WEST GEORGIA MEDICAL CENTER INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
WEST GEORGIA MEDICAL CENTER INC (EIN 20-5497506)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-12
IRS object ID
201632259349301803
Schema version
2014v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-12T09:26:37-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205497506EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WEST GEORGIA MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone7068821411PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11514 VERNON ROADAddressLine1Txt
CityLAGRANGECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30240ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL PERROTTIPersonNm
Person TitleCFO/SENIOR VICE PRESIDENTPersonTitleTxt
Phone7068821411PhoneNum
Signature2016-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGERALD FULKSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11514 VERNON ROADAddressLine1Txt
CityLAGRANGECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30240ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$211,540,322GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WGHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTHE PRIMARY MISSION OF WEST GEORGIA MEDICAL CENTER IS TO PROVIDE ACCESS TO QUALITY, COST-EFFECTIVE COMMUNITY-BASED HEALTHCARE SERVICES TO RESIDENTS OF COUNTIES IN WESTERN GEORGIA AND EASTERN ALABAMA.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee1538TotalEmployeeCnt
Total Volunteers148TotalVolunteersCnt
Total Gross UBI$215,450TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$88,712NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$749,267PYContributionsGrantsAmt
CY Contributions Grants$332,841CYContributionsGrantsAmt
PY Program Service Revenue$204,325,789PYProgramServiceRevenueAmt
CY Program Service Revenue$205,916,717CYProgramServiceRevenueAmt
PY Investment Income$2,875,989PYInvestmentIncomeAmt
CY Investment Income$1,455,454CYInvestmentIncomeAmt
PY Other Revenue$3,251,797PYOtherRevenueAmt
CY Other Revenue$3,387,987CYOtherRevenueAmt
PY Total Revenue$211,202,842PYTotalRevenueAmt
CY Total Revenue$211,092,999CYTotalRevenueAmt
PY Grants And Similar Paid$258,304PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$244,873CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$77,273,624PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$77,164,525CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$126,730,463PYOtherExpensesAmt
CY Other Expenses$121,364,535CYOtherExpensesAmt
PY Total Expenses$204,262,391PYTotalExpensesAmt
CY Total Expenses$198,773,933CYTotalExpensesAmt
PY Revenues Less Expenses$6,940,451PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,319,066CYRevenuesLessExpensesAmt
Total Assets BOY$185,495,578TotalAssetsBOYAmt
Total Assets EOY$187,302,342TotalAssetsEOYAmt
Total Liabilities BOY$95,650,747TotalLiabilitiesBOYAmt
Total Liabilities EOY$147,120,743TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$89,844,831NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$40,181,599NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWEST GEORGIA HEALTH SERVES THE HEALTH CARE NEEDS OF PEOPLE WITHIN OUR REGION THROUGH PROFESSIONAL SERVICE, COMPASSIONATE TREATMENT AND A SAFE ENVIRONMENT, WHILE COLLABORATING WITH COMMUNITY LEADERS TO PRODUCE BETTER HEALTH FOR OUR CITIZENS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$154,796,552ExpenseAmt
Grant$244,873GrantAmt
Revenue$182,214,982RevenueAmt
DescTHE HOSPITAL SERVICES PROGRAMS' GOAL IS TO PROVIDE THE BEST POSSIBLE HEALTH CARE SERVICES TO MEET THE NEEDS OF THE PEOPLE IN TROUP AND OTHER COUNTIES IN THE GEOGRAPHICAL AREA. THE PROGRAM HAD 8,438 ADMISSIONS, 30,599 INPATIENT DAYS, 55,969 OUTPATIENT EMERGENCY ROOM VISITS, 5,425 INPATIENT EMERGENCY ROOM VISITS, 1,843 INPATIENT SURGERIES, 4,202 OUTPATIENT SURGERIES, 664 INPATIENT ENDOSCOPIES, 3,710 OUTPATIENT ENDOSCOPIES,AND 1,106 DELIVERIES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$9,587,246ExpenseAmt
Revenue$16,982,293RevenueAmt
DescLONG TERM CARE INCLUDES TWO NURSING HOMES. THIS PROGRAM PROVIDED 87,737 INPATIENT DAYS IN SKILLED NURSING CARE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,329,235ExpenseAmt
Revenue$4,163,894RevenueAmt
DescHOSPICE PROGRAM PROVIDED 4,041 INPATIENT DAYS OF HOSPICE CARE AND 12,883 DAYS OF HOSPICE HOME CAREDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$4,486,719ExpenseAmt
Revenue$2,754,029RevenueAmt
DescADDITIONAL EXEMPT ACTIVITY PROGRAMS INCLUDING HOME HEALTH, DIALYSIS, PHYSICIAN PRACTICES, OCCUPATIONAL EXPENSES, OCCUPATIONAL HEALTH, SCHOLARSHIPS, ETC. IN ADDITION ALL FY 2015 PROFITS FROM SALES AT THE GIFT SHOP WERE DONATED TO THE FOUNDATION TO SUPPORT THE UPCOMING CANCER PROGRAM.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$4,486,719TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$2,754,029TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$172,199,752TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document375IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1538EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PAUL PERROTTI SR VPCFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7068453934PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11514 VERNON ROADAddressLine1Txt
CityLAGRANGECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30240ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MIKE PATTON
CHAIR1.001.00Yes (X)Yes (X)$0$0$0
JOHN MCKIBBEN
VICE CHAIR1.002.00Yes (X)Yes (X)$0$0$0
SPEER BURDETTE
TREASURER1.001.00Yes (X)Yes (X)$0$0$0
ANIL MODI MD
SECRETARY1.00Yes (X)Yes (X)$19,956$0$0
BOBBY CARMICHAEL
BOARD MEMBER1.00Yes (X)$0$0$0
NANCY DURAND
BOARD MEMBER1.003.00Yes (X)$0$0$0
RANDY COMERFORD MD
BOARD MEMBER1.001.00Yes (X)$0$0$0
KENNETH MCCAMEY
BOARD MEMBER1.001.00Yes (X)$0$0$0
GEORGE STEFENELLI MD
BOARD MEMBER1.00Yes (X)$6,000$0$0
GERALD N FULKS
PRESIDENT/CEO40.002.00Yes (X)$472,740$0$92,545
PAUL R PERROTTI
SENIOR VP FINANCE/CFO40.003.00Yes (X)$318,015$0$52,549
CHARIS ACREE
SENIOR VP OPERATIONS40.00Yes (X)$268,720$0$84,769
TRIPP PENN
VP SUPPORT SERVICES40.00$182,275$0$32,903Yes (X)
DEBORAH W BURTON
VP/CHIEF NURSING OFFICER40.00$188,277$0$64,332Yes (X)
TOMMY BRITT
VP HUMAN RESOURCES40.00$160,689$0$28,183Yes (X)
LIZA FRITCHLEY
VP SENIOR SERVICES40.00$160,584$0$27,927Yes (X)
MARY SPARROW
PHARMACIST40.00$138,646$0$42,410Yes (X)
DON DAVIS
DIRECTOR, PHARMACY40.00$165,979$0$44,932Yes (X)
ALFRED MCNAIR
PHARMACIST40.00$151,397$0$71,488Yes (X)
CAROL TODD
GENERAL COUNSEL40.00$177,806$0$30,025Yes (X)
JANICE PAGE
PHARMACIST40.00$131,989$0$28,278Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,543,073TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$600,341TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K49IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CONIFER HEALTH SOLUTIONS LLC
1500 S DOUGLASS RDANAHEIMCA92806MANAGEMENT$5,327,196
GEORGIA RADIOLOGY SERVICES LLC
5665 NEW NORTHSIDE DRATLANTAGA30328OUTSIDE RADIOLOGY$3,135,663
SOUTHERN CRESCENT ANESTHESIOLOGY
80 NEWNAN STATION DRIVENEWNANGA30265ANESTHESIOLOGY SERVICES$1,056,865
MICROSOFT LICENSING GP
1950 N STEMMONS FWYDALLASTX75207SOFTWARE$525,745
HSS INC
900 SOUTH BROADWAY SUITE ADENVERCO80209SECURITY SERVICES$484,981
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K114CntrctRcvdGreaterThan100KCnt
Related Organizations$325,141RelatedOrganizationsAmt
All Other Contributions$7,700AllOtherContributionsAmt
Total Contributions$332,841TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621400$204,161,527$204,161,527
PREMIER PSHP INCOME900099$942,140$942,140
PHARMACY621400$529,882$529,882
EHR INCENTIVE PROGRAM REVENUE621400$227,402$227,402
LIFELINE621400$55,766$55,766
FieldValueIRS element (for citing)
Total Program Service Revenue$205,916,717TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,473,564TotalRevenueColumnAmt
Exclusion$1,473,564ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$36,251RealAmt
Personal$395,139PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$36,251RealAmt
Personal$395,139PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$431,390TotalRevenueColumnAmt
Unrelated Business Revenue$36,251UnrelatedBusinessRevenueAmt
Exclusion$395,139ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$31,084OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$46,642SecuritiesAmt
Other$2,552OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$46,642SecuritiesAmt
Other$28,532OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$18,110TotalRevenueColumnAmt
Exclusion-$18,110ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$596,610GrossSalesOfInventoryAmt
Cost Of Goods Sold$398,129CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$198,481TotalRevenueColumnAmt
Related Or Exempt Func Income$198,481RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MANAGEMENT FEES900099$1,297,453$1,297,453
CAFETERIA AND VENDING900099$797,171$797,171
MISCELLANEOUS621400$344,812$165,613$179,199

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$318,680TotalRevenueColumnAmt
Exclusion$318,680ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,758,116OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$211,092,999TotalRevenueColumnAmt
Related Or Exempt Func Income$206,115,198RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$215,450UnrelatedBusinessRevenueAmt
Exclusion$4,429,510ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$244,873TotalAmt
Program Services$244,873ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,084,923TotalAmt
Program Services$662,265ProgramServicesAmt
Management And General$1,422,658ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$57,627,120TotalAmt
Program Services$51,423,584ProgramServicesAmt
Management And General$6,203,536ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,066,680TotalAmt
Program Services$3,547,647ProgramServicesAmt
Management And General$519,033ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,216,036TotalAmt
Program Services$8,039,787ProgramServicesAmt
Management And General$1,176,249ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,169,766TotalAmt
Program Services$3,637,576ProgramServicesAmt
Management And General$532,190ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$334,845TotalAmt
Program Services$247,250ProgramServicesAmt
Management And General$87,595ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,560,845TotalAmt
Management And General$1,560,845ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$254,591TotalAmt
Management And General$254,591ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$134,463TotalAmt
Management And General$134,463ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$28,065,851TotalAmt
Program Services$25,721,956ProgramServicesAmt
Management And General$2,343,895ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$655,702TotalAmt
Program Services$35,933ProgramServicesAmt
Management And General$619,769ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,268,071TotalAmt
Program Services$7,691,045ProgramServicesAmt
Management And General$2,577,026ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,852,691TotalAmt
Program Services$631,397ProgramServicesAmt
Management And General$4,221,294ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,303,556TotalAmt
Program Services$2,101,796ProgramServicesAmt
Management And General$201,760ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$603,445TotalAmt
Program Services$373,759ProgramServicesAmt
Management And General$229,686ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$193,136TotalAmt
Program Services$115,212ProgramServicesAmt
Management And General$77,924ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,379,411TotalAmt
Management And General$3,379,411ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,486,538TotalAmt
Program Services$10,568,489ProgramServicesAmt
Management And General$918,049ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$825,052TotalAmt
Program Services$742,458ProgramServicesAmt
Management And General$82,594ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$33,914,141$33,914,141
MEDICAL SUPPLIES$22,486,049$22,486,049
UBI TAX$31,613$31,613
MED STAFF DEVELOPMENT D$14,535$14,535

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$198,773,933TotalAmt
Program Services$172,199,752ProgramServicesAmt
Management And General$26,574,181ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,669,888BOYAmt
EOY$11,667,455EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$376,039BOYAmt
EOY$778,382EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,541,252BOYAmt
EOY$24,076,144EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,018,100BOYAmt
EOY$3,078,360EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,335,772BOYAmt
EOY$1,584,213EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$255,014,263LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$164,132,943LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$98,173,524BOYAmt
EOY$90,881,320EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$39,009,726BOYAmt
EOY$49,676,517EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$130,115BOYAmt
EOY$192,100EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,241,162BOYAmt
EOY$5,367,851EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$185,495,578BOYAmt
EOY$187,302,342EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,716,701BOYAmt
EOY$19,009,682EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$67,734,565BOYAmt
EOY$65,465,835EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$70,022BOYAmt
EOY$54,049EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,129,459BOYAmt
EOY$62,591,177EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$95,650,747BOYAmt
EOY$147,120,743EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$82,512,313BOYAmt
EOY$33,072,301EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,332,518BOYAmt
EOY$7,109,298EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$89,844,831BOYAmt
EOY$40,181,599EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$185,495,578BOYAmt
EOY$187,302,342EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$12,319,066ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,856,310NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$60,125,988OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$42,420OtherActivitiesAmt
Total Lobbying Expenditures$42,420TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationWEST GEORGIA MEDICAL CENTER, INC. PAYS ANNUAL MEMBERSHIP DUES TO GEORGIA ALLIANCE OF COMMUNITY HOSPITALS, GEORGIA HOSPITAL ASSOCIATION, GEORGIA HEALTH CARE ASSOCIATION, AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE DESIGNATED BY THESE ORGANIZATIONS FOR LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Assets Included$2,355,189AssetsIncludedAmt
FieldValueIRS element (for citing)
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Collection Used PreservationYes (X)CollectionUsedPreservationInd
Solicited Assets Sale0SolicitedAssetsSaleInd
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$70,022BeginningBalanceAmt
Distributions During Year$15,973DistributionsDuringYearAmt
Ending Balance$54,049EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,332,518BeginningYearBalanceAmt
Other Expenditures$223,220OtherExpendituresAmt
End Year Balance$7,109,298EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,563,602BeginningYearBalanceAmt
Other Expenditures$231,084OtherExpendituresAmt
End Year Balance$7,332,518EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,277,918BeginningYearBalanceAmt
Other Expenditures$1,714,316OtherExpendituresAmt
End Year Balance$7,563,602EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,327,227BeginningYearBalanceAmt
Contributions$695,000ContributionsAmt
Investment Earnings Or Losses$11,142InvestmentEarningsOrLossesAmt
Grants Or Scholarships$486,291GrantsOrScholarshipsAmt
Other Expenditures$269,160OtherExpendituresAmt
End Year Balance$9,277,918EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,660,005BeginningYearBalanceAmt
Contributions$600,000ContributionsAmt
Investment Earnings Or Losses$363InvestmentEarningsOrLossesAmt
Grants Or Scholarships$637,675GrantsOrScholarshipsAmt
Other Expenditures$295,466OtherExpendituresAmt
End Year Balance$9,327,227EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,695,649OtherCostOrOtherBasisAmt
Book Value$3,695,649BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$110,438,540OtherCostOrOtherBasisAmt
Depreciation$49,151,664DepreciationAmt
Book Value$61,286,876BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,681,153OtherCostOrOtherBasisAmt
Depreciation$5,823,600DepreciationAmt
Book Value$3,857,553BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$129,506,817OtherCostOrOtherBasisAmt
Depreciation$109,157,679DepreciationAmt
Book Value$20,349,138BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,692,104OtherCostOrOtherBasisAmt
Book Value$1,692,104BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$90,881,320TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
INSURANCE LIABILITY$1,200,000
PENSION PAYABLE$61,308,464
WGHS COVENANT NOT TO COMPETE$73,803
DUE TO AFFILIATES$8,910
FieldValueIRS element (for citing)
Total Liability$62,591,177TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$114,518,086TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,856,310NetUnrealizedGainsInvstAmt
Other Revenue$398,129OtherRevenueAmt
Revenue Not Reported-$1,458,181RevenueNotReportedAmt
Revenue Subtotal$115,976,267RevenueSubtotalAmt
Investment Expenses Not Incld$134,463InvestmentExpensesNotIncldAmt
Other Revenues Not Included$94,982,269OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$95,116,732RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$211,092,999TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$164,181,318TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$398,129OtherExpensesIncludedAmt
Expenses Not Reported$398,129ExpensesNotReportedAmt
Expenses Subtotal$163,783,189ExpensesSubtotalAmt
Investment Expenses Not Incld2$134,463InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$34,856,281OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$34,990,744ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$198,773,933TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 4:THE ORGANIZATION HOLDS ART COLLECTIONS AND EXIBITS THEM IN PUBLIC AREAS. THE EXHIBITS ENHANCE THE HEALTH CARE EXPERIENCES FOR PATIENTS, PATIENT'S FAMILIES, AND VISITORS.
PART V, LINE 4:TERM ENDOWMENT FUNDS ARE TO BE USED FOR NURSING SCHOLARSHIPS. PERMANENT ENDOWMENT FUNDS ARE TO BE USED FOR PROPERTY AND IMPROVEMENTS FOR HOSPITAL PURPOSES.
PART X, LINE 2:THE ORGANIZATION IS EXEMPT FROM INCOME TAX PURSUANT TO INTERNAL REVENUE CODE SECTION 501(A), AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION HAS EVALUATED ITS TAX POSITION AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2015 AND 2014. FISCAL YEARS ENDING ON AND AFTER SEPTEMBER 30, 2012 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:AUXILIARY COST OF GOODS SOLD FOR GIFT SHOP 398,129.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PREMIER HEALTH ALLIANCE REVENUE INCLUDED IN EXPENSES 942,140. PROVISION FOR BAD DEBT 33,914,141. PENSION LIABILITY ADJUSTMENT 15,597,680. EQUITY TRANSFER TO AFFILIATE PSO 9,172,315. RESTATED ASC 715 NET PENSION OBLIGATION 35,355,993.
PART XII, LINE 2D - OTHER ADJUSTMENTS:AUXILIARY COST OF GOODS SOLD FOR GIFT SHOP 398,129.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 33,914,141. PREMIER HEALTH ALLIANCE REVENUE INCLUDED IN EXPENSES 942,140.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other125.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other375.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,439,091TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,439,091NetCommunityBenefitExpnsAmt
Total Expense0.04510TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,083,196TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,481,784DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,601,412NetCommunityBenefitExpnsAmt
Total Expense0.03400TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$403,280TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$180,597DirectOffsettingRevenueAmt
Net Community Benefit Expns$222,683NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,925,567TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,662,381DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,263,186NetCommunityBenefitExpnsAmt
Total Expense0.08050TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,863TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$59,863NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,031,396TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,031,396NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$151,258TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$151,258NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,242,517TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,242,517NetCommunityBenefitExpnsAmt
Total Expense0.00760TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,168,084TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,662,381DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,505,703NetCommunityBenefitExpnsAmt
Total Expense0.08810TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,356TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,356NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,356TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,356NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$11,132,143BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$36,160,454ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$34,525,247CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,635,207MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WEST GEORGIA MEDICAL CENTER INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11514 VERNON ROADAddressLine1Txt
CityLAGRANGECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30240ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WEST GEORGIA MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE DISCLOSUREOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE DISCLOSUREStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care125.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care375.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE DISCLOSUREFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE DISCLOSUREFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE DISCLOSUREFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
WEST GEORGIA MEDICAL CENTERPART V, SECTION B, LINE 5: THE WEST GEORGIA HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE IDENTIFIED COMMUNITY LEADERS, PARTNERS, AND REPRESENTATIVES TO INCLUDE IN THE CHNA PROCESS. REPRESENTATIVES OF GROUPS, OR INDIVIDUALS, WHO REPRESENT MEDICALLY UNDERSERVED POPULATIONS, LOW INCOME POPULATIONS, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASES WERE INCLUDED.WEST GEORGIA HEALTH IDENTIFIED OVER 120 COMMUNITY MEMBERS TO PARTICIPATE IN THE CHNA PROCESS. KEY COMMUNITY STAKEHOLDERS WHO WERE INTERVIEWED INCLUDED:BART MCFADDEN OF THE BOYS AND GIRLS CLUB OF WEST GEORGIA; CARL VON EPPS OF THE GEORGIA HOUSE OF REPRESENTATIVES; DEBBIE BURDETTE FROM TROUP COUNTY SCHOOLS; ELIA BALTES OF THE DASH PROGRAM AND CHILI PROGRAM; JACK EATMON OF THE TROUP FAMILY CONNECTION; JUDY WRIGHT FROM WGH SOCIAL SERVICES; KAY DURAND OF THE TROUP COUNTY CENTER FOR STRATEGIC PLANNING, INC.; LARRY ASPLUND, THE PASTOR OF NEW COMMUNITY CHURCH; MELODY WEGIENKA, A PUBLIC HEALTH NURSE OF THE DISTRICT 4 PUBLIC HEALTH DEPARTMENT; MICHELE BEDINGFIELD FROM THE HARMONY HOUSE; MICHELE THOMPSON FROM WOMEN'S FIRST CHOICE; NORMA TUCKER, A CITY COUNCIL MEMBER, FROM FIRST STEPS PROGRAM; PAT ROBINSON FROM THE SENIOR CORP CENTER; SHAY THORNTON FROM THE DEPARTMENT OF FAMILY AND CHILDREN SERVICES; VALERIE WEST, A BOARD MEMBER FROM NATIONAL ALLIANCE ON MENTAL ILLNESS, SERVING ON THE TROUP COUNTY MENTAL HEALTH TASK FORCE; WANDA SCARBOROUGH FROM TROUP TRANSFORMATION.COMMUNITY FOCUS GROUP PARTICIPANTS INCLUDED:ALISHA SCOTT, A COURT PUBLIC DEFENDER; ALTON WEST FROM THE CITY OF LAGRANGE COMMUNITY DEVELOPMENT; BUCK DAVIS FROM THE TROUP COUNTY COMMISSION; CANDACE WORTHAM FROM TROUP CARES; CARL VON EPPS, A STATE REPRESENTATIVE; CARRIE BKRICH FROMTROUP CO. STRATEGIC PLANNING; CATHY SMITH FROM DASH; CHARLENE MCCLANAHAN FROM WEST GEORGIA HEALTH ONCOLOGY DEPARTMENT; CHRIS POWELL FROM THE SALVATION ARMY; DAN WOOTEN FROM ACTIVE LIFE SENIORS; DAVE MILLER FROM NEW VENTURES; DEBBIE BURDETTE, ALITERACY VOLUNTEER/ACTIVIST; DEBORAH BURTON FROM WEST GEORGIA HEALTH; DIANE HARRELL FROM THE CENTER FOR COMMUNITY STUDIES; DONA CHERRY FROM TROUP CARES NETWORK; DR. JAY GIESLER A PHYSICIAN; DR. SANDY SIMMONS A PHYSICIAN; GAIL GORDON FROM SUCCESS BY SIX; JACK EATMON FROM TROUP FAMILY CONNECTION; JACK LEIDNER FROM HOGANSVILLE CITY COUNCIL; JANICE HETHCOX FROM TROUP BELL; JEAN CROCKER FROM HOGANSVILLE CITY COUNCIL; JEANNETTE LITTLE STATE FROM COURT JUDGE; JEFF LUKKEN, MAYOR OF THE CITY OF LAGRANGE; JUDY WRIGHT, WGH SOCIAL SERVICES; KAREN CAGLE FROM TROUP COUNTY SCHOOLS; KEN SMITH FROM TROUP CO. COMMISSION; MANDY HILL FROM TWIN CEDARS YOUTH COUNCIL; MELODY WEGIENKA, A PUBLIC HEALTH NURSE FROM THE DISTRICT 4 PUBLIC HEALTH DEPARTMENT; MICHELE THOMPSON FROM WOMEN'S FIRST CHOICE; MIKE ANGSTADT FROM TWIN CEDARS YOUTH & FAMILY SERVICES; MORRIS JONES FROM TROUP COUNTY COMMISSIONER; NORMA TUCKER FROM FIRST STEPS & CITY COUNCIL; PASTOR HUGO OROPEZA FROM HISPANIC CHURCH; PATRICIA ROBINSON FROM SENIOR CORP; PATTI YOUNGBLOOD FROM THE UNITED WAY OF W. GEORGIA, INC.; RANDY NIX, A GEORGIA STATE REPRESENTATIVE; RICHARD ENGLISH FROM THE TROUP COUNTY COMMISSION; SPEER BURDETTE FROM THE CALLAWAY FOUNDATION; TRIPP PENN FROM WEST GEORGIA HEALTH; VALERIE WEST, A BOARD MEMBER AT THE NATIONAL ALLIANCE ON MENTAL ILLNESS, AND FROM THE TROUP COUNTY MENTAL HEALTHTASK FORCE; WANDA SCARBOROUGH FROM TROUP TRANSFORMATION
WEST GEORGIA MEDICAL CENTERPART V, SECTION B, LINE 11: DURING OCTOBER AND NOVEMBER 2015, WEST GEORGIA HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STEERING COMMITTEE CONDUCTED AN EVALUATION OF ITS IMPLEMENTATION STRATEGIES FOR THE 2014-2015 FISCAL YEAR ENDING SEPTEMBER 30, 2015. THE EVALUATION PROCESS INCLUDED: STATUS REPORT OF ACTIVITIES AND COMPILING YEAR-END OUTCOME AND IMPACT METRICS.STEERING COMMITTEE MEETING TO RATE THE ACCOMPLISHMENTS OF EACH GOAL AND DETERMINE IF THE CURRENT IMPLEMENTATION STRATEGIES SHOULD BE CONTINUED, DISCONTINUED OR MODIFIED.ACTION PLAN UPDATE FOR THE UPCOMING FISCAL YEAR. THE STEERING COMMITTEE MET ON NOVEMBER 3, 2015 TO REVIEW THE STATUS, OUTCOMES AND IMPACT OF THE VARIOUS IMPLEMENTATION STRATEGIES ACCOMPLISHED THROUGHOUT THE PREVIOUS FISCAL YEAR. SOME HIGHLIGHTS OF THE OUTCOMES/IMPACT DATA INCLUDED: GOAL 1: ACCESS THREE (3) SPECIALIST PHYSICIANS HAVE BEEN RECRUITED (PULMONOLOGIST, RADIATION ONCOLOGIST AND ENT), UROLOGY SEARCH STILL ACTIVE; OTHER RECRUITMENT EFFORTS ON HOLD UNTIL PHYSICIAN NEEDS ASSESSMENT IS UPDATED.OVER $21 MILLION WAS PROVIDED IN CHARITY CARE AND BAD DEBT; EMERGENCY DEPARTMENT VISITS ACTUALLY INCREASED THIS PAST YEAR, AS DID THE PERCENTAGE THAT WAS AMBULATORY CARE SENSITIVE CONDITIONS (28%).THE COMMUNITY RESOURCE GUIDE IS UNDERWAY AND IS EXPECTED TO BE COMPLETED BY DECEMBER 31, 2015.1,078 WGH EMPLOYEES AND SPOUSES PARTICIPATED IN THE EMPLOYEE WELLNESS PROGRAMS; 618 EMPLOYEES PARTICIPATED IN THE WEIGHT LOSS CHALLENGE AND LOST A TOTAL OF 2,343 POUNDS.TROUP COUNTY WELLNESS AT WORK INITIATIVE EXPANDED TO ONLY ONE EMPLOYER; THE CHAMBER IS LOOKING AT STRATEGIES TO EXPAND PARTICIPATION. GOAL 2: CHRONIC DISEASE PREVENTION AND MANAGEMENT 800 PEOPLE PARTICIPATED IN THE "PAINT THE TOWN PINK" EVENT; 12 LOW INCOME WOMEN WERE SCREENED AND 11 WERE GIVEN PAYMENT VOUCHERS AND SCHEDULED FOR MAMMOGRAMS. 113 PEOPLE WALKED IN THE "HOPE FOR A DAY" WALK, RAISING MORE THAN $80,000 FOR BREAST CANCER SCREENINGS, AWARENESS, PATIENT SUPPORT, ETC.INITIATED LUNG CT SCREENING FOR LUNG CANCER; 12 PATIENTS STAGE 1; 4 PATIENTS STAGE 2; 23 PATIENTS STAGE 3; AND 33 PATIENTS STAGE 4 LUNG CANCER DIAGNOSES REPORTED.ZERO PARTICIPANTS IN SMOKING CESSATION PROGRAM; ENCOURAGING PHYSICIANS TO REFER. COLON CANCER DIAGNOSES: STAGE 1 - 5 PATIENTS; STAGE 2 - 7 PATIENTS; STAGE 3 -6 PATIENTS; AND STAGE 4 - 8 PATIENTS.178 MEN SCREENED DURING PROSTATE CANCER EVENT; 12 REFERRED FOR FOLLOW UP; STAGE 1 - 19 PATIENTS; STAGE 2 - 29 PATIENTS; STAGE 3 - 0 PATIENTS; AND STAGE 4 - 3 PATIENTS DIAGNOSED.TWO 2-DAY HEALTH FAIRS ATTRACTED OVER 400 PARTICIPANTS.84 PEOPLE PARTICIPATED IN WEIGHT MANAGEMENT CLASSES WITH WGH DIETITIANS. PROJECT RED 30-DAY, ALL CAUSE READMISSION RATE FOR FY 2015 TD=4.69%; OVERALL WGH 30-DAY, ALL-CAUSE HEART FAILURE READMISSION RATE FOR FY 2015 TD = 13.78%. GOAL 3: HEALTHY YOUTH NO TEEN PREGNANCY CLASSES WERE OFFERED DUE TO A LACK OF PARTICIPATION. TEEN BIRTHS AT WGH INCREASED 149% IN 2015. THE TROUP COUNTY SCHOOL DISTRICT IS ADDING A 7TH GRADE CURRICULUM.SEX, TRUTH AND CONSEQUENCES CLASS HELD IN JANUARY 2015 WITH 80 PARTICIPANTS, POST-TESTS SHOWED 80% (COMBINED PARENTS AND STUDENTS) REPORTED INCREASED KNOWLEDGE OF THE TOPICS. TEEN MAZE EVENT HELD IN NOVEMBER 2014 WITH 900 PARTICIPANTS. PROVIDED FINANCIAL SUPPORT TO LOCAL BOYS AND GIRLS CLUB EVENTS: 67% OF LOCAL CLUB MEMBERS REPORTED PARTICIPATING IN PHYSICAL ACTIVITY FOR 7 DAYS/WEEK VS. 33% OF YOUTH NATIONWIDE; 63% OF CLUB MEMBERS REPORTED CONSUMING AT LEAST 2 FRUITS/3 VEGETABLES EACH DAY VS. 43% CONSUMPTION AMONG U.S. YOUTH; 91.5% OF YOUTH PARTICIPATING IN THE CLUBS' SUMMER PROGRAM DEMONSTRATED IMPROVED FITNESS FROM JUNE TO JULY.555 PARENTS WERE SCREENED IN THE FIRST STEPS PROGRAM TO PREVENT SHAKEN BABY SYNDROME; 2 CASES WERE REPORTED, UP FROM ZERO IN 2014. UPON RESEARCH AND REVIEW, THE FOLLOWING IMPLEMENTATION STRATEGY OBJECTIVES (BY GOALS) ARE NOT BEING PURSUED BY WEST GEORGIA HEALTH: GOAL 1: DECREASE INAPPROPRIATE ER UTILIZATION AND ADMISSIONS BY IMPROVING ACCESS TO PREVENTION, PRIMARY CARE AND CHRONIC DISEASE MANAGEMENT IN UNDERSERVED AREASOBJECTIVE A: IMPLEMENT A MOBILE HEALTH CLINIC - DURING THE COURSE OF THIS EVALUATION, IT WAS DETERMINED THAT IMPLEMENTING A MOBILE HEALTH CLINIC WAS NOT FINANCIALLY FEASIBLE AND WILL NOT BE PURSUED FURTHER. GOAL 2: REDUCE INCIDENCE AND PREVALENCE OF CHRONIC DISEASES AND IMPROVE CHRONIC DISEASE MANAGEMENT OF OBESITY, HEART DISEASE, CANCER, STROKE AND DIABETESOBJECTIVE C: EVALUATE BREAST CANCER RISK ASSESSMENT PRODUCTS AND SEEK FUNDING OPTIONS FOR IMPLEMENTATION - DURING THE COURSE OF THIS EVALUATION, IT WAS DETERMINED THAT EVALUATING AND IMPLEMENTING BREAST CANCER RISK ASSESSMENT PRODUCTS WAS NOT FINANCIALLY FEASIBLE AND WILL NOT BE PURSUED FURTHER.OBJECTIVE E: EVALUATE COLON CANCER RISK ASSESSMENT PRODUCTS AND SEEK FUNDING OPTIONS FOR IMPLEMENTATION - DURING THE COURSE OF THIS EVALUATION, IT WAS DETERMINED THAT EVALUATING AND IMPLEMENTING COLON CANCER RISK ASSESSMENT PRODUCTS WAS NOT FINANCIALLY FEASIBLE AND WILL NOT BE PURSUED FURTHER.OBJECTIVE F: EVALUATE PROSTATE CANCER RISK ASSESSMENT PRODUCTS AND SEEK FUNDING OPTIONS FOR IMPLEMENTATION - DURING THE COURSE OF THIS EVALUATION, IT WAS DETERMINED THAT EVALUATING AND IMPLEMENTING PROSTATE CANCER RISK ASSESSMENT PRODUCTS WAS NOT FINANCIALLY FEASIBLE AND WILL NOT BE PURSUED FURTHER.OBJECTIVE H: IF WGH MOBILE VAN CLINICS ARE DEEMED FEASIBLE, OFFER EDUCATIONAL SESSIONS IN CONJUNCTION WITH WGH MOBILE VAN CLINICS - DURING THE COURSE OF THIS EVALUATION, IT WAS DETERMINED THAT IMPLEMENTING A MOBILE HEALTH CLINIC WAS NOT FINANCIALLY FEASIBLE AND WILL NOT BE PURSUED FURTHER.OBJECTIVE H: EVALUATE DIABETES RISK ASSESSMENT PRODUCTS AND SEEK FUNDING OPTIONS FOR IMPLEMENTATION - DURING THE COURSE OF THIS EVALUATION, IT WAS DETERMINED THAT EVALUATING AND IMPLEMENTING DIABETES RISK ASSESSMENT PRODUCTS WAS NOT FINANCIALLY FEASIBLE AND WILL NOT BE PURSUED FURTHER.OBJECTIVE J: EVALUATE STROKE RISK ASSESSMENT PRODUCTS AND SEEK FUNDING OPTIONS FOR IMPLEMENTATION - DURING THE COURSE OF THIS EVALUATION, IT WAS DETERMINED THAT EVALUATING AND IMPLEMENTING STROKE RISK ASSESSMENT PRODUCTS WAS NOT FINANCIALLY FEASIBLE AND WILL NOT BE PURSUED FURTHER.OBJECTIVE K: EVALUATE HEART RISK ASSESSMENT PRODUCTS AND SEEK FUNDING OPTIONS FOR IMPLEMENTATION - DURING THE COURSE OF THIS EVALUATION, IT WAS DETERMINED THAT EVALUATING AND IMPLEMENTING HEART RISK ASSESSMENT PRODUCTS WAS NOT FINANCIALLY FEASIBLE AND WILL NOT BE PURSUED FURTHER.
WEST GEORGIA MEDICAL CENTERPART V, SECTION B, LINE 16I: ANNUAL NOTIFICATION IN LOCAL GENERAL CIRCULATION NEWSPAPER. ALSO, INDIVIDUAL NOTIFICATION OF THE POLICY IS GIVEN AT REGISTRATION TO ALL PATIENTS.
WEST GEORGIA MEDICAL CENTERPART V, SECTION B, LINE 19D: WE PROACTIVELY COMMUNICATE THE FACILITY'S PARTICIPATION IN THE INDIGENT PROGRAM.
WEST GEORGIA MEDICAL CENTERPART V, SECTION B, LINE 22D: THE ORGANIZATION USES THE LOOK-BACK AGB METHOD AS DESCRIBED IN TREASURY REGULATIONS. THE LOOKBACK IS BASED ON A RETROSPECTIVE 12-MONTH MEASUREMENT PERIOD AND IS BASED ON ACTUAL PAST CLAIMS PAID TO THE HOSPITAL FACILITY BY MEDICARE FEE-FOR-SERVICE TOGETHER WITH ALL PRIVATE HEALTH INSURERS.
WEST GEORGIA MEDICAL CENTERPART V, SECTION B, LINE 24: ALL PATIENTS ARE CHARGED THE SAME CDM PRICING. ADJUSTMENTS ARE LATER MADE BASED ON THE INVIDUALS APPLICATION FOR FINANCIAL ASSISTANCE AS COMPARED TO THE FPL GUIDELINES.
PART V, SECTION B, LINE 7A:HTTP://WWW.WGHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT/
PART V, SECTION B, LINE 10A:HTTP://WWW.WGHEALTH.ORG/IMAGES/UPLOADS/WGH_REPORT_FINAL.PDF
PART V, SECTION B, LINE 16:HTTP://WWW.WELLSTAR.ORG/ABOUT-US/POLICIES-PROCEDURES/PAGES/COMMUNITY-FINANCIAL-ASSISTANCE-POLICY.ASPX
PART V, SECTION B, LINE 16FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
WEST GEORGIA MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE:SEE DISCLOSURE
WEST GEORGIA MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE:SEE DISCLOSURE
WEST GEORGIA MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE:SEE DISCLOSURE
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
FLORENCE HAND HOME
200 MEDICAL DRIVELAGRANGEGA30240LONG TERM CARE
TWIN FOUNTAINS HOME
1400 HOGANSVILLE ROADLAGRANGEGA30240LONG TERM CARE
HOSPICE LAGRANGE
1510 VERNON ROADLAGRANGEGA30240HOSPICE
WEST GEORGIA WOUND CARE
1600 VERNON RD SUITE GLAGRANGEGA30240WOUND CARE
WEST GEORGIA HOME CARE
120 GLEN BASE ROADLAGRANGEGA30240HOME HEALTH; SKILLED NURSING
WOMEN'S HEALTH CENTER
1420 VERNON ROADLAGRANGEGA30240WOMEN'S CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 33,914,141.
PART I, LINE 6B:PLEASE SEE THE ORGANIZATION'S COMMUNITY BENEFIT REPORT FOR FY'15 AT THE WEB ADDRESS BELOW:HTTP://WWW.WGHEALTH.ORG/IMAGES/UPLOADS/WGH_YEAR_2_EVALUATION_FINAL_REPORT_05-02-16_2.PDF
PART II, COMMUNITY BUILDING ACTIVITIES:WEST GEORGIA HEALTH HAS BEEN THE COMMUNITY HOSPITAL FOR LAGRANGE AND THE WEST CENTRAL AREA OF GEORGIA FOR OVER SEVENTY YEARS, ALWAYS STRIVING TO PROVIDE EXCELLENT SERVICE TO OUR PATIENTS. IT IS THE ONLY HOSPITAL WITHIN A 35 MILES RADIUS FOR MANY COMMUNITY MEMBERS IN THE SERVICE AREA. WEST GEORGIA MEDICAL CENTER AND ITS EMPLOYEES SUPPORTS THEIR COMMUNITY THROUGH A VARIETY OF WAYS. IN TERMS OF SPONSORSHIPS, WGMC HAS PROVIDED SPONSOR FUNDING TO SEVERAL ORGANIZATIONS THAT FOCUS ON HEALTH-RELATED EVENTS THAT BENEFIT OUR LOCAL COMMUNITY INCLUDING: THE AMERICAN CANCER SOCIETY RELAY FOR LIFE, MARCH OF DIMES MARCH FOR BABIES, HEART OF WEST GEORGIA GOLF TOURNAMENT, WALK TO END ALZHEIMER'S, AMONG OTHERS. IN ADDITION, WGMC COORDINATES TWO MAJOR COMMUNITY EVENTS EACH YEAR: PAINT THE TOWN PINK BREAST CANCER AWARENESS EVENT AND THE HEART TRUTH FOR WOMEN LUNCHEON. IN ADDITION, WGMC SUPPORTS THE LAGRANGE-TROUP COUNTY CHAMBER OF COMMERCE AND ITS MISSION OF IMPROVING ECONOMIC DEVELOPMENT FOR THE COUNTY WITH A CHAIRMAN'S LEVEL SPONSORSHIP EACH YEAR. IN TERMS OF HEALTH PROMOTION, WGMC PARTICIPATES IN COMMUNITY HEALTH FAIRS, OFFERING A VARIETY OF SCREENINGS (BLOOD PRESSURE, GLUCOSE, CLINICAL BREAST EXAMS, FLU CLINICS) AND INFORMATION REGARDING PREVENTION AND AWARENESS OF NUMEROUS DISEASES PREVALENT IN OUR COMMUNITY (STROKE, DIABETES, HYPERTENSION, HEART DISEASE, CANCER, COPD, SMOKING). FOR THE PAST 5 YEARS, WGMC HAS PROVIDED MANPOWER AND PLANNING EXPERTISE TO TEEN MAZE, A TROUP COUNTY HEALTH DEPARTMENT INITIATIVE DESIGNED TO LOWER TEEN PREGNANCY RATES, PROVIDE INFORMATION ON DISTRACTED AND/OR DRUNK DRIVING, STDS, AND RISKY BEHAVIORS AND TO RAISE TROUP COUNTY GRADUATION RATES. WGMC ALSO OFFERS LOW-COST ($5) PROSTATE CANCER SCREENINGS EACH YEAR AND PARTNERS WITH THE WEST CENTRAL GEORGIA CANCER COALITION TO OFFER VOUCHERS FOR MAMMOGRAMS FOR UNDERSERVED WOMEN WHO QUALIFY. WGMC ALSO HOSTED SIX BLOOD DRIVES IN 2015, DURING WHICH 293 UNITS WERE DONATED PRIMARILY BY WGMC EMPLOYEES. FOR MORE THAN 40 YEARS, WGMC EMPLOYEES AND PHYSICIANS HAVE VOLUNTEERED THEIR TIME TO CONDUCT FREE ATHLETIC PHYSICALS FOR ALL MIDDLE AND HIGH SCHOOL ATHLETES WITHIN THE TROUP COUNTY SCHOOL DISTRICT. WGMC HOSTS A VARIETY OF MONTHLY OR QUARTERLY SUPPORT GROUPS INCLUDING THOSE FOR PATIENTS AND/OR FAMILIES WITH CANCER, BREAST CANCER, ALZHEIMER'S AND PARKINSON'S DISEASES. THEY ALSO OFFER A BREASTFEEDING SUPPORT GROUP FOR MOTHERS WITH INFANTS.WGMC STAFF ROUTINELY OFFER COMMUNITY CLASSES FOR CHILDBIRTH PREPARATION, BREASTFEEDING, INFANT CPR AND SAFETY, HEARTSAVER CPR, SAFE BABYSITTERS, PRE-TEEN CLASSES ON BODY CHANGES AND BLS FOR HEALTHCARE PROVIDERS.IN ADDITION TO ITS LIFESAVING TECHNOLOGY AND TREATMENTS, WGMC'S CANCER PROGRAM OFFERS NUMEROUS COMPLEMENTARY THERAPIES INCLUDING ART THERAPY, CURVY YOGA, NUTRITION CLASSES FOR CANCER PATIENTS AND THEIR FAMILIES, AS WELL AS THE AMERICAN CANCER SOCIETY PROGRAMS LOOK GOOD, FEEL BETTER AND ROAD TO RECOVERY PROGRAMS. SINCE 1996, WEST GEORGIA HOSPICE, A DIVISION OF WGMC, HAS HOSTED A GOLF TOURNAMENT EACH YEAR TO BENEFIT THE WEST GEORGIA HOSPICE CHARITABLE FUND. THE MONEY IN THIS FUND HELP ENSURE THAT ALL FAMILIES IN NEED HAVE ACCESS TO COMPREHENSIVE AND COMPASSIONATE HOSPICE CARE, REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION, WEST GEORGIA HOSPICE HOSTS CAMP DOGWOOD, A FREE, THREE-DAY GRIEF CAMP FOR 125 CHILDREN IN KINDERGARTEN THROUGH 8TH GRADE WHO HAVE EXPERIENCED THE LOSS OF A CLOSE LOVED ONE. THIS PROGRAM BEGAN IN 1997.IN ADDITION TO RAISING FUNDS TO SUPPORT FOR A RENOVATION/EXPANSION OF WGMC'S CANCER CENTER, THE WEST GEORGIA FOUNDATION COORDINATES THE WEST GEORGIA INSIDERS PROGRAM. THIS PROGRAM, WHICH LAUNCHED IN 2013, HOSTS EIGHT SESSIONS EACH YEAR FOR A CLASS THAT IS COMPOSED OF 20 BUSINESS AND COMMUNITY LEADERS REPRESENTING A GOOD CROSS SECTION OF OUR COMMUNITY. ITS PURPOSE IS TO EDUCATE COMMUNITY LEADERS ABOUT THE HEALTHCARE SERVICES AVAILABLE IN TROUP COUNTY, AS WELL AS THE CHANGES IN HEALTHCARE POLICY THAT COULD AFFECT LOCAL FAMILIES AND BUSINESSES.
PART III, LINE 4:FOOTNOTE: BAD DEBT EXPENSE WAS COMPUTED SO AS TO REFLECT THE ESTIMATED NET REALIZABLE AMOUNTS RECEIVABLE FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE A PROVISION FOR BAD DEBT IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO THE PROVISION FOR BAD DEBT EXPENSE. BAD DEBT EXPENSE WAS COMPUTED USING THE COST TO CHARGE RATIO.
PART III, LINE 8:MEDICARE ALLOWABLE COSTS WERE CALCULATED USING MEDICARE COST REPORTS.
PART III, LINE 9B:THE ORGANIZATION HAS A FINANCIAL ASSISTANCE POLICY WHICH GOVERNS ELIGIBILITY CRITERIA AND COLLECTON PRACTICES FOR ALL PATIENTS AND PATIENTS KNOWN TO QUALIFY FOR CHARITY AND OTHER FINANCIAL ASSISTANCE. ONCE A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE, IT IS NOTED IN THE PATIENT'S FINANCIAL CHART AND ANY COLLECTON EFFORTS CEASE.
PART VI, LINE 2:WEST GEORGIA MEDICAL CENTER IDENTIFIED AND ASSESSED THE HEALTH NEEDS OF THE COMMUNITY THROUGH THE FOLLOWING STEPS. 1) THE HOSPITAL'S CEO DEVELOPED AN INTERNAL STEERING COMMITTEE 2) THE COMMITTEE DEFINED THE COMMUNITY AS ITS PRIMARY SERVICE AREA - TROUP COUNTY, GA. 3) THE COMMITTEE IDENTIFIED AND ENGAGED COMMUNITY LEADERS AND STAKEHOLDERS. 4) WGMC WORKED WITH DRAFFIN & TUCKER, LLP TO CREATE A COMMUNITY HEALTH PROFILE WHICH ADDRESSED ACCESS TO PREVENTIVE HEALTH SERVICES, UNDERLYING CAUSES OF HEALTH PROBLEMS, AND MAJOR CHRONIC DISEASES OF THE POPULATION. SECONDARY DATA CAME FROM A VARIETY OF SOURCES INCLUDING VITAL RECORDS, STATE AND NATIONAL HEALTH STATUS DATA AND HOSPITAL UTILIZATION DATA. 5) THE TEAM GAINED COMMUNITY INPUT VIA MEETINGS WITH COMMUNITY LEADERS AND STAKEHOLDERS. 6) THE TEAM DEVELOPED A PRIORITIZATION OF NEEDS TO ADDRESS. 7) THE TEAM DEVELOPED IMPLEMENTATION STRATEGIES TO ADDRESS THE IDENTIFIED NEEDS.
PART VI, LINE 3:THE ORGANIZATION NOTIFIES PATIENTS (OR THEIR REPRESENTATIVES) OF THIS POLICY AT REGISTRATION. SIGNAGE IS POSTED IN BOTH ENGLISH AND SPANISH. INFORMATION AND APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN THE ADMISSIONS OFFICE AND EMERGENCY DEPARTMENT. WEST GEORGIA HEALTH COMMUNICATES THE AVAILABLITY OF FINANCIAL ASSISTANCE TO THE COMMUNITY BY COMMUNICATION ON THE HOSPITAL INTERNET SITE, AND VIA POSTINGS IN INTAKE AREAS. WGH ASSURES THE LATEST UPDATES ARE AVAILABLE FOR PUBLIC COMMUNICATIONS ANNUALLY.
PART VI, LINE 4:WEST GEORGIA HEALTH SERVICES, INC. (WGHS) IS A 558-BED FACILITY LOCATED IN LAGRANGE, GEORGIA, APPROXIMATELY 70 MILES SOUTH OF ATLANTA. WGHS PRIMARY SERVICE AREA IS TROUP COUNTY WITH A POPULATION OF APPROXIMATELY 68,000, BUT IT ALSO SERVES OTHER COUNTIES IN THE WEST CENTRAL GEORGIA AND EAST CENTRAL ALABAMA. APPROXIMATELY 19.5% OF THE POPULATION IN THE SERVICE AREA IS LIVING AT OR BELOW POVERTY LEVEL. ALMOST 25% OF THE POPULATION IS UNDER 18 YEARS AND ONLY ABOUT 14% OF THE POPULATION IN THE SERVICE AREA IS OVER THE AGE OF 65. THE MEDIAN HOUSEHOLD INCOME IN THE PRIMARY SERVICE AREA IS APPROXIMATELY $42,000.
PART VI, LINE 5:THE ORGANIZATION'S BOARD IS COMPRISED PRIMARILY OF RESIDENTS OF THE PRIMARY SERVICE AREA. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN SELECT DEPARTMENTS. ALL SURPLUS FUNDS ARE REINVESTED INTO HEALTHCARE SERVICES FOR THE COMMUNITY. IN ADDITION TO OPERATING A 276-BED HOSPITAL, WGMC ALSO OPERATES A 16-BED HOSPICE FACILITY AND TWO NURSING HOMES (265-BEDS).WEST GEORGIA MEDICAL CENTER AND ITS EMPLOYEES SERVE OUR COMMUNITY THROUGH A VARIETY OF SCREENING EVENTS, HEALTH FAIRS, EDUCATIONAL SESSIONS AND SERVICE CLINICS. SUCH SCREENING EVENTS INCLUDE - PAINT THE TOWN PINK BREAST CANCER AWARENESS EVENT, TROUP FAMILY EXPO, THE ANNUAL SUPERSTAR FOOTBALL CAMP, ANNUAL $5 PROSTATE SCREENINGS, CLINICAL BREAST EXAMS/VOUCHERS FOR FREE MAMMOGRAM FOR WOMEN WHO QUALIFY (A PARTNERSHIP WITH WEST GEORGIA CANCER COALITION) AND THE BRINGING THE AGES TOGETHER HEALTH EXPO, AMONG OTHERS.
PART VI, LINE 6:THE ORGANIZATION (WGMC) IS PART OF WEST GEORGIA HEALTH SERVICES, INC., A MULTI-ENTITY HEALTHCARE SYSTEM. THE ORGANIZATIONS IN THE SYSTEM INCLUDE: (1) WEST GEORGIA HEALTH SERVICES, INC. - WGHS SERVES AS THE PARENT ORGANIZATION OF THE SYSTEM AND PROVIDES STRATEGIC DIRECTION FOR THE SYSTEM. (2) WEST GEORGIA MEDICAL CENTER, INC. (WGMC)-- OPERATES A 276-BED ACUTE CARE HOSPITAL; A 150-BED SKILLED NURSING HOME (FLORENCE HAND HOME); A 112- BED SKILLED NURSING HOME (TWIN FOUNTAINS HOME); WEST GEORGIA HOSPICE (A HOME HOSPICE AGENCY) PLUS A 16-BED INPATIENT FACILITY); AND WEST GEORGIA HOME CARE WHICH PROVIDES HOME CARE SERVICES TO TROUP, HEARD, HARRIS, MERIWETHER COUNTIES. (3) VERNON WOODS RETIREMENT COMMUNITY, INC. - VERNON WOODS OPERATES A RETIREMENT COMMUNITY OFFERING BOTH ASSISTED AND INDEPENDENT LIVING. (4) WEST GEORGIA HEALTH FOUNDATION, INC. - THE FOUNDATION PROVIDES FUNDRAISING AND SUPPORT FOR WEST GEORGIA HEALTH SERVICES, INC. AND ITS AFFILIATES. (5) WEST GEORGIA HEALTH PHYSICIANS INC. - THIS IS A PHYSICIAN SERVICE ORGANIZATION WHICH PROVIDES SPECIALIZED MEDICAL SERVICES TO THE COMMUNITY.
PART VI, LINE 7, REPORTS FILED WITH STATESGA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
TROUP CARES
301 MEDICAL DRIVE 501LAGRANGEGA30240208176300501(C)(3)$60,000SUPPLEMENTAL SUPPORT
BOYS AND GIRLS CLUB OF WEST GEORGIA
PO BOX 1328LAGRANGEGA30241581998988501(C)(3)$10,0002015 SPONSORSHIP
TROUP COUNTY CENTER FOR STRATEGIC PLANNING
100 RIDLEY AVENUE STE 2200LAGRANGEGA30240270863139501(C)(3)$10,000OPERATIONAL SUPPORT
CIRCLES OF TROUP COUNTY
1220 LAFAYETTE PARKWAYLAGRANGEGA30241270863139501(C)(3)$25,000RELAY FOR LIFE SPONSORSHIP
WEST GEORGIA HEALTH FOUNDATION
1514 VERNON ROADLAGRANGEGA30240200936376501(C)(3)$85,000SUPPORT FOR UPCOMING CANCER PROGRAM
AMERICAN CANCER SOCITY
233 12TH STREET SUITE 710COLUMBUSGA31901131788491501(C)(3)$10,000RELAY FOR LIFE SPONSORSHIP
LAGRANGE-TROUP COUNTY CHAMBER OF COMMERCE
PO BOX 636LAGRANGEGA30241580318810501(C)(6)$10,000OPERATIONAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS MADE TO INDIVIDUALS ARE NOT PAID DIRECTLY TO THE INDIVIDUAL UNLESS SUBSTANTIATED BY RECEIPTS. MOST PAYMENTS ARE MADE DIRECTLY TO THE EDUCATIONAL INSTITUTION FOR THE GRANT RECIPIENT'S TUITION AND BOOKS. GRANTS MADE TO GOVERNMENTS AND ORGANIZATIONS ARE NOT MONITORED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GERALD N FULKS
PRESIDENT/CEO$398,304$0$64,000$0$10,436$0$76,565$0$15,980$0$565,285$0$0$0
PAUL R PERROTTI
SENIOR VP FINANCE/CFO$275,838$0$32,907$0$9,270$0$30,660$0$21,889$0$370,564$0$0$0
CHARIS ACREE
SENIOR VP OPERATIONS$228,713$0$24,234$0$15,773$0$62,969$0$21,800$0$353,489$0$0$0
TRIPP PENN
VP SUPPORT SERVICES$156,115$0$22,199$0$3,961$0$7,929$0$24,974$0$215,178$0$0$0
DEBORAH W BURTON
VP/CHIEF NURSING OFFICER$161,382$0$23,555$0$3,340$0$50,020$0$14,312$0$252,609$0$0$0
TOMMY BRITT
VP HUMAN RESOURCES$134,950$0$19,426$0$6,313$0$6,614$0$21,569$0$188,872$0$0$0
LIZA FRITCHLEY
VP SENIOR SERVICES$133,762$0$17,326$0$9,496$0$5,263$0$22,664$0$188,511$0$0$0
MARY SPARROW
PHARMACIST$132,109$0$450$0$6,087$0$35,291$0$7,119$0$181,056$0$0$0
DON DAVIS
DIRECTOR, PHARMACY$147,929$0$11,143$0$6,907$0$44,176$0$756$0$210,911$0$0$0
ALFRED MCNAIR
PHARMACIST$131,341$0$13,688$0$6,368$0$50,794$0$20,694$0$222,885$0$0$0
CAROL TODD
GENERAL COUNSEL$155,494$0$15,661$0$6,651$0$27,531$0$2,494$0$207,831$0$0$0
JANICE PAGE
PHARMACIST$131,414$0$450$0$125$0$5,577$0$22,701$0$160,267$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE ORGANIZATION PAYS COUNTRY CLUB DUES FOR THE CEO ONLY. THESE ARE ADDED TO HIS TAXABLE COMPENSATION.
PART I, LINE 4BEMPLOYER CONTRIBUTIONS TO THE 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT PLAN (SERP) INCLUDE $20,260 FOR PAUL PERROTTI, CFO AND $55,700 FOR GERALD FULKS, CEO. IN ACCORDANCE WITH 457(F) REGULATIONS THESE AMOUNTS WERE VESTED DURING THE YEAR, HOWEVER, THEY WERE NOT RECEIVED BY THE EMPLOYEE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY
A562609278507154AF92008-07-31$45,434,268CONSTRUCTION000
LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY
B562609278NONEAVAIL2014-08-15$22,389,764REFUNDING000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$4,875,000$46,001,275$4,619,242$900,528$45,782,302201100Yes (1)Yes (1)
B$678,494$22,389,764$164,4982014Yes (1)0Yes (1)Yes (1)$22,240,003

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Concerning UBIPrivateBusConcerningUBIPct
A00000.000000.00000000
B00000.000000.000000000.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)00000Yes (1)
B00Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH K, PART I, COLUMN (F)FormAndLineReferenceDesc
ExplanationPROCEEDS FOR ALL BONDS LISTED ARE FOR THE PURPOSE OF FINANCING HEALTHCARE FACILITIES OF A 501(C)(3) ORGANIZATION. SERIES 2008A WAS ISSUED FOR THE FOLLOWING PURPOSE: (1) TO FINANCE OR REFINANCE A PORTION OF THE COSTS OF CERTAIN FACILITIES INCLUDING THE ACQUISITION AND CONSTRUCTION OF ADDITIONAL HEALTHCARE FACILITIES AND THE RENOVATION OF EXISTING HEALTHCARE FACILITIES OF THE AUTHORITY IN TROUP COUNTY, GEORGIA, WHICH ARE PART OF WEST GEORGIA MEDICAL CENTER, (2) TO PAY CAPITALIZED INTEREST DURING THE CONSTRUCTION PERIOD OF THE PROJECT, AND (3) TO PAY COSTS OF ISSUANCE OF THE SERIES 2008A CERTIFICATES SERIES 2014 WAS ISSUED FOR THE FOLLOWING PURPOSE: (1) TO REFUND THE OUTSTANDING SERIES 2010 CERTIFICATES, AND (2) TO PAY ALL OR A PORTION OF THE COST OF ISSUING THE CERTIFICATES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS WEST GEORGIA HEALTH SERVICES, INC., A RELATED 501(C)3 ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AACCORDING TO THE CORPORATE BYLAWS OF WEST GEORGIA MEDICAL CENTER - THE BOARD OF DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE PARENT BOARD OF THE CORPORATION'S SOLE MEMBER, WEST GEORGIA HEALTH SERVICES, INC. PER ARTICLE III SECTION 2 THE BOARD OF DIRECTORS OF THE CORPORATION SHALL CONSIST OF BETWEEN NINE (9) AND SEVENTEEN (17), WITH AN EXACT NUMBER OF MEMBERS TO BE SET BY RESOLUTION OF THE BOARD OF DIRECTORS ("THE PARENT BOARD") OF THE CORPORATION'S SOLE MEMBER, WEST GEORGIA HEALTH SERVICES, INC. THE BOARD OF DIRECTORS SHALL BE APPOINTED BY THE PARENT BOARD. AS OF THE COMMENCEMENT DATE OF THE LEASE AND TRANSFER AGREEMENT, THE CRITERIA FOR THE SELECTION OF THE MEMBERS OF THE BOARD OF DIRECTORS SHALL BE AS FOLLOWS: (A) FIVE (5) OF THE MEMBERS SHALL BE THE MEMBERS OF THE PARENT BOARD ("PARENT BOARD MEMBERS"); (B) ONE (1) MEMBER SHALL BE THE COUNTY AUTHORITY MEMBER NOT SERVING ON THE PARENT BOARD; (C) ONE (1) MEMBER SHALL BE THE CITY AUTHORITY MEMBER NOT SERVING ON THE PARENT BOARD; (D) TWO (2) OF THE MEMBERS SHALL BE PHYSICIANS NOMINATED BY THE TROUP COUNTY MEDICAL SOCIETY ("MEDICAL SOCIETY MEMBER (S)") AND APPOINTED BY A MAJORITY VOTE OF THE PARENT BOARD
FORM 990, PART VI, SECTION A, LINE 7BPER ARTICLE IX OF ARTICLES OF INCORPORATION, NOTWITHSTANDING ANY OTHER PROVISIONS OF THESE ARTICLES OF INCORPORATION OR THE CORPORATION'S BYLAWS, THE CORPORATION MAY NOT TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT THE APPROVAL OF ITS SOLE MEMBER, WEST GEORGIA HEALTH SERVICES, INC.: (I) AMEND OR RESTATE THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (II) APPOINT OR REMOVE A DIRECTOR OR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; (III) ORGANIZE ANY SUBSIDIARY CORPORATION OR ENTER INTO ANY JOINT VENTURE OR PARTNERSHIP; (IV) ADOPT A PLAN OF LIQUIDATION OR DISSOLUTION (V) ENTER INTO ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR PROVIDING FOR A CHANGE IN CONTROL OVER THE CORPORATION; (VI) ADOPT A PLAN OF MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION; (VII) ADOPT OR AMEND AN ANNUAL OPERATING BUDGET OR CAPITAL BUDGET OR MAKE ANY EXPENDITURE IN EXCESS OF $50,000 EXCEPT PURSUANT TO A BUDGET OR EXPENDITURE POLICIES APPROVED BY WEST GEORGIA HEALTH SERVICES, INC.; OR (VII) AMEND OR TERMINATE ANY LEASE OF A HOSPITAL FACILITY TO WHICH THE CORPORATION IS A PARTY.
FORM 990, PART VI, SECTION B, LINE 11THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE 990 WILL BE REVIEWED AND APPROVED BY THE CONTROLLER AND CFO OF WEST GEORGIA HEALTH. A COPY OF THE REVIEWED AND APPROVED 990 WILL BE DISTRIBUTED TO EACH BOARD MEMBER PRIOR TO SUBMITTAL ELECTRONICALLY VIA E-MAIL.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES AND DIRECTORS OF WEST GEORGIA HEALTH. ANY DIRECTOR OF THE CORPORATION HAVING ANY POTENTIAL FINANCIAL INTEREST IN THE OUTCOME OF ANY DECISION THAT IS BEFORE THE BOARD OF DIRECTORS SHALL MAKE SUCH INTEREST APPARENT PRIOR TO THE DELIBERATIONS OR VOTE OF THE BOARD OF DIRECTORS ON THE ISSUE, AND SAID DIRECTOR SHALL ABSTAIN FROM VOTING ON THIS ISSUE, AND ABSENT HIMSELF/HERSELF FROM THIS MEETING DURING DELIBERATIONS ON THIS ISSUE. THE NATURE OF ANY DIRECTOR'S POTENTIAL FINANCIAL INTEREST IN THE OUTCOME OF ANY BOARD DECISION SHALL BE DISCLOSED IN THE MINUTE BOOK OF THE CORPOATION.
FORM 990, PART VI, SECTION B, LINE 15HUMAN RESOURCES MAKES COMPENSATION RECOMMENDATIONS BASED ON COMPARATIVE MARKET ANALYSIS. THE DATA IS THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, AS A HOSPITAL AUTHORITY BOND ISSUER, ANNUAL FINANCIALS ARE REPORTED ON EMMA_ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE FOR PUBLIC INSPECTION.
FORM 990, PART IX, LINE 11GCONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,835,070. MANAGEMENT AND GENERAL EXPENSES 50,459. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,885,529. PROFESSIONAL FEES AND SERVICES: PROGRAM SERVICE EXPENSES 19,792,370. MANAGEMENT AND GENERAL EXPENSES 460,890. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,253,260. CONSULTING: PROGRAM SERVICE EXPENSES 1,094,516. MANAGEMENT AND GENERAL EXPENSES 1,832,546. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,927,062.
FORM 990, PART XI, LINE 9:PENSION LIABILITY ADJUSTMENT -15,597,680. EQUITY TRANSFER TO AFFILIATE PSO -9,172,315. ASC 715 RESTATEMENT OF NET PENSION OBLIGATIONS -35,355,993.
PART XII, LINE 2CTHIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
WEST GEORGIA HEALTH FOUNDATION INC
1514 VERNON ROADLAGRANGEGA30240200936376FUNDRAISINGGA501(C)(3)LINE 7WEST GEORGIA HEALTH SERVICES INC0
WEST GEORGIA HEALTH SERVICES INC
1514 VERNON ROADLAGRANGEGA30240205497622PARENT OF HEALTH SYSTEMGA501(C)(3)LINE 11C, III-FI0N/A
VERNON WOODS RETIREMENT COMMUNITY INC
1514 VERNON ROADLAGRANGEGA30240582575049ASSISTED LIVINGGA501(C)(3)LINE 9WEST GEORGIA HEALTH SERVICES INC0
LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY
1514 VERNON ROADLAGRANGEGA30240562609278HOSPITAL AUTHORITYGA501(C)(3)LINE 30N/A
MEDICAL PARK FOUNDATION INC
209 BROOME STREETLAGRANGEGA30240581303478SUPPORTING ORGANIZATIONGA501(C)(3)LINE 11A, IWEST GEORGIA HEALTH SERVICES INC0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WEST GEORGIA HEALTH PHYSICIANS INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11514 VERNON ROADAddressLine1Txt
CityLAGRANGECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30240ZIPCd
FieldValueIRS element (for citing)
EIN275125341EIN
Primary ActivitiesPHYSICIAN PRACTICEPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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