2019-05-09T09:32:27-05:00 2018-06-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2017-07-01 474393589 EFFINGHAM HOSPITAL INC EFFI 9127540142 459 HWY 119 S SPRINGFIELD GA 313293021 FRAN BAKER-WITT CEO 9127540142 2019-05-08 true JACQUELINE G ATKINS P00861721 2298837878 2019-05-09 208.73.87.26 2019-05-09 09:32:27 CD P 3DB754BF4A86932C7270BAD44D636E9B352C5FAB 3DB754BF4A86932C7270BAD44D636E9B352C5FAB 2017 2019-02-21 02:37:17Z EFFINGHAM HEALTH SYSTEM FRAN BAKER-WITT 459 HWY 119 S SPRINGFIELD GA 313293021 48842993 false X EFFINGHAMHEALTH.ORG X 2009 GA TO PROVIDE EVERY PATIENT AN EXPERIENCE OF COMPASSION, QUALITY CARE, AND SERVICE EXCELLENCE AT ITS HIGHEST LEVEL OF CUSTOMER EXPECTATION. 7 7 562 45 0 2407948 4614291 28564786 43154962 391159 513345 374159 560395 31738052 48842993 29544 0 14786147 24687219 0 0 14839785 30465339 29625932 55182102 2112120 -6339109 57644567 53821752 32024279 35949941 25620288 17871811 TO PROVIDE EVERY PATIENT AN EXPERIENCE OF COMPASSION, QUALITY CARE, AND SERVICE EXCELLENCE AT ITS HIGHEST LEVEL OF CUSTOMER EXPECTATION. false false 38883923 29544 43715357 EFFINGHAM HOSPITAL, INC. (EH) PROVIDES WELLNESS CARE, HEALTH EDUCATION, PREVENTATIVE SCREENINGS, AND COMPREHENSIVE OUT AND INPATIENT MEDICAL SERVICES. 38883923 true true false true false false false false false true true false false false true true true false false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false true 71 0 562 true false false false false false false false false false false X 7 7 false true false false false true true true true false false true true true true true true true false false GA X AL ALLRED 9127540392 459 HWY 119 S SPRINGFIELD GA 313293021 PATRICIA ANN YARBROUGH CHAIRMAN 1.00 1.00 X X 0 0 0 BARRY FLONNORY VICE CHAIR 1.00 1.00 X X 0 0 0 LAMEISHA KELLY SECRETARY 1.00 1.00 X X 0 0 0 JASON RIPLEY DIRECTOR 1.00 1.00 X 0 0 0 HOYT MOSE MOCK DIRECTOR 1.00 1.00 X 0 0 0 DEBORAH LANIER SCOTT DIRECTOR 1.00 1.00 X 0 0 0 STEPHANIE WEITMAN DIRECTOR 1.00 1.00 X 0 0 0 RICHARD RAFTER PAST DIRECTO 1.00 X 0 0 0 FRAN BAKER-WITT CEO 40.00 X 401724 0 0 AL ALLRED CFO (BEGAN 7 40.00 X 122171 0 0 MIKE SCRIBNER CFO (TERM 6/ 40.00 X 0 0 0 JOHN BENNETT MD CHIEF MEDICA 40.00 X 461801 0 17566 CLAUDE SANKS III MD HOSPITALIST 40.00 X 395167 0 15165 STEPHANIE REESE MD PHYSICIAN 40.00 X 269821 0 7768 MICHAEL DALY NURSE PRACTI 40.00 X 162999 0 18965 MARK MUDANO MD ORTHO SURGEO 40.00 X 141016 0 3138 NORMA MORGAN FORMER CEO X 310558 0 1033 2265257 63635 21 true true true MORRISON HEALTHCARE P O BOX 102289 ATLANTA GA 30368 FOOD SVC 1367662 JACK CARTER CONSTRUCTION PO BOX 2449 RINCON GA 313262449 CONSTRUCTION 806756 ENDURACARE ACUTE CARE SVC P O BOX 654072 DALLAS TX 75265 THERAPY SVCS 733972 CHATHAM ORTHOPAEDIC ASSOCIATES 4425 PAULSEN ST SAVANNAH GA 31405 ORTHOPAEDISTS 642915 GA EMERGENCY PHYSICIAN SPECIALIST PO BOX 13428 SAVANNAH GA 314160428 ER PHYSICIANS 608419 15 3745384 868907 4614291 NET PROGRAM SERVICE REVENUE 621990 43154962 43154962 43154962 513345 513345 MISCELLANEOUS 621990 423774 423774 DRUG SALES 621990 95895 95895 REBATES & DISCOUNTS 621990 40726 40726 560395 48842993 43715357 513345 X 29544 29544 825899 825899 19239236 15595717 3643519 396134 307915 88219 2763238 2147865 615373 1462712 1136966 325746 361852 361852 198122 198122 9665863 6766685 2899178 487463 487463 2106610 1581440 525170 22325 22325 2397962 1966569 431393 259744 200937 58807 99636 45426 54210 2921096 2395591 525505 211274 22477 188797 MEDICAL SUPPLIES 4992260 4872123 120137 REGULATORY SETTLEMENT 4100000 4100000 REPAIRS & MAINTENANCE 1450472 1124712 325760 TAXES & LICENSES 752515 634186 118329 438145 55770 382375 55182102 38883923 16298179 0 323378 476507 8061243 5434228 5145952 5701078 348284 1188203 99210 219891 56707421 29150030 27098230 27557391 15515288 11115710 1052982 2128744 57644567 53821752 3696361 7515988 27758949 28217421 568969 216532 32024279 35949941 X 22874543 14637333 2745745 3234478 25620288 17871811 57644567 53821752 -6339109 -361187 -1048181 X false true X true true true X false false false false false false false false true 4166 4166 false SCHEDULE C, PART II-B, LINE 1 THE ORGANIZATION PAYS MEMBERSHIP DUES TO NATIONAL AND STATE ORGANIZATIONS. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THOSE ORGANIZATIONS PARTICIPATE. 2745745 489376 1 644 3234478 2745743 2 2745745 1.00000 false false 619242 619242 27510006 10756863 16753143 2890114 839665 2050449 25005363 17553502 7451861 682696 682696 27557391 THIRD PARTY SETTLEMENTS 216532 216532 X 47366965 -361187 -1114841 -1476028 48842993 48842993 54067261 54067261 1114841 1114841 55182102 SCHEDULE D, PAGE 2, PART V, LINE 4 ENDOWMENT FUNDS MUST BE USED FOR A PARTICULAR PURPOSE, AS SPECIFIED BY CREDITORS, GRANTORS, OR CONTRIBUTORS EXTERNAL TO THE HOSPITAL AND INCLUDE AMOUNTS DEPOSITED WITH TRUSTEES AS REQUIRED BY REVENUE BOND INDENTURES. SCHEDULE D, PAGE 3, PART X THE AUTHORITY IS A GOVERNMENTAL ENTITY AND IS EXEMPT FROM INCOME TAXES. EFFINGHAM HOSPITAL, INC. IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL 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 HOSPITAL 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 MANAGEMENTS 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 JUNE 30, 2018 AND 2017 OR FOR THE YEARS THEN ENDED. THE HOSPITALS 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. SCHEDULE D, PAGE 4, PART XI, LINE 2D INTEREST EXPENSE -1,114,841 SCHEDULE D, PAGE 4, PART XII, LINE 4B INTEREST EXPENSE 1,114,841 true true X true X 1.330000000000 false true true false false 3622694 3622694 0.06560 4841488 4281256 560232 0.01020 141824 57813 84011 0.00150 8606006 4339069 4266937 0.07730 57610 57610 0.00100 29544 29544 0.00050 87154 87154 0.00160 8693160 4339069 4354091 0.07890 true 3062976 9175180 9158581 16599 X true true 1 1 EFFINGHAM HOSPITAL INC 459 HWY 119 S SPRINGFIELD GA 313293021 EFFINGHAMHEALTH.ORG 051-236 X X X X SNF, SWB, RHC EFFINGHAM HOSPITAL INC 1 false true false false true X 133.000000000000 true true X X X true X EFFINGHAMHEALTH.ORG X EFFINGHAMHEALTH.ORG X EFFINGHAMHEALTH.ORG X X X true X false X X true X false false FACILITY 1, EFFINGHAM HOSPITAL, INC. - PART V, LINE 2 IN DECEMBER 2015, EFFINGHAM HOSPITAL, INC. (EHI)FILED FOR AND RECEIVED TAX EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ON NOVEMBER 1, 2016, PURSUANT TO A LEASE AND TRANSFER AGREEMENT, THE AUTHORITY IMPLEMENTED A REORGANIZATION PLAN TO LEASE ITS FACILITIES AND TRANSFER ITS OPERATING ASSETS, AS DEFINED IN THE AGREEMENT, TO EHI, A NONPROFIT CORPORATION. 6 EFFINGHAM EXTENDED CARE FACILITY 459 HIGHWAY 119 SOUTH SPRINGFIELD GA 313290386 SKILLED NURSING FACILITY EFM AT TWENTY ONE 459 HIGHWAY 119 SOUTH SPRINGFIELD GA 313290386 RURAL HEALTH CLINIC EFM AT GOSHEN 459 HIGHWAY 119 SOUTH SPRINGFIELD GA 313290386 RURAL HEALTH CLINIC EFM AT GUYTON 459 HIGHWAY 119 SOUTH SPRINGFIELD GA 313290386 RURAL HEALTH CLINIC EFM AT RINCON 459 HIGHWAY 119 SOUTH SPRINGFIELD GA 313290386 RURAL HEALTH CLINIC EFFINGHAM HOSPITAL SWING BEDS 459 HIGHWAY 119 SOUTH SPRINGFIELD GA 313290386 SWING BED SNF PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION COSTS FOR PART I, LINE 7A AND 7B WERE CALCULATED USING THE RCC FROM WORKSHEET 2 IN THE IRS INSTRUCTIONS FOR SCHEDULE H. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS SEE PAGE 15 OF THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE. PART III, LINE 8 - MEDICARE EXPLANATION 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. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR FINANCIAL AID OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS. PART VI, LINE 2 - NEEDS ASSESSMENT WITH THE START OF BUSINESS OF EFFINGHAM HOSPITAL, INC. ON NOVEMBER 1, 2016, THE STRATEGIC PLANNING PROCESS OF THE BOARD OF DIRECTORS HAS EARMARKED FUNDS AND RESOURCES TO THE DEVELOPMENT OF THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT TO BE COMPLETED IN JUNE 2019. PRIOR TO THIS PERIOD, THE EFFINGHAM COUNTY HOSPITAL AUTHORITY PARTICIPATED IN THE COMMUNITY HEALTH ASSESSMENT FOR EFFINGHAM COUNTY, WITH THE RESULTS REPORT DATED SEPTEMBER, 2016. ACCORDING TO THE REPORT, CANCER WAS THE NUMBER ONE HEALTH PROBLEM IN EFFINGHAM COUNTY. IN MAY 2017, EFFINGHAM HEALTH SYSTEM, IN COLLABORATION WITH A LOCAL GROUP OF PHYSICIANS, OPENED THE SUMMIT CANCER CARE CENTER, AN OUTPATIENT CANCER TREATMENT PROGRAM. THIS PROGRAM HAS MET A SIGNIFICANT COMMUNITY NEED WHILE RENDERING QUALITY CANCER CARE CLOSER TO THE PATIENT'S HOME. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE BOARD HAS CLEARLY WRITTEN INDIGENT AND FINANCIAL AID POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION WEB SITE AND THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND FINANCIAL AID. PATIENT EDUCATION ON THE ORGANIZATION'S INDIGENT AND FINANCIAL AID PROGRAMS ARE CONDUCTED DURING PRE-REGISTRATION, THROUGH FLOOR VISITS BY BUSINESS OFFICE REPRESENTATIVES FOR PATIENTS THAT STRESS CONCERN IN MEETING THE FINANCIAL OBLIGATIONS FOR THEIR SERVICES, THROUGH OUR CUSTOMER SERVICE DEPARTMENT. BROCHURES ARE PROMINENTLY DISPLAYED AT EACH REGISTRATION BOOTH. THE BUSINESS OFFICE CONTINUOUSLY PROVIDES UPDATED MATERIAL TO PHYSICIAN OFFICES FOR ISSUANCE TO THEIR PATIENTS THAT HIGHLIGHT OUR FINANCIAL ASSISTANCE PROGRAM AND POLICIES. PATIENT STATEMENTS HIGHLIGHT THE ORGANIZATION'S CHARITY PROGRAM AND ENCOURAGE PATIENTS TO CALL FOR FINANCIAL ASSISTANCE. PART VI, LINE 4 - COMMUNITY INFORMATION EFFINGHAM COUNTY IS NESTLED BETWEEN THE OGEECHEE AND SAVANNAH RIVERS JUST NORTH OF GEORGIA'S FIRST CITY, SAVANNAH. EFFINGHAM IS STEEPED IN TRADITION AND HERITAGE AS ONE OF GEORGIA'S ORIGINAL COUNTIES, YET WE ARE KEEPING PACE WITH THE MOST MODERN AMENITIES, SOLID PLANNING AND AN EYE ON OUR BRIGHT FUTURE. EFFINGHAM COUNTY BOASTS ONE OF THE FASTEST GROWTH RATES IN THE STATE OF GEORGIA. WITH THE INFLUX OF NEW RESIDENTS WE MAINTAIN OUR HOME TOWN ATMOSPHERE WITH ALL THE CONVENIENCES OF A RURAL SUBURB. AS OF THE 2010 CENSUS, THE POPULATION WAS 52,250. THE SEAT IS SPRINGFIELD. EFFINGHAM COUNTY IS INCLUDED IN THE SAVANNAH METROPOLITAN AREA. OTHER FACTS FROM THE 2010 CENSUS - MEDIAN HOUSEHOLD INCOME IS 62,820; 10.3% OF THE COUNTY POPULATION IS LIVING IN POVERTY; CAUCASIANS MAKE UP 79% OF THE POPULATION, AFRICAN AMERICAN 14%, OTHER RACES MAKE UP THE REMAINING PERCENTAGE; PERSONS AGED 65 YEARS AND OLDER MAKE UP 11.4%. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH THE ORGANIZATION AND ALL ITS VOLUNTEER BOARD ARE COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS. OUR EMERGENCY DEPARTMENT HAS 24/7 PHYSICIAN COVERAGE AND IS OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE REGION. ANY SURPLUS OF FUNDS IS REINVESTED INTO THE OPERATIONS AND CAPITAL BUDGET OF THE ORGANIZATION. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT GEORGIA ADDITIONAL INFORMATION PART V, SECTION B, COMMUNITY HEALTH NEEDS ASSESSMENT, LINE 3 IRS REGULATIONS STATE - NEW HOSPITAL ORGANIZATIONS. AN ORGANIZATION THAT BECOMES NEWLY SUBJECT TO THE REQUIREMENTS OF SECTION 501(R) BECAUSE IT IS RECOGNIZED AS DESCRIBED IN SECTION 501(C)(3) AND IS OPERATING A HOSPITAL FACILITY MUST MEET THE REQUIREMENTS OF SECTION 501(R)(3) WITH RESPECT TO ANY HOSPITAL FACILITY BY THE LAST DAY OF THE SECOND TAXABLE YEAR BEGINNING AFTER THE LATER OF THE EFFECTIVE DATE OF THE DETERMINATION LETTER OR RULING RECOGNIZING THE ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OR THE FIRST DATE THAT A FACILITY OPERATED BY THE ORGANIZATION WAS LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY A STATE AS A HOSPITAL. EFFINGHAM WAS NOT OPERATING THE HOSPITAL FACILITY UNTIL NOVEMBER 1, 2016 WHEN EMPLOYEES WERE TRANSFERRED TO THE NEW ENTITY. WITH THEIR FIRST OPERATIONS AS THE NEWLY RECOGNIZED ENTITY BEING IN FYE JUNE 30, 2017, THE FIRST CHNA WILL BE DUE BY JUNE 30, 2019. true MARCH OF DIMES FOUNDATION 1275 MAMARONECK AVENUE WHITE PLAINS NY 10605 131846366 501C3 29544 GENERAL SUPPORT 1 SCHEDULE I, PAGE 1, PART I, LINE 2 EFFINGHAM HEALTH SYSTEM'S CEO, FRAN BAKER-WITT, IS A BOARD MEMBER AND CO- CHAIRMAN OF THE MARCH OF DIMES, COASTAL EMPIRE CHAPTER. WITH HER POSITION ON MOD'S BOARD, THE ORGANIZATION IS ABLE TO MONITOR THE USE OF THE FUNDS FOR THEIR INTENDED PURPOSES. true false false false false false false false false FRAN BAKER-WITT CEO 341124 51000 9600 401724 MIKE SCRIBNER CFO (TERM 6/2018) JOHN BENNETT MD CHIEF MEDICAL OFFCR 461551 250 17566 479367 CLAUDE SANKS III MD HOSPITALIST 372667 22500 15165 410332 STEPHANIE REESE MD PHYSICIAN 249821 20000 7768 277589 MICHAEL DALY NURSE PRACTITIONER 122749 40250 3333 15632 181964 NORMA MORGAN FORMER CEO 310558 1033 311591 SCHEDULE J, PAGE 1, PART I, LINE 4 NORMA MORGAN 310,558 0 0 SCHEDULE J, PART III COMPENSATION FROM UNRELATED ORGANIZATION MIKE SCRIBNER, THE ACTING CFO FOR THE FILING ORGANIZATION, IS AN EMPLOYEE OF STRATEGIC HEALTHCARE PARTNERS (SHP). IN CALENDAR YEAR 2017, EH COMPENSATED SHP 302,004 FOR THEIR SERVICES WHICH INCLUDE FINANCIAL SUPPORT, MEDICAL STAFFING AND CFO CONSULTING SERVICES PROVIDED BY MIKE SCRIBNER. MIKE CONTINUES TO PROVIDE CONSULTING SERVICES, ALTHOUGH HIS SERVICES AS A CFO WERE NO LONGER REQUIRED AFTER JUNE 30, 2018. FORM 990 ON NOVEMBER 1, 2016, PURSUANT TO A LEASE AND TRANSFER AGREEMENT, THE AUTHORITY IMPLEMENTED A REORGANIZATION PLAN TO LEASE ITS FACILITIES AND TRANSFER ITS OPERATING ASSETS, AS DEFINED IN THE AGREEMENT, TO EFFINGHAM HOSPITAL, INC., A NONPROFIT CORPORATION. EFFINGHAM HOSPITAL, INC. SHARES THE SAME BOARD OF DIRECTORS AS THE AUTHORITY. EFFINGHAM HOSPITAL INC. (EH) APPLIED FOR AND WAS GRANTED 501(C)(3) STATUS EFFECTIVE DECEMBER 2015. FOR FYE 6/30/16, EH FILED A FORM 990-N, THE ELECTRONIC POSTCARD, SINCE OPERATIONS BEGAN FOR THE NEWLY FORMED ORGANIZATION WITHIN FYE 6/30/17. FORM 990, PAGE 6, PART VI, LINE 3 THE CFO, MIKE SCRIBNER, IS PROVIDED BY AND COMPENSATED BY STRATEGIC HEALTHCARE PARTNERS (SHP), AN UNRELATED ORGANIZATION. HIS SERVICES TO THE ORGANIZATION ARE THAT OF CHIEF FINANCIAL OFFICER WITH ALL THE RESPONSIBILITIES OF ONE IN THAT POSITION FOR LIKE ORGANIZATIONS WITHIN THE INDUSTRY. THE FILING ORGANIZATION COMPENSATED SHP 302,004 IN THE CALENDAR YEAR 2017 FOR MIKE SCRIBNER'S SERVICES. FORM 990, PAGE 6, PART VI, LINE 7A THE MEMBERS OF THE BOARD OF DIRECTORS OF THE HOSPITAL SHALL AT ALL TIMES BE THE MEMBERS OF THE HOSPITAL AUTHORITY OF EFFINGHAM COUNTY (AUTHORITY) BOARD AND TERMS OF THE OFFICE OF THE MEMBERS OF THE BOARD OF DIRECTORS SHALL BE COTERMINOUS WITH THE TERMS OF OFFICE OF THE AUTHORITY BOARD MEMBERS. AUTHORITY BOARD OF DIRECTORS ARE APPOINTED/NOMINATED BY THE BOARD OF COMMISSIONERS OF EFFINGHAM COUNTY, GEORGIA (COUNTY). FORM 990, PAGE 6, PART VI, LINE 7B THE BOARD IS APPOINTED/NOMINATED BY THE BOARD OF COUNTY COMMISSIONERS OF EFFINGHAM COUNTY, GEORGIA. DEBT THAT WILL BE GUARANTEED BY THE COUNTY CANNOT BE ISSUED WITHOUT THE COUNTY'S APPROVAL. FORM 990, PAGE 6, PART VI, LINE 11B THE ORGANIZATION'S CEO, AND CFO REVIEW THE FORM 990 FOR FINANCIAL AND DISCLOSURE ACCURACY. PRIOR TO ITS FILING, A COPY OF THE ORGANIZATION'S 990 RETURN IS DISTRIBUTED TO CURRENT VOTING BOARD MEMBERS DURING A SPECIAL CALLED MEETING. FORM 990, PAGE 6, PART VI, LINE 12C THE CORPORATION EXPECTS AND DEMANDS ETHICAL CONDUCT AND COMPLIANCE WITH ALL LAWS BY ITS EMPLOYEES, OFFICERS, DIRECTORS, AND OTHER AGENTS. EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD- DELEGATED POWERS SHALL ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE TO THE BOARD OR COMMITTEE DESIGNATED BY THE BOARD THE EXISTENCE OF HIS OR HER POTENTIAL CONFLICT. THE INTERESTED PERSON MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OR COMMITTEE WITH BOARD DELEGATED POWERS CONSIDERING OR INVOLVED WITH THE CURRENT OR PROPOSED TRANSACTION, BUSINESS RELATIONSHIP, OR ARRANGEMENT. WHETHER A CONFLICT EXISTS OR DOES NOT EXIST SHALL BE DETERMINED BY A MAJORITY OF THE BOARD'S OR COMMITTEE'S DISINTERESTED MEMBERS. IF THE BOARD OR COMMITTEE DECIDES THAT A CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT CAUSED THE CONFLICT OF INTEREST. FORM 990, PAGE 6, PART VI, LINE 15A CEO COMPENSATION WAS DETERMINED VIA A THIRD PARTY REVIEW INITIATED BY THE BOARD OF DIRECTORS AND LEGAL COUNSEL. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC WHEN THE REQUEST IS MADE AT THE ADMINISTRATIVE OFFICE OF THE FILING CORPORATION. FORM 990, PART IX, LINE 11G CONTRACT LABOR 250,590 0 0 PROFESSIONAL FEES 1,443,734 44,866 0 PURCHASED SERVICES 5,031,239 2,668,169 0 CONSULTING SERVICES 41,122 186,143 0 TOTAL 6,766,685 2,899,178 0 EFFINGHAM COUNTY HOSPITAL AUTHORITY 459 HIGHWAY 119 SOUTH SPRINGFIELD GA 31329 581036643 AUTHORITY GA 501C3 6 N/A false false false false false true false false false false false false false false true true false false false false