BACON COUNTY HEALTH SERVICES INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- BACON COUNTY HEALTH SERVICES INC (EIN 58-2224545)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-13
- IRS object ID
- 202421349349308157
- Schema version
- 2022v5.0
- 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 F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-13T16:56:34-04:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 580914992 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 71309 | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 317081309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582224545 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BACON COUNTY HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BACO | BusinessNameControlTxt |
| Phone | 9126328961 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1987 | AddressLine1Txt |
| City | ALMA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31510 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHERYL DUBOSE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9126328961 | PhoneNum |
| Signature | 2024-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CHERYL | PersonFirstNm |
| Person Last | DUBOSE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM EDWARD PHILLIPS | PreparerPersonNm |
| PTIN | P00451499 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2024-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CINDY R TURNER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 S WAYNE STREET | AddressLine1Txt |
| City | ALMA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 315100987 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $48,820,629 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BACONCOUNTYHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF BACON COUNTY HOSPITAL AND HEALTH SYSTEM IS TO PROVIDE COMPASSIONATE AND COMPREHENSIVE COMMUNITY HEALTHCARE THAT MEETS OUR CUSTOMERS' EXPECTATIONS. TO PROVIDE EDUCATION AND INCREASE HEALTH AWARENESS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 620 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $6,025,962 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,267,220 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $42,648,297 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $43,105,053 | CYProgramServiceRevenueAmt |
| PY Investment Income | $22,647 | PYInvestmentIncomeAmt |
| CY Investment Income | $117,710 | CYInvestmentIncomeAmt |
| PY Other Revenue | $456,280 | PYOtherRevenueAmt |
| CY Other Revenue | $1,242,911 | CYOtherRevenueAmt |
| PY Total Revenue | $49,153,186 | PYTotalRevenueAmt |
| CY Total Revenue | $46,732,894 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $300 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $77,025 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,607,172 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,087,577 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $25,954,425 | PYOtherExpensesAmt |
| CY Other Expenses | $24,340,332 | CYOtherExpensesAmt |
| PY Total Expenses | $48,561,897 | PYTotalExpensesAmt |
| CY Total Expenses | $47,504,934 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $591,289 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$772,040 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $55,755,841 | TotalAssetsBOYAmt |
| Total Assets EOY | $53,496,546 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,502,726 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,802,288 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $40,253,115 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $40,694,258 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF BACON COUNTY HOSPITAL AND HEALTH SYSTEM IS TO PROVIDE COMPASSIONATE AND COMPREHENSIVE COMMUNITY HEALTHCARE THAT MEETS OUR CUSTOMERS' EXPECTATIONS. TO PROVIDE EDUCATION AND INCREASE HEALTH AWARENESS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $40,951,481 | ExpenseAmt |
| Grant | $77,025 | GrantAmt |
| Revenue | $43,176,438 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDES PATIENT SERVICES IN AREAS OF ROUTINE, INTENSIVE CARE, AND NURSERY. FOR FISCAL YEAR 6/30/23, TOTAL PATIENT DAYS WERE 3,243; 761 INPATIENTS SERVED. THE SKILLED NURSING FACILITY HAD 25,773 RESIDENT DAYS WHILE THE RURAL HEALTH CLINICS SAW 17,687 VISITS. PATIENTS INCLUDE MEDICARE, MEDICAID, SELF-PAY, INSURANCE, AND CHARITY. OUTPATIENT SERVICES INCLUDE SURGERY, LAB, DIAGNOSTIC IMAGING SERVICES, RESPIRATORY THERAPY, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, EMERGENCY ROOM, AND OBSERVATION. | Desc |
| Total Program Service Expenses | $40,951,481 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 46 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 620 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | Yes (true) | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHERYL DUBOSE CFO | PersonNm |
| Phone | 9126328704 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 S WAYNE ST | AddressLine1Txt |
| City | ALMA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 315100987 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| CINDY R TURNER | ||||||||
| CEO | 40.00 | Yes (X) | $481,148 | $0 | $11,466 | |||
| RONALD LOCKE | ||||||||
| PHYSICIAN | 40.00 | $448,781 | $0 | $6,169 | Yes (X) | |||
| KHALDON AL-SAADI MD | ||||||||
| PHYSICIAN | 40.00 | $323,510 | $0 | $8,153 | Yes (X) | |||
| MICHAEL LYNCH MD | ||||||||
| PHYSICIAN | 40.00 | $298,793 | $0 | $5,522 | Yes (X) | |||
| IAN FURTADO MD | ||||||||
| PHYSICIAN | 40.00 | $242,493 | $0 | $4,613 | Yes (X) | |||
| NEHA KAKKAR MD | ||||||||
| PHYSICIAN | 40.00 | $226,595 | $0 | $3,463 | Yes (X) | |||
| CHERYL DUBOSE | ||||||||
| CFO | 40.00 | Yes (X) | $182,010 | $0 | $7,095 | |||
| RICHARD KYLE LOTT | ||||||||
| COO/PHARMACI | 40.00 | Yes (X) | $171,504 | $0 | $12,357 | |||
| ROGER J BOATRIGHT | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| CHARLENE DEEN | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| GARY GRAHAM | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| BUCK HARNAGE | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| DANIEL JOHNSON | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| LARRY JORDAN | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| MARTHA S LEE | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | |
| ROGER STATEN SR | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| DANNY STANALAND | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | |
| JOHN LARRY SWEAT | ||||||||
| VICE CHAIR-L | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | |
| ALBERT WILDES | ||||||||
| SECRETARY/TR | 1.00 | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,374,834 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $58,838 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 16 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MERIDIAN | |||||
| PO BOX 5008 | CLEARWATER | FL | 33758 | PULMONARY | $1,343,394 |
| GENERAL ANESTHESIA SERVICES | |||||
| PO BOX 243 | HAZLEHURST | GA | 315390243 | ANESTHESIA SERV | $1,132,337 |
| METZ CULINARY | |||||
| TWO WOODLAND DRIVE | DALLAS | PA | 186129159 | FOOD SERVICES | $944,888 |
| ERX LLC | |||||
| 9724 KINGSTON PIKE SUITE 1300 | KNOXVILLE | TN | 379226926 | ER SERVICES | $718,820 |
| INTEGRA REHAB | |||||
| 1013 RIVERBURCH PARKWAY | DALTON | GA | 30721 | REHAB | $508,727 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $34,440 | RelatedOrganizationsAmt |
| Government Grants | $1,431,863 | GovernmentGrantsAmt |
| All Other Contributions | $800,917 | AllOtherContributionsAmt |
| Total Contributions | $2,267,220 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $43,105,053 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,105,053 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $43,105,053 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $102,693 | TotalRevenueColumnAmt |
| Exclusion | $102,693 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $198,050 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $49,335 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $148,715 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $148,715 | TotalRevenueColumnAmt |
| Exclusion | $148,715 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,053,417 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,038,400 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $15,017 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,017 | TotalRevenueColumnAmt |
| Exclusion | $15,017 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| DAY CARE | 624410 | $384,885 | $384,885 |
| PHARMACY | 621990 | $284,750 | $284,750 |
| CAFETERIA SALES | 722514 | $235,187 | $235,187 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $189,374 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $71,385 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $117,989 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,094,196 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,732,894 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,176,438 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,289,236 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,100 | TotalAmt |
| Program Services | $1,100 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,925 | TotalAmt |
| Program Services | $75,925 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $817,578 | TotalAmt |
| Management And General | $817,578 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,970,948 | TotalAmt |
| Program Services | $16,944,265 | ProgramServicesAmt |
| Management And General | $1,026,683 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,435 | TotalAmt |
| Program Services | $281,416 | ProgramServicesAmt |
| Management And General | $27,019 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,558,657 | TotalAmt |
| Program Services | $2,362,728 | ProgramServicesAmt |
| Management And General | $195,929 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,431,959 | TotalAmt |
| Program Services | $1,306,519 | ProgramServicesAmt |
| Management And General | $125,440 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,413 | TotalAmt |
| Management And General | $74,413 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,353 | TotalAmt |
| Management And General | $110,353 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,183 | TotalAmt |
| Management And General | $222,183 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,205,859 | TotalAmt |
| Program Services | $6,580,908 | ProgramServicesAmt |
| Management And General | $1,624,951 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,160 | TotalAmt |
| Management And General | $114,160 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,232,271 | TotalAmt |
| Program Services | $1,791,835 | ProgramServicesAmt |
| Management And General | $440,436 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $721,091 | TotalAmt |
| Program Services | $106,976 | ProgramServicesAmt |
| Management And General | $614,115 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $664,660 | TotalAmt |
| Program Services | $581,312 | ProgramServicesAmt |
| Management And General | $83,348 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,259 | TotalAmt |
| Program Services | $30,422 | ProgramServicesAmt |
| Management And General | $32,837 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,436 | TotalAmt |
| Program Services | $24,112 | ProgramServicesAmt |
| Management And General | $14,324 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,462 | TotalAmt |
| Program Services | $261,462 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,511,262 | TotalAmt |
| Program Services | $2,196,350 | ProgramServicesAmt |
| Management And General | $314,912 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,410,396 | TotalAmt |
| Program Services | $1,057,071 | ProgramServicesAmt |
| Management And General | $353,325 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $6,702,524 | $6,702,524 | |
| REPAIRS & MAINTENANCE | $477,124 | $461,823 | $15,301 |
| MISCELLANEOUS | $203,939 | $113,764 | $90,175 |
| RECRUITING | $171,933 | $12,440 | $159,493 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,007 | TotalAmt |
| Program Services | $58,529 | ProgramServicesAmt |
| Management And General | $96,478 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,504,934 | TotalAmt |
| Program Services | $40,951,481 | ProgramServicesAmt |
| Management And General | $6,553,453 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,491,599 | BOYAmt |
| EOY | $2,241,297 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $824,974 | BOYAmt |
| EOY | $753,881 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,372,259 | BOYAmt |
| EOY | $4,779,620 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $341,919 | BOYAmt |
| EOY | $328,465 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,254,473 | BOYAmt |
| EOY | $1,324,504 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $553,568 | BOYAmt |
| EOY | $387,779 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $58,396,138 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $39,372,815 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,217,428 | BOYAmt |
| EOY | $19,023,323 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,329,684 | BOYAmt |
| EOY | $23,252,490 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,621 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,005,316 | BOYAmt |
| EOY | $1,405,187 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,755,841 | BOYAmt |
| EOY | $53,496,546 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,935,597 | BOYAmt |
| EOY | $3,467,775 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,735,000 | BOYAmt |
| EOY | $6,290,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $742,901 | BOYAmt |
| EOY | $2,014,661 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,089,228 | BOYAmt |
| EOY | $1,029,852 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,502,726 | BOYAmt |
| EOY | $12,802,288 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,253,115 | BOYAmt |
| EOY | $40,694,258 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,253,115 | BOYAmt |
| EOY | $40,694,258 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,755,841 | BOYAmt |
| EOY | $53,496,546 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$772,040 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,267,038 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$53,855 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $7,602 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,602 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE ORGANIZATIONS. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THOSE ORGANIZATIONS PARTICIPATE. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $915,944 | OtherCostOrOtherBasisAmt |
| Book Value | $915,944 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,591,093 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,778,353 | DepreciationAmt |
| Book Value | $12,812,740 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $915,629 | OtherCostOrOtherBasisAmt |
| Depreciation | $801,986 | DepreciationAmt |
| Book Value | $113,643 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,085,707 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,792,476 | DepreciationAmt |
| Book Value | $4,293,231 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $887,765 | OtherCostOrOtherBasisAmt |
| Book Value | $887,765 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,023,323 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY SETTLEMENTS | $626,000 |
| DUE TO/FROM OSV | $398,487 |
| OTHER LIABILITIES | $5,365 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,029,852 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL IS A NOT-FOR-PROFIT HOSPITAL THAT HAS BEEN RECOGNIZED AS TAX- EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SEGREGATED PORTFOLIO CONDUCTS ITS AFFAIRS IN A MANNER IN WHICH IT WILL NOT BE SUBJECT TO U.S. FEDERAL INCOME TAX OR GEORGIA INCOME TAX. THE HOSPITAL APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE CONSOLIDATED 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 CONSOLIDATED BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2023 AND 2022 OR FOR THE YEARS THEN ENDED. THE HOSPITAL'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. | ExplanationTxt |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | RegionTxt |
| Offices | 1 | OfficesCnt |
| Employee | 1 | EmployeeCnt |
| Type Of Activities Conducted | INVESTMENTS | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $4,398,324 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 1 | SubtotalOfficesCnt |
| Subtotal Employees | 1 | SubtotalEmployeesCnt |
| Total Office | 1 | TotalOfficeCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Subtotal Spent | $4,398,324 | SubtotalSpentAmt |
| Total Spent | $4,398,324 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE F, PAGE 1, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | CENTRAL AMERICA AND THE CARIBBEAN 0 4,398,324 | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 1.250000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,325 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $48,325 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,495,712 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,762,582 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,733,130 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03650 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,378 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,788 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,590 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,584,415 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,780,370 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,804,045 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03800 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,788 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,788 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,100 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,100 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,888 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $23,888 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,608,303 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,780,370 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,827,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03850 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,645,368 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $8,610,165 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,547,898 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $62,267 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | false | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BACON COUNTY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 S WAYNE STREET | AddressLine1Txt |
| City | ALMA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 315100987 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BACONCOUNTYHOSPITAL.COM | WebsiteAddressTxt |
| State License | 003-010 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | RHC, SWINGBEDS, SNF, DAYCARE | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BACON COUNTY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BACONCOUNTYHOSPITAL.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.BACONCOUNTYHOSPITAL.COM | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.BACONCOUNTYHOSPITAL.COM/DOC | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.BACONCOUNTYHOSPITAL.COM/DOC | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.BACONCOUNTYHOSPITAL.COM/DOC | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, BACON COUNTY HOSPITAL - PART V, LINE 3E | THE CHNA IDENTIFIED - HIGH LEVELS OF POVERTY. HIGH PREVALENCE OF SUBSTANCE MISUSE AND ABUSE AND THE LACK OF RESOURCES TO TREAT ADDICTION. HIGH PREVALENCE OF UNHEALTHY BEHAVIORS (INCLUDING SMOKING, PHYSICAL INACTIVITY, AND POOR NUTRITION LEADING TO OVERWEIGHT/OBESITY). LIMITED ACCESS TO AFFORDABLE HEALTH CARE INSURANCE COVERAGE OPTIONS AND SPECIALTY SERVICES. POOR HEALTH OUTCOMES THAT ARE DRIVEN IN PART BY A GENERAL LACK OF HEALTH AWARENESS, SUBSTANCE ABUSE, CARDIOVASCULAR DISEASES, CANCER, AND DIABETES. THE HOSPITAL IDENTIFIED THE FOLLOWING AS PRIORITY HEALTH NEEDS OF THE COMMUNITY: 1) PHYSICAL HEALTH OUTCOMES 2) HEALTH CARE ACCESS 3) SUBSTANCE ABUSE AND MENTAL HEALTH SEE PAGE 71 IF THE IMPLEMENATION PLAN 2022. |
| FACILITY 1, BACON COUNTY HOSPITAL - PART V, LINE 5 | COMMUNITY INPUT WAS OBTAINED FROM HOSPITAL STAKEHOLDERS AND THE GENERAL COMMUNITY THROUGH COMMUNITY SURVEYS AND FOCUS GROUP DISCUSSIONS WITH COMMUNITY MEMBERS REPRESENTING DIVERSE POPULATION SUB- GROUPS, INCLUDING THE ELDERLY, MINORITIES AND LOW-INCOME POPULATIONS. DATA FROM SECONDARY SOURCES USED IN ASSESSING THE NEEDS OF THE COMMUNITY WERE OBTAINED FROM A DIVERSE LIST OF COMMUNITY HEALTH-RELATED DATABASES. KEY COMMUNITY STAKEHOLDERS WERE ALSO INVOLVED IN REVIEWING AND INTERPRETING FINDINGS FROM THE CHNA AND DEVELOPING AN IMPLEMENTATION PLAN TO ADDRESS PRIORITIZED COMMUNITY NEEDS. THE COMMUNITY SURVEY AND FOCUS GROUP INTERVIEWS ASSESSED LOCAL HEALTH CARE ACCESS AND THE NEEDS OF THE PEOPLE RESIDING IN THE SERVICE AREA OF BACON COUNTY HOSPITAL AND HEALTH SYSTEM. THE COMMUNITY SURVEY WAS DISSEMINATED TO RESIDENTS OF THE HOSPITALS PRIMARY SERVICE AREA VIA THE HOSPITALS SOCIAL MEDIA WEBPAGES AND EMAIL LISTSERVS, AS WELL AS THOSE OF LOCAL COMMUNITY PARTNERS. RECRUITMENT EFFORTS WERE DESIGNED TO OBTAIN DIVERSE PERSPECTIVES FROM DIVERSE COMMUNITY MEMBERS. FOCUS GROUP PARTICIPANTS WERE ALL KEY COMMUNITY STAKEHOLDERS OF BACON COUNTY. COLLECTIVELY, PERSPECTIVES OBTAINED FROM THE SURVEYS AND FOCUS GROUPS PROVIDED A HOLISTIC VIEW OF LIFE IN THE COMMUNITY AND THE HEALTH AND HEALTH CARE NEEDS OF THE RESIDENTS. INFORMATION FROM THESE PRIMARY DATA COLLECTION EFFORTS WAS SUPPLEMENTED BY SECONDARY QUANTITATIVE DATA ON THE COMMUNITYS DEMOGRAPHIC AND ECONOMIC PROFILE, HEALTH CARE ACCESS, AND UTILIZATION. THESE DATA WERE OBTAINED FROM MULTIPLE PUBLICLY AVAILABLE SOURCES INCLUDING THE US CENSUS BUREAU, UNIVERSITY OF WISCONSINS COUNTY HEALTH RANKINGS, CENTERS FOR DISEASE CONTROL (CDC), THE BUREAU OF LABOR STATISTICS, AND GEORGIA GOVERNORS OFFICE OF PLANNING AND BUDGET POPULATION PROJECTIONS. THE MOST RECENTLY AVAILABLE DATA WERE OBTAINED FROM ALL DATA SOURCES. FINDINGS FROM ALL THE ABOVE-DESCRIBED PRIMARY AND SECONDARY DATA COLLECTION EFFORTS INFORMED THE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS, AS WELL AS THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS THESE NEEDS. |
| FACILITY 1, BACON COUNTY HOSPITAL - PART V, LINE 6B | BACON COUNTY HOSPITAL AND HEALTH SYSTEM, PARTNERED WITH THE CENTER FOR PUBLIC HEALTH PRACTICE AND RESEARCH (CPHPR), GEORGIA SOUTHERN UNIVERSITY TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). |
| FACILITY 1, BACON COUNTY HOSPITAL - PART V, LINE 11 | THROUGH THE 2022 CHNA PROCESS, THE STEERING COMMITTEE DECIDED TO FOCUS ITS INTERVENTIONS ON THE FOLLOWING ISSUES: - IMPROVING PHYSICAL HEALTH OF THE COMMUNITY - IMPROVING ACCESS TO SPECIALTY MEDICAL SERVICES - IMPROVING ACCESS TO MENTAL AND BEHAVIORAL HEALTH RESOURCES LACK OF PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY IS A BARRIER TO IMPROVING THE PHYSICAL HEALTH OF THE COMMUNITY. OPENING A NEW INTERAL MEDICAL PRACTICE AND INCREASING THE NUMBER OF WELLNESS CLINIC VISITS ARE OBJECTIVES OF THE HOSPITAL IN THIS AREA. BCHS CURRENTLY OFFERS COMMUNITY HEALTH FAIRS EACH YEAR THAT INCLUDES MANY SCREENING ACTIVITIES. THESE WILL BE OFFERED AGAIN AND WILL INCLUDE UNDERSERVED AREAS IN THE COMMUNITY. MENTAL HEALTH AND SUBSTANCE ABUSE RESOURCES WILL BE DISSEMINATED TO THE COMMUNITY. GAPS IN ACCESS WILL BE EVALUATED. SPECIALTY SERVICES WILL BE ASSESSED THOUGH THE USE ON A CONSULTING FIRM, SALARY NEEDS FOR ATTRACTING ADDITIONAL RESOURCES WILL BE EXAMINED AND THE HOSPITAL WILL MONITOR THE USE OF TELEMEDICINE FOR CRITICAL CARE WITH AUGUSTA UNIVERSITY. AS DESCRIBED, THE HOSPITAL WILL NEED TO COLLABORATE WITH OTHER PROVIDERS IN ADDRESSING THESE NEEDS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| TWIN OAKS CONVALESCENT CENTER | ||||
| 302 S WAYNE STREET | ALMA | GA | 315100987 | SKILLED NURSING FACILITY |
| BACON COUNTY RHC | ||||
| 302 S WAYNE STREET | ALMA | GA | 315100987 | RURAL HEALTH CENTER |
| NICHOLLS FAMILY HEALTHCARE RHC | ||||
| 302 S WAYNE STREET | ALMA | GA | 315100987 | RURAL HEALTH CENTER |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | COSTS FOR PART I, LINE 7A, 7B, AND 7C WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. SEE ALSO THE DESCRIPTION FOR PART III, LINE 2. |
| SCHEDULE H, PART III, LINE 2 | AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE. PURSUANT TO ASU NO. 2014-09 (TOPIC 606), THE AMOUNT IDENTIFIED AS BAD DEBT ON SCHEDULE H, PART II, LINE 2 PRIMARILY REPRESENTS AMOUNTS ESTIMATED AT THE TRANSACTION DATE THAT ARE CONSIDERED A PRICE CONCESSION. THE SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE SYSTEMS POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. IMPLICIT PRICE CONCESSIONS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION THE SYSTEM EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS. |
| SCHEDULE H, PART III, LINE 4 | SEE PAGES 15-21 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED FOR THE DISCUSSION OF NET PATIENT SERVICE REVENUE INCLUDING UNINSURED PATIENTS AND UNCOMPENSATED SERVICES. |
| SCHEDULE H, PART III, LINE 8 | MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. |
| SCHEDULE H, PART VI, LINE 2 | THE ORGANIZATION UTILIZES STRATEGIC PLANNING PERIODICALLY STARTING AT THE BOARD LEVEL TO ADDRESS THE NEEDS OF THE COMMUNITY, I.E., ACCESS TO CURRENT SERVICE LINES OR EVALUATE THE NEED FOR A NEW SERVICE LINE. IN 2022, THE ORGANIZATION CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT, A COPY OF WHICH IS LOCATED ON THE ORGANIZATION'S WEBSITE AT HTTPS://WWW.BACONCOUNTYHOSPITAL.COM/GETPAGE.PHP?NAME=CHNA . THE BOARD APPROVED IMPLEMENTATION PLAN CAN BE FOR THE 2022 CAN ALSO BE LOCATED ON THE ORGANIZATION'S WEBSITE AT HTTPS://WWW.BACONCOUNTYHOSPITAL.COM/DOCS/CHNA_IMPLEMENTATION_PLAN_2022. |
| SCHEDULE H, PART VI, LINE 3 | THE HOSPITAL HAS CLEARLY WRITTEN FINANCIAL ASSISTANCE POLICIES AVAILABLE THROUGH THE BUSINESS OFFICE AND COLLECTIONS DEPARTMENT. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND FINANCIAL AID. THE POLICY AND APPLICATION ARE ALSO LOCATED ON THE ORGANIZATION'S WEBSITE. PATIENT EDUCATION ON THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS ARE CONDUCTED DURING REGISTRATION AND/OR THROUGH FLOOR VISITS BY CASE MANAGERS AND COLLECTIONS REPRESENTATIVES FOR PATIENTS THAT STRESS CONCERN IN MEETING THE FINANCIAL OBLIGATIONS FOR THEIR SERVICES. |
| SCHEDULE H, PART VI, LINE 4 | THE ORGANIZATION SERVES A PREDOMINATELY RURAL AREA IN SOUTHEAST GEORGIA. THE PRIMARY SERVICE AREA IS COMPRISED OF SIX CONTIGUOUS COUNTIES AND SEVERAL OTHER COUNTIES IN THE SECONDARY AREA. BACON COUNTY HEALTH SERVICES, INC. IS THE LARGEST EMPLOYER IN BACON COUNTY AND DRAWS FROM A POPULATION OF APPROXIMATELY 11,000 RESIDENTS IN BACON COUNTY AND EXTENDS TO MULTIPLE ADJOINING COUNTIES FOR MAJOR HEALTH CARE SERVICES LINES, SUCH AS ORTHOPEDIC SURGERY. 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. THE ORGANIZATION SERVES RURAL COUNTIES THAT ARE AMONG THE STATE'S POOREST AND UNHEALTHIEST COUNTIES. FOR 2020, COUNTYHEALTHRANKINGS.ORG RANKS BACON COUNTY AS THE 111TH HEALTHIEST COUNTY OUT OF 159 COUNTIES IN THE STATE OF GEORGIA. THE REGION'S CITIZENS EXPERIENCE HIGH LEVELS OF DIABETES, HYPERTENSION, OBESITY, STROKE AND HEART ATTACK. |
| SCHEDULE H, PART VI, LINE 5 | THE ORGANIZATION AND ALL ITS VOLUNTEER BOARD ARE COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS. OUR EMERGENCY DEPARTMENT HAS 24/7 PHYSICIAN COVERAGE AND IS OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE REGION. ANY SURPLUS OF FUNDS IS REINVESTED INTO THE OPERATIONS AND CAPITAL BUDGET OF THE ORGANIZATION. THE ORGANIZATION SEEKS OUT DELIVERY OF CARE MODELS THAT BEST MEET THE NEEDS OF THE COMMUNITY. THE HOSPITAL'S RURAL HEALTH CLINIC (RHC) SERVES MANY LOW-INCOME AND MEDICAID ELIGIBLE PATIENTS BY APPOINTMENT AND ON A WALK-IN BASIS. THE RHC'S PATIENTS TYPICALLY NEED BASIC HEALTH ATTENTION AND THE RHC STAFF PROMOTES WELLNESS TO ALL OF ITS PATIENTS ON AN AS-NEEDED BASIS DURING THEIR VISIT. THIS WELLNESS MAY BE IN THE FORM OF EDUCATION MATERIALS AND/OR SUGGESTIONS FOR IMPROVING THE GENERAL HEALTH OF THE PATIENT. THE ORGANIZATION HAS A MULTI-PRONGED APPROACH TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVICES: INCREASING ACCESS, BUILDING CAPACITY, INVESTING IN "UPSTREAM" PROGRAMS THAT GET AT THE CAUSE OF DISEASE AND ILLNESS, BUILDING COMMUNITY PARTNERSHIPS, ADVOCATING CHANGE, AND DEVELOPING LEADERSHIP. THE ORGANIZATION HOSTS HEALTH FAIRS TO PROMOTE WELLNESS AND ENCOURAGE PREVENTATIVE MAINTENANCE BY OFFERING FREE GLUCOSE AND CHOLESTEROL TESTS, BLOOD PRESSURE CHECKS, BONE DENSITY TESTS, MEDICAL BROCHURES WITH MEDICAL INFORMATION SUCH AS STROKE, HEART ATTACK, DIABETES, BLOOD PRESSURE, BREAST CANCER AND MORE. PHYSICIANS, DENTISTS, OPTOMETRISTS, MID-LEVEL PRACTITIONERS, REGISTERED NURSES AND OTHER LICENSED PROFESSIONALS ATTEND THESE FUNCTIONS. THE PRIMARY PURPOSE OF INCORPORATING MULTIPLE FACETS OF CARE IN THE FAIRS IS TO GIVE THE COMMUNITY A WIDE SPECTRUM OF KNOWLEDGE TO CONSULT WITH, FREE OF CHARGE, TO HOPEFULLY ENCOURAGE WELLNESS AND PREVENT FUTURE ILLNESS. DURING BREAST CANCER AWARENESS MONTH, WE FOCUS ON WOMENS HEALTH BY OFFERING AN ART EXHIBIT FOLLOWED BY A RECEPTION WITH A KEYNOTE SPEAKER. THE HOSPITAL ALSO OFFERS MAMMOGRAMS TO UNINSURED PATIENTS AT DISCOUNTED RATES. THIS GIVES ADDITIONAL WOMEN THE ACCESS TO MAMMOGRAMS, WHO MIGHT NOT GET SCREENED OTHERWISE. WE ASSIST WITH THE ANNUAL MULE ROUND-UP EVENT FOCUSING ON PROVIDING MEDICAL INFORMATION ON BREAST CANCER TO THE COMMUNITY. THESE BREAST CANCER AWARENESS PROGRAMS ARE AN ONGOING COLLABORATIVE FACILITATED BY THE ORGANIZATION TO BUILD AWARENESS OF BREAST CANCER IN THE COMMUNITY. THESE EVENTS ALSO BRING IN RESIDENTS FROM ALL OF THE SURROUNDING COUNTIES. THE ORGANIZATION, IN AN EFFORT TO INCREASE HEALTH AWARENESS IN OUR SERVICE AREA, ALSO PARTICIPATES IN THE ANNUAL BLUEBERRY FESTIVAL BY SETTING UP A BOOTH WITH MEDICAL INFORMATION ON DIABETES, HTN, VARIOUS TYPES OF CANCER, HEART DISEASE AND OTHER INFORMATION. PRIMARY CARE PHYSICIANS AS WELL AS MEMBERS OF THE HOSPITAL CLINICAL STAFF ARE ON HAND AT THIS EVENT, SIMILAR TO THE HEALTH FAIRS, TO ANSWER QUESTIONS FROM THE PUBLIC FREE OF CHARGE. THE ORGANIZATION HOSTS AN ANNUAL 5K RUN RUN/WALK DURING THIS EVENT WHERE THERE IS AN AVERAGE OF 200 PARTICIPANTS WITH THE TOTALS RISING EACH YEAR. THE PURPOSE IS TO TRY AND MOTIVATE THE PUBLIC TO BECOME INVOLVED AND LEAD AN ACTIVE AND HEALTHY LIFESTYLE. DURING THE DAY OF THE CHILD, A COMMUNITY EVENT GEARED TOWARDS THE YOUNGER POPULATION, THE ORGANIZATION HOLDS THEIR ANNUAL TEDDY BEAR CLINIC. THE TEDDY BEAR CLINIC IS A PROGRAM THAT BEGAN IN 1995, DESIGNED TO HELP PUT CHILDREN AT EASE WHEN THEY VISIT THEIR HEALTHCARE PROVIDER. THE WHOLE IDEA IS FOR THEM TO BE COMFORTABLE WITH THE HEALTHCARE ENVIRONMENT AND MAKE THE EXPERIENCE FUN FOR THEM. BECAUSE JUVENILE DIABETES IS A PREVALENT ILLNESS IN THIS REGION, THE ORGANIZATION INCORPORATES AWARENESS IN THIS EVENT THROUGH PROVIDING EDUCATIONAL BROCHURES AND PAMPHLETS TO THE GUARDIANS SO THAT THEY BECOME AWARE OF SYMPTOMS AND TREATMENTS. BECAUSE THE ORGANIZATION SERVES A POPULATION THAT HAS A HIGH PROPORTION OF LOW-INCOME INDIVIDUALS, WE PARTICIPATE IN THE COMMUNITY FALL FESTIVAL HOSTED BY THE ALMA BACON COUNTY CHAMBER OF COMMERCE. WE USE THE OPPORTUNITY TO REACH OUT TO AN AUDIENCE THAT IS TYPICALLY UNEDUCATED IN THE AREA OF HEALTHCARE. OUR FOCUS IS TYPICALLY PROVIDING GUIDANCE AND EDUCATION ON THE IMPLICATIONS OF NOT HAVING REGULAR CHECK-UPS WITH PRIMARY PHYSICIANS, SYMPTOMS OF ILLNESSES THAT ARE PREVALENT IN THIS REGION AND VARIOUS OTHER TOPICS THAT COULD AFFECT THE WELL-BEING OF THE INDIVIDUAL. AN ANNUAL SANTA'S WORKSHOP IS HOSTED FOR CHILDREN AS A FUN DAY DURING THE CHRISTMAS HOLIDAYS. IN ESSENCE, THE ORGANIZATION USES THE CHILDREN'S WORKSHOP TO REACH OUT TO GUARDIANS THAT WOULD NOT BE REACHABLE UNDER NORMAL CIRCUMSTANCES. |
| SCHEDULE H, PART VI, LINE 6 | ON JULY 1, 1996, BACON COUNTY HOSPITAL AUTHORITY (AUTHORITY) REORGANIZED AND ESTABLISHED BACON COUNTY HEALTH SERVICES, INC. (HOSPITAL) AS THE PARENT COMPANY OF BACON COUNTY HOSPITAL, TWIN OAKS CONVALESCENT CENTER, AND BACON COUNTY COMMUNITY CARE CENTER. BACON COUNTY HOSPITAL IS A NOT-FOR-PROFIT ACUTE CARE FACILITY. TWIN OAKS CONVALESCENT CENTER (NURSING HOME) IS A NOT-FOR-PROFIT EIGHTY-EIGHT BED NURSING HOME. BACON COUNTY COMMUNITY CARE CENTER IS A NOT-FOR-PROFIT CLINIC WHICH PROVIDES PRIMARY CARE AND OTHER SERVICES TO RURAL UNDERSERVED AREAS. IN JANUARY 2018, THE HOSPITAL ESTABLISHED NICHOLLS FAMILY HEALTH CARE. NICHOLLS FAMILY HEALTH CARE IS A NOT-FOR-PROFIT CLINIC WHICH PROVIDES PRIMARY CARE AND OTHER SERVICES TO RURAL UNDERSERVED AREAS. IN NOVEMBER 2014, THE ORGANIZATION FORMED THE FOUNDATION WHICH BEGAN ACTIVELY RAISING FUNDS IN FYE 6/30/16 TO SUPPORT THE OPERATIONS AND CAPITAL IMPROVEMENTS OF THE HOSPITAL. ON OCTOBER 1, 2009, THE HOSPITAL ESTABLISHED A SEGREGATED PORTFOLIO PLAN IN THE GEORGIA HEALTH CARE INSURANCE COMPANY, SPC (GHCIC), WHICH IS INCORPORATED IN THE CAYMAN ISLANDS. THE NAME OF THE PLAN IS BACON COUNTY HOSPITAL AND HEALTH SYSTEM SEGREGATED PORTFOLIO (SEGREGATED PORTFOLIO). THE SEGREGATED PORTFOLIO PROVIDES PROFESSIONAL AND GENERAL LIABILITY SELF- INSURANCE TO THE HOSPITAL. THE SEGREGATED PORTFOLIO IS MANAGED BY STRATEGIC RISK SOLUTIONS IN GRAND CAYMAN, CAYMAN ISLANDS. ON APRIL 1, 2021, THE HOSPITAL ENTERED INTO AN AGREEMENT FOR A 61% CONTROLLING INTEREST IN ONE SOURCE VASCULAR, LLC. |
| SCHEDULE H, PART VI, LINE 7 | GEORGIA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Cash Grant | $75,925 | CashGrantAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| CINDY R TURNER | |||||
| CEO | $412,454 | $66,054 | $2,640 | $11,466 | $492,614 |
| RONALD LOCKE | |||||
| PHYSICIAN | $447,197 | $1,584 | $6,169 | $454,950 | |
| KHALDON AL-SAADI MD | |||||
| PHYSICIAN | $320,462 | $3,048 | $8,153 | $331,663 | |
| MICHAEL LYNCH MD | |||||
| PHYSICIAN | $297,270 | $1,523 | $5,522 | $304,315 | |
| IAN FURTADO MD | |||||
| PHYSICIAN | $227,895 | $14,365 | $233 | $4,613 | $247,106 |
| NEHA KAKKAR MD | |||||
| PHYSICIAN | $215,116 | $11,280 | $199 | $3,463 | $230,058 |
| CHERYL DUBOSE | |||||
| CFO | $164,865 | $10,964 | $6,181 | $7,095 | $189,105 |
| RICHARD KYLE LOTT | |||||
| COO/PHARMACIST | $149,846 | $13,142 | $8,516 | $12,357 | $183,861 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART III | FormAndLineReferenceDesc |
| Explanation | BONUS/INCENTIVES ARE AWARDED THE CEO AND CERTAIN OFFICERS BY THE AUTHORITY OF THE BOARD OF DIRECTORS BASED ON ATTAINMENT OF SPECIFIC FINANCIAL AND PERSONAL GOALS AND CRITERIA. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL AUTHORITY OF BACON COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 586003069 | BondIssuerEIN |
| CUSIP | NONENONEN | CUSIPNum |
| Bond Issued | 2022-04-21 | BondIssuedDt |
| Issue Price | $7,735,000 | IssuePriceAmt |
| Purpose | REFUND 2011 CERTIFICATES AND PROVIDE FOR ISSUE COSTS | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,445,000 | RetiredAmt |
| Total Proceeds | $7,735,000 | TotalProceedsAmt |
| In Reserve Fund | $55,584 | InReserveFundAmt |
| Refunding Escrow | $7,526,885 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $152,531 | IssuanceCostsFromProceedsAmt |
| Substantial Completion | 2012 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (true) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | false | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PURPOSE OF ISSUE DESCRIPTION | HOSPITAL AUTHORITY OF BACON COUNTY REFUND 2011 CERTIFICATES AND PROVIDE FOR ISSUE COSTS |
| ADDITIONAL INFORMATION | HOSPITAL AUTHORITY OF BACON COUNTY THE 2022 BONDS REDEEMED THE 2011 BONDS WHICH WERE NOT SUBJECT TO REBATE. THE ORIGINGAL BOND FUNDS WERE EXPENDED TIMELY (AND NO RESIDUAL FUNDS WERE IMPERMISSIBLY HELD TO EARN AN INVESTMENT RETURN THAT WOULD RESULT IN ARBITRAGE). |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JERRY SWEAT | |||
| FAMILY-BD MBR | $275,880 | OWNER LAUNDRY SVC | false |
| CHARLENE BENNETT DEEN | |||
| BD MEMBER | $157,615 | OWNER TELEPHONE CO | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | JERRY SWEAT IS THE BROTHER OF JOHN SWEAT, WHO IS A BOARD MEMBER. JERRY IS THE OWNER OF SWEAT'S LAUNDRY, WHICH PROVIDES LAUNDRY SERVICES TO THE ORGANIZATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE MISSION OF BACON COUNTY HOSPITAL AND HEALTH SYSTEM IS TO PROVIDE COMPASSIONATE AND COMPREHENSIVE COMMUNITY HEALTHCARE THAT MEETS OUR CUSTOMERS' EXPECTATIONS. TO PROVIDE EDUCATION AND INCREASE HEALTH AWARENESS. |
| FORM 990 | OUR MISSION, AS WELL AS OUR VISION AND VALUES, SERVES AS A GUIDELINE FOR DAILY DECISION MAKING AND REPRESENTS THE PRINCIPLES AND PRACTICES THAT WE CONSTANTLY APPLY. THE COMFORT AND CARE OF OUR PATIENTS IS A MAJOR FOCUS OF OURS. WE WANT TO PROVIDE QUALITY AND COST EFFECTIVE CARE THAT IS CLOSE TO HOME. ANOTHER OBJECTIVE OF OURS IS TO PROVIDE EDUCATION AND TO INCREASE YOUR HEALTH AWARENESS. PART OF OUR MISSION IS TO CONTINUALLY PUT THE "CARE" IN HEALTHCARE. |
| FORM 990, PART V | LINE 7F, PERSONAL BENEFIT CONTRACT AS PART OF HER RETIREMENT PACKAGE, THE ORGANIZATION HOLDS AN INSURANCE POLICY ON THE LIFE OF CEO CINDY TURNER. THE CASH SURRENDER VALUE OF THE POLICY WILL BE WORTH 360,000 WHEN SHE REACHES AGE 65. THE PREMIUMS ARE INCLUDED ON HER W-2 ANNUALLY. THE BENEFICIARY OF THE POLICY IS ONE CHOSEN BY THE CEO. |
| FORM 990, PART V, LINE 4B | CAYMAN ISLANDS |
| FORM 990, PAGE 6, PART VI, LINE 7A | BACON COUNTY PROVIDES THE HOSPITAL AUTHORITY OF BACON COUNTY ("AUTHORITY") A LIST OF POTENTIAL BOARD MEMBERS TO CHOOSE FROM AS VACANCIES IN THE BACON COUNTY HEALTH SERVICES, INC. ("BCHS") GOVERNING BOARD ARISE. BCHS BOARD IS SELF PERPETUATING. HOWEVER, THIS BOARD RETAINS THREE HOSPITAL AUTHORITY BOARD MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 7B | DECISIONS OF THE FILING ORGANIZATION ARE FINAL WITH THE EXCEPTION OF BONDS ISSUANCE, AND LAND OR BUILDING ACQUISITIONS WHICH REQUIRE THE APPROVAL OF THE AUTHORITY BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE FORM 990 IS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE. THE CEO WILL REVIEW FORM 990 WITH THE EXECUTIVE COMMITTEE IN DETAIL. THE EXECUTIVE COMMITTEE CHAIRMAN WILL REVIEW THE FORM 990 WITH THE BCHS BOARD PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL OFFICERS AND KEY EMPLOYEES OF BCHS MUST SIGN A CONFLICT OF INTEREST FORM AT THEIR ANNUAL EVALUATION, DISCLOSING ANY CONFLICTS OF INTEREST. ANY CONFLICTS THAT ARISE ARE DEALT WITH AT THE HUMAN RESOURCES/CEO LEVEL. ANNUALLY, THE HOSPITAL'S BOARD OF DIRECTORS SIGN A CONFLICT OF INTEREST STATEMENT, DISCLOSING ANY CONFLICTS. ANY CONFLICTS THAT ARISE FROM A BOARD MEMBER ARE REVIEWED AT THE BOARD OF DIRECTORS LEVEL. BOARD MEMBERS DO NOT PARTICIPATE OR VOTE ON ISSUES THAT WOULD RELATE TO A CONFLICT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE HUMAN RESOURCES DIRECTOR OBTAINS A MARKET SURVEY PROVIDED BY THE GEORGIA HOSPITAL ASSOCIATION ANNUALLY. DEPARTMENT DIRECTORS', INCLUDING CEO, SALARIES ARE COMPARED TO THIS SURVEY AND ADJUSTED ACCORDINGLY. THIS, ALONG WITH THE DIRECTOR'S PERFORMANCE EVALUATION, ARE USED TO DETERMINE THE INDIVIDUAL'S SALARY ADJUSTMENT. ONCE THIS IS APPROVED BY ADMINISTRATION, IT IS REVIEWED BY THE PERSONNEL COMMITTEE OF THE HOSPITAL'S BOARD OF DIRECTORS. WHEN THE PERSONNEL COMMITTEE APPROVES THE SALARIES, IT IS PRESENTED TO THE HOSPITAL'S FULL BOARD OF DIRECTORS FOR FINAL APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE NARRATIVE FOR LINE 15A ABOVE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | INDIVIDUALS CAN REQUEST HOSPITAL DOCUMENTS IN WRITING AND THE HOSPITAL WILL RESPOND WITHIN 7 BUSINESS DAYS. CITIZENS CAN REQUEST ANY DOCUMENTS. CEO THEN CONSULTS WITH THE HOSPITAL ATTORNEY TO SEE IF THE REQUEST IS REQUIRED TO BE FILLED. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR 2,114,862 1,600,941 0 PROFESSIONAL FEES 624,123 0 0 PURCHASED SERVICES 3,841,923 24,010 0 TOTAL 6,580,908 1,624,951 0 |
| FORM 990, PART XI, LINE 9 | NONCONTROLLING INTEREST IN EXCESS REV OF SUBS 235,391 EQUITY ON INVESTMENT IN CAPTIVE SUBSIDIARY 375,165 PURCHASE OF INTEREST BY NONCONTROLLING MEMBERS -579,303 CORRECTION OF PRIOR YEAR NONCONTROLLING INTEREST -85,108 TOTAL -53,855 |
| FORM 990, PAGE 12, PART XII, LINE 2C | X |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH GEORGIA PHYSICIANS GROUP LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 S WAYNE STREET | AddressLine1Txt |
| City | ALMA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 315100987 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 452918774 | EIN |
| Primary Activities | PHYSICIANS | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Total Income | $1,404,896 | TotalIncomeAmt |
| End Of Year Assets | $653,228 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BCHS | BusinessNameLine1Txt |
| Business Name Line2 | BACON COUNTY HEALTH SERVICES INC | BusinessNameLine2Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HOSPITAL AUTHORITY OF BACON COUNTY | ||||||||||
| 302 S WAYNE STREET | ALMA | GA | 315100987 | 586003069 | HEALTHCARE | GA | 501C1 | 6 | NA | false |
| BACON COUNTY HOSPITAL FOUNDATION IN | ||||||||||
| 302 S WAYNE STREET | ALMA | GA | 315100987 | 814388871 | FOUNDATION | GA | 501C3 | 7 | AUTHORITY | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONE SOURCE VASCULAR LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1406 HABERSHAM DRIVE | AddressLine1Txt |
| City | WAYCROSS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31510 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 853992065 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | -$388,523 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $76,502 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.61000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BACON HEALTHCARE SEGREGATED PORTFOL | BusinessNameLine1Txt |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 62 FORUM LANE 3RD FLOOR | AddressLine1Txt |
| Address Line2 | BOX 30600 | AddressLine2Txt |
| City | GRAND CAYMAN | CityNm |
| Country | CJ | CountryCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | SELF INSUR | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountryCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C CORP | EntityTypeTxt |
| Share Of Total Income | $337,464 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $4,398,324 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt | InvolvedInvolvedAmt |
|---|---|---|
| BACON COUNTY HOSPITAL FOUNDATION | ||
| M | AMOUNT NOT DETERMINED | |
| BACON COUNTY HOSPITAL FOUNDATION | ||
| C | BELOW THRESHOLD | |
| BACON SEGREGATED PORTFOLIO | ||
| B | BOOK VALUE | $295,653 |