Line 5)
chna_publicHow needs assessment was made available to publicHow needs assessment was made available to public (Sch H, Part V, Line 5a-5c)
nds_addrssdWhich needs raised by assessment were addressed?Which needs raised by assessment were addressed? (Sch H, Part V, Line 6a-6i)
all_nds_addrssdAll needs addressed?All needs addressed? (Sch H, Part V, Line 7)
elgbl_crtr_explndExplain eligibility crieria for assistance?Explain eligibility crieria for assistance? (Sch H, Part V, Line 8)
uss_fpg_frUsed FPG for free care?Used FPG for free care? (Sch H, Part V, Line 9)
fpg_fr_pctFPG fmaily income limit for free careFPG fmaily income limit for free care (Sch H, Part V, Line 9(yes))
uss_fpg_dscntdUsed FPG for discounted care?Used FPG for discounted care? (Sch H, Part V, Line 10)
fpg_dscnt_pctFPG fmaily income limit for discounted careFPG fmaily income limit for discounted care (Sch H, Part V, Line 10(yes))
explns_bssExplain basis for calculating charges?Explain basis for calculating charges? (Sch H, Part V, Line 11)
bss_for_amtsFactors used to calculate chargesFactors used to calculate charges (Sch H, Part V, Line 11a-11h)
explns_applctn_mthdExplain method for applying for assistance?Explain method for applying for assistance? (Sch H, Part V, Line 12)
inclds_pblcty_msrsInclude measures to publicize assistance policyInclude measures to publicize assistance policy (Sch H, Part V, Line 13)
how_msrs_pblczdHow assistance policy was publicizedHow assistance policy was publicized (Sch H, Part V, Line 13a-13g)
actns_nnpymntWritten policy regarding non-payment?Written policy regarding non-payment? (Sch H, Part V, Line 14)
nnpymnt_actn_mthdsNonpayment policy actionsNonpayment policy actions (Sch H, Part V, Line 15a-15e)
coll_actyActions related to collection?Actions related to collection? (Sch H, Part V, Line 16)
coll_acty_mthdsWhich collection activitiesWhich collection activities (Sch H, Part V, Line 16a-16e)
pre_coll_actyEfforts before collection activitiesEfforts before collection activities (Sch H, Part V, Line 17a-17e)
nndscrm_emrgncy_cr_plcyNon-discriminatory emergency room policy?Non-discriminatory emergency room policy? (Sch H, Part V, Line 18)
rsn_no_nndscrm_plcyWhy no non-discriminatory ER policyWhy no non-discriminatory ER policy (Sch H, Part V, Line 18a-18d)
max_amt_dtrmndHow maximum charge amounts determinedHow maximum charge amounts determined (Sch H, Part V, Line 19a-19d)
amt_gnrlly_blldDid hospital charge more than amounts billed?Did hospital charge more than amounts billed? (Sch H, Part V, Line 20)
gr_chrgCharge amounts equal to gross chrage?Charge amounts equal to gross chrage? (Sch H, Part V, Line 21)
SCPLS.C./Cycle/Page/L.C.Service Center Cycle Page Line (unique identifier assigned by the IRS - used to match primary SOI record with related sub-table records)