2016-05-13T08:46:59-05:00 2015-06-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 31708 990 2014-07-01 582224545 BACON COUNTY HEALTH SERVICES INC BACO 9126328961 PO BOX 1987 ALMA GA 315100987 KYLE KIMMEL CFO 9126328961 2016-05-16 true JACQUELINE G ATKINS P00861721 2298837878 2016-05-11 2014 2016-08-17 19:52:53Z CINDY R TURNER CEO 302 S WAYNE ST ALMA GA 315100987 33742044 false X WWW.BACONCOUNTYHOSPITAL.COM X 1986 GA THE MISSION OF THE BACON COUNTY HOSPITAL AND HEALTH SYSTEM IS TO PROVIDE COMPASSIONATE AND COMPREHENSIVE COMMUNITY HEALTHCARE THAT MEET OUR CUSTOMERS' EXPECTATIONS. OUR MISSION, AS WELL AS OUR VISION AND VALUES, SERVES AS A GUIDELINE FOR DAILY DECISION MAKING AND REPRESENTS THE PRINCIPLES AND PRACTICES THAT WE CONSTANTLY APPLY. THE COMFORT AND CARE OF OUR PATIENTS IS A MAJOR FOCUS OF OURS. WE WANT TO PROVIDE QUALITY AND COST EFFECTIVE CARE THAT IS CLOSE TO HOME. ANOTHER OBJECTIVE OF OURS IS TO PROVIDE EDUCATION AND TO INCREASE YOUR HEALTH AWARENESS. PART OF OUR MISSION IS TO CONTINUALLY PUT THE "CARE" IN HEALTHCARE. 9 7 509 13 0 29083 1002470 29306952 31286459 93365 150766 1796491 1178838 31225891 33618533 900 901 0 13848934 15567398 0 0 17333761 16932236 31183595 32500535 42296 1117998 43248576 44587094 16519389 16770475 26729187 27816619 X THE MISSION OF THE BACON COUNTY HOSPITAL AND HEALTH SYSTEM IS TO PROVIDE COMPASSIONATE AND COMPREHENSIVE COMMUNITY HEALTHCARE THAT MEET OUR CUSTOMERS' EXPECTATIONS. OUR MISSION, AS WELL AS OUR VISION AND VALUES, SERVES AS A GUIDELINE FOR DAILY DECISION MAKING AND REPRESENTS THE PRINCIPLES AND PRACTICES THAT WE CONSTANTLY APPLY. THE COMFORT AND CARE OF OUR PATIENTS IS A MAJOR FOCUS OF OURS. WE WANT TO PROVIDE QUALITY AND COST EFFECTIVE CARE THAT IS CLOSE TO HOME. ANOTHER OBJECTIVE OF OURS IS TO PROVIDE EDUCATION AND TO INCREASE YOUR HEALTH AWARENESS. PART OF OUR MISSION IS TO CONTINUALLY PUT THE "CARE" IN HEALTHCARE. false false 28929092 901 31689664 THE HOSPITAL PROVIDES PATIENT SERVICES IN AREAS OF ROUTINE, INTENSIVE CARE, AND NURSERY. FOR FISCAL YEAR 6/30/15, TOTAL PATIENT DAYS WERE 4,534; 988 INPATIENTS SERVED. THE SKILLED NURSING FACILITY HAD 26,784 RESIDENT DAYS WHILE THE RURAL HEALTH CLINIC SAW 1,859 VISITS. PATIENTS INCLUDE MEDICARE, MEDICAID, SELF-PAY, INSURANCE, AND CHARITY. OUTPATIENT SERVICES INCLUDE SURGERY, LAB, DIAGNOSTIC IMAGING SERVICES, RESPIRATORY THERAPY, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, EMERGENCY ROOM, AND OBSERVATION. 28929092 true true false true false false false false false false true false false false true true true false false false true false false false true false true true false false true true false false false false false false false true true false false false false false true true false false false true X 35 0 509 true false true CJ false false false false false false true false X 9 7 false false false false false true true true true false false true true true true true true true true false GA X KYLE KIMMEL CFO 9126328704 302 S WAYNE ST ALMA GA 315100987 ROGER BOATRIGHT CHAIRMAN 1.00 X X 0 0 0 MARTHA S LEE SECRETARY/TR 1.00 X X 0 0 0 CHARLENE DEEN MEMBER 1.00 X 0 0 0 BUCK HARNAGE MEMBER 1.00 X 0 0 0 LARRY JORDAN MEMBER 1.00 X 0 0 0 ROGER STATEN SR MEMBER 1.00 X 0 0 0 DANNY STANALAND VICE CHAIRMA 1.00 1.00 X X 0 0 0 JOHN L SWEAT MEMBER 1.00 1.00 X 0 0 0 ALBERT WILDES MEMBER 1.00 1.00 X 0 0 0 CINDY R TURNER CEO 40.00 1.00 X 232875 0 8123 KYLE KIMMEL CFO 40.00 1.00 X 95493 0 3308 RANDALL O'BRIEN MD PHYSICIAN 40.00 X 454623 0 12273 GABOR KOVACS MD PHYSICIAN 40.00 X 163120 0 1432 RICHARD KYLE LOTT PHARMACIST 40.00 X 106217 0 8764 LAURA DURAN PHARMACIST 40.00 X 100005 0 8248 1152333 42148 5 false true false ERX LLC 9724 KINGSTON PIKE KNOXVILLE TN 379223347 ER SERVICES 1094384 METZ CULINARY TWO WOODLAND DRIVE DALLAS PA 186129159 FOOD SERVICES 840004 ENDURACARE PO BOX 654072 DALLAS TX 752654072 THERAPY SERVICE 777439 GENERAL ANESTHESIA SERVICES PO BOX 243 HAZLEHURST GA 315390243 ANESTHESIA SERV 630029 SWEAT'S LAUNDRY PO BOX 387 ALMA GA 315100387 LAUNDRY SERVICE 204574 5 1000000 2470 1002470 PROGRAM SERVICE REVENUE 621990 31286459 31286459 31286459 101807 101807 103850 69660 34190 34190 34190 85078 36119 48959 48959 48959 52913 17732 35181 35181 MEDICAID EHR INCENTIVES 621990 364158 364158 DAY CARE 624410 264025 264025 CAFETERIA SALES 722513 258852 258852 222432 36577 185855 1109467 33618533 31687194 928869 901 901 339799 339799 11575549 10925081 650468 185108 174705 10403 2470039 2331223 138816 996903 940877 56026 32496 32496 136877 136877 98305 98305 5957 5957 3146692 3025061 121631 91842 91842 1652659 1253398 399261 248512 59152 189360 1171605 1014844 156761 64425 32236 32189 28766 20623 8143 3380496 2928186 452310 284590 202827 81763 MEDICAL SUPPLIES 4690364 4690364 REPAIRS & MAINTENANCE 1234037 1130570 103467 CAPTIVE INSURANCE EXPENSE 379174 379174 MISCELLANEOUS 183185 125960 57225 102254 34631 67623 32500535 28929092 3571443 0 14932 138435 8253287 14686752 3750657 3605343 671053 741483 901901 966589 1215478 411555 52011976 28439347 25813632 23572629 2627636 464308 43248576 44587094 3010778 3326333 9820000 9820000 3290535 2547519 398076 1076623 16519389 16770475 X 26729187 27816619 26729187 27816619 43248576 44587094 1117998 -30566 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5957 5957 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE ORGANIZATIONS. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THOSE ORGANIZATIONS PARTICIPATE. 390404 390404 34187262 15579868 18607394 633977 400153 233824 16684267 12459326 4224941 116066 116066 23572629 UNEARNED PREMIUM RESERVE - CAPTIVE 569706 CAPTIVE INSURANCE LIABILITY 233622 BOND PREMIUM 145643 DUE TO RELATED PARTIES 127652 1076623 X 32682002 -3536 69660 66124 32615878 1002655 1002655 33618533 32567540 69660 69660 32497880 2655 2655 32500535 SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SEGREGATED PORTFOLIO CONDUCTS ITS AFFAIRS IN A MANNER IN WHICH IT WILL NOT BE SUBJECT TO U.S. FEDERAL INCOME TAX OR GEORGIA INCOME TAX. THE HOSPITAL APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE HOSPITAL ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENTS EVALUATION, NO LIABILITY IS RECOGNIZED IN THEACCOMPANYING CONSOLIDATED BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2015 AND 2014 OR FOR THE YEARS THEN ENDED. THE HOSPITALS TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. SCHEDULE D, PAGE 4, PART XI, LINE 2D RENTAL DEPRECIATION 69,660 SCHEDULE D, PAGE 4, PART XI, LINE 4B EXPENSES NETTED IN REVENUES ON FINANCIAL STATEMENTS 2,655 SPLOST FUNDS RECEIVED 1,000,000 SCHEDULE D, PAGE 4, PART XII, LINE 2D RENTAL DEPRECIATION 69,660 SCHEDULE D, PAGE 4, PART XII, LINE 4B EXPENSES NETTED IN REVENUES ON FINANCIAL STATEMENTS 2,655 false CENTRAL AMERICA AND THE CARIBBEAN 1 1 INVESTMENTS 785957 1 1 1 1 785957 785957 false false true false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 785,957 WILD GAME DINNE 19176 19176 14352 RISE UP CAMPAIG 15647 15647 1 12765 12765 2302 47588 47588 16654 16654 30934 true true X true X 1.250000000000 true X true true true false true true 1036963 1036963 0.03180 3509650 3619251 -109601 124537 75957 48580 0.00150 4671150 3695208 975942 0.03330 37121 37121 0.00110 37121 37121 0.00110 4708271 3695208 1013063 0.03440 true 4770802 9572911 9589245 -16334 X true false 1 1 BACON COUNTY HOSPITAL 302 S WAYNE STREET ALMA GA 315100987 WWW.BACONCOUNTYHOSPITAL.COM 003-010 X X X X RHC, SWINGBEDS, SNF, DAYCARE BACON COUNTY HOSPITAL 1 false false true X X X X X X X X X X 13 true true false true X WWW.BACONCOUNTYHOSPITAL.COM X true 13 false true false true X 125.000000000000 200.000000000000 true true X X X true X X X X true X true X X X X true X false false FACILITY 1, BACON COUNTY HOSPITAL - PART V, LINE 5 THE COMMUNITY ADVISORY COMMITTEE (CAC) WAS A KEY COMPONENT OF COMMUNITY ENGAGEMENT IN THE PROCESS AS REQUIRED BY THE IRS MANDATE. THE CAC WAS COMPOSED OF 15-25 MEMBERS REPRESENTING A CROSS-SECTION OF THE DEFINED COMMUNITY (TARGET AREA). TO FORMALIZE THE PROCESS, THE COLLEGE OF PUBLIC HEALTH, GEORGIA STATE UNIVERSITY WHICH CONDUCTED THE CHNA, PROVIDED THE ORGANIZATION WITH A LETTER TO RECRUIT CAC MEMBERS AND A LIST OF POTENTIAL CAC MEMBERS. HOSPITALS WERE SPECIFICALLY INSTRUCTED TO RECRUIT PEOPLE, OR AGENCIES, REPRESENTING TRADITIONALLY UNDERSERVED AND MINORITY POPULATIONS WITHIN THE TARGET AREA. IN ADDITION, HOSPITALS WERE ENCOURAGED TO SEEK DIVERSITY WITH RESPECT TO RACE, ETHNICITY, SOCIAL, ECONOMIC, AND EDUCATION BACKGROUNDS. FOR BACON COUNTY HOSPITAL, CAC MEMBERS WERE RECRUITED FROM THE HOSPITAL AND LOCAL HEALTH DEPARTMENT. THE BACON COUNTY HOSPITAL CEO, CINDY TURNER, WORKED WITH THE HOSPITAL BOARD OF DIRECTORS TO DEVELOP A LIST OF POTENTIAL CAC MEMBERS. THIS LIST BECAME THE INVITATION LIST FOR THE CAC. DATA COLLECTION EFFORTS WERE FIRST INITIATED BY SURVEYING CAC MEMBERS USING THE COMMUNITY-BASED SURVEY. IN GENERAL, THIS TOOK APPROXIMATELY 10 TO 15 MINUTES. CAC MEMBERS WERE ALSO GIVEN INSTRUCTIONS FOR DISTRIBUTING THE SURVEY TO THE COMMUNITY. IN ADDITION TO SURVEY COMPLETION AND INSTRUCTIONS FOR DISTRIBUTION, CAC MEMBERS WERE ASKED TO VOLUNTEER TO PARTICIPATE IN ONE OF THREE FOCUS GROUPS TO BE CONDUCTED IN THE COMMUNITY. THESE MEMBERS WERE ALSO ASKED TO ASSIST THE HOSPITAL IN RECRUITING POTENTIAL COMMUNITY MEMBERS TO PARTICIPATE IN THE REMAINING TWO FOCUS GROUPS. INITIALLY, THE COMMUNITY ADVISORY COMMITTEE WAS SELECTED, ITS 8 MEMBERS REPRESENTING A CROSS-SECTION OF THE TARGET AREA, INCLUDING HEALTHCARE PROFESSIONALS, COMMUNITY ACTIVISTS, AND OTHER COMMUNITY MEMBERS. COMMUNITY-BASED SURVEYS AND FOCUS GROUPS PROVIDED A WIDER ARRAY OF COMMUNITY INPUT. FACILITY 1, BACON COUNTY HOSPITAL - PART V, LINE 6A THE COLLEGE OF PUBLIC HEALTH, GEORGIA SOUTHERN UNIVERSITY WAS GRANTED FUNDING BY THE DEPARTMENT OF COMMUNITY HEALTH TO PROVIDE TECHNICAL ASSISTANCE TO 18 NONPROFIT HOSPITALS IN COMPLETING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS MANDATED BY THE IRS. HOSPITALS INCLUDED IN THE CHNA PROJECT INCLUDED: BACON COUNTY HOSPITAL CHATUGE REGIONAL HOSPITAL CLINCH COUNTY HOSPITAL EVANS MEMORIAL HOSPITAL JASPER MEMORIAL HOSPITAL JEFF DAVIS HOSPITAL JEFFERSON HOSPITAL MILLER COUNTY HOSPITAL MONROE COUNTY HOSPITAL MORGAN MEMORIAL HOSPITAL PHOEBE WORTH MEDICAL CENTER TAYLOR REGIONAL HOSPITAL UNION GENERAL HOSPITAL WASHINGTON COUNTY MEDICAL CENTER MEMORIAL HOSPITAL & MANOR MEADOWS REGIONAL MEDICAL CENTER STEPHENS COUNTY HOSPITAL LOUIS SMITH MEMORIAL HOSPITAL FACILITY 1, BACON COUNTY HOSPITAL - PART V, LINE 11 FY 2015 CHNA IMPLEMENTATION PLAN PROGRESS: THE HOSPITAL PUT CONSIDERABLE EFFORT TOWARD ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA. EDUCATIONAL INFORMATION WAS BROADCAST VIA FACEBOOK AND OTHER SOCIAL MEDIA SOURCES. OUR BREAST CANCER INITIATIVE IN OCTOBER HAS CONTINUED TO GROW GARNERING MORE AND MORE PUBLIC PARTICIPATION. THIS ALLOWS US TO EDUCATE AND PROMOTE DISCOUNTED SCREENING FOR THE UNINSURED AND UNDERINSURED WOMEN IN OUR COMMUNITY. THE NUMBER OF FREE HEALTH FAIRS WAS ALSO INCREASED INCLUDING THE NUMBER SERVICES OFFERED AT THE HEALTH FAIRS. A PEDIATRICIAN HAS BEEN RECRUITED AND IS IN PRACTICE. HE IS WORKING WITH OUR DAYCARE, SCHOOLS AND AT COMMUNITY EVENTS TO EDUCATE THE PARENTS OF THOSE CHILDREN. THIS HAS THE POTENTIAL OF REACHING OUT TO HUNDREDS OF FAMILIES WITH CHILDREN, INCLUDING THE EARLY HEAD START FAMILIES THAT SHARE THE BUILDING SPACE AT THE HOSPITAL'S DAYCARE. HE ALSO SEES MANY HISPANIC CHILDREN AND THEIR PARENTS, WHO USUALLY DON'T HAVE EDUCATIONAL OPPORTUNITIES INCLUDING GENERAL WELLNESS, NUTRITION, AND APPROPRIATE EXERCISE TO HELP COMBAT JUVENILE DIABETES. WE HAVE IMPLEMENTED A TOBACCO FREE POLICY FOR OUR ENTIRE ORGANIZATION. THIS POLICY IS APPLICABLE TO EMPLOYEES AND VISITORS. WE HAVE INCREASED OUR PRESENCE AT THE TEEN MAZE EVENT. THIS EVENT IS HELD AT THE LOCAL HIGH SCHOOL AND COMBINES COMMUNITY RESOURCES TO RAISE AWARENESS FOR TEENAGERS. WE SPONSOR MULTIPLE BOOTHS WHICH RAISES AWARENESS FOR TEEN PREGNANCY, STD'S, ETC. WE SHOWCASE CHILDCARE ITEMS ALONG WITH THE COST OF THESE ITEMS, WITH THE INTENTION OF DISCOURAGING TEENAGERS TO GET PREGNANT BECAUSE OF THE RELATED COST. IN ADDITION, PICTURES OF STD'S ARE DISPLAYED AND EDUCATION IS PROVIDED TO THE TEENS ABOUT THESE DISEASES, AS WELL AS, THE IMPORTANCE OF SAFE SEX AND/OR ABSTINENCE. 2 TWIN OAKS CONVALESCENT CENTER 302 S WAYNE STREET ALMA GA 315100987 SKILLED NURSING FACILITY BACON COUNTY RHC 302 S WAYNE STREET ALMA GA 315100987 RURAL HEALTH CENTER PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN (F), THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25: FORM 990, PART IX, LINE 25 32,500,535 ADD: EXPENSES IN PART VIII 69,660 DENOMINATOR FOR COLUMN (F) 32,570,195 PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION COSTS FOR PART I, LINE 7A, 7B, AND 7C WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. SEE ALSO THE DESCRIPTION FOR PART III, LINE 2. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS 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 PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR 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 A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD- PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS 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 BAD DEBTS 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 IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITALS ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 87% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2014, TO 92% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2015. THE HOSPITALS SELF-PAY WRITE-OFFS DECREASED APPROXIMATELY 45,000 FROM APPROXIMATELY 4,530,000 FOR FISCAL YEAR 2014 TO APPROXIMATELY 4,485,000 FOR FISCAL YEAR 2015. THE INCREASE IN SELF-PAY ALLOWANCES IS THE RESULT OF NEGATIVE TRENDS EXPERIENCED IN THE COLLECTION OF AMOUNTS FROM SELF-PAY PATIENTS IN FISCAL YEAR 2015. THE HOSPITAL DID NOT CHANGE ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEAR 2014 OR 2015. THE HOSPITAL DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS. PART III, LINE 8 - MEDICARE EXPLANATION MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. PART VI, LINE 2 - NEEDS ASSESSMENT THE ORGANIZATION UTILIZES STRATEGIC PLANNING PERIODICALLY STARTING AT THE BOARD LEVEL TO ADDRESS THE NEEDS OF THE COMMUNITY, I.E., ACCESS TO CURRENT SERVICE LINES OR EVALUATE THE NEED FOR A NEW SERVICE LINE. IN 2013, THE ORGANIZATION, WITH THE ASSISTANCE OF GEORGIA SOUTHERN UNIVERSITY AND STATE FUNDING, CONDUCTED ITS FIRST FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. A COPY OF THE 2013 CHNA IS LOCATED ON THE ORGANIZATION'S WEBSITE AT HTTP://WWW.BACONCOUNTYHOSPITAL.COM/DOCS/BACON_CHNA_FINAL_DOCUMENT.PDF PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE HOSPITAL HAS CLEARLY WRITTEN FINANCIAL ASSISTANCE POLICIES THROUGH THE BUSINESS OFFICE AND COLLECTIONS DEPARTMENT. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND FINANCIAL AID. PATIENT EDUCATION ON THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS ARE CONDUCTED DURING REGISTRATION AND/OR THROUGH FLOOR VISITS BY CASE MANAGERS AND COLLECTIONS REPRESENTATIVES FOR PATIENTS THAT STRESS CONCERN IN MEETING THE FINANCIAL OBLIGATIONS FOR THEIR SERVICES. PART VI, LINE 4 - COMMUNITY INFORMATION THE ORGANIZATION SERVES A PREDOMINATELY RURAL AREA IN SOUTHEAST GEORGIA. THE PRIMARY SERVICE AREA IS COMPRISED OF SIX CONTIGUOUS COUNTIES AND SEVERAL OTHER COUNTIES IN THE SECONDARY AREA. BACON COUNTY HEALTH SERVICES, INC. IS THE LARGEST EMPLOYER IN BACON COUNTY AND DRAWS FROM A POPULATION OF APPROXIMATELY 11,000 RESIDENTS IN BACON COUNTY AND EXTENDS TO MULTIPLE ADJOINING COUNTIES FOR MAJOR HEALTH CARE SERVICES LINES, SUCH AS ORTHOPEDIC SURGERY. THE REGION IS MARKED BY VAST DICHOTOMIES OF WEALTH, EDUCATION, AND HEALTH STATUS. THE ORGANIZATION SERVES A POPULATION THAT HAS A HIGH PROPORTION OF LOW-INCOME INDIVIDUALS. THE ORGANIZATION SERVES RURAL COUNTIES THAT ARE AMONG THE STATE'S POOREST AND UNHEALTHIEST COUNTIES. FOR 2015, COUNTYHEALTHRANKINGS.ORG RANKS BACON COUNTY AS THE 117TH HEALTHIEST COUNTY OUT OF 159 COUNTIES IN THE STATE OF GEORGIA. THE REGION'S CITIZENS EXPERIENCE HIGH LEVELS OF DIABETES, HYPERTENSION, OBESITY, STROKE AND HEART ATTACK. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH THE ORGANIZATION AND ALL ITS VOLUNTEER BOARD ARE COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS. OUR EMERGENCY DEPARTMENT HAS 24/7 PHYSICIAN COVERAGE AND IS OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. THE ORGANIZATION SEEKS OUT DELIVERY OF CARE MODELS THAT BEST MEET THE NEEDS OF THE COMMUNITY. THE HOSPITAL'S RURAL HEALTH CLINIC (RHC) SERVES MANY LOW-INCOME AND MEDICAID ELIGIBLE PATIENTS BY APPOINTMENT AND ON A WALK-IN BASIS. THE RHC'S PATIENTS TYPICALLY NEED BASIC HEALTH ATTENTION AND THE RHC STAFF PROMOTES WELLNESS TO ALL OF ITS PATIENTS ON AN AS-NEEDED BASIS DURING THEIR VISIT. THIS WELLNESS MAY BE IN THE FORM OF EDUCATION MATERIALS AND/OR SUGGESTIONS FOR IMPROVING THE GENERAL HEALTH OF THE PATIENT. THE ORGANIZATION HAS A MULTI-PRONGED APPROACH TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVICES: INCREASING ACCESS, BUILDING CAPACITY, INVESTING IN "UPSTREAM" PROGRAMS THAT GET AT THE CAUSE OF DISEASE AND ILLNESS, BUILDING COMMUNITY PARTNERSHIPS, ADVOCATING CHANGE, AND DEVELOPING LEADERSHIP. THE ORGANIZATION HOSTS HEALTH FAIRS TO PROMOTE WELLNESS AND ENCOURAGE PREVENTATIVE MAINTENANCE BY OFFERING FREE GLUCOSE AND CHOLESTEROL TESTS, BLOOD PRESSURE CHECKS, BONE DENSITY TESTS, MEDICAL BROCHURES WITH MEDICAL INFORMATION SUCH AS STROKE, HEART ATTACK, DIABETES, BLOOD PRESSURE, BREAST CANCER AND MORE. PHYSICIANS, DENTISTS, OPTOMETRISTS, MID-LEVEL PRACTITIONERS, REGISTERED NURSES AND OTHER LICENSED PROFESSIONALS ATTEND THESE FUNCTIONS. THE PRIMARY PURPOSE OF INCORPORATING MULTIPLE FACETS OF CARE IN THE FAIRS IS TO GIVE THE COMMUNITY A WIDE SPECTRUM OF KNOWLEDGE TO CONSULT WITH, FREE OF CHARGE, TO HOPEFULLY ENCOURAGE WELLNESS AND PREVENT FUTURE ILLNESS. DURING BREAST CANCER AWARENESS MONTH, WE FOCUS ON WOMENS HEALTH BY OFFERING AN ART EXHIBIT FOLLOWED BY A RECEPTION WITH A KEYNOTE SPEAKER. THE HOSPITAL ALSO OFFERS MAMMOGRAMS TO UNINSURED PATIENTS AT DISCOUNTED RATES. THIS GIVES ADDITIONAL WOMEN THE ACCESS TO MAMMOGRAMS, WHO MIGHT NOT GET SCREENED OTHERWISE. WE ASSIST WITH THE ANNUAL MULE ROUND-UP EVENT FOCUSING ON PROVIDING MEDICAL INFORMATION ON BREAST CANCER TO THE COMMUNITY. THESE BREAST CANCER AWARENESS PROGRAMS ARE AN ONGOING COLLABORATIVE FACILITATED BY THE ORGANIZATION TO BUILD AWARENESS OF BREAST CANCER IN THE COMMUNITY. THESE EVENTS ALSO BRING IN RESIDENTS FROM ALL OF THE SURROUNDING COUNTIES. THE ORGANIZATION, IN AN EFFORT TO INCREASE HEALTH AWARENESS IN OUR SERVICE AREA, ALSO PARTICIPATES IN THE ANNUAL BLUEBERRY FESTIVAL BY SETTING UP A BOOTH WITH MEDICAL INFORMATION ON DIABETES, HTN, VARIOUS TYPES OF CANCER, HEART DISEASE AND OTHER INFORMATION. PRIMARY CARE PHYSICIANS AS WELL AS MEMBERS OF THE HOSPITAL CLINICAL STAFF ARE ON HAND AT THIS EVENT, SIMILAR TO THE HEALTH FAIRS, TO ANSWER QUESTIONS FROM THE PUBLIC FREE OF CHARGE. THE ORGANIZATION HOSTS AN ANNUAL 5K RUN RUN/WALK DURING THIS EVENT WHERE THERE IS AN AVERAGE OF 200 PARTICIPANTS WITH THE TOTALS RISING EACH YEAR. THE PURPOSE IS TO TRY AND MOTIVATE THE PUBLIC TO BECOME INVOLVED AND LEAD AN ACTIVE AND HEALTHY LIFESTYLE. DURING THE DAY OF THE CHILD, A COMMUNITY EVENT GEARED TOWARDS THE YOUNGER POPULATION, THE ORGANIZATION HOLDS THEIR ANNUAL TEDDY BEAR CLINIC. THE TEDDY BEAR CLINIC IS A PROGRAM THAT BEGAN IN 1995, DESIGNED TO HELP PUT CHILDREN AT EASE WHEN THEY VISIT THEIR HEALTHCARE PROVIDER. THE WHOLE IDEA IS FOR THEM TO BE COMFORTABLE WITH THE HEALTHCARE ENVIRONMENT AND MAKE THE EXPERIENCE FUN FOR THEM. BECAUSE JUVENILE DIABETES IS A PREVALENT ILLNESS IN THIS REGION, THE ORGANIZATION INCORPORATES AWARENESS IN THIS EVENT THROUGH PROVIDING EDUCATIONAL BROCHURES AND PAMPHLETS TO THE GUARDIANS SO THAT THEY BECOME AWARE OF SYMPTOMS AND TREATMENTS. BECAUSE THE ORGANIZATION SERVES A POPULATION THAT HAS A HIGH PROPORTION OF LOW-INCOME INDIVIDUALS, WE PARTICIPATE IN THE COMMUNITY FALL FESTIVAL HOSTED BY THE ALMA BACON COUNTY CHAMBER OF COMMERCE. WE USE THE OPPORTUNITY TO REACH OUT TO AN AUDIENCE THAT IS TYPICALLY UNEDUCATED IN THE AREA OF HEALTHCARE. OUR FOCUS IS TYPICALLY PROVIDING GUIDANCE AND EDUCATION ON THE IMPLICATIONS OF NOT HAVING REGULAR CHECK-UPS WITH PRIMARY PHYSICIANS, SYMPTOMS OF ILLNESSES THAT ARE PREVALENT IN THIS REGION AND VARIOUS OTHER TOPICS THAT COULD AFFECT THE WELL-BEING OF THE INDIVIDUAL. AN ANNUAL SANTA'S WORKSHOP IS HOSTED FOR CHILDREN AS A FUN DAY DURING THE CHRISTMAS HOLIDAYS. IN ESSENCE, THE ORGANIZATION USES THE CHILDREN'S WORKSHOP TO REACH OUT TO GUARDIANS THAT WOULD NOT BE REACHABLE UNDER NORMAL CIRCUMSTANCES. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT GEORGIA X X X false false false false false false false false false CINDY R TURNER CEO 189986 35250 7639 5790 2333 240998 RANDALL O'BRIEN MD PHYSICIAN 453357 1266 6070 6203 466896 GABOR KOVACS MD PHYSICIAN 161010 2110 1432 164552 SCHEDULE J, PART III BONUS/INCENTIVES ARE AWARDED THE CEO BY THE AUTHORITY OF THE BOARD OF DIRECTORS BASED ON ATTAINMENT OF SPECIFIC FINANCIAL AND PERSONAL GOALS AND CRITERIA. A HOSPITAL AUTHORITY OF BACON COUNTY REVENUE BONDS SERIES 2011B 586003069 056425BY6 2011-10-06 9820000 REFUNDING/IMPROVEMENT false false false A 9820000 7689053 190252 101033 2018000 2012 true false false true A false false false false false false false A false false false false false false false false false A false SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION HOSPITAL AUTHORITY OF BACON COUNTY A PREMIUM OF 178,338 WAS A PART OF THE INITIAL OFFERING. JERRY SWEAT FAMILY-BD MBR 204786 OWNER LAUNDRY SVC false CHARLENE BENNETT DEEN BD MEMBER 114953 OWNER TELEPHONE CO false AMY TURNER FAMILY-CEO 45862 EMPLOYEE false SCHEDULE L, PART V JERRY SWEAT IS THE BROTHER OF JOHN SWEAT, WHO IS A BOARD MEMBER. JERRY IS THE OWNER OF SWEAT'S LAUNDRY, WHICH PROVIDES LAUNDRY SERVICES TO THE ORGANIZATION. CHARLENE BENNETT DEEN IS THE OWNER OF ALMA TELEPHONE COMPANY, WHICH PROVIDES TELEPHONE SERVICES TO THE ORGANIZATION. AMY TURNER, THE DAUGHTER-IN-LAW OF THE CEO, IS EMPLOYED BY THE ORGANIZATION AS THE ASSISTANT DIRECTOR OF NURSING. FORM 990 - ORGANIZATION'S MISSION THE MISSION OF THE BACON COUNTY HOSPITAL AND HEALTH SYSTEM IS TO PROVIDE COMPASSIONATE AND COMPREHENSIVE COMMUNITY HEALTHCARE THAT MEET OUR CUSTOMERS' EXPECTATIONS. OUR MISSION, AS WELL AS OUR VISION AND VALUES, SERVES AS A GUIDELINE FOR DAILY DECISION MAKING AND REPRESENTS THE PRINCIPLES AND PRACTICES THAT WE CONSTANTLY APPLY. THE COMFORT AND CARE OF OUR PATIENTS IS A MAJOR FOCUS OF OURS. WE WANT TO PROVIDE QUALITY AND COST EFFECTIVE CARE THAT IS CLOSE TO HOME. ANOTHER OBJECTIVE OF OURS IS TO PROVIDE EDUCATION AND TO INCREASE YOUR HEALTH AWARENESS. PART OF OUR MISSION IS TO CONTINUALLY PUT THE "CARE" IN HEALTHCARE. FORM 990, PART V LINE 7F, PERSONAL BENEFIT CONTRACT AS PART OF HER RETIREMENT PACKAGE, THE ORGANIZATION HOLDS AN INSURANCE POLICY ON THE LIFE OF CEO CINDY TURNER. THE CASH SURRENDER VALUE OF THE POLICY WILL BE WORTH 360,000 WHEN SHE REACHES 65. THE PREMIUMS ARE INCLUDED ON HER W-2. BENEFICIARY OF THE POLICY IS ONE CHOSEN BY CEO. FORM 990, PART V, LINE 4B CAYMAN ISLANDS FORM 990, PAGE 6, PART VI, LINE 7A BACON COUNTY PROVIDES THE HOSPITAL AUTHORITY OF BACON COUNTY ("AUTHORITY") A LIST OF POTENTIAL BOARD MEMBERS TO CHOOSE FROM AS VACANCIES IN THE BACON COUNTY HEALTH SERVICES, INC. ("BCHS") GOVERNING BOARD ARISE. BCHS BOARD IS SELF PERPETUATING. HOWEVER, THIS BOARD RETAINS THREE HOSPITAL AUTHORITY BOARD MEMBERS. FORM 990, PAGE 6, PART VI, LINE 7B DECISIONS OF THE FILING ORGANIZATION ARE FINAL WITH THE EXCEPTION OF BONDS ISSUANCE, AND LAND OR BUILDING ACQUISITIONS WHICH REQUIRE THE APPROVAL OF THE AUTHORITY BOARD. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE. THE CEO WILL REVIEW FORM 990 WITH THE EXECUTIVE COMMITTEE IN DETAIL. THE EXECUTIVE COMMITTEE CHAIRMAN WILL REVIEW THE FORM 990 WITH THE BCHS BOARD PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C ALL OFFICERS AND KEY EMPLOYEES OF BCHS MUST SIGN A CONFLICT OF INTEREST FORM AT THEIR ANNUAL EVALUATION, DISCLOSING ANY CONFLICTS OF INTEREST. ANY CONFLICTS THAT ARISE ARE DEALT WITH AT THE HUMAN RESOURCES/CEO LEVEL. ANNUALLY, THE HOSPITAL'S BOARD OF DIRECTORS SIGN A CONFLICT OF INTEREST STATEMENT, DISCLOSING ANY CONFLICTS. ANY CONFLICTS THAT ARISE FROM A BOARD MEMBER ARE REVIEWED AT THE BOARD OF DIRECTORS LEVEL. BOARD MEMBERS DO NOT PARTICIPATE OR VOTE ON ISSUES THAT WOULD RELATE TO A CONFLICT. FORM 990, PAGE 6, PART VI, LINE 15A THE HUMAN RESOURCES DIRECTOR OBTAINS A MARKET SURVEY PROVIDED BY THE GEORGIA HOSPITAL ASSOCIATION ANNUALLY. DEPARTMENT DIRECTORS', INCLUDING CEO, SALARIES ARE COMPARED TO THIS SURVEY AND ADJUSTED ACCORDINGLY. THIS, ALONG WITH THE DIRECTOR'S PERFORMANCE EVALUATION, ARE USED TO DETERMINE THE INDIVIDUAL'S SALARY ADJUSTMENT. ONCE THIS IS APPROVED BY ADMINISTRATION, IT IS REVIEWED BY THE PERSONNEL COMMITTEE OF THE HOSPITAL'S BOARD OF DIRECTORS. WHEN THE PERSONNEL COMMITTEE APPROVES THE SALARIES, IT IS PRESENTED TO THE HOSPITAL'S FULL BOARD OF DIRECTORS FOR FINAL APPROVAL. FORM 990, PAGE 6, PART VI, LINE 15B SEE NARRATIVE FOR LINE 15A ABOVE. FORM 990, PAGE 6, PART VI, LINE 19 INDIVIDUALS CAN REQUEST HOSPITAL DOCUMENTS IN WRITING AND THE HOSPITAL WILL RESPOND WITHIN 7 BUSINESS DAYS. CITIZENS CAN REQUEST ANY DOCUMENTS. CEO THEN CONSULTS WITH THE HOSPITAL ATTORNEY TO SEE IF THE REQUEST IS REQUIRED TO BE FILLED. SOUTH GEORGIA PHYSICIANS GROUP LLC 302 S WAYNE STREET ALMA GA 315100987 452918774 PHYSICIANS GA 284069 470748 BCHS BACON COUNTY HEALTH SERVICES INC HOSPITAL AUTHORITY OF BACON COUNTY 302 S WAYNE STREET ALMA GA 315100987 586003069 HEALTHCARE GA 501C1 6 NA false false false false false true false false false false false false false false true true false false false false