WINSTON COUNTY MEDICAL FOUNDATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- WINSTON COUNTY MEDICAL FOUNDATION (EIN 64-6010402)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-09-27
- IRS object ID
- 202432719349301303
- Schema version
- 2023v5.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-09-27T11:39:07-04:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 640394922 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WATKINS WARD AND STAFFORD PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 311 | AddressLine1Txt |
| City | EUPORA | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39744 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 646010402 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINSTON COUNTY MEDICAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WINS | BusinessNameControlTxt |
| Phone | 6627736211 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 967 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39339 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICAHEL NESTER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6627736211 | PhoneNum |
| Signature | 2024-09-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANITA C GOODRUM CPA | PreparerPersonNm |
| PTIN | P00634142 | PTIN |
| Phone | 6622582331 | PhoneNum |
| Preparation | 2024-09-27 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINSTON MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICAHEL NESTER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 375 ABSTON LANE | AddressLine1Txt |
| City | MERIDIAN | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,191,902 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WINSTONMEDICAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE SERVICES TO RESIDENTS OF WINSTON COUNTY, MISSISSIPPI AND SURROUNDING AREAS | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 348 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,314,361 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,305,114 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $26,454,372 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $27,292,504 | CYProgramServiceRevenueAmt |
| PY Investment Income | $393,211 | PYInvestmentIncomeAmt |
| CY Investment Income | $123,773 | CYInvestmentIncomeAmt |
| PY Other Revenue | $159,748 | PYOtherRevenueAmt |
| CY Other Revenue | $1,470,511 | CYOtherRevenueAmt |
| PY Total Revenue | $29,321,692 | PYTotalRevenueAmt |
| CY Total Revenue | $30,191,902 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,583,566 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,818,033 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $48,011,195 | PYOtherExpensesAmt |
| CY Other Expenses | $19,143,701 | CYOtherExpensesAmt |
| PY Total Expenses | $61,594,761 | PYTotalExpensesAmt |
| CY Total Expenses | $31,961,734 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$32,273,069 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,769,832 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,416,213 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,617,867 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,457,365 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,428,851 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,958,848 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,189,016 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HEALTH CARE TO THE RESIDENTS OF WINSTON COUNTY, MISSISSIPPI AND THE SURROUNDING AREAS | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $30,434,999 | ExpenseAmt |
| Desc | WINSTON COUNTY MEDICAL FOUNDATION D/B/A WINSTON MEDICAL CENTER PROVIDES HEALTH CARE SERVICES TO THE RESIDENTS OF WINSTON COUNTY, MISSISSIPPI AND SURROUNDING AREAS INCLUDING PERSONS UNABLE TO PAY FOR REQUIRED SERVICES. | Desc |
| Total Program Service Expenses | $30,434,999 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | 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 | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | 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 |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 348 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| 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 | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINSTON COUNTY MEDICAL FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | DBA WINSTON MEDICAL CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6627736211 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 967 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39339 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| DUSTIN GENTRY | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $530,610 | $0 | $35,845 | ||
| MARIBETH HILLHOUSE | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $296,625 | $0 | $18,371 | ||
| MICHAEL ARD | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $231,715 | $0 | $24,081 | ||
| HEATHER GILMER | |||||||
| FNP | 40.00 | Yes (X) | $168,900 | $0 | $23,165 | ||
| EMILY PERKINS | |||||||
| FNP | 40.00 | Yes (X) | $141,136 | $0 | $11,514 | ||
| DON BRANTLEY | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| BRUCE LEE | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MARY TABOR | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DOW THOMAS | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| TERRY WOODS | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MICAHEL NESTER | |||||||
| CEO | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| MATT WOODWARD | |||||||
| CFO | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,368,986 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $112,976 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | 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 |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT SPECIALISTS | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | DIETARY SERVICE | $1,664,330 |
| H H PHYSICIAN STAFFING | |||||
| PO BOX 124 | LOUISVILLE | MS | 39339 | ER PHYSICIANS | $1,639,836 |
| ENDURACARE ACUTE CARE SERVICES | |||||
| PO BOX 654072 | DALLAS | TX | 752654072 | THERAPY DEPT. | $799,057 |
| HOSPITAL HOUSEKEEPING SUSTEMS | |||||
| PO BOX 734367 | DALLAS | TX | 753734367 | HOUSEKEEPING | $790,768 |
| PRIME CARE NURSING | |||||
| PO BOX 852 | GREENVILLE | MS | 38702 | CONTR. NURSING | $498,988 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,146,000 | GovernmentGrantsAmt |
| All Other Contributions | $159,114 | AllOtherContributionsAmt |
| Total Contributions | $1,305,114 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT CARE | Desc |
| Total Revenue Column | $27,292,504 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,292,504 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $27,292,504 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $123,773 | TotalRevenueColumnAmt |
| Exclusion | $123,773 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $163,856 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $163,856 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $163,856 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $163,856 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NMTC COMPLIANCE FORGIVENESS | Desc |
| Total Revenue Column | $1,306,655 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,306,655 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,306,655 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,191,902 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,763,015 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $123,773 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,708,743 | TotalAmt |
| Program Services | $9,953,365 | ProgramServicesAmt |
| Management And General | $755,378 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $540,800 | TotalAmt |
| Program Services | $499,753 | ProgramServicesAmt |
| Management And General | $41,047 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $787,846 | TotalAmt |
| Program Services | $728,048 | ProgramServicesAmt |
| Management And General | $59,798 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $780,644 | TotalAmt |
| Program Services | $721,393 | ProgramServicesAmt |
| Management And General | $59,251 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,352 | TotalAmt |
| Management And General | $12,352 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,300 | TotalAmt |
| Management And General | $109,300 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,740 | TotalAmt |
| Management And General | $37,740 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,761 | TotalAmt |
| Management And General | $8,761 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $766,019 | TotalAmt |
| Program Services | $766,019 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,958 | TotalAmt |
| Program Services | $14,224 | ProgramServicesAmt |
| Management And General | $35,734 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,032 | TotalAmt |
| Management And General | $8,032 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,220 | TotalAmt |
| Program Services | $99,220 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACT SERVICES | $8,574,143 | $8,286,987 | $287,156 |
| RENTS | $3,449,681 | $3,449,681 | |
| BAD DEBTS | $1,838,247 | $1,838,247 | |
| SUPPLIES | $1,763,018 | $1,710,495 | $52,523 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,427,230 | TotalAmt |
| Program Services | $2,367,567 | ProgramServicesAmt |
| Management And General | $59,663 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,961,734 | TotalAmt |
| Program Services | $30,434,999 | ProgramServicesAmt |
| Management And General | $1,526,735 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,080,599 | BOYAmt |
| EOY | $335,297 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,162,021 | BOYAmt |
| EOY | $502,888 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,877,903 | BOYAmt |
| EOY | $4,153,588 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,256 | BOYAmt |
| EOY | $292,391 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $281,338 | BOYAmt |
| EOY | $304,231 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,748,777 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $897,570 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $882,610 | BOYAmt |
| EOY | $851,207 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $796,486 | BOYAmt |
| EOY | $2,178,265 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,416,213 | BOYAmt |
| EOY | $8,617,867 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,889,590 | BOYAmt |
| EOY | $2,136,801 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,220,642 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,133 | BOYAmt |
| EOY | $3,292,050 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,457,365 | BOYAmt |
| EOY | $5,428,851 | 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 | $4,958,848 | BOYAmt |
| EOY | $3,189,016 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,958,848 | BOYAmt |
| EOY | $3,189,016 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,416,213 | BOYAmt |
| EOY | $8,617,867 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,769,832 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $744,565 | OtherCostOrOtherBasisAmt |
| Depreciation | $276,410 | DepreciationAmt |
| Book Value | $468,155 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,004,212 | OtherCostOrOtherBasisAmt |
| Depreciation | $621,160 | DepreciationAmt |
| Book Value | $383,052 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $851,207 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SUSTAINABILITY GRANT RECEIVABLE | $875,000 |
| TOPIC 842 RIGHT-TO-USE ASSETS | $698,033 |
| OTHER RECEIVABLES | $466,277 |
| SHIP COVID-19 TMP SUB-GRANT RECEIV. | $250,000 |
| EQUITY IN MHA INSURANCE | $141,832 |
| TOPIC 842 ACCUMULATED AMORTIZATION | -$252,877 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,178,265 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO WMC PBC | $2,843,791 |
| TOPIC 842 LEASE LIABILITIES | $448,259 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,292,050 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $30,191,902 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $30,191,902 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $30,191,902 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $31,961,734 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $31,961,734 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $31,961,734 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | BAD DEBTS ARE INCLUDED AS A REDUCTION OF REVENUE ON THE FS 0 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | BAD DEBTS ARE INCLUDED AS A REDUCTION OF REVENUE ON THE FS 0 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,603,503 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,603,503 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05020 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,892,089 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,231,459 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,495,592 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,231,459 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,603,503 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05020 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,495,592 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,231,459 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,603,503 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,527,785 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $5,016,236 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,980,409 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $35,827 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | 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 | WINSTON COUNTY MEDICAL FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 967 | AddressLine1Txt |
| City | LOUSIVILLE | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39339 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 16-208 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINSTON COUNTY MEDICAL FOUNDATION | 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 |
| 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 | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.WINSTONMEDICAL.ORG | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.WINSTONMEDICAL.ORG | 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 | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.WINSTONMEDICAL.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.WINSTONMEDICAL.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.WINSTONMEDICAL.ORG | 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 |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| 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 (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, WINSTON COUNTY MEDICAL FOUNDATION - PART V, LINE 5 | THE FACILITY INQUIRED WITH COMMUNITY LEADERS AND HEALTHCARE OFFICIALS ABOUT THE NEEDS OF THE COMMUNITY. |
| FACILITY 1, WINSTON COUNTY MEDICAL FOUNDATION - PART V, LINE 11 | IMPLEMENTATION PLANS WHILE AN IMPLEMENTATION PLAN WAS ESTABLISHED IN THE HOSPITALS 2019 CHNA REPORT, WMC WAS UNABLE TO GENERATE SATISFACTORY RESPONSES IN THESE AREAS. THIS IS DUE TO THE HOSPITAL SHIFTING ITS FOCUS IN 2019 2022 TO MEET THE MORE PRESSING NEEDS THAT AROSE FROM THE COVID-19 PANDEMIC. AS A RESULT, THE HOSPITAL HAS CHOSEN TO CONTINUE FOCUSING ON THESE AREAS NOTING THAT THESE ISSUES ARE STILL PREVALENT AS OF 2022. OVER THE NEXT THREE YEARS, PENDING A SURGE IN COVID-19 OR A NEW PUBLIC HEALTH EMERGENCY, WMC AND ITS MANY COMMUNITY PARTNERS WILL CONCENTRATE THEIR EFFORTS INTO THESE AREAS: INITIATIVE 1: IMPROVING THE SOUTHERN LIFESTYLE AND MENTAL HEALTH THROUGH EDUCATION, AWARENESS, AND SCREENINGS WINSTON MEDICAL CENTER WOULD LIKE TO EDUCATE THE COMMUNITY ABOUT LIVING A HEALTHY LIFESTYLE AND THE IMPORTANCE OF MENTAL HEALTH THROUGH EVENTS, LUNCH AND LEARNS, AND OTHER COMMUNICATIONS THAT PROVIDE FUN, EASILY IMPLEMENTED INFORMATION. THE MEDICAL FACILITY IS PASSIONATE ABOUT THESE TOPICS AND WILL BE ENCOURAGING PROPER NUTRITION, PROVIDING AWARENESS OF HEALTHIER ALTERNATIVES TO THE HIGH FAT SOUTHERN DIET, AND EMPHASIZING THE IMPORTANCE OF MENTAL HEALTH AND MENTAL HEALTH AWARENESS. WINSTON MEDICAL CENTER WILL PROVIDE EDUCATION ON OVERALL WELLNESS INCLUDING EXERCISE, NUTRITION, MENTAL HEALTH, AND STRESS MANAGEMENT TO A RACIALLY AND ECONOMICALLY DIVERSE COMMUNITY AND WILL TEACH THE SAME AUDIENCES HOW TO IMPLEMENT THIS INFORMATION WITH THE RESOURCES AVAILABLE TO THEM. SCREENINGS WILL BE MADE AVAILABLE THROUGHOUT THE COUNTY, SPECIFICALLY FOR THOSE CHRONIC DISEASES THAT ARE FREQUENTLY RELATED TO LIFESTYLE. INITIATIVE 2: WORKING WITH THE COMMUNITY TO CREATE A RESOURCE GUIDE DEVELOP AND PUBLISH A RESOURCE LIST OF ALL AVAILABLE RESOURCES/ORGANIZATIONS WITHIN THE COMMUNITY THAT ASSIST WITH MENTAL, MEDICAL, SOCIO-ECONOMIC DISPARITIES SUCH AS DRUG REHABS, FOOD BANKS, INCOME BASED PRIMARY CARE CLINICS, ETC. THE LIST WILL BE ROUTINELY UPDATED, DISTRIBUTED, AND POSTED THROUGHOUT THE COUNTY IN PUBLIC AREAS AND HIGH TRAFFIC BUSINESSES. INITIATIVE 3: ALZHEIMER'S AWARENESS AND EDUCATION; EMPHASIZING TAKING THE RESOURCES TO THE PEOPLE OVER THE PAST SIX YEARS, ALZHEIMERS DISEASE CONTINUES TO BE ONE OF THE FIVE LEADING CAUSES OF DEATHS IN WINSTON COUNTY. BEGINNING IN 2017, IT WAS THE COUNTYS THIRD LEADING CAUSE OF DEATH. THE POPULATION MOSTLY AFFECTED BY ALZHEIMERS DISEASE IS OLDER ADULTS IN THE 65 AND OLDER AGE RANGE AND WOULD BE THE TARGET POPULATION FOR EARLY DETECTION AND EDUCATION. IN ADDITION, THE CAREGIVER, WHO CAN BE ANYONE FROM GRANDCHILDREN TO SPOUSES, WILL BE THE FOCUS OF EDUCATION AND SUPPORT EFFORTS. |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART III, LINE 2 | THE METHODOLOGY USED IS A REVIEW OF THE AGINGS OF THE ACCOUNT BALANCES |
| SCHEDULE H, PART III, LINE 3 | THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. |
| SCHEDULE H, PART III, LINE 4 | PATIENT RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, MAJOR PAYOR SOURCES AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, ESTABLISHED GUIDELINES ARE USED FOR PLACING CERTAIN PAST- DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS. |
| SCHEDULE H, PART III, LINE 9B | THE FACILITY HAS IN PLACE A CHARITY CARE APPLICACTION FOR WHICH ANY PATIENT CAN APPLY, PROVIDED THEY MEET THE QUALIFICATIONS ON THE APPLICATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| DUSTIN GENTRY | |||
| PHYSICIAN | $530,610 | $35,845 | $566,455 |
| MARIBETH HILLHOUSE | |||
| PHYSICIAN | $296,625 | $18,371 | $314,996 |
| MICHAEL ARD | |||
| PHYSICIAN | $231,715 | $24,081 | $255,796 |
| HEATHER GILMER | |||
| FNP | $168,900 | $23,165 | $192,065 |
| EMILY PERKINS | |||
| FNP | $141,136 | $11,514 | $152,650 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE RETURN WAS REVIEWED WITH MANAGEMENT AND THE TAX PREPARER. |
| FORM 990, PAGE 6, PART VI, LINE 12C | DURING THE YEAR END AUDIT, RELATED PARTY TRANSACTIONS ARE REVIEWED. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF TRUSTEES REVIEWS THE JOB PERFORMANCE OF THE ADMINISTRATOR AND BASED UPON PAY OF OTHER SIMILAR ADMINISTRATORS ADJUSTS HIS PAY ACCORDINGL Y. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE APPLICABLE DEPARTMENT HEADS REVIEW EACH EMPLOYEE AND SUBMIT A RECOMMEN DED PAY ADJUSTMENT TO THE ADMINISTRATOR, THE ADMINISTRATOR THEN GOES TO TH E BOARD OF TRUSTEES WHO WILL DECIDE ON A PAY RAISE, IF ANY. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE TAX RETURN AND AUDIT ARE MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9 | BAD DEBTS ARE INCLUDED AS A REDUCTION OF REVENUE ON THE FS 0 BAD DEBTS ARE INCLUDED AS A REDUCTION OF REVENUE ON THE FS 0 RESTATEMENT OF PRIOR YEAR 0 |