2014-05-14T13:10:18-05:00 2013-06-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2012-07-01 581955423 SOUTHERN REGIONAL HEALTH SYSTEM INC SOUT 7709918010 11 UPPER RIVERDALE RD SW RIVERDALE GA 30274 JAY HOFFMAN 7709918010 2014-05-14 1 AMY BIBBY P00445891 8282542254 2012 2015-11-30 17:44:51Z JAMES CRISSEY 11 UPPER RIVERDALE RD SW RIVERDALE GA 30274 239907580 0 X WWW.SOUTHERNREGIONAL.ORG X 1991 GA SOUTHERN REGIONAL HEALTH SYSTEM, INC. EXISTS TO SERVE THE COMMUNITIES OF THE SOUTHERN CRESCENT OF THE METRO ATLANTA AREA BY IMPROVING THE HEALTH STATUS AND QUALIFY OF LIFE OF ITS CITIZENS. 15 14 1830 0 350033 0 50779 0 246691743 236677977 2947630 149986 3029048 2305106 252719200 239133069 1637628 1648361 0 0 93583341 94567498 0 0 0 167297185 163635242 262518154 259851101 -9798954 -20718032 161542499 157983096 133132516 140973630 28409983 17009466 SOUTHERN REGIONAL HEALTH SYSTEM, INC. EXISTS TO SERVE THE COMMUNITIES OF THE SOUTHERN CRESCENT OF THE METRO ATLANTA AREA BY IMPROVING THE HEALTH STATUS AND QUALIFY OF LIFE OF ITS CITIZENS. 0 0 245111576 1648361 237063756 SOUTHERN REGIONAL HEALTH SYSTEM, INC. PROVIDED 65,298 DAYS OF ACUTE AND INTENSIVE CARE, TREATED MORE THAN 132,000 OUTPATIENTS, AND PROVIDED EMERGENCY CARE TO MORE THAN 80,057 PATIENTS IN THE EMERGENCY ROOM. SRHS ALSO PROVIDED 5,575 DAYS OF CARE TO THE MORE THAN 3,348 BABIES BORN AT SRHS. 245111576 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 88 0 1 1830 1 1 1 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 GA X JAY HOFFMAN CFO 7709918010 11 UPPER RIVERDALE RD SW RIVERDALE GA 30274 RONALD M DODSON 1.00 3.00 X X 4000 0 0 BENNY WHITMORE 1.00 3.00 X X 3520 0 0 RICHARD C PROKESCH 1.00 X X 11700 0 0 JAY R PRAKASH 1.00 X X 5000 0 0 JAMES G ADAMS 1.00 1.00 X 8200 0 0 REV ED J BEST JR 1.00 1.00 X 4050 0 0 ANDREA CALLAWAY 1.00 1.00 X 8370 0 0 SHERRY K HANCOCK 1.00 X 4225 0 0 GLYNDA B KING 1.00 1.00 X 3800 0 0 GARY J LAGGIS 1.00 X 2200 0 0 DANIEL T MCDEVITT MD 1.00 X 40476 0 0 PRAVEEN RASTOGI MD 1.00 X 2631 0 0 RAJU M VANAPALLI 1.00 3.00 X 5600 0 0 JAMES O WATKINS 1.00 1.00 X 5500 0 0 BARRY ZISHOLTZ 1.00 X 3400 0 0 JAMES E CRISSEY 34.00 6.00 X 329595 0 28690 JAY HOFFMAN 34.00 6.00 X 0 0 0 S LEE BOLES 34.00 6.00 X 299403 0 27331 JOHN R MCLAIN 40.00 X 294267 0 23522 WILLIE COCHRAN 40.00 X 263311 0 26214 JANIS M DARNABY 40.00 X 231586 0 12987 JOE E BARKER 40.00 X 155574 0 9784 STACEY J HANCOCK 40.00 X 154698 0 20661 CLAUDIA E HALL 40.00 X 144029 0 20237 WELLINGTON ROLLIE 55.50 X 142839 0 20190 YVELINE SAMUEL-HERARD 50.40 X 138978 0 23100 SHARON W SIMMONS 40.00 X 135791 0 18521 STEPHEN W MAHAN 40.00 X 134713 0 11292 2537456 0 242529 65 1 1 0 COMPLETERX 3100 S GESSNER STE 640 HOUSTON TX 77063 PHARMACY MANAGEMENT 15603821 MORRISONS MANAGEMENT SERVICES PO BOX 102289 ATLANTA GA 30368 CAFETERIA MANAGEMENT 4550347 GREENBERG TRAURIG LLP 3290 NORTHSIDE PARKWAY ATLANTA GA 30368 LEGAL SERVICES 1354779 SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 90074 PHYSICIAN SERVICES 1065067 NELSON MULLINS RILEY & SCARBOROUGH LLP PO BOX 11070 COLUMBIA SC 29211 LEGAL SERVICES 890628 117 PATIENT SERVICE 623000 236327944 236327944 LAB OUTREACH 621500 350033 350033 236677977 923149 923149 1348 1348 660183 0 660183 660183 660183 774511 -774511 -774511 -774511 EAGLE PHYSICIANS 900099 735812 735812 PAID PARKING REVENUE 621990 520067 520067 MISCELLANEOUS 900099 199613 199613 189431 189431 1644923 239133069 237063756 350033 1719280 X 1558195 1558195 90166 90166 1781562 1781562 74706302 70792945 3913357 3455605 3198317 257288 9028466 8356250 672216 5595563 5178944 416619 104163 104163 549742 549742 156702 156702 24688 24688 29881614 27690654 2190960 715774 715774 2889232 2395981 493251 3048066 3048066 5411242 5407982 3260 162534 95965 66569 414820 236559 178261 2948905 2948905 14921 14921 8354047 8354047 2851653 2851653 BAD DEBT 52085258 52085258 MEDICAL SUPPLIES 36246075 36246075 PATIENT RELATED EXPENSE 10331786 10331786 PROVIDER TAX 3249575 3249575 4194445 3845906 348539 259851101 245111576 14739525 0 7450 5449 2594989 3168505 46011842 43615917 436621 584479 2823171 2942239 1168656 1071543 288543802 220691212 61112949 67852590 41460146 34000447 2754765 2592304 250570 250570 2921340 1899053 161542499 157983096 31959913 51319054 42775922 41632850 13144263 13161490 45252418 34860236 133132516 140973630 X 28153018 16726219 256965 283247 28409983 17009466 161542499 157983096 X -20718032 1398987 7918528 X X 0 0 0 X 0 0 0 0 0 0 0 0 1 17709 17709 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF THE GEORGIA HOSPITAL ASSOCIATION (GHA). THIS ORGANIZATIONS ENGAGES IN LOBBYING FOR THE BENEFIT OF THEIR MEMBERSHIP BODIES, AND A PORTION OF THE MEMBERSHIP DUES PAID TO THE ORGANIZATION IS ATTRIBUTABLE TO LOBBYING EXPENDITURES. FOR THE YEAR, THE PORTION OF DUES ATTRIBUTABLE TO LOBBYING EXPENDITURES WAS $17,709 FOR GHA. 1068402 1068402 127899191 90501621 37397570 6386071 4561391 1824680 140782811 125628200 15154611 12407327 12407327 67852590 INSURANCE RESERVE 13124851 ACCRUED BOND INTEREST 819347 PHYSICIAN DINING 138164 UNFUNDED PENSION LIABILITY 20352786 PROFESSIONAL FEES PAYABLE 33170 MORRISON'S DEBT FORGIVENESS 391918 34860236 1 1 1 X 125.000000000000 1 X 1 1 0 1 1 8451669 8451669 0.04070 53425267 48542012 4883255 0.02350 61876936 48542012 13334924 0.06420 22451737 13982193 8469544 0.04080 22451737 13982193 8469544 0.04080 84328673 62524205 21804468 0.10500 1 13453622 47821872 46141294 1680578 X 1 1 1 SPIVEY STATION ASC REAL ESTATE MANAGEMENT 0.45410 0.48000 1 1 SOUTHERN REGIONAL HEALTH SYSTEM

11 UPPER RIVERDALE RD SW RIVERDALE GA 30274

X X X SOUTHERN REGIONAL HEALTH SYSTEM 1 1 X X X X X X X X X 1 1 1 X X X X X X X 1 0 1 1 125.000000000000 1 300.000000000000 1 X X X X X X X 1 1 X X X X 1 0 1 X 0 0 PART I, LINE 6A: THE ORGANIZATION PREPARED A REPORT TO THE COMMUNITY FOR FY 2012, AND IT IS POSTED ON THE SOUTHERN REGIONAL MEDICAL CENTER WEB SITE IN AN ADOBE PDF FORMAT. PART I, LINE 7: THE ORGANIZATION UTILIZED THE RATIO OF COST TO CHARGE INFORMATION FROM WORKSHEET 2 OF SCHEDULE H, FORM 990. PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES LISTED ON LINE 7G ARE RELATED TO EMERGENCY ROOM SERVICES AND WOMEN'S COMMUNITY CARE SERVICES PROVIDED TO THE RESIDENTS OF THE SOUTHERN CRESCENT. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 52085258. PART III, LINE 4: THE ORGANIZATION FOLLOWS THE METHOD DESCRIBED IN HFMA STATEMENT 15. THE COSTING METHODOLOGY WAS BASED ON THE WORKSHEET C FROM THE FY 2012 COST REPORT, AND THE COST TO CHARGE RATIO WAS APPLIED TO BAD DEBT EXPENSE TO CALCULATE BAD DEBT EXPENSE AT COST. PART III, LINE 8: THE METHODOLOGY USED FOR THIS SECTION WAS WORKSHEET 2, SCHEDULE H OF THE FORM 990. PART III, LINE 9B: PATIENTS ARE SCREENED BASED ON COUNTY OF RESIDENCE, INCOME LEVELS, AND WHETHER THE MEDICAL CARE IS CONSIDERED CATASTROPHIC IN NATURE. DEPENDING ON THE CRITERIA, PATIENT'S BILLS ARE REDUCED BY ADJUSTMENTS TO CHARITY OR INDIGENT CARE USING THE SPECIFIC GUIDELINES IN HTE POLICY. INCOME CRITERIA ARE BASED ON VARIOUS PERCENTAGES OF FEDERAL POVERTY GUIDELINES (FPG). THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES WHEN THEY QUALIFY FOR INDIGENT CARE / CHARITY CARE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS. SOUTHERN REGIONAL HEALTH SYSTEM PART V, SECTION B, LINE 3: SEVENTEEN INDIVIDUAL COMMUNITY STAKEHOLDERS WERE INTERVIEWED AND ONE FOCUS GROUP OF NINE PATIENTS AND FAMILY ADVISORS (PFA) WAS CONDUCTED BY THE STRATEGIC PLANNING OFFICE. THESE STAKEHOLDERS INCLUDED A MIX OF INTERNAL AND EXTERNAL REPRESENTATIVES TO SRMC, PASTORS, PUBLIC HEALTH OFFICIALS, HEALTH CARE PROVIDERS, SOCIAL AGENCY REPRESENTATIVES, GOVERNMENT LEADERS, AND BOARD MEMBERS. SEE APPENDIX B OF THE CHNA FOR INDIVIDUAL STAKEHOLDER NAMES. SOUTHERN REGIONAL HEALTH SYSTEM PART V, SECTION B, LINE 4: EMORY UNIVERSITY HOSPITAL, EMORY UNIVERSITY HOSPITAL MIDTOWN, EMORY JOHNS CREEK HOSPITAL, SAINT JOSEPH'S HOSPITAL, WESLEY WOODS GERIATRIC HOSPITAL, WESLEY WOODS LONG-TERM ACUTE CARE HOSPITAL, EMORY ADVENTIST HOSPITAL SOUTHERN REGIONAL HEALTH SYSTEM 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. PART VI, LINE 2: HEALTH NEEDS ARE GENERALLY ASSESSED THROUGH A STRATEGIC PLANNING PROCESS THAT LOOKS AT THE PRIMARY AND SECONDARY SERVICE AREAS FOR TRENDS IN AGE, INCOME, AND USE RATES FOR VARIOUS SERVICES OR ILLNESSES. COMMUNITY NEEDS ARE ALSO BASED ON A NEEDS ASSESSMENT RELATED TO VARIOUS PHYSICIAN SPECIALTIES, FOR EXAMPLE, THE SERVICE AREA HAS NEEDS FOR PRIMARY CARE PHYSICIANS. THE ORGANIZATION WORKS WITH LOCAL PHYSICIAN PRACTICES TO SHAPE THIS INFORMATION AND ENCOURAGE VARIOUS PHYSICIAN RECRUITMENT ACTIVITIES. HEALTH NEEDS ARE ALSO INDIRECTLY ASSESSED BY ANALYZING TRENDS FOR SERVICES OFFERED AT THE ORGANIZATION AND THE HEALTH STATUS OF THOSE PATIENTS. PART VI, LINE 3: THE ORGANIZATION INFORMS AND EDUCATES PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE BY POSTED SIGNS, FORMS, AND EMAILS. PART VI, LINE 4: THE ORGANIZATION SERVES THE PATIENTS IN THE SOUTHERN CRESCENT OF THE METRO ATLANTA AREA. OUR PRIMARY SERVICE AREA INCLUDES CLAYTON COUNTY, FAYETTE COUNTY, HENRY COUNTY, AND PORTIONS OF SOUTH FULTON COUNTY. THE SOUTHERN CRESCENT IS A LARGE DIVERSE COMMUNITY, AND THE ORGANIZATION OFFERS SERVICES TO MEET THESE VARIED NEEDS. THE MAJOR SERVICES THE ORGANIZATION OFFERS IN THE SOUTHERN CRESCENT ARE OB SERVICES, NEONATOLOGY, GYNECOLOGICAL, ONCOLOGY & HEMATOLOGY, NEUROLOGY, NEUROSURGERY, ORTHOPEDICS, VASCULAR CARE, CARDIOLOGY AND INTERVENTIONAL CARDIOLOGY, ACUTE REHABILITATION, OP IMAGING, OP SURGERY & GASTROENTEROLOGY, EMERGENCY CARE, AND WOMEN'S COMMUNITY CARE. PART VI, LINE 5: THE ORGANIZATION PROMOTES HEALTH IN THE COMMUNITY THROUGH 90 SECOND HEALTH BREAK COMMERCIALS, SPRING INTO HEALTHY LIVING CONFERENCE, HEALTH SCREENINGS AND SPONSORSHIPS. THE ORGANIZATION HAS A COMMUNITY BASED BOARD OF DIRECTORS AND IS ALSO LINKED TO THE COMMUNITY THROUGH THE CLAYTON COUNTY HOSPITAL AUTHORITY (CCHA), WHICH IS A GOVERNMENT ENTITY.EXCESS FUNDS FROM THE OPERATION OF THE ORGANIZATION ARE REDIRECTED BACK TO THE MISSION OF THE ORGANIZATION THROUGH THE PURCHASE OF EQUIPMENT, MAINTAINING / UPGRADING THE FACILITIES, DEVELOPING NEW SERVICES TO BENEFIT THE COMMUNITY, OR FUNDING OPERATIONS. REPORTS FILED WITH STATES PART VI, LINE 7 GA 1 SOUTHERN CRESCENT PHYSICIANS GROUP 11 UPPER RIVERDALE RD SW RIVERDALE GA 30274 581955425 501(C)(3) 1124970 OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE SOUTHERN CRESCENT REAL ESTATE 11 UPPER RIVERDALE RD SW RIVERDALE GA 30274 581955424 501(C)(3) 310000 OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE ARTS CLAYTON 1365 S MAIN ST JONESBORO GA 30236 581727604 501(C)(3) 6000 OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE UNIVERSITY OF GEORGIA FOUNDATION 394 SOUTH MILLEDGE AVE ATHENS GA 30602 586033837 501(C)(3) 30000 OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE SOUTHLAKE AMBULATORY SURGERY CENTER LP 7813 SPIVEY STATION BLVD JONESBORO GA 30236 582272588 65000 OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE GOOD SHEPARD CLINIC 6392 MURPHY DR MORROW GA 30260 582578581 501(C)(3) 5000 OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 5000 OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE 6 1 TUITION ASSISTANCE 42 88005 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: APPROVED EDUCATION PROGRAMS DURING PERIODS OF SIGNIFICANT LABOR SHORTAGES ARE ELIGIBLE FOR TUITION REIMBURSEMENT. EMPLOYEES MUST APPLY PRIOR TO THE START OF THE COURSE. WITHIN 30 DAYS OF SUCCESSFUL COMPLETION OF THE COURSE, THE EMPLOYEE MUST SUBMIT A COPY OF THEIR GRADE, AND THE ORIGINAL TUITION RECEIPT FROM THE INSTITUTION TO THE HUMAN RESOURCES DEPARTMENT FOR PROCESSING. EMPLOYEES MUST COMPLETE THE COURSE WHILE EMPLOYED AT THE HOSPITAL. THE FILING ORGANIZATION MONITORS TAX EXEMPT PURPOSE COMPLIANCE FOR THE USE OF FUNDS GRANTED TO ITS SUPPORTING ORGANIZATIONS THROUGH A SHARED MANAGEMENT TEAM. X X 1 1 X X X X 0 0 0 0 0 0 0 0 0 JAMES E CRISSEY 323926 0 0 0 5669 0 9233 0 19457 0 358285 0 0 0 S LEE BOLES 290321 0 0 0 9082 0 8961 0 18370 0 326734 0 0 0 JOHN R MCLAIN 288618 0 0 0 5649 0 9041 0 14481 0 317789 0 0 0 WILLIE COCHRAN 258152 0 0 0 5159 0 7844 0 18370 0 289525 0 0 0 JANIS M DARNABY 229236 0 0 0 2350 0 7407 0 5580 0 244573 0 0 0 JOE E BARKER 153626 0 0 0 1948 0 5412 0 4372 0 165358 0 0 0 STACEY J HANCOCK 150589 0 0 0 4109 0 6180 0 14481 0 175359 0 0 0 CLAUDIA E HALL 119891 0 20000 0 4138 0 5756 0 14481 0 164266 0 0 0 WELLINGTON ROLLIE 135071 0 2475 0 5293 0 5709 0 14481 0 163029 0 0 0 YVELINE SAMUEL-HERARD 134345 0 250 0 4383 0 4864 0 18236 0 162078 0 0 0 SHARON W SIMMONS 131465 0 0 0 4326 0 4040 0 14481 0 154312 0 0 0 STEPHEN W MAHAN 132867 0 0 0 1846 0 5124 0 6168 0 146005 0 0 0 PART I, LINE 1A SPOUSE TRAVEL EXPENSES ARE REIMBURSED WHEN HIS/HER ATTENDANCE IS NECESSARY AND ESSENTIAL. SPOUSAL TRAVEL EXPENSES REQUIRE PRIOR APPROVAL. REIMBURSEMENT SHALL BE LIMITED TO TRANSPORTATION EXPENSE NOT TO EXCEED THE AIR TRAVEL RATE IN COACH CLASS AND OUT-OF-POCKET EXPENSES WITH RESPECT LODGING AND FOOD. REIMBURSEMENT SHALL BE LIMITED TO LODGING BASED ON DOUBLE ACCOMODATION. THE POLICY RECOGNIZES THAT GOVERNING BOARD MEMBERS ARE OFTEN PLACED IN SOCIAL SITUATIONS AT SUCH MEETINGS AND WOULD REPRESENT THE HOSPITAL OPTIMALLY WITH THE ASSISTANCE OF THEIR SPOUSES. ADDITIONALLY, SOUTHERN REGIONAL HEALTH SYSTEM, INC. HAS A CORPORATE MEMBERSHIP TO A LOCAL COUNTRY CLUB FOR WHICH SELECTED OFFICERS AND KEY EMPLOYEES PARTICIPATE IN SOCIAL CLUB MEMBERSHIP. THE ORGANIZATION INTENDS FOR THESE PRIVILGES TO BE BUSINESS USE ONLY AND CONSEQUENTLY, THESE BENEFITS ARE NOT INCLUDED IN THEIR TAXABLE WAGES. PART I, LINE 1B A FORMAL POLICY EXISTS, AND RECEIPTS AND APPROVAL ARE REQUIRED BEFORE REIMBUSREMENT FORMS ARE PROCESSED THROUGH THE ACCOUNTING DEPARTMENT FOR PAYMENT. A CLAYTON COUNTY HOSPITAL AUTHORITY SERIES 2010A 582016041 184153EE0 2010-12-15 35205000 REFINANCE 2009 BONDS 0 1 0 B CLAYTON COUNTY HOSPITAL AUTHORITY SERIES 2010B 582016041 184153EQ3 2010-12-15 7500000 REFINANCE 1998A BONDS 0 1 0 A 3000 35280659 34693200 587459 1 0 1 1 B 1140000 7500000 7374841 125159 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 B 0 FORM 990, PART VI, SECTION B, LINE 11 THE TAX RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT. THE COMPLETED IRS FORM 990 TAX RETURN, ALONG WITH ALL SUPPORTING SCHEDULES, WAS POSTED TO THE SRHS EXTRANET FOR BOARD MEMBER ACCESS AND REVIEW NOTIFICATION OF THE POSTING WAS SENT VIA EMAIL. BOARD MEMBERS REVIEWED THE TAX RETURN BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS AND SENIOR MANAGEMENT. ANY POTENTIAL CONFLICT IS DISCUSSED WITH THE BOARD OF DIRECTORS (ABSENT THE MEMBER WITH THE POTENTIAL CONFLICT). IF IT IS DETERMINED THAT CONFLICT EXISTS, THEN THE BOARD MAY HAVE THE MEMBER EITHER RESIGN OR REMOVE THE CONFLICT, OR THEY MOVE FORWARD WITH THE TRANSACTION IF SPECIFIC FACTS ARE PRESENT. IF THE LATER SITUATION TAKES PLACE, THEN THE MEMBER IS EXCLUDED FROM DISCUSSIONS AND THE VOTE FOR THAT TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AUTHORIZES THE COMPENSATION PACKAGE OF EXECUTIVIES UTILIZING THE VHA GEORGIA SURVEY OF EXECUTIVE COMPENSATION AND OTHER APPROPRIATE SURVEYS. THE SURVEY IS REVIEWED TO ENSURE COMPETITIVE WAGES AND BENEFITS FOR THE CEO, CFO, OTHER OFFICERS, AND KEY EMPLOYEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION COMPLIES WITH THE OPEN RECORDS LAW. UPON WRITTEN REQUEST, GOVERNING DOCUMENTS DEEMED ACCESSIBLE TO THE PUBLIC UNDER THE LAW CAN BE VIEWED IN THE OFFICE OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. OTHER FEES FORM 990, PART IX, LINE 11G CONSULTING : PROGRAM SERVICE EXPENSES 113,158. MANAGEMENT AND GENERAL EXPENSES 503,896. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 617,054. PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 27,577,496. MANAGEMENT AND GENERAL EXPENSES 1,687,064. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,264,560. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: ACCRUED PENSION ADJUSTMENT 8,540,000. CHANGES IN NET ASSETS 982,000. TRANSFER OF CAPITAL -1,631,030. ROUNDING ADJUSTMENT 27,558. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SOUTHERN CRESCENT PHYSICIANS GROUP 11 UPPER RIVERDALE RD SW RIVERDALE GA 30274 581955425 HEALTHCARE GA 501(C)(3) 3 SOUTHERN REGIONAL HEALTH SYSTEM INC 1 SOUTHERN REGIONAL MEDICAL CENTER FOUNDATION 11 UPPER RIVERDALE RD SW RIVERDALE GA 30274 581983516 FUNDRAISING GA 501(C)(3) LINE 11, TYPE II SOUTHERN REGIONAL HEALTH SYSTEM INC 1 SOUTHERN REGIONAL MEDICAL CENTER AUXILIARY 11 UPPER RIVERDALE RD SW RIVERDALE GA 30274 582027384 GIFT SHOP AND VOLUNTEER GA 501(C)(3) LINE 11, TYPE II SOUTHERN REGIONAL HEALTH SYSTEM INC 1 SOUTHERN REGIONAL AMBULATORY SURGERY INC 11 UPPER RIVERDALE RD SW RIVERDALE GA 30274 582541044 HEALTHCARE GA 501(C)(3) LINE 11, TYPE II SOUTHERN REGIONAL HEALTH SYSTEM INC 1 CLAYTON COUNTY HOSPITAL AUTHORITY TRUST COMPANY LIABILITY TRUST 11 UPPER RIVERDALE RD SW RIVERDALE GA 30274 582016041 LIABILITY INSURANCE GA 501(C)(3) LINE 11, TYPE II SOUTHERN REGIONAL HEALTH SYSTEM INC 1 SOUTHERN CRESCENT REAL ESTATE INC 11 UPPER RIVERDALE RD SW RIVERDALE GA 30274 581955424 REAL ESTATE MANAGEMENT GA 501(C)(3) LINE 11, TYPE II SOUTHERN REGIONAL HEALTH SYSTEM INC 1 SPIVEY STATION ASC BUILDING LP TWO SUN COURT STE 350 NORCROSS GA 30092 263323060 RENTAL GA SOUTHERN REGIONAL HEALTH SYSTEM INC RELATED 76692 5125004 0 0 0.45410 SOUTHLAKE AMBULATORY SURGERY CENTER 4000 CORPORATE CENTER DR MORROW GA 30260 582272588 SURGICAL GA N/A SOUTHERN REGIONAL MEDICAL SERVICES INC 11 UPPER RIVERDALE RD SW RIVERDALE GA 30274 208774854 EQUIPMENT LEASE GA SOUTH REGIONAL HEALTH SYSTEM INC C 46641 485459 1.00000 1 SOUTHERN CRESCENT HEALTH NETWORK INC 11 UPPER RIVERDALE RD SW RIVERDALE GA 30274 582220817 PHYSICIAN NETWORK GA SOUTH REGIONAL HEALTH SYSTEM INC C -583 82579 1.00000 1 SPIVEY STATION MANAGEMENT ASSOCIATION INC 11 UPPER RIVERDALE RD SW RIVERDALE GA 30274 260629861 HEALTHCARE GA SOUTH REGIONAL HEALTH SYSTEM INC C 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 SOUTHERN REGIONAL AMBULATORY SURGERY B 65000 SOUTHERN CRESCENT PHYSICIANS GROUP B 1124970 SOUTHERN CRESCENT REAL ESTATE B 310000