2020-08-17T13:27:24-05:00 2019-09-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2018-10-01 586001667 STEPHENS COUNTY HOSPITAL AUTHORITY STEP 7062824200 163 HOSPITAL DRIVE TOCCOA GA 305776820 MICHAEL HESTER CEO 7062824200 2020-08-13 true WILLIAM EDWARD PHILLIPS P00451499 2298837878 2020-08-17 208.73.87.26 2020-08-17 13:27:24 CD P BCE9FDEBD4CA8CCF95D3BA2F4EBE0DF2FFF03695 BCE9FDEBD4CA8CCF95D3BA2F4EBE0DF2FFF03695 2018 2020-09-22 18:59:49Z MICHAEL HESTER 163 HOSPITAL DRIVE TOCCOA GA 30577 44045153 false X WWW.STEPHENSCOUNTYHOSPITAL.COM X 1945 GA THE MISSION OF STEPHENS COUNTY HOSPITAL AUTHORITY IS TO PROVIDE HEALTH CARE AND RELATED SERVICES TO ENHANCE INDIVIDUAL HEALTH AND WELL BEING IN A MANNER THAT MEETS THE EXPECTATIONS OF PATIENTS AND OTHER CUSTOMERS; PRESERVE THE RIGHTS OF PATIENTS, EMPLOYEES AND OTHERS TO BE TREATED WITH DIGNITY, RESPECT AND CONCERN; PROVIDE PROFESSIONALLY AND TECHNICALLY PROFICIENT PERSONNEL IN AN EFFECTIVE AND RESOURCE EFFICIENT MANNER; AND UTLILIZE RESOURCES APPROPRIATELY TO CONTAIN COSTS AND TO PROVIDE FOR ADDITIONAL SERVICE OPPORTUNITIES. ALL PHASES OF OPERATION MUST BE CARRIED OUT IN AN ETHICAL MANNER DEDICATED TO EXCELLENCE IN HEALTHCARE FOR EVERY LIFE WE TOUCH. 7 7 631 24 0 564528 1429629 51330337 41589243 48259 94491 754307 931790 52697431 44045153 0 0 23194551 25721871 0 0 30360991 21227903 53555542 46949774 -858111 -2904621 39590385 35685279 24295529 23295044 15294856 12390235 X THE MISSION OF STEPHENS COUNTY HOSPITAL AUTHORITY IS TO PROVIDE HEALTH CARE AND RELATED SERVICES TO ENHANCE INDIVIDUAL HEALTH AND WELL BEING IN A MANNER THAT MEETS THE EXPECTATIONS OF PATIENTS AND OTHER CUSTOMERS; PRESERVE THE RIGHTS OF PATIENTS, EMPLOYEES AND OTHERS TO BE TREATED WITH DIGNITY, RESPECT AND CONCERN; PROVIDE PROFESSIONALLY AND TECHNICALLY PROFICIENT PERSONNEL IN AN EFFECTIVE AND RESOURCE EFFICIENT MANNER; AND UTLILIZE RESOURCES APPROPRIATELY TO CONTAIN COSTS AND TO PROVIDE FOR ADDITIONAL SERVICE OPPORTUNITIES. ALL PHASES OF OPERATION MUST BE CARRIED OUT IN AN ETHICAL MANNER DEDICATED TO EXCELLENCE IN HEALTHCARE FOR EVERY LIFE WE TOUCH. false false 41003049 42410215 STEPHENS COUNTY HOSPITAL AUTHORITY IS LICENSED TO OPERATE 96 INPATIENT BEDS AND PROVIDES OUTPATIENT SERVICES TO A SERVICE AREA THAT EXTENDS BEYOND STEPHENS COUNTY INTO THE SURROUNDING COUNTIES OF FRANKLIN, HART, HABERSHAM, RABUN AND BANKS IN GEORGIA, AND INTO NEIGHBORING OCONEE COUNTY IN SOUTH CAROLINA. STEPHENS COUNTY HOSPITAL AUTHORITY ALSO OPERATES A 92-BED PERSONAL CARE HOME. THE HOSPITAL PARTICIPATES IN SEVERAL EMPLOYER SPONSORED HEALTH FAIRS AND SUPPORTS THE LOCAL EMPLOYERS IN THE "DRUGS DON'T WORK" PROGRAM. THE HOSPITAL PROVIDES FREE DIAGNOSTIC TESTING TO THE OPEN ARMS CLINIC (A FREE CLINIC OPERATING IN STEPHENS COUNTY). THE HOSPITAL DOES NOT TURN DOWN ANYONE FOR EMERGENCY AND/OR MEDICALLY NECESSARY SERVICES BASED ON THE ABILITY TO PAY FOR SUCH SERVICES. 41003049 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true true true false false true 19 0 631 false false false false false false false false false false false false false X 7 7 false false false false false true false true true false false true true true true true true true true false GA X RAY LEADBETTER 7062824281 163 HOSPITAL DRIVE TOCCOA GA 30577 MARK WILKINSON CHAIRMAN 2.00 0.25 X X 0 0 0 JON WEST VICE CHAIRMA 2.00 0.25 X X 0 0 0 STAN ROBERTS SECRETARY/TR 2.00 0.25 X X 0 0 0 PAULA DICKERSON AT LARGE OFF 2.00 0.25 X X 0 0 0 GEORGE SANDERS DIRECTOR 2.00 0.25 X 0 0 0 STEPHEN PINKERTON MD DIRECTOR 2.00 0.25 X 0 0 0 BILL MCDOUGAL MD DIRECTOR 2.00 0.25 X 0 0 0 MAX BROCK DIRECTOR 2.00 0.25 X 0 0 0 KATHY F WHITMIRE COO 40.00 X 144987 0 7005 JEFFREY B LAIRD CFO 40.00 0.25 X 104541 0 14638 RUTH LYNNE M ANDERSON CEO 0.25 X 78500 0 0 MICHAEL HESTER CEO 40.00 0.25 X 0 0 0 CHRISTOPHER M VAUGHN MD PHYSICIAN 40.00 X 555959 0 0 JAMES R WADE MD PHYSICIAN 40.00 X 489911 0 14638 DEARL V BIRDSONG MD PHYSICIAN 40.00 X 377241 0 16369 KATHRYN A MCKINNEY MD PHYSICIAN 40.00 X 352271 0 7361 MICHELLE S CHITWOOD RADIOLOGY MA 40.00 X 120956 0 11141 2224366 71152 7 false true false SOUTHLAND MD PO BOX 1276 THOMASVILLE GA 30799 PHYSICIAN & ER 1783224 GE PRECISION HEALTHCARE LLC PO BOX 96483 CHICAGO IL 60693 RADIOLOGY 698137 DIVERSIFIED CLINICAL SERVICES 28525 NETWORK PLACE CHICAGO IL 60673 WOUND CARE 563885 JACKSON & COKER PO BOX 277638 ATLANTA GA 30384 LOCUM TENENS 525523 PHARMD ON DEMAND 630 HAWTHORNE AVENUE ATHENS GA 30606 PHARMACY MGMT. 522599 27 46939 1126914 255776 1429629 NET PATIENT SERVICE REVENUE 623000 41589243 41589243 41589243 86491 86491 8000 8000 8000 8000 CAFETERIA 722514 535150 535150 PHARMACY -EMPLOYEES 623000 110818 110818 DOT EXAMINATIONS 621110 97887 97887 187935 187935 931790 44045153 42410215 205309 X 336833 336833 21293170 19112271 2180899 2732381 2414332 318049 1359487 1201243 158244 92825 92825 17270 17270 7396623 6471554 925069 94940 94940 1403715 750180 653535 186221 186221 1191995 1022613 169382 41058 36279 4779 600817 599043 1774 1631387 1399567 231820 590571 506651 83920 OTHER MEDICAL SUPPLIES 3003809 3003809 PHARMACY & DRUGS 1936181 1936181 REPAIRS & MAINTENANCE 1809742 1552578 257164 RENTALS & LEASES 562920 482929 79991 667829 513819 154010 46949774 41003049 5946725 0 3506876 2020187 6056957 4975741 9527975 7549104 1460043 1498287 336757 399278 71043268 52420107 18284591 18623161 417186 619521 39590385 35685279 7610331 7573545 9290000 8940000 7395198 6597319 184180 24295529 23295044 X 10791706 9516648 4503150 2873587 15294856 12390235 39590385 35685279 -2904621 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5161 5161 false SCHEDULE C, PART II-B, LINE 1 MEMBERSHIP DUES PAID TO THE GEORGIA HOSPITAL ASSOCIATION AND TO HOME TOWN HEALTH ARE USED IN PART FOR LOBBYING ACTIVITIES. 348788 348788 33617773 19382748 14235025 1743884 1251641 492243 35126507 31785718 3340789 206316 206316 18623161 ESTIMATED 3RD PARTY SETTLEMENT 184180 184180 X 43585491 -459662 -459662 44045153 44045153 46490112 -459662 -459662 46949774 46949774 SCHEDULE D, PAGE 3, PART X THE AUTHORITY IS A GOVERNMENTAL ENTITY AND HAS BEEN RECOGNIZED AS TAX- EXEMPT UNDER THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISIONS FOR INCOME TAXES HAS BEEN PROVIDED. SCHPG AND SCEP ARE NOT-FOR-PROFIT ORGANIZATIONS AND HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3). ACCORDINGLY, NO PROVISIONS FOR INCOME TAXES HAS BEEN PROVIDED. NOTE, SCHPG IS A DISREGARDED ENTITY. SCEP HAD NO OPERATIONS DURING FISCAL YEAR ENDED SEPTEMBER 30, 2019. SCHEDULE D, PAGE 4, PART XI, LINE 2D PROVIDER FEES RECLASSIFIED -459,662 SCHEDULE D, PAGE 4, PART XII, LINE 2D PROVIDER FEES RECLASSIFIED -459,662 true true X true X true X true true true false false 1846804 410057 1436747 0.03060 6134791 6122072 12719 0.00030 7350 5675 1675 7988945 6537804 1451141 0.03090 7988945 6537804 1451141 0.03090 false 6856068 4456444 9228066 10683946 -1455880 X true true 1 1 STEPHENS COUNTY HOSPITAL 163 HOSPITAL DRIVE TOCCOA GA 30577 WWW.STEPHENSCOUNTYHOSPITAL.COM 127-169 X X X DISPROPORTIONATE SHARE HOSP. STEPHENS COUNTY HOSPITAL 1 false false true X X X X X X X X X X 19 true true true true X WWW.STEPHENSCOUNTYHOSPITAL.COM X true 19 true HTTPS://STEPHENSCOUNTYHOSPITAL.COM/FUL false false true X 150.000000000000 300.000000000000 X X X X X true true X X X true X HTTPS://STEPHENSCOUNTYHOSPITAL.COM/FUL X HTTPS://STEPHENSCOUNTYHOSPITAL.COM/FUL X HTTP://STEPHENSCOUNTYHOSPITAL.COM/FULL X X X X X X true X false X X X X true X false false FACILITY 1, STEPHENS COUNTY HOSPITAL - PART V, LINE 3E ON JUNE 19, 2019, A SESSION WAS HELD WITH THE JOINT CHNA PARTNERS AND THEIR COMMUNITY ADVISORS TO IDENTIFY AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS FOR EACH PARTNER'S COMMUNITY. THE PARTNERS AND THEIR ADVISORS UTILIZED A COMPREHENSIVE METHOD OF CONSIDERING ALL AVAILABLE RELEVANT DATA, INCLUDING COMMUNITY INPUT. THE MEETING INCLUDED: AN OVERVIEW OF THE CHNA PROCESS FOR THE NORTHEAST GEORGIA REGION; THE METHODOLOGY FOR DETERMINING THE TOP HEALTH NEEDS; THE SELECTION AND PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS FOR EACH PARTNER COMMUNITY; AND IDENTIFICATION OF COMMON PRIORITIES ACROSS THE COMMUNITIES OF NORTHEAST GEORGIA. PARTICIPANTS INCLUDED THE EXECUTIVE SPONSOR AND PROJECT SPONSOR FROM EACH OF THE CHNA PARTNERS. IN ADDITION, EACH PARTNER INVITED COMMUNITY ADVISORS TO THE PRIORITIZATION SESSION. COMMUNITY ADVISORS WERE INDIVIDUALS WITH A DEEP KNOWLEDGE OF EACH PARTNER'S COMMUNITY AND WERE INVOLVED/INVESTED IN COMMUNITY DEVELOPMENT. PARTICIPANTS WERE ORGANIZED INTO WORKING GROUPS FOR EACH CHNA PARTNER'S COMMUNITY. A LIST OF THE PARTICIPANTS AND THEIR COMMUNITY WORKING GROUPS IS INCLUDED IN APPENDIX E OF THE CHNA. PRIORITIZATION OF THE HEALTH NEEDS TOOK PLACE IN TWO STEPS. IN THE FIRST STEP, PARTICIPANTS REVIEWED THE CHNA FINDINGS AND THE HEALTH NEEDS MATRIX FOR EACH COMMUNITY AND AGREED THAT THE NEEDS IN THE UPPER RIGHT QUADRANT OF THE MATRIX, THOSE IDENTIFIED AS HIGH DATA/HIGH QUALITATIVE, WERE SIGNIFICANT. THE WORK GROUPS THEN REVIEWED THE OTHER QUADRANTS OF THE MATRIX WHERE EITHER THE QUANTITATIVE DATA OR QUALITATIVE INPUT INDICATED A NEED (UPPER LEFT AND LOWER RIGHT QUADRANTS RESPECTIVELY). LEVERAGING THE PROFESSIONAL EXPERIENCE AND COMMUNITY KNOWLEDGE OF THEIR GROUP VIA DISCUSSION, EACH GROUP DETERMINED IF ANY NEEDS FROM THE OTHER QUADRANTS WERE CONSIDERED SIGNIFICANT DUE TO THEIR POTENTIAL OR ACTUAL IMPACT ON THE COMMUNITY. IN THE SECOND STEP, PARTICIPANTS RANKED THE SIGNIFICANT HEALTH NEEDS ON A SET OF PRIORITIZATION CRITERIA CHOSEN BY THE CHNA PARTNERS: 1) MAGNITUDE: THE NUMBER OF PEOPLE AFFECTED ACTUALLY OR POTENTIALLY BY THE NEED AND/OR THE MAGNITUDE OF THE NEED COMPARED TO OTHER NEEDS IN THE COMMUNITY. 2) ALIGNMENT: ALIGNMENT WITH MISSION, VISION, AND VALUES OF EACH ORGANIZATION. 3) CONSEQUENCES: EXTENT OF DISABILITY, PREMATURE DEATH, SOCIAL, ECONOMIC OR OTHER BURDENS TO THE COMMUNITY. 4) ROOT CAUSE: THE ISSUE IS A ROOT CAUSE OF OTHER PROBLEMS, THEREBY POSSIBLY AFFECTING MULTIPLE ISSUES. THE MEMBERS OF THE STEPHENS COUNTY HOSPITAL PRIORITIZATION WORK GROUP RECOMMENDED THE FOLLOWING SIGNIFICANT HEALTH NEEDS BE ADDRESSED IN THE IMPLEMENTATION STRATEGY REPORT - 1) SUBSTANCE ABUSE 2) ACCESS TO CARE - PRIMARY CARE AND PREVENTABLE HOSPITALIZATION 3) MENTAL HEALTH 4) MATERNAL AND CHILD HEALTH FACILITY 1, STEPHENS COUNTY HOSPITAL - PART V, LINE 5 TO IDENTIFY THE HEALTH NEEDS OF THE COMMUNITY, THE CHNA PARTNERS ESTABLISHED A COMPREHENSIVE METHOD OF ACCOUNTING FOR ALL AVAILABLE RELEVANT DATA, INCLUDING COMMUNITY INPUT. THE BASIS OF IDENTIFICATION OF COMMUNITY HEALTH NEEDS WAS THE WEIGHT OF QUALITATIVE AND QUANTITATIVE DATA OBTAINED WHEN ASSESSING THE COMMUNITY. SURVEYORS CONDUCTED INTERVIEWS AND FOCUS GROUPS WITH INDIVIDUALS REPRESENTING PUBLIC HEALTH, COMMUNITY LEADERS/GROUPS, PUBLIC ORGANIZATIONS, AND OTHER PROVIDERS. IN SOME COMMUNITIES, SUPPLEMENTARY QUALITATIVE DATA WAS INCLUDED. IN ADDITION, QUANTITATIVE DATA COLLECTED FROM SEVERAL PUBLIC SOURCES WAS BENCHMARKED AGAINST A STATE VALUE TO INDICATE THE LEVEL OF NEED. PUBLIC HEALTH INDICATORS WERE USED TO ASSESS COMMUNITY HEALTH NEEDS FROM A QUANTITATIVE DATA PERSPECTIVE. THIS INCLUDED COLLECTION OF 129 DATA ELEMENTS GROUPED INTO 11 CATEGORIES AND EVALUATED FOR THE COUNTIES WHERE DATA WAS AVAILABLE. A BENCHMARK ANALYSIS WAS CONDUCTED TO DETERMINE THE PUBLIC HEALTH INDICATORS THAT DEMONSTRATED A COMMUNITY HEALTH NEED FROM A QUANTITATIVE PERSPECTIVE. BENCHMARK HEALTH INDICATORS INCLUDED (WHEN AVAILABLE): OVERALL U.S. VALUES AND STATE OF GEORGIA VALUES. ONCE THE COMMUNITY BENCHMARK WAS SET TO THE STATE VALUE, IT WAS DETERMINED WHICH INDICATORS FOR THE COMMUNITY DID NOT MEET THE STATE BENCHMARKS. THIS CREATED A SUBSET OF INDICATORS FOR FURTHER ANALYSIS. A NEED DIFFERENTIAL ANALYSIS WAS CONDUCTED TO UNDERSTAND THE RELATIVE SEVERITY OF NEED FOR THESE INDICATORS. THE NEED DIFFERENTIAL ESTABLISHED A STANDARDIZED WAY TO EVALUATE THE DEGREE EACH INDICATOR DIFFERED FROM ITS BENCHMARK. HEALTH COMMUNITY INDICATORS WITH NEED DIFFERENTIALS ABOVE THE 50TH PERCENTILE WERE ORDERED BY SEVERITY; THE HIGHEST RANKED INDICATORS WERE THE TOP HEALTH NEEDS FROM A QUANTITATIVE PERSPECTIVE. THE OUTCOMES OF THE QUANTITATIVE DATA ANALYSIS WERE COMPARED TO THE QUALITATIVE DATA FINDINGS. IN ADDITION TO ANALYZING QUANTITATIVE DATA, THE FACILITATOR COLLECTED QUALITATIVE DATA VIA A VARIETY OF SOURCES TO GATHER THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITIES SERVED THROUGHOUT THE REGION. INPUT FROM OVER 500 PEOPLE WAS INCLUDED IN THE ASSESSMENT VIA SEVERAL DIFFERENT APPROACHES. FOR THE COMMUNITY SERVED BY STEPHENS COUNTY HOSPITAL, ONE (1) FOCUS GROUP SESSION WITH NINE (9) PARTICIPANTS AND FOUR (4) INTERVIEWS WERE CONDUCTED MARCH THROUGH APRIL 2019. A LIST OF THE ORGANIZATIONS PROVIDING INPUT CAN BE FOUND IN APPENDIX B OF THE CHNA. SUMMARY FINDINGS FROM THE FOCUS GROUPS AND INTERVIEWS CAN BE FOUND IN APPENDIX C OF THE DOCUMENT. THE CHNA PROCESS WAS FACILITATED BY IBM WATSON HEALTH. FACILITY 1, STEPHENS COUNTY HOSPITAL - PART V, LINE 6A THE JOINT CHNA WAS CONDUCTED BY THESE JOINT CHNA PARTNERS: HABERSHAM MEDICAL CENTER NORTHEAST GEORGIA MEDICAL CENTER BARROW NORTHEAST GEORGIA MEDICAL CENTER BRASELTON NORTHEAST GEORGIA MEDICAL CENTER GAINESVILLE NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN FACILITY 1, STEPHENS COUNTY HOSPITAL - PART V, LINE 6B GEORGIA DEPARTMENT OF PUBLIC HEALTH - DISTRICT 2 PUBLIC HEALTH FACILITY 1, STEPHENS COUNTY HOSPITAL - PART V, LINE 11 THE FOLLOWING PRIORITIZED NEEDS WERE IDENTIFIED BY THE COMMUNITY AND THE CHNA STEERING COMMITTEE. PARTICULAR FOCUS WAS PLACED UPON THESE NEEDS IN DEVELOPING THE IMPLEMENTATION STRATEGY: 1) SUBSTANCE ABUSE, 2) ACCESS TO CARE, 3) BEHAVIORAL AND MENTAL HEALTH, AND 4) MATERNAL AND CHILD HEALTH. STEPHENS COUNTY HOSPITAL HAS ADDRESSED EACH OF THE SIGNFICANT HEALTH NEEDS AS PRIORITIZED IN THE CHNA BY ITS WORK GROUP AND DEVELOPED IMPLEMENTATION STRATEGIES TO ADDRESS EACH OF THE HEALTH ISSUES IDENTIFIED OVER THE NEXT THREE YEARS. 2 THE CLARY CARE CENTER 249 HOSPITAL DRIVE TOCCOA GA 30577 ADVANCED PERSONAL CARE THE WILKINSON CENTER 269 HOSPITAL DRIVE TOCCOA GA 30577 PERSONAL CARE PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE BAD DEBTS EXPENSE OF 6,856,068 WAS SUBTRACTED FROM GROSS PATIENT REVENUE IN THE AUDITED FINANCIAL STATEMENTS. NO ADJUSTMENT OF TOTAL EXPENSES ARE NEEDED FOR THIS CALCULATION. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE ORGANIZATION USES A COST-TO-CHARGE RATIO AS CALCULATED USING FORM 990, SCHEDULE H, WORKSHEET 2 TO CALCULATE THE DISCLOSURES IN SCHEDULE H, PART I, LINE 7 A - C. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE AUTHORITY PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON THE EVALUATION OF OVERALL COLLECTABILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOW TO BE UNCOLLECTIBLE, THEY ARE CHARGED AGAINST THE ALLOWANCE. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE THE BAD DEBT EXPENSE ATTRIBUTABLE TO CARE THAT WOULD QUALIFY FOR FINANCIAL ASSISTANCE (65%) IS BASED ON MANAGEMENT'S EVALUATION OF THE MEDIAN INCOME AND POVERTY LEVELS IN THE SERVICE AREA. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS FOOTNOTES 2 AND 3 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS ADDRESS UNCOMPENSATED CARE INCLUDING UNINSURED PATIENTS AND THE PROVISION FOR BAD DEBTS. PLEASE SEE PAGES 18 - 21. PART III, LINE 8 - MEDICARE EXPLANATION 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. THE FULL AMOUNT OF THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. MEDICARE IS A FEDERAL PROGRAM WHICH DICTATES PAYMENT RATES AND CONDITIONS OF PARTICIPATION FOR SERVING CERTAIN ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. SERVING THE NEEDS OF OUR CITIZENS AT BELOW MEDICARE'S COMPUTATION OF COST PROVIDES NECESSARY LOCAL CARE FOR A SEGMENT OF THE POPULATION THAT CONSTITUTES A CHARITABLE CLASS. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION PATIENTS KNOWN TO HAVE QUALIFIED FOR FINANCIAL ASSISTANCE ARE CONTACTED TO ASCERTAIN THEIR ABILITY TO PAY ANY BALANCE DUE AFTER THE FAP DISCOUNT AND/OR THEIR PLACEMENT ON THE INDIGENT/CHARITY CARE POLICY GUIDELINES OR TO CONFIRM WHETHER OR NOT THERE HAS BEEN A CHANGE IN THEIR FINANCIAL SITUATION. IF PREVIOUS QUALIFICATION OCCURRED WITHIN THE PRIOR 3 MONTHS OR THERE IS A HISTORIC LONG-TERM QUALIFICATION PATTERN, A PATIENT MAY BE PRESUMED INDIGENT OR IN NEED OF CHARITY. PART VI, LINE 2 - NEEDS ASSESSMENT IN ADDITION TO CONDUCTING A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL RECEIVES INPUT AND ADVICE FROM MEMBERS OF THE MEDICAL STAFF, NURSING STAFF AND COMMUNITY MEMBERS THROUGHOUT THE YEAR. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ALL PATIENTS AND VISITORS RECEIVE NOTIFICATION AT REGISTRATION THAT THERE ARE ASSISTANCE PROGRAMS AVAILABLE AND THAT THE HOSPITAL STAFF WILL ASSIST THEM IN EXPLORING ELIGIBILITY. ALL UNINSURED PATIENTS ARE CHECKED AGAINST THE MEDICAID DATABASE FOR ELIGIBILITY AND ENCOURAGED TO COMPLETE THE PROCESS IF ELIGIBILITY IS INDICATED. PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FAP UPON ADMISSION AND SIGNAGE THROUGHOUT THE FACILITY ALERTS PATIENTS OF THE AVAILABILITY OF THE FINANCIAL ASSISTANCE POLICY UPON REQUEST. THE FAP, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE. PART VI, LINE 4 - COMMUNITY INFORMATION STEPHENS COUNTY HOSPITAL AUTHORITY IS LOCATED IN TOCCOA, GEORGIA AND SERVES BOTH STEPHENS AND FRANKLIN COUNTIES. THE AREA IS GROWING SLOWLY WITH A PROJECT GROWTH RATE OF LESS THAN HALF THE RATE OF THE STATE OF GEORGIA. THE MEDIAN AGE OF THE AREA IS MUCH OLDER THAN THE STATE AVERAGE; MEDIAN HOUSEHOLD INCOME IS SIGNFICANTLY LOWER THAN STATE AND NATIONAL BENCHMARKS; AND THE ESTIMATED UNINSURED RATE IS GREATER THAN STATE AND FEDERAL LEVELS. THE 2018 MEDIAN INCOME WITHIN THE ZIP CODES IN THE HOSPITAL'S SEVICE AREA RANGE FROM 34,369 TO 45,362 (THE MEDIAN FOR GEORGIA WAS 55,559 WITH THE NATIONAL MEDIAN WAS 62,175). APPROXIMATELY 21% OF THE COMMUNITY HAS NO HEALTH INSURANCE AND 14% OF THE COMMUNITY IS ON MEDICAID. THE COMMUNITY INCLUDES 5 HEALTH PROFESSIONAL SHORTAGE AREAS AND 1 MEDICALLY UNDERSERVED AREA. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH STEPHENS COUNTY HOSPITAL AUTHORITY APPLIES ANY EXCESS REVENUES OVER EXPENSES TO THE PROVISION OF PATIENT CARE, PATIENT AND COMMUNITY HEALTH EDUCATION, RETIREMENT OF DEBT RELATED TO THE PURCHASE OF FIXED ASSETS UTILIZED IN THE PROVISION OF PATIENT CARE AND THE PURCHASE OF EQUIPMENT FOR THE PROVISION OF HEALTHCARE OR EXPANSION OF HEALTHCARE SERVICES TO THE COMMUNITY. THE STEPHENS COUNTY HOSPITAL AUTHORITY'S GOVERNING BOARD INCLUDES INDIVIDUALS RESIDING IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE HOSPITAL'S EMERGENCY ROOM IS OPEN 24 HOURS A DAY, 365 DAYS PER YEAR TO EVERYONE WITHOUT REGARD TO THEIR ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN THE MEDICARE, MEDICAID AND OTHER GOVERNMENT PROGRAMS. THE HOSPITAL PROVIDES EMERGENCY AND OTHER MEDICALLY NECESSARY CARE TO THE COMMUNITY ON A NONDISCRIMINATORY BASIS WITHOUT REGARD TO AN INDIVIDUAL'S ABILITY TO PAY FOR SUCH CARE. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM STEPHENS COUNTY HOSPITAL FOUNDATION, INC. IS A FUNDRAISING AFFILATE THAT SUPPORTS THE HOSPITAL. STEPHENS COUNTY EMERGENCY PHYSICIANS, INC. IS A DORMANT TAX-EXEMPT ENTITY. PRIOR TO CEASING OPERATIONS, IT PROVIDED EMERGENCY ROOM PHYSICIANS TO THE HOSPITAL (THE HOSPITAL NOW CONTRACTS DIRECTLY WITH A THIRD PARTY PROVIDER FOR THESE SERVICES). PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT GEORGIA ADDITIONAL INFORMATION THE COMPLETE URL FOR THE FAP, FAP PLAIN LANGUAGE SUMMARY, THE FINANCIAL ASSISTANCE APPLICATION, THE CHNA AND THE IMPLEMENTATION STRATEGY REPORTS ARE AS FOLLOWS _ FAP - HTTPS://STEPHENSCOUNTYHOSPITAL.COM/FULLPANEL/UPLOADS/FILES/SCH- FINANCIAL-ASSISTANCE-POLICY-PATIENT.PDF. PLS - HTTP://STEPHENSCOUNTYHOSPITAL.COM/FULLPANEL/UPLOADS/FILES/FINANCIAL- ASSISTANCE-PROGRAM---PLAIN-LANGUAGE-00003.PDF. APPLICATION - HTTPS://STEPHENSCOUNTYHOSPITAL.COM/FULLPANEL/UPLOADS/FILES/4 -ITF-APPLICATION.PDF. CHNA - HTTPS://STEPHENSCOUNTYHOSPITAL.COM/FULLPANEL/UPLOADS/FILES/NEGA- CHNA-FOR-EXTERNAL-USE.PDF. IMPLEMENTATION STRATEGY REPORT - HTTPS://STEPHENSCOUNTYHOSPITAL.COM/FULLPANEL/UPLOADS/FILES/2019-SCH- IMPLEMENTATION-STRATEGY.PDF. X X X X false false false false false false false false false KATHY F WHITMIRE COO 144987 7005 151992 CHRISTOPHER M VAUGHN MD PHYSICIAN 500616 55343 555959 JAMES R WADE MD PHYSICIAN 359870 130041 14638 504549 DEARL V BIRDSONG MD PHYSICIAN 377241 16369 393610 KATHRYN A MCKINNEY MD PHYSICIAN 302271 50000 7361 359632 A STEPHENS COUNTY HOSPITAL AUTHORITY 586001667 NONENONEN 2017-06-07 9500000 CURRENT REFUNDING, IMPROVEMENTS, EQUIPMENT false false false A 560000 9500000 180500 2000345 4445568 2873587 2017 true false false true A false false false false false false true A false false false false false false false false true A false SCHEDULE K - ADDITIONAL INFORMATION STEPHENS COUNTY HOSPITAL AUTHORITY THE AMOUNT LISTED ON PART II, LINE 11 REPRESENT PROCEEDS SPENT TO REFUND THE SERIES 2006 ISSUE. FORM 990 - ORGANIZATION'S MISSION THE MISSION OF STEPHENS COUNTY HOSPITAL AUTHORITY IS TO PROVIDE HEALTH CARE AND RELATED SERVICES TO ENHANCE INDIVIDUAL HEALTH AND WELL BEING IN A MANNER THAT MEETS THE EXPECTATIONS OF PATIENTS AND OTHER CUSTOMERS; PRESERVE THE RIGHTS OF PATIENTS, EMPLOYEES AND OTHERS TO BE TREATED WITH DIGNITY, RESPECT AND CONCERN; PROVIDE PROFESSIONALLY AND TECHNICALLY PROFICIENT PERSONNEL IN AN EFFECTIVE AND RESOURCE EFFICIENT MANNER; AND UTLILIZE RESOURCES APPROPRIATELY TO CONTAIN COSTS AND TO PROVIDE FOR ADDITIONAL SERVICE OPPORTUNITIES. ALL PHASES OF OPERATION MUST BE CARRIED OUT IN AN ETHICAL MANNER DEDICATED TO EXCELLENCE IN HEALTHCARE FOR EVERY LIFE WE TOUCH. FORM 990, PAGE 6, PART VI, LINE 7A MEMBERS OF THE BOARD OF TRUSTEES ARE NOT COMPENSATED. THEY ARE ELECTED TO A SIX YEAR TERM. ANY OPENING OR VACANCY IS FILLED BY THE REMAINING MEMBERS OF THE BOARD SELECTED FROM A SLATE OF THREE NOMINEES MADE BY THE COUNTY COMMISSION. FORM 990, PAGE 6, PART VI, LINE 11B THE RETURN IS PREPARED BY AN INDEPENDENT CPA , REVIEWED BY MANAGEMENT AND PROVIDED TO EACH MEMBER OF THE BOARD FOR REVIEW PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION CONDUCTS PERIODIC REVIEWS OF EXISTING BUSINESS RELATIONSHIPS AND INITIAL REVIEWS OF ANY NEW BUSINESS RELATIONSHIPS. DECISIONS RELATED TO POTENTIAL CONFLICTS ARE MADE BY THE REMAINING NONCONFLICTED BOARD MEMBERS. VIOLATION OF THE COI POLICY IS SUBJECT TO CORRECTIVE ACTION. FORM 990, PAGE 6, PART VI, LINE 15A THE AUTHORITY SETS AND REVIEWS THE COMPENSATION PACKAGE OF THE CEO USING COMPARABLE DATA PROVIDED BY THE GEORGIA HOSPITAL ASSOCIATION ON CEO COMPENSATION AT SIMILAR SIZED HOSPITALS LOCATED IN GEORGIA. CONSIDERATION IS GIVEN TO THE LEVEL OF EXPERIENCE AND OVERALL PERFORMANCE OF THE HOSPITAL. THE SAME PROCESS IS USED THROUGHOUT THE ORGANIZATION IN SETTING AND REVIEWING PAY SCALES FOR ALL JOBS, INCLUDING OTHER OFFICERS AND KEY EMPLOYEES. FORM 990, PAGE 6, PART VI, LINE 15B SEE RESPONSE TO 15A ABOVE. FORM 990, PAGE 6, PART VI, LINE 19 THE STEPHENS COUNTY HOSPITAL AUTHORITY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING & FINANCIAL SERV. 0 467,706 0 COLLECTIONS 0 457,363 0 ER COVERAGE 1,512,302 0 0 PROFESSIONAL FEES 4,959,252 0 0 TOTAL 6,471,554 925,069 0 STEPHENS COUNTY HOSPITAL PHYSICAN GROUP LLC 163 HOSPITAL DRIVE TOCCOA GA 30577 PHYSICIANS GA SCHA STEPHENS COUNTY HOSPITAL AUTHORITY STEPHENS COUNTY EMERGENCY PHYSICIAN 163 HOSPITAL DRIVE TOCCOA GA 305776820 020692996 DORMANT GA 501C3 3 SCHA STEPHENS COUNTY HOSPITAL AUTHORITY true STEPHENS COUNTY HOSPITAL FOUNDATION 163 HOSPITAL DRIVE TOCCOA GA 305776820 208089919 FUNDRAISIN GA 501C3 12A SCHA STEPHENS COUNTY HOSPITAL AUTHORITY true false false true false false false false false false false false false true true true false false false false STEPHENS COUNTY HOSPITAL FOUNDATION C 46939 CASH VALUE STEPHENS COUNTY HOSPITAL FOUNDATION M NO VALUE ESTIMATED STEPHENS COUNTY HOSPITAL FOUNDATION N NO VALUE ESTIMATED STEPHENS COUNTY HOSPITAL FOUNDATION O NO VALUE ESTIMATED