2016-05-04T06:27:17-07:00 2015-04-30 990 2014-05-01 581911751 KINGS BAY COMM HOSPITALINC dba S E GA HEALTH SYSTEM-CAMDEN KING 9124663395 2000 Dan Proctor Dr St Marys GA 31558 Michael D Scherneck President & CEO 2016-05-04 2014 2016-08-17 19:52:53Z Michael DScherneck PresCEO 45383499 false false X sghs.org X 1990 GA Southeast Georgia Health System will provide safe, quality, accessible, and cost-effective care to meet the health needs of the people and communities it serves. 9 9 325 126 0 48100 47500 41107291 43812250 207131 -146852 2653270 1070698 44015792 44783596 0 0 18494013 18040333 0 0 20063551 20846392 38557564 38886725 5458228 5896871 84921257 91062688 34588948 34833508 50332309 56229180 Southeast Georgia Health System will provide safe, quality, accessible, and cost-effective care to meet the health needs of the people and communities it serves. false false 37405657 44586132 King's Bay Hospital, D/B/A Southeast Georgia Health System - Camden Campus, is a 40 bed hospital located in southeast Georgia in the city of St. Marys. For the 12 month fiscal period beginning 05/01/2014 and ended 04/30/2015, the medical center had 6,656 inpatient patient days and 665 births. We served 50,992 patients on an outpatient basis and an additional 30,922 patients were seen in the emergency room. Our financial statements include over $15.1 million in free care (includes indigent care, charity care and bad debts). 37405657 true true false false false false false false false false true false true false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false false false false true false false false false true 28 0 true 325 true false false false false false false false false 0 false false false false false false false false false false X 9 9 false false false false true true false true true false false true true true true true true true true false GA X X Michael D Scherneck PresCEO 9124667049 2415 Parkwood Dr Brunswick GA 31520 X Carl Alexander Chairman 2.00 6.00 X X 0 0 0 Joanne M Matukaitis FAACVPR Vice Chair 5.00 3.00 X X 0 0 0 Walter McNeely Secretary 0.00 2.00 X X 0 0 0 Michael Hodges Treasurer 0.00 6.00 X X 0 0 0 J Vance Hughes Board Member 2.00 2.00 X 0 0 0 Mitchell T Jones MD Board Member 0.00 6.00 X 0 0 0 Valerie A Hepburn PhD Board Member 2.00 2.00 X 0 0 0 Robert C Turner Board Member 0.00 2.00 X 0 0 0 MH Woody Woodside Board Member 0.00 2.00 X 0 0 0 Michael D Scherneck Exec VP/CFO 4.00 50.00 X 0 368463 65445 Elizabeth Gunn VP, Patient Care Services 8.00 32.00 X 0 193362 41631 Patrick D Ebri VP, Human Resources 4.00 44.00 X 0 205898 58475 Howard Sepp Assistant Administrator 40.00 0.00 X 0 268051 68173 Kevin Smiley Pharmacy Manager 40.00 0.00 X 124653 0 41461 Clyde Herndon Physical Therapist 40.00 0.00 X 108361 0 34733 Beth S Lowry-Wicker Physical Therpist 40.00 0.00 X 100927 0 33598 Lisa Dickerson Asst Adm, Pt CrSvc 40.00 0.00 X 97124 0 37731 Jeffrey Zawislak MGR-Rehab Svcs 40.00 0.00 X 94137 0 37276 Gary R Colberg President & CEO 0.00 0.00 X 0 764863 74021 525202 1800637 492544 3 true true false Hospital Housekeeping Systems LLC P O Box 826 San Antonio TX 782930826 Housekeeping Service 727240 Alliance Healthcare Services PO Box 96485 Chicago IL 606936485 Mobile PET Scan 158870 2 47500 47500 Net Patient Svc Revenue 621400 43812250 43812250 43812250 3848 3848 0 0 132984 132984 132984 132984 449203 599903 -150700 -150700 -150700 0 0 0 Cafeteria Sales 722210 140691 140691 Meaningful Use Revenue 621990 773882 773882 Other Revenue 900099 23141 23141 937714 44783596 44586132 149964 X 0 0 0 0 0 0 13443295 12578758 864537 462791 433029 29762 3280040 3069101 210939 854207 799273 54934 0 88465 88465 67736 67736 0 0 0 5987726 6240035 -252309 356707 208 356499 7699481 7654865 44616 0 0 950203 950203 18578 13694 4884 0 0 1989017 1989017 0 2546789 2546789 241254 241254 Provider Taxes 648734 648734 Ambulance 107932 107932 Liability Expense 103000 103000 Licenses/Permits 22180 22180 18590 7585 11005 38886725 37405657 1481068 0 0 -252960 -147964 0 8039361 7102401 0 0 0 905294 946893 231006 293383 65056475 26358761 41943005 38697714 2906923 490381 0 29452188 38116507 3845281 1696440 1718092 84921257 91062688 4731052 4096064 236000 202400 29584330 30534664 37566 380 34588948 34833508 X 50332309 56229180 50332309 56229180 84921257 91062688 5896871 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 770444 770444 43535549 9707996 33827553 20335232 16259868 4075364 415250 390897 24353 38697714 38116507 2000-3500 Lease Obligation L/T 380 380 X Part X : FIN48 Footnote On May 1, 2009, Southeast Georgia Health System adopted the uncertain tax positions provisions of FASB ASC Topic 740 ("ASC 740"), Income Taxes, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the combined financial statements. Under ASC 740-10-25, Southeast Georgia Health System may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. The tax benefits recognized in the combined financial statements from such a position are measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. ASC 740 also provides guidance on de-recognition, classification, interest and penalties on income taxes, and accounting in interim periods. The System has determined that it does not have any material unrecognized tax benefits or obligations as of April 30, 2015 and 2014, respectively. Fiscal years ending on and after April 30, 2013 remain subject to examination by federal and state tax authorities. true true X true X 125.000000000 true X true true true false true true 1754127 1248067 506060 0.01300 5005242 3899786 1105456 0.02840 743263 59166 684097 0.01760 7502632 5207019 2295613 0.05900 12340 12340 0.00030 12340 12340 0.00030 7514972 5207019 2307953 0.05930 true 4034324 621128 10307639 8982913 1324726 X true false 1 1 Kings Bay Comm Hospital Inc 200 Dan Proctor Dr St Marys GA 31558 X X X Kings Bay Comm Hospital Inc 1 false false true X X X X X X X X X 12 true false false true X www.sghs.org X true 12 true www.sghs.org false false true X 125.0000 200.0000 X X true true X X X true X X X X X true false true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community Walter McNeely, who was the past chair of the Public Health Department Board was a part of the entire process. Mr. McNeely provided insights on reaching out to the African American Community as well as the overall inner city community in Brunswick, Georgia. Valerie Hepburn, Ph.D., a Health Policy Professor and International Health Policy Consultant, assisted with the preparation of the assessment and the selection of community members to provide input on the process, as well as the review of the results of the assessment. Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients Southeast Georgia Health System medical charges are the same for all patients and are not tiered by payer source. Patients incurring financial liabilities whether insured or uninsured are provided discount incentives for resolving outstanding balances. Part V, Line 16i - Other Means Hospital Facility Publicized the Policy For patients seeking medical care, Southeast Georgia Health System does process applications and issue approvals prior to the rendering of services upon completion of a financial assistance application and provision of supporting documentation. In situations where medical care is emergent and the patient is receiving or has just received services, the application process can be initiated at the time of service but processing and adjudication cannot occur until supporting documentation such as the most current tax return, paycheck stubs, social security payments and financial assets such as savings, investments, rental income or income producing property are investigated. Household income and dependents supported are factored into the eligibility criteria. The patient's residence is not considered in the determination of eligibility. Part V, Line 22d - Other Billing Determination of Individuals Without Insurance Southeast Georgia Health System medical charges are the same for all patients and are not tiered by payer source. Patients incurring financial liabilities whether insured or uninsured are provided discount incentives for resolving outstanding balances. A substantial prompt pay discount which is the equivalent of our average managed care insurance contracted discount rate is offered for patient balances. Also, patients demonstrating a diminished ability to pay through full financial disclosure and repayment analysis are considered for settlement discounts which may exceed or be equivalent to Medicare rates. Part III, Line 4 - Bad Debt Expense Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others as services are rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payors, and provision for bad debts. Retroactive third-party payor settlements and bad debt adjustments are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods as final settlements are determined. The cost value of Bad Debts was determined by multiplying Bad Debt measured on a gross charge basis by the overall cost to charge ratio developed on the Medicare Cost Report. The amount estimated to have been elibible for financial assistance was determined by multiplying Bad Debt Expense,(at cost), by the poverty rate for Camden County, Georgia. Part III, Line 8 - Explanation Of Shortfall As Community Benefit The Hospital Authority believes that the shortfall in Medicare program funding does represent a community benefit as the shortfall has arisen primarily as a result of the Hospital Authority's decision to support the community with certain programs and services which would not otherwise be available if it were not for the Hospital Authority's decision to support the range of services irrespective of the payments provided under the Medicare program. Part VI - Needs Assessment At King's Bay Community Hospital,Inc., our goal is to strengthen the health and well-being of our patients and neighbors, as well as the broader community. King's Bay Community Hospital,Inc., D/B/A Southeast Georgia Health System-Camden Campus, provided over $3.4 million in community benefits, which is more important to building the vitality of our community than ever. The services we provide are essential to not only the community's overall health, but also to the quality of life of every resident. This belief is ingrained in our culture, from our volunteer King's Bay Community Hospital,Inc., board to our physicians and nurses, staff, auxiliary volunteers, and our Southeast Georgia Health System Foundation.We participate in informal community needs assessments regularly, collaborating with local agencies, schools, and community groups. The results help us determine our short- and long-term priorities as well as strategies for improving community health. Our leadership team is involved with several community activities and on boards. These range from the Rotaries to the International Seafarers program to the Coastal Medical Access Program which serves the under-and uninsured in our community and beyond. Part VI - Patient Education of Eligibility for Assistance *Southeast Georgia Health System's Financial Assistance Program (Indigent/Charity Policy) is advertised by signage in Admissions, the Emergency Care Center and the Business Office. Program information is also contained periodically in Southeast Georgia Health System's healthcare magazine which is distributed throughout the community.*The standard registration packet for all patients contains a printed form describing the Financial Assistance Program and the application process. The Financial Assistance process is further explained to the patients by the Registrars during the registration process. Additionally, patients being admitted as an inpatient are provided an information booklet which further details the Financial Assistance Program relating to the inability to pay for medical costs.*Financial Counselors in Admissions engage patients/financially responsible persons and investigate repayment options for medical costs incurred by patients being admitted to an inpatient status who display no identifiable means of paying for medical services through a third party insurer or other source. Contract staff are available to assist patients with United States Social Security Disability and/or Supplemental Income programs. Financial Counselors will assist patients in the application process for other federal and state public assistance programs and if ineligible, will promote Southeast Georgia Health System's internal financial assistance program as an additional option.*All billing statements address the patient's potential inability to pay for medical services by advertising Southeast Georgia Health System's Financial Assistance Program on the front and back of each statement mailer.*Business Office reception and telephone inquiry staff educate and promote Southeast Georgia Health System's Financial Assistance Program and distribute applications when a patient has indicated financial hardship, unemployment or the need for a low monthly repayment plan.*Financial Assistance Program information is contained on Southeast Georgia Health System's website with the ability for the patient to print an application for their use.*Financial Assistance Program information and applications are also provided by collection staff and collection subcontractors upon indication of a patient's financial need or inability to pay for medical services. Federal and state public assistance programs are suggested as well. Part VI - Community Information King's Bay Community Hospital, Inc., is located in St.Marys, Georgia. The primary service area for the King's Bay Community Hospital, Inc., is Camden County which had an approximate population of 50,513 according to the U.S. Census Bureau estimates for 2010. King's Bay Community Hospital, Inc., derived approximately 87 % of its admissions from Camden County. The King's Bay Community Hospital, Inc., secondary service area includes Charlton and Brantley Counties in Georgia and Nassau County in Northeast Florida, with a combined population of 103,896 according to the U.S. Census Bureau estimates for 2010. King's Bay Community Hospital, Inc., is the only hospital in Camden County. Other hospitals in the secondary service area are Charlton Memorial Hospital, a 25 bed critical access hospital located in Folkston(Charlton County), Georgia, and Baptist Medical Center, Nassau, a 54 bed primary care hospital located in Fernandina Beach, Florida. Part VI - Community Building Activities Our community efforts resulted in patients being served by our Wellness on Wheels (WOW) mobile health vehicle which provides free screening (mammography, dexascan, blood pressure and blood sugar, hearing, vaccinations), and Community Care Center, a pediatric center that is dedicated to the health care needs of our Medicaid population. These programs and many others form the foundation of our commitment to community health improvement.Wellness on Wheels (WOW) mobile health vehicle is our mobile "health care on wheels" that travels and delivers care throughout the nine county region. The WOW operates mostly Monday through Saturday and some Sunday's, as requested and serves a different location each week.. Staffed by our expert providers; the WOW provides a broad range of free services: mammography, dexascan, blood pressure and blood sugar, hearing, cholesterol screenings to basic health care check-ups, medical exams, and vaccinations. In addition to providing medical care, our financial counselor assist patients in applying for a variety of community assistance programs. Our financial counselors work with individuals to understand their unique needs and assist them in applying for federal, state, and local programs they may qualify for, including Medicaid and pharmaceutical assistance, food stamps, and the Women, Infants and Children (WIC) program. Our community partners are critical to helping us improve the health and well-being of the greater coastal Georgia region. Together, we can combine resources and strengths, positively impacting the greatest number of people. By working closely with community leaders, we also build a greater sense of community and a shared commitment toward our common goal of improving the community's health. We're proud of our partners.Community partners include:Coastal Medical Access ProgramCoastal Health DistrictCoastal Coalition of ChildrenGolden Isles Child Advocacy CenterOur vice president responsible for ancillary services and our administrative resident coordinates with area high schools to offer an Explorer Post program that brings awareness to high school students of the job opportunities in the health care field. Our director of volunteer services also coordinates and works with area high school students on a shadowing program and promote health careers at their annual information fairs at the local high schools. Employees in the CommunityEvery year, Southeast Georgia Health System unites around corporate-wide efforts: Ringing bells for the Salvation Army; fundraising for the American Cancer Society, participating in our local United Way Campaign and so much more.At Southeast Georgia Health System, it's important to us to give back to our community. In addition to team member United Way donations and volunteer time at Relay For Life and other sponsored events, our team members participate in a variety of community service initiatives, from Habitat for Humanity to the Boys and Girls Club of Southeast Georgia to local student mentoring programs. Part VI - States Where Community Benefit Report Filed GA false true false false false true true false false false Elizabeth Gunn VP, Patient Care Services 187084 6278 21003 20628 234993 8811 Gary R Colberg President & CEO 514425 61917 188521 15300 58721 838884 Howard Sepp Assistant Administrator 232999 35052 38229 29944 336224 Kevin Smiley Pharmacy Manager 132277 -7624 7479 33982 166114 Michael D Scherneck Exec VP/CFO 290634 77829 37927 27518 433908 61320 Patrick D Ebri VP, Human Resources 190711 15187 21946 36529 264373 15076 Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or Compensation contingent on Net Earnings of the organization: Certain members of Management participate in a Management Incentive Plan which is based on a variety of managerial, quality and financial performance indicators. However, compensation is provided under that plan only if a certain net earnings threshold is met. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Glynn-Brunswick Memorial Hospital Authority, EIN (58-6000498), is the sole corporate member of King's Bay Community Hospital, Inc. Form 990, Part VI, Line 11b: Form 990 Review Process A draft electronic copy of Form 990 was provided to the members of the Board of Directors prior to being filed with the Internal Revenue Service. Management reviewed Form 990 with the Hospital Authority at a subsequent meeting and addressed all questions and recommendations that the Hospital Authority raised. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts King's Bay Community Hospital,Inc d/b/a Southeast Georgia Health System Camden has adopted the conflict-of-interest, whistleblower, and document retention and destruction policies of The Glynn-Brunswick Memorial Hospital Authority d/b/a Southeast Georgia Health System, the sole corporate member of King's Bay Community Hospital, Inc. Services,Inc. Under the conflict-of-interest policy, the Compliance Department requires all members of the Board of Directors, officers and key employees to report any potential conflicts on an annual basis. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees As employees of Southeast Georgia Health System, the compensation amounts paid to the individual serving in the capacity as Chief Executive Officer, Executive Director and/or other top management officials and officers are determined based on comparative survey/market data compiled by an independent consulting firm specializing in executive and employee compensation matters. The findings and recommendation of the consultant are reviewed with the Compensation Committee and/or the Executive Compensation Committee of Southeast Georgia Health System which in turn makes recommendations to the full Authority (i.e., Board) of Southeast Georgia Health System which ultimately approves those compensation amounts. In addition, the compensation amounts for those key employees included on Schedule J who receive compensation directly from the organization are determined based on comparative survey/market data compiled by an independent consulting firm specializing in executive and employee compensation matters. The findings and recommendation of the consultant are reviewed with the Human Resource Committee of Southeast Georgia Health System which in turn makes recommendations to the full Authority (i.e., Board) of Southeast Georgia Health System which ultimately approves those compensation amounts. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Except through the normal I.R.S/ Form 990 inspection process, King's Bay Community Hospital D/B/A Southeast Georgia Helath System Camden has not established a standard process for making its governing documents, conflict of interest policy and financial statements available to the public. Glynn-Bwk Mem Hosp DBA SE GA Health System-Brunswick Brunswick GA 31520 586000498 Inpatient and Outpatient Healthcare Services GA 501(c)(3) 3 N/A false Cooperative Healthcare Svcs Inc 2415 Parkwood Dr Brunswick GA 31520 010594994 Physician and Immediate Care Facilities GA 501(c)(3) 11 Glynn-Brunswick Memorial Hosp Authority false SE Georgia Health System Foundation Inc 2415 Parkwood Dr Brunswick GA 31520 582125644 Charitable Foundation GA 501(c)(3) 11 Glynn-Brunswick Memorial Hosp Authority false Southeast Georgia Cyberknife Center LLC 2500 Starling St Ste 107 Brunswick GA 31520 273316081 Medical Services GA N/A N/A false false SGHS QALICB I LLC 2415 Parkwood Dr Brunswick GA 31520 900912965 Real Estate Holdings GA N/A N/A false false Glynco LLC 3010 W White River Blvd Muncie IL 47304 593762931 Real Estate Leasing IL N/A N/A false false false false false false false false false false false false false false false false true true false false false