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SMHA HEALTHCARE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SMHA HEALTHCARE INC (EIN 58-2460001)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-12-06
IRS object ID
201833409349300538
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-12-06T14:58:46-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN582460001EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMEMOBusinessNameControlTxt
Phone9123504927PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1425 W NEW ENGLAND AVE STE 300AddressLine1Txt
CityWINTER PARKCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32789ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMATTHEW RUBINPersonNm
Person TitleCFOPersonTitleTxt
Phone9123504927PhoneNum
Signature2018-12-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.25.12.224IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-12-06IPDt
IP Tm14:58:14IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdADBFC64F84809A3D359AE279AE52D225AAF16287AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerMATTHEW RUBINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1425 W NEW ENGLAND AVE STE 300AddressLine1Txt
CityWINTER PARKCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32789ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$66,595,654GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MEMORIALHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO SUPPORT MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, INC.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee306TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$64,980,749PYProgramServiceRevenueAmt
CY Program Service Revenue$66,595,654CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$190,938PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$65,171,687PYTotalRevenueAmt
CY Total Revenue$66,595,654CYTotalRevenueAmt
PY Grants And Similar Paid$288,869PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$145,165CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$27,457,799PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$27,079,139CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$39,096,362PYOtherExpensesAmt
CY Other Expenses$40,940,456CYOtherExpensesAmt
PY Total Expenses$66,843,030PYTotalExpensesAmt
CY Total Expenses$68,164,760CYTotalExpensesAmt
PY Revenues Less Expenses-$1,671,343PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,569,106CYRevenuesLessExpensesAmt
Total Assets BOY$52,612,995TotalAssetsBOYAmt
Total Assets EOY$47,100,657TotalAssetsEOYAmt
Total Liabilities BOY$13,936,414TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,017,604TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$38,676,581NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$31,083,053NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE ADMINISTRATIVE SUPPORT BY ENGAGING IN SUCH OTHER ACTIVITIES THAT BENEFIT, PERFORM THE FUNCTIONS OF, OR CARRY OUT THE PURPOSES OF MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, INC. AND AFFILIATES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$57,507,392ExpenseAmt
Grant$145,165GrantAmt
Revenue$66,595,654RevenueAmt
DescTO PROVIDE ADMINISTRATIVE SUPPORT BY ENGAGING IN SUCH OTHER ACTIVITIES THAT BENEFIT, PERFORM THE FUNCTIONS OF, OR CARRY OUT THE PURPOSES OF MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, INC.THE ORGANIZATION ADMINISTERS AN ELECTRONIC MEDICAL RECORDS SOFTWARE PROGRAM INTENDED TO BENEFIT ITS SUPPORTED ORGANIZATION. EXPENSES TO BE REPORTED WITHIN THIS ENTITY ARE RELATED TO THE OPERATION AND MAINTENANCE OF THIS SOFTWARE SYSTEM AND ARE ALLOCATED TO THE ORGANIZATION BASED UPON ANNUAL TIME STUDIES. REVENUE TO BE RECOGNIZED IN CONJUNCTION WITH THIS SERVICE IS INTENDED TO DIRECTLY OFFSET OPERATIONAL EXPENSES AND WILL BE RECEIVED FROM SUPPORTED AND RELATED ORGANIZATIONS.Desc
Total Program Service Expenses$57,507,392TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document77IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee306EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAURA DOWBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9123508613PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14600 WATERS AVENUEAddressLine1Txt
CitySAVANNAHCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31404ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
BRUCE BARRAGAN
CHAIRMAN1.003.00Yes (X)Yes (X)$0$0$0
HUGH TAPPAN
VICE CHAIR1.002.00Yes (X)Yes (X)$0$0$0
CURTIS LEWIS III
BOARD MEMBER1.002.00Yes (X)$0$0$0
DAVID BYCK
BOARD MEMBER1.003.00Yes (X)$469,695$0$15,918
CHARLES F MCMILLAN SR
BOARD MEMBER1.002.00Yes (X)$0$0$0
RA MEGUIAR
BOARD MEMBER40.002.00Yes (X)$456,399$0$17,313
FRANK ROSSITER JR
BOARD MEMBER1.002.00Yes (X)$0$0$0
ISRAEL SMALL
BOARD MEMBER1.002.00Yes (X)$0$0$0
TERENCE VAN ARKEL
BOARD MEMBER1.002.00Yes (X)$0$0$0
SUSAN WILLETTS
BOARD MEMBER1.002.00Yes (X)$0$0$0
MARGARET M GILL
PRESIDENT & CEO (RESIGNED)40.002.00Yes (X)Yes (X)$652,990$0$10,609
SHAYNE GEORGE
CEO40.002.00Yes (X)$0$0$0
LAURA DOW
CHIEF FINANCIAL OFFICER40.00Yes (X)$377,718$0$11,350
MARY CHATMAN PHD RN
COO & CNO40.002.00Yes (X)$150,554$0$4,899
WILLIAM LEE III MHA MBA
CHIEF STRATEGY OFFICER40.003.00Yes (X)$146,460$0$5,853
KATHRYN MCCLELLAN
VP OF INFORMATION SERVICES40.002.00Yes (X)$70,821$0$1,778
KEITH MCNEICE
VP OF INFORMATION SERVICES40.002.00Yes (X)$253,677$0$12,102
REBECCA KEIGHTLEY
VP, CHIEF COMMUNICATIONS O40.002.00Yes (X)$209,085$0$12,931
KAREN BOYER MHA MBA RN
CNO40.00Yes (X)$0$274,789$14,109
GUY PETRUZZELLI MD PHD MBA FACS
VP OF ONCOLOGY PROGRAMS40.003.00$583,626$0$17,253Yes (X)
JAMES WATSON JR
VP OF REVENUE CYCLE & PATI40.003.00$244,143$0$12,531Yes (X)
LAURIE MULGREW
VP OF HEART & VASCULAR SER40.003.00$172,066$0$11,489Yes (X)
ALYSIA SHIRLEY CISA
VP OF COMPLIANCE & AUDIT S40.003.00$208,027$0$16,759Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,995,261TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$274,789TotReportableCompRltdOrgAmt
Total Other Compensation$164,894TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PREMIER ANESTHEISA LLC
2655 NORTHWINDS PKWYALPHARETTAGA30009ANESTHESIA SERVICES$2,076,661
ALSTON & BIRD LLP
1201 WEST PEACHTREE ST SUITE 4900ATLANTAGA30309LEGAL SERVICES$587,077
EPIC SYSTEMS CORPORATION
1979 MILKY WAYVERONAWI53593EHR SUPPORT$256,095
H2C ADVISORS LLC
33333 PIEDMONT RD SUITE 700ATLANTAGA30305LEGAL/FINANCIAL SERVICES$250,000
MCKESSON TECHNOLOGIES
5995 WINDWARD PKWYALPHARETTAGA30005SOFTWARE MAINT/SUPPORT$181,339
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INFORMATION TECHNOLOGY900099$37,956,872$37,956,872
PROGRAM SERVICE900099$23,706,183$23,706,183
ACCOUNTING AND FINANCE900099$4,765,811$4,765,811
OTHER PROGRAM SERVICE900099$166,788$166,788
FieldValueIRS element (for citing)
Total Program Service Revenue$66,595,654TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$66,595,654TotalRevenueColumnAmt
Related Or Exempt Func Income$66,595,654RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$145,165TotalAmt
Program Services$145,165ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,949,330TotalAmt
Management And General$3,949,330ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$20,345,924TotalAmt
Program Services$20,345,924ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$278,543TotalAmt
Program Services$278,543ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,128,945TotalAmt
Program Services$1,128,945ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,376,397TotalAmt
Program Services$1,376,397ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,301,534TotalAmt
Management And General$6,301,534ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$406,504TotalAmt
Management And General$406,504ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,842,474TotalAmt
Program Services$12,842,474ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$597,205TotalAmt
Program Services$597,205ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,771,603TotalAmt
Program Services$1,771,603ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,021,422TotalAmt
Program Services$10,021,422ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$770,772TotalAmt
Program Services$770,772ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$380,370TotalAmt
Program Services$380,370ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$26,361TotalAmt
Program Services$26,361ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$39,437TotalAmt
Program Services$39,437ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,116,563TotalAmt
Program Services$7,116,563ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$147,688TotalAmt
Program Services$147,688ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MISCELLANEOUS$233,488$233,488
BAD DEBT$200,205$200,205
MEDICAL SUPPLIES$84,830$84,830

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$68,164,760TotalAmt
Program Services$57,507,392ProgramServicesAmt
Management And General$10,657,368ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$303,515BOYAmt
EOY$24,991EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$530,816BOYAmt
EOY$482,596EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,862,493BOYAmt
EOY$3,301,400EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$64,781,210LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$21,489,540LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$48,916,171BOYAmt
EOY$43,291,670EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$52,612,995BOYAmt
EOY$47,100,657EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,010,621BOYAmt
EOY$15,423,687EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,164,236BOYAmt
EOY$168,229EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,761,557BOYAmt
EOY$425,688EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,936,414BOYAmt
EOY$16,017,604EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$38,676,581BOYAmt
EOY$31,083,053EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,676,581BOYAmt
EOY$31,083,053EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$52,612,995BOYAmt
EOY$47,100,657EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,569,106ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$6,024,422OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTH UNIVERSITY MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN311126469EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$66,204,286OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$66,204,286OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (1)MajorityDirTrstSupportedOrgInd

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,400OtherCostOrOtherBasisAmt
Depreciation$7,790DepreciationAmt
Book Value$8,610BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$378,500OtherCostOrOtherBasisAmt
Depreciation$193,908DepreciationAmt
Book Value$184,592BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,164,876OtherCostOrOtherBasisAmt
Depreciation$21,287,842DepreciationAmt
Book Value$41,877,034BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,221,434OtherCostOrOtherBasisAmt
Book Value$1,221,434BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$43,291,670TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$425,688Amt
FieldValueIRS element (for citing)
Total Liability$425,688TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE SYSTEM IS PARTIALLY COMPRISED OF ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTIONS 501(A) AND 501(C)(3) OF THE INTERNAL REVENUE CODE. WITH RESPECT TO ANY INCOME GENERATED BY ITS FOR-PROFIT SUBSIDIARIES OR UNRELATED BUSINESS INCOME, THE SYSTEM RECORDS INCOME TAXES USING THE LIABILITY METHOD UNDER WHICH THE DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR TO BE SETTLED. THE SYSTEM HAS EVALUATED ITS TAX POSITIONS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2017 AND 2016.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,00INVESTMENT IN CAPTIVE INSURANCE$6,625,123
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,00SELF INSURANCE PREMIUMS$5,111,174
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$11,736,297SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$11,736,297TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescPurpose Of GrantPurposeOfGrantTxt
CHATHAM COUNTY SAFETY NET PLANNING CO
24 OGLETHORPE PROFESSIONAL BLVD 4THFLOORSAVANNAHGA31406261119132501(C)(3)TO SUPPORT THE OPERATIONAL NEEDS OF THE COUNCIL
MEDBANK FOUNDATION INC
POBOX 15372SAVANNAHGA31406351418332501(C)(3)TO PROVIDE PRESCRIPTION ASSISTANCE TO LOW-INCOME PATIENTS
GEORGIA CHAMBER OF COMMERCE
270 PEACHTREE STREET NE STE 2200ATLANTAGA30303581537370501(C)(6)2015 ANNUAL GA INITIATIVE INVESTMENT
KIDS & PROS INC
PO BOX 2093BUFORDGA30515264298822501(C)(3)SPONSOR FOR 2015 YOUTH FOOTBALL CAMP
LEUKEMIA & LYMPHOMA SOCIETY
PO BOX 14254SAVANNAHGA31416135644916501(C)(3)SPONSOR FOR 2015 LIGHT THE NIGHT WALK AND MAN & WOMAN OF THE YEAR EVENT
MARCH OF DIMES SE GA DIVISION
1776 PEACHTREE STREET NW STE 100ATLANTAGA30309131846366501(C)(3)SUPPORT FOR MARCH OF DIMES
SAVANNAH MUSIC FESTIVAL
200 EAST ST JULIAN STREET STE 601SAVANNAHGA31401581401616501(C)(3)SPONSOR 2015 SAVANNAH MUSIC FESTIVAL
SOUTHERN SHOWS INC
810 BAXTER STREETCHARLOTTENC28202560753673S CORPSPONSOR 2015 WOMEN'S SHOW SERIES
SUSAN G KOMEN FOR THE CURE
PO BOX 1405SAVANNAHGA31402562583644501(C)(3)SPONSOR FOR 2015 SUSAN G KOMEN SAVANNAH RACE FOR THE CURE
UNITED WAY OF THE COASTAL EMPIRE
428 BULL STREETSAVANNAHGA31401580623603C CORPSUPPORT FOR UNITED WAY OF THE COSTAL EMPIRE
SAVANNAH CHATHAM COUNTY PUBLIC
124 BULL STREETSAVANNAHGA31401GOVTSUPPORT FOR BASEBALL TOURNEY AND JDRF
UNION MISSION INC
120 FAHM STSAVANNAHGA31401580827524501(C)(3)SUPPORT FOR RAISING HOPE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE COMMUNITY AFFAIRS AND CORPORATE COMMUNICATIONS OFFICES ARE RESPONSIBLE FOR EVALUATING THE COMMUNITY'S NEEDS AND DETERMINING WHICH NON-PROFIT ORGANIZATION'S MEET OUR GRANT CONTRIBUTION CRITERIA.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID BYCK
BOARD MEMBER$467,135$0$0$0$2,560$0$7,843$0$8,075$0$485,613$0$0$0
RA MEGUIAR
BOARD MEMBER$406,461$0$42,318$0$7,620$0$8,000$0$9,313$0$473,712$0$0$0
MARGARET M GILL
PRESIDENT & CEO (RESIGNED)$652,518$0$22$0$450$0$3,619$0$6,990$0$663,599$0$0$0
LAURA DOW
CHIEF FINANCIAL OFFICER$347,549$0$29,327$0$842$0$6,000$0$5,350$0$389,068$0$0$0
MARY CHATMAN PHD RN
COO & CNO$107,028$0$43,318$0$208$0$1,719$0$3,180$0$155,453$0$0$0
WILLIAM LEE III MHA MBA
CHIEF STRATEGY OFFICER$114,648$0$31,500$0$312$0$1,038$0$4,815$0$152,313$0$0$0
KEITH MCNEICE
VP OF INFORMATION SERVICES$240,657$0$0$0$13,020$0$0$0$12,102$0$265,779$0$0$0
REBECCA KEIGHTLEY
VP, CHIEF COMMUNICATIONS O$198,014$0$7,984$0$3,087$0$3,750$0$9,181$0$222,016$0$0$0
KAREN BOYER MHA MBA RN
CNO$0$263,391$0$10,025$0$1,373$0$4,801$0$9,308$0$288,898$0$0
GUY PETRUZZELLI MD PHD MBA FACS
VP OF ONCOLOGY PROGRAMS$581,046$0$0$0$2,580$0$8,000$0$9,253$0$600,879$0$0$0
JAMES WATSON JR
VP OF REVENUE CYCLE & PATI$233,615$0$10,013$0$515$0$3,249$0$9,282$0$256,674$0$0$0
LAURIE MULGREW
VP OF HEART & VASCULAR SER$170,203$0$0$0$1,863$0$3,323$0$8,166$0$183,555$0$0$0
ALYSIA SHIRLEY CISA
VP OF COMPLIANCE & AUDIT S$198,821$0$8,708$0$498$0$3,349$0$13,410$0$224,786$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO MANAGEMENT FOR REVIEW BEFORE BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ARE REQUIRED TO UPDATE AND SUBMIT A NEW CONFLICT OF INTEREST STATEMENT ANNUALLY. THE CHAIRMAN OF THE BOARD, PRESIDENT, AND CHIEF EXECUTIVE OFFICER AND THE CORPORATE COMPLIANCE OFFICER SHALL BECOME FAMILIAR WITH THE STATEMENTS OF THE BOARD MEMBERS IN ORDER TO GUIDE THEIR CONDUCT SHOULD A CONFLICT ARISE AT SUCH TIMES AS ANY MATTER COMES BEFORE THE BOARD THAT MAY POTENTIALLY RESULT IN A CONFLICT OF INTEREST. THE AFFECTED BOARD MEMBER SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER OR NOT DISCLOSED IN A WRITTEN STATEMENT. THE AFFECTED BOARD MEMBER MAY MAKE A PRESENTATION TO THE BOARD OR A COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE MUST LEAVE THE MEETING DURING THE DISCUSSION OF AND THE VOTE ON THE TRANSACTION OR ARRANGEMENT CONSIDERED TO BE A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION USES SULLIVAN-COTTER (AN UNRELATED, INDEPENDENT THIRD PARTY COMPANY) TO ANALYZE APPROPRIATE COMPENSATION FOR THE CEO, EXECUTIVES, DIRECTORS AND TOP MANAGEMENT. FOR ALL OTHER POSITIONS, THE ORGANIZATION USES COMPENSATION ANALYST, SALARY.COM, TO ANALYZE COMPENSATION AND COMPILE DATA FOR COMPARABILITY.
FORM 990, PART VI, SECTION C, LINE 18THE FORM 990 IS MADE AVAILABLE UPON REQUESTION. IN ADDITION, THE FORM 990 IS AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF GEORGIA SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC AS THIS IS NOT A REQUIREMENT.
FORM 990, PART IX, LINE 11GCONSULTING: PROGRAM SERVICE EXPENSES 8,398,010. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,398,010. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,223,837. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,223,837. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 43,869. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,869. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 176,758. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,758.
FORM 990, PART XI, LINE 9:NET EQUITY TRANSFERS FROM AFFILIATES -6,024,422.
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MEMORIAL CARDIOVASCULAR CONSULTANTS LLC
PO BOX 23089SAVANNAHGA314033089473916622PROVISION OF MEDICAL SERVICESGAMEMORIAL HEALTH INC
MEMORIAL HEALTH UNIVERSITY PHYSICIANS LLC
PO BOX 23089SAVANNAHGA314033089INACTIVEGAMEMORIAL HEALTH INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER FOUNDATION
PO BOX 23089SAVANNAHGA314033089581618486SUPPORT OF MHUMCGA501(C)(3)LINE 12A, IMEMORIAL HEALTH INCYes (1)
MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER INC
PO BOX 23089SAVANNAHGA314033089311126469HEALTH CARE PROVIDERGA501(C)(3)LINE 3MEMORIAL HEALTH INCYes (1)
MEMORIAL PHYSICIANS GROUPS INC
PO BOX 23089SAVANNAHGA314033089474332277PROVISION OF MEDICAL SERVICESGA501(C)(3)LINE 10MEMORIAL HEALTH INCYes (1)
MEMORIAL SAVANNAH CARDIOLOGY INC
PO BOX 23089SAVANNAHGA314033089472872276PROVISION OF MEDICAL SERVICESGA501(C)(3)LINE 10MEMORIAL HEALTH INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PAULSEN STREET SURGERY CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14425 PAULSEN STREET 2ND FLOORAddressLine1Txt
CitySAVANNAHCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31405ZIPCd
FieldValueIRS element (for citing)
EIN454517515EIN
Primary ActivitiesHEALTH CAREPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.51000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACd
4600 WATERS AVE PROFESSIONAL CONDO ASSOCIATION INC
PO BOX 23089SAVANNAHGA314033089581990705CONDO ASSOCIATIONGAPROVIDENT HEALTH SERVICES INCC-$6020.52000Yes (1)
MEMORIAL HEALTH PARTNERS INC
PO BOX 23089SAVANNAHGA314033089581707311MANAGED CAREGAPROVIDENT HEALTH SERVICES INCC$82,0931.00000Yes (1)$1,765,568
MEMORIAL HEALTH ANESTHETISTS INC
PO BOX 23089SAVANNAHGA314033089431985441MEDICAL SERVICESGAPROVIDENT HEALTH SERVICES INCC1.00000Yes (1)
MPPG INC
PO BOX 23089SAVANNAHGA314033089582162071PHYSICIANS PRACTICEGAPROVIDENT HEALTH SERVICES INCC$9,075,3641.00000Yes (1)$60,911,838
PROVIDENT HEALTH SERVICES INC
PO BOX 23089SAVANNAHGA314033089581611969MEDICAL SERVICES/ CONSOLIDATING ENTITYGAMEMORIAL HEALTH INCC$23,235,2691.00000Yes (1)$1,663,773
PROVIDENT PROFESSIONAL BUILDING CONDO ASSOCIATION INC
PO BOX 23089SAVANNAHGA314033089581845972CONDO ASSOCIATIONGAPROVIDENT HEALTH SERVICES INCC$14,6820.69560Yes (1)
SAVANNAH MIDTOWN PROPERTIES INC
PO BOX 23089SAVANNAHGA314033089582537941REAL ESTATE HOLDINGGAPROVIDENT HEALTH SERVICES INCC$1,815,1961.00000Yes (1)$268,837
MEMORIAL PROFESSIONAL ASSURANCE COMPANY
999999999OTHER INSURANCEC1.00000Yes (1)PO BOX 1100GRAND CAYMANGRAND CAYMANCJKY1-1005CJN/A
MEMORIAL HEALTH CORPORATE SERVICES INC
4700 WATERS AVESAVANNAHGA31404900963434CORPORATE SERVICESGAPROVIDENT HEALTH SERVICES INCC1.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL PROFESSIONAL ASSURANCE COMPANYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeRTransactionTypeTxt
Involved$5,111,174InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt