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Murphy Medical Center Inc Dba Erlanger Western Carolina Hospital
Murphy, NC 28906
| Bed count | 50 | Medicare provider number | 341328 | 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 $ 65,233,311 Total amount spent on community benefits as % of operating expenses$ 4,523,051 6.93 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 3,187,169 4.89 %Medicaid as % of operating expenses$ 1,335,882 2.05 %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.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 13,532 0.02 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES 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$ 13,532 0.02 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 0 0 %Community support as % of community building expenses$ 0 0 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %Coalition building as % of community building expenses$ 0 0 %Community health improvement advocacy as % of community building expenses$ 1,129 8.34 %Workforce development as % of community building expenses$ 12,403 91.66 %Other as % of community building expenses$ 0 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$ 5,797,384 8.89 %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$ 2,114,622 36.48 %- 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 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 $ 51163028 including grants of $ 0) (Revenue $ 59888746) THE MISSION OF ERLANGER WESTERN CAROLINA HOSPITAL, INC. IS TO COMPASSIONATELY CARE FOR THE RESIDENTS OF MURPHY, NC AND SURROUNDING COMMUNITIES. DURING FISCAL YEAR 6/30/22, THE ORGANIZATION PROVIDED 5,300 INPATIENT DAYS, 26,125 OUTPATIENT VISITS, 11,085 URGENT CARE CENTER VISITS, AND RESPONDED TO 13,533 EMERGENCY ROOM VISITS, AND 54,707 OTHER PHYSICIAN PRACTICES (EXCLUDING URGENT CARE).
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Facility Information
ERLANGER WESTERN CAROLINA HOSPITAL PART V, SECTION B, LINE 5: LEADERS AT ERLANGER WESTERN CAROLINA HOSPITAL AND MEMBERS OF THE CHNA COMMITTEE IDENTIFIED AND RECRUITED A DIVERSE MIX OF WESTERN CAROLINA COMMUNITY LEADERS TO PARTICIPATE IN A TOWN HALL FOCUS GROUP. HEALTH CARE ISSUES WERE DISCUSSED AND THEN PRIORITIZED THROUGH GROUP VOTING. THE RESULTS OF ALL THE TOWN HALLS WERE COMPILED AND REPORTED TO THE CHNA COMMITTEE. PRIORITIES AND NEXT STEPS FOR 2023-2025 WERE CHOSEN. THE HOSPITAL CONSULTED MEMBERS OF LOCAL BUSINESSES, DEPARTMENTS OF SOCIAL SERVICES, COUNTY HEALTH DIRECTORS, BEHAVIORAL HEALTH, LOCAL FQHC, AND EMERGENCY MANAGEMENT, ETC.THE ORGANIZATION UTILIZED ONLINE SURVEYS OF RANDOM ADULTS IN THE SERVICE AREA AND CONDUCTED A COMMUNITY FOCUS GROUP OF MEDICAL PROFESSIONALS AND PARTICIPANTS FROM LOCAL RESOURCE AGENCIES TO GATHER ADDITIONAL INPUT FROM THE COMMUNITY WHEN CONDUCTING THE CHNA.
ERLANGER WESTERN CAROLINA HOSPITAL PART V, SECTION B, LINE 6B: FOR THE YEAR ENDED JUNE 30, 2022, THE HOSPITAL WORKED WITH SEVERAL ORGANIZATIONS IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING ENTITIES PARTICIPATED IN THE PROCESS: GRAHAM COUNTY HEALTH DEPARTMENT, CHEROKEE COUNTY HEALTH DEPARTMENT, CHEROKEE COUNTY EMERGENCY SERVICES, CLAY COUNTY DEPARTMENT OF SOCIAL SERVICES, CHEROKEE COUNTY DEPARTMENT OF SOCIAL SERVICES, AND WNC HEALTH IMPACT.
ERLANGER WESTERN CAROLINA HOSPITAL PART V, SECTION B, LINE 11: BASED ON THE ENTIRE PROCESS, EWCH HAS IDENTIFIED PRIORITIES THAT THE HOSPITAL IS COMMITTED TO PERSUE IN THE NEXT THREEE YEARS. THESE PRIORITIES WERE BASED ON FOUR MAIN CRITERIA:1 - NEED-THERE MUST BE A CLEAR, DOCUMENTED NEED THAT IS SUPPORTED BY DATA, RESEARCH AND COMMUNITY INPUT. 2 - IMPACT-PURSUIT OF THE PRIORITY MUST HAVE A MEANINGFUL IMPACT ON A SIGNIFICANT GROUP OF PEOPLE, ESPECIALLY THOSE PEOPLE WHO ARE DEFINED AS MORE AT-RISK IN THE COMMUNITY.3 - FEASIBILITY-OUR PRIORITIES MUST BE LIMITED TO AREAS WHERE ERLANGER CAN ACT AND MAKE A DIFFERENCE.4 - MISSION-EVERYTHING WE DO MUST BE CONSISTENT WITH ERLANGER'S MISSION, VISION AND VALUES.TO LEARN HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA, GO TO THE URL LINK NOTED BELOW FOR COMPLETE DETAILS.HTTPS://WWW.ERLANGER.ORG/MEDIA/FILE/CHNA/2022/_EWCH-FINAL-04-CHNA-2022.PDF
ERLANGER WESTERN CAROLINA HOSPITAL PART V, SECTION B, LINE 16J: THE FAP, FAP APPLICATION, AND THE FAP PLAIN LANGUAGE SUMMARY CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.ERLANGER.ORG/PATIENT-AND-FAMILY-RESOURCES/BILLING-INSURANCE-INFORMATION/FINANCIAL-ASSISTANCE
ERLANGER WESTERN CAROLINA HOSPITAL PART V, SECTION B, LINE 20E: PATIENTS ARE SCREENED FOR ELIGIBILITY UPON ADMISSION. THEREFORE, THE ACTIONS AFTER DISCHARGE ABOVE DO NOT APPLY TO PATIENTS FOUND ELIGIBLE.
ERLANGER WESTERN CAROLINA HOSPITAL PART V, SECTION B, LINE 23: THE FACILITY USED ALL CHARGES, PAYMENTS, AND CONTRACTUAL ADJUSTMENTS COMPILED FOR MEDICARE, MEDICARE ADVANTAGE, AND PRIVATE INSURANCE (AND MANAGED CARE) AS INDICATED IN THE REGULATIONS, MEDICAID AND VARIOUS STATE AGENCIES WERE EXCLUDED AS WAS SELF PAY.
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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, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 5,797,384.
PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY SUPPORT:- BLOOD DONATION- RECRUITMENT EFFORTS FOR NEW PHYSICIANS
PART III, LINE 4: FOLLOWING IS THE FOOTNOTE FROM THE ERLANGER HEALTH SYSTEM CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDE THE ACTIVITY OF ERLANGER WESTERN CAROLINA HOSPITAL.NET PATIENT SERVICE REVENUE/RECEIVABLES: NET PATIENT SERVICE REVENUE IS REPORTED ON THE ACCRUAL BASIS IN THE PERIOD IN WHICH SERVICES ARE PROVIDED AT RATES WHICH REFLECT THE AMOUNT EXPECTED TO BE COLLECTED. NET PATIENT SERVICE REVENUE INCLUDES AMOUNTS ESTIMATED BY MANAGEMENT TO BE REIMBURSABLE BY THIRD-PARTY PAYER PROGRAMS UNDER PAYMENT FORMULAS IN EFFECT. NET PATIENT REVENUE ALSO INCLUDES AN ESTIMATED PROVISION FOR BAD DEBTS BASED UPON MANAGEMENT'S EVALUATION OF COLLECTABILITY BASED UPON THE AGE OF THE RECEIVABLES AND OTHER CRITERIA, SUCH AS PAYER CLASSIFICATION AND MANAGEMENT'S ASSUMPTIONS ABOUT CONDITIONS IT EXPECTS TO EXIST AND COURSES OF ACTION IT EXPECTS TO TAKE. THE PRIMARY HEALTH SYSTEM'S POLICIES DO NOT REQUIRE COLLATERAL OR OTHER SECURITY FOR ACCOUNTS RECEIVABLE, ALTHOUGH THE PRIMARY HEALTH SYSTEM ROUTINELY ACCEPTS ASSIGNMENT OR IS OTHERWISE ENTITLED TO RECEIVE PATIENT BENEFITS PAYABLE UNDER HEALTH INSURANCE PROGRAMS, PLANS OR POLICIES.
PART III, LINE 9B IF PATIENTS MEET THE QUALIFICATIONS IN REGARD TO THE CHARITY CARE POLICY, THEY ARE GIVEN CHARITY CARE. THE ORGANIZATION USES FINANCIAL COUNSELORS TO DETERMINE THIS ELIGIBILITY.
PART VI, LINE 2: WORKING WITH WNC HEALTHY IMPACT, LOCAL AND REGIONAL DATA WAS COLLECTED FOR THE PURPOSE OF CONDUCTING THE CHNA. DATA WAS ALSO COLLECTED LOCALLY AND WITH SURVEYS OF A CROSS SECTION OF THE COMMUNITIES WE SERVE. WE ENJOY A CLOSE PARTNERSHIP WITH OUR COUNTY HEALTH DEPARTMENTS IN CHEROKEE, CLAY AND GRAHAM COUNTIES. AS PARTNERS WE MEET ON A REGULAR BASIS TO DISCUSS OUR EFFORTS AND THEIR IMPACT AS WELL AS EMERGING TRENDS.
PART VI, LINE 3: PATIENTS HAVE THE OPPORTUNITY TO VIEW ASSISTANCE POLICIES ON OUR WEBSITE. IN ADDITION, WHEN PATIENTS PRESENT AT REGISTRATION TO OUR FACILITY, THEY ARE INFORMED OF THE POLICIES.
PART VI, LINE 4: OUR COMMUNITY IS DEFINED AS RESIDENTS OF CHEROKEE, GRAHAM AND CLAY COUNTIES IN NORTH CAROLINA. WE SERVE ALL AGES OF THE POPULATION. FOR A COMPREHENSIVE OVERVIEW, PLEASE SEE PAGE 10 OF THE MOST RECENT CHNA FOR ERLANGER WESTERN CAROLINA HOSPITAL, POSTED AT HTTPS://WWW.ERLANGER.ORG/MEDIA/FILE/CHNA/2022/_EWCH-FINAL-04-CHNA-2022.PDF
PART VI, LINE 5: ERLANGER WESTERN CAROLINA HOSPITAL IS INVOLVED IN COMMUNITY HEALTH BY FACILITATING LOCAL BLOOD DRIVES QUARTERLY.
PART VI, LINE 7 REPORTS FILED WITH STATES NC
