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COMMUNITY BENEFITS REPORTING FORM Pursuant to RSA 7:32clFOR FISCAL YEAR BEGINNING 01/01/2018 to be filed with: Office of the Attorney General Charitable Trusts Unit 33 Capitol Street, Concord, NH

How to fill out community benefits reporting form

How to fill out community benefits reporting form

1. Start by gathering all relevant information and documentation related to community benefits provided by your organization.
2. Carefully read and understand the instructions provided on the community benefits reporting form.
3. Fill out the form systematically, providing accurate and detailed information for each section.
4. Begin by entering your organization's name, contact information, and other required details.
5. Indicate the reporting period for which you are completing the form.
6. Provide a comprehensive list of community benefit programs and initiatives that your organization has undertaken during the reporting period.
7. For each program, provide details such as program description, target population, geographic area served, and any measurable outcomes achieved.
8. Include information on the resources allocated to each program, including financial investments, staff time, and other resources.
9. If applicable, indicate any collaborations or partnerships with other organizations for implementing the community benefit programs.
10. Ensure that all required attachments, such as supporting documentation or financial statements, are included and properly labeled.
11. Review the completed form for accuracy, completeness, and clarity.
12. Submit the community benefits reporting form within the designated deadline and according to the specified submission process.

Who needs community benefits reporting form?

1. Any organization or entity that provides community benefits and is required to report on them.
2. This may include non-profit organizations, healthcare institutions, educational institutions, government agencies, and other entities that engage in community benefit activities.

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What is community benefits reporting form?

The community benefits reporting form is a document used by non-profit hospitals to report activities and services that benefit the community, ensuring transparency and accountability in how they meet their community health needs.

Who is required to file community benefits reporting form?

Non-profit hospitals and health systems that are tax-exempt under Section 501(c)(3) of the Internal Revenue Code are required to file the community benefits reporting form.

How to fill out community benefits reporting form?

To fill out the community benefits reporting form, organizations should gather data on community health needs assessments, services provided, financial assistance, and other programs. The information must then be compiled and formatted according to the guidelines set by the relevant governing body, typically including both quantitative and qualitative data.

What is the purpose of community benefits reporting form?

The purpose of the community benefits reporting form is to provide transparency regarding how non-profit hospitals support their communities, comply with legal requirements, and address local health needs.

What information must be reported on community benefits reporting form?

The information that must be reported includes financial assistance provided, community health improvement activities, activities to increase access to healthcare services, and other roles that support community health, as well as expenditures associated with these activities.