EFFINGHAM HOSPITAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- EFFINGHAM HOSPITAL INC (EIN 47-4393589)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-09
- IRS object ID
- 201901299349301215
- Schema version
- 2017v2.3
- 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 | 2019-05-09T09:32:27-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | 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 | 2017-07-01 | 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 | FRAN BAKER-WITT | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9127540142 | PhoneNum |
| Signature | 2019-05-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACQUELINE G ATKINS | PreparerPersonNm |
| PTIN | P00861721 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2019-05-09 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 208.73.87.26 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-09 | IPDt |
| IP Tm | 09:32:27 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3DB754BF4A86932C7270BAD44D636E9B352C5FAB | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 3DB754BF4A86932C7270BAD44D636E9B352C5FAB | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | 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 | FRAN BAKER-WITT | 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 | $48,842,993 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | 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 | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 562 | TotalEmployeeCnt |
| Total Volunteers | 45 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,407,948 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,614,291 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $28,564,786 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $43,154,962 | CYProgramServiceRevenueAmt |
| PY Investment Income | $391,159 | PYInvestmentIncomeAmt |
| CY Investment Income | $513,345 | CYInvestmentIncomeAmt |
| PY Other Revenue | $374,159 | PYOtherRevenueAmt |
| CY Other Revenue | $560,395 | CYOtherRevenueAmt |
| PY Total Revenue | $31,738,052 | PYTotalRevenueAmt |
| CY Total Revenue | $48,842,993 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $29,544 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,786,147 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,687,219 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,839,785 | PYOtherExpensesAmt |
| CY Other Expenses | $30,465,339 | CYOtherExpensesAmt |
| PY Total Expenses | $29,625,932 | PYTotalExpensesAmt |
| CY Total Expenses | $55,182,102 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,112,120 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,339,109 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $57,644,567 | TotalAssetsBOYAmt |
| Total Assets EOY | $53,821,752 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,024,279 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $35,949,941 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $25,620,288 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,871,811 | 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 | $38,883,923 | ExpenseAmt |
| Grant | $29,544 | GrantAmt |
| Revenue | $43,715,357 | 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 | $38,883,923 | 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 |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 562 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | 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 |
| 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 (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| PATRICIA ANN YARBROUGH | |||||||||
| CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BARRY FLONNORY | |||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LAMEISHA KELLY | |||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JASON RIPLEY | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HOYT MOSE MOCK | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH LANIER SCOTT | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHANIE WEITMAN | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD RAFTER | |||||||||
| PAST DIRECTO | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| FRAN BAKER-WITT | |||||||||
| CEO | 40.00 | Yes (X) | $401,724 | $0 | $0 | ||||
| AL ALLRED | |||||||||
| CFO (BEGAN 7 | 40.00 | Yes (X) | $122,171 | $0 | $0 | ||||
| MIKE SCRIBNER | |||||||||
| CFO (TERM 6/ | 40.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN BENNETT MD | |||||||||
| CHIEF MEDICA | 40.00 | $461,801 | $0 | $17,566 | Yes (X) | ||||
| CLAUDE SANKS III MD | |||||||||
| HOSPITALIST | 40.00 | $395,167 | $0 | $15,165 | Yes (X) | ||||
| STEPHANIE REESE MD | |||||||||
| PHYSICIAN | 40.00 | $269,821 | $0 | $7,768 | Yes (X) | ||||
| MICHAEL DALY | |||||||||
| NURSE PRACTI | 40.00 | $162,999 | $0 | $18,965 | Yes (X) | ||||
| MARK MUDANO MD | |||||||||
| ORTHO SURGEO | 40.00 | $141,016 | $0 | $3,138 | Yes (X) | ||||
| NORMA MORGAN | |||||||||
| FORMER CEO | $310,558 | $0 | $1,033 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,265,257 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $63,635 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 21 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MORRISON HEALTHCARE | |||||
| P O BOX 102289 | ATLANTA | GA | 30368 | FOOD SVC | $1,367,662 |
| JACK CARTER CONSTRUCTION | |||||
| PO BOX 2449 | RINCON | GA | 313262449 | CONSTRUCTION | $806,756 |
| ENDURACARE ACUTE CARE SVC | |||||
| P O BOX 654072 | DALLAS | TX | 75265 | THERAPY SVCS | $733,972 |
| CHATHAM ORTHOPAEDIC ASSOCIATES | |||||
| 4425 PAULSEN ST | SAVANNAH | GA | 31405 | ORTHOPAEDISTS | $642,915 |
| GA EMERGENCY PHYSICIAN SPECIALIST | |||||
| PO BOX 13428 | SAVANNAH | GA | 314160428 | ER PHYSICIANS | $608,419 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,745,384 | GovernmentGrantsAmt |
| All Other Contributions | $868,907 | AllOtherContributionsAmt |
| Total Contributions | $4,614,291 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PROGRAM SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $43,154,962 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,154,962 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $43,154,962 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $513,345 | TotalRevenueColumnAmt |
| Exclusion | $513,345 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS | 621990 | $423,774 | $423,774 |
| DRUG SALES | 621990 | $95,895 | $95,895 |
| REBATES & DISCOUNTS | 621990 | $40,726 | $40,726 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $560,395 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,842,993 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,715,357 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $513,345 | 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 | $29,544 | TotalAmt |
| Program Services | $29,544 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $825,899 | TotalAmt |
| Management And General | $825,899 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,239,236 | TotalAmt |
| Program Services | $15,595,717 | ProgramServicesAmt |
| Management And General | $3,643,519 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $396,134 | TotalAmt |
| Program Services | $307,915 | ProgramServicesAmt |
| Management And General | $88,219 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,763,238 | TotalAmt |
| Program Services | $2,147,865 | ProgramServicesAmt |
| Management And General | $615,373 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,462,712 | TotalAmt |
| Program Services | $1,136,966 | ProgramServicesAmt |
| Management And General | $325,746 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,852 | TotalAmt |
| Management And General | $361,852 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,122 | TotalAmt |
| Management And General | $198,122 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,665,863 | TotalAmt |
| Program Services | $6,766,685 | ProgramServicesAmt |
| Management And General | $2,899,178 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,463 | TotalAmt |
| Management And General | $487,463 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,106,610 | TotalAmt |
| Program Services | $1,581,440 | ProgramServicesAmt |
| Management And General | $525,170 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,325 | TotalAmt |
| Management And General | $22,325 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,397,962 | TotalAmt |
| Program Services | $1,966,569 | ProgramServicesAmt |
| Management And General | $431,393 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,744 | TotalAmt |
| Program Services | $200,937 | ProgramServicesAmt |
| Management And General | $58,807 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,636 | TotalAmt |
| Program Services | $45,426 | ProgramServicesAmt |
| Management And General | $54,210 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,921,096 | TotalAmt |
| Program Services | $2,395,591 | ProgramServicesAmt |
| Management And General | $525,505 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,274 | TotalAmt |
| Program Services | $22,477 | ProgramServicesAmt |
| Management And General | $188,797 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $4,992,260 | $4,872,123 | $120,137 |
| REGULATORY SETTLEMENT | $4,100,000 | $4,100,000 | |
| REPAIRS & MAINTENANCE | $1,450,472 | $1,124,712 | $325,760 |
| TAXES & LICENSES | $752,515 | $634,186 | $118,329 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438,145 | TotalAmt |
| Program Services | $55,770 | ProgramServicesAmt |
| Management And General | $382,375 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,182,102 | TotalAmt |
| Program Services | $38,883,923 | ProgramServicesAmt |
| Management And General | $16,298,179 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $323,378 | BOYAmt |
| EOY | $476,507 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,061,243 | BOYAmt |
| EOY | $5,434,228 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,145,952 | BOYAmt |
| EOY | $5,701,078 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $348,284 | BOYAmt |
| EOY | $1,188,203 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,210 | BOYAmt |
| EOY | $219,891 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $56,707,421 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $29,150,030 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,098,230 | BOYAmt |
| EOY | $27,557,391 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,515,288 | BOYAmt |
| EOY | $11,115,710 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,052,982 | BOYAmt |
| EOY | $2,128,744 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,644,567 | BOYAmt |
| EOY | $53,821,752 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,696,361 | BOYAmt |
| EOY | $7,515,988 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,758,949 | BOYAmt |
| EOY | $28,217,421 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $568,969 | BOYAmt |
| EOY | $216,532 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,024,279 | BOYAmt |
| EOY | $35,949,941 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,874,543 | BOYAmt |
| EOY | $14,637,333 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,745,745 | BOYAmt |
| EOY | $3,234,478 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,620,288 | BOYAmt |
| EOY | $17,871,811 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,644,567 | BOYAmt |
| EOY | $53,821,752 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$6,339,109 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$361,187 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$1,048,181 | PriorPeriodAdjustmentsAmt |
| 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 | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
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 | $4,166 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,166 | 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 | $27,510,006 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,756,863 | DepreciationAmt |
| Book Value | $16,753,143 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,890,114 | OtherCostOrOtherBasisAmt |
| Depreciation | $839,665 | DepreciationAmt |
| Book Value | $2,050,449 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,005,363 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,553,502 | DepreciationAmt |
| Book Value | $7,451,861 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $682,696 | OtherCostOrOtherBasisAmt |
| Book Value | $682,696 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $27,557,391 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THIRD PARTY SETTLEMENTS | Desc |
| Amt | $216,532 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $216,532 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $47,366,965 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$361,187 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$1,114,841 | OtherRevenueAmt |
| Revenue Not Reported | -$1,476,028 | RevenueNotReportedAmt |
| Revenue Subtotal | $48,842,993 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $48,842,993 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $54,067,261 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $54,067,261 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,114,841 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,114,841 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $55,182,102 | 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 MANAGEMENTS 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, 2018 AND 2017 OR FOR THE YEARS THEN ENDED. THE HOSPITALS 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 -1,114,841 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | INTEREST EXPENSE 1,114,841 |
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 | 1.330000000000 | 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 | $3,622,694 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,622,694 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06560 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,841,488 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,281,256 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $560,232 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01020 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $141,824 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $57,813 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $84,011 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,606,006 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,339,069 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,266,937 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07730 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,610 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $57,610 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,544 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,544 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $87,154 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $87,154 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,693,160 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,339,069 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,354,091 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07890 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,062,976 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $9,175,180 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,158,581 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $16,599 | 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 | Yes (true) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | false | CHNAConductedInd |
| 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 | 133.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| 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 |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FACILITY 1, EFFINGHAM HOSPITAL, INC. - PART V, LINE 2 | FormAndLineReferenceDesc |
| Explanation | IN DECEMBER 2015, EFFINGHAM HOSPITAL, INC. (EHI)FILED FOR AND RECEIVED TAX EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 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 EHI, A NONPROFIT CORPORATION. | ExplanationTxt |
| 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 | ||||
| 459 HIGHWAY 119 SOUTH | SPRINGFIELD | GA | 313290386 | RURAL HEALTH CLINIC |
| EFM AT GOSHEN | ||||
| 459 HIGHWAY 119 SOUTH | SPRINGFIELD | GA | 313290386 | RURAL HEALTH CLINIC |
| EFM AT GUYTON | ||||
| 459 HIGHWAY 119 SOUTH | SPRINGFIELD | GA | 313290386 | RURAL HEALTH CLINIC |
| EFM AT RINCON | ||||
| 459 HIGHWAY 119 SOUTH | SPRINGFIELD | GA | 313290386 | RURAL HEALTH CLINIC |
| EFFINGHAM HOSPITAL SWING BEDS | ||||
| 459 HIGHWAY 119 SOUTH | SPRINGFIELD | GA | 313290386 | SWING BED SNF |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | 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. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | 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. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | SEE PAGE 15 OF THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE. |
| 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. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR FINANCIAL AID OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | WITH THE START OF BUSINESS OF EFFINGHAM HOSPITAL, INC. ON NOVEMBER 1, 2016, THE STRATEGIC PLANNING PROCESS OF THE BOARD OF DIRECTORS HAS EARMARKED FUNDS AND RESOURCES TO THE DEVELOPMENT OF THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT TO BE COMPLETED IN JUNE 2019. PRIOR TO THIS PERIOD, THE EFFINGHAM COUNTY HOSPITAL AUTHORITY PARTICIPATED IN THE COMMUNITY HEALTH ASSESSMENT FOR EFFINGHAM COUNTY, WITH THE RESULTS REPORT DATED SEPTEMBER, 2016. 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. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | 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. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | 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 THE 2010 CENSUS, THE POPULATION WAS 52,250. THE SEAT IS SPRINGFIELD. EFFINGHAM COUNTY IS INCLUDED IN THE SAVANNAH METROPOLITAN AREA. OTHER FACTS FROM THE 2010 CENSUS - MEDIAN HOUSEHOLD INCOME IS 62,820; 10.3% OF THE COUNTY POPULATION IS LIVING IN POVERTY; CAUCASIANS MAKE UP 79% OF THE POPULATION, AFRICAN AMERICAN 14%, OTHER RACES MAKE UP THE REMAINING PERCENTAGE; PERSONS AGED 65 YEARS AND OLDER MAKE UP 11.4%. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | 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. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | GEORGIA |
| ADDITIONAL INFORMATION | PART V, SECTION B, COMMUNITY HEALTH NEEDS ASSESSMENT, LINE 3 IRS REGULATIONS STATE - NEW HOSPITAL ORGANIZATIONS. AN ORGANIZATION THAT BECOMES NEWLY SUBJECT TO THE REQUIREMENTS OF SECTION 501(R) BECAUSE IT IS RECOGNIZED AS DESCRIBED IN SECTION 501(C)(3) AND IS OPERATING A HOSPITAL FACILITY MUST MEET THE REQUIREMENTS OF SECTION 501(R)(3) WITH RESPECT TO ANY HOSPITAL FACILITY BY THE LAST DAY OF THE SECOND TAXABLE YEAR BEGINNING AFTER THE LATER OF THE EFFECTIVE DATE OF THE DETERMINATION LETTER OR RULING RECOGNIZING THE ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OR THE FIRST DATE THAT A FACILITY OPERATED BY THE ORGANIZATION WAS LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY A STATE AS A HOSPITAL. EFFINGHAM WAS NOT OPERATING THE HOSPITAL FACILITY UNTIL NOVEMBER 1, 2016 WHEN EMPLOYEES WERE TRANSFERRED TO THE NEW ENTITY. WITH THEIR FIRST OPERATIONS AS THE NEWLY RECOGNIZED ENTITY BEING IN FYE JUNE 30, 2017, THE FIRST CHNA WILL BE DUE BY JUNE 30, 2019. |
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 | MARCH OF DIMES FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1275 MAMARONECK AVENUE | AddressLine1Txt |
| City | WHITE PLAINS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 131846366 | RecipientEIN |
| IRC Section | 501C3 | IRCSectionDesc |
| Cash Grant | $29,544 | CashGrantAmt |
| Purpose Of Grant | GENERAL SUPPORT | 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 | EFFINGHAM HEALTH SYSTEM'S CEO, FRAN BAKER-WITT, IS A BOARD MEMBER AND CO- CHAIRMAN OF THE MARCH OF DIMES, COASTAL EMPIRE CHAPTER. WITH HER POSITION ON MOD'S BOARD, THE ORGANIZATION IS ABLE TO MONITOR THE USE OF THE FUNDS FOR THEIR INTENDED PURPOSES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | 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 (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt |
|---|---|---|---|---|---|---|
| FRAN BAKER-WITT | ||||||
| CEO | $341,124 | $51,000 | $9,600 | $401,724 | ||
| MIKE SCRIBNER | ||||||
| CFO (TERM 6/2018) | ||||||
| JOHN BENNETT MD | ||||||
| CHIEF MEDICAL OFFCR | $461,551 | $250 | $479,367 | $17,566 | ||
| CLAUDE SANKS III MD | ||||||
| HOSPITALIST | $372,667 | $22,500 | $410,332 | $15,165 | ||
| STEPHANIE REESE MD | ||||||
| PHYSICIAN | $249,821 | $20,000 | $277,589 | $7,768 | ||
| MICHAEL DALY | ||||||
| NURSE PRACTITIONER | $122,749 | $40,250 | $181,964 | $15,632 | $3,333 | |
| NORMA MORGAN | ||||||
| FORMER CEO | $310,558 | $311,591 | $1,033 | |||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | NORMA MORGAN 310,558 0 0 |
| SCHEDULE J, PART III | COMPENSATION FROM UNRELATED ORGANIZATION MIKE SCRIBNER, THE ACTING CFO FOR THE FILING ORGANIZATION, IS AN EMPLOYEE OF STRATEGIC HEALTHCARE PARTNERS (SHP). IN CALENDAR YEAR 2017, EH COMPENSATED SHP 302,004 FOR THEIR SERVICES WHICH INCLUDE FINANCIAL SUPPORT, MEDICAL STAFFING AND CFO CONSULTING SERVICES PROVIDED BY MIKE SCRIBNER. MIKE CONTINUES TO PROVIDE CONSULTING SERVICES, ALTHOUGH HIS SERVICES AS A CFO WERE NO LONGER REQUIRED AFTER JUNE 30, 2018. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 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 NONPROFIT CORPORATION. EFFINGHAM HOSPITAL, INC. SHARES THE SAME BOARD OF DIRECTORS AS THE AUTHORITY. EFFINGHAM HOSPITAL INC. (EH) APPLIED FOR AND WAS GRANTED 501(C)(3) STATUS EFFECTIVE DECEMBER 2015. FOR FYE 6/30/16, EH FILED A FORM 990-N, THE ELECTRONIC POSTCARD, SINCE OPERATIONS BEGAN FOR THE NEWLY FORMED ORGANIZATION WITHIN FYE 6/30/17. |
| FORM 990, PAGE 6, PART VI, LINE 3 | THE CFO, MIKE SCRIBNER, IS PROVIDED BY AND COMPENSATED BY STRATEGIC HEALTHCARE PARTNERS (SHP), AN UNRELATED ORGANIZATION. HIS SERVICES TO THE ORGANIZATION ARE THAT OF CHIEF FINANCIAL OFFICER WITH ALL THE RESPONSIBILITIES OF ONE IN THAT POSITION FOR LIKE ORGANIZATIONS WITHIN THE INDUSTRY. THE FILING ORGANIZATION COMPENSATED SHP 302,004 IN THE CALENDAR YEAR 2017 FOR MIKE SCRIBNER'S SERVICES. |
| 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 DURING A SPECIAL CALLED MEETING. |
| 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 250,590 0 0 PROFESSIONAL FEES 1,443,734 44,866 0 PURCHASED SERVICES 5,031,239 2,668,169 0 CONSULTING SERVICES 41,122 186,143 0 TOTAL 6,766,685 2,899,178 0 |
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 | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | 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 |