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Glenn Medical Center Inc
Willows, CA 95988
| Bed count | 47 | Medicare provider number | 051306 | 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: 2020
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 $ 34,425,468 Total amount spent on community benefits as % of operating expenses$ 11,157,619 32.41 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 0 0 %Medicaid as % of operating expenses$ 5,830,944 16.94 %Costs of other means-tested government programs as % of operating expenses$ 5,326,675 15.47 %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$ 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: 2020
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$ 1,369,455 3.98 %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$ 2,054,740 150.04 %- 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? 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: 2020
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: 2020
- 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 $ 26678113 including grants of $ 0) (Revenue $ 29633849) Glenn Medical Center treated 5,055 patients in the Emergency Department,had 21,809 visits in the clinics over the fiscal year.
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Facility Information
Facility: Glenn Medical Center - Part V, Section B, Line 5 The hospital Chief Operations Officer and Quality Coordinator conducted three meetings; a variety of community members were invited and in attendance. The group was diverse and represented segments of the community. Meetings were approximately an hour and a half in length. The guide A Community Health Needs Assessment Toolkit, written and prepared by National Center for Rural Health WorksOklahoma State University and the Center for Rural Health and Oklahoma Office of Rural Health with advice and input from Community Health Needs Assessment National Advisory Team, was used as a backbone and template for this process and report. A survey of community attitudes and issues regarding health and health care in the county was prepared and conducted. Using historical patient care data and input from the advisory committee, the primary service area of Glenn Medical Center was determined. Community members from throughout the service area were included. For example, participants included consumers, community leaders, public health officials, health care officials, education leaders, hospital staff and police and fire officials. The meetings were conducted on May 31, 2018, August 16, 2018 and September 11, 2018.
Facility: Glenn Medical Center - Part V, Section B, Line 7d The 2018 CHNA/IS (one document) was made available to the public by distribution to many County locations including: all registration sites within the hospital, the public health department, the library, etc.
Facility: Glenn Medical Center - Part V, Section B, Line 11 The Center will continue to work diligently to support its associated physicians. As the current Center's structure was built in 1949, pursuing and reaching its primary goal of facility renovation and expansion is considered to be essential to physician engagement and recruitment. Ground-breaking on the new facility took place in 2016.The Implementation Strategy was included within the CHNA document, and was made available to the public at numerous public County locations, including at all registration sites at the hospital, library, health department, etc.
Facility: Glenn Medical Center - Part V, Section B, Line 16j THe financial assistance policy was available on site at the hospital.
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Supplemental Information
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amounts reported includes the cost to charge ratio of patient care.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit The hospital maintains records to identify and monitor the level of charity care and community service it provides. These records include the amount of charges foregone (based on established rates) for services and supplies furnished under its charity care and community service policies.
Part III, Line 4 - Bad Debt Expense The Financial statements do not contain a footnote describing bad debt expense. However, there is a footnote (Note 9) that discusses charity care and community benefit expense.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit Any shortfall is deemed a community benefit in its entirety.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients The collection policy includes such direction.
Part VI, Line 2 - Needs Assessment The management team, hospital department staff and managers, and the Board of Directors are comprised of community members. They are able to gather and communicate the health care needs of the community the hospital serves and continually address them at staff and board meetings. Additionally, a survey for ongoing assessment of community health needs is located on the Center's website at: www.glennmed.org.The Center has received input from various sources over the years to assess what health care services should be provided to meet the needs of service area residents. For example, the county advised the Center, years ago that it wanted ER and Medical Surgical Services provided and the Center does in fact offer these services. The Center has received input from the County Mental Health Office about potential partnerships that would improve mental health care in the county. Center officials often speak with other small rural hospitals, similar sized populations, and compare services. These comparisons often result in the local hospital offering new services. The Center reviews various state, federal and local publications that offer information on health care needs in rural communities. Center officials discuss with local citizenry, through seniors clubs, what services they want and need. The Center even provides a monthly breakfast for seniors and has speakers from virtually all medical disciplines who present and listen to the needs of those attending. The Center works continuously with the medical staff to identify healthcare needs and thus, implements patient care services appropriate to meet those needs.
Part VI, Line 3 - Patient Education of Eligibility for Assistance It is the Hospital's policy that when it becomes apparent that a patient may have difficulty in meeting his/her financial responsibility to the hospital, the patient will be requested to complete the financial assistance application. Hospital staff are available to assist in the application process.Charity care information is posted throughout the Center. Patient referrals are sent to HRA (Medi-Cal office).
Part VI, Line 4 - Community Information The Center services a population base that is primarily rural. The hospital uses the annual Chico State Publication that presents Glenn County and surrounding area demographics. The hospital reviews age, ethnicity, male/female population, income distribution, growth and other demographics contained in the publication. The area serviced is also primarily agriculturally driven. Every four years the hospital also reapplies for a Health Professional Shortage Area designation. This application also identifies service area population and demographics, number of physician providers and other useful information.
Part VI, Line 4 - Community Building Activities See Community Information.
Part VI, Line 5 - Promotion of Community Health See Community Information and Needs Assessment.
Part VI, Line 6 - Affilated Health Care System N/A
Part VI, Line 7 - States Filing of Community Benefit Report NA
Part VI - Additional Information Schedule H, Part I, Line 7 - Utilized a cost to charge ratio.
