2013-10-17T13:57:09-05:00 2011-09-30 BKD LLP 201 N Illinois Street Indianapolis IN 46204 990 2010-10-01 350877575 Gibson General Hospital Inc GIBS 8123853401 1808 Sherman Drive Princeton IN 47670 EMMETT C SCHUSTER 8123853092 2012-08-15 true 3173834000 2010 2016-03-07 17:11:31Z EMMETT C SCHUSTER 1808 SHERMAN DRIVE PRINCETON IN 47670 51548072 false X WWW.GIBSONGENERAL.COM X 1947 IN THE MISSION OF GIBSON GENERAL HOSPITAL AND THE SKILLED NURSING FACILITY IS TO PROVIDE HIGH QUALITY, PATIENT-CENTERED, COST-EFFECTIVE CARE FOR PEOPLE IN OUR COMMUNITY. 14 13 437 56 0 0 511604 284895 51738507 51023336 33689 -630378 57899 178922 52341699 50856775 0 102781 0 0 16626883 16795749 0 0 0 34734803 36146793 51361686 53045323 980013 -2188548 26347833 23433250 14467262 13899979 11880571 9533271 THE MISSION OF GIBSON GENERAL HOSPITAL AND THE SKILLED NURSING FACILITY IS TO PROVIDE HIGH QUALITY, PATIENT-CENTERED, COST-EFFECTIVE CARE FOR PEOPLE IN OUR COMMUNITY. false false 48047200 102781 51023336 THE HOSPITAL'S MISSION IS TO PROVIDE HIGH QUALITY AND COST EFFECTIVE HEALTHCARE, WHICH INCLUDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO THE RESIDENTS OF THE SURROUNDING TRI-STATE AREA. ALL EXPENSES RELATE TO COSTS ASSOCIATED WITH PROVIDING THESE SERVICES, AND MAINLY INCLUDE SALARIES AND WAGES TO STAFF AND SUPPLIES COST. APPROXIMATELY 34,210 PEOPLE SERVED. 48047200 true true false false false false false false false true false false false true false false true false false false false false false false false true true true false true true false false false false false false false true false false false false false false false true false false false false true 73 0 true 437 true false false false false false false false false false false X 14 13 true false false false false false false true true false false false true true true false true true true false IN X GIBSON GENERAL HOSPITAL 8123853401 1808 SHERMAN DRIVE PRINCETON IN 47670 MR MICHAEL GREEN 1.0 X X 0 0 0 MR LARRY JOHNSON 1.0 X X 0 0 0 MR ROBERT GIBSON JR 1.0 X X 0 0 0 MR DONALD HAUKE 1.0 X X 0 0 0 MR GEORGE ANKENBRAND 1.0 X 0 0 0 MR PHIL YOUNG 1.0 X 0 0 0 MR ROBERT HURST 1.0 X 0 0 0 MR STANLEY MADISON 1.0 X 0 0 0 MRS HELEN HAUKE 1.0 X 0 0 0 MS KRISHNA MD 1.0 X 0 0 0 MR ROBERT KINKLE 1.0 X 0 0 0 MR MARION JOCHIM 1.0 X X 0 0 0 THOMAS JOSEPH MD 1.0 X X 0 0 0 MR CT MONTGOMERY 1.0 X 0 0 0 EMMETT SCHUSTER 50.0 X 173807 0 13652 SUSAN HAVERS 50.0 X 115314 0 7377 LORI PHILLIPS 50.0 X 68434 0 436 RON HARRINGTON 50.0 X 2270 0 0 MARK CARPENTER MD 40.0 X 340956 0 5313 STEPHEN SHOEMAKER MD 40.0 X 221475 0 11303 ROSABEL MANALO-IBAY 40.0 X 156426 0 4111 STEVEN GRIFFITH MD 40.0 X 153617 0 0 DANIEL BROWN MD 40.0 X 124988 0 3451 1357287 0 45643 10 false true false PRINCETON SURGERY CENTER 2030 SHERMAN DRIVE PRINCETON IN 47670 MEDICAL & HEALTH 844814 THOMAS JOSEPH MD 1808 SHERMAN DRIVE SUITE 2203 PRINCETON IN 47670 MEDICAL & HEALTH 770385 BLAKE TITZER D O PC PO BOX 130 INGLEFIELD IN 476180130 MEDICAL & HEALTH 400907 PHILOMINA THURUTHUMALY 1707 BRENTWOOD DRIVE PRINCETON IN 47670 MEDICAL & HEALTH 325000 CPSI INC 6600 WALL STREET MOBILE AL 36695 COMPUTER SYSTEM 278252 12 254738 22132 8025 7780 284895 PATIENT SERVICES 621110 50787954 50787954 CAFETERIA SALES 722210 179720 179720 EDUCATION REVENUE 611710 11094 11094 COPIES 519100 8355 8355 MISCELLANEOUS 900099 36213 36213 51023336 60919 60919 0 0 178922 178922 178922 178922 691297 -691297 -691297 -691297 0 0 0 0 50856775 51023336 -451456 102781 102781 0 0 0 381290 342517 38773 0 0 13264144 11915333 1348811 141462 120795 20667 1993279 1702074 291205 1015574 867205 148369 0 152186 68250 83936 67411 67411 0 0 0 4382845 3875156 507689 315537 315537 2420664 2382240 38424 0 0 1776737 1427815 348922 0 0 0 354701 336966 17735 0 1822566 1731438 91128 394319 64555 329764 CONTRACTUALS & OTHER 19486909 19486909 UNCOLLECTIBLE ACCOUNTS 3093490 3093490 COLLECTION EXPENSE 110695 110695 RECRUITING 51484 10 51474 SETTLEMENT COSTS 1112714 1112714 604535 418971 185564 53045323 48047200 4998123 0 1775 1775 7488306 3083593 3450214 3129781 281513 189851 641822 638110 164983 238137 30561162 18297580 14280847 12263582 0 3843104 38373 45317 26347833 23433250 2216794 2981208 0 4853 11628440 10467385 216028 174830 406000 271703 14467262 13899979 X 11842198 9487954 38373 45317 11880571 9533271 26347833 23433250 X -2188548 -158752 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 421244 421244 17141173 8731562 8409611 12630437 9430431 3200006 368308 135587 232721 12263582 0 DUE TO MEDICARE 271703 271703 50856775 53045323 -2188548 -158751 -158751 -2347299 32061163 691297 691297 31369866 19486909 19486909 50856775 34249711 691297 691297 33558414 19486909 19486909 53045323 FIN 48 DISCLOSURE SCHEDULE D, PART X Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. OTHER ADJUSTMENTS SCHEDULE D, PART XII AND XIII LINE 4B CONTRACTUALS & OTHER = 19,486,909 OTHER ADJUSTMENTS SCHEDULE D, PART XII AND XIII LINE 2D LOSS ON SALE OF FIXED ASSETS = $691,297 true true true X true X 280. true true true false true true 670142 670142 0.01340 4288433 1955314 2333119 0.04670 4958575 1955314 3003261 0.06010 30055 4020 26035 0.00050 7788 7788 0.00020 37843 4020 33823 0.00070 4996418 1959334 3037084 0.06080 1934978 483745 7144418 7016726 127692 X true true 1 1 GIBSON GENERAL HOSPITAL INC

1808 Sherman Drive Princeton IN 47670

X X GIBSON GENERAL HOSPITAL INC 1 5 GGH - SKILLED NURSING FACILITY

1808 SHERMAN DRIVE PRINCETON IN 47670

SKILLED NURSING REHAB CENTER STAR ONE REHAB

1808 SHERMAN DRIVE PRINCETON IN 47670

PHYSICAL THERAPY OCCUPATIONAL THERAPY SPEECH THERAPY HOPE HOUSE

1808 SHERMAN DRIVE PRINCETON IN 47670

GERIATRIC CONSULTING MEDICATION MANAGEMENT LIFESTYLES DIABETES CENTER

1808 SHERMAN DRIVE PRINCETON IN 47670

DIABETES EDUCATION COUNSELING PHYSICIAN OUTPATIENT CLINICS

1808 SHERMAN DRIVE PRINCETON IN 47670

SUBSIDIZED CARE PHYSICIAN PRACTICES PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I, LINE 7, COLUMN F $3,093,490 OF BAD DEBT EXPENSE IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A (TOTAL FUNCTIONAL EXPENSES), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. DESCRIPTION OF BAD DEBT EXPENSE AND METHODOLOGY SCHEDULE H, PART III, LINE 4 THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT. THE HOSPITAL IS USING THE COST CALCULATION AS DETERMINED BY WORKSHEET 1. THERE ARE NO OTHER BAD DEBT AMOUNTS INCLUDED IN COMMUNITY BENEFIT BEYOND LINE 2 ABOVE. TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT SCHEDULE H, PART III, LINE 8 THE GIBSON GENERAL HOSPITAL IS A CAH AND IS REIMBURSED 101% OF MEDICARE ALLOWABLE COSTS FOR INPATIENT SERVICES, SWING BED, AND OUTPATIENT PART B SERVICES. THE REVENUE SHORTFALL ABOVE IS THE DIFFERENCE BETWEEN THE ALLOWABLE COST FOR THE SKILLED NURSING FACILITY AND THE PPS REIMBURSEMENT ALLOWED FOR THAT SKILLED NURSING FACILITY. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 THE HOSPITAL HAS WORKED WITH THE GIBSON COUNTY PUBLIC HEALTH OFFICER AND THE INDIANA DEPARTMENT OF HEALTH AND OTHER REGIONAL PROVIDERS ON A COMMUNITY ASSESSMENT IN THE PAST AND WILL BE PARTICIPATING IN SUCH A PROJECT IN THE NEAR FUTURE. THIS ENGAGEMENT NORMALLY INCLUDES TERTIARY REFERRAL CENTERS IN EVANSVILLE, IN AND EMERGENCY RESPONSE SERVICES AS WELL. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 THE HOSPITAL HAS POSTERS IN THE CENTRAL REGISTRATION AND ER WAITING AREA INFORMING PATIENTS THAT WE SEE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND ALSO PROVIDE FINANCIAL ASSISTANCE TO UNINSURED AND UNDERINSURED. IN COMPLIANCE WITH EMTALA ALL ER PATIENTS ARE SEEN BY A PRACTITIONER PRIOR TO SOLICIATION OF FINANCIAL OR INSURANCE INFORMATION. ALL PATIENTS WHO DO NOT HAVE INSURANCE AND PATIENTS WHO HAVE BALANCES AFTER INSURANCE ARE CONTACTED BY OUR PATIENT FINANCIAL COUNSELOR BY MAIL WITH A FINANCIAL ASSISTANCE APPLICATION. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 THE HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES GIBSON COUNTY, INDIANA, SW PIKE COUNTY AND POSEY COUNTY, INDIANA. GIBSON COUNTY HAS A POPULATION DENSITY OF 66/SQ. MILE. SW PIKE COUNTY HAS A POPULATION DENSITY OF 38/SQ. MILE. GIBSON GENERAL HOSPITAL HAS TWO LARGE COMPETING HEALTH CARE SYSTEMS 35 MILES TO ITS SOUTH. TRADITIONALLY, THE HOSPITAL HAS BEEN RELIED UPON AS A SAFETY NET HOSPITAL FOR OLDER PATIENTS, LOW-INCOME PATIENTS, AND PATIENTS WITH LIMITED MEANS TO TRAVEL TO THE LARGER CITY OF EVANSVILLE, IN. MUCH OF GIBSON COUNTY IS RURAL WITH AGRICULTURE AND COAL MINING AS PRIMARY INDUSTRIES. GIBSON COUNTY DOES ENJOY ECONOMIC BENEFIT FROM TOYOTA MANUFACTURING OF INDIANA, HOWEVER MORE THAN 50% OF THE TOYOTA WORKFORCE TRAVELS IN FROM THE EVANSVILLE METROPOLITAN AREA. PER CAPITA INCOME IN GIBSON COUNTY IS $18,169, 12% OR $2,468 LOWER THAN THE EVANSVILLE AREA. IN ADDITION, APPROXIMATELY 77% OF THE HOSPITAL'S PATIENT POPULATION IS FUNDED BY MEDICARE, MEDICAID, AND OTHER GOVERNMENT SUBSIDIZED PLANS. WITH THESE DEMOGRAPHICS AND THE ECONOMIC PRESSURES, THE HOSPITAL HAS SEEN A DRAMATIC INCREASE IN ITS CHARITY, BAD DEBT, AND MEDICAID LOSSES OVER THE LAST FEW YEARS. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 THE HOSPITAL PARTICIPATES IN MANY ORGANIZATIONS AND ACTIVITIES DESIGNED TO IMPROVE THE HEALTH AND WELFARE OF THE SURROUNDING COMMUNITY. IN ADDITION TO PARTICIPATION ON VARIOUS BOARDS AND CIVIC ORGANIZATIONS FOCUSED ON ECONOMIC DEVELOPMENT, THE HOSPITAL'S LEADERSHIP PARTICIPATES IN THE INDIANA PATIENT SAFETY COALITION, THE DEPARTMENT OF HOMELAND SECURITY DISTRICT 10 EMERGENECY PREPAREDNESS, AND NATIONAL INCIDENT MANAGEMENT SYSTEMS PROGRAMS. AS MEMBERS OF THE INDIANA RURAL HEALTH ASSOCIATION AND INDIANA STATE RURAL HEALTH NETWORK, THE HOSPITAL PARTICIPATES IN PROGRAMS DESIGNED TO ASSIST RURAL HEALTH CARE ORGANIZATIONS STATEWIDE AND HAS ASSISTED IN OBTAINING AND IMPLEMENTING COMMUNICATION, INFORMATION SHARING, AND OTHER INITIATIVES TO IMPROVE ACCESS TO HEALTH CARE IN RURAL AREAS. THE HOSPITAL WORKS WITH OTHER AREA AGENCIES SUCH AS GCARC, SEVERAL UNIVERSITIES AND COLLEGES AND SCHOOL DISTRICTS TO OFFER COOPERATIVE LEARNING ENVIRONMENTS FOR UNDERDEVELOPED NURSING, IMAGING TECHNOLOGY, AND PHARMACY STUDENTS. THE HOSPITAL PROVIDES VOLUNTEERS TO ASSIST IN ENVIRONMENTAL CLEAN-UP AND HOUSING PROJECTS AS WELL. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 GIBSON GENERAL HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. THE HOSPITAL DOES PARTICIPATE IN SEVERAL COALITIONS AND COOPERATIVES WITH OTHER PROVIDERS AND OFTEN COLLABORATES WITH THE TERTIARY SYSTEMS IN EVANSVILLE TO PROVIDE ACCESS TO SERVICES THE HOSPITAL CANNOT PROVIDE SUCH AS CARDIAC AND NEUROLOGICAL SURGERY. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI IN, true GIBSON GENERAL HEALTH FOUNDATION INC 1808 SHERMAN DRIVE PRINCETON IN 47670 350950175 501(C)(3) 102781 SUPPORT MISSION & ASSIST WITH PAYMENT OF EXPENSES 1 0 MONITORING USE OF FUNDS SCHEDULE I, PART I, LINE 2 THE HOSPITAL MONITORS THE USE OF THE FUNDS PROVIDED TO THE FOUNDATION BY HAVING THE FOUNDATION SUBMIT INVOICES FOR APPROVAL. THE HOSPITAL THEN PAYS THE INVOICES ON THE FOUNDATION'S BEHALF AND PROVIDES THE FOUNDATION WITH COPIES OF THESE PAYMENTS. X X X X false false false false false false false false false EMMETT SCHUSTER 173807 0 0 0 0 0 3191 0 10461 0 187459 0 0 0 MARK CARPENTER MD 340956 0 0 0 0 0 0 0 5313 0 346269 0 0 0 STEPHEN SHOEMAKER MD 221475 0 0 0 0 0 0 11303 0 232778 0 0 0 ROSABEL MANALO-IBAY 156426 0 0 0 0 0 3247 0 864 0 160537 0 0 0 STEVEN GRIFFITH MD 153617 0 0 0 0 0 0 0 0 0 153617 0 0 0 CITY OF PRINCETON 356001169 2005-06-01 7100000 Capital improvements false false false CITY OF PRINCETON 356001169 2007-10-01 2096000 Energy conservation project false false false RENOVATIONS - EMERGENCY DEPARTMENT 356001169 2008-12-01 2500000 Renovations - emergency depart false false false INDIANA HEALTH & ED FACILITY FINANCING AUTHORITY 521698917 2007-03-01 2500000 Purchase diagnostic equipment false false false 0 0 7100000 0 0 0 55566 0 0 3146250 0 0 2009 false true true true 0 0 2096000 0 0 0 0 0 0 2002380 0 0 2008 false false true true 0 0 2500000 0 0 0 31500 0 0 2500000 0 0 2009 false false true true 0 0 2500000 0 0 0 0 0 0 2500000 0 0 2007 false false true true false false false false false 0.00000 0.00000 0.00000 false false false false false false 0.00000 0.00000 0.00000 false false false false false false 0.00000 0.00000 0.00000 false false false false false false 0.00000 0.00000 0.00000 false false true false false true false true false false true false true false false true false true false false true THOMAS JOSEPH MD CHIEF OF STAFF 770385 INDEPENDENT CONTRACTOR false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV THOMAS JOSEPH, M.D. PROVIDES MEDICAL AND HEALTH SERVICES ON A CONTRACT BASIS TO THE HOSPITAL. OFFICER RELATIONSHIPS FORM 990, PART VI, QUESTION 2 DONALD AND HELEN HAUKE HAVE A FAMILY RELATIONSHIP. PROCESS TO REVIEW THE FORM 990 FORM 990, PART VI, QUESTION 11A THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES IS INFORMED OF THE NEED TO AND DUE DATE FOR FILING THE FORM 990 AND THAT IT IS AVAILABLE FOR INSPECTION AND REVIEW AT ANY TIME BY CONTACTING THE CFO OR THE CEO. THE CFO AND CEO DO A DETAIL OF THE RETURN BEFORE IT IS FILED. PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, QUESTION 12C THE BOARD OF TRUSTEES SIGNS A CONFLICT OF INTEREST STATEMENT ANNUALLY. THE CEO OR A COMPLIANCE OFFICER REVIEWS THE SIGNED STATEMENTS. ANY BOARD MEMBER WHO HAS A CONFLICT OF INTEREST RECUSES HIMSELF OR HERSELF FROM VOTING ON THE RELATED ISSUE. REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION FORM 990, PART VI, QUESTION 15A THE CEO'S COMPENSATION IS REVIEWED ANNUALLY AND APPROVED BY THE BOARD OF TRUSTEES COMPENSATION COMMITTEE. THE COMMITTEE USES A COMPENSATION CONSULTANT, COMPENSATION SURVEY, AND COMPARATIVE DATA FROM SIMILAR ORGANIZATIONS TO DETERMINE THE CEO'S COMPENSATION. THE LAST REVIEW WAS COMPLETED IN MARCH 2010. REVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATION FORM 990, PART VI, QUESTION 15B OFFICER COMPENSATION IS REVIEWED ANNUALLY BY THE CEO. COMPENSATION SURVEYS ARE USED IN DETERMINING OFFICER COMPENSATION. THE LAST REVIEWS WERE CONDUCTED IN MARCH 2010. AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND F/S FORM 990, PART IV, QUESTION 19 GIBSON GENERAL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 UNREALIZED GAIN/(LOSS) = ($158,752) GIBSON GENERAL HEALTH FOUNDATION INC 1808 SHERMAN DRIVE PRINCETON IN 47670 350950175 SUPPORT IN 501(C)(3) 11A NA