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Missouri Delta Medical Center
Sikeston, MO 63801
| Bed count | 188 | Medicare provider number | 260113 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 137,956,856 Total amount spent on community benefits as % of operating expenses$ 8,874,126 6.43 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 1,114,740 0.81 %Medicaid as % of operating expenses$ 7,672,076 5.56 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 87,310 0.06 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 11,446,326 8.30 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency YES Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? NO The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? YES In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 109041290 including grants of $ 10000) (Revenue $ 111607768) MISSOURI DELTA MEDICAL CENTER PROVIDES QUALITY MEDICAL CARE TO THE RESIDENTS OF ITS COMMUNITY REGARDLESS OF ABILITY TO PAY. MDMC ALSO PROVIDES SHORT TERM REHABILITATION SERVICES THROUGH AN ACUTE IP REHABILITATION UNIT AND PSYCHIATRIC SERVICES THROUGH AN ACUTE IP GERIATRIC PSYCHIATRIC UNIT AND AN ADOLESCENT PSYCHIATRIC UNIT. THESE SERVICES ARE SUMMARIZED AS FOLLOWS:HOSPITAL:ACUTE INPATIENT DAYS 15,173ACUTE INPATIENT ADMISSIONS 3,441EMERGENCY ROOM VISITS 19,806RURAL HEALTH CLINIC VISITS 102,613 LABORATORY TESTS PERFORMED 389,665 RADIOLOGY EXAMS PERFORMED 47,073 PT, OT, ST TREATMENTS 106,802 PHYSICIAN OFFICE VISITS 68,878 REHAB INPATIENT DAYS 1,626REHAB INPATIENT ADMISSIONS 181GERIATRIC PSYCH INPATIENT DAYS 3,435GERIATRIC PSYCH INPATIENT ADMISSIONS 398ADOLESCENT PSYCH INPATIENT DAYS 2,594 ADOLESCENT PSYCH INPATIENT ADMISSIONS 578 THE HOSPITAL PROVIDED FREE CARE TO INDIGENT PATIENTS IN THE AMOUNTOF $444,096 VALUED AT BILLED CHARGES. THE HOSPITAL ALSO PROVIDED NUMEROUS FREE PROGRAMS AND REDUCED PRICE SERVICES THROUGH THE YEAR THAT THE HOSPITAL BELIEVES SERVES A COMMUNITY NEED. SERVICES PROVIDED FREE OF CHARGE OR BELOW COST TO THE GENERAL PUBLIC INCLUDE:1. PERIODIC BLOOD PRESSURE AND CHOLESTEROL SCREENINGS2. OUTPATIENT DIABETIC EDUCATION AND OTHER HEALTH EDUCATION CLASSES3. CHILDBIRTH CLASSES, FIRST AID CLASSES AND CPR COURSES4. RED CROSS BLOOD DRIVES5. COVID 19 VACCINATION CLINICS6. HEALTH EDUCATION ARTICLES IN THE LOCAL NEWSPAPER
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Facility Information
MISSOURI DELTA MEDICAL CENTER PART V, SECTION B, LINE 6A: FOR THE PURPOSES OF THE ASSESSMENT, COMMUNITY IS DEFINED AS THE GEOGRAPHIC AREA FROM WHICH A SIGNIFICANT NUMBER OF PATIENTS USING MDMC SERVICES RESIDE. THE PRIMARY SERVICE AREA FOR MDMC IS BASED ON THE NUMBER OF INPATIENT DISCHARGES AND OUTPATIENT VISITS BY PATIENTS THAT RESIDE IN SCOTT, MISSISSIPPI AND NEW MADRID COUNTIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR SCOTT COUNTY WAS CONDUCTED IN PARTNERSHIP WITH SAINT FRANCIS MEDICAL CENTER. AS MISSISSIPPI COUNTY AND NEW MADRID COUNTY WERE THE PRIMARY SERVICE AREAS OF MDMC ALONE THE CHNA WAS NOT CONDUCTED IN PARTERNSHIP WITH SAINT FRANCIS MEDICAL CENTER.
MISSOURI DELTA MEDICAL CENTER PART V, SECTION B, LINE 6B: FOR PURPOSES OF THE ASSESSMENT, THE HOSPITAL COLLECTED DATA FROM A VARIETY OF LOCAL, COUNTY, STATE AND NATIONAL RESOURCES IN ORDER TO PROFILE THE DEMOGRAPHICS, SOCIAL/ECONOMIC FACTORS, HEALTH STATUS AND ACCESS TO HEALTHCARE IN COMMUNITIES SERVICED. INDIVIDUALS REPRESENTING THE FOLLOWING ORGANIZATIONS PARTICIPATED IN THE PRIMARY RESEARCH IN SCOTT COUNTY: (1) BOOTHEEL COUNSELING SERVICES; (2) MISSOURI HOUSE OF REPRESENTATIVES; (3) AMERICAN RED CROSS; (4) FERGUSON MEDICAL GROUP; (5) SCOTT COUNTY HEALTH DEPARTMENT; (6) SEMO HEALTH NETWORK; (7) SIKESTON REGIONAL CHAMBER; (8) SCOTT COUNTY CENTRAL SCHOOLS. INDIVIDUALS REPRESENTING THE FOLLOWING ORGANIZATIONS PARTICIPATED IN THE PRIMARY RESEARCH IN NEW MADRID COUNTY: (1) NEW MADRID COUNTY HEALTH DEPARTMENT; (2) BOOTHEEL COUNSELING; (3) SEMO HEALTH NETWORK. INDIVIDUALS REPRESENTING THE FOLLOWING ORGANIZATIONS PARTICIPATED IN THE PRIMARY RESEARCH IN MISSISSIPPI COUNTY: (1) MISSISSIPPI COUNTY HEALTH DEPARTMENT; (2) L&S PHARMACY; (3) MISSOURI WOMEN, INFANTS AND CHILDREN (WIC).
MISSOURI DELTA MEDICAL CENTER PART V, SECTION B, LINE 11: MEMBERS OF THE MISSOURI DELTA CHNA TEAM ANALYZED THE SURVEY DATA, FOCUS GROUP DATA, AND SECONDARY DATA TO PRIORITIZE THE COMMUNITY HEALTH NEEDS FOR MISSISSIPPI, NEW MADRID AND SCOTT COUNTIES. THE TOP FIVE PRIORITY NEEDS INCLUDE:1. CHILD AND ADULT OBESITY2. CHRONIC DISEASE A. DIABETES (DIET AND EXERCISE)B. CHRONIC RESPIRATORY DISEASE (SMOKING)C. HEART DISEASE (SMOKING/DIET AND EXERCISE)D. STROKE (HEALTHY LIFESTYLE)3. CANCER (SMOKING)4. MENTAL ILLNESS5. DRUG AND ALCOHOL ABUSECHILD AND ADULT OBESITY:SPECIFIC STRATEGIES INCLUDE EDUCATIONAL ACTIVITY BOOKS GEARED TOWARD FAMILIES WHICH INCLUDES HEALTHY EATING HABITS. BOOKS WILL BE AVAILABLE IN MDMC CLINIC WAITING ROOMS AND THE EMERGENCY ROOM. CREATION OF FITKIDZ THROUGH POSTERS, HANDOUTS, TV LOBBY, AND HEALTH FAIRS. CONTINUE TO HOLD CHRONIC DISEASE EDUCATIONAL WORKSHOPS AT MISSOURI DELTA MEDICAL CENTER. CONTINUE TO IDENTIFY PATIENTS IN NEED OF ATTENDING CHRONIC DESEASE EDUCATION WORKSHOPS OFFERED. PROVIDE SPEAKERS/PRESENTERS ABOUT HEALTHY EATING AT EVENTS SUCH AS THE ANNUAL WOMEN'S SHOW AND THE ANNUAL WOMEN'S HEALTH CONFERENCE. PARTICIPATE IN THE ANNUAL HEALTHY KIDS DAY PROGRAM AT THE YMCA WITH EDUCATIONAL DIETARY INFORMATION. PARTNER WITH STRATUS MEDICAL GROUP WITH PROMOTION OF THEIR HEALTHY WEIGHT MANAGEMENT PROGRAM. CHRONIC DISEASE: SPECIFIC STRATEGIES INCLUDE TO CONTINUE OFFERING CHRONIC DISEASE EDUCATIONAL WORKSHOPS AND PROMOTING THOSE THROUGH THE PHYSICIANS, CASE MANAGERS AND OTHER CIVIC ORGANIZATIONS. CONTINUE TO PROVIDE FREE PUBLIC HEALTH SCREENINGS AT HEALTH FAIRS THROUGHOUT THE COUNTIES WE SERVE; BLOOD PRESSURE, GLUCOSE, LUNG. POPULATION HEALTH WORKING THROUGH OUTREACH TO HELP EDUCATE PATIENTS AND PREVENT READMISSIONS. WORK WITH LOCAL HEALTH DEPARTMENTS IN EACH COUNTY TO PROMOTE THEIR DIABETES SUPPORT GROUPS AND SELF-HELP PROGRAMS. CANCER: SPECIFIC STRATEGIES INCLUDE TO CONTINUE TO PROMOTE SMOKING-CESSATION PROGRAMS THE LOCAL HEALTH DEPARTMENTS ARE PROVIDING AND EDUCATE MEDICAL PROVIDERS ON THE RESOURCES AVAILABLE FOR PATIENTS WHO WANT TO QUIT TOBACCO USAGE. MENTAL ILLNESS AND DRUG AND ALCOHOL ABUSE:SPECIFIC STRATEGIES INCLUDE TO PARTNER WITH BOOTHEEL COUNSELING IN PROVIDING MENTAL HEALTH FIRST AID PROGRAMS TO AREA EMPLOYERS. THIS PROGRAM INTRODUCES PARTICIPANTS TO RISK FACTORS AND WARNING SIGNS OF MENTAL ILLNESS. CONTINUE TO SUPPORT THE MENTAL HEALTH COUNSELORS IMPLEMENTED IN MDMC'S RURAL HEALTH CLINICS IN SIKESTON AND NEW MADRID. PARTNER WITH PHARMACIES THAT OFFER A MEDICATION RECONCILIATION PROGRAM IN WHICH THE PHARMACIST VISITS THE PATIENT'S HOME AND COMPARES HOME MEDS WITH DISCHARGE MEDS TO ENSURE NO DISCREPANCIES.
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Supplemental Information
PART III, LINE 2: THE CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS, AND OTHERS. THE CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.
PART III, LINE 8: IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUONT REPORTED ON LINE 6 IS ESTIMATED BY USING THE PERCENT OF OPERATING EXPENSE TO PATIENT REVENUE.
PART III, LINE 9B: "THE BAD DEBT POLICY STATES THAT IF IT IS DETERMINED THAT A PATIENT IS INDIGENT, PROCEED AS FOLLOWS: A. COMPLETE ACCOUNT ADJUSTMENT FORMS FOLLOWING ACCOUNT ADJUSTMENT PROCEDURES OR NOTE THE BALANCE WILL BE WRITTEN OFF AS CHARITY ACCORDING TO THE CHARITY CARE POLICY.B. ENTER THE FOLLOWING NOTATIONS ON THE COPY OF THE PATIENT ACCOUNTS ADMISSION REGISTRATION FORMS OR IN ACCOUNTS RECEIVABLE NOTES IN THE COMPUTER: ""CHARGES DUE BY PATIENT WILL BE WRITTEN OFF AS MEDICARE BAD DEBT OR UNCOMPENSATED CARE."""
