PIEDMONT NEWTON HOSPITAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- PIEDMONT NEWTON HOSPITAL INC (EIN 58-2155150)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-10-30
- IRS object ID
- 201503039349300205
- Schema version
- 2014v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-10-30T07:36:09-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 580914992 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 71309 | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 317081309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582155150 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEWT | BusinessNameControlTxt |
| Phone | 7707867053 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5126 HOSPITAL DRIVE NE | AddressLine1Txt |
| City | COVINGTON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 300142566 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TROY B BROOKS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7707867053 | PhoneNum |
| Signature | 2015-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACQUELINE G ATKINS | PreparerPersonNm |
| PTIN | P00861721 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2015-10-29 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES F WEADICK CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5126 HOSPITAL DRIVE NE | AddressLine1Txt |
| City | COVINGTON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 300142566 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $77,204,211 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PIEDMONT.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE STATE-OF-THE-ART MEDICAL FACILITIES AND HEALTHCARE TO COVINGTON AND OTHER SURROUNDING AREAS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1011 | TotalEmployeeCnt |
| Total Volunteers | 266 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,256,182 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,232,213 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $75,113,815 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $70,936,533 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,566 | PYInvestmentIncomeAmt |
| CY Investment Income | -$128,912 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,137,746 | PYOtherRevenueAmt |
| CY Other Revenue | $2,272,282 | CYOtherRevenueAmt |
| PY Total Revenue | $81,520,309 | PYTotalRevenueAmt |
| CY Total Revenue | $76,312,116 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $15,016 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $38,155 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $42,428,838 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,158,134 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $37,712,057 | PYOtherExpensesAmt |
| CY Other Expenses | $38,119,747 | CYOtherExpensesAmt |
| PY Total Expenses | $80,155,911 | PYTotalExpensesAmt |
| CY Total Expenses | $81,316,036 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,364,398 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,003,920 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $74,859,194 | TotalAssetsBOYAmt |
| Total Assets EOY | $66,032,305 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $36,757,043 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $32,934,074 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,102,151 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $33,098,231 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE STATE-OF-THE-ART MEDICAL FACILITIES AND HEALTHCARE TO COVINGTON AND OTHER SURROUNDING AREAS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $70,365,401 | ExpenseAmt |
| Grant | $38,155 | GrantAmt |
| Revenue | $72,114,269 | RevenueAmt |
| Desc | NEWTON HEALTH SYSTEM, INC. (THE SYSTEM) LOCATED IN COVINGTON, GEORGIA, OPERATES NEWTON MEDICAL CENTER, A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE SYSTEM PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE AND HOME HEALTH SERVICES FOR RESIDENTS OF NEWTON COUNTY AND THE SURROUNDING AREA. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. SERVICES ARE PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $70,365,401 | 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | 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 | Yes (true) | 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 | 120 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1011 | 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | 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 |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TROY BROOKS | PersonNm |
| Phone | 7703854426 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5126 HOSPITAL DRIVE NE | AddressLine1Txt |
| City | COVINGTON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30014 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| WILLIAM NORRIS LITTLE MD | |||||||||
| MEMBER | 1.00 | Yes (X) | $9,996 | $0 | $0 | ||||
| GEORGE TIM PARK MD | |||||||||
| MEMBER | 1.00 | Yes (X) | $6,000 | $0 | $0 | 1.00 | |||
| DALTON L KNOX | |||||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| MELVIN BAKER DMD | |||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| WILLIAM D FORTSON JR | |||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| BOB RICHARDSON | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ESTHER WILLIAMS | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD BROWN | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| GEORGE HART | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| J VINCENT EAGAN | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SAMUEL HAY III | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RANDALL MEADOWS | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES WEADICK | |||||||||
| CEO, BD SECR | 60.00 | $693,323 | $0 | $48,227 | Yes (X) | ||||
| TROY B BROOKS | |||||||||
| CFO | 48.00 | $215,758 | $0 | $48,617 | Yes (X) | ||||
| PATRICIA WALLER | |||||||||
| CNO | 50.00 | $158,390 | $0 | $37,251 | Yes (X) | ||||
| RENEE RILEY MD | |||||||||
| PHYSICIAN | 60.00 | $650,319 | $0 | $24,956 | Yes (X) | ||||
| CARTER ROGERS MD | |||||||||
| SURGEON | 60.00 | $328,230 | $0 | $28,367 | Yes (X) | ||||
| RYAN TOMLINS MD | |||||||||
| ORTHOPEDICS | 50.00 | $261,715 | $0 | $19,020 | Yes (X) | ||||
| SONAL HAZARIWALA MD | |||||||||
| NEUROLOGIST | 65.00 | $233,054 | $0 | $6,688 | Yes (X) | ||||
| STEVEN WHITWORTH MD | |||||||||
| GENERAL SURG | 45.00 | $232,123 | $0 | $20,472 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,788,908 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $233,598 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 30 | 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 |
|---|---|---|---|---|---|
| PHYSICAL THERAPY CLINICS OF GA PC | |||||
| PO BOX 767068 | ROSWELL | GA | 30076 | PT SERVICES | $801,758 |
| RIVERDALE ANESTHESIA ASSOC PC | |||||
| 405 ARROWHEAD BLVD SUITE C | JONESBORO | GA | 30236 | ANESTHESIA SVCS | $735,404 |
| ALCOVY HOSPITALIST PC | |||||
| P O BOX 2779 | COVINGTON | GA | 30015 | HOSPITALISTS | $707,537 |
| MEDICAL INFORMATION TECHNOLOGY | |||||
| P O BOX 74569 | CHICAGO | IL | 60696 | FINANCIAL S/W | $638,102 |
| UMR | |||||
| 75 REMITTANCE DRIVE | CHICAGO | IL | 60675 | INSURANCE ADMIN | $282,335 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $33,694 | FundraisingAmt |
| Government Grants | $3,163,510 | GovernmentGrantsAmt |
| All Other Contributions | $35,009 | AllOtherContributionsAmt |
| Total Contributions | $3,232,213 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $70,936,533 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,936,533 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $70,936,533 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,972 | TotalRevenueColumnAmt |
| Exclusion | $34,972 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $519,797 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $410,851 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $108,946 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $108,946 | TotalRevenueColumnAmt |
| Exclusion | $108,946 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $163,884 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$163,884 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$163,884 | TotalRevenueColumnAmt |
| Exclusion | -$163,884 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $301,371 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $33,694 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $177,603 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $123,768 | TotalRevenueColumnAmt |
| Exclusion | $123,768 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $148,066 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $139,757 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,309 | TotalRevenueColumnAmt |
| Exclusion | $8,309 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| EHR REVENUE | 621990 | $808,313 | $808,313 | |
| CAFETERIA SALES | 722514 | $407,562 | $407,562 | |
| CASH DISCOUNTS | 621990 | $369,298 | $369,298 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $446,086 | TotalRevenueColumnAmt |
| Exclusion | $446,086 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,031,259 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,312,116 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $72,114,144 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $965,759 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,009 | TotalAmt |
| Program Services | $1,009 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,146 | TotalAmt |
| Program Services | $37,146 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,217,562 | TotalAmt |
| Program Services | $15,996 | ProgramServicesAmt |
| Management And General | $1,201,566 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,987,104 | TotalAmt |
| Program Services | $30,987,923 | ProgramServicesAmt |
| Management And General | $3,999,181 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $876,697 | TotalAmt |
| Program Services | $829,333 | ProgramServicesAmt |
| Management And General | $47,364 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,508,261 | TotalAmt |
| Program Services | $3,047,676 | ProgramServicesAmt |
| Management And General | $460,585 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,568,510 | TotalAmt |
| Program Services | $2,203,782 | ProgramServicesAmt |
| Management And General | $364,728 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,133 | TotalAmt |
| Program Services | $6,133 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,603 | TotalAmt |
| Management And General | $288,603 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,915 | TotalAmt |
| Management And General | $101,915 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,431 | TotalAmt |
| Program Services | $12,431 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,852,866 | TotalAmt |
| Program Services | $5,952,385 | ProgramServicesAmt |
| Management And General | $1,900,481 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,956 | TotalAmt |
| Program Services | $43,905 | ProgramServicesAmt |
| Management And General | $286,051 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,431,059 | TotalAmt |
| Program Services | $1,880,888 | ProgramServicesAmt |
| Management And General | $550,171 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,523,686 | TotalAmt |
| Program Services | $2,352,957 | ProgramServicesAmt |
| Management And General | $170,729 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,644 | TotalAmt |
| Program Services | $72,352 | ProgramServicesAmt |
| Management And General | $17,292 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,597 | TotalAmt |
| Program Services | $44,597 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,017 | TotalAmt |
| Management And General | $141,017 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,850,852 | TotalAmt |
| Program Services | $5,460,127 | ProgramServicesAmt |
| Management And General | $390,725 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $802,626 | TotalAmt |
| Program Services | $741,232 | ProgramServicesAmt |
| Management And General | $61,394 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $13,718,291 | $13,718,291 | |
| REPAIRS & MAINTENANCE | $2,499,262 | $1,663,090 | $836,172 |
| PROVIDER TAXES | $983,340 | $983,340 | |
| MISCELLANEOUS | $281,120 | $166,628 | $114,492 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,349 | TotalAmt |
| Program Services | $144,180 | ProgramServicesAmt |
| Management And General | $18,169 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,316,036 | TotalAmt |
| Program Services | $70,365,401 | ProgramServicesAmt |
| Management And General | $10,950,635 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,087,001 | BOYAmt |
| EOY | $2,010,054 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,122,642 | BOYAmt |
| EOY | $8,864,281 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,970,793 | BOYAmt |
| EOY | $10,401,321 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $622,398 | BOYAmt |
| EOY | $444,900 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,925 | BOYAmt |
| EOY | $86,701 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $118,182,006 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $75,955,204 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,753,638 | BOYAmt |
| EOY | $42,226,802 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,237,797 | BOYAmt |
| EOY | $1,998,246 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,859,194 | BOYAmt |
| EOY | $66,032,305 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,882,436 | BOYAmt |
| EOY | $10,702,189 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,445,002 | BOYAmt |
| EOY | $18,950,002 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,429,605 | BOYAmt |
| EOY | $3,281,883 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,757,043 | BOYAmt |
| EOY | $32,934,074 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,102,151 | BOYAmt |
| EOY | $33,098,231 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,102,151 | BOYAmt |
| EOY | $33,098,231 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,859,194 | BOYAmt |
| EOY | $66,032,305 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$5,003,920 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| 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 | $12,431 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,431 | 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 1 | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL PAYS AHA DUES ANNUALLY. A PORTION OF THE FEES PAID IS USED BY AHA TO COVER LOBBYING EXPENSES. FOR FISCAL YEAR 2014, 25% OF THE TOTAL PAID WAS ASSOCIATED WITH LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,615,489 | OtherCostOrOtherBasisAmt |
| Book Value | $1,615,489 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $71,928,426 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,466,028 | DepreciationAmt |
| Book Value | $29,462,398 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $687,930 | OtherCostOrOtherBasisAmt |
| Depreciation | $540,479 | DepreciationAmt |
| Book Value | $147,451 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,678,393 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,948,697 | DepreciationAmt |
| Book Value | $10,729,696 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $271,768 | OtherCostOrOtherBasisAmt |
| Book Value | $271,768 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $42,226,802 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $77,558,957 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $1,247,341 | OtherRevenueAmt |
| Revenue Not Reported | $1,247,341 | RevenueNotReportedAmt |
| Revenue Subtotal | $76,311,616 | RevenueSubtotalAmt |
| Other Revenues Not Included | $500 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $500 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $76,312,116 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $82,036,250 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $720,214 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $720,214 | ExpensesNotReportedAmt |
| Expenses Subtotal | $81,316,036 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $81,316,036 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | THE SYSTEM 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 SYSTEM 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 SYSTEM 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 MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2014 AND 2013 OR FOR THE YEARS THEN ENDED. THE SYSTEM'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | RENTAL EXPENSES 410,851 LOSS ON SALE OF EQUIPMENT 53,307 AUXILIARY BEGINNING NET ASSETS 527,127 SPECIAL EVENT EXPENSES 116,299 COST OF GOODS SOLD 139,757 |
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | CAPITAL CONTRIBUTIONS 500 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | RENTAL EXPENSES 410,851 LOSS ON SALE OF EQUIPMENT 53,307 SPECIAL EVENT EXPENSES 116,299 COST OF GOODS SOLD 139,757 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ALL OTHER | Event1Nm |
| Gross Receipts Event1 | $156,444 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $156,444 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $152 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $124,766 | OtherDirectExpensesEvent1Amt |
| Event2 | GALA SPECIAL EV | Event2Nm |
| Gross Receipts Event2 | $120,267 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $32,094 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $88,173 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $2,928 | CashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $16,677 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $12,722 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $5,582 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $5,930 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $58,354 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $1,600 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $56,754 | GrossRevenueOtherEventsAmt |
| Cash Prizes Other Events | $1,100 | CashPrizesOtherEventsAmt |
| Non Cash Prizes Other Events | $1,300 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $6,000 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $446 | FoodAndBeverageOtherEventsAmt |
| Gross Receipts Total | $335,065 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $33,694 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $301,371 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $4,028 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $1,300 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $22,677 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $13,320 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $5,582 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $130,696 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $177,603 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $123,768 | NetIncomeSummaryAmt |
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 |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| 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 | $4,223,246 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,223,246 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05150 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,119,428 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,712,808 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,406,620 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04150 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,342,674 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,712,808 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,629,866 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09300 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $474,763 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $474,763 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,269,948 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,494,274 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $775,674 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00950 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,680 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $54,680 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,799,391 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,494,274 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,305,117 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01600 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,142,065 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,207,082 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,934,983 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10900 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,711,675 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $22,953,643 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $19,171,965 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,781,678 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| 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 | NEWTON MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5126 HOSPITAL DRIVE NE | AddressLine1Txt |
| City | COVINGTON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 300142566 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PIEDMONT.ORG | WebsiteAddressTxt |
| State License | 107-518 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | PHYSICIAN CLINICS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON MEDICAL CENTER | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.PIEDMONT.ORG | OwnWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | 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 | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| 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 |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Other Actions | Yes (X) | PermitOtherActionsInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Other Actions | Yes (X) | OtherActionsInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| 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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, NEWTON MEDICAL CENTER - PART V, LINE 5 | IN 2013, NEWTON HEALTH SYSTEM, INC UNDERTOOK A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. TWO HOUR COMMUNITY HEALTH INPUT MEETINGS WERE CONDUCTED ON THREE OCCASIONS DURING THE ASSESSMENT EXERCISE. IN ADDITION, ONE HOUR COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED. THERE WERE A TOTAL OF 20 STAKEHOLDER INTERVIEWS INCLUDED IN THE ASSESSMENT PROCESS. PARTICIPANTS WERE GIVEN AN OUTLINE OF HEALTH NEEDS TOPICS BUT ALSO ENCOURAGED TO IDENTIFY OTHER NEEDS WHICH MAY NOT APPEAR ON THE LIST FOR DISCUSSION. TOPICS INCLUDED: DEMOGRAPHICS, HEALTH STATUS, CHRONIC DISEASES, HEALTH BEHAVIORS, AND ACCESS TO CARE AMONG OTHERS. PARTICIPANTS IN THE HEALTH INPUT MEETINGS WERE REPRESENTATIVE OF A CROSS SECTION OF PROVIDERS AND PUBLIC INTEREST INDIVIDUALS SUCH AS: HOSPITAL PERSONNEL FROM EDUCATION, EMERGENCY DEPARTMENT, DIETITIAN; SCHOOL SYSTEM PERSONNEL - TEACHERS, SUPERINTENDENT, MENTAL HEALTH CLINICIAN; MENTAL HEALTH PERSONNEL - DIRECTOR OF BUSINESS DEVELOPMENT; COUNTY COMMISSION - COMMISSIONER WHO IS ALSO AN RN BY TRAINING; PHYSICIANS - HOSPITALIST, FAMILY PRACTICE. OTHER SPECIALTY SERVICESDFACS, REFUGE PREGNANCY CENTER, FAITHWORKS, SENIOR SERVICES CENTER, AND CHAMBER OF COMMERCE WERE REPRESENTED IN THE PANEL OF PARTICIPANTS. PARTICIPANTS IN THE STAKEHOLDER INTERVIEWS WERE REPRESENTED AS FOLLOWS: NURSES SHERRIFF'S DEPARTMENT DFACS (ADJACENT COUNTY) BANKER MAYOR PHARMACIST VOLUNTEERS HOME HEALTH AND HOSPICE PROVIDER EDUCATORS FIRST STEPS COORDINATOR REALTOR ASSISTED LIVING FREE CLINIC VARIOUS RESIDENTS OF THE COUNTY |
| FACILITY 1, NEWTON MEDICAL CENTER - PART V, LINE 6B | THE CHNA WAS CONDUCTED ALONG WITH PARTICIPATION FROM THE FOLLOWING ORGANIZATIONS: NEWTON COUNTY COMMUNITY PARTNERSHIP, GWINNETT ROCKDALE NEWTON HEALTH DEPARTMENT, NEWTON COUNTY SCHOOLS, VIEWPOINT HEALTH (MENTAL) AND HEARTS FOR FAMILIES. |
| FACILITY 1, NEWTON MEDICAL CENTER - PART V, LINE 7D | A COMPLETE COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT HTTP://WWW.PIEDMONT.ORG/MEDIA/FILE/PNWH-CHNA-RATIFIED.PDF |
| FACILITY 1, NEWTON MEDICAL CENTER - PART V, LINE 11 | IN 2013 NEWTON MEDICAL CENTER (NMC) CONDUCTED ITS FIRST FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. IN 2013 NMC PARTNERED WITH THE NEWTON COUNTY COMMUNITY PARTNERSHIP (NCCP) AND HEALTHY NEWTON TO CHANGE THE APPROACH FROM A MULTIPLE AND PARALLEL EFFORT TO A COORDINATED AND COLLABORATIVE PROCESS WITH A UNITED GOAL OF FULLY IMPLEMENTING THE NEWTON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN WHICH WAS FINALIZED FEBRUARY 2014 AND IS POSTED ON THE GWINNETT, NEWTON, ROCKDALE HEALTH DEPARTMENT SITE(WWW.GNRHEALTH.COM) AND ON THE NCCP SITE (WWW.NEWTONPARTNERSHIP.ORG). THE CORE LEADERSHIP TEAM WAS IDENTIFIED FEBRUARY 2014 TO COORDINATE THE IMPLEMENTATION OF WORKABLE INITIATIVES AND ACTIVITIES. THE TEAM MEETS MONTHLY ON THE 2ND TUESDAY OF EACH MONTH. THE CORE LEADERSHIP TEAM CONSISTS OF: NCCP, GNR HEALTH DEPARTMENT, NMC, NEWTON COUNTY SCHOOLS, VIEW POINT HEALTH (MENTAL HEALTH) AND HEARTS FOR FAMILIES. TEAM IDENTIFIED 5 PRIORITY TOPICS FROM TOP 9 IDENTIFIED IN NMC COMMUNITY ASSESSMENT: 1.ACCESS TO CARE (NMC LEAD) 2.ACCESS TO MENTAL HEALTH SERVICES (VPH LEAD) 3.OBESITY & DIABETES WITH A FOCUS ON HEALTHY BODY WEIGHT FOR CHILDREN (NCCP AND PUBLIC HEALTH LEAD) 4.TOBACCO USE PREVENTION (PUBLIC HEALTH AND NCCP) 5.TEEN LIFESTYLE ISSUES (NCCP LEAD). ACCESS TO CARE: IN 2014 NMC CELEBRATED PROVIDING 60 YEARS OF CARE IN OUR COMMUNITY AND THROUGHOUT 2014 NMC CONTINUED TO IMPROVE ACCESS TO CARE. HIGHLIGHTS FROM THE YEAR INCLUDE WELCOMING EMCARE AS OUR NEW EMERGENCY PHYSICIAN GROUP TO PROVIDE QUALITY EMERGENCY CARE TO OUR COMMUNITY. THIS GROUP OF BOARD CERTIFIED PHYSICIANS PRACTICE EXCLUSIVELY IN EMERGENCY MEDICINE. THE WOMEN'S DIAGNOSTIC CENTER (WDC) BECAME A CERTIFIED PARTICIPANT IN THE NATIONAL QUALITY MEASURES FOR BREAST CENTERS PROGRAM. OUR WOMEN'S CENTER CONTINUES TO STAY UP TO DATE WITH THE MOST MODERN EQUIPMENT WITH THE ADDITION OF THE GE LOGIQ E9 ULTRASOUND EQUIPMENT TO OUR SUITE. WDC CONTINUES TO SERVE THEIR PATIENTS THROUGH THEIR HOPE BOUTIQUE WITH FREE PROSTHESIS FITTING AND FREE WIGS AND HEAD COVERS. A SPECIALLY TRAINED NURSE NAVIGATOR TO HELP GUIDE PATIENTS THROUGH THE CANCER CARE SYSTEM JOINED OUR TEAM. THE NAVIGATION PROGRAM IS ON THE LEADING EDGE OF HEALTHCARE INITIATIVES AND NMC IS PROUD TO BE THE FIRST IN OUR AREA TO DO SO. BREAST PATIENT NAVIGATION IS OFFERED AS A FREE PATIENT SUPPORT SERVICE. THE NAVIGATOR GUIDES PATIENTS THROUGH THE BARRIERS TO CARE AND OFFERS ONE ON ONE TEACHING AND CANCER CARE SUPPORT. THE VARIED SERVICES INCLUDE APPOINTMENT MANAGEMENT, TRANSPORTATION, PAPERWORK, IDENTIFYING LOCAL RESOURCES AND SUPPORT, HELP TO OBTAIN ELDER CARE OR CHILD CARE AMONG ASSISTANCE FOR ANY IDENTIFIED NEED. WDC CONTINUES TO SERVE THE COMMUNITY WITH REDUCED PRICE MAMMOGRAMS FOR THE UNINSURED AND FULL NAVIGATION SUPPORT. WE AGAIN EXPANDED OUR ATHLETIC TRAINING PROGRAM TO INCLUDE A FULL-TIME ATHLETIC TRAINER AT SOCIAL CIRCLE HIGH SCHOOL WHILE ALSO PROVIDING COVERAGE AT GEORGIA PERIMETER COLLEGE FOR BASEBALL AND SOFTBALL IN THE SPRING. THROUGH THE PARTNERSHIP BETWEEN NMC AND NEWTON COUNTY SCHOOL SYSTEM THE IMPACT TEST BECAME PART OF THE ATHLETIC PROGRAM AT EACH HIGH SCHOOL. THE IMPACT TEST PROVIDES A BASELINE OF COGNITIVE ABILITY WHICH IS READY FOR COMPARISON IN THE EVENT OF A CONCUSSION. NEWTON COUNTY PARENTS CAN FEEL ASSURED THAT THE SAFETY OF THEIR ATHLETES IS TOP PRIORITY THROUGH THE NMC INITIATED ATHLETIC TRAINING AND CONCUSSION PROGRAMS. OUR DIABETES SELF-MANAGEMENT EDUCATION PROGRAM EXPANDED TO INCLUDE AN EVENING CLASS IN ADDITION TO THE DAY CLASS. THE PROGRAM IS APPROVED BY THE AMERICAN DIABETES ASSOCIATION, COVERED BY MEDICARE PART B AND SOME THIRD PARTY INSURANCE PROVIDERS, AND HAS MAINTAINED A 100 PERCENT PATIENT SATISFACTION RATING. THE CLASS IS A GREAT RESOURCE FOR SOMEONE NEWLY DIAGNOSED OR WHO HAS LIVED AS A DIABETIC AND WOULD LIKE TO RECEIVE MORE INFORMATION ON HOW TO BETTER CONTROL DIABETES WITH A HEALTHY LIFESTYLE. WE CONTINUED TO PURSUE ADDITIONAL CERTIFICATION FROM THE JOINT COMMISSION AS A PRIMARY STROKE CENTER AND CONTINUED TO PROVIDE AWARENESS AND EDUCATION CAMPAIGNS TO OUR COMMUNITY WHILE INCORPORATING THE USE OF NEUROLOGY TELEMEDICINE IN OUR EMERGENCY DEPARTMENT (ED). THE IMPLEMENTATION OF NEUROLOGY TELEMEDICINE IN THE ED IMPROVES ACCESS TO CARE. THE ED LOGGED MORE THAN 40,000 VISITS AND IS CONTINUING TO EXPERIENCE AN INCREASE IN VOLUME AND ACUITY. SAFE SEATS 4 KIDS: 68 CAR SEATS WERE DISTRIBUTED TO THE COMMUNITY. AT AN AVERAGE RETAIL COST OF 70 PER SEAT- 4760 REACH OUT AND READ: 7714 BOOKS WERE DISTRIBUTED TO CHILDREN THROUGH LOCAL PEDIATRICIAN'S OFFICES. AT AN AVERAGE VALUE OF 4 PER BOOK, THAT TOTALS 30856. FIRST STEPS: 767 NEW MOMS WERE VISITED OR CONTACTED THROUGH FIRST STEPS. EACH RECEIVED A PACKET OF INFORMATION AND GOODIES AT A VALUE OF ABOUT 8 PER FAMILY, FOR A TOTAL OF 6136 IN GOODS. ADDITIONAL DETAILS ON OUR SERVICE TO THE COMMUNITY THROUGHOUT 2014 INSIDE THE COMMUNITY BENEFIT REPORT ON OUR WEBSITE: HTTP://WWW.PIEDMONT.ORG/MEDIA/FILE/CB-2014-NEWTON-COMMUNITY.PDF THE HOSPITAL SUPPORTS AN OPEN MEDICAL STAFF OF MORE THAN 250 PHYSICIANS, UTILIZES A COMMUNITY BASED 12 MEMBER BOARD OF DIRECTORS AND MAINTAINS AN ACTIVE AUXILIARY AND VOLUNTEER FORCE TO SERVE THE COMMUNITY. WE SUPPORT OUR COMMUNITY THROUGH DONATIONS AND VOLUNTEERING OUR TIME TO 27 LOCAL ORGANIZATIONS. NMC IS PRESENT FOR COMMUNITY EVENTS SUCH AS FUZZ RUN, CHEERIOS CHALLENGE, SNAPPING SHOALS EMC ANNUAL MEETING AND COMMUNITY HEALTH FAIRS. OUR COMMUNITY SERVICES INCLUDE: ATHLETIC TRAINING PROGRAM, BREAST CANCER AWARENESS AND PREVENTION EVENTS, CANCER SUPPORT GROUP AND EDUCATION, CAR SEAT SAFETY INSTRUCTION, CHF AND COPD CALLBACK PROGRAM, DIABETES SUPPORT GROUP AND EDUCATION, FIRST STEPS PROGRAM, HEART HEALTH FAIR, HEALTH SCREENINGS FOR BLOOD PRESSURE, BLOOD GLUCOSE AND WEIGHT/BODY FAT PERCENTAGE, HOPE BOUTIQUE, LACTATION SUPPORT GROUP AND CONSULTATIONS, PRE- PARTICIPATION SPORTS PHYSICALS , REACH OUT AND READ PROGRAM, SMOKING CESSATION EDUCATION. |
| FACILITY 1, NEWTON MEDICAL CENTER - PART V, LINE 16I | INFORMATION IS AVAILABLE VIA OUR WEBSITE AT: HTTP://WWW.PIEDMONT.ORG/PATIENT-TOOLS/PIEDMONT-FINANCIAL-ASSISTANCE. THERE IS ALSO A FINANCIAL ASSISTANCE BROCHURE AND OTHER INFORMATION WITHIN OUR PATIENT GUIDE. ADDITIONALLY FINANCIAL COUNSELING PROGRAM IS AVAILABLE TO INPATIENT AND OBSERVATION STATUS PATIENTS USING BED SIDE VISITATION METHODS. |
| FACILITY 1, NEWTON MEDICAL CENTER - PART V, LINE 18D | MAILING PATIENT STATEMENTS OR MAKING TELEPHONE CALLS WERE THE ONLY ACTIONS PERMITTED BEFORE MAKING REASONABLE EFFORTS TO DETERMINE THE PATIENT'S ELIGIBILITY. |
| FACILITY 1, NEWTON MEDICAL CENTER - PART V, LINE 22D | THE HOSPITAL USED THE AVERAGE MANAGED CARE DISCOUNT. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON MEDICAL CENTER HOME HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5126 HOSPITAL DRIVE | AddressLine1Txt |
| City | COVINGTON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30209 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | HOME HEALTH AGENCY | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION | THIS SECTION INCLUDES 112,724 IN NET COSTS FOR PHYSICIAN CLINICS WHICH PROVIDE ACCESS TO PHYSICIAN SERVICES IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY. |
| 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 81,316,036 ADD: EXPENSES REPORTED IN PART VIII 728,211 DENOMINATOR FOR COLUMN (F) 82,044,247 |
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". SEE ALSO THE DESCRIPTION FOR PART III, LINE 4. |
| 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. NEWTON MEDICAL CENTER IS THE SOLE PROVIDER OF 24 HOUR, 7 DAY A WEEK EMERGENT CARE IN NEWTON COUNTY, GEORGIA. IN ADDITION, MANY CITIZENS OF NEWTON COUNTY HAVE NO ACCESS TO PRIMARY CARE AS A RESULT OF THEIR INABILITY OR UNWILLINGNESS TO PAY FOR SERVICES. OTHERS HAVE NO ACCESS TO PRIMARY CARE PHYSICIANS DUE TO THEIR PARTICULAR INSURANCE PLAN. THIS IS ESPECIALLY TRUE OF MEDICAID RECIPIENTS. MANY OF THESE COMMUNITY MEMBERS SEEK CARE IN THE EMERGENCY ROOM AT NEWTON MEDICAL CENTER FOR BOTH EMERGENT AND NON-EMERGENT HEALTH CARE NEEDS. SOME OF THESE PATIENTS REQUIRE EXTENDED CARE AS INPATIENTS OR EXTENSIVE OBSERVATION. OUR EMERGENCY ROOM ALSO SERVES AS A HOLDING AREA FOR THE MENTALLY ILL, OFTEN KEEPING THESE CITIZENS FOR SEVERAL DAYS BEFORE THEY ARE PLACED IN A MORE APPROPRIATE SETTING. MANY OF THESE PATIENTS DO NOT MEET CRITERIA OR ARE NON-COMPLIANT IN COMPLETING THE PROCESS NEEDED TO SHOW ELIGIBILITY FOR CHARITY CARE. OTHERS ARE UNWILLING TO PAY, EVEN THOUGH THEY MAY HAVE THE MEANS TO DO SO. MANY INSURED PATIENTS HAVE HIGH DEDUCTIBLES AND ALSO FAIL TO PAY FOR THEIR CARE. IN ADDITION, NEWTON MEDICAL CENTER PROVIDES SERVICES TO PATIENTS ON AN ELECTIVE BASIS THAT ARE UNABLE TO MEET THEIR OUT OF POCKET EXPENSES UNDER THEIR INSURANCE PROGRAM, MEDICARE, OR OTHER THIRD PARTY PROVIDER. IN THESE CASES, THE HOSPITAL DOES WORK WITH THE PATIENTS TO MAKE PAYMENT ARRANGEMENTS, HOWEVER, MANY PATIENTS FAIL TO FOLLOW THROUGH OR ARE FINANCIALLY UNABLE TO COMPLETE THOSE ARRANGEMENTS. CARE IS PROVIDED DESPITE THE RISK THAT MANY PATIENTS WILL NOT MAKE AGREED UPON PAYMENTS. IN ALL OF THE CASES DESCRIBED ABOVE, THE RESULT IS THE HOSPITAL INCURRING BAD DEBT EXPENSE BY PROVIDING HEALTH CARE SERVICES THAT ARE NEEDED BY COMMUNITY MEMBERS. ACCORDINGLY, IT IS CLEAR THAT THE COMMUNITY BENEFITS FROM THE HOSPITAL INCURRING BAD DEBT EXPENSE FOR CARE PROVIDED. |
| 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 SYSTEM 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 SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLES, 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 DEDUCTIBLES AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM 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 SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS DECREASED FROM 81% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2013, TO 79% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2014. IN ADDITION, THE SYSTEM'S SELF-PAY WRITE-OFFS DECREASED APPROXIMATELY 2,188,000 FROM APPROXIMATELY 13,999,000 FOR 2013 TO 11,811,000 FOR 2014. THE DECREASE IN SELF-PAY WRITE-OFFS IS DUE TO A DECREASE IN PATIENT VOLUME. THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING 2014 OR 2013. |
| PART III, LINE 8 - MEDICARE EXPLANATION | MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | LOCAL AND STATE DEMOGRAPHICS FROM THE NEWTON COUNTY CHAMBER OF COMMERCE. FINANCIAL RECORDS OF PATIENTS. FEEDBACK FROM HOSPITAL SPONSORED SCREENINGS AND SUPPORT GROUPS. IN 2013, THE ORGANIZATION CONDUCTED ITS FIRST FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | INFORMATION IS AVAILABLE VIA OUR WEBSITE AT: HTTP://WWW.PIEDMONT.ORG/PATIENT-TOOLS/PIEDMONT-FINANCIAL-ASSISTANCE. THERE IS ALSO A FINANCIAL ASSISTANCE BROCHURE AND OTHER INFORMATION FOUND WITHIN OUR PATIENT GUIDE. SIGNS ADVISING PATIENTS OF THE FINANCIAL ASSISTANCE POLICY ARE POSTED AND SUMMARIES ARE AVAILABLE IN ADMISSIONS AND IN THE EMERGENCY ROOM. PATIENTS THAT ARE POTENTIALLY ELIGIBLE FOR THE PROGRAMS ARE DIRECTED TO OUR FINANCIAL COUNSELORS FOR FURTHER SCREENING AND TO COMPLETE APPLICATION TO DETERMINE ELIGIBILITY. INPATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE INFORMED OF THE FINANCIAL ASSISTANCE PROGRAMS AS PART OF THE INPATIENT DISCHARGE PROCESS. SOME OF THE STAFF ARE BI-LINGUAL AND ARE USED WITH NON-ENGLISH SPEAKING PATIENTS WHEN NEEDED. THE HOSPITAL USES MED- ASSIST TO WORK WITH UNINSURED PATIENTS TO ASSIST THEM IN DETERMINING IF THEY ARE ELIGIBLE FOR PROGRAMS SUCH AS DISABILITY, MEDICAID, AS WELL THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. ALL PATIENT ACCOUNTS, REGISTRATION, AND SCHEDULING STAFF ARE TRAINED TO UNDERSTAND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND TO REFER PATIENTS WHO MAY BE ELIGIBLE TO OUR PATIENT COUNSELORS FOR FURTHER ASSISTANCE. ALL THIRD PARTIES THAT COLLECT PAYMENT ON BEHALF OF THE HOSPITAL HAVE BEEN MADE AWARE AND RECEIVED TRAINING TO IDENTIFY AND REFER PATIENTS FOR FINANCIAL ASSISTANCE. THEY ARE REQUIRED TO FOLLOW HOSPITAL POLICIES IN THESE MATTERS. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | NEWTON COUNTY HAS A HIGHER UNEMPLOYMENT RATE THAN THAT OF THE STATE OR NATION AT 8.4%. UNINSURED PATIENTS MAKE UP 21% OF NEWTON COUNTY. THE POPULATION OF THE COUNTY IS AT 102,446 AS OF 2013, WITH 54.1% BEING WHITE, 42.5% BLACK, WITH 3.4% HISPANIC OR OTHER. THE HISPANIC POPULATION HAS QUADRUPLED SINCE 2000. THE POPULATION IS AGING IN PLACE. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | THE NEWTON COUNTY HOSPITAL AUTHORITY (AUTHORITY) REORGANIZED AND ESTABLISHED NEWTON HEALTH SYSTEM, INC. (SYSTEM). THE AUTHORITY IMPLEMENTED A REORGANIZATION PLAN WHEREBY ALL THE ASSETS, MANAGEMENT AND GOVERNANCE OF THE HOSPITAL WAS TRANSFERRED TO THE SYSTEM, A NOT-FOR-PROFIT CORPORATION, QUALIFIED AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN JANUARY OF 1996, THE AUTHORITY ENTERED INTO AN AGREEMENT TO LEASE THE REAL PROPERTY, REMAINING NET ASSETS AND OPERATIONS OF THE AUTHORITY TO THE SYSTEM. THE SYSTEM, LOCATED IN COVINGTON, GEORGIA, OPERATES NEWTON MEDICAL CENTER, A 101 BED NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE SYSTEM PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE AND HOME HEALTH SERVICES FOR RESIDENTS OF NEWTON COUNTY AND THE SURROUNDING AREA. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. NEWTON MEDICAL CENTER (NMC) HAS AN OPEN MEDICAL STAFF WHERE QUALIFIED APPLICANTS ARE SCREENED THROUGH A STANDARD CREDENTIALS COMMITTEE PROCESS IN ORDER TO VERIFY APPROPRIATE EDUCATION AND TRAINING FOR THE PRIVILEGES THAT THEY SEEK. THE HOSPITAL IS GOVERNED BY A HEALTH SYSTEM BOARD OF DIRECTORS MADE UP OF MEMBERS FROM WITHIN THE COMMUNITY, INCLUDING MEMBERS OF THE HOSPITAL'S MEDICAL STAFF. NMC, AS A NOT-FOR-PROFIT, REINVESTS ANY EXCESS OR SURPLUS FUNDS TO PURSUE CAPITAL IMPROVEMENTS OR FUND THE FUNDED DEPRECIATION OF THE ORGANIZATION FOR FUTURE REPAIR, REPLACEMENT OR EXPANSION. THE HOSPITAL SPONSORS A FREE PHYSICIAN REFERRAL SERVICE, AS WELL AS SEVERAL AVENUES IN WHICH THE PUBLIC CAN ASK QUESTIONS ABOUT HEALTH SERVICES. THIS INCLUDES: FACEBOOK, TWITTER AND NUMEROUS FORMS LOCATED ON THE NMC WEBSITE. THE HOSPITAL RUNS SEVERAL ADS YEARLY TO PROMOTE SERVICES TO THE COMMUNITY. THE ORGANIZATION OFFERS SEVERAL FREE HEALTH SCREENINGS, AS WELL AS DISCOUNT PROGRAMS TO THE RESIDENTS OF THE COUNTY. NMC IS A PARTICIPANT IN MANY PUBLIC ACTIVITIES THROUGH PUBLIC AND PRIVATE ORGANIZATIONS, SUCH AS THE POLICE DEPARTMENT, PUBLIC SCHOOLS, BUSINESS HEALTH FAIRS AND HOSPITAL HEALTH FAIRS OPEN TO THE PUBLIC. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | GEORGIA |
| ADDITIONAL INFORMATION | NMC DOES PROVIDE AN ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT INCLUDES FINANCIALS AND DATA ON HOSPITAL OPERATIONS, A LETTER FROM THE ADMINISTRATOR DISCUSSING ANY NEW ADDITIONS TO NMC, AS WELL AS STATISTICS ON EMPLOYEES AND VOLUNTEERS. THIS DOCUMENT ALSO PROVIDES A GLIMPSE INTO ANY NEW PHYSICIAN INITATIVES AND QUALITY IMPROVEMENT FOR THE HOSPITAL AND AFFILIATED OFFICES. THIS REPORT INCLUDES A DETAILED LISTING OF ALL ORGANIZATIONS THAT NMC PROVIDED CASH DONATIONS OR VOLUNTEERED SERVICES AT IN THE COMMUNITY. NMC ALSO PROVIDED NUMEROUS FREE EDUCATIONAL FORUMS AND SUPPORT GROUPS TO THE COMMUNITY ON AN ANNUAL BASIS. LASTLY, NMC PROVIDES A SIGNIFICANT SERVICE TO THE COMMUNITY IN THE FORM OF FINANCIAL ASSISTANCE. THIS INFORMATION IS ALSO INCLUDED IN THE ANNUAL COMMUNITY BENEFIT REPORT. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | TUITION/SCHOLARSHIP ASSIS | GrantTypeTxt |
| Recipient | 29 | RecipientCnt |
| Cash Grant | $37,146 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | TUITION ASSISTANCE PROGRAM FULL-TIME AND PART-TIME EMPLOYEES WHO HAVE COMPLETED AT LEAST SIX MONTHS OF UNINTERRUPTED SERVICE ARE ELIGIBLE TO PARTICIPATE IN THE TUITION ASSISTANCE PROGRAM. PRN EMPLOYEES MAY BE ELIGIBLE FOR REIMBURSEMENT FOR NURSING PROGRAMS. COURSES OF STUDY MUST BE RELATED TO A POSITION IN THE MEDICAL CENTER. REIMBURSEMENT UNDER THIS PROGRAM IS LIMITED TO 100% OF TUITION FEES FOR COURSE COMPLETED. THE PROGRAM WILL NOT REIMBURSE EMPLOYEES FOR BOOKS, PARKING, TRAVEL, REGISTRATION, STUDENT ACTIVITIES FEES, MISCELLANEOUS SUPPLIES AND FEES, OR OTHER EXPENSES OF A PERSONAL NATURE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | 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 (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|
| JAMES WEADICK | ||||||
| CEO, BD SECRETARY | $245,967 | $447,356 | $37,691 | $10,536 | $741,550 | |
| TROY B BROOKS | ||||||
| CFO | $214,923 | $835 | $31,742 | $16,875 | $264,375 | |
| PATRICIA WALLER | ||||||
| CNO | $157,526 | $864 | $20,458 | $16,793 | $195,641 | |
| RENEE RILEY MD | ||||||
| PHYSICIAN | $491,291 | $579 | $6,398 | $18,558 | $675,275 | $158,449 |
| CARTER ROGERS MD | ||||||
| SURGEON | $271,100 | $773 | $8,098 | $20,269 | $356,597 | $56,357 |
| RYAN TOMLINS MD | ||||||
| ORTHOPEDICS | $212,987 | $40 | $3,114 | $15,906 | $280,735 | $48,688 |
| SONAL HAZARIWALA MD | ||||||
| NEUROLOGIST | $203,779 | $143 | $6,683 | $5 | $239,742 | $29,132 |
| STEVEN WHITWORTH MD | ||||||
| GENERAL SURGEON | $190,381 | $232 | $2,897 | $17,575 | $252,595 | $41,510 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | JAMES WEADICK 0 31,250 0 TROY B. BROOKS 0 22,200 0 PATRICIA WALLER 0 16,300 0 |
| SCHEDULE J, PART III | THE ORGANIZATION PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. IT IS ADMINISTERED BY VANGUARD AND IS CONSTRUCTED AS A 457(F)PLAN. THE PARTICIPANTS INCLUDE CERTAIN MEMBERS OF THE HOSPITAL'S EXECUTIVE STAFF. PART II, COLUMN (B)(II) BONUS & INCENTIVE COMPENSATION - EMPLOYEE INCENTIVE PLAN THE EMPLOYEE INCENTIVE PLAN IS BASED ON MULTIPLE GOALS, ONE OF WHICH IS NET OPERATING MARGIN FOR THE HOSPITAL. INCENTIVE PLAN FOR DOCTORS THE PHYSICIAN INCENTIVE PLANS ARE ALL BASED ON NET COLLECTIONS INTO THE PRACTICE AND WRVUS, NOT NET INCOME. THEY ARE NOT PREDICATED ON ANY VOLUME GENERATED INTO THE HOSPITAL. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Business Name Line2IssuerName/BusinessNameLine2Txt | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|---|
| NEWTON COUNTY HOSPITAL AUTHORITY | |||||||||
| A | 2006 REVENUE BONDS | 586004174 | NONENONEN | 2006-04-27 | $8,930,000 | 4TH FLOOR ADDN HOSP | false | false | false |
| NEWTON COUNTY HOSPITAL AUTHORITY | |||||||||
| B | 2007 BOND ISSUE | 586004174 | NONENONEN | 2007-05-30 | $17,225,000 | ADVC REFUND 1999 BONDS | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Refunding EscrowRefundingEscrowAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $3,045,000 | $9,010,590 | $1,349,661 | $178,600 | $8,751,400 | 2007 | false | false | Yes (true) | Yes (true) | |
| B | $4,159,998 | $1,126,717 | $235,999 | 2002 | false | Yes (true) | Yes (true) | Yes (true) | $16,989,001 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | Yes (true) |
| B | false | false | false | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | false | false | false |
| B | false | false | false | false | false | false | false | false | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION | FormAndLineReferenceDesc |
| Explanation | NEWTON COUNTY HOSPITAL AUTHORITY TOTAL PROCEEDS INCLUDES TOTAL INVESTMENT EARNINGS FROM SINKING FUND OF APPROXIMATELY 80,600. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| WILLIAM D FORTSON | |||
| BOARD MEMBER | $96,000 | RENT | false |
| STEPHANIE G FORTSON | |||
| SPOUSE BD MBR | $96,000 | RENT | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | WILLIAM D. FORTSON, JR, A BOARD MEMBER, ALONG WITH HIS SPOUSE STEPHANIE, OWN RENTAL PROPERTIES, AS WELL AS OWN AND OPERATE GINN MOTOR COMPANY. THE FILING ORGANIZATION COMPENSATED MR. AND MRS. FORTSON 96,000 DURING THE CALENDAR YEAR 2014 TO LEASE OFFICE SPACE. THE FIRST LEASE, THE IMAGING CENTER, IS FOR 4,000 SQUARE FEET AT 48,000. THE SECOND FOR SOUTHEAST NEUROLOGY, LEASES 4,000 SQUARE FEET AND THE EXPENSE FOR 2014 WAS 48,000. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 6 | THE VOLUNTEERS GREET PEOPLE AS THEY ENTER THE HOSPITAL AND WORK AT THE INFORMATION DESK. THEY WORK IN THE HOSPITAL'S GIFT SHOPS AND ACT AS GUIDES FOR THOSE INDIVIDUALS NEEDING ASSISTANCE GETTING AROUND THE HOSPITAL. |
| FORM 990, PAGE 6, PART VI, LINE 2 | TROY BROOKS W.D. FORTSON CFO BOARD MEMBER BUSINESS RELATIONSHIP TROY BROOKS BOB RICHARDSON CFO BOARD MEMBER BUSINESS RELATIONSHIP |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE CHIEF OF MEDICAL STAFF IS A VOTING MEMBER OF THE BOARD OF DIRECTORS. HE/SHE IS ELECTED FOR A TWO YEAR TERM AS CHIEF OF MEDICAL STAFF BY THE MEDICAL STAFF MEMBERS AND HAS A POSITION ON THE FILING ORGANIZATION'S BOARD BY VIRTUE OF THAT POSITION. ADDITIONALLY, AS LONG AS THE SIZE OF THE BOARD IS ELEVEN DIRECTORS OR MORE, NO MORE THAN FIVE OF SUCH DIRECTORS SHALL BE MEMBERS OF THE NEWTON COUNTY HOSPITAL AUTHORITY (A RELATED ORGANIZATION), THE SAME RATIO TO BE MAINTAINED SHOULD THE SIZE OF THE BOARD DECREASE BELOW THE ELEVEN MEMBER BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE COMPLETED 990 WILL BE REVIEWED IN A MEETING OF THE AUDIT COMMITTEE PRIOR TO FILING THE FORM WITH THE IRS. THERE WILL BE DISCUSSION AND MINUTES WILL RECORD THIS OCCURRENCE. THERE WILL BE A DETAILED REVIEW. KEY ELEMENTS OF THE FORM 990 FILING WILL BE COVERED WITH THE ENTIRE BOARD AT THE NOVEMBER 11, 2014 MEETING AND THE MEMBERS WILL BE INFORMED THAT THE ENTIRE DOCUMENT IS AVAILABLE TO THEM FOR REVIEW IF THEY SO DESIRE. |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEMBERS ARE SUBJECT TO ANNUAL CONFLICT OF INTEREST INQUIRIES AND ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. AN EXAMPLE OF A CONFLICT OF INTEREST OCCURRING AND HOW IT WOULD BE DEALT WITH IS DESCRIBED HERE. CAPITAL BUDGETS AND CAPITAL CONSTRUCTION ARE APPROVED BY THE ENTIRE BOARD OF DIRECTORS. IF A CONFLICT OF INTEREST WAS PRESENT, IT WOULD BE IDENTIFIED AT THAT TIME OR SHORTLY THEREAFTER AND CERTAINLY BEFORE ANY AGREEMENTS WERE SIGNED. IF A CONFLICT OF INTEREST WAS IDENTIFIED IT WOULD BE BROUGHT TO THE APPROPRIATE PERSON'S ATTENTION. THIS PERSON WOULD REMOVE HIMSELF FROM ANY POSITION OF KNOWLEDGE OR INFLUENCE ON THE ISSUE AT QUESTION. COMPETITIVE QUOTES WOULD BE SOLICITED FROM SIMILAR TYPES OF VENDORS. THEN THE BEST AND LOW COST VENDOR WOULD BE SELECTED. EACH YEAR BOARD MEMBERS AND MEMBERS OF MANAGEMENT REVIEW THE CONFLICT OF INTEREST POLICY. THEY THEN COMPLETE A FORM WHICH IDENTIFIES WHETHER OR NOT THEY HAVE OR HAVE HAD A CONFLICT OF INTEREST IN THEIR DEALINGS WITH THE HOSPITAL. THIS FORM IS SIGNED AND RETAINED IN THE ADMINISTRATOR'S OFFICE. AN EXISTING CONFLICT IS FIRST REVIEWED BY ONE OR MORE EXECUTIVE MANAGEMENT MEMBERS. IF THE MATTER CANNOT BE RESOLVED AT THAT LEVEL IT WOULD BE REFERRED TO THE CORPORATE COMPLIANCE COMMITTEE OR TO THE BOARD OF DIRECTORS FOR CLARIFICATION AND RESOLUTION. RESTRICTIONS PLACED ON THE APPROPRIATE PERSON WOULD RANGE FROM NOT HAVING ACCESS TO COST INFORMATION OF OTHER VENDORS, NOT BEING INVOLVED IN NEGOTIATIONS, NOT BEING INVOLVED IN SELECTING VENDORS TO SELL TO THE HOSPITAL. WHEN DISCUSSIONS OCCUR THAT PERTAIN TO THIS SUBJECT THIS PERSON WOULD HAVE TO PHYSICALLY REMOVE HIMSELF FROM THAT FORUM. |
| FORM 990, PAGE 6, PART VI, LINE 15A | OFFICERS OF THE BOARD OF DIRECTORS ARE NOT COMPENSATED IN THEIR POSITION AS BOARD MEMBERS. THE AUDIT COMMITTEE REVIEWS AND DISCUSSES COMPENSATION OF THE MEMBERS OF MANAGEMENT. THEIR RECOMMENDATIONS ARE MADE TO THE FULL BOARD WHERE THEY ARE ACTED UPON. IN SOME INSTANCES THE FULL BOARD RATHER THAN THE COMMITTEE WILL DELIBERATE AND ACT. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE LINE 15A ABOVE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON COUNTY HOSPITAL AUTHORITY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5126 HOSPITAL DRIVE NE | AddressLine1Txt |
| City | COVINGTON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 300142566 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 586004714 | EIN |
| Primary Activities | AUTHORITY | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |