UNION GENERAL HOSPITAL: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- UNION GENERAL HOSPITAL (EIN 72-0995809)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-04-14
- IRS object ID
- 201711049349300941
- Schema version
- 2015v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-04-14T14:20:58-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14241 DALLAS PKWY SUITE 1100 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75254 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 720995809 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Union General Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % WILLIAM ADCOCK | InCareOfNm |
| Business Name Control | UNIO | BusinessNameControlTxt |
| Phone | 3183689751 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 398 | AddressLine1Txt |
| City | Farmerville | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71241 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM ADCOCK | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3183687096 | PhoneNum |
| Signature | 2017-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeanette Verrelli | PreparerPersonNm |
| PTIN | P00742631 | PTIN |
| Phone | 9727028262 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | EVALYN ORMOND | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 398 | AddressLine1Txt |
| City | FARMERVILLE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71241 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,376,451 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UNIONGEN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE ACUTE CARE HOSPITAL SERVICES IN THE FARMERVILLE AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 158 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,635,972 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,635,724 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,476,629 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,645,859 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$10,500 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,029 | CYInvestmentIncomeAmt |
| PY Other Revenue | $82,517 | PYOtherRevenueAmt |
| CY Other Revenue | $77,968 | CYOtherRevenueAmt |
| PY Total Revenue | $15,184,618 | PYTotalRevenueAmt |
| CY Total Revenue | $15,365,580 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $51,173 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $55,497 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,621,082 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,935,666 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,887,099 | PYOtherExpensesAmt |
| CY Other Expenses | $8,924,841 | CYOtherExpensesAmt |
| PY Total Expenses | $14,559,354 | PYTotalExpensesAmt |
| CY Total Expenses | $14,916,004 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $625,264 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $449,576 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,027,080 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,481,380 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,562,809 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,620,128 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,464,271 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,861,252 | NetAssetsOrFundBalancesEOYAmt |
| Mission | IT IS THE MISSION OF UNION GENERAL HOSPITAL TO PROVIDE QUALITY SERVICE WITH COMPASSIONATE CARE. IT IS OUR GOAL TO DELIVER THE BEST POSSIBLE HEALTH CARE AVAILABLE AND SERVE THE DEDICATED PEOPLE OF UNION PARISH AND THE SURROUNDING AREAS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $12,401,546 | ExpenseAmt |
| Grant | $55,497 | GrantAmt |
| Revenue | $13,685,958 | RevenueAmt |
| Desc | PROVIDED ACUTE CARE HOSPITAL SERVICES TO INDIVIDUALS IN THE FARMERVILLE AREA; INDIVIDUALS SERVED AMOUNTED TO 1,962 PATIENT DAYS AND 5,672 EMERGENCY ROOM VISITS. THE LABORATORY PERFORMED 34,021 TESTS AND 32,371 ECG, RADIOLOGY, ULTRASOUND, CT, OT, RT, ST, AND PT PROCEDURES WERE PERFORMED. THE RURAL HEALTH CLINICS LOGGED 12,969 VISITS. | Desc |
| Total Program Service Expenses | $12,401,546 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 107 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 158 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM ADCOCK | PersonNm |
| Phone | 3183687096 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 JAMES AVE | AddressLine1Txt |
| City | FARMERVILLE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71241 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| TIM TETTLETON | ||||||||
| PRESIDENT | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BESSIE WARREN | ||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN ELLIS | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| EDDYE JO ALBRITTON | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL HUNTER JR | ||||||||
| VICE PRESIDENT | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RALPH KELLEY | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DANNY SMITH | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DIANNE DAVIDSON | ||||||||
| COO | 40.0 | 0.0 | Yes (X) | $90,306 | $0 | $3,500 | ||
| EVALYN ORMOND | ||||||||
| CONTRACTED CEO | 40.0 | 0.0 | Yes (X) | $10,000 | $0 | $1,118 | ||
| WILLIAM ADCOCK | ||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $154,786 | $0 | $12,842 | ||
| DARRA JUNG | ||||||||
| DIRECTOR OF NURSING | 40.0 | 0.0 | Yes (X) | $112,772 | $0 | $12,344 | ||
| HOLLY CORLEY MD | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $228,916 | $0 | $10,967 | Yes (X) | ||
| SHEREE HICKS | ||||||||
| PHARMACIST | 40.0 | 0.0 | $176,748 | $0 | $7,526 | Yes (X) | ||
| LYNETTE WADE NP | ||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | $106,822 | $0 | $7,199 | Yes (X) | ||
| LISA POST | ||||||||
| PHYSICIAN | 20.0 | 0.0 | $103,513 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $983,863 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $55,496 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CORRECT CARE INC | |||||
| 17438 HARDHAT DRIVE | COVINGTON | LA | 70435 | E.R. STAFFING | $1,107,486 |
| OMEGA DIAGNOSTICS LLC | |||||
| 2915 MISSOURI AVE | SHREVEPORT | LA | 71109 | LABORATORY | $940,409 |
| LEGACY REHABILITATION | |||||
| 1817 NORTHPOINTE LANE | RUSTON | LA | 71273 | THERAPY SERVICES | $786,064 |
| MEDHOST OF TENNESSEE INC | |||||
| 6550 CAROTHERS PKWY 100 | FRANKLIN | TN | 37067 | IT SERVICES | $372,207 |
| LINCOLN BUILDERS OF RUSTON INC | |||||
| 1809 NORTHPOINTE LN 201 | RUSTON | LA | 71270 | BUILDING CONTRACTOR | $2,119,685 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,583,129 | GovernmentGrantsAmt |
| All Other Contributions | $52,595 | AllOtherContributionsAmt |
| Total Contributions | $1,635,724 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $13,491,033 | $13,491,033 |
| E.H.R. Incentive Revenue | 900099 | $38,250 | $38,250 |
| Pharmacy Revenue | 446110 | $116,576 | $116,576 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,645,859 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,900 | TotalRevenueColumnAmt |
| Exclusion | $16,900 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,871 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$10,871 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$10,871 | TotalRevenueColumnAmt |
| Exclusion | -$10,871 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA AND VENDING SALES | 722514 | $37,869 | $37,869 | |
| MEDICAL RECORDS | 561000 | $10,656 | $10,656 | |
| UTILITIES DISTRICT REIMBURSEMENT | 900099 | $1,761 | $1,761 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,682 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,682 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $77,968 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,365,580 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,685,958 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $43,898 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,497 | TotalAmt |
| Program Services | $55,497 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,034 | TotalAmt |
| Program Services | $316,302 | ProgramServicesAmt |
| Management And General | $76,732 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,682,983 | TotalAmt |
| Program Services | $3,839,804 | ProgramServicesAmt |
| Management And General | $843,179 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,750 | TotalAmt |
| Management And General | $46,750 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $448,815 | TotalAmt |
| Program Services | $364,087 | ProgramServicesAmt |
| Management And General | $84,728 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,084 | TotalAmt |
| Program Services | $295,352 | ProgramServicesAmt |
| Management And General | $68,732 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,687 | TotalAmt |
| Management And General | $190,687 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,681 | TotalAmt |
| Management And General | $9,681 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,964 | TotalAmt |
| Management And General | $78,964 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,967,381 | TotalAmt |
| Program Services | $3,624,636 | ProgramServicesAmt |
| Management And General | $342,745 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,429 | TotalAmt |
| Program Services | $7,375 | ProgramServicesAmt |
| Management And General | $71,054 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,753 | TotalAmt |
| Program Services | $123,614 | ProgramServicesAmt |
| Management And General | $172,139 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,518 | TotalAmt |
| Management And General | $205,518 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,428 | TotalAmt |
| Program Services | $242,621 | ProgramServicesAmt |
| Management And General | $58,807 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,445 | TotalAmt |
| Program Services | $52,108 | ProgramServicesAmt |
| Management And General | $12,337 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,271 | TotalAmt |
| Program Services | $31,922 | ProgramServicesAmt |
| Management And General | $68,349 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,200 | TotalAmt |
| Management And General | $1,200 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $952,043 | TotalAmt |
| Program Services | $952,043 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,686 | TotalAmt |
| Program Services | $71,230 | ProgramServicesAmt |
| Management And General | $65,456 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $1,575,611 | $1,575,611 | |
| MEDICAL SUPPLIES | $832,391 | $832,391 | |
| DUES & SUBSCRIPTIONS | $39,510 | $3,318 | $36,192 |
| COLLECTIONS | $57,332 | $1,526 | $55,806 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,511 | TotalAmt |
| Program Services | $12,109 | ProgramServicesAmt |
| Management And General | $25,402 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,916,004 | TotalAmt |
| Program Services | $12,401,546 | ProgramServicesAmt |
| Management And General | $2,514,458 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,171,517 | BOYAmt |
| EOY | $4,081,640 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,389,965 | BOYAmt |
| EOY | $783,019 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,338,735 | BOYAmt |
| EOY | $1,048,665 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,649 | BOYAmt |
| EOY | $198,474 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,390 | BOYAmt |
| EOY | $76,187 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,256,924 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,025,431 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,120,920 | BOYAmt |
| EOY | $4,231,493 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $710,904 | BOYAmt |
| EOY | $1,061,902 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,027,080 | BOYAmt |
| EOY | $11,481,380 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $858,417 | BOYAmt |
| EOY | $1,320,308 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $704,392 | BOYAmt |
| EOY | $299,820 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,562,809 | BOYAmt |
| EOY | $1,620,128 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,227,416 | BOYAmt |
| EOY | $7,526,992 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,236,855 | BOYAmt |
| EOY | $2,334,260 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,464,271 | BOYAmt |
| EOY | $9,861,252 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,027,080 | BOYAmt |
| EOY | $11,481,380 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $449,576 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$52,595 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $2,670 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,670 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | OTHER ACTIVITIES FOR LOBBYING PURPOSES: THE HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES %LOBBYING $LOBBYING RURAL HOSPITAL COALITION $15,449 7% $1,082 LA HOSPITAL ASSOCIATION 8,484 18% 1,527 NATIONAL RURAL HEALTH ASSOC 1,225 5% 61 LA RURAL HEALTH ASSOC 700 0% 0 -------------------------------------- TOTAL $25,858 $2,670 | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $146,797 | OtherCostOrOtherBasisAmt |
| Book Value | $146,797 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,661,709 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,515,269 | DepreciationAmt |
| Book Value | $3,146,440 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,275,274 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,398,388 | DepreciationAmt |
| Book Value | $876,886 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $173,144 | OtherCostOrOtherBasisAmt |
| Depreciation | $111,774 | DepreciationAmt |
| Book Value | $61,370 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,231,493 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from 3rd Party Payer | $685,143 |
| OTHER RECEIVABLES | $226,210 |
| EMPLOYEE RECEIVABLES | $331 |
| DUE FROM CARD HEALTHCARE | $36,000 |
| DUE FROM HOSP SERV DISTRICT | $112,273 |
| UTILITY DEPOSITS | $1,945 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,061,902 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATION | $73,971 |
| DUE TO 3RD PARTY PAYER | $155,697 |
| Estimated Self-Insurance Costs | $70,152 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $299,820 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $12,645,611 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$1,575,611 | OtherRevenueAmt |
| Revenue Not Reported | -$1,575,611 | RevenueNotReportedAmt |
| Revenue Subtotal | $14,221,222 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,144,358 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,144,358 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $15,365,580 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,346,035 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $5,642 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $5,642 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,340,393 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,575,611 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,575,611 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,916,004 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | LIABILITY FOR UNCERTAIN TAX POSITIONS: THE HOSPITAL HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HOSPITAL FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. |
| SCHEDULE D, PART XI, LINE 2D | RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $(1,575,611) |
| SCHEDULE D, PART XII, LINE 4B | RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $1,575,611 |
| SCHEDULE D, PART XI, LINE 4B | RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: RESTRICTED CONTRIBUTION FROM DISTRICT $1,150,000 ADDITIONAL LOSS ON DISPOSAL OF PROPERTY $(5,642) ----------------- TOTAL $1,144,358 |
| SCHEDULE D, PART XII, LINE 2D | RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: ADDITIONAL LOSS ON DISPOSAL OF PROPERTY $5,642 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,961 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $48,961 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,083,919 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,281,801 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,132,880 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,281,801 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,961 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10233 | PersonsServedCnt |
| Total Community Benefit Expns | $68,248 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $68,248 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1703 | PersonsServedCnt |
| Total Community Benefit Expns | $32,152 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,152 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11936 | PersonsServedCnt |
| Total Community Benefit Expns | $100,400 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,400 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00750 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11936 | PersonsServedCnt |
| Total Community Benefit Expns | $3,233,280 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,281,801 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $149,361 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01120 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 100 | PersonsServedCnt |
| Total Community Benefit Expns | $626 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $626 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 931 | PersonsServedCnt |
| Total Community Benefit Expns | $7,259 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,959 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14 | PersonsServedCnt |
| Total Community Benefit Expns | $36,570 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $36,570 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1045 | PersonsServedCnt |
| Total Community Benefit Expns | $44,455 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,155 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,575,611 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $5,204,542 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,263,419 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$58,877 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Union General Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 James Ave | AddressLine1Txt |
| City | Farmerville | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71241 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.UNIONGEN.ORG | WebsiteAddressTxt |
| State License | 146 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNION GENERAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200. | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | REPRESENTATIVES FROM THE COMMUNITY: THE CHNA HOSPITAL STEERING COMMITTEE (CHSC) IDENTIFIED COMMUNITY LEADERS, PARTNERS, AND REPRESENTATIVES TO INCLUDE IN THE CHNA PROCESS. THE HOSPITAL IDENTIFIED 10 KEY STAKEHOLDERS FOR INDIVIDUAL INTERVIEWS WHO REPRESENTED MEDICALLY UNDERSERVED POPULATIONS, LOW INCOME POPULATIONS, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASES. THESE INDIVIDUALS INCLUDED: THE SUPERINTENDENT OF THE UNION PARISH SCHOOL SYSTEM, THE MAYOR OF THE CITY, A PRIEST FROM OUR LADY PERPETUAL HEALTH CATHOLIC CHURCH, A CANCER CONTROL OFFICER FROM AHEC, A MINISTER FROM BLOOMING GROVE BAPTIST CHURCH, A NURSE FROM THE UNION PARISH HEALTH UNIT, A DIRECTOR ON THE COUNCIL OF AGING, A CHILD SAFETY COORDINATOR FROM THE CHILDREN'S COALITION, A PHYSICIAN FROM THE HOSPITAL AND A BUSINESS OWNER ON UNION GENERAL'S BOARD OF DIRECTORS. DURING THE INTERVIEW PROCESS, STAKEHOLDERS WERE ASKED QUESTIONS RELATED TO BOTH HEALTH AND ECONOMIC ISSUES WITHIN THE COMMUNITY. THEY WERE THEN ASKED TO RANK CERTAIN ISSUES IN ORDER OF IMPORTANCE FOR THE PURPOSE OF INCLUDING THEIR VOTES IN THE COMMUNITY'S HEALTH PRIORITIES. ADDITIONALLY, THE UNION GENERAL COMMUNITY HEALTH NEEDS SURVEY OBTAINED INPUT FROM VARIOUS MEMBERS OF THE COMMUNITY IN FOCUS GROUP MEETINGS. |
| SCHEDULE H, PART V, SECTION B, LINE 7 | COMMUNITY HEALTH NEEDS ASSESSMENT: THE HOSPITAL'S CHNA IS AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: HTTP://WWW.UNIONGEN.ORG/2015%20CHNA%20REPORT_UNION%20GENERAL.PDF |
| SCHEDULE H, PART V, SECTION B, LINE 10A | IMPLEMENTATION STRATEGY: THE HOSPITAL'S IMPLEMENTATION STRATEGY IS AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: HTTP://WWW.UNIONGEN.ORG/2015%20IMPLEMENTATION%20STRATEGY%20UNION%20GENERAL %20HOSPITAL%20FINAL.PDF |
| SCHEDULE H, PART V, SECTION B, LINE 11 | IDENTIFIED NEEDS ADDRESSED AND NOT ADDRESSED: THE FOLLOWING PRIORITY NEEDS WERE IDENTIFIED BY THE COMMUNITY AND THE CHNA STEERING COMMITTEE: -CANCER: UNION GENERAL HOSPITAL ESTABLISHED A NEW PROGRAM FOR BREAST CANCER PREVENTION IN PARTNERSHIP WITH SUSAN G KOMEN. THE HOSPITAL HAS CONTINUED WITH ITS PARTNERSHIP WITH LSU PARTNERS IN WELLNESS FOR MAMMOGRAM SCREENINGS AND THE VAN COMES TO THE HOSPITAL ONCE A MONTH. THE HOSPITAL ALSO HOSTS A COMMUNITY HEALTH EDUCATION AND CANCER SURVIVOR'S GALA EVERY YEAR IN OCTOBER FOR BREAST CANCER AWARENESS MONTH. WE PROVIDED AN EDUCATION SESSION AND FREE SCREENINGS FOR COLON CANCER IN 2016 FOR THE COMMUNITY. -ADOLESCENT BEHAVIORS (SEXUAL HEALTH): THE HOSPITAL EXPANDED IT'S A GIRL THING, MAKING PROUD CHOICES, THE HOSPITAL'S STD/HIV PREGNANCY PREVENTION PROGRAM, SIGNING A MEMORANDUM OF UNDERSTANDING WITH THE SCHOOL DISTRICT UNDER THE 21ST CENTURY GRANT AFTER SCHOOL PROGRAM IN ORDER TO ADD A NEW COMPONENT TO THE PROGRAM AND TEACH 7TH AND 8TH GRADE GIRLS EVERY WEEK FOR AN HOUR. THE NEW ENROLLMENTS INCREASED THE NUMBER OF GIRLS ATTENDING THE MONTHLY MEETING BY 40%. 39 MEETINGS WERE CONDUCTED AT THE HOSPITAL AND THE SCHOOLS IN 2016 MAKING A TOTAL OF 106 MEETINGS SINCE THE PROGRAM STARTED IN 2013. IT'S A GIRL THING, MAKING PROUD CHOICES WON A NATIONAL AWARD FROM THE JACKSON HEALTHCARE FOUNDATION AND THE BOARD OF THE FOUNDATION WILL DELIVER THE AWARD IN APRIL 2017. WE HAVE CONTINUED WITH OUR ANTI BULLYING PROGRAM: UNION PARISH "TOGETHER, WE CAN BE BULLY FREE", AND ALSO RECEIVED AN AWARD BY THE JACKSON HEALTHCARE FOUNDATION IN 2016 AS A PROGRAM OF PROMISE. THE HOSPITAL ADDED MENTAL HEALTH, ALCOHOL AND DRUG PREVENTION AND SUICIDE PREVENTION TO BOTH OF THE HOSPITAL'S YOUTH PROGRAMS IN PARTNERSHIP WITH OTHER ORGANIZATIONS. IN 2016, 4 GIRLS WITH SERIOUS SUICIDE THOUGHTS WERE IDENTIFIED AND SENT TO COUNSELING AFTER A MENTAL HEALTH EVALUATION DURING ONE OF THE MONTHLY MEETINGS AT THE HOSPITAL. WE HAVE DISCUSSIONS WITH THE GIRLS AT THE SCHOOLS AND THE HOSPITAL EVERY WEEK ABOUT THESE TOPICS. SEVERAL GIRLS HAVE REACHED OUT TO THE PROGRAM TEAM LOOKING FOR HELP AND THEY HAVE BEEN HELPED. UNION GENERAL HOSPITAL HAS INCREASED THE NETWORK IN THE COMMUNITY AND THE HOSPITAL HAS GOTTEN THE ATTENTION AND RECOGNITION OF OTHER HOSPITALS AND COMMUNITY ORGANIZATIONS IN AND OUT OF STATE. THE HOSPITAL HAS MAINTAINED ITS COLLABORATION WITH THE SCHOOL BOARD, LAW ENFORCEMENT, CHILDREN'S COALITION, HEALTH UNIT, CHURCHES, HEALTH CARE PROVIDERS AND OTHER CIVIC AND BUSINESS ORGANIZATIONS IN THE AREA. -CARDIOVASCULAR: UNION GENERAL HOSPITAL HAS INCREASED ACCESS TO EDUCATION AND AWARENESS FOR EARLY PREVENTION OF HEART DISEASE AND STROKE IN PARTNERSHIP WITH OCHSNER HEALTH SYSTEM WE ARE NOW AN EMERGENCY LEVEL 3 STROKE CENTER. WE HAVE ALSO PARTICIPATED IN HEALTH FAIRS PROMOTING HEALTHY HABITS AND NUTRITION, AND INVITED THE COMMUNITY FOR NUTRITION CLASSES AT THE HOSPITAL. UNION GENERAL HOSPITAL IS PARTNERING WITH THE AMERICAN HEART ASSOCIATION-GO RED FOR WOMEN AND EDUCATING THE COMMUNITY ABOUT CARDIOVASCULAR DISEASE. -OBESITY AND DIABETES: THE HOSPITAL PARTICIPATED IN SEVERAL HEALTH FAIRS IN 2016: DIA DE LA FAMILIA AT THE D'ARBONNE STATE PARK, THE DRAGON BOAT RACES IN PARTNERSHIP WITH THE CHILDREN COALITION, BACK TO SCHOOL BASHES IN TOWN IN PARTNERSHIP WITH ZION HILL BAPTIST CHURCH AND BEULAH BAPTIST CHURCH AND OTHER HEALTH FAIRS IN PARTNERSHIP WITH LSU AGCENTER, TRIAD OF UNION PARISH, SCHOOL BOARD AND THE COUNCIL ON AGING. THE FOLLOWING ARE HEALTH NEEDS WITHOUT SPECIFIC IMPLEMENTATION STRATEGIES: -DENTAL AND ORAL HEALTH: IT IS BEYOND THE SCOPE OF THE HOSPITAL'S SERVICES TO OFFER DENTAL CARE. A FEDERALLY QUALIFIED HEALTHCARE CENTER (FQHC) IN MARION OFFERS DENTAL SERVICES TO THE UNINSURED OR UNDERINSURED ON A SLIDING FEE SCALE. THE HOSPITAL AND RURAL HEALTH CLINIC WILL EDUCATE AND REFER PATIENTS TO MOREHOUSE COMMUNITY MEDICAL CENTER (MCMC) OF MARION. -SEXUAL HEALTH: SEXUAL HEALTH WILL BE ADDRESSED THROUGH ANOTHER HEALTH PRIORITY "ADOLESCENT BEHAVIORS". UGH WILL DEVELOP IMPLEMENTATION STRATEGIES TO ADDRESS TEEN LIFESTYLE ISSUES WHICH INCLUDE SEXUAL HEALTH. ADDITIONALLY, PUBLIC HEALTH FACILITIES WILL BE IDENTIFIED AS RESOURCES COMMUNITY MEMBERS CAN CONTACT REGARDING SEXUAL HEALTH AND STD PREVENTION AND TREATMENT. -MENTAL HEALTH: MENTAL HEALTH SERVICES ARE BEYOND THE SCOPE OF THE SERVICES PROVIDED AT THE HOSPITAL. UGH WILL HELP IDENTIFY MENTAL HEALTH RESOURCES WITHIN ITS RESOURCE DIRECTORY. -RESPIRATORY AND ASTHMA: AFTER FURTHER REVIEW OF THIS HEALTH PRIORITY, THE SOURCE OF THE PRIORITY NEED WAS FROM THE SELF-REPORTED SURVEY THAT ASKED ABOUT ONE'S HEALTH CHALLENGES. THERE WAS NO OTHER EVIDENCE TO SUPPORT THIS AS A MAJOR HEALTH ISSUE. THE HOSPITAL WILL CONTINUE TO MONITOR THIS HEALTH CONDITION TO DETERMINE IF IT IS A SUBSTANTIAL HEALTH ISSUE IN THE FUTURE. ADDITIONALLY, THE HOSPITAL WILL HELP IDENTIFY RESPIRATORY SERVICES WITHIN ITS RESOURCE DIRECTORY. UNION GENERAL HOSPITAL WILL CONTINUE TO OFFER AN ANNUAL FLU SHOT DRIVE TO THE COMMUNITY AND EMPLOYEES TO REDUCE RESPIRATORY ILLNESSES. -ALCOHOL AND DRUG USE (ADULTS): ALCOHOL AND DRUG USE AMONG ADULTS WILL NOT BE ADDRESSED AT THIS TIME. SUBSTANCE ABUSE TREATMENT IS BEYOND THE SCOPE OF THE HOSPITAL'S SERVICES. UGH WILL CONTINUE TO REFER PATIENTS TO OTHER ORGANIZATIONS THAT ADDRESS THIS ISSUE. -ACCESS TO CARE (TRANSPORTATION, PHYSICIANS, JOB OPPORTUNITIES, AND WELLNESS): ACCESS TO WELLNESS SERVICES WILL BE ADDRESSED THROUGH THE OBESITY AND DIABETES HEALTH PRIORITY. ACCESS TO CARE RELATED TO SPECIALTY PHYSICIANS, LACK OF TRANSPORTATION, AND LACK OF JOB OPPORTUNITIES IS BEYOND THE SCOPE OF THE HOSPITAL'S SERVICES TO THE COMMUNITY. THE HOSPITAL WILL HELP IDENTIFY THESE TYPES OF SERVICES WITHIN ITS RESOURCE DIRECTORY. WELLNESS CARE IS CURRENTLY AVAILABLE IN ALL LOCAL PHYSICIAN OFFICES AS WELL AS AT MCMC OF MARION WHICH OFFERS SERVICES TO INDIGENT AND UNDERINSURED AT REDUCED RATES OR FREE THROUGH SLIDING FEE SCALES. THE HOSPITAL BELIEVES THAT RESPONDENTS TO SURVEY MAY NOT HAVE BEEN OF ALL WELLNESS SERVICES OFFERED BY CURRENT HEALTHCARE PROVIDERS OR MAY HAVE BEEN REFERRING TO A HEALTH CLUB TYPE FACILITY WHICH IS OUTSIDE THE SCOPE OF HOSPITAL SERVICES. -JOINT AND BACK PAIN: AFTER FURTHER REVIEW OF THIS HEALTH PRIORITY, THE SOURCE OF THIS PROIRITY WAS FROM THE SELF-REPORTED SURVEY THAT ASKED ABOUT ONE'S HEALTH CHALLENGES. THE HOSPITAL WILL CONTINUE TO MONITOR THIS HEALTH CONDITION TO DETERMINE IF THIS IS A SUBSTANTIAL HEALTH ISSUE IN THE FUTURE. |
| SCHEDULE H, PART V, SECTION B, LINE 13H | OTHER ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE: ANY PATIENTS WITH MEDICAID COVERAGE THAT HAVE NON-COVERED CHARGES WILL NOT REQUIRE ANY ADDITIONAL SCREENING TO QUALIFY FOR FINANCIAL ASSISTANCE. |
| SCHEDULE H, PART V, SECTION B, LINE 16A, 16B & 16C | FAP DOCUMENTS AVAILABLE TO THE PUBLIC: THE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: http://uniongen.org/page44.html |
| SCHEDULE H, PART V, SECTION B, LINE 16I | NOTIFICATION OF FINANCIAL ASSISTANCE POLICY: DURING THE SCREENING PROCESS, PATIENTS THAT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOTIFIED OF THE POLICY. |
| SCHEDULE H, PART V, SECTION B, LINES 18, 19 & 20 | ACTIONS FOR NON-PAYMENT: NEITHER UNION GENERAL HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY UGH, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. |
| SCHEDULE H, PART V, SECTION B, LINE 22D | DETERMINATION OF AMOUNTS BILLED: GROSS CHARGES ARE BILLED TO ALL PATIENTS REGARDLESS OF AVAILABILITY OF INSURANCE COVERAGE, BUT PATIENTS ELIGIBLE UNDER FAP WILL RECEIVE DISCOUNT OF CHARGES TO BE ZERO. PATIENTS ELIGIBLE UNDER FAP WILL THEREFORE NEVER BE CHARGED MORE THAN RATES CHARGED TO THOSE WITH INSURANCE. |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART III, SECTION A, LINE 2 | BAD DEBT EXPENSE: WE USE AN AGING APPROACH TO RESERVE AMOUNTS FOR BAD DEBT BY FINANCIAL CLASS. WHEN AN ACCOUNT REACHES THE STATUS THAT WE'VE DETERMINED THEM TO BE UNCOLLECTIBLE, THE ACCOUNT IS WRITTEN OFF AS A BAD DEBT. ALL APPROPRIATE DISCOUNTS AND PAYMENTS ARE APPLIED TO AN ACCOUNT, WHICH REDUCES ANY BAD DEBT WRITE-OFFS FOR THAT ACCOUNT. THE AMOUNT REPORTED ON LINE 2 IS THE BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, SECTION A, LINE 3 | BAD DEBT AS A COMMUNITY BENEFIT: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | BAD DEBT FOOTNOTE: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS APPROXIMATELY 87% OF SELF-PAY PATIENTS RECEIVABLE AT JUNE 30, 2016 AND 2015. IN ADDITION, THE HOSPITAL'S WRITE-OFFS INCREASED APPROXIMATELY $363,000 FROM APPROXIMATELY $1,321,000 FOR THE YEAR ENDED JUNE 30, 2015, TO APPROXIMATELY $1,684,000 FOR THE YEAR ENDED JUNE 30, 2016. THE INCREASE IN THE WRITE-OFFS IS PRIMARILY THE RESULT OF NEGATIVE CHANGES IN THE AGE AND PAYER MIX OF ACCOUNTS RECEIVABLE AT JUNE 30, 2016 AS COMPARED TO JUNE 30, 2015. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | COSTING METHODOLOGY AND MEDICARE SHORTFALL: THE HOSPITAL USED MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICAID OR MEDICARE DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. IN ADDITION, THE ORGANIZATION PROVIDES CARE TO ALL PATIENTS REGARDLESS OF SOURCE OF PAYMENT; THEREFORE, COSTS TO PROVIDE CARE TO MEDICARE PATIENTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT TO THE EXTENT COSTS EXCEED MEDICARE REIMBURSEMENT. |
| SCHEDULE H, PART III, SECTION C, LINE 9B | PROVISIONS ON COLLECTION PRACTICES: ONCE A PATIENT IS BELIEVED TO BE INDIGENT, THEY MUST COMPLETE AN APPLICATION FOR CHARITY CARE ASSISTANCE FOR UGH TO DETERMINE THE PATIENT'S ELIGIBILITY FOR ITS CHARITY CARE PROGRAM. TO BE ELIGIBLE, A PATIENT/FAMILY'S INCOME SHALL BE COMPARED TO 200% OF THE FEDERAL POVERTY GUIDELINES. THEIR INCOME MUST BE AT OR BELOW THE CORRESPONDING AMOUNT BASED ON FAMILY SIZE. IF A PATIENT WITH MEDICAID COVERAGE HAS NON-COVERED CHARGES, NO ADDITIONAL SCREENING WILL BE REQUIRED TO QUALIFY FOR CHARITY CARE. THE HOSPITAL MAY CONSIDER OTHER FINANCIAL ASSETS AND LIABILITIES OF THE PERSON WHEN DETERMINING ELIGIBILITY. THE SCREENING PROCESS TO DETERMINE A PATIENT'S ELIGIBILITY FOR THE HOSPITAL'S CHARITY CARE PROGRAM WILL BEGIN AS SOON AS POSSIBLE FOLLOWING ADMISSION TO UGH. ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR UGH'S CHARITY CARE PROGRAM, NO ADDITIONAL COLLECTION EFFORTS WILL BE MADE ON THAT ACCOUNT. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT: THE HOSPITAL HAS WORKED WITH OTHER COMMUNITY ORGANIZATIONS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY. THE HOSPITAL HAS COMPLETED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT WITH ASSISTANCE FROM AN OUTSIDE FIRM. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL PATIENTS WITHOUT THIRD PARTY INSURANCE RECEIVE INFORMATION WHILE AT UGH REGARDING GOVERNMENTAL ASSISTANCE AND ARE ADVISED TO MAKE AN APPOINTMENT WITH A CERTIFIED MEDICAID ENROLLMENT CENTER TO DETERMINE THEIR ELIGIBILITY FOR MEDICAID ASSISTANCE. THOSE PATIENTS ARE INFORMED THAT THEY MAY BE ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE PROGRAM. ALSO, ALL INPATIENTS WITHOUT THIRD PARTY COVERAGE ARE VISITED DURING THEIR HOSPITAL STAY AND SENT INFORMATION. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION: UNION GENERAL IS LOCATED IN UNION PARISH, A LARGE SPRAWLING RURAL COMMUNITY MADE UP OF 876.99 SQUARE MILES OF ROLLING HILLS AND TALL PINE TREES. 27.9% OF THE POPULATION IS BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. THERE IS NO PUBLIC TRANSPORTATION IN THE PARISH AND THE TOTAL PARISH POPULATION IS 22,721 (US CENSUS 2010). UNION PARISH IS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA (MUA) AND A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $35,828 (CENSUS 2010). THE COMMUNITY'S MORTALITY RATE IS NEARLY TWICE THE NATIONAL RATE DUE TO THE LACK OF EDUCATION PROGRAMS, THE HIGH RATE OF UNDIAGNOSED DISEASE, AS WELL AS POVERTY AND ISOLATION ASSOCIATED WITH THE RURAL UNDERSERVED PARISH POPULATIONS. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH: UNION GENERAL HOSPITAL SERVES AS A MEDICAID ENROLLMENT CENTER FOR UNION PARISH, PROVIDES FLU SHOT CLINICS TO THE COMMUNITY AND PARTICIPATES IN HEALTH FAIRS LOCALLY. THE HOSPITAL ALSO PARTICIPATES IN CAREER FAIRS AT LOCAL COLLEGES FOR HEALTHCARE STUDENTS, REACHING OVER 200 STUDENTS, AS WELL AS SERVING AS A CLINICAL SITE FOR LPNS, RADIOLOGY, PHLEBOTOMY AND NURSE PRACTITIONERS. UGH PARTNERS WITH THE ADVANCED HEALTH EDUCATION CENTER (AHEC) TO ENCOURAGE LOCAL YOUTH TO PURSUE HEALTHCARE CAREERS. UGH IS INVOLVED WITH LOCAL BUSINESSES TO BRING HEALTH AWARENESS AND SCREENING TO THE PUBLIC THROUGH RELAY FOR LIFE, AHA'S GO RED CAMPAIGN, UNITED WAY FUNDRAISER AND BY HOSTING AN ANNUAL BREAST CANCER AWARENESS DAY FOR THE COMMUNITY. UNION GENERAL PROMOTES BETTER HEALTH THROUGH AN EMPLOYEE WELLNESS PROGRAM THAT WILL BE EXPANDED TO LOCAL EMPLOYERS. UGH PARTNERS WITH LSU MAMMO VAN TO PROVIDE FREE MAMMOGRAMS, PELVIC EXAMS, PAP SMEARS AND COLON SCREENING FOR THE SERVICE AREA. THE HOSPITAL PROVIDED HAND WASHING INSTRUCTION FOR ELEMENTARY SCHOOL KIDS AND FOR NURSING HOME STAFF AND RESIDENTS, AS WELL AS PROVIDED BLOOD SUGAR AND BLOOD PRESSURE SCREENING FOR LOCAL BUSINESSES. UGH PARTICIPATED IN THE TOWN OF FARMERVILLE'S TOY DRIVE FOR NEEDY CHILDREN, ALONG WITH SPONSORED LOCAL 4-H PROJECTS. UGH EMPLOYEES ARE VERY INVOLVED WITH LOCAL ORGANIZATIONS, SUCH AS AN ALZHEIMER'S SUPPORT GROUP, COUNCIL ON AGING, NURSING HOME COUNCILS AND OTHERS. ALL PROPERTY OWNED BY UNION GENERAL IS DESIGNATED TOBACCO-FREE. UGH OPERATES UNDER A BOARD OF DIRECTORS, WHICH IS COMPRISED OF REPRESENTATIVE MEMBERS OF THE COMMUNITY. IT MAINTAINS AN OPEN MEDICAL STAFF AND OPERATES A 24/7 EMERGENCY ROOM STAFFED WITH ON-SITE PHYSICIANS. A NEW PHYSICIAN OFFICE BUILDING WAS BUILT TO HELP RECRUIT NEW PHYSICIANS TO THE AREA. UGH PROVIDES FOOD AND LODGING FOR MEDICAL STUDENTS WHO SHADOW LOCAL PHYSICIANS, AS WELL AS PROVIDES AN EMPLOYEE THAT ASSISTS THE COMMUNITY BY TAKING MEDICAID APPLICATIONS TO RESIDENT'S HOMES. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM: N/A |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT: LOUISIANA |
| SCHEDULE H, PART I, LINE 7, COLUMN F | PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $1,575,611 WAS INCLUDED ON FORM 990, PART IX LINE 25 IN TOTAL EXPENSES. HOWEVER, THIS AMOUNT WAS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF PATIENT CARE COST TO CHARGES. |
| SCHEDULE H, PART I, LINE 3C | FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: -INSURANCE STATUS -MEDICAID COVERAGE |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM ADCOCK | ||||||||||||||
| CFO | $146,786 | $0 | $8,000 | $0 | $0 | $0 | $2,917 | $0 | $9,925 | $0 | $167,628 | $0 | $0 | $0 |
| HOLLY CORLEY MD | ||||||||||||||
| PHYSICIAN | $217,366 | $0 | $11,550 | $0 | $0 | $0 | $4,620 | $0 | $6,347 | $0 | $239,883 | $0 | $0 | $0 |
| SHEREE HICKS | ||||||||||||||
| PHARMACIST | $176,748 | $0 | $0 | $0 | $0 | $0 | $3,387 | $0 | $4,139 | $0 | $184,274 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | DELEGATION OF CONTROL OVER MANAGEMENT DUTIES: THE HOSPITAL HAS ENTERED INTO A CONTRACT FOR ADMINISTRATIVE SERVICES WITH IASIS GLENWOOD REGIONAL MEDICAL CENTER, WHICH AUTOMATICALLY RENEWS EACH YEAR. THIS CONTRACT REQUIRES THAT THE MANAGEMENT COMPANY PROVIDE PERSONNEL TO PERFORM DUTIES AS THE HOSPITAL ADMINISTRATOR. FEES PAID TO IASIS WERE $190,687. PER IRS GUIDANCE, NO COMPENSATION PAID BY IASIS IS SHOWN ON PART VII FOR THIS INDIVIDUAL: EVALYN ORMOND $190,687 |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS TO REVIEW THE FORM 990: THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM FOLLOWING THE COMPLETION OF AN AUDIT OF FINANCIAL STATEMENTS. BOTH THE CEO AND CFO REVIEW THE RETURN AND PROVIDE A COPY TO THE PRESIDENT OF THE BOARD PRIOR TO FILING. THE RETURN WILL BE MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS AT THE FIRST BOARD MEETING AFTER FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. ALL EMPLOYEES ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST. IN THE EVENT OF A CONFLICT, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | REVIEW OF CEO AND OTHER OFFICER OFFICIAL COMPENSATION: INFORMATION WAS OBTAINED FROM THE 2014 LA SALARY SURVEY DONE BY THE GREATER NEW ORLEANS SOCIETY FOR H/R ADMIN AND PRESENTED TO THE UGH BOARD FOR REVIEW AND DISCUSSION. SALARIES FOR THESE POSITIONS WERE ADJUSTED BASED UPON RECOMMENDATION AND APPROVAL BY THE BOARD OF DIRECTORS DURING THE EXECUTIVE SESSION. DOCUMENTATION OF THE REVIEW IS KEPT IN THE EXECUTIVE SESSION'S MINUTES. ALL OTHER EMPLOYEES (INCLUDING OTHER OFFICERS) RECEIVE MERIT INCREASES BASED ON THEIR ANNUAL EMPLOYEE EVALUATION SCORES EVERY FEBRUARY. THE CEO AND CFO SET THE MAXIMUM INCREASES FOR DEPARTMENT MANAGERS, AND MAXIMUM PERCENTAGE INCREASES FOR ALL OTHER EMPLOYEES. EACH EMPLOYEE RECEIVES A PRORATA PERCENTAGE OF THE MAXIMUM PERCENTAGE, BASED ON THEIR ACTUAL EVALUATION SCORE COMPARED TO THE MAXIMUM SCORE POSSIBLE ON THE EVALUATION. THE EVALUATIONS ARE COMPLETED BY THE EMPLOYEE'S SUPERVISOR. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABILITY OF DOCUMENTS: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART VII, SECTION A | CONTRACTED CEO POSITION: THE POSITION OF CEO IS CONTRACTED THROUGH IASIS GLENWOOD REGIONAL MEDICAL CENTER, AN UNRELATED ORGANIZATION. UNION GENERAL HOSPITAL REIMBURSES GLENWOOD FOR THE CEO'S SALARY. THIS INDIVIDUAL IS LISTED ON PART VII, SECTION A OF FORM 990, ALONG WITH THE AMOUNT OF BONUS AND BENEFITS PAID DIRECTLY BY UNION GENERAL. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS: NET ASSETS RELEASED FROM RESTRICTION $(52,595) |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED MEDICAL SERVICES TOTAL FEES:2669814 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:1091087 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MAINTENANCE AGREEMENTS TOTAL FEES:200746 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN RECRUITING TOTAL FEES:3500 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:90 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OUTSIDE TESTING TOTAL FEES:2144 |