MCDUFFIE COUNTY HOSPITAL AUTHORITY: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MCDUFFIE COUNTY HOSPITAL AUTHORITY (EIN 58-6002701)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2013-05-31
- IRS object ID
- 201331519349300108
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-31T09:47:52-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARMORE HAMMOND LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 132 RAILROAD STREET THIRD FLOOR | AddressLine1 |
| City | THOMSON | City |
| State | GA | State |
| ZIP Code | 30824 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 586002701 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCDUFFIE COUNTY HOSPITAL AUTHORITY | BusinessNameLine1 |
| Business Name Line2 | DBA MCDUFFIE REGIONAL MEDICAL CENTER | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MCDU | NameControl |
| Phone | 7065951411 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 521 HILL STREET SW | AddressLine1 |
| City | THOMSON | City |
| State | GA | State |
| ZIP Code | 30824 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN SEAY | Name |
| Title | VICE CHAIRMAN | Title |
| Phone | 7065951411 | Phone |
| Date Signed | 2013-05-25 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BENJAMIN B BARMORE | Name |
| Phone | 7065957764 | Phone |
| Date Prepared | 2013-05-24 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Name Of Principal Officer Person | JOHN SEAY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 521 HILL STREET SW | AddressLine1 |
| City | THOMSON | City |
| State | GA | State |
| ZIP Code | 30824 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 17237716 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MRMC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | HEALTHCARE | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 281 | TotalNbrEmployees |
| Total Nbr Volunteers | 31 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3100 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 44073 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 19936057 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 16530118 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 77475 | InvestmentIncomePriorYear |
| Investment Income Current Year | 117620 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 549954 | OtherRevenuePriorYear |
| Other Revenue Current Year | 544003 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 20566586 | TotalRevenuePriorYear |
| Total Revenue Current Year | 17235814 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 9893439 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9532518 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 632 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 11963055 | OtherExpensePriorYear |
| Other Expenses Current Year | 9785430 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 21856494 | TotalExpensesPriorYear |
| Total Expenses Current Year | 19318948 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1289908 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2083134 | RevenuesLessExpensesCY |
| Total Assets BOY | 17046648 | TotalAssetsBOY |
| Total Assets EOY | 14031000 | TotalAssetsEOY |
| Total Liabilities BOY | 3200469 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2183616 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 13846179 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11847384 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 13943543 | Expense |
| Revenue | 17118194 | Revenue |
| Description | THE 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 Expense | 13943543 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 38 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 281 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARMORE HAMMOND LLP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7065957764 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 132 RAILROAD STREET 3RD FLOOR | AddressLine1 |
| City | THOMSON | City |
| State | GA | State |
| ZIP Code | 30824 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JERRY HARRISON | |||||||
| BOARD OF DIRECTORS | 1.00 | X | 0 | 0 | 0 | ||
| ANITA CUMMINGS | |||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| ROBIN DUDLEY | |||||||
| DIRECTORS EMERITUS | 1.00 | X | 0 | 0 | 0 | ||
| BILL DOUPE | |||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| JOE WILLS MD | |||||||
| CHIEF OF STAFF | 1.00 | X | 0 | 0 | 0 | ||
| JOHN SEAY | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | ||
| MICHELLE COLLINS | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| JACKIE DUPREE | |||||||
| BOARD OF DIRECTORS | 1.00 | X | 0 | 0 | 0 | ||
| DARYL WILEY | |||||||
| BOARD OF DIRECTORS | 1.00 | X | 0 | 0 | 0 | ||
| RUSTY LOVELACE | |||||||
| DIRECTORS EMERITUS | 1.00 | X | 0 | 0 | 0 | ||
| RENEE WRIGHT | |||||||
| VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| DOUGLAS C KEIR CONT EMP THRU AGEN | |||||||
| CEO | 40.00 | 7260 | 0 | 20300 | X | ||
| PATRICIA W PARRIS | |||||||
| CFO | 40.00 | 99212 | 0 | 992 | X | ||
| BELINDA CAMPTBELL | |||||||
| COMPLIANCE OFF | 40.00 | 73370 | 0 | 734 | X | ||
| LISA TUCKER | |||||||
| CIO | 40.00 | 77976 | 0 | 780 | X | ||
| APRIL KEENE | |||||||
| MEDICAL STAFF COORDINATION | 40.00 | 50122 | 0 | 501 | X | ||
| PEGGY BARMORE | |||||||
| CNE | 40.00 | 94251 | 0 | 943 | X | ||
| JESSIE LYNN RYAN | |||||||
| CRNA | 40.00 | 170560 | 0 | 1545 | X | ||
| DAWN SWAN | |||||||
| DIR PUBLIC RELATIONS, MARKETING | 1.00 | 49882 | 0 | 499 | X | ||
| ROBERTO BORJA | |||||||
| PHYSICIAN | 1.00 | 127484 | 0 | 0 | X | ||
| CYNTHIA HARRIS WARE | |||||||
| PHARMACIST | 40.00 | 124135 | 0 | 1241 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 874252 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 27535 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CARDINAL | |||||
| PO BOX 905867 | CHARLOTTE | NC | 28290 | DRUGS & MEDICAL SUPPLIES | 431810 |
| BIOMET | |||||
| 75 REMITTANCE DR 3283 | CHICADO | IL | 60675 | ORTHO IMPLANTS/ SUPPLIES | 412025 |
| QUORUM HEALTH RESOURCES | |||||
| 105 CENTINENTIAL PLACE | BRENTWOOD | TN | 37027 | HOSPITAL MANAGEMENT | 396525 |
| CROTHALL CLINICAL EQU | |||||
| 13028 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60675 | BIO-MED SERVICE | 390024 |
| HOLOGIC | |||||
| 35 COSBY DR | BEDFORD | MA | 01730 | EQUIPMENT & REPAIRS | 273628 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 19 | NumberOfContractorsGT100K |
| Government Grants | 17856 | GovernmentGrants |
| All Other Contributions | 26217 | AllOtherContributions |
| Total Contributions | 44073 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 16530118 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16530118 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 16530118 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 117620 | TotalRevenueColumn |
| Exclusion | $117,620 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3803 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1902 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1901 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1901 | TotalRevenueColumn |
| Exclusion | $1,901 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| EMS MANAGEMENT | 621990 | 463685 | 463685 | |
| MISCELLANEOUS | 621990 | 41947 | 41947 | |
| CAFETERIA/VENDING | 621990 | 36470 | $36,470 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 542102 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17235814 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17035750 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $155,991 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1000 | Total |
| Program Services | 1000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 645917 | Total |
| Program Services | 46543 | ProgramServices |
| Management And General | 599374 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6441951 | Total |
| Program Services | 5124657 | ProgramServices |
| Management And General | 1317294 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77595 | Total |
| Program Services | 45779 | ProgramServices |
| Management And General | 31802 | ManagementAndGeneral |
| Fundraising | 14 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1813969 | Total |
| Program Services | 1337621 | ProgramServices |
| Management And General | 476348 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 553086 | Total |
| Program Services | 402900 | ProgramServices |
| Management And General | 150083 | ManagementAndGeneral |
| Fundraising | 103 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 918815 | Total |
| Program Services | 730012 | ProgramServices |
| Management And General | 188803 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 290387 | Total |
| Management And General | 290387 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35750 | Total |
| Management And General | 35750 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22660 | Total |
| Management And General | 22660 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1751110 | Total |
| Program Services | 1064705 | ProgramServices |
| Management And General | 686405 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11134 | Total |
| Program Services | 10659 | ProgramServices |
| Management And General | 475 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2489501 | Total |
| Program Services | 2229949 | ProgramServices |
| Management And General | 259467 | ManagementAndGeneral |
| Fundraising | 85 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 400849 | Total |
| Program Services | 271512 | ProgramServices |
| Management And General | 129337 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1176558 | Total |
| Program Services | 683883 | ProgramServices |
| Management And General | 492675 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29627 | Total |
| Program Services | 1583 | ProgramServices |
| Management And General | 27900 | ManagementAndGeneral |
| Fundraising | 144 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9380 | Total |
| Program Services | 1601 | ProgramServices |
| Management And General | 7779 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73680 | Total |
| Program Services | 43345 | ProgramServices |
| Management And General | 30285 | ManagementAndGeneral |
| Fundraising | 50 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 889924 | Total |
| Program Services | 326408 | ProgramServices |
| Management And General | 563280 | ManagementAndGeneral |
| Fundraising | 236 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 281121 | Total |
| Program Services | 216452 | ProgramServices |
| Management And General | 64669 | ManagementAndGeneral |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BAD DEBT | Description |
| Total | 1404934 | Total |
| Program Services | 1404934 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19318948 | Total |
| Program Services | 13943543 | ProgramServices |
| Management And General | 5374773 | ManagementAndGeneral |
| Fundraising | 632 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3040 | BOY |
| EOY | 72009 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1014275 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2164274 | BOY |
| EOY | 1787355 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 530539 | BOY |
| EOY | 503441 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 278588 | BOY |
| EOY | 201611 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 24146009 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 16558660 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8188034 | BOY |
| EOY | 7587349 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4609135 | BOY |
| EOY | 3519701 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 258763 | BOY |
| EOY | 359534 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17046648 | BOY |
| EOY | 14031000 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1312741 | BOY |
| EOY | 1907526 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64738 | BOY |
| EOY | 65737 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1822990 | BOY |
| EOY | 210353 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3200469 | BOY |
| EOY | 2183616 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13720940 | BOY |
| EOY | 11722397 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 125239 | BOY |
| EOY | 124987 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13846179 | BOY |
| EOY | 11847384 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17046648 | BOY |
| EOY | 14031000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2083134 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 84339 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 125239 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 749 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1000 | GrantsOrScholarships |
| End Of Year Balance | 124988 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 124733 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 506 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| End Of Year Balance | 125239 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 121781 | BeginningOfYearBalance |
| Contributions | 1962 | Contributions |
| Investment Earnings Or Losses | 990 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| End Of Year Balance | 124733 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1006611 | OtherCostOrOtherBasis |
| Book Value | 1006611 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10438818 | OtherCostOrOtherBasis |
| Depreciation | 5905779 | Depreciation |
| Book Value | 4533039 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 214625 | OtherCostOrOtherBasis |
| Depreciation | 207984 | Depreciation |
| Book Value | 6641 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11873191 | OtherCostOrOtherBasis |
| Depreciation | 9902552 | Depreciation |
| Book Value | 1970639 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 612764 | OtherCostOrOtherBasis |
| Depreciation | 542345 | Depreciation |
| Book Value | 70419 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 7587349 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER SECURITIES | Description |
| Book Value | 3519701 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 3519701 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER CURRENT LIABILITIES | Description |
| Amount | $210,353 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 210353 | TotalOfAmounts |
| Total Revenue | 17235814 | TotalRevenue |
| Total Expenses | 19318948 | TotalExpenses |
| Excess Or Deficit For Year | -2083134 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -22573 | NetUnrealizedGLOnInvestments |
| Prior Period Adjustments | 106912 | PriorPeriodAdjustments |
| Total Adjustments | 84339 | TotalAdjustments |
| Excess Or Deficit Per FS | -1998795 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 15810209 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 1902 | OtherRevenues |
| Revenue Not Rptd F990 | 1902 | RevenueNotRptdF990 |
| Revenue Subtotal | 15808307 | RevenueSubtotal |
| Other Revenues Not Included | 1427507 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1427507 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 17235814 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 17915916 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1902 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1902 | ExpensesNotRptdF990 |
| Expenses Subtotal | 17914014 | ExpensesSubtotal |
| Other Expenses Not Included | 1404934 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1404934 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 19318948 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | RESTRICTED, EXPENDABLE NET ASSETS ARE AVAILABLE FOR SCHOLARSHIPS DESIGNED TO ASSIST EMPLOYEES OF THE HOSPITAL AND CITIZENS OF MCDUFFIE COUTY AND SURROUNDING AREAS IN THEIR PURSUIT OF HEALTH CARE RELATED CAREERS THROUGH THE USRY SCHOLARSHIP FUND. UPON GRADUATION, RECIPIENTS OF A SCHOLARSHIP MUST REPAY THE LOAN THROUGH EITHER THREE YEARS OF SERVICE AT THE HOSPITAL OR MAKING EQUAL MONTHLY INSTALLMENTS OVER A PERIOD NOT TO EXCEED TWENTY-FOUR MONTHS. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | MANAGEMENT HAS EVALUATED THE EFFECT OF THE GUIDANCE PROVIDED BY U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THAT BECAME EFFECTIVE THIS YEAR. MANAGEMENT HAS EVALUATED ALL THE TAX POSITIIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE FINANCIAL STATEMENTS AND DETERMINED THE HOSPITAL HAD NO UNCERTAIN INCOME TAX POSITIONS AT SEPTEMBER 30, 2011. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CAPITAL CONTRIBUTIONS RENT EXPENSE NETTED AGAINST RENTAL INCOME | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENT EXPENSE NETTED AGAINST RENTAL INCOME 1,902. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE NETTED AGAINST PATIENT REVENUE 1,404,934. UNREALIZED LOSS ON INVESTMENT 22,573. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENT EXPENSE NETTED AGAINST RENTAL INCOME 1,902. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE NETTED AGAINST PATIENT REVENUE 1,404,934. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2041783 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2041783 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10570 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3517206 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1835700 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1681506 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08700 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5558989 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1835700 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3723289 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.19270 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 523798 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 78914 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 444884 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02300 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10189 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 500 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9689 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 533987 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 79414 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 454573 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07300 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6092976 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1915114 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4177862 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.26570 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,801,115 | BadDebtExpenseAmount |
| Amount Attributable To | 1266918 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 2589774 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 4743715 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2153941 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCDUFFIE CTY HOSPITAL AUTHORITY DBA MRMC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 521 HILL STREET | AddressLine1 |
| City | THOMSON | City |
| State | GA | State |
| ZIP Code | 30824 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCDUFFIE REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| MCDUFFIE BONE & JOINT | ||||
| 510 MT PLEASANT ROAD | THOMSON | GA | 30824 | OP ORTHOPEDIC PHYSICIAN'S OFFICE |
| MRMC HOSPITALISTS | ||||
| 521 WEST HILL ST | THOMSON | GA | 30824 | IP PHYSICIANS' HOSPITALISTS PRACTICE |
| MRMC PHYSICAL & OCCURPATIONAL THERAPY CL | ||||
| WARE STREET | THOMSON | GA | 30824 | OP PHYSICAL & OCCUPATIONAL THERAPY CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| 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 6: 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 7: 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JESSIE LYNN RYAN | NamePerson |
| Base Compensation Filing Org | 170560 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 170560 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | DOUG KEIR IS CEO OF MCDUFFIE REGIONAL MEDICAL CENTER. HE IS EMLOYED BY QUORUM HEALTH RESOURCES BUT REPORTS TO MCDUFFIE HOSPITAL AUTHORITY. HE ASSUMES RESPONSIBILITY FOR DATE-TO-DAY OPERATIONS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | AN ELECTRONIC COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BODY PRIOR TO FILING FOR THEIR APPROVAL | |
| POLICY AND PROCEDURE WERE EXPLAINED DURING HOSPITAL WIDE ORIENTATION. CODE OF BUSINESS PRACTICE PROVIDED TO EACH ASSOCIATE. | FORM 990, PART VI, SECTION B, LINE 12C | |
| CEO'S SALARY IS PROVIDED BY HOSPITAL AUTHORITY AS A PORTION OF THE MANAGEMENT CONTRACT THROUGH QUORUM. | FORM 990, PART VI, SECTION B, LINE 15 | |
| MCDUFFIE COUNTY HOSPITAL'S FORMS 990 AND 1023 ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 18 | |
| MCDUFFIE COUNTY HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -22,573. PRIOR PERIOD ADJUSTMENTS: 106,912. CAPITAL CONTRIBUTIONS RENT EXPENSE NETTED AGAINST RENTAL INCOME TOTAL TO FORM 990, PART XI, LINE 5: 84,339. | FORM 990, PART XI, LINE 5: |
| EXECUTIVE COMMITTEE | THE MCDUFFIE HOSPITAL AUTHORITY ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. | |
| AMENDED RETURN | RETURN IS BEING AMENDED TO INCLUDE SCHEDULE H AND ALL SUPPORITNG STATEMENTS WHICH WERE NOT INCLUDED IN THE ORIGINAL FILING. | 990 AMENDED RETURN |
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