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Maury Regional Hospital

Cfo Nick Swift - 1224 Trotwood Ave.
Columbia, TN 38401
EIN: 626002623
Individual Facility Details: Wayne Medical Center
103 J V Mangubat Dr
Waynesboro, TN 38485
1 hospital in organization:
(click a facility name to update Individual Facility Details panel)
Bed count80Medicare provider number440010Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Maury Regional HospitalDisplay data for year:

Community Benefit Spending- 2011
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
11.3%
Spending by Community Benefit Category- 2011
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2011
Additional data

Community Benefit Expenditures: 2011

  • 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$ 277,555,874
      Total amount spent on community benefits
      as % of operating expenses
      $ 31,350,300
      11.30 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 4,311,117
        1.55 %
        Medicaid
        as % of operating expenses
        $ 0
        0 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 22,584,847
        8.14 %
        Health professions education
        as % of operating expenses
        $ 338,948
        0.12 %
        Subsidized health services
        as % of operating expenses
        $ 2,091,910
        0.75 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 625,908
        0.23 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 1,397,570
        0.50 %
        Community building*
        as % of operating expenses
        $ 122,204
        0.04 %
    • * = 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 housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 122,204
          0.04 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          0 %
          Economic development
          as % of community building expenses
          $ 36,131
          29.57 %
          Community support
          as % of community building expenses
          $ 8,035
          6.58 %
          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
          $ 3,038
          2.49 %
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          0 %
          Workforce development
          as % of community building expenses
          $ 75,000
          61.37 %
          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: 2011

    • 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
        $ 10,302,642
        3.71 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?YES
    • 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 2022 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
        $ 10,302,642
        100 %
    • 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 agencyNot available
        Filed lawsuitNot available
        Placed liens on residenceNot 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?NO
    • 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: 2011

    • 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?Not available
        Did the CHNA define the community served by the tax-exempt hospital?Not available
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?Not available
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?Not available
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?Not available
        Did the tax-exempt hospital execute the implementation strategy?Not available
        Did the tax-exempt hospital participate in the development of a community-wide plan?Not available

    Supplemental Information: 2011

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • 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 $ 232735108 including grants of $ 0) (Revenue $ 290899756)
      Maury Regional Hospital offers comprehensive inpatient and outpatient services, including a cancer center, heart center, pediatric services,rehabilitation services, surgical services, diagnotic imaging, a woundcenter, and a skilled nursing unit. These services are offered via several facilites in maury county and the surrounding area, including Maury Regional medical center, Marshall medical center, and Wayne medical center.
      Supplemental Information
      Schedule H (Form 990) Part VI
      MRH OFFERS BUSINESSES AN EMPLOYEE HEALTH ANALYSIS'TOOL THAT PROVIDES EMPLOYEES A HEALTH RISK ASSESSMENT, BIOMETRIC SCREENINGS, AND A PERSONALIZED HEALTH REPORT. THIS TOOL HELPS BUSINESSES DETERMINE APPROPRIATE HEALTH-RELATED BENEFITS FOR THEIR EMPLOYEES. MRH ALSO PROVIDES WORK SCHOLARSHIPS TO LOCAL STUDENTS ENROLLED IN AN AT.T.IED KEALTH CLINICAL DEGREE PROGRAM THAT WILL PERMIT THE STUDENT TO BE EMPLOYED IN A MEDICAL AREA.PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF BOTH AN ESTIMATED ALLOWANC3 FOR CONTRACTUAL ADJUSTMENTS AND AN ESTIMATEDALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE CONTRACTUAL ALLOWANCE REPRESENTS THE DIFFERENCE BETWEEN ESTABLISHED BILLING RATES AND ESTIMATED REIMBURSEMENT FOR MEDICARE, TENNCARE AND OTHER THIRD PARTY PAYOR PROGRAMS.CURRENT OPERATIONS ARE CHARGED WITH A PROVISION FOR BAD DEBTS ESTIMATED BASED UPON THE AGE OF THE ACCOUNT, PRIOR EXPERIENCE AND ANY UNUSUAL CIRCUMSTANCES WHICH AFFECT THE COLLECTIBILITY. THE HOSPITAL'S POLICY DOES NOT REQUIRE COLLATERAL OR OTHER SECCRITY FOR PATIENT ACCOUNTS RECEIVABLE AND THE HOSPITAL ROUTINELY ACCEPTS ASSIGNMENT OF, OR IS OTHERWISE ENTITLED em DRORTVT DETTRMT DRMOTTC Davant.m TSTnn RPAT.TR TNRTTRANCE PROCRAMS .EOSPITAL FUNDS ARE USED TO FUND THE SHORTFALL IN MEDICARE REIMBURSEMENT THAT ARE TAKEN FROM FUNDS OTHERWISE USED TO KEEP THE HOSPITAL DOORS OPEN AS A RESOURCE FOR THE COMMUNITY.THE WRITTEN COLLECTION POLICIES DO NOT HAVE SPECIFIC PROCEDURES FOR CHARITY CARE PATIENTS.
      FOR THE COMMUNITY THAT WE SERVE, OUR NEEDS ASSESSMENTS COVER OUR MARKET AREA WHICH IS THE 8-COUNTY AREA OF MAURY,GILES, LAWRENCE, WAYNE, MARSHALL, HICKMAN, LEWIS AND PERRY COUNTIES. THE HOSPITAL ENGAGED HEALTH COMMUNITIES INSTITUTE TO ASSIST THEM IN COMPILING DATA CONCERNING THE HEALTH STATUS OF THE REGION SERVED. COMMUNITY FEEDBACK WAS ALSO CONSIDERED.
      MRH PUBLICIZES THE CHARITY CARE POLICY WITHIN ITS COMMUNITY BY VARIOUS MEANS, INCLUDING THE PUBLICATION OF NOTICES ON PATIENT BILLS AND THE POSTING OF NOTICES IN VARIOUS PLACES WITHIN ITS NEDICAL FACILITIES, SUCH AS THE EMERGENCY ROOM, ADMITTING DESK, URGENT CARE CENTER, BUSINESS OFFICE, AND PATIENT FINANCIAL SERVICES OFFICE. THE CHARITY CARE POLICY IS AVAILABLE ON THE MRH WEBITE. MRH ALSO INSTRUCTS ITS COLLECTION AGENCY TO ENSURE THAT PATIENTS KNOW ABOUT THE CHARITY CARE POLICY.
      MRH OFFERS A VARIETY OF COMMUNITY PROGRAMS THAT STRIVE TO EDUCATE THE GENERAL PUBLIC ON PERTINENT HEALTH TOPICS AND ENCOURGE DISEASE PREVENTION. MRH OFFERS SUPPORT GROUPS WHERE INDIVIDUALS AFFECTED BY A PARTICULAR DISEASE MAY MEET WITH SIMILAR INDIVIDUALS IN AN EDUCATIONAL AND SUPPORTIVE SETTING. PERIODIC HEALTH SCREENINGS ARE OFFERED TO THE GENERAL PUBLIC. THE HOSPITAL ALSO EMPLOYS TWO FULL-TIME TRAINERS WHC PROVIDE SERVICES TO STUDENT ATHELETES AT SEVERAL AREA
      LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT:TN
      THE ORGANIZATION DOES FOLLOW PROCEDURES TO DETERMINE WHETHER PATIENTS WITH UNPAID ACCOUNTS MAY QUALIFY FOR CHARITY CARE. CHARITY CARE IS THE OFFERING OF DISCOUNTED SERVICES TO A PATIENT WEO APPLIES AND QUALIFIES FOR A DISCOUNT UNDER THE MRE POLICY. MRE WILL OFFER ITS CHARITY CARF DISCOUNTS THROUGHOUT THE COLLECTION PROCESS AND UNTIL ONE YEAR AFTER A PATIENT'S ACCOUNT HAS BEEN TURNED OVER TO A COLLECTION AGENCY. MRH TREATS AN UNPAID ACCOUNT AS A BAD DEBT AT THE POINT THE ACCOUNT IS TURNED OVER TO A COLLECTION AGENCY, BUT WILL RECLASSIFY THE DEBT AS CHARITY CARE IF THE PATIENT APPLIES AND QUALIFIES FOR CHARITY CARE UNDER THE POLICY WITHIN ONE YEAR AFTER THE COLLECTION AGENCY RECEIVED THE ACCOUNT. THE HOSPITAL POLICY IS TO FOLLOW CALCULATION OF UNINSURED PATIENT RATES AS DEFINED BY THE TENNESSEE CODE ANNOTATED. THE HOSPITAL POLICY IS TO FOLLOW CALCULATION OF UNINSCTRED PATIENT RATES AS DEFINED BY THE TENNESSEE CODE ANNOTATED. THE HOSPITAL POLICY IS TO FOLLOW CALCULATION OF UNINSURED PATIENT RATES AS DEFINED BY THE TENNESSEE CODE ANNOTATED.