2016-05-12T09:14:16-05:00 2015-06-30 581094351 MCNAIR MCLEMORE MIDDLEBROOKS & CO LLC POST OFFICE BOX ONE MACON GA 312020001 990 2014-07-01 432007492 HOME & COMMUNITY SERVICES INC HOME 4786212070 PO BOX 1803 MACON GA 31202 LORRAINE TAYLOR SECRETARY 4786212070 2016-05-10 true J RANDOLPH NICHOLS P00347246 4787466277 2016-05-12 2014 2016-08-17 19:52:53Z 49433128 false X WWW.SOURCE-GA.ORG X 2003 GA TO PROVIDE A CENTRAL, EFFICIENT, AND COST-EFFECTIVE HEALTH CARE TRANSPORTATION SERVICES AS A MEMBER OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. TO PROVIDE PHYSICIAN'S CARE TO OTHER ENTITIES WHICH ARE A PART OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM. TO PROVIDE ACUTE CARE SERVICES (HOSPITAL), EMERGENCY CARE SERVICES AND SKILLED NURSING SERVICES FOR RESIDENTS IN COMMERCE, GEORGIA AND SURROUNDING AREAS. 6 6 1140 0 0 29775699 48722294 93 2084 82967 708750 29858759 49433128 0 0 19524170 29897484 0 0 14320426 24269096 33844596 54166580 -3985837 -4733452 31526259 29413278 11927084 11157720 19599175 18255558 X TO PROVIDE A CENTRAL, EFFICIENT, AND COST-EFFECTIVE HEALTH CARE TRANSPORTATION SERVICES AS A MEMBER OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. TO PROVIDE PHYSICIAN'S CARE TO OTHER ENTITIES WHICH ARE A PART OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM. TO PROVIDE ACUTE CARE SERVICES (HOSPITAL), EMERGENCY CARE SERVICES AND SKILLED NURSING SERVICES FOR RESIDENTS IN COMMERCE, GEORGIA AND SURROUNDING AREAS. false false 54166580 48722294 PROVIDED A CENTRAL, EFFICIENT, AND COST-EFFECTIVE HEALTH CARE TRANSPORTATION SERVICES AS A MEMBER OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED PHYSICIAN'S CARE TO OTHER ENTITIES WHICH ARE A PART OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS IN COMMERCE, GEORGIA AND SURROUNDING AREAS. CONSISTENT WITH THE POLICIES AND PROCEDURES PREVIOUSLY ADOPTED BY THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC., THE SECTION 509(A)(3) SUPPORTING ORGANIZATION AND PARENT ENTITY OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM OF WHICH THE ORGANIZATION IS A MEMBER, THE ORGANIZATION PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITIES IT SERVES PURSUANT TO BOTH COMMUNITY BENEFIT GUIDELINES AND A CHARITY CARE POLICY. THE ORGANIZATION CONTINUES TO ASSESS AND DEVELOP PROGRAMS TO BENEFIT THE COMMUNITY. 54166580 true false false false false false false false false false true false false false false false true false false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true false false false true 158 0 true 1140 true false false false false false false X 6 6 false false false false true true false true true false false true true true true true true true true false GA X HOME COMMUNITY SERVICES INC 4786212100 PO BOX 1803 MACON GA 31202 JOSEPH A WALL CHAIRMAN 4.00 40.00 X 0 24000 0 PAUL A CABLE DIRECTOR 4.00 40.00 X 0 24000 0 JAMES B PATTON DIRECTOR 4.00 40.00 X 0 24000 0 HERBERT M PONDER JR DIRECTOR 4.00 40.00 X 0 24000 0 KATHRYN DENNIS DIRECTOR 4.00 40.00 X 0 14000 0 J OLAN JONES DIRECTOR 4.00 40.00 X 0 12000 0 LORRAINE T TAYLOR SECRETARY 4.00 40.00 X 0 649986 14378 ROGER FORGEY PRESIDENT-AC 20.00 20.00 X 223372 83489 12859 RALPH WARNOCK VP-CLINICAL 40.00 0.00 X 212915 0 23706 JOE ROBINSON COO 40.00 0.00 X 207861 0 15448 LARRY EBERT CFO/COO 40.00 0.00 X 187931 0 14997 PERRY KEMP VP OPERATION 40.00 0.00 X 160615 0 13886 TERESA MOODY PRESIDENT 4.00 40.00 X 0 156142 16216 JOE WATERS INTERIM ADMI 40.00 0.00 X 101612 0 14 KACY KEENE COMPLIANCE/S 40.00 0.00 X 42838 0 5269 KENNETH O'NEAL HOSPITALIST 40.00 0.00 X 263836 0 17416 THAD LONG PHYSICIAN 40.00 0.00 X 228168 0 16525 WYATT BLAKE ATTENDING PH 40.00 0.00 X 193207 0 10349 LING LI PHYSICIAN 40.00 0.00 X 177037 0 2918 MIRIAM GWATHNEY ADMINISTRATO 40.00 0.00 X 120532 0 0 2119924 1011617 163981 13 false true false EGERTON MCAFEE ARMISTEAD DAVIS 900 SOUTH GAY STREET SUITE 14 KNOXVILLE TN 37902 LEGAL 333937 ATLANTIC IMAGING CORPORATION 1075 CHESTATEE ROAD GAINESVILLE GA 30501 IMAGING 321440 NE GA ANESTHESIA INC 182 LAKE TEHAMA TRAIL HOMER GA 30547 ANESTHESTIA 295637 RHC REAL ESTATE LLC PO BOX 1037 MACON GA 31201 LEASE 276000 EMCARE PHYSICIAN SERVICES 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 PHYSICIAN SV 230214 8 PROGRAM REVENUES 36187727 36187727 GOVERNMENTAL PROGRAMS REV 12534567 12534567 48722294 2084 2084 MISCELLANEOUS 708750 708750 708750 49433128 49431044 2084 1221577 1221577 23829430 23829430 529254 529254 2464978 2464978 1852245 1852245 399413 399413 521611 521611 1412098 1412098 432360 432360 875689 875689 AMBULATORY SERVCIES 6355988 6355988 DEPRECIATION 5000472 5000472 CONTRACTED SERVICES 4761033 4761033 TAXES 1440373 1440373 3070059 3070059 54166580 54166580 0 0 1390593 2506227 4151532 4869902 460757 505794 250081 355526 19577143 5443471 15535653 14133672 9116116 6437981 621527 604176 31526259 29413278 4591084 4205720 7336000 6952000 11927084 11157720 X 19599175 18255558 19599175 18255558 31526259 29413278 -4733452 3389835 X false true X true false X 14001245 7468489 15725879 29858666 49431044 116485323 14001245 7468489 15725879 29858666 49431044 116485323 116485323 29 93 2084 2206 29 93 2084 2206 14001245 7468489 15725908 29858759 49433128 116487529 1.00000 1.00000 0.00000 0.00000 X 1644091 1644091 8822689 244072 8578617 9110363 5199399 3910964 14133672 49433128 49433128 49433128 54166580 54166580 54166580 true true true X true X 1.750000000000 true true false true true 126634 126634 0.00230 1399777 815444 584333 0.01080 1526411 815444 710967 0.01310 1526411 815444 710967 0.01310 false 5614327 342255 7867282 7867282 X true true 1 1 NORTHRIDGE MEDICAL CENTER 70 MEDICAL CENTER DRIVE COMMERCE GA 30529 WWW.NORTHRIDGEMC.COM 078-665 X X X SNF NORTHRIDGE MEDICAL CENTER 1 false false true X X X X X X X X 15 true false false true X WWW.NORTHRIDGEMC.COM X false false true X 100.000000000000 175.000000000000 X X X true true X X X X true X WWWNORTHRIDGEMCORG X WWWNORTHRIDGEMCORG X WWWNORTHRIDGEMCORG X X X X true X true X X X X true X X false false FACILITY 1, NORTHRIDGE MEDICAL CENTER - PART V, LINE 5 SEE SECTION II OF ATTACHED CHNA. FACILITY 1, NORTHRIDGE MEDICAL CENTER - PART V, LINE 11 THE ORGANIZATION PROVIDES MANY COMMUNITY BENEFIT PROGRAMS THAT WERE IDENTIFIED IN THE HEALTH NEEDS ASSESSMENT. THE ORGANIZATION PROACTIVELY ADDRESSED/ADOPTED THE HEALTH NEEDS IDENTIFIED PRIOR TO THE FINALIZATION OF THE HEALTH NEEDS ASSESSMENT. FACILITY 1, NORTHRIDGE MEDICAL CENTER - PART V, LINE 22D PATIENTS WITH INCOME AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE-OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 101% AND 175% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF THE HOSPITAL CHARGE FOR MEDICALLY NECESSARY SERVICES, BASED ON A SLIDING SCALE. SEE THE COMPANY'S "FINANCIAL ASSISTANCE POLICIES" ATTACHED TO THIS FORM. 1 NORTHRIDGE HEALTH & REHAB 70 MEDICAL CENTER DRIVE COMMERCE GA 30529 HOSPITAL BASED SNF PART II - COMMUNITY BUILDING ACTIVITIES NORTHRIDGE MEDICAL CENTER CONTINUALLY EVALUATES THE NEEDS OF ITS LOCAL COMMUNITY AND OFFERS NEW AND TAILORED SERVICES TO ENSURE RESIDENTS OF JACKSON AND BANKS COUNTIES HAVE ACCESS TO THE SAME SERVICES AVAILABLE IN A MORE URBAN SETTING. THIS ENSURES HEALTHCARE FOR ALL RESIDENTS IS TIMELY AND CONVENIENT, ENABLING PATIENTS TO SAVE TIME AND MONEY BY ACCESSING CARE CLOSE TO HOME WHENEVER POSSIBLE RATHER THAN TRAVELING TO ATLANTA, ATHENS, OR OTHER METRO CENTERS. INCREASING ACCESS TO SPECIALISTS LIKE MANY RURAL GEORGIANS, RESIDENTS IN THE NORTHRIDGE SERVICE AREA HAD DIFFICULTY ACCESSING SPECIALIST CARE THAT DID NOT REQUIRE NUMEROUS TRIPS TO A MORE URBAN SETTING. NORTHRIDGE STAFF IDENTIFIED A NEED FOR MORE SPECIALISTS IN THREE KEY AREAS: PULMONOLOGY, ORTHOPEDICS, AND SURGERY. SERVICES IN ALL THREE OF THESE AREAS ARE NOW AVAILABLE 24/7. PULMONOLOGY COUNTY PUBLIC HEALTH DATA SHOW THAT COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE) IS A TOP CAUSE OF DEATH IN JACKSON COUNTY; IT IS ALSO ONE OF THE MOST FREQUENT CONDITIONS SEEN IN PATIENTS ADMITTED TO THE HOSPITAL. THE HOSPITAL HAS RECENTLY CONTRACTED WITH PULMONARY & SLEEP SPECIALISTS OF NORTHEAST GEORGIA TO PROVIDE 24/7 COVERAGE TO PATIENTS. ORTHOPEDICS FULL-TIME ORTHOPEDIC COVERAGE ENSURES THAT OLDER PATIENTS WITH BROKEN HIPS ARE ABLE TO STAY LOCAL FOR TREATMENT AND SURGERY AS NEEDED. THIS IS CRUCIAL AS CENSUS DATA SHOWS THAT JACKSON AND BANKS COUNTIES HAVE A GREATER THAN AVERAGE NUMBER OF INDIVIDUALS AGED 65 AND OLDER COMPARED TO THE REST OF THE STATE. PROJECTIONS FROM THE GOVERNOR'S OFFICE OF PLANNING AND BUDGET SHOW THIS TREND TO CONTINUE AT LEAST THROUGH 2020, MAKING THE AVAILABILITY OF GERIATRIC AND SENIOR SERVICES CRITICAL FOR THIS COMMUNITY. SURGERY A FULL-TIME GENERAL SURGEON WAS HIRED IN JULY 2014 TO PROVIDE FULL-TIME SURGICAL COVERAGE, ELIMINATING THE NEED FOR PATIENTS TO TRAVEL TO MORE DISTANT HOSPITALS FOR APPENDECTOMIES AND OTHER ROUTINE SURGERIES. AN OUTPATIENT SURGICAL WING ALSO OFFERS COLONOSCOPY, ENDOSCOPY, AND OTHER SAME DAY PROCEDURES. GERIATRIC PSYCHIATRY NORTHRIDGE RESPONDED TO A NEED FOR LOCAL BEHAVIORAL HEALTHCARE DEDICATED TO SENIOR ADULTS BY CREATING WILLOW BROOK SENIOR WELLNESS IN NOVEMBER 2011. THIS 12-BED GERIATRIC PSYCHIATRIC UNIT IS DEDICATED TO TAKING CARE OF SENIOR ADULTS WHO SUFFER FROM DEPRESSION, ANXIETY, UNRESOLVED GRIEF, ALZHEIMER'S DISEASE AND OTHER TYPES OF DEMENTIA. NORTHRIDGE INVESTED 1.2 MILLION IN THIS UNIT AS A NEW SERVICE FOR SENIOR ADULTS IN JACKSON AND BANKS COUNTIES AS WELL AS OUTLYING AREAS. THE UNIT IMPROVES ACCESS TO MENTAL HEALTH SERVICES FOR FAMILIES WHO LACKED THE RESOURCES TO TRAVEL TO ATLANTA, WHICH PREVIOUSLY WAS THE CLOSEST LOCATION WITH A SENIOR MENTAL HEALTH TREATMENT CENTER. WILLOW BROOK PROGRAMMATIC AND CLINIC STAFF MEET WITH THE HOSPITAL'S DIRECTOR OF OUTREACH EACH MONTH TO ASSESS NEEDS IDENTIFIED BY BOTH STAFF AND COMMUNITY PARTNERS. NORTHRIDGE CONTINUES TO SEEK WAYS TO MEET THE NEEDS OF WILLOW BROOK PATIENTS UPON DISCHARGE, AS THEY MAY RETURN TO COMMUNITIES WITH NO LOCAL PSYCHIATRIST, MAKING FOLLOW UP CARE DIFFICULT. THE TWO LOCAL COMMUNITY SERVICE BOARDS (ADVANTAGE BEHAVIORAL HEALTH AND AVITA COMMUNITY PARTNERS) OFFER MENTAL HEALTH SERVICES IN JACKSON AND BANKS COUNTIES; HOWEVER, THIS IS NOT SUFFICIENT TO MEET THE MENTAL HEALTH NEEDS OF RESIDENTS. PREVENTIVE CARE PREVENTIVE CARE IS INCREASINGLY A FOCUS OF HOSPITAL ACTIVITIES DUE TO THE HIGH RATE OF DIABETES, COPD, CARDIOVASCULAR DISEASE, AND OTHER CHRONIC CONDITIONS IN SERVICE AREA. IN ADDITION TO REGULAR PARTICIPATION IN HEALTH FAIRS, NORTHRIDGE RENOVATED ITS WELLNESS CENTER IN JANUARY 2015, MAKING COSMETIC AND AESTHETIC IMPROVEMENTS WHILE INSTALLING A NEW KEY CARD SYSTEM WHICH ENABLES EASY TRACKING OF ATTENDANCE. MEMBERSHIP IS OPEN TO THE PUBLIC AND DISCOUNTS ARE OFFERED TO AREA BUSINESSES AS WELL AS FIRST RESPONDERS. THE WELLNESS CENTER IS ALSO NOW A PARTICIPANT IN THE SILVER SNEAKERS FITNESS PROGRAM WHICH PROVIDES A FREE MEMBERSHIP TO SENIORS VIA MEDICARE AND OTHER INSURANCE PLANS. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY BAD DEBT EXPENSE AND AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ARE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS AND TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS PAGE 6 OF ATTACHED AUDITED FINANCIAL STATEMENTS PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION SEE ATTACHED "PATIENT FINANCIAL SERVICES" POLICIES AND PROCEDURES. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE NORTHRIDGE COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. AT THE TIME OF ADMISSION, NORTHRIDGE MEDICAL CENTER WORKS WITH MEDASSIST TO ENLIST PATIENTS IN QUALIFYING PROGRAMS. MEDASSIST MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY HELP THEM OBTAIN AND PAY FOR HEALTHCARE SERVICES. FINANCIAL COUNSELING IS ALSO PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. PART VI, LINE 4 - COMMUNITY INFORMATION NORTHRIDGE MEDICAL CENTER IS A 90 BED ACUTE CARE HOSPITAL LOCATED IN COMMERCE, GEORGIA. IT IS THE ONLY HOSPITAL IN JACKSON COUNTY. IT INCLUDES A 167 BED SKILLED NURSING FACILITY ON SITE AS WELL AS A 12 BED GERIATRIC PSYCHIATRIC UNIT. HOSPITAL SERVICES INCLUDE EMERGENCY MEDICINE, CARDIOLOGY, GASTROENTEROLOGY, GENERAL SURGERY, GYNECOLOGY, MAMMOGRAPHY, OCCUPATIONAL THERAPY, ORTHOPEDIC SURGERY, OUTPATIENT DIAGNOSTIC SERVICES, OUTPATIENT SURGERY, PAIN MANAGEMENT, PHYSICAL THERAPY, PODIATRY, PULMONARY FUNCTION TESTING, RADIOLOGY, REHABILITATION SERVICES, RESPIRATORY THERAPY, SPEECH THERAPY, SWING BED/SHORT TERM REHABILITATION, ULTRASOUND, AND UROLOGICAL SURGERY. THE PRIMARY SERVICE AREA FOR NORTHRIDGE MEDICAL CENTER IS JACKSON AND BANKS COUNTIES. IN 2014, THE TOTAL INPATIENT COUNT FROM JACKSON COUNTY WAS 337 WITH 137 FROM BANKS COUNTY, ACCOUNTING FOR 80% OF ALL INPATIENT ADMISSIONS. IN 2014 THE HOSPITAL HAD 5,165 OUTPATIENTS FROM JACKSON COUNTY AND 2,141 FROM BANKS COUNTY, REPRESENTING 78% OF ALL OUTPATIENTS. BANKS AND JACKSON COUNTIES ARE LOCATED IN THE NORTHEAST PART OF THE STATE, JUST BEYOND THE MAJOR ATLANTA METROPOLITAN AREA TO THE WEST WHICH IS COMPRISED OF OVER TWO DOZEN COUNTIES. THESE TWO COUNTIES HAVE POORER HEALTH THAN THE ADJOINING METRO ATLANTA COUNTIES AND THOSE IMMEDIATELY TO THE SOUTH AS WELL. JACKSON COUNTY JACKSON COUNTY WAS CREATED IN 1796 FROM PART OF FRANKLIN COUNTY. IT IS NAMED FOR REVOLUTIONARY WAR GENERAL, CONGRESSMAN, AND SENATOR JAMES JACKSON. THE COUNTY SEAT AND MOST POPULOUS CITY IS JEFFERSON. INCORPORATED CITIES INCLUDE ARCADE, BRASELTON, COMMERCE, HOSCHTON, JEFFERSON, MAYSVILLE, NICHOLSON, PENDERGRASS AND TALMO. JACKSON COUNTY COMPRISES THE JEFFERSON, GA MICROPOLITAN STATISTICAL AREA, WHICH IS INCLUDED IN THE ATLANTA-ATHENS-CLARKE COUNTY-SANDY SPRINGS, GA COMBINED STATISTICAL AREA. THE COUNTY IS HOME TO TANGER OUTLETS, COMPRISING ALMOST 100 STORES, AS WELL AS THE PEACH STATE MOTORSPEEDWAY. THE COUNTY ENCOMPASSES 342.2 SQUARE MILES. JACKSON COUNTY HAS MOVED TO THE FOREFRONT IN POULTRY FARMING, CONTINUALLY RANKING IN THE TOP FIVE COUNTIES IN BROILER AND EGG PRODUCTION. THE COUNTY ALSO RANKS NEAR THE TOP IN BEEF CATTLE NUMBERS AND LIVESTOCK INCOME IN THE STATE. BANKS COUNTY BANKS COUNTY WAS CREATED IN 1858 FROM PARTS OF FRANKLIN AND HABERSHAM COUNTIES. IT WAS NAMED FOR DR. RICHARD E. BANKS, A CIRCUIT-RIDING PHYSICIAN WHO TREATED THE SETTLERS AND NATIVE AMERICANS OF NORTHERN GEORGIA AND SOUTH CAROLINA. HOMER, THE COUNTY'S ONLY MUNICIPALITY, WAS INCORPORATED IN 1859 AND WAS NAMED AFTER HOMER JACKSON, A PROMINENT SETTLER. THE NORTHERN BOUNDARY OF BANKS COUNTY IS THE CHATTAHOOCHEE NATIONAL FOREST AND MUCH OF THE COUNTY IS WOODLANDS. THE COUNTY ENCOMPASSES 233.7 SQUARE MILES. COMMERCIAL FORESTRY HAS GIVEN WAY TO SMALL POULTRY FARMS IN RECENT DECADES, ALTHOUGH MUCH OF THE WORKFORCE IS EMPLOYED IN THE MANUFACTURING SECTOR, MOSTLY IN TEXTILES AND APPAREL PRODUCTION. DEMOGRAPHICS THE TABLE BELOW SHOWS BASIC DEMOGRAPHIC INFORMATION FOR BOTH COUNTIES AS WELL AS THE COMBINED SERVICE AREA TOTALS. JACKSON COUNTY IS FAR MORE POPULOUS THAN BANKS; ITS POPULATION IS MORE EDUCATED AND MORE LIKELY TO HAVE OWNED A HOME. JACKSON COUNTY ALSO HAS A MUCH HIGHER MEDIAN HOUSEHOLD INCOME (2009 -2013) AT 53,179 COMPARED TO BANKS COUNTY (41,141). THE MEDIAN INCOME IN BANKS COUNTY IS ALSO SIGNIFICANTLY LOWER THAN THE GEORGIA NATIONAL AVERAGE (49,179). DATA FROM THE GOVERNOR'S OFFICE OF PLANNING AND BUDGET SHOW THAT THE POPULATION OF JACKSON AND BANKS COUNTIES WILL CONTINUE TO GROW AT A RATE OUTPACING THE GEORGIA AVERAGE THROUGH 2030. GEORGIA IS ONE OF THE FASTER GROWING STATES IN THE COUNTRY BUT POPULATION GROWTH IS EXPECTED TO BE EVEN MORE PRONOUNCED IN BANKS COUNTY (26.2% INCREASE) AND ESPECIALLY IN JACKSON COUNTY WHOSE POPULATION WILL JUMP 33% IN THE NEXT FIFTEEN YEARS. IN ADDITION, SENIORS WILL MAKE UP AN INCREASING PERCENTAGE OF THE POPULATION. JACKSON AND BANKS COUNTIES HAVE A GREATER THAN AVERAGE NUMBER OF INDIVIDUALS AGED 65 AND OLDER COMPARED TO THE REST OF THE STATE AND THIS TREND IS EXPECTED TO CONTINUE. 13.8% OF GEORGIANS IN 2020 WILL BE AGED 65 AND OLDER; IN JACKSON COUNTY THIS INCREASES TO 14.8% IN JACKSON COUNTY AND 16.4% IN BANKS, FOR A TOTAL OF ALMOST 100,000 RESIDENTS IN THIS AGE RANGE BY 2020. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH SEE SCHEDULE O FOR THE ORGANIZATION'S MISSION AND PROGRAM ACCOMPLISHMENTS WHICH INCLUDES AN EMPHASIS ON COMMUNITY BENEFIT AND COMMUNITY HEALTH. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM THE INTEGRATED HEALTH DELIVERY SYSTEM IS DESCRIBED IN SCHEDULE O AND AFFILIATED ORGNANIZATIONS ARE INCLUDED IN SCHEDULE R. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT GEORGIA X X X X X false false false false false false false false false LORRAINE T TAYLOR SECRETARY 649986 10400 3978 664364 ROGER FORGEY PRESIDENT-ACUTE CARE 223372 83489 11113 1746 234485 85235 RALPH WARNOCK VP-CLINICAL Q & COMP 212915 8242 15464 236621 JOE ROBINSON COO 207861 8141 7307 223309 LARRY EBERT CFO/COO 187931 7754 7243 202928 PERRY KEMP VP OPERATIONS 160615 6529 7357 174501 TERESA MOODY PRESIDENT 156142 6512 9704 172358 KENNETH O'NEAL HOSPITALIST 263836 10400 7016 281252 THAD LONG PHYSICIAN 228168 9206 7319 244693 WYATT BLAKE ATTENDING PHYSICIAN 193207 3333 7016 203556 LING LI PHYSICIAN 177037 2312 606 179955 A CENTRAL GEORGIA JOINT DEV AUTHORITY BANK OF OKLAHOMA 611416768 2012-07-01 8000000 ACQUISITION OF RE false false false A false false true true A false false false false false false false A false false false false false false false false true A false FORM 990 - ORGANIZATION'S MISSION TO PROVIDE A CENTRAL, EFFICIENT, AND COST-EFFECTIVE HEALTH CARE TRANSPORTATION SERVICES AS A MEMBER OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. TO PROVIDE PHYSICIAN'S CARE TO OTHER ENTITIES WHICH ARE A PART OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM. TO PROVIDE ACUTE CARE SERVICES (HOSPITAL), EMERGENCY CARE SERVICES AND SKILLED NURSING SERVICES FOR RESIDENTS IN COMMERCE, GEORGIA AND SURROUNDING AREAS. FORM 990, PAGE 2, PART III, LINE 4A OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC., THE SECTION 509(A)(3) SUPPORTING ORGANIZATION AND PARENT ENTITY OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM OF WHICH THE ORGANIZATION IS A MEMBER, THE ORGANIZATION PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITIES IT SERVES PURSUANT TO BOTH COMMUNITY BENEFIT GUIDELINES AND A CHARITY CARE POLICY. THE ORGANIZATION CONTINUES TO ASSESS AND DEVELOP PROGRAMS TO BENEFIT THE COMMUNITY. FORM 990, PAGE 6, PART VI, LINE 6 THE ORGANIZATION HAS A SOLE MEMBER, COMMUNITY HEALTH SYSTEMS, INC., A NONPROFIT GEORGIA CORPORATION. FORM 990, PAGE 6, PART VI, LINE 7A UNDER THE ORGANIZATION'S BYLAWS, WHILE IT IS THE SOLE MEMBER OF THE ORGANIZATION, COMMUNITY HEALTH SYSTEMS, INC., AS A TYPE I SECTION 509(A)(3) AND SECTION 501(C)(3) SUPPORTING ORGANIZATION, HAS THE SOLE RIGHT TO ELECT, REPLACE AND TO REMOVE THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS AND SHALL ENSURE THAT AT ALL TIMES, A MAJORITY OF THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS SHALL BE COMPOSED OF PERSONS WHO ARE CONCURRENTLY SERVING AS MEMBERS OF THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC. FORM 990, PAGE 6, PART VI, LINE 11B THIS PROCESS INVOLVES THE ELECTRONIC POSTING OF THE DRAFT FORM 990 WITH ALL ITS SCHEDULES FOR THE ORGANIZATION'S BOARD OF DIRECTORS TO REVIEW FOLLOWED, AFTER A SUFFICIENT REVIEW PERIOD, BY A MEETING OF THE BOARD AT WHICH BOARD MEMBERS WILL HAVE THE OPPORTUNITY TO ASK QUESTIONS OF MANAGEMENT AND THE OUTSIDE TAX ADVISORS INVOLVED IN THE PREPARATION OF THE FORM 990. FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICTS OF INTEREST POLICY. SUCH COMPLIANCE IS EFFECTUATED THROUGH THE ORGANIZATION'S BOARD OF DIRECTORS' REVIEW OF ANNUAL CONFLICT DISCLOSURE STATEMENTS FROM THE DIRECTORS AS WELL AS RECEIPT AND REVIEW OF CONFLICT DISCLOSURE STATEMENTS WITH RESPECT TO CERTAIN PROPOSED TRANSACTIONS OR ARRANGEMENTS THE ORGANIZATION IS CONSIDERING PRIOR TO ANY BOARD ACTION WITH RESPECT TO SUCH MATTERS. THE CONFLICTS POLICY OUTLINES THE SPECIFIC PROCEDURE TO BE FOLLOWED TO DETERMINE WHETHER INTERESTED PERSONS HAVE ACTUAL CONFLICTS OF INTEREST. IF IT IS DETERMINED THAT A BOARD MEMBER HAS AN ACTUAL CONFLICT OF INTEREST, THEN SUCH BOARD MEMBER IS NOT ALLOWED TO PARTICIPATE IN THE BOARD DELIBERATIONS ON THE SPECIFIC MATTER AND IS EXCUSED FROM, AND IS NOT ALLOWED TO PARTICIPATE IN ANY BOARD VOTE ON THE MATTER. FORM 990, PAGE 6, PART VI, LINE 15A THE ORGANIZATION REGULARLY AND CONSISTENTLY COMPLIES WITH THE COMPENSATION APPROVAL PROCESS WHICH IS PART OF ITS CONFLICTS OF INTEREST POLICY. EVERY TWO TO THREE YEARS, ON AVERAGE, THE ORGANIZATION PARTICIPATES IN A COMPREHENSIVE PROCESS CONDUCTED ON ITS BEHALF BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC., ITS SOLE MEMBER AND PARENT OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM IN WHICH THE ORGANIZATION IS A MEMBER. THIS PROCESS INVOLVES REVIEW OF COMPARABILITY DATA COMPILED BY AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT. COMPARABILITY DATA IS GATHERED FOR THE ORGANIZATION'S SENIOR MANAGEMENT, AND ON OCCASION, KEY OR HIGHLY COMPENSATED EMPLOYEES, AND, BASED ON THE SAME, THE CONSULTANT ISSUES A WRITTEN REPORT REFLECTING THE CONSULTANT'S OPINION CONCERNING WHETHER THE PROPOSED COMPENSATION ARRANGEMENTS CONSTITUTE REASONABLE COMPENSATION UNDER SECTION 4958 OF THE CODE. THIS PROCESS IS CONDUCTED BY THE COMPENSATION COMMITTEE, WHICH THEN MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS SI ALSO PROVIDED WITH MATERIALS REGARDING THE COMPENSATION REVIEW, INCLUDING COPIES OF THE CONSULTANT'S REPORT. THE BOARD THEN VOTES AS TO THE REASONABLENESS OF EACH OF THE INDIVIDUAL COMPENSATION ARRANGEMENTS (IF ANY DISQUALIFIED OR OTHERWISE CONFLICTED INDIVIDUALS ARE PRESENT AT THE MEETING, THEY DO NOT PARTICIPATE IN THE DELIBERATIONS AND ARE EXCUSED FROM THE ROOM DURING THE VOTE). THE PROCESS IS DESIGNED AND CARRIED OUT BY THE BOARD OF DIRECTORS IN A MANNER DESIGNED TO SATISFY ALL THREE OF THE REQUIREMENTS NECESSARY TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS WITH RESPECT TO COMPENSATION ARRANGEMENTS FOR DISQUALIFIED PERSONS UNDER SECTION 53.4958-6 OF THE REGULATIONS. AS PART OF THIS PROCESS, OUTSIDE COUNSEL IS RETAINED TO FURTHER ADVISE THE BOARD ON THE REBUTTABLE PRESUMPTION PROCESS AND TO PROVIDE THE BOARD WITH A LEGAL OPINION REGARDING THE SAME. AS A FINAL STEP, EACH PART OF THE PROCESS REQUIRED TO ESTABLISH THE REBUTTABLE PRESUMPTION IS DOCUMENTED USING THE REBUTTABLE PRESUMPTION CHECKLIST RELEASED BY THE IRS. FORM 990, PAGE 6, PART VI, LINE 15B THE ORGANIZATION REGULARLY AND CONSISTENTLY COMPLIES WITH THE COMPENSATION APPROVAL PROCESS WHICH IS PART OF ITS CONFLICTS OF INTEREST POLICY. EVERY TWO TO THREE YEARS, ON AVERAGE, THE ORGANIZATION PARTICIPATES IN A COMPREHENSIVE PROCESS CONDUCTED ON ITS BEHALF BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC., ITS SOLE MEMBER AND PARENT OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM IN WHICH THE ORGANIZATION IS A MEMBER. THIS PROCESS INVOLVES REVIEW OF COMPARABILITY DATA COMPILED BY AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT. COMPARABILITY DATA IS GATHERED FOR THE ORGANIZATION'S SENIOR MANAGEMENT, AND ON OCCASION, KEY OR HIGHLY COMPENSATED EMPLOYEES, AND, BASED ON THE SAME, THE CONSULTANT ISSUES A WRITTEN REPORT REFLECTING THE CONSULTANT'S OPINION CONCERNING WHETHER THE PROPOSED COMPENSATION ARRANGEMENTS CONSTITUTE REASONABLE COMPENSATION UNDER SECTION 4958 OF THE CODE. THIS PROCESS IS CONDUCTED BY THE COMPENSATION COMMITTEE, WHICH THEN MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS ALSO PROVIDED WITH MATERIALS REGARDING THE COMPENSATION REVIEW, INCLUDING COPIES OF THE CONSULTANT'S REPORT. THE BOARD THEN VOTES AS TO THE REASONABLENESS OF EACH OF THE INDIVIDUAL COMPENSATION ARRANGEMENTS (IF ANY DISQUALIFIED OR OTHERWISE CONFLICTED INDIVIDUALS ARE PRESENT AT THE MEETING, THEY DO NOT PARTICIPATE IN THE DELIBERATIONS AND ARE EXCUSED FROM THE ROOM DURING THE VOTE). THE PROCESS IS DESIGNED AND CARRIED OUT BY THE BOARD OF DIRECTORS IN A MANNER DESIGNED TO SATISFY ALL THREE OF THE REQUIREMENTS NECESSARY TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS WITH RESPECT TO COMPENSATION ARRANGEMENTS FOR DISQUALIFIED PERSONS UNDER SECTION 53.4958-6 OF THE REGULATIONS. AS PART OF THIS PROCESS, OUTSIDE COUNSEL IS RETAINED TO FURTHER ADVISE THE BOARD ON THE REBUTTABLE PRESUMPTION PROCESS AND TO PROVIDE THE BOARD WITH A LEGAL OPINION REGARDING THE SAME. AS A FINAL STEP, EACH PART OF THE PROCESS REQUIRED TO ESTABLISH THE REBUTTABLE PRESUMPTION IS DOCUMENTED USING THE REBUTTABLE PRESUMPTION CHECKLIST RELEASED BY THE IRS. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST IN ACCORDANCE WITH THE SECTION 6104(D) DISCLOSURE REQUIREMENTS. 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