EFFINGHAM HOSPITAL INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- EFFINGHAM HOSPITAL INC (EIN 47-4393589)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202221339349300512
- Schema version
- 2020v4.0
- 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 H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T07:18:11-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | 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 | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 474393589 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EFFINGHAM HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EFFI | BusinessNameControlTxt |
| Phone | 9127540142 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 459 HWY 119 S | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 313293021 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR FRAN WITT DNPMBALNHARN | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 9127540142 | PhoneNum |
| Signature | 2022-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | FRANCINE | PersonFirstNm |
| Person Last | WITT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACQUELINE G ATKINS | PreparerPersonNm |
| PTIN | P00861721 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2022-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EFFINGHAM HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR FRAN WITT DNPMBALNHARN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 459 HWY 119 S | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 313293021 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $67,359,731 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.EFFINGHAMHEALTH.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2009 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE EVERY PATIENT AN EXPERIENCE OF COMPASSION, QUALITY CARE, AND SERVICE EXCELLENCE AT ITS HIGHEST LEVEL OF CUSTOMER EXPECTATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 629 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $10,042,831 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,128,433 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $57,225,678 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $56,763,024 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,099 | PYInvestmentIncomeAmt |
| CY Investment Income | $612,185 | CYInvestmentIncomeAmt |
| PY Other Revenue | $260,799 | PYOtherRevenueAmt |
| CY Other Revenue | $856,089 | CYOtherRevenueAmt |
| PY Total Revenue | $67,548,407 | PYTotalRevenueAmt |
| CY Total Revenue | $67,359,731 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $72,900 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $93,520 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $27,636,100 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $29,451,949 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $40,963,924 | PYOtherExpensesAmt |
| CY Other Expenses | $41,173,573 | CYOtherExpensesAmt |
| PY Total Expenses | $68,672,924 | PYTotalExpensesAmt |
| CY Total Expenses | $70,719,042 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,124,517 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,359,311 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $62,871,413 | TotalAssetsBOYAmt |
| Total Assets EOY | $55,429,564 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,809,182 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $43,366,239 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $18,062,231 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,063,325 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE EVERY PATIENT AN EXPERIENCE OF COMPASSION, QUALITY CARE, AND SERVICE EXCELLENCE AT ITS HIGHEST LEVEL OF CUSTOMER EXPECTATION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $55,839,392 | ExpenseAmt |
| Grant | $93,520 | GrantAmt |
| Revenue | $57,619,113 | RevenueAmt |
| Desc | EFFINGHAM HOSPITAL, INC. (EH) PROVIDES WELLNESS CARE, HEALTH EDUCATION, PREVENTATIVE SCREENINGS, AND COMPREHENSIVE OUT AND INPATIENT MEDICAL SERVICES. | Desc |
| Total Program Service Expenses | $55,839,392 | 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 | Yes (true) | 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 | 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 | Yes (true) | 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 | 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 |
| IRP Document | 95 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 629 | 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 |
| 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 | false | 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 | 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 | 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 | false | 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 | AL ALLRED | PersonNm |
| Phone | 9127540392 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 459 HWY 119 S | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 313293021 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| DR FRAN WITT DNPMBALNHARN | ||||||||
| PRESIDENT & | 40.00 | 1.00 | Yes (X) | $597,183 | $0 | $99,015 | ||
| CLAUDE SANKS III MD | ||||||||
| HOSPITALIST | 40.00 | $406,428 | $0 | $27,243 | Yes (X) | |||
| JOHN BENNETT MD | ||||||||
| CAO | 40.00 | $359,007 | $0 | $17,966 | Yes (X) | |||
| STEPHANIE REESE MD | ||||||||
| PHYSICIAN | 40.00 | $325,395 | $0 | $8,568 | Yes (X) | |||
| AL ALLRED | ||||||||
| CFO | 40.00 | 0.50 | Yes (X) | $284,632 | $0 | $18,166 | ||
| BAILEY ALFORD MD | ||||||||
| PHYSICIAN | 40.00 | $235,802 | $0 | $7,768 | Yes (X) | |||
| KEVIN SHERMAN | ||||||||
| EXEC DIR H.R | 40.00 | Yes (X) | $215,793 | $0 | $4,861 | |||
| MARGARET HENDLER | ||||||||
| CNO | 40.00 | $185,432 | $0 | $10,542 | Yes (X) | |||
| TERRY WILK | ||||||||
| CIO | 40.00 | Yes (X) | $181,802 | $0 | $0 | |||
| BARRY FLONNORY | ||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| STEPHANIE JOHNSON | ||||||||
| DIRECTOR | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| HOYT MOSE MOCK | ||||||||
| DIRECTOR LEF | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DEBORAH LANIER SCOTT | ||||||||
| DIRECTOR | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| STEPHANIE WEITMAN | ||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| PATRICIA ANN YARBROUGH | ||||||||
| CHAIRMAN | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,791,474 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $194,129 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 25 | 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 |
|---|---|---|---|---|---|
| CHATHAM ORTHOPAEDIC ASSOCIATES | |||||
| 4425 PAULSEN ST | SAVANNAH | GA | 31405 | ORTHOPAEDISTS | $3,117,187 |
| GA EMERGENCY PHYSICIAN SPECIALIST | |||||
| PO BOX 13428 | SAVANNAH | GA | 314160428 | ER PHYSICIANS | $1,598,000 |
| MORRISON HEALTHCARE | |||||
| P O BOX 102289 | ATLANTA | GA | 30368 | FOOD SVC | $1,491,203 |
| PHARMD ON DEMAND | |||||
| 630 HAWTHORNE AVE | ATHENS | GA | 30606 | PHARMACY | $952,772 |
| GRIFFITH KENDALL MD LLC DBA MY HEAR | |||||
| 717 WEST LEE ST | BROOKLET | GA | 30415 | CARDIO DOCTOR | $597,507 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,788,223 | GovernmentGrantsAmt |
| All Other Contributions | $340,210 | AllOtherContributionsAmt |
| Total Contributions | $9,128,433 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PROGRAM SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $56,763,024 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,763,024 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $56,763,024 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $612,185 | TotalRevenueColumnAmt |
| Exclusion | $612,185 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS | 621990 | $420,354 | $420,354 |
| RETAIL PHARMACY | 621990 | $214,204 | $214,204 |
| REBATES & DISCOUNTS | 621990 | $203,914 | $203,914 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,617 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,617 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $856,089 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,359,731 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $57,619,113 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $612,185 | 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 | $93,520 | TotalAmt |
| Program Services | $93,520 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,401,452 | TotalAmt |
| Management And General | $1,401,452 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,030,630 | TotalAmt |
| Program Services | $19,456,288 | ProgramServicesAmt |
| Management And General | $4,574,342 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,809 | TotalAmt |
| Program Services | $1,391 | ProgramServicesAmt |
| Management And General | $418 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,216,757 | TotalAmt |
| Program Services | $1,704,021 | ProgramServicesAmt |
| Management And General | $512,736 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,801,301 | TotalAmt |
| Program Services | $1,384,660 | ProgramServicesAmt |
| Management And General | $416,641 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $604,264 | TotalAmt |
| Management And General | $604,264 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,699 | TotalAmt |
| Management And General | $24,699 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,832,804 | TotalAmt |
| Program Services | $14,128,110 | ProgramServicesAmt |
| Management And General | $2,704,694 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $619,784 | TotalAmt |
| Management And General | $619,784 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,162,302 | TotalAmt |
| Program Services | $2,589,252 | ProgramServicesAmt |
| Management And General | $573,050 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,797 | TotalAmt |
| Management And General | $216,797 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,799,849 | TotalAmt |
| Program Services | $2,354,393 | ProgramServicesAmt |
| Management And General | $445,456 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,116 | TotalAmt |
| Program Services | $128,567 | ProgramServicesAmt |
| Management And General | $20,549 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,654 | TotalAmt |
| Program Services | $28,362 | ProgramServicesAmt |
| Management And General | $79,292 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,061 | TotalAmt |
| Management And General | $28,061 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,960,262 | TotalAmt |
| Program Services | $2,489,284 | ProgramServicesAmt |
| Management And General | $470,978 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $710,502 | TotalAmt |
| Program Services | $17,334 | ProgramServicesAmt |
| Management And General | $693,168 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $10,146,799 | $10,059,198 | $87,601 |
| REPAIRS & MAINTENANCE | $1,826,895 | $1,326,105 | $500,790 |
| TAXES & LICENSES | $655,218 | $15,229 | $639,989 |
| DUES & SUBSCRIPTIONS | $279,112 | $66,199 | $212,913 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,455 | TotalAmt |
| Program Services | -$2,521 | ProgramServicesAmt |
| Management And General | $51,976 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,719,042 | TotalAmt |
| Program Services | $55,839,392 | ProgramServicesAmt |
| Management And General | $14,879,650 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,429,904 | BOYAmt |
| EOY | $676,648 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,385,678 | BOYAmt |
| EOY | $427,469 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,246,637 | BOYAmt |
| EOY | $10,593,910 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,541,413 | BOYAmt |
| EOY | $1,750,996 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $342,363 | BOYAmt |
| EOY | $630,347 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $66,351,974 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $37,743,957 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,274,057 | BOYAmt |
| EOY | $28,608,017 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,879,437 | BOYAmt |
| EOY | $11,088,764 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $771,924 | BOYAmt |
| EOY | $1,653,413 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,871,413 | BOYAmt |
| EOY | $55,429,564 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,854,952 | BOYAmt |
| EOY | $8,458,990 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,016,368 | BOYAmt |
| EOY | $2,407,848 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,457,525 | BOYAmt |
| EOY | $29,839,238 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,480,337 | BOYAmt |
| EOY | $2,660,163 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,809,182 | BOYAmt |
| EOY | $43,366,239 | 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 | $13,845,307 | BOYAmt |
| EOY | $7,355,179 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,216,924 | BOYAmt |
| EOY | $4,708,146 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,062,231 | BOYAmt |
| EOY | $12,063,325 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,871,413 | BOYAmt |
| EOY | $55,429,564 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,359,311 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $60,280 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$2,699,875 | PriorPeriodAdjustmentsAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | false | 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 | $5,592 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,592 | 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 ORGANIZATION 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,216,924 | BeginningYearBalanceAmt |
| Contributions | $491,222 | ContributionsAmt |
| End Year Balance | $4,708,146 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,725,701 | BeginningYearBalanceAmt |
| Contributions | $491,222 | ContributionsAmt |
| Investment Earnings Or Losses | $1 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,216,924 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,234,478 | BeginningYearBalanceAmt |
| Contributions | $491,222 | ContributionsAmt |
| Investment Earnings Or Losses | $1 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,725,701 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,745,745 | BeginningYearBalanceAmt |
| Contributions | $489,376 | ContributionsAmt |
| Investment Earnings Or Losses | $1 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $644 | AdministrativeExpensesAmt |
| End Year Balance | $3,234,478 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $2,745,743 | ContributionsAmt |
| Investment Earnings Or Losses | $2 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,745,745 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $619,242 | OtherCostOrOtherBasisAmt |
| Book Value | $619,242 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,544,161 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,133,345 | DepreciationAmt |
| Book Value | $14,410,816 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,890,114 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,341,632 | DepreciationAmt |
| Book Value | $1,548,482 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,012,595 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,268,980 | DepreciationAmt |
| Book Value | $5,743,615 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,285,862 | OtherCostOrOtherBasisAmt |
| Book Value | $6,285,862 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $28,608,017 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THIRD PARTY SETTLEMENTS | Desc |
| Amt | $2,660,163 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,660,163 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $65,768,034 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $60,280 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$1,651,977 | OtherRevenueAmt |
| Revenue Not Reported | -$1,591,697 | RevenueNotReportedAmt |
| Revenue Subtotal | $67,359,731 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $67,359,731 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $69,067,065 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $69,067,065 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,651,977 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,651,977 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $70,719,042 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | ENDOWMENT FUNDS MUST BE USED FOR A PARTICULAR PURPOSE, AS SPECIFIED BY CREDITORS, GRANTORS, OR CONTRIBUTORS EXTERNAL TO THE HOSPITAL AND INCLUDE AMOUNTS DEPOSITED WITH TRUSTEES AS REQUIRED BY REVENUE BOND INDENTURES. |
| SCHEDULE D, PAGE 3, PART X | THE AUTHORITY IS A GOVERNMENTAL ENTITY AND IS EXEMPT FROM INCOME TAXES. EFFINGHAM HOSPITAL, INC. IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE HOSPITAL ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2021 AND 2020 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. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | INTEREST EXPENSE -1,651,977 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | INTEREST EXPENSE 1,651,977 |
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 | 1.650000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $1,800,661 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,800,661 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02550 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,593,359 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,403,129 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,190,230 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01680 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,394,020 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,403,129 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,990,891 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04230 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,711 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,711 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,711 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,711 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,402,731 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,403,129 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,999,602 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04240 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $15,544,233 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $11,147,262 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,942,988 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $204,274 | 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 | 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 | EFFINGHAM HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 459 HWY 119 S | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 313293021 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | EFFINGHAMHEALTH.ORG | WebsiteAddressTxt |
| State License | 051-236 | 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 | SNF, SWB, RHC | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EFFINGHAM HOSPITAL INC | 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 |
| CHNA Conducted | 19 | 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 | EFFINGHAMHEALTH.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.EFFINGHAMHEALTH.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 | 165.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| 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 | EFFINGHAMHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | EFFINGHAMHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | EFFINGHAMHEALTH.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 |
| 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 Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, EFFINGHAM HOSPITAL, INC. - PART V, LINE 3E | THE PRIORITIZATION OF SIGNIFICANT COMMUNITY HEALTH NEEDS IS IDENTIFIED AND THE METHODOLOGY FOR PRIORITIZING EACH NEED IS DESCRIBED ON PAGE 62 OF THE 2019 CHNA. |
| FACILITY 1, EFFINGHAM HOSPITAL, INC. - PART V, LINE 5 | THE PROJECT TEAM WORKED WITH HOSPITAL LEADERSHIP AND THE COMMUNITY ADVISORY BOARD (CAB) TO RECRUIT COMMUNITY MEMBERS FOR FIVE FOCUS GROUPS, WITH AN AVERAGE OF SEVEN PARTICIPANTS IN EACH FOCUS GROUP. FIVE KEY INFORMANT INTERVIEWS WERE ALSO CONDUCTED WITH REPRESENTATIVES OF COMMUNITY-BASED ORGANIZATIONS. IN ADDITION TO THE FOCUS GROUPS, A COMMUNITY SURVEY WAS ADMINISTERED AIMED AT ASSESSING LOCAL HEALTH CARE ACCESS AND NEEDS OF THE PEOPLE RESIDING IN THE SERVICE AREA OF EFFINGHAM HEALTH SYSTEM (EHS). THE COMMUNITY SURVEY WAS DISSEMINATED TO RESIDENTS OF THE HOSPITALS PRIMARY SERVICE AREA WITH THE HELP OF HOSPITAL LEADERSHIP AND THE COMMUNITY ADVISORY BOARD (CAB). AN ONLINE VERSION OF THE SURVEY WAS ALSO MADE AVAILABLE TO POTENTIAL RESPONDENTS VIA THE HOSPITALS WEBSITE AND THE WEBSITES AND SOCIAL MEDIA PAGES OF OTHER COMMUNITY ORGANIZATIONS, SUCH AS THE SCHOOL SYSTEM. |
| FACILITY 1, EFFINGHAM HOSPITAL, INC. - PART V, LINE 11 | SEE PAGES 62-67 OF THE 2019 CHNA FOR A DISCUSSION ON HOW THE ORGANIZATION IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| EFFINGHAM EXTENDED CARE FACILITY | ||||
| 459 HIGHWAY 119 SOUTH | SPRINGFIELD | GA | 313290386 | SKILLED NURSING FACILITY |
| EFM AT TWENTY ONE | ||||
| 1451 HIGHWAY 21 | SPRINGFIELD | GA | 31329 | RURAL HEALTH CLINIC |
| EFM AT GOSHEN | ||||
| 100 GOSHEN ROAD | RINCON | GA | 31326 | RURAL HEALTH CLINIC |
| EFM AT GUYTON | ||||
| 3 HIDDEN CREEK DRIVE | GUYTON | GA | 31312 | RURAL HEALTH CLINIC |
| EFM AT RINCON | ||||
| 800 TOWNE PARK DRIVE SUITE 100 | RINCON | GA | 31326 | RURAL HEALTH CLINIC |
| EFFINGHAM HOSPITAL SWING BEDS | ||||
| 459 HIGHWAY 119 SOUTH | SPRINGFIELD | GA | 313290386 | SWING BED SNF |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | COSTS FOR PART I, LINE 7A AND 7B WERE CALCULATED USING THE RCC FROM WORKSHEET 2 IN THE IRS INSTRUCTIONS FOR SCHEDULE H. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. |
| SCHEDULE H, PART III, LINE 2 | AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. |
| SCHEDULE H, PART III, LINE 4 | THE AUTHORITY PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON AN EVALUATION OF THE OVERALL COLLECTABILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE, THE ACCOUNTS ARE CHARGED AGAINST THE ALLOWANCE. |
| 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 III, LINE 9B | THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR FINANCIAL AID OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS. |
| SCHEDULE H, PART VI, LINE 2 | EFFINGHAM HOSPITAL, INC. COMPLETED ITS FIRST COMMUNITY HEALTH NEEDS ASSESSMENT IN JUNE 2019. PRIOR TO BEGINNING OPERATIONS AS A TAX EXEMPT HOSPITAL UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE IN NOVEMBER 2016, THE EFFINGHAM COUNTY HOSPITAL AUTHORITY PARTICIPATED IN THE COMMUNITY HEALTH ASSESSMENT FOR EFFINGHAM COUNTY. ACCORDING TO THE REPORT, CANCER WAS THE NUMBER ONE HEALTH PROBLEM IN EFFINGHAM COUNTY. IN MAY 2017, EFFINGHAM HEALTH SYSTEM, IN COLLABORATION WITH A LOCAL GROUP OF PHYSICIANS, OPENED THE SUMMIT CANCER CARE CENTER, AN OUTPATIENT CANCER TREATMENT PROGRAM. THIS PROGRAM HAS MET A SIGNIFICANT COMMUNITY NEED WHILE RENDERING QUALITY CANCER CARE CLOSER TO THE PATIENT'S HOME. |
| SCHEDULE H, PART VI, LINE 3 | THE BOARD HAS CLEARLY WRITTEN INDIGENT AND FINANCIAL AID POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION WEB SITE AND THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND FINANCIAL AID. PATIENT EDUCATION ON THE ORGANIZATION'S INDIGENT AND FINANCIAL AID PROGRAMS ARE CONDUCTED DURING PRE-REGISTRATION, THROUGH FLOOR VISITS BY BUSINESS OFFICE REPRESENTATIVES FOR PATIENTS THAT STRESS CONCERN IN MEETING THE FINANCIAL OBLIGATIONS FOR THEIR SERVICES, THROUGH OUR CUSTOMER SERVICE DEPARTMENT. BROCHURES ARE PROMINENTLY DISPLAYED AT EACH REGISTRATION BOOTH. THE BUSINESS OFFICE CONTINUOUSLY PROVIDES UPDATED MATERIAL TO PHYSICIAN OFFICES FOR ISSUANCE TO THEIR PATIENTS THAT HIGHLIGHT OUR FINANCIAL ASSISTANCE PROGRAM AND POLICIES. PATIENT STATEMENTS HIGHLIGHT THE ORGANIZATION'S CHARITY PROGRAM AND ENCOURAGE PATIENTS TO CALL FOR FINANCIAL ASSISTANCE. |
| SCHEDULE H, PART VI, LINE 4 | EFFINGHAM COUNTY IS NESTLED BETWEEN THE OGEECHEE AND SAVANNAH RIVERS JUST NORTH OF GEORGIA'S FIRST CITY, SAVANNAH. EFFINGHAM IS STEEPED IN TRADITION AND HERITAGE AS ONE OF GEORGIA'S ORIGINAL COUNTIES, YET WE ARE KEEPING PACE WITH THE MOST MODERN AMENITIES, SOLID PLANNING AND AN EYE ON OUR BRIGHT FUTURE. EFFINGHAM COUNTY BOASTS ONE OF THE FASTEST GROWTH RATES IN THE STATE OF GEORGIA. WITH THE INFLUX OF NEW RESIDENTS WE MAINTAIN OUR HOME TOWN ATMOSPHERE WITH ALL THE CONVENIENCES OF A RURAL SUBURB. AS OF 2017, THE POPULATION WAS 59,982. THE COUNTY SEAT IS SPRINGFIELD. EFFINGHAM COUNTY IS INCLUDED IN THE SAVANNAH METROPOLITAN AREA. OTHER FACTS FROM THE CHNA - PER CAPITA INCOME IS 25,553; 10.3% OF THE COUNTY POPULATION IS LIVING IN POVERTY; CAUCASIANS MAKE UP 78.8% OF THE POPULATION, AFRICAN AMERICAN 13.6%, OTHER RACES MAKE UP THE REMAINING PERCENTAGE; PERSONS AGED 65 YEARS AND OLDER MAKE UP 11.5%. |
| 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. |
| SCHEDULE H, PART VI, LINE 7 | GEORGIA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EFFINGHAM HEALTH SYSTEM FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 459 GA HIGHWAY 119 SOUTH | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 313293021 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 831089020 | RecipientEIN |
| IRC Section | 501C3 | IRCSectionDesc |
| Cash Grant | $81,900 | CashGrantAmt |
| Purpose Of Grant | OPERATIONS | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION MONITORS THE USE OF FUNDS BY MEANS OF A COMMON OFFICER AND REQUIRING REPORTS FROM THE GRANTEE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| DR FRAN WITT DNPMBALNHARN | ||||||
| PRESIDENT & CEO | $459,923 | $125,560 | $11,700 | $83,850 | $15,165 | $696,198 |
| CLAUDE SANKS III MD | ||||||
| HOSPITALIST | $384,928 | $7,500 | $14,000 | $27,243 | $433,671 | |
| JOHN BENNETT MD | ||||||
| CAO | $341,757 | $7,500 | $9,750 | $17,966 | $376,973 | |
| STEPHANIE REESE MD | ||||||
| PHYSICIAN | $307,895 | $17,500 | $8,568 | $333,963 | ||
| AL ALLRED | ||||||
| CFO | $245,482 | $39,150 | $18,166 | $302,798 | ||
| BAILEY ALFORD MD | ||||||
| PHYSICIAN | $223,302 | $12,500 | $7,768 | $243,570 | ||
| KEVIN SHERMAN | ||||||
| EXEC DIR H.R. | $192,504 | $18,270 | $5,019 | $4,861 | $220,654 | |
| MARGARET HENDLER | ||||||
| CNO | $162,113 | $15,050 | $8,269 | $10,542 | $195,974 | |
| TERRY WILK | ||||||
| CIO | $181,802 | $181,802 | ||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART III | FormAndLineReferenceDesc |
| Explanation | BONUS/INCENTIVES: BONUS COMPENSATION IS AWARDED BASED ON REACHING MULTIPLE ORGANIZAIONAL AND INDIVIDUAL GOALS, ALL OF WHICH ARE EXPRESSLY CONTINGENT UPON ACHIEVING A TARGETED OPERATING BUDGET. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 | ON NOVEMBER 1, 2016, PURSUANT TO A LEASE AND TRANSFER AGREEMENT, THE AUTHORITY IMPLEMENTED A REORGANIZATION PLAN TO LEASE ITS FACILITIES AND TRANSFER ITS OPERATING ASSETS, AS DEFINED IN THE AGREEMENT, TO EFFINGHAM HOSPITAL, INC., A 501(C)(3)NONPROFIT CORPORATION. EFFINGHAM HOSPITAL, INC. SHARES THE SAME BOARD OF DIRECTORS AS THE AUTHORITY. COVID IMPACT: THE OUTBREAK HAS PUT AN UNPRECEDENTED STRAIN ON THE U.S. HEALTHCARE SYSTEM, DISRUPTED OR DELAYED PRODUCTION AND DELIVERY OF MATERIALS AND PRODUCTS IN THE SUPPLY CHAIN, AND CAUSED STAFFING SHORTAGES. THE EXTENT OF THE IMPACT OF COVID-19 ON THE AUTHORITY'S OPERATIONAL AND FINANCIAL PERFORMANCE DEPENDS ON CERTAIN DEVELOPMENTS, INCLUDING THE DURATION AND SPREAD OF THE OUTBREAK, REMEDIAL ACTIONS AND STIMULUS MEASURES ADOPTED BY LOCAL AND FEDERAL GOVERNMENTS, AND IMPACT ON THE AUTHORITY'S CUSTOMERS, EMPLOYEES AND VENDORS ALL OF WHICH ARE UNCERTAIN AND CANNOT BE PREDICTED. AT THIS POINT, THE EXTENT TO WHICH COVID-19 MAY IMPACT THE AUTHORITY'S FINANCIAL POSITION OR RESULTS OF OPERATIONS IS UNCERTAIN. ON MARCH 27, 2020, THE PRESIDENT SIGNED THE CORONAVIRUS AID, RELIEF AND ECONOMIC SECURITY ACT (CARES ACT). CERTAIN PROVISIONS OF THE CARES ACT PROVIDE RELIEF FUNDS TO HOSPITALS AND OTHER HEALTHCARE PROVIDERS. THE FUNDING WILL BE USED TO SUPPORT HEALTHCARE-RELATED EXPENSES OR LOST REVENUE ATTRIBUTABLE TO COVID-19. THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES BEGAN DISTRIBUTING FUNDS ON APRIL 10, 2020 TO ELIGIBLE PROVIDERS IN AN EFFORT TO PROVIDE RELIEF TO BOTH PROVIDERS IN AREAS HEAVILY IMPACTED BY COVID-19 AND THOSE PROVIDERS WHO ARE STRUGGLING TO KEEP THEIR DOORS OPEN DUE TO HEALTHY PATIENTS DELAYING CARE AND CANCELING ENHANCEMENT ACT WAS PASSED. THIS ACT PROVIDES ADDITIONAL FUNDING TO REPLENISH AND SUPPLEMENT KEY PROGRAMS UNDER THE CARES ACT, INCLUDING FUNDS TO HEALTH CARE PROVIDERS FOR COVID-19 TESTING. GRANT AND CONTRIBUTION ADVANCE PAYMENTS ARE REPORTED AS UNEARNED REVENUE UNTIL ALL ELIGIBILITY REQUIREMENTS ARE MET. RECOGNIZED REVENUE IS REPORTED AS NONOPERATING REVENUES IN THE STATEMENTS OF REVENUES, EXPENSES AND CHANGES IN NET POSITION. THE AUTHORITY RECEIVED AND RECOGNIZED 1,035,622 AND 6,072,589 IN GRANT STIMULUS FUNDING IN FISCAL YEARS 2021 AND 2020, RESPECTIVELY. CARES ACT FUNDING MAY BE SUBJECT TO AUDITS. WHILE THE AUTHORITY CURRENTLY BELIEVES ITS USE OF THE FUNDS IS IN COMPLIANCE WITH APPLICABLE TERMS AND CONDITIONS, THERE IS A POSSIBILITY PAYMENTS COULD BE RECOUPED BASED ON CHANGES IN REPORTING REQUIREMENTS OR AUDIT RESULTS. THE CARES ACT ALSO EXPANDED THE EXISTING MEDICARE ACCELERATED AND ADVANCE PAYMENT PROGRAM BY ALLOWING QUALIFYING PROVIDERS TO RECEIVE AN ADVANCED MEDICARE PAYMENT. THE ADVANCE PAYMENT WILL HAVE TO BE REPAID. RECOUPMENT BEGINS ONE YEAR AFTER THE DATE OF RECEIPT OF THE ADVANCE PAYMENT. AFTER THAT FIRST YEAR, MEDICARE WILL AUTOMATICALLY RECOUP 25 PERCENT OF MEDICARE PAYMENTS OTHERWISE OWED TO THE AUTHORITY FOR ELEVEN MONTHS. AT THE END OF THE ELEVEN-MONTH PERIOD, RECOUPMENT WILL INCREASE TO 50 PERCENT FOR ANOTHER SIX MONTHS. IF THE AUTHORITY IS UNABLE TO REPAY THE TOTAL AMOUNT OF THE ADVANCED PAYMENTS DURING THIS TIME-PERIOD (A TOTAL OF 29 MONTHS), CMS WILL ISSUE LETTERS REQUIRING REPAYMENT OF ANY OUTSTANDING BALANCE, SUBJECT TO AN INTEREST RATE OF FOUR PERCENT. IN APRIL 2020, THE AUTHORITY RECEIVED 3,016,368 IN ADVANCED PAYMENTS. THROUGH JUNE 30, 2021, 608,520 OF THE ADVANCE HAS BEEN REPAID. THE CURRENT PORTION OF THE OUTSTANDING BALANCE IN CURRENT LIABILITIES IS 2,010,912 WITH THE REMAINING BALANCE OF APPROXIMATELY 396,936 INCLUDED WITH LONG-TERM LIABILITIES AS OF JUNE 30, 2021. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE MEMBERS OF THE BOARD OF DIRECTORS OF THE HOSPITAL SHALL AT ALL TIMES BE THE MEMBERS OF THE HOSPITAL AUTHORITY OF EFFINGHAM COUNTY (AUTHORITY) BOARD AND TERMS OF THE OFFICE OF THE MEMBERS OF THE BOARD OF DIRECTORS SHALL BE COTERMINOUS WITH THE TERMS OF OFFICE OF THE AUTHORITY BOARD MEMBERS. AUTHORITY BOARD OF DIRECTORS ARE APPOINTED/NOMINATED BY THE BOARD OF COMMISSIONERS OF EFFINGHAM COUNTY, GEORGIA (COUNTY). |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE BOARD IS APPOINTED/NOMINATED BY THE BOARD OF COUNTY COMMISSIONERS OF EFFINGHAM COUNTY, GEORGIA. DEBT THAT WILL BE GUARANTEED BY THE COUNTY CANNOT BE ISSUED WITHOUT THE COUNTY'S APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE ORGANIZATION'S CEO, AND CFO REVIEW THE FORM 990 FOR FINANCIAL AND DISCLOSURE ACCURACY. PRIOR TO ITS FILING, A COPY OF THE ORGANIZATION'S 990 RETURN IS DISTRIBUTED TO CURRENT VOTING BOARD MEMBERS FOR FURTHER REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CORPORATION EXPECTS AND DEMANDS ETHICAL CONDUCT AND COMPLIANCE WITH ALL LAWS BY ITS EMPLOYEES, OFFICERS, DIRECTORS, AND OTHER AGENTS. EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD- DELEGATED POWERS SHALL ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE TO THE BOARD OR COMMITTEE DESIGNATED BY THE BOARD THE EXISTENCE OF HIS OR HER POTENTIAL CONFLICT. THE INTERESTED PERSON MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OR COMMITTEE WITH BOARD DELEGATED POWERS CONSIDERING OR INVOLVED WITH THE CURRENT OR PROPOSED TRANSACTION, BUSINESS RELATIONSHIP, OR ARRANGEMENT. WHETHER A CONFLICT EXISTS OR DOES NOT EXIST SHALL BE DETERMINED BY A MAJORITY OF THE BOARD'S OR COMMITTEE'S DISINTERESTED MEMBERS. IF THE BOARD OR COMMITTEE DECIDES THAT A CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT CAUSED THE CONFLICT OF INTEREST. |
| FORM 990, PAGE 6, PART VI, LINE 15A | CEO COMPENSATION WAS DETERMINED VIA A THIRD PARTY REVIEW INITIATED BY THE BOARD OF DIRECTORS AND LEGAL COUNSEL. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC WHEN THE REQUEST IS MADE AT THE ADMINISTRATIVE OFFICE OF THE FILING CORPORATION. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR 690,109 0 0 PROFESSIONAL FEES 3,111,753 82,250 0 PURCHASED SERVICES 10,260,268 2,569,171 0 CONSULTING SERVICES 65,980 53,273 0 TOTAL 14,128,110 2,704,694 0 |
| FORM 990, PART XI | PART XI, LINE 8 - PRIOR PERIOD ADJUSTMENT THE FINANCIAL STATEMENTS OF THE AUTHORITY HAVE BEEN RESTATED TO CORRECT CERTAIN ERRORS RESULTING IN AN UNDERSTATEMENT OF PREVIOUSLY REPORTED ESTIMATED THIRD-PARTY PAYOR SETTLEMENT LIABILITIES. DURING THE CURRENT FISCAL YEAR, MANAGEMENT DISCOVERED ERRORS IN FILED MEDICARE COST REPORTS FOR FISCAL YEARS 2015 THROUGH 2020 AS A RESULT OF AUDITS CONDUCTED BY THE MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). ACCORDINGLY, AN ADJUSTMENT HAS BEEN MADE TO BEGINNING NET POSITION AS OF JULY 1, 2019 OF 3,099,875 AND NET PATIENT SERVICE REVENUE FOR THE YEAR ENDED JUNE 30, 2020 OF 400,000 TO RECORD ESTIMATED THIRD-PARTY SETTLEMENT LIABILITIES OF 2,699,875 IN THE CORRECT PERIOD. |
| FORM 990, PAGE 12, PART XII, LINE 3B | DURING FISCAL YEAR 2021, FEDERAL AWARDS EXPENDED EXCEEDED THE 750,000 THRESHOLD REQUIRING A SINGLE AUDIT (PREVIOUSLY KNOWN AS THE OMB CIRCULAR A-133 AUDIT). THE SUBSTANTIAL PORTION OF THESE FEDERAL EXPENDITURES RELATED TO THE FUNDING ASSOCIATED WITH THE "CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY ACT" (CARES ACT). TYPICALLY, THE SINGLE AUDIT DUE DATE WOULD BE NINE MONTHS FROM THE END OF THE FISCAL YEAR BEING REPORTED ON (MARCH 31, 2022). HOWEVER, THE DEADLINE TO SUBMIT THE REQUIRED SINGLE AUDIT HAS BEEN EXTENDED BY THE OFFICE OF MANAGEMENT AND BUDGET (OMB) TO INCLUDE AN ADDITIONAL SIX MONTHS BEYOND THE ORIGINAL NINE-MONTH PERIOD (SEPTEMBER 30, 2022). AS SUCH, EHI HAS NOT UNDERGONE THE SINGLE AUDIT ASSOCIATED WITH ITS FISCAL YEAR 2021, BUT ARRANGEMENTS HAVE BEEN MADE TO UNDERGO THIS SINGLE AUDIT AND TO ENSURE ITS COMPLETION PRIOR TO THE EXTENDED DEADLINE. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EFFINGHAM COUNTY HOSPITAL AUTHORITY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 459 HIGHWAY 119 SOUTH | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31329 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581036643 | EIN |
| Primary Activities | AUTHORITY | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | 6 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | 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 | false | 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 |