2017-08-11T06:25:24-05:00 2016-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2015-10-01 582359398 OCONEE REGIONAL MEDICAL CENTER INC OCON 4784543520 821 NORTH COBB STREET MILLEDGEVILLE GA 31061 MICHAEL VAUGHN INTERIM CFO 4784543520 2017-08-11 1 Amy Bibby P00445891 8282542254 2015 2021-01-29 14:40:06Z MICHAEL VAUGHN 821 NORTH COBB STREET MILLEDGEVILLE GA 31061 62411765 0 X WWW.OCONEEREGIONAL.COM X 1997 GA TO PROVIDE HEALTHCARE SERVICES TO ALL PATIENTS WITHIN THE ORGANIZATION'S SERVICE AREA. 9 7 661 122 260558 0 392933 209150 70961310 61874500 136837 68755 206787 259360 71697867 62411765 7050 0 0 0 28887155 25529842 0 0 0 47354007 42571424 76248212 68101266 -4550345 -5689501 41425174 40078829 33860615 38206177 7564559 1872652 X THE MISSION OF OCONEE REGIONAL MEDICAL CENTER IS TO PROVIDE HIGH QUALITY, SAFE, COMPASSIONATE, PATIENT-FOCUSED HEALTHCARE. 0 0 58999855 0 61739400 OCONEE REGIONAL MEDICAL CENTER IS A 140-BED GENERAL, ACUTE-CARE INSTITUTION, OFFERING A WIDE RANGE OF SPECIALIZED SERVICES AND PROGRAMS. SUCH SERVICES INCLUDE ACUTE MEDICAL/SURGICAL CARE, A BLOOD BANK, CANCER CENTER UNIT, CARDIOVASCULAR LABORATORY, CT & MRI SCANNERS, LITHOTRIPSY, MAMMOGRAPHY, MEDICAL/SURGICAL INTENSIVE CARE UNIT, OB/GYN, ORTHOPEDIC SURGERY, OUTPATIENT SURGERY, PEDIATRIC CARE, PHARMACY DIAGNOSTIC RADIOLOGY, 24-HOUR EMERGENCY SERVICE, LAPAROSCOPIC SURGERY, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, POST-OPERATIVE RECOVERY ROOM, AND RESPIRATORY CARE SERVICES.IT IS THE POLICY OF OCONEE REGIONAL MEDICAL CENTER TO ADMIT AND TREAT ALL PERSONS WITHOUT REGARD TO RACE, COLOR, SEX, HANDICAP, NATIONAL ORIGIN, OR RELIGIOUS CREED. ADMISSION REQUIREMENTS AND ASSIGNMENTS OF HOSPITAL FACILITIES ARE THE SAME FOR ALL PERSONS. THERE ARE NO DISTINCTIONS IN ELIGIBILITY FOR RECEIVING ANY PATIENT CARE SERVICES. HOSPITAL FACILITIES ARE AVAILABLE TO ALL PATIENTS AND VISITORS. INDIVIDUALS AND ORGANIZATIONS HAVING OCCASION TO REFER PATIENTS FOR ADMISSION OR RECOMMEND OCONEE REGIONAL MEDICAL CENTER ARE ADVISED TO DO SO WITHIN THE HOSPITAL'S POLICY TO PROVIDE QUALITY HEALTHCARE TO ALL PERSONS.FOR THE YEAR ENDED SEPTEMBER 30, 2016, THE CENTER PROVIDED INDIGENT AND CHARITY CARE AT A COST OF APPROXIMATELY $737,362. THE CENTER ALSO PROVDES CARE TO PATIENTS COVERED BY MEDICARE/MEDICAID AT A TOTAL SHORTFALL OF $3,768,668 AND A SURPLUS OF $1,199,268 FOR MEDICARE AND MEDICAID, RESPECTIVELY. THE CENTER ALSO PROVIDES A SITE FOR MEDICAL STUDENTS TO COMPLETE CLINICAL ROTATIONS FOR NURSING AND RADIOLOGY. 58999855 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 69 0 1 661 1 1 1 0 0 0 0 0 0 0 0 0 X 9 7 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X X MICHAEL VAUGHN 4784573550 PO BOX 690 MILLEDGEVILLE GA 31059 X DR PHYLLIS PARKS-VEAL PHARM D ORMC BOARD CHAIR 30.00 4.00 X X 0 0 0 VANESSA WALKER ORMC VICE CHAIR/SECRETARY 6.00 2.00 X X 0 0 0 ALICE LOPER ASSISTANT SECRETARY 6.00 2.00 X X 0 0 0 TED ZARKOWSKY BOARD MEMBER 5.00 22.00 X X 0 0 0 MICHAEL ANDERSON BOARD MEMBER 5.00 2.00 X 0 0 0 TYRONE EVANS CPA BOARD MEMBER (BEGAN 7/16) 5.00 2.00 X 0 0 0 DR PRABDHEEP BRAR BOARD MEMBER 5.00 2.00 X 20800 0 0 DR MICHAEL DUKE BOARD MEMBER 5.00 2.00 X 0 0 0 DR MARSHALL IVEY BOARD MEMBER 5.00 2.00 X 20006 0 0 ANDY COWART BOARD MEMBER (THRU 6/16) 5.00 2.00 X 0 0 0 DEBORAH BLOCK VP CNO 40.00 1.00 X 147643 0 21882 STEVEN JOHNSON INTERIM CEO (BEGAN 11/15) 40.00 6.00 X 40800 0 0 MICHAEL VAUGHN INTERIM CFO (BEGAN 12/15) 40.00 6.00 X 0 0 0 RANDY HOOVER INTERIM CEO (THRU 10/15) 40.00 5.00 X 67200 0 0 LORRAINE DANIEL OVERHOUSE SUPERVISOR RN 40.00 X 113964 0 30624 DEANNE HERRING CLINICAL SUPPORT DIRECTOR 40.00 X 143043 0 12333 KATHLEEN POLLITZER PAST PHARMACIST DIRECTOR 40.00 X 114355 0 24877 SHANNON LOWERY PHARMACIST 40.00 X 118560 0 57 CAROL BABB ASSISTANT DIRECTOR OF PHAR 40.00 X 112666 0 28049 REBECCA J AYCOCK FORMER CEO 0.00 X 524573 0 12127 BRENDA K QUALLS FORMER CFO 0.00 X 154067 0 10216 1577677 0 140165 14 1 1 0 LOGOS EMERGENCY SPECIALISTS 232 COUNTRY CREEK ROAD MACON GA 31220 EMERGENCY PHYSICIAN SERVICES 4466843 ENDURACARE ACUTE CARE SERVICES LLC PO BOX 654072 DALLAS TX 752654072 REHABILITATION SERVICES 1110678 BCAS INC PO BOX 1707 MILLEDGEVILLE GA 31061 ANESTHESIA SERVICES 1035000 HOSPITAL HOUSEKEEPING SYSTEMS LLC PO BOX 826 SAN ANTONIO TX 782930826 HOUSEKEEPING SERVICES 722205 ARAMARK CTS 12483 COLLECTIONS CENTER DR CHICAGO IL 60693 BIOMED SERVICES 595587 12 62396 125952 20802 209150 Net PATIENT SERVICE Revenue 621400 61074416 60813858 260558 MEANINGFUL USE REVENUE 900099 800084 800084 61874500 4990 4990 63765 63765 125458 0 125458 125458 125458 Miscellaneous Revenue 900099 113280 113280 FITNESS CENTER 713940 19972 19972 cafeteria and vending 900099 650 650 133902 62411765 61739400 260558 202657 X 581824 581824 19854267 17453152 2401115 322182 275155 47027 3299427 2817829 481598 1472142 1257262 214880 1246597 1246597 105500 105500 14153546 13632803 520743 32795 32795 3650967 996789 2654178 305340 9989 295351 1218620 1218620 36405 19715 16690 1200355 1200355 3039987 3039987 1073360 723461 349899 Medical Supplies 8053347 8053347 BAD DEBTS 7438660 7438660 Provider Tax 840924 840924 MISCELLANEOUS EXPENSE 161688 21807 139881 13333 13333 68101266 58999855 9101411 0 343586 1209059 2450779 6310255 7691213 6649228 1881284 1801704 761416 669769 105932892 89230260 19003211 16702632 4079554 0 5214131 6736182 41425174 40078829 9421517 7517270 21402488 28985466 1837524 350064 1199086 1353377 33860615 38206177 X 7564559 1872652 7564559 1872652 41425174 40078829 -5689501 -2406 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6639 6639 0 Part II-B, Line 1: THE ORGANIZATION PAYS DUES TO GEORGIA HOSPITAL ASSOCIATION, AN ORGANIZATION THAT LOBBIES ON BEHALF OF ITS MEMBERSHIP BODY. A PORTION OF THE DUES IS SPECIFICALLY RELATED TO LOBBYING. ALSO, THE ORGANIZATION PAID A FIRM TO REPRESENT OCONEE REGIONAL MEDICAL CENTER AND THEIR HEALTHCARE ISSUES AT A STATE GOVERNMENT LEVEL. 2385639 2385639 46845205 37601274 9243931 56406683 51628986 4777697 295365 295365 16702632 Unamortized Bond Issue Costs 114050 Intercompany Due to/Due From 6449851 Other Receivables 172281 6736182 Estimated Third-Party Settlements 1353377 1353377 X 54970699 -2406 -2406 54973105 7438660 7438660 62411765 60662606 0 60662606 7438660 7438660 68101266 Part X, Line 2: INCOME TAXES- THE SYSTEM AND ITS AFFILIATES, EXCEPT FOR ORHV, PCC AND OSWC, HAVE BEEN RECOGNIZED AS ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) AND, THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES. ORHV, PCC AND OSWC ACCOUNT FOR INCOME TAXES IN ACCORDANCE WITH FOR-PROFIT ACCOUNTING GUIDANCE. THE SYSTEM AND ITS AFFILIATES HAVE EVALUATED THEIR TAX POSITIONS AND HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2016 AND 2015. Part XI, Line 4b - Other Adjustments: BAD DEBT EXPENSE 7,438,660. Part XII, Line 4b - Other Adjustments: BAD DEBT EXPENSE 7,438,660. 1 1 1 X 125.000000000000 1 X 1 1 1 0 0 931193 280655 650538 0.01070 4382360 2433378 1948982 0.03210 4544881 3479166 1065715 0.01760 9858434 6193199 3665235 0.06040 9858434 6193199 3665235 0.06040 1 7438660 1742878 13341838 12142570 1199268 X 1 1 1 1 OCONEE REGIONAL MEDICAL CENTER 821 NORTH COBB STREET MILLEDGEVILLE GA 31061 X X X SKILLED NURSING UNIT OCONEE REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X SEE DISCLOSURE X 1 15 0 1 0 1 X 125.000000000000 250.000000000000 X X X 1 1 X X X X 1 X SEE DISCLOSURE X SEE DISCLOSURE X X X 1 0 X X X 1 X 0 0 OCONEE REGIONAL MEDICAL CENTER Part V, Section B, Line 5: On June 14, 2016 one large focus group was held at Oconee Regional Medical Center with a diverse group of community members. The group was comprised of community leaders with various range of backgrounds and professions, and with a wide array of knowledge of different aspects of the Milledgeville and Baldwin County community. This included physicians, nurses, the director of the emergency department, the Baldwin County health department, advocates for women's and LGBTQ health, a police officer for the Sheriff Department, a church pastor, a politician, and the department of family and child services. Throughout the focus group, there was discussion on the biggest health issues here in Milledgeville and the barriers to needed health care, as well as thoughts on how these issues should be addressed. OCONEE REGIONAL MEDICAL CENTER Part V, Section B, Line 11: Based on the population data assessment, survey results, focus groups, and interviews, the top community needs were prioritized based on the need's significance to the community and ORMC's ability to impact the need. The top priorities are as follows: Mental Health, Sexual Health, Obesity, Education & Support, and Prevention & Screenings. Since implementation of the CHNA in September of 2016, ORMC has worked with the local college in accepting interns from the Community Health Department, to help us address our top priorities. In the last year we have done the following: - Participated in a health fair where we performed free health screenings addressing BMI as well as other health issues- Created a spotlight on Sepsis on our community bulletin board in the main entrance of our hospital- Hosted a lunch and learn for our cardiopulmonary rehab patients- Educated 4th graders at a local elementary school on the importance of eating healthy and staying active- With the assistance of our chef at our hospital, we provided 4th graders at a local elementary school with mac and cheese that was cooked in a healthy manner in order to demonstrate that healthy cooking can taste good- Educated cardiopulmonary patients on the calories and sugar in common drinks to show them what is really in their beverage choices- Hosted a healthy cooking demonstration at our family wellness eventThrough the data assessment, surveys, focus groups, and interviews, we identified other issues that will not be addressed in the implementation plan. This includes issues pertaining to the LGBTQ population in Baldwin County and access to care. Although LGBTQ issues were mentioned in the focus group, there is not sufficient existing data about the LGBTQ population in Baldwin County to provide a foundation for an intervention. Access to care was addressed in the previous CHNA implementation plan, and it was determined that other needs require greater attention. OCONEE REGIONAL MEDICAL CENTER Part V, Section B, Line 13h: STATE REGULATIONS OCONEE REGIONAL MEDICAL CENTER Part V, Section B, Line 22d: THE HOSPITAL'S FAP PROVIDES A DISCOUNT FOR INDIVIDUALS THAT QUALIFY UNDER THE POLICY'S PROVISIONS. THE HOSPITAL HAS MADE PLANS TO IMPLEMENT A METHOD OF DETERMINING AMOUNTS GENERALLY BILLED (AGB) PER THE RECENTLY RELEASED PROPOSED REGULATIONS UNDER SECTION 1.501(R), HOWEVER GIVEN THE HIGH LEVEL OF DISCOUNT AVAILABLE UNDER THE CURRENT POLICY, THE ORGANIZATION IS CONFIDENT THAT ITS POLICIES ARE WELL WITHIN GUIDELINES. PART V, LINE 16: WEBSITE OF FAP APPLICATION AND SUMMARY https://03c54f6.netsolhost.com/?page_id=270 Part I, Line 7: Worksheet 2 of the 2015 Schedule H instructions was used to compute a cost-to-charges ratio used to calculate charity care and unreimbursed Medicaid at cost. Part I, Ln 7 Col(f): The Bad Debt expense OF $7,438,660 included on Form 990, Part IX, Line 25, Column (A) IS subtracted for purposes of calculating the percentage in this column. Part II, Community Building Activities: COMMUNITY BUILDING ACTIVITIES INCLUDED THE FOLLOWING:CONTRIBUTIONS TO UNITED WAY AND AMERICAN CANCER SOCIETY'S RELAY FOR LIFE. Support for a Memorial fun run, amputee golf tournament, firefighters burn foundation, and community program for partners in education. Part III, Line 4: THE IRS WORKSHEETS WERE UTILIZED TO DETERMINE THE COST-TO-CHARGE RATIO.BAD DEBT EXPENSE WAS MULTIPLIED BY THE COST-TO-CHARGE RATIO AND THEN THREE-QUARTERS OF THAT AMOUNT WAS ESTIMATED TO BE ATTRIBUTABLE TO ACCOUNTS FOR INDIVIDUALS WHO WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. Part III, Line 8: THE TOTAL AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THERE ARE MEMBERS IN OUR COMMUNITY THAT ARE RESIDENTS OF THE GEORGIA WAR VETERANS HOME AND OF CENTRAL STATE HOSPITAL WHO ARE MEDICARE BENEFICIARIES. ALTHOUGH ORMC IS REIMBURSED BY MEDICARE FOR THESE PARTICULARLY FRAGILE PATIENTS UNDER THE PROSPECTIVE PAYMENT RULES, THESE PATIENTS ARE TYPICALLY MORE SEVERLY ILL, HAVE MULTIPLE COMPLICATIONS AND LONGER LENGTHS OF STAY THAN THE AVERAGE MEDICARE PATIENT. WE TREAT ALL MEDICARE PATIENTS THAT PRESENT TO OUR HOSPITAL (IF WE HAVE THE NEEDED SERVICE AVAILABLE). PROVIDING SERVICES TO COMMUNITY MEMBERS AT LESS THAN COST IS CERTAINLY A BENEFIT TO THOSE MEMBERS.THE COSTING METHODOLOGY IS A COMBINATION OF COST REPORT PLUS COST AND CHARGES FOR PROFESSIONAL FEES AND OUT PATIENT FEE SCHEDULE NOT INCLUDED ON THE COST REPORT. Part III, Line 9b: ACCOUNTS FOR PATIENTS WHO MEET THE CRITERIA FOR FINANCIAL ASSISTANCE ARE WRITTEN OFF TO INDIGENT /CHARITY ACCOUNTS AND NO ATTEMPTS ARE MADE TO COLLECT FROM THE PATIENT. FOR ALL OTHER ACCOUNTS IF OTHER INFORMATION IS KNOWN TO THE COLLECTOR, SUCH AS PATIENT IS DECEASED AND THERE IS NO RECORD OF ESTATE, OR PATIENT MET CHARITY REQUIREMENTS IN PREVIOIUS YEARS AND IT IS KNOWN THAT HIS OR HER CIRCUMSTANCES HAVE NOT CHANGED, FOR INSTANCE, THE ACCOUNT IS WRITTEN OFF TO CHARITY AND NOT SENT TO COLLECTIONS. WE MAKE EVERY EFFORT TO ASSIST PATIENTS TO PROVIDE DOCUMENTATION TO QUALIFY FOR FINANCIAL ASSISTANCE. Part VI, Line 2: On June 14, 2016 one large focus group was held at Oconee Regional Medical Center with a diverse group of community members. The group was comprised of community leaders with various range of backgrounds and professions, and with a wide array of knowledge of different aspects of the Milledgeville and Baldwin County community. This included physicians, nurses, the director of the emergency department, the Baldwin County health department, advocates for women's and LGBTQ health, a police officer for the Sheriff Department, a church pastor, a politician, and the department of family and child services. Throughout the focus group, there was discussion on the biggest health issues here in Milledgeville and the barriers to needed health care, as well as thoughts on how these issues should be addressed. Part VI, Line 3: Notices of our financial assistance policy are posted in all registration areas and information is given to the patient at the time of admission. Representatives are on site to meet with inpatients and outpatients, who do not have insurance, and determine first if they meet the criteria for any State or federal assistance program, or alternatively if they meet the ORMC financial assistance criteria. Follow up phone calls are made to these patients to assist in completing the paperwork. Part VI, Line 4: The primary service area consists of Baldwin County, GA. With a population of 42,829 in 2013 and is expected to decline over the next 5 years. Average median income is $33,515 compared to the Georgia average of $45,069. A severe loss of jobs in industry and in State government in the area has fedERAL unemployment much higher than the state and national averages. 52% of children live in a single parent household. An estimated 71% of the population live in a food desert with low access to the store. 31.3% of the population of Baldwin County is Obese. Part VI, Line 5: ALL SURPLUS FUNDS ARE RETAINED BY THE ORGANIZATION. THROUGH THE CAPITAL PLANNING AND BUDGETING PROCESS, MILLIONS OF DOLLARS ARE REINVESTED IN PLANT AND EQUIPMENT EACH YEAR TO ENABLE ORMC TO PROVIDE MODERN, QUALITY CARE TO PATIENTS. NEW PROGRAMS ARE CONSIDERED AND EVALUATED BASED ON THE COLLECTIVE KNOWLEDGE OF THE COMMUNITY AND PATIENTS WE SERVE.ORMC IS THE ONLY HOSPITAL IN BALDWIN COUNTY AND MAINTAINS AN OPEN MEDICAL STAFF. BOARD MEMBERS REPRESENT A CROSS SECTION OF OUR COMMUNITY. ORMC ESTABLISHED AN OBSTETRICS CLINIC TO PROVIDE PRENATAL AND OB SERVICES TO PATIENTS WHO DO NOT HAVE ACCESS TO A PRIVATE PHYSICIAN DUE TO PAYOR SOURCE. THE CLINIC WAS CLOSED DECEMBER 2012 AFTER RECRUITING A NEW OB/GYN TO THE AREA. ORMC CONTRIBUTED TO A NEW FEDERALLY QUALIFIED HEALTH CENTER TO ASSIST WITH START UP OPERATING COSTS. Part VI, Line 6: ORMC'S ROLE IS TO PROVIDE HEALTHCARE TO RESIDENTS OF OUR SERVICE AREA. THE SEVICE AREA INCLUDES 7 COUNTIES. ALL PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT RECEIVE SERVICES OR TREATMENT IN ACCORDANCE WITH EMTALA. ORMC IS THE LARGEST ORGANIZATION WITHIN THE SYSTEM. Part VI, Line 7, Reports Filed With States GA X X 0 0 0 0 0 0 0 0 0 DEBORAH BLOCK VP CNO 147643 0 0 0 0 0 3508 0 18374 0 169525 0 0 0 DEANNE HERRING CLINICAL SUPPORT DIRECTOR 143043 0 0 0 0 0 3335 0 8998 0 155376 0 0 0 REBECCA J AYCOCK FORMER CEO 149012 0 0 0 375561 0 7802 0 4325 0 536700 0 0 0 BRENDA K QUALLS FORMER CFO 154067 0 0 0 0 0 3463 0 6753 0 164283 0 0 0 A BALDWIN COUNTY HOSPITAL AUTHORITY 383854889 058024AX8 2016-06-29 7250000 WORKING CAPITAL 0 0 0 A 7105000 145000 0 0 0 1 A 0 1 0 0 0 0 0 0 0 Form 990, Part VI, Section A, line 3 TWO MANAGEMENT COMPANIES WERE HIRED. FIRST, THE WETRICH GROUP PROVIDED TWO INTERIM CEOS RANDY HOOVER AND STEVE JOHNSON. MR. HOOVER WAS PAID $67,200 AND MR. JOHNSON WAS PAID $40,800. SECOND, COMMUNITY HOSPITAL CONSULTING PROVIDES THE INTERIM CFO MICHAEL VAUGHN. MR. VAUGHN WAS NOT COMPENSATED IN CALENDAR YEAR 2015. Form 990, Part VI, Section A, line 7a NOMINEES TO THE BOARD OF DIRECTORS MUST BE RATIFIED BY THE BOARD OF OCONEE REGIONAL HEALTH SYSTEMS, A RELATED ORGANIZATION. Form 990, Part VI, Section B, line 11 THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS REVIEWED BY MANAGEMENT AND WAS SENT TO ALL VOTING BOARD MEMBERS TO REVIEW. SUBSEQUENTLY THE RETURN WAS FILED WITH THE IRS. Form 990, Part VI, Section B, line 12c BOARD MEMBERS ANNUALLY SIGN A STATEMENT. ALL STATEMENTS HAVE TO BE SIGNED BY A MEMBER OF SENIOR LEADERSIP. ANY CONFLICTS OF INTEREST ARE REPORTED IN THE ANNUAL AUDIT COMPLETED BY EXTERNAL AUDITORS. Form 990, Part VI, Section B, line 15 THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS CURRENT COMPENSATION PACKAGES AND AGREEMENTS OF MEMBERS OF SENIOR LEADERSHIP, AND COMPARES THE OFFERS TO A SURVEY OF SALARY RANGES FOR COMPARATIVELY SITUATED HEALTHCARE ORGANIZATIONS. BENCHMARKS STUDIED ARE REPORTED BY THE GEORGIA HOSPITAL ASSOCIATION AND OTHERS BASED ON BED SIZE, VOLUMES, AND GEOGRAPHIC AREA. THE BOARD APPROVES THE COMPENSATION FOR THE CEO, AND APPROVES AN OVERALL PERCENTAGE INCREASE FOR THE VICE PRESIDENTS, FOR WHICH THE CEO DETERMINES ULTIMATE DISTRIBUTION. DURING THE YEAR THE COMMITTEE DID NOT MEET AND THERE WAS NO CHANGE IN COMPENSATION. Form 990, Part VI, Section C, line 18 PHOTOCOPIES OF THE ORGANIZATION'S FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. Form 990, Part VI, Section C, line 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART VII, LINE 1 BOARD MEMBERS GEORGE GRIMES AND RAM PURI RECEIVE COMPENSATION FOR MEDICAL DIRECTOR SERVICES, AS WELL AS PAYMENTS FOR MEDICAL SERVICES, TO THE ORGANIZATION, LISTED IN COLUMN (D) OF PART VII, LINE 1. NO PORTION OF THESE AMOUNTS ARE FOR SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS. Form 990, Part IX, line 11g PURHCASED SERVICES: Program service expenses 4,407,996. Management and general expenses 56,133. Fundraising expenses 0. Total expenses 4,464,129. CONTRACT LABOR: Program service expenses 1,239,293. Management and general expenses 452,610. Fundraising expenses 0. Total expenses 1,691,903. PHYSICIAN FEES: Program service expenses 7,985,514. Management and general expenses 12,000. Fundraising expenses 0. Total expenses 7,997,514. FORM 990, PART XI, LINE 2 THE ORGANIZATION RECEIVES AUDITED FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS WITH ITS CORPORATE PARENT, OCONEE REGIONAL HEALTH SYSTEMS, AND OTHER AFFILIATED ENTITIES. FORM 990, PART XII THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. OCONEE REGIONAL HEALTH SYSTEMS INC PO BOX 690 MILLEDGEVILLE GA 31061 582359394 HEALTHCARE GA 501(c)(3) Line 11b, II N/A 0 OCONEE REGIONAL HEALTH SERVICES INC PO BOX 690 MILLEDGEVILLE GA 31061 582359397 HEALTHCARE GA 501(c)(3) Line 11a, I OCONEE REGIONAL HEALTH SYSTEMS INC 0 OCONEE REGIONAL EMERGENCY MEDICAL SERVICES INC PO BOX 690 MILLEDGEVILLE GA 31061 582643857 HEALTHCARE GA 501(c)(3) Line 11a, I OCONEE REGIONAL HEALTH SERVICES INC 0 OCONEE REGIONAL HEALTHCARE FOUNDATION INC 821 NORTH COBB STREET MILLEDGEVILLE GA 31061 582359396 FUNDRAISING AND SUPPORT GA 501(c)(3) Line 11a, I OCONEE REGIONAL HEALTH SYSTEMS INC 0 OCONEE REGIONAL SENIOR LIVING PO BOX 690 MILLEDGEVILLE GA 31061 582455613 HEALTHCARE GA 501(c)(3) Line 11a, I OCONEE REGIONAL HEALTH SYSTEMS INC 0 JASPER HEALTH SERVICES INC PO BOX 690 MILLEDGEVILLE GA 31061 582510435 HEALTHCARE GA 501(c)(3) Line 3 OCONEE REGIONAL HEALTH SYSTEMS INC 0 OCONEE SLEEP AND WELLNESS CENTER LLC 821 NORTH COBB STREET MILLEDGEVILLE GA 31061 264767102 HEALTHCARE GA N/A OCONEE REGIONAL HEALTH VENTURES INC PO BOX 690 MILLEDGEVILLE GA 31061 582528516 ANCILLARY HEALTHCARE GA N/A C 0 OCONEE REGIONAL HEALTH SYSTEM SEGREGATED PORTFOLIO 62 FORUM LANE 3RD FLOOR GRAND CAYMAN CJ INSURANCE CJ N/A C 0 0 0 0 1 1 0 0 0 0 1 0 0 1 0 0 0 1 1 1