UNION COUNTY HOSPITAL AUTHORITY: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- UNION COUNTY HOSPITAL AUTHORITY (EIN 58-6025393)
- Tax period
- 2023-05-01 to 2024-04-30
- Filed
- 2025-03-13
- IRS object ID
- 202500729349300620
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-03-13T09:30:12-04:00 | ReturnTs |
| Tax Period End | 2024-04-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 580914992 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 71309 | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 317081309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-05-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 586025393 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNION COUNTY HOSPITAL AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIO | BusinessNameControlTxt |
| Phone | 7067452111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 HOSPITAL ROAD | AddressLine1Txt |
| City | BLAIRSVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30512 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICHOLAS TOWNSEND | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7067452111 | PhoneNum |
| Signature | 2025-03-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM EDWARD PHILLIPS | PreparerPersonNm |
| PTIN | P00451499 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2025-03-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNION GENERAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KEVIN L BIERSCHENK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 HOSPITAL ROAD | AddressLine1Txt |
| City | BLAIRSVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30512 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $136,124,907 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UNIONGENERALHEALTHSYSTEM.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1959 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HIGH QUALITY, COST EFFECTIVE HEALTH CARE AND TO PROMOTE WELLNESS IN OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 1228 | TotalEmployeeCnt |
| Total Volunteers | 44 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $6,698,923 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,648,078 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $110,685,831 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $121,649,684 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,146,980 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,583,733 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,645,743 | PYOtherRevenueAmt |
| CY Other Revenue | $7,217,456 | CYOtherRevenueAmt |
| PY Total Revenue | $131,177,477 | PYTotalRevenueAmt |
| CY Total Revenue | $136,098,951 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $59,262,069 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $63,492,003 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,857 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $48,171,708 | PYOtherExpensesAmt |
| CY Other Expenses | $52,358,515 | CYOtherExpensesAmt |
| PY Total Expenses | $107,433,777 | PYTotalExpensesAmt |
| CY Total Expenses | $115,850,518 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $23,743,700 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $20,248,433 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $179,467,429 | TotalAssetsBOYAmt |
| Total Assets EOY | $206,386,325 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,025,504 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,709,162 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $168,441,925 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $190,677,163 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE HIGH QUALITY, COST EFFECTIVE HEALTH CARE AND TO PROMOTE WELLNESS IN OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $96,660,195 | ExpenseAmt |
| Revenue | $126,624,697 | RevenueAmt |
| Desc | UNION GENERAL HOSPITAL (UGH) IS A 501(C)(3) HEALTHCARE ORGANIZATION THAT TAKES A PROACTIVE APPROACH DESIGNED TO MEET COMMUNITY HEALTH NEEDS AND MEET ITS TAX-EXEMPT REQUIREMENTS. THE ORGANIZATION IS COMMITTED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE AND PROMOTING WELLNESS IN THE COMMUNITY THROUGH ITS MISSION STATEMENT AND POLICIES SUPPORTING SAME. THE VISION IS TO BE THE "FIRST CHOICE" PROVIDER OF COMPREHENSIVE MEDICAL SERVICES IN THE AREA. WE VALUE OUR PATIENTS AND BELIEVE THEY ARE OUR MOST IMPORTANT RESPONSIBILITY. WE SHALL ALWAYS SEEK TO MEET THE PHYSICAL, EMOTIONAL, EDUCATIONAL, AND SPIRITUAL NEEDS OF OUR PATIENTS AND THEIR FAMILIES. WE VALUE OUR MEDICAL STAFF AND WILL SEEK WAYS TO HELP THEM IMPROVE PROFESSIONALLY AND FACILITATE THE PRACTICE OF MEDICINE. WE VALUE OUR EMPLOYEES AND SHALL TREAT EACH OTHER WITH COURTESY, FAIRNESS, RESPECT, AND INTEGRITY. WE SHALL WORK AS A TEAM TO DO OUR BEST TO PROMOTE OUR MISSION AND FULFILL OUR VISION. WE VALUE OUR COMMUNITY AND ARE COMMITTED TO THE TREATMENT AND CARE OF OUR PATIENTS AND PROMOTION OF WELLNESS IN OUR COMMUNITY. WE WILL CONFRONT ALL ETHICAL AND MORAL HEALTH-RELATED ISSUES NECESSARY TO ENHANCE THE QUALITY OF LIFE IN OUR COMMUNITY. UGH IS THE ONLY ACUTE CARE HOSPITAL IN UNION COUNTY, GEORGIA. UGH IS LICENSED FOR 45 ACUTE AND INTENSIVE CARE MEDICAL/SURGICAL BEDS FOR SHORT- TERM INPATIENT CARE. THE BEDS ALSO QUALIFY FOR "SWING BED" STATUS FOR SHORT-TERM SKILLED NURSING CARE. OUTPATIENT SERVICES INCLUDE RADIOLOGY, LABORATORY AND OTHER DIAGNOSTIC SERVICES, SURGICAL AND REHABILITATION SERVICES, AND 24/7 EMERGENCY MEDICAL SERVICES. UGH (ALONG WITH UNION GENERAL AMBULANCE SERVICE, INC., A CONTROLLED TAX-EXEMPT ENTITY) ALSO OPERATES THE COUNTY AMBULANCE SERVICE, ONE OF THE VERY FEW HOSPITALS DOING SO IN GEORGIA. THIS INCLUDES THE WAGES AND BENEFITS FOR ITS EMERGENCY MEDICAL TECHNICIANS AND PARAMEDICS, MEDICAL AND OTHER SUPPLIES, ACQUISITION AND MAINTENANCE FOR EMERGENCY TRANSPORT VEHICLES, AND FACILITIES FOR BASE OPERATIONS. DUE TO THE MOUNTAINOUS AREA, THE TWISTING MOUNTAIN ROADS ATTRACT BICYCLISTS AND MOTORCYCLISTS THROUGHOUT THE SPRING, SUMMER AND FALL SEASONS. THESE ACTIVITIES SOMETIMES RESULT IN MEDICAL EMERGENCIES, SOME VERY SERIOUS, TO WHICH THE EMERGENCY MEDICAL SERVICES OF UGH MUST RESPOND. UGH PROVIDES NON-EMERGENCY TRANSPORT UNDER CONTRACT WITH THE STATE OF GEORGIA TO COMMUNITY RESIDENTS WHO ARE WITHOUT TRANSPORTATION TO ROUTINE SCHEDULED DOCTOR AND OTHER MEDICAL APPOINTMENTS. UGH PROVIDES ITS HELIPAD TO SUPPORT AIR AMBULANCE SERVICES. THE UNION COUNTY NURSING HOME (UCNH) IS THE ONLY NURSING FACILITY IN THE COUNTY PROVIDING SKILLED AND INTERMEDIATE LEVELS OF LONG-TERM CARE. UCNH IS LICENSED FOR 150 BEDS AND CONSISTENTLY HAS A WAITING LIST FOR ADMISSIONS. A MAJORITY OF THE RESIDENTS OF UCNH ARE MEDICARE AND MEDICAID BENEFICIARIES. THE ORGANIZATION PROMOTES WELLNESS IN THE COMMUNITY BY SPONSORING HEALTH FAIRS, DIABETES AWARENESS CLINICS, AN AFFORDABLE FITNESS CENTER, AND EDUCATIONAL AND TESTING OPPORTUNITIES FOR THE GENERAL PUBLIC. THE ORGANIZATION PROVIDES FOR HOUSING FOR PATIENT'S FAMILIES WHEN PATIENTS ARE HOSPITALIZED FOR AN EXTENDED PERIOD OF TIME THROUGH ITS GLENDA GOOCH HOUSE. | Desc |
| Total Program Service Expenses | $96,660,195 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 125 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1228 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICK TOWNSEND | PersonNm |
| Phone | 7064396490 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 HOSPITAL ROAD | AddressLine1Txt |
| City | BLAIRSVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30512 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| JACOB STIRTON | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $1,635,037 | $0 | $29,752 | |||
| RONALD A MACBETH MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $658,896 | $0 | $36,834 | |||
| KIMBERLY DENTON MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $526,650 | $0 | $36,834 | |||
| CLIFFORD THOMPSON | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $517,516 | $0 | $33,534 | |||
| KEVIN DAVIS | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $511,710 | $0 | $36,659 | |||
| KEVIN L BIERSCHENK | ||||||||
| CEO | 40.00 | $503,656 | $0 | $22,494 | Yes (X) | |||
| JULIA BARNETT | ||||||||
| CNO | 35.00 | $269,176 | $0 | $28,230 | Yes (X) | 5.00 | ||
| NICHOLAS TOWNSEND | ||||||||
| CFO | 34.00 | $271,267 | $0 | $25,257 | Yes (X) | 6.00 | ||
| MICHAEL GAY | ||||||||
| COO | 34.00 | $266,819 | $0 | $28,431 | Yes (X) | 6.00 | ||
| RICK DAVENPORT | ||||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | 1.50 | Yes (X) | ||
| THOMAS GARY MD | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | 1.50 | Yes (X) | ||
| SONNY MAHAN | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | 1.50 | Yes (X) | ||
| GREG OWENBY | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | 1.50 | Yes (X) | ||
| DINAH PARIS | ||||||||
| VICE CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | 1.50 | Yes (X) | |
| STEVEN ROWE | ||||||||
| CHAIRMAN | 1.00 | $0 | $0 | $0 | Yes (X) | 1.50 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,160,727 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $278,025 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 77 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Business Name Line2ContractorName/BusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|
| BRASFIELD & GORRIE LP | ||||||
| 2999 CIRCLE 75 PARKWAY | ATLANTA | GA | 30339 | CONSTRUCTION MG | $4,123,769 | |
| SOUTHLAND MEDICAL GROUP LLC | ||||||
| PO BOX 1276 | THOMASVILLE | GA | 31799 | MEDICAL SERVICE | $3,053,601 | 3053601 |
| NI2 HEALTH INC | ||||||
| PO BOX 654060 | DALLAS | TX | 752654060 | REV CYCLE OPS | $1,479,354 | |
| HEALTHCARE SERVICES GROUP | ||||||
| 3220 TILLMAN DRIVE SUITE 300 | BENSALEM | PA | 19020 | ENVIROMNENTAL | $1,015,725 | |
| INNOVATIVE ANESTHESIA SERVICES | ||||||
| 242 9TH AVENUE DRIVE NE | HICKORY | NC | 28601 | MEDICAL | $602,050 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,040,498 | GovernmentGrantsAmt |
| All Other Contributions | $1,607,580 | AllOtherContributionsAmt |
| Total Contributions | $2,648,078 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $121,649,684 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $121,649,684 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $121,649,684 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,560,639 | TotalRevenueColumnAmt |
| Exclusion | $4,560,639 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,442,305 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,442,305 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,442,305 | TotalRevenueColumnAmt |
| Exclusion | $1,442,305 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $49,050 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $25,956 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $23,094 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,094 | TotalRevenueColumnAmt |
| Exclusion | $23,094 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PHARMACY | 623000 | $2,973,498 | $2,973,498 | |
| UNION GENERAL WELLNESS | 713940 | $686,736 | $686,736 | |
| CHILD CARE CENTER | 624410 | $647,708 | $647,708 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,467,209 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,314,779 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $152,430 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,775,151 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $136,098,951 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $126,624,697 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $6,826,176 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,373,335 | TotalAmt |
| Management And General | $1,373,335 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,328,087 | TotalAmt |
| Program Services | $45,914,716 | ProgramServicesAmt |
| Management And General | $6,413,371 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $856,228 | TotalAmt |
| Program Services | $730,020 | ProgramServicesAmt |
| Management And General | $126,208 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,975,941 | TotalAmt |
| Program Services | $4,242,487 | ProgramServicesAmt |
| Management And General | $733,454 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,958,412 | TotalAmt |
| Program Services | $3,374,942 | ProgramServicesAmt |
| Management And General | $583,470 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,340 | TotalAmt |
| Management And General | $198,340 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,305,882 | TotalAmt |
| Program Services | $6,359,207 | ProgramServicesAmt |
| Management And General | $2,944,818 | ManagementAndGeneralAmt |
| Fundraising | $1,857 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,820 | TotalAmt |
| Program Services | $45,339 | ProgramServicesAmt |
| Management And General | $79,481 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,684,798 | TotalAmt |
| Program Services | $2,386,601 | ProgramServicesAmt |
| Management And General | $2,298,197 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,686 | TotalAmt |
| Program Services | $48,117 | ProgramServicesAmt |
| Management And General | $146,569 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,128,732 | TotalAmt |
| Program Services | $3,105,562 | ProgramServicesAmt |
| Management And General | $23,170 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,362 | TotalAmt |
| Program Services | $164,443 | ProgramServicesAmt |
| Management And General | $11,919 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,964 | TotalAmt |
| Program Services | $56,257 | ProgramServicesAmt |
| Management And General | $10,707 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,682 | TotalAmt |
| Program Services | $14,682 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,731,890 | TotalAmt |
| Program Services | $5,969,840 | ProgramServicesAmt |
| Management And General | $762,050 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,758,991 | TotalAmt |
| Program Services | $1,587,660 | ProgramServicesAmt |
| Management And General | $171,331 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $17,990,690 | $17,990,690 | |
| REPAIRS & MAINTENANCE | $3,025,084 | $1,703,364 | $1,321,720 |
| DUES & SUBSCRIPTIONS | $2,561,984 | $600,560 | $1,961,424 |
| PROVIDER TAX - HOSPITAL | $1,079,673 | $1,079,673 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,314,937 | TotalAmt |
| Program Services | $1,286,035 | ProgramServicesAmt |
| Management And General | $28,902 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,850,518 | TotalAmt |
| Program Services | $96,660,195 | ProgramServicesAmt |
| Management And General | $19,188,466 | ManagementAndGeneralAmt |
| Fundraising | $1,857 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,536 | BOYAmt |
| EOY | $1,496,497 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,559,506 | BOYAmt |
| EOY | $86,036,391 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,126,003 | BOYAmt |
| EOY | $20,536,314 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,674,415 | BOYAmt |
| EOY | $2,887,923 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,445,908 | BOYAmt |
| EOY | $2,849,973 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $162,677,176 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $91,890,428 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,145,250 | BOYAmt |
| EOY | $70,786,748 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,493,075 | BOYAmt |
| EOY | $14,374,567 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,703,736 | BOYAmt |
| EOY | $7,417,912 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,467,429 | BOYAmt |
| EOY | $206,386,325 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,007,599 | BOYAmt |
| EOY | $11,321,586 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $648,864 | BOYAmt |
| EOY | $469,171 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,369,041 | BOYAmt |
| EOY | $3,918,405 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,025,504 | BOYAmt |
| EOY | $15,709,162 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,420,212 | BOYAmt |
| EOY | $190,653,934 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,713 | BOYAmt |
| EOY | $23,229 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,441,925 | BOYAmt |
| EOY | $190,677,163 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,467,429 | BOYAmt |
| EOY | $206,386,325 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $20,248,433 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1,986,805 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $12,791 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,791 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | THE FILING ENTITY IS A MEMBER OF VARIOUS NATIONAL AND STATE HOSPITAL ASSOCIATIONS. A PERCENTAGE OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING ACTIVITIES CONDUCTED BY THOSE ASSOCIATIONS. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,713 | BeginningYearBalanceAmt |
| Contributions | $1,516 | ContributionsAmt |
| End Year Balance | $23,229 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,418 | BeginningYearBalanceAmt |
| Contributions | $7,295 | ContributionsAmt |
| End Year Balance | $21,713 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,321 | BeginningYearBalanceAmt |
| Administrative Expenses | -$7,097 | AdministrativeExpensesAmt |
| End Year Balance | $14,418 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,433 | BeginningYearBalanceAmt |
| Contributions | $888 | ContributionsAmt |
| End Year Balance | $7,321 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,065 | BeginningYearBalanceAmt |
| Contributions | $1,368 | ContributionsAmt |
| End Year Balance | $6,433 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,371,532 | OtherCostOrOtherBasisAmt |
| Book Value | $6,371,532 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $71,301,879 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,691,635 | DepreciationAmt |
| Book Value | $36,610,244 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $62,564,345 | OtherCostOrOtherBasisAmt |
| Depreciation | $51,230,147 | DepreciationAmt |
| Book Value | $11,334,198 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,439,420 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,968,646 | DepreciationAmt |
| Book Value | $16,470,774 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $70,786,748 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| CHATUGE REGIONAL HOSPITAL INVESTMENT | $13,834,529 | C |
| PHYSICIAN NOTES AND RECEIVABLES | $351,538 | C |
| ATLANTA ONCOLOGY CENTER INVESTMENT | $187,500 | C |
| GMEP LLC INVESTMENT | $1,000 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $14,374,567 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| AMOUNTS DUE TO PATIENTS | $1,526,289 |
| THIRD PARTY PAYABLES | $1,251,294 |
| SELF INSURANCE LIABILITY | $929,036 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $574,426 |
| MEDICARE ADVANCE PAYMENTS | $344,426 |
| DEFERRED COMPENSATION | $107,709 |
| INTERCOMPANY PAYABLES | -$814,775 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,918,405 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | FUNDS ARE FOR THE FINANCIAL SUPPORT OF THE HOSPITAL, GENERALLY FOR SPECIFIC PROGRAMS OR NEEDS. |
| SCHEDULE D, PAGE 3, PART X | UNION, CHATUGE, THE AMBULANCE SERVICE, THE DIALYSIS CLINIC, THE UNION GENERAL AFFILIATED SERVICES, AND THE NORTH CAROLINA AFFILIATED SERVICES ARE TAX EXEMPT UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. UNION GENERAL HEALTH SYSTEM SEGREGATED PORTFOLIO IS EXEMPTED FROM ALL LOCAL INCOME, PROFIT, OR CAPITAL GAINS TAXES UNTIL MAY 1, 2040 UNDER THE CAYMAN ISLANDS TAX CONCESSIONS LAW. THE CORPORATION 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 CORPORATION 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 APRIL 30, 2024 AND 2023 OR FOR THE YEARS THEN ENDED. THE CORPORATION'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA & CARIBBEAN | RegionTxt |
| Type Of Activities Conducted | INVESTMENTS | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $7,963,556 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $7,963,556 | SubtotalSpentAmt |
| Total Spent | $7,963,556 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE F, PAGE 1, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | CENTRAL AMERICA & CARIBBEAN 0 7,963,556 | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 1.250000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $616,301 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $616,301 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,109,579 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,803,618 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,725,880 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,803,618 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $616,301 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,290 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,290 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,290 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,290 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,744,170 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,803,618 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $634,591 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,799,176 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,009,057 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $25,671,496 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $23,682,392 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,989,104 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNION GENERAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 HOSPITAL ROAD | AddressLine1Txt |
| City | BLAIRSVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30512 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.UNIONGENERALHEALTHSYSTEM.COM | WebsiteAddressTxt |
| State License | 144-185 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | CLINICS, SNF | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNION GENERAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.UNIONGENERALHEALTHSYSTEM.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.UNIONGENERALHEALTHSYSTEM.COM/COMMU | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.UNIONGENERALHEALTHSYSTEM.COM/PATIE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.UNIONGENERALHEALTHSYSTEM.COM/PATIE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.UNIONGENERALHEALTHSYSTEM.COM/PATIE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, UNION GENERAL HOSPITAL - PART V, LINE 3E | THE HOSPITAL PRIORITIZED THE FOLLOWING COMMUNITY HEALTH NEEDS WHILE CONDUCTING THE 2024 CHNA - 1)CANCER - INCREASE AWARENESS, PROVIDE EDUCATION AND FREE SCREENINGS FOR TOWNS COUNTY. 2)HEART DISEASE - BRING CONTINUED AWARENESS AND EDUCATION TO REDUCE HEART DISEASE IN TOWNS COUNTY. 3) DIABETES - INCREASE AWARENESS OF CONNECTION BETWEEN DIABETES AND WEIGHT MANAGEMENT AND PREVENTION STRATEGIES. |
| FACILITY 1, UNION GENERAL HOSPITAL - PART V, LINE 5 | THE HOSPITAL COLLABORATED WITH THE CENTER FOR PUBLIC HEALTH PRACTICE AND RESEARCH, OF THE JIANN PING HSU COLLEGE OF PUBLIC HEALTH AT GEORGIA SOUTHERN UNIVERSITY TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. THE GSU TEAM APPLIED A MIXED METHOD APPROACH AND GAINED INPUT FROM THE GENERAL COMMUNITY THROUGH FOCUS GROUP DISCUSSIONS AND SURVEYS. DATA FROM SECONDARY SOURCES WERE ALSO USED IN ASSESING THE NEEDS OF THE COMMUNITY. BASED ON THE RESULTS, THE CHNA STEERING COMMITTEE, WHICH INCLUDED A REPRESENTATIVE FROM THE LOCAL HEALTH DEPARTMENT, DETERMINED THE PRIORITY AREAS FOR THE NEXT THREE YEARS. SURVEYS WERE COMPLETED (PARTIALLY OR COMPLETELY) BY 209 COMMUNITY MEMBERS. THE COMMUNITY SURVEY WAS DISSEMINATED VIA THE HOSPITAL'S SOCIAL MEDIA WEBPAGES AND EMAIL LISTS, AS WELL AS THOSE OF LOCAL COMMUNITY PARTNERS. FOCUS GROUP PARTICIPANTS WERE ALL KEY STAKEHOLDERS IN MAINTAINING THE OVERALL HEALTH OF UNION COUNTY RESIDENTS AND INCLUDED REPRESENTATION FROM THE LOCAL HEALTH DEPARTMENT. |
| FACILITY 1, UNION GENERAL HOSPITAL - PART V, LINE 11 | THE COMMUNITY IDENTIFIED MENTAL HEALTH AND POVERTY AS AREAS OF CONCERN THAT ARE NOT ADDRESSED DIRECTLY BY THE HOSPITAL. THESE AREAS ARE BEYOND THE SCOPE OF THE HOSPITAL'S SERVICES AND FINANCIAL RESOURCES. HOWEVER, THROUGH COLLABORATION WITH OTHER PROVIDERS, NONPROFIT ORGANIZATIONS AND GOVERNMENTAL AGENCIES, THE COMMUNITY WILL ADDRESS THESE CORE HEALTH PROBLEMS. THE CURRENT CHNA AND IMPLEMENTATION STRATEGIES, AS WELL AS THE PREVIOUS CHNA (WHICH WAS CONDUCTED IN 2021) ARE AVAILABLE ON THE HOSPITAL'S WEBSITE AT: HTTP://WWW.UNIONGENERALHEALTHSYSTEM.COM/COMMUNITY-HEALTH/. |
| FACILITY 1, UNION GENERAL HOSPITAL - PART V, LINE 16J | A NOTICE IS RUN ANNUALLY IN THE LOCAL NEWSPAPER REGARDING THE AVAILABILITY OF FREE AND DISCOUNTED CARE FOR PATIENTS THAT QUALIFY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. COMPLETE URL FOR COMMUNITY HEALTH NEEDS ASSESSMENTS AND ACTION PLANS (IMPLEMENTATION STRATEGY REPORTS) - HTTP://WWW.UNIONGENERALHEALTHSYSTEM.COM/COMMUNITY-HEALTH/ COMPLETE URL - FAP, FAP SUMMARY AND APPLICATION - HTTP://WWW.UNIONGENERALHEALTHSYSTEM.COM/PATIENTS/BUSINESS-DEPARTMENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| UNION COUNTY DIALYSIS LLC | ||||
| 72 APPALACHIAN AVENUE | BLAIRSVILLE | GA | 30512 | DIALYSIS CLINIC |
| BLUE MOUNTAIN FAMILY PRACTICE | ||||
| 178 HOSPITAL ROAD SUITE A | BLAIRSVILLE | GA | 30512 | RURAL HEALTH CLINIC |
| UNION COUNTY NURSING HOME | ||||
| 164 NURSING HOME CIRCLE | BLAIRSVILLE | GA | 30512 | SKILLED NURSING FACILITY |
| THE CLINIC AT WAL-MART | ||||
| 2257 HIGHWAY 515 SUITE B | BLAIRSVILLE | GA | 30512 | RURAL HEALTH CLINIC |
| UNION GENERAL WELLNESS CENTER | ||||
| 376 DEEP SOUTH FARM ROAD | BLAIRSVILLE | GA | 30512 | WELLNESS AND FITNESS CENTER |
| UNION GENERAL ENT SOLUTIONS | ||||
| 11 HOSPITAL WAY SUITE A | BLAIRSVILLE | GA | 30512 | PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". THE COSTS FOR PART I, LINES 7A AND 7B WERE CALCULATED USING THE RATIO OF COSTS TO CHARGES USING WORKSHEET 2 IN THE INSTRUCTIONS TO FORM 990 SCHEDULE H. |
| SCHEDULE H, PART III, LINE 2 | AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE. PURSUANT TO ASU NO. 2014-09 (TOPIC 606) DISCUSSED IN MORE DETAIL BELOW, THE AMOUNT IDENTIFIED AS BAD DEBT ON SCHEDULE H, PART II, LINE 2 PRIMARILY REPRESENTS AMOUNTS ESTIMATED AT THE TRANSACTION DATE THAT ARE CONSIDERED A PRICE CONCESSION. |
| SCHEDULE H, PART III, LINE 3 | BASED ON PAST EXPERIENCE, THE ORGANIZATION HAS FOUND THAT THERE IS A PORTION OF BAD DEBT THAT IS GENERALLY ATTRIBUTABLE TO CHARITY CARE. BASED ON ECONOMIC CENSUS RECORDS, 17.4% OF PERSONS ARE BELOW THE POVERTY LEVEL, WE ESTIMATE THAT 17.4% IF THE BAD DEBT AMOUNT ON LINE 2 WOULD BE ATTRIBUTABLE TO THOSE PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY HAD THEY COMPLETED AN APPLICATION. |
| SCHEDULE H, PART III, LINE 4 | IN MAY 2014, THE FASB ISSUED ASU NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH IS A NEW COMPREHENSIVE REVENUE RECOGNITION STANDARD. THE CORE PRINCIPLE OF THE REVENUE MODEL IS THAT AN ENTITY RECOGNIZES REVENUE TO DEPICT THE TRANSFER OF PROMISED GOODS OR SERVICES TO CUSTOMERS IN AN AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ENTITY EXPECTS TO BE ENTITLED IN EXCHANGE FOR THOSE GOODS OR SERVICES. THE CORPORATION ADOPTED ASU NO. 2014-09 ON MAY 1, 2020 USING THE FULL RETROSPECTIVE METHOD OF TRANSITION WITH PRACTICAL EXPEDIENTS IN FASB ASC 606-10-65-1(F) WITH NO SIGNIFICANT IMPACT. THE CORPORATION PERFORMED AN ANALYSIS OF REVENUE STREAMS AND TRANSACTIONS UNDER ASU NO. 2014-09. IN PARTICULAR, FOR NET PATIENT SERVICE REVENUE, THE CORPORATION PERFORMED AN ANALYSIS INTO THE APPLICATION OF THE PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO GROUP PATIENT CONTRACTS WITH SIMILAR CHARACTERISTICS, SUCH THAT REVENUE FOR A GIVEN PORTFOLIO WOULD NOT BE MATERIALLY DIFFERENT THAN IF IT WERE EVALUATED ON A CONTRACT-BY-CONTRACT BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR BAD DEBTS (REPRESENTING APPROXIMATELY 4 MILLION FOR THE YEAR ENDED APRIL 30, 2020) AND PRESENTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE ON THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS IS NOW TREATED AS A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS NET PATIENT SERVICE REVENUE. CHANGES IN CREDIT ISSUES NOT ASSESSED AT THE DATE OF SERVICE, ARE RECOGNIZED AS BAD DEBT EXPENSE AND INCLUDED AS A COMPONENT OF OPERATING EXPENSES ON THE STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. THE NEW STANDARD ALSO REQUIRES ENHANCED DISCLOSURES RELATED TO THE DISAGGREGATION OF REVENUE AND SIGNIFICANT JUDGMENTS MADE IN MEASUREMENT AND RECOGNITION. THE ADOPTION OF THIS GUIDANCE DID NOT MATERIALLY IMPACT TOTAL OPERATING REVENUES, EXCESS REVENUES (EXPENSES), OR NET ASSETS. SEE FOOTNOTE 3 IN THE ATTACHED AUDITED STATEMENTS FOR A DISCUSSION OF CHARITY CARE AND UNINSURED DISCOUNTS. |
| SCHEDULE H, 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. |
| SCHEDULE H, PART III, LINE 9B | ONCE A PATIENT IS APPROVED FOR INDIGENT CARE (100% WRITE OFF) THE ACCOUNT(S) IS (ARE) RECLASSIFIED TO INDIGENT CARE AND NO FURTHER COLLECTION ACTIVITY IS CONDUCTED. FOR PATIENTS APPROVED FOR CHARITY CARE (REDUCED CHARGE), THE ACCOUNT GUARANTOR WILL RECEIVE STATEMENTS AND PHONE CALLS TO COLLECT ANY REMAINING BALANCE DUE. PATIENTS WILL RECEIVE THREE (3) STATEMENTS, ONE (1) NOTICE LETTER AND MULTIPLE PHONE CALLS REQUESTING PAYMENT IN FULL OR PAYMENT ARRANGEMENTS BE MADE. STATEMENTS 1. INITIAL A. PATIENTS WILL NORMALLY RECEIVE A STATEMENT FOR SERVICES RENDERED WITHIN THIRTY (30) DAYS OF DISCHARGE AS AN INPATIENT OR TREATMENT AS AN OUTPATIENT (EXCLUDING RECURRING VISITS). B. RECURRING VISIT PATIENTS WILL NORMALLY RECEIVE A BILL FOR SERVICES RENDERED FOR THE PRIOR MONTH WITHIN ONE MONTH. 2. SUBSEQUENT STATEMENTS A. THE SECOND STATEMENT WILL BE ISSUED THIRTY (30) DAYS AFTER THE INITIAL STATEMENT. B. THE THIRD STATEMENT WILL BE ISSUED SIXTY (60) DAYS AFTER THE INITIAL STATEMENT. C. THE NOTICE LETTER WILL BE ISSUED NINETY (90) DAYS AFTER THE INITIAL STATEMENT REQUESTING PAYMENT IN FULL UPON RECEIPT. THIS LETTER WILL NOTIFY THE PATIENT THEIR ACCOUNT WILL BE REFLECTED AS A BAD DEBT AND REFERRED TO AN OUTSIDE COLLECTION AGENCY IF PAYMENT IN FULL IS NOT RECEIVED WITHIN THIRTY (30) CALENDAR DAYS OF THE STATEMENT DATE. THE NOTIFICATION WILL SPECIFY ANY EXTRAORDINARY COLLECTION ACTIONS THAT MAY BE UNDERTAKEN IF THE PATIENT DOES NOT MAKE FULL PAYMENT OR COMPLETE A FINANCIAL ASSISTANCE APPLICATION. D. ONE HUNDRED TWENTY (120) DAYS AFTER THE INITIAL STATEMENT THESE ACCOUNTS WILL BE WRITTEN OFF AS A BAD DEBT ADJUSTMENT AND SENT TO AN OUTSIDE COLLECTION AGENCY. 3. ALL STATEMENTS WILL INCLUDE LANGUAGE THAT INFORMS THE RECIPIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND INCLUDES A TELEPHONE NUMBER AND THE WEBSITE ADDRESS TO OBTAIN ADDITIONAL INFORMATION. PHONE CALLS THIRTY (30) DAYS AFTER THE INITIAL STATEMENT, THE PATIENT MAY BEGIN TO RECEIVE MULTIPLE PHONE CALLS REQUESTING PAYMENT IN FULL OR PAYMENT ARRANGEMENTS BE MADE. THE PATIENT WILL BE INFORMED THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE AND OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FAP. USE OF OUTSIDE COLLECTION AGENCY WHEN A PATIENT AND/OR GUARANTOR FAIL TO PAY THE PATIENT LIABILITY, THE ACCOUNT WILL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY. REASONABLE EFFORTS - THE BUSINESS OFFICE MANAGER WILL BE RESPONSIBLE FOR ENSURING THAT THE FACILITY HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO ENGAGING IN ANY EXTRAORDINARY COLLECTION ACTION (ECA). EXTRAORDINARY COLLECTION ACTIONS (ECAS) - THE PATIENT AND/OR GUARANTOR SHALL BE PROVIDED AT LEAST THIRTY (30) DAYS WRITTEN NOTICE PRIOR TO ANY ECAS BEING TAKEN. THE WRITTEN NOTICE WILL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, NOTIFICATION OF ANY ECAS THAT MAYBE INITIATED AGAINST THE PATIENT AND /OR GUARANTOR, AND THE DATE AFTER WHICH ANY ECAS WILL BE INITIATED. ORAL NOTIFICATION TO THE PATIENT AND/OR GUARANTOR WILL BE ATTEMPTED VIA A PHONE CALL PRIOR TO ANY ECAS BEING INITIATED. THE ORAL NOTIFICATION WILL INFORM THE PATIENT AND/OR GUARANTOR ABOUT THE FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN HELP WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. ECAS MAY NOT COMMENCE PRIOR DURING THE NOTIFICATION PERIOD. THE NOTIFICATION PERIOD ENDS ON THE 120TH DAY AFTER THE FACILITY ISSUES THE FIRST POST-DISCHARGE BILLING STATEMENT TO THE PATIENT. IF, BY THE END OF THIS 120-DAY PERIOD THE PATIENT HAS NOT SUBMITTED A FINANCIAL ASSISTANCE APPLICATION, THE FACILITY MAY BEGIN COLLECTION ACTIONS AGAINST THE PATIENT. THE APPLICATION PERIOD DURING WHICH FACILITY WILL ACCEPT AND PROCESS A FINANCIAL ASSISTANCE APPLICATION ENDS ON THE 240TH DAY AFTER THE FACILITY ISSUES THE FIRST POST-DISCHARGE BILLING STATEMENT TO THE PATIENT. LEGAL ACTIONS LEGAL ACTIONS MAY BE INITIATED AGAINST THE PATIENT AND/OR GUARANTOR WHO DEFAULT ON PAYMENT TO THE FACILITY. THESE LEGAL ACTIONS MAY INCLUDE: - PLACING A LIEN ON AN INDIVIDUALS PROPERTY EXCEPT FOR ANY LIEN THE FACILITY IS ENTITLED TO ASSERT UNDER STATE LAW ON THE PROCEEDS OF A JUDGMENT, SETTLEMENT, ORE COMPROMISE OWED TO AN INDIVIDUAL AS A RESULT OF PERSONAL INJURIES FOR WHICH CARE WAS PROVIDED; - FORECLOSING ON AN INDIVIDUALS REAL PROPERTY; - ATTACHING OR SEIZING AN INDIVIDUALS BANK ACCOUNT OR ANY OTHER PERSONAL PROPERTY; - COMMENCING A CIVIL ACTION AGAINST AN INDIVIDUAL; AND - GARNISHING AN INDIVIDUALS WAGES. ALL LEGAL ACTIONS TAKEN BY ANY COLLECTION AGENCY ON BEHALF OF THE FACILITY SHALL HAVE HAD PRIOR REVIEW AND APPROVAL FROM THE FACILITY. THE FACILITY OR ANY COLLECTIONS AGENCY WORKING ON BEHALF OF THE FACILITY SHALL NOT PURSUE ENFORCEMENT OF A JUDGMENT LIEN, WHETHER BY SHERIFFS LEVY AND SALE OR OTHERWISE, ON A PRIMARY RESIDENCE, PURSUE AN INVOLUNTARY BANKRUPTCY PROCEEDING AGAINST A PATIENT AND /OR GUARANTOR, OR TAKE ANY ACTION THAT WOULD CAUSE A BENCH WARRANT (AN ORDER ISSUED BY A JUDGE OR COURT FOR THE ARREST OF A PERSON) TO BE ISSUED. HOWEVER, THE FACILITY MAY PURSUE APPROPRIATE COURT ORDERS, INCLUDING CONTEMPT OF COURT, FOR A PATIENT/JUDGMENT DEBTOR FAILING TO RESPOND TO POST-JUDGMENT DISCOVERY AS REQUIRED BY LAW. |
| SCHEDULE H, PART VI, LINE 2 | THE ORGANIZATION PERIODICALLY SOLICITS FEEDBACK FROM THE MEDICAL STAFF AND THE CITY AND COUNTY OFFICIALS. THE LOCAL VOCATIONAL TECHNICAL COLLEGE SURVEYS THE COMMUNITY AND THIS INFORMATION IS PASSED TO THE HOSPITAL THROUGH THE DIRECTOR OF NURSING. IN ADDITION, THE MEDICAL DIRECTOR IS A BOARD MEMBER OF THE COUNTY DEPARTMENT OF HEALTH. |
| SCHEDULE H, PART VI, LINE 3 | THE ORGANIZATION PUBLISHES A NOTICE IN THE LOCAL COMMUNITY NEWSPAPER. AT THE TIME OF REGISTRATION, AN AGENT INFORMS THE ACCOUNT GUARANTOR OF THE AVAILABILITY OF INDIGENT AND CHARITY CARE. ACCOUNT COLLECTORS ALSO INFORM THE GUARANTOR OF THE AVAILABILITY OF THE POLICIES. THE FAP, THE PLAIN LANGUAGE SUMMARY AND THE APPLICATION FOR FINANCIAL ASSISTANCE ARE ON THE ORGANIZATION'S WEBSITE. A PLAIN LANGUAGE SUMMARY OF THE POLICY IS OFFERED TO ALL PATIENTS PRIOR TO DISCHARGE. SIGNAGE IN KEY AREAS OF THE HOSPITAL NOTIFY PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. |
| SCHEDULE H, PART VI, LINE 4 | UNION GENERAL HOSPITAL ("UGH") SERVES A GENERALLY RURAL MOUNTAINOUS AREA AND IS THE SOLE HOSPITAL IN THE COUNTY. UNION COUNTY IS DEEMED A MEDICALLY UNDERSERVED AREA (MUA) BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH. UGH IN CONJUNCTION WITH ITS SISTER HOSPITAL, CHATUGE REGIONAL HOSPITAL, ARE THE ONLY TAX-EXEMPT, NON-PROFIT HOSPITALS WITHIN THE IMMEDIATE EIGHT-COUNTY AREA OF THE NORTH CENTRAL AND NORTHEAST GEORGIA MOUNTAINS. DUE TO THE MOUNTAINOUS TERRAIN AND BEING BOUNDED BY THE CHATTAHOOCHEE NATIONAL FOREST, UNION COUNTY HAS SOME OF THE MOST REMOTE COMMUNITIES FOUND IN GEORGIA. ACCESS TO MEDICAL CARE CAN BE MORE THAN AN HOUR AWAY IN SOME CASES. |
| SCHEDULE H, PART VI, LINE 5 | THE ORGANIZATION PROMOTES HEALTH AND WELLNESS IN THE COMMUNITY BY PROVIDING HEALTH FAIRS THAT PROVIDE FREE OR REDUCED-COST HEALTH SCREENINGS AND LAB TESTS TO AREA BUSINESSES, SCHOOLS AND THE GENERAL PUBLIC THROUGH THE HOSPITAL; BY PROMOTING A SMOKE-FREE CAMPUS AT ALL FACILITIES; BY DIABETIC EDUCATION CLASSES; BY DISTRIBUTING HEALTHY LIFESTYLE PUBLICATIONS AND NOTICES THROUGHOUT THE HOSPITAL AND OTHER FACILITIES; AND BY PROVIDING INDIGENT AND CHARITY CARE FOR UNINSURED PATIENTS. THE HOSPITAL HAS A STRONG OUTPATIENT REHAB FACILITY THAT ALLOWS PATIENTS TO RECEIVE PHYSICAL REHABILITATION IN THE COMMUNITY; THE ORGANIZATION OPERATES A WELLNESS CENTER THAT IS OPEN TO THE PUBLIC AND PROVIDES EXERCISE EQUIPMENT AND INSTRUCTION, PERSONAL TRAINERS, AN OLYMPIC-SIZED SWIMMING POOL WITH WATER AEROBIC CLASSES, AND TWO TENNIS COURTS, ONE RACQUETBALL COURT, AND A COMMUNITY SWIM TEAM OPEN TO YOUTH BEYOND HIGH SCHOOL. SURPLUS FUNDS ARE USED TO PROVIDE FOR THE ADDITION, IMPROVEMENT, OR REPLACEMENT OF CAPITAL AND EQUIPMENT NEEDS. THE BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY VOLUNTEERS. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS, OFFERS FINANCIAL ASSISTANCE FOR MEDICAL CARE TO ELIGIBLE INDIVIDUALS AND IT HAS AN OPEN MEDICAL STAFF. |
| SCHEDULE H, PART VI, LINE 6 | UNION GENERAL HOSPITAL IS A 45-BED NOT FOR PROFIT HOSPITAL THAT IS TAX- EXEMPT AS AN ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3). THE HOSPITAL IS LOCATED IN BLAIRSVILLE, GEORGIA. IT SERVES UNION COUNTY, GEORGIA AND COME OF THE MOST REMOTE AREAS IN NORTH GEORGIA. CHATUGE REGIONAL HOSPITAL, AN AFFILIATED FACILITY OF UNION GENERAL, IS LOCATED IN THE BEAUTIFUL NORTH GEORGIA MOUNTAINS ON HIGHWAY 76 NORTH IN TOWNS COUNTY, GEORGIA. IT IS A CRITICAL ACCESS HOSPITALA THAT HAS A STATE OF THE ART EMERGENCY CENTER WITH HELICOPTER SERVICE TO MAJOR TRAUMA AND HEART FACILITIES, IF NECESSARY. CHATUGE ALSO OPERATES A NURSING HOME LICENSED FOR 112-BEDS. UNION GENERAL AMBULANCE SERVICE, INC. IS A TAX-EXEMPT AFFILIATE OF UNION GENERAL THAT PROVIDES EMERGENCY TRANSPORTATION SERVICES FOR THE BENEFIT OF UNION COUNTY RESIDENTS AS WELL AS RESIDENTS OF THE SURROUNDING COUNTIES. |
| SCHEDULE H, PART VI, LINE 7 | GEORGIA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| JACOB STIRTON | ||||||
| PHYSICIAN | $1,074,125 | $436,700 | $124,212 | $9,900 | $19,852 | $1,664,789 |
| RONALD A MACBETH MD | ||||||
| PHYSICIAN | $614,309 | $44,587 | $13,200 | $23,634 | $695,730 | |
| KIMBERLY DENTON MD | ||||||
| PHYSICIAN | $326,129 | $200,521 | $13,200 | $23,634 | $563,484 | |
| CLIFFORD THOMPSON | ||||||
| PHYSICIAN | $343,974 | $173,542 | $9,900 | $23,634 | $551,050 | |
| KEVIN DAVIS | ||||||
| PHYSICIAN | $321,304 | $172,406 | $18,000 | $13,200 | $23,459 | $548,369 |
| KEVIN L BIERSCHENK | ||||||
| CEO | $484,810 | $18,846 | $9,900 | $12,594 | $526,150 | |
| JULIA BARNETT | ||||||
| CNO | $239,910 | $19,605 | $9,661 | $11,049 | $17,181 | $297,406 |
| NICHOLAS TOWNSEND | ||||||
| CFO | $242,001 | $19,605 | $9,661 | $10,653 | $14,604 | $296,524 |
| MICHAEL GAY | ||||||
| COO | $237,789 | $19,605 | $9,425 | $11,039 | $17,392 | $295,250 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| LINDSEY TOWNSEND | |||
| FAM. - CFO | $48,242 | HOSPITAL EMPLOYEE | false |
| MEAGAN B EVERETT | |||
| FAM - CNO | $68,248 | HOSPITAL EMPLOYEE | false |
| KRISTAL D KELLEY | |||
| FAM - FMR. CEO | $42,528 | HOSPITAL EMPLOYEE | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | LINDSEY TOWNSEND IS THE WIFE OF THE ORGANIZATION'S CFO. SHE IS PAID A FAIR MARKET SALARY FOR HER SERVICES. MEAGAN EVERETT IS RELATED TO THE ORGANIZATION'S CNO. SHE IS PAID A FAIR MARKET SALARY FOR HER SERVICES. KRISTAL KELLEY IS RELATED TO THE FORMER CEO. SHE IS PAID A FAIR MARKET SALARY FOR HER SERVICES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | UNION GENERAL HOSPITAL (UGH) IS A 501(C)(3) HEALTHCARE ORGANIZATION THAT TAKES A PROACTIVE APPROACH DESIGNED TO MEET COMMUNITY HEALTH NEEDS AND MEET ITS TAX-EXEMPT REQUIREMENTS. THE ORGANIZATION IS COMMITTED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE AND PROMOTING WELLNESS IN THE COMMUNITY THROUGH ITS MISSION STATEMENT AND POLICIES SUPPORTING SAME. THE VISION IS TO BE THE "FIRST CHOICE" PROVIDER OF COMPREHENSIVE MEDICAL SERVICES IN THE AREA. WE VALUE OUR PATIENTS AND BELIEVE THEY ARE OUR MOST IMPORTANT RESPONSIBILITY. WE SHALL ALWAYS SEEK TO MEET THE PHYSICAL, EMOTIONAL, EDUCATIONAL, AND SPIRITUAL NEEDS OF OUR PATIENTS AND THEIR FAMILIES. WE VALUE OUR MEDICAL STAFF AND WILL SEEK WAYS TO HELP THEM IMPROVE PROFESSIONALLY AND FACILITATE THE PRACTICE OF MEDICINE. WE VALUE OUR EMPLOYEES AND SHALL TREAT EACH OTHER WITH COURTESY, FAIRNESS, RESPECT, AND INTEGRITY. WE SHALL WORK AS A TEAM TO DO OUR BEST TO PROMOTE OUR MISSION AND FULFILL OUR VISION. WE VALUE OUR COMMUNITY AND ARE COMMITTED TO THE TREATMENT AND CARE OF OUR PATIENTS AND PROMOTION OF WELLNESS IN OUR COMMUNITY. WE WILL CONFRONT ALL ETHICAL AND MORAL HEALTH-RELATED ISSUES NECESSARY TO ENHANCE THE QUALITY OF LIFE IN OUR COMMUNITY. UGH IS THE ONLY ACUTE CARE HOSPITAL IN UNION COUNTY, GEORGIA. UGH IS LICENSED FOR 45 ACUTE AND INTENSIVE CARE MEDICAL/SURGICAL BEDS FOR SHORT- TERM INPATIENT CARE. THE BEDS ALSO QUALIFY FOR "SWING BED" STATUS FOR SHORT-TERM SKILLED NURSING CARE. OUTPATIENT SERVICES INCLUDE RADIOLOGY, LABORATORY AND OTHER DIAGNOSTIC SERVICES, SURGICAL AND REHABILITATION SERVICES, AND 24/7 EMERGENCY MEDICAL SERVICES. UGH (ALONG WITH UNION GENERAL AMBULANCE SERVICE, INC., A CONTROLLED TAX-EXEMPT ENTITY) ALSO OPERATES THE COUNTY AMBULANCE SERVICE, ONE OF THE VERY FEW HOSPITALS DOING SO IN GEORGIA. THIS INCLUDES THE WAGES AND BENEFITS FOR ITS EMERGENCY MEDICAL TECHNICIANS AND PARAMEDICS, MEDICAL AND OTHER SUPPLIES, ACQUISITION AND MAINTENANCE FOR EMERGENCY TRANSPORT VEHICLES, AND FACILITIES FOR BASE OPERATIONS. DUE TO THE MOUNTAINOUS AREA, THE TWISTING MOUNTAIN ROADS ATTRACT BICYCLISTS AND MOTORCYCLISTS THROUGHOUT THE SPRING, SUMMER AND FALL SEASONS. THESE ACTIVITIES SOMETIMES RESULT IN MEDICAL EMERGENCIES, SOME VERY SERIOUS, TO WHICH THE EMERGENCY MEDICAL SERVICES OF UGH MUST RESPOND. UGH PROVIDES NON-EMERGENCY TRANSPORT UNDER CONTRACT WITH THE STATE OF GEORGIA TO COMMUNITY RESIDENTS WHO ARE WITHOUT TRANSPORTATION TO ROUTINE SCHEDULED DOCTOR AND OTHER MEDICAL APPOINTMENTS. UGH PROVIDES ITS HELIPAD TO SUPPORT AIR AMBULANCE SERVICES. THE UNION COUNTY NURSING HOME (UCNH) IS THE ONLY NURSING FACILITY IN THE COUNTY PROVIDING SKILLED AND INTERMEDIATE LEVELS OF LONG-TERM CARE. UCNH IS LICENSED FOR 150 BEDS AND CONSISTENTLY HAS A WAITING LIST FOR ADMISSIONS. A MAJORITY OF THE RESIDENTS OF UCNH ARE MEDICARE AND MEDICAID BENEFICIARIES. THE ORGANIZATION PROMOTES WELLNESS IN THE COMMUNITY BY SPONSORING HEALTH FAIRS, DIABETES AWARENESS CLINICS, AN AFFORDABLE FITNESS CENTER, AND EDUCATIONAL AND TESTING OPPORTUNITIES FOR THE GENERAL PUBLIC. THE ORGANIZATION PROVIDES FOR HOUSING FOR PATIENT'S FAMILIES WHEN PATIENTS ARE HOSPITALIZED FOR AN EXTENDED PERIOD OF TIME THROUGH ITS GLENDA GOOCH HOUSE. |
| FORM 990, PART V, LINE 4B | CAYMAN ISLANDS |
| FORM 990, PART VI | THE BOARD OF DIRECTORS, CEO, AND CFO SERVE IN A SIMILAR CAPACITY FOR UNION GENERAL HOSPITAL, CHATUGE REGIONAL HOSPITAL AND UNION GENERAL AMBULANCE SERVICE. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE CFO REVIEWED THE RETURN IN DETAIL AND PROVIDED A COPY OF THE COMPLETED FORM 990 TO EACH BOARD MEMBER PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | OFFICERS AND DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY THAT REQUIRES DISCLOSURE OF ANY POTENTIAL RELATIONSHIP CONFLICTS. ANY CONFLICTS ARE REPORTED TO THE CHAIRMAN OF THE BOARD AND/OR DISINTERESTED PERSON OR COMMITTEE. THE INDIVIDUAL MEMBER WITH THE CONFLICT RECUSES HIMSELF FROM THE DISCUSSIONS AND VOTES ON THE ISSUE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE ORGANIZATION USES THE GEORGIA HOSPITAL ASSOCIATION COMPENSATION STUDY AS A BENCHMARK FOR ALL EXECUTIVE COMPENSATION. THE BOARD APPROVES THE CEO'S COMPENSATION. ALL OTHER EXECUTIVE COMPENSATION IS MANAGED BY THE CEO. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE THE RESPONSE TO QUESTION 15A ABOVE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | GAIN ON INVESTMENT IN AFFILIATES 1,986,805 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| UNION GENERAL AFFILIATED SERVICES L | ||||||||||
| 35 HOSPITAL ROAD | UNION GENERAL HOSP SOLE MEMBER | BLAIRSVILLE | GA | 30512 | 824280365 | CLINICS | GA | -$4,754,141 | $2,197,367 | UGH |
| NORTH CAROLINA AFFILIATED SERVICES | ||||||||||
| 35 HOSPITAL ROAD | UNION GENERAL HOSP SOLE MEMBER | BLAIRSVILLE | GA | 30512 | 832851214 | CLINICS | GA | $1,845 | UGH | |
| UNION COUNTY DIALYSIS LLC | ||||||||||
| 35 HOSPITAL ROAD | UNION GENERAL HOSP SOLE MEMBER | BLAIRSVILLE | GA | 30512 | 582503326 | DIALYSIS | GA | $7,729 | $699,713 | UGH |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CHATUGE REGIONAL HOSPITAL INC | |||||||||||
| 110 SOUTH MAIN STREET | HIAWASSEE | GA | 30546 | 582513901 | HOSPITAL | GA | 501C3 | 3 | UGH | UNION GENERAL HOSPITAL INC | Yes (true) |
| MOUNTAIN COMMUNITY HEALTHCARE FOUND | |||||||||||
| P O BOX 1937 | BLAIRSVILLE | GA | 305141937 | 201376498 | FUNDRAISIN | GA | 501C3 | 12C | NA | false | |
| UNION GENERAL AMBULANCE SERVICE IN | |||||||||||
| 35 HOSPITAL ROAD | BLAIRSVILLE | GA | 30512 | 452735005 | AMBULANCE | GA | 501C3 | 10 | UGH | UNION GENERAL HOSPITAL INC | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNION GENERAL HEALTH SYSTEM SEGR P | BusinessNameLine1Txt |
| Business Name Line2 | PORTFOLIO SPC | BusinessNameLine2Txt |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1159 878 WEST BAY RD | AddressLine1Txt |
| Address Line2 | CARIBBEAN PLAZA 2ND FL N BLDG | AddressLine2Txt |
| City | GRAND CAYMAN | CityNm |
| Province Or State | GRAND CAYMAN | ProvinceOrStateNm |
| Country | CJ | CountryCd |
| Foreign Postal | KY1-1102 | ForeignPostalCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | SELF-INSUR | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountryCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UGH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Share Of Total Income | $1,695,816 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $7,963,556 | ShareOfEOYAssetsAmt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| UNION GENERAL AMBULANCE SERVICE INC | ||
| D | $26,529 | BOOK VALUE |
| UNION GENERAL AMBULANCE SERVICE INC | ||
| J | $144,000 | BOOK VALUE |
| UNION GENERAL AMBULANCE SERVICE INC | ||
| L | $120,000 | BOOK VALUE |
| UNION GENERAL AMBULANCE SERVICE INC | ||
| R | $158,875 | CALCULATED FROM BOOKS |
| UNION GENERAL AMBULANCE SERVICE INC | ||
| N | VALUE NOT DETERMINED | |
| CHATUGE REGIONAL HOSPITAL INC | ||
| D | $860,213 | BOOK VALUE |
| CHATUGE REGIONAL HOSPITAL INC | ||
| E | $228,745 | CALCULATED FROM BOOKS |
| CHATUGE REGIONAL HOSPITAL INC | ||
| Q | $228,745 | VALUE NOT DETERMINED |
| CHATUGE REGIONAL HOSPITAL INC | ||
| N | VALUE NOT DETERMINED | |
| UNION GENERAL HEALTH SYSTEM SEGR P | ||
| E | $47,588 | BOOK VALUE |
| UNION GENERAL HEALTH SYSTEM SEGR P | ||
| D | $4,388,479 | BOOK VALUE |
| UNION GENERAL HEALTH SYSTEM SEGR P | ||
| Q | $146,250 | CALCULATED FROM BOOKS |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R | FormAndLineReferenceDesc |
| Explanation | RENT IS RECEIVED FROM A CONTROLLED TAX-EXEMPT AFFILIATE, UNION GENERAL AMBULANCE SERVICE, INC. THIS RENTAL ACTIVITY RELATES TO OFFICE SPACE USED FOR THE PROVISION OF AMBULANCE SERVICES TO THE COMMUNITY WHICH IS A TAX-EXEMPT ACTIVITY. | ExplanationTxt |