2015-08-11T12:48:33-05:00 2014-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2013-10-01 205497506 WEST GEORGIA MEDICAL CENTER INC WEST 7068821411 1514 VERNON ROAD LAGRANGE GA 30240 PAUL PERROTTI CFO/SENIOR VICE PRESIDENT 7068821411 2015-08-11 1 AMY BIBBY P00445891 8282542254 2013 2016-02-25 16:41:14Z GERALD FULKS 1514 VERNON ROAD LAGRANGE GA 30240 212150831 0 X WWW.WGHEALTH.ORG X 2006 GA 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. 9 8 1392 91 212586 88267 178981 749267 192233678 204325789 2087102 2875989 3410948 3251797 197910709 211202842 82570 258304 0 0 76067714 77273624 0 0 0 121968974 126730463 198119258 204262391 -208549 6940451 185651429 185495578 94700447 95650747 90950982 89844831 X 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. 0 0 156690486 258304 179135035 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. 11780178 16842446 LONG TERM CARE INCLUDES TWO NURSING HOMES. THIS PROGRAM PROVIDED 89,003 INPATIENT DAYS IN SKILLED NURSING CARE. 3630573 4431127 HOSPICE PROGRAM PROVIDED 4,491 INPATIENT DAYS OF HOSPICE CARE AND 14,440 DAYS OF HOSPICE HOME CARE. 5636367 4109618 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. 5636367 4109618 177737604 1 1 0 1 0 0 0 1 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 364 0 1 1392 1 1 1 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 GA X X PAUL PERROTTI SR VPCFO 7068453934 1514 VERNON ROAD LAGRANGE GA 30240 MIKE PATTON CHAIR 1.00 1.00 X X 0 0 0 JOHN MCKIBBEN VICE CHAIR 1.00 2.00 X X 0 0 0 SPEER BURDETTE TREASURER 1.00 1.00 X X 0 0 0 ANIL MODI MD SECRETARY 1.00 X X 1500 0 0 BOBBY CARMICHAEL BOARD MEMBER 1.00 X 0 0 0 NANCY DURAND BOARD MEMBER 1.00 3.00 X 0 0 0 CHARLES FERGUSON MD BOARD MEMBER 1.00 1.00 X 53143 0 0 KENNETH MCCAMEY BOARD MEMBER 1.00 1.00 X 0 0 0 GEORGE STEFENELLI MD BOARD MEMBER 1.00 X 2000 0 0 GERALD N FULKS PRESIDENT/CEO 40.00 2.00 X 395814 0 90662 PAUL R PERROTTI SENIOR VP FINANCE/CFO 40.00 2.00 X 329762 0 53457 CHARIS ACREE SENIOR VP OPERATIONS 40.00 1.00 X 232890 0 55541 TRIPP PENN VP SUPPORT SERVICES 40.00 X 151360 0 32851 DEBORAH W BURTON VP/CHIEF NURSING OFFICER 40.00 X 180472 0 51218 DAVID DISBROW VP PSO 40.00 X 148543 0 12686 MARY SPARROW PHARMACIST 40.00 X 146614 0 35472 DON DAVIS DIRECTOR, PHARMACY 40.00 X 146841 0 31834 DEBRA BOSWELL PHARMACY CLINICAL COORDINATOR 40.00 X 140602 0 67081 CAROL TODD GENERAL COUNSEL 40.00 X 142142 0 18381 2071683 0 449183 41 0 1 0 CONIFER HEALTH SOLUTIONS LLC 1500 S DOUGLASS RD ANAHEIM CA 92806 MANAGEMENT 5537344 GEORGIA RADIOLOGY SERVICES LLC 5665 NEW NORTHSIDE DR ATLANTA GA 30328 OUTSIDE RADIOLOGY 3282790 SOUTHERN CRESCENT ANESTHESIOLOGY PC 80 NEWNAN STATION DRIVE NEWNAN GA 30265 OUTSIDE ANESTHESIOLOGY 1440998 EMORY HEALTHCARE INC 1440 CLIFTON RD NE ATLANTA GA 30322 ON CALL 467859 MICROSOFT LICENSING GP 1950 N STEMMONS FWY DALLAS TX 75207 SOFTWARE 416794 50 249828 499439 56555 749267 PATIENT SERVICE REVENUE 621400 202119326 202119326 PREMIER PSHP INCOME 900099 1143238 1143238 EHR INCENTIVE PROGRAM REVENUE 621400 558462 558462 PHARMACY 621400 429871 429871 LIFELINE 621400 74892 74892 204325789 772974 772974 34751 393292 0 0 34751 393292 428043 34751 393292 2714653 603328 8310 2111325 -8310 2103015 2103015 528788 336351 192437 192437 MANAGEMENT FEES 900099 1157523 1157523 CAFETERIA AND VENDING 900099 786618 786618 MISCELLANEOUS 621400 437458 177835 259623 249718 249718 2631317 211202842 204518226 212586 5722763 X 258304 258304 1685013 614986 1070027 57712680 50919593 6793087 4458989 3868704 590285 9265719 8039116 1226603 4151223 3601681 549542 325398 222500 102898 950284 950284 374015 374015 114324 114324 29914523 27371445 2543078 738722 47724 690998 8895751 6661964 2233787 4352044 264283 4087761 2388870 2175144 213726 528405 343702 184703 274258 178702 95556 3562251 3562251 11829926 10793296 1036630 803902 722747 81155 BAD DEBT 39191695 39191695 MEDICAL SUPPLIES 22099328 22099328 MED STAFF DEVELOPMENT D 362690 362690 UBI TAX 24077 24077 204262391 177737604 26524787 0 5831033 11669888 421103 376039 28077433 24541252 3391429 3018100 2504926 2335772 251079726 152906202 104895737 98173524 36338817 39009726 116166 130115 4074785 6241162 185651429 185495578 17055790 16716701 67411312 67734565 77558 70022 10155787 11129459 94700447 95650747 X 83387380 82512313 7563602 7332518 90950982 89844831 185651429 185495578 X 6940451 447673 -8494275 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 41753 41753 0 PART II-B, LINE 1: 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. 2355189 X X 0 1 77558 7536 70022 1 7563602 231084 7332518 9277918 1714316 7563602 9327227 695000 11142 486291 269160 9277918 9660005 600000 363 637675 295466 9327227 11684884 1595 801505 1224969 9660005 1.00000 0 0 3645649 3645649 109936771 45168496 64768275 9681152 5402887 4278265 126678522 102334819 24343703 1137632 1137632 98173524 INSURANCE LIABILITY 650000 PENSION PAYABLE 10353560 WGHS COVENANT NOT TO COMPETE 125899 11129459 X 162822836 447673 -47906469 -47458796 210281632 114324 806886 921210 211202842 163928987 -806886 -806886 164735873 114324 39412194 39526518 204262391 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. 1 1 1 X 125.000000000000 1 X 375.000000000000 1 1 1 0 1 1 7737309 7737309 0.04690 30784179 23892288 6891891 0.04180 516876 240236 276640 0.00170 39038364 24132524 14905840 0.09040 62663 62663 0.00040 1375873 1375873 0.00830 160222 160222 0.00100 1598758 1598758 0.00970 40637122 24132524 16504598 0.10010 4 229 6400 1700 4700 0.00000 4 229 6400 1700 4700 0 13222838 0 37333640 34158047 3175593 X 1 1 1 1 WEST GEORGIA MEDICAL CENTER INC 1514 VERNON ROAD LAGRANGE GA 30240 X X X WEST GEORGIA MEDICAL CENTER 1 1 X X X X X X X X 12 1 0 1 X HTTP://WWW.WGHEALTH.ORG X X X X X X X X X 0 0 1 1 125.000000000000 1 375.000000000000 1 X X X X 1 1 X X X X 1 0 1 X 0 0 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. 6 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 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 1 TROUP CARES 301 MEDICAL DRIVE 501 LAGRANGE GA 30240 208176300 501(C)(3) 70000 SUPPLEMENTAL SUPPORT BOYS AND GIRLS CLUB OF WEST GEORGIA PO BOX 1328 LAGRANGE GA 30241 581998988 501(C)(3) 12000 2014 SPONSORSHIP TROUP COUNTY CENTER FOR STRATEGIC PLANNING 100 RIDLEY AVENUE STE 2200 LAGRANGE GA 30240 270863139 501(C)(3) 30000 OPERATIONAL SUPPORT CIRCLES OF TROUP COUNTY 1220 LAFAYETTE PARKWAY LAGRANGE GA 30241 270863139 501(C)(3) 25000 OPERATIONAL SUPPORT WEST GEORGIA HEALTH FOUNDATION 1514 VERNON ROAD LAGRANGE GA 30240 200936376 501(C)(3) 100000 SUPPORT FOR UPCOMING CANCER PROGRAM 5 0 PART I, LINE 2: 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. X X 1 1 X X X 0 1 0 0 0 0 0 0 0 GERALD N FULKS PRESIDENT/CEO 384792 0 0 0 11022 0 75451 0 15211 0 486476 0 0 0 PAUL R PERROTTI SENIOR VP FINANCE/CFO 267017 0 0 0 62745 0 30460 0 22997 0 383219 0 60602 0 CHARIS ACREE SENIOR VP OPERATIONS 229427 0 0 0 3463 0 29856 0 25685 0 288431 0 0 0 TRIPP PENN VP SUPPORT SERVICES 149526 0 0 0 1834 0 6586 0 26265 0 184211 0 0 0 DEBORAH W BURTON VP/CHIEF NURSING OFFICER 175491 0 0 0 4981 0 34579 0 16639 0 231690 0 0 0 DAVID DISBROW VP PSO 148380 0 0 0 163 0 6001 0 6685 0 161229 0 0 0 MARY SPARROW PHARMACIST 146589 0 0 0 25 0 27318 0 8154 0 182086 0 0 0 DON DAVIS DIRECTOR, PHARMACY 146816 0 0 0 25 0 31834 0 0 0 178675 0 0 0 DEBRA BOSWELL PHARMACY CLINICAL COORDINATOR 140577 0 0 0 25 0 43532 0 23549 0 207683 0 0 0 CAROL TODD GENERAL COUNSEL 142117 0 0 0 25 0 16365 0 2016 0 160523 0 0 0 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. A LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY 562609278 507154AF9 2008-07-31 45434268 CONSTRUCTION 0 0 0 B LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY 562609278 NONEAVAIL 2010-06-22 4000000 CAPITAL ACQUISITION 0 0 0 C LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY 562609278 NONEAVAIL 2014-08-15 22389764 REFUNDING 0 0 0 A 3960000 46001275 4619242 900528 45782302 2011 0 0 1 1 B 2689790 4003565 75509 4003564 2013 0 0 1 1 C 51391 22389764 149761 22240003 2014 1 0 1 1 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 A 0 0 1 0 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 C 0 0 1 0 0 0 0 0 0 A 0 B 0 C 0 SCH K, PART I, COLUMN (F) 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. X 2 50191 FMV X CAPITAL PURCH 1 6364 FMV 0 0 0 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. 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 N/A 0 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 N/A 0 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 WEST GEORGIA HEALTH PHYSICIANS INC 1514 VERNON ROAD LAGRANGE GA 30240 275125341 PHYSICIAN PRACTICE GA N/A C 0 0 1 1 0 0 0 0 0 0 1 1 1 1 1 1 0 1 0 0