OKEFENOKEE HEALTH INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- OKEFENOKEE HEALTH INC (EIN 58-1667166)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201213209349303391
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T12:58:27-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 NICOLLET MALL SUITE 1100 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581667166 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS | BusinessNameLine1 |
| Business Name Line2 | INC FKA SATILLA HEALTH SERVICES INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MAYO | NameControl |
| Phone | 9122833030 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 TEBEAU STREET | AddressLine1 |
| City | WAYCROSS | City |
| State | GA | State |
| ZIP Code | 31501 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT TRIMM | Name |
| Title | CEO | Title |
| Phone | 9122833030 | Phone |
| Date Signed | 2012-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN J ROMANO | Name |
| PTIN | P00227323 | PTIN |
| Phone | 6123324300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | ROBERT TRIMM | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 TEBEAU STREET | AddressLine1 |
| City | WAYCROSS | City |
| State | GA | State |
| ZIP Code | 31501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 147340226 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SATILLA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTHCARE THAT MEETS THE NEEDS OF THE COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1660 | TotalNbrEmployees |
| Total Nbr Volunteers | 118 | TotalNbrVolunteers |
| Total Gross UBI | 6975 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 5637 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 781089 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 617736 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 143993215 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 142211068 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1506206 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1424746 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2042915 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2793220 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 148323425 | TotalRevenuePriorYear |
| Total Revenue Current Year | 147046770 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 88092 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 63960145 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 64514704 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 77598435 | OtherExpensePriorYear |
| Other Expenses Current Year | 79462469 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 141646672 | TotalExpensesPriorYear |
| Total Expenses Current Year | 143979673 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 6676753 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3067097 | RevenuesLessExpensesCY |
| Total Assets BOY | 165415523 | TotalAssetsBOY |
| Total Assets EOY | 171139807 | TotalAssetsEOY |
| Total Liabilities BOY | 51211564 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 61321394 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 114203959 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 109818413 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO CARE FOR AND IMPROVE THE QUALITY OF LIFE OF THE COMMUNITY THROUGH A SERVICE NETWORK OF MODERN HEALTHCARE FACILITIES, CARING AND COMPETENT STAFF, AND PRUDENT MANAGEMENT OF RESOURCES, REGARDLESS OF ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 112597690 | Expense |
| Revenue | 144617783 | Revenue |
| Description | HOSPITAL AND NURSING HOME SERVICES; SHORT-TERM ACUTE CARE FOR INPATIENT AND OUTPATIENT SERVICES FOR THE LOCAL COUNTY AND SURROUNDING COUNTIES. PATIENT DAYS FOR THE YEAR ENDED 12/31/2011 WERE 38,873 FOR THE HOSPITAL AND 59,554 FOR THE NURSING HOME. | Description |
| Total Program Service Expense | 112597690 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 1 | 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 | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 169 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1660 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | 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 | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| 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 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9122872700 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 DARLING AVENUE | AddressLine1 |
| City | WAYCROSS | City |
| State | GA | State |
| ZIP Code | 31501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| OWEN HERRIN | ||||||||
| CHAIR | 4.00 | X | X | 0 | 0 | 0 | ||
| STEPHEN WATERS | ||||||||
| VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | ||
| WADE DYE MD | ||||||||
| SECRETARY/TREASURER | 2.00 | X | X | 0 | 0 | 0 | ||
| ROBERT TRIMM | ||||||||
| CEO | 40.00 | X | X | 651643 | 313754 | 18369 | ||
| LEWIS ALTMAN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ASHLEY DENTON | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| BETTY GANT | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DR HA GRIFFIN JR | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ZA MUSIC | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ROBERT LANDRUM | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| FRANKLIN PINCKNEY | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ANGELA ROWE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| CC STEPHENS | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DONALD WATERS MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| KATRINA WHEELER | ||||||||
| CFO | 40.00 | X | 120397 | 57968 | 14654 | |||
| WINDELL SMITH JR | ||||||||
| COO | 40.00 | 129016 | 62118 | 15073 | X | |||
| RANDOLPH WHEELER | ||||||||
| DIVISION DIRECTOR | 40.00 | 263277 | 0 | 12129 | X | |||
| HOLLI SWEAT | ||||||||
| CHIEF NURSING OFFICER | 40.00 | 152430 | 0 | 13332 | X | |||
| JOHN LINDSEY | ||||||||
| ADMINISTRATOR | 40.00 | 147362 | 0 | 13013 | X | |||
| JOHN PHARR | ||||||||
| DIRECTOR OF SERVICE EXCELLENCE | 40.00 | 130654 | 0 | 12350 | X | |||
| KEN TYRE | ||||||||
| PHARMACY MANAGER | 40.00 | 124490 | 0 | 12245 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1719269 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 433840 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 111165 | TotalOtherCompensation |
| Number Individuals GT100 K | 50 | 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 |
|---|---|---|---|---|---|
| ADVANCED ICU CARE INC | |||||
| 999 EXECUTIVE PARKWAY | ST LOUIS | MO | 63141 | ICU SERVICES | 1447300 |
| SOUTHEAST GEORGIA ANESTHESIA ASSOCIATES | |||||
| 1900 TEBEAU STREET | WAYCROSS | GA | 31501 | ANESTHESIA SERVICES | 1419520 |
| DIAGNOSTIC PET LLC | |||||
| 1256 SHILOH ROAD | ELLAVILLE | GA | 31806 | DIAGNOSTIC SERVICES | 1103636 |
| EXECUTIVE HEALTH RESOURCES INC | |||||
| PO BOX 822688 | PHILADELPHIA | PA | 19182 | PHYSICIAN ADVISOR | 542443 |
| QUEST DIAGNOSTIC NICHOLS INST | |||||
| FILE NO 51048 | LOS ANGELES | CA | 90074 | DIAGNOSTIC SERVICES | 537851 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 28 | NumberOfContractorsGT100K |
| Federated Campaigns | 6300 | FederatedCampaigns |
| Related Organizations | 38250 | RelatedOrganizations |
| Government Grants | 397038 | GovernmentGrants |
| All Other Contributions | 176148 | AllOtherContributions |
| Total Contributions | 617736 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENCE SERVICE R | 621110 | 139241553 | 139241553 |
| REFERENCE LAB | 621500 | 2872504 | 2872504 |
| MISC LAB FEES | 621500 | 97011 | 97011 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 142211068 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1683202 | TotalRevenueColumn |
| Exclusion | $1,683,202 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 482067 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 482067 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 482067 | TotalRevenueColumn |
| Exclusion | $482,067 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 35000 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 293456 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 35000 | Securities |
| Other | -293456 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -258456 | TotalRevenueColumn |
| Exclusion | -$258,456 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CAFETERIA/CATERING REV | 900099 | 1158219 | 1158219 | |
| JOINT VENTURE REVENUE | 900099 | 528758 | 521783 | 6975 |
| PHYSICIAN APPLICATION | 900099 | 82250 | 82250 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 541926 | TotalRevenueColumn |
| Related Or Exempt Function Income | 541926 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2311153 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 147046770 | TotalRevenueColumn |
| Related Or Exempt Function Income | 144515246 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 6975 | UnrelatedBusinessRevenue |
| Exclusion | $1,906,813 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2500 | Total |
| Program Services | 2500 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1382992 | Total |
| Program Services | 1009584 | ProgramServices |
| Management And General | 373408 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43500518 | Total |
| Program Services | 31775488 | ProgramServices |
| Management And General | 11725030 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 560373 | Total |
| Program Services | 409072 | ProgramServices |
| Management And General | 151301 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15444494 | Total |
| Program Services | 11274481 | ProgramServices |
| Management And General | 4170013 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3626327 | Total |
| Program Services | 2647219 | ProgramServices |
| Management And General | 979108 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2514454 | Total |
| Management And General | 2514454 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 317635 | Total |
| Management And General | 317635 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11514 | Total |
| Management And General | 11514 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 211393 | Total |
| Management And General | 211393 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14147562 | Total |
| Program Services | 8630013 | ProgramServices |
| Management And General | 5517549 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 544200 | Total |
| Program Services | 59862 | ProgramServices |
| Management And General | 484338 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 281760 | Total |
| Program Services | 236678 | ProgramServices |
| Management And General | 45082 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7195698 | Total |
| Program Services | 6691999 | ProgramServices |
| Management And General | 503699 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176674 | Total |
| Program Services | 45935 | ProgramServices |
| Management And General | 130739 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1636137 | Total |
| Management And General | 1636137 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6562105 | Total |
| Program Services | 6102758 | ProgramServices |
| Management And General | 459347 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1363432 | Total |
| Program Services | 40903 | ProgramServices |
| Management And General | 1322529 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 18023848 | 18023848 | |
| MEDICAL SUPPLIES | 13915488 | 13915488 | |
| DRUG EXPENSE | 5458156 | 5458156 | |
| ALL OTHER EXPENSES | 4997962 | 4169255 | 828707 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2104451 | Total |
| Program Services | 2104451 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143979673 | Total |
| Program Services | 112597690 | ProgramServices |
| Management And General | 31381983 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4954 | BOY |
| EOY | 4801 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12505624 | BOY |
| EOY | 53817 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22706052 | BOY |
| EOY | 22934624 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1673679 | BOY |
| EOY | 1709667 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1319490 | BOY |
| EOY | 1163222 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 130296631 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 70333315 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57552608 | BOY |
| EOY | 59963316 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41384191 | BOY |
| EOY | 47205429 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -205125 | BOY |
| EOY | -171203 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28474050 | BOY |
| EOY | 38276134 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165415523 | BOY |
| EOY | 171139807 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16411475 | BOY |
| EOY | 20258732 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 140816 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7223 | BOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31213778 | BOY |
| EOY | 30657416 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27753 | BOY |
| EOY | 25248 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1333507 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2217828 | BOY |
| EOY | 10239182 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51211564 | BOY |
| EOY | 61321394 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 114203959 | BOY |
| EOY | 109818413 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 114203959 | BOY |
| EOY | 109818413 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165415523 | BOY |
| EOY | 171139807 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3067097 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -7452643 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $11,514 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 11514 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | 24% OF THE DUES PAID TO GEORGIA HOSPITAL ASSOCIATION (GHA), OF WHICH THE ORGANIZATION IS A MEMBER, ARE USED BY GHA FOR LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 947742 | OtherCostOrOtherBasis |
| Book Value | 947742 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 71571017 | OtherCostOrOtherBasis |
| Depreciation | 29845924 | Depreciation |
| Book Value | 41725093 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3187640 | OtherCostOrOtherBasis |
| Depreciation | 3250351 | Depreciation |
| Book Value | -62711 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 54590232 | OtherCostOrOtherBasis |
| Depreciation | 37237040 | Depreciation |
| Book Value | 17353192 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 59963316 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INTERCOMPANY RECEIVABLES | 37718260 |
| OTHER ASSETS | 557874 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 38276134 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| THIRD PARTY SETTLEMENTS | $5,900,000 |
| FIN 48 LIABILITY | $2,225,710 |
| PY COST REPORT SETTLEMENTS | $562,210 |
| UNEARNED INDIGENT CARE FUND | $1,280,016 |
| CONTINGENCY RESERVE | $271,246 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10239182 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION HOLDS FUNDS IN ESCROW ON BEHALF OF ITS NURSING HOME RESIDENTS IN ORDER TO PAY THE RESIDENT'S PERSONAL BILLS, SUCH AS A HAIR STYLIST, CABLE, INSURANCE, AND CASH FOR SHOPPING TRIPS. | |
| PART X: | THE ORGANIZATION HAS ADOPTED THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX POSITIONS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. THE PORTION OF LIABILITY THAT MANAGEMENT ANTICIPATES SETTLING IN 2012 IS CLASSIFIED AS A CURRENT LIABILITY AND THE REMAINING BALANCE IS CLASSIFIED AS OTHER LONG-TERM LIABILITIES. A RECONCILIATION OF THE UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2011 IS AS FOLLOWS BALANCE, BEGINNING OF YEAR, AS RESTATED - $1,842,040 ADDITIONS FOR TAX POSITIONS OF PRIOR YEARS - $383,670 REDUCTIONS FOR TAX POSITIONS OF PRIOR YEARS AS A RESULT OF LAPSE OF THE APPLICABLE STATUTE OF LIMITATIONS - $0 SETTLEMENTS - $0 BALANCE, END OF YEAR - $2,225,710 FOR THE YEAR ENDED DECEMBER 31, 2011, THE TOTAL AMOUNT OF UNCERTAIN TAX POSITIONS HAVE REDUCED INCOME TAX EXPENSE AND HAVE REDUCED THE DEFICIT OF REVENUE OVER EXPENSES BY $383,670 INTEREST EXPENSE AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 2011 ARE APPROXIMATELY $134,000 AND $65,000, RESPECTIVELY. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| 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 | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12741825 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2645081 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10096744 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08020 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22247333 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21083139 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1164194 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00920 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 34989158 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23728220 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11260938 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08940 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 804323 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 480 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 803843 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00640 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 861034 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 147790 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 713244 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 322313 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 322313 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 68605 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 68605 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2056275 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 148270 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1908005 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01520 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37045433 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23876490 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13168943 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10460 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12105 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12105 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 24347 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 24347 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 67857 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 67857 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 377082 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 377082 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 414 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 414 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 481805 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 481805 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $18,023,848 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 43617838 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 53981914 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -10364076 | 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 | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 DARLING AVENUE | AddressLine1 |
| City | WAYCROSS | City |
| State | GA | State |
| ZIP Code | 31501 | 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 | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS | 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 | 125.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| 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 | 4 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (4 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| SATILLA CARE CENTER | ||||
| 1600 RIVERSIDE AVE | WAYCROSS | GA | 31501 | SKILLED NURSING FACILTY |
| PIERCE COUNTY NURSING HOME | ||||
| 221 EAST CARTER AVE | BLACKSHEAR | GA | 31516 | SKILLED NURSING FACILTY |
| SATILLA REHAB INSTITUTE | ||||
| 2500 SATILLA PARKWAY | WAYCROSS | GA | 31501 | REHAB UNIT |
| SATILLA PSYCH | ||||
| 410 DARLING AVE | WAYCROSS | GA | 31501 | PSYCHIATRIC UNIT |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7: THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". COST IS CALCULATED BY APPLYING A COST TO CHARGE RATIO WHICH IS COMPUTED BY DIVIDING TOTAL EXPENSES LESS BAD DEBT BY GROSS CHARGES. | ||
| PART I, LINE 7G: SATILLA ADVOCACY SERVICES IS A RAPE CRISIS AND CHILD ADVOCACY CENTER THAT OPERATES UNDER THE UMBRELLA OF MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. FKA SATILLA HEALTH SERVICES AND SERVES VICTIMS OF SEXUAL ASSAULT AND OTHER VIOLENT CRIMES IN THE SIX COUNTIES THAT MAKE UP THE WARE COUNTY JUDICIAL CIRCUIT. A FULL RANGE OF SERVICES IS OFFERED FROM THE TIME A VICTIM REPORTS AN INCIDENT, INCLUDING EMERGENCEY DEPARTMENT SERVICES, FOLLOW UP AT THE RAPE CRISIS/CHILD ADVOCACY CENTER, THERAPY, AND SUPPORT BY OUR LEGAL ADVOCACY PERSONNEL. IN 2011, SATILLA ADVOCACY SERVED 8,244 VICTIMS RESULTING IN A $466,000 BENEFIT TO OUR COMMUNITY. | ||
| 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 $ 18023848. | ||
| PART II: THE FOLLOWING IS A SUMMARY OF THE COMMUNITY BENEFIT ACTIVITIES AND HEALTH IMPROVEMENT SERVICES OF THE ORGANIZATION AND ILLUSTRATES THE ACTIVITIES AND DONATIONS DURING CALENDAR YEAR 2011.MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. PROVIDED HEALTH EDUCATION AND HEALTH SUPPORT SERVICES THAT REACHED 4,506 PEOPLE IN 2011 AT A COST OF $742,000. THESE SERVICES INCLUDED THE FOLLOWING CLASSES AND SEMINARS:- SIBLING SCHOOL- EPIDURAL CLASSES- CHILDBIRTH CLASSES- BREASTFEEDING CLASSES- BIRTHING CENTER TOURS- LACTATION CONSULTATION- CAMP HUFF N PUFF- SENIOR SAFETY DAY- SMOKING CESSATION- WOMEN'S HEALTH BLITZMAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. IS ALSO INVOLVED IN MANY ACTIVITIES AIMED AT EDUCATING THE COMMUNITY ABOUT HEALTH-RELATED TOPICS. EXAMPLES OF THESE ACTIVITIES INCLUDE A MONTHLY CALENDAR OF EVENTS AND CLASSES OFFERED AT THE HOSPITAL THAT IS DISTRIBUTED VIA EMAIL AND ADVERTISED IN LOCAL NEWSPAPERS.THE MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. STAFF PROVIDED BLOOD PRESSURE SCREENINGS, EDUCATIONAL PROGRAMS AND HEALTH SEMINARS TO RESIDENTS IN SCHOOLS, SENIOR CITIZEN CENTERS, AND SOCIAL CLUBS AND AT HEALTH FAIRS THROUGHOUT THE SERVICE AREA, INCLUDING SENIOR SAFETY DAY, SWAMPFEST AND PIERCE, BRANTLY AND WARE COUNTY HIGH SCHOOL FOOTBALL GAMES.MEDICATION ASSISTANCE PROGRAMMAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. PROVIDED STAFF TIME AND SUPPLIES IN THE AMOUNT OF $30,000 TO HELP 82 PATIENTS ACCESS FREE MEDICATIONS THROUGH THE PHARMACEUTICAL COMPANIES' PRESCRIPTION ASSISTANCE PROGRAM. IN ADDITION, THE ORGANIZATION ALSO PROVIDED $46,000 IN MEDICATIONS THROUGH THE INDIGENT PRESCRIPTION PROGRAM. PATIENTS WHO ARE UNABLE TO PAY FOR THEIR MEDICATIONS UPON DISCHARGE FROM THE HOSPITAL CAN ACCESS THE PROGRAM ONE TIME PER YEAR TO RECEIVE UP TO FIVE QUALIFYING MEDICATIONS. THE AVERAGE PHARMACY CHARGE PER PATIENT FUNDED BY MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. THROUGH THIS PROGRAM WAS $94.ENROLLMENT ASSISTANCEMAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. OFFERED ENROLLMENT ASSISTANCE TO 455 PEOPLE IN THE COMMUNITY SO THEY WOULD BE ABLE TO ACCESS PUBLIC HEALTH PROGRAMS SUCH AS MEDICAID.INDIGENT FINANCIAL ASSISTANCEPATIENTS WHOSE INCOME IS BELOW 125% OF THE FEDERAL POVERTY LEVEL ARE CLASSIFIED AS INDIGENT AND RECEIVE CARE AT NO COST. CHARITY FINANCIAL ASSISTANCEPATIENTS WHOSE INCOME LEVEL IS BETWEEN 126% AND 200% OF THE FEDERAL POVERTY LEVEL ARE CLASSIFIED AS CHARITY. THESE PATIENTS ARE RESPONSIBLE FOR A PERCENTAGE OF THEIR HOSPITAL CHARGES. THIS PERCENTAGE IS BASED ON A SLIDING CALCULATION TAKING INTO CONSIDERATION INCOME AND FAMILY SIZE. HEALTH PROFESSIONS EDUCATIONIN 2011, MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. WORKED WITH LOCAL COLLEGES AND TECHNICAL SCHOOLS TO OFFER CLINICAL ROTATIONS FOR A VARIETY OF HEALTH CARE PROFESSIONALS THAT INCLUDED PROVIDING A CLINICAL SETTING FOR 822 STUDENTS THAT INCLUDED SIX HOURS PER STUDENT OF STAFF MENTORING.ORIENTATION, DRUG SCREENS, CRIMINAL BACKGROUND CHECKS AND SOCIAL SECURITY CHECKS WERE PROVIDED FOR ALL STUDENTS. IN ADDITION, RENT-FREE CLASSROOM SPACE WAS PROVIDED. | ||
| PART III, LINE 4: THE CARRYING AMOUNT OF PATIENT RECEIVABLES ARE REDUCED BY ALLOWANCES THAT REFLECT MANAGEMENT'S BEST ESTIMATE OF THE AMOUNTS THAT WILL NOT BE COLLECTED. PATIENT RECEIVABLES, WHERE A THIRD-PARTY PAYOR IS RESPONSIBLE FOR PAYING THE AMOUNT, ARE CARRIED AT A NET AMOUNT DETERMINED BY THE ORIGINAL CHARGE FOR THE SERVICES PROVIDED, LESS AN ESTIMATE MADE FOR CONTRACTUAL ADJUSTMENTS OR DISCOUNTS PROVIDED TO THIRD-PARTY PAYORS. PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS, BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS AND BY CONSIDERING THE PATIENT'S FINANCIAL HISTORY, CREDIT HISTORY AND CURRENT ECONOMIC CONDITIONS. PATIENT RECEIVABLES ARE WRITTEN OFF AS BAD DEBT EXPENSE WHEN DEEMED UNCOLLECTABLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED. BAD DEBT EXPENSE IS NOT REPORTED AT COST. | ||
| PART III, LINE 8: THE MEDICARE COST REPORT USES A FUNCTIONAL COST FINDING METHODOLOGY TO ALLOCATE GENERAL-SERVICE (ADMINISTRATIVE OVERHEAD) DEPARTMENT COSTS TO PATIENT CARE DEPARTMENTS. THE STATISTICAL BASIS FOR ALLOCATION IS PRE-DETERMINED BY MEDICARE INSTRUCTIONS AND VARIES BY TYPE OF GENERAL SERVICE COST CENTER. EXAMPLES INCLUDE SQUARE FOOTAGE TO ALLOCATE CAPITAL-RELATED COSTS AND FTES FOR CAFETERIA. PATIENT CARE DEPARTMENTS ARE GROUPED SIMILARLY ACCORDING TO SERVICE TYPE (I.E., OPERATING ROOM, LABORATORY, PHYSICAL THERAPY, ETC.). FULLY ALLOCATED COSTS ARE THEN DIVIDED BY DEPARTMENTAL CHARGES AT THE GROUP LEVEL TO DETERMINE A GROUP SPECIFIC COST-TO-CHARGE RATIO. TO DETERMINE MEDICARE'S SHARE OF COSTS, MEDICARE COVERED CHARGES ARE MULTIPLIED AGAINST THE SPECIFIC COST-TO-CHARGE RATIOS. | ||
| PART III, LINE 9B: THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS. | ||
| PART V, SECTION B, LINE 19D: GROSS CHARGES ARE THE SAME FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY; HOWEVER DISCOUNTS ARE PROVIDED FOR INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE. RATES ARE ESTABLISHED BY COMPARING COMPETITIVE RATES IN THE REGION. | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS | |
| PART VI, LINE 2: MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. FKA SATILLA HEALTH SERVICES, INC. IMPROVES THE HEALTH AND WELL BEING OF THE NINE COUNTY SERVICE AREA IN SOUTHEAST GEORGIA THAT IT SERVES THROUGH CLINICAL SERVICES, EDUCATION, AND PARTNERSHIPS THAT BUILD HEALTH CAPACITY IN THE COMMUNITY. COMMUNITY BENEFITS ARE PROVIDED FOR ALL CITIZENS AS WELL AS FOR THE MEDICALLY UNDERSERVED. THE ORGANIZATION PAYS CLOSE ATTENTION TO THE NEEDS OF LOW INCOME AND OTHER VULNERABLE PERSONS AND THE COMMUNITY AT LARGE. MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. WORKS WITH COMMUNITY GROUPS TO IDENTIFY NEEDS, STRENGTHEN EXISTING COMMUNITY PROGRAMS, AND PLAN NEWLY NEEDED SERVICES. MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. PROVIDES A WIDE ARRAY OF COMMUNITY BENEFIT SERVICES DESIGNED TO IMPROVE COMMUNITY HEALTH AND THE HEALTH OF INDIVIDUALS.MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. ALSO WORKS TO INCREASE ACCESS TO HEALTH CARE, IN ADDITION TO PROVIDING FREE AND DISCOUNTED SERVICES TO PEOPLE WHO ARE UNINSURED AND UNDERINSURED. THE ORGANIZATION'S COMMUNITY BENEFIT PROGRAMS ARE DESIGNED TO RESPOND TO ASSESSED NEEDS AND ARE FOCUSED ON PREVENTION AND EDUCATION. | ||
| PART VI, LINE 3: THE BOARD HAS CLEAR WRITTEN INDIGENT AND CHARITY CARE POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION'S WEB SITE AND THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND CHARITY CARE. PATIENT EDUCATION ON THE ORGANIZATION'S INDIGENT AND CHARITY CARE PROGRAMS ARE CONDUCTED DURING PRE-REGISTRATION, THROUGH FLOOR VISITS BY BUSINESS OFFICE REPRESENTATIVES FOR PATIENTS THAT EXPRESS CONCERN IN MEETING THE FINANCIAL OBLIGATIONS FOR THEIR SERVICES, AND THROUGH OUR CUSTOMER SERVICE DEPARTMENT. BROCHURES ARE PROMINENTLY DISPLAYED AT EACH REGISTRATION BOOTH. THE BUSINESS OFFICE CONTINUOUSLY PROVIDES UPDATED MATERIAL TO PHYSICIAN OFFICES FOR ISSUANCE TO THEIR PATIENTS THAT HIGHLIGHT OUR FINANCIAL ASSISTANCE PROGRAM AND POLICIES. PATIENT STATEMENTS HIGHLIGHT THE ORGANIZATION'S CHARITY PROGRAM AND ENCOURAGE PATIENTS TO CALL FOR FINANCIAL ASSISTANCE. | ||
| PART VI, LINE 4: MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. IS A NON-PROFIT, MISSION DRIVEN, ACUTE CARE COMMUNITY HOSPITAL LICENSED FOR 231 BEDS. OUR TRADITION OF CARE BEGAN OVER FIFTY YEARS AGO AND CONTINUES TODAY WITH MORE THAN 1,600 EMPLOYEES, PHYSICIANS, AND VOLUNTEERS. THE HOSPITAL SERVES AS A REGIONAL REFERRAL CENTER FOR MORE THAN 155,000 SOUTHEAST GEORGIANS IN A 9-COUNTY AREA AND IS ACCREDITED BY THE JOINT COMMISSION, THE HIGHEST NATIONAL ACCREDITATION BODY FOR HEALTHCARE SERVICES IN THE UNITED STATES. | ||
| PART VI, LINE 5: AS A CORPORATE CITIZEN, MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. WAS INVOLVED IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES THROUGHOUT THE YEAR INCLUDING ECONOMIC DEVELOPMENT, LEADERSHIP DEVELOPMENT AND TRAINING, WORKFORCE DEVELOPMENT, CRISIS PREVENTION AND INTERVENTION TRAINING, DISASTER PREPAREDNESS AND SUPPORT OF OUR CHAMBERS OF COMMERCE. IN 2011, MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. CONTRIBUTED $482,000 TO COMMUNITY BUILDING ACTIVITIES. FINANCIAL AND IN-KIND SUPPORTIN 2011, MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. PROVIDED $69,000 IN CASH DONATIONS AND IN-KIND SUPPORT TO NOT-FOR-PROFIT ORGANIZATIONS IN THE WAYCROSS-WARE COUNTY REGION. THE FOLLOWING ARE SOME EXAMPLES:- THE AMERICAN CANCER SOCIETY RELAY FOR LIFE RECEIVED $2,500 TO SUPPORT RESEARCH AND THE NEEDS OF CANCER PATIENTS IN OUR COMMUNITY.- PROVIDED RENT-FREE SPACE TO VARIOUS NOT-FOR-PROFIT AND HEALTH CARE-RELATED ORGANIZATIONS. IN 2011, THE ESTIMATED FORGONE RENT WAS $41,000. | ||
| GA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| 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 (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT TRIMM | |||||||||||||
| 246750 | 118805 | 0 | 0 | 404893 | 194949 | 6458 | 3109 | 5941 | 2861 | 664042 | 319724 | 0 | 0 |
| KATRINA WHEELER | |||||||||||||
| 119553 | 57562 | 0 | 0 | 844 | 406 | 4250 | 2047 | 5641 | 2716 | 130288 | 62731 | 0 | 0 |
| WINDELL SMITH JR | |||||||||||||
| 128172 | 61712 | 0 | 0 | 844 | 406 | 4513 | 2173 | 5661 | 2726 | 139190 | 67017 | 0 | 0 |
| RANDOLPH WHEELER | |||||||||||||
| 144181 | 0 | 0 | 0 | 119096 | 0 | 4071 | 0 | 8058 | 0 | 275406 | 0 | 0 | 0 |
| HOLLI SWEAT | |||||||||||||
| 145045 | 0 | 0 | 0 | 7385 | 0 | 5193 | 0 | 8139 | 0 | 165762 | 0 | 0 | 0 |
| JOHN LINDSEY | |||||||||||||
| 146112 | 0 | 0 | 0 | 1250 | 0 | 4939 | 0 | 8074 | 0 | 160375 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 1A | ReturnReference |
| Explanation | CLUB DUES FOR THE CEO AND DISCRETIONARY AMOUNT FOR CEO, COO AND CFO. ALL AMOUNTS ARE INCLUDED IN TAXABLE INCOME. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLACKSHEAR FAMILY PRACTICE PC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | DON WATERS - DIRECTOR OF THE FILING ORGANZATION & AN OFFICER OF BLACKSHEAR | Relationship |
| Amount Of Transaction | 103200 | AmountOfTransaction |
| Description Of Transaction | MEDICAL DIRECTOR FEES, EKG READINGS & WORKMAN'S COMP VISITS | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DUE TO OVERLAP OF BOARD MEMBERSHIP AND EMPLOYMENT BY RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP: ROBERT M. TRIMM LEWIS ALTMAN WINDELL SMITH KATRINA WHEELER OWEN HERRIN FRANKLIN PICKNEY JOY PETERSON BRENDA TAYLOR | |
| FORM 990, PART VI, SECTION A, LINE 4 | THE BOARD OF DIRECTORS APPROVED A NAME CHANGE OF THE FILING ORGANZATION FROM SATILLA HEALTH SERVICES, INC. TO MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. BY FILING AN AMENDMENT TO THE ARTICLES OF INCORPORATION DATED MARCH 28, 2012. THE AMENDMENT TO THE ARTICLES OF INCORPORATION WAS FILED WITH THE STATE OF GEORGIA APRIL 2, 2012. THE IRS WAS NOTIFIED OF THE NAME CHANGE BY CORRESPONDANCE DATED FEBRUARY 24, 2012 AND ACKNOWLEDGED THE NAME CHANGE IN CORRESPONDANCE DATED APRIL 18, 2012. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 WILL BE REVIEWED BY THE BOARD OF DIRECTORS OF MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. (FORMERLY SATILLA HEALTH SERVICES, INC.) PRIOR TO FILING WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS AND ADMINISTRATIVE STAFF MEMBERS. THE DETERMINATION AND REVIEW OF WHETHER A CONFLICT EXISTS OR NOT IS DONE AT THE BOARD OR COMMITTEE LEVEL IN WHICH THE MEMBER IS INVOLVED. IN THE EVENT OF A CONFLICT, MEMBERS ARE EXCLUDED FROM DISCUSSION AND THE RIGHT TO VOTE. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S GOVERNING BODY UTILIZES DATA FROM MULTIPLE SOURCES INCLUDING WATSON/WYATT COMPENSATION SURVEY, CHATTAHOOCHEE HEALTH RESOURCES EXECUTIVE COMPENSATION SURVEY, AND COUNSEL WITH HUMAN RESOURCES LEADER TO ESTABLISH COMPENSATION OF THE CEO AND ASSURE THAT CEO COMPENSATION IS REASONABLE AND MARKET-BASED. THE CEO/PRESIDENT, ALONG WITH THE HUMAN RESOURCES LEADER, UTILIZE THE COMPENSATION SURVEYS MENTIONED ABOVE TO SET COMPENSATION FOR ALL OTHER OFFICERS, SUCH AS THE CFO, CONTROLLER OR KEY EMPLOYEES. THE EVALUATION PROCESS OCCURS ANNUALLY FOR ALL EXECUTIVE STAFF. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION WILL MAKE ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICE. | |
| FORM 990, PART VI, SECTION B, LINE 16B | CURRENTLY THE ORGANIZATION HAS NOT ADOPTED A FORMAL WRITTEN POLICY OR PROCEDURE REQUIRING EVALUATION OF PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW. HOWEVER, ANY JOINT VENTURE ARRANGEMENTS ARE THOROUGHLY EVALUATED BY THE BOARD, LEGAL COUNSEL, AND MANAGEMENT STAFF PRIOR TO PARTICIPATION IN AN EFFORT TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITHIN SUCH BUSINESS ARRANGEMENTS. | JOINT VENTURE WRITTEN POLICY |
| FORM 990, PART VII, COLUMN B | CERTAIN INDIVIDUALS LISTED IN PART VII SPLIT THEIR TIME BETWEEN MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC.(MCHS-WAYCROSS), THE FILING ORGANIZATION AND ITS RELATED ORGANIZATIONS; SATILLA HEALTH FOUNDATION (SHF), SATILLA HEALTH MANAGEMENT (SHM), SATILLA HEALTH ENTERPRISES (SHE), AND SATILLA REGIONAL SPECIALTY PHYSICIANS (SRSP), AS FOLLOWS; OWEN HERRIN, 1-SHF STEVE WATERS, 1-SHM ROBERT M. TRIMM, 1-SHM, 1-SHF, 1-SHE, 10-SRSP LEWIS ALTMAN, 1-SHM, 1-SHF ASHLEY DENTON, 1-SHM DR. H.A. GRIFFIN, JR., 1-SHM ROBERT LANDRUM, 1-SHM FRANKLIN PICKNEY, 1-SHF C.C. STEPHENS, 1-SHM WINDELL SMITH, 1-SHM, 1-SHF, 1-SHE, 10-SRSP KATRINA WHEELER, 1-SHM, 1-SHF, 1-SHE, 10-SRSP | AVERAGE HOURS PER WEEK FOR RELATED ORGANIZATIONS |
| FORM 990, PART XI, LINE 5: | PRIOR PERIOD ADJUSTMENTS: -7,452,643. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SATILLA HEALTH MANAGEMENT INC | |||||||||||
| 1900 TEBEAU STREET | WAYCROSS | GA | 31501 | 581717889 | HEALTHCARE SERVICES | GA | 501(C)(3) | LINE 3 | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS INC | 1 | |
| SATILLA HEALTH FOUNDATION INC | |||||||||||
| 1900 TEBEAU STREET | WAYCROSS | GA | 31501 | 582008998 | FOUNDATION | GA | 501(C)(3) | LINE 11C, III-FI | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS INC | 1 | |
| SATILLA REGIONAL MEDICAL CENTER AUXILARY | |||||||||||
| 1900 TEBEAU STREET | WAYCROSS | GA | 31501 | 586066381 | PROMOTE & COMPLEMENT HEALTHCARE | GA | 501(C)(3) | LINE 11A, I | 0 | N/A | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SATILLA REGIONAL SPECIALTY PHYSICIANS INC | |||||||||||
| 1900 TEBEAU STREET | WAYCROSS | GA | 31501 | 204363143 | PHYSICIAN OFFICES | GA | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS INC | C | 20543390 | 1907044 | 1.00000 |
| SATILLA HEALTH ENTERPRISES INC | |||||||||||
| 1900 TEBEAU STREET | WAYCROSS | GA | 31501 | 581717222 | HEALTHCARE | GA | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS INC | C | 3567930 | 1090296 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| SATILLA HEALTH MANAGEMENT INC | ||
| A | 23274 | ACTUAL AMOUNT |
| SATILLA HEALTH ENTERPRISES INC | ||
| A | 18809 | ACTUAL AMOUNT |
| SATILLA REGIONAL SPECIALTY PHYSICIANS INC | ||
| A | 140923 | ACTUAL AMOUNT |
| SATILLA HEALTH MANAGEMENT INC | ||
| K | 143654 | ACTUAL AMOUNT |
| SATILLA HEALTH ENTERPRISES INC | ||
| A | 5400 | ACTUAL AMOUNT |
| SATILLA REGIONAL SPECIALTY PHYSICIANS INC | ||
| A | 90162 | ACTUAL AMOUNT |
| SATILLA HEALTH FOUNDATION INC | ||
| N | 74481 | ACTUAL AMOUNT |
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