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Garden City Hospital
Garden City, MI 48135
| Bed count | 323 | Medicare provider number | 230244 | Member of the Council of Teaching Hospitals | YES | 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: 2013
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 $ 111,684,089 Total amount spent on community benefits as % of operating expenses$ 2,763,596 2.47 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 198,047 0.18 %Medicaid as % of operating expenses$ 895,778 0.80 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 591,489 0.53 %Subsidized health services as % of operating expenses$ 469,801 0.42 %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.$ 585,933 0.52 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 22,548 0.02 %Community building*
as % of operating expenses$ 44,187 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 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$ 44,187 0.04 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 4,598 10.41 %Community support as % of community building expenses$ 21,248 48.09 %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$ 18,341 41.51 %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: 2013
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$ 4,057,328 3.63 %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 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$ 973,759 24.00 %- 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:
Reported to credit agency Not available Filed lawsuit Not available Placed liens on residence Not 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? 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? NO
Community Health Needs Assessment Activities: 2013
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 Did the tax-exempt hospital execute the implementation strategy? YES Did the tax-exempt hospital participate in the development of a community-wide plan? Not available
Supplemental Information: 2013
- 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 $ 104606899 including grants of $ 0) (Revenue $ 113271349) GARDEN CITY HOSPITAL (GCH) PROVIDED HEALTH CARE SERVICES TO APPROXIMATELY 9,500 INPATIENTS, 49,000 EMERGENCY VISITS, AND 80,000 OUTPATIENT VISITS. GCH'S RETAIL PHARMACY SERVICES PROVIDED 29,600 SCRIPTS FOR THE COMMUNITY. GCH ALSO PROVIDED FREE OR LOW COST SERVICES TO THE COMMUNITY SUCH AS HEALTH FAIRS, VARIOUS MEDICAL SCREENINGS, DIABETIC EDUCATION, CPR CLASSES, AND PRENATAL COUNSELING.
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Facility Information
PART V THE IMPLEMENTATION PLAN CAN BE ACCESSED ONLINE AT WWW.GCH.ORG. PART V, LINE 3 THE MANAGER OF COMMUNITY OUTREACH AT GCH PREPARED THE COMMUNITY HEALTH NEEDS ASSESSMENT. IN CONDUCTING THE CHNA, SHE WORKED WITH CONTACTS AT OTHER LOCAL HOSPITALS, INCLUDING ST. MARY'S, OAKWOOD AND BOTSFORD TO DISCUSS WHAT PROGRAMS THEY WERE WORKING ON IN COMPARISON WITH GCH'S PROGRAMS. PART V, LINE 14 GARDEN CITY HOSPITAL PUBLICIZED THE POLICY THROUGH THE USE OF FINANCIAL COUNSELORS. GCH ALSO HIRED AN OUTSIDE COMPANY TO DISCUSS THE MEDICAID APPLICATION WITH THE UNINSURED PATIENTS. PART V, LINE 20 WRITE OFF OF 30% OFF TOTAL CHARGES FOR ALL UNISURED PATIENTS. WE ALSO HAVE A POINT OF SERVICE RATE, EQUAL TO THE MICHIGAN MEDICAID RATE.
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Supplemental Information
PART III, LINE 3A AN AGGREGATE COST TO CHARGE RATIO WAS USED TO PROVIDE BAD DEBT AT COST FOR LINE 2 AND 3. PART III, LINE 4 AS OF THE DATE OF THIS REPORT, GARDEN CITY HOSPITAL DOES NOT YET HAVE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8A THIS INFORMATION CAN BE FOUND IN THE COST REPORT. PART III, LINE 9B PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OF FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAY AND AFTER, AS WELL AS WITH EACH BILLING NOTICE (INFORMATION IS PRINTED DIRECTLY ON THE PATIENT BILL).
NEEDS ASSESSMENT A NEEDS ASSESSMENT OF THE GARDEN CITY HOSPITAL (GCH) COMMUNITY WAS PERFORMED IN AUGUST 2013. THE ASSESSMENT WAS PERFORMED BY GCH STAFF AND INCLUDED REVIEW OF COMMUNITY HEALTH REPORTS AND NATIONAL COMMUNITY SURVEYS. THE ASSESSMENT LOOKED AT THE GCH COMMUNITY'S DEMOGRAPHIC, SOCIOECONOMIC, HEALTH STATUS AND CHRONIC DISEASE PROFILES. IN ADDITION, THE HOSPITAL AND PHYSICIANS IDENTIFY COMMUNITY NEEDS BASED ON ADMISSION/DISCHARGE AND OTHER HOSPITAL DATA. BASED ON THIS DATA AND INFORMATION, THE HOSPITAL ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ALL UNINSURED PATIENTS THAT ARE ADMITTED TO THE HOSPITAL AS INPATIENTS ARE SCREENED AND INTERVIEWED FOR MEDICAID ELIGIBILITY BY A THIRD PARTY VENDOR. UNINSURED PATIENTS SEEN IN THE EMERGENCY DEPARTMENT ARE CONTACTED BY PHONE AFTER THE VISIT AND SCREENED FOR MEDICAID ELIGIBILITY. IF THE PATIENTS ARE NOT MEDICAID ELIGIBLE, THEY ARE GIVEN INFORMATION REGARDING THE HOSPITAL'S CHARITY CARE PROGRAM. PATIENT BILLING STATEMENTS CONTAIN INFORMATION ON THE GUIDELINES AND HOW TO OBTAIN A CHARITY CARE APPLICATION.
COMMUNITY INFORMATION GCH SERVES APPROXIMATELY ONE-FOURTH OF THE POPULATION RESIDING IN WAYNE COUNTY. THE POPULATION HAS A UNIQUE MIX OF MINORITIES WHO RESIDE IN SPECIFIC DISTRICTS OF THE COMMUNITY. UNEMPLOYMENT IS HIGHER THAN THE NATIONAL AVERAGE. THE PERCENTAGE OF UNINSURED IS HIGHER THAN MICHIGAN'S AVERAGE. THE POPULATION IS OLDER THAN THE AVERAGE FOR BOTH THE NATION AND FOR MICHIGAN; THE PERCENTAGE OF CHILDREN UNDER 18 IS LESS THAN 16 PERCENT, COMPARED TO THE NATIONAL AVERAGE OF 18 PERCENT. HEART DISEASE AND CANCER ARE THE LEADING CAUSES OF DEATH.
PROMOTION OF COMMUNITY HEALTH THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE AND OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONSREPRESENTATIVE OF THE COMMUNITY SERVED BY THE HOSPITAL. THE HOSPITAL SERVES AS A CLINICAL EXPERIENCE FOR A LARGE NUMBER OF RESIDENTS. IN ADDITION, STUDENTS IN OTHER HEALTH CARE PROFESSIONS SUCH AS NURSING, PHARMACY, DIETARY, AND EMERGENCY TECHNICIANS ARE TRAINED HERE.
MI
