2025-10-31T14:46:20-04:00 2024-12-31 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2024-01-01 581734026 UPSON COUNTY HOSPITAL INC UPSO 7066478111 801 WEST GORDON STREET THOMASTON GA 302860027 JOHN WILLIAMS CFO/COO 7066478111 2025-10-30 true false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2025-10-31 2024 2025-03-06 01:10:19Z UPSON REGIONAL MEDICAL CENTER DANIEL OWENS 801 WEST GORDON STREET THOMASTON GA 30286 133383434 false X WWW.URMC.ORG X 1951 GA UPSON REGIONAL MEDICAL CENTER IS COMMITTED TO DELIVERING COMPASSIONATE, EXPERT CARE THAT BUILDS TRUST, HONORS DIGNITY AND STRENGTHENS OUR COMMUNITIES. 9 8 966 68 560227 6850 1908844 1430223 119222418 123025734 3245138 6899972 806225 527505 125182625 131883434 28225 22271 0 63058559 66456267 0 0 55864241 59255566 118951025 125734104 6231600 6149330 232401586 258229465 9192433 12280949 223209153 245948516 UPSON REGIONAL MEDICAL CENTER IS COMMITTED TO DELIVERING COMPASSIONATE, EXPERT CARE THAT BUILDS TRUST, HONORS DIGNITY AND STRENGTHENS OUR COMMUNITIES. false false 94517118 22271 122787423 UPSON REGIONAL MEDICAL CENTER OFFERS A COMPLETE LINE OF MEDICAL SERVICES INCLUDING 24-HOUR EMERGENCY CENTER, MEDICAL-SURGICAL CARE, OBSTETRICS, PEDIATRICS, WOMEN'S HEALTH SERVICES, AND MORE. PATIENT DAYS FOR THE YEAR TOTALED 19,578 IN 2024. THE PSYCH UNIT HAD 410 VISITS WHILE THE RURAL HEALTH CLINIC EXPERIENCED 3,417 VISITS IN 2024. 94517118 true true false true false false false false false false true false false false false true false true false false true false false false false false true true false true true false false false false false false false false false false false false true true false false false true 194 0 966 true true true true CJ false false false false false false false false false false X 9 8 false true false false false false false true true false false true true true true true true true true false GA X X JOHN WILLIAMS 7066478111 801 WEST GORDON STREET THOMASTON GA 302860227 BRANDON M BOYCE MD ORTHOPEDIC S 40.00 X 998576 0 22058 JEFF TARRANT HOSPITAL CEO 40.00 1.00 X 809424 0 47500 KEVIN A GINGRICH MD ORTHOPEDIC S 40.00 X 642985 0 16288 DANIEL A BRIDGES MD UROLOGY SURG 40.00 X 583365 0 24696 ROBERT SOLYOMVARI MD SURGEON 40.00 X 541270 0 36111 JOSHUA DONIS MD CARDIOLOGIST 40.00 X 551354 0 24696 BENJAMIN WILLIAMS MD BOARD MEMBER 40.00 0.20 X 419672 0 16895 JOHN WILLIAMS CFO/COO 40.00 1.00 X 390288 0 6100 MARK ANDREWS BOARD MEMBER 0.75 0.20 X 0 0 0 SCOTT BLACKSTOCK BOARD MEMBER 0.75 0.20 X 0 0 0 JIM EDWARDS VICE CHAIRMA 0.75 0.20 X X 0 0 0 WILLIAM HIGHTOWER IV CHAIRMAN 0.75 0.20 X X 0 0 0 STEVE KEADLE ASSISTANT SE 0.75 0.20 X X 0 0 0 RALPH WARNOCK MD SECRETARY 0.75 0.20 X X 0 0 0 KAY SEARCY BOARD MEMBER 0.75 0.20 X 0 0 0 REV GREG SMITH BOARD MEMBER 0.75 0.20 X X 0 0 0 DANIEL OWENS CEO (1/2025) X 0 0 0 4936934 194344 104 false true false CARDIOSOLUTION PHYSICIANS 4675 CORNELL ROAD SUITE 100 CINCINNATI OH 45241 MEDICAL 2386078 SODEXO INC & AFFILIATES P O BOX 360170 PITTSBURGH PA 15251 FOOD SERVICE 1551182 INNOVATIVE THERAPY CONCEPTS LLC 2 MASHBURN ST SUITE 102 HAWKINSVILLE GA 31036 PHYSICAL THER 1518025 FACILITY CONTROLS GROUP INC 5174 HATHBURN COURT DUNWOODY GA 30338 FACILITY REPAIR 1497950 GUARDIAN MEDICAL SERVICES LLC 1001 JENKINS RD FORSYTH GA 31029 ANESTHESIA 1394568 35 365001 1065222 1430223 NET PATIENT SERVICE REVENUE 621990 122465507 122465507 WELLNESS CENTER 713940 536372 536372 CATERING 722320 23855 23855 123025734 5384005 5384005 2868558 147409 1500000 1368558 147409 1515967 1515967 COMPUTER FEE 621990 205407 205407 DISCOUNTS AND REBATES 621990 198440 198440 MANAGEMENT FEES 561499 88158 88158 35500 35318 182 527505 131883434 122787423 560227 7105561 X 22271 22271 1689880 1689880 51631102 37839862 13791240 727044 673494 53550 8801109 7553507 1247602 3607132 3091673 515459 546348 149479 396869 172778 172778 193199 193199 127556 127556 16457329 11303922 5153407 331682 352 331330 2385788 884030 1501758 4017645 871508 3146137 2343302 2105223 238079 336400 240292 96108 8076194 7255653 820541 3326220 3205915 120305 MEDICAL SUPPLIES 15311311 15311311 REPAIRS & MAINTENANCE 2695192 1955386 739806 PROVIDER FEES 1470520 1470520 FEMA GRANT ADUSTMENT 630388 630388 833714 582720 250994 125734104 94517118 31216986 0 8570 8917 7425490 9651029 21478925 22188763 1751281 587354 3506375 3185202 2760029 2753624 167254790 119983626 46354560 47271164 139496213 161940304 3582667 4123151 1639203 1639203 4398273 4880754 232401586 258229465 8052433 12280949 1140000 9192433 12280949 X 223209153 245948516 223209153 245948516 232401586 258229465 X 6149330 16049549 540484 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 15340 15340 false SCHEDULE C, PART II-B, LINE 1 THE ORGANIZATION PAYS ANNUAL DUES TO NATIONAL AND STATE INDUSTRY ORGANIZATIONS. A PORTION OF THOSE DUES ARE ATTRIBUTABLE TO THE LOBBYING ACTIVITIES OF THESE ORGANIZATIONS FOR THE BENEFIT OF THEIR MEMBERS. 1856656 1856656 75953925 53940066 22013859 1656165 1024759 631406 83958684 65018801 18939883 3829360 3829360 47271164 X SCHEDULE D, PAGE 3, PART X THE HOSPITAL AND FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AND ARE TAX- EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SEGREGATED PORTFOLIO INTENDS TO CONDUCT ITS AFFAIRS IN A MANNER IN WHICH IT WILL NOT BE SUBJECT TO U.S. FEDERAL INCOME TAX OR GEORGIA INCOME TAX. THE REMAINING WHOLLY OWNED SUBSIDIARIES ARE CONSIDERED DISREGARDED ENTITIES AND ARE INCLUDED IN THE HOSPITAL'S TAX FILINGS. THEREFORE, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL AND FOUNDATION APPLY 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 AND FOUNDATION ONLY RECOGNIZE 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 SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2024 AND 2023 OR FOR THE YEARS THEN ENDED. THE HOSPITAL AND FOUNDATION'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 & THE CARIBBEAN 1 INVESTMENTS 5073300 1 1 5073300 5073300 true false true false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA & THE CARIBBEAN 0 5,073,300 true true X true X 1.250000000000 true X true true false false 3393955 3393955 0.02700 14741088 17451875 461930 280424 181506 0.00140 18596973 17732299 3575461 0.02840 14953 14953 0.00010 227278 227278 0.00180 22194423 10794310 11400113 0.09070 22436654 10794310 11642344 0.09260 41033627 28526609 15217805 0.12100 7100 7100 0.00010 262703 262703 0.00210 269803 269803 0.00210 false 37906307 18953153 13301062 14597111 -1296049 X true true 1 1 UPSON COUNTY HOSPITAL 801 WEST GORDON STREET THOMASTON GA 30286 WWW.URMC.ORG 145-415 X X X WELLNESS CTR, PHYS OFC, PSYCH UPSON COUNTY HOSPITAL 1 false false true X X X X X X X X X X 24 true false false true X WWW.URMC.ORG X true 25 true WWW.URMC.ORG false false true X 125.000000000000 300.000000000000 true true X X X X X true X WWW.URMC.ORG X WWW.URMC.ORG X WWW.URMC.ORG X X X X X X true X false X X X X X true X false false FACILITY 1, UPSON COUNTY HOSPITAL - PART V, LINE 3E THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS IDENTIFIED AND THE METHODOLOGY FOR PRIORITIZING EACH NEED IS DESCRIBED ON PAGES 19-22 OF THE 2024 CHNA. MENTAL HEALTH AND CHRONIC DISESASE WERE IDENTIFIED AS THE TOP PRIORITIES THAT WILL BE ADDRESSED IN THIS 3 YEAR CHNA CYCLE. FACILITY 1, UPSON COUNTY HOSPITAL - PART V, LINE 5 UPSON REGIONAL DEFINED UPSON COUNTY AS THE COMMUNITY FOR PURPOSES OF THE CHNA. THIS DEFINITION WAS USED SINCE THE COUNTY IS THE HOSPITALS PRIMARY SERVICE AREA. A MULTI-FACETED APPROACH WAS USED TO GATHER INFORMATION ABOUT THE HEALTH NEEDS OF THE COMMUNITY AND TO DEVELOP PRIORITIES FOR HEALTH IMPROVEMENT. THE PROCESS FOCUSED ON GATHERING AND ANALYZING SECONDARY DATA AS WELL AS OBTAINING INPUT FROM COMMUNITY MEMBERS TO IDENTIFY AND DEFINE SIGNIFICANT HEALTH NEEDS, ISSUES, AND CONCERNS. BOTH QUANTITATIVE AND QUALITATIVE METHODS WERE UTILIZED TO GATHER DATA. UPSON IDENTIFIED COMMUNITY LEADERS, PARTNERS, AND REPRESENTATIVES TO INCLUDE IN THE CHNA PROCESS. INDIVIDUALS, AGENCIES, PARTNERS, POTENTIAL PARTNERS, AND OTHERS WERE REQUESTED TO WORK WITH THE HOSPITAL TO 1) ASSESS THE NEEDS OF THE COMMUNITY, 2) REVIEW AVAILABLE COMMUNITY RESOURCES AND 3) PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. GROUPS OR INDIVIDUALS, WHO REPRESENT MEDICALLY-UNDERSERVED POPULATIONS, LOW-INCOME POPULATIONS, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASES WERE INCLUDED. COMMUNITY STAKEHOLDERS ARE PEOPLE INVESTED OR INTERESTED IN THE WORK OF THE HOSPITAL, PEOPLE WHO HAVE SPECIAL KNOWLEDGE OF HEALTH ISSUES, PEOPLE IMPORTANT TO THE SUCCESS OF ANY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT OR HEALTH PROJECT OR ARE FORMAL OR INFORMAL COMMUNITY LEADERS. APPENDIX 1 OF THE 2024 CHNA LISTS THE ORGANIZATIONS AND REPRESENTATIVES INVITED TO PARTICIPATE IN AN ELECTRONIC SURVEY AND/OR ATTEND THE COMMUNITY HEALTH SUMMIT. FACILITY 1, UPSON COUNTY HOSPITAL - PART V, LINE 11 INFORMATION GATHERED FROM SURVEYS, STAKEHOLDER INTERVIEWS, DISCUSSIONS WITH THE HOSPITAL LEADERSHIP TEAM, REVIEW OF DEMOGRAPHIC AND HEALTH STATUS DATA, AND HOSPITAL UTILIZATION DATA WERE USED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMINITY. URMC PROVIDED A WRITTEN REPORT OF THE OBSERVATIONS, COMMENTS, AND PRIORITIES RESULTING FROM THE STAKEHOLDER INTERVIEWS. THE COMMUNITY HEALTH SUMMIT TEAM REVIEWED THIS INFORMATION, FOCUSING ON THE IDENTIFIED NEEDS, PRIORITIES, AND CURRENT COMMUNITY RESOURCES AVAILABLE. LEADERSHIP DEBATED THE MERITS AND VALUES OF THESE PRIORITIES, AND CONSIDERED THE RESOURCES AVAILABLE TO MEET THESE NEEDS. FROM THIS INFORMATION AND DISCUSSIONS, THE HOSPITAL DEVELOPED THE PRIORITY NEEDS OF THE COMMUNITY, EACH OF WHICH ARE ADDRESSED SEPARATELY IN THE HOSPITALS IMPLEMENTATION STRATEGY DOCUMENT. MENTAL HEALTH AND CHRONIC DISEASE WERE IDENTIFIED AS THE SIGNFICANT HEALTH NEEDS AND ARE ADDRESSED IN THE IMPLEMENTATION STRATEGY REPORT. PAVERTY AND UNDER INSURED INDIVIDUALS WERE ALSO IDENTIFIED BUT WILL NOT BE ADDRESSED DUE TO RESOURCE LIMITATIONS AND LACK OF EXPERTISE. OTHER AGENCIES AND ORGANIZATIONS ARE BETTER SUITED TO ADDRESS THESE CORE HEALTH ISSUES. BOTH THE 2021 AND 2024 CHNA, AND THE 2022 AND 2025 IMPLMENTATION STRATEGY DOCUMENTS ARE LOCATED AT THE FOLLOWING WEB ADDRESS: HTTPS://URMC.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT DUE TO RESOURCE AND EXPERTISE LIMITATIONS. URMC DOES NOT INTEND TO ADDRESS POVERTY/UNINSURED POPULATION. OTHER ORGANIZATIONS AND AGENCIES ARE ADDRESSING THESE ISSUES. FACILITY 1, UPSON COUNTY HOSPITAL - PART V, LINE 15E INFORMATION IS MAILED TO ALL PATIENTS ON EACH STATEMENT AS LONG AS A BALANCE IS OUTSTANDING. IT IS AVAILABLE ON THE HOSPITAL WEBSITE AND AT ANY ENTRANCE POINT OF THE HOSPITAL. FACILITY 1, UPSON COUNTY HOSPITAL - PART V, LINE 20E INFORMATION IS MAILED TO ALL PATIENTS ON EACH STATEMENT AS LONG AS A BALANCE IS OUTSTANDING. IT IS AVAILABLE ON THE HOSPITAL WEBSITE AND AT ANY ENTRANCE POINT OF THE HOSPITAL. 8 UPSON MEDICAL ASSOCIATES LLC 801 W GORDON ST THOMASTON GA 30286 PHYSICIANS OFFICE UPSON REGIONAL WELLNESS CENTER LLC 801 W GORDON ST THOMASTON GA 30286 WELLNESS CENTER ORTHOPEDICS SPORTS MEDICINE & SURG 801 W GORDON ST THOMASTON GA 30286 PHYSICIANS OFFICE UPSON WOMEN'S SERVICES LLC 801 W GORDON ST THOMASTON GA 30286 PHYSICIANS OFFICE UPSON FAMILY PHYSICIANS LLC 801 W GORDON ST THOMASTON GA 30286 PHYSICIANS OFFICE UPSON SURGICAL ASSOCIATES LLC 801 W GORDON ST THOMASTON GA 30286 PHYSICIANS OFFICE UPSON FAMILY MEDICAL CENTER 801 W GORDON ST THOMASTON GA 30286 FAMILY MEDICAL CENTER URMC PSYCH UNIT 801 W GORDON ST THOMASTON GA 30286 PSYCHIATRIC UNIT SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICE TOTAL COSTS OF 22,194,423 WERE INCURRED AND ARE ATTRIBUTABLE TO UPSON MEDICAL ASSOCIATES, UPSON WOMEN'S SERVICES, UPSON SURGICAL ASSOCIATES, ORTHOPEDIC SPORTS MEDICINE, AND UPSON FAMILY PHYSICIANS. THESE CLINICS PROVIDE HEALTH CARE TO THE COMMUNITY INCLUDING THE POOR AND UNDERSERVED. 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". FOR LINE 7A, COSTS WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 AS PROVIDED IN THE IRS INSTRUCTIONS. SUBSIDIZED HEALTH SERVICES PRESENTED ON LINE 7G WERE BASED ON ACTUAL COSTS PER THE MEDICARE COST REPORT NET OF ASSOCIATED BAD DEBT, CHARITY AND MEDICAID EXPENSE. ALL OTHER COSTS PRESENTED IN THE TABLE WERE ACCUMULATED THROUGH THE COMMUNITY BENEFITS SOFTWARE CBISA. SCHEDULE H, PART II HEALTH PROFESSIONALS RECRUITMENT AND LOCAL CHAMBER/CIVIC SPONSORSHIPS ADDRESS CORE HEALTH PROBLEMS IN THE COMMUNITY. 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), 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. THE SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE SYSTEM'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. IMPLICIT PRICE CONCESSIONS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION THE SYSTEM EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS. SCHEDULE H, PART III, LINE 3 THE FIGURE ON PART III LINE 3 REPRESENTS MANAGEMENT'S ESTIMATE (APPROXIMATELY 50%) BASED ON AN ANALYSIS OF SELF PAY PATIENTS' ABILITY TO PAY THEIR OUTSTANDING ACCOUNT. THIS ANALYSIS INCLUDES REVIEWING THE PATIENT'S CREDIT HISTORY, INCOME LEVELS AND OVERALL COLLECTIBILITY OF THE ACCOUNT. SCHEDULE H, PART III, LINE 4 FOOTNOTE 2 DISCUSSING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND BAD DEBTS (IMPLICIT PRICE CONCESSIONS) CAN BE FOUND ON PAGES 13-20 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. IN ADDITION, FOOTNOTE 4 ON PAGES 20-21 DISCUSS UNCOMPENSATED SERVICES. SCHEDULE H, PART III, LINE 8 MEDICARE COSTS REFLECT ALLOWABLE COSTS PER THE MEDICARE COST REPORT USING ACCEPTABLE ALLOCATIONS OF INDIRECT COSTS BASED ON APPROPRIATE STATISTICS. SCHEDULE H, PART III, LINE 9B ACCOUNTS KNOWN TO HAVE QUALIFIED FOR FINANCIAL ASSISTANCE ARE WRITTEN OFF TO INDIGENT/CHARITY CARE. SCHEDULE H, PART VI, LINE 2 UPSON REGIONAL MEDICAL CENTER (URMC) IS A 115-BED NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN THOMASTON. GEORGIA. UPSON COMPLETES A TRIENNIAL NEEDS ASSESSMENT. INFORMATION GATHERED FROM STAKEHOLDER INTERVIEWS, COMMUNITY-WIDE SURVEYS, DISCUSSIONS WITH THE HOSPITAL LEADERSHIP TEAM, REVIEW OF DEMOGRAPHIC AND HEALTH STATUS, AND HOSPITAL UTILIZATION DATA IS USED TO DETERMINE THE PRIORITY HEALTH NEEDS OF THE POPULATION AS DISCUSSED IN RESPONSE TO QUESTION 11, PART V, SECTION B, CHEDULE H. IN ADDITION, THE HOSPITAL SEEKS INPUT FROM COMMUNITY LEADERS, ITS MEDICAL AND NURSING STAFFS AND OTHERS THROUGHOUT THE YEAR. SCHEDULE H, PART VI, LINE 3 URMC INFORMS AND EDUCATES THE PATIENTS USING THE FOLLOWING PROCESSES: THE FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS POSTED IN THE ADMISSION AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE FACILITY IN WHICH ELIGIBLE PATIENTS ARE PRESENT. A COPY OF THE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS PROVIDED TO THE PATIENTS AS PART OF THE ADMISSION PROCESS. ADDITIONALLY, THE POLICY IS AVAILABLE ON THE HOSPITAL WEBSITE AS IS THE PRINTABLE APPLICATION. A SUMMARY OF THE POLICY IS ALSO INCLUDED IN THE PATIENT BILLING. WE DISCUSS WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS QUALIFYING FOR MEDICAID OR STATE PROGRAMS AND ASSIST THE PATIENT WITH QUALIFYING FOR SUCH PROGRAMS, WHERE APPLICABLE. WE PROVIDE TRAINING TO THE STAFF ON FINANCIAL ASSISTANCE AND CONTRACT WITH CHAMBERLIN EDMONDS & ASSOCIATES FOR SCREENING OUR PATIENTS FOR MEDICAID ELIGIBILITY AND/OR OTHER SOURCES OF ASSISTANCE. WE ALSO PROVIDE INFORMATION ON THE ADMISSIONS PACKAGE EXPLAINING THE AVAILABILITY, CRITERIA, AND THE PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE. OUR EFFORTS TO INFORM NON-ENGLISH SPEAKING PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY IS PROVIDED BY AN INTERPRETER THROUGH THE USE OF LANGUAGE LINE, A TELEPHONE INTERPRETATION SERVICE. SCHEDULE H, PART VI, LINE 4 UPSON COUNTY IS LOCATED IN WEST CENTRAL GEORGIA AND HAS A POPULATION OF 28,191. THE RACIAL AND ETHNIC MAKEUP OF UPSON COUNTY IS 65% WHITE, 29% BLACK, 1% MIXED RACE, 3% OTHER, AND 3% HISPANIC ORIGIN. THE PERCENTAGE OF RESIDENTS AGED 55 AND OLDER IS SET TO INCREASE 0.6% BY 2024; THIS IDENTIFIED AN INCREASED NEED FOR DELIVERY OF HEALTHCARE THAT SERVES INDIVIDUALS WITH CHRONIC CONDITIONS. URMC, A REGIONAL HEALTHCARE PROVIDER WITH 115 ACUTE CARE BEDS, SERVES THIS AREA OF GEORGIA. THE HOSPITAL IS LOCATED IN THE COUNTY SEAT OF THOMASTON. SCHEDULE H, PART VI, LINE 5 SINCE 2015, UPSON HAS RECRUITED FAMILY PHYSICIANS, CARDIOLOGISTS, UROLOGIST, OBSTETRICIANS, AUDIOLOGIST, ENT, FAMILY PRACTICE, ORTHOPEDIC SURGEON, AND ADVANCED PRACTICE PROFESSIONALS. UPSON'S AWARD-WINNING DIETICIANS IMPLEMENT THE QUARTERLY SODEXO COMMUNITY EDUCATION PROGRAMMING, AND ACTIVELY PARTICIPATE IN COMMUNITY EVENTS, HEALTH FAIRS, AND IN THE WELLNESS CENTER TO INCREASE AWARENESS OF GOOD EATING HABITS AND THEIR IMPACTS ON HEALTH. UPSON ALSO PROVIDES MONTHLY DIABETES EDUCATION ON DISEASE MANAGEMENT AND NUTRITION. IN 2017, UPSON WAS DESIGNATED AS A REMOTE STROKE TREATMENT CENTER, PROVIDING TIMELY CONSULTS WITH NEUROLOGISTS. UPSON CONSISTENTLY OFFERS BLOOD PRESSURE CHECKS AND EDUCATION AT COMMUNITY EVENTS AND HEALTH FAIRS. IN 2017, UPSON OPENED SILVER CARE, AN 18-BED INPATIENT GERIATRIC BEHAVIORAL HEALTH UNIT. IN 2018, UPSON OPENED A RURAL HEALTH CLINIC AS WELL AS PURCHASING AN URGENT CARE FACILITY TO IMPROVE ACCESS TO CARE. IN EARLY 2019, UPSON RECRUITED A NEW CARDIOLOGIST AS WELL AS A NEW FAMILY MEDICINE PROVIDER. IN LATE 2019, UPSON ADDED TWO NEW FAMILY MEDICINE PHYSICIANS, A NEW OB/GYN, A NEW ORTHOPEDIC SURGEON, AND A NEW ENT. WE ALSO ADDED SATURDAY HOURS AT ONE OF OUR WALK-IN PRIMARY CARE CLINICS. IN 2020, UPSON ESTABLISHED AN INTERVENTIONAL CARDIOLOGY PROGRAM, GIVING UPSON THE ABILITY TO PERFORM PROCEDURES (SUCH AS STENTING AND ANGIOPLASTY) TO TREAT COMPLEX HEART CONDITIONS, INCLUDING EMERGENCY TREATMENT OF HEART ATTACKS. UPSON RECRUITED A CARDIOLOGIST, FAMILY PRACTICE PHYSICIAN, AND OB/GYN IN 2021. URMC ALSO ADMINISTERED 25,000 COVID-19 VACCINES IN 2021 AND CONCLUDED OUR VACCINE CLINIC AT THE END OF 2022 ADMINISTERING OVER 27,800 VACCINES IN TOTAL. URMC COMPLETED CONSTRUCTION OF A HELIPAD IN JUNE 2022 PROVIDING EASIER ACCESS TO TIMELY TRANSPORT FOR CRITICAL PATIENTS. IN 2022, THE FIRST ROBOTIC SURGERY IN UPSON COUNTY WAS DONE UTILIZING A DAVINCI SURGICAL ROBOT, RESULTING IN FASTER AND LESS PAINFUL RECOVERIES FOR PATIENTS. URMC RECRUITED AN ADDITIONAL OB/GYN IN FALL 2022, AS WELL AS A NEW ENT PROVIDER. URMC CONTINUES TO PLACE PATIENCE SAFETY AS A HIGH PRIORITY AND WAS AWARDED AN "A" LETTER GRADE BY LEAPFROG IN NOVEMBER 2022. IN 2023, URMC RECRUITED TWO FAMILY MEDICINE DOCTORS AND AN OB/GYN PROVIDER. A FAMILY MEDICINE WALK-IN CLINIC WAS OPENED IN OUR BARNESVILLE MEDICAL OFFICE BUILDING. IN 2024, URMC RECRUITED A NEW GENERAL SURGEON. IN NOVEMBER 2024, URMC PARTNERED WITH TELE SPECIALISTS TO OPEN UPSON NEUROLOGY WHICH OFFERS CONSULTS WITH A NEUROLOGIST VIA TELEMEDICINE ALONG WITH AN ONSITE NURSE PRACTITIONER. SCHEDULE H, PART VI, LINE 6 URMC HEALTH FOUNDATION IS A FUNDRAISING AFFILATE THAT SUPPORTS THE HEALTHCARE MISSION OF THE HOSPITAL. SCHEDULE H, PART VI, LINE 7 GEORGIA true EDUCATION SCHOLARSHIP 7 20532 TUITION REIMBURSEMENT 1 1739 SCHEDULE I, PAGE 1, PART I, LINE 2 SCHOLARSHIP ASSISTANCE IS OFFERED TO UPSON COUNTY RESIDENTS AND FULL TIME, PART TIME AND PRN EMPLOYEES PURSUING A HEALTHCARE CAREER. EACH APPLICANT MUST COMPLETE AN APPLICATION; BE ACCEPTED BY AN ACCREDITED SCHOOL IN A HEALTHCARE PROGRAM OF THEIR CHOICE; SUBMIT TWO LETTERS OF RECOMMENDATION, A CERTIFIED COPY OF PREVIOUS EDUCATIONAL TRANSCRIPTS, AND A LETTER OF ACCEPTANCE IN THE HEALTHCARE CAREER PROGRAM, OBTAIN APPROVAL FROM THE DEPARTMENT DIRECTOR OR SENIOR MANAGEMENT, BE INTERVIEWED BY CHIEF NURSING OFFICER, MAINTAIN A 3.0 CUMULATIVE AVERAGE, SUBMIT TRANSCRIPTS OF GRADES EVERY SCHOOL TERM, AND SERVE AS AN EMPLOYEE A MINIMUM OF ONE YEAR FOR EACH SCHOOL YEAR FOR WHICH SCHOLARSHIP MONIES WERE GRANTED. TRANSCRIPTS OF GRADES MUST BE RECEIVED BEFORE REIMBURSEMENT. SHOULD THE STUDENT NOT SEEK AND MAINTAIN EMPLOYMENT WITH URMC AFTER GRADUATION, FUNDS WILL BECOME DUE AND PAYABLE IN A PRORATA FASHION BASED ON EMPLOYMENT TERM. TUITION REIMBURSEMENT IS AWARDED FULLTIME AND REGULARLY SCHEDULED PART TIME EMPLOYEES. MONIES ARE GRANTED TO COVER TUITION, BOOKS AND LABORATORY FEES. EACH APPLICANT MUST BE ENROLLED IN AN ACCREDITED COLLEGE/UNIVERSITY WITHIN A PROGRAM DIRECTLY RELATED TO THE EMPLOYEE'S PRESENT POSITION OR A FIELD THAT WILL BE OF BENEFIT TO THE MEDICAL CENTER, SEEK APPROVAL FROM MANAGEMENT, FURNISH A TRANSCRIPT OF GRADES, MAINTAIN A "C- OR HIGHER GRADE AVERAGE. TO BE REIMBURSED, AN EMPLOYEE MUST PRESENT A CERTIFIED COPY OF THE GRADE REPORT WITH AN AVERAGE OF "C- OR HIGHER. X X false false false false false false false false false BRANDON M BOYCE MD ORTHOPEDIC SURGEON 767874 108446 122256 6100 15958 1020634 JEFF TARRANT HOSPITAL CEO/PRES 604736 204688 47500 856924 KEVIN A GINGRICH MD ORTHOPEDIC SURGEON 602185 40800 6100 10188 659273 DANIEL A BRIDGES MD UROLOGY SURGEON 563365 20000 6100 18596 608061 ROBERT SOLYOMVARI MD SURGEON 474870 66400 6100 30011 577381 JOSHUA DONIS MD CARDIOLOGIST 539354 12000 6100 18596 576050 BENJAMIN WILLIAMS MD BOARD MEMBER 322587 79185 17900 5138 11757 436567 JOHN WILLIAMS CFO/COO 287319 56148 46821 6100 396388 SCHEDULE J, PART III MANAGEMENT SERVICES: THE FOUNDATION'S CEO IS CONTRACTUALLY PROVIDED BY HEALTHTECH MANAGEMENT, A FIRM HIRED BY THE SUPPORTED ORGANIZATION, URMC, TO PROVIDE CEO AND OTHER MANAGEMENT SERVICES. HEALTHTECH WAS PAID A TOTAL OF 1,190,907 IN 2024 FOR THESE SERVICES, INCLUDING 856,624 PAID FOR JEFF TARRANT SERVING AS CEO TO BOTH THE FOUNDATION AND URMC. BONUSES/AWARDS PHYSICIAN BONUSES ARE PAID BASED ON RELATIVE VALUE UNITS (RVUS) ACHIEVED DURING A SPECIFIED TIME PERIOD. EACH PHYSICIAN'S EMPLOYMENT CONTRACT INCLUDES A RVU GOAL. THE PHYSICIAN IS PAID BONUSES BASED ON MEETING OR EXCEEDING THE GOAL AS DETERMINED BY THEIR CONTRACT. FORM 990, PART V, LINE 4B CAYMAN ISLANDS FORM 990, PAGE 6, PART VI, LINE 3 THE ORGANIZATION ENGAGED HEALTHTECH MANAGEMENT TO PROVIDE THE SERVICES OF THE CEO. HEALTHTECH WAS COMPENSATED 1,190,907 FOR THESE SERVICES. SEE SCHEDULE J PART III FOR ADDITIONAL DETAILS. FORM 990, PAGE 6, PART VI, LINE 11B THE ORGANIZATION POSTS THE FORM 990 ON A SECURE WEBSITE FOR BOARD MEMBERS ONLY AND EACH CURRENT VOTING BOARD MEMBER IS ALERTED BY EMAIL AS TO ITS AVAILABILITY. THE CFO/COO PERFORMS A DETAILED REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C THE POLICY COVERS ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. SHOULD A MATTER COME BEFORE THE BOARD OF DIRECTORS WHICH CONSTITUTES A CONFLICT OF INTEREST, THE INDIVIDUAL INVOLVED WILL MAKE KNOWN THE POTENTIAL CONFLICT AND WITHDRAW FROM THE MEETING SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION AND SHALL NOT EITHER VOTE ON THE MATTER UNDER DISCUSSION OR ATTEMPT TO INFLUENCE A DECISION OF THE GOVERNING AUTHORITY WITH RESPECT TO SUCH MATTERS, UPON WHICH THERE COULD POSSIBLY BE A CONFLICT OF INTEREST. FORM 990, PAGE 6, PART VI, LINE 15A HEALTHTECH PRESENTS SALARY INFORMATION FOR THE CEO TO THE BOARD OF DIRECTORS FOR THEIR REVIEW. IN DETERMINING COMPENSATION FOR THE CFO/COO, OTHER OFFICERS OR KEY EMPLOYEES, THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT OBTAINS COMPARABLE SALARY DATA AND PRESENTS IT TO THE CEO WHO MAKES THE FINAL DECISION. THE INDIVIDUAL IN THE CONSIDERATION PROCESS IS NOT PRESENT DURING THE DISCUSSION AND DECISION-MAKING PROCESS. ANNUAL MERIT ADJUSTMENT: SALARY ADJUSTMENT IS DETERMINED BY ORGANIZATIONAL PERFORMANCE AS REFLECTED IN THE SCORE OF THE ESTABLISHED PERFORMANCE MEASUREMENT INSTRUMENT. (PAYSCALE) - PERIODIC MARKET ADJUSTMENT: SALARY OF EACH OFFICER IS REVIEWED PERIODICALLY BY HUMAN RESOURCES AND APPROPRIATE OFFICER AND COMPARED TO SALARIES OF COMPARABLE ORGANIZATIONS TO ENSURE THAT THE CURRENT RATE IS COMPETITIVE. FORM 990, PAGE 6, PART VI, LINE 15B SEE RESPONSE AT 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION, WITH NOTICE, IN THE OFFICE OF THE ORGANIZATION. IN ADDITION, THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES 2,479,765 2,028,898 0 PROFESSIONAL FEES 551,976 7,800 0 PHYSICIAN FEES 6,167,091 0 0 PURCHASED SERVICES 1,408,675 1,152,553 0 THERAPY FEES 103,900 0 0 CONSULTING FEES 158,626 335,469 0 OTHER FEES 418,246 332,606 0 COLLECTION FEES 15,643 1,296,081 0 TOTAL 11,303,922 5,153,407 0 FORM 990, PART XI, LINE 9 EQUITY IN CAPTIVE SUBSIDARY 540,484 UPSON MEDICAL ASSOCIATES LLC 801 WEST GORDON STREET THOMASTON GA 30286 550840991 PHYS OFC GA -133687 181632 UCH UPSON REGIONAL WELLNESS CTR LLC 801 WEST GORDON STREET THOMASTON GA 30286 205095610 WELLNESS GA -183424 124264 UCH UPSON WOMEN'S SVCS LLC 801 WEST GORDON STREET THOMASTON GA 30286 263227893 PHYS OFC GA -1646502 941908 UCH UPSON FAMILY PHYSICIANS LLC 801 WEST GORDON STREET THOMASTON GA 30286 270192553 PHYS OFC GA -1453010 885673 UCH UPSON SURGICAL ASSOCIATES LLC 801 WEST GORDON STREET THOMASTON GA 30286 275252545 PHYS OFC GA -4866561 1816586 UCH ORTHOPEDICS SPORTS MEDICINE & SURG 801 WEST GORDON STREET THOMASTON GA 30286 272123255 PHYS OFC GA -1468887 843806 UCH URMC MEDICAL OFFICE BLDG LLC 801 WEST GORDON STREET THOMASTON GA 30286 474279645 MED OFC BL GA -242462 4004008 UCH UPSON FAMILY MEDICAL CENTER LLC 801 WEST GORDON STREET THOMASTON GA 30286 824385128 PHYS OFC GA -458324 2091214 UCH URMC HEALTH FOUNDATION P O BOX 1089 THOMASTON GA 30286 830411781 FOUNDATION GA 501C3 12A UCH true HOSPITAL AUTHORITY OF UPSON COUNTY 801 WEST GORDON STREET THOMASTON GA 302860027 586002427 MGMT GA 115 N/A false false false false false false false false false false false false true true true true false false false false URMC HEALTH FOUNDATION L INDETERMINABLE VALUE URMC HEALTH FOUNDATION M INDETERMINABLE VALUE URMC HEALTH FOUNDATION N INDETERMINABLE VALUE URMC HEALTH FOUNDATION O INDETERMINABLE VALUE