Monroe Health Services

NMMC Gilmore-Amory serves Monroe County and the surrounding area. In fiscal year 2023, there were 2,121 inpatient admissions, 22,838 emergency department visits, 83,742 outpatient visits, and 12,392 hospital based clinic visits. NMMC Gilmore-Amory uses Press Ganey, the largest patient satisfaction survey company in the nation, that works with more than 7,000 healthcare facilities. Randomly selected patients are asked about their experience with inpatient, outpatient, ER, and long term care services. One of the primary ways NMMC Gilmore-Amory serves the community is by providing care to various populations for which it receives no compensation or receives compensation at rates significantly less than established rates. The board of directors of NMMC Gilmore-Amory has established a policy under which the hospital provides care, without charge, to needy members of its community. THE FINANCIAL ASSISTANCE POLICY STATES THAT NMMC GILMORE-AMORY WILL PROVIDE EMERGENCY AND MEDICALLY NECESSARY INPATIENT AND OUTPATIENT HOSPITAL SERVICES TO PATIENTS FREE OF CHARGE WITH HOUSEHOLD INCOME LEVELS AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. THE POLICY FURTHER PROVIDES, PATIENTS WITH HOUSEHOLD INCOME LEVELS BETWEEN 101% AND 150% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE TO RECEIVE SERVICES AT A DISCOUNTED RATE. THE DISCOUNT WILL BE PRO-RATED BASED ON THE PATIENT'S GROSS FAMILY INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY LEVEL. The policy applies to individuals who reside in Monroe County. Patients from outside the county may also be granted charity care based on the judgment of NMMC Gilmore-Amory management depending on their individual circumstances. The policy also requires the patient to cooperate fully with NMMC Gilmore-Amory request for information with which to verify the patient's eligibility. Following that policy, the hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy. Charges forgone, based on established rates, totaled approximately $5,112,450 in fiscal year 2023. Based on the gross charges provided to charity patients compared to total hospital gross charges, 4.65% of all services in fiscal year 2023 were provided on a charity basis. The net cost of charity care provided by NMMC Gilmore-Amory was approximately $2,042,054 in fiscal year 2023 The total cost estimate is based on the ratio of costs to charges for NMMC Gilmore-Amory. All the foregone charges mentioned above are netted against patient service revenue to arrive at net patient service revenue as reflected as program service revenue on Part VIII of Form 990 in order to be consistent with financial statement reporting and are not reported as functional expenses on the tax return.