2018-03-15T09:08:13-04:00 2017-04-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2016-05-01 582513901 CHATUGE REGIONAL HOSPITAL INC CHAT 7068962222 110 SOUTH MAIN STREET HIAWASSEE GA 305460509 NICHOLAS TOWNSEND CFO 7068962222 2018-03-12 true WILLIAM EDWARD PHILLIPS P00451499 2298837878 2018-03-15 3DB754BF4A86932C7270BAD44D636E9B352C5FAB 0937AA51FE1890DB268E62CCE5B9BDE6CC8E5F0B 2016 2021-01-29 14:40:06Z RICHARD L KELLEY 110 SOUTH MAIN STREET HIAWASSEE GA 30546 23061014 false X WWW.UNIONGENERALHOSPITAL.COM X 1955 GA TO PROVIDE HIGH QUALITY, COST EFFECTIVE HEALTH CARE AND TO PROMOTE WELLNESS THROUGHOUT OUR COMMUNITY. 7 6 479 0 11312 13251 20543569 22501086 3508 12036 257210 188905 20815599 22715278 0 0 12520523 14356981 0 0 9982079 9727653 22502602 24084634 -1687003 -1369356 14483734 17383937 5640634 9910193 8843100 7473744 X TO PROVIDE HIGH QUALITY, COST EFFECTIVE HEALTH CARE AND TO PROMOTE WELLNESS THROUGHOUT OUR COMMUNITY. false false 20420993 22529681 CHATUGE REGIONAL HOSPITAL (CRH), A 501(C)(3) HEALTHCARE ORGANIZATION, TAKES A PROACTIVE APPROACH TO MEET COMMUNITY HEALTH NEEDS, THE ORGANIZATION'S TAX-EXEMPTION REQUIREMENTS AND OFFERS COMMUNITY BENEFIT PROGRAMS AND SERVICES WHICH RESULT IN A POSITIVE IMPACT ON COMMUNITY HEALTH. CRH AND CHATUGE REGIONAL NURSING HOME (CRNH) HAVE A VISION TO BE THE "FIRST CHOICE" PROVIDER OF COMPREHENSIVE MEDICAL SERVICES IN OUR AREA. WE VALUE OUR PATIENTS AND RESIDENTS AND BELIEVE THEY ARE OUR MOST IMPORTANT RESPONSIBILITY. WE SHALL ALWAYS SEEK TO MEET THE PHYSICAL, EMOTIONAL, EDUCATIONAL, AND SPIRITUAL NEEDS OF OUR PATIENTS AND THEIR FAMILIES. WE VALUE OUR MEDICAL STAFF AND WILL SEEK WAYS TO HELP THEM IMPROVE PROFESSIONALLY AND FACILITATE THE PRACTICE OF MEDICINE. WE VALUE OUR EMPLOYEES AND SHALL TREAT EACH OTHER WITH COURTESY, FAIRNESS, RESPECT, AND INTEGRITY. WE SHALL WORK AS A TEAM TO DO OUR BEST TO PROMOTE OUR MISSION AND FULFILL OUR VISION. WE VALUE OUR COMMUNITY. WE ARE COMMITTED TO THE TREATMENT AND CARE OF OUR PATIENTS AND PROMOTION OF HEALTH AND WELLNESS IN OUR COMMUNITY. WE WILL CONFRONT ALL ETHICAL AND MORAL HEALTH-RELATED ISSUES NECESSARY TO ENHANCE THE QUALITY OF LIFE IN OUR COMMUNITY. WE VALUE QUALITY CARE AND WILL SEEK TO DELIVER CUSTOMER-FOCUSED, COST EFFICIENT SERVICES WITH COMPASSION AND CARING. CRH WAS DEEMED TO BE A CRITICAL ACCESS HOSPITAL BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), EFFECTIVE MAY 1, 2002, AND BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH (DCH). CRH IS THE ONLY ACUTE CARE HOSPITAL IN TOWNS COUNTY, GEORGIA. CRH IS LIMITED TO 25 ACUTE AND INTENSIVE CARE MEDICAL/SURGICAL BEDS. THESE BEDS ARE ALSO USED FOR SHORT-TERM SKILLED NURSING CARE. OUTPATIENT SERVICES INCLUDE RADIOLOGY, LABORATORY AND OTHER DIAGNOSTIC SERVICES, REHABILITATION SERVICES, AND 24/7 EMERGENCY MEDICAL SERVICES. CRNH IS THE ONLY NURSING FACILITY IN THE COUNTY PROVIDING SKILLED AND INTERMEDIATE LEVELS OF LONG-TERM CARE. CRNH IS LICENSED FOR 112 BEDS AND CONSISTENTLY HAS A WAITING LIST FOR ADMISSIONS. A MAJORITY OF THE RESIDENTS OF CRNH ARE MEDICARE AND MEDICAID BENEFICIARIES. IT IS A LONG-ESTABLISHED POLICY OF CRH TO PROVIDE QUALITY CARE FOR ITS PATIENTS REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. QUALIFICATION FOR HOSPITAL INDIGENT CARE IS SET AT 125% OF THE CURRENT FEDERAL POVERTY GUIDELINES AND IS BASED ON SIZE OF THE FAMILY UNIT. CRH AND CRNH ALSO PROVIDE FREE OR REDUCED COST CARE TO ALL ELIGIBLE PERSONS REQUESTING CHARITY CARE ASSISTANCE. FOR EMERGENCY MEDICAL SERVICES, INCLUDING ACTIVE LABOR, NO PERSON WILL BE DENIED CARE DUE TO AN INABILITY TO PAY FOR SERVICES. CRH AND CRNH PARTICIPATE IN MEDICARE, MEDICAID, PEACHCARE, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. CRH, IN CONJUNCTION WITH ITS SISTER HOSPITAL, UNION GENERAL HOSPITAL, ARE THE ONLY TAX-EXEMPT, NON-PROFIT HOSPITALS WITHIN THE IMMEDIATE EIGHT-COUNTY AREA OF THE NORTH CENTRAL AND NORTHEAST GEORGIA MOUNTAINS. DUE TO THE MOUNTAINOUS TERRAIN AND BEING BOUNDED BY THE CHATTAHOOCHEE NATIONAL FOREST AND LAKE CHATUGE, TOWNS COUNTY AND ITS NEIGHBORING CLAY COUNTY, NC, HAVE SEVERAL VERY REMOTE COMMUNITIES FROM WHICH ACCESS TO MEDICAL CARE CAN LITERALLY BE MORE THAN AN HOUR AWAY IN SOME CASES. TOWNS COUNTY ATTRACTS MANY VISITORS FOR CAMPING, HIKING, FISHING AND HUNTING. THE TWISTING MOUNTAIN ROADS ATTRACT BICYCLISTS AND MOTORCYCLISTS THROUGHOUT THE SPRING, SUMMER AND FALL SEASONS. THESE ACTIVITIES MANY TIMES RESULT IN MEDICAL EMERGENCIES, SOME VERY SERIOUS, FOR WHICH THE EMERGENCY DEPARTMENT OF CRH MUST BE PREPARED. CRH ESTABLISHED A FAMILY MEDICAL PRACTICE IN HAYESVILLE, NC (CLAY COUNTY) TO HELP MEET THE MEDICALLY UNDERSERVED IN THE COMMUNITY. THE MEDICAL OFFICE IS STAFFED WITH FAMILY NURSE PRACTITIONERS AND SUPPORTED BY PHYSICIANS FROM CRH'S EMERGENCY DEPARTMENT. 20420993 true false false false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false true false false false false false false true false false false true 34 0 479 true false false false false false false false false false false X 7 6 false false false false true false false true true false false true true true true false false true false false GA X X NICK TOWNSEND 7064396498 35 HOSPITAL ROAD BLAIRSVILLE GA 30512 PATSY EFIRD CHAIRPERSON 1.00 1.50 X X 0 0 0 MAX COCHRAN DIRECTOR 1.00 1.50 X 0 0 0 DINAH PARIS DIRECTOR 1.00 1.50 X 0 0 0 MYRON TURNER SECRETARY 1.00 1.50 X X 0 0 0 JAMES K WILLIAMS ASSISTANT CH 1.00 1.50 X X 0 0 0 STEVEN ROWE TREASURER 1.00 1.50 X X 0 0 0 ANDRE SCHOEFFLER MD DIRECTOR 1.00 1.50 X 0 0 0 RICHARD L KELLEY CEO 4.00 36.00 X 15299 180739 7230 JULIA BARNETT CNO 4.00 36.00 X 0 136547 11182 TIMOTHY N HENRY CFO 4.00 36.00 X 0 115598 3472 MATTHEW HUNTER CIO 4.00 36.00 X 0 92927 5658 NICHOLAS TOWNSEND CFO 4.00 36.00 X 0 88867 7196 MICHAEL GAY COO 4.00 36.00 X 0 83672 3153 MICHAEL JOHNSTON COO 4.00 36.00 X 0 79336 1522 SHELLY MCINTYRE PSYCHIATRIST 40.00 X 257536 0 3947 JOHN GORDON ADMINISTRATO 40.00 X 112595 0 5842 385430 777686 49202 2 false true false QUEST DIAGNOSTICS PO BOX 740736 ATLANTA GA 303740736 LAB SVCS 120958 MILLER EDX LLC PO BOX 2696 BLUE RIDGE GA 30513 MEDICAL SERVICE 114639 2 13251 13251 NET PATIENT REVENUE 623000 22501086 22501086 22501086 2536 2536 98034 98034 98034 98034 355236 345736 9500 9500 9500 CAFETERIA & VENDING 722514 62276 62276 MISCELLANEOUS 623000 11290 11290 PHARMACY 621990 8846 8846 8459 8459 90871 22715278 22529681 172346 X 12184918 10618638 1566280 64976 56627 8349 33947 29585 4362 2073140 1806742 266398 129166 129166 2530010 2249081 280929 85226 14401 70825 2136010 1823452 312558 55014 30298 24716 528185 463588 64597 42088 31917 10171 9952 9912 40 1264844 1110154 154690 172251 172251 MEDICAL SUPPLIES 1048316 1048316 REPAIRS & MAINTENANCE 641379 458658 182721 PROVIDER FEE 540062 540062 DUES & SUBSCRIPTIONS 495494 128173 367321 49656 1389 48267 24084634 20420993 3663641 0 1641470 2719362 247273 247273 2399910 2898699 195909 39182 414158 398463 343066 325217 19697019 9764311 8740087 9932708 501861 823033 14483734 17383937 1291086 1513105 152876 1479003 1308349 2717669 7088739 5640634 9910193 X 8843100 7473744 8843100 7473744 14483734 17383937 -1369356 X false true X true false X 877121 877121 8907564 3078544 5829020 212165 154939 57226 9433501 6530828 2902673 266668 266668 9932708 DUE TO UNION GENERAL 6813768 THIRD PARTY SETTLEMENTS 274971 7088739 X SCHEDULE D, PAGE 3, PART X UNION, CHATUGE AND THE AMBULANCE SERVICE ARE TAX EXEMPT UNDER SECTION 501 (A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THE DIALYSIS CLINIC IS ORGANIZED UNDER GEORGIA LAW AND THE INTERNAL REVENUE CODE (IRC) AS A LIMITED LIABILITY COMPANY (LLC). THE DIALYSIS CLINIC IS TAXED AS A PARTNERSHIP UNDER FEDERAL AND STATE LAW AND IS THEREFORE NOT SUBJECT TO CORPORATE INCOME TAXATION. THE MEMBERS REPORT THEIR ALLOCABLE SHARE OF INCOME FROM THE LLC ON THEIR INCOME TAX RETURNS. UNION'S SHARE OF INCOME FROM THE DIALYSIS CLINIC'S OPERATIONS IS CONSIDERED RELATED BUSINESS INCOME AND THEREFORE IS NOT SUBJECT TO TAX. THE CORPORATION 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 CORPORATION 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 OR PENALTIES THAT WOULD RESULT FROM THE DISALLOWANCE OF THE POSITION. SHOULD SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF APRIL 30, 2017 AND 2016 OR FOR THE YEARS THEN ENDED. THE CORPORATION'S 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. true true X true X 1.250000000000 true X true false true true 249490 249490 0.01040 1993301 2460749 2242791 2460749 249490 0.01040 4954 4954 0.00020 4954 4954 0.00020 2247745 2460749 254444 0.01060 false 856782 132801 7644358 8427345 -782987 X true true 1 1 CHATUGE REGIONAL HOSPITAL INC 110 SOUTH MAIN STREET HIAWASSEE GA 305460509 WWW.UNIONGENERALHOSPITAL.COM 139-583 X X X SNF, CLINICS CHATUGE REGIONAL HOSPITAL INC 1 false false true X X X X X X X X 15 true false false true X WWW.UNIONGENERALHOSPITAL.COM X true 15 true WWW.UNIONGENERALHOSPITAL.COM/COMMUNITY false false true X 125.000000000000 400.000000000000 X X X X X true true X X X true X WWW.UNIONGENERALHOSPITAL.COM/ X WWW.UNIONGENERALHOSPTIAL.COM/ X WWW.UNIONGENERALHOSPITAL.COM X X X X X X X true X false X X X X true X false false FACILITY 1, CHATUGE REGIONAL HOSPITAL, INC - PART V, LINE 5 THE HOSPITAL COLLABORATED WITH GEORGIA SOUTHERN UNIVERSITY TO ENLIST COMMUNITY REPRESENTATIVES TO SERVE ON THE COMMUNITY ADVISORY COMMITTEE TO ASSIST WITH DESIGN AND DISTRIBUTION OF A HEALTH NEEDS SURVEY. WE DISTRIBUTED APPROXIMATELY 400 SURVEYS TO THE COMMUNITY (174 WERE RETURNED) AND CONDUCTED 3 KEY STAKEHOLDER INTERVIEWS. FACILITY 1, CHATUGE REGIONAL HOSPITAL, INC - PART V, LINE 11 THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2015 IDENTIFIED 10 SPECIFIC NEEDS THAT ARE ADDRESSED IN THE ATTACHED IMPLEMENTATION STRATEGIES. THE HOSPITAL ADDRESSES ALL OF THE IDENTIFIED NEEDS IN SOME MANNER FROM CLINICAL OUTREACH TO COMMUNITY EDUCATION. THE CURRENT CHNA AND IMPLEMENTATION STRATEGIES, AS WELL AS THE PREVIOUS CHNA (WHICH WAS CONDUCTED IN 2012) ARE AVAILABLE ON THE HOSPITAL'S WEBSITE AT: WWW.UNIONGENERALHOSPITAL.COM/COMMUNITY-HEALTH/. FACILITY 1, CHATUGE REGIONAL HOSPITAL, INC - PART V, LINE 16J ANNUAL NEWSPAPER NOTICE INDICATING THE AVAILABILITY OF FINANCIAL ASSISTANCE. REGISTRATION AND COLLECTORS PROVIDE INFORMATION AND FINANCIAL ASSISTANCE APPLICATIONS. SIGNAGE POSTED IN REGISTRATION AND EMERGENCY DEPARTMENTS. 4 CHATUGE REGIONAL NURSING HOME 386 BELAIRE DRIVE HIAWASSEE GA 30546 SKILLED NURSING HAYESVILLE FAMILY PRACTICE 450 HIGHWAY 64 BUSINESS SUITE 4 HAYESVILLE NC 28904 FAMILY CLINIC UNION GENERAL AT SUCHES 56 FIREWATER LANE SUCHES GA 30572 PHYSICIAN CLINIC UNION GENERAL AT YOUNG HARRIS 1155 MAIN STREET YOUNG HARRIS GA 30582 PHYSICIAN CLINIC PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". THE COSTS FOR PART I, LINE 7A AND 7B WERE CALCULATED USING THE RATIO OF COSTS TO CHARGES USING WORKSHEET 2 IN THE INSTUCTIONS TO FORM 990 SCHEDULE H. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. LINE 3 - BASED ON EXPERIENCE, THE ORGANIZATION HAS FOUND THAT THERE IS A PORTION OF BAD DEBT THAT IS GENERALLY ATTRIBUTABLE TO CHARITY CARE. BASED ON ECONOMIC CENSUS RECORDS, 15.5% OF PERSONS ARE BELOW POVERTY LEVEL AND SINCE OUR FINANCIAL ASSISTANCE POLICY GOES TO 400% OF THE POVERTY LEVEL, WE ESTIMATED THAT 15.5% OF THE BAD DEBT AMOUNT ON LINE 2 WOULD BE ATTRIBUTABLE TO THOSE PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, BUT FAILED TO COMPLETE THE APPLICATION PROCESS FOR WHATEVER REASON. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS FOOTNOTE 1 ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOOTNOTE 3 (ON PAGE 19) SUMMARIZES ALL UNCOMPENSATED CHARGES INCLUDING BAD DEBTS. PART III, LINE 8 - MEDICARE EXPLANATION MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION ONCE THE PATIENT IS APPROVED FOR INDIGENT CARE (100% WRITE OFF) THE ACCOUNT(S) IS (ARE) RECLASSIFIED TO INDIGENT CARE AND NO FURTHER COLLECTION ACTIVITY IS CONDUCTED. FOR PATIENTS APPROVED FOR CHARITY CARE (REDUCED CHARGE), THE ACCOUNT GUARANTOR WILL RECEIVE STATEMENTS AND PHONE CALLS TO COLLECT THE REMAINING BALANCE DUE. PART VI, LINE 2 - NEEDS ASSESSMENT THE ORGANIZATION PERIODICALLY SOLICITS FEEDBACK FROM THE MEDICAL STAFF AND FROM CITY AND COUNTY OFFICIALS, IN ADDITION TO THE INPUT RECEIVED DURING THE CHNA PROCESS. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE NOTICES ARE PUBLISHED IN THE LOCAL COMMUNITY NEWSPAPER REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. ACCOUNT COLLECTORS ALSO INFORM THE ACCOUNT GUARANTOR OF THE AVAILABILITY OF INDIGENT AND CHARITY CARE ONCE THE COLLECTION PROCESS IS INITIATED. THE ORGANIZATION MAILS OUT APPLICATIONS FOR FINANCIAL AID, BUT A LIMITED NUMBER ARE EVER RETURNED. PART VI, LINE 4 - COMMUNITY INFORMATION CHATUGE REGIONAL HOSPITAL ("CRH") SERVES A GENERALLY RURAL, MOUNTAINOUS AREA AND IS THE SOLE HOSPITAL IN TOWNS COUNTY. DUE TO THE MOUNTAINOUS TERRAIN AND BEING BOUNDED BY THE CHATTAHOOCHEE NATIONAL FOREST AND LAKE CHATUGE, TOWNS COUNTY AND ITS NEIGHBORING CLAY COUNTY, NC HAVE VERY REMOTE COMMUNITIES FROM WHICH ACCESS TO MEDICAL CARE CAN LITERALLY BE MORE THAN AN HOUR AWAY IN SOME CASES. TOWNS COUNTY ATTRACTS MANY VISITORS FOR CAMPING, BOATING, HIKING, FISHING AND HUNTING, AS WELL AS BICYCLISTS AND MOTORCYCLISTS, WHICH OFTEN LEAD TO SERIOUS INJURY THAT THE EMERGENCY DEPARTMENT MUST BE PREPARED TO MEET. FURTHERMORE, CRH IS A CRITICAL ACCESS HOSPITAL FOR THE RESIDENTS OF TOWNS COUNTY, GA, AND CLAY COUNTY, NC. SIGNIFICANT PORTIONS OF THE RESIDENT POPULATION ARE MEDICARE AND MEDICAID BENEFICIARIES. TOWNS COUNTY IS DEEMED TO HAVE A MEDICALLY UNDERSERVED POPULATION (MUP) BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH THE ORGANIZATION PROMOTES/CONDUCTS HEALTH FAIRS OPEN TO THE COMMUNITY WHEREIN FREE HEALTH SCREENINGS AND LOW-COST BASIC LAB TESTS ARE DONE. OTHER HEALTH INFORMATION IS PROVIDED INCLUDING INFORMATION ON SMOKING CESSATION AND DIABETES. THE ORGANIZATION IS ENTIRELY TOBACCO-FREE, THUS PROMOTING A HEALTHY LIFESTYLE. SURPLUS FUNDS ARE USED TO PROVIDE FOR THE ADDITION, IMPROVEMENT, OR REPLACEMENT OF CAPITAL AND EQUIPMENT NEEDS. THE BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY VOLUNTEERS. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS, OFFERS FINANCIAL ASSISTANCE FOR MEDICAL CARE TO ELIGIBLE INDIVIDUALS AND IT HAS AN OPEN MEDICAL STAFF. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT GEORGIA true false false false false false false false false RICHARD L KELLEY CEO 15299 180198 541 7230 15299 187969 SHELLY MCINTYRE PSYCHIATRIST 256995 541 3947 261483 SCHEDULE J, PAGE 1, PART I, LINE 3 THE OFFICERS OF THE ORGANIZATION ARE COMPENSATED BY A RELATED PARTY, THE UNION COUNTY HOSPITAL AUTHORITY. THE AUTHORITY BOARD REVIEWS THE FORM 990 OF SIMILAR ORGANIZATIONS, REVIEWS INDEPENDENT COMPENSATION SURVEY DATA AND APPROVES CEO COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 4 TIMOTHY N. HENRY 50,000 0 0 MATTHEW HUNTER 19,760 0 0 SCHEDULE J, PART III THE TWO INDIVIDUALS RECEIVING SEVERANCE PAYMENTS WERE COMPENSATED BY A RELATED ORGANIZATION, THE UNION COUNTY HOSPITAL AUTHORITY. LINDSEY TOWNSEND WIFE OF OFFICER 32814 COMPNSATION false SCHEDULE L, PART V LINDSEY TOWNSEND IS THE WIFE OF THE ORGANIZATION'S CFO. SHE IS PAID A FAIR MARKET SALARY FOR HER SERVICES. FORM 990, PAGE 2, PART III, LINE 4A EMPLOYEES AND SHALL TREAT EACH OTHER WITH COURTESY, FAIRNESS, RESPECT, AND INTEGRITY. WE SHALL WORK AS A TEAM TO DO OUR BEST TO PROMOTE OUR MISSION AND FULFILL OUR VISION. WE VALUE OUR COMMUNITY. WE ARE COMMITTED TO THE TREATMENT AND CARE OF OUR PATIENTS AND PROMOTION OF HEALTH AND WELLNESS IN OUR COMMUNITY. WE WILL CONFRONT ALL ETHICAL AND MORAL HEALTH-RELATED ISSUES NECESSARY TO ENHANCE THE QUALITY OF LIFE IN OUR COMMUNITY. WE VALUE QUALITY CARE AND WILL SEEK TO DELIVER CUSTOMER-FOCUSED, COST EFFICIENT SERVICES WITH COMPASSION AND CARING. CRH WAS DEEMED TO BE A CRITICAL ACCESS HOSPITAL BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), EFFECTIVE MAY 1, 2002, AND BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH (DCH). CRH IS THE ONLY ACUTE CARE HOSPITAL IN TOWNS COUNTY, GEORGIA. CRH IS LIMITED TO 25 ACUTE AND INTENSIVE CARE MEDICAL/SURGICAL BEDS. THESE BEDS ARE ALSO USED FOR SHORT-TERM SKILLED NURSING CARE. OUTPATIENT SERVICES INCLUDE RADIOLOGY, LABORATORY AND OTHER DIAGNOSTIC SERVICES, REHABILITATION SERVICES, AND 24/7 EMERGENCY MEDICAL SERVICES. CRNH IS THE ONLY NURSING FACILITY IN THE COUNTY PROVIDING SKILLED AND INTERMEDIATE LEVELS OF LONG-TERM CARE. CRNH IS LICENSED FOR 112 BEDS AND CONSISTENTLY HAS A WAITING LIST FOR ADMISSIONS. A MAJORITY OF THE RESIDENTS OF CRNH ARE MEDICARE AND MEDICAID BENEFICIARIES. IT IS A LONG-ESTABLISHED POLICY OF CRH TO PROVIDE QUALITY CARE FOR ITS PATIENTS REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. QUALIFICATION FOR HOSPITAL INDIGENT CARE IS SET AT 125% OF THE CURRENT FEDERAL POVERTY GUIDELINES AND IS BASED ON SIZE OF THE FAMILY UNIT. CRH AND CRNH ALSO PROVIDE FREE OR REDUCED COST CARE TO ALL ELIGIBLE PERSONS REQUESTING CHARITY CARE ASSISTANCE. FOR EMERGENCY MEDICAL SERVICES, INCLUDING ACTIVE LABOR, NO PERSON WILL BE DENIED CARE DUE TO AN INABILITY TO PAY FOR SERVICES. CRH AND CRNH PARTICIPATE IN MEDICARE, MEDICAID, PEACHCARE, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. CRH, IN CONJUNCTION WITH ITS SISTER HOSPITAL, UNION GENERAL HOSPITAL, ARE THE ONLY TAX-EXEMPT, NON-PROFIT HOSPITALS WITHIN THE IMMEDIATE EIGHT-COUNTY AREA OF THE NORTH CENTRAL AND NORTHEAST GEORGIA MOUNTAINS. DUE TO THE MOUNTAINOUS TERRAIN AND BEING BOUNDED BY THE CHATTAHOOCHEE NATIONAL FOREST AND LAKE CHATUGE, TOWNS COUNTY AND ITS NEIGHBORING CLAY COUNTY, NC, HAVE SEVERAL VERY REMOTE COMMUNITIES FROM WHICH ACCESS TO MEDICAL CARE CAN LITERALLY BE MORE THAN AN HOUR AWAY IN SOME CASES. TOWNS COUNTY ATTRACTS MANY VISITORS FOR CAMPING, HIKING, FISHING AND HUNTING. THE TWISTING MOUNTAIN ROADS ATTRACT BICYCLISTS AND MOTORCYCLISTS THROUGHOUT THE SPRING, SUMMER AND FALL SEASONS. THESE ACTIVITIES MANY TIMES RESULT IN MEDICAL EMERGENCIES, SOME VERY SERIOUS, FOR WHICH THE EMERGENCY DEPARTMENT OF CRH MUST BE PREPARED. CRH ESTABLISHED A FAMILY MEDICAL PRACTICE IN HAYESVILLE, NC (CLAY COUNTY) TO HELP MEET THE MEDICALLY UNDERSERVED IN THE COMMUNITY. THE MEDICAL OFFICE IS STAFFED WITH FAMILY NURSE PRACTITIONERS AND SUPPORTED BY PHYSICIANS FROM CRH'S EMERGENCY DEPARTMENT. FORM 990, PART VI THE BOARD OF DIRECTORS, CEO, AND CFO SERVE IN A SIMILAR CAPACITY FOR UNION GENERAL HOSPITAL, CHATUGE REGIONAL HOSPITAL AND UNION GENERAL AMBULANCE SERVICE. FORM 990, PAGE 6, PART VI, LINE 6 UNION GENERAL HOSPITAL, INC., A GEORGIA 501(C)(3) NON-PROFIT HEALTHCARE ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE CFO REVIEWED THE RETURN IN DETAIL AND PROVIDED A COPY OF THE COMPLETED FORM 990 TO EACH BOARD MEMBER PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C OFFICERS AND DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY THAT REQUIRES DISCLOSURE OF ANY POTENTIAL RELATIONSHIP CONFLICTS. ANY CONFLICTS ARE REPORTED TO THE CHAIRMAN OF THE BOARD AND/OR DISINTERESTED PERSON OR COMMITTEE. THE INDIVIDUAL MEMBER WITH THE CONFLICT RECUSES HIMSELF FROM THE DISCUSSIONS AND VOTES ON THE ISSUE. FORM 990, PAGE 6, PART VI, LINE 15A THE CEO IS PAID A SMALL STIPEND BY THIS ORGANIZATION. UNION GENERAL HOSPITAL PAYS SUBSTANTIALLY ALL OF HIS COMPENSATION AND PROVIDES ALL OVERSIGHT FOR THE PROCESS OF COMPENSATING ALL OFFICERS. FORM 990, PAGE 6, PART VI, LINE 18 PHOTOCOPIES OF THE ORGANIZATION'S FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR - PATIENT CARE 250,316 13,601 0 PURCHASED SERVICES 488,310 185,087 0 CONSULTING 11,222 82,241 0 MEDICAL - PROFESSIONAL FEES 1,499,233 0 0 TOTAL 2,249,081 280,929 0 UNION GENERAL HOSPITAL INC 35 HOSPITAL ROAD BLAIRSVILLE GA 30512 586025393 HOSPITAL GA 501C3 3 N/A false MOUNTAIN COMMUNITY HEALTHCARE FOUND P O BOX 509 HIAWASSEE GA 30546 201376498 FUNDRAISIN GA 501C3 12C UGH UNION GENERAL HOSPITAL INC false UNION GENERAL AMBULANCE SERVICE INC 35 HOSPITAL ROAD BLAIRSVILLE GA 30512 452735005 AMBULANCE GA 501C3 12A UGH UNION GENERAL HOSPITAL INC false UNION COUNTY DIALYSIS LLC 72 APPALACHIAN AVENUE BLAIRSVILLE GA 30512 582503326 DIALYSIS C GA N/A false false false false false false true false false false false false false false true false true true false false false