FURP.ORG / PUBLIC DATA EXPLORER

EVANS MEMORIAL HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
EVANS MEMORIAL HOSPITAL INC (EIN 58-2257925)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-07-25
IRS object ID
201102069349300300
Schema version
2009v1.7
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)
Timestamp2011-07-25T07:15:11-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DRAFFIN & TUCKER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 6AddressLine1
CityALBANYCity
StateGAState
ZIP Code317020006ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN582257925EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EVANS MEMORIAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEVANNameControl
Phone9127395105Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 N RIVER ST PO BOX 518AddressLine1
CityCLAXTONCity
StateGAState
ZIP Code30417ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN WIGGINSName
TitleCFOTitle
Phone9127395105Phone
Date Signed2011-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJACQUELINE G ATKINSName
Phone2298837878Phone
Date Prepared2011-07-22DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARTHA TATUM CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1200 N RIVER ST PO BOX 518AddressLine1
CityCLAXTONCity
StateGAState
ZIP Code30417ZIPCode
FieldValueIRS element (for citing)
Gross Receipts27907957GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteEVANSMEMORIAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionPROVIDES SHORT TERM ACUTE CARE FOR RESIDENTS OF THE SURROUNDING COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees453TotalNbrEmployees
Total Nbr Volunteers14TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year162096ContributionsGrantsPriorYear
Contributions Grants Current Year207197ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24957019ProgramServiceRevenuePriorYear
Program Service Revenue CY27368546ProgramServiceRevenueCY
Investment Income Prior Year67922InvestmentIncomePriorYear
Investment Income Current Year55933InvestmentIncomeCurrentYear
Other Revenue Prior Year254003OtherRevenuePriorYear
Other Revenue Current Year255345OtherRevenueCurrentYear
Total Revenue Prior Year25441040TotalRevenuePriorYear
Total Revenue Current Year27887021TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13396409SalariesEtcPriorYear
Salaries Etc Current Year13700508SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13439692OtherExpensePriorYear
Other Expenses Current Year13876159OtherExpensesCurrentYear
Total Expenses Prior Year26836101TotalExpensesPriorYear
Total Expenses Current Year27576667TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1395061RevenuesLessExpensesPriorYear
Revenues Less Expenses CY310354RevenuesLessExpensesCY
Total Assets BOY17709971TotalAssetsBOY
Total Assets EOY17769294TotalAssetsEOY
Total Liabilities BOY15236820TotalLiabilitiesBOY
Total Liabilities EOY14985789TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2473151NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2783505NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDES SHORT TERM ACUTE CARE FOR RESIDENTS OF THE SURROUNDING COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense24231414Expense
Revenue27382498Revenue
DescriptionHOSPITAL AND NURSING HOME SERVICES; SHORT-TERM ACUTE CARE FOR INPATIENT AND OUTPATIENT SERVICES FOR THE LOCAL COUNTY AND ADJACENT COUNTIES. PATIENT DAYS FOR THE FISCAL YEAR ENDED 9/30/10 WERE 3,973.Description
Total Program Service Expense24231414TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees453NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN WIGGINS CFONamePerson
Telephone Number9127395105TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 518AddressLine1
CityCLAXTONCity
StateGAState
ZIP Code30417ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CARROLL ANDERSON
CHAIR1.00XX000
MARTY GILBRETH
DIRECTOR1.00X000
PAUL R HAWKINS MD
DIRECTOR1.00X000
KEITH MILLER
VICE CHAIR1.00XX000
PATSY ROGERS
DIRECTOR1.00X000
DAVID WOMACK
DIRECTOR1.00X000
MARTHA TATUM
CEO40.00X14118000
JOHN WIGGINS
CFO40.00X9630300
LOY COWART MD
PHYSICIAN40.0049927900X
HUGH PARKS MD
PHYSICIAN40.0040035600X
PAUL HAWKINS MD
PHYSICIAN40.0028141100X
WILLIS MCVAY MD
PHYSICIAN40.0024001100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1658540TotalReportableCompFromOrg
Number Individuals GT100 K8NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
S & S FOOD ADMINISTRATORS
PO BOX 4688MACONGA31208DIETARY SERVICE1452022
HEALTHCARE SERVICES GROUP
3220 TILLMAN DRIVEBENSALEMGA19020ENVIRONMENTAL439568SUITE 300
BTT PHARMACY SERVICES INC
PO BOX 577CLAXTONGA30417PHARMACY266634
EVANS EMERGENCY GROUP
PO BOX 82368LAFAYETTELA70598ER PHYSICIANS190085
PLATINUM ANESTHESIA COASTAL
PO BOX 187SANDERSVILLEGA31082ANESTHESIA173000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Related Organizations2000RelatedOrganizations
Government Grants151009GovernmentGrants
All Other Contributions54188AllOtherContributions
Total Contributions207197TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Total Revenue Column27368546TotalRevenueColumn
Related Or Exempt Function Income27368546RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue27368546TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column55933TotalRevenueColumn
Exclusion$55,933ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real99240Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real20936Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real78304Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column78304TotalRevenueColumn
Exclusion$78,304ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA147074$147,074
PHYSICAL THERAPY WELLNESS15066$15,066
OTHER REVENUES1395213952

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column949TotalRevenueColumn
Exclusion$949ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue177041TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27887021TotalRevenueColumn
Related Or Exempt Function Income27382498RelatedOrExemptFunctionIncome
Exclusion$297,326ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total423250Total
Management And General423250ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11418303Total
Program Services10454210ProgramServices
Management And General964093ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total76055Total
Program Services67144ProgramServices
Management And General8911ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total955392Total
Program Services843459ProgramServices
Management And General111933ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total827508Total
Program Services730558ProgramServices
Management And General96950ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17406Total
Management And General17406ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total112856Total
Management And General112856ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3755417Total
Program Services3175907ProgramServices
Management And General579510ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total26661Total
Program Services565ProgramServices
Management And General26096ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2298945Total
Program Services2202747ProgramServices
Management And General96198ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1038836Total
Program Services992504ProgramServices
Management And General46332ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total42821Total
Program Services32831ProgramServices
Management And General9990ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total13767Total
Management And General13767ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1610467Total
Program Services1538640ProgramServices
Management And General71827ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total238467Total
Program Services238467ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBT34889283488928
DUES & SUBSCRIPTIONS66966395656574007
REPAIRS & MAINTENANCE488910359512129398
RECRUITING6089360893
MISCELLANEOUS1043910189250

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1683Total
Program Services97ProgramServices
Management And General1586ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total27576667Total
Program Services24231414ProgramServices
Management And General3345253ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1593BOY
EOY1790EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2095761BOY
EOY2279325EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2622617BOY
EOY3361352EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY112408BOY
EOY203254EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY131956BOY
EOY138905EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY188447BOY
EOY205875EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23550974LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12566640LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11926254BOY
EOY10984334EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY273338BOY
EOY263488EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY357597BOY
EOY330971EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17709971BOY
EOY17769294EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1967384BOY
EOY1913654EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7075000BOY
EOY6980000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5974217BOY
EOY5527978EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY220219BOY
EOY564157EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15236820BOY
EOY14985789EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2420896BOY
EOY2731224EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY52255BOY
EOY52281EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2473151BOY
EOY2783505EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17709971BOY
EOY17769294EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$4,183OtherActivitiesAmount
Total Lobbying Expenditures IIB4183TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationTHE ORGANIZATION BELONGS TO NATIONAL AND STATE INDUSTRY ASSOCIATIONS AND AS PART OF THEIR ANNUAL DUES, PAYS A SMALL PERCENTAGE TO SUPPORT THE LOBBYING EFFORTS BY THESE ASSOCIATIONS.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis468592OtherCostOrOtherBasis
Book Value468592BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11435284OtherCostOrOtherBasis
Depreciation6120407Depreciation
Book Value5314877BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3949648OtherCostOrOtherBasis
Depreciation801949Depreciation
Book Value3147699BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7697450OtherCostOrOtherBasis
Depreciation5644284Depreciation
Book Value2053166BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10984334TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO MEDICARE/MEDICAIDDescription
Amount$564,157Amount
FieldValueIRS element (for citing)
Total Of Amounts564157TotalOfAmounts
Total Revenue27887021TotalRevenue
Total Expenses27576667TotalExpenses
Excess Or Deficit For Year310354ExcessOrDeficitForYear
Excess Or Deficit Per FS310354ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt27887021TotRevenueEtcAuditedFinclStmt
Revenue Subtotal27887021RevenueSubtotal
Total Revenue Per Form99027887021TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt27576667TotExpensesEtcAuditedFinclStmt
Expenses Subtotal27576667ExpensesSubtotal
Total Expenses Per Form99027576667TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL FINANCIAL INFORMATIONIdentifier
Return ReferenceSCHEDULE D, PAGE 4, PART XIVReturnReference
ExplanationPART X, LINE 2 - FIN 48 FOOTNOTE THE HOSPITAL APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE HOSPITAL ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2010 AND 2009 OR FOR THE YEARS THEN ENDED. THE HOSPITAL'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2007-2009.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense194591TotalCommunityBenefitExpense
Net Community Benefit Expense194591NetCommunityBenefitExpense
Percent Of Total Expense0.00810PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense2069620TotalCommunityBenefitExpense
Direct Offsetting Revenue1891120DirectOffsettingRevenue
Net Community Benefit Expense178500NetCommunityBenefitExpense
Percent Of Total Expense0.00740PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2264211TotalCommunityBenefitExpense
Direct Offsetting Revenue1891120DirectOffsettingRevenue
Net Community Benefit Expense373091NetCommunityBenefitExpense
Percent Of Total Expense0.01550PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2264211TotalCommunityBenefitExpense
Direct Offsetting Revenue1891120DirectOffsettingRevenue
Net Community Benefit Expense373091NetCommunityBenefitExpense
Percent Of Total Expense0.01550PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,417,255BadDebtExpenseAmount
Amount Reimbursed By Medicare5018156AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare5447643CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-429487MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1EVANS MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1200 N RIVER STREETAddressLine1
CityCLAXTONCity
StateGAState
ZIP Code30417ZIPCode
FieldValueIRS element (for citing)
Critical Access HospitalXCriticalAccessHospital

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedTHE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". SEE ALSO THE DESCRIPTION FOR PART III, LINE 4.CostingMethodUsed
Percent Of Total Expense ExplnIN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN (F), THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25: FORM 990, PART IX, LINE 25 27,576,667 LESS: BAD DEBTS IN PART IX 3,488,928 ADD: AMOUNTS REPORTED IN PART VIII 20,936 DENOMINATOR FOR COLUMN (F) 24,108,675PercentOfTotalExpenseExpln
Bad Debt FootnoteTHE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE EVALUATION OF THE OVERALL COLLECTABILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE THE ACCOUNT IS CHARGED AGAINST THE ALLOWANCE.BadDebtFootnote
Shortfall As Community BenefitCOSTS FOR PART 1, LINE 7A AND 7B AND PART III, SECTION A, LINE 2 WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM AUDITED FINANCIALS.ShortfallAsCommunityBenefit
Debt Collection PolicyTHE HOSPITAL WRITES OFF PATIENT BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS. PATIENT FINANCIAL COUNSELORS VISIT PATIENTS WHO HAVE NO INSURANCE, LIMITED COVERAGE AND MEDICAID PATIENTS WITHOUT SUPPLEMENTAL INSURANCE TO DISCUSS ASSISTANCE AND REFER THOSE PATIENTS TO OUR MEDICAID ELIGIBILITY VENDOR WHO SCREENS THESE PATIENTS FOR MEDICAID AND OTHER FEDERAL, STATE OR LOCAL PROGRAMS FOR ASSISTANCE. CUSTOMER SERVICE AT THE HOSPITAL AND AT EXTENDED BUSINESS OFFICE WHICH DOES SELF-PAY BILLING AND COLLECTION, INFORM PATIENTS ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND ASSIST THEM IN MAKING AN APPLICATION. BILLING STATEMENTS PROVIDE A MESSAGE AND TELEPHONE NUMBER TO CALL IF THE PATIENT HAS DIFFICULTY MAKING PAYMENT. FOR PATIENTS WHO QUALIFY FOR CHARITY CARE AND FULL FINANCIAL ASSISTANCE, THERE IS NO FINANCIAL OBLIGATION. FOR THOSE WHO QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE, COLLECTIONS PROCEDURES FOLLOW THE SAME PROCESS AS ALL OTHER PATIENTS WHO ARE RESPONSIBLE FOR UNPAID BALANCES. THOSE PATIENTS WHO HAVE NOT MADE PAYMENT ARRANGEMENTS FOR THEIR REMAINING BALANCES ARE SENT LETTERS WHERE THEY ARE PAST DUE 30, 60 AND 90 DAYS. IF PAYMENT ARRANGEMENTS ARE STILL NOT MADE AFTER 90 DAYS, THEN THOSE ACCOUNTS ARE REFERRED TO COLLECTIONS.DebtCollectionPolicy
Needs AssessmentTHE SYSTEM CONTINUALLY CONDUCTS VARIOUS TYPES OF ASSESSMENTS TO DETERMINE THE COMMUNITYS NEEDS FOR HEALTH AND PERSONAL SUPPORT SERVICES. OUR SYSTEM COLLABORATES WITH NUMEROUS NOT-FOR-PROFIT AGENCIES AND PROGRAMS TO EXTEND AND STRENGTHEN OUR MISSION. OUR PROGRAMS ARE SUCCESSFUL DUE IN LARGE PART BECAUSE OF THESE COLLABORATIONS. ONE EXAMPLE OF THIS IS EVANS COUNTY CARES. MANY OF OUR SYSTEM CO-WORKERS ARE ALSO INVOLVED AT EVERY LEVEL OF THE COMMUNITY THROUGH THEIR WORK AS SYSTEM REPRESENTATIVES ON NOT-FOR-PROFIT BOARDS. WITH OUR PARTNERS, WE LISTEN TO OUR PATIENTS AND CLIENTS AS WELL AS ACCESS EXISTING NEEDS ASSESSMENTS AND STUDIES IN ORDER TO DETERMINE THE COMMUNITYS MOST PRESSING NEEDS. THE SYSTEM USES FEDERAL INFORMATION AND REPORTS FROM AGENCIES SUCH AS THE U.S. CENSUS BUREAU AND BUREAU OF LABOR STATISTICS AS WELL AS RESOURCES SUCH AS DEMOGRAPHICS NOW THAT PROVIDE A WIDE ARRAY OF DEMOGRAPHICS, HOUSEHOLD INCOME AND SERVICES, RETAIL OUTLETS, ETC. IN DEFINED ZIP CODES. THIS INFORMATION, COMBINED WITH OUR EXTENSIVE COLLABORATIONS AND OUR ROLE AS A LEADER IN THE COMMUNITY, PROVIDES US THE MEANS TO UNDERSTAND AND ADDRESS THE COMMUNITYS NEEDS AND ENSURES OUR OUTREACH PROGRAMS ARE FOCUSED ON THE POPULATIONS WHO NEED OUR SERVICES THE MOST.NeedsAssessment
Patient Education AssistanceCUSTOMER SERVICE PERSONNEL AT THE HOSPITALS AND THE SYSTEMS EXTENDED BUSINESS OFFICE INFORM PATIENTS ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND ASSIST THEM IN MAKING AN APPLICATION. FOR PATIENTS WHO HAVE NO INSURANCE, LIMITED COVERAGE AND MEDICAID PATIENTS WITHOUT SUPPLEMENTAL INSURANCE, PATIENT FINANCIAL COUNSELORS DISCUSS THE FINANCIAL ASSISTANCE AND VARIOUS GOVERNMENT BENEFITS WHICH MAY BE AVAILABLE TO THEM. PATIENT FINANCIAL COUNSELORS ALSO REFER APPROPRIATE PATIENTS TO A MEDICAID ELIGIBILITY VENDOR WHO SCREENS THEM FOR MEDICAID AND OTHER FEDERAL, STATE OR LOCAL PROGRAMS FOR ASSISTANCE. THE SYSTEM POSTS FINANCIAL ASSISTANCE INFORMATION AT ITS REGISTRATION AREAS. IN ADDITION, THE BILLING STATEMENTS SENT TO PATIENTS PROVIDE A MESSAGE AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN THE EVENT THE PATIENT HAS DIFFICULTY PAYING THE BALANCE DUE.PatientEducationAssistance
Community InformationTHE ORGANIZATION SERVES A PREDOMINATELY RURAL AREA IN SOUTH-EAST GEORGIA. THE PRIMARY SERVICE AREA CONSISTS OF EVANS AND TATTNALL COUNTIES. THE CITY OF CLAXTON IS THE ECONOMIC HUB FOR THE REGION, AND THE ORGANIZATION DRAWS FROM A POPULATION OF 32,000 RESIDENTS FOR HEALTH CARE SERVICES. THE REGION IS MARKED BY VAST DICHOTOMIES OF WEALTH, EDUCATION AND HEALTH STATUS. THE ORGANIZATION SERVES A POPULATION THAT HAS A HIGH PROPORTION OF LOW-INCOME INDIVIDUALS. MAJOR HEALTH ISSUES ARE DIABETES, OBESITY, AND HEART DISEASE.CommunityInformation
Other InformationALL OF THE SYSTEMS HEALTHCARE FACILITIES, INCLUDING ITS HOSPITALS, FURTHER THEIR EXEMPT PURPOSES BY PROMOTING THE HEALTH IN OUR COMMUNITY IN A VARIETY OF WAYS AS WELL AS THOSE ALREADY DESCRIBED. THE GOVERNING BODIES OF ALL OF OUR ORGANIZATIONS ARE PRIMARILY COMPRISED OF PERSONS WHO ARE NOT EMPLOYEES, CONTRACTORS (NOR FAMILY MEMBERS THEREOF), AND WHO RESIDE IN THE SYSTEMS PRIMARY SERVICE AREA. THE HOSPITALS MEDICAL STAFFS ARE OPEN TO ALL QUALIFIED PHYSICIANS IN THE REGION. FOR THOSE PHYSICIANS IN THE REGION WHO DO NOT HAVE PRIVILEGES, THE SYSTEM PROVIDES A PROCESS FOR ADMITTING PATIENTS VIA THE HOSPITALISTS OR THROUGH OTHER PHYSICIANS. FUNDS RECEIVED FROM THE OPERATIONS OF THE SYSTEM HOSPITALS AND FACILITIES (AFTER OPERATING EXPENSES) ARE USED TO SUPPORT VARIOUS OUTREACH EFFORTS AND ALLOWS PATIENTS TO RECEIVE HIGH QUALITY CARE IN THEIR OWN COMMUNITY. IT ALSO ALLOWS US TO CONTINUALLY IMPROVE PATIENT SAFETY BY IMPLEMENTING TECHNOLOGY THAT PREVENTS MEDICATION ERRORS, ETC.OtherInformation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
LOY COWART MD
279762219517499279
HUGH PARKS MD
192273208083400356
PAUL HAWKINS MD
281411281411
WILLIS MCVAY MD
240011240011

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCOMPENSATION CONTINGENT UPON NET EARNINGS OF RELATED ORGIdentifier
Return ReferenceSCHEDULE J, PAGE 1, PART I, LINE 6BReturnReference
ExplanationEACH PHYSICIAN RECEIVES A PERCENTAGE OF THE AMOUNT OF THEIR NET REVENUE OVER THEIR PORTION OF PRACTICE EXPENSES.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL AUTHORITY OF EVANS COUNTYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN580979172IssuerEIN
CUSIP Number229142DZ9CUSIPNumber
Date Issued2006-12-28DateIssued
Issue Price7075000IssuePrice
Description Of PurposeREFUND SERIES 1996;DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds6980000TotalProceeds
Amount In Reserve Fund487000AmountInReserveFund
Amount Defeased1504769AmountDefeased
Issuance Costs From Proceeds431881IssuanceCostsFromProceeds
Capital Expenditures4695000CapitalExpenditures
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonBECKY CONLEYNamePerson
FieldValueIRS element (for citing)
RelationshipFAMILYRelationship
Amount Of Transaction17370AmountOfTransaction
Description Of TransactionER ROOM CONSTRUCTIONDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11THE 990 IS FIRST REVIEWED IN DETAIL BY THE CFO AND CEO. FINAL FORM 990 IS PROVIDED TO THE BOARD DURING REGULAR SCHEDULED MEETINGS BEFORE FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CMANAGEMENT REVIEWS CONFLICT OF INTEREST POLICY WITH BOARD. ANY CHANGES PROPOSED DURING REVIEW ARE HELD TO A VOTE. PERSONNEL, BOARD MEMBERS, AND PHYSICIANS MUST SIGN A CONFICT OF INTEREST STATEMENT UPON HIRE. BUSINESS DEALINGS ARE REVIEWED BY CFO AND CEO AND AT LEAST 3 QUOTES FOR SERVICE MUST BE ACQUIRED.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION IS DETERMINED USING COMPARABLE HOSPITAL DATA, AND SOUTH EASTERN US SALARY DATA. THE BOARD REVIEWS AND APPROVES COMPENSATION FOR THE CEO.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION IS DETERMINED USING COMPARABLE HOSPITAL DATA, AND SOUTH EASTERN US SALARY DATA. THE BOARD AND CEO REVIEW AND APPROVE COMPENSATION FOR THE CEO AND OTHER OFFICERS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PURPOSE OF ISSUE DESCRIPTIONSCHEDULE KHOSPITAL AUTHORITY OF EVANS COUNTY ACCOUNT TO SECURE THE SERIES 2006 CERTIFICATES; PAY THE COSTS OF ISSUANCE OF THE SERIES 2006 CERTIFICATES.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
EVANS MEMORIAL HEALTH ORGANIZATION
200 N RIVER STREETPO BOX 518CLAXTONGA30417582257919HEALTHCAREGA50111BNA
EVANS MEMORIAL FOUNDATION
200 N RIVER STREETPO BOX 518CLAXTONGA30417582258177HEALTHCAREGA50111DNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg