DONALSONVILLE HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: DONALSONVILLE HOSPITAL INC (EIN 58-0973772)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-08
IRS object ID: 201421289349301012
Schema version: 2012v2.3
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-08T09:56:25-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DRAFFIN & TUCKER LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 71309	AddressLine1
City	ALBANY	City
State	GA	State
ZIP Code	317081309	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	580973772	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	DONALSONVILLE HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	DONA	NameControl
Phone	2295245217	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	102 HOSPITAL CIRCLE	AddressLine1
City	DONALSONVILLE	City
State	GA	State
ZIP Code	398451100	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	HERMAN BROOKINS	Name
Title	CEO	Title
Phone	2295245217	Phone
Date Signed	2014-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JACQUELINE G ATKINS	Name
Phone	2298837878	Phone
Date Prepared	2014-04-30	DatePrepared

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	HERMAN BROOKINS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	102 HOSPITAL CIRCLE	AddressLine1
City	DONALSONVILLE	City
State	GA	State
ZIP Code	398451100	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	33122403	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.DONALSONVILLEHOSPITAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1977	YearFormation
State Legal Domicile	GA	StateLegalDomicile
Activity Or Mission Description	DONALSONVILLE HOSPITAL OPERATES A 65-BED GENERAL ACUTE CARE HOSPITAL FOR THE COMMUNITY OF DONALSONVILLE, GEORGIA AND SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	3	NbrIndependentVotingMembers
Total Nbr Employees	376	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	28346142	ProgramServiceRevenuePriorYear
Program Service Revenue CY	27470797	ProgramServiceRevenueCY
Investment Income Prior Year	-161193	InvestmentIncomePriorYear
Investment Income Current Year	424862	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2122656	OtherRevenuePriorYear
Other Revenue Current Year	1698215	OtherRevenueCurrentYear
Total Revenue Prior Year	30307605	TotalRevenuePriorYear
Total Revenue Current Year	29593874	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5000000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	6005000	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	15692617	SalariesEtcPriorYear
Salaries Etc Current Year	16375203	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	11825396	OtherExpensePriorYear
Other Expenses Current Year	12757263	OtherExpensesCurrentYear
Total Expenses Prior Year	32518013	TotalExpensesPriorYear
Total Expenses Current Year	35137466	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-2210408	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-5543592	RevenuesLessExpensesCY
Total Assets BOY	49376758	TotalAssetsBOY
Total Assets EOY	47654792	TotalAssetsEOY
Total Liabilities BOY	3301292	TotalLiabilitiesBOY
Total Liabilities EOY	3751778	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	46075466	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	43903014	NetAssetsOrFundBalancesEOY
Mission Description	DONALSONVILLE HOSPITAL OPERATES A 65-BED GENERAL ACUTE CARE HOSPITAL FOR THE COMMUNITY OF DONALSONVILLE, GEORGIA AND SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	29375564	Expense
Grants	6005000	Grants
Revenue	28503333	Revenue
Description	DONALSONVILLE HOSPITAL PROVIDES PRIMARY HEALTHCARE TO RESIDENTS OF SEMINOLE COUNTY AND SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY.	Description
Total Program Service Expense	29375564	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	32	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	376	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	3	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	false	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest
Other Explain In Sch O	X	OtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JAMES MOODY	NamePerson
Telephone Number	2295245217	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	102 HOSPITAL CIRCLE	AddressLine1
City	DONALSONVILLE	City
State	GA	State
ZIP Code	398451100	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
HERMAN BROOKINS
CHAIRMAN/CEO	40.00	X	X	378465	0	34357
CHARLES H ORRICK
ADMINISTRATO	40.00	X	X	221666	0	12789
BROADDUS SIMPSON
SECRETARY	1.00	X	X	8574	0	0
MITCH BLANKS
DIRECTOR	1.00	X		8574	0	0
WILLIAM BURKE CPA
DIRECTOR	1.00	X		8574	0	0
JAMES MOODY
CFO	40.00		X	192089	0	12637
MURDOC HENDERSON MD
PHYSICIAN	50.00			336925	0	9482	X
JOSEPH WALKER SR MD
PHYSICIAN	50.00			310000	0	9842	X
JESSICA NUNUZ MD
PHYSICIAN	50.00			304140	0	3895	X
ANDREA ALEXANDER MD
PHYSICIAN	50.00			272339	0	0	X
ROYCE CANNINGTON JR
CRNA	50.00			210018	0	9842	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2251364	TotalReportableCompFromOrg
Total Other Compensation	92844	TotalOtherCompensation
Number Individuals GT100 K	15	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
NATIONAL EMERGENCY SERVICE
PO BOX 65810	CHARLOTTE	NC	28265	ER PHYSICIANS	999294
FRANKLIN SEIDELMANN
PO BOX 67293	DETROIT	MI	482674293	RADIOLIGIST	368180
MDA INC
PO BOX 277185	ATLANTA	GA	30384	LOCUMS COVERAGE	223947
CPSI
PO BOX 850309	MOBILE	AL	366850309	IT SUPPORT	221145
DRAFFIN & TUCKER LLP
2617 GILLIONVILLE ROAD	ALBANY	GA	31703	ACCOUNTING	179379

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PROGRAM SERVICE REVENUE	Description
Business Code	621990	BusinessCode
Total Revenue Column	27470797	TotalRevenueColumn
Related Or Exempt Function Income	27470797	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	27470797	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	483368	TotalRevenueColumn
Exclusion	$483,368	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	176406	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	94230	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	82176	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	82176	TotalRevenueColumn
Exclusion	$82,176	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	3375793	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	3434299	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-58506	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-58506	TotalRevenueColumn
Exclusion	-$58,506	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
EHR GRANT INCOME	621990	980888	980888
CAFETERIA	722513	583503		$583,503
MISCELLANEOUS REVENUE	621990	45123	45123

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6525	TotalRevenueColumn
Related Or Exempt Function Income	6525	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	1616039	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	29593874	TotalRevenueColumn
Related Or Exempt Function Income	28503333	RelatedOrExemptFunctionIncome
Exclusion	$1,090,541	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	6005000	Total
Program Services	6005000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	877725	Total
Management And General	877725	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	11820181	Total
Program Services	10654860	ProgramServices
Management And General	1165321	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	605908	Total
Program Services	529922	ProgramServices
Management And General	75986	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2320780	Total
Program Services	1987891	ProgramServices
Management And General	332889	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	750609	Total
Program Services	586185	ProgramServices
Management And General	164424	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	669772	Total
Management And General	669772	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	165047	Total
Management And General	165047	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	3136	Total
Management And General	3136	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	70624	Total
Management And General	70624	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2595173	Total
Program Services	2397354	ProgramServices
Management And General	197819	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	66426	Total
Management And General	66426	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2247676	Total
Program Services	1548660	ProgramServices
Management And General	699016	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	451521	Total
Program Services	414180	ProgramServices
Management And General	37341	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	47736	Total
Program Services	27020	ProgramServices
Management And General	20716	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	57236	Total
Program Services	56504	ProgramServices
Management And General	732	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1139697	Total
Program Services	1045444	ProgramServices
Management And General	94253	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	189551	Total
Program Services	118497	ProgramServices
Management And General	71054	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	3623428	3623428
REPAIR AND MAINTENANCE	519837	81558	438279
MISCELLANEOUS EXPENSE	394504	550	393954
PROVIDER FEE	285948	285948

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	229951	Total
Program Services	12563	ProgramServices
Management And General	217388	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	35137466	Total
Program Services	29375564	ProgramServices
Management And General	5761902	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	19050	BOY
EOY	11123	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3579115	BOY
EOY	1730473	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	8495662	BOY
EOY	7873019	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	162111	BOY
EOY	142017	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1328812	BOY
EOY	1623582	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1000148	BOY
EOY	971885	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	124864	BOY
EOY	128114	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	26240232	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	14953706	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	12176670	BOY
EOY	11286526	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	2968754	BOY
EOY	4575579	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	18221241	BOY
EOY	18118498	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1300331	BOY
EOY	1193976	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	49376758	BOY
EOY	47654792	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3286826	BOY
EOY	3751778	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	14466	BOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3301292	BOY
EOY	3751778	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	46075466	BOY
EOY	43903014	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	46075466	BOY
EOY	43903014	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	49376758	BOY
EOY	47654792	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-5543592	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	3371140	ReconciliationUnrealizedInvest
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$3,136	OtherActivitiesAmount
Total Lobbying Expenditures IIB	3136	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Return Reference	SCHEDULE C, PART II-B, LINE 1	ReturnReference
Explanation	THE ORGANIZATION BELONGS TO A STATE HOSPITAL ASSOCIATION. A PORTION OF THE MEMBERSHIP DUES PAID TO THE ASSOCIATION ARE DEDICATED TO LOBBYING ACTIVITIES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	19404875	BeginningOfYearBalance
Investment Earnings Or Losses	3456495	InvestmentEarningsOrLosses
Grants Or Scholarships	3305000	GrantsOrScholarships
Administrative Expenses	80671	AdministrativeExpenses
End Of Year Balance	19475699	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	25508972	BeginningOfYearBalance
Investment Earnings Or Losses	-1018580	InvestmentEarningsOrLosses
Grants Or Scholarships	5000000	GrantsOrScholarships
Administrative Expenses	85517	AdministrativeExpenses
End Of Year Balance	19404875	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	18450580	BeginningOfYearBalance
Investment Earnings Or Losses	7152931	InvestmentEarningsOrLosses
Administrative Expenses	94539	AdministrativeExpenses
End Of Year Balance	25508972	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13861471	BeginningOfYearBalance
Investment Earnings Or Losses	4660648	InvestmentEarningsOrLosses
Administrative Expenses	71539	AdministrativeExpenses
End Of Year Balance	18450580	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	18843153	BeginningOfYearBalance
Investment Earnings Or Losses	-4920716	InvestmentEarningsOrLosses
Administrative Expenses	60966	AdministrativeExpenses
End Of Year Balance	13861471	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	true	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	686053	OtherCostOrOtherBasis
Book Value	686053	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	3416817	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	11900526	OtherCostOrOtherBasis
Depreciation	7613161	Depreciation
Book Value	7704182	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	343388	OtherCostOrOtherBasis
Depreciation	301752	Depreciation
Book Value	41636	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9880570	OtherCostOrOtherBasis
Depreciation	7038793	Depreciation
Book Value	2841777	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12878	OtherCostOrOtherBasis
Book Value	12878	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	11286526	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	COMMUNITY FOUNDATION INVESTMENTS	Description
Book Value	18118498	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	18118498	TotalOfBookValueProgramRelated
Tot Revenue Etc Audited Fincl Stmt	22973066	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	3371140	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	3371140	RevenueNotRptdF990
Revenue Subtotal	19601926	RevenueSubtotal
Other Revenues Not Included	9991948	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	9991948	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	29593874	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	28516658	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	28516658	ExpensesSubtotal
Other Expenses Not Included	6620808	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	6620808	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	35137466	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDS	SCHEDULE D, PAGE 2, PART V, LINE 4	ENDOWMENT FUNDS CONSIST OF INVESTMENTS FOR THE DEFERRED COMPENSATION PLAN, MALPRACTICE INSURANCE AND COMMUNITY FOUNDATION. THE ORGANIZATION HAS ESTABLISHED A FUNDED DEFERRED COMPENSATION PLAN FOR CERTAIN KEY EMPLOYEES. MALPRACTICE INSURANCE IS A TRUST SET UP TO FUND POTENTIAL LIABILITIES UNDER THE HOSPITAL'S SELF INSURANCE PROGRAM. THE TRUSTEE IS SYNOVUS TRUST COMPANY, N.A. IN 2006, THE ORGANIZATION INVESTED FUNDS WITH THE COMMUNITY FOUNDATION OF SOUTH GEORGIA, INC. ("CFSG"), AN UNRELATED 501(C)(3) ORGANIZATION, WHICH ARE TO BE USED EXCLUSIVELY FOR THE CHARITABLE AND HEALTH PURPOSES OF THE COMMUNITY. THESE FUNDS ARE HELD BY CFSG AS DONOR-ADVISED FUNDS SUBJECT TO THE FILING ORGANIZATION'S EXCLUSIVE LEGAL CONTROL.
LIABILITY UNDER FIN 48 FOOTNOTE	SCHEDULE D, PAGE 3, PART X	THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE ORGANIZATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2013 AND 2012 OR FOR THE YEARS THEN ENDED. THE ORGANIZATION'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2010-2012.
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 4B	MEALS EXPENSE FOR SNF PATIENTS 545,184 GRANTS/ASSISTANCE 6,005,000 INVESTMENT MANAGEMENT FEES 70,624 NET UNREALIZED GAIN/LOSS ON INVESTMENTS NOT IN REVENUES 3,371,140
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	GRANTS/ASSISTANCE 6,005,000 INVESTMENT MANAGEMENT FEES 70,624 MEALS EXPENSE FOR SNF PATIENTS 545,184

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1780079	TotalCommunityBenefitExpense
Net Community Benefit Expense	1780079	NetCommunityBenefitExpense
Percent Of Total Expense	0.05070	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1520476	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1561248	DirectOffsettingRevenue
Net Community Benefit Expense	-40772	NetCommunityBenefitExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23793	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21544	DirectOffsettingRevenue
Net Community Benefit Expense	2249	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3324348	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1582792	DirectOffsettingRevenue
Net Community Benefit Expense	1741556	NetCommunityBenefitExpense
Percent Of Total Expense	0.05080	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21537	TotalCommunityBenefitExpense
Net Community Benefit Expense	21537	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6005000	TotalCommunityBenefitExpense
Net Community Benefit Expense	6005000	NetCommunityBenefitExpense
Percent Of Total Expense	0.17090	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6026537	TotalCommunityBenefitExpense
Net Community Benefit Expense	6026537	NetCommunityBenefitExpense
Percent Of Total Expense	0.17150	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9350885	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1582792	DirectOffsettingRevenue
Net Community Benefit Expense	7768093	NetCommunityBenefitExpense
Percent Of Total Expense	0.22230	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$3,433,427	BadDebtExpenseAmount
Amount Reimbursed By Medicare	4032796	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	4503107	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-470311	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	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	DONALSONVILLE HOSPITAL INC	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	102 HOSPITAL CIRCLE	AddressLine1
City	DONALSONVILLE	City
State	GA	State
ZIP Code	398451100	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWWDONALSONVILLEHOSPITALORG	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	SNF	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	DONALSONVILLE HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	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	13	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.0	FPGFreePercent
Uses FPG Discounted	false	UsesFPGDiscounted
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Insurance Status	X	InsuranceStatus
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
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	false	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	1	NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SEMINOLE MANOR NURSING HOME	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	102 HOSPITAL CIRCLE	AddressLine1
City	DONALSONVILLE	City
State	GA	State
ZIP Code	317451100	ZIPCode

Field	Value	IRS element (for citing)
Facility Type	SNF	FacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE	PART I LINE 3C	ALL INDIVIDUALS THAT DO NOT HAVE THIRD PARTY COVERAGE ARE GIVEN A 15 DISCOUNT IF THEY DO NOT QUALIFY FOR FREE CARE
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	COSTS FOR PART I LINE 7A AND 7B AND PART III SECTION A LINE 2 WERE CALCULATED USING THE RATIO OF PATIENT CARE COST TO CHARGES CALCULATED ON WORKSHEET 2 OTHER COSTS WERE OBTAINED FROM THE ORGANIZATIONS ACCOUNTING RECORDS
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT AND WRITTEN OFF TO BAD DEBT EXPENSE AUDITED FINANCIAL STATEMENT FOOTNOTE ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IF NECESSARY FOR EXAMPLE FOR EXPECTED UNCOLLECTIBLES DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRDPARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY FOR RECEIVABLES ASSOCIATED WITH SELFPAY PATIENTS WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE EXISTS FOR PART OF THE BILL THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE THE DIFFERENCE BETWEEN THE STANDARD RATES OR THE DISCOUNTED RATES IF NEGOTIATED AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS THE ORGANIZATIONS ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELFPAY PATIENTS REMAINED AT 85 OF SELFPAY ACCOUNTS RECEIVABLE AT JUNE 30 2012 AND AT JUNE 30 2013 IN ADDITION THE ORGANIZATIONS SELFPAY WRITEOFFS INCREASED 400000 FROM 3000000 FOR FISCAL YEAR 2012 TO 3400000 FOR FISCAL YEAR 2013 THE ORGANIZATION HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2013 OR 2012 THE ORGANIZATION DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRDPARTY PAYORS NOR DOES IT HAVE SIGNIFICANT WRITEOFFS FROM THIRDPARTY PAYORS
MEDICARE EXPLANATION	PART III LINE 8	MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	OUR PATIENT FINANCIAL SERVICES DEPARTMENT VISITS PATIENTS WHO HAVE NO INSURANCE TO DISCUSS ASSISTANCE AND REFER THOSE PATIENTS TO OUR LOCAL DFCS OFFICE TO OBTAIN ASSISTANCE WITH APPLYING FOR MEDICAID AND OTHER FINANCIAL ASSISTANCE OUR PATIENT FINANCIAL SERVICES DEPARTMENT WHICH DOES SELFPAY BILLING AND COLLECTION INFORMS PATIENTS ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND ASSISTS THEM IN MAKING AN APPLICATION BILLING STATEMENTS PROVIDE A MESSAGE AND TELEPHONE NUMBER TO CALL IF THE PATIENT HAS DIFFICULTY MAKING PAYMENT FOR PATIENTS WHO QUALIFY AS INDIGENT AND CHARITY PATIENTS THERE IS NO FINANCIAL OBLIGATION THOSE PATIENTS WHO DO NOT QUALIFY AS INDIGENT AND CHARITY PATIENTS AND DONT HAVE ANY 3RD PARTY COVERAGE ARE SENT STATEMENTS AND LETTERS WHERE THEY ARE PAST DUE 30 60 AND 90 DAYS IF PAYMENT ARRANGEMENTS ARE STILL NOT MADE AFTER 90 DAYS THEN THOSE ACCOUNTS ARE REFERRED TO COLLECTIONS BEFORE REFERRAL TO A COLLECTION AGENCY OUR COLLECTION DEPARTMENT EXAMINES THE ACCOUNTS FOR POSSIBLE 3RD PARTY COVERAGE IF NO 3RD PARTY COVERAGE EXISTS THEN WE MOVE FORWARD WITH OUR NORMAL INHOUSE COLLECTION PROCEDURES
NEEDS ASSESSMENT	PART VI	A COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN FISCAL YEAR 2013 INFORMATION WAS SOLICITED FROM VARIOUS INDIVIDUALS REPRESENTING THE INTERESTS OF THE COMMUNITY BY MEANS OF FOCUS GROUPS EXTERNAL STATISTICS AND INTERNAL DATA THE ORGANIZATION CONDUCTS VARIOUS TYPES OF ASSESSMENTS TO DETERMINE THE COMMUNITYS NEEDS FOR HEALTH SERVICES OUR ORGANIZATION COLLABORATES WITH THE CITIZENS OF SEMINOLE AND SURROUNDING COUNTIES TO IDENTIFY THE NEEDS OF THE COMMUNITY COMMUNITY RESEARCH HAS SHOWN THAT THE SERVICES FOR WHICH THE CITIZENS OF SEMINOLE AND SURROUNDING COUNTIES TURN TO THE ORGANIZATION FOR ARE EMERGENCY SERVICES DIAGNOSTIC TESTS AND XRAYS AND ALSO GENERAL MEDICAL CARE OTHER SERVICES FOR WHICH THEY TURN TO US AS A MAJOR PROVIDER ARE MINOR SURGERY PEDIATRIC CARE GENERAL SURGERY AND OBSTETRICAL CARE THIS INFORMATION COMBINED WITH OUR EXTENSIVE COLLABORATIONS AND OUR ROLE AS A LEADER IN THE COMMUNITY PROVIDES US THE MEANS TO UNDERSTAND AND ADDRESS THE COMMUNITYS NEEDS AND ENSURES OUR OUTREACH PROGRAMS ARE FOCUSED ON THE POPULATIONS WHO NEED OUR SERVICES THE MOST OUR BOARD OF DIRECTORS WORKS CLOSELY WITH THE LOCAL CIVIC ORGANIZATIONS ELECTED OFFICIALS AND COMMUNITY LEADERS TO DETERMINE WHAT THE HEALTHCARE NEEDS ARE OF OUR COMMUNITY
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	THE BOARD HAS CLEARLY WRITTEN INDIGENT AND FINANCIAL AID POLICIES THAT ARE AVAILABLE THROUGH THE BUSINESS OFFICE SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND FINANCIAL AID PATIENT EDUCATION ON THE ORGANIZATIONS INDIGENTCHARITY AND FINANCIAL AID PROGRAMS ARE CONDUCTED DURING PREREGISTRATION THROUGH OUR PATIENT FINANCIAL SERVICES DEPARTMENT FOR PATIENTS THAT DO NOT HAVE ANY 3RD PARTY COVERAGE BROCHURES ARE PROMINENTLY DISPLAYED AT EACH REGISTRATION BOOTH THE BUSINESS OFFICE CONTINUOUSLY PROVIDES INFORMATION TO THE BUSINESS OFFICE MANAGERS OF OUR LOCAL PHYSICIANS PRACTICES PHONE CALLS AND LETTERS ARE SENT TO ALL PATIENTS THAT ARE NOT INTERVIEWED AT THE TIME OF ADMISSION EXPLAINING OUR FINANCIAL ASSISTANCE PROGRAMS OUR EMERGENCY DEPARTMENT IS OPERATED 247 AND OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY THE BOARD HAS CLEARLY WRITTEN INDIGENTCHARITY AND FINANCIAL AID POLICIES THAT ARE AVAILABLE THROUGH THE BUSINESS OFFICE SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE CARE AND FINANCIAL AID
COMMUNITY INFORMATION	PART VI	THE ORGANIZATION SERVES A PREDOMINATELY RURAL AREA IN SEMINOLE COUNTY IN ITS BROADEST BOUNDARIES DONALSONVILLE IS THE ECONOMIC AND MEDICAL HUB FOR THE REGION AND THE ORGANIZATION DRAWS FROM A POPULATION OF APPROXIMATELY 9000 RESIDENTS FOR MAJOR HEALTH CARE SERVICES THE REGION IS MARKED BY VAST DICHOTOMIES OF WEALTH EDUCATION AND HEALTH STATUS THE ORGANIZATION SERVES A POPULATION THAT HAS A HIGH PROPORTION OF LOWINCOME INDIVIDUALS ABOUT 2201 OF FAMILIES AND 2549 OF THE POPULATION WERE BELOW THE POVERTY LINE
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	OUR BOARD OF DIRECTORS WORKS CLOSELY WITH THE LOCAL CIVIC ORGANIZATIONS ELECTED OFFICIALS AND COMMUNITY LEADERS TO DETERMINE WHAT THE HEALTHCARE NEEDS ARE OF OUR COMMUNITY WE HAVE PARTICIPATED IN VARIOUS LOCAL HEALTH FAIRS TO PROMOTE GOOD HEALTH AND PROVIDE SCREENING MECHANISMS FOR DETECTING HIGH BLOOD PRESSURE ABNORMAL BLOOD SUGAR LEVELS AND HIGH CHOLESTEROL THESE ARE THE MOST PRESSING AND PREVENTABLE DISEASES IN OUR COMMUNITY WE WORK CLOSELY WITH THE LOCAL HEALTH DEPARTMENT TO ASSIST THEM WITH THE PROGRAMS THAT THEY FACILITATE THROUGHOUT THE YEAR OUR BOARD HAS HAD IN PLACE FOR 20 YEARS A SCHOLARSHIP PROGRAM FOR PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS WE HAVE BEEN FORTUNATE TO HAVE MANY OF OUR LOCAL RESIDENTS FINISH MEDICAL SCHOOL NURSING SCHOOL AND OTHER PROFESSIONAL CERTIFICATIONS AND COME BACK TO DONALSONVILLE TO PRACTICE AND WORK IN OUR LOCAL HEALTHCARE COMMUNITY THE PHYSICIAN SCHOLARSHIP PROGRAM HAS PRODUCED 4 OF OUR CURRENT 12 MEMBER MEDICAL STAFF WE ALSO HAVE 5 IN THE PROGRAM THAT ARE SCHEDULED TO COME BACK TO OUR COMMUNITY OVER THE NEXT 10 YEARS THIS TYPE OF PROGRAM HAS HELPED KEEP HEALTHCARE AVAILABLE AND ACCESSIBLE TO OUR RURAL COMMUNITY IT HAS ENABLED US TO START NEW SERVICES THAT WOULD NOT HAVE EXISTED OTHERWISE OUR BOARD IS DEDICATED TO PLANNING AND PREPARING FOR THIS RURAL COMMUNITY TO HAVE EASILY ACCESSIBLE HEALTHCARE FOR MANY YEARS TO COME
DONALSONVILLE HOSPITAL INC LINE NUMBER 1 PART V LINE 3	PART V LINE 3	DONALSONVILLE HOSPITAL STARTED THE PROCESS OF ASSESSING THE NEEDS OF THE COMMUNITY BY GETTING INPUT FROM THE LOCAL PHYSICIANS THERE ARE 13 LOCAL PHYSICIANS THAT ARE ACTIVE ON THE MEDICAL STAFF AT DONALSONVILLE HOSPITAL 4 BOARD CERTIFIED GENERAL SURGEONS 2 OBGYNS 3 PEDIATRICIANS 2 FAMILY PRACTICE AND 1 DERMATOLOGIST THE MEDICAL STAFF IS MADE UP OF A WIDE VARIETY OF PRIMARY CARE PHYSICIANS MANAGEMENT OF THE HOSPITAL HAS ALWAYS HAD AN EXTREMELY CLOSE WORKING RELATIONSHIP WITH THE MEDICAL STAFF ONE KEY COMPONENT OF ASSESSING THE NEEDS OF THE LOCAL COMMUNITY IS TO GET INPUT FROM THE MEDICAL STAFF ALL PHYSICIANS HAVE BEEN WILLING TO GIVE FEEDBACK AND INPUT ON THE HEALTH NEEDS OF THE COMMUNITY THE HOSPITAL BOARD OF DIRECTORS HAS A BROAD RANGE OF COMMUNITY INVOLVEMENT AND LEADERSHIP ROLES THERE ARE 5 MEMBERS OF THE BOARD AND OF THE FIVE 2 ARE INVOLVED WITH LOCAL COUNTY AND CITY GOVERNMENTS AS A COUNTY COMMISSIONER AND CITY COUNCILMAN ALSO THE BOARD OF DIRECTORS HAS 2 OTHER MEMBERS INVOLVED WITH OTHER NONPROFITS AND IS ACTIVE COMMUNITY LEADERS THE OTHER BOARD MEMBER HAS A VAST KNOWLEDGE AND EXPERIENCE IN THE AGRICULTURAL AREA WHICH MAKES UP A MAJOR PART OF INDUSTRY AND RESIDENTS OF SEMINOLE COUNTY THE BOARD OF DIRECTORS THOUGHT THAT THERE SHOULD BE 2 ADDITIONAL MEMBERS ADDED TO THE CHNA PANEL THAT WOULD HELP WITH ASSESSING THE NEEDS OF THE COMMUNITY A LOCAL COUNTY COMMISSIONER WHO IS ALSO A COPASTOR OF VISION FAITH OUTREACH MINISTRIES WAS ADDED THE COUNTY COMMISSIONER HAS ACCESS AND CONTACT WITH A LARGE PORTION OF INDIVIDUALS THAT ARE MINORITY UNDERSERVED AND NEEDY ALSO THE BOARD OF DIRECTORS WANTED INPUT FROM THE LOCAL HEALTH DEPARTMENT DIRECTOR THE HOSPITAL HAS WORKED WITH THE DIRECTOR FOR YEARS ADDRESSING THE NEEDS OF THE LOCAL HEALTH DEPARTMENT BY PROVIDING FUNDS FOR SPECIFIC PROGRAMS PRESENTED BY THE DIRECTOR FOR MEDICAL XHELP FOR NEEDY LOCAL RESIDENTS FIRST STATISTICS WERE GATHERED FROM OUR INTERNAL DATA BASE EXAMINING THE PATIENTS THAT HAVE VISITED DONALSONVILLE HOSPITAL IN THE PAST 2 YEARS THE DATA GATHERING INCLUDED INFORMATION THAT TRACKED THE TOP DIAGNOSES FOR PATIENTS THAT VISITED THE HOSPITAL THESE REPORTS WERE EVALUATED AND THE CHNA PANEL UTILIZED THEM ALONG WITH STATISTICS GATHERED FROM GHA U S CENSUS BUREAU AMERICAN DIABETES ASSOCIATION THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH THE GEORGIA DEPARTMENT OF PUBLIC HEALTH SEMINOLE COUNTY HEALTH DEPARTMENT AND NATIONAL CANCER INSTITUTE THESE STATS WERE USED TO DETERMINE WHAT THE HEALTH NEEDS OF SEMINOLE COUNTY RESIDENTS ARE AND TO DETERMINE WHICH NEEDS COULD THE HOSPITAL BE SUCCESSFUL AT IMPLEMENTING SOME STRATEGY TO IMPROVE AFTER LOOKING AT ALL OF THE DATA GATHERED THE CHNA PANEL DETERMINED THAT THE HEALTH NEEDS THAT COULD BE IMPROVED BY THE HOSPITAL INPUT WERE AS FOLLOWS 1DIABETESHYPERTENSION DISEASE 2OBESITY IN ADULTS 3CANCER 4MENTAL HEALTH
DONALSONVILLE HOSPITAL INC LINE NUMBER 1 PART V LINE 7	PART V LINE 7	DONALSONVILLE HOSPITAL INC IS STILL LOOKING AT THE MENTAL HEALTH NEEDS AND SUBMITTING ANOTHER APPLICATION FOR GERIATRIC PSYCHIATRIC BEDS
DONALSONVILLE HOSPITAL INC LINE NUMBER 1 PART V LINE 12H	PART V LINE 12H	ALL PATIENTS ARE CHARGED EQUALLY REGARDLESS OF ANY OF THE ABOVE THOSE INDIVIDUALS WITHOUT THIRD PARTY COVERAGE ARE GIVEN A 15 DISCOUNT IF THEY DO NOT QUALIFY FOR FREE CARE
DONALSONVILLE HOSPITAL INC LINE NUMBER 1 PART V LINE 20D	PART V LINE 20D	THE HOSPITAL DISCOUNTED GROSS CHARGES FOR PATIENTS WITHOUT THIRD PARTY INSURANCE COVERAGE BY FIFTEEN PERCENT THIS PERCENTAGE IS THE AVERAGE DISCOUNT GIVEN TO INSURANCE COMPANIES

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY FOUNDATION OF SOUTH GA IN	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	135 N BROAD STREET	AddressLine1
City	THOMASVILLE	City
State	GA	State
ZIP Code	31792	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	582210876	EINOfRecipient
IRC Section	3	IRCSection
Amount Of Cash Grant	6005000	AmountOfCashGrant
Purpose Of Grant	COMMUNITY HEALTH	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES	Identifier
Return Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	ReturnReference
Explanation	THE FUNDS ARE GIVEN TO THE 501(C)(3) ORGANIZATION WITH THE INTENT THAT THE RECIPIENT WILL USE THE FUNDS FOR THEIR TAX EXEMPT PURPOSE. THE FUNDS ARE DONOR-DESIGNATED AND MUST BE APPROVED BY THE BOARD CHAIRMAN BEFORE DISTRIBUTED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
HERMAN BROOKINS
CHAIRMANCEO	361575	16890	22500	11857	412822
CHARLES H ORRICK
ADMINISTRATOR	208996	12670	152	12637	234455
JAMES MOODY
CFO	179419	12670		12637	204726
MURDOC HENDERSON MD
PHYSICIAN	336925			9482	346407
JOSEPH WALKER SR MD
PHYSICIAN	310000			9842	319842
JESSICA NUNUZ MD
PHYSICIAN	304140			3895	308035
ANDREA ALEXANDER MD
PHYSICIAN	231657	40682			272339
ROYCE CANNINGTON JR
CRNA	210018			9842	219860

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	OTHER ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE J, PART III	ReturnReference
Explanation	PART I, LINE 4 - DEFERRED COMPENSATION PLAN 457(B) THE ORGANIZATION HAS ESTABLISHED A DEFERRED COMPENSATION PLAN FOR CERTAIN KEY EMPLOYEES. THE 457(B) PLAN IS A NON-QUALIFIED RETIREMENT PLAN THAT ALLOWS A MAXIMUM SALARY DEFERRAL OF THE LESSER OF 17,000 OR ONE-THIRD OF AN EMPLOYEE'S SALARY.	Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	BEAU CANNINGTON	NamePerson
Relationship With Organization	PHYSICIAN'S SON	RelationshipWithOrganization
Purpose Of Loan	SCHOLARSHIP LOAN	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$100,000	OriginalPrincipalAmount
Balance Due	142017	BalanceDue
Default	false	Default
Approved By Board	true	ApprovedByBoard
Written Agreement	true	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	142017	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	BRIAN BROOKINS	NamePerson

Field	Value	IRS element (for citing)
Relationship	FAM BD MEMBER	Relationship
Amount Of Transaction	193776	AmountOfTransaction
Description Of Transaction	COMPENSATION	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE L PART V	ReturnReference
Explanation	BRIAN BROOKINS AN EMPLOYEE OF THE ORGANIZATION IS THE SON OF HERMAN BROOKINS WHO IS THE CHAIRMAN OF THE BOARD AND CEO	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DOCUMENTATION BY COMMITTEE	FORM 990, PAGE 6, PART VI, LINE 8B	THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE INDEPENDENT ACCOUNTING FIRM THAT PREPARES THE FORM 990 (BASED UPON INFORMATION PROVIDED BY THE ORGANIZATION) PROVIDES A COPY OF THE RETURN TO BE REVIEWED BY MANAGEMENT. UPON REVIEW, THE FORM 990 AND RELATED SCHEDULES ARE PROVIDED TO ALL BOARD MEMBERS FOR REVIEW AND FEEDBACK. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES, A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	THE ORGANIZATION HAS A WRITTEN POLICY RESPECTING CONFLICTS OF INTEREST AND DISCLOSURE OF SAME. GENERALLY SPEAKING, THE POLICY REQUIRES ANY "COVERED PERSON" WHO BELIEVES HE HAS A CONFLICT OF INTEREST TO: -DISCLOSE THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST (INCLUDING ALL FACTS KNOWN RESPECTING THE SUBJECT MATTER) TO THE CHAIRMAN OF THE BOARD; -PLAY NO PART, DIRECTLY OR INDIRECTLY, IN THE DELIBERATION OR VOTE OF THE BOARD OF DIRECTORS WITH RESPECT TO THE DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS; AND -RECUSE HIMSELF FROM THAT PORTION OF THE MEETING AT WHICH THE CONFLICT OF INTEREST IS DISCUSSED. THE DEFINITION OF A "COVERED PERSON" INCLUDES ALL BOARD MEMBERS, OFFICERS AND MEMBERS OF SENIOR MANAGEMENT OF THE ORGANIZATION. WHEN A COVERED PERSON DISCLOSES A POTENTIAL CONFLICT OF INTEREST TO THE BOARD CHAIRMAN, THE CHAIRMAN IS OBLIGED TO BRING THE MATTER TO THE ATTENTION OF THE FULL BOARD WHO DETERMINES WHETHER A CONFLICT OF INTEREST ACTUALLY EXISTS. IF A CONFLICT OF INTEREST EXISTS, THE TRANSACTION OR MATTER GIVING RISE TO THE CONFLICT OF INTEREST MAY NOT PROCEED UNLESS THE BOARD DETERMINES, BY A MAJORITY VOTE, THAT, DESPITE THE CONFLICT OF INTEREST, THE TRANSACTION/MATTER IS NEVERTHELESS IN THE ORGANIZATION'S BEST INTEREST AND IS FAIR AND REASONABLE TO THE ORGANIZATION. IN ADDITION TO THE REQUIREMENT TO DISCLOSE A POTENTIAL CONFLICT OF INTEREST AT THE TIME IT ARISES, EACH MUST SUBMIT ANNUALLY A `CONFLICT AND DISCLOSURE OF INTEREST QUESTIONNAIRE'.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO. THE BOARD USES COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS AT SIMILARLY SIZED ORGANIZATIONS AND SALARY SURVEYS TO DETERMINE THE COMPENSATION FOR THE CEO. THE CEO, A VOTING MEMBER OF THE BOARD, IS DISMISSED FROM THE MEETING DURING THE REVIEW OF HIS COMPENSATION. THIS PROCESS WAS LAST UNDERTAKEN FOR THE CEO IN 2006.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	THE BOARD OF DIRECTORS MEET REGULARLY ON A MONTHLY BASIS AND THE SALARY DECISIONS ARE REVIEWED BY THE BOARD.
NO PUBLIC DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 18	INDIVIDUALS CAN VISIT THE OFFICE OF THE CFO AND INSPECT THE FORM 990
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE ORGANIZATION WILL MAKE AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO ANY MEMBER OF THE PUBLIC WHO MAKES THEIR REQUEST AT THE ADMINISTRATIVE OFFICE OF THE FILING ENTITY.