2024-03-14T10:49:04-04:00 2023-04-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2022-05-01 586025393 UNION COUNTY HOSPITAL AUTHORITY UNIO 7067452111 35 HOSPITAL ROAD BLAIRSVILLE GA 30512 NICHOLAS TOWNSEND CFO 7067452111 2024-03-08 true NICHOLAS TOWNSEND 999009999 false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2024-03-14 2022 2023-04-26 12:10:37Z UNION GENERAL HOSPITAL INC KEVIN L BIERSCHENK 35 HOSPITAL ROAD BLAIRSVILLE GA 30512 134257158 false X WWW.UNIONGENERALHEALTHSYSTEM.COM X 1959 GA TO PROVIDE HIGH QUALITY, COST EFFECTIVE HEALTH CARE AND TO PROMOTE WELLNESS IN OUR COMMUNITY. 6 6 1219 0 9786962 6698923 108625728 110685831 163294 8146980 4943676 5645743 123519660 131177477 0 0 52544974 59262069 0 0 48290872 48171708 100835846 107433777 22683814 23743700 160833758 179467429 19499491 11025504 141334267 168441925 X TO PROVIDE HIGH QUALITY, COST EFFECTIVE HEALTH CARE AND TO PROMOTE WELLNESS IN OUR COMMUNITY. false false 88078242 103390237 UNION GENERAL HOSPITAL (UGH) IS A 501(C)(3) HEALTHCARE ORGANIZATION THAT TAKES A PROACTIVE APPROACH DESIGNED TO MEET COMMUNITY HEALTH NEEDS AND MEET ITS TAX-EXEMPT REQUIREMENTS. THE ORGANIZATION IS COMMITTED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE AND PROMOTING WELLNESS IN THE COMMUNITY THROUGH ITS MISSION STATEMENT AND POLICIES SUPPORTING SAME. THE VISION IS TO BE THE "FIRST CHOICE" PROVIDER OF COMPREHENSIVE MEDICAL SERVICES IN THE AREA. WE VALUE OUR PATIENTS AND BELIEVE THEY ARE OUR MOST IMPORTANT RESPONSIBILITY. WE SHALL ALWAYS SEEK TO MEET THE PHYSICAL, EMOTIONAL, EDUCATIONAL, AND SPIRITUAL NEEDS OF OUR PATIENTS AND THEIR FAMILIES. WE VALUE OUR MEDICAL STAFF AND WILL SEEK WAYS TO HELP THEM IMPROVE PROFESSIONALLY AND FACILITATE THE PRACTICE OF MEDICINE. WE VALUE OUR EMPLOYEES AND SHALL TREAT EACH OTHER WITH COURTESY, FAIRNESS, RESPECT, AND INTEGRITY. WE SHALL WORK AS A TEAM TO DO OUR BEST TO PROMOTE OUR MISSION AND FULFILL OUR VISION. WE VALUE OUR COMMUNITY AND ARE COMMITTED TO THE TREATMENT AND CARE OF OUR PATIENTS AND PROMOTION OF WELLNESS IN OUR COMMUNITY. WE WILL CONFRONT ALL ETHICAL AND MORAL HEALTH-RELATED ISSUES NECESSARY TO ENHANCE THE QUALITY OF LIFE IN OUR COMMUNITY. UGH IS THE ONLY ACUTE CARE HOSPITAL IN UNION COUNTY, GEORGIA. UGH IS LICENSED FOR 45 ACUTE AND INTENSIVE CARE MEDICAL/SURGICAL BEDS FOR SHORT- TERM INPATIENT CARE. THE BEDS ALSO QUALIFY FOR "SWING BED" STATUS FOR SHORT-TERM SKILLED NURSING CARE. OUTPATIENT SERVICES INCLUDE RADIOLOGY, LABORATORY AND OTHER DIAGNOSTIC SERVICES, SURGICAL AND REHABILITATION SERVICES, AND 24/7 EMERGENCY MEDICAL SERVICES. UGH (ALONG WITH UNION GENERAL AMBULANCE SERVICE, INC., A CONTROLLED TAX-EXEMPT ENTITY) ALSO OPERATES THE COUNTY AMBULANCE SERVICE, ONE OF THE VERY FEW HOSPITALS DOING SO IN GEORGIA. THIS INCLUDES THE WAGES AND BENEFITS FOR ITS EMERGENCY MEDICAL TECHNICIANS AND PARAMEDICS, MEDICAL AND OTHER SUPPLIES, ACQUISITION AND MAINTENANCE FOR EMERGENCY TRANSPORT VEHICLES, AND FACILITIES FOR BASE OPERATIONS. DUE TO THE MOUNTAINOUS AREA, THE TWISTING MOUNTAIN ROADS ATTRACT BICYCLISTS AND MOTORCYCLISTS THROUGHOUT THE SPRING, SUMMER AND FALL SEASONS. THESE ACTIVITIES SOMETIMES RESULT IN MEDICAL EMERGENCIES, SOME VERY SERIOUS, TO WHICH THE EMERGENCY MEDICAL SERVICES OF UGH MUST RESPOND. UGH PROVIDES NON-EMERGENCY TRANSPORT UNDER CONTRACT WITH THE STATE OF GEORGIA TO COMMUNITY RESIDENTS WHO ARE WITHOUT TRANSPORTATION TO ROUTINE SCHEDULED DOCTOR AND OTHER MEDICAL APPOINTMENTS. UGH PROVIDES ITS HELIPAD TO SUPPORT AIR AMBULANCE SERVICES. THE UNION COUNTY NURSING HOME (UCNH) IS THE ONLY NURSING FACILITY IN THE COUNTY PROVIDING SKILLED AND INTERMEDIATE LEVELS OF LONG-TERM CARE. UCNH IS LICENSED FOR 150 BEDS AND CONSISTENTLY HAS A WAITING LIST FOR ADMISSIONS. A MAJORITY OF THE RESIDENTS OF UCNH ARE MEDICARE AND MEDICAID BENEFICIARIES. THE ORGANIZATION PROMOTES WELLNESS IN THE COMMUNITY BY SPONSORING HEALTH FAIRS, DIABETES AWARENESS CLINICS, AN AFFORDABLE FITNESS CENTER, AND EDUCATIONAL AND TESTING OPPORTUNITIES FOR THE GENERAL PUBLIC. THE ORGANIZATION PROVIDES FOR HOUSING FOR PATIENT'S FAMILIES WHEN PATIENTS ARE HOSPITALIZED FOR AN EXTENDED PERIOD OF TIME THROUGH ITS GLENDA GOOCH HOUSE. 88078242 true true false true false false false false false true true false true false true true false true false false true false false false false false true true false false true false false false false false false true false false false false false true true false false false true 129 0 1219 true false true CJ false false false false false false false false false false X 6 6 false false false false false false false true true false false true true true true false false true true true true GA X NICK TOWNSEND 7064396490 35 HOSPITAL ROAD BLAIRSVILLE GA 30512 JACOB STIRTON PHYSICIAN 40.00 X 1478917 0 27614 BRENT DAVIS MD PHYSICIAN 40.00 X 723844 0 30989 RONALD A MACBETH MD PHYSICIAN 40.00 X 629867 0 34801 KIMBERLY DENTON MD PHYSICIAN 40.00 X 507930 0 31121 ZIYAD MUGHARBIL MD PHYSICIAN 40.00 X 490130 0 32424 KEVIN L BIERSCHENK CEO 34.00 6.00 X 473741 0 23179 MICHAEL GAY COO 34.00 6.00 X 264094 0 27040 JULIA BARNETT CNO 35.00 5.00 X 259520 0 30338 NICHOLAS TOWNSEND CFO 34.00 6.00 X 263360 0 24753 RICK DAVENPORT SECRETARY 1.00 1.50 X 0 0 0 THOMAS GARY MD DIRECTOR 1.00 1.50 X 0 0 0 SONNY MAHAN DIRECTOR 1.00 1.50 X 0 0 0 GREG OWENBY DIRECTOR 1.00 1.50 X 0 0 0 DINAH PARIS VICE CHAIR 1.00 1.50 X X 0 0 0 STEVEN ROWE CHAIRMAN 1.00 1.50 X X 0 0 0 5091403 262259 66 false true false BRASFILED & GORRIE LP 2999 CIRCLE 75 PARKWAY ATLANTA GA 30339 CONSTRUCTION MG 15875141 SOUTHLAND MEDICAL GROUP LLC PO BOX 1276 THOMASVILLE GA 31799 MEDICAL SERVICE 2981418 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVVE SUITE 300 BENSALEM PA 19020 ENVIROMNENTAL 1079448 INNOVATIVE ANESTHESIA SERVICES 242 9TH AVENUE DRIVE NE HICKORY NC 28601 MEDICAL 647241 TRACE 3 LLC 5555 CORPORATE EXCHANGE CT SE GRAND RAPIDS MI 49512 IT 638784 27 5295999 1402924 6698923 NET PATIENT SERVICE REVENUE 623000 110685831 110685831 110685831 1626661 1626661 766670 766670 766670 766670 9600000 3079681 6520319 6520319 6520319 PHARMACY 623000 2369415 2369415 CHILD CARE CENTER 624410 693193 693193 UNION GENERAL WELLNESS 713940 561556 561556 1254909 1099606 155303 4879073 131177477 114716408 9762146 1373837 1373837 48273382 41254333 7019049 737450 628750 108700 4987149 4252043 735106 3890251 3316828 573423 308624 308624 8704141 6068248 2635893 151961 64616 87345 4689458 2306284 2383174 191182 44258 146924 2700141 2413283 286858 155040 147234 7806 64329 52579 11750 87603 87603 5845723 5183987 661736 1397170 1185109 212061 MEDICAL SUPPLIES 16354994 16354994 REPAIRS & MAINTENANCE 2639077 1527937 1111140 DUES & SUBSCRIPTIONS 2167876 529798 1638078 340B & OTHER MED. 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A PERCENTAGE OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING ACTIVITIES CONDUCTED BY THOSE ASSOCIATIONS. 14418 7295 21713 7321 -7097 14418 6433 888 7321 5065 1368 6433 3792 1273 5065 1.00000 false false 6371532 6371532 70759406 31504332 39255074 61607487 48645102 12962385 9164832 5608573 3556259 62145250 CHATUGE REGIONAL HOSPITAL INVESTMENT 11847725 C PHYSICIAN NOTES AND RECEIVABLES 456850 C ATLANTA ONCOLOGY CENTER INVESTMENT 187500 C GMEP LLC INVESTMENT 1000 C 12493075 AMOUNTS DUE TO PATIENTS 807306 SELF INSURANCE LIABILITY 767536 ESTIMATED THIRD PARTY SETTLEMENTS 405944 MEDICARE ADVANCE PAYMENTS 338706 THIRD PARTY PAYABLES 324457 DEFERRED COMPENSATION 114035 INTERCOMPANY PAYABLES -388943 2369041 X SCHEDULE D, PAGE 2, PART V, LINE 4 FUNDS ARE FOR THE FINANCIAL SUPPORT OF THE HOSPITAL, GENERALLY FOR SPECIFIC PROGRAMS OR NEEDS. SCHEDULE D, PAGE 3, PART X UNION, CHATUGE, THE AMBULANCE SERVICE, THE UNION GENERAL AFFILIATED SERVICES, AND THE NORTH CAROLINA AFFILIATED SERVICES ARE TAX EXEMPT UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THE DIALYSIS CLINIC IS ORGANIZED UNDER GEORGIA LAW AND THE INTERNAL REVENUE CODE (IRC) AS A LIMITED LIABILITY COMPANY (LLC). THE DIALYSIS CLINIC IS TAXED AS A PARTNERSHIP UNDER FEDERAL AND STATE LAW AND IS THEREFORE NOT SUBJECT TO CORPORATE INCOME TAXATION. THE CORPORATION IS THE SOLE OWNER OF THE LLC. THE CORPORATION'S INCOME FROM DIALYSIS CLINIC'S OPERATIONS IS CONSIDERED RELATED BUSINESS INCOME AND THEREFORE IS NOT SUBJECT TO TAX. UNION GENERAL HEALTH SYSTEM SEGREGATED PORTFOLIO IS EXEMPTED FROM ALL LOCAL INCOME, PROFIT, OR CAPITAL GAINS TAXES UNTIL MAY 1, 2040 UNDER THE CAYMAN ISLANDS TAX CONCESSIONS LAW. THE CORPORATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE CORPORATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF APRIL 30, 2023 AND 2022 OR FOR THE YEARS THEN ENDED. THE CORPORATION'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. false CENTRAL AMERICA & CARIBBEAN INVESTMENTS 6373122 6373122 6373122 true false true false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA & CARIBBEAN 0 6,373,122 true true X true X 1.250000000000 true X true true false true true 948225 948225 0.00880 12270826 16150517 13219051 16150517 948225 0.00880 22226 22226 0.00020 22226 22226 0.00020 13241277 16150517 970451 0.00900 false 7713652 1342175 24937296 24713144 224152 X true true 1 1 UNION GENERAL HOSPITAL 35 HOSPITAL ROAD BLAIRSVILLE GA 30512 WWW.UNIONGENERALHEALTHSYSTEM.COM 144-185 X X X CLINICS, SNF UNION GENERAL HOSPITAL 1 false false true X X X X X X X X X X 21 true false false true X WWW.UNIONGENERALHEALTHSYSTEM.COM X true 21 true WWW.UNIONGENERALHEALTHSYSTEM.COM/COMMU false false true X 125.000000000000 400.000000000000 X X X X X true true X X X true X WWW.UNIONGENERALHEALTHSYSTEM.COM/PATIE X WWW.UNIONGENERALHEALTHSYSTEM.COM/PATIE X WWW.UNIONGENERALHEALTHSYSTEM.COM/PATIE X X X X X X X true X false X X X X true X false false FACILITY 1, UNION GENERAL HOSPITAL - PART V, LINE 3E THE COMMUNITY ADVISORY COMMITTEE PRIORITIZED THE FOLLOWING COMMUNITY HEALTH NEEDS: 1) OVERWEIGHT/OBESITY 2) CHILD NUTRITION 3) CANCER 4) DIABETES/METABOLIC DISEASE 5) MENTAL HEALTH FACILITY 1, UNION GENERAL HOSPITAL - PART V, LINE 5 THE HOSPITAL COLLABORATED WITH GEORGIA SOUTHERN UNIVERSITY TO ENLIST COMMUNITY REPRESENTATIVES TO SERVE ON THE COMMUNITY ADVISORY COMMITTEE (CAC) TO ASSIST WITH DESIGN AND DISTRIBUTION OF A HEALTH NEEDS SURVEY. TWO COMMUNITY MEETINGS WERE SCHEDULED AND HELD REMOTELY USING ZOOM TECHNOLOGY WITH THE CAC DUE TO COVID-19. APPROXIMATELY 250 SURVEYS WERE DISTRIBUTED THROUGHOUT THE COMMUNITY AND 4 KEY STAKEHOLDER INTERVIEWS WERE CONDUCTED. FACILITY 1, UNION GENERAL HOSPITAL - PART V, LINE 11 THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2018 IDENTIFIED THESE SPECIFIC NEEDS THAT ARE ADDRESSED IN THE IMPLEMENTATION STRATEGY REPORT: 1) OVERWEIGHT/OBESITY 2) CHILD NUTRITION 3) CANCER 4) DIABETES 5) MENTAL HEALTH THE HOSPITAL ADDRESSES THE IDENTIFIED NEEDS IN SOME MANNER FROM COLLABORATION WITH OTHER PROVIDERS TO CLINICAL OUTREACH TO COMMUNITY EDUCATION. THE CURRENT CHNA AND IMPLEMENTATION STRATEGIES, AS WELL AS THE PREVIOUS CHNA (WHICH WAS CONDUCTED IN 2018) ARE AVAILABLE ON THE HOSPITAL'S WEBSITE AT: HTTP://WWW.UNIONGENERALHEALTHSYSTEM.COM/COMMUNITY-HEALTH/. FACILITY 1, UNION GENERAL HOSPITAL - PART V, LINE 16J A NOTICE IS RUN ANNUALLY IN THE LOCAL NEWSPAPER REGARDING THE AVAILABILITY OF FREE AND DISCOUNTED CARE FOR PATIENTS THAT QUALIFY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. COMPLETE URL FOR COMMUNITY HEALTH NEEDS ASSESSMENTS AND ACTION PLANS (IMPLEMENTATION STRATEGY REPORTS) - HTTP://WWW.UNIONGENERALHEALTHSYSTEM.COM/COMMUNITY-HEALTH/ COMPLETE URL - FAP, FAP SUMMARY AND APPLICATION - HTTP://WWW.UNIONGENERALHEALTHSYSTEM.COM/PATIENTS/BUSINESS-DEPARTMENT 6 UNION COUNTY DIALYSIS LLC 72 APPALACHIAN AVENUE BLAIRSVILLE GA 30512 DIALYSIS CLINIC BLUE MOUNTAIN FAMILY PRACTICE 178 HOSPITAL ROAD SUITE A BLAIRSVILLE GA 30512 RURAL HEALTH CLINIC UNION COUNTY NURSING HOME 164 NURSING HOME CIRCLE BLAIRSVILLE GA 30512 SKILLED NURSING FACILITY THE CLINIC AT WAL-MART 2257 HIGHWAY 515 SUITE B BLAIRSVILLE GA 30512 RURAL HEALTH CLINIC UNION GENERAL WELLNESS CENTER 376 DEEP SOUTH FARM ROAD BLAIRSVILLE GA 30512 WELLNESS AND FITNESS CENTER UNION GENERAL ENT SOLUTIONS 11 HOSPITAL WAY SUITE A BLAIRSVILLE GA 30512 PHYSICIAN CLINIC SCHEDULE H, PART I, LINE 7 THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". THE COSTS FOR PART I, LINES 7A AND 7B WERE CALCULATED USING THE RATIO OF COSTS TO CHARGES USING WORKSHEET 2 IN THE INSTRUCTIONS TO FORM 990 SCHEDULE H. SCHEDULE H, PART III, LINE 2 AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE. PURSUANT TO ASU NO. 2014-09 (TOPIC 606) DISCUSSED IN MORE DETAIL BELOW, THE AMOUNT IDENTIFIED AS BAD DEBT ON SCHEDULE H, PART II, LINE 2 PRIMARILY REPRESENTS AMOUNTS ESTIMATED AT THE TRANSACTION DATE THAT ARE CONSIDERED A PRICE CONCESSION. SCHEDULE H, PART III, LINE 3 BASED ON PAST EXPERIENCE, THE ORGANIZATION HAS FOUND THAT THERE IS A PORTION OF BAD DEBT THAT IS GENERALLY ATTRIBUTABLE TO CHARITY CARE. BASED ON ECONOMIC CENSUS RECORDS, 17.4% OF PERSONS ARE BELOW THE POVERTY LEVEL, WE ESTIMATE THAT 17.4% IF THE BAD DEBT AMOUNT ON LINE 2 WOULD BE ATTRIBUTABLE TO THOSE PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY HAD THEY COMPLETED AN APPLICATION. SCHEDULE H, PART III, LINE 4 IN MAY 2014, THE FASB ISSUED ASU NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH IS A NEW COMPREHENSIVE REVENUE RECOGNITION STANDARD. THE CORE PRINCIPLE OF THE REVENUE MODEL IS THAT AN ENTITY RECOGNIZES REVENUE TO DEPICT THE TRANSFER OF PROMISED GOODS OR SERVICES TO CUSTOMERS IN AN AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ENTITY EXPECTS TO BE ENTITLED IN EXCHANGE FOR THOSE GOODS OR SERVICES. THE CORPORATION ADOPTED ASU NO. 2014-09 ON MAY 1, 2020 USING THE FULL RETROSPECTIVE METHOD OF TRANSITION WITH PRACTICAL EXPEDIENTS IN FASB ASC 606-10-65-1(F) WITH NO SIGNIFICANT IMPACT. THE CORPORATION PERFORMED AN ANALYSIS OF REVENUE STREAMS AND TRANSACTIONS UNDER ASU NO. 2014-09. IN PARTICULAR, FOR NET PATIENT SERVICE REVENUE, THE CORPORATION PERFORMED AN ANALYSIS INTO THE APPLICATION OF THE PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO GROUP PATIENT CONTRACTS WITH SIMILAR CHARACTERISTICS, SUCH THAT REVENUE FOR A GIVEN PORTFOLIO WOULD NOT BE MATERIALLY DIFFERENT THAN IF IT WERE EVALUATED ON A CONTRACT-BY-CONTRACT BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR BAD DEBTS (REPRESENTING APPROXIMATELY 4 MILLION FOR THE YEAR ENDED APRIL 30, 2020) AND PRESENTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE ON THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS IS NOW TREATED AS A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS NET PATIENT SERVICE REVENUE. CHANGES IN CREDIT ISSUES NOT ASSESSED AT THE DATE OF SERVICE, ARE RECOGNIZED AS BAD DEBT EXPENSE AND INCLUDED AS A COMPONENT OF OPERATING EXPENSES ON THE STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. THE NEW STANDARD ALSO REQUIRES ENHANCED DISCLOSURES RELATED TO THE DISAGGREGATION OF REVENUE AND SIGNIFICANT JUDGMENTS MADE IN MEASUREMENT AND RECOGNITION. THE ADOPTION OF THIS GUIDANCE DID NOT MATERIALLY IMPACT TOTAL OPERATING REVENUES, EXCESS REVENUES (EXPENSES), OR NET ASSETS. SEE FOOTNOTE 3 IN THE ATTACHED AUDITED STATEMENTS FOR A DISCUSSION OF CHARITY CARE AND UNINSURED DISCOUNTS. SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. SCHEDULE H, PART III, LINE 9B ONCE A PATIENT IS APPROVED FOR INDIGENT CARE (100% WRITE OFF) THE ACCOUNT(S) IS (ARE) RECLASSIFIED TO INDIGENT CARE AND NO FURTHER COLLECTION ACTIVITY IS CONDUCTED. FOR PATIENTS APPROVED FOR CHARITY CARE (REDUCED CHARGE), THE ACCOUNT GUARANTOR WILL RECEIVE STATEMENTS AND PHONE CALLS TO COLLECT ANY REMAINING BALANCE DUE. PATIENTS WILL RECEIVE THREE (3) STATEMENTS, ONE (1) NOTICE LETTER AND MULTIPLE PHONE CALLS REQUESTING PAYMENT IN FULL OR PAYMENT ARRANGEMENTS BE MADE. STATEMENTS 1. INITIAL A. PATIENTS WILL NORMALLY RECEIVE A STATEMENT FOR SERVICES RENDERED WITHIN THIRTY (30) DAYS OF DISCHARGE AS AN INPATIENT OR TREATMENT AS AN OUTPATIENT (EXCLUDING RECURRING VISITS). B. RECURRING VISIT PATIENTS WILL NORMALLY RECEIVE A BILL FOR SERVICES RENDERED FOR THE PRIOR MONTH WITHIN ONE MONTH. 2. SUBSEQUENT STATEMENTS A. THE SECOND STATEMENT WILL BE ISSUED THIRTY (30) DAYS AFTER THE INITIAL STATEMENT. B. THE THIRD STATEMENT WILL BE ISSUED SIXTY (60) DAYS AFTER THE INITIAL STATEMENT. C. THE NOTICE LETTER WILL BE ISSUED NINETY (90) DAYS AFTER THE INITIAL STATEMENT REQUESTING PAYMENT IN FULL UPON RECEIPT. THIS LETTER WILL NOTIFY THE PATIENT THEIR ACCOUNT WILL BE REFLECTED AS A BAD DEBT AND REFERRED TO AN OUTSIDE COLLECTION AGENCY IF PAYMENT IN FULL IS NOT RECEIVED WITHIN THIRTY (30) CALENDAR DAYS OF THE STATEMENT DATE. THE NOTIFICATION WILL SPECIFY ANY EXTRAORDINARY COLLECTION ACTIONS THAT MAY BE UNDERTAKEN IF THE PATIENT DOES NOT MAKE FULL PAYMENT OR COMPLETE A FINANCIAL ASSISTANCE APPLICATION. D. ONE HUNDRED TWENTY (120) DAYS AFTER THE INITIAL STATEMENT THESE ACCOUNTS WILL BE WRITTEN OFF AS A BAD DEBT ADJUSTMENT AND SENT TO AN OUTSIDE COLLECTION AGENCY. 3. ALL STATEMENTS WILL INCLUDE LANGUAGE THAT INFORMS THE RECIPIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND INCLUDES A TELEPHONE NUMBER AND THE WEBSITE ADDRESS TO OBTAIN ADDITIONAL INFORMATION. PHONE CALLS THIRTY (30) DAYS AFTER THE INITIAL STATEMENT, THE PATIENT MAY BEGIN TO RECEIVE MULTIPLE PHONE CALLS REQUESTING PAYMENT IN FULL OR PAYMENT ARRANGEMENTS BE MADE. THE PATIENT WILL BE INFORMED THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE AND OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FAP. USE OF OUTSIDE COLLECTION AGENCY WHEN A PATIENT AND/OR GUARANTOR FAIL TO PAY THE PATIENT LIABILITY, THE ACCOUNT WILL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY. REASONABLE EFFORTS - THE BUSINESS OFFICE MANAGER WILL BE RESPONSIBLE FOR ENSURING THAT THE FACILITY HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO ENGAGING IN ANY EXTRAORDINARY COLLECTION ACTION (ECA). EXTRAORDINARY COLLECTION ACTIONS (ECAS) - THE PATIENT AND/OR GUARANTOR SHALL BE PROVIDED AT LEAST THIRTY (30) DAYS WRITTEN NOTICE PRIOR TO ANY ECAS BEING TAKEN. THE WRITTEN NOTICE WILL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, NOTIFICATION OF ANY ECAS THAT MAYBE INITIATED AGAINST THE PATIENT AND /OR GUARANTOR, AND THE DATE AFTER WHICH ANY ECAS WILL BE INITIATED. ORAL NOTIFICATION TO THE PATIENT AND/OR GUARANTOR WILL BE ATTEMPTED VIA A PHONE CALL PRIOR TO ANY ECAS BEING INITIATED. THE ORAL NOTIFICATION WILL INFORM THE PATIENT AND/OR GUARANTOR ABOUT THE FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN HELP WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. ECAS MAY NOT COMMENCE PRIOR DURING THE NOTIFICATION PERIOD. THE NOTIFICATION PERIOD ENDS ON THE 120TH DAY AFTER THE FACILITY ISSUES THE FIRST POST-DISCHARGE BILLING STATEMENT TO THE PATIENT. IF, BY THE END OF THIS 120-DAY PERIOD THE PATIENT HAS NOT SUBMITTED A FINANCIAL ASSISTANCE APPLICATION, THE FACILITY MAY BEGIN COLLECTION ACTIONS AGAINST THE PATIENT. THE APPLICATION PERIOD DURING WHICH FACILITY WILL ACCEPT AND PROCESS A FINANCIAL ASSISTANCE APPLICATION ENDS ON THE 240TH DAY AFTER THE FACILITY ISSUES THE FIRST POST-DISCHARGE BILLING STATEMENT TO THE PATIENT. LEGAL ACTIONS LEGAL ACTIONS MAY BE INITIATED AGAINST THE PATIENT AND/OR GUARANTOR WHO DEFAULT ON PAYMENT TO THE FACILITY. THESE LEGAL ACTIONS MAY INCLUDE: - PLACING A LIEN ON AN INDIVIDUALS PROPERTY EXCEPT FOR ANY LIEN THE FACILITY IS ENTITLED TO ASSERT UNDER STATE LAW ON THE PROCEEDS OF A JUDGMENT, SETTLEMENT, ORE COMPROMISE OWED TO AN INDIVIDUAL AS A RESULT OF PERSONAL INJURIES FOR WHICH CARE WAS PROVIDED; - FORECLOSING ON AN INDIVIDUALS REAL PROPERTY; - ATTACHING OR SEIZING AN INDIVIDUALS BANK ACCOUNT OR ANY OTHER PERSONAL PROPERTY; - COMMENCING A CIVIL ACTION AGAINST AN INDIVIDUAL; AND - GARNISHING AN INDIVIDUALS WAGES. ALL LEGAL ACTIONS TAKEN BY ANY COLLECTION AGENCY ON BEHALF OF THE FACILITY SHALL HAVE HAD PRIOR REVIEW AND APPROVAL FROM THE FACILITY. THE FACILITY OR ANY COLLECTIONS AGENCY WORKING ON BEHALF OF THE FACILITY SHALL NOT PURSUE ENFORCEMENT OF A JUDGMENT LIEN, WHETHER BY SHERIFFS LEVY AND SALE OR OTHERWISE, ON A PRIMARY RESIDENCE, PURSUE AN INVOLUNTARY BANKRUPTCY PROCEEDING AGAINST A PATIENT AND /OR GUARANTOR, OR TAKE ANY ACTION THAT WOULD CAUSE A BENCH WARRANT (AN ORDER ISSUED BY A JUDGE OR COURT FOR THE ARREST OF A PERSON) TO BE ISSUED. HOWEVER, THE FACILITY MAY PURSUE APPROPRIATE COURT ORDERS, INCLUDING CONTEMPT OF COURT, FOR A PATIENT/JUDGMENT DEBTOR FAILING TO RESPOND TO POST-JUDGMENT DISCOVERY AS REQUIRED BY LAW. SCHEDULE H, PART VI, LINE 2 THE ORGANIZATION PERIODICALLY SOLICITS FEEDBACK FROM THE MEDICAL STAFF AND THE CITY AND COUNTY OFFICIALS. THE LOCAL VOCATIONAL TECHNICAL COLLEGE SURVEYS THE COMMUNITY AND THIS INFORMATION IS PASSED TO THE HOSPITAL THROUGH THE DIRECTOR OF NURSING. IN ADDITION, THE MEDICAL DIRECTOR IS A BOARD MEMBER OF THE COUNTY DEPARTMENT OF HEALTH. SCHEDULE H, PART VI, LINE 3 THE ORGANIZATION PUBLISHES A NOTICE IN THE LOCAL COMMUNITY NEWSPAPER. AT THE TIME OF REGISTRATION, AN AGENT INFORMS THE ACCOUNT GUARANTOR OF THE AVAILABILITY OF INDIGENT AND CHARITY CARE. ACCOUNT COLLECTORS ALSO INFORM THE GUARANTOR OF THE AVAILABILITY OF THE POLICIES. THE FAP, THE PLAIN LANGUAGE SUMMARY AND THE APPLICATION FOR FINANCIAL ASSISTANCE ARE ON THE ORGANIZATION'S WEBSITE. A PLAIN LANGUAGE SUMMARY OF THE POLICY IS OFFERED TO ALL PATIENTS PRIOR TO DISCHARGE. SIGNAGE IN KEY AREAS OF THE HOSPITAL NOTIFY PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART VI, LINE 4 UNION GENERAL HOSPITAL ("UGH") SERVES A GENERALLY RURAL MOUNTAINOUS AREA AND IS THE SOLE HOSPITAL IN THE COUNTY. UNION COUNTY IS DEEMED A MEDICALLY UNDERSERVED AREA (MUA) BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH. UGH IN CONJUNCTION WITH ITS SISTER HOSPITAL, CHATUGE REGIONAL HOSPITAL, ARE THE ONLY TAX-EXEMPT, NON-PROFIT HOSPITALS WITHIN THE IMMEDIATE EIGHT-COUNTY AREA OF THE NORTH CENTRAL AND NORTHEAST GEORGIA MOUNTAINS. DUE TO THE MOUNTAINOUS TERRAIN AND BEING BOUNDED BY THE CHATTAHOOCHEE NATIONAL FOREST, UNION COUNTY HAS SOME OF THE MOST REMOTE COMMUNITIES FOUND IN GEORGIA. ACCESS TO MEDICAL CARE CAN BE MORE THAN AN HOUR AWAY IN SOME CASES. SCHEDULE H, PART VI, LINE 5 THE ORGANIZATION PROMOTES HEALTH AND WELLNESS IN THE COMMUNITY BY PROVIDING HEALTH FAIRS THAT PROVIDE FREE OR REDUCED-COST HEALTH SCREENINGS AND LAB TESTS TO AREA BUSINESSES, SCHOOLS AND THE GENERAL PUBLIC THROUGH THE HOSPITAL; BY PROMOTING A SMOKE-FREE CAMPUS AT ALL FACILITIES; BY DIABETIC EDUCATION CLASSES; BY DISTRIBUTING HEALTHY LIFESTYLE PUBLICATIONS AND NOTICES THROUGHOUT THE HOSPITAL AND OTHER FACILITIES; AND BY PROVIDING INDIGENT AND CHARITY CARE FOR UNINSURED PATIENTS. THE HOSPITAL HAS A STRONG OUTPATIENT REHAB FACILITY THAT ALLOWS PATIENTS TO RECEIVE PHYSICAL REHABILITATION IN THE COMMUNITY; THE ORGANIZATION OPERATES A WELLNESS CENTER THAT IS OPEN TO THE PUBLIC AND PROVIDES EXERCISE EQUIPMENT AND INSTRUCTION, PERSONAL TRAINERS, AN OLYMPIC-SIZED SWIMMING POOL WITH WATER AEROBIC CLASSES, AND TWO TENNIS COURTS, ONE RACQUETBALL COURT, AND A COMMUNITY SWIM TEAM OPEN TO YOUTH BEYOND HIGH SCHOOL. SURPLUS FUNDS ARE USED TO PROVIDE FOR THE ADDITION, IMPROVEMENT, OR REPLACEMENT OF CAPITAL AND EQUIPMENT NEEDS. THE BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY VOLUNTEERS. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS, OFFERS FINANCIAL ASSISTANCE FOR MEDICAL CARE TO ELIGIBLE INDIVIDUALS AND IT HAS AN OPEN MEDICAL STAFF. SCHEDULE H, PART VI, LINE 6 UNION GENERAL HOSPITAL IS A 45-BED NOT FOR PROFIT HOSPITAL THAT IS TAX- EXEMPT AS AN ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3). THE HOSPITAL IS LOCATED IN BLAIRSVILLE, GEORGIA. IT SERVES UNION COUNTY, GEORGIA AND COME OF THE MOST REMOTE AREAS IN NORTH GEORGIA. CHATUGE REGIONAL HOSPITAL, AN AFFILIATED FACILITY OF UNION GENERAL, IS LOCATED IN THE BEAUTIFUL NORTH GEORGIA MOUNTAINS ON HIGHWAY 76 NORTH IN TOWNS COUNTY, GEORGIA. IT IS A CRITICAL ACCESS HOSPITALA THAT HAS A STATE OF THE ART EMERGENCY CENTER WITH HELICOPTER SERVICE TO MAJOR TRAUMA AND HEART FACILITIES, IF NECESSARY. CHATUGE ALSO OPERATES A NURSING HOME LICENSED FOR 112-BEDS. UNION GENERAL AMBULANCE SERVICE, INC. IS A TAX-EXEMPT AFFILIATE OF UNION GENERAL THAT PROVIDES EMERGENCY TRANSPORTATION SERVICES FOR THE BENEFIT OF UNION COUNTY RESIDENTS AS WELL AS RESIDENTS OF THE SURROUNDING COUNTIES. SCHEDULE H, PART VI, LINE 7 GEORGIA X X X X false false false false false false false false false JACOB STIRTON PHYSICIAN 749250 700195 29472 9150 18464 1506531 BRENT DAVIS MD PHYSICIAN 470511 253333 9150 21839 754833 RONALD A MACBETH MD PHYSICIAN 595319 34548 12200 22601 664668 KIMBERLY DENTON MD PHYSICIAN 323032 184898 9150 21971 539051 ZIYAD MUGHARBIL MD PHYSICIAN 350542 139588 12200 20224 522554 KEVIN L BIERSCHENK CEO 395629 62987 15125 9150 14029 496920 MICHAEL GAY COO 217823 33418 12853 10879 16161 291134 JULIA BARNETT CNO 216567 33418 9535 10746 19592 289858 NICHOLAS TOWNSEND CFO 220945 33418 8997 10724 14029 288113 LINDSEY TOWNSEND FAM. - CFO 42428 HOSPITAL EMPLOYEE false MEAGAN B EVERETT FAM - CNO 63674 HOSPITAL EMPLOYEE false KRISTAL D KELLEY FAM - FMR. CEO 42550 HOSPITAL EMPLOYEE false SCHEDULE L, PART V LINDSEY TOWNSEND IS THE WIFE OF THE ORGANIZATION'S CFO. SHE IS PAID A FAIR MARKET SALARY FOR HER SERVICES. MEAGAN EVERETT IS RELATED TO THE ORGANIZATION'S CNO. SHE IS PAID A FAIR MARKET SALARY FOR HER SERVICES. KRISTAL KELLEY IS RELATED TO THE FORMER CEO. SHE IS PAID A FAIR MARKET SALARY FOR HER SERVICES. FORM 990, PAGE 2, PART III, LINE 4A UNION GENERAL HOSPITAL (UGH) IS A 501(C)(3) HEALTHCARE ORGANIZATION THAT TAKES A PROACTIVE APPROACH DESIGNED TO MEET COMMUNITY HEALTH NEEDS AND MEET ITS TAX-EXEMPT REQUIREMENTS. THE ORGANIZATION IS COMMITTED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE AND PROMOTING WELLNESS IN THE COMMUNITY THROUGH ITS MISSION STATEMENT AND POLICIES SUPPORTING SAME. THE VISION IS TO BE THE "FIRST CHOICE" PROVIDER OF COMPREHENSIVE MEDICAL SERVICES IN THE AREA. WE VALUE OUR PATIENTS AND BELIEVE THEY ARE OUR MOST IMPORTANT RESPONSIBILITY. WE SHALL ALWAYS SEEK TO MEET THE PHYSICAL, EMOTIONAL, EDUCATIONAL, AND SPIRITUAL NEEDS OF OUR PATIENTS AND THEIR FAMILIES. WE VALUE OUR MEDICAL STAFF AND WILL SEEK WAYS TO HELP THEM IMPROVE PROFESSIONALLY AND FACILITATE THE PRACTICE OF MEDICINE. WE VALUE OUR EMPLOYEES AND SHALL TREAT EACH OTHER WITH COURTESY, FAIRNESS, RESPECT, AND INTEGRITY. WE SHALL WORK AS A TEAM TO DO OUR BEST TO PROMOTE OUR MISSION AND FULFILL OUR VISION. WE VALUE OUR COMMUNITY AND ARE COMMITTED TO THE TREATMENT AND CARE OF OUR PATIENTS AND PROMOTION OF WELLNESS IN OUR COMMUNITY. WE WILL CONFRONT ALL ETHICAL AND MORAL HEALTH-RELATED ISSUES NECESSARY TO ENHANCE THE QUALITY OF LIFE IN OUR COMMUNITY. UGH IS THE ONLY ACUTE CARE HOSPITAL IN UNION COUNTY, GEORGIA. UGH IS LICENSED FOR 45 ACUTE AND INTENSIVE CARE MEDICAL/SURGICAL BEDS FOR SHORT- TERM INPATIENT CARE. THE BEDS ALSO QUALIFY FOR "SWING BED" STATUS FOR SHORT-TERM SKILLED NURSING CARE. OUTPATIENT SERVICES INCLUDE RADIOLOGY, LABORATORY AND OTHER DIAGNOSTIC SERVICES, SURGICAL AND REHABILITATION SERVICES, AND 24/7 EMERGENCY MEDICAL SERVICES. UGH (ALONG WITH UNION GENERAL AMBULANCE SERVICE, INC., A CONTROLLED TAX-EXEMPT ENTITY) ALSO OPERATES THE COUNTY AMBULANCE SERVICE, ONE OF THE VERY FEW HOSPITALS DOING SO IN GEORGIA. THIS INCLUDES THE WAGES AND BENEFITS FOR ITS EMERGENCY MEDICAL TECHNICIANS AND PARAMEDICS, MEDICAL AND OTHER SUPPLIES, ACQUISITION AND MAINTENANCE FOR EMERGENCY TRANSPORT VEHICLES, AND FACILITIES FOR BASE OPERATIONS. DUE TO THE MOUNTAINOUS AREA, THE TWISTING MOUNTAIN ROADS ATTRACT BICYCLISTS AND MOTORCYCLISTS THROUGHOUT THE SPRING, SUMMER AND FALL SEASONS. THESE ACTIVITIES SOMETIMES RESULT IN MEDICAL EMERGENCIES, SOME VERY SERIOUS, TO WHICH THE EMERGENCY MEDICAL SERVICES OF UGH MUST RESPOND. UGH PROVIDES NON-EMERGENCY TRANSPORT UNDER CONTRACT WITH THE STATE OF GEORGIA TO COMMUNITY RESIDENTS WHO ARE WITHOUT TRANSPORTATION TO ROUTINE SCHEDULED DOCTOR AND OTHER MEDICAL APPOINTMENTS. UGH PROVIDES ITS HELIPAD TO SUPPORT AIR AMBULANCE SERVICES. THE UNION COUNTY NURSING HOME (UCNH) IS THE ONLY NURSING FACILITY IN THE COUNTY PROVIDING SKILLED AND INTERMEDIATE LEVELS OF LONG-TERM CARE. UCNH IS LICENSED FOR 150 BEDS AND CONSISTENTLY HAS A WAITING LIST FOR ADMISSIONS. A MAJORITY OF THE RESIDENTS OF UCNH ARE MEDICARE AND MEDICAID BENEFICIARIES. THE ORGANIZATION PROMOTES WELLNESS IN THE COMMUNITY BY SPONSORING HEALTH FAIRS, DIABETES AWARENESS CLINICS, AN AFFORDABLE FITNESS CENTER, AND EDUCATIONAL AND TESTING OPPORTUNITIES FOR THE GENERAL PUBLIC. THE ORGANIZATION PROVIDES FOR HOUSING FOR PATIENT'S FAMILIES WHEN PATIENTS ARE HOSPITALIZED FOR AN EXTENDED PERIOD OF TIME THROUGH ITS GLENDA GOOCH HOUSE. FORM 990, PART V, LINE 4B CAYMAN ISLANDS FORM 990, PART VI THE BOARD OF DIRECTORS, CEO, AND CFO SERVE IN A SIMILAR CAPACITY FOR UNION GENERAL HOSPITAL, CHATUGE REGIONAL HOSPITAL AND UNION GENERAL AMBULANCE SERVICE. FORM 990, PAGE 6, PART VI, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE CFO REVIEWED THE RETURN IN DETAIL AND PROVIDED A COPY OF THE COMPLETED FORM 990 TO EACH BOARD MEMBER PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C OFFICERS AND DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY THAT REQUIRES DISCLOSURE OF ANY POTENTIAL RELATIONSHIP CONFLICTS. ANY CONFLICTS ARE REPORTED TO THE CHAIRMAN OF THE BOARD AND/OR DISINTERESTED PERSON OR COMMITTEE. THE INDIVIDUAL MEMBER WITH THE CONFLICT RECUSES HIMSELF FROM THE DISCUSSIONS AND VOTES ON THE ISSUE. FORM 990, PAGE 6, PART VI, LINE 15A THE ORGANIZATION USES THE GEORGIA HOSPITAL ASSOCIATION COMPENSATION STUDY AS A BENCHMARK FOR ALL EXECUTIVE COMPENSATION. THE BOARD APPROVES THE CEO'S COMPENSATION. ALL OTHER EXECUTIVE COMPENSATION IS MANAGED BY THE CEO. FORM 990, PAGE 6, PART VI, LINE 15B SEE THE RESPONSE TO QUESTION 15A ABOVE. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 GAIN ON INVESTMENT IN AFFILIATES 3,363,958 UNION GENERAL AFFILIATED SERVICES L 35 HOSPITAL ROAD UNION GENERAL HOSP SOLE MEMBER BLAIRSVILLE GA 30512 824280365 CLINICS GA -3100249 1320453 UGH NORTH CAROLINA AFFILIATED SERVICES 35 HOSPITAL ROAD UNION GENERAL HOSP SOLE MEMBER BLAIRSVILLE GA 30512 832851214 CLINICS GA 1845 UGH UNION COUNTY DIALYSIS LLC 35 HOSPITAL ROAD UNION GENERAL HOSP SOLE MEMBER BLAIRSVILLE GA 30512 582503326 DIALYSIS GA -31582 702691 UGH CHATUGE REGIONAL HOSPITAL INC 110 SOUTH MAIN STREET HIAWASSEE GA 30546 582513901 HOSPITAL GA 501C3 3 UGH UNION GENERAL HOSPITAL INC true MOUNTAIN COMMUNITY HEALTHCARE FOUND P O BOX 1937 BLAIRSVILLE GA 305141937 201376498 FUNDRAISIN GA 501C3 12C NA false UNION GENERAL AMBULANCE SERVICE IN 35 HOSPITAL ROAD BLAIRSVILLE GA 30512 452735005 AMBULANCE GA 501C3 10 UGH UNION GENERAL HOSPITAL INC true UNION GENERAL HEALTH SYSTEM SEGR P PORTFOLIO SPC PO BOX 1159 878 WEST BAY RD CARIBBEAN PLAZA 2ND FL N BLDG GRAND CAYMAN GRAND CAYMAN CJ KY1-1102 SELF-INSUR CJ UGH C CORP -213958 6373122 false true false false true false false false false false true false true false true true false true false false UNION GENERAL AMBULANCE SERVICE INC D 4831053 BOOK VALUE UNION GENERAL AMBULANCE SERVICE INC J 144000 BOOK VALUE UNION GENERAL AMBULANCE SERVICE INC L 120000 BOOK VALUE UNION GENERAL AMBULANCE INC Q VALUE NOT DETERMINED UNION GENERAL AMBULANCE N VALUE NOT DETERMINED CHATUGE REGIONAL HOSPITAL INC D 3529683 BOOK VALUE CHATUGE REGIONAL HOSPITAL INC B 5521375 BOOK VALUE CHATUGE REGIONAL HOSPITAL INC Q VALUE NOT DETERMINED CHATUGE REGIONAL HOSPITAL INC N VALUE NOT DETERMINED UNION GENERAL HEALTH SYSTEM SEGR P D 4534729 BOOK VALUE UNION GENERAL HEALTH SYSTEM SEGR P E 754024 BOOK VALUE SCHEDULE R RENT IS RECEIVED FROM A CONTROLLED TAX-EXEMPT AFFILIATE, UNION GENERAL AMBULANCE SERVICE, INC. THIS RENTAL ACTIVITY RELATES TO OFFICE SPACE USED FOR THE PROVISION OF AMBULANCE SERVICES TO THE COMMUNITY WHICH IS A TAX-EXEMPT ACTIVITY.