WEST GEORGIA MEDICAL CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- WEST GEORGIA MEDICAL CENTER INC (EIN 20-5497506)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-11
- IRS object ID
- 201532239349301473
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-11T12:48:33-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205497506 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST GEORGIA MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 7068821411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1514 VERNON ROAD | AddressLine1 |
| City | LAGRANGE | City |
| State | GA | State |
| ZIP Code | 30240 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL PERROTTI | PersonNm |
| Person Title | CFO/SENIOR VICE PRESIDENT | PersonTitleTxt |
| Phone | 7068821411 | PhoneNum |
| Signature | 2015-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GERALD FULKS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1514 VERNON ROAD | AddressLine1 |
| City | LAGRANGE | City |
| State | GA | State |
| ZIP Code | 30240 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $212,150,831 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WGHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | THE PRIMARY MISSION OF WEST GEORGIA MEDICAL CENTER IS TO PROVIDE ACCESS TO QUALITY, COST-EFFECTIVE COMMUNITY-BASED HEALTHCARE SERVICES TO RESIDENTS OF COUNTIES IN WESTERN GEORGIA AND EASTERN ALABAMA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1392 | TotalEmployeeCnt |
| Total Volunteers | 91 | TotalVolunteersCnt |
| Total Gross UBI | $212,586 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $88,267 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $178,981 | PYContributionsGrantsAmt |
| CY Contributions Grants | $749,267 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $192,233,678 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $204,325,789 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,087,102 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,875,989 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,410,948 | PYOtherRevenueAmt |
| CY Other Revenue | $3,251,797 | CYOtherRevenueAmt |
| PY Total Revenue | $197,910,709 | PYTotalRevenueAmt |
| CY Total Revenue | $211,202,842 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $82,570 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $258,304 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $76,067,714 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $77,273,624 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $121,968,974 | PYOtherExpensesAmt |
| CY Other Expenses | $126,730,463 | CYOtherExpensesAmt |
| PY Total Expenses | $198,119,258 | PYTotalExpensesAmt |
| CY Total Expenses | $204,262,391 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$208,549 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,940,451 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $185,651,429 | TotalAssetsBOYAmt |
| Total Assets EOY | $185,495,578 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $94,700,447 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $95,650,747 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $90,950,982 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $89,844,831 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WEST GEORGIA HEALTH SERVES THE HEALTH CARE NEEDS OF PEOPLE WITHIN OUR REGION THROUGH PROFESSIONAL SERVICE, COMPASSIONATE TREATMENT AND A SAFE ENVIRONMENT, WHILE COLLABORATING WITH COMMUNITY LEADERS TO PRODUCE BETTER HEALTH FOR OUR CITIZENS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $156,690,486 | ExpenseAmt |
| Grant | $258,304 | GrantAmt |
| Revenue | $179,135,035 | RevenueAmt |
| Desc | THE HOSPITAL SERVICES PROGRAMS' GOAL IS TO PROVIDE THE BEST POSSIBLE HEALTH CARE SERVICES TO MEET THE NEEDS OF THE PEOPLE IN TROUP AND OTHER COUNTIES IN THE GEOGRAPHICAL AREA. THE PROGRAM HAD 7,825 ADMISSIONS, 27,622 INPATIENT DAYS, 54,933 OUTPATIENT EMERGENCY ROOM VISITS, 4,997 INPATIENT EMERGENCY ROOM VISITS, 1,805 INPATIENT SURGERIES, 4,824 OUTPATIENT SURGERIES, 698 INPATIENT ENDOSCOPIES, 3,982 OUTPATIENT ENDOSCOPIES, AND 978 DELIVERIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,780,178 | ExpenseAmt |
| Revenue | $16,842,446 | RevenueAmt |
| Desc | LONG TERM CARE INCLUDES TWO NURSING HOMES. THIS PROGRAM PROVIDED 89,003 INPATIENT DAYS IN SKILLED NURSING CARE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,630,573 | ExpenseAmt |
| Revenue | $4,431,127 | RevenueAmt |
| Desc | HOSPICE PROGRAM PROVIDED 4,491 INPATIENT DAYS OF HOSPICE CARE AND 14,440 DAYS OF HOSPICE HOME CARE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,636,367 | ExpenseAmt |
| Revenue | $4,109,618 | RevenueAmt |
| Desc | ADDITIONAL EXEMPT ACTIVITY PROGRAMS INCLUDING HOME HEALTH, DIALYSIS, PHYSICIAN PRACTICES, OCCUPATIONAL EXPENSES, OCCUPATIONAL HEALTH, SCHOLARSHIPS, ETC. IN ADDITION ALL FY 2014 PROFITS FROM SALES AT THE GIFT SHOP WERE DONATED TO THE FOUNDATION TO SUPPORT THE UPCOMING CANCER PROGRAM. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $5,636,367 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $4,109,618 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $177,737,604 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | Yes (1) | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 364 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1392 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAUL PERROTTI SR VPCFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7068453934 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1514 VERNON ROAD | AddressLine1 |
| City | LAGRANGE | City |
| State | GA | State |
| ZIP Code | 30240 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MIKE PATTON | |||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN MCKIBBEN | |||||||||
| VICE CHAIR | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SPEER BURDETTE | |||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANIL MODI MD | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $1,500 | $0 | $0 | |||
| BOBBY CARMICHAEL | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| NANCY DURAND | |||||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES FERGUSON MD | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $53,143 | $0 | $0 | |||
| KENNETH MCCAMEY | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE STEFENELLI MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $2,000 | $0 | $0 | ||||
| GERALD N FULKS | |||||||||
| PRESIDENT/CEO | 40.00 | 2.00 | Yes (X) | $395,814 | $0 | $90,662 | |||
| PAUL R PERROTTI | |||||||||
| SENIOR VP FINANCE/CFO | 40.00 | 2.00 | Yes (X) | $329,762 | $0 | $53,457 | |||
| CHARIS ACREE | |||||||||
| SENIOR VP OPERATIONS | 40.00 | 1.00 | Yes (X) | $232,890 | $0 | $55,541 | |||
| TRIPP PENN | |||||||||
| VP SUPPORT SERVICES | 40.00 | $151,360 | $0 | $32,851 | Yes (X) | ||||
| DEBORAH W BURTON | |||||||||
| VP/CHIEF NURSING OFFICER | 40.00 | $180,472 | $0 | $51,218 | Yes (X) | ||||
| DAVID DISBROW | |||||||||
| VP PSO | 40.00 | $148,543 | $0 | $12,686 | Yes (X) | ||||
| MARY SPARROW | |||||||||
| PHARMACIST | 40.00 | $146,614 | $0 | $35,472 | Yes (X) | ||||
| DON DAVIS | |||||||||
| DIRECTOR, PHARMACY | 40.00 | $146,841 | $0 | $31,834 | Yes (X) | ||||
| DEBRA BOSWELL | |||||||||
| PHARMACY CLINICAL COORDINATOR | 40.00 | $140,602 | $0 | $67,081 | Yes (X) | ||||
| CAROL TODD | |||||||||
| GENERAL COUNSEL | 40.00 | $142,142 | $0 | $18,381 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,071,683 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $449,183 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 41 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CONIFER HEALTH SOLUTIONS LLC | |||||
| 1500 S DOUGLASS RD | ANAHEIM | CA | 92806 | MANAGEMENT | $5,537,344 |
| GEORGIA RADIOLOGY SERVICES LLC | |||||
| 5665 NEW NORTHSIDE DR | ATLANTA | GA | 30328 | OUTSIDE RADIOLOGY | $3,282,790 |
| SOUTHERN CRESCENT ANESTHESIOLOGY PC | |||||
| 80 NEWNAN STATION DRIVE | NEWNAN | GA | 30265 | OUTSIDE ANESTHESIOLOGY | $1,440,998 |
| EMORY HEALTHCARE INC | |||||
| 1440 CLIFTON RD NE | ATLANTA | GA | 30322 | ON CALL | $467,859 |
| MICROSOFT LICENSING GP | |||||
| 1950 N STEMMONS FWY | DALLAS | TX | 75207 | SOFTWARE | $416,794 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 50 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $249,828 | RelatedOrganizationsAmt |
| All Other Contributions | $499,439 | AllOtherContributionsAmt |
| Noncash Contributions | $56,555 | NoncashContributionsAmt |
| Total Contributions | $749,267 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621400 | $202,119,326 | $202,119,326 |
| PREMIER PSHP INCOME | 900099 | $1,143,238 | $1,143,238 |
| EHR INCENTIVE PROGRAM REVENUE | 621400 | $558,462 | $558,462 |
| PHARMACY | 621400 | $429,871 | $429,871 |
| LIFELINE | 621400 | $74,892 | $74,892 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $204,325,789 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $772,974 | TotalRevenueColumnAmt |
| Exclusion | $772,974 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $34,751 | RealAmt |
| Personal | $393,292 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $34,751 | RealAmt |
| Personal | $393,292 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $428,043 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $34,751 | UnrelatedBusinessRevenueAmt |
| Exclusion | $393,292 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,714,653 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $603,328 | SecuritiesAmt |
| Other | $8,310 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,111,325 | SecuritiesAmt |
| Other | -$8,310 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,103,015 | TotalRevenueColumnAmt |
| Exclusion | $2,103,015 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $528,788 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $336,351 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $192,437 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $192,437 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MANAGEMENT FEES | 900099 | $1,157,523 | $1,157,523 | |
| CAFETERIA AND VENDING | 900099 | $786,618 | $786,618 | |
| MISCELLANEOUS | 621400 | $437,458 | $259,623 | $177,835 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $249,718 | TotalRevenueColumnAmt |
| Exclusion | $249,718 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,631,317 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $211,202,842 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $204,518,226 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $212,586 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,722,763 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,304 | TotalAmt |
| Program Services | $258,304 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,685,013 | TotalAmt |
| Program Services | $614,986 | ProgramServicesAmt |
| Management And General | $1,070,027 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,712,680 | TotalAmt |
| Program Services | $50,919,593 | ProgramServicesAmt |
| Management And General | $6,793,087 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,458,989 | TotalAmt |
| Program Services | $3,868,704 | ProgramServicesAmt |
| Management And General | $590,285 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,265,719 | TotalAmt |
| Program Services | $8,039,116 | ProgramServicesAmt |
| Management And General | $1,226,603 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,151,223 | TotalAmt |
| Program Services | $3,601,681 | ProgramServicesAmt |
| Management And General | $549,542 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,398 | TotalAmt |
| Program Services | $222,500 | ProgramServicesAmt |
| Management And General | $102,898 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950,284 | TotalAmt |
| Management And General | $950,284 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,015 | TotalAmt |
| Management And General | $374,015 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,324 | TotalAmt |
| Management And General | $114,324 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,914,523 | TotalAmt |
| Program Services | $27,371,445 | ProgramServicesAmt |
| Management And General | $2,543,078 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $738,722 | TotalAmt |
| Program Services | $47,724 | ProgramServicesAmt |
| Management And General | $690,998 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,895,751 | TotalAmt |
| Program Services | $6,661,964 | ProgramServicesAmt |
| Management And General | $2,233,787 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,352,044 | TotalAmt |
| Program Services | $264,283 | ProgramServicesAmt |
| Management And General | $4,087,761 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,388,870 | TotalAmt |
| Program Services | $2,175,144 | ProgramServicesAmt |
| Management And General | $213,726 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,405 | TotalAmt |
| Program Services | $343,702 | ProgramServicesAmt |
| Management And General | $184,703 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274,258 | TotalAmt |
| Program Services | $178,702 | ProgramServicesAmt |
| Management And General | $95,556 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,562,251 | TotalAmt |
| Management And General | $3,562,251 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,829,926 | TotalAmt |
| Program Services | $10,793,296 | ProgramServicesAmt |
| Management And General | $1,036,630 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $803,902 | TotalAmt |
| Program Services | $722,747 | ProgramServicesAmt |
| Management And General | $81,155 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $39,191,695 | $39,191,695 | |
| MEDICAL SUPPLIES | $22,099,328 | $22,099,328 | |
| MED STAFF DEVELOPMENT D | $362,690 | $362,690 | |
| UBI TAX | $24,077 | $24,077 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,262,391 | TotalAmt |
| Program Services | $177,737,604 | ProgramServicesAmt |
| Management And General | $26,524,787 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,831,033 | BOYAmt |
| EOY | $11,669,888 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $421,103 | BOYAmt |
| EOY | $376,039 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,077,433 | BOYAmt |
| EOY | $24,541,252 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,391,429 | BOYAmt |
| EOY | $3,018,100 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,504,926 | BOYAmt |
| EOY | $2,335,772 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $251,079,726 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $152,906,202 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,895,737 | BOYAmt |
| EOY | $98,173,524 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,338,817 | BOYAmt |
| EOY | $39,009,726 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,166 | BOYAmt |
| EOY | $130,115 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,074,785 | BOYAmt |
| EOY | $6,241,162 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,651,429 | BOYAmt |
| EOY | $185,495,578 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,055,790 | BOYAmt |
| EOY | $16,716,701 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,411,312 | BOYAmt |
| EOY | $67,734,565 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,558 | BOYAmt |
| EOY | $70,022 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,155,787 | BOYAmt |
| EOY | $11,129,459 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,700,447 | BOYAmt |
| EOY | $95,650,747 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,387,380 | BOYAmt |
| EOY | $82,512,313 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,563,602 | BOYAmt |
| EOY | $7,332,518 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,950,982 | BOYAmt |
| EOY | $89,844,831 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,651,429 | BOYAmt |
| EOY | $185,495,578 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,940,451 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $447,673 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$8,494,275 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $41,753 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $41,753 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | WEST GEORGIA MEDICAL CENTER, INC. PAYS ANNUAL MEMBERSHIP DUES TO GEORGIA ALLIANCE OF COMMUNITY HOSPITALS, GEORGIA HOSPITAL ASSOCIATION, GEORGIA HEALTH CARE ASSOCIATION, AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE DESIGNATED BY THESE ORGANIZATIONS FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Included | $2,355,189 | AssetsIncludedAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Collection Used Preservation | Yes (X) | CollectionUsedPreservationInd |
| Solicited Assets Sale | 0 | SolicitedAssetsSaleInd |
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $77,558 | BeginningBalanceAmt |
| Distributions During Year | $7,536 | DistributionsDuringYearAmt |
| Ending Balance | $70,022 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,563,602 | BeginningYearBalanceAmt |
| Other Expenditures | $231,084 | OtherExpendituresAmt |
| End Year Balance | $7,332,518 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,277,918 | BeginningYearBalanceAmt |
| Other Expenditures | $1,714,316 | OtherExpendituresAmt |
| End Year Balance | $7,563,602 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,327,227 | BeginningYearBalanceAmt |
| Contributions | $695,000 | ContributionsAmt |
| Investment Earnings Or Losses | $11,142 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $486,291 | GrantsOrScholarshipsAmt |
| Other Expenditures | $269,160 | OtherExpendituresAmt |
| End Year Balance | $9,277,918 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,660,005 | BeginningYearBalanceAmt |
| Contributions | $600,000 | ContributionsAmt |
| Investment Earnings Or Losses | $363 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $637,675 | GrantsOrScholarshipsAmt |
| Other Expenditures | $295,466 | OtherExpendituresAmt |
| End Year Balance | $9,327,227 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $11,684,884 | ContributionsAmt |
| Investment Earnings Or Losses | $1,595 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $801,505 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,224,969 | OtherExpendituresAmt |
| End Year Balance | $9,660,005 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,645,649 | OtherCostOrOtherBasisAmt |
| Book Value | $3,645,649 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $109,936,771 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,168,496 | DepreciationAmt |
| Book Value | $64,768,275 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,681,152 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,402,887 | DepreciationAmt |
| Book Value | $4,278,265 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $126,678,522 | OtherCostOrOtherBasisAmt |
| Depreciation | $102,334,819 | DepreciationAmt |
| Book Value | $24,343,703 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,137,632 | OtherCostOrOtherBasisAmt |
| Book Value | $1,137,632 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $98,173,524 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| INSURANCE LIABILITY | $650,000 |
| PENSION PAYABLE | $10,353,560 |
| WGHS COVENANT NOT TO COMPETE | $125,899 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,129,459 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $162,822,836 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $447,673 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$47,906,469 | OtherRevenueAmt |
| Revenue Not Reported | -$47,458,796 | RevenueNotReportedAmt |
| Revenue Subtotal | $210,281,632 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $114,324 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $806,886 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $921,210 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $211,202,842 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $163,928,987 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$806,886 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$806,886 | ExpensesNotReportedAmt |
| Expenses Subtotal | $164,735,873 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $114,324 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $39,412,194 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $39,526,518 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $204,262,391 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4: | THE ORGANIZATION HOLDS ART COLLECTIONS AND EXIBITS THEM IN PUBLIC AREAS. THE EXHIBITS ENHANCE THE HEALTH CARE EXPERIENCES FOR PATIENTS, PATIENT'S FAMILIES, AND VISITORS. |
| PART V, LINE 4: | TERM ENDOWMENT FUNDS ARE TO BE USED FOR NURSING SCHOLARSHIPS. PERMANENT ENDOWMENT FUNDS ARE TO BE USED FOR PROPERTY AND IMPROVEMENTS FOR HOSPITAL PURPOSES. |
| PART X, LINE 2: | THE ORGANIZATION IS EXEMPT FROM INCOME TAX PURSUANT TO INTERNAL REVENUE CODE SECTION 501(A), AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION HAS EVALUATED ITS TAX POSITION AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2014 AND 2013. FISCAL YEARS ENDING ON AND AFTER SEPTEMBER 30, 2011 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | PENSION LIABILITY ADJUSTMENT -787,437. PROVISION FOR BAD DEBT -39,189,694. EQUITY TRANSFER TO AFFILIATE PSO -7,706,838. MANAGEMENT FEES INCLUDED IN REVENUES -222,500. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PREMIER HEALTH ALLIANCE REVENUE INCLUDED IN EXPENSES 1,143,237. AUXILIARY COST OF GOODS SOLD FOR GIFT SHOP -336,351. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | PREMIER HEALTH ALLIANCE REVENUE INCLUDED IN EXPENSES -1,143,237. AUXILIARY COST OF GOODS SOLD FOR GIFT SHOP 336,351. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBT 39,189,694. MANAGEMENT FEES INCLUDED IN REVENUES 222,500. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 125.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 375.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,737,309 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,737,309 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04690 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,784,179 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,892,288 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,891,891 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04180 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $516,876 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $240,236 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $276,640 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,038,364 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,132,524 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,905,840 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09040 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,663 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $62,663 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,375,873 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,375,873 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00830 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $160,222 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $160,222 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,598,758 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,598,758 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00970 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,637,122 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,132,524 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,504,598 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 229 | PersonsServedCnt |
| Total Community Benefit Expns | $6,400 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,700 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 229 | PersonsServedCnt |
| Total Community Benefit Expns | $6,400 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,700 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,700 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,222,838 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $37,333,640 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $34,158,047 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,175,593 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 | WEST GEORGIA MEDICAL CENTER INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1514 VERNON ROAD | AddressLine1 |
| City | LAGRANGE | City |
| State | GA | State |
| ZIP Code | 30240 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST GEORGIA MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | 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 | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.WGHEALTH.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 375.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| WEST GEORGIA MEDICAL CENTER | PART V, SECTION B, LINE 3: THE WEST GEORGIA HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE IDENTIFIED COMMUNITY LEADERS, PARTNERS, AND REPRESENTATIVES TO INCLUDE IN THE CHNA PROCESS. REPRESENTATIVES OF GROUPS, OR INDIVIDUALS, WHO REPRESENT MEDICALLY UNDERSERVED POPULATIONS, LOW INCOME POPULATIONS, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASES WERE INCLUDED.WEST GEORGIA HEALTH IDENTIFIED OVER 120 COMMUNITY MEMBERS TO PARTICIPATE IN THE CHNA PROCESS. KEY COMMUNITY STAKEHOLDERS WHO WERE INTERVIEWED INCLUDED:BART MCFADDEN OF THE BOYS AND GIRLS CLUB OF WEST GEORGIA; CARL VON EPPS OF THE GEORGIA HOUSE OF REPRESENTATIVES; DEBBIE BURDETTE FROM TROUP COUNTY SCHOOLS; ELIA BALTES OF THE DASH PROGRAM AND CHILI PROGRAM; JACK EATMON OF THE TROUP FAMILY CONNECTION; JUDY WRIGHT FROM WGH SOCIAL SERVICES; KAY DURAND OF THE TROUP COUNTY CENTER FOR STRATEGIC PLANNING, INC.; LARRY ASPLUND, THE PASTOR OF NEW COMMUNITY CHURCH; MELODY WEGIENKA, A PUBLIC HEALTH NURSE OF THE DISTRICT 4 PUBLIC HEALTH DEPARTMENT; MICHELE BEDINGFIELD FROM THE HARMONY HOUSE; MICHELE THOMPSON FROM WOMEN'S FIRST CHOICE; NORMA TUCKER, A CITY COUNCIL MEMBER, FROM FIRST STEPS PROGRAM; PAT ROBINSON FROM THE SENIOR CORP CENTER; SHAY THORNTON FROM THE DEPARTMENT OF FAMILY AND CHILDREN SERVICES; VALERIE WEST, A BOARD MEMBER FROM NATIONAL ALLIANCE ON MENTAL ILLNESS, SERVING ON THE TROUP COUNTY MENTAL HEALTH TASK FORCE; WANDA SCARBOROUGH FROM TROUP TRANSFORMATION.COMMUNITY FOCUS GROUP PARTICIPANTS INCLUDED:ALISHA SCOTT, A COURT PUBLIC DEFENDER; ALTON WEST FROM THE CITY OF LAGRANGE COMMUNITY DEVELOPMENT; BUCK DAVIS FROM THE TROUP COUNTY COMMISSION; CANDACE WORTHAM FROM TROUP CARES; CARL VON EPPS, A STATE REPRESENTATIVE; CARRIE BKRICH FROMTROUP CO. STRATEGIC PLANNING; CATHY SMITH FROM DASH; CHARLENE MCCLANAHAN FROM WEST GEORGIA HEALTH ONCOLOGY DEPARTMENT; CHRIS POWELL FROM THE SALVATION ARMY; DAN WOOTEN FROM ACTIVE LIFE SENIORS; DAVE MILLER FROM NEW VENTURES; DEBBIE BURDETTE, ALITERACY VOLUNTEER/ACTIVIST; DEBORAH BURTON FROM WEST GEORGIA HEALTH; DIANE HARRELL FROM THE CENTER FOR COMMUNITY STUDIES; DONA CHERRY FROM TROUP CARES NETWORK; DR. JAY GIESLER A PHYSICIAN; DR. SANDY SIMMONS A PHYSICIAN; GAIL GORDON FROM SUCCESS BY SIX; JACK EATMON FROM TROUP FAMILY CONNECTION; JACK LEIDNER FROM HOGANSVILLE CITY COUNCIL; JANICE HETHCOX FROM TROUP BELL; JEAN CROCKER FROM HOGANSVILLE CITY COUNCIL; JEANNETTE LITTLE STATE FROM COURT JUDGE; JEFF LUKKEN, MAYOR OF THE CITY OF LAGRANGE; JUDY WRIGHT, WGH SOCIAL SERVICES; KAREN CAGLE FROM TROUP COUNTY SCHOOLS; KEN SMITH FROM TROUP CO. COMMISSION; MANDY HILL FROM TWIN CEDARS YOUTH COUNCIL; MELODY WEGIENKA, A PUBLIC HEALTH NURSE FROM THE DISTRICT 4 PUBLIC HEALTH DEPARTMENT; MICHELE THOMPSON FROM WOMEN'S FIRST CHOICE; MIKE ANGSTADT FROM TWIN CEDARS YOUTH & FAMILY SERVICES; MORRIS JONES FROM TROUP COUNTY COMMISSIONER; NORMA TUCKER FROM FIRST STEPS & CITY COUNCIL; PASTOR HUGO OROPEZA FROM HISPANIC CHURCH; PATRICIA ROBINSON FROM SENIOR CORP; PATTI YOUNGBLOOD FROM THE UNITED WAY OF W. GEORGIA, INC.; RANDY NIX, A GEORGIA STATE REPRESENTATIVE; RICHARD ENGLISH FROM THE TROUP COUNTY COMMISSION; SPEER BURDETTE FROM THE CALLAWAY FOUNDATION; TRIPP PENN FROM WEST GEORGIA HEALTH; VALERIE WEST, A BOARD MEMBER AT THE NATIONAL ALLIANCE ON MENTAL ILLNESS, AND FROM THE TROUP COUNTY MENTAL HEALTHTASK FORCE; WANDA SCARBOROUGH FROM TROUP TRANSFORMATION |
| WEST GEORGIA MEDICAL CENTER | PART V, SECTION B, LINE 7: WGH IS CONTINUING TO WORK ON THE FOLLOWING ACTION ITEMS THAT COULDN'T BEGIN IN 2014 DUE TO TIME AND RESOURCE CONSTRAINTS: - RECRUITMENT OF AN ENDOCRINOLOGIST, PULMONARY CRITICAL CARE SPECIALIST AND RADIATION ONCOLOGIST. - DEVELOPMENT OF A CENTRALIZED COMMUNITY RESOURCE DIRECTORY. - SECURING A PHYSICIAN CHAMPION FOR LUNG CANCER SCREENINGS, AS WELL HEAVILY PROMOTING THE AVAILABILITY OF THE LUNG CT SCAN DUE TO CHANGES IN MEDICARE/MEDICAID NOW PAYING FOR THESE SCREENINGS. - FINDING A SOLUTION TO INVOLVE MORE DIABETES PATIENTS IN EDUCATIONAL/NUTRITIONAL OUTREACH. - DECREASING THE ONSET OF SYMPTOM-TO-HOSPITAL TIME FOR WGH'S ACUTE MYOCARDIAL INFARCTION PATIENTS, AS WGH IS 28% ABOVE THE NATIONAL AVERAGE. - INCREASING PARTICIPATION IN TEEN PREGNANCY EDUCATION CLASSES AND BEGINNING CLASSES REGARDING TEEN-HEALTH RELATED NEEDS AND ISSUES. DURING THE COURSE OF THE CHNA YEAR 1 EVALUATION, IT WAS DETERMINED THAT IMPLEMENTING A MOBILE HEALTH CLINIC, ALONG WITH BREAST CANCER, COLON CANCER, PROSTATE CANCER, DIABETES AND STROKE RISK ASSESSMENT PRODUCTS WERE NOT FINANCIALLY FEASIBLE AND WILL NOT BE PURSUED FURTHER. |
| WEST GEORGIA MEDICAL CENTER | PART V, SECTION B, LINE 14G: ANNUAL NOTIFICATION IN LOCAL GENERAL CIRCULATION NEWSPAPER. ALSO, INDIVIDUAL NOTIFICATION OF THE POLICY IS GIVEN AT REGISTRATION TO ALL PATIENTS. |
| WEST GEORGIA MEDICAL CENTER | PART V, SECTION B, LINE 17E: WE PROACTIVELY COMMUNICATE THE FACILITY'S PARTICIPATION IN THE INDIGENT PROGRAM. |
| WEST GEORGIA MEDICAL CENTER | PART V, SECTION B, LINE 20D: ALL PATIENTS ARE INITIALLY CHARGED THE SAME. THE ORGANIZATION USES THE FEDERAL POVERTY LEVEL GUIDELINES TO DETERMINE THE DISCOUNT ADJUSTMENT AMOUNT. THE ORGANIZATION IS MONITORING THE PROCEDURES OUTLINED IN PROP. REG. 1.501(R)-5 TO DETERMINE THE AMOUNTS GENERALLY BILLED FOR THE FACILITY. UNTIL SUCH TIME AS THOSE PROCEDURES ARE ADOPTED, THE ORGANIZATION IS CONFIDENT THAT ITS DISCOUNTS UNDER ITS FINANCIAL ASSISTANCE POLICY ARE SUBSTANTIALLY LARGE ENOUGH TO BE IN COMPLIANCE WITH SEC. 501(R)(5) AND THE LIMITS SET ON CHARGES THEREUNDER. |
| WEST GEORGIA MEDICAL CENTER | PART V, SECTION B, LINE 22: ALL PATIENTS ARE CHARGED THE SAME CDM PRICING. ADJUSTMENTS ARE LATER MADE BASED ON THE INVIDUALS APPLICATION FOR FINANCIAL ASSISTANCE AS COMPARED TO THE FPL GUIDELINES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| FLORENCE HAND HOME | ||||
| 200 MEDICAL DRIVE | LAGRANGE | GA | 30240 | LONG TERM CARE |
| HOSPICE LAGRANGE | ||||
| 1510 VERNON ROAD | LAGRANGE | GA | 30240 | HOSPICE |
| WEST GEORGIA HOME CARE | ||||
| 120 GLEN BASE ROAD | LAGRANGE | GA | 30240 | HOME HEALTH; SKILLED NURSING |
| WOMEN'S HEALTH CENTER | ||||
| 1420 VERNON ROAD | LAGRANGE | GA | 30240 | WOMEN'S CENTER |
| WEST GEORGIA WOUND CARE | ||||
| 1600 VERNON RD SUITE G | LAGRANGE | GA | 30240 | WOUND CARE |
| TWIN FOUNTAINS HOME | ||||
| 1400 HOGANSVILLE ROAD | LAGRANGE | GA | 30240 | LONG TERM CARE |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 39,191,695. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | WEST GEORGIA HEALTH HAS BEEN THE COMMUNITY HOSPITAL FOR LAGRANGE AND THE WEST CENTRAL AREA OF GEORGIA FOR OVER SEVENTY YEARS, ALWAYS STRIVING TO PROVIDE EXCELLENT SERVICE TO OUR PATIENTS. IT IS THE ONLY HOSPITAL WITHIN A 35 MILES RADIUS FOR MANY COMMUNITY MEMBERS IN THE SERVICE AREA. THE LEADERSHIP AND STAFF OF WGH PARTICIPATE IN MANY GROUP EVENTS AND ACTIVITIES THROUGHOUT THE YEAR. IN FY 2014, SEVERAL MEMBERS OF OUR LEADERSHIP TEAM SAT ON COMMITTEES AND THE BOARD OF THE LAGRANGE-TROUP COUNTY CHAMBER OF COMMERCE. MANY OTHERS HAVE SERVED IN THE CHAIRPERSON ROLE IN PREVIOUS YEARS. OTHER COMMUNITY ORGANIZATIONS SUPPORTED BY WEST GEORGIA HEALTH INCLUDE: BRIDGE OUT OF POVERTY, CERTIFIED LITERATE COMMUNITY PROGRAM (CLCP), JUNIOR VOLUNTEER PROGRAM, THE BOYS AND GIRLS CLUB OF WEST GEORGIA, KIWANIS CLUB, LIONS CLUB, PATHWAYS MENTORING PROGRAM, CB&T BOARD, THE DEVELOPMENT AUTHORITY, TROUP COUNTY CENTER FOR STRATEGIC PLANNING, AND TROUP COUNTY SCHOOL SYSTEM FOR HEALTH CAREERS. WGH IS AN EMPLOYMENT ENGINE FOR THE BUSINESS COMMUNITY HAVING CONTINUOUS INVOLVEMENT IN MUCH OF WHAT THE CHAMBER DOES EVERY DAY.WGH PERFORMS PERIODIC EMERGENCY RESPONSE DRILLS TO ASSIST IN PREPARING THE COMMUNITY AND TO CONTINUOUSLY IMPROVE RESPONSE AND COMMUNICATION IN CASE OF A COMMUNITY-WIDE EMERGENCY. TEAM MEMBERS OF THE HOSPITAL SERVE ON BOARDS OF SEVERAL AGENCIES, WORKING IN AND WITH ALL LEVELS OF THE EDUCATION SYSTEM, AS WELL AS THE SENIOR POPULATION IN THE SERVICE AREA. WGH CONSTANTLY LISTENS TO THE COMMUNITY REGARDING HEALTHCARE NEEDS AND PERFORMS SURVEYS TO GET A MORE IN-DEPTH UNDERSTANDING OF THE NEEDS OF THE COMMUNITY. WGH RECRUITS SPECIALTY PHYSICIANS TO MEET IDENTIFIED NEEDS; (CARDIOLOGY, NEUROLOGY, RADIOLOGY, ONCOLOGY JUST TO MENTION A FEW), ALONG WITH GENERAL PRACTITIONERS, OB-GYNS, ETC. OUR NEW SOUTH TOWER WAS OFFICIALLY OPENED IN JUNE, 2010, WITH STATE OF THE ART FACILITY AND EQUIPMENT TO PROVIDE EXCELLENT SERVICE AND CARE IN THE AREAS OF EMERGENCY CARE, CARDIOLOGY, ICU, AND LABOR & DELIVERY. WGH WELCOMED TO OUR COMMUNITY THE NEW WOMEN'S CENTER IN LATE 2010, WHICH PROVIDE MANY OF THE SERVICES WOMEN OF ALL AGES NEED AND HAVE ASKED FOR IN THE COMMUNITY. |
| PART III, LINE 4: | FOOTNOTE: BAD DEBT EXPENSE WAS COMPUTED SO AS TO REFLECT THE ESTIMATED NET REALIZABLE AMOUNTS RECEIVABLE FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE A PROVISION FOR BAD DEBT IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO THE PROVISION FOR BAD DEBT EXPENSE. BAD DEBT EXPENSE WAS COMPUTED USING THE COST TO CHARGE RATIO. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COSTS WERE CALCULATED USING MEDICARE COST REPORTS. |
| PART III, LINE 9B: | THE ORGANIZATION HAS A FINANCIAL ASSISTANCE POLICY WHICH GOVERNS ELIGIBILITY CRITERIA AND COLLECTON PRACTICES FOR ALL PATIENTS AND PATIENTS KNOWN TO QUALIFY FOR CHARITY AND OTHER FINANCIAL ASSISTANCE. ONCE A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE, IT IS NOTED IN THE PATIENT'S FINANCIAL CHART AND ANY COLLECTON EFFORTS CEASE. |
| PART VI, LINE 2: | WEST GEORGIA MEDICAL CENTER IDENTIFIED AND ASSESSED THE HEALTH NEEDS OF THE COMMUNITY THROUGH THE FOLLOWING STEPS. 1) THE HOSPITAL'S CEO DEVELOPED AN INTERNAL STEERING COMMITTEE 2) THE COMMITTEE DEFINED THE COMMUNITY AS ITS PRIMARY SERVICE AREA - TROUP COUNTY, GA. 3) THE COMMITTEE IDENTIFIED AND ENGAGED COMMUNITY LEADERS AND STAKEHOLDERS. 4) WGMC WORKED WITH DRAFFIN & TUCKER, LLP TO CREATE A COMMUNITY HEALTH PROFILE WHICH ADDRESSED ACCESS TO PREVENTIVE HEALTH SERVICES, UNDERLYING CAUSES OF HEALTH PROBLEMS, AND MAJOR CHRONIC DISEASES OF THE POPULATION. SECONDARY DATA CAME FROM A VARIETY OF SOURCES INCLUDING VITAL RECORDS, STATE AND NATIONAL HEALTH STATUS DATA AND HOSPITAL UTILIZATION DATA. 5) THE TEAM GAINED COMMUNITY INPUT VIA MEETINGS WITH COMMUNITY LEADERS AND STAKEHOLDERS. 6) THE TEAM DEVELOPED A PRIORITIZATION OF NEEDS TO ADDRESS. 7) THE TEAM DEVELOPED IMPLEMENTATION STRATEGIES TO ADDRESS THE IDENTIFIED NEEDS. |
| PART VI, LINE 3: | THE ORGANIZATION NOTIFIES PATIENTS (OR THEIR REPRESENTATIVES) OF THIS POLICY AT REGISTRATION. SIGNAGE IS POSTED IN BOTH ENGLISH AND SPANISH. INFORMATION AND APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN THE ADMISSIONS OFFICE AND EMERGENCY DEPARTMENT. WEST GEORGIA HEALTH COMMUNICATES THE AVAILABLITY OF FINANCIAL ASSISTANCE TO THE COMMUNITY BY COMMUNICATION ON THE HOSPITAL INTERNET SITE, AND VIA POSTINGS IN INTAKE AREAS. WGH ASSURES THE LATEST UPDATES ARE AVAILABLE FOR PUBLIC COMMUNICATIONS ANNUALLY. |
| PART VI, LINE 4: | WEST GEORGIA HEALTH SERVICES, INC. (WGHS) IS A 558-BED FACILITY LOCATED IN LAGRANGE, GEORGIA, APPROXIMATELY 70 MILES SOUTH OF ATLANTA. WGHS PRIMARY SERVICE AREA IS TROUP COUNTY WITH A POPULATION OF APPROXIMATELY 68,000, BUT IT ALSO SERVES OTHER COUNTIES IN THE WEST CENTRAL GEORGIA AND EAST CENTRAL ALABAMA. APPROXIMATELY 24% OF THE POPULATION IN THE SERVICE AREA IS LIVING AT OR BELOW POVERTY LEVEL. ALMOST 26% OF THE POPULATION IS UNDER 18 YEARS AND ONLY ABOUT 13% OF THE POPULATION IN THE SERVICE AREA IS OVER THE AGE OF 65. THE MEDIAN HOUSEHOLD INCOME IN THE PRIMARY SERVICE AREA IS APPROXIMATELY $41,000. |
| PART VI, LINE 5: | THE ORGANIZATION'S BOARD IS COMPRISED PRIMARILY OF RESIDENTS OF THE PRIMARY SERVICE AREA. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN SELECT DEPARTMENTS. ALL SURPLUS FUNDS ARE REINVESTED INTO HEALTHCARE SERVICES FOR THE COMMUNITY. IN ADDITION TO OPERATING A 276-BED HOSPITAL, WGMC ALSO OPERATES A 16-BED HOSPICE FACILITY AND TWO NURSING HOMES (265-BEDS).WEST GEORGIA MEDICAL CENTER AND ITS EMPLOYEES SERVE OUR COMMUNITY THROUGH A VARIETY OF SCREENING EVENTS, HEALTH FAIRS, EDUCATIONAL SESSIONS AND SERVICE CLINICS. SUCH SCREENING EVENTS INCLUDE - PAINT THE TOWN PINK BREAST CANCER AWARENESS EVENT, TROUP FAMILY EXPO, THE ANNUAL SUPERSTAR FOOTBALL CAMP, ANNUAL $5 PROSTATE SCREENINGS, CLINICAL BREAST EXAMS/VOUCHERS FOR FREE MAMMOGRAM FOR WOMEN WHO QUALIFY (A PARTNERSHIP WITH WEST GEORGIA CANCER COALITION) AND THE BRINGING THE AGES TOGETHER HEALTH EXPO, AMONG OTHERS. |
| PART VI, LINE 6: | THE ORGANIZATION (WGMC) IS PART OF WEST GEORGIA HEALTH SERVICES, INC., A MULTI-ENTITY HEALTHCARE SYSTEM. THE ORGANIZATIONS IN THE SYSTEM INCLUDE: (1) WEST GEORGIA HEALTH SERVICES, INC. - WGHS SERVES AS THE PARENT ORGANIZATION OF THE SYSTEM AND PROVIDES STRATEGIC DIRECTION FOR THE SYSTEM. (2) WEST GEORGIA MEDICAL CENTER, INC. (WGMC)-- OPERATES A 276-BED ACUTE CARE HOSPITAL; A 150-BED SKILLED NURSING HOME (FLORENCE HAND HOME); A 112- BED SKILLED NURSING HOME (TWIN FOUNTAINS HOME); WEST GEORGIA HOSPICE (A HOME HOSPICE AGENCY) PLUS A 16-BED INPATIENT FACILITY); AND WEST GEORGIA HOME CARE WHICH PROVIDES HOME CARE SERVICES TO TROUP, HEARD, HARRIS, MERIWETHER COUNTIES. (3) VERNON WOODS RETIREMENT COMMUNITY, INC. - VERNON WOODS OPERATES A RETIREMENT COMMUNITY OFFERING BOTH ASSISTED AND INDEPENDENT LIVING. (4) WEST GEORGIA HEALTH FOUNDATION, INC. - THE FOUNDATION PROVIDES FUNDRAISING AND SUPPORT FOR WEST GEORGIA HEALTH SERVICES, INC. AND ITS AFFILIATES. (5) WEST GEORGIA HEALTH PHYSICIANS INC. - THIS IS A PHYSICIAN SERVICE ORGANIZATION WHICH PROVIDES SPECIALIZED MEDICAL SERVICES TO THE COMMUNITY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | GA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| TROUP CARES | |||||||
| 301 MEDICAL DRIVE 501 | LAGRANGE | GA | 30240 | 208176300 | 501(C)(3) | $70,000 | SUPPLEMENTAL SUPPORT |
| BOYS AND GIRLS CLUB OF WEST GEORGIA | |||||||
| PO BOX 1328 | LAGRANGE | GA | 30241 | 581998988 | 501(C)(3) | $12,000 | 2014 SPONSORSHIP |
| TROUP COUNTY CENTER FOR STRATEGIC PLANNING | |||||||
| 100 RIDLEY AVENUE STE 2200 | LAGRANGE | GA | 30240 | 270863139 | 501(C)(3) | $30,000 | OPERATIONAL SUPPORT |
| CIRCLES OF TROUP COUNTY | |||||||
| 1220 LAFAYETTE PARKWAY | LAGRANGE | GA | 30241 | 270863139 | 501(C)(3) | $25,000 | OPERATIONAL SUPPORT |
| WEST GEORGIA HEALTH FOUNDATION | |||||||
| 1514 VERNON ROAD | LAGRANGE | GA | 30240 | 200936376 | 501(C)(3) | $100,000 | SUPPORT FOR UPCOMING CANCER PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS MADE TO INDIVIDUALS ARE NOT PAID DIRECTLY TO THE INDIVIDUAL UNLESS SUBSTANTIATED BY RECEIPTS. MOST PAYMENTS ARE MADE DIRECTLY TO THE EDUCATIONAL INSTITUTION FOR THE GRANT RECIPIENT'S TUITION AND BOOKS. GRANTS MADE TO GOVERNMENTS AND ORGANIZATIONS ARE NOT MONITORED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GERALD N FULKS | ||||||||||||||
| PRESIDENT/CEO | $384,792 | $0 | $0 | $0 | $11,022 | $0 | $75,451 | $0 | $15,211 | $0 | $486,476 | $0 | $0 | $0 |
| PAUL R PERROTTI | ||||||||||||||
| SENIOR VP FINANCE/CFO | $267,017 | $0 | $0 | $0 | $62,745 | $0 | $30,460 | $0 | $22,997 | $0 | $383,219 | $0 | $60,602 | $0 |
| CHARIS ACREE | ||||||||||||||
| SENIOR VP OPERATIONS | $229,427 | $0 | $0 | $0 | $3,463 | $0 | $29,856 | $0 | $25,685 | $0 | $288,431 | $0 | $0 | $0 |
| TRIPP PENN | ||||||||||||||
| VP SUPPORT SERVICES | $149,526 | $0 | $0 | $0 | $1,834 | $0 | $6,586 | $0 | $26,265 | $0 | $184,211 | $0 | $0 | $0 |
| DEBORAH W BURTON | ||||||||||||||
| VP/CHIEF NURSING OFFICER | $175,491 | $0 | $0 | $0 | $4,981 | $0 | $34,579 | $0 | $16,639 | $0 | $231,690 | $0 | $0 | $0 |
| DAVID DISBROW | ||||||||||||||
| VP PSO | $148,380 | $0 | $0 | $0 | $163 | $0 | $6,001 | $0 | $6,685 | $0 | $161,229 | $0 | $0 | $0 |
| MARY SPARROW | ||||||||||||||
| PHARMACIST | $146,589 | $0 | $0 | $0 | $25 | $0 | $27,318 | $0 | $8,154 | $0 | $182,086 | $0 | $0 | $0 |
| DON DAVIS | ||||||||||||||
| DIRECTOR, PHARMACY | $146,816 | $0 | $0 | $0 | $25 | $0 | $31,834 | $0 | $0 | $0 | $178,675 | $0 | $0 | $0 |
| DEBRA BOSWELL | ||||||||||||||
| PHARMACY CLINICAL COORDINATOR | $140,577 | $0 | $0 | $0 | $25 | $0 | $43,532 | $0 | $23,549 | $0 | $207,683 | $0 | $0 | $0 |
| CAROL TODD | ||||||||||||||
| GENERAL COUNSEL | $142,117 | $0 | $0 | $0 | $25 | $0 | $16,365 | $0 | $2,016 | $0 | $160,523 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION PAYS MINOR SPOUSAL TRAVEL AND COUNTRY CLUB DUES FOR THE CEO ONLY. THESE ARE ADDED TO HIS TAXABLE COMPENSATION. |
| PART I, LINE 4B | EMPLOYER CONTRIBUTIONS TO THE 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT PLAN (SERP) INCLUDE $20,260 FOR PAUL PERROTTI, CFO AND $55,700 FOR GERALD FULKS, CEO. IN ACCORDANCE WITH 457(F) REGULATIONS THESE AMOUNTS WERE VESTED DURING THE YEAR, HOWEVER, THEY WERE NOT RECEIVED BY THE EMPLOYEE. IN ADDITION, PAUL PERROTTI RECEIVED A SERP PAYOUT OF $60,602. THIS AMOUNT REPRESENTS THE FULLY VESTED PORTION PURSUANT TO THE 457(F) PLAN. THIS AMOUNT WAS REFLECTED IN COLUMN (C) ON THE PRIOR YEARS FORM 990 AS REQUIRED. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY | ||||||||
| A | 562609278 | 507154AF9 | 2008-07-31 | $45,434,268 | CONSTRUCTION | 0 | 0 | 0 |
| LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY | ||||||||
| B | 562609278 | NONEAVAIL | 2010-06-22 | $4,000,000 | CAPITAL ACQUISITION | 0 | 0 | 0 |
| LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY | ||||||||
| C | 562609278 | NONEAVAIL | 2014-08-15 | $22,389,764 | REFUNDING | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $3,960,000 | $46,001,275 | $4,619,242 | $900,528 | $45,782,302 | 2011 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $2,689,790 | $4,003,565 | $75,509 | $4,003,564 | 2013 | 0 | 0 | Yes (1) | Yes (1) | ||
| C | $51,391 | $22,389,764 | $149,761 | 2014 | Yes (1) | 0 | Yes (1) | Yes (1) | $22,240,003 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH K, PART I, COLUMN (F) | FormAndLineReferenceDesc |
| Explanation | PROCEEDS FOR ALL BONDS LISTED ARE FOR THE PURPOSE OF FINANCING HEALTHCARE FACILITIES OF A 501(C)(3) ORGANIZATION. SERIES 2008A WAS ISSUED FOR THE FOLLOWING PURPOSE: (1) TO FINANCE OR REFINANCE A PORTION OF THE COSTS OF CERTAIN FACILITIES INCLUDING THE ACQUISITION AND CONSTRUCTION OF ADDITIONAL HEALTHCARE FACILITIES AND THE RENOVATION OF EXISTING HEALTHCARE FACILITIES OF THE AUTHORITY IN TROUP COUNTY, GEORGIA, WHICH ARE PART OF WEST GEORGIA MEDICAL CENTER, (2) TO PAY CAPITALIZED INTEREST DURING THE CONSTRUCTION PERIOD OF THE PROJECT, AND (3) TO PAY COSTS OF ISSUANCE OF THE SERIES 2008A CERTIFICATES SERIES 2010B WAS ISSUED FOR THE FOLLOWING PURPOSE: (1) TO FINANCE OR REFINANCE ALL OR A PORTION OF THE COST OF THE ACQUISITION AND INSTALLATION OF CERTAIN HEALTHCARE EQUIPMENT AND OTHER EQUIPMENT AT WEST GEORGIA MEDICAL CENTER, AND (2) TO PAY ALL OR A PORTION OF THE COSTS OF ISSUANCE OF THE SERIES 2010B CERTIFICATES. SERIES 2014 WAS ISSUED FOR THE FOLLOWING PURPOSE: (1) TO REFUND THE OUTSTANDING SERIES 2010 CERTIFICATES, AND (2) TO PAY ALL OR A PORTION OF THE COST OF ISSUING THE CERTIFICATES. | ExplanationTxt |
Schedule M IRS990ScheduleM
Cars And Other Vehicles CarsAndOtherVehiclesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $50,191 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | CAPITAL PURCH | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $6,364 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE ORGANIZATION IS WEST GEORGIA HEALTH SERVICES, INC., A RELATED 501(C)3 ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CORPORATION MAY NOT APPOINT OR REMOVE A DIRECTOR OR THE PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION WITHOUT THE APPROVAL OF ITS SOLE MEMBER, WEST GEORGIA HEALTH SERVICES, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | PER ARTICLE IX OF ARTICLES OF INCORPORATION, "NOTWITHSTANDING ANY OTHER PROVISIONS OF THESE ARTICLES OF INCORPORATION OR THE CORPORATION'S BYLAWS, THE CORPORATION MAY NOT TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT THE APPROVAL OF ITS SOLE MEMBER, WEST GEORGIA HEALTH SERVICES, INC.: (I) AMEND OR RESTATE THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (II) APPOINT OR REMOVE A DIRECTOR OR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; (III) ORGANIZE ANY SUBSIDIARY CORPORATION OR ENTER INTO ANY JOINT VENTURE OR PARTNERSHIP; (IV) ADOPT A PLAN OF LIQUIDATION OR DISSOLUTION (V) ENTER INTO ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR PROVIDING FOR A CHANGE IN CONTROL OVER THE CORPORATION; (VI) ADOPT A PLAN OF MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION; (VII) ADOPT OR AMEND AN ANNUAL OPERATING BUDGET OR CAPITAL BUDGET OR MAKE ANY EXPENDITURE IN EXCESS OF $50,000 EXCEPT PURSUANT TO A BUDGET OR EXPENDITURE POLICIES APPROVED BY WEST GEORGIA HEALTH SERVICES, INC.; OR (VII) AMEND OR TERMINATE ANY LEASE OF A HOSPITAL FACILITY TO WHICH THE CORPORATION IS A PARTY. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE 990 WILL BE REVIEWED AND APPROVED BY THE CONTROLLER AND CFO OF WEST GEORGIA HEALTH. A COPY OF THE REVIEWED AND APPROVED 990 WILL BE DISTRIBUTED TO EACH BOARD MEMBER PRIOR TO SUBMITTAL ELECTRONICALLY VIA E-MAIL. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES AND DIRECTORS OF WEST GEORGIA HEALTH. ANY DIRECTOR OF THE CORPORATION HAVING ANY POTENTIAL FINANCIAL INTEREST IN THE OUTCOME OF ANY DECISION THAT IS BEFORE THE BOARD OF DIRECTORS SHALL MAKE SUCH INTEREST APPARENT PRIOR TO THE DELIBERATIONS OR VOTE OF THE BOARD OF DIRECTORS ON THE ISSUE, AND SAID DIRECTOR SHALL ABSTAIN FROM VOTING ON THIS ISSUE, AND ABSENT HIMSELF/HERSELF FROM THIS MEETING DURING DELIBERATIONS ON THIS ISSUE. THE NATURE OF ANY DIRECTOR'S POTENTIAL FINANCIAL INTEREST IN THE OUTCOME OF ANY BOARD DECISION SHALL BE DISCLOSED IN THE MINUTE BOOK OF THE CORPOATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | HUMAN RESOURCES MAKES COMPENSATION RECOMMENDATIONS BASED ON COMPARATIVE MARKET ANALYSIS. THE DATA IS THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, AS A HOSPITAL AUTHORITY BOND ISSUER, ANNUAL FINANCIALS ARE REPORTED ON EMMA_ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE FOR PUBLIC INSPECTION. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,863,000. MANAGEMENT AND GENERAL EXPENSES 83,801. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,946,801. PROFESSIONAL FEES AND SERVICES: PROGRAM SERVICE EXPENSES 22,868,788. MANAGEMENT AND GENERAL EXPENSES 504,370. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,373,158. CONSULTING: PROGRAM SERVICE EXPENSES 639,657. MANAGEMENT AND GENERAL EXPENSES 1,954,907. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,594,564. |
| FORM 990, PART XI, LINE 9: | PENSION LIABILITY ADJUSTMENT -787,437. EQUITY TRANSFER TO AFFILIATE PSO -7,706,838. |
| PART XII, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WEST GEORGIA HEALTH FOUNDATION INC | |||||||||||
| 1514 VERNON ROAD | LAGRANGE | GA | 30240 | 200936376 | FUNDRAISING | GA | 501(C)(3) | LINE 7 | WEST GEORGIA HEALTH SERVICES INC | 0 | |
| WEST GEORGIA HEALTH SERVICES INC | |||||||||||
| 1514 VERNON ROAD | LAGRANGE | GA | 30240 | 205497622 | PARENT OF HEALTH SYSTEM | GA | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| VERNON WOODS RETIREMENT COMMUNITY INC | |||||||||||
| 1514 VERNON ROAD | LAGRANGE | GA | 30240 | 582575049 | ASSISTED LIVING | GA | 501(C)(3) | LINE 9 | WEST GEORGIA HEALTH SERVICES INC | 0 | |
| LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY | |||||||||||
| 1514 VERNON ROAD | LAGRANGE | GA | 30240 | 562609278 | HOSPITAL AUTHORITY | GA | 501(C)(3) | LINE 3 | 0 | N/A | |
| MEDICAL PARK FOUNDATION INC | |||||||||||
| 209 BROOME STREET | LAGRANGE | GA | 30240 | 581303478 | SUPPORTING ORGANIZATION | GA | 501(C)(3) | LINE 11A, I | WEST GEORGIA HEALTH SERVICES INC | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST GEORGIA HEALTH PHYSICIANS INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1514 VERNON ROAD | AddressLine1 |
| City | LAGRANGE | City |
| State | GA | State |
| ZIP Code | 30240 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 275125341 | EIN |
| Primary Activities | PHYSICIAN PRACTICE | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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