2020-06-02T00:34:20-05:00 2019-09-30 BKD LLP 360 E 8TH AVE STE 201 PO BOX 1196 BOWLING GREEN KY 421021196 990 2018-10-01 620988604 MACON HOSPITAL INC % SCOTT A TONGATE MACO 6156662147 204 MEDICAL DRIVE LAFAYETTE TN 37083 SCOTT TONGATE CFO 6156662147 2020-04-01 true JESSICA FREEMAN P01261457 2707810111 167.68.126.162 61016420201545000000 2020-06-02 P D96EEA1EFD704BF3A6FD0CFD465A7C805E74B28F 960E2682245B9F8FA4870C9892C8D144138B2C2B 2018 2021-01-29 14:40:06Z THOMAS KIDD 204 MEDICAL DRIVE LAFAYETTE TN 37083 17157227 false X WWW.MCGH.NET X 1975 TN THE HOSPITAL'S MISSION IS TO PROVIDE OUR COMMUNITY WITH HIGH QUALITY HEALTHCARE AT A REASONABLE COST WHILE STAYING FINANCIALLY SOUND. 8 8 194 12 0 56849 36090 14739273 17039047 2795 4670 53002 77420 14851919 17157227 0 0 0 0 7472091 8273161 0 0 0 7411009 9401783 14883100 17674944 -31181 -517717 8319731 10612020 3972851 6782857 4346880 3829163 THE HOSPITAL'S MISSION IS TO PROVIDE OUR COMMUNITY WITH HIGH QUALITY HEALTHCARE AT A REASONABLE COST WHILE STAYING FINANCIALLY SOUND. false false 14400322 17039047 TO PROVIDE INPATIENT, OUTPATIENT AND EMERGENCY SERVICES TO CITIZENS OF MACON COUNTY, TN AND SURROUNDING COUNTIES WITHOUT REGARD TO ABILITY TO PAY, RACE, RELIGION, SEX, NATIONAL ORIGIN, SEXUAL ORIENTATION, ETC.. WE PROVIDE CHRONIC DISEASE MANAGEMENT EDUCATION, COMMUNITY OUTREACH AND HEALTH FAIRS TO OVER 13,340 INDIVIDUALS. PROVIDED $550,575 OF CHARITY CARE FOR YEAR ENDED SEPTEMBER 30, 2019. 14400322 true true false true false false false false false false true false false true false false true false false false false false false false false false true true false false true false false false false false false false true false false false false false false false false false true 49 0 true 194 true false false false false false false false false false false false false X 8 8 false true false false false false false true true false false true true true true true true true true false X SCOTT A TONGATE 6156662147 204 MEDICAL DRIVE LAFAYETTE TN 37083 X RADFORD WEST PRESIDENT 2.0 0.0 X X 1000 0 0 CHARLES DARNELL VICE PRESIDENT 2.0 0.0 X X 500 0 0 STANLEY CHUNN MD SECRETARY / TREASURER 2.0 0.0 X X 1000 0 0 FEMI ODUNUSI MD OFFICER 2.0 0.0 X X 4313 0 0 LINDA AUSTIN MEMBER 2.0 0.0 X 1000 0 0 HUGH CLARK MEMBER 2.0 0.0 X 1100 0 0 HANNA ILIA MD MEMBER 2.0 0.0 X 2648 0 0 FRED SCRUGGS MEMBER 2.0 0.0 X 800 0 0 THOMAS J KIDD CEO 50.0 0.0 X 0 0 0 SCOTT TONGATE CFO 50.0 0.0 X 0 0 0 12361 0 0 0 false false true B L MEDICAL IMAGING LLC 555 MOUNT CARMEL ROAD MOSHEIM TN 37818 IMAGING SERVICES 156000 EMCARE PHYSICIAN SERVICES 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 PHYSICIAN SERVICES 694368 PAINTER HUDSON PLLC 1515 OLD LAKE ROAD RED BOILING SPRINGS TN 37150 PHARMACIST SERVICES 188500 QHR 105 CONTINENTAL PLACE BRENTWOOD TN 37027 MANAGEMENT SERVICES 655859 SOUTHLAND CONSTRUCTORS LLC 1587 MALLORY LANE SUITE 100 BRENTWOOD TN 37027 CONSTRUCTION SERVICE 1666026 5 36090 36090 NET PATIENT SERVICE REVENUE 621110 17014270 17014270 OTHER OPERATING 621110 24777 24777 17039047 4670 4670 0 0 76820 76820 0 76820 76820 0 0 0 0 0 0 0 0 0 0 ALL OTHER MISC REVENUE 900099 600 600 600 17157227 17039047 82090 0 0 0 0 12361 12361 0 6584857 5539841 1045016 95392 80103 15289 1121048 999093 121955 459503 406026 53477 227499 227499 0 91290 91290 0 0 0 2218303 1301113 917190 76730 2700 74030 350051 186079 163972 0 0 702661 532865 169796 52571 22886 29685 0 0 72534 72534 0 520586 424798 95788 228422 186898 41524 BAD DEBTS 2830443 2830443 REPAIRS & MAINTENANCE 479738 427584 52154 DUES & SUBSCRIPTIONS 97031 34619 62412 MEDICAL SUPPLIES 1424301 1424301 29623 973 28650 17674944 14400322 3274622 0 163508 382328 894175 19970 0 0 1868274 1628525 0 0 0 0 0 0 224444 256623 176462 409801 10834412 3863899 4623129 6970513 0 0 0 0 0 0 0 0 369739 944260 8319731 10612020 1532381 1385856 0 0 0 0 0 0 0 0 0 0 2440470 5397001 0 0 0 0 3972851 6782857 X 4346880 3829163 0 0 0 0 4346880 3829163 8319731 10612020 -517717 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 727 727 false SCH C, PART II-B, LINE 1I LOBBYING EXPENDITURES ----------------------- A PORTION OF THE DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE TENNESSEE HOSPITAL ASSOCIATION ARE FOR LOBBYING. 1708518 1708518 6309188 1859439 4449749 40170 40055 115 2776536 1964405 812131 6970513 DUE FROM THIRD PARTY PAYERS 944260 944260 14326784 -2830443 -2830443 17157227 17157227 14844501 14844501 2830443 2830443 17674944 SCH D, PART X, LINE 2 INCOME TAXES ------------ The organization's audited financial statements did not include a footnote that addressed the organization's liability for uncertain tax positions under FIN48 (ASC 740). Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review,management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. SCH D, PART XI & XII RECONCILIATION TO AUDIT REPORT ------------------------------ PART XI LINE 2D OTHER ITEMS INCLUDED ON LINE 1 BUT NOT ON 990 PART VIII: ------------------------------------------------------- BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDIT ($2,830,443) PART XII LINE 2D OTHER ITEMS INCLUDED ON 990 PART IX BUT NOT ON LINE 1: ------------------------------------------------------ BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDIT $2,830,443 true true true X true X false true false false 216029 216029 0.01460 2509015 2530559 2725044 2530559 216029 0.01460 2725044 2530559 216029 0.01460 true 2830443 551334 4284376 5366415 -1082039 X true true 1 1 MACON HOSPITAL INC 204 MEDICAL DRIVE LAFAYETTE TN 37083 WWW.MCGH.NET 0000000080 X X X MACON HOSPITAL INC false false true X X X X X X X X X 18 true false false true X HTTP://WWW.MCGH.NET/ABOUT-US/ X true 18 true HTTP://WWW.MCGH.NET/ABOUT-US/ false true X 200. 200. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X true X false X X X true X false false SCH H, PART V, SECTION B, LINE 5 COMMUNITY INPUT ----------------- INPUT WAS OBTAINED FROM A LOCAL EXPERT GROUP, WHICH IS AN ADVISORY GROUP OF AT LEAST 15 LOCAL RESIDENTS. THIS GROUP WAS CONSULTED ON FINDINGS FROM SECONDARY DATA GATHERED. THEY ALSO PARTICIPATED IN A SURVEY, WHICH PROVIDED INPUT ON HEALTH NEEDS WITHIN THE COMMUNITY ALONG WITH THOUGHTS ON VULNERABLE POPULATIONS. SCH H, PART V, SECTION B, LINE 11 ADDRESSING THE NEEDS OF THE COMMUNITY --------------------------------------- MACON COUNTY HOSPITAL DETERMINED THE FOLLOWING TO BE THE TOP PRIORITIES TO ADDRESS IN THE COMMUNITY FOR THE NEXT SEVERAL YEARS: - CANCER - HEART DISEASE - HEALTH LIFESTYLE PROMOTION AND EDUCATION - DIABETES THERE ARE ADDITIONAL NEEDS IDENTIFIED WITHIN THE CHNA REPORT THAT ARE NOT SPECIFICALLY ADDRESSED BY THE HOSPITAL DUE TO OTHER AGENCIES WITHIN THE COMMUNITY ARE ALREADY ADDRESSING THE ISSUES AND LACK OF AVAILABLE FUNDS. SCH H, PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY -------------------------- A COPY OF THE HOSPITAL'S FAP AND FAP APPLICATION FORMS ARE AVAILABLE AT https://mcgh.net/for-patients/financial-assistance/. SCH H, PART III, LINE 4 BAD DEBTS ----------- THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE DESCRIBING BAD DEBT EXPENSE. THE AMOUNT REPORTED ON LINE 3 RELATES TO THOSE ACCOUNTS WHERE THE HOSPITAL COULD NOT OBTAIN THE NECESSARY PAPERWORK TO PROPERLY CLASSIFY IT AS CHARITY CARE UNDER THE HOSPITAL POLICIES. SCH H, PART III, LINE 8 COSTING METHODOLOGY --------------------- THE MEDICARE COST REPORT WAS USED TO DETERMINE LINE 6. SCH H, PART VI, LINE 2 NEEDS ASSESSMENT ------------------ MACON COUNTY GENERAL HOSPITAL HAS CONDUCTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT AND WE ARE WORKING WITH LOCAL ORGANIZATIONS AND THE COMMUNITY TO IMPLEMENT THE ASSESSMENT. WE ARE ACTIVELY ENGAGED IN PROVIDING FOR AND IMPROVING THE HEALTH OF OUR COMMUNITY. MACON COUNTY, TENNESSEE HAS A STATISTICALLY HIGH PERCENTAGE OF THE POPULATION WITH DIABETES AND MCGH PROVIDES A DIABETES EDUCATION CENTER TO PROVIDE COOKING CLASSES, NUTRITION EDUCATION AND A QUESTION HOTLINE FOR THE COMMUNITY TO MANAGE THEIR DISEASE. MANAGEMENT OF MCGH ARE ALSO LEADERS AND ORGANIZERS OF THE ANNUAL MAKIN' MACON FIT FITNESS FESTIVAL THAT PROMOTES AN ACTIVE LIFESTYLE THAT IS IN ITS 26TH YEAR. MCGH STAFF WORKS WITH THE MACON COUNTY SCHOOL SYSTEM AND COORDINATED A SCHOOL HEALTH PROGRAM TO PROVIDE CLASSROOM INSTRUCTION ON NUTRITION AND FITNESS TO THE STUDENTS OF THE SCHOOL SYSTEM. MCGH STAFF ARE ON THE BOARDS OF THE SENIOR CITIZEN CENTER, MACON COUNTY HEALTH COUNCIL, MACON COUNTY CHAMBER OF COMMERCE AND THE UPPER MIDDLE TN RURAL HEALTH NETWORK. THROUGH THESE ORGANIZATIONS, WE LEARN OF AND PROVIDE EDUCATION, TRAINING, SCREENINGS AND OTHER ACTIVITIES TO ASSESS AND IMPROVE THE HEALTH NEEDS OF OUR COMMUNITY. SCH H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ------------------------------------------------- THE REGISTRATION STAFF DESCRIBE AND PROVIDE LITERATURE ABOUT FINANCIAL ASSISTANCE DURING THE PATIENT INTERVIEW PROCESS. EFFORTS ARE MADE TO PUT PATIENTS IN CONTACT WITH RESOURCES AVAILABLE TO ASSIST THE PATIENT IN GETTING QUALIFIED FOR GOVERNMENT OR OTHER ASSISTANCE. APPLICATIONS FOR HOSPITAL CHARITY CARE ARE DISTRIBUTED TO REGISTRARS, BILLING OFFICE STAFF AND A SOCIAL WORKER. POSTED NOTICES ARE OTHER SOURCES OF INFORMATION AS WELL AS LINKS ON OUR WEBSITE REGARDING OUR FINANCIAL ASSISTANCE POLICY AND THE FINANCIAL ASSISTANCE APPLICATION. SCH H, PART VI, LINE 4 COMMUNITY INFORMATION ----------------------- THE 2019 POPULATION FOR MACON COUNTY IS ESTIMATED TO BE 24,602. THE 2019 MEDIAN HOUSEHOLD INCOME FOR THE AREA IS $36,246, LOWER THAN THE TENNESSEE MEDIAN INCOME OF $50,972. THE PORTION OF THE POPULATION LIVING IN POVERTY IN THE COUNTY IS 18.1%, HIGHER THAN THE TENNESSEE ESTIMATE OF 15.3% SCH H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH ----------------------------- MACON COUNTY GENERAL HOSPITAL'S DEDICATED STAFF VOLUNTEER FOR NUMEROUS CAUSES PROMOTING HEALTH AND WELFARE FOR MACON COUNTY INCLUDING: RELAY FOR LIFE, MAKIN' MACON FIT FITNESS FESTIVAL, MAMMOGRAPHY SCREENINGS, BREAST CANCER AWARENESS EVENTS, SENIOR CITIZENS CENTER EDUCATION AND SCREENINGS, LOCAL RADIO WEEKLY SHOW ON HEALTH ISSUES AND HOW TO TAKE PREVENTATIVE MEASURE, MACON COUNTY CO-ORDINATED SCHOOL HEALTH PROGRAM, MACON COUNTY HEALTH COUNCIL, MACON COUNTY CHAMBER OF COMMERCE AND THE MACON COUNTY EDUCATION FOUNDATION. THE MEDICAL STAFF IS OPEN TO ANY PHYSICIAN WHO MEETS CREDENTIALING STANDARDS AND AGREES TO STANDARDS ESTABLISHED BY THE MEDICAL STAFF. VARIOUS BUSINESS LEADERS SERVE ON THE BOARD OF DIRECTORS ALONG WITH LEADERS OF THE PHYSICIAN COMMUNITY. SURPLUS FUNDS PROVIDE FOR CONTINUITY OF HEALTHCARE SERVICES DURING PERIODS OF ECONOMIC DOWNTURN AND ARE REINVESTED IN NEW TECHNOLOGY AND EQUIPMENT AS NEEDED. X X false false false false false false false false false THOMAS J KIDD CEO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCOTT TONGATE CFO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCH J, PART II COMPENSATION FROM UNRELATED ORGANIZATION ------------------------------------------ THE HOSPITAL CONTRACTS THE SERVICES OF THOMAS KIDD (CEO) AND SCOTT TONGATE (CFO) WITH QHR (FORMERLY QUORUM HEALTH RESOURCES, INC.), AN UNRELATED ORGANIZATION. QHR WAS PAID $425,528 FOR SERVICES PROVIDED BY THESE INDIVIDUALS FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2019. MACON BANK TRUST SEE PART V 359838 LOANS false SCHEDULE L, PART IV BUSINESS TRANSACTIONS ----------------------------------------- MACON COMMUNITY HOSPITAL HAS A BANKING RELATIONSHIP WITH MACON BANK & TRUST. RADFORD WEST IS THE BOARD CHAIR OF MACON COMMUNITY HOSPITAL AND IS ALSO THE PRESIDENT OF MACON BANK & TRUST. THE HOSPITAL HAS A BUILDING LOAN WITH THE BANK WITH A BALANCE OF $236,838 AT 9/30/2019 AND A LINE OF CREDIT WITH A BALANCE OF $123,000 AT 9/30/2019. ALL TRANSACTIONS ARE CONDUCTED ON AN ARM'S LENGTH BASIS. FORM 990, PART VI, QUESTION 3 DELEGATION OF CONTROL TO A MANAGEMENT COMPANY OR OTHER PERSON ------------------------------------------------------------- THE HOSPITAL CONTRACTS CERTAIN MANAGEMENT AND ADMINISTRATIVE SERVICES WITH QHR (FORMERLY QUOROM HEALTH RESOURCES, INC.). UNDER TERMS OF THE AGREEMENT, QHR PROVIDES THE SERVICES OF A CEO, CFO, AND ALSO PROVIDES OTHER ADMINISTRATIVE SERVICES CONSISTENT WITH THE POLICIES AND DIRECTIVES DICTATED BY THE BOARD OF DIRECTORS. FOR FISCAL YEAR SEPTEMBER 30, 2019, MACON COUNTY HOSPITAL PAID QHR $235,289 FOR THE SERVICES OF THOMAS KIDD (CEO), AND $190,238 FOR THE SERVICES OF SCOTT TONGATE (CFO). PER IRS GUIDANCE, NO COMPENSATION IS SHOWN ON FORM 990, PART VII, FOR THE CEO AND CFO. FORM 990, PART VI, QUESTION 11B PROCESS TO REVIEW THE FORM 990 ------------------------------ THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE ITS FORM 990. ONCE THE FORM 990 IS PREPARED BY THE ACCOUNTING FIRM AND REVIEWED BY MANAGEMENT, THE FINAL FORM IS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING. QUESTIONS AND COMMENTS RAISED DURING THE MEETING REGARDING THE FINAL FORM 990 ARE ADDRESSED PRIOR TO FILING. ONCE APPROVED BY THE BOARD, FORM 990 IS THEN FILED WITH THE IRS. FORM 990, PART VI, QUESTION 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY ------------------------------------------------------------------ ALL EMPLOYEES OF THE HOSPITAL ARE COVERED AND REVIEWED BY THE COMPLIANCE OFFICER. ANY EMPLOYEES HAVING A CONFLICT OF INTEREST ARE NOT ALLOWED TO PARTICIPATE IN THE DECISION MAKING REGARDING ANY ACTIVITY THAT WOULD BE VIEWED AS A CONFLICT OF INTEREST. FORM 990, PART VI, QUESTIONS 15A & 15B PROCESS FOR DETERMINING COMPENSATION ------------------------------------ THE REVIEW IS CONDUCTED BY QHR THAT SHOWS THE MINIMUM, MEDIAN AND MAXIMUM SALARY FOR THE SAME POSITION AT SIMILAR ORGANIZATIONS IN SIZE AND VOLUME. THE BOARD THEN TAKES THIS INFORMATION AND SETS THE SALARY FOR THE CEO AND CFO. FORM 990, PART VI, LINE 19 MAKING DOCUMENTS AVAILABLE TO THE PUBLIC ---------------------------------------- THE ORGANIZATION'S FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE STORED IN ADMINISTRATION AND AVAILABLE UPON REQUEST.