CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY (EIN 63-0288852)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-02-07
- IRS object ID
- 201520389349300022
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-02-07T13:35:05-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 580914992 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 71309 | AddressLine1 |
| City | ALBANY | City |
| State | GA | State |
| ZIP Code | 317081309 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 630288852 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHATTAHOOCHEE VALLEY HOSPITAL | BusinessNameLine1 |
| Business Name Line2 | SOCIETY | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHAT | BusinessNameControlTxt |
| Phone | 3347561050 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 48TH STREET | AddressLine1 |
| City | VALLEY | City |
| State | AL | State |
| ZIP Code | 368543666 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM SCOTT | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3347561050 | PhoneNum |
| Signature | 2015-02-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACQUELINE G ATKINS | PreparerPersonNm |
| PTIN | P00861721 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2015-02-05 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEORGE H LANIER MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WILLIAM SCOTT PRESIDENT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 48TH STREET | AddressLine1 |
| City | VALLEY | City |
| State | AL | State |
| ZIP Code | 368543666 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $38,395,103 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LANIERHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1942 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE MEDICAL SERVICES TO RESIDENTS OF CHAMBERS COUNTY, ALABAMA AND WEST POINT, GEORGIA. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 685 | TotalEmployeeCnt |
| Total Volunteers | 75 | TotalVolunteersCnt |
| Total Gross UBI | $23,743 | TotalGrossUBIAmt |
| PY Contributions Grants | $60,552 | PYContributionsGrantsAmt |
| CY Contributions Grants | $119,919 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $38,705,467 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,112,702 | CYProgramServiceRevenueAmt |
| PY Investment Income | $267,047 | PYInvestmentIncomeAmt |
| CY Investment Income | -$11,965,425 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,507,172 | PYOtherRevenueAmt |
| CY Other Revenue | $152,917 | CYOtherRevenueAmt |
| PY Total Revenue | $40,540,238 | PYTotalRevenueAmt |
| CY Total Revenue | $10,420,113 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $65,562 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,823,512 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,426,694 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,241,676 | PYOtherExpensesAmt |
| CY Other Expenses | $11,467,917 | CYOtherExpensesAmt |
| PY Total Expenses | $43,065,188 | PYTotalExpensesAmt |
| CY Total Expenses | $24,960,173 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,524,950 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$14,540,060 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $33,655,439 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $19,115,379 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,540,060 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE MEDICAL SERVICES TO RESIDENTS OF CHAMBERS COUNTY, ALABAMA AND WEST POINT, GEORGIA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $22,575,985 | ExpenseAmt |
| Grant | $65,562 | GrantAmt |
| Revenue | $22,164,014 | RevenueAmt |
| Desc | CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY OPERATED GEORGE H. LANIER MEMORIAL HOSPITAL (HOSPITAL), GEORGE H. LANIER NURSING HOME, AND LANIER HOME HEALTH SERVICE. THE HOSPITAL PROVIDED EMERGENCY SERVICES, AN ENDOSCOPY UNIT, SURGERY UNIT, CATH LAB, CARDIAC REHAB, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, RADIOLOGY LAB AND SLEEP DISORDERS LAB. THE HOSPITAL IS A LICENSED 115-BED NOT-FOR-PROFIT ACUTE CARE FACILITY PRIMARILY SERVING CHAMBER COUNTY, ALABAMA AND WEST POINT, GEORGIA. SERVICES PROVIDED INCLUDE GENERAL SURGERY, CARDIOLOGY, GENERAL MEDICINE, GASTROENTEROLOGY, PULMONARY, EMERGENCY MEDICINE, IMAGING/RADIOLOGY, DIALYSIS, AMBULATORY SURGERY AND SWING BED. THE GEORGE H. LANIER NURSING HOME IS A 103-BED SKILLED NURSING FACILITY. | Desc |
| Total Program Service Expenses | $22,575,985 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 75 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 685 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRY BISHOP | PersonNm |
| Phone | 3347561050 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 48TH STREET | AddressLine1 |
| City | VALLEY | City |
| State | AL | State |
| ZIP Code | 368543666 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| KRIS REDDY MD | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $5,994 | $0 | $0 | |||
| DOT ANDERSON | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| FERNANDO BAYO | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ARTHUR PERKINS MD | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| KATE PRUITT | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| KAYE MAXWELL | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| CY WOOD | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSH MOON | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| CURT KOLLAR | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES BENDELL MD | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| OSCAR CRAWLEY | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM SCOTT III | ||||||||
| PRESIDENT | 3.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | |
| GAINES LANIER | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| VALERIE GRAY | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| TERRY VESTER MD | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID WILKERSON | ||||||||
| VICE PRESIDE | 3.00 | Yes (X) | $0 | $0 | $0 | 0.10 | Yes (X) | |
| TERRY BISHOP | ||||||||
| SECRETARY/TR | 3.00 | Yes (X) | $0 | $0 | $0 | 0.10 | Yes (X) | |
| PENNY COLLINS | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN COLLINS MD | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| LEONARD RILEY | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| DOUG DEWBERRY | ||||||||
| FORMER CEO | 50.00 | $172,378 | $0 | $9,265 | 1.00 | Yes (X) | ||
| TOMMY LANE | ||||||||
| CFO/AVP | 50.00 | $116,910 | $0 | $4,624 | Yes (X) | |||
| CAREY OWEN | ||||||||
| CEO | 50.00 | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| MOHAMAD CHAABAN MD | ||||||||
| PHYSICIAN | 40.00 | $337,467 | $0 | $0 | Yes (X) | |||
| PHILLIPPE TRANQUI MD | ||||||||
| PHYSICIAN | 50.00 | $310,855 | $0 | $12,353 | Yes (X) | |||
| DAVID FAGAN MD | ||||||||
| PHYSICIAN | 50.00 | $285,676 | $0 | $12,353 | Yes (X) | |||
| MAX SHIVER MD | ||||||||
| PHYSICIAN | 40.00 | $228,849 | $0 | $12,353 | Yes (X) | |||
| SERGE MISTIVAR MD | ||||||||
| PHYSICIAN | 40.00 | $219,591 | $0 | $9,071 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,677,720 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $60,019 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HUMAN PERFORMANCE & REHAB CTRS | |||||
| P O BOX 8068 | COLUMBUS | GA | 319088068 | PHYSICAL THERAP | $1,265,949 |
| CPSI | |||||
| P O BOX 850309 | MOBILE | AL | 366850309 | IT SYSTEMS | $644,242 |
| EMERGENCY STAFFING SOLUTIONS | |||||
| 17304 PRESTON ROAD | DALLAS | TX | 75252 | ER PHYSICIANS | $449,704 |
| LABORATORY CORP OF AMERICA | |||||
| P O BOX 405873 | BURLINGTON | NC | 272162140 | LAB TESTS | $196,099 |
| BALCH & BINGHAM LLP | |||||
| P O BOX 306 | BIRMINGHAM | AL | 35201 | LEGAL | $158,875 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $65,562 | GovernmentGrantsAmt |
| All Other Contributions | $54,357 | AllOtherContributionsAmt |
| Total Contributions | $119,919 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUES | 623000 | $22,088,959 | $22,088,959 | |
| REFERENCE LAB | 621500 | $23,743 | $23,743 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,112,702 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,806 | TotalRevenueColumnAmt |
| Exclusion | $6,806 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $16,002,759 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $27,974,990 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$11,972,231 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$11,972,231 | TotalRevenueColumnAmt |
| Exclusion | -$11,972,231 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA | 722513 | $77,862 | $77,862 | |
| MISCELLANEOUS | 621990 | $58,186 | $58,186 | |
| PHYSICIAN PRACTICE RECOVERY | 621990 | $8,824 | $8,824 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,045 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,045 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $152,917 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,420,113 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,164,014 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $23,743 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$11,887,563 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,562 | TotalAmt |
| Program Services | $65,562 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $309,171 | TotalAmt |
| Program Services | $5,994 | ProgramServicesAmt |
| Management And General | $303,177 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,880,201 | TotalAmt |
| Program Services | $10,425,722 | ProgramServicesAmt |
| Management And General | $454,479 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,458,213 | TotalAmt |
| Program Services | $1,374,060 | ProgramServicesAmt |
| Management And General | $84,153 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $779,109 | TotalAmt |
| Program Services | $727,220 | ProgramServicesAmt |
| Management And General | $51,889 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,559 | TotalAmt |
| Management And General | $447,559 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,416 | TotalAmt |
| Management And General | $46,416 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,862,072 | TotalAmt |
| Program Services | $1,667,748 | ProgramServicesAmt |
| Management And General | $194,324 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,682 | TotalAmt |
| Management And General | $16,682 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,512,930 | TotalAmt |
| Program Services | $1,212,007 | ProgramServicesAmt |
| Management And General | $300,923 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,212,770 | TotalAmt |
| Program Services | $1,036,918 | ProgramServicesAmt |
| Management And General | $175,852 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,416 | TotalAmt |
| Program Services | $13,365 | ProgramServicesAmt |
| Management And General | $5,051 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,964 | TotalAmt |
| Program Services | $3,330 | ProgramServicesAmt |
| Management And General | $634 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,243,072 | TotalAmt |
| Program Services | $1,062,827 | ProgramServicesAmt |
| Management And General | $180,245 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,304 | TotalAmt |
| Program Services | $122,333 | ProgramServicesAmt |
| Management And General | $66,971 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,644,538 | $2,644,538 | |
| PROVIDER TAX | $1,537,174 | $1,537,174 | |
| REPAIRS & MAINTENANCE | $558,975 | $556,049 | $2,926 |
| USE TAX | $72,403 | $72,403 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,642 | TotalAmt |
| Program Services | $48,735 | ProgramServicesAmt |
| Management And General | $52,907 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,960,173 | TotalAmt |
| Program Services | $22,575,985 | ProgramServicesAmt |
| Management And General | $2,384,188 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,550 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,555,660 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,956,840 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,425 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,055 | BOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,642,554 | BOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,860,385 | BOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $372,620 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $910,350 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,655,439 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,637,332 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $461,652 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,585,000 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,341,403 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,992 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,115,379 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,540,060 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,540,060 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,655,439 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$14,540,060 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Rev Etc Audited Fincl Stmt | $22,012,836 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $11,751,183 | OtherRevenueAmt |
| Revenue Not Reported | $11,751,183 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,261,653 | RevenueSubtotalAmt |
| Other Revenues Not Included | $158,460 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $158,460 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $10,420,113 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $24,853,050 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $24,853,050 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $107,123 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $107,123 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $24,960,173 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | THE SOCIETY IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SOCIETY APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE SOCIETY ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JANUARY 31, 2014 AND JUNE 30, 2013. THE SOCIETY'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | LOSS ON SALE OF OPERATIONS 11,751,183 |
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | WAIVER EXPENSE 34,244 SCHOLARSHIP/RECRUITING EXPENSE 7,317 CAPITAL CONTRIBUTION 51,337 TAX LEVY REVENUE 65,562 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | WAIVER EXPENSE 34,244 SCHOLARSHIP/RECRUITING EXPENSE 7,317 TAX LEVY REVENUE 65,562 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 1.750000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $105,506 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $105,506 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,475,528 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,246,423 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,229,105 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04920 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $83,098 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $104,693 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$21,595 | NetCommunityBenefitExpnsAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,664,132 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,351,116 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,313,016 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05350 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,664,132 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,351,116 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,313,016 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05350 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $107,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $107,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $107,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $107,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,946,553 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $6,691,938 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,574,303 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $117,635 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHATTAHOOCHEE VALLEY HOSPITAL SOCIE | BusinessNameLine1 |
| Business Name Line2 | GEORGE H LANIER MEMORIAL HOSPITAL | BusinessNameLine2 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 48TH STREET | AddressLine1 |
| City | VALLEY | City |
| State | AL | State |
| ZIP Code | 368543666 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LANIERHOSPITAL.COM | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | SNF; HOME HEALTH CARE; CLINICS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHATTAHOOCHEE VALLEY HOSPITAL SOCIE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.LANIERHOSPITAL.COM | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Other Needs Addressed | Yes (X) | OtherNeedsAddressedInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 175.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, CHATTAHOOCHEE VALLEY HOSPITAL SOCIE - PART V, LINE 3 | TO HELP GUIDE THE PROCESS USED FOR THE ASSESSMENT, A CHNA STEERING COMMITTEE WITH REPRESENTATIVES FROM LANIER HEALTH SERVICES WAS FORMED. THIS COMMITTEES ROLE WAS TO PROVIDE INPUT ON: (A) IDENTIFICATION OF EXISTING DATA SOURCES FOR THE STUDY; (B) CONTENT OF THE COMMUNITY MEMBER SURVEY; (C) INTERPRETATION OF SURVEY FINDINGS; (D) REVIEW OF RECOMMENDATIONS, AND; (E) A FOLLOW-UP PLAN. THE CHNA STEERING COMMITTEE ALSO ENSURED THAT INFORMATION FROM OTHER LOCAL HEALTH ASSESSMENTS WAS INTEGRATED INTO THE CHAMBERS COUNTY, ALABAMA CHNA. IN ADDITION TO THE CHNA STEERING COMMITTEE, AN ADVISORY COMMITTEE WAS CONVENED WITH REPRESENTATION FROM A DIVERSE GROUP OF STAKEHOLDERS TO ENSURE THAT THE DATA COLLECTED WOULD MEET THE NEEDS OF CHAMBERS COUNTYS POPULATION. COMMITTEE MEMBERS REPRESENTED PUBLIC HEALTH, LOCAL CITY GOVERNMENT, BUSINESSES, COUNTY SCHOOL HEALTH, PHYSICIANS AND COMMUNITY SERVICE ORGANIZATIONS. THE ADVISORY COMMITTEE PROVIDED CRITICAL INPUT INTO THE NEEDS ASSESSMENT, FROM INITIAL CONCEPT TO HOW THE DATA WOULD BE SHARED WITH COMMUNITIES. |
| FACILITY 1, CHATTAHOOCHEE VALLEY HOSPITAL SOCIE - PART V, LINE 5C | ALL THE PARTICIPATING COMMITTEE MEMBERS WERE PROVIDED COPIES OF THE FULL DOCUMENT FOR THEIR RESPECTIVE ORGANIZATIONS. THE DOCUMENT IS LOCATED ON THE HOSPITAL'S WEBSITE AT HTTP://WWW.LANIERHOSPITAL.COM/PDF/CHNAR041113.PDF |
| FACILITY 1, CHATTAHOOCHEE VALLEY HOSPITAL SOCIE - PART V, LINE 6I | IN APRIL 2013, THE BOARD APPROVED THE CHNA REPORT AND STRATEGIES WERE DISCUSSED AT THAT TIME REGARDING THE HEALTH NEEDS OF THE COMMUNITY. HOWEVER, THROUGH AN OVERSIGHT, THIS STRATEGY DISCUSSION WAS NOT FORMALIZED INTO A WRITTEN IMPLEMENTATION PLAN. AT THE TIME, THE BOARD AND MANAGEMENT WERE IN THE MIDDLE OF NEGOTIATIONS WITH EAST ALABAMA MEDICAL CENTER IN OPELIKA, ALABAMA TO FORM AN AFFILIATION WHICH WAS ANNOUNCED AND BEGUN IN DECEMBER AND WHICH REACHED FINAL CLOSING IN JANUARY 2014. A WRITTEN IMPLEMENTATION PLAN HAS SINCE BEEN APPROVED BY THE BOARD AND IS ATTACHED. |
| FACILITY 1, CHATTAHOOCHEE VALLEY HOSPITAL SOCIE - PART V, LINE 7 | CERTAIN NEEDS IDENTIFIED IN THE 2013 CHNA ARE NOT ADDRESSED BECAUSE EITHER THE ORGANIZATION ADDRESSES THE NEED BUT CURRENTLY HAS NO PLANS TO EXPAND SERVICES, OTHER PROVIDERS ARE ALREADY ADDRESSING THE NEEDS, AND THE NEED IDENTIFIED IS BEYOND THE SCOPE OF THE ORGANIZATION. |
| FACILITY 1, CHATTAHOOCHEE VALLEY HOSPITAL SOCIE - PART V, LINE 14G | THE HOSPITAL'S SOCIAL WORKER REVIEWS CRITERIA AND ELIGIBILITY WITH ALL SELF PAY PATIENTS ADMITTED TO THE HOSPITAL. |
| FACILITY 1, CHATTAHOOCHEE VALLEY HOSPITAL SOCIE - PART V, LINE 20D | THE ORGANIZATION BILLS SELF PAY PATIENTS BASED ON ESTABLISHED CHARGES AND OFFERS A 50% DISCOUNT IF PAID WITHIN 30 DAYS. AFTER 30 DAYS, THE DISCOUNT IS CALCULATED AT A SLIDING RATE BASED ON DAYS TO RECEIPT OF PAYMENT. ULTIMATELY, CHARGES FOR SELF PAY PATIENTS ARE REDUCED TO THE AVERAGE NEGOTIATED CHARGE FOR AN INSURED PATIENT. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| LANIER HOME HEALTH SERVICES | ||||
| 4800 48TH STREET | VALLEY | AL | 368543666 | HOME HEALTH AGENCY |
| GEORGE H LANIER NURSING HOME | ||||
| 4800 48TH STREET | VALLEY | AL | 368543666 | SKILLED NURSING FACILITY |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | COSTS FOR PART I, LINE 7A, 7B AND 7C WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. SEE ALSO THE EXPLANATION FOR PART III LINE 4. |
| PART II - COMMUNITY BUILDING ACTIVITIES | THE ORGANIZATION PROMOTES COMMUNITY HEALTH BY OFFERING HEALTH FAIRS, EDUCATION IN THE FORM OF LECTURES, SEMINARS, AND BROCHURES, PARTICIPATION IN COMMUNITY SPONSORED EVENTS. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SOCIETY ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SOCIETY ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLES, DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). 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 SOCIETY RECORDS A SIGNIFICANT 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. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE SOCIETY'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED APPROXIMATELY 1% FROM 81% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2013, TO 82% OF SELF-PAY ACCOUNTS RECEIVABLE AT JANUARY 31, 2014. HOWEVER, THE SOCIETY'S SELF-PAY WRITEOFFS DECREASED APPROXIMATELY 4,300,000 FROM 8,800,000 FOR JUNE 30, 2013 TO 4,500,000 FOR JANUARY 31, 2014, DUE TO THE SHORTER REPORTING PEIROD IN 2014. THE SOCIETY HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING THE PERIOD ENDED JANUARY 31, 2014 OR THE YEAR ENDED JUNE 30, 2013. |
| PART III, LINE 8 - MEDICARE EXPLANATION | MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | COLLECTION ATTEMPTS ON ALL ACCOUNTS ARE MADE BY THE HOSPITAL WITHIN THE FIRST 90 DAYS. AFTER AN ACCOUNT GOES BEYOND 90 DAYS, THE ACCOUNT IS SENT TO A COLLECTION AGENCY. THE ACCOUNT STAYS WITH THE COLLECTION AGENCY FOR APPROXIMATELY 4 MONTHS AND IF NOT COLLECTED, THE ACCOUNT IS SENT BACK TO THE HOSPITAL AND WRITTEN OFF AS A BAD DEBT. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | IN FEBRUARY, 2013, LANIER HEALTH SERVICES CONDUCTED A COMMUNITY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ASSESSMENT WAS DESIGNED TO IDENTIFY THE HOSPITALS PRIMARY MARKET AREA BY COUNTY AND CITY USING VALID HEALTH INDICATORS AND COMPARATIVE INFORMATION. IT WAS ALSO DESIGNED TO PROVIDE THE COMMUNITYS PUBLIC AND PRIVATE HEALTH PROVIDERS WITH INFORMATION TO ASSESS ESSENTIAL PUBLIC HEALTH, PREVENTIVE CARE AND MEDICAL SERVICES. ADDITIONALLY, THE ASSESSMENT IDENTIFIES KEY SERVICES WHERE BETTER INTEGRATION OF PUBLIC HEALTH AND HEALTH CARE CAN IMPROVE ACCESS, QUALITY AND COST EFFECTIVENESS. THIS PROJECT REPRESENTS LANIER HEALTH SERVICES COLLABORATIVE EFFORTS TO SHARE INFORMATION THAT CAN LEAD TO IMPROVED HEALTH STATUS AND QUALITY OF CARE AVAILABLE TO THE HOSPITALS PRIMARY MARKET AREA RESIDENTS, WHILE BUILDING UPON AND STRENGTHENING ITS EXISTING INFRASTRUCTURE OF SERVICES AND PROVIDERS. WE USE THE STATE DEPARTMENT OF PUBLIC HEALTH'S ANNUAL STATISTICAL REPORT TO LOOK AT THE HEALTHCARE NEEDS OF CHAMBERS COUNTY AND EVALUATE SERVICES NEEDED OR PROVIDED IN RESPONSE TO THAT REPORT. OUR BOARD OF TRUSTEES ALSO REVIEWS AND DISCUSSES SERVICES AS PART OF OUR ANNUAL STRATEGIC PLAN UPDATE. PROGRESS TOWARDS CHNA IMPLEMENTATION PLAN: IN FEBRUARY OF 2013, LANIER HEALTH SERVICES PARTNERED WITH MANY AREA ORGANIZATIONS AND INDIVIDUALS TO TRY AND CHANGE THE APPROACH OF LOCAL HEALTHCARE TO BE MORE OF A COORDINATED AND COLLABORATIVE PROCESS. THE OVERALL GOAL WAS TWO-FOLD: FIRST, TO IDENTIFY THE PRIMARY MARKET AREA AND THE SPECIFIC HEALTHCARE NEEDS IN THAT MARKET AREA; AND SECONDLY, TO COMMUNICATE KEY SERVICES THAT MAY INTEGRATE PUBLIC HEALTH AND HEALTHCARE IN THE MARKET AREA LEADING TO IMPROVED HEALTH STATUS AND QUALITY OF CARE AND PATIENT SAFETY. LANIER HEALTH SERVICES' COMMUNITY HEALTH NEEDS ASSESSMENT WAS FINALIZED APRIL 2014 AND IS POSTED ON THE HOSPITAL'S WEBSITE (WWW.LANIERHOSPITAL.COM) AND IN PUBLIC AREAS OF THE HOSPITAL. THE CORE LEADERSHIP TEAM WAS IDENTIFIED FEBRUARY 2013 TO COORDINATE THE IMPLEMENTATION OF WORKABLE INITIATIVES AND ACTIVITIES. THE LEADERSHIP TEAM MET BI-ANNUALLY AND CONSISTED OF: HOSPITAL'S BOARD OF TRUSTEES PRESIDENT AND CHIEF NURSING OFFICER; CITY'S MAYOR; (2) LOCAL PHYSICIANS; A REPRESENTATIVE FOR ADPH; CHAMBERS COUNTY'S SCHOOL RN AND SPECIAL EDUCATION TEACHER; A LOCAL FIRE & EMS CHIEF; AND THE DIRECTOR OF A LOCAL CHARITABLE ORGANIZATION. THE TEAM IDENTIFIED STRENGTHS, WEAKNESSES AND OPPORTUNITIES FROM THE FEEDBACK RESULTING FROM THE COMMUNITY SURVEY THAT WAS SENT OUT TO LOCAL ORGANIZATIONS AND BUSINESSES AROUND THE AREA. THE FOCUS WAS PLACED ON OPPORTUNITIES WHICH INCLUDED: 1.PHYSICIAN RECRUITMENT OF PRIMARY CARE PHYSICIANS 2.ACCESS TO MENTAL HEALTH SERVICES WITH THE ADDITION OF A PSYCHIATRIST IN THE COMMUNITY 3.INDUSTRY WELLNESS PROGRAMS IMPLEMENTED AT LOCAL INDUSTRY LEVEL 4.COMMUNITY WELLNESS PROGRAMS INCLUDING: OBESITY & DIABETES, BREAST CANCER AWARENESS; WOMEN'S GYNECOLOGICAL SERVICES; INFECTION CONTROL PROGRAMS FOCUSING ON KIDS HAND HYGIENE; PRE-NATAL CLASSES AND COLORECTAL SCREENING 5.TOBACCO USE PREVENTION: HIGH SCHOOL INFLUENCES AND INDUSTRY MODIFICATIONS PHYSICIAN RECRUITMENT: "LANIER HEALTH SERVICES RECRUITED ONE FAMILY MEDICINE PHYSICIAN LATE IN 2013 AS PART OF THE PRIMARY CARE NETWORK OF PHYSICIANS AT THE MEDICAL PAVILION. THIS GROUP THEN CONTAINED THREE (3) FP PHYSICIANS, (1) INTERNAL MEDICINE PHYSICIAN AND (1) CERTIFIED REGISTERED NURSE PRACTITIONER. AN ADDITIONAL SEVEN PRIMARY CARE PHYSICIANS WERE PART OF THE ACTIVE STAFF AT OUR HOSPITAL SERVING THE COMMUNITY "THREE OTHER PRIMARY CARE PHYSICIANS WERE INTERVIEWED FOR LOCAL POSITIONS, BUT THEY ACCEPTED EMPLOYMENT ELSEWHERE ACCESS TO MENTAL HEALTH SERVICES: "WE WERE UNABLE TO RECRUIT A PSYCHIATRIST FOR OUR HOSPITAL. HOWEVER, EAST ALABAMA MEDICAL CENTER (EAMC) IN OPELIKA, AL WAS DESIGNATED AS THE PRIMARY LOCATION FOR MENTAL HEALTH PATIENTS NEEDING PSYCHIATRIC SERVICES "EAST ALABAMA MENTAL HEALTH FACILITY IN VALLEY, AL WAS IDENTIFIED AS A RESOURCE FOR MENTAL HEALTH ISSUES AND SUBSTANCE ABUSE SERVICES "STATE LISTING OF AGENCIES PROVIDING MENTAL HEALTH SERVICES POSTED IN PUBLIC AREAS IN HOSPITAL AND VARIOUS CHARITABLE ORGANIZATIONS IN THE COMMUNITY INDUSTRY WELLNESS: "MINI HEALTH SCREENS WERE PROVIDED FOR APPROXIMATELY 600 PEOPLE WHICH INCLUDED BLOOD PRESSURE CHECKS, BMI, GLUCOSE AND CHOLESTEROL SCREENINGS AND WERE OF GREAT IMPORTANCE TO LOCAL INDUSTRY AND BUSINESSES IN THE COMMUNITY. WELLNESS SCREENINGS WERE PROVIDED TO AJIN USA, WOOSHIN USA, KMMG AUTOMOTIVE, NORBORD INDUSTRIES, CITY OF VALLEY, WEST POINT INDUSTRIES, AND CHAMBERS COUNTY HIGH SCHOOL'S ADMINISTRATION. "FLU SHOTS WERE THE SECOND MOST REQUESTED ON-SITE INITIATIVE. MORE THAN 350 FLU SHOTS WERE PROVIDED TO CHARTER BANK, WEST POINT INDUSTRIES, CITY OF LANETT, CITY OF VALLEY, NORMAN PASHCALL INDUSTRIES, NORBORD INDUSTRIES, WOOSHIN USA AND AJIN USA. "EDUCATIONAL INFORMATION INCLUDING OBESITY, DIABETES, HYPERTENSION, HEALTHY EATING HABITS AND SMOKING CESSATION WAS SUPPLIED TO APPROXIMATELY 300 PEOPLE AT COMPANIES REQUESTING FOR EMPLOYEE WELLNESS PACKAGES: DAEIL AND KNAUF INSULATION. COMMUNITY WELLNESS: "SCALE BACK ALABAMA IS AN ANNUAL WEIGHT-LOSS CONTEST OFFERED TO EVERYONE IN THE COMMUNITY. IN 2013, MORE THAN 36 TEAMS (144 PEOPLE) PARTICIPATED IN THE PROGRAM AND MORE THAN 1,200 POUNDS WAS LOST COLLECTIVELY. IN 2014, 26 TEAMS (104 PEOPLE) PARTICIPATED AND LOST APPROXIMATELY 1,500 POUNDS. "OUR ANNUAL HEALTH FAIR WAS HELD IN 2013 FOR APPROXIMATELY 275 PEOPLE, BUT ON A SMALLER SCALE DUE TO THE NUMBER OF COMPANIES THAT REQUESTED ON-SITE HEALTH SCREENS AT THEIR PLACE OF WORK. OUR PLAN MOVING FORWARD IS TO HOST COMMUNITY HEALTH FAIRS ANNUALLY FOR APPROXIMATELY 600 PEOPLE, BUT WE ARE INVESTIGATING VENUE OPTIONS; I.E. COMMUNITY CENTER VERSUS CHURCHES IN LOW INCOME, UNDERSERVED AREAS, OR BOTH. "OBESITY AND DIABETES HAS BEEN A FOCUS AT THE HIGH SCHOOL LEVEL (VALLEY HIGH SCHOOL AND LANETT HIGH SCHOOL, BOTH IN CHAMBERS COUNTY, 600 STUDENTS) DURING ANNUAL HEALTH FAIRS THERE. IN ADDITION, THE ADULT COMMUNITY RECEIVED EDUCATION THROUGH PROGRAMS AT THE HOSPITAL MONTHLY AND/OR AT THE LOCAL LIBRARY WHICH WERE CONDUCTED BY PHYSICIANS AND THEIR STAFF BI- ANNUALLY. "CONDUCTED COMMUNITY EDUCATION PROGRAMS QUARTERLY AT THE LOCAL LIBRARY TO MORE THAN 450 PEOPLE. TOPICS INCLUDED BREAST CANCER: WHAT IS IT AND HOW DO WE TREAT IT?; WOMEN'S GYNECOLOGICAL SERVICES AND THE IMPORTANCE OF ANNUAL CERVICAL EXAMS; COLORECTAL SCREENING AND THE EASE OF DETECTION; HEALTHY NUTRITION AND MY PLATE OF COLORS; AND HAND HYGIENE AND PROPER COUGHING METHODS TO KIDS IN THE AFTER SCHOOL PROGRAM (60 KIDS). BROCHURES (400) ON EACH TOPIC WERE GIVEN TO ALL PARTICIPANTS. "HOSTED QUARTERLY FORUMS FOR ALL THREE EMERGENCY MEDICAL SERVICE (EMS) DEPARTMENTS TO UPDATE HOSPITAL SERVICE LINES AND TO GAIN FEEDBACK FROM THEIR FIELD PERSPECTIVE. A COLLABORATIVE EFFORT FROM ALL THREE CITIES TIES IN WITH THE HOSPITAL'S VISION OF PROVIDING THE BEST PATIENT CARE AND SAFETY. "LANIER HEALTH SERVICES PARTICIPATED IN POINT UNIVERSITY'S STUDENT ORIENTATIONS AND DISTRIBUTED EDUCATIONAL MATERIALS TO OVER 400 STUDENTS AND PARENTS IN THE AREAS OF IMPROVING HEALTHY FOOD CHOICES, IMPORTANCE OF REGULAR EXERCISE, JUVENILE DIABETES, SMOKING CESSATION IN ADDITION TO PROVIDING A MAP AND LOCATION OF ALL LHS'S MEDICAL FACILITIES IN THE AREA "CITY OF VALLEY (45 EMPLOYEES) AND CITY OF LANETT (35 EMPLOYEES) HOSTING WELLNESS INITIATIVE FOR THEIR EMPLOYEES TOBACCO USE PREVENTION: "PUBLIC HEALTH OPERATES THE 1-800 QUITLINE, A TOBACCO-CESSATION SUPPORT SYSTEM SERVING THE GREATER VALLEY AREA INCLUDING CHAMBERS COUNTY, AL, AND TROUP AND HARRIS COUNTIES IN GA. "LOCAL MEDIA OUTLETS PROVIDE FREE INFORMATION ON KICK BUTTS DAY AND OTHER TOBACCO CESSATION PROGRAMMING "LANIER HEALTH SERVICES PROVIDES QUITLINE INFORMATION THROUGH THE PATIENT GUIDE DISTRIBUTED TO ALL PATIENTS ADMITTED TO THE HOSPITAL, APPROXIMATELY 800 PEOPLE "LANIER HEALTH SERVICES PROVIDED PFT TESTING FOR LUNG CAPACITY AT KMMG'S HEALTH FAIRS (165 PEOPLE) AT BOTH THE SPRING AND FALL HEALTH FAIRS ON-SITE |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | A SOCIAL WORKER WORKS WITH PATIENTS AND EXPLAINS TO THEM OPTIONS THEY HAVE AVAILABLE AND TRIES TO HELP THEM QUALIFY FOR ANY OUTSIDE AID THAT MIGHT BE AVAILABLE. WE ALSO HAVE AN INDIGENT/CHARITY CARE POLICY FOR WHICH QUALIFYING PATIENTS ARE ELIGIBLE. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | THE ORGANIZATION SERVES A PREDOMINATELY RURAL AREA. THE PRIMARY SERVICE AREA IS CHAMBERS COUNTY IN ALABAMA AND WEST POINT, GEORGIA AND SURROUNDING AREA. THE POPULATION OF CHAMBERS COUNTY IS APPROXIMATELY 34,000 WITH A PER CAPITA INCOME OF 30,082 AND A MEDIAN HOUSEHOLD INCOME OF 33,883. APPROXIMATELY 22.5% OF THE POPULATION LIVES BELOW THE POVERTY LINE. APPROXIMATELY 12% OF THE POPULATION HAS A BACHELORS DEGREE OR HIGHER EDUCATION. APPROXIMATELY 25% OF THE POPULATION DOESN'T HAVE A HIGH SCHOOL DIPLOMA. THE UNEMPLOYMENT RATE IN THE COUNTY IS APPROXIMATELY 7.3%. THE POPULATION OF WEST POINT, GEORGIA IS APPROXIMATELY 3,500 WITH A PER CAPITA INCOME OF 37,531 AND A MEDIAN HOUSEHOLD INCOME OF 23,914. APPROXIMATELY 35.4 PERCENT OF THE POPULATION LIVES BELOW THE POVERTY LINE. THE AREAS' CITIZENS EXPERIENCE HIGH LEVELS OF HEART DISEASE, DIABETES AND CANCER. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | CVHS HAS BEEN INSTRUMENTAL IN PROVIDING HEALTHCARE AWARENESS TO THE COMMUNITY BY HOSTING NUMEROUS EVENTS INCLUDING AN ANNUAL HEALTH FAIR OPEN TO ALL RESIDENTS OF THE COMMUNITY OFFERING SERVICES FOR THE PEDIATRIC TO THE GERIATRIC RESIDENTS. LANIER PROVIDED MINI HEALTH SCREENS AND FLU SHOTS TO VARIOUS BUSINESSES IN THE COMMUNITY. OTHER EVENTS INCLUDE BREAST CANCER AWARENESS, PRE-NATAL AND BREAST FEEDING EDUCATION CLASSES, HEART HEALTH MONTH, SELF-MANAGED DIABETES CLASSES, DIABETIC EYE DISEASE SEMINAR AND VARIOUS HEALTH RELATED SUPPORT GROUPS. CVHS ALSO PARTICIPATES IN LOCAL SCHOOL OUTREACH PROGRAMS PROVIDING EDUCATION IN THE AREAS OF SMOKING CESSATION, ALCOHOL, HEALTHY EATING HABITS AND THE IMPORTANCE OF EXERCISE AND READING. WE ALSO PARTICIPATE IN KID CHECK, CAREER DAY EVENTS AND SCHOOL HEALTH FAIRS. CVHS PARTICIPATED IN NATIONAL WELLNESS CAMPAIGN, SCALEBACK ALABAMA AS WELL AS INVOLVING COMMUNITY PARTICIPATION IN SCALEBACK ALABAMA. PHYSICIANS AND MID-LEVEL PRACTITIONERS SPEAK REGULARLY AT LOCAL CIVIC CLUBS TO PROVIDE HEALTHCARE AWARENESS AND PREVENTATIVE MEASURE INFORMATION. CVHS PARTNERED WITH LOCAL LIBRARY TO PROVIDE PHYSICIAN DRIVEN EDUCATION SEMINARS. CVHS HOLDS QUARTERLY FORUMS FOR LOCAL EMS DEPARTMENTS. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY OPERATES GEORGE H. LANIER MEMORIAL HOSPITAL, GEORGE H. LANIER NURSING HOME, LANIER HOME HEALTH SERVICE AND LANIER HEALTH SERVICES FOUNDATION. THE HOSPITAL IS A 115-BED NOT-FOR- PROFIT ACUTE CARE HOSPITAL AND THE NURSING HOME IS A 103-BED EXTENDED CARE PROVIDER. THE SOCIETY PROVIDES HEALTH CARE SERVICES PRIMARILY TO THE RESIDENTS OF CHAMBERS COUNTY, ALABAMA AND WEST POINT, GEORGIA. THE FOUNDATION RAISES FUNDS THROUGH DONATIONS AND OTHER FUNDRAISING ACTIVITIES FOR THE SUPPORT OF CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST ALABAMA HEALTH CARE AUTHORITY | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 PEPPERELL PKWY | AddressLine1 |
| City | OPELIKA | City |
| State | AL | State |
| ZIP Code | 368015452 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 636000526 | RecipientEIN |
| IRC Section | GOV | IRCSectionDesc |
| Cash Grant | $65,562 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Purpose Of Grant | CAPITAL PROJECTS | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION MONITORS THE USE OF GRANTS AND ASSISTANCE THROUGH A COMMON MANAGEMENT TEAM. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt |
|---|---|---|---|---|
| DOUG DEWBERRY | ||||
| FORMER CEO | $172,378 | $9,265 | $181,643 | |
| CAREY OWEN | ||||
| CEO | ||||
| MOHAMAD CHAABAN MD | ||||
| PHYSICIAN | $324,135 | $337,467 | $13,332 | |
| PHILLIPPE TRANQUI MD | ||||
| PHYSICIAN | $310,855 | $12,353 | $323,208 | |
| DAVID FAGAN MD | ||||
| PHYSICIAN | $285,676 | $12,353 | $298,029 | |
| MAX SHIVER MD | ||||
| PHYSICIAN | $226,929 | $12,353 | $241,202 | $1,920 |
| SERGE MISTIVAR MD | ||||
| PHYSICIAN | $202,111 | $9,071 | $228,662 | $17,480 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART III | FormAndLineReferenceDesc |
| Explanation | CAREY OWEN IS AN EMPLOYEE OF EAST ALABAMA HEALTH CARE AUTHORITY WHICH, THROUGH A MANAGEMENT AGREEMENT, PROVIDES THE SERVICES OF MR. OWEN AS CEO TO THE FILING ORGANIZATION. THE AUTHORITY, PENDING LETTER OF INTENT TO PURCHASE CERTAIN ASSETS AND LIABILITIES AND ENTER INTO A LEASE ARRANGEMENT OF THE ASSETS AND REAL PROPERTY WITH THE ORGANIZATION, IS NOT PAID A MANAGEMENT FEE. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CURT KOLLAR | |||
| BD MBR/BANK CFO | $1,049,508 | BANK LOAN PAYMENTS | false |
| TOMMY LANE | |||
| HOSP CFO/BK BD | $1,049,508 | BANK LOAN PAYMENTS | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | CURT KOLLAR, CFO OF CHARTER BANK, IS A BOARD MEMBER OF THE FILING ORGANIZATION. THE ORGANIZATION FULLY SATISFIED A LOAN WITH THE BANK IN THE AMOUNT OF 1,049,508 AT JANUARY 31, 2014. THE CFO OF THE FILING ORGANIZATION, TOMMY LANE, SERVES ON THE BOARD AT CHARTER BANK. | ExplanationTxt |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | OPERATIONAL ASSETS | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2014-01-31 | DistributionDt |
| Fair Market Value Of Asset | $16,002,759 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | LIAB ASSMD | MethodOfFMVDeterminationTxt |
| EIN | 636000526 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST ALABAMA HEALTHCARE AUTHORITY | BusinessNameLine1 |
| Business Name Line2 | DBA EAST ALABAMA MEDICAL CENTER | BusinessNameLine2 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 PEPPERELL PARKWAY | AddressLine1 |
| City | OPELIKA | City |
| State | AL | State |
| ZIP Code | 368015452 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501C3 | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | Yes (true) | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | Yes (true) | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE N, PART II, PAGE 2, LINE 2E | FormAndLineReferenceDesc |
| Explanation | TOMMY LANE, FORMER CFO, CONTINUES HIS EMPLOYMENT WITH THE TRANSFEREE ORGANIZATION FUNCTIONING AS AN ASSISTANT VICE PRESIDENT FOR THE EAMC - LANIER LLC ORGANIZATION. EFFECTIVE FEBRUARY 1, 2014, THE BYLAWS WERE AMENDED AND REVISED TO REDUCE THE BOARD TO 7 MEMBERS. THE 7 BOARD MEMBERS OF THE PREVIOUS BOARD WHO WERE ELECTED TO THE GOVERNING BOARD OF THE NEW EAMC - LANIER LLC BOARD WERE TERRY BISHOP, VALERIE GRAY, GAINES LANIER, KRIS REDDY MD, LEONARD RILEY, BILL SCOTT AND DAVID WILKERSON. ELECTED BOARD OFFICERS WERE BILL SCOTT, PRESIDENT; DAVID WILKERSON, VICE PRESIDENT; AND TERRY BISHOP, SECRETARY/TREASURER. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 3 | ON DECEMBER 17, 2013, CHATTACHOOCHEE VALLEY HOSPITAL SOCIETY (SOCIETY) ENTERED INTO AN AGREEMENT WITH EAMC - LANIER, LLC A WHOLLY-OWNED AND CONTROLLED AFFILIATE OF THE EAST ALABAMA HEALTH CARE AUTHORITY (A DUAL STATUS 501(C)(3) GOVERNMENTAL ORGANIZATION), TO SELL OR TRANSFER SUBSTANTIALLY ALL THE ASSETS AND LIABILITIES RELATED TO THE OPERATION OF THE HOSPITAL, NURSING HOME, AND HOME HEALTH WITH THE EXCEPTION OF THE FACILITIES AND EQUIPMENT. ON THAT SAME DATE, THE SOCIETY ENTERED INTO A SEPARATE AGREEMENT WITH EAMC - LANIER, LLC TO LEASE THE FACILITIES AND EQUIPMENT FOR A TERM OF 90 YEARS FOR A NOMINAL FEE. THE EFFECTIVE DATE FOR BOTH AGREEMENTS IS FEBRUARY 1, 2014. UNDER THE TERMS OF THE PURCHASE AGREEMENT, EAMC - LANIER LLC ASSUMED ALL LIABILITIES OUTSTANDING AT THE TIME OF THE TRANSACTION AS CONSIDERATION FOR OWNERSHIP OF THE HOSPITAL, NURSING HOME, AND HOME HEALTH OPERATIONS. THE LOSS ON THE SALE IS ESTIMATED TO BE APPROXIMATELY 12,000,000. AS A PART OF THIS AGREEMENT, ANY FUTURE THIRD-PARTY PAYOR SETTLEMENTS AND POTENTIAL MALPRACTICE CLAIMS WILL BE THE RESPONSIBILITY OF EAMC - LANIER LLC. UNDER THE TERMS OF THE LEASE AGREEMENT, THE SOCIETY RELINQUISHES CONTROL OVER THE ASSETS. HOWEVER, THE SOCIETY DOES MAINTAIN THE RIGHT TO FIRST REFUSAL IF THE SITUATION WERE TO PRESENT ITSELF. AFTER JANUARY 31, 2014, THE SOCIETY HAS NO RESPONSIBILITY FOR THE ONGOING OPERATIONS OF THE HOSPITAL, NURSING HOME, AND HOME HEALTH; HOWEVER, THE SOCIETY WILL CONTINUE TO RECEIVE THE PROCEEDS OF AN AD VALOREN TAX LEVIED IN CHAMBERS COUNTY AND IS OBLIGATED TO APPLY THOSE PROCEEDS TO THE PAYMENT OF COSTS OF CAPITAL EXPENDITURES FOR CONSTRUCTING, EQUIPPING AND MAINTAINING THE HOSPITAL OR TO PAY INDEBTEDNESS INCURRED FOR THAT PURPOSE. |
| FORM 990, PAGE 2, PART III, LINE 4A | HOME IS A 103-BED SKILLED NURSING FACILITY. |
| FORM 990, PAGE 6, PART VI, LINE 3 | EFFECTIVE OCTOBER 1, 2013, THE ORGANIZATION ENTERED INTO AN INTERIM MANAGEMENT AGREEMENT WITH EAST ALABAMA HEALTH CARE AUTHORITY (AUTHORITY). THROUGH THIS AGREEMENT, THE AUTHORITY WILL PROVIDE AN ADMINISTRATOR WHO, AT THE DIRECTION OF THE ORGANIZATION'S GOVERNING BOARD, HAS THE EXCLUSIVE AUTHORITY TO OVERSEE THE EXECUTION AND PERFORMANCE OF THE ADMINISTRATIVE FUNCTIONS OF THE ORGANIZATION. DURING THE PERIOD ENDING JANUARY 31, 2014, THE AUTHORITY DID NOT CHARGE A FEE FOR ITS MANAGEMENT SERVICES PROVIDED PENDING A LETTER OF INTENT TO PURCHASE THE ASSETS OF THE ORGANIZATION AND LEASE THE OPERATIONS. |
| FORM 990, PAGE 6, PART VI, LINE 4 | THE ORGANIZATION'S BYLAWS WERE AMENDED AND RESTATED AS OF FEBRUARY 1, 2014. MOST NOTABLE CHANGES INCLUDE DOWNSIZING THE BOARD TO SEVEN MEMBERS; ELIMINATING ARTICLES RELATED TO MEDICAL STAFF; AND CHANGING THE FISCAL YEAR END TO SEPTEMBER 30 EFFECTIVE WITH SEPTEMBER 30, 2014. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS REVIEWED BY MANAGEMENT IN DETAIL FOR ACCURACY OF FINANCIAL AND OTHER DATA. THE FORM IS THEN DISTRIBUTED TO TRUSTEES BY POSTING ON LANIER'S WEBSITE UNDER A SECURE FORMAT/PASSWORD PROTECTED. IMMEDIATE NOTIFICATION OF ITS AVAILABILITY IS SENT TO THE BOARD'S EXECUTIVE COMMITTEE, WHICH HAS THE AUTHORITY TO ACT FOR THE FULL BOARD, VIA EMAIL FOR THEIR REVIEW AND EVALUATION, PRIOR TO FILING WITH THE IRS. REMAINING BOARD MEMBERS HAVE FULL ACCESS TO THE WEBSITE AND PERIODICALLY VISIT THE WEBSITE FOR ESSENTIAL BOARD MEETING MATERIALS. ANY QUESTIONS FROM THE GENERAL BOARD TRUSTEES ARE RESOLVED AT THE NEXT OFFICIAL BOARD MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION REQUIRES ALL BOARD MEMBERS AND MANAGEMENT EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY AND MONITORS THE COMPLIANCE WITH THIS POLICY. BOARD MEMBERS RECUSE THEMSELVES DURING DISCUSSIONS AND ANY VOTING IF THEY HAVE A CONFLICT OF INTEREST. |
| FORM 990, PAGE 6, PART VI, LINE 15A | A COMMITTEE COMPRISED OF INDEPENDENT BOARD MEMBERS REVIEWS THE ANNUAL PERFORMANCE OF THE CEO AND SETS THE COMPENSATION AFTER THE REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 15B | PERFORMANCE APPRAISALS ARE PERFORMED ANNUALLY BY THE CEO. |
| FORM 990, PAGE 6, PART VI, LINE 19 | AS A GENERAL RULE, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ANY WRITTEN REQUESTS BY THE PUBLIC WOULD BE REVIEWED AND ACTED UPON BY THE BOARD. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LANIER HEALTH SERVICES FOUNDATION | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 48TH STREET | AddressLine1 |
| City | VALLEY | City |
| State | AL | State |
| ZIP Code | 368543666 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 631286859 | EIN |
| Primary Activities | FOUNDATION | PrimaryActivitiesTxt |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | 11B | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CVHS | BusinessNameLine1 |
| Business Name Line2 | CHATTAHOOCHEE VALLEY HOSPITAL SOCIE | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| LANIER HEALTH SERVICES FOUNDATION | ||
| C | $4,856 | FOUNDATION RECORDS |
| LANIER HEALTH SERVICES FOUNDATION | ||
| M | $4,856 | FOUNDATION NET INCOME |
| LANIER HEALTH SERVICES FOUNDATION | ||
| N | AMOUNT INDETERMINABLE | |
| LANIER HEALTH SERVICES FOUNDATION | ||
| O | AMOUNT INDETERMINABLE | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R | FormAndLineReferenceDesc |
| Explanation | ON MARCH 4, 2014 THE SOCIETY SIGNED THE RESOLUTION TO DISSOLVE THE LANIER HEALTH SERVICES FOUNDATION. A CHECK ISSUED ON MARCH 18, 2014 CLOSED THE FOUNDATION BANK ACCOUNT. | ExplanationTxt |