OCONEE REGIONAL MEDICAL CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- OCONEE REGIONAL MEDICAL CENTER INC (EIN 58-2359398)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-11
- IRS object ID
- 201412239349301046
- Schema version
- 2012v2.1
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-11T11:59:33-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582359398 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OCONEE REGIONAL MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OCON | NameControl |
| Phone | 4784543520 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 821 NORTH COBB STREET | AddressLine1 |
| City | MILLEDGEVILLE | City |
| State | GA | State |
| ZIP Code | 31061 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRENDA QUALLS | Name |
| Title | CFO | Title |
| Phone | 4784543520 | Phone |
| Date Signed | 2014-08-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BRENDA QUALLS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 821 NORTH COBB STREET | AddressLine1 |
| City | MILLEDGEVILLE | City |
| State | GA | State |
| ZIP Code | 31061 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 72923845 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.OCONEEREGIONAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTHCARE SERVICES TO ALL PATIENTS WITHIN THE ORGANIZATION'S SERVICE AREA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 764 | TotalNbrEmployees |
| Total Nbr Volunteers | 183 | TotalNbrVolunteers |
| Total Gross UBI | 1776617 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -126563 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 397966 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 382913 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 75479811 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 72209027 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 134121 | InvestmentIncomePriorYear |
| Investment Income Current Year | 135834 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 696038 | OtherRevenuePriorYear |
| Other Revenue Current Year | 196071 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 76707936 | TotalRevenuePriorYear |
| Total Revenue Current Year | 72923845 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 10909 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 150411 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 32469256 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 31504857 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 47030772 | OtherExpensePriorYear |
| Other Expenses Current Year | 47923785 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 79510937 | TotalExpensesPriorYear |
| Total Expenses Current Year | 79579053 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2803001 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -6655208 | RevenuesLessExpensesCY |
| Total Assets BOY | 58762277 | TotalAssetsBOY |
| Total Assets EOY | 54263967 | TotalAssetsEOY |
| Total Liabilities BOY | 33734656 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 34342939 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 25027621 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 19921028 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF OCONEE REGIONAL MEDICAL CENTER IS TO PROVIDE HIGH QUALITY, SAFE, COMPASSIONATE, PATIENT-FOCUSED HEALTHCARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 65024607 | Expense |
| Grants | 150411 | Grants |
| Revenue | 70570969 | Revenue |
| Description | OCONEE REGIONAL MEDICAL CENTER IS A 140-BED GENERAL, ACUTE-CARE INSTITUTION, OFFERING A WIDE RANGE OF SPECIALIZED SERVICES AND PROGRAMS. SUCH SERVICES INCLUDE ACUTE MEDICAL/SURGICAL CARE, A BLOOD BANK, CANCER CENTER UNIT, CARDIOVASCULAR LABORATORY, CT & MRI SCANNERS, LITHOTRIPSY, MAMMOGRAPHY, MEDICAL/SURGICAL INTENSIVE CARE UNIT, OB/GYN, ORTHOPEIC SURGERY, OUTPATIENT SURGERY, PEDIATRIC CARE, PHARMACY DIAGNOSTIC RADIOLOGY, 24-HOUR EMERGENCY SERVICE, LAPAROSCOPIC SURGERY, LASER SURGERY, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, POST-OPERATIVE RECOVERY ROOM, PROGRESSIVE CARE UNIT, AND RESPIRATORY CARE SERVICES.IT IS THE POLICY OF OCONEE REGIONAL MEDICAL CENTER TO ADMIT AND TREAT ALL PERSONS WITHOUT REGARD TO RACE, COLOR, SEX, HANDICAP, NATIONAL ORIGIN, OR RELIGIOUS CREED. ADMISSION REQUIREMENTS AND ASSIGNMENTS OF HOSPITAL FACILITIES ARE THE SAME FOR ALL PERSONS. THERE ARE NO DISTINCTIONS IN ELIGIBILITY FOR RECEIVING ANY PATIENT CARE SERVICES. HOSPITAL FACILITIES ARE AVAILABLE TO ALL PATIENTS AND VISITORS. INDIVIDUALS AND ORGANIZATIONS HAVING OCCASION TO REFER PATIENTS FOR ADMISSION OR RECOMMEND OCONEE REGIONAL MEDICAL CENTER ARE ADVISED TO DO SO WITHIN THE HOSPITAL'S POLICY TO PROVIDE QUALITY HEALTHCARE TO ALL PERSONS.FOR THE YEAR ENDED SEPTEMBER 30, 2013, THE CENTER PROVIDED INDIGENT AND CHARITY CARE AT A COST OF APPROXIMATELY $2,425,265. THE CENTER ALSO PROVDES CARE TO PATIENTS COVERED BY MEDICARE/MEDICAID AT A TOTAL SHORTFALL OF $2,665,945 AND $2,313,399 FOR MEDICARE AND MEDICAID, RESPECTIVELY. THE CENTER ALSO PROVIDED SUPPORT OF $148,326 TO LOCAL CHARITABLE ORGANIZATIONS AND PARTICIPATED IN COMMUNITY HEALTH FAIRS. THE CENTER ALSO PROVIDES A SITE FOR MEDICAL STUDENTS TO COMPLETE CLINICAL ROTATIONS FOR NURSING AND RADIOLOGY, AS WELL AS HOSTING A MONTHLY PUBLIC EDUCATION SERIES ENTITLED "TO YOUR HEALTH". | Description |
| Total Program Service Expense | 65024607 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 78 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 764 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRENDA QUALLS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4784573550 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 690 | AddressLine1 |
| City | MILLEDGEVILLE | City |
| State | GA | State |
| ZIP Code | 31059 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| CAY QUATTLEBAUM | ||||||||
| ORMC CHAIRMAN | 3.00 | 2.00 | X | X | 0 | 0 | 0 | |
| DAVID GROSECLOSE | ||||||||
| ORMC VICE CHAIR | 3.00 | 1.00 | X | X | 0 | 0 | 0 | |
| PAUL DEAN | ||||||||
| ORHS CHAIRMAN | 3.00 | 1.00 | X | X | 0 | 0 | 0 | |
| TED ZARKOWSKY | ||||||||
| ORHS VICE CHAIR | 3.00 | 1.00 | X | X | 0 | 0 | 0 | |
| ANDY COWART | ||||||||
| FINANCE CHAIRMAN | 3.00 | 3.00 | X | 0 | 0 | 0 | ||
| GEORGE GRIMES MD | ||||||||
| BOARD MEMBER (SEE SCH O) | 1.00 | 1.00 | X | 178079 | 0 | 0 | ||
| DON HEACOCK MD | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 6100 | 0 | 0 | ||
| RAM PURI MD | ||||||||
| BOARD MEMBER (SEE SCH O) | 1.00 | 1.00 | X | 224782 | 0 | 0 | ||
| JAMES SMITH MD | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| JEFF CRISP | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| PHYLLIS PARKS-VEAL PHARMD | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| VANESSA WALKER | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| CHARLIE ROSS | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| REBECCA J AYCOCK | ||||||||
| PRESIDENT/CEO | 40.00 | 5.00 | X | 351706 | 0 | 36883 | ||
| JAMES ALAN HORTON | ||||||||
| SVP CLINICAL SERVICES | 40.00 | 2.00 | X | 209527 | 0 | 23872 | ||
| BRENDA K QUALLS | ||||||||
| VP CFO | 40.00 | 4.00 | X | 178831 | 0 | 13725 | ||
| DAVID T PERRY | ||||||||
| VP SUPPORT SERVICES | 40.00 | X | 180383 | 0 | 17637 | |||
| DEBORAH BLOCK | ||||||||
| VP CNO | 40.00 | X | 114666 | 0 | 21282 | |||
| MOLLIE F THOMAS | ||||||||
| VP ADMINISTRATIVE SERVICES | 24.00 | X | 65049 | 0 | 4783 | |||
| JOSEPH R EVANS | ||||||||
| PHARMACY DIRECTOR | 40.00 | 144144 | 0 | 14902 | X | |||
| DEANNE HERRING | ||||||||
| CLINICAL SUPPORT DIRECTOR | 40.00 | 121663 | 0 | 12033 | X | |||
| STACEY OVERTON | ||||||||
| PHARMACIST | 40.00 | 117267 | 0 | 17726 | X | |||
| JAMES FREDERICK | ||||||||
| PHARMACIST | 40.00 | 115503 | 0 | 31125 | X | |||
| JOSEPH HANCOCK | ||||||||
| PHARMACIST | 40.00 | 113673 | 0 | 31115 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2121373 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 225083 | TotalOtherCompensation |
| Number Individuals GT100 K | 19 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LOGOS EMERGENCY SPECIALISTS | |||||
| 232 COUNTRY CREEK ROAD | MACON | GA | 31220 | EMERGENCY PHYSICIAN SERVICES | 4033344 |
| BCAS INC | |||||
| PO BOX 1707 | MILLEDGEVILLE | GA | 31061 | ANESTHESIA SERVICES | 1380000 |
| ARAMARK CTS | |||||
| 12483 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | EQUIPMENT MGMT SERVICES | 1227978 |
| GEMINO HC FBO ENDURACARE | |||||
| DEPARTMENT 3129 PO BOX 123129 | DALLAS | TX | 753123129 | REHABILITATION SERVICES | 1008066 |
| ARAMARK HEALTHCARE FACILITIES | |||||
| JP MORGAN LOCKBOX ACCOUNT 24863 NET | CHICAGO | IL | 606731248 | DIETARY SERVICES | 799664 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 15 | NumberOfContractorsGT100K |
| Related Organizations | 234000 | RelatedOrganizations |
| Government Grants | 126863 | GovernmentGrants |
| All Other Contributions | 22050 | AllOtherContributions |
| Total Contributions | 382913 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 72209027 | TotalRevenueColumn |
| Related Or Exempt Function Income | 70432410 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1776617 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 72209027 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4883 | TotalRevenueColumn |
| Exclusion | $4,883 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 130951 | TotalRevenueColumn |
| Exclusion | $130,951 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 138559 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 138559 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 138559 | TotalRevenueColumn |
| Related Or Exempt Function Income | 138559 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | 33612 | $33,612 |
| FITNESS CENTER | 713940 | 23900 | $23,900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 57512 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 72923845 | TotalRevenueColumn |
| Related Or Exempt Function Income | 70570969 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1776617 | UnrelatedBusinessRevenue |
| Exclusion | $193,346 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150411 | Total |
| Program Services | 150411 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1165385 | Total |
| Program Services | 235779 | ProgramServices |
| Management And General | 929606 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60296 | Total |
| Program Services | 60296 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24363860 | Total |
| Program Services | 20821007 | ProgramServices |
| Management And General | 3542853 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 418563 | Total |
| Program Services | 345408 | ProgramServices |
| Management And General | 73155 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3672493 | Total |
| Program Services | 3030626 | ProgramServices |
| Management And General | 641867 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1824260 | Total |
| Program Services | 1505422 | ProgramServices |
| Management And General | 318838 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 434946 | Total |
| Program Services | 128535 | ProgramServices |
| Management And General | 306411 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76866 | Total |
| Management And General | 76866 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96000 | Total |
| Management And General | 96000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41185 | Total |
| Management And General | 41185 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15147022 | Total |
| Program Services | 14868106 | ProgramServices |
| Management And General | 278916 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49767 | Total |
| Program Services | 6953 | ProgramServices |
| Management And General | 42814 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4441959 | Total |
| Program Services | 1754521 | ProgramServices |
| Management And General | 2687438 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 298876 | Total |
| Program Services | 24686 | ProgramServices |
| Management And General | 274190 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1273587 | Total |
| Program Services | 1273587 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51127 | Total |
| Program Services | 20391 | ProgramServices |
| Management And General | 30736 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1435888 | Total |
| Program Services | 1435888 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4555564 | Total |
| Management And General | 4555564 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1289176 | Total |
| Program Services | 883659 | ProgramServices |
| Management And General | 405517 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 9247307 | 9247307 | |
| MEDICAL SUPPLIES | 8192823 | 8192823 | |
| PROVIDER TAX | 1028314 | 1028314 | |
| MISCELLANEOUS EXPENSE | 142811 | 10888 | 131923 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120567 | Total |
| Management And General | 120567 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79579053 | Total |
| Program Services | 65024607 | ProgramServices |
| Management And General | 14554446 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1130651 | BOY |
| EOY | 460858 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4022170 | BOY |
| EOY | 2526863 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9070352 | BOY |
| EOY | 8777007 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 85731 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1567018 | BOY |
| EOY | 1685996 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 906333 | BOY |
| EOY | 976646 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 105304869 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 78775080 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28524067 | BOY |
| EOY | 26529789 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10681417 | BOY |
| EOY | 10668215 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2860269 | BOY |
| EOY | 2552862 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58762277 | BOY |
| EOY | 54263967 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5678357 | BOY |
| EOY | 6185768 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5464 | BOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24468914 | BOY |
| EOY | 23528201 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1388775 | BOY |
| EOY | 2598864 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2193146 | BOY |
| EOY | 2030106 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33734656 | BOY |
| EOY | 34342939 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25027621 | BOY |
| EOY | 19921028 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25027621 | BOY |
| EOY | 19921028 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58762277 | BOY |
| EOY | 54263967 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -6655208 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1517757 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 30858 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $7,590 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 7590 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE ORGANIZATION PAYS DUES TO GEORGIA HOSPITAL ASSOCIATION, AN ORGANIZATION THAT LOBBIES ON BEHALF OF ITS MEMBERSHIP BODY. A PORTION OF THE DUES IS SPECIFICALLY RELATED TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2387438 | OtherCostOrOtherBasis |
| Book Value | 2387438 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 46859842 | OtherCostOrOtherBasis |
| Depreciation | 33105590 | Depreciation |
| Book Value | 13754252 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 55701008 | OtherCostOrOtherBasis |
| Depreciation | 45669490 | Depreciation |
| Book Value | 10031518 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 356581 | OtherCostOrOtherBasis |
| Book Value | 356581 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 26529789 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD-PARTY SETTLEMENTS | $2,026,495 |
| INTEREST RATE SWAP LIABILITY | $3,611 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2030106 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 65578891 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1517757 | NetUnrealizedGainsInvestments |
| Other Revenues | 353737 | OtherRevenues |
| Revenue Not Rptd F990 | 1871494 | RevenueNotRptdF990 |
| Revenue Subtotal | 63707397 | RevenueSubtotal |
| Other Revenues Not Included | 9216449 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 9216449 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 72923846 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 70680435 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 348689 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 348689 | ExpensesNotRptdF990 |
| Expenses Subtotal | 70331746 | ExpensesSubtotal |
| Other Expenses Not Included | 9247307 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 9247307 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 79579053 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | INCOME TAXES- THE SYSTEM AND ITS AFFILIATES, EXCEPT FOR ORHV, PCC AND OSWC, HAVE BEEN RECOGNIZED AS ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) AND, THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES. ORHV, PCC AND OSWC ACCOUNT FOR INCOME TAXES IN ACCORDANCE WITH FOR-PROFIT ACCOUNTING GUIDANCE. THE SYSTEM AND ITS AFFILIATES HAVE EVALUATED THEIR TAX POSITIONS AND HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2013 AND 2012. FISCAL YEARS ENDING ON AND AFTER SEPTEMBER 30, 2010 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | REVENUE NET WITH EXPENSES 353,737. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT -30,858. BAD DEBT EXPENSE 9,247,307. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | REVENUE NET WITH EXPENSES 348,689. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 9,247,307. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2425625 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 597152 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1828473 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02600 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6068797 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4591452 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1477345 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02100 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5254352 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4418298 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 836054 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01190 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13748774 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9606902 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4141872 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05890 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 135000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 135000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 135000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 135000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13883774 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9606902 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4276872 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06080 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 4451 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4451 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 5000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 9451 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 9451 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $9,247,307 | BadDebtExpenseAmount |
| Amount Attributable To | 3236557 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 16868337 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 19534282 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2665945 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OCONEE REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 821 NORTH COBB STREET | AddressLine1 |
| City | MILLEDGEVILLE | City |
| State | GA | State |
| ZIP Code | 31061 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | SKILLED NURSING UNIT | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OCONEE REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 125.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 250.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7: WORKSHEET 2 OF THE 2012 SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST. | ||
| PART I, L7 COL(F): THE BAD DEBT EXPENSE OF $9,247,307 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. | ||
| PART II: COMMUNITY BUILDING ACTIVITIES INCLUDED THE FOLLOWING:1. CONTRIBUTIONS TO UNITED WAY AND AMERICAN CANCER SOCIETY'S RELAY FOR LIFE. | ||
| PART III, LINE 4: THE IRS WORKSHEETS WERE UTILIZED TO DETERMINE THE COST-TO-CHARGE RATIO.BAD DEBT EXPENSE WAS MULTIPLIED BY THE COST-TO-CHARGE RATIO AND THEN HALF OF THAT AMOUNT WAS ESTIMATED TO BE ATTRIBUTABLE TO ACCOUNTS FOR INDIVIDUALS WHO WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. | ||
| PART III, LINE 8: THE TOTAL AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THERE ARE MEMBERS IN OUR COMMUNITY THAT ARE RESIDENTS OF THE GEORGIA WAR VETERANS HOME AND OF CENTRAL STATE HOSPITAL WHO ARE MEDICARE BENEFICIARIES. ALTHOUGH ORMC IS REIMBURSED BY MEDICARE FOR THESE PARTICULARLY FRAGILE PATIENTS UNDER THE PROSPECTIVE PAYMENT RULES, THESE PATIENTS ARE TYPICALLY MORE SEVERLY ILL, HAVE MULTIPLE COMPLICATIONS AND LONGER LENGTHS OF STAY THAN THE AVERAGE MEDICARE PATIENT. WE TREAT ALL MEDICARE PATIENTS THAT PRESENT TO OUR HOSPITAL (IF WE HAVE THE NEEDED SERVICE AVAILABLE). PROVIDING SERVICES TO COMMUNITY MEMBERS AT LESS THAN COST IS CERTAINLY A BENEFIT TO THOSE MEMBERS.THE COSTING METHODOLOGY IS A COMBINATION OF COST REPORT PLUS COST AND CHARGES FOR PROFESSIONAL FEES AND OUT PATIENT FEE SCHEDULE NOT INCLUDED ON THE COST REPORT. | ||
| PART III, LINE 9B: ACCOUNTS FOR PATIENTS WHO MEET THE CRITERIA FOR FINANCIAL ASSISTANCE ARE WRITTEN OFF TO INDIGENT /CHARITY ACCOUNTS AND NO ATTEMPTS ARE MADE TO COLLECT FROM THE PATIENT. FOR ALL OTHER ACCOUNTS IF OTHER INFORMATION IS KNOWN TO THE COLLECTOR, SUCH AS PATIENT IS DECEASED AND THERE IS NO RECORD OF ESTATE, OR PATIENT MET CHARITY REQUIREMENTS IN PREVIOIUS YEARS AND IT IS KNOWN THAT HIS OR HER CIRCUMSTANCES HAVE NOT CHANGED, FOR INSTANCE, THE ACCOUNT IS WRITTEN OFF TO CHARITY AND NOT SENT TO COLLECTIONS. WE MAKE EVERY EFFORT TO ASSIST PATIENTS TO PROVIDE DOCUMENTATION TO QUALIFY FOR FINANCIAL ASSISTANCE. | ||
| PART V, SECTION B, LINE 3: THE HOSPITAL FACILITY USED FACE TO FACE INTERVIEWS, WRITTEN QUESTIONNAIRES, FOCUS GROUPS INCLUDING THOSE WITH KNOWLEDGE IN PUBLIC HEALTH AND THOSE SERVING OR A MEMBER OF THE UNDERSERVED AND CHRONIC DISEASE POPULATION AS INPUT FROM THE COMMUNITY. | OCONEE REGIONAL MEDICAL CENTER | |
| PART V, SECTION B, LINE 7: ACCESS TO CARE (TRANSPORTATION) - ORMC DOES NOT HAVE THE RESOURCES TO MEET THIS NEED. BALDWIN TRANSIT IS AVAILABLE TO TRANSPORT PATIENTS TO MEDICAL APPOINTMENTS OR SERVICES FOR A NOMINAL FEE.MENTAL HEALTH - RIVER EDGE BEHAVIORAL HEALTH PROVIDES PATIENTS WITH BOTH OUTPATIENT AND INPATIENT MENTAL HEALTH SUPPORT AND TREATMENT. ALSO, OCONEE CENTER IS LOCATED IN BALDWIN COUNTY AND PROVIDES OUTPATIENT BEHAVIORAL HEALTH SERVICES.SEXUAL HEALTH (STDS) - THIS NEED IS ONE THAT ORMC WANTS TO ADDRESS AND FEELS A POSITIVE IMPACT CAN BE MADE. HOWEVER, IT IS UNCLEAR AT THIS TIME HOW TO ADDRESS THIS ISSUE; THEREFORE, ORMC WOULD LIKE TO EXPLORE RESOURCES AND POTENTIAL PARTNERSHIPS MORE AND COULD POSSIBLY INCORPORATE THIS ISSUE IN THE CURRENT OR A FUTURE IMPLEMENTATION PLAN.INFANT MORTALITY - CROSSROADS PREGNANCY CENTER, BALDWIN FAMILY CONNECTION, AND THE BALDWIN COUNTY HEALTH DEPARTMENT PROVIDE THE RESOURCES AND SERVICES TO MEET THIS NEED.LOCAL ECONOMY - ORMC CONTINUES TO SUPPORT COUNTY-WIDE INITIATIVES TO BRING MORE INDUSTRY TO THE COMMUNITY | OCONEE REGIONAL MEDICAL CENTER | |
| PART V, SECTION B, LINE 20D: THE HOSPITAL'S FAP PROVIDES A DISCOUNT FOR INDIVIDUALS THAT QUALIFY UNDER THE POLICY'S PROVISIONS. THE HOSPITAL HAS MADE PLANS TO IMPLEMENT A METHOD OF DETERMINING AMOUNTS GENERALLY BILLED (AGB) PER THE RECENTLY RELEASED PROPOSED REGULATIONS UNDER SECTION 1.501(R), HOWEVER GIVEN THE HIGH LEVEL OF DISCOUNT AVAILABLE UNDER THE CURRENT POLICY, THE ORGANIZATION IS CONFIDENT THAT ITS POLICIES ARE WELL WITHIN GUIDELINES. | OCONEE REGIONAL MEDICAL CENTER | |
| PART VI, LINE 2: ONGOING DISCUSSIONS WITH LOCAL MEDICAL STAFF, INTERNAL CASE MANAGEMENT AND DISCHARGE PLANNING PERSONNEL, COMMUNITY BOARD MEMBERS AND LOCAL LEADERS PROVIDE INFORMATION ON THE HEALTH NEEDS OF THE POPULATION WE SERVE. IN ADDITION, IN 2013 ORMC CONDUCTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT, INVOLVING MANY LOCAL AGENCIES, PUBLIC HEALTH STAFF, AND REPRESENTATIVES OF THE COMMUNITY WE SERVE. | ||
| PART VI, LINE 3: NOTICES OF OUR FINANCIAL ASSISTANCE POLICY ARE POSTED IN ALL REGISTRATION AREAS AND INFORMATION IS GIVEN TO THE PATIENT AT THE TIME OF ADMISSION. REPRESENTATIVES ARE ON SITE TO MEET WITH INPATIENTS AND OUTPATIENTS, WHO DO NOT HAVE INSURANCE, AND DETERMINE FIRST IF THEY MEET THE CRITERIA FOR ANY STATE OR FEDERAL ASSISTANCE PROGRAM, OR ALTERNATIVELY IF THEY MEET THE ORMC FINANCIAL ASSISTANCE CRITERIA. FOLLOW UP PHONE CALLS ARE MADE TO THESE PATIENTS TO ASSIST IN COMPLETING THE PAPERWORK. | ||
| PART VI, LINE 4: THE PRIMARY SERVICE AREA CONSISTS OF BALDWIN COUNTY, GA. WITH A POPULATION OF 42,829 IN 2013 AND IS EXPECTED TO DECLINE OVER THE NEXT 5 YEARS. AVERAGE MEDIAN INCOME IS $33,515 COMPARED TO THE GEORGIA AVERAGE OF $45,069. A SEVERE LOSS OF JOBS IN INDUSTRY AND IN STATE GOVERNMENT IN THE AREA HAS FEDERAL UNEMPLOYMENT MUCH HIGHER THAN THE STATE AND NATIONAL AVERAGES. 52% OF CHILDREN LIVE IN A SINGLE PARENT HOUSEHOLD. AN ESTIMATED 71% OF THE POPULATION LIVE IN A FOOD DESERT WITH LOW ACCESS TO THE STORE. 31.3% OF THE POPULATION OF BALDWIN COUNTY IS OBESE. | ||
| PART VI, LINE 5: ALL SURPLUS FUNDS ARE RETAINED BY THE ORGANIZATION. THROUGH THE CAPITAL PLANNING AND BUDGETING PROCESS, MILLIONS OF DOLLARS ARE REINVESTED IN PLANT AND EQUIPMENT EACH YEAR TO ENABLE ORMC TO PROVIDE MODERN, QUALITY CARE TO PATIENTS. NEW PROGRAMS ARE CONSIDERED AND EVALUATED BASED ON THE COLLECTIVE KNOWLEDGE OF THE COMMUNITY AND PATIENTS WE SERVE.ORMC IS THE ONLY HOSPITAL IN BALDWIN COUNTY AND MAINTAINS AN OPEN MEDICAL STAFF. BOARD MEMBERS REPRESENT A CROSS SECTION OF OUR COMMUNITY. ORMC ESTABLISHED AN OBSTETRICS CLINIC TO PROVIDE PRENATAL AND OB SERVICES TO PATIENTS WHO DO NOT HAVE ACCESS TO A PRIVATE PHYSICIAN DUE TO PAYOR SOURCE. THE CLINIC WAS CLOSED DECEMBER 2012 AFTER RECRUITING A NEW OB/GYN TO THE AREA. ORMC CONTRIBUTED TO A NEW FEDERALLY QUALIFIED HEALTH CENTER TO ASSIST WITH START UP OPERATING COSTS. | ||
| PART VI, LINE 6: ORMC'S ROLE IS TO PROVIDE HEALTHCARE TO RESIDENTS OF OUR SERVICE AREA. ALL PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT RECEIVE SERVICES OR TREATMENT IN ACCORDANCE WITH EMTALA. ORMC IS THE LARGEST ORGANIZATION WITHIN THE SYSTEM. | ||
| GA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| GEORGIA COLLEGE AND STATE UNIVERSITY | |||||||
| CAMPUS BOX 93 | MILLEDGEVILLE | GA | 31061 | 586002064 | GOVT | 5050 | OPERATIONAL SUPPORT |
| TENDERCARE CLINIC | |||||||
| 803 SOUTH MAIN STREET | GREENSBORO | GA | 30642 | 582639942 | 501(C)(3) | 135000 | OPERATIONAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE HOSPITAL FUNDS ENTITIES THAT PROVIDE HEALTHCARE TO THE COMMUNITY OR PROVIDE EDUCATION FOR THE COMMUNITY. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GEORGE GRIMES MD | ||||||||||||||
| BOARD MEMBER (SEE SCH O) | 178079 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 178079 | 0 | 0 | 0 |
| RAM PURI MD | ||||||||||||||
| BOARD MEMBER (SEE SCH O) | 224782 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 224782 | 0 | 0 | 0 |
| REBECCA J AYCOCK | ||||||||||||||
| PRESIDENT/CEO | 344654 | 0 | 0 | 0 | 7052 | 0 | 7942 | 0 | 28941 | 0 | 388589 | 0 | 0 | 0 |
| JAMES ALAN HORTON | ||||||||||||||
| SVP CLINICAL SERVICES | 205908 | 0 | 0 | 0 | 3619 | 0 | 4762 | 0 | 19110 | 0 | 233399 | 0 | 0 | 0 |
| BRENDA K QUALLS | ||||||||||||||
| VP CFO | 178831 | 0 | 0 | 0 | 0 | 0 | 4152 | 0 | 9573 | 0 | 192556 | 0 | 0 | 0 |
| DAVID T PERRY | ||||||||||||||
| VP SUPPORT SERVICES | 178824 | 0 | 0 | 0 | 1559 | 0 | 4168 | 0 | 13469 | 0 | 198020 | 0 | 0 | 0 |
| JOSEPH R EVANS | ||||||||||||||
| PHARMACY DIRECTOR | 144144 | 0 | 0 | 0 | 0 | 0 | 3379 | 0 | 11523 | 0 | 159046 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION PAYS COUNTRY CLUB DUES FOR CERTAIN OFFICERS OF THE ORGANIZATION. ANY PERSONAL USE PORTION IS INCLUDED IN THE EMPLOYEE'S FORM W-2. |
| PART I, LINE 1B | BOARD COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION FOR SENIOR LEADERS EACH YEAR. THIS REVIEW INCLUDES THE COUNTRY CLUB DUES PAID BY THE ORGANIZATION FOR JEAN AYCOCK AND ALAN HORTON. |
| PART I, LINE 4A | DAVID PERRY, FORMER VICE PRESIDENT OF SUPPORT SERVICES, RECEIVED BIWEEKLY SEVERANCE PAYMENTS UNTIL APRIL 2013. |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CHERYL WINGATE MD | NamePerson |
| Relationship With Organization | FORMER BOARD MEMBER | RelationshipWithOrganization |
| Purpose Of Loan | SUPPORT | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $152,000 | OriginalPrincipalAmount |
| Balance Due | 85731 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 0 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 85731 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BRIAN D AYCOCK | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FAMILY RELATIONSHIP TO OFFICER REBECCA AYCOCK | Relationship |
| Amount Of Transaction | 60296 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION FOR SERVICES AS EMPLOYEE (SPECIAL PROJECTS MANAGER) | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | NOMINEES TO THE BOARD OF DIRECTORS MUST BE RATIFIED BY THE BOARD OF OCONEE REGIONAL HEALTH SYSTEMS, A RELATED ORGANIZATION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS REVIEWED BY MANAGEMENT AND WAS SENT TO ALL VOTING BOARD MEMBERS TO REVIEW. SUBSEQUENTLY THE RETURN WAS FILED WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ANNUALLY SIGN A STATEMENT. ALL STATEMENTS HAVE TO BE SIGNED BY A MEMBER OF SENIOR LEADERSIP. ANY CONFLICTS OF INTEREST ARE REPORTED IN THE ANNUAL AUDIT COMPLETED BY EXTERNAL AUDITORS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS CURRENT COMPENSATION PACKAGES AND AGREEMENTS OF MEMBERS OF SENIOR LEADERSHIP ANNUALLY, AND COMPARES THE OFFERS TO A SURVEY OF SALARY RANGES FOR COMPARATIVELY SITUATED HEALTHCARE ORGANIZATIONS. BENCHMARKS STUDIED ARE REPORTED BY THE GEORGIA HOSPITAL ASSOCIATION AND OTHERS BASED ON BED SIZE, VOLUMES, AND GEOGRAPHIC AREA. THE BOARD APPROVES THE COMPENSATION FOR THE CEO, AND APPROVES AN OVERALL PERCENTAGE INCREASE FOR THE VICE PRESIDENTS, FOR WHICH THE CEO DETERMINES ULTIMATE DISTRIBUTION. | |
| FORM 990, PART VI, SECTION C, LINE 18 | PHOTOCOPIES OF THE ORGANIZATION'S FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. | |
| FORM 990, PART VI, SECTION C, LINE 19 | PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. | |
| FORM 990, PART VII, LINE 1 | BOARD MEMBERS GEORGE GRIMES AND RAM PURI RECEIVE COMPENSATION FOR MEDICAL DIRECTOR SERVICES, AS WELL AS PAYMENTS FOR MEDICAL SERVICES, TO THE ORGANIZATION, LISTED IN COLUMN (D) OF PART VII, LINE 1. NO PORTION OF THESE AMOUNTS ARE FOR SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS. | COMPENSATION TO BOARD MEMBERS |
| FORM 990, PART IX, LINE 11G | PURHCASED SERVICES : PROGRAM SERVICE EXPENSES 14,868,106. MANAGEMENT AND GENERAL EXPENSES 278,916. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,147,022. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 30,858. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XI, LINE 2 | THE ORGANIZATION RECEIVES AUDITED FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS WITH ITS CORPORATE PARENT, OCONEE REGIONAL HEALTH SYSTEMS, AND OTHER AFFILIATED ENTITIES. | CONSOLIDATED FINANCIAL STATEMENTS: |
| FORM 990, PART XII | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OCONEE REGIONAL HEALTH SYSTEMS INC | |||||||||||
| PO BOX 690 | MILLEDGEVILLE | GA | 31061 | 582359394 | HEALTHCARE | GA | 501(C)(3) | LINE 11A, I | N/A | 0 | |
| OCONEE REGIONAL HEALTH SERVICES INC | |||||||||||
| PO BOX 690 | MILLEDGEVILLE | GA | 31061 | 582359397 | HEALTHCARE | GA | 501(C)(3) | LINE 11A, I | 0 | OCONEE REGIONAL HEALTH SYSTEMS INC | |
| OCONEE REGIONAL EMERGENCY MEDICAL SERVICES INC | |||||||||||
| PO BOX 690 | MILLEDGEVILLE | GA | 31061 | 582643857 | HEALTHCARE | GA | 501(C)(3) | LINE 11A, I | 0 | OCONEE REGIONAL HEALTH SERVICES INC | |
| OCONEE REGIONAL HEALTHCARE FOUNDATION INC | |||||||||||
| 821 NORTH COBB STREET | MILLEDGEVILLE | GA | 31061 | 582359396 | FUNDRAISING AND SUPPORT | GA | 501(C)(3) | LINE 11A, I | 0 | OCONEE REGIONAL HEALTH SYSTEMS INC | |
| OCONEE REGIONAL SENIOR LIVING | |||||||||||
| PO BOX 690 | MILLEDGEVILLE | GA | 31061 | 582455613 | HEALTHCARE | GA | 501(C)(3) | LINE 11A, I | 0 | OCONEE REGIONAL HEALTH SYSTEMS INC | |
| JASPER HEALTH SERVICES INC | |||||||||||
| PO BOX 690 | MILLEDGEVILLE | GA | 31061 | 582510435 | HEALTHCARE | GA | 501(C)(3) | LINE 3 | 0 | OCONEE REGIONAL HEALTH SYSTEMS INC | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OCONEE SLEEP AND WELLNESS CENTER LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 821 NORTH COBB STREET | AddressLine1 |
| City | MILLEDGEVILLE | City |
| State | GA | State |
| ZIP Code | 31061 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264767102 | EIN |
| Primary Activity | HEALTHCARE | PrimaryActivity |
| Legal Domicile State | GA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OCONEE REGIONAL HEALTH VENTURES INC | |||||||||||||
| PO BOX 690 | MILLEDGEVILLE | GA | 31061 | 582528516 | ANCILLARY HEALTHCARE | GA | N/A | C | 0 | ||||
| OCONEE REGIONAL HEALTH SYSTEM SEGREGATED PORTFOLIO | |||||||||||||
| INSURANCE | N/A | C | 0 | 62 FORUM LANE 3RD FLOOR | GRAND CAYMAN | CJ | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Comments