2012-08-13T16:16:40-05:00 2011-09-30 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2010-10-01 582359398 OCONEE REGIONAL MEDICAL CENTER INC OCON 4784543520 821 NORTH COBB STREET MILLEDGEVILLE GA 31061 BRENDA QUALLS 4784543520 2012-08-13 1 AMY BIBBY 8282542254 2010 2016-02-24 21:20:13Z BRENDA QUALLS 821 NORTH COBB STREET MILLEDGEVILLE GA 31061 78954636 0 X WWW.OCONEEREGIONAL.COM X 1997 GA TO PROVIDE HEALTHCARE SERVICES TO ALL PATIENTS WITHIN THE ORGANIZATION'S SERVICE AREA. 13 11 838 240 1096609 -43553 337514 183478 85047778 78458098 158743 149258 265362 127291 85809397 78918125 45170 27410 0 0 38200942 34598110 0 0 0 47261477 53380147 85507589 88005667 301808 -9087542 72552968 61679483 37558916 35809335 34994052 25870148 X THE MISSION OF OCONEE REGIONAL MEDICAL CENTER IS TO PROVIDE HIGH QUALITY, SAFE, COMPASSIONATE, PATIENT-FOCUSED HEALTHCARE. 0 0 78087426 27410 77361489 OCONEE REGIONAL MEDICAL CENTER IS A 140-BED GENERAL, ACUTE-CARE INSTITUTION, OFFERING A WIDE RANGE OF SPECIALIZED SERVICES AND PROGRAMS. SUCH SERVICES INCLUDE ACUTE MEDICAL/SURGICAL CARE, A BLOOD BANK, CANCER CENTER UNIT, CARDIOVASCULAR LABORATORY, CT & MRI SCANNERS, LITHOTRIPSY, MAMMOGRAPHY, MEDICAL/SURGICAL INTENSIVE CARE UNIT, OB/GYN, ORTHOPEIC SURGERY, OUTPATIENT SURGERY, PEDIATRIC CARE, PHARMACY DIAGNOSTIC RADIOLOGY, 24-HOUR EMERGENCY SERVICE, LAPAROSCOPIC SURGERY, LASER SURGERY, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, POST-OPERATIVE RECOVERY ROOM, PROGRESSIVE CARE UNIT, AND RESPIRATORY CARE SERVICES.IT IS THE POLICY OF OCONEE REGIONAL MEDICAL CENTER TO ADMIT AND TREAT ALL PERSONS WITHOUT REGARD TO RACE, COLOR, SEX, HANDICAP, NATIONAL ORIGIN, OR RELIGIOUS CREED. ADMISSION REQUIREMENTS AND ASSIGNMENTS OF HOSPITAL FACILITIES ARE THE SAME FOR ALL PERSONS. THERE ARE NO DISTINCTIONS IN ELIGIBILITY FOR RECEIVING ANY PATIENT CARE SERVICES. HOSPITAL FACILITIES ARE AVAILABLE TO ALL PATIENTS AND VISITORS. INDIVIDUALS AND ORGANIZATIONS HAVING OCCASION TO REFER PATIENTS FOR ADMISSION OR RECOMMEND OCONEE REGIONAL MEDICAL CENTER ARE ADVISED TO DO SO WITHIN THE HOSPITAL'S POLICY TO PROVIDE QUALITY HEALTHCARE TO ALL PERSONS.FOR THE YEAR ENDED SEPTEMBER 30, 2010, THE CENTER PROVIDED INDIGENT AND CHARITY CARE AT A COST OF APPROXIMATELY $1,606,580. THE CENTER ALSO PROVDES CARE TO PATIENTS COVERED BY MEDICARE/MEDICAID AT A TOTAL SHORTFALL OF $3,659,213 AND 1,358,210 FOR MEDICARE AND MEDICAID, RESPECTIVELY. THE CENTER ALSO PROVIDED SUPPORT TO LOCAL CHARITABLE ORGANIZATIONS AND A COMMUNITY HEALTH FAIR AT A COST OF APPROXIMATELY $52,120. THE CENTER ALSO PROVIDES A SITE FOR MEDICAL STUDENTS TO COMPLETE CLINICAL ROTATIONS FOR NURSING AND RADIOLOGY, AS WELL AS HOSTING A MONTHLY PUBLIC EDUCATION SERIES ENTITLED "TO YOUR HEALTH". 78087426 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 69 0 1 838 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X X BRENDA QUALLS 4784573550 PO BOX 690 MILLEDGEVILLE GA 31059 X PHYLLIS PARKS-VEAL PHARM D 1.00 X 0 0 0 DAVID GROSECLOSE 1.00 X X 0 0 0 CAY QUATTLEBAUM 2.00 X X 0 0 0 PAUL DEAN 2.00 X X 0 0 0 TED ZARKOWSKY 1.00 X X 0 0 0 ANDY COWART 1.00 X 0 0 0 GEORGE GRIMES MD 1.00 X 143667 0 0 DON HEACOCK MD 1.00 X 4525 0 0 RAM PURI MD 1.00 X 254574 0 0 CHARLIE ROSS 1.00 X 0 0 0 JAMES SMITH MD 1.00 X 0 0 0 VANESSA WALKER 1.00 X 0 0 0 JEFF CRISP 1.00 X 0 0 0 REBECCA J AYCOCK 40.00 X 356367 0 47178 JAMES ALAN HORTON 40.00 X 212269 0 31538 DAVID T PERRY 40.00 X 180842 0 29383 BRENDA K QUALLS 40.00 X 184937 0 16068 MOLLIE F THOMAS 36.00 X 172897 0 16473 DEBORAH S REVIS 40.00 X 165271 0 21204 JOSEPH E EVANS 40.00 X 171392 0 15839 KAY L HUFF 40.00 X 135596 0 7381 PAMELA C HOPKINS 40.00 X 130715 0 7370 WILLIAM W COLEMAN 40.00 X 153980 0 18939 DEANNE K HERRING 40.00 X 123702 0 12869 2390734 0 224242 24 0 1 0 LOGOS EMERGENCY SPECIALISTS 232 COUNTRY CREEK ROAD MACON GA 31220 EMERGENCY PHYSICIAN SERVICES 3638894 BCAS INC PO BOX 1707 MILLEDGEVILLE GA 31061 ANESTHESIA SERVICES 1287500 ENDURACARE ACUTE CARE SERVICES DEPARTMENT AT 952922 ATLANTA GA 31192 PT, OT, SP SERVICES 1254058 ARAMARK CTS 12483 COLLECTIONS CENTER DR CHICAGO IL 60693 DIETARY SERVICES 1185799 ARAMARK HEALTHCARE FACILITIES JP MORGAN LOCKBOX ACCOUNT 24863 NET CHICAGO IL 606731248 DIETARY SERVICES 592732 14 66500 116978 183478 NET PATIENT SERVICE RE 621400 78458098 77361489 1096609 78458098 13095 13095 136163 136163 137289 36511 100778 100778 100778 WELLNESS CENTER 713940 26513 26513 26513 78918125 77361489 1096609 276549 27410 27410 1616890 402766 1214124 26575067 22884546 3690521 526047 434529 91518 3894709 3217134 677575 1985397 1635052 350345 433328 126700 306628 129490 129490 96910 96910 50928 50928 14191971 13946789 245182 95642 27547 68095 13593346 11623054 1970292 301315 19631 281684 1462869 1462869 31207 14451 16756 1594115 1594115 4385042 4385042 1851222 1340939 510283 BAD DEBT EXPENSE 13816181 13816181 PROVIDER TAX 1082786 1082786 MISCELLANEOUS 165657 45885 119772 RECRUITMENT 98138 98138 88005667 78087426 9918241 0 3641861 160002 4513431 3750722 12667148 9868882 94731 91290 1700530 1723312 1329889 1305673 101165325 69971285 33453836 31194040 13455337 11611143 1696205 1974419 72552968 61679483 5947590 5665451 26281926 25416570 3767367 2928967 1562033 1798347 37558916 35809335 X 34994052 25870148 34994052 25870148 72552968 61679483 X -9087542 -36362 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 50928 50928 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE ORGANIZATION CONTRIBUTES TO CAPITAL AFFAIRS, AN ORGANIZATION THAT LOBBIES ON BEHALF OF ITS MEMBERSHIP BODY. THE ORGANIZATION'S ADDRESS IS: 215 PIEDMONT AVENUE, NE, SUITE 301 / ATLANTA, GA 30308 2260806 2260806 46548003 32996654 13551349 52159689 36974631 15185058 196827 196827 31194040 ESTIMATED THIRD-PARTY SETTLEMENTS 1700226 INTEREST RATE SWAP LIABILITY 98121 1798347 78918125 88005667 -9087542 -123053 86691 -36362 -9123904 79041327 36511 36511 79004816 -86691 -86691 78918125 88042178 36511 36511 88005667 0 88005667 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: INCOME TAXES- THE SYSTEM AND ITS AFFILIATES, EXCEPT FOR ORHV, PCC AND OSWC, HAVE BEEN RECOGNIZED AS ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) AND, THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES. ORHV, PCC AND OSWC ACCOUNT FOR INCOME TAXES IN ACCORDANCE WITH FOR-PROFIT ACCOUNTING GUIDANCE. THE SYSTEM AND ITS AFFILIATES HAVE EVALUATED THEIR TAX POSITIONS AND HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2011 AND 2010. FISCAL YEARS ENDING ON AND AFTER SEPTEMBER 30, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 86,691. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 36,511. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT -86,691. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 36,511. 1 1 X 1 X 125.000000000000 1 X 1 1 1 0 0 3592396 830823 2761573 0.03720 5902032 4506545 1395487 0.01880 4883095 4898102 -15007 0.00000 14377523 10235470 4142053 0.05600 27410 27410 0.00040 27410 27410 0.00040 14404933 10235470 4169463 0.05640 1 250 250 0.00000 10200 10200 0.00010 1 250 250 0.00000 3290 3290 0.00000 199147 199147 0.00270 2 213137 213137 0.00280 1 5145759 1727315 18023415 21748805 -3725390 X 1 1 1 1 OCONEE REGIONAL MEDICAL CENTER

821 NORTH COBB STREET MILLEDGEVILLE GA 31061

X X X DISPROPORTIONATE SHARE HOSPITAL NA IN 2010 PER IRS ANNOUNCEMENT 2011-37 1 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 $ 13816181. PART III, LINE 4: THE IRS WORKSHEETS WERE UTILIZED TO DETERMINE THE COST-TO-CHARGE RATIO.ACCOUNTS RETURNED TO US FROM THE COLLECTION AGENCY FOR CLAIMS WHERE THERE WERE NO ASSETS, THE PATIENT IS DECEASED, OR THE AGENCY BELIEVED THAT THERE WAS NO CHANCE OF COLLECTION TOTAL $4,624,673.52. MULTIPLY THE THE CALCULATED COST / CHARGE RATIO HERE OF 37.35% YIELDS $1,727,315. PART III, LINE 8: THE TOTAL AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THERE ARE MEMBERS IN OUR COMMUNITY THAT ARE RESIDENTS OF THE GEORGIA WAR VETERANS HOME AND OF CENTRAL STATE HOSPITAL WHO ARE MEDICARE BENEFICIARIES. ALTHOUGH ORMC IS REIMBURSED BY MEDICARE FOR THESE PARTICULARLY FRAGILE PATIENTS UNDER THE PROSPECTIVE PAYMENT RULES, THESE PATIENTS ARE TYPICALLY MORE SEVERLY ILL, HAVE MULTIPLE COMPLICATIONS AND LONGER LENGTHS OF STAY THAN THE AVERAGE MEDICARE PATIENT. WE TREAT ALL MEDICARE PATIENTS THAT PRESENT TO OUR HOSPITAL (IF WE AHVE AVAILABLE THE NEEDED SERVICE). PROVIDING SERVICES TO COMMUNITY MEMBERS AT LESS THAN COST IS CERTAINLY A BENEFIT TO THOSE MEMBERS. PART III, LINE 9B: ACCOUNTS FOR PATIENTS WHO MEET THE CRITERIA FOR FINANCIAL ASSISTANCE ARE WRITTEN OFF TO INDIGENT /CHARITY ACCOUNTS AND NO ATTEMPTS ARE MADE TO COLLECT FROM THE PATIENT. FOR ALL OTHER ACCOUNTS IF OTHER INFORMATION IS KNOWN TO THE COLLECTOR, SUCH AS PATIENT IS DECEASED AND THERE IS NO RECORD OF ESTATE, OR PATIENT MET CHARITY REQUIREMENTS IN PREVIOIUS YEARS AND IT IS KNOWN THAT HIS OR HER CIRCUMSTANCES HAVE NOT CHANGED, FOR INSTANCE, THE ACCOUNT IS WRITTEN OFF TO CHARITY AND NOT SENT TO COLLECTIONS. PART VI, LINE 2: ONGOING DISCUSSIONS WITH LOCAL MEDICAL STAFF, INTERNAL CASE MANAGEMENT AND DISCHARGE PLANNING PERSONNEL, COMMUNITY BOARD MEMBERS AND LOCAL LEADERS PROVIDE INFORMATION ON THE HEALTH NEEDS OF THE POPULATION WE SERVE. IN ADDITION, PERIODICALLY IN CONJUNCTION WITH STRATEGIC PLANNING, A MEDICAL STAFF DEVELOPMENT PLAN IS CREATED. THIS PROCESS LOOKS AT GAPS IN LOCAL PHYSICIAN SPECIALITY COVERAGE AND HOW TO FILL THOSE GAPS. PART VI, LINE 3: INFORMATION ON FINANCIAL ASSISTANCE IS POSTED IN ALL REGISTRATION AREAS. ALL UNINSURED PATIENTS RECEIVE PRINTED MATERIAL. THERE ARE THREE FULL TIME FINANCIAL COUNSELORS THAT MEET WITH ALL REFERRED PATIENTS AND FAMILIES. PATIENTS ARE REFERRED BY CASE MANAGEMENT, ADMISSIONS STAFF, AND PATIENT INQUIRY. BILLING NOTICES INCLUDE INFORMATION ON AVAILABLE FINANCIAL ASSISTANCE WITH CONTACT INFORMATION. PART VI, LINE 4: PRIMARY SERVICE AREA INCLUDES MILLEDGEVILLE (ZIP CODE 31061 AND HADDOCK (ZIP CODE 31033). SECONDARY SERVICE AREA INCLUDES BALDWIN COUNTY, PORTIONS OF PUTNAM, HANCOCK, AND WASHINGTON COUNTIES. PRIMARY SERVICE AREA HAS A POPULATION OF 47,981. SECONDARY SERVICE AREAS HAVE A POPULATION OF 81,460. THE PSA SENIOR POPULATION 15.7% OF THE TOTAL AND IS PROJECTED TO GROW BY 15.9% FROM 2009-2014. IN THE PSA 35.3% OF THE ADULT POPULATION HAS A HIGH SCHOOL DEGREE (COMPARED WITH 28.65% FOR GEORGIA) WITH 17.1% HAVING SOME COLLEGE WORK. CURRENT UNEMPLOYMENT IN BALDWIN COUNTY IS OVER 12%. MILLEDGEVILLE IS ALSO HOME TO SEVERAL STATE PRISONS, GEORGIA WAR VETERANS HOME, AND CENTRAL STATE HOSPITAL WHOSE POPULATIONS WE SERVE FOR MEDICAL CARE NEEDS. MILLEDGEVILLE IS CONSIDERED A MEDICALLY UNDERSERVED AREA. PART VI, LINE 6: ALL SURPLUS FUNDS ARE RETAINED BY THE ORGANIZATION. THROUGH THE CAPITAL PLANNING AND BUDGETING PROCESS, MILLIONS OF DOLLARS ARE REINVESTED IN PLANT AND EQUIPMENT EACH YEAR TO ENABLE ORMC TO PROVIDE MODERN, QUALITY CARE TO PATIENTS. NEW PROGRAMS ARE CONSIDERED AND EVALUATED BASED ON THE COLLECTIVE KNOWLEDGE OF THE COMMUNITY AND PATIENTS WE SERVE.ORMC IS THE ONLY HOSPITAL IN BALDWIN COUNTY AND MAINTAINS AN OPEN MEDICAL STAFF. BOARD MEMBERS REPRESENT A CROSS SECTION OF OUR COMMUNITY. ORMC ESTABLISHED AN OBSTETRICS CLINIC TO PROVIDE PRENATAL AND OB SERVICES TO PATIENTS WHO DO NOT HAVE ACCESS TO A PRIVATE PHYSICIAN DUE TO PAYOR SOURCE. WE HAVE COLABORATED WITH A LOCAL CHURCH SPONSORED MEDICAL CLINIC THAT SERVES PATIENTS ON A SLIDING SCALE AND WE ARE PREPARING FOR THE POSSIBILITY OF A FEDERALLY QUALIFIED HEALTH CENTER TO HELP PROVIDE BASIC MEDICAL CARE TO THE UNDERSERVED POPULATION WHO OTHERWISE DO NOT HAVE ACCESS. PART VI, LINE 7: ORMC IS THE ONLY HOSPITAL IN BALDWIN COUNTY AND MAINTAINS AN OPEN MEDICAL STAFF. BOARD MEMBERS REPRESENT A CROSS SECTION OF OUR COMMUNITY. ORMC ESTABLISHED AN OBSTETRICS CLINIC TO PROVIDE PRENATAL AND OB SERVICES TO PATIENTS WHO DO NOT HAVE ACCESS TO A PRIVATE PHYSICIAN DUE TO PAYOR SOURCE. WE ARE PREPARING FOR THE POSSIBILITY OF A FEDERALLY QUALIFIED HEALTH CENTER TO HELP PROVIDE BASIC MEDICAL CARE TO THE UNDERSERVED POPULATION WHO ARE OTHERWISE DO NOT HAVE ACCESS. REPORTS FILED WITH STATES PART VI, LINE 7 GA X 1 1 X X X 0 0 0 1 0 0 0 0 0 RAM PURI MD 0 0 0 0 254574 0 0 0 0 0 254574 0 0 0 REBECCA J AYCOCK 337838 0 11250 0 7279 0 24352 0 22826 0 403545 0 0 0 JAMES ALAN HORTON 201900 0 6750 0 3619 0 17903 0 13635 0 243807 0 0 0 DAVID T PERRY 170974 0 6750 0 3118 0 16503 0 12880 0 210225 0 0 0 BRENDA K QUALLS 178187 0 6750 0 0 0 8416 0 7652 0 201005 0 0 0 MOLLIE F THOMAS 133119 0 6750 0 33028 0 8836 0 7637 0 189370 0 0 0 DEBORAH S REVIS 157741 0 6750 0 780 0 13723 0 7481 0 186475 0 0 0 JOSEPH E EVANS 144287 0 2438 0 24667 0 8183 0 7656 0 187231 0 0 0 WILLIAM W COLEMAN 151542 0 2438 0 0 0 5636 0 13303 0 172919 0 0 0 PART I, LINE 1A THE ORGANIZATION PAYS COUNTRY CLUB DUES FOR CERTAIN OFFICERS OF THE ORGANIZATION. ANY PERSONAL USE PORTION IS INCLUDED IN THE EMPLOYEE'S FORM W-2. PART I, LINE 5 THE ORGANIZATION HAS A PERFORMANCE BONUS PROGRAM IN PLACE AVAILABLE TO ALL EMPLOYEES. CRITERIA FOR THIS PROGRAM ARE SET BY THE BOARD OF DIRECTORS, AND ONE OF THE CRITERIA IS BASED ON NET REVENUES. SEE SCHEDULE J, PART II, COLUMN (B)(II) FOR DETAILS. DR CHERYL WINGATE FORMER BOARD ME PHYSICIAN LOAN TO ASSIST WITH MALPRACTICE INSURANCE PAYMENTS X 152000 91290 0 1 1 91290 BRIAN D AYCOCK FAMILY RELATIONSHIP TO OFFICER REBECCA AYCOCK 83740 COMPENSATION FOR SERVICES AS EMPLOYEE (SPECIAL PROJECTS MANAGER) 0 FORM 990, PART VI, SECTION A, LINE 7A NOMINEES TO THE BOARD OF DIRECTORS MUST BE RATIFIED BY THE BOARD OF OCONEE REGIONAL HEALTH SYSTEMS, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS REVIEWED BY MANAGEMENT, AND WAS SENT TO ALL VOTING BOARD MEMBERS TO REVIEW. SUBSEQUENTLY THE RETURN WAS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S COMPLIANCE OFFICER DISTRIBUTES AND RECOLLECTS THE CONFLICT OF INTEREST POLICY QUESTIONNAIRE ANNUALLY. BOARD MEMBERS WITH ANY POTENTIAL CONFLICTS ARE REQUIRED TO BE ABSENT DURING ANY DISCUSSION OR VOTE INVOLVING THE INTERESTED PARTY. RECUSALS ARE NOTED IN THE MINUTES TO THE MEETINGS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS CURRENT COMPENSATION PACKAGES AND AGREEMENTS OF MEMBERS OF SENIOR LEADERSHIP ANNUALLY, AND COMPARES THE OFFERS TO A SURVEY OF SALARY RANGES FOR COMPARATIVELY SITUATED HEALTHCARE ORGANIZATIONS. BENCHMARKS STUDIED ARE REPORTED BY THE GEORGIA HOSPITAL ASSOCIATION AND OTHERS BASED ON BED SIZE, VOLUMES, AND GEOGRAPHIC AREA. THE BOARD APPROVES THE COMPENSATION FOR THE CEO, AND APPROVES AN OVERALL PERCENTAGE INCREASE FOR THE VICE PRESIDENTS, FOR WHICH THE CEO DETERMINES ULTIMATE DISTRIBUTION. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE ORGANIZATION'S FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. COMPENSATION TO BOARD MEMBERS FORM 990, PART VII, LINE 1 BOARD MEMBERS GEORGE GRIMES AND RAM PURI RECEIVE COMPENSATION FOR MEDICAL DIRECTOR SERVICES, AS WELL AS PAYMENTS FOR MEDICAL SERVICES, TO THE ORGANIZATION, LISTED IN COLUMN (D) OF PART VII, LINE 1. NO PORTION OF THESE AMOUNTS ARE FOR SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -123,053. CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 86,691. TOTAL TO FORM 990, PART XI, LINE 5: -36,362. CONSOLIDATED FINANCIAL STATEMENTS: FORM 990, PART XI, LINE 2 THE ORGANIZATION RECEIVES AUDITED FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS WITH ITS CORPORATE PARENT, OCONEE REGIONAL HEALTH SYSTEMS, AND OTHER AFFILIATED ENTITIES. OCONEE REGIONAL HEALTH SYSTEMS INC PO BOX 690 MILLEDGEVILLE GA 31061 582359394 HEALTHCARE GA 501(C)(3) LINE 11A, I N/A 0 OCONEE REGIONAL HEALTH SERVICES INC PO BOX 690 MILLEDGEVILLE GA 31061 582359397 HEALTHCARE GA 501(C)(3) LINE 11A, I N/A 0 OCONEE REGIONAL EMERGENCY MEDICAL SERVICES INC PO BOX 690 MILLEDGEVILLE GA 31061 582643857 HEALTHCARE GA 501(C)(3) LINE 11A, I N/A 0 OCONEE REGIONAL HEALTHCARE FOUNDATION INC 821 NORTH COBB STREET MILLEDGEVILLE GA 31061 582359396 FUNDRAISING AND SUPPORT GA 501(C)(3) LINE 11A, I N/A 0 OCONEE REGIONAL SENIOR LIVING PO BOX 690 MILLEDGEVILLE GA 31061 582455613 HEALTHCARE GA 501(C)(3) LINE 11A, I N/A 0 JASPER HEALTH SERVICES INC PO BOX 690 MILLEDGEVILLE GA 31061 582510435 HEALTHCARE GA 501(C)(3) LINE 3 N/A 0 OCONEE REGIONAL HEALTH VENTURES INC PO BOX 690 MILLEDGEVILLE GA 31061 582528516 ANCILLARY HEALTHCARE GA N/A C -286530 1090626 1.00000 0 0 1 1 0 0 0 0 0 0 1 0 1 1 1 1 0 0 OCONEE REGIONAL HEALTH VENTURES C