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This document serves as a reporting form for community benefits provided by LRGHealthcare in accordance with RSA 7:32-c-l, detailing organizational information, community served, community needs assessment,
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How to fill out community benefits reporting form

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How to fill out COMMUNITY BENEFITS REPORTING FORM

01
Begin by reviewing the guidelines provided for the Community Benefits Reporting Form.
02
Gather all necessary data related to the community benefits your organization has provided.
03
Fill in the organization’s name and contact information at the top of the form.
04
Specify the reporting period during which the community benefits were provided.
05
List each community benefit along with a brief description in the designated sections.
06
Quantify the benefits where applicable (e.g., number of individuals served, monetary value).
07
Include any relevant metrics or outcomes that illustrate the impact of the community benefits.
08
Review the form for accuracy and completeness before submission.
09
Submit the completed form to the designated authority as indicated in the guidelines.

Who needs COMMUNITY BENEFITS REPORTING FORM?

01
Organizations that provide community benefits as part of their operations.
02
Non-profits seeking to report their social impact.
03
Government agencies needing documentation of community service initiatives.
04
Stakeholders interested in assessing community engagement and support.
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Community benefits are programs and services that are designed to improve health and well-being related to specific needs in our community. To qualify as a community benefit, activities must meet at least one of these objectives: Improve access to health care service. Enhance the health of the community.
Community benefit reporting demonstrates accountability for community investments, communicates progress toward addressing unmet health needs and disseminates community benefit activities to community stakeholders.
Community benefit reporting demonstrates accountability for community investments, communicates progress toward addressing unmet health needs and disseminates community benefit activities to community stakeholders.
What is the Community Benefit? Non-profit hospitals, in order to maintain their tax-exempt status under section 501(c)(3) of Federal Internal Revenue Code, are required to provide a benefit to the health of the community they serve. This is commonly known as the Community Benefit.
Community reporting (aka metrics and measurement) helps organizations understand the “why” of community approaches and the results they see when they do. Community teams are often responsible for collecting, analyzing, and reporting back to the organization, which evolves as the community grows.
These community benefits include help with housing, accessing healthy food, educational programs, health screenings, transportation to ensure patients arrive at needed medical appointments, vaccination clinics and other programs to address the many other needs that affect the community's health and well-being.

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The COMMUNITY BENEFITS REPORTING FORM is a document used by organizations to report on the benefits they provide to communities, including initiatives that promote health, wellness, and social equity.
Organizations that receive funding or subsidies from government entities or are part of regulatory requirements to provide community benefits are required to file the COMMUNITY BENEFITS REPORTING FORM.
To fill out the COMMUNITY BENEFITS REPORTING FORM, organizations should gather relevant data on their community benefit activities, complete each section of the form as instructed, and submit it to the appropriate authority by the designated deadline.
The purpose of the COMMUNITY BENEFITS REPORTING FORM is to ensure transparency and accountability in how organizations contribute to community health and well-being, and to track the impact of these contributions over time.
The information that must be reported on the COMMUNITY BENEFITS REPORTING FORM includes descriptions of community benefit programs, the target population, financial investments, measurable outcomes, and any partnerships involved in the initiatives.
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