Community Benefit Insight - Tax-exempt hospital

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University Mcduffie County Regional Medical Center Inc

University Hospital Mcduffie

2460 Washington Rd Ne
Thomson, GA 30824

Bed count	47	Medicare provider number	110111	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 454166209

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

5.87%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

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.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 766,880 3.04 %
Medicaid as % of operating expenses	$ 715,707 2.83 %
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 expenses Note: 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	$ 5,000 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	$ 5,000 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	$ 5,000 100 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
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	$ 3,944,615 15.62 %
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	$ 78,892 2.00 %

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:
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.
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.
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.

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

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 $ 23886918 including grants of $ 0) (Revenue $ 26296111)
UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER (UHM), A 25 BED FACILITY, PROVIDES MUCH OF THEIR EDUCATION AND SUPPORT GROUP ACTIVITIES ONLINE SINCE COVID-19. STAFF MEMBERS SERVE ON A VARIETY OF BOARDS AND ARE INVOLVED IN CIVIC ENDEAVORS THAT PROMOTE HEALTH AND WELLNESS. UNCOMPENSATED CARE WAS PROVIDED AS WELL AS IN INDIGENT AND CHARITY CARE. A HOSPITAL BASED PROGRAM ASSISTANCE COUNSELOR IS PROVIDED AT THE HOSPITAL'S EXPENSE IN ORDER TO ASSIST PATIENTS WITH QUALIFYING FOR MEDICARE DISABILITY, MEDICAID, SSI OR OTHER GOVERNMENT FINANCIAL ASSISTANCE PROGRAMS. FOR 2021, THE HOSPITAL HAD A TOTAL OF 2,184 PATIENT DAYS. 183 OF THESE PATIENT DAYS WERE FOR INDIGENT PATIENTS. SWING BEDS WERE 1,652. OBSERVATION STAYS WERE 677 DAYS. OUTPATIENT VISITS WERE 29,171. OF THE TOTAL OUTPATIENT VISITS, 15,514 WERE FOR EMERGENCY CARE. WITHIN THESE INDICATORS ARE THE EFFORTS OF UNIVERSITY HOSPITAL MCDUFFIE TO SERVICE THE NEEDS OF THE COMMUNITY, WHICH INCLUDE THE INDIGENT. IN 2021 THE COST OF INDIGENT AND CHARITY CARE PROVIDED ALONG WITH MEDICAID SHORTFALLS WAS $2,467,601. THE HOSPITAL RECEIVED DISPROPORTIONATE SHARE (DSH) FUNDS OF $1,244,830 AND UPPER PAYMENT LIMIT (UPL) FUNDS OF $141,002 TO HELP OFFSET THESE COSTS.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER
PART V, SECTION B, LINE 5: SEE PAGE 8 OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT LISTENING SESSIONS WERE HELD IN MCDUFFIE, WARREN, LINCOLN AND COLUMBIA COUNTIES. THOSE AGENCIES WHO PARTICIPATED IN THE SESSIONS ARE: UGA ARCHWAY PARTNERSHIP, CRAWFORD & BREAZEALE DRUG, MCDUFFIE COUNTY HEALTH DEPARTMENT, FAMILY CARE GROUP OF THOMSON, THOMSON DENTAL WELLNESS, FAMILY CONNECTION OF WARREN COUNTY, WARREN COUNTY EXTENSION, LINCOLN COUNTY COMMISSION, LINCOLN COUNTY HEALTH DEPARTMENT, LINCOLN COUNTY OFFICE OF EMERGENCY SERVICES, CITY OF HARLEM, COLUMBIA COUNTY COMMUNITY CONNECTIONS, COLUMBIA COUNTY HEALTH DEPARTMENT, HARLEM MERCHANT'S ASSOCIATION, HOPE HOUSE. THESE AGENCIES REPRESENT THE CITIZENS OF MCDUFFIE WARREN, LINCOLN AND COLUMBIA COUNTIES INCLUDING THE ELDERLY, INDIVIDUALS LIVING IN POVERTY, AS WELL AS THOSE FACING FOOD INSECURITY, MENTAL HEALTH ISSUES OR ADDICTION. THOSE WHO WERE INVITED BUT DID NOT ATTEND WERE FROM THE FOLLOWING ORGANIZATIONS: THOMSON FAMILY YMCA, PARTNERS FOR SUCCESS, SHAW, WARREN COUNTY SENIOR CENTER, HOMETOWN WARRENTON, COMMUNITY HEALTH CARE SYSTEMS, COMMUNITY MEDICAL ASSOCIATES, LINCOLNTON FAMILY DENTISTRY, LINCOLNTON FAMILY MEDICINE, COLUMBIA COUNTY COMMISSION, THE ALZHEIMER'S ASSOCIATION AND CITY OF GROVETOWN. REPRESENTATIVES FROM THESE ORGANIZATIONS WERE SENT AN EMAIL WITH THE LIST OF QUESTIONS FROM THE LISTENING SESSION AND INVITED TO PROVIDE FEEDBACK.

UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER
PART V, SECTION B, LINE 7D: CHNA MADE AVAILABLE UPON REQUEST

UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER
"PART V, SECTION B, LINE 11: SEE IMPLEMENTATION STRATEGY PAGES 3-6 1. LEVERAGE MOBILE PLATFORM TO BRING CARDIOVASCULAR DISEASE SCREENING TO THE COMMUNITY. 2. DEVELOP A DIABETES PREVENTION PROGRAM TO EDUCATE AND ENCOURAGE DIABETICS ABOUT NUTRITION AND PHYSICAL ACTIVITY 3. TEACH EXPECTANT MOTHERS TO RECOGNIZE LIFE THREATENING POST-PARTUM WARNING SIGNS OUR PRIORITIZATION PROCESS IS DETAILED ON PAGE 33. WE CHOSE TO FOCUS ON 3 TOP PRIORITIES WHERE WE FELT WE COULD MAKE THE GREATEST IMPACT. OUR PRIORITIZATION PROCESS IS DETAILED ON PAGE 33. WE CHOSE TO FOCUS ON 3 TOP PRIORITIES WHERE WE FELT WE COULD MAKE THE GREATEST IMPACT. ON PAGE 33 OF THE CHNA, WE IDENTIFY OUR 3 PRIORITIES. THOSE THREE PRIORITIES CORRESPOND TO THE RESULTS OF THE NOMINAL GROUP PROCESS. EMBEDDED IN PRIORITY #1 AND PRIORITY #2 ARE THE TOP FOUR VOTE GETTING ITEMS ""HEART DISEASE AND STROKE AS IT PERTAINS TO ACCESS AND ""DIABETES AS IT PERTAINS TO NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT STATUS"". WE PUT A LIST OF CATEGORIES IN FRONT OF THE NOMINAL GROUP PROCESS. ONE OF THEM WAS CHRONIC KIDNEY DISEASES, BUT IT'S PRETTY CLEARLY A LOW PRIORITY. BEING A CATEGORY DOESN'T MAKE IT A PRIORITY, THE GROUP DISCUSSING THE CATEGORIES CHOOSE WHAT THEY BELIEVE ARE THE PRIORITIES AND WE ADDRESSED WHAT WE PRIORITIZED."

UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER
PART V, SECTION B, LINE 16J: WWW.UNIVERSITYHEALTH.ORG/OUR-LOCATIONS/UNIVERSITY-HOSPITAL-MCDUFFIE/PATIENT-INFORMATION/INDEGENT-AND-CHARITY-CARE

UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER
PART V, SECTION B, LINE 21D: FAP INCLUDED ER MEDICAL CARE CONDITIONS. IN ADDITION, UHM FOLLOWS EMTALA REGULATIONS.

PART V, LINE 16A, FAP WEBSITE:
HTTPS://WWW.UNIVERSITYHEALTH.ORG/INDIGENT-AND-CHARITY-CARE

PART V, LINE 16B, FAP WEBSITE:
HTTPS://WWW.UNIVERSITYHEALTH.ORG/FULLPANEL/UPLOADS/FILES/UHM--8310-123-INDIGENT-CARE---ICCP.PDF

PART V, LINE 16C, FAP WEBSITE:
HTTPS://WWW.UNIVERSITYHEALTH.ORG/FULLPANEL/UPLOADS/FILES/UHM-PLAIN-LANGUAGE-SUMMARY---2020-00001.PDF

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 3C:
MAY USE BOTH FPG AND ASSET TEST

PART I, LINE 7:
EXPLANATION OF COSTING METHODOLOGYUSED COST TO CHARGE RATIO CALCULATED USING WORKSHEET 2 --THE OPTIONAL WORKSHEETS PROVIDED TO ASSIST IN PREPARATION OF SCHEDULE H.

PART II, COMMUNITY BUILDING ACTIVITIES:
THE COMMUNITY BUILDING ACTIVITIES REPORTED ARE SUPPORT FOR THE VARIOUS CHAMBERS OF COMMERCE FOR THE COMMUNITIES THAT UHM SERVES. IN SUPPORTING THESE ORGANIZATIONS, UHM CAN SUPPORT THE DEVELOPMENT OF OUR COMMUNITY BY BRINGING IN NEW INDUSTRIES, AND JOBS, INCREASING THE AVERAGE HOUSEHOLD INCOME, IMPROVING LIVING CONDITIONS, AND IMPACTING OVERALL GENERAL HEALTH.

PART III, LINE 2:
FOR RECEIVABLES ASSOCIATED WITH SELFPAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), UH RECORDS PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO THE PROVISION FOR BAD DEBT EXPENSE WHEN RECEIVED.

PART III, LINE 3:
BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT SINCE THE SERVICES THAT INCUR BAD DEBT ARE PROVIDED BY THE HOSPITAL TO PROMOTE THE WELL-BEING OF THE COMMUNITY. THESE SERVICES ARE RENDERED IN CONJUNCTION WITH THE HOSPITAL'S CHARITABLE TAX-EXEMPT PURPOSES. THERE IS NO LOCAL SUPPORT FOR UNINSURED PATIENTS; THEREFORE, THE SERVICES PROVIDED BY THE HOSPITAL RELIEVE THE HEALTH CARE BURDENS OF THE LOCAL GOVERNMENTS.

PART III, LINE 4:
BAD DEBT EXPENSEPAGE 10- 12 OF AUDITED FINANCIAL STATEMENT FOR UNIVERSITY HEALTH, INC.

PART III, LINE 8:
EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITTHE SERVICES PROVIDED TO THE MEDICARE BENEFICIARIES ARE TO PROMOTE THE WELL-BEING OF THE COMMUNITY WHICH IS PART OF THE HOSPITAL'S CHARITABLE TAX-EXEMPT PURPOSE. THE MEDICARE DIFFERENCE BETWEEN COST AND MEDICARE REIMBURSEMENT SHOULD BE ALLOWED AS COMMUNITY BENEFIT SINCE PROVIDERS CANNOT NEGOTIATE RATES WITH CENTERS FOR MEDICARE/MEDICAID SERVICES (CMS). CMS REGULATES THAT THE REIMBURSEMENT BE FEDERAL BUDGET NEUTRAL THUS PLACING THE COST OF THE CARING FOR MEDICARE BENEFICIARIES AS A COST TO THE HOSPITALS.

PART III, LINE 9B:
PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTSAS OUTSTANDING BALANCES AGE, STATEMENT MESSAGES, COLLECTION LETTERS AND/OR TELEPHONE CALLS MAY BE USED AT APPROPRIATE INTERVALS DETERMINED BY THE PATIENT ACCOUNTING/COLLECTION DEPARTMENT. THE PATIENT ACCOUNTING/COLLECTION DEPARTMENT RECOGNIZES THAT THERE ARE OCCASIONS WHEN A PATIENT IS NOT FINANCIALLY ABLE TO PAY HIS OR HER MEDICAL BILL IN FULL AND/OR THE PATIENT IS EXPERIENCING FINANCIAL HARDSHIP. THE HOSPITAL HAS ESTABLISHED A CATASTROPHIC POLICY WHICH ALLOWS FOR THE COLLECTION DEPARTMENT TO APPLY THE INDIGENT CRITERIA AND WRITE-OFF AS MEDICALLY INDIGENT. AND AT ANY POINT DURING THE COLLECTION PROCESS IF A PATIENT STATES OR PATIENT ACCOUNTING/COLLECTIONS BELIEVES THAT THE PATIENT CANNOT AFFORD TO PAY, THEN AN INDIGENT/CHARITY CARE APPLICATION IS BEGUN BY THE COLLECTION DEPARTMENT WHERE DISCOUNTS MAY BE GIVEN.

PART VI, LINE 2:
NEEDS ASSESSMENTUHM WORKS WITH ER PERSONNEL AND AREA HEALTH DEPARTMENT DIRECTOR TO IDENTIFY NEEDS BASED ON PATIENTS SEEKING HELP THROUGH THE EMERGENCY ROOM AND HEALTH DEPARTMENT.

PART VI, LINE 3:
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEREGISTRARS INFORM PATIENT OF FINANCIAL ASSISTANCE PROGRAMS. ALSO, THERE ARE SIGNS POSTED IN ER AND REGISTRATION AREAS WHICH DENOTE THE AVAILABILITY OF ASSISTANCE WITH HOSPITAL BILLS. IN ADDITION, UHM UTILIZES THE SERVICES OF RCA (RESOURCE CENTER OF AMERICA) WHICH AIDS PATIENTS IN GETTING CERTIFIED FOR SSI AND MEDICAID.

PART VI, LINE 4:
SEE COMMUNITY NEEDS ASSESSMENT PAGES 5-7MCDUFFIE COUNTY IS A COUNTY LOCATED IN THE U.S. STATE OF GEORGIA. AS OF THE 2014 CENSUS, THE POPULATION WAS 21,400.[1] THE COUNTY SEAT IS THOMSON.[2] THE COUNTY WAS CREATED ON OCTOBER 18, 1870[3] AND NAMED AFTER THE SOUTH CAROLINA GOVERNOR AND SENATOR GEORGE MCDUFFIE. MCDUFFIE COUNTY IS PART OF THE AUGUSTA-RICHMOND COUNTY, GA-SC METROPOLITAN STATISTICAL AREA. ALSO MCDUFFIE IS IN THE CMS -CORE BUSINESS STATISTICAL AREA FOR WAGE INDEX CALCULATIONS. THE % OF POPULATION THAT IS UNDER 18 YEARS IS 25%; AGE 18-64 IS 61%; OVER 65 IS 14%. THE RACE/ETHNICITY IS MADE UP OF 42% BLACK; 53% WHITE AND HISPANIC IS 3%.

PART VI, LINE 5:
COLLABORATION WITH/SUPPORT OF COMMUNITY ORGANIZATIONS THROUGH SEVERAL SURROUNDING CHAMBERS OF COMMERCE. - SEE PART II ABOVE.SEE PAGE 8 OF THE CHNA FOR THE LIST OF AGENCIES THAT UNIVERSITY HOSPITAL MCDUFFIE WORKS WITH TO SUPPORT AND PROMOTE HEALTH IN OUR COMMUNITY.

PART VI, LINE 6:
UHM GOVERNING BOARD MEMBERS ARE COMPRISED OF CITZENS WHO RESIDE IN THE UHM'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF UHM. UHM BOARD MEMBERS ARE ACTIVE IN THE COMMUNITY AND ARE EAGER TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITY. UHM EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY FOR ALL OF THE UH DEPARTMENTS. UHM AND UHS COLLABORATE ON HEALTH FAIRS AND SCREENINGS

PART VI, LINE 7, REPORTS FILED WITH STATES
GA

Operating expenses	$ 25,259,397
Total amount spent on community benefits as % of operating expenses	$ 1,482,587 5.87 %