STRATEGY STUDIO / PUBLIC DATA EXPLORER

BACON COUNTY HEALTH SERVICES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
BACON COUNTY HEALTH SERVICES INC (EIN 58-2224545)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-03
IRS object ID
201821239349300217
Schema version
2016v3.1
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)
Return2018-05-03T11:16:04-04:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580914992PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DRAFFIN & TUCKER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1Txt
CityALBANYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP317081309ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN582224545EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BACON COUNTY HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBACOBusinessNameControlTxt
Phone9126328961PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1987AddressLine1Txt
CityALMACityNm
State AbbreviationGAStateAbbreviationCd
ZIP31510ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHERYL DUBOSEPersonNm
Person TitleCFOPersonTitleTxt
Phone9126328961PhoneNum
Signature2018-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJACQUELINE G ATKINSPreparerPersonNm
PTINP00861721PTIN
Phone2298837878PhoneNum
Preparation2018-05-03PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id3DB754BF4A86932C7270BAD44D636E9B352C5FABAtSubmissionCreationDeviceId
At Submission Filing Device Id3DB754BF4A86932C7270BAD44D636E9B352C5FABAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCINDY R TURNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1302 S WAYNE STREETAddressLine1Txt
CityALMACityNm
State AbbreviationGAStateAbbreviationCd
ZIP315100987ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$35,791,302GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BACONCOUNTYHOSPITAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTHE MISSION OF BACON COUNTY HOSPITAL AND HEALTH SYSTEM IS TO PROVIDE COMPASSIONATE AND COMPREHENSIVE COMMUNITY HEALTHCARE THAT MEET OUR CUSTOMERS' EXPECTATIONS. TO PROVIDE EDUCATION AND INCREASE HEALTH AWARENESS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee533TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$131,246PYContributionsGrantsAmt
CY Contributions Grants$23,351CYContributionsGrantsAmt
PY Program Service Revenue$32,930,139PYProgramServiceRevenueAmt
CY Program Service Revenue$34,728,732CYProgramServiceRevenueAmt
PY Investment Income$109,083PYInvestmentIncomeAmt
CY Investment Income-$206,687CYInvestmentIncomeAmt
PY Other Revenue$851,347PYOtherRevenueAmt
CY Other Revenue$839,176CYOtherRevenueAmt
PY Total Revenue$34,021,815PYTotalRevenueAmt
CY Total Revenue$35,384,572CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,886,497PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$17,656,787CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$16,562,874PYOtherExpensesAmt
CY Other Expenses$17,317,426CYOtherExpensesAmt
PY Total Expenses$32,449,371PYTotalExpensesAmt
CY Total Expenses$34,974,213CYTotalExpensesAmt
PY Revenues Less Expenses$1,572,444PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$410,359CYRevenuesLessExpensesAmt
Total Assets BOY$44,203,307TotalAssetsBOYAmt
Total Assets EOY$45,750,698TotalAssetsEOYAmt
Total Liabilities BOY$14,791,927TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,671,820TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$29,411,380NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$30,078,878NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF BACON COUNTY HOSPITAL AND HEALTH SYSTEM IS TO PROVIDE COMPASSIONATE AND COMPREHENSIVE COMMUNITY HEALTHCARE THAT MEET OUR CUSTOMERS' EXPECTATIONS. TO PROVIDE EDUCATION AND INCREASE HEALTH AWARENESS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$29,288,745ExpenseAmt
Revenue$34,757,986RevenueAmt
DescTHE HOSPITAL PROVIDES PATIENT SERVICES IN AREAS OF ROUTINE, INTENSIVE CARE, AND NURSERY. FOR FISCAL YEAR 6/30/17, TOTAL PATIENT DAYS WERE 6,098; 1,327 INPATIENTS SERVED. THE SKILLED NURSING FACILITY HAD 29,665 RESIDENT DAYS WHILE THE RURAL HEALTH CLINIC SAW 1,867 VISITS. PATIENTS INCLUDE MEDICARE, MEDICAID, SELF-PAY, INSURANCE, AND CHARITY. OUTPATIENT SERVICES INCLUDE SURGERY, LAB, DIAGNOSTIC IMAGING SERVICES, RESPIRATORY THERAPY, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, EMERGENCY ROOM, AND OBSERVATION.Desc
Total Program Service Expenses$29,288,745TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document45IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee533EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctYes (true)PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHERYL DUBOSE CFOPersonNm
Phone9126328704PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1302 S WAYNE STAddressLine1Txt
CityALMACityNm
State AbbreviationGAStateAbbreviationCd
ZIP315100987ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROGER BOATRIGHT
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
DANNY STANALAND
VICE CHAIRMA1.00Yes (X)Yes (X)$0$0$01.00
MARTHA S LEE
SECRETARY/TR1.00Yes (X)Yes (X)$0$0$0
CHARLENE DEEN
MEMBER1.00Yes (X)$0$0$0
BUCK HARNAGE
MEMBER1.00Yes (X)$0$0$01.00
LARRY JORDAN
MEMBER1.00Yes (X)$0$0$0
ROGER STATEN SR
MEMBER1.00Yes (X)$0$0$01.00
JOHN LARRY SWEAT
MEMBER1.00Yes (X)$0$0$01.00
ALBERT WILDES
MEMBER1.00Yes (X)$0$0$01.00
JERRY BOATRIGHT
PAST MEMBER1.00Yes (X)$0$0$01.00
CINDY R TURNER
CEO40.00Yes (X)$334,173$0$17,4522.00
CHERYL DUBOSE
CFO40.00Yes (X)$23,894$0$1,2152.00
RANDALL O'BRIEN MD
PHYSICIAN40.00$515,182$0$16,834Yes (X)
GABOR KOVACS MD
PHYSICIAN40.00$249,828$0$13,044Yes (X)
RICHARD KYLE LOTT
PHARMACIST40.00$120,008$0$14,763Yes (X)
LAURA DURAN
PHARMACIST40.00$103,172$0$12,200Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,346,257TotalReportableCompFromOrgAmt
Total Other Compensation$75,508TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ERX LLC
9724 KINGSTON PIKE SUITE 1300KNOXVILLETN379226926ER SERVICES$1,253,747
ENDURACARE
PO BOX 654072DALLASTX752654072THERAPY SERVICE$861,564
METZ CULINARY
TWO WOODLAND DRIVEDALLASPA186129159FOOD SERVICES$843,155
GENERAL ANESTHESIA SERVICES
PO BOX 243HAZLEHURSTGA315390243ANESTHESIA SERV$658,839
SWEAT'S LAUNDRY
PO BOX 387ALMAGA315100387LAUNDRY SERVICE$153,321
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$16,942RelatedOrganizationsAmt
All Other Contributions$6,409AllOtherContributionsAmt
Noncash Contributions$6,000NoncashContributionsAmt
Total Contributions$23,351TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE REVENUEDesc
Business621990BusinessCd
Total Revenue Column$34,728,732TotalRevenueColumnAmt
Related Or Exempt Func Income$34,728,732RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$34,728,732TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$96,224TotalRevenueColumnAmt
Exclusion$96,224ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$155,761RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$79,560RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$76,201RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,201TotalRevenueColumnAmt
Exclusion$76,201ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$24,259OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$327,170OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$302,911OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$302,911TotalRevenueColumnAmt
Exclusion-$302,911ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
DAY CARE624410$286,451$286,451
CAFETERIA SALES722513$271,771$271,771
INTEREST COLLECTIONS621990$92,691$92,691

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$112,062TotalRevenueColumnAmt
Related Or Exempt Func Income$29,254RelatedOrExemptFuncIncomeAmt
Exclusion$82,808ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$762,975OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,384,572TotalRevenueColumnAmt
Related Or Exempt Func Income$34,757,986RelatedOrExemptFuncIncomeAmt
Exclusion$603,235ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$369,873TotalAmt
Management And General$369,873ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$70,973TotalAmt
Management And General$70,973ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,753,402TotalAmt
Program Services$12,097,186ProgramServicesAmt
Management And General$1,656,216ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$138,742TotalAmt
Program Services$118,361ProgramServicesAmt
Management And General$20,381ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,184,270TotalAmt
Program Services$1,874,634ProgramServicesAmt
Management And General$309,636ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,139,527TotalAmt
Program Services$972,130ProgramServicesAmt
Management And General$167,397ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$30,195TotalAmt
Program Services$30,195ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$513,579TotalAmt
Program Services$909ProgramServicesAmt
Management And General$512,670ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$46,491TotalAmt
Management And General$46,491ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,725,462TotalAmt
Program Services$4,329,074ProgramServicesAmt
Management And General$396,388ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$68,480TotalAmt
Management And General$68,480ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,792,110TotalAmt
Program Services$1,426,637ProgramServicesAmt
Management And General$365,473ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$535,960TotalAmt
Program Services$22,962ProgramServicesAmt
Management And General$512,998ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,056,170TotalAmt
Program Services$918,340ProgramServicesAmt
Management And General$137,830ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$95,065TotalAmt
Program Services$50,797ProgramServicesAmt
Management And General$44,268ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$28,979TotalAmt
Program Services$19,816ProgramServicesAmt
Management And General$9,163ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,633,831TotalAmt
Program Services$2,290,116ProgramServicesAmt
Management And General$343,715ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$215,709TotalAmt
Program Services$148,013ProgramServicesAmt
Management And General$67,696ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$4,438,241$4,438,241
REPAIRS & MAINTENANCE$478,127$455,640$22,487
MISCELLANEOUS$266,311$44,943$221,368
CAPTIVE INSURANCE EXPENSE$169,755$169,755

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$222,961TotalAmt
Program Services$50,751ProgramServicesAmt
Management And General$172,210ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$34,974,213TotalAmt
Program Services$29,288,745ProgramServicesAmt
Management And General$5,685,468ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$106,677BOYAmt
EOY$13,027EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,282,882BOYAmt
EOY$15,717,385EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,067,015BOYAmt
EOY$4,679,168EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$602,324BOYAmt
EOY$455,060EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$963,069BOYAmt
EOY$930,033EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$764,493BOYAmt
EOY$691,045EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$56,948,290LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,094,881LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$24,175,840BOYAmt
EOY$22,853,409EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,241,007BOYAmt
EOY$411,571EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$44,203,307BOYAmt
EOY$45,750,698EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,966,709BOYAmt
EOY$4,040,456EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,820,000BOYAmt
EOY$9,745,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,664,505BOYAmt
EOY$834,954EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$340,713BOYAmt
EOY$1,051,410EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,791,927BOYAmt
EOY$15,671,820EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,411,380BOYAmt
EOY$30,078,878EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,411,380BOYAmt
EOY$30,078,878EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,203,307BOYAmt
EOY$45,750,698EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$410,359ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$339,818NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$82,679OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$6,299OtherActivitiesAmt
Total Lobbying Expenditures$6,299TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationTHE HOSPITAL 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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$471,186OtherCostOrOtherBasisAmt
Book Value$471,186BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,357,364OtherCostOrOtherBasisAmt
Depreciation$18,657,338DepreciationAmt
Book Value$18,700,026BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$786,819OtherCostOrOtherBasisAmt
Depreciation$551,361DepreciationAmt
Book Value$235,458BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,222,598OtherCostOrOtherBasisAmt
Depreciation$14,886,182DepreciationAmt
Book Value$3,336,416BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$110,323OtherCostOrOtherBasisAmt
Book Value$110,323BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$22,853,409TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
THIRD PARTY SETTLEMENTS$944,555
BOND PREMIUM$127,809
DUE TO RELATED PARTIES-$20,954
FieldValueIRS element (for citing)
Total Liability$1,051,410TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE HOSPITAL 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 SEGREGATED PORTFOLIO CONDUCTS ITS AFFAIRS IN A MANNER IN WHICH IT WILL NOT BE SUBJECT TO U.S. FEDERAL INCOME TAX OR GEORGIA INCOME TAX. 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 CONSOLIDATED BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2017 AND 2016 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.ExplanationTxt

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegionTxt
Offices1OfficesCnt
Employee1EmployeeCnt
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConductedTxt
Region Total Expenditures$1,771,756RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Total Office1TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$1,771,756SubtotalSpentAmt
Total Spent$1,771,756TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE F, PAGE 1, PART I, LINE 3FormAndLineReferenceDesc
ExplanationCENTRAL AMERICA AND THE CARIBBEAN 0 1,771,756ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other1.250000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$479,908TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$479,908NetCommunityBenefitExpnsAmt
Total Expense0.01370TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,198,788TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,962,968DirectOffsettingRevenueAmt

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,241TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,100DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,141NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,763,937TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,009,068DirectOffsettingRevenueAmt
Net Community Benefit Expns$519,049NetCommunityBenefitExpnsAmt
Total Expense0.01480TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,898TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,898NetCommunityBenefitExpnsAmt
Total Expense0.01480TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,400TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,400NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,298TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$42,298NetCommunityBenefitExpnsAmt
Total Expense0.01480TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,806,235TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,009,068DirectOffsettingRevenueAmt
Net Community Benefit Expns$561,347NetCommunityBenefitExpnsAmt
Total Expense0.02960TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$3,683,151BadDebtExpenseAmt
Reimbursed By Medicare$10,185,634ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$10,160,336CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$25,298MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnfalseFinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BACON COUNTY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1302 S WAYNE STREETAddressLine1Txt
CityALMACityNm
State AbbreviationGAStateAbbreviationCd
ZIP315100987ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.BACONCOUNTYHOSPITAL.COMWebsiteAddressTxt
State License003-010StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherRHC, SWINGBEDS, SNF, DAYCAREOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BACON COUNTY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.BACONCOUNTYHOSPITAL.COMOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.BACONCOUNTYHOSPITAL.COMStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care125.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTP://WWW.BACONCOUNTYHOSPITAL.COM/DOCFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTP://WWW.BACONCOUNTYHOSPITAL.COM/DOCFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, BACON COUNTY HOSPITAL - PART V, LINE 5IN CONDUCTING THE CHNA, INPUT FROM THE COMMUNITY WAS OBTAINED THROUGH SEVERAL METHODS. IN ADDITION TO THE STEERING COMMITTEE (SC), A COMMUNITY ADVISORY COMMITTEE (CAC) WAS ASSEMBLED TO ASSIST IN DATA COLLECTION FROM THE COMMUNITY AND IN PRIORITIZATION OF THE RESULTS. THE SC AND CAC CONTAINED MEMBERS REPRESENTING LOCAL GOVERNMENT, PUBLIC HEALTH DEPARTMENTS, BUSINESS OWNERS AND THE GENERAL COMMUNITY. A COMMUNITY SURVEY WAS PUBLICIZED THROUGH LOCAL HEALTH CARE PROVIDERS' OFFICES, SC AND CAC MEMBERS, SOCIAL MEDIA AND LOCAL RADIO STATIONS AND WAS AVAILABLE IN BOTH WRITTEN AND ON-LINE VERSIONS. FINALLY, FOCUS GROUPS WERE CONDUCTED WITH MEMBERS OF THE GENERAL COMMUNITY TO PROVIDE MORE DEPTH TO THE FINDINGS OF THE COMMUNITY SURVEY.
FACILITY 1, BACON COUNTY HOSPITAL - PART V, LINE 11THROUGH THE 2016 CHNA PROCESS, THE SC DECIDED TO FOCUS ITS INTERVENTIONS ON THE FOLLOWING ISSUES: SUBSTANCE ABUSE BARRIERS TO ACCESS TO CARE HEALTH SCREENING AS ONE OF THE LARGEST EMPLOYERS AND THE MOST FINANCIALLY STABLE HEALTH CARE FACILITY IN THE COMMUNITY BCHS HAS AN OPPORTUNITY TO HAVE A POSITIVE IMPACT ON ALL THREE OF THE ISSUES NOTED ABOVE. MANY OF THE FOLLOWING PLANNED PROGRAMS WILL EACH HAVE AN IMPACT ON MORE THAN ONE ISSUE: SINCE HAVING A STABLE HEALTH CARE FACILITY IN THE COMMUNITY IS AN ASSET IN ATTRACTING NEW EMPLOYERS TO THE AREA BCHS WILL PARTNER WITH CITY AND COUNTY GOVERNMENT AND SCHOOL BOARDS FOR ECONOMIC DEVELOPMENT. LACK OF PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY IS A BARRIER TO ACCESS TO CARE. HEALTH CARE PROVIDERS THAT HAVE AN ATTACHMENT TO THE COMMUNITY ARE MORE LIKELY TO RETURN FOLLOWING TRAINING. THEREFORE, BCHS WILL PARTNER WITH THE SCHOOL SYSTEM TO HIGHLIGHT THE EMPLOYMENT OPPORTUNITIES IN THE HEALTH CARE FIELD THROUGH IN-CLASS INSTRUCTION AND JOB SHARING ACTIVITIES IN BOTH CLINICAL AND NON-CLINICAL AREAS. BCHS CURRENTLY OFFERS FOUR COMMUNITY HEALTH FAIRS EACH YEAR THAT INCLUDES MANY SCREENING ACTIVITIES. THESE WILL BE EXPANDED TO TRADITIONALLY UNDERSERVED AREAS IN THE COMMUNITY AND WILL INCLUDE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES BY PARTNERING WITH COMMUNITY GROUPS AND RELIGIOUS ORGANIZATIONS. ALTHOUGH THE MAJORITY OF PEOPLE IN THE COMMUNITY ARE COVERED BY SOME FORM OF HEALTH INSURANCE OVERUSE OF THE EMERGENCY DEPARTMENT (ED) BY THOSE WHO ARE UNINSURED CONTINUES TO BE AN ISSUE. THEREFORE, BCHS WILL DEVELOP A HEALTH EXCHANGE EDUCATION PROGRAM (HEEP) THAT WILL INTEGRAL TO THE INTAKE/TRIAGE PROCEDURE FOR NON-EMERGENT ED PATIENTS AND POST-PARTUM PATIENTS PRIOR TO THEIR DISCHARGE. SINCE ENROLLMENT IN THE EXCHANGES IS LIMITED TO SPECIFIC DATES THESE PATIENT WILL BE CONTACTED BY THE HEEP AGAIN PRIOR TO THE ENROLLMENT PERIOD.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
TWIN OAKS CONVALESCENT CENTER
302 S WAYNE STREETALMAGA315100987SKILLED NURSING FACILITY
BACON COUNTY RHC
302 S WAYNE STREETALMAGA315100987RURAL HEALTH CENTER

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSEIN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN (F), THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25: FORM 990, PART IX, LINE 25 34,974,213 ADD: EXPENSES IN PART VIII 79,560 DENOMINATOR FOR COLUMN (F) 35,053,773
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATIONCOSTS FOR PART I, LINE 7A, 7B, AND 7C WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. SEE ALSO THE DESCRIPTION FOR PART III, LINE 2.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYAMOUNTS 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 STATEMENTSSEE PAGES 9 AND 10 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED FOR THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE.
PART III, LINE 8 - MEDICARE EXPLANATIONMEDICARE 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 VI, LINE 2 - NEEDS ASSESSMENTTHE ORGANIZATION UTILIZES STRATEGIC PLANNING PERIODICALLY STARTING AT THE BOARD LEVEL TO ADDRESS THE NEEDS OF THE COMMUNITY, I.E., ACCESS TO CURRENT SERVICE LINES OR EVALUATE THE NEED FOR A NEW SERVICE LINE. IN 2016, THE ORGANIZATION CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT, A COPY OF WHICH IS LOCATED ON THE ORGANIZATION'S WEBSITE AT HTTP://WWW.BACONCOUNTYHOSPITAL.COM/DOCS/CHNA_FINAL.PDF THE BOARD APPROVED IMPLEMENTATION PLAN CAN BE FOUND WITHIN THE 2016 CHNA ON PAGES 28 AND 29.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE HOSPITAL HAS CLEARLY WRITTEN FINANCIAL ASSISTANCE POLICIES THROUGH THE BUSINESS OFFICE AND COLLECTIONS DEPARTMENT. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND FINANCIAL AID. THE POLICY AND APPLICATION ARE ALSO LOCATED ON THE ORGANIZATION'S WEBSITE. PATIENT EDUCATION ON THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS ARE CONDUCTED DURING REGISTRATION AND/OR THROUGH FLOOR VISITS BY CASE MANAGERS AND COLLECTIONS REPRESENTATIVES FOR PATIENTS THAT STRESS CONCERN IN MEETING THE FINANCIAL OBLIGATIONS FOR THEIR SERVICES.
PART VI, LINE 4 - COMMUNITY INFORMATIONTHE ORGANIZATION SERVES A PREDOMINATELY RURAL AREA IN SOUTHEAST GEORGIA. THE PRIMARY SERVICE AREA IS COMPRISED OF SIX CONTIGUOUS COUNTIES AND SEVERAL OTHER COUNTIES IN THE SECONDARY AREA. BACON COUNTY HEALTH SERVICES, INC. IS THE LARGEST EMPLOYER IN BACON COUNTY AND DRAWS FROM A POPULATION OF APPROXIMATELY 11,000 RESIDENTS IN BACON COUNTY AND EXTENDS TO MULTIPLE ADJOINING COUNTIES FOR MAJOR HEALTH CARE SERVICES LINES, SUCH AS ORTHOPEDIC SURGERY. THE REGION IS MARKED BY VAST DICHOTOMIES OF WEALTH, EDUCATION, AND HEALTH STATUS. THE ORGANIZATION SERVES A POPULATION THAT HAS A HIGH PROPORTION OF LOW-INCOME INDIVIDUALS. THE ORGANIZATION SERVES RURAL COUNTIES THAT ARE AMONG THE STATE'S POOREST AND UNHEALTHIEST COUNTIES. FOR 2017, COUNTYHEALTHRANKINGS.ORG RANKS BACON COUNTY AS THE 108TH HEALTHIEST COUNTY OUT OF 159 COUNTIES IN THE STATE OF GEORGIA. THE REGION'S CITIZENS EXPERIENCE HIGH LEVELS OF DIABETES, HYPERTENSION, OBESITY, STROKE AND HEART ATTACK.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHTHE 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. THE ORGANIZATION SEEKS OUT DELIVERY OF CARE MODELS THAT BEST MEET THE NEEDS OF THE COMMUNITY. THE HOSPITAL'S RURAL HEALTH CLINIC (RHC) SERVES MANY LOW-INCOME AND MEDICAID ELIGIBLE PATIENTS BY APPOINTMENT AND ON A WALK-IN BASIS. THE RHC'S PATIENTS TYPICALLY NEED BASIC HEALTH ATTENTION AND THE RHC STAFF PROMOTES WELLNESS TO ALL OF ITS PATIENTS ON AN AS-NEEDED BASIS DURING THEIR VISIT. THIS WELLNESS MAY BE IN THE FORM OF EDUCATION MATERIALS AND/OR SUGGESTIONS FOR IMPROVING THE GENERAL HEALTH OF THE PATIENT. THE ORGANIZATION HAS A MULTI-PRONGED APPROACH TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVICES: INCREASING ACCESS, BUILDING CAPACITY, INVESTING IN "UPSTREAM" PROGRAMS THAT GET AT THE CAUSE OF DISEASE AND ILLNESS, BUILDING COMMUNITY PARTNERSHIPS, ADVOCATING CHANGE, AND DEVELOPING LEADERSHIP. THE ORGANIZATION HOSTS HEALTH FAIRS TO PROMOTE WELLNESS AND ENCOURAGE PREVENTATIVE MAINTENANCE BY OFFERING FREE GLUCOSE AND CHOLESTEROL TESTS, BLOOD PRESSURE CHECKS, BONE DENSITY TESTS, MEDICAL BROCHURES WITH MEDICAL INFORMATION SUCH AS STROKE, HEART ATTACK, DIABETES, BLOOD PRESSURE, BREAST CANCER AND MORE. PHYSICIANS, DENTISTS, OPTOMETRISTS, MID-LEVEL PRACTITIONERS, REGISTERED NURSES AND OTHER LICENSED PROFESSIONALS ATTEND THESE FUNCTIONS. THE PRIMARY PURPOSE OF INCORPORATING MULTIPLE FACETS OF CARE IN THE FAIRS IS TO GIVE THE COMMUNITY A WIDE SPECTRUM OF KNOWLEDGE TO CONSULT WITH, FREE OF CHARGE, TO HOPEFULLY ENCOURAGE WELLNESS AND PREVENT FUTURE ILLNESS. DURING BREAST CANCER AWARENESS MONTH, WE FOCUS ON WOMENS HEALTH BY OFFERING AN ART EXHIBIT FOLLOWED BY A RECEPTION WITH A KEYNOTE SPEAKER. THE HOSPITAL ALSO OFFERS MAMMOGRAMS TO UNINSURED PATIENTS AT DISCOUNTED RATES. THIS GIVES ADDITIONAL WOMEN THE ACCESS TO MAMMOGRAMS, WHO MIGHT NOT GET SCREENED OTHERWISE. WE ASSIST WITH THE ANNUAL MULE ROUND-UP EVENT FOCUSING ON PROVIDING MEDICAL INFORMATION ON BREAST CANCER TO THE COMMUNITY. THESE BREAST CANCER AWARENESS PROGRAMS ARE AN ONGOING COLLABORATIVE FACILITATED BY THE ORGANIZATION TO BUILD AWARENESS OF BREAST CANCER IN THE COMMUNITY. THESE EVENTS ALSO BRING IN RESIDENTS FROM ALL OF THE SURROUNDING COUNTIES. THE ORGANIZATION, IN AN EFFORT TO INCREASE HEALTH AWARENESS IN OUR SERVICE AREA, ALSO PARTICIPATES IN THE ANNUAL BLUEBERRY FESTIVAL BY SETTING UP A BOOTH WITH MEDICAL INFORMATION ON DIABETES, HTN, VARIOUS TYPES OF CANCER, HEART DISEASE AND OTHER INFORMATION. PRIMARY CARE PHYSICIANS AS WELL AS MEMBERS OF THE HOSPITAL CLINICAL STAFF ARE ON HAND AT THIS EVENT, SIMILAR TO THE HEALTH FAIRS, TO ANSWER QUESTIONS FROM THE PUBLIC FREE OF CHARGE. THE ORGANIZATION HOSTS AN ANNUAL 5K RUN RUN/WALK DURING THIS EVENT WHERE THERE IS AN AVERAGE OF 200 PARTICIPANTS WITH THE TOTALS RISING EACH YEAR. THE PURPOSE IS TO TRY AND MOTIVATE THE PUBLIC TO BECOME INVOLVED AND LEAD AN ACTIVE AND HEALTHY LIFESTYLE. DURING THE DAY OF THE CHILD, A COMMUNITY EVENT GEARED TOWARDS THE YOUNGER POPULATION, THE ORGANIZATION HOLDS THEIR ANNUAL TEDDY BEAR CLINIC. THE TEDDY BEAR CLINIC IS A PROGRAM THAT BEGAN IN 1995, DESIGNED TO HELP PUT CHILDREN AT EASE WHEN THEY VISIT THEIR HEALTHCARE PROVIDER. THE WHOLE IDEA IS FOR THEM TO BE COMFORTABLE WITH THE HEALTHCARE ENVIRONMENT AND MAKE THE EXPERIENCE FUN FOR THEM. BECAUSE JUVENILE DIABETES IS A PREVALENT ILLNESS IN THIS REGION, THE ORGANIZATION INCORPORATES AWARENESS IN THIS EVENT THROUGH PROVIDING EDUCATIONAL BROCHURES AND PAMPHLETS TO THE GUARDIANS SO THAT THEY BECOME AWARE OF SYMPTOMS AND TREATMENTS. BECAUSE THE ORGANIZATION SERVES A POPULATION THAT HAS A HIGH PROPORTION OF LOW-INCOME INDIVIDUALS, WE PARTICIPATE IN THE COMMUNITY FALL FESTIVAL HOSTED BY THE ALMA BACON COUNTY CHAMBER OF COMMERCE. WE USE THE OPPORTUNITY TO REACH OUT TO AN AUDIENCE THAT IS TYPICALLY UNEDUCATED IN THE AREA OF HEALTHCARE. OUR FOCUS IS TYPICALLY PROVIDING GUIDANCE AND EDUCATION ON THE IMPLICATIONS OF NOT HAVING REGULAR CHECK-UPS WITH PRIMARY PHYSICIANS, SYMPTOMS OF ILLNESSES THAT ARE PREVALENT IN THIS REGION AND VARIOUS OTHER TOPICS THAT COULD AFFECT THE WELL-BEING OF THE INDIVIDUAL. AN ANNUAL SANTA'S WORKSHOP IS HOSTED FOR CHILDREN AS A FUN DAY DURING THE CHRISTMAS HOLIDAYS. IN ESSENCE, THE ORGANIZATION USES THE CHILDREN'S WORKSHOP TO REACH OUT TO GUARDIANS THAT WOULD NOT BE REACHABLE UNDER NORMAL CIRCUMSTANCES.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEMON JULY 1, 1996, BACON COUNTY HOSPITAL AUTHORITY (AUTHORITY) REORGANIZED AND ESTABLISHED BACON COUNTY HEALTH SERVICES, INC. (HOSPITAL) AS THE PARENT COMPANY OF BACON COUNTY HOSPITAL, TWIN OAKS CONVALESCENT CENTER AND BACON COUNTY COMMUNITY CARE CENTER. BACON COUNTY HOSPITAL IS A NOT-FOR-PROFIT ACUTE CARE FACILITY. TWIN OAKS CONVALESCENT CENTER (NURSING HOME) IS A NOT-FOR-PROFIT EIGHTY-EIGHT BED NURSING HOME. BACON COUNTY COMMUNITY CARE CENTER IS A NOT-FOR-PROFIT CLINIC WHICH PROVIDES PRIMARY CARE AND OTHER SERVICES TO RURAL UNDERSERVED AREAS. IN NOVEMBER 2014, THE ORGANIZATION FORMED THE FOUNDATION WHICH BEGAN ACTIVELY RAISING FUNDS IN FYE 6/30/16 TO SUPPORT THE OPERATIONS AND CAPITAL IMPROVEMENTS OF THE HOSPITAL. ON OCTOBER 1, 2009, THE HOSPITAL ESTABLISHED A SEGREGATED PORTFOLIO PLAN IN THE GEORGIA HEALTH CARE INSURANCE COMPANY, SPC (GHCIC), WHICH IS INCORPORATED IN THE CAYMAN ISLANDS. THE NAME OF THE PLAN IS BACON COUNTY HOSPITAL AND HEALTH SYSTEM SEGREGATED PORTFOLIO (SEGREGATED PORTFOLIO). THE SEGREGATED PORTFOLIO PROVIDES PROFESSIONAL AND GENERAL LIABILITY SELF- INSURANCE TO THE HOSPITAL. THE SEGREGATED PORTFOLIO IS MANAGED BY WILLIS MANAGEMENT (CAYMAN), LTD. IN GRAND CAYMAN, CAYMAN ISLANDS.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORTGEORGIA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
CINDY R TURNER
CEO$272,536$60,825$812$6,131$11,321$351,625
RANDALL O'BRIEN MD
PHYSICIAN$514,110$1,072$7,950$8,884$532,016
GABOR KOVACS MD
PHYSICIAN$218,116$31,712$6,145$6,899$262,872

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART IIIFormAndLineReferenceDesc
ExplanationBONUS/INCENTIVES ARE AWARDED THE CEO BY THE AUTHORITY OF THE BOARD OF DIRECTORS BASED ON ATTAINMENT OF SPECIFIC FINANCIAL AND PERSONAL GOALS AND CRITERIA.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL AUTHORITY OF BACON COUNTYBusinessNameLine1Txt
Business Name Line2REVENUE BONDS SERIES 2011BBusinessNameLine2Txt
FieldValueIRS element (for citing)
Bond Issuer EIN586003069BondIssuerEIN
CUSIP056425BY6CUSIPNum
Bond Issued2011-10-06BondIssuedDt
Issue Price$9,820,000IssuePriceAmt
PurposeREFUNDING/IMPROVEMENTPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$9,820,000TotalProceedsAmt
Refunding Escrow$7,689,053RefundingEscrowAmt
Issuance Costs From Proceeds$190,252IssuanceCostsFromProceedsAmt
Credit Enhancement$101,033CreditEnhancementAmt
Capital Expenditures$2,018,000CapitalExpendituresAmt
Substantial Completion2012SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATIONFormAndLineReferenceDesc
ExplanationHOSPITAL AUTHORITY OF BACON COUNTY A PREMIUM OF 178,338 WAS A PART OF THE INITIAL OFFERING.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JERRY SWEAT
FAMILY-BD MBR$205,311OWNER LAUNDRY SVCfalse
CHARLENE BENNETT DEEN
BD MEMBER$173,791OWNER TELEPHONE COfalse
AMY TURNER
FAMILY-CEO$68,384EMPLOYEEfalse
DANNY TURNER
FAMILY-CEO$11,049OWNER COLBY ENTERPRSfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationJERRY SWEAT IS THE BROTHER OF JOHN SWEAT, WHO IS A BOARD MEMBER. JERRY IS THE OWNER OF SWEAT'S LAUNDRY, WHICH PROVIDES LAUNDRY SERVICES TO THE ORGANIZATION. CHARLENE BENNETT DEEN IS THE OWNER OF ALMA TELEPHONE COMPANY, WHICH PROVIDES TELEPHONE SERVICES TO THE ORGANIZATION. AMY TURNER, THE DAUGHTER-IN-LAW OF THE CEO, IS EMPLOYED BY THE ORGANIZATION AS THE ASSISTANT DIRECTOR OF NURSING. MR. TURNER, THE CEO'S SPOUSE, IS OWNER OF COLBY ENTERPRISES WHICH DOES BUSINESS WITH THE HOSPITAL.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTHE MISSION OF BACON COUNTY HOSPITAL AND HEALTH SYSTEM IS TO PROVIDE COMPASSIONATE AND COMPREHENSIVE COMMUNITY HEALTHCARE THAT MEET OUR CUSTOMERS' EXPECTATIONS. TO PROVIDE EDUCATION AND INCREASE HEALTH AWARENESS.
FORM 990OUR MISSION, AS WELL AS OUR VISION AND VALUES, SERVES AS A GUIDELINE FOR DAILY DECISION MAKING AND REPRESENTS THE PRINCIPLES AND PRACTICES THAT WE CONSTANTLY APPLY. THE COMFORT AND CARE OF OUR PATIENTS IS A MAJOR FOCUS OF OURS. WE WANT TO PROVIDE QUALITY AND COST EFFECTIVE CARE THAT IS CLOSE TO HOME. ANOTHER OBJECTIVE OF OURS IS TO PROVIDE EDUCATION AND TO INCREASE YOUR HEALTH AWARENESS. PART OF OUR MISSION IS TO CONTINUALLY PUT THE "CARE" IN HEALTHCARE.
FORM 990, PART VLINE 7F, PERSONAL BENEFIT CONTRACT AS PART OF HER RETIREMENT PACKAGE, THE ORGANIZATION HOLDS AN INSURANCE POLICY ON THE LIFE OF CEO CINDY TURNER. THE CASH SURRENDER VALUE OF THE POLICY WILL BE WORTH 360,000 WHEN SHE REACHES AGE 65. THE PREMIUMS ARE INCLUDED ON HER W-2 ANNUALLY. THE BENEFICIARY OF THE POLICY IS ONE CHOSEN BY THE CEO.
FORM 990, PART V, LINE 4BCAYMAN ISLANDS
FORM 990, PAGE 6, PART VI, LINE 7ABACON COUNTY PROVIDES THE HOSPITAL AUTHORITY OF BACON COUNTY ("AUTHORITY") A LIST OF POTENTIAL BOARD MEMBERS TO CHOOSE FROM AS VACANCIES IN THE BACON COUNTY HEALTH SERVICES, INC. ("BCHS") GOVERNING BOARD ARISE. BCHS BOARD IS SELF PERPETUATING. HOWEVER, THIS BOARD RETAINS THREE HOSPITAL AUTHORITY BOARD MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 7BDECISIONS OF THE FILING ORGANIZATION ARE FINAL WITH THE EXCEPTION OF BONDS ISSUANCE, AND LAND OR BUILDING ACQUISITIONS WHICH REQUIRE THE APPROVAL OF THE AUTHORITY BOARD.
FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE FORM 990 IS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE. THE CEO WILL REVIEW FORM 990 WITH THE EXECUTIVE COMMITTEE IN DETAIL. THE EXECUTIVE COMMITTEE CHAIRMAN WILL REVIEW THE FORM 990 WITH THE BCHS BOARD PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CALL OFFICERS AND KEY EMPLOYEES OF BCHS MUST SIGN A CONFLICT OF INTEREST FORM AT THEIR ANNUAL EVALUATION, DISCLOSING ANY CONFLICTS OF INTEREST. ANY CONFLICTS THAT ARISE ARE DEALT WITH AT THE HUMAN RESOURCES/CEO LEVEL. ANNUALLY, THE HOSPITAL'S BOARD OF DIRECTORS SIGN A CONFLICT OF INTEREST STATEMENT, DISCLOSING ANY CONFLICTS. ANY CONFLICTS THAT ARISE FROM A BOARD MEMBER ARE REVIEWED AT THE BOARD OF DIRECTORS LEVEL. BOARD MEMBERS DO NOT PARTICIPATE OR VOTE ON ISSUES THAT WOULD RELATE TO A CONFLICT.
FORM 990, PAGE 6, PART VI, LINE 15ATHE HUMAN RESOURCES DIRECTOR OBTAINS A MARKET SURVEY PROVIDED BY THE GEORGIA HOSPITAL ASSOCIATION ANNUALLY. DEPARTMENT DIRECTORS', INCLUDING CEO, SALARIES ARE COMPARED TO THIS SURVEY AND ADJUSTED ACCORDINGLY. THIS, ALONG WITH THE DIRECTOR'S PERFORMANCE EVALUATION, ARE USED TO DETERMINE THE INDIVIDUAL'S SALARY ADJUSTMENT. ONCE THIS IS APPROVED BY ADMINISTRATION, IT IS REVIEWED BY THE PERSONNEL COMMITTEE OF THE HOSPITAL'S BOARD OF DIRECTORS. WHEN THE PERSONNEL COMMITTEE APPROVES THE SALARIES, IT IS PRESENTED TO THE HOSPITAL'S FULL BOARD OF DIRECTORS FOR FINAL APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 15BSEE NARRATIVE FOR LINE 15A ABOVE.
FORM 990, PAGE 6, PART VI, LINE 19INDIVIDUALS CAN REQUEST HOSPITAL DOCUMENTS IN WRITING AND THE HOSPITAL WILL RESPOND WITHIN 7 BUSINESS DAYS. CITIZENS CAN REQUEST ANY DOCUMENTS. CEO THEN CONSULTS WITH THE HOSPITAL ATTORNEY TO SEE IF THE REQUEST IS REQUIRED TO BE FILLED.
FORM 990, PART IX, LINE 11GCONTRACT LABOR 2,022,639 60,424 0 PROFESSIONAL FEES 894,352 0 0 PURCHASED SERVICES 1,412,083 335,964 0 TOTAL 4,329,074 396,388 0
FORM 990, PART XI, LINE 9EQUITY TRANSFER TO FOUNDATION -82,679 THE CHANGE IN NET ASSETS IS RELATED TO NONCASH TRANSACTIONS AS DETAILED ABOVE.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SOUTH GEORGIA PHYSICIANS GROUP LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1302 S WAYNE STREETAddressLine1Txt
CityALMACityNm
State AbbreviationGAStateAbbreviationCd
ZIP315100987ZIPCd
FieldValueIRS element (for citing)
EIN452918774EIN
Primary ActivitiesPHYSICIANSPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Total Income$1,433,629TotalIncomeAmt
End Of Year Assets$440,481EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BCHSBusinessNameLine1Txt
Business Name Line2BACON COUNTY HEALTH SERVICES INCBusinessNameLine2Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
HOSPITAL AUTHORITY OF BACON COUNTY
302 S WAYNE STREETALMAGA315100987586003069HEALTHCAREGA501C16NAfalse
BACON COUNTY HOSPITAL FOUNDATION IN
302 S WAYNE STREETALMAGA315100987814388871FOUNDATIONGA501C37AUTHORITYfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd