2016-12-15T07:09:29-08:00 2016-04-30 990 2015-05-01 581911751 SOUTHEAST GEORGIA HEALTH SYSTEM INC SOUT 9124663395 2415 Parkwood Dr Brunswick GA 31520 Michael D Scherneck President & CEO 2016-12-15 2015 2017-02-10 21:41:12Z Michael DScherneckPresCEO 367277610 false false X http://www.sghs.org X 1990 GA Southeast Georgia Health System,Inc., will provide safe, quality, accessible, and cost-effective care to meet the health needs of the people and communities it serves. 13 10 2653 508 0 47500 1580300 43812250 321243465 -146852 6386426 1070698 5593732 44783596 334803923 565311 0 18040333 117868644 0 0 20846392 168196182 38886725 286630137 5896871 48173786 91062688 495471393 34833508 210647897 56229180 284823496 Southeast Georgia Health System,Inc., will provide safe, quality, accessible, and cost-effective care to meet the health needs of the people and communities it serves. false false 269352597 565311 321243465 Effective May 1, 2015, the Authority undertook a corporate restructuring and executed a lease and transfer agreement with Southeast Georgia Health System, Inc. (the System), a Georgia not-for-profit corporation, (formerly Kings Bay Community Hospital, Inc.58-1911751), which assumed substantially all of the operations, assets and liabilities of the Authority and agreed to operate the facilities thereof as a community healthcare provider and to perform and abide by all covenants, agreements, and restrictions thereof for an initial period of forty years. Under the agreement, the System makes nominal lease payments to the Authority plus amounts sufficient to make debt service payments on Authority conduit debt obligations as they come due and assumes all operational, financial, indigent care, and community responsibilities. In connection with the restructuring, the Authority and the System entered into an employee lease agreement whereby the Authority leased all of its employees to the System from May 1, 2015 through December 31, 2015, at cost. All leased Authority employees were converted to System employment effective January 1, 2016. 269352597 true true true true false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false false false false true true true false false true 222 0 true 2653 true false false false false false false false false 0 false false false false false false false false false false X 13 10 false false false false true true true true true false false true true true true true true true true true false GA X X Michael D Scherneck PresCEO 9124667049 2415 Parkwood Dr Brunswick GA 31520 Carl Alexander Chairman 6.00 2.00 X X 0 0 0 Joanne M Matukaitis FAACVPR Vice Chair 5.00 3.00 X X 0 0 0 Rose D Andrews Secretary 4.00 2.00 X X 0 0 0 Robert C Turner Treasurer 4.00 2.00 X X 0 0 0 Stephen A Chitty IV MD Board Member 40.00 2.00 X 489231 0 71984 Kay Hampton RN MSN Board Member 2.00 2.00 X 0 0 0 Valerie A Hepburn PhD Board Member 2.00 2.00 X 0 0 0 Michael D Hodges Board Member 2.00 2.00 X 0 0 0 J Vance Hughes Board Member 2.00 2.00 X 0 0 0 Mitchell T Jones MD Board Member 2.00 2.00 X 0 0 0 Gary D Willis Board Member 2.00 2.00 X 0 0 0 Shirley D Wilson MD Board Member 40.00 2.00 X 516985 0 73262 MH Woody Woodside Board Member 2.00 2.00 X 0 0 0 Michael D Scherneck President & CEO 40.00 14.00 X 436615 0 94920 Elizabeth Gunn VP, Patient Care Services 32.00 8.00 X 215866 0 54301 Patrick D Ebri VP, Human Resources 44.00 4.00 X 223609 0 77907 Howard Sepp Assistant Administrator 40.00 0.00 X 243425 0 78132 Timothy Jamieson MD Physician 40.00 0.00 X 1065232 0 95005 Jack Deese MD Physician 40.00 0.00 X 1005068 0 86651 Thomas Sasser MD Physician 40.00 0.00 X 1011800 0 92906 Dennis Carter MD Physician 40.00 0.00 X 954767 0 90430 Michael Sullivan MD Physician 40.00 0.00 X 818552 0 85235 Gary R Colberg Former CEO(resigned 08/15/15) 0.00 0.00 X 898740 0 82431 7879890 983164 190 true true false Hospital Housekeeping Systems LLC P O Box 826 San Antonio TX 782930826 Housekeeping Service 4129456 Morrison Management Specialists PO Box 102289 Atlanta GA 30368 Cafeteria Management 2724636 Davita Inc PO Box 403008 Atlanta GA 30384 Dialysis Services 1162692 AMN Healthcare Inc Total 2735 Collection Center Dr Chicago IL 60693 Medical Staffing 1114589 Alliance Healthcare Services PO Box 96485 Chicago IL 606936485 Mobile PET Scan Svcs 1031460 33 1101422 478878 1580300 Meaningful Use Revenue 621990 1714011 1714011 Net Patient Svc Revenue 621400 319529454 319529454 321243465 4314858 4314858 0 0 4478976 434073 4044903 4044903 4044903 34097168 14014 32035582 4032 2061586 9982 2071568 2071568 0 0 0 Glynn Cty Wellness Clinic 621990 320720 320720 Other Revenue 900099 539166 539166 Utility Income 621400 526009 526009 162934 162934 1548829 334803923 321243465 11980158 X 562031 562031 3280 3280 0 0 2515347 2515347 0 86687691 81978899 4708792 3879405 3629920 249485 18451338 17264732 1186606 6334863 5927468 407395 0 1243679 1243679 252969 252969 0 0 0 48412199 44639622 3772577 1290881 48466 1242415 76198387 74829169 1369218 0 0 6073998 5891023 182975 516149 377646 138503 0 0 4706853 4706853 0 19500239 19500239 2992439 2992439 Provider Taxes 5232045 5232045 Liability Expense 1100928 1100928 Recruitment Expense 497293 497293 Ambulance 133032 133032 45091 37512 7579 286630137 269352597 17277540 0 0 -147964 21596193 0 7102401 57528647 0 0 9784660 946893 7559044 293383 4111718 497188401 280753088 38697714 216435313 490381 157759899 0 38116507 15970574 3845281 39524 1718092 4685821 91062688 495471393 4096064 37821341 202400 706000 30534664 13462556 380 158658000 34833508 210647897 X 56229180 284823496 56229180 284823496 91062688 495471393 X 48173786 -10956923 191377453 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 89644 false false 89644 false false Part II-B, Line 1i - Other Activities Description Southeast Georgia Health System, Inc is a member of the Georgia Hospital Association . A portion of the dues paid to that industry organization is deemed to be attributed to the lobbying efforts of those organizations on behalf of all hospitals throughout the state of Georgia. In addition, Southeast Georgia Health System, Inc has engaged Hurt Norton and GeorgiaLink to represent the outheast Georgia Health System, Inc on issues and appropriation opportunities that are specific to the hospitals operated by the Southeast Georgia Health System, Inc and the communities which it serves. 24869188 24869188 263881168 110647111 153234057 4596776 3514826 1081950 182007584 151635007 30372577 21833685 14956144 6877541 216435313 Amount Due to GBMHA due to Restructure 155523000 Lease Obligation L/T from restructure 3135000 158658000 X Part X : FIN48 Footnote The System has been recognized as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for state or federal income taxes has been presented in the accompanying consolidated financial statements. The System recognizes the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. The System has determined that it does not have any material unrecognized tax benefits or obligations. true true X true X 125.000000000 true X true true true false true true 7199186 4073159 3126027 0.01090 31166696 22413199 8753497 0.03050 826509 160268 666241 0.00230 39192391 26646626 12545765 0.04370 551561 551561 0.00190 63750 63750 0.00020 3184508 3184508 0.01110 3799819 3799819 0.01320 42992210 26646626 16345584 0.05690 true 13963355 2435481 92286166 83162250 9123916 X true false SE GA Cyberknife CenterLLC Cancer Care Services 0.51000 0.49000 Renue Plastic Surgery Ctr Plastic Surgery Services 0.15000 0.85000 2 1 SE GA Health System - Camden 200 Dan Proctor Dr St Marys GA 31558 http://www.sghs.org 020-472 X X X 2 SE GA Health System -Brunswick 2415 Parkwood Dr Brunswick GA 31520 http://www.sghs.org 063-707 X X X SE GA Health System - Camden 1 false false true X X X X X X X X X 15 true false false true X www.sghs.org/about/community-benefits X true 16 true www.sghs.org false false true X 125.0000 200.0000 X X true true X X X X true X www.sghs.org/about/financialassistance X www.sghs.org/about/financialassistance X www.sghs.org/about/financialassistance X X X X X true X false X X X X true X false false SE GA Health System -Brunswick 2 false false true X X X X X X X X X 15 true false false true X www.sghs.org/about/community-benefits X true 16 true http://www.sghs.org false false true X 125.0000 200.0000 X X true true X X X X true X www.sghs.org/about/financialassistance X www.sghs.org/about/financialassistance X www.sghs.org/about/financialassistance X X X X X true X false true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community Walter McNeely, who was the past chair of the Public Health Department Board was a part of the entire process. Mr. McNeely provided insights on reaching out to the African American Community as well as the overall inner city community in Brunswick, Georgia. Valerie Hepburn, Ph.D., a Health Policy Professor and International Health Policy Consultant, assisted with the preparation of the assessment and the selection of community members to provide input on the process, as well as the review of the results of the assessment. Part V, Line 5 - Account Input from Persons Who Represent the Community Walter McNeely, who was the past chair of the Public Health Department Board was a part of the entire process. Mr. McNeely provided insights on reaching out to the African American Community as well as the overall inner city community in Brunswick, Georgia. Valerie Hepburn, Ph.D., a Health Policy Professor and International Health Policy Consultant, assisted with the preparation of the assessment and the selection of community members to provide input on the process, as well as the review of the results of the assessment. Other members of the Glynn-Brunswick Memorial Hospital Authority Board, an affiliated entity, are nominated by the City of Brunswick and/or Glynn County and represent the interests of the community Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients Southeast Georgia Health System-Camden Campus medical charges are the same for all patients and are not tiered by payer source. Patients incurring financial liabilities whether insured or uninsured are provided discount incentives for resolving outstanding balances. Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients Southeast Georgia Health System-Brunswick Campus medical charges are the same for all patients and are not tiered by payer source. Patients incurring financial liabilities whether insured or uninsured are provided discount incentives for resolving outstanding balances. Part V, Line 15e - Other Method For Applying For Financial Assistance Southeast Georgia Health System-Campus Campus medical charges are the same for all patients and are not tiered by payer source. Patients incurring financial liabilities whether insured or uninsured are provided discount incentives for resolving outstanding balances. Part V, Line 15e - Other Method For Applying For Financial Assistance Southeast Georgia Health System-Brunswick Campus medical charges are the same for all patients and are not tiered by payer source. Patients incurring financial liabilities whether insured or uninsured are provided discount incentives for resolving outstanding balances. Part V, Line 16i - Other Means Hospital Facility Publicized the Policy For patients seeking medical care, Southeast Georgia Health System-Camden Campus does process applications and issue approvals prior to the rendering of services upon completion of a financial assistance application and provision of supporting documentation. In situations where medical care is emergent and the patient is receiving or has just received services, the application process can be initiated at the time of service but processing and adjudication cannot occur until supporting documentation such as the most current tax return, paycheck stubs, social security payments and financial assets such as savings, investments, rental income or income producing property are investigated. Household income and dependents supported are factored into the eligibility criteria. The patient's residence is not considered in the determination of eligibility. Part V, Line 16i - Other Means Hospital Facility Publicized the Policy For patients seeking medical care, Southeast Georgia Health System-Brunswick Campus does process applications and issue approvals prior to the rendering of services upon completion of a financial assistance application and provision of supporting documentation. In situations where medical care is emergent and the patient is receiving or has just received services, the application process can be initiated at the time of service but processing and adjudication cannot occur until supporting documentation such as the most current tax return, paycheck stubs, social security payments and financial assets such as savings, investments, rental income or income producing property are investigated. Household income and dependents supported are factored into the eligibility criteria. The patient's residence is not considered in the determination of eligibility. Part V, Line 22d - Other Billing Determination of Individuals Without Insurance Southeast Georgia Health System-Camden Campus medical charges are the same for all patients and are not tiered by payer source. Patients incurring financial liabilities whether insured or uninsured are provided discount incentives for resolving outstanding balances. A substantial prompt pay discount which is the equivalent of our average managed care insurance contracted discount rate is offered for patient balances. Also, patients demonstrating a diminished ability to pay through full financial disclosure and repayment analysis are considered for settlement discounts which may exceed or be equivalent to Medicare rates. Part V, Line 22d - Other Billing Determination of Individuals Without Insurance Medical ChargesSoutheast Georgia Health System-Brunswick Campus medical charges are the same for all patients and are not tiered by payer source. Patients incurring financial liabilities whether insured or uninsured are provided discount incentives for resolving outstanding balances. A substantial prompt pay discount, which is the equivalent of our average managed care insurance contracted discount rate, is offered for patient balances. Also, patients demonstrating a diminished ability to pay through full financial disclosure and repayment analysis are considered for settlement discounts which may exceed or be equivalent to Medicare rates. 2 Senior Care Center - Brunswick 2611 Wildwood Dr Brunswick GA 31520 Long Term Care Facility Senior Care Center - St Marys 805 Dilworth St St Marys GA 31558 Long Term Care Facility Part III, Line 4 - Bad Debt Expense Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others as services are rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payors, and provision for bad debts. Retroactive third-party payor settlements and bad debt adjustments are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods as final settlements are determined. The cost value of Bad Debts was determined by multiplying Bad Debt measured on a gross charge basis by the overall cost to charge ratio developed on the Medicare Cost Report. The amount estimated to have been elibible for financial assistance was determined by multiplying Bad Debt Expense,(at cost), by the poverty rate for Glynn County and Camden County, Georgia. Part VI - Needs Assessment At both Southeast Georgia Health System-Camden Campus and Southeast Georgia Health System-Brunswick Campus, our goal is to strengthen the health and well-being of our patients and neighbors, as well as the broader community. Southeast Georgia Health System-Camden Campus and Southeast Georgia Health System-Brusnwick Campus, provided over $16.3 million in community benefits, which is more important to building the vitality of our community than ever. The services we provide are essential to not only the community's overall health, but also to the quality of life of every resident. This belief is ingrained in our culture, from our volunteer Southeast Georgia Health System, Inc. Board of Directors, to our physicians and nurses, staff, auxiliary volunteers, and our Southeast Georgia Health System Foundation.We participate in informal community needs assessments regularly, collaborating with local agencies, schools, and community groups. The results help us determine our short- and long-term priorities as well as strategies for improving community health. Our leadership team is involved with several community activities and on boards. These range from the Rotaries to the International Seafarers program to the Coastal Medical Access Program which serves the under-and uninsured in our community and beyond. Part VI - Patient Education of Eligibility for Assistance *Southeast Georgia Health System, Inc's Financial Assistance Program (Indigent/Charity Policy) is advertised by signage in Admissions, the Emergency Care Center and the Business Office. Program information is also contained periodically in Southeast Georgia Health System, Inc's healthcare magazine which is distributed throughout the community.*The standard registration packet for all patients contains a printed form describing the Financial Assistance Program and the application process. The Financial Assistance process is further explained to the patients by the Registrars during the registration process. Additionally, patients being admitted as an inpatient are provided an information booklet which further details the Financial Assistance Program relating to the inability to pay for medical costs.*Financial Counselors in Admissions engage patients/financially responsible persons and investigate repayment options for medical costs incurred by patients being admitted to an inpatient status who display no identifiable means of paying for medical services through a third party insurer or other source. Contract staff are available to assist patients with United States Social Security Disability and/or Supplemental Income programs. Financial Counselors will assist patients in the application process for other federal and state public assistance programs and if ineligible, will promote Southeast Georgia Health System's internal financial assistance program as an additional option.*All billing statements address the patient's potential inability to pay for medical services by advertising Southeast Georgia Health System's Financial Assistance Program on the front and back of each statement mailer.*Business Office reception and telephone inquiry staff educate and promote Southeast Georgia Health System's Financial Assistance Program and distribute applications when a patient has indicated financial hardship, unemployment or the need for a low monthly repayment plan.*Financial Assistance Program information is contained on Southeast Georgia Health System's website with the ability for the patient to print an application for their use.*Financial Assistance Program information and applications are also provided by collection staff and collection subcontractors upon indication of a patient's financial need or inability to pay for medical services. Federal and state public assistance programs are suggested as well. Part VI - Community Information The Southeast Georgia Health System-Camden Campus is located in St.Marys, Georgia. The primary service area for the King's Bay Community Hospital, Inc., is Camden County which had an approximate population of 50,513 according to the U.S. Census Bureau estimates for 2010. Southeast Georgia Health System-Camden Campus, derived approximately 87 % of its admissions from Camden County. The Southeast Georgia Health System-Camden Campus secondary service area includes Charlton and Brantley Counties in Georgia and Nassau County in Northeast Florida, with a combined population of 103,896 according to the U.S. Census Bureau estimates for 2010. Southeast Georgia Health System-Camden Campus, is the only hospital in Camden County. Other hospitals in the secondary service area Baptist Medical Center, Nassau, a 54 bed primary care hospital located in Fernandina Beach, Florida.The Southeast Georgia Health System-Brunswick Campus is located within the city limits of Brunswick in Glynn County, Georgia. St.Simons Island, Sea Island and Jekyll Island are other residential areas in the county. The primary service area includes Glynn, Brantley, McIntosh and Camden Counties. There are approximately 162,883 residents in the primary service area year-round according to U.S. Census bureau estimates for 2010 and approximately 20,000 additional temporary residents during the tourist season. The Southeast Georgia Health System-Brunswick Campus's secondary and broader service area; consists of counties adjacent to Glynn County along with counties located within a 50-mile radius of Brunswick. These counties include Pierce, Long, Charlton and Wayne Counties in Georgia and Nassau County in Northeast Florida. The approximate population for the secondary service area is 148,806 residents according to the U.S. Census Bureau estimates for 2010.The Southeast Georgia Health System-Brunswick Campus derived approximately 87% of its admissions from its primary service area with approximately 64% of such admissions from Glynn County. Approximately 5% of the Brunswick Campus's admissions were from the secondary service area. The remaining approximately 8% of admissions originated from other parts of Georgia and other states.The Southeast Georgia Health System-Brunswick Campus is the only hospital located in Glynn County and there are no other hospitals within a 35 mile radius. The only other hospitals in the secondary service area are Southeast Georgia Health System-Camden Campus, a 40 bed affiliated hospital located in St. Marys, Georgia and Wayne Memorial Hospital, a 138-bed hospital located in Jesup, Georgia in Wayne County. Part VI - Community Building Activities Our community efforts resulted in patients being served by our Wellness on Wheels (WOW) mobile health vehicle which provides free screening (mammography, dexascan, blood pressure and blood sugar, hearing, vaccinations), and Community Care Center, a pediatric center that is dedicated to the health care needs of our Medicaid population. These programs and many others form the foundation of our commitment to community health improvement.Wellness on Wheels (WOW) mobile health vehicle is our mobile "health care on wheels" that travels and delivers care throughout the nine county region. The WOW operates mostly Monday through Saturday and some Sunday's, as requested and serves a different location each week.. Staffed by our expert providers; the WOW provides a broad range of free services: mammography, dexascan, blood pressure and blood sugar, hearing, cholesterol screenings to basic health care check-ups, medical exams, and vaccinations. In addition to providing medical care, our financial counselor assist patients in applying for a variety of community assistance programs. Our financial counselors work with individuals to understand their unique needs and assist them in applying for federal, state, and local programs they may qualify for, including Medicaid and pharmaceutical assistance, food stamps, and the Women, Infants and Children (WIC) program. Our community partners are critical to helping us improve the health and well-being of the greater coastal Georgia region. Together, we can combine resources and strengths, positively impacting the greatest number of people. By working closely with community leaders, we also build a greater sense of community and a shared commitment toward our common goal of improving the community's health. We're proud of our partners.Community partners include:Coastal Health DistrictCoastal Coalition of ChildrenGolden Isles Child Advocacy CenterOur vice president responsible for ancillary services coordinates with area high schools to offer an Explorer Post program that brings awareness to high school students of the job opportunities in the health care field. Our director of volunteer services also coordinates and works with area high school students on a shadowing program and promote health careers at their annual information fairs at the local high schools. Employees in the CommunityEvery year, Southeast Georgia Health System, Inc. unites around corporate-wide efforts: Ringing bells for the Salvation Army; fundraising for the American Cancer Society, participating in our local United Way Campaign and so much more.At Southeast Georgia Health System,Inc., it's important to us to give back to our community. In addition to team member United Way donations and volunteer time at Relay For Life and other sponsored events, our team members participate in a variety of community service initiatives, from Habitat for Humanity to the Boys and Girls Club of Southeast Georgia to local student mentoring programs. Part VI - States Where Community Benefit Report Filed GA true American Cancer Society 3011 Hampton Ave Ste 361 Brunswick GA 31520 131788491 501(c)(3) 18500 0 Primary Exempt Acitivy Boy Scouts of America 1325 WWalnut Hill Lane Irving TX 75038 221576300 501(c)(3) 8000 0 Primary Exempt Activity Brunswick Port Society Int Seamans 307 Newcastle St Brunswick GA 31520 581544208 501(c)(3) 8000 0 Primary Exempt Activity Coastal Symphony of GA PO Box 21733 St Simons Islan GA 31522 581637768 501(c)(3) 6000 0 Primary Exempt Activity Davis Love III Foundation PO Box 20344 St Simons Isl GA 31522 202920597 501(c)(3) 37500 0 Primary Exempt Activity Golden Isles FCA 8701 Leeds Rd Kansas City MO 64129 440610626 501(c)(3) 7500 0 Primary Exempt Activity Hospice Golden Is Foundation 1692 Glynco Pkwy Brunswick GA 31525 200368663 501(c)(3) 6000 0 Primary Exempt Activity SE GA Health Sys Foundation 2415 Parkwood Dr Brunswick GA 31520 582125644 501(c)(3) 307972 0 Operation Expense of Foundation United Way of Coastal GA PO Box 877 Brunswick GA 31521 580671327 501(c)(3) 7655 0 Primary Exempt Activity 9 0 Grantmaker's Description of How Grants are Used It is the policy of Southeast Georgia Health System, Inc. that scholarship assistance is provided based on criteria established and approved by the Administrative Council's Scholarship Committee (Scholarship Committee) as appointed by the Vice President, Human Resources and for identified, critically needed positions. Critically needed positions are those which have been identified as in short supply regionally or nationally and/or are specialized. A scholarship fund is established and budgeted for at the beginning of each Southeast Georgia Health System,Inc., fiscal year.Scholarships are provided to assist students while supplying an additional employment stream to the Health System. The intent of the scholarship is for the student to work with the Health System following graduation from the accredited program or to repay the monies granted (principal plus interest) in accordance with the procedures outlined in this policy.Scholarship assistance is typically provided to allied health or nursing school students who are willing to commit to at least one (1) year of fulltime employment in goal position with Southeast Georgia Health System,Inc., in exchange for one year of scholarship assistance. X X X X X X X true true false false false true true false false false Dennis Carter MD Physician 525360 378879 50528 15900 74530 1045197 Elizabeth Gunn VP, Patient Care Services 194606 23472 -2212 31994 22307 270167 Gary R Colberg Former CEO(resigned 08/15/15) 394345 159840 344555 15900 66531 981171 Howard Sepp Assistant Administrator 189231 28747 25447 37618 40514 321557 24098 Jack Deese MD Physician 860942 96105 48021 15900 70751 1091719 Michael D Scherneck President & CEO 337959 48292 50364 61400 33520 531535 35456 Michael Sullivan MD Physician 516360 272035 30157 15900 69335 903787 Patrick D Ebri VP, Human Resources 183582 24752 15275 32773 45134 301516 15961 Shirley D Wilson MD Board Member 298493 193027 25465 15900 57362 590247 Stephen A Chitty IV MD Board Member 338574 128903 21754 15900 56084 561215 Thomas Sasser MD Physician 515470 439026 57304 15900 77006 1104706 Timothy Jamieson MD Physician 626826 363467 74939 15900 79105 1160237 Part I, Line 1a: Relevant information in regards to selections on 1a. Certain of the individuals listed in Form 990, Part VII, Section A, Line 1a are eligible for an auto allowance, a portion of which is based upon actual mileage traveled reimbursed at the allowable IRS rate. The balance is subject to a tax indemnification and gross-up so that the net amount of said payments, and the aforementioned mileage reimbursement, does not exceed a predetermined amount.Certain of the individuals listed in Form 990, Part VII, Section A, Line 1a are eligible for participation under a corporate membership at Brunswick Country Club. The related dues are treated as a taxable benefit to those individuals. Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or Compensation contingent on Net Earnings of the organization: Certain members of Management participate in a Management Incentive Plan which is based on a variety of managerial, quality and financial performance indicators. However, compensation is provided under that plan only if a certain net earnings threshold is met. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Effective September 1, 2015, Coastal Community Health, Inc. (Coastal) is the sole corporate member of Southeast Georgia Health System, Inc. pursuant to the Affiliation among Southeast Georgia Health System, Inc, Baptist Health System, Inc., a Florida not-for-profit corporation, and Flagler Hospital, Inc., a Florida not-for-profit corporation, (collectively, the Health Systems.) Under the affiliation agreement, the Coastal governing board maintains certain reserved powers which could influence specific operational and governance matters of the Health Systems. The reserved powers do not constitute a control relationship over the Health Systems. Prior to that date, the Glynn-Brunswick Memorial Hospital Authority was the sole corporate member. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body At least one-third of the Board of Directors shall be composed of members of the governing board of the Hospital Authority. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Effective September 1, 2015, the System entered into the Coastal Community Health, Inc. (Coastal) Affiliation Agreement with Baptist Health System, Inc., a Florida not-for-profit corporation, and Flagler Hospital, Inc., a Florida not-for-profit corporation, (collectively, the Health Systems), in order to pursue potential operational efficiencies in areas such as supply chain management, information systems, and care coordination in the southeast Georgia and northeast Florida regions that the Health Systems serve. The Coastal governing board consists of twelve individuals,three of whom are appointed by the Systems Board of Directors. Under the affiliation agreement, the Coastal governing board maintains certain reserved powers which could influence specific operational and governancematters of the Health Systems. The reserved powers do not constitute a control relationship over the Health Systems. As of April 30, 2016, there had been minimal activity, with no capital investments, and no significant financial impact on the accompanying consolidated financial statements. Form 990, Part VI, Line 11b: Form 990 Review Process An electronic copy of Form 990 was provided to the members of the Board of Directors prior to being filed with the Internal Revenue Service. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Southeast Georgia Health System, Inc., has adopted the conflict-of-interest, whistleblower, and document retention and destruction policies of Southeast Georgia Health System, Inc., Under the conflict-of-interest policy, the Compliance Department requires all members of the Board of Directors, officers and key employees to report any potential conflicts on an annual basis. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees As employees of Southeast Georgia Health System, Inc., the compensation amounts paid to the individual serving in the capacity as Chief Executive Officer, Executive Director and/or other top management officials and officers are determined based on comparative survey/market data compiled by an independent consulting firm specializing in executive and employee compensation matters. The findings and recommendation of the consultant are reviewed with the Compensation Committee and/or the Executive Compensation Committee of Southeast Georgia Health System which in turn makes recommendations to the full Board of Southeast Georgia Health System, Inc.,which ultimately approves those compensation amounts. In addition, the compensation amounts for those key employees included on Schedule J who receive compensation directly from the organization are determined based on comparative survey/market data compiled by an independent consulting firm specializing in executive and employee compensation matters. The findings and recommendation of the consultant are reviewed with the Human Resource Committee of Southeast Georgia Health System which in turn makes recommendations to the full Board of Southeast Georgia Health System, Inc.,which ultimately approves those compensation amounts. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Except through the normal I.R.S/ Form 990 inspection process, Southeast Georgia Helath System, Inc.,has not established a standard process for making its governing documents, conflict of interest policy and financial statements available to the public. Other Changes In Net Assets Or Fund Balances - Other Increases = $0 Other Changes In Net Assets Or Fund Balances - Other Increases Change in Pension Liability = $309265 Other Changes In Net Assets Or Fund Balances - Other Increases Equity in Earnings - Brunswick from Restructure = $XXX-XX-XXXX Other Changes In Net Assets Or Fund Balances - Other Decreases Minority Interest Distributions = -$800889 Other Changes In Net Assets Or Fund Balances - Other Decreases Net Gain/-Loss from Subsidiary Activity = -$29717743 Form 990, Part XII, Line 2: Change of Oversight or Selection Process This process has not changed from the prior year. Cooperative Healthcare Svcs Inc 2415 Parkwood Dr Brunswick GA 31520 010594994 Physician and Immediate Care Facilities GA 501(c)(3) 11 Southeast Georgia Health System Inc true SE Georgia Health System Foundation Inc 2415 Parkwood Dr Brunswick GA 31520 582125644 Charitable Foundation GA 501(c)(3) 11 Southeast Georgia Health System Inc true Glynn-Brunswick Mem Hosp Authority 2415 Parkwood Dr Brunswick GA 31520 586000498 Leased Employees 501(c)(3) 3 N/A false SE GA Cyberknife Center LLC 2500 Starling St Ste 107 Brunswick GA 31520 273316081 Medical Services GA N/A Related 293464 1237901 false false 0.51000 SGHS QALICB I LLC 2415 Parkwood Dr Brunswick GA 31520 900912965 Real Estate Holdings GA N/A Related 77703 19656337 false false 0.98000 Glynco LLC 3010 W White River Blvd Muncie IL 47304 593762931 Real Estate Leasing IL N/A false false 0.55000 Thomas & Mildred Beach Foundation c/o AmSouth Bank PO Box 1142 Birmingham AL 35202 Charitable Remainder Trust AL N/A Trust false false true true false false false false false false true false false false false true false true false false Cooperative Healthcare Svcs Inc j 3377084 Cooperative Healthcare Svcs Inc o 58960306 Cooperative Healthcare Svcs Inc q 4772542 SE Georgia Health System Foundation Inc b 307972 SE Georgia Health System Foundation Inc c 1101422