FURP.ORG / PUBLIC DATA EXPLORER

MCDUFFIE COUNTY HOSPITAL AUTHORITY: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MCDUFFIE COUNTY HOSPITAL AUTHORITY (EIN 58-6002701)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-05-15
IRS object ID
201321359349306017
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T15:59:44-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN271532035EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BARMORE HAMMOND LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1132 RAILROAD STREET THIRD FLOORAddressLine1
CityTHOMSONCity
StateGAState
ZIP Code30824ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN586002701EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MCDUFFIE COUNTY HOSPITAL AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMCDUNameControl
Phone7065951411Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1521 WEST HILL STREETAddressLine1
CityTHOMSONCity
StateGAState
ZIP Code30824ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN SEAYName
TitleVICE CHAIRMANTitle
Phone7065951411Phone
Date Signed2013-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBENJAMIN B BARMOREName
PTINP01048656PTIN
Phone7065957764Phone
Date Prepared2013-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1MCDUFFIE REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN SEAYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1521 WEST HILL STREETAddressLine1
CityTHOMSONCity
StateGAState
ZIP Code30824ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14796343GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MRMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1948YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionHEALTHCAREActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees242TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year44073ContributionsGrantsPriorYear
Contributions Grants Current Year6800ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16530118ProgramServiceRevenuePriorYear
Program Service Revenue CY11930359ProgramServiceRevenueCY
Investment Income Prior Year117620InvestmentIncomePriorYear
Investment Income Current Year-8380317InvestmentIncomeCurrentYear
Other Revenue Prior Year544003OtherRevenuePriorYear
Other Revenue Current Year2775779OtherRevenueCurrentYear
Total Revenue Prior Year17235814TotalRevenuePriorYear
Total Revenue Current Year6332621TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9532518SalariesEtcPriorYear
Salaries Etc Current Year6764659SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year89TotalFundrsngExpCurrentYear
Other Expense Prior Year9785430OtherExpensePriorYear
Other Expenses Current Year7895545OtherExpensesCurrentYear
Total Expenses Prior Year19318948TotalExpensesPriorYear
Total Expenses Current Year14662204TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2083134RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-8329583RevenuesLessExpensesCY
Total Assets BOY14031000TotalAssetsBOY
Total Assets EOY4007085TotalAssetsEOY
Total Liabilities BOY2183616TotalLiabilitiesBOY
Total Liabilities EOY489284TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11847384NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3517801NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF MCDUFFIE REGIONAL MEDICAL CENTER IS TO PROVIDE QUALITY HEALTH CARE TO ALL PATIENTS WITH THE ASSISTANCE OF OUR ASSOCIATES AND PHYSICIANS. THE VISION OF MCDUFFIE REGIONAL MEDICAL CENTER IS TO BE UTILIZED AS OUR COMMUNITIES' HEALTHCARE PARTNER OF CHOICE. THE VALUES STATEMENT REFLECTS OUR COMMITMENT AND PRIORITIES TO PEOPLE FIRST, PATIENT CARE THAT EMBODIES COMPASSION, RESPECT, AND PRIVACY, EXCEEDING THE NEED AND EXPECTATIONS OF OUR CUSTOMERS, OPPORTUNITIES TO SERVE OUR COMMUNITIES AND LISTEN TO THEIR NEEDS PHYSICIANS WHO ARE HIGHLY QUALIFIED AND PROVIDE SELECTED MEDICAL SERVICES LEADERSHIP DEDICATED TO PRESERVING THE FUTURE OF HEALTHCARE EXCELLENCE IN HEALTHCARE DELIVERY AND CUSTOMER SERVICE FISCAL STABILITY THAT ENABLES EXPANDED, ADVANCED SERVICES INITIATIVE DEMONSTRATING OUR DEDICATION TO CONTINUOUS QUALITY IMPROVEMENT RELATIONSHIPS THAT FOSTER CONTINUED GROWTH AS PROVIDER OF CHOICE SERVICE AVAILABLE AND ACCESSIBLE TO ALL.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11531263Expense
Revenue6083435Revenue
DescriptionTHE HOSPITAL CARRIED OUT MEDICAL RELATED SERVICES TO THE COMMUNITY AND CONDUCTED HEALTH EDUCATION COURSES AND HEALTH FAIRS, PROVIDED EDUCATIONAL LITERATURE AND SPONSORED ILLNESS SUPPORT GROUPS. A STAFF MEMBER SERVES THE EAST GEORGIA CANCER COALITION BOARD WHO PROMOTES CANCER AWARENESS AND SCREENINGS. OTHER STAFF MEMBERS SERVE ON A VARIETY OF BOARDS AND ARE INVOLVED IN CIVIC ENDEAVORS THAT PROMOTE HEALTH AND WELLNESS. THE HOSPITAL PROVIDED DRUGS AND TRANSPORTATION FROM THE HOSPITAL TO THOSE UNABLE TO PAY. UNCOMPENSATED CARE WAS PROVIDED AS WELL AS INDIGENT AND CHARITY CARE. A HOSPITAL BASED PROGRAM ASSISTANCE COUNSELOR IS PROVIDED AT THE HOSPITAL'S EXPENSE IN ORDER TO ASSIST PATIENTS WITH QUALIFYING FOR MEDICARE DISABILITY, MEDICAID, SSI OR OTHER GOVERNMENTAL FINANCIAL ASSISTANCE PROGRAMS. THE HOSPITAL TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND SERVES AS A HEALTHCARE SAFETY NET FOR THOSE WHO ARE NOT ABLE TO RECEIVE SERVICE ELSEWHERE BECAUSE OF THEIR FINANCIAL INABILITY TO PAY.Description
Total Program Service Expense11531263TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees242NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BARMORE HAMMOND LLPBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7065957764TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1132 RAILROAD STREET 3RD FLOORAddressLine1
CityTHOMSONCity
StateGAState
ZIP Code30824ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JERRY HARRISON
BOARD OF DIRECTORS1.00X000
ANITA CUMMINGS
CHAIRMAN1.00X000
ROBIN DUDLEY
DIRECTORS EMERITUS1.00X000
BILL DOUPE
CHAIRMAN1.00X000
JOE WILLS MD
CHIEF OF STAFF1.00X000
JOHN SEAY
VICE CHAIRMAN1.00X000
MICHELLE COLLINS
SECRETARY1.00X000
JACKIE DUPREE
BOARD OF DIRECTORS1.00X000
DARYL WILEY
BOARD OF DIRECTORS1.00X000
RUSTY LOVELACE
DIRECTORS EMERITUS1.00X000
NED HARBESON
BOARD OF DIRECTORS1.00X000
DOUGLAS C KEIR
CONT. EMP. THRU AGENCY CEO40.0014516600X
PATRICIA W PARRIS
CFO40.007932200X
BELINDA CAMPBELL
COMPLIANCE OFF40.005608700X
LISA TUCKER
CIO40.005835000X
APRIL KEENE
MEDICAL STAFF COORDINATOR40.004602000X
DAWN SWAN
DIR PUBLIC REL, MARKETING1.004441000X
PEGGY BARMORE
CNE40.007589700X
JESSIE LYNN RYAN
CRNA40.0012655700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org631809TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ALSTON AND BIRD
PO BOX 933124ATLANTAGA311933124LEGAL FEES281960
CROTHALL CLINICAL EQU
13028 COLLECTIONS CENTER DRIVECHICAGOIL60675BIO-MED SERVICE248472
EMCARE
7032 COLLECTION CENTER DRIVECHARLOTTEIL60693ER PHYSICIANS177464
MEDITECH
PO BOX 74569CHICAGOIL60696SOFTWARE SVC165080
CARDINAL
PO BOX 905867CHARLOTTENC28290DRUGS & MEDICAL SUPPLIES159264
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Government Grants6800GovernmentGrants
Total Contributions6800TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code621990BusinessCode
Total Revenue Column11930359TotalRevenueColumn
Related Or Exempt Function Income11930359RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11930359TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column83405TotalRevenueColumn
Exclusion$83,405ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2852Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2852Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2852TotalRevenueColumn
Related Or Exempt Function Income2852RelatedOrExemptFunctionIncome

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other8463722Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-8463722Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-8463722TotalRevenueColumn
Related Or Exempt Function Income-8463722RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EHR GOVT REIMBURSEMENT62199015972361597236
SPLOST FUNDS621990500000500000
EMS MANAGEMENT621990452595452595

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column223096TotalRevenueColumn
Related Or Exempt Function Income64115RelatedOrExemptFunctionIncome
Exclusion$158,981ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2772927TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6332621TotalRevenueColumn
Related Or Exempt Function Income6083435RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$242,386ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2000Total
Program Services2000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total782628Total
Program Services453016ProgramServices
Management And General329612ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4399856Total
Program Services3924072ProgramServices
Management And General475784ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total36688Total
Program Services29601ProgramServices
Management And General7076ManagementAndGeneral
Fundraising11Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1108246Total
Program Services979636ProgramServices
Management And General128610ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total437241Total
Program Services322751ProgramServices
Management And General114412ManagementAndGeneral
Fundraising78Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total649001Total
Program Services267169ProgramServices
Management And General381832ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total504666Total
Management And General504666ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total48500Total
Management And General48500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total723657Total
Program Services377725ProgramServices
Management And General345932ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6060Total
Program Services6060ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2184651Total
Program Services2115110ProgramServices
Management And General69541ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total144181Total
Program Services128321ProgramServices
Management And General15860ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total775836Total
Program Services545986ProgramServices
Management And General229850ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total8501Total
Program Services2313ProgramServices
Management And General6188ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6630Total
Program Services5503ProgramServices
Management And General1127ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total627329Total
Program Services264795ProgramServices
Management And General362534ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total249499Total
Program Services177280ProgramServices
Management And General72219ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE17574831757483
REPAIRS AND MAINTENANCE20955117244237109

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14662204Total
Program Services11531263ProgramServices
Management And General3130852ManagementAndGeneral
Fundraising89Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY72009BOY
EOY1196620EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1787355BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY503441BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY201611BOY
EOY299169EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis0LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec0LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7587349BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3519701BOY
EOY2037431EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY359534BOY
EOY473865EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14031000BOY
EOY4007085EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1907526BOY
EOY144098EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY65737BOY
EOY67737EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY210353BOY
EOY277449EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2183616BOY
EOY489284EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11722397BOY
EOY2893951EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY500000EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY124987BOY
EOY123850EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11847384BOY
EOY3517801EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14031000BOY
EOY4007085EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-8329583ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance124988BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses863InvestmentEarningsOrLosses
Grants Or Scholarships2000GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance123851EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance125239BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses749InvestmentEarningsOrLosses
Grants Or Scholarships1000GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance124988EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance124733BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses506InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance125239EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance121781BeginningOfYearBalance
Contributions1962Contributions
Investment Earnings Or Losses990InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance124733EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER SECURITIESDescription
Book Value2037431BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities2037431TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
USRY SCHOLARSHIP RESTRICTED CASH123850
USRY SCHOLARSHIP LOAN RECCEIVABLES67737
CMS ELECTRONIC HEALTH RECORD - MEDICAD RECEIVABLE233836
WORKMANS COMP PREM RECEIVABLE48442
FieldValueIRS element (for citing)
Total Book Value Other Assets473865TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO UNIVERSITY HOSPITAL$155,075
ALLOWANCE MEDICARE RAC$55,542
SETTLEMENT PAYABLE$66,832
FieldValueIRS element (for citing)
Total Of Amounts277449TotalOfAmounts
Total Revenue6332621TotalRevenue
Total Expenses14662204TotalExpenses
Excess Or Deficit For Year-8329583ExcessOrDeficitForYear
Excess Or Deficit Per FS-8329583ExcessOrDeficitPerFS

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage125.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense705701TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense705701NetCommunityBenefitExpense
Percent Of Total Expense0.05470PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense2426971TotalCommunityBenefitExpense
Direct Offsetting Revenue783237DirectOffsettingRevenue
Net Community Benefit Expense1643734NetCommunityBenefitExpense
Percent Of Total Expense0.12740PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense3132672TotalCommunityBenefitExpense
Direct Offsetting Revenue783237DirectOffsettingRevenue
Net Community Benefit Expense2349435NetCommunityBenefitExpense
Percent Of Total Expense0.18210PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense89528TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense89528NetCommunityBenefitExpense
Percent Of Total Expense0.00690PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense8447TotalCommunityBenefitExpense
Direct Offsetting Revenue375DirectOffsettingRevenue
Net Community Benefit Expense8072NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense97975TotalCommunityBenefitExpense
Direct Offsetting Revenue375DirectOffsettingRevenue
Net Community Benefit Expense97600NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3230647TotalCommunityBenefitExpense
Direct Offsetting Revenue783612DirectOffsettingRevenue
Net Community Benefit Expense2447035NetCommunityBenefitExpense
Percent Of Total Expense0.18960PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,757,483BadDebtExpenseAmount
Amount Attributable To164884AmountAttributableTo
Amount Reimbursed By Medicare2503464AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare2938700CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-435236MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MCDUFFIE CTY HOSPITAL AUTHORITY DBA MRMCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1521 HILL STREETAddressLine1
CityTHOMSONCity
StateGAState
ZIP Code30824ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MCDUFFIE REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent250.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
MCDUFFIE BONE & JOINT
510 MT PLEASANT ROADTHOMSONGA30824OP ORTHOPEDIC PHYSICIAN'S OFFICE
MRMC HOSPITALISTS
521 WEST HILL STTHOMSONGA30824IP PHYSICIANS' HOSPITALISTS PRACTICE
MRMC PHYSICAL & OCCURPATIONAL THERAPY CL
WARE STREETTHOMSONGA30824OP PHYSICAL & OCCUPATIONAL THERAPY CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 7G: SUBSIDIES FOR PHYSICIAN CLINICS; SUBSIDIZED SERVICES FOR COLPOSCOPIES PERFORMED AT MCDUFFIE COUNT HEALTH DEPARTMENT; SUBSIDIZED PRESCRIPTION MEDICATIONS AND TRANSPORTATION; WELLNESS WORKS PROGRAM FOR COMMUNITY THAT PROVIDES HEALTH FAIRS, PHYSICALS AND SCHEDULING FOR HEALTH CARE ACCESS.
PART I, L7 COL(F): INCOME STATEMENT IS CHARGED WITH ACTUAL BAD DEBT EXPENSE BASED UPON EXHAUSTED COLLECTION EFFORTS PER HOSPITAL POLICY. A PROVISION FOR CURRENT AR UNCOLLECTIBLE ACCOUNTS IS CHARGED BASED UPON EXPERIENCE AND CIRCUMSTANCE WHICH AFFECT THE COLLECTABILITY OF RECEIVABLES. AMOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED AGAINST THE ALLOWANCE. IN THE OPINION OF MANAGEMENT, ADEQUATE PROVISIONS HAVE BEEN MADE FOR UNCOLLECTIBLE ACCOUNTS.
PART III, LINE 8: HOSPITALS HAVE NO CHOICE BUT TO TREAT PATIENTS THAT PRESENT FOR EMERGENCY SERVICES AND MUST TREAT WITHOUT REGARD TO ABILITY TO PAY EVEN THOUGH THE PATIENT MAY HAVE NUMEROUS BAD DEBTS. NO OTHER INDUSTRY WOULD CONTINUE TO PROVIDE SERVICES IF THE BILLS REMAINED UNPAID. THEREFORE BAD DEBT SHOULD BE ALLOWED AS COMMUNITY BENEFIT SINCE THERE IS NO BENEFIT TO THE HOSPITAL. BAD DEBT COMPROMISES A HOSPITAL'S OPERATIONS SO THE BENEFIT ARE PROVIDED TO THE COMMUNITY.
PART III, LINE 9B: THE HOSPITAL DOES NOT PURSUE COLLECTIONS ON PATIENTS IDENTIFIED AND QUALIFIED FOR INDIGENT CARE.
PART V, SECTION B, LINE 19D: THERE IS NO MAX CAP ON AMOUNTS TO BE CHARGED TO TO FAP ELIGIBLE INDIVIDUALS.MCDUFFIE REGIONAL MEDICAL CENTER
PART VI, LINE 3: PATIENTS ARE INFORMED AT THE TIME OF REGISTRATION THAT AN INDIGENT/CHARITY PROGRAM IS AVAILABLE. SIGNS ARE POSTED IN EACH REGISTRATION AREA, THE EMERGENCY DEPARTMENT, LOBBY AND MAIN CORRIDOR TO INPATIENT WING. EACH PATIENT ACCOUNT REPRESENTATIVE INFORMS THEIR PATIENTS OF THE INDIGENT/CHARITY PROGRAM AND ASSISTS THE PATIENT WITH COMPLETION OF THE APPLICATION. WE EMPLOY RESOURCE CORP. OF AMERICA REPRESENTATIVES THAT NOT ONLY TAKE INDIGENT APPLICATIONS, BUT ASSIST PATIENTS IN APPLYING FOR OTHER GOVERNMENTAL PROGRAMS SUCH AS SSI, MEDICAID, MEDICARE DISABILITY, ETC.
PART VI, LINE 4: MCDUFFIE REGIONAL RESIDES IN MCDUFFIE COUNTY. MCDUFFIE COUNTY IS 40% AFRICAN AMERICAN, 2% LATINO, 58% CAUCASIAN, 19% BELOW FPG, 20% WITH NO INSURANCE, AND 9.5% UNEMPLOYED. MRMC SERVES LINCOLN, WARREN AND GLASCOCK COUNTIES IN ITS SERVICE AREA.
PART VI, LINE 5: MRMC PROVIDES CLINICAL EDUCATION, TRAINING, AND MENTORSHIP FOR STUDENTS OF AUGUSTA TECH, VIRGINIA COLLEGE, MEDICAL COLLEGE OF GEORGIA, AUGUSTA STATE UNIVERSITY, AND THOMSON HIGH SCHOOL. STUDENTS MEET THEIR CLINICAL AND ON JOB EDUCATIONAL CRITERIA THROUGH SERVICE AT MRMC.
PART VI, LINE 6: MRMC'S BOARD IS MADE UP OF A CROSS SECTION OF NONEMPLOYEE COMMUNITY LEADERS AND ETHNIC GROUPS. OUR MEDICAL STAFF IS OPEN. SURPLUS FUNDS ARE USED TO PROVIDE FOR NEW SERVICES, FUTURE GROWTH, AND DEVELOPMENT OF THE FACILITY IN ORDER TO CONTINUE TO PROVIDE SERVICES TO THE COMMUNITIES WE SERVE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11AN ELECTRONIC COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BODY PRIOR TO FILING FOR THEIR APPROVAL
FORM 990, PART VI, SECTION B, LINE 12CPOLICY AND PROCEDURE WERE EXPLAINED DURING HOSPITAL WIDE ORIENTATION. CODE OF BUSINESS PRACTICE PROVIDED TO EACH ASSOCIATE.
FORM 990, PART VI, SECTION B, LINE 15CEO'S SALARY IS PROVIDED BY HOSPITAL AUTHORITY AS A PORTION OF THE MANAGEMENT CONTRACT THROUGH QUORUM.
FORM 990, PART VI, SECTION C, LINE 19MCDUFFIE COUNTY HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.