SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY (EIN 32-0090450)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-04-26
IRS object ID: 201801169349301260
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-04-26T14:08:44-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	560747981	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DIXON HUGHES GOODMAN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 RIDGEFIELD COURT	AddressLine1Txt
City	ASHEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	320090450	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY	BusinessNameLine1Txt
Business Name Line2	CARE INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	SOUT	BusinessNameControlTxt
Phone	7708977600	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11 UPPER RIVERDALE ROAD	AddressLine1Txt
City	RIVERDALE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30274	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BENNY WHITMORE	PersonNm
Person Title	VICE CHAIRMAN	PersonTitleTxt
Phone	7708977600	PhoneNum
Signature	2018-04-26	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amy Bibby	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum
Preparation	2018-04-09	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	12.25.12.224	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-04-26	IPDt
IP Tm	14:04:01	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	ADBFC64F84809A3D359AE279AE52D225AAF16287	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	BENNY WHITMORE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11 UPPER RIVERDALE ROAD	AddressLine1Txt
City	RIVERDALE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30274	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$8,004,014	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2002	FormationYr
Legal Domicile State	GA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HIGH-QUALITY, LONG-TERM ACUTE CARE TO THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	126	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$7,999,381	PYProgramServiceRevenueAmt
CY Program Service Revenue	$7,988,651	CYProgramServiceRevenueAmt
PY Investment Income	$400	PYInvestmentIncomeAmt
CY Investment Income	$13,985	CYInvestmentIncomeAmt
PY Other Revenue	$6,051	PYOtherRevenueAmt
CY Other Revenue	$1,378	CYOtherRevenueAmt
PY Total Revenue	$8,005,832	PYTotalRevenueAmt
CY Total Revenue	$8,004,014	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,798	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,145	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$4,312,729	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$4,256,815	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$4,742,792	PYOtherExpensesAmt
CY Other Expenses	$4,147,257	CYOtherExpensesAmt
PY Total Expenses	$9,061,319	PYTotalExpensesAmt
CY Total Expenses	$8,417,217	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,055,487	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$413,203	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,725,785	TotalAssetsBOYAmt
Total Assets EOY	$3,514,511	TotalAssetsEOYAmt
Total Liabilities BOY	$1,709,571	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,911,500	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,016,214	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,603,011	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE IS TO PROVIDE HIGH-QUALITY, LONG-TERM ACUTE CARE TO THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$7,194,657	ExpenseAmt
Grant	$13,145	GrantAmt
Revenue	$7,988,651	RevenueAmt
Desc	THE GOSPEL VALUES UNDERLYING THE MISSION STATEMENT CHALLENGES SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE TO MAKE CHOICES WHICH RESPOND TO THE PATIENT'S NEEDS IN PROVIDING THE NECESSARY SETTING FOR THE APPROPRIATE CONTINUUM OF CARE. SPECIAL CONSIDERATION IS GIVEN TO THOSE WHO ARE ECONOMICALLY DISADVANTAGED AND UNDERSERVED. THE HOSPITAL CARES FOR PATIENTS WHO ARE MEDICALLY COMPLEX AND MAY REQUIRE DAILY MONITORING; VENTILATOR DEPENDENT PATIENTS, OXYGEN DEPENDENT PATIENTS NEEDING RESPIRATORY REHABILITATION, PATIENTS WITH SLOW HEALING WOUNDS, PATIENTS BENEFITING FROM PHYSICAL, OCCUPATIONAL OR SPEECH THERAPY, AND FOR PATIENTS REQUIRING PALLIATIVE AND END OF LIFE CARE. THE MEDICAL AND THERAPEUTIC NEEDS OF THE PATIENTS ARE MET USING AN INTERDISCIPLINARY, HOLISTIC TEAM APPROACH INCORPORATING MEDICAL MANAGEMENT, PHYSICAL, RESPIRATORY, OCCUPATIONAL AND SPEECH THERAPIES IN AN EFFORT TO RESTORE INDIVIDUAL QUALITY OF LIFE TO AS HIGH A DEGREE AS POSSIBLE AND TO PROMOTE SELF-HELP AND INDEPENDENCE TO THE EXTENT FEASIBLE. THE SPIRITUAL NEEDS OF THE PATIENTS, FAMILIES AND SIGNIFICANT OTHERS ARE PROVIDED FOR AS WELL. THE GROWTH AND DEVELOPMENT OF SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE IS DETERMINED BY THE HEALTH CARE NEEDS OF THE COMMUNITIES THAT IT SERVES, AVAILABLE RESOURCES, AND THE INTERRELATIONSHIP OF THOSE SERVING AND THOSE BEING SERVED. RESPONSIBLE STEWARDSHIP MANDATES THAT SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE SEARCH OUT NEW, EFFECTIVE MEANS TO DELIVER QUALITY HEALTH CARE AND TO PROMOTE WHOLENESS IN THE HUMAN PERSON FOR THOSE WHO REQUIRE THIS LONG-TERM ACUTE CONTINUUM OF CARE.THE VISION OF SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE IS TO PROVIDE HEALTH CARE THAT IS SPIRITUALLY ROOTED, FULLY INTEGRATED IN THE CONTINUUM OF CARE, SUPPORTIVE OF HEALTHIER COMMUNITIES, INNOVATIVE AND INTERDISCIPLINARY IN A HOLISTIC APPROACH TO CARE, AND COMPASSIONATE IN RESPONSE TO THE NEEDS OF PATIENTS IN THEIR LIFE JOURNEY. SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE'S APPROACH TO STRENGTHEN CURRENT MINISTRIES; TO IMPLEMENT INNOVATIVE APPROACHES TO CARING FOR THE WHOLE PERSON; TO INCREASE ACCESS TO HEALTH CARE FOR THE POOR AND UNDERSERVED THROUGH ADVOCACY AND OTHER INITIATIVES; TO MAKE A CONTRIBUTION TO CREATING HEALTHY COMMUNITIES; AND TO CREATE A WORK ENVIRONMENT FILLED WITH HOPE, DIGNITY, AND MUTUAL RESPECT.COMMUNITY BENEFITSIN SUPPORT OF ITS MISSION AND PHILOSOPHY REGARDING SOCIAL ACCOUNTABILITY, SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE PROVIDES CARE TO PATIENTS WHO BEAR A SIGNIFICANT HEALTH-CARE FINANCIAL BURDEN RELATIVE TO THEIR FINANCIAL RESOURCES. SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE CLASSIFIES THE RESOURCES UTILIZED FOR THE CARE OF PATIENTS BEARING A SIGNIFICANT HEALTH CARE FINANCIAL BURDEN AS COMPARED TO THEIR RESOURCES AS CHARITY CARE. CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF THE FINANCIAL BURDEN OF THE HEALTH CARE SERVICES AND/OR WHO ARE UNINSURED OR UNDERINSURED. CHARITY CARE IS PROVIDED WITHOUT CHARGE OR AT A CHARGE THAT IS LESS THAN THE USUAL CHARGE FOR SUCH SERVICES. THE DETERMINATION AS TO THE AMOUNT TO BE CHARGED, IF ANY, IS MADE ACCORDING TO A PATIENT'S ABILITY TO PAY, CONSIDERATION OF THE PATIENT'S ASSETS AND LIABILITIES, AND DETERMINED BY THE ESTABLISHED ELIGIBILITY CRITERIA BASED ON THE MOST CURRENT FEDERAL POVERTY GUIDELINES. A FINANCIALLY INDIGENT PATIENT IS ONE WHO IS UNINSURED OR UNDERINSURED AND WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 200% OF THE FEDERAL POVERTY GUIDELINES. A MEDICALLY INDIGENT PATIENT IS A PERSON WHO'S MEDICAL OR HOSPITAL BILLS AFTER PAYMENT BY THIRD-PARTY PAYERS EXCEEDS 25% OF THEIR ANNUAL GROSS INCOME. NO PATIENT IS REFUSED NECESSARY MEDICAL CARE ON THE BASIS OF THEIR INABILITY TO PAY.IN ADDITION TO UNCOMPENSATED COSTS, SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE SUPPORTS AND PARTICIPATES IN COMMUNITY BENEFIT PROGRAMS DESIGNED TO POSITIVELY IMPACT THE HEALTH STATUS OF THE COMMUNITIES SERVED.REIMBURSED GOVERNMENT SPONSORED PROGRAMSIN ADDITION TO THE PROVISION OF CARE WITHOUT EXPECTATION OF PAYMENT (CHARITY CARE), SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT SPONSORED PROGRAMS, INCLUDING MEDICARE, TRICARE (FORMERLY CHAMPUS WHICH PROVIDES CIVILIAN HEALTH CARE BENEFITS TO MILITARY PERSONNEL, MILITARY RETIREES AND THEIR DEPENDENTS, AND SOME MEMBERS OF THE RESERVE COMPONENT) AND TRICARE FOR LIFE (A MEDICARE SUPPLEMENT INSURANCE PROGRAM AVAILABLE TO INDIVIDUALS WHO HAD BEEN ELIGIBLE FOR TRICARE). AS ALREADY CITED, SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE PROVIDED MEDICAL SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM WHICH, IN FACT, COMPRISED THE LARGEST SINGLE PAYER CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER DISCHARGE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP INTO WHICH THE PATIENT IS CATEGORIZED. NUMBER OF PATIENTS SERVED BY THE HOSPITAL 181NUMBER OF PATIENT DAYS OF CARE PROVIDED BY THE HOSPITAL: 5,487NUMBER OF CHARITY PATIENTS SERVED BY THE HOSPITAL: 2CHARITY CARE COST: $287,806TOTAL PROGRAM SERVICE EXPENSES (GRANTS $5,798) $7,698,924	Desc
Total Program Service Expenses	$7,194,657	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	21	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	126	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIKE MURRAY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4692822299	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	919 HIDDEN RIDGE	AddressLine1Txt
City	IRVING	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75038	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Benny R Whitmore
BOARD CHAIRMAN/PRESIDENT	2.00	Yes (X)	Yes (X)	$4,400	$0	$0
Lisa Eichenberger
VICE CHAIRMAN/SECRETARY	2.00	Yes (X)	Yes (X)	$2,814	$0	$0
Ronald M Dodson
CHAIR AND/OR BOARD DIRECTOR	1.00	Yes (X)	Yes (X)	$3,900	$0	$0
Gary Laggis
BOARD MEMBER	1.00	Yes (X)		$2,700	$0	$0
Magda Gonzalez
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
Abdulfatai O Odemuyiwa MD
BOARD MEMBER	1.00	Yes (X)		$1,900	$0	$0
Richard Graham
CEO	40.00		Yes (X)	$67,909	$0	$0
Mike Murray
CFO	2.00		Yes (X)	$0	$0	$0
Gail Snowden
PHARMACY MANAGER	40.00			$125,691	$0	$0	Yes (X)
Ma Manestel Tobias-Cabanog
CHARGE RN	40.00			$126,086	$0	$0	Yes (X)
Cathy Evans
DIRECTOR OF PATIENT CARE	40.00			$106,815	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$442,215	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PRIME HEALTH CARE FOUNDATION
11 UPPER RIVERDALE ROAD	RIVERDALE	GA	30274	ANCILLIARY HOSPITAL SERVICES	$1,360,367
PRECISE HEALTHCARE SOLUTIONS LLC
5300 MEMORIAL DRIVE SUITE 201C	STONE MOUNTAIN	GA	30083	CONTRACT LABOR	$320,353
FRESENIUS KABI USA LLC
THREE CORPORATE DRIVE	LAKE ZURICH	IL	60047	ANCILLIARY HOSPITAL SERVICES	$165,630

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE	Desc
Business	623000	BusinessCd
Total Revenue Column	$7,988,651	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,988,651	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$7,988,651	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,985	TotalRevenueColumnAmt
Exclusion	$13,985	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	TRANSCRIPTION FEES	Desc
Business	561499	BusinessCd
Total Revenue Column	$1,378	TotalRevenueColumnAmt
Exclusion	$1,378	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,378	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,004,014	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,988,651	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$15,363	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$13,145	TotalAmt
Program Services	$13,145	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$83,623	TotalAmt
Management And General	$83,623	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$3,252,060	TotalAmt
Program Services	$2,973,244	ProgramServicesAmt
Management And General	$278,816	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$676,837	TotalAmt
Program Services	$603,265	ProgramServicesAmt
Management And General	$73,572	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$244,295	TotalAmt
Program Services	$217,740	ProgramServicesAmt
Management And General	$26,555	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$482,666	TotalAmt
Management And General	$482,666	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$40	TotalAmt
Management And General	$40	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,520,346	TotalAmt
Program Services	$1,415,882	ProgramServicesAmt
Management And General	$104,464	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$11,546	TotalAmt
Program Services	$4,546	ProgramServicesAmt
Management And General	$7,000	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$376,299	TotalAmt
Program Services	$332,003	ProgramServicesAmt
Management And General	$44,296	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$501,991	TotalAmt
Program Services	$493,697	ProgramServicesAmt
Management And General	$8,294	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$65,514	TotalAmt
Program Services	$7,720	ProgramServicesAmt
Management And General	$57,794	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$15,426	TotalAmt
Program Services	$3,146	ProgramServicesAmt
Management And General	$12,280	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$110,728	TotalAmt
Program Services	$110,728	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$116,616	TotalAmt
Program Services	$87,462	ProgramServicesAmt
Management And General	$29,154	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$750,268	$750,268
BAD DEBT	$157,617	$157,617
MISCELLANEOUS EXPENSE	$38,200	$24,194	$14,006

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,417,217	TotalAmt
Program Services	$7,194,657	ProgramServicesAmt
Management And General	$1,222,560	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,990,613	BOYAmt
EOY	$1,792,040	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,178,447	BOYAmt
EOY	$1,291,688	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$84,639	BOYAmt
EOY	$80,193	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$74,466	BOYAmt
EOY	$63,697	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,931,698	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,644,805	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$397,620	BOYAmt
EOY	$286,893	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,725,785	BOYAmt
EOY	$3,514,511	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$648,706	BOYAmt
EOY	$415,735	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,060,865	BOYAmt
EOY	$1,495,765	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,709,571	BOYAmt
EOY	$1,911,500	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,016,214	BOYAmt
EOY	$1,603,011	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,016,214	BOYAmt
EOY	$1,603,011	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,725,785	BOYAmt
EOY	$3,514,511	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$413,203	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$5,145	OtherActivitiesAmt
Total Lobbying Expenditures	$5,145	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL IS A MEMBER OF THE NATIONAL ASSOCIATION OF LONG TERM HOSPITALS AND THE GEORGIA HOSPITAL ASSOCIATION. THESE ORGANIZATIONS ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBERSHIP BODIES, AND EACH YEAR, A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING EXPENDITURES.	ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,352	OtherCostOrOtherBasisAmt
Depreciation	$28,742	DepreciationAmt
Book Value	$4,610	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,898,346	OtherCostOrOtherBasisAmt
Depreciation	$1,616,063	DepreciationAmt
Book Value	$282,283	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$286,893	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO SOUTHERN REGIONAL	$107,223
DUE TO CHRISTUS DUBUIS CONTINUING CARE	$586,746
THIRD PARTY PAYOR SETTLEMENT	$802,136
MISCELLANEOUS DEDUCTIONS PAYABLE	-$340

Field	Value	IRS element (for citing)
Total Liability	$1,495,765	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$262,530	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$262,530	NetCommunityBenefitExpnsAmt
Total Expense	0.03120	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$262,530	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$262,530	NetCommunityBenefitExpnsAmt
Total Expense	0.03120	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,900	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,900	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$270,430	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$270,430	NetCommunityBenefitExpnsAmt
Total Expense	0.03210	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$687	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$687	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$687	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$687	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$157,615	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$5,375,826	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$5,463,567	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$87,741	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN CRESCENT HOSP FOR SPEC CARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11 UPPER RIVERDALE ROAD	AddressLine1Txt
City	RIVERDALE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30274	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
Other	LONG-TERM ACUTE CARE HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN CRESCENT HOSP FOR SPEC CARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE DISCLOSURE	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE DISCLOSURE	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Nondis Emergency Care Policy	0	NondisEmergencyCarePolicyInd
No Emergency Care	Yes (X)	NoEmergencyCareInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SOUTHERN CRESCENT HOSP. FOR SPEC. CARE	Part V, Section B, Line 5: SEVENTEEN INDIVIDUAL COMMUNITY STAKEHOLDERS WERE INTERVIEWED AND ONE FOCUS GROUP OF NINE PATIENTS AND FAMILY ADVISORS (PFA) WAS CONDUCTED BY THE STRATEGIC PLANNING OFFICE. THESE STAKEHOLDERS INCLUDED A MIX OF INTERNAL AND EXTERNAL REPRESENTATIVES TO SRMC, PASTORS, PUBLIC HEALTH OFFICIALS, HEALTH CARE PROVIDERS, SOCIAL AGENCY REPRESENTATIVES, GOVERNMENT LEADERS, AND BOARD MEMBERS. SEE APPENDIX B OF THE CHNA FOR INDIVIDUAL STAKEHOLDER NAMES.
SOUTHERN CRESCENT HOSP. FOR SPEC. CARE	Part V, Section B, Line 6a: SOUTHERN REGIONAL MEDICAL CENTER
SOUTHERN CRESCENT HOSP. FOR SPEC. CARE	Part V, Section B, Line 11: For the fiscal year, the hospital will focus on the following populations or individuals with specific diseases as identified in the CHNA:Heart DiseaseDiabetesAccess to services/medical careRespiratory/AsthmaObesity/OverweightThere were many needs identified, but the hospital is limited in scope and available resources, therefore it will focus its energies on these two disease populations. The long term acute care hospital will focus efforts to improve conditions related to individuals with heart disease, diabetes, access to care, respiratory/asthma, and/or obesity/overweight. The program objectives are to have better educated communities related to prevention and access. The goal is that through the efforts of the hospital, there will be a lower prevalence of heart disease, diabetes, respiratory/asthma, obesity/overweight and improved access to care/services in the communities served.
PART V LINE 7 b	WEBSITE ADDRESS:https://www.christushealth.org/about/donate/community-health/community-health-needs-assessment-and-implementation-plan

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	IN ADDITION TO PROVIDING CHARITY CARE BASED ON THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL PROVIDES CARE TO MEDICALLY INDIGENT PATIENTS WHOSE MEDICAL OR HOSPITAL BILLS AFTER PAYMENT BY THIRD-PARTY PAYERS EXCEED 25% OF THE PATIENT'S ANNUAL GROSS INCOME AND THE PATIENT IS UNABLE TO PAY THE REMAINING BILL.
Part I, Line 7:	WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS WAS USED TO DERIVE A COST-TO-CHARGES RATIO USED TO CALCULATE AMOUNTS OF COMMUNITY BENEFIT EXPENSE AT COST FOR PART I, LINE 7.
Part III, Line 2:	The organization uses Form 990, Schedule H, Worksheet A to determine the bad debt expense at cost reported at Schedule H, Part III, Section A, Line 2 using the cost-to-charge ratio calculated at Form 990, Schedule H, worksheet 2, Line 11. The organization's total bad debt expense attributable to patient charges (total of all hospital facilities) is in accordance with the organization's financial statements. Bad debt expense is net of: (1) contractual allowances, (2) payments received and (3) recoveries of bad debt previously written off.
Part III, Line 3:	All unpaid patient balances attributable to patients eligible under the organization's charity care policy or patients for whom sufficient information was not obtained to make a determination of their eligibility are written off as charity care and not to bad debt expense. Therefore no amount of bad expense is attributable to patients that may qualify for financial assistance.
Part III, Line 4:	SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF SERVICE, AND AN OFFSETTING ALLOWANCE FOR VOLUNTARY FREE CARE IS RECORDED. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR VOLUNTARY FREE CARE. THE ORGANIZATION DOES NOT ISSUE AUDITED FINANCIAL STATEMENTS.
Part III, Line 8:	THE ORGANIZATION USED THE MEDICARE COST REPORT TO DETERMINE COSTS OF CARE RELATING TO MEDICARE PATIENTS.
Part III, Line 9b:	SOUTHERN CRESCENT HOSPITAL DOES NOT OUTSOURCE PATIENT BALANCES TO A THIRD PARTY DEBT COLLECTION AGENCY. ALL COLLECTIONS ARE DONE BY IN-HOUSE COLLECTORS USING COLLECTION LETTERS. PATIENTS ARE NOT SUBJECT TO HARASSMENT OR LEGAL ACTION DUE TO THEIR INCAPACITY TO PAY. PATIENTS THAT ARE UNABLE TO PAY ARE SENT CHARITY CARE INFORMATION.UPON ADMISSION, PATIENTS WHO HAVE NO INSURANCE COVERAGE AND NO ABILITY TO PAY WILL BE GIVEN CONSIDERATION FOR CHARITY CARE. EVERY EFFORT WILL BE MADE TO OBTAIN THE APPROPRIATE FINANCIAL DOCUMENTATION TO DETERMINE THE ABILITY TO PAY FOR SERVICES. PATIENTS RECEIVE PRIVATE LETTERS/BILLS EACH MONTH INDICATING THEIR BALANCE DUE. PATIENTS WHO HAVE NOT MADE PAYMENTS FOR A 30-DAY PERIOD WILL RECEIVE A LETTER REQUESTING PAYMENT. PATIENTS WHO ARE UNABLE TO PAY THEIR BALANCE WILL BE CONSIDERED FOR CHARITY CARE IF APPROPRIATE. COLLECTION EFFORTS WILL CONTINUE FOR 120 DAYS WITH THE PATIENT/GUARANTOR RECEIVING AT LEAST THREE LETTERS REQUESTING PAYMENT WITHIN SAID 120 DAY PERIOD. ACCOUNTS THAT ARE NOT DEEMED ELIGIBLE FOR CHARITY CARE OR MEDICAL INDIGENCE WILL BE WRITTEN OFF AS BAD DEBT FOLLOWING THE 120 DAY COLLECTION PERIOD.
Part VI, Line 2:	SOUTHERN CRESCENT HOSPITAL OF SPECIALTY CARE HAS DEVELOPED THE 2015 COMMUNITY BENEFIT PLAN BASED UPON PRIORITIZATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND STRIVES TO ENSURE BEST PRACTICES AND STANDARDS OF CARE ARE MET. HEALTHCARE PRIORITIES INCLUDE: 1) PRIMARY CARE ACCESS, 2) GEOGRAPHIC DISPARITIES, 3) UNDER/UNINSURED/WORKING POOR, 4) ACCESS TO INFORMATION/REFERRALS, 5) CARDIOVASCULAR DISEASE, DIABETES, RESPIRATORY CANCER AND OTHER CHRONIC DISEASES, 6) SENIOR POPULATION, AND 7) 45-64 YEAR OLD POPULATION GROUPAN ADDITIONAL AREA OF FOCUS OVERLAPPING MANY OF THESE PRIORITIES IS THE ALREADY HIGH AND INCREASING PERCENTAGE OF CONSOLIDATED METROPOLITAN STATISTICAL AREA (CMSA) RESIDENTS OF HISPANIC DESCENT. BARRIERS TO ACCESS HEALTHCARE INCLUDE: 1) LIMITED ACCESS, 2) INABILITY TO PAY FOR SERVICES, 3) LACK OF TRANSPORTATION, AND 4) LANGUAGE BARRIERS AND CULTURAL DIFFERENCES SOCIOECONOMIC FACTORS IMPACTING ACCESS TO HEALTHCARE INCLUDE: 1) LACK OF EMPLOYMENT OPPORTUNITIES, 2) INCREASED NUMBER OF RESIDENTS WITH MEDIAN INCOME OF < $25,000, 3) OVER-UTILIZATION OF EMERGENCY DEPARTMENT (ED) FOR PRIMARY CARE SERVICES, AND 4) DIMINISHED HEALTH COVERAGE
Part VI, Line 3:	ALL PATIENTS ARE ASSESSED DURING THE REGISTRATION PROCESS. PATIENTS IDENTIFIED AS POSSIBLE CHARITY CASES WILL BE ASKED TO COMPLETE AN APPLICATION FOR FINANCIAL ASSISTANCE. PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE FROM A GOVERNMENTAL PROGRAM BUT ARE NOT CURRENTLY ENROLLED ARE REFERRED TO THE APPROPRIATE PROGRAM. PATIENTS WHO CAN PROVE ELIGIBILITY FOR MEDICAID BUT ARE NOT PATIENTS IN A MEDICAID-APPROVED HOSPITAL WILL BE DEEMED AS INDIGENT AND AUTOMATICALLY QUALIFY FOR CHARITY CARE. PATIENTS ADMITTED TO THE HOSPITAL WITH MEDICARE AS THE ONLY INSURANCE WILL BE MONITORED AS MEDICARE DAYS NEAR DEPLETION. THIRTY DAYS PRIOR TO THE END OF THE MEDICARE COVERAGE, AN INTERVIEW AND AN APPLICATION FOR FINANCIAL ASSISTANCE WILL BE REQUESTED AS APPROPRIATE. THESE PATIENTS ARE ASSESSED AS TO MEETING THE GUIDELINES FOR RECEIVING CHARITY CARE IF THE STAY SHOULD EXCEED MEDICARE COVERAGE LIMITS. AS SOON AS SUFFICIENT INFORMATION IS AVAILABLE CONCERNING THE PATIENT'S FINANCIAL RESOURCES AND ELIGIBILITY FOR GOVERNMENT ASSISTANCE, A DETERMINATION IS MADE CONCERNING THE PATIENT'S ELIGIBILITY FOR CHARITY. NO COLLECTION EFFORT IS PURSUED ON A CHARITY ACCOUNT AFTER SUCH DETERMINATIONS ARE MADE.
Part VI, Line 4:	The organization serves the patients in the Southern Crescent of the metro Atlanta area. Our primary service area includes Clayton County, Fayette County, Henry County and portions of South Fulton County. The Southern Crescent is a large diverse community and the organization offers services to meet these varied needs. The state of Georgia has 13.1% persons 65 years and over and 16.0% persons below poverty level. Clayton County has 8.9% persons 65 years and over and 23.3% persons below poverty level. Fayette County has 17.4% persons 65 years and over and 7.0% persons below poverty level. Henry County has 11.1% persons 65 years and over and 9.9% persons below poverty level. Fulton County has 11.1% persons 65 years and over and 16.0% persons below poverty level.
Part VI, Line 5:	Surplus funds are either applied to meeting community charity care needs or provided to other exempt organizations in their mission to support community needs.
Part VI, Line 6:	THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM.
Part VI, Line 7, Reports Filed With States	GA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ARTS CLAYTON INC
136 S MAIN ST	JONESBORO	GA	30236	581727604	501(C)(3)	$7,900	OPERATIONAL SUPPORT
CLAYTON STATE UNIVERSITY
2000 CLAYTON STATE BLVD	MORROW	GA	30260	581048855	GOVT	$5,000	OPERATIONAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION GRANTS MONEY TO COMMUNITY-RELATED CHARITIES AND SCHOOLS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 4b

DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET.

Part I, Line 6

CHRISTUS CONTINUING CARE (CCC), THE MANAGEMENT ORGANIZATION, MAINTAINS A PAY FOR PERFORMANCE PLAN APPLICABLE TO EMPLOYEES OF CDHC. AWARDS ARE DETERMINED AT THE END OF EACH FISCAL YEAR. TO BE ELIGIBLE TO RECEIVE AN AWARD, A PARTICIPANT MUST: 1) HAVE BEEN A PLAN PARTICIPANT DURING THE FISCAL YEAR ON WHICH THE AWARDS ARE BASED; 2) HAVE MET BASIC BEHAVORIAL EXPECTATIONS OF MANAGEMENT PERSONNEL; 3) HAVE RECEIVED A "PERFORMING WELL" OVERALL RATING ON HIS/HER ANNUAL PERFORMANCE FEEDBACK/REVIEW FOR THAT FISCAL YEAR; AND 4)EITHER BE EMPLOYED IN A MANAGERIAL POSITION ON THE LAST DAY OF THE FISCAL YEAR OR HAVE TERMINATED EMPLOYMENT WITH CCC DURING THE FISCAL YEAR DUE TO DEATH, DISABILITY, RETIREMENT ON OR AFTER AGE 55, INVOLUNTARY TERMINATION AS A RESULT OF ELIMINATION OF SUCH PARTICIPANT'S EMPLOYMENT POSITION, OR THE ACCEPTANCE OF AN INVOLUNTARY TRANSFER TO AN INELIGIBLE POSITION. FINALLY, ANY PREREQUISITE TARGET (I.E. REGIONAL TRIGGERS) ESTABLISHED MUST BE ACHIEVED BEFORE AWARDS ARE GRANTED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 1	AN EXECUTIVE COMMITTEE MAY BE FORMED AND, IF SO, SHALL ACT IN ACCORDANCE WITH THIS SECTION 5-2.1. THE EXECUTIVE COMMITTEE SHALL CONSIST OF AT LEAST THREE (3) MEMBERS OF THE BOARD ELECTED BY THE BOARD AT ITS ANNUAL MEETING. A CHAIRPERSON SHALL BE DESIGNATED BY THE BOARD FROM AMONG THE VOTING MEMBERS. THE EXECUTIVE COMMITTEE, WHEN THE BOARD IS NOT IN SESSION SHALL HAVE AND EXERCISE ALL OF THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE CORPORATION EXCEPT AS SUCH AUTHORITY IS LIMITED BY STATUTE, ARTICLES OF INCORPORATION OR MAY BE LIMITED BY RESOLUTION OF THE BOARD APPOINTING THE EXECUTIVE COMMITTEE. THE SECRETARY OF THE CORPORATION SHALL KEEP MINUTES OF ALL EXECUTIVE COMMITTEE ACTIONS. IT SHALL SUBMIT ITS MINUTES TO THE FULL BOARD QUARTERLY FOR RATIFICATION AND FOR ITS INFORMATION. THE EXECUTIVE COMMITTEE SHALL ALSO FUNCTION AS A FINANCE COMMITTEE, AND IT SHALL DETERMINE THE FINANCIAL FEASIBILITY OF PROJECTS REFERRED TO IT BY THE BOARD. IT MAY CONSIDER MATTERS RELATIVE TO RATE STRUCTURE, CREDIT AND COLLECTIONS, COSTS, CAPITAL FINANCING, FINANCIAL REPORTING, INTERNAL CONTROLS AND INTERNAL AND EXTERNAL AUDITS. IN ADDITION, IT SHALL REVIEW THE CORPORATION'S COMPLIANCE WITH THE BUDGETS APPROVED BY THE BOARD AND QUARTERLY BUGET EXPERIENCE, AND MAKE APPROPRIATE RECOMMENDATIONS TO THE BOARD. IT SHALL REVIEW PERIODIC FINANCIAL STATEMENTS AND APPRISE THE BOARD OF THE CORPORATION'S OFFICERS AND AGENTS ON BOTH CURRENT AND LONG TERM FISCAL AFFAIRS AND PERFORM SUCH OTHER DUTIES AS MAY BE ASSIGNED TO IT BY THE BOARD.
Form 990, Part VI, Section A, line 3	SOUTHERN CRESCENT HOSPITAL IS MANAGED BY CHRISTUS CONTINUING CARE (D/B/A "CHRISTUS DUBUIS HEALTH SYSTEM"). THE EMPLOYEES OF CHRISTUS CONTINUING CARE ARE LEASED TO SOUTHERN CRESCENT HOSPITAL TO PERFORM SERVICES. ALL EMPLOYEE POLICIES OF CHRISTUS CONTINUING CARE APPLY TO EMPLOYEES WORKING WITHIN CHRISTUS CONTINUING CARE AND EMPLOYEES LEASED TO SOUTHERN CRESCENT HOSPITAL.
Form 990, Part VI, Section A, line 8b	THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Section B, line 11b	The return is prepared by an independent accounting firm. The management organization, CCC, reviews the prepared return for accuracy. Upon completion of the final form by the independent accounting firm, the form 990 is submitted to the board of directors for review and appoval prior to filing the return with the Internal Revenue Service.
Form 990, Part VI, Section B, line 12c	THE ORGANIZATION MAINTAINS SEPARATE CONFLICT OF INTEREST POLICIES FOR EMPLOYEES OF THE ORGANIZATION AND FOR THE MEMBERS OF THE BOARD OF DIRECTORS. BOTH POLICIES REQUIRE ANNUAL DISCLOSURE OF ANY CONFLICTS OF INTEREST. THE EMPLOYEE POLICY INCLUDES OFFICERS, MEDICAL DIRECTORS AND OTHER DIRECTORS, AND ALL OTHER ASSOCIATES. THE EMPLOYEE DISCLOSURE IS REVIEWED BY THE EMPLOYEE'S IMMEDIATE SUPERVISOR. IN ADDITION, KEY LEADERS MUST CERTIFY ANNUALLY THEIR RECEIPT AND UNDERSTANDING OF THE CONFLICT OF INTEREST POLICY. IF ANY CONFLICTS ARE PRESENT, THE EMPLOYEE AND THE ORGANIZATION'S ADMINISTRATION WILL IMPLEMENT A MUTUALLY AGREED UPON PLAN TO RESOLVE THE CONFLICT. IN ADDITION, THE ORGANIZATION IMPLEMENTS AN INTEGRITY PROGRAM TO SUPPORT AND MAINTAIN THE CORPORATE INTEGRITY OF THE ORGANIZATION. THE POLICY FOR THE MEMBERS OF THE BOARD OF DIRECTORS REQUIRES ANY BOARD MEMBER, UPON DETERMINATION OF A CONFLICT OF INTEREST, TO ABSENT HIMSELF OR HERSELF WITHOUT COMMENT FROM NOT ONLY THE VOTE BUT ALSO FROM THE DELIBERATION. BOARD MEMBERS ARE NOT ALLOWED TO BE EMPLOYED BY THE ORGANIZATION UNLESS THEY HAVE FIRST RESIGNED FROM THE BOARD. IN ADDITION, AT THE BEGINNING OF EACH BOARD MEETING, THE BOARD CHAIR ASKS THE BOARD MEMBERS TO REVIEW THE AGENDA AND SHARE ANY POTENTIAL CONFLICTS OF INTEREST PRIOR TO THE BEGINNING OF BUSINESS.
Form 990, Part VI, Section B, line 15a	THE SALARY FOR THE PRESIDENT/CHAIRMAN OF THE BOARD OF DIRECTORS WAS DETERMINED WHEN THE ORGANIZATION WAS INCORPORATED AND WAS BASED ON COMPARATIVE SALARIES FROM PREVIOUS BOARD ASSIGNMENTS. IN DETERMINING THE SALARY FOR THE CEO, THE BOARD APPROVED PROCEDURES USED BY THE MANAGEMENT ORGANIZATION, CHRISTUS CONTINUING CARE (CCC). CCC USES THE SAME PROCEDURE FOR THE CEO AS IS USED FOR ALL OTHER EMPLOYEES. THE HUMAN RESOURCES DEPARTMENT USES CITY AND STATE SALARY SURVEYS AVAILABLE TO THE PUBLIC AND COMPARATIVE SALARY RATES USED IN THE VARIOUS HOST HOSPITALS. THE SALARY RATES ARE PERIODICALLY REVIEWED BY THE HUMAN RESOURCES DEPARTMENT AND REVISED BASED ON CHANGES IN THE MARKET PLACE. A SURVEY WAS CONDUCTED BY SULLIVAN COTTER IN 2010 CONFIRMING CURRENT SALARY LEVELS ARE COMPARABLE TO OTHER ORGANIZATIONS AND REASONABLE.
Form 990, Part VI, Section C, line 18	PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
Form 990, Part VI, Section C, line 19	FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. THE ORGANIZATION DOES NOT MAKE THE CONFLICT OF INTEREST POLICY OR THE GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC.
Form 990, Part IX, line 11g	OTHER PROFESSIONAL FEES: Program service expenses 0. Management and general expenses 68,896. Fundraising expenses 0. Total expenses 68,896. PHYSICIAN & MEDICAL FEES: Program service expenses 28,725. Management and general expenses 0. Fundraising expenses 0. Total expenses 28,725. CONTRACT LABOR: Program service expenses 428,875. Management and general expenses 7,209. Fundraising expenses 0. Total expenses 436,084. PURCHASED SERVICES: Program service expenses 958,282. Management and general expenses 28,359. Fundraising expenses 0. Total expenses 986,641.
FORM 990, PART V, LINE 2:	SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE ENTERED INTO A MANAGEMENT AGREEMENT WITH CHRISTUS CONTINUING CARE, AN UNRELATED ORGANIZATION. AS PROVIDED BY THE MANAGEMENT AGREEMENT, CHRISTUS CONTINUING CARE AGREES TO PROVIDE TO THE HOSPITAL AN ADMINISTRATOR AND ALL OTHER EMPLOYEES REQUIRED TO STAFF THE HOSPITAL. SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE PAYS DIRECTLY FROM THEIR BANK ACCOUNT THE SALARIES OF ALL EMPLOYEES OTHER THAN THE ADMINISTRATOR AND REIMBURSES CHRISTUS CONTINUING CARE FOR THE SALARY EXPENSE OF THE ADMINISTRATOR AND THE PAYROLL TAXES AND EMPLOYEE BENEFITS ASSOCIATED WITH THE ADMINISTRATOR AND ALL OTHER EMPLOYEES. UNDER THIS ARRANGEMENT THERE ARE NO EMPLOYEES OF SOUTHERN CRESCENT HOSPITAL AND THUS NO FORMS W-2 ISSUED BY SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE; HOWEVER, THE EXPENSES RELATED TO THESE EMPLOYEES ARE SHOWN AS SALARY, PAYROLL TAX AND EMPLOYEE BENEFIT EXPENSES ON FORM 990 PART IX.