SHEPHERD CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SHEPHERD CENTER INC (EIN 51-0141601)
Tax period
2011-04-01 to 2012-03-31
Filed
2012-11-15
IRS object ID
201203249349300125
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)
Timestamp2012-11-15T16:25:37-06:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN721396621EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAMLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14360 CHAMBLEE DUNWOODY RD SUITE 420AddressLine1
CityATLANTACity
StateGAState
ZIP Code30341ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510141601EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SHEPHERD CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSHEPNameControl
Phone4043507310Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12020 PEACHTREE ROAD NWAddressLine1
CityATLANTACity
StateGAState
ZIP Code30309ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEPHEN B HOLLEMANName
TitleCFOTitle
Phone4043507310Phone
Date Signed2012-11-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLA P BROWNLEEName
PTINP00746452PTIN
Phone7704576606Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGARY R ULICNYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12020 PEACHTREE ROAD NWAddressLine1
CityATLANTACity
StateGAState
ZIP Code30309ZIPCode
FieldValueIRS element (for citing)
Gross Receipts158914972GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SHEPHERD.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF SHEPHERD CENTER'S MISSION STATEMENT.SHEPHERD CENTER'S MISSION IS TO HELP PEOPLE WITH A TEMPORARY OR PERMANENT DISABILITY CAUSED BY INJURY OR DISEASE REBUILD THEIR LIVES WITH HOPE, INDEPENDENCE, AND DIGNITY, ADVOCATING FOR THEIR FULL INCLUSION IN ALL ASPECTS OF COMMUNITY LIFE WHILE PROMOTING SAFETY AND INJURY PREVENTION.ActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees1530TotalNbrEmployees
Total Nbr Volunteers800TotalNbrVolunteers
Total Gross UBI122440TotalGrossUBI
Net Unrelated Business Txbl Income-123539NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year15992840ContributionsGrantsPriorYear
Contributions Grants Current Year11570889ContributionsGrantsCurrentYear
Program Service Revenue Prior Year116725223ProgramServiceRevenuePriorYear
Program Service Revenue CY142403110ProgramServiceRevenueCY
Investment Income Prior Year364820InvestmentIncomePriorYear
Investment Income Current Year1453926InvestmentIncomeCurrentYear
Other Revenue Prior Year3294250OtherRevenuePriorYear
Other Revenue Current Year3458379OtherRevenueCurrentYear
Total Revenue Prior Year136377133TotalRevenuePriorYear
Total Revenue Current Year158886304TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year80109869SalariesEtcPriorYear
Salaries Etc Current Year88141524SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year45111393OtherExpensePriorYear
Other Expenses Current Year50971124OtherExpensesCurrentYear
Total Expenses Prior Year125221262TotalExpensesPriorYear
Total Expenses Current Year139112648TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11155871RevenuesLessExpensesPriorYear
Revenues Less Expenses CY19773656RevenuesLessExpensesCY
Total Assets BOY299977627TotalAssetsBOY
Total Assets EOY323341883TotalAssetsEOY
Total Liabilities BOY86963088TotalLiabilitiesBOY
Total Liabilities EOY88522197TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY213014539NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY234819686NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSHEPHERD CENTER'S PRIMARY PURPOSE IS TO PROVIDE ACUTE AND REHABILITATIVE HOSPITAL CARE TO PATIENTS WITH SPINAL CORD INJURIES, ACQUIRED BRAIN INJURIES, MULTIPLE SCLEROSIS, AND OTHER NEUROMUSCULAR AND UROLOGICAL DISEASES. CONTINUED ON SCHEDULE O.WE STRIVE TO BE THE MOST COMPREHENSIVE CATASTROPHIC CARE SPECIALTY HOSPITAL IN THE WORLD COMMITTED TO IMPROVING OUR PATIENTS' LIVES.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense88214256Expense
Revenue142403110Revenue
DescriptionIN REFERENCE TO THE PROVISION OF PATIENT CARE SERVICES, SHEPHERD CENTER IS DEDICATED TO HELPING PEOPLE WHO HAVE EXPERIENCED CATASTROPHIC INJURY OR DISEASE REBUILD THEIR LIVES WITH HOPE, DIGNITY, AND INDEPENDENCE, ADVOCATING FOR THEIR FULL INCLUSION IN ALL ASPECTS OF COMMUNITY LIFE. IN THE LAST FISCAL YEAR, SHEPHERD CENTER INCURRED EXPENSES TO PROVIDE SERVICES FOR 968 INPATIENT ADMISSIONS, 41,236 INPATIENT DAYS, 47,997 OUTPATIENT VISITS, AND 14,357 DAY PATIENT DAYS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense11117213Expense
Revenue9090901Revenue
DescriptionBECAUSE OF THE GENEROUS FINANCIAL SUPPORT OF THE COMMUNITY, SHEPHERD CENTER IS ABLE TO PROVIDE MANY COMMUNITY FUNDED SERVICES THAT ARE NOT AVAILABLE IN OTHER HOSPITALS. SHEPHERD CENTER OFFERS SERVICES SUCH AS FAMILY HOUSING AND TRAINING, EXPANDED THERAPEUTIC RECREATION SERVICES, ASSISTIVE TECHNOLOGY AND ADAPTIVE EQUIPMENT, AND VOCATIONAL TRAINING, AS WELL AS MEDICAL CARE FOR PATIENTS WITHOUT THE ABILITY TO PAY FOR THESE SERVICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4415153Expense
Revenue3344264Revenue
DescriptionWITH REGARD TO RESEARCH ACTIVITY, SHEPHERD CENTER IS A SITE FOR LEADING-EDGE RESEARCH AND PROVIDES IMPORTANT OUTCOMES TRACKING THAT HELP SHAPE THE FACE OF REHABILITATION IN THE UNITED STATES. OUR VISION IS TO BE A CENTER OF EXCELLENCE IN PATIENT CARE, PARTICIPATING IN RESEARCH THAT WILL ACHIEVE THE HIGHEST OUTCOMES AND IMPROVE THE LIVES OF OUR PATIENTS AND FAMILIES.Description
FieldValueIRS element (for citing)
Total Program Service Expense103746622TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
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 Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096436NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1530NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
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 Body0Form990ProvidedToGoverningBody
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
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledALStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1NORA MANGRUMBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4043507320TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12020 PEACHTREE RD NWAddressLine1
CityATLANTACity
StateGAState
ZIP Code303091402ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
FRED V ALIAS
BOARD MEMBER1.00X000
GREGORY ANDERSON
BOARD MEMBER1.00X000
DAVID F APPLE JR MD
VP/MEDICAL DIRECTOR EMERITUS24.00X168406017724X
JAMES M CASWELL JR
BOARD MEMBER1.00X000
SARA S CHAPMAN
BOARD MEMBER1.00X000
CLARK H DEAN
BOARD MEMBER1.00X000
JOHN S DRYMAN
BOARD MEMBER1.00X000
DAVID H FLINT
BOARD MEMBER1.00X000
DONALD P LESLIE MD
VP/MEDICAL DIRECTOR40.00X629659016375X
DOUGLAS LINDAUER
BOARD MEMBER1.00X000
BERNARD MARCUS
BOARD MEMBER1.00X000
JULIAN B MOHR
BOARD MEMBER1.00X000
C TALBOT NUNNALLY III
BOARD MEMBER1.00X000
SALLY D NUNNALLY
BOARD MEMBER1.00X000
J HAROLD SHEPHERD
BOARD MEMBER1.00X000
W CLYDE SHEPHERD III
BOARD MEMBER1.00X000
JAMES E STEPHENSON
BOARD MEMBER1.00X000
JAMES D THOMPSON
BOARD MEMBER1.00X000
JAMES H SHEPHERD JR
CHAIRMAN40.00X259323019666X
GARY ULICNY PHD
PRESIDENT/CEO40.00X582719020720X
EMORY A SCHWALL
BOARD VP4.00X000X
WILLIAM C FOWLER
BOARD TREASURER2.00X000X
STEPHEN B GOOT
BOARD CORPORATE SEC2.00X000X
ALANA SHEPHERD
BOARD RECORDING SEC20.00X000X
STEPHEN B HOLLEMAN
CFO40.00X336209024144X
WILMA BUNCH
VP BUILDING SERVICES40.00X187359018663X
MITCHELL J FILLHABER
VP MARKETING40.00X301044012970X
BROCK BOWMAN MD
ASSOC. MEDICAL DIRECTOR40.00X443712020656X
TAMARA KING
CHIEF NURSE EXECUTIVE40.00X198151020416X
MICHAEL JONES
VP RESEARCH40.00X298921021984X
SCOTT H SIKES
VP DEVELOPMENT40.00X242590013844X
GERALD BILSKY MD
PHYSICIAN40.00470524011734X
ANNA ELMERS MD
PHYSICIAN40.0052459508611X
JOHN MUSSER MD
PHYSICIAN40.0047096300X
ERIK SHAW MD
PHYSICIAN40.0056262409719X
BEN THROWER MD
PHYSICIAN40.006091140460X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6285913TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation237686TotalOtherCompensation
Number Individuals GT100 K88NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PIEDMONT HOSPITAL
PO BOX 725507ATLANTAGA31139MEDICAL SERVICES5102417
HIMFORMATICS
1735 BUFORD HWY STE 215-311CUMMINGGA30041COMPUTER CONSULTING SERVICES968854
CAREFUSION SOLUTIONS LLC
25082 NETWORK PLACECHICAGOIL60673RENTAL SERVICES OF PXYIS MACHINES590410
ANGELICA TEXTILE SERVICES
PO BOX 535122ATLANTAGA30353LINEN & LAUNDRY CLEANING SERVICES512524
SUCCESS ADVERTISING INC
26 EASTMANS ROADPARSIPPANYNJ07054ADVERTISING SERVICES476942
FieldValueIRS element (for citing)
Number Of Contractors GT100 K25NumberOfContractorsGT100K
Government Grants2407724GovernmentGrants
All Other Contributions9163165AllOtherContributions
Noncash Contributions396377NoncashContributions
Total Contributions11570889TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET INPATIENT SERVICE900099111231365111231365
NET OUTPATIENT SERVICE9000992350952023509520
NET DAYPATIENT SERVICE90009976622257662225
FieldValueIRS element (for citing)
Total Program Service Revenue142403110TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1451311TotalRevenueColumn
Exclusion$1,451,311ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real631620Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real27783Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real603837Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column603837TotalRevenueColumn
Related Or Exempt Function Income603837RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other885Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other2615Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2615TotalRevenueColumn
Exclusion$2,615ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA REVENUE9000991111314$1,111,314
ADMINISTRATIVE FEES5320006140761407
RENTAL INCOME5320006103361033

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1620788TotalRevenueColumn
Related Or Exempt Function Income1620788RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2854542TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column158886304TotalRevenueColumn
Related Or Exempt Function Income144627735RelatedOrExemptFunctionIncome
Unrelated Business Revenue122440UnrelatedBusinessRevenue
Exclusion$2,565,240ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3855255Total
Program Services1836004ProgramServices
Management And General2019251ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total68763193Total
Program Services55309444ProgramServices
Management And General13453749ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1705726Total
Management And General1705726ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3037577Total
Program Services2443265ProgramServices
Management And General594312ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10779773Total
Program Services4371365ProgramServices
Management And General6408408ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total822075Total
Program Services129288ProgramServices
Management And General692787ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total215638Total
Program Services2623ProgramServices
Management And General213015ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total113107Total
Management And General113107ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9697271Total
Program Services7779936ProgramServices
Management And General1917335ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total461660Total
Management And General461660ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2679244Total
Program Services1528366ProgramServices
Management And General1150878ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1472735Total
Management And General1472735ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2572245Total
Program Services501622ProgramServices
Management And General2070623ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total948285Total
Program Services574505ProgramServices
Management And General373780ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total485462Total
Program Services205858ProgramServices
Management And General279604ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total939185Total
Management And General939185ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8713818Total
Program Services1871410ProgramServices
Management And General6842408ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total806392Total
Program Services104047ProgramServices
Management And General702345ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES1467986013680788999072
BAD DEBT EXPENSE25192052519205
EQUIPMENT RENTAL & MAIN19824401515477466963
ALLOCATION OF INDIRECT011484248-11484248

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1862502Total
Program Services408376ProgramServices
Management And General1454126ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total139112648Total
Program Services103746622ProgramServices
Management And General35366026ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9178530BOY
EOY10174786EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10365880BOY
EOY24238510EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1048070BOY
EOY673367EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23905381BOY
EOY29461673EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY918291BOY
EOY1212204EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1742925BOY
EOY2122505EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis220205447LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec93679161LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY127600339BOY
EOY126526286EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY122715800BOY
EOY126315056EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2502411BOY
EOY2617496EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY299977627BOY
EOY323341883EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10872841BOY
EOY13902749EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY629707BOY
EOY918230EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY68900000BOY
EOY67200000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6560540BOY
EOY6501218EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY86963088BOY
EOY88522197EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY157212964BOY
EOY176379764EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14368852BOY
EOY16119646EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY41432723BOY
EOY42320276EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY213014539BOY
EOY234819686EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY299977627BOY
EOY323341883EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses19773656ReconcilationRevenueExpenses
Reconcilation Other Changes2031491ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals44752FilingOrganizationsTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals11776FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals56528FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals103690094FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals103746622FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus39789CurrentYearMinus3
Current Year Minus237087CurrentYearMinus2
Current Year Minus149024CurrentYearMinus1
Current Year56528CurrentYear
Total152428Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus39544CurrentYearMinus3
Current Year Minus231048CurrentYearMinus2
Current Year Minus142730CurrentYearMinus1
Current Year44752CurrentYear
Total128074Total

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART IV, SUPPLEMENTAL INFORMATION:Identifier
ExplanationSHEPHERD CENTER, INC. EMPLOYS MARK JOHNSON AS DIRECTOR OF ADVOCACY. DURING THE YEAR, HE AND ADVOCACY SPECIALIST CAROL JONES WERE INVOLVED IN THE FOLLOWING ACTIVITIES: 1. MAINTAINED ADVOCACY BULLETIN BOARD, A LISTING OF ADVOCACY OPPORTUNITIES FOR STAFF (GRASSROOTS - LINE 1A). 2. SUPPORTED EFFORTS TO INCREASE AND IMPROVE HOME AND COMMUNITY BASED SERVICES AS WELL AS TRANSPORTATION (GRASSROOTS - LINE 1A). 3. PARTICIPATED IN PROMOTING THE NATIONAL DISABILITY ALLIANCES PUBLIC POLICY AGENDA (NDLA,HTTP://WWW.DISABILITYLEADERSHIP.NET)(DIRECT LOBBYING - LINE 1B). 4. PARTICIPATED IN GEORGIA'S ANNUAL DISABILITY DAY AT THE CAPITOL, FEBRUARY 16, 2011 (DIRECT LOBBYING - LINE 1B). 5. HOSTED MEETINGS WITH THE US ACCESS BOARD AND FEMA DEPUTY ADMINISTRATOR (DIRECT LOBBYING - LINE 1B). 6. PROMOTED FAIR HOUSING MONTH IN APRIL 2011 AND NATIONAL DISABILITY EMPLOYMENT AWARENESS MONTH AND RELATED EFFORTS IN OCTOBER, 2011.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance41432723BeginningOfYearBalance
Contributions887553Contributions
End Of Year Balance42320276EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance43555890BeginningOfYearBalance
Contributions-2123167Contributions
End Of Year Balance41432723EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance43196059BeginningOfYearBalance
Contributions359831Contributions
End Of Year Balance43555890EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance41657033BeginningOfYearBalance
Contributions1539026Contributions
End Of Year Balance43196059EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis16628506OtherCostOrOtherBasis
Book Value16628506BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis99832674OtherCostOrOtherBasis
Depreciation29918785Depreciation
Book Value69913889BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis96762785OtherCostOrOtherBasis
Depreciation63061806Depreciation
Book Value33700979BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6981482OtherCostOrOtherBasis
Depreciation698570Depreciation
Book Value6282912BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings126526286TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionANNUITIES PAYABLEDescription
Amount$6,501,218Amount
FieldValueIRS element (for citing)
Total Of Amounts6501218TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE CENTER APPLIES THE FASB ASC PROVISIONS FOR INCOME TAXES. THESE PROVISIONS REQUIRE THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE-LIKELY-THAN-NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE CENTER DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care0FPGReferenceFreeCare
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served2127PersonsServed
Total Community Benefit Expense3554883TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3554883NetCommunityBenefitExpense
Percent Of Total Expense0.02600PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served1722PersonsServed
Total Community Benefit Expense2187964TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2187964NetCommunityBenefitExpense
Percent Of Total Expense0.01600PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served3849PersonsServed
Total Community Benefit Expense5742847TotalCommunityBenefitExpense
Net Community Benefit Expense5742847NetCommunityBenefitExpense
Percent Of Total Expense0.04200PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs72NumberOfActivitiesOrPrograms
Persons Served18880PersonsServed
Total Community Benefit Expense5859897TotalCommunityBenefitExpense
Direct Offsetting Revenue44846DirectOffsettingRevenue
Net Community Benefit Expense5815051NetCommunityBenefitExpense
Percent Of Total Expense0.04260PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served12PersonsServed
Total Community Benefit Expense219303TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense219303NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served7132PersonsServed
Total Community Benefit Expense463126TotalCommunityBenefitExpense
Direct Offsetting Revenue2000DirectOffsettingRevenue
Net Community Benefit Expense461126NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs37NumberOfActivitiesOrPrograms
Persons Served300PersonsServed
Total Community Benefit Expense3674540TotalCommunityBenefitExpense
Direct Offsetting Revenue73554DirectOffsettingRevenue
Net Community Benefit Expense3600986NetCommunityBenefitExpense
Percent Of Total Expense0.02640PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served71PersonsServed
Total Community Benefit Expense62876TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense62876NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs123NumberOfActivitiesOrPrograms
Persons Served26395PersonsServed
Total Community Benefit Expense10279742TotalCommunityBenefitExpense
Direct Offsetting Revenue120400DirectOffsettingRevenue
Net Community Benefit Expense10159342NetCommunityBenefitExpense
Percent Of Total Expense0.07450PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs125NumberOfActivitiesOrPrograms
Persons Served30244PersonsServed
Total Community Benefit Expense16022589TotalCommunityBenefitExpense
Direct Offsetting Revenue120400DirectOffsettingRevenue
Net Community Benefit Expense15902189NetCommunityBenefitExpense
Percent Of Total Expense0.11650PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served2199PersonsServed
Total Community Building Expense571935TotalCommunityBuildingExpense
Direct Offsetting Revenue6815DirectOffsettingRevenue
Net Community Building Expense565120NetCommunityBuildingExpense
Percent Of Total Expense0.00410PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served1500PersonsServed
Total Community Building Expense129528TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense129528NetCommunityBuildingExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served2182PersonsServed
Total Community Building Expense34945TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense34945NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served5881PersonsServed
Total Community Building Expense736408TotalCommunityBuildingExpense
Direct Offsetting Revenue6815DirectOffsettingRevenue
Net Community Building Expense729593NetCommunityBuildingExpense
Percent Of Total Expense0.00530PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,123,069BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare12388310AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare17669971CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5281661MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
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 Line1SHEPHERD CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12020 PEACHTREE ROAD NWAddressLine1
CityATLANTACity
StateGAState
ZIP Code30309ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Research FacilityXResearchFacility

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SHEPHERD CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free0UsesFPGFree
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent250.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Other PublicityXOtherPublicity
Actions On Nonpayment0ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy0NondiscrimEmergencyCarePolicy
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SHEPHERD PATHWAYS
1942 CLAIRMONT ROADDECATURGA30033OUTPATIENT CENTER SERVING BRAIN INJURY PATIENTS
BEYOND THERAPY TENNESSEE
277 MALLORY STATIONFRANKLINTN37067OUTPATIENT CENTER PROVIDING INTENSIVE REHABILITATION SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2519205.
PART II: SHEPHERD CENTER'S COMMUNITY BUILDING ACTIVITIES ARE CONCENTRATED IN THE FOLLOWING AREAS:ADVOCACYSHEPHERD CENTER'S ADVOCACY PROGRAM IS RESPONSIBLE FOR THE FOLLOWING:1.SERVE AS A PRIMARY LIAISON BETWEEN SHEPHERD CENTER AND THE DISABILITY COMMUNITY.2.PROVIDE DAY-TO-DAY EXPERTISE ON DISABILITY RIGHTS ISSUES.3.PROMOTE DISABILITY RIGHTS.4.SUPPORT THE DEVELOPMENT OF LOCAL AND NATIONAL CAMPAIGNS RELATED TO HOME AND COMMUNITY BASED SERVICES (HCBS), ACCESSIBLE, AFFORDABLE, INTEGRATED HOUSING, AFFORDABLE, INTEGRATED HOUSING, REUSE EFFORTS AND INCLUSIVE EMERGENCY MANAGEMENT.5.SERVE ON AMERIGROUP'S AGING AND DISABILITY ADVISORY BOARDONE OF THE HIGHLIGHTS IN FYE 2011 WAS DISABILITY DAY AT THE GEORGIA STATE CAPITAL WHERE MARK JOHNSON, DIRECTOR OF ADVOCACY AT THE SHEPHERD CENTER HOSTED A RALLY TO RAISE AWARENESS IN REGARD TO CURRENT BILLS UNDER REVIEW BY THE STATE LEGISLATURE PERTAINING TO DISABILITY RIGHTS. HOUSINGHAVING THE FAMILIES AND LOVED ONES INVOLVED IN REHABILITATION AFTER A CATASTROPHIC INJURY IS IMPERATIVE TO THE SUCCESSFUL TRANSITION TO COMMUNITY, HOME, WORK AND/OR SCHOOL. SHEPHERD CENTER OFFERS COMPLIMENTARY HOUSING FOR 30 DAYS FOR FAMILIES WHO TRAVEL MORE THAN 60 MILES FROM ATLANTA TO GET TO SHEPHERD CENTER. THIS SUPPORT IS CRUCIAL AND APPRECIATED BY FAMILIES AS IT ENABLES THEM TO FOCUS ON THEIR LOVED ONE GETTING BETTER AND NOT THE FINANCIAL BURDENS AND STRESS THAT COMES WITH MOVING FROM HOME FOR CARE. COMPLIMENTARY HOUSING IS ALSO OFFERED FOR DAY PROGRAM PATIENTS AS A WAY TO EXPERIENCE WHAT THEY HAVE LEARNED IN THE INPATIENT SETTING AND PUT IT TO WORK IN A SAFE ENVIRONMENT. THE HOUSING PROGRAM HELPS ALLEVIATE STRESS AND UNCERTAINTY AS PATIENTS TRANSITION BACK TO THEIR HOME AND COMMUNITY. IN ORDER TO PROVIDE A PEER SUPPORT COMMUNITY FOR MILITARY PATIENTS, HOUSING IS PROVIDED AT BISCAYNE PLACE, AN APARTMENT COMPLEX WITH WITHIN TWO MILES OF SHEPHERD CENTER. MOST EVERY FAMILY MEMBER THAT STAYS IN THE WOODRUFF FAMILY RESIDENCE CENTER HAS SHARED THAT, BY HAVING HOUSING AVAILABLE TO THEM, SHEPHERD CENTER HAS ALLEVIATED THE STRESS AND WORRY OF TRYING TO FIND AND PAY FOR A PLACE TO STAY. PLUS, THEY ARE SO CLOSE TO THEIR LOVED ONES AT THE HOSPITAL, IT GIVES THEM A SENSE OF SECURITY AND CONVENIENCE THEY WOULDN'T HAVE HAD OTHERWISE. INJURY PREVENTIONINJURY PREVENTION AT SHEPHERD CENTER IS A SERIOUS EFFORT TO PREVENT BRAIN, SPINAL CORD AND OTHER TRAUMATIC INJURIES THROUGH THE EDUCATION OF INDIVIDUALS (PRE-K THROUGH COLLEGE STUDENTS), COMMUNITY LEADERS AND CIVIC ORGANIZATIONS. THE GOAL OF THE PROGRAM IS TO MAKE YOUNG PEOPLE UNDERSTAND THE DANGERS OF DIVING HEAD FIRST INTO SHALLOW WATERS, RIDING WITHOUT A HELMET AND DRIVING WITHOUT SEATBELTS. LAST YEAR, NEW SOCIAL MEDIA CONTENT AND OUTREACH EDUCATION WAS DEVELOPED THROUGH THE CREATION OF THE YIPES!! PROGRAM. YIPES!! STANDS FOR YOUTH AND INJURY PREVENTION EDUCATION AT SHEPHERD. THROUGH YIPES!! VIDEO PSAS HAVE BEEN ABLE TO REACH AND EDUCATE MORE YOUNG DRIVERS IN THE ATLANTA AREA. SHEPHERD CENTER'S THINK FIRST CHAPTER HAS ASSISTED IN TRAINING TWO NEW THINK FIRST CHAPTERS IN GEORGIA (DALTON AND ATLANTA), AS WELL AS TRAINING FIVE NEW CHAPTERS IN SOUTH CAROLINA (AIKEN, FLORENCE, GREENVILLE, COLUMBIA, AND HORRY COUNTY).
PART III, LINE 4: AS STATED IN THE FOOTNOTES OF SHEPHERD CENTER'S FINANCIAL STATEMENTS, THE CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET REVENUE OR ACCOUNTS RECEIVABLE.THE CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY AND THE ESTIMATED COSTS OF THOSE SERVICES AND SUPPLIES. THE AMOUNTS OF CHARGES FOREGONE, BASED ON ESTABLISHED RATES, AND ESTIMATED COSTS AND EXPENSES INCURRED TO PROVIDE CHARITY CARE IN FY 2012 WERE $ $8,108,424 AND $ $3,554,883, RESPECTIVELY, RESULTING IN A 43.84% COST FACTOR. THIS COST FACTOR WAS APPLIED TO GROSS BAD DEBT EXPENSE OF $ $2,561,636 TO GET THE AMOUNT ON PART III, LINE TWO.
PART III, LINE 9B: ACCORDING TO SHEPHERD CENTER'S DEBT COLLECTION POLICY, ALL PATIENTS ARE ASKED TO COMPLETE A FINANCIAL SCREENING AT THE TIME OF REGISTRATION. IF A PATIENT IS APPROVED FOR ASSISTANCE BASED ON THE FINANCIAL DATA SUPPLIED, ANY PATIENT BALANCES WILL BE APPLIED TO A CHARITY ALLOWANCE BASED ON THE HOSPITAL'S FINANCIAL ASSISTANCE TO PATIENTS POLICY.
PART V, SECTION B, LINE 10: IT IS SHEPHERD CENTER'S POLICY TO EXTEND ITS SERVICES TO AS MANY PATIENTS AS IT CAN WITHIN THE FINANCIAL RESOURCES THAT ARE AVAILABLE. THOSE WHO DO NOT HAVE FINANCIAL RESOURCES TO PAY FOR THEIR CARE WILL BE CONSIDERED FOR FINANCIAL ASSISTANCE. IT IS CRITICAL TO SAFEGUARD FUNDS AVAILABLE FOR THIS PURPOSE BY ASSURING THAT THIS ASSISTANCE PROGRAM IS THE "PAYER OF LAST RESORT" AND IS ONLY PROVIDED TO THOSE WHO HAVE PROVEN AN INABILITY TO PAY.WHEN PATIENTS ARE SCHEDULED OR AN ADMISSION REFERRAL IS MADE, APPROPRIATE FINANCIAL SCREENING IS PROVIDED. THE FIRST STEP OF THIS SCREENING WILL INCLUDE DETERMINING WHETHER THIRD PARTY PAYER RESOURCES ARE AVAILABLE TO COVER THE COST OF CARE FOR THE INPATIENT OR DAY PATIENT CHARGES IN FULL. IF THERE ARE NO THIRD PARTY PAYER RESOURCES AVAILABLE, OR THERE IS EXPECTED TO BE PATIENT LIABILITY BALANCES DUE AFTER INSURANCE, THE FINANCIAL COUNSELOR WILL COMPLETE A "PRE-SCREENING" USING THE FINANCIAL ASSISTANCE SCREENING FORM. IF FINANCIAL RESOURCES DO NOT APPEAR TO BE AVAILABLE AND THE PATIENT LIABILITY IS EXPECTED TO EXCEED $5,000, THE PATIENT OR GUARANTOR WILL BE ASKED TO COMPLETE A "PATIENT FINANCIAL EVALUATION" FORM TO OBTAIN ADDITIONAL INFORMATION THAT WILL FURTHER ASSIST IN THE ASSESSMENT OF THEIR ELIGIBILITY FOR CHARITY ASSISTANCE. THE PATIENT OR GUARANTOR WILL BE REQUIRED TO COMPLETE THE APPLICATION IN FULL AND PROVIDE SUPPORTING EVIDENCE TO SUBSTANTIATE INCOME. MINIMUM SUPPORTING EVIDENCE FOR INCOME INCLUDES: PAY STUBS REPRESENTING CURRENT INCOME OF HOUSEHOLD. ANYTHING THAT PROVIDES PROOF OF INCOME, I.E., W2S, PRIOR YEAR INCOME TAX FORMS, LETTERS FROM EMPLOYERS ETC. IF NO INCOME, LETTER FROM PERSON PROVIDING ROOM & BOARD TO PATIENT IS REQUIRED.ONCE THE FINANCIAL ASSISTANCE FORM IS COMPLETE THE FINANCIAL COUNSELOR WILL REVIEW TO ASSURE THAT SUPPORTING DOCUMENTATION IS ATTACHED, PROVIDE ALL THE CALCULATIONS REQUIRED, AND PROVIDE A PRELIMINARY ASSESSMENT OF ELIGIBILITY. ELIGIBILITY WILL BE BASED ON THE CRITERIA ESTABLISHED BY SHEPHERD CENTER AS FOLLOWS:A. CURRENT INCOME MUST NOT EXCEED 250% OF THE FEDERAL POVERTY GUIDELINES FOR THE CURRENT YEAR. B. IF INCOME EXCEEDS 250% OF THE FEDERAL POVERTY GUIDELINES, ADDITIONAL INFORMATION MAY BE REQUIRED FROM THE PATIENT OR GUARANTOR TO DETERMINE IF ASSISTANCE CAN BE GRANTED BASED ON A "MEDICALLY NEEDY" SITUATION RESULTING FROM THE CATASTROPHIC EVENT NECESSITATING ADMISSION TO SHEPHERD CENTER.IF THE PATIENT STILL DOES NOT MEET CRITERIA, THE FINANCIAL COUNSELOR WILL ESTABLISH DEPOSIT REQUIREMENTS BASED ON THE EXPECTED LENGTH OF STAY AND WILL OFFER THE PATIENT PAYMENT OPTIONS INCLUDING, BUT NOT LIMITED TO: (SEE ALSO FINANCIAL ARRANGEMENTS POLICY FOR SELF PAY PATIENTS) BANK LOAN VISA/MASTERCARD/DISCOVER/AMERICAN EXPRESS NINETY-(90) DAY PAYMENT PLAN, AS DETAILED IN THE CREDIT & COLLECTIONS POLICY IF THE PRELIMINARY ASSESSMENT APPROVES THE PATIENT FOR FINANCIAL ASSISTANCE, THE FINANCIAL COUNSELOR WILL PRESENT THE PACKET TO THE MANAGER OF PATIENT FINANCIAL SERVICES FOR REVIEW AND QUALIFICATION APPROVAL. IN ADDITION, THE PROGRAM DIRECTOR WILL SIGN TO APPROVE THAT THE USE OF FUNDS MEETS CLINICAL APPROPRIATENESS FOR THEIR AREA. FOR INPATIENTS AND DAY PATIENTS, THE PATIENT WILL NEED TO MEET ASSET REQUIREMENTS. EXPECTATION WOULD BE THAT ASSETS OTHER THAN THOSE LISTED BELOW AND DISPOSABLE INCOME AFTER REASONABLE LIVING EXPENSES WOULD BE USED TO SATISFY A PORTION OR ALL OF THE FINANCIAL REQUIREMENTS OF THE PATIENT'S CARE. ASSETS THAT MAY BE EXCLUDED FROM CONSIDERATION ARE: PATIENT'S HOME WITH NO MORE THAN 25% OR $25,000 EQUITY, WHICHEVER IS LESS. THE REQUIREMENTS TO USE HOME EQUITY CAN BE WAIVED IF THE PATIENT IS UNABLE TO MAKE PAYMENTS ON ADDITIONAL DEBT. IF THE PATIENT HAS APPLIED FOR GEORGIA MEDICAID, THE FINANCIAL ASSISTANCE PROGRAM FORM SHOULD BE COMPLETED AND IF SUCH CHARGES ARE ULTIMATELY NOT COVERED OR UNCOLLECTIBLE THE PATIENT IS DEEMED ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL FINANCIAL AND OTHER MITIGATING CIRCUMSTANCES ARE REVIEWED BY THE MANAGER OF PATIENT FINANCIAL SERVICES WHO THEN MAKES THE FINAL DECISION REGARDING ELIGIBILITY. IF ASSISTANCE IS NOT APPROVED THE FINANCIAL COUNSELOR WILL COORDINATE THE NOTIFICATION TO THE PATIENT. PAYMENT ARRANGEMENTS WILL BE COMPLETED AS LISTED ABOVE AND BASED ON THE FINANCIAL ARRANGEMENTS POLICY. IF APPROVED FOR FULL ASSISTANCE OR ASSISTANCE FOR PATIENT LIABILITY OVER INSURANCE AMOUNTS, THE FINANCIAL COUNSELOR WILL NOTIFY THE PATIENT. THE COVERED AMOUNT WILL BE WRITTEN-OFF PURSUANT TO ESTABLISHED POLICY AFTER DISCHARGE OR INSURANCE IS FINALIZED.SHEPHERD CENTER, INC.
PART V, SECTION B, LINE 13G: WHEN PATIENTS ARE SCHEDULED OR AN ADMISSION REFERRAL IS MADE, APPROPRIATE FINANCIAL SCREENING IS PROVIDED.SHEPHERD CENTER, INC.
PART VI, LINE 2: SHEPHERD CENTER'S MISSION IS TO HELP PEOPLE WITH A TEMPORARY OR PERMANENT DISABILITY CAUSED BY INJURY OR DISEASE REBUILD THEIR LIVES WITH HOPE, INDEPENDENCE AND DIGNITY, ADVOCATING FOR THEIR FULL INCLUSION IN ALL ASPECTS OF COMMUNITY LIFE WHILE PROMOTING SAFETY AND INJURY PREVENTION. SHEPHERD CENTER IS COMMITTED TO PROVIDING THE RESOURCES AND TOOLS OUR PATIENTS NEED TO FACILITATE THE SUCCESSFUL TRANSITION BACK TO LIFE AND COMMUNITY AFTER A CATASTROPHIC INJURY.FROM DAY ONE, SHEPHERD CENTER HAS FOCUSED ON PATIENT-CENTERED CARE AND HAS DEVELOPED A CONTINUUM THAT IS UNIQUE IN THE SETTING OF AN ACUTE CARE, REHABILITATION HOSPITAL. BECAUSE OF THE VALUE-ADDED PROGRAMS OFFERED AT SHEPHERD CENTER, OUR PATIENTS HAVE THE RESOURCES TO RE-LEARN ACTIVITIES OF DAILY LIVING AND ACHIEVE THE GOALS THEY SET FOR THEMSELVES POST-INJURY. THOSE GOALS INCLUDE RETURNING TO HOME, SCHOOL AND/OR WORK. THEY ALSO INCLUDE "GETTING THEIR LIFE BACK" IN REGARD TO REGAINING THE ABILITY TO ENJOY LIFE THROUGH SOCIAL EVENTS, HOBBIES, AND LEISURE ACTIVITIES, AS WELL AS PROVIDING FOR THEMSELVES AND THEIR FAMILY. THE VALUE-ADDED PROGRAMS AID IN REGAINING ONE'S LIFE AND REBUILDING THEIR HOPE, BUT ARE OFTEN NOT REIMBURSED BY INSURANCE OR MEDICARE/MEDICAID. THEY ARE ESSENTIAL IN A PATIENT'S SUCCESSFUL RECOVERY. SHEPHERD CENTER BELIEVES THESE PROGRAMS DIRECTLY CONTRIBUTE TO THE MUCH GREATER THAN AVERAGE CLINICAL OUTCOMES ACHIEVED BY OUR PATIENTS. SHEPHERD CENTER'S RETURN TO HOME AND COMMUNITY RATES FOR SPINAL CORD INJURY PATIENT ARE 87 PERCENT AS COMPARED TO THE NATIONAL AVERAGE OF 73 PERCENT AND FOR BRAIN INJURY PATIENTS 93 PERCENT AS COMPARED TO THE NATIONAL AVERAGE OF 65 PERCENT. SHEPHERD CENTER'S CLINICAL OUTCOMES HAVE BEEN RECOGNIZED THREE STRAIGHT YEARS AS A TOP 10 REHABILITATION HOSPITAL BY U.S. WORLD & NEWS REPORT.
PART VI, LINE 3: IT IS SHEPHERD CENTER'S (SC) POLICY TO EXTEND ITS SERVICES TO AS MANY PATIENTS AS IT CAN WITHIN THE FINANCIAL RESOURCES THAT ARE AVAILABLE. THOSE WHO DO NOT HAVE FINANCIAL RESOURCES TO PAY FOR THEIR CARE AT SC WILL BE CONSIDERED FOR FINANCIAL ASSISTANCE.WHEN PATIENTS ARE SCHEDULED OR AN ADMISSION REFERRAL IS MADE, APPROPRIATE FINANCIAL SCREENING IS PROVIDED. THE FIRST STEP OF THIS SCREENING WILL INCLUDE WHETHER THIRD PARTY PAYER RESOURCES ARE AVAILABLE TO COVER THE COST OF CARE FOR THE INPATIENT OR DAY PATIENT CHARGES IN FULL. IF THERE ARE NO THIRD PARTY PAYER RESOURCES AVAILABLE, OR THERE IS EXPECTED TO BE PATIENT LIABILITY BALANCES DUE OVER INSURANCE, THE FINANCIAL COUNSELOR WILL COMPLETE A 'PRE-SCREENING' USING THE FINANCIAL ASSISTANCE SCREENING FORM. IF FINANCIAL RESOURCES DO NOT APPEAR TO BE AVAILABLE AND THE PATIENT LIABILITY IS EXPECTED TO EXCEED $5,000, THE PATIENT OR GUARANTOR WILL BE ASKED TO COMPLETE A 'PATIENT FINANCIAL EVALUATION' FORM TO OBTAIN ADDITIONAL INFORMATION THAT WILL FURTHER ASSIST IN THE ASSESSMENT OF THEIR ELIGIBILITY FOR CHARITY ASSISTANCE. THE PATIENT OR GUARANTOR WILL BE REQUIRED TO COMPLETE THE APPLICATION IN FULL AND PROVIDE SUPPORTING EVIDENCE TO SUBSTANTIATE INCOME. MINIMUM SUPPORTING EVIDENCE FOR INCOME WOULD INCLUDE:-PAY STUBS REPRESENTING CURRENT INCOME OF HOUSEHOLD.-ANYTHING THAT PROVIDES PROOF OF INCOME, I.E., W2S, PRIOR YEAR INCOME TAX FORMS, LETTERS FROM EMPLOYERS ETC. -IF NO INCOME, LETTER FROM PERSON PROVIDING ROOM & BOARD TO PATIENT IS REQUIRED.ONCE THE FINANCIAL ASSISTANCE FORM IS COMPLETE THE FINANCIAL COUNSELOR WILL REVIEW TO ASSURE THAT SUPPORTING DOCUMENTATION IS ATTACHED, PROVIDE ALL THE CALCULATIONS REQUIRED, AND PROVIDE A PRELIMINARY ASSESSMENT OF ELIGIBILITY. ELIGIBILITY WILL BE BASED ON THE CRITERIA ESTABLISHED BY SHEPHERD CENTER AS FOLLOWS:A.CURRENT INCOME MUST NOT EXCEED 250% OF THE FEDERAL POVERTY GUIDELINES FOR THE CURRENT YEAR. B.IF INCOME EXCEEDS 250% OF THE FEDERAL POVERTY GUIDELINES, ADDITIONAL INFORMATION MAY BE REQUIRED FROM THE PATIENT OR GUARANTOR TO DETERMINE IF ASSISTANCE CAN BE GRANTED BASED ON A 'MEDICALLY NEEDY' SITUATION RESULTING FROM THE CATASTROPHIC EVENT NECESSITATING ADMISSION TO SHEPHERD CENTER.IF THE PATIENT STILL DOES NOT MEET CRITERIA, THE FINANCIAL COUNSELOR WILL ESTABLISH DEPOSIT REQUIREMENTS BASED ON THE EXPECTED LENGTH OF STAY AND WILL OFFER THE PATIENT PAYMENT OPTIONS INCLUDING, BUT NOT LIMITED TO: (SEE ALSO FINANCIAL ARRANGEMENTS POLICY FOR SELF PAY PATIENTS)-BANK LOAN-VISA/MASTERCARD/DISCOVER/AMERICAN EXPRESS-NINETY-(90) DAY PAYMENT PLAN, AS DETAILED IN THE CREDIT & COLLECTIONS POLICY IF THE PRELIMINARY ASSESSMENT IS TO APPROVE THE PATIENT FOR FINANCIAL ASSISTANCE, THE FINANCIAL COUNSELOR WILL PRESENT THE PACKET TO THE MANAGER OF PATIENT FINANCIAL SERVICES FOR REVIEW AND QUALIFICATION APPROVAL. IN ADDITION, THE PROGRAM DIRECTOR WILL SIGN TO APPROVE THAT USE OF FUNDS MEET CLINICAL APPROPRIATENESS FOR THEIR AREA. FOR INPATIENTS AND DAY PATIENTS, THE PATIENT WILL NEED TO MEET ASSET REQUIREMENTS. EXPECTATION WOULD BE THAT ASSETS OTHER THAN THOSE LISTED BELOW AND DISPOSABLE INCOME AFTER REASONABLE LIVING EXPENSES WOULD BE USED TO SATISFY A PORTION OR ALL OF THE FINANCIAL REQUIREMENTS OF THE PATIENT'S CARE. ASSETS THAT MAY BE EXCLUDED FROM CONSIDERATION ARE:-PATIENT'S HOME WITH NO MORE THAN 25% OR $25,000 EQUITY, WHICHEVER IS LESS. THE REQUIREMENTS TO USE HOME EQUITY CAN BE WAIVED IF THE PATIENT IS UNABLE TO MAKE PAYMENTS ON ADDITIONAL DEBT.-IF THE PATIENT HAS APPLIED FOR GEORGIA MEDICAID, THE FAP FORM SHOULD BE COMPLETED AND IF SUCH CHARGES ARE ULTIMATELY NOT COVERED OR UNCOLLECTIBLE THE PATIENT IS DEEMED ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL FINANCIAL AND OTHER MITIGATING CIRCUMSTANCES ARE REVIEWED BY THE MANAGER OF PATIENT FINANCIAL SERVICES WHO THEN MAKES THE FINAL DECISION REGARDING ELIGIBILITY. IF ASSISTANCE IS NOT APPROVED THE FINANCIAL COUNSELOR WILL COORDINATE THE NOTIFICATION TO THE PATIENT. PAYMENT ARRANGEMENTS WILL BE COMPLETED AS LISTED ABOVE AND BASED ON THE FINANCIAL ARRANGEMENTS POLICY. IF APPROVED FOR FULL ASSISTANCE OR ASSISTANCE FOR PATIENT LIABILITY OVER INSURANCE AMOUNTS, THE FINANCIAL COUNSELOR WILL NOTIFY THE PATIENT. THE COVERED AMOUNT WILL BE WRITTEN OFF PURSUANT TO ESTABLISHED POLICY AFTER DISCHARGE OR INSURANCE IS FINALIZED.
PART VI, LINE 4: SHEPHERD CENTER DEFINES COMMUNITY BENEFIT AS SERVICES AND ACTIVITIES THAT SPECIFICALLY ADDRESS THE HEALTH NEEDS OF PATIENTS WITH SPINAL CORD AND BRAIN INJURY, MULTIPLE SCLEROSIS, CHRONIC PAIN, OTHER NEUROMUSCULAR DISEASES, AS WELL AS THE FAMILY OR LOVED ONES OF THOSE PATIENTS. THESE SERVICES INCLUDE THE FULL CONTINUUM OF CARE AS A PATIENT AND EXTEND BACK TO THE PATIENT'S COMMUNITY. BECAUSE OF THE UNDERSERVED NATURE OF THIS PATIENT POPULATION, SHEPHERD CENTER CONTINUES TO BE A RESOURCE FOR OUR PATIENTS THROUGHOUT THEIR LIFE. SHEPHERD CENTER'S COMMUNITY INCLUDES CURRENT PATIENTS AND THEIR FAMILY, AS WELL AS FORMER PATIENTS AND THEIR FAMILY. SHEPHERD CENTER ALSO TAKES A LEADERSHIP ROLE IN EDUCATING HEALTH-CARE PROFESSIONALS (PHYSICIANS, NURSES AND THERAPISTS) WHO ARE FOCUSED ON SPECIALTIES IN SPINAL CORD AND BRAIN INJURY REHABILITATION. SHEPHERD CENTER HAS ALWAYS SERVED AS A STRONG ADVOCATE IN THE COMMUNITY FOR ANYONE LIVING WITH A PHYSICAL DISABILITY. SHEPHERD CENTER'S COMMUNITY EXTENDS BEYOND OUR CURRENT PATIENT POPULATION TO ATLANTA, THE STATE OF GEORGIA, THE NATION AND THE WORLD AS THE LEADING AND SPECIALTY HOSPITAL FOR THIS PATIENT POPULATION. AS A RECOGNIZED ADVOCATE FOR PEOPLE LIVING WITH DISABILITIES, SHEPHERD CENTER HAS CHANGED THE LANDSCAPE IN ATLANTA AND BEYOND TO BE MORE RECEPTIVE OF PEOPLE WITH DISABILITIES LIVING IN OUR COMMUNITY. SHEPHERD CENTER HAS TREATED PATIENTS FROM ALL 50 STATES AND MORE THAN 22 FOREIGN COUNTRIES.
GAREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID F APPLE JR MD
127719029512011175010250074740186130000
DONALD P LESLIE MD
529759024600075300011000053750646034000
JAMES H SHEPHERD JR
218804010130030389010250094160278989000
GARY ULICNY PHD
487459023815071445011000097200603439000
STEPHEN B HOLLEMAN
2804200139470418420110000131440360353000
WILMA BUNCH
1818590550000011000076630206022000
MITCHELL J FILLHABER
2660440350000003250097200314014000
BROCK BOWMAN MD
4397120400000082500124060464368000
TAMARA KING
1911510550001500011000094160218567000
MICHAEL JONES
247943049478015000102500117340320905000
SCOTT H SIKES
240590020000004125097190256434000
GERALD BILSKY MD
466224043000001127404600482258000
ANNA ELMERS MD
51887905716000830803030533206000
JOHN MUSSER MD
463772071910000000470963000
ERIK SHAW MD
5587240365002500941603030572343000
BEN THROWER MD
501734010663007500004600609574000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 6ReturnReference
ExplanationSHEPHERD CENTER'S BOARD OF DIRECTORS APPROVED A "SHEPHERD SHARE" IN FY 2012 FOR ALL ELIGIBLE EMPLOYEES BECAUSE THE CENTER SUCCESSFULLY MET TARGETED GOALS. THE BOARD RESERVES THE RIGHT TO DECLINE TO PAY EVEN IF THE CENTER MEETS TARGETED FINANCIAL GOALS IF WE DO NOT MEET OTHER GOALS SUCH AS QUALITY AND CUSTOMER SERVICE GOALS.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DEVELOPMENT AUTHORITY OF FULTON COUNTY
581506878359900ZT72009-11-0456000000PROVIDE FUNDS TO REFUND 4/20/05 ISSUE FOR HOSPITAL EXPANSION000
DEVELOPMENT AUTHORITY OF FULTON COUNTY
581506878359597EB32010-12-0213900000PROVIDE FUNDS TO REFUND 9/29/97 ISSUE FOR HOSPITAL RENOVATIONS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
1000000560000005600000020071011
1700000139000001390000019981011

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements1AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts0EngageBondCounselContracts
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.01400PercentageOfPrvtBusinessReUBI
Total Private Business Use0.01400TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonLINDA SHEPHERDNamePerson
FieldValueIRS element (for citing)
RelationshipFAMILY MEMBERRelationship
Amount Of Transaction35686AmountOfTransaction
Description Of TransactionEMPLOYEEDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:Identifier
Return Reference(A) NAME OF PERSON: LINDA SHEPHERDReturnReference
Explanation(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATIONExplanation

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions45NumberOfContributions
Noncash Contribs Rptd F990346369NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionLIGHTINGDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99050008NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2SHEPHERD CENTER LAUNCHED RESCUE, A COMMUNITY SERVICE PROGRAM PROVIDING HOME ALERT LABELS AND EDUCATION FOR PEOPLE WITH PHYSICAL AND OR COGNITIVE LIMITATIONS WHO FIND THEMSELVES IN EMERGENCY SITUATIONS. THE MISSION IS TO AID IN QUICKER RESPONSE TIMES AND CREATION OF BETTER EMERGENCY PLANS.
FORM 990, PART VI, SECTION A, LINE 2FAMILY RELATIONSHIP: JAMES SHEPHERD (CHAIRMAN OF THE BOARD), ALANA SHEPHERD (RECORDING SECRETARY), J. HAROLD SHEPHERD (BOARD MEMBER), AND W. CLYDE SHEPHERD, III (BOARD MEMBER). FAMILY & BUSINESS RELATIONSHIP: LINDA SHEPHERD (EMPLOYEE) AND JULIE SHEPHERD (EMPLOYEE). BUSINESS RELATIONSHIP: JAMES E. STEPHENSON BUSINESS RELATIONSHIP: DAVID F. APPLE, M.D.
FORM 990, PART VI, SECTION B, LINE 11THE FORM IS PREPARED BY CARR, RIGGS & INGRAM, LLC WITH THE ASSISTANCE OF THE ACCOUNTING STAFF AT SHEPHERD CENTER. THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER WITH FURTHER CONSULTATION WITH CRI FOR ALL QUESTIONS THAT ARE UNCLEAR AS TO MEANING AND INTENT. THE CHIEF FINANCIAL OFFICER THEN REVIEWS THE FORM 990 WITH THE CHAIRMAN OF THE BOARD, THE CHIEF EXECUTIVE OFFICER, AND THE EXECUTIVE DIRECTOR OF SHEPHERD CENTER FOUNDATION FOR THEIR INPUT AND APPROVAL. SHEPHERD CENTER PROVIDES EACH MEMBER OF THE BOARD WITH A FINAL COPY OF THE FILED 990 UPON COMPLETION OF THE PROCESS.
FORM 990, PART VI, SECTION B, LINE 12CSHEPHERD CENTER BOARD OF DIRECTORS ARE PRESENTED WITH A CONFLICT OF INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS AND THEY INDICATE THEIR COMPLIANCE BY SIGNING THE DOCUMENT, WHICH IS KEPT ON FILE IN ADMINISTRATION. IN ADDITION, ON AN ANNUAL BASIS SHEPHERD CENTER ACCOUNTING STAFF AS WELL AS THE CHIEF FINANCIAL OFFICER REVIEWS ALL 1099'S BEFORE DISTRIBUTION FOR ANY BOARD MEMBER NAMES/COMPANIES. THE STAFF ALSO CHECKS WITH THE DEVELOPMENT OFFICE FOR ANY ADDITIONAL INFORMATION REGARDING BOARD MEMBER AFFILIATIONS WITH OTHER ENTITIES WITH WHICH SHEPHERD CENTER DOES BUSINESS.
FORM 990, PART VI, SECTION B, LINE 15SHEPHERD CENTER UTILIZES A BOARD COMPENSATION COMMITTEE TO DETERMINE COMPENSATION FOR THE CEO AND OTHER EXECUTIVE MANAGEMENT. THIS COMMITTEE UTILIZES OUTSIDE CONSULTANTS (FOR EXAMPLE, SULLIVAN COTTER), INDUSTRY COMPENSATION SURVEYS, AND REVIEWS OF SIMILAR ORGANIZATIONS' FORMS 990 TO DETERMINE APPROPRIATENESS OF COMPENSATION. SHEPHERD CENTER UTILIZES WATSON WYATT DATA SERVICES COMPENSATION SURVEYS TO DETERMINE WHETHER OR NOT A COMPENSATION PACKAGE IS IN LINE WITH OUR REGION AND RELATIVE BED SIZE. THE HUMAN RESOURCES DIRECTOR ANALYZES THE DATA AND GETS APPROVAL FROM THE CEO.
FORM 990, PART VI, SECTION C, LINE 18AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST.
FORM 990, PART IX:SHEPHERD CENTER HAS ALLOCATED A PORTION OF THE EXPENSES OF THESE INDIRECT COST CENTERS TO PROGRAM SERVICE EXPENSE: DEPRECIATION, ENGINEERING, INFORMATION SYSTEMS, COMMUNICATIONS, QUALITY AND OUTCOMES MANAGEMENT, SECURITY, SEATING CLINIC, TRANSPORATION, COMPLIANCE AND AUDIT, RISK MANAGEMENT, CODING AUDIT, AND RENOVATIONS.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 998,397. CHANGES IN TEMPORARILY RESTRICTED NET ASSETS 1,750,793. CHANGE IN INTERCOMPANY ACCOUNTS -1,605,240. CHANGES IN PERMANENTLY RESTRICTED NET ASSETS 887,553. ROUNDING -12. TOTAL TO FORM 990, PART XI, LINE 5: 2,031,491.
FORM 990, PART XI, LINE 2CNO CHANGE HAS OCCURRED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SHEPHERD CENTER FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12020 PEACHTREE ROAD NWAddressLine1
CityATLANTACity
StateGAState
ZIP Code30309ZIPCode
FieldValueIRS element (for citing)
EIN201238224EIN
Primary ActivitiesFUNDRAISING FOR SHEPHERD CENTER EXCLUSIVELYPrimaryActivities
Legal Domicile StateGALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(1)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SSC AFFILIATES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12020 PEACHTREE ROAD NWAddressLine1
CityATLANTACity
StateGAState
ZIP Code30309ZIPCode
FieldValueIRS element (for citing)
EIN581921355EIN
Primary ActivityRETAIL PHARMACY, MEDICAL SUPPLY, AND GIFT SHOPPrimaryActivity
Legal Domicile StateGALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SHEPHERD CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income314850ShareOfTotalIncome
Share Of EOY Assets1376634ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SSC AFFILIATES INC
A61033FMV
SSC AFFILIATES INC
C250000FMV
SSC AFFILIATES INC
K61407FMV
SHEPHERD CENTER FOUNDATION INC
L767854FMV
SHEPHERD CENTER FOUNDATION INC
M11536FMV
SSC AFFILIATES INC
N748238FMV
SHEPHERD CENTER FOUNDATION INC
N1163973FMV
SSC AFFILIATES INC
P709759FMV
SHEPHERD CENTER FOUNDATION INC
R9322848FMV

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