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Montgomery General Hospital Inc
Montgomery, WV 25136
| Bed count | 69 | Medicare provider number | 511318 | 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 $ 28,741,846 Total amount spent on community benefits as % of operating expenses$ 569,456 1.98 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 0 0 %Medicaid as % of operating expenses$ 565,456 1.97 %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$ 4,000 0.01 %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$ 3,717,715 12.93 %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 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? YES 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? Not available 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 $ 22404158 including grants of $ 4000) (Revenue $ 29483841) THE HOSPITAL PROVIDED HEALTH CARE SERVICES INCLUDING 2,724 ACUTE INPATIENT DAYS; 10,382 SKILLED NURSING DAYS; 18,012 OUTPATIENT VISITS; 6,910 EMERGENCY ROOM VISITS; 727 AMBULATORY SURGERY PROCEDURES; AND 16,714 PHYSICIAN OFFICE VISITS. CHARGES FOREGONE FOR CHARITY CARE AMOUNTED TO $117,492.
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Facility Information
MONTGOMERY GENERAL HOSPITAL, INC. PART V, SECTION B, LINE 5: INPUT WAS SOLICITED FROM THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY IN DECEMBER, 2019. DISCUSSIONS INCLUDED THE HEALTH NEEDS OF THE COMMUNITY, BARRIERS TO HEALTHCARE ACCESS, OPPORTUNITIES FOR IMPROVEMENT, PERCEPTION OF MONTGOMERY GENERAL HOSPITAL AND FEEDBACK ON MGHS INITIATIVES. THE FOLLOWING WERE SELECTED TO PROVIDE FEEDBACK: FAYETTE COUNTY DEPARTMENT OF HEALTHMONTGOMERY GENERAL HOSPITAL BOARD MEMBERSFAYETTE COUNTY SCHOOLSBRIDGE VALLEY COMMUNITY AND TECHNICAL COLLEGEFRESENIUS DIALYSIS OF MONTGOMERYCITY OF MONTGOMERY REPRESENTATIVESMONTGOMERY GENERAL HOSPITAL EMPLOYEES AND PHYSICIANS
MONTGOMERY GENERAL HOSPITAL, INC. PART V, SECTION B, LINE 11: THE RESULTS OF THE CHNA WILL ENABLE THE HOSPITAL, AS WELL AS OTHER COMMUNITY PROVIDERS, TO COLLABORATE THEIR EFFORTS TO PROVIDE THE NECESSARY RESOURCES FOR THE COMMUNITY. AFTER REVIEWING DATA SOURCES PROVIDING DEMOGRAPHIC, POPULATION, SOCIOECONOMIC, AND HEALTH STATUS INFORMATION, IN ADDITION TO COMMUNITY FEEDBACK, HEALTH NEEDS OF THE COMMUNITY WERE PRIORITIZED. THE FOLLOWING HAVE BEEN SELECTED AS THE PRIORITY HEALTH ISSUES TO BE ADDRESSED:1. PHYSICAL INACTIVITY AND OBESITYTHE FITNESS CENTER AT MGH WILL CONTINUE TO BE AVAILABLE TO ITS COMMUNITY MEMBERS FREE OF CHARGE DURING WEEKLY STAFFED HOURS. THIS STATE-OF-THE-ART FACILITY PROVIDES A WIDE VARIETY OF EQUIPMENT INCLUDING: TREADMILLS, ELLIPTICALS, STAIR-MASTERS, A SITH GYM, FREE WEIGHTS, AND RECUMBENT BIKES.2. SUBSTANCE ABUSE AND MENTAL HEALTHTHE HOSPITAL WILL MAINTAIN ITS COLLABORATION AND REFERRAL NETWORK TO ADDRESS PATIENTS' NEEDS WITH REGARDS TO ADDICTION AND ABUSE. MGH WILL CONTINUE TO PROVIDE OUTREACH AND EDUCATION TO THE RESIDENTS OF MONTGOMERY AND THE SURROUNDING COMMUNITIES.3. TRANSPORTATIONMGH OWNS TWO VANS PRIMARILY USED TO TRANSPORT ELDERLY AND LONG-TERM CARE PATIENTS. MGH WILL EXPLORE ADDITIONAL OPPORTUNITIES TO PROVIDE TRANSPORTATION FOR HEALTHCARE VISITS.4. WOMEN'S HEALTH CARELOCAL PRIMARY CARE PROVIDERS ARE PROVIDING SOME WOMEN'S HEALTH SERVICES, HOWEVER, MGH IS CONTINUING TO LOOK FOR EXTERNAL PARTNERS TO ADDRESS THE WOMEN'S HEALTH NEEDS OF THE AREA.
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Supplemental Information
PART I, LINE 7: "THE COST OF CHARITY CARE HAS BEEN CALCULATED BY OBTAINING GROSS CHARGES FROM THE AUDITED FINANCIAL STATEMENTS FOR CHARITY CARE WRITE OFFS AND MULTIPLYING THESE CHARGES BY THE AGGREGATE HOSPITAL COST TO CHARGE RATIO. THE RESULTING CHARITY CARE COST WAS THEN INCREASED FOR THE ESTIMATED ""CHARITY PORTION"" OF BROAD-BASED TAXES PAID TO THE STATE OF WV. THE NET AMOUNT WAS THEN REDUCED BY THE ESTIMATED ""CHARITY PORTION"" OF THE REVENUE ""DISPROPORTIONATE SHARE"" PAYMENT RECEIVED FROM THE STATE. MEDICAID COMMUNITY BENEFIT COST WAS ESTIMATED BASED ON THE COSTS IN EXCESS OF REIMBURSEMENTS FOR THE HOSPITAL'S SKILLED NURSING UNIT. OTHER HOSPITAL SERVICES ARE REIMBURSED BY WV MEDICAID AT 100% OF COST. SINCE THOSE COSTS AND REIMBURSEMENTS WOULD NET TO ZERO COMMUNITY BENEFIT EXPENSE, THOSE AMOUNTS ARE NOT INCLUDED IN THE MEDICAID COSTS AND OFF-SETTING REVENUE TOTALS REPORTED."
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 $ 3,717,715.
PART III, LINE 2: BAD DEBTS AS REPORTED ON FINANCIAL STATEMENTS.
PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE: PATIENT ACCOUNTS RECEIVABLE ARE CARRIED AT THE ORIGINAL CHARGE LESS AN ESTIMATE MADE FOR DOUBTFUL OR UNCOLLECTABLE ACCOUNTS. THE ALLOWANCE IS BASED UPON A REVIEW OF THE OUTSTANDING BALANCES AGED BY FINANCIAL CLASS. MANAGEMENT USES COLLECTION PERCENTAGES BASED UPON HISTORICAL COLLECTION EXPERIENCE TO DETERMINE COLLECTABILITY. MANAGEMENT ALSO REVIEWS TROUBLED, AGED ACCOUNTS TO DETERMINE COLLECTION POTENTIAL. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO BAD DEBT EXPENSE WHEN RECEIVED. INTEREST IS NOT CHARGED ON PATIENT ACCOUNTS RECEIVABLE.
PART III, LINE 8: THE MEDICARE COSTS AND REIMBURSEMENTS WERE DERIVED FROM THE HOSPITAL'S MEDICARE COST REPORT.
PART III, LINE 9B: CHARITY APPLICATION IS AVAILABLE TO ANY PERSON INTERESTED. COLLECTION STAFF WILL MEET WITH INTERESTED PATIENT TO HELP COMPLETE AND ASSESS ALL REQUIRED INFORMATION.
PART VI, LINE 2: MONTGOMERY GENERAL HOSPITAL PROVIDES ACUTE CARE SERVICES, SWING BED SNF SERVICES, SKILLED NURSING SERVICES FOR BOTH SKILLED PATIENTS AND INTERMEDIATE CARE PATIENTS AND PHYSICIANS IN GENERAL PRACTICE AND MANY SPECIALTIES. AS THE ONLY HOSPITAL IN FAYETTE COUNTY, MONTGOMERY GENERAL HOSPITAL IS AWARE OF THE HEALTH NEEDS OF THE COMMUNITY AND WORKS TO PROVIDE ALL NECESSARY SERVICES TO ALL CITIZENS OF THE COUNTY.
PART VI, LINE 3: MGH WILL MAKE REASONABLE EFFORTS TO EXPLAIN THE BENEFITS OF MEDICAID AND OTHER AVAILABLE PUBLIC AND PRIVATE PROGRAMS TO PATIENTS AND PROVIDE INFORMATION ON THOSE PROGRAMS THAT MAY PROVIDE COVERAGE FOR SERVICES. INFORMATION ON PUBLIC OR PRIVATE COVERAGE AND MGH'S FINANCIAL ASSISTANCE POLICY WILL BE COMMUNICATED TO PATIENTS IN EASY-TO-UNDERSTAND, CULTURALLY APPROPRIATE LANGUAGE, AND IN THE MOST PREVALENT LANGUAGES SPOKEN IN APPLICABLE HOSPITAL SERVICE AREA COMMUNITIES. MGH WILL MAKE RESOURCES AVAILABLE TO ASSIST PATIENTS IN ENROLLING IN AND/OR APPLYING FOR FEDERAL AND GOVERNMENT PROGRAMS. REQUESTS FOR FINANCIAL ASSISTANCE WILL BE PROCESSED PROMPTLY AND MGH WILL NOTIFY THE PATIENT OR APPLICANT IN WRITING WITHIN 60 DAYS OF RECEIPT OF A COMPLETED APPLICATION.
PART VI, LINE 4: MONTGOMERY GENERAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN FAYETTE COUNTY, WEST VIRGINIA. MONTGOMERY GENERAL HOSPITAL IS THE ONLY HOSPITAL FOR RURAL FAYETTE COUNTY. FAYETTE COUNTY IS A LOW INCOME AREA THAT MUST COMPETE WITH URBAN KANAWHA COUNTY TO ATTRACT AND RETAIN PHYSICIANS, NURSES AND MEDICAL PERSONNEL. IN ADDITION OF HAVING TO PAY HIGHER SALARIES TO ATTRACT TOP MEDICAL PROFESSIONALS, MONTGOMERY GENERAL HOSPITAL HAS A HIGH PERCENTAGE OF MEDICARE AND MEDICAID PATIENT POPULATION. MONTGOMERY GENERAL HOSPITAL IS LISTED AS A HEALTH PROFESSIONAL SHORTAGE AREA AND A MEDICALLY UNDERSERVED AREA FOR PORTIONS OF FAYETTE COUNTY.
PART VI, LINE 5: THE MAJORITY OF MONTGOMERY GENERAL HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE ORGANIZATION USES SURPLUS FUNDS FOR IMPROVEMENTS IN PATIENT CARE. CURRENTLY, THE ORGANIZATION IS IN THE PROCESS OF UPDATING ALL PATIENT ROOMS AND IMPLEMENTING AN EMR. THE ORGANIZATION OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL, REGARDLESS OF ABILITY TO PAY. THE ORGANIZATION OFFERS OPEN MRI SERVICES AND IS IN THE PROCESS OF IMPLEMENTING DIGITAL RADIOLOGY. THE ORGANIZATION INVOLVES ITSELF IN THE COMMUNITY BY SPONSORING HEALTH FAIRS AS WELL AS LUNCH AND LEARN OPPORTUNITIES TO ADDRESS THE DIABETIC POPULATION.
