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Murphy Medical Center Inc
Murphy, NC 28906
| Bed count | 50 | Medicare provider number | 340160 | 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: 2013
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 $ 61,554,690 Total amount spent on community benefits as % of operating expenses$ 2,236,210 3.63 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 2,317,901 3.77 %Medicaid as % of operating expenses$ -461,452 -0.75 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %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.$ 379,761 0.62 %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: 2013
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$ 5,320,525 8.64 %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 Not available Filed lawsuit Not available Placed liens on residence Not available Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court) Not available 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: 2013
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 Did the tax-exempt hospital execute the implementation strategy? YES Did the tax-exempt hospital participate in the development of a community-wide plan? YES
Supplemental Information: 2013
- 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 $ 50424082 including grants of $ 0) (Revenue $ 60807101) THE MISSION OF MURPHY MEDICAL CENTER, INC. IS TO ENSURE QUALITY HEALTHCARE TO THE RESIDENTS OF MURPHY, NC AND SURROUNDING COMMUNITIES. DURING FISCAL YEAR 06/30/14 THE MEDICAL CENTER PROVIDED 7,053 INPATIENT DAYS, 60,871 OUTPATIENT VISITS, 39,114 DAYS OF LONG TERM CARE, 11,875 URGENT CARE CENTER VISITS, 10,589 HOME HEALTH VISITS, AND RESPONDED TO 17,003 EMERGENCY ROOM VISITS. THE AMOUNT OF CHARITY CARE FOR THE YEAR WAS APPROXIMATELY $6,737,013.
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Facility Information
MURPHY MEDICAL CENTER PART V, SECTION B, LINE 3: THE GOOD WORK OF MURPHY MEDICAL CENTER IS HIGHLY DEPENDENT ON GOOD RELATIONSHIPS WITH LOCAL AND REGIONAL PARTNERS WORKING ON BEHALF OF AREA RESIDENTS. IT ROUTINELY WORKS WITH THE FOLLOWING AGENCIES AND BUSINESSES IN THE SERVICE OF IT COMMUNITY MEMBERS:- CHEROKEE COUNTY COMMISSIONERS- CHEROKEE COUNTY EMS- CHEROKEE COUNTY HEALTH DEPARTMENT- CHEROKEE COUNTY SCHOOLS- CHEROKEE COUNTY SENIOR SERVICES- CHEROKEE COUNTY SHERIFF'S DEPARTMENT- CHEROKEE COUNTY SOCIAL SERVICES- CHEROKEE COUNTY TRANSPORTATION- COALITION FOR SAFE & DRUG-FREE CHERKEE COUNTY- TOWN OF ANDREWS- TOWN OF MURPHY- CLAY COUNTY COMMISSIONERS- CLAY COUNTY EMS- CLAY COUNTY HEALTH DEPARTMENT- CLAY COUNTY SCHOOLS- CLAY COUNTY SENIOR CENTER- CLAY COUNTY SHERIFF'S DEPARTMENT- CLAY COUNTY SOCIAL SERVICES- CLAY COUNTY TRANSPORTATION- TOWN OF HAYESVILLE- GRAHAM COUNTY COMMISSIONERS- GRAHAM COUNTY EMS- GRAHAM COUNTY HEALTH DEPARTMENT- GRAHAM COUNTY SCHOOLS- GRAHAM COUNTY SHERIFF'S DEPARTMENT- TOWN OF ROBBINSVILLE- ANDREWS INTERNAL MEDICINE- JACK CHAPMA, MD- CHATUGE FAMILY PRACTICE- DANIEL EICHENBAUM, MD- JEFFREY MARTIN, MD
MURPHY MEDICAL CENTER PART V, SECTION B, LINE 5D: THE ORGANIZATIONS COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING WEBSITE ADDRESS:HTTP://WWW.MURPHYMEDICAL.ORG/WP-CONTENT/UPLOADS/2014/03/MMCCHNAFINAL.PDF
MURPHY MEDICAL CENTER PART V, SECTION B, LINE 20D: THE HOSPITAL USED A SLIDE SCALE TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
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Supplemental Information
PART I, LINE 7: THE ORGANIZATION UTILIZED THE IRS SCHEDULE H WORKSHEETS IN DETERMINING A COST TO CHARGE RATIO.
PART I, LN 7 COL(F): THE TOTAL EXPENSE ON FORM 990, PART XI, LINE 25 CONTAINS A BAD DEBT EXPENSE OF 6,714,737 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING LINE 7, COLUMN R.
PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATIONS EFFORT IN COMMUNITY BUILDING ACTIVITIES IMPROVE THE COMMUNITY IN THE FOLLOWING WAYS.ECONOMIC DEVELOPMENT - EMPLOYEES ATTEND REGULAR MEETINGS AND SERVE ON BOARDS SUCH AS THE JOB SERVICE EMPLOYEE COUNCIL AND CAREER AND TECHNICAL EDUCATION COUNCIL THAT HELP CREATE/RETAIN JOBS IN OUR SERVICE AREA.COMMUNITY SUPPORT - SPONSORSHIPS TO VARIOUS ORGANIZATIONS SUCH AS AMERICAN CANCER SOCIETIES, UNITED WAY, HAVEN (A CHILD ADVOCACY PROGRAM) , NC FOUNDATION FOR ADVANCED HEALTH PROGRAMS, AND NC HEALTH PHYSICIANS PROGRAM. SPONSORED A LOCAL GOLF TOURNAMENT BENEFITING THE JUVENILE DIABETES RESEARCH FOUNDATION. DONATED FOOD MONTHLY TO A LOCAL HOMELESS SHELTER. PROVIDED MEALS DURING CME COURSES FOR COMMUNITY PHYSICIANS. SPONSORED A COMMUNITY YARD SALE FOR FINANCIALLY CHALLENGED FAMILIES WITH SMALL CHILDREN.COMMUNITY HEALTH IMPROVEMENT ADVOCACY - ALLOW LOCAL HIGH SCHOOL STUDENTS PLANNING TO ENTER THE HEALTH CARE FIELD TO SHADOW VARIOUS EMPLOYEES IN CERTAIN DEPARTMENTS; AWARDED 21 SCHOLARSHIPS TO LOCAL GRADUATING HIGH SCHOOL STUDENTS PLANNING TO ENTER THE HEALTH CARE FIELD; ALLOW EMPLOYEES TO DONATE BLOOD DURING WORK DAY; FREE RENT AND UTILITIES IN A VACANT DOCTOR'S OFFICE FOR A GOODWILL STORE OFFERED THROUGH SOCIAL SERVICES FOR FOSTER PARENTS/CHILDREN; FREE RENT FOR A DENTAL CLINIC.WORKFORCE DEVELOPMENT - PHYSICIAN RECRUITMENT
PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOT NOTE ON BAD DEBT. THE COST TO RATIO WAS CALCULATED USING THE IRS SCHEDULE WORKSHEETS. THE ORGANIZATION IS NOT INCLUDING ANY AMOUNT OF BAD DEBT AS COMMUNITY BENEFIT IN THIS REPORT.
PART III, LINE 9B: IF PATIENTS MEET THE QUALIFICATIONS IN REGARDS TO OUR CHARITY CARE POLICY THEY ARE GIVEN CHARITY CARE. THE ORGANIZATION USES FINANCIALS COUNSELORS TO DETERMINE THIS ELIGIBILITY.
PART VI, LINE 2: MURPHY MEDICAL CENTER WORKS WITH COUNTY HEALTH DEPARTMENTS AND COUNTY GOVERNMENT AS A HEALTH COALITION TO DETERMINE HEALTH CARE NEEDS IN THE COMMUNITY. INPUT IS ALSO SOLICITED FROM SURROUNDING PHYSICIANS REGARDING APPROPRIATE SERVICES FOR THE AREA.
PART VI, LINE 3: THE HOSPITAL NOTIFIES PATIENTS WHEN THEY REGISTER THAT WE HAVE A CHARITY CARE POLICY. THE CHARITY CARE POLICY IS ALSO POSTED ON THE FRONT PAGE OF THE WEBSITE. THE HOSPITAL THEN USES FINANCIAL COUNSELORS TO ASSIST PATIENTS IN DETERMINING IF THEY QUALIFY FOR CHARITY CARE. THE HOSPITAL ALSO DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSIST THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. LANGUAGE BARRIERS ARE TAKEN INTO ACCOUNT WITH ALL PATIENT COMMUNICATIONS. A COPY OF THE POLICY CAN BE FOUND ON THE ORGANIZATION'S WEBSITE.
PART VI, LINE 4: THE ORGANIZATION'S PRIMARY SERVICE AREAS ARE CHEROKEE AND CLAY COUNTY LOCATED IN THE SOUTHWESTERN CORNER OF NORTH CAROLINA. BOTH OF THESE AREAS HAVE BEEN DESIGNATED AS MEDICALLY UNDERSERVED. THE SECONDARY MARKETS COSIST OF FANNIN AND UNION COUNTIES IN NORTH GEORGIA, POLK COUNTY IN EAST TENNESSEE AND GRAHAM COUNTY IN NORTH CAROLINA.
PART VI, LINE 5: THE ORGANIZATION'S HOSPITAL, PHYSICIANS, LONG TERM CARE FACILITY AND HOME HEALTH AND HOSPICE AGENCY FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY IN SEVERAL OTHER WAYS. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES, CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. FURTHERMORE, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR ALL OF ITS DEPARTMENTS. IF ANY SURPLUS EXISTS AT THE END OF THE FISCAL YEAR, THE ORGANIZATION APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE AND MEDICAL EDUCATION. THE HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS. THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS. THE ORGANIZATION SERVES AS A VEHICLE FOR ATTRACTING AND EFFECTIVELY USING DONATED FUNDS. THE HOSPITAL OFFERS VOLUNTEER OPPORTUNITES TO MEMBERS OF THE COMMUNITY.
PART VI, LINE 7, REPORTS FILED WITH STATES NC
