2015-02-07T13:35:05-06:00 2014-06-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2013-07-01 630288852 CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY CHAT 3347561050 4800 48TH STREET VALLEY AL 368543666 WILLIAM SCOTT PRESIDENT 3347561050 2015-02-16 true JACQUELINE G ATKINS P00861721 2298837878 2015-02-05 2013 2016-02-25 16:41:14Z GEORGE H LANIER MEMORIAL HOSPITAL WILLIAM SCOTT PRESIDENT 4800 48TH STREET VALLEY AL 368543666 38395103 false X WWW.LANIERHOSPITAL.COM X 1942 AL TO PROVIDE MEDICAL SERVICES TO RESIDENTS OF CHAMBERS COUNTY, ALABAMA AND WEST POINT, GEORGIA. X 7 7 685 75 23743 60552 119919 38705467 22112702 267047 -11965425 1507172 152917 40540238 10420113 65562 0 22823512 13426694 0 0 20241676 11467917 43065188 24960173 -2524950 -14540060 33655439 0 19115379 0 14540060 0 X TO PROVIDE MEDICAL SERVICES TO RESIDENTS OF CHAMBERS COUNTY, ALABAMA AND WEST POINT, GEORGIA. false true 22575985 65562 22164014 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. 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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 true true X true X true X 1.750000000000 true false true true 105506 105506 0.00420 5475528 4246423 1229105 0.04920 83098 104693 -21595 5664132 4351116 1313016 0.05350 5664132 4351116 1313016 0.05350 107000 107000 0.00430 107000 107000 0.00430 false 3946553 6691938 6574303 117635 X true true 1 1 CHATTAHOOCHEE VALLEY HOSPITAL SOCIE GEORGE H LANIER MEMORIAL HOSPITAL 4800 48TH STREET VALLEY AL 368543666 WWW.LANIERHOSPITAL.COM X X X SNF; HOME HEALTH CARE; CLINICS CHATTAHOOCHEE VALLEY HOSPITAL SOCIE 1 true X X X X X X X X 13 true false true X WWW.LANIERHOSPITAL.COM X X X X false false true true 100.000000000000 true 175.000000000000 true X X X X true true X X X X true false X X X X true X false false 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. 2 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 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. true EAST ALABAMA HEALTH CARE AUTHORITY 2000 PEPPERELL PKWY OPELIKA AL 368015452 636000526 GOV 65562 FMV CAPITAL PROJECTS 1 SCHEDULE I, PAGE 1, PART I, LINE 2 THE ORGANIZATION MONITORS THE USE OF GRANTS AND ASSISTANCE THROUGH A COMMON MANAGEMENT TEAM. X X X X false false false false false false false false false DOUG DEWBERRY FORMER CEO 172378 9265 181643 CAREY OWEN CEO MOHAMAD CHAABAN MD PHYSICIAN 324135 13332 337467 PHILLIPPE TRANQUI MD PHYSICIAN 310855 12353 323208 DAVID FAGAN MD PHYSICIAN 285676 12353 298029 MAX SHIVER MD PHYSICIAN 226929 1920 12353 241202 SERGE MISTIVAR MD PHYSICIAN 202111 17480 9071 228662 SCHEDULE J, PART III 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. CURT KOLLAR BD MBR/BANK CFO 1049508 BANK LOAN PAYMENTS false TOMMY LANE HOSP CFO/BK BD 1049508 BANK LOAN PAYMENTS false SCHEDULE L, PART V 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. OPERATIONAL ASSETS 2014-01-31 16002759 LIAB ASSMD 636000526 EAST ALABAMA HEALTHCARE AUTHORITY DBA EAST ALABAMA MEDICAL CENTER 2000 PEPPERELL PARKWAY OPELIKA AL 368015452 501C3 true true false false SCHEDULE N, PART II, PAGE 2, LINE 2E 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. 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. LANIER HEALTH SERVICES FOUNDATION 4800 48TH STREET VALLEY AL 368543666 631286859 FOUNDATION AL 501C3 11B CVHS CHATTAHOOCHEE VALLEY HOSPITAL SOCIE true false false true false false false false false false false false false true true true false false false false LANIER HEALTH SERVICES FOUNDATION C 4856 FOUNDATION RECORDS LANIER HEALTH SERVICES FOUNDATION M 4856 FOUNDATION NET INCOME LANIER HEALTH SERVICES FOUNDATION N AMOUNT INDETERMINABLE LANIER HEALTH SERVICES FOUNDATION O AMOUNT INDETERMINABLE SCHEDULE R 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.