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PHOEBE WORTH MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PHOEBE WORTH MEDICAL CENTER INC (EIN 38-3647394)
Tax period
2012-08-01 to 2013-07-31
Filed
2014-06-04
IRS object ID
201401559349300025
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-06-04T13:27:14-05:00Timestamp
Tax Period End Date2013-07-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DRAFFIN & TUCKER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1
CityALBANYCity
StateGAState
ZIP Code317081309ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-08-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383647394EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PHOEBE WORTH MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPHOENameControl
Phone2297766961Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1807 SOUTH ISABELLAPO BOX 545AddressLine1
CitySYLVESTERCity
StateGAState
ZIP Code31791ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKERRY LOUDERMILKName
TitlePPHS CFOTitle
Phone2297766961Phone
Date Signed2014-06-03DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLINTON A HARRISName
Phone2298837878Phone
Date Prepared2014-06-03DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKIM GILMAN CAONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 545AddressLine1
CitySYLVESTERCity
StateGAState
ZIP Code31791ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14993784GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PHOEBEPUTNEY.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionPROVIDING CHARITABLE HEALTHCARE ACTIVITIESActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees273TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year468000ContributionsGrantsPriorYear
Contributions Grants Current Year468000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18151025ProgramServiceRevenuePriorYear
Program Service Revenue CY13267651ProgramServiceRevenueCY
Investment Income Prior Year-56981InvestmentIncomePriorYear
Investment Income Current Year12800InvestmentIncomeCurrentYear
Other Revenue Prior Year555612OtherRevenuePriorYear
Other Revenue Current Year1193170OtherRevenueCurrentYear
Total Revenue Prior Year19117656TotalRevenuePriorYear
Total Revenue Current Year14941621TotalRevenueCurrentYear
Grants And Similar Amnts CY45619GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9549376SalariesEtcPriorYear
Salaries Etc Current Year9093714SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10512093OtherExpensePriorYear
Other Expenses Current Year7700699OtherExpensesCurrentYear
Total Expenses Prior Year20061469TotalExpensesPriorYear
Total Expenses Current Year16840032TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-943813RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1898411RevenuesLessExpensesCY
Total Assets BOY9152218TotalAssetsBOY
Total Assets EOY11304470TotalAssetsEOY
Total Liabilities BOY10503511TotalLiabilitiesBOY
Total Liabilities EOY14554174TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1351293NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-3249704NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDING CHARITABLE HEALTHCARE ACTIVITIESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13067251Expense
Grants45619Grants
Revenue14301580Revenue
DescriptionTO BE THE LEADING PROVIDER OF QUALITY, COST EFFECTIVE, PATIENT-CENTERED HEALTH CARE SERVICES TO ALL RESIDENTS OF SOUTHWEST GEORGIA. PWMC PURSUES ITS MISSION THROUGH A PATIENT-CENTERED ENVIRONMENT OF CARE REFLECTING HIGH STANDARDS AND PROMOTING A BALANCE OF PROFESSIONAL PREPARATION AND SERVICE, CONTINUOUS IMPROVEMENT BASED ON OUR CORE VALUES OF PEOPLE, RELATIONSHIPS, REPUTATION, EXCELLENCE, EFFICIENCY AND COMMITMENT.Description
Total Program Service Expense13067251TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096185NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees273NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKERRY LOUDERMILK PPHS CFONamePerson
Telephone Number2293124068TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 3770AddressLine1
CityALBANYCity
StateGAState
ZIP Code31706ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOEL WERNICK
BD MEMBER/PP1.0053.00XX0957191914342
JOE AUSTIN
BOARD MEMBER1.0051.00X0538683102919
JOHNNY COCHRAN
VICE CHAIR1.00XX000
LARRY DAUGHERTY DMD
BOARD MEMBER1.00X000
MARY KING GIVENS
BOARD MEMBER1.00X000
IRENE HALL
BOARD MEMBER1.00X000
DON MONK
CHAIRMAN1.00XX000
NATU PATEL MD
BOARD MEMBER1.00X000
SHIRLEY THOMAS
BOARD MEMBER1.00X000
KERRY LOUDERMILK
PPHS CFO1.0053.00X0495904124517
KIM GILMAN
CAO40.00X01555274057
JOHN GRAHAM
CFO40.00X01139497131
CANDACE GUARNIERI
CFO40.00X036748446
TIM TROTTIER
SVP REG OPER15.0035.00034447286768X
TINA JENKINS
REHAB DIRECT40.00154887012708X
DEENA HOOD
PHARM DIRECT40.00123506015889X
FieldValueIRS element (for citing)
Total Reportable Comp From Org278393TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2609400TotalReportableCompFrmRltdOrgs
Total Other Compensation1276777TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WORTH EMERGENCY GROUP LLC
PO BOX 82368LAFAYETTELA705982368ER PHYSICIANS388638
AMERISOURCE BERGEN
PO BOX 959VALLEY FORGEPA19482PHARMACEUTICALS348898
SIEMENS HEALTHCARE DIAGNOSTICS
1717 DEERFIELD ROADDEERFIELDIL600150778LAB EQUIPMENT157227
THE ROSE GROUP INC
PO BOX 567LAKE BUTLERFL32054NURSING SERVICE142752
US FOODSERVICE INC
PO BOX 281945ATLANTAGA303841945FOOD SERVICES126810
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Government Grants468000GovernmentGrants
Total Contributions468000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column13267651TotalRevenueColumn
Related Or Exempt Function Income13267651RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13267651TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12800TotalRevenueColumn
Exclusion$12,800ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real52367Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real52163Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real204Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column204TotalRevenueColumn
Exclusion$204ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
EHR REVENUE62199010285211028521
CAFETERIA722513143346$143,346
MEDICAL RECORDS62199010640$10,640

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column10459TotalRevenueColumn
Related Or Exempt Function Income5408RelatedOrExemptFunctionIncome
Exclusion$5,051ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1192966TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14941621TotalRevenueColumn
Related Or Exempt Function Income14301580RelatedOrExemptFunctionIncome
Exclusion$172,041ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total45619Total
Program Services45619ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6887968Total
Program Services5699509ProgramServices
Management And General1188459ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total205951Total
Program Services170416ProgramServices
Management And General35535ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1488825Total
Program Services1231941ProgramServices
Management And General256884ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total510970Total
Program Services422807ProgramServices
Management And General88163ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total261058Total
Management And General261058ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1000Total
Management And General1000ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total86061Total
Management And General86061ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total2634Total
Management And General2634ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2834403Total
Program Services2310328ProgramServices
Management And General524075ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total32306Total
Program Services14005ProgramServices
Management And General18301ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1218914Total
Program Services958425ProgramServices
Management And General260489ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total350841Total
Program Services308038ProgramServices
Management And General42803ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total43983Total
Program Services33507ProgramServices
Management And General10476ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total707518Total
Program Services621201ProgramServices
Management And General86317ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total616707Total
Program Services228669ProgramServices
Management And General388038ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REPAIRS & MAINTENANCE838369435593402776
MEDICAL SUPPLIES532119532119
MISCELLANEOUS1124333377678657
DUES & SUBSCRIPTIONS623532129841055

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16840032Total
Program Services13067251ProgramServices
Management And General3772781ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2567408BOY
EOY3752984EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY388199BOY
EOY388679EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2589869BOY
EOY1985286EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY156750BOY
EOY137791EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY151542BOY
EOY196077EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11203905LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6360252LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3298450BOY
EOY4843653EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9152218BOY
EOY11304470EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1818657BOY
EOY2185778EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8684854BOY
EOY12368396EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10503511BOY
EOY14554174EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1351293BOY
EOY-3249704EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1351293BOY
EOY-3249704EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9152218BOY
EOY11304470EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1898411ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$2,634OtherActivitiesAmount
Total Lobbying Expenditures IIB2634TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE C, PART II-B, LINE 1ReturnReference
ExplanationTHE ORGANIZATION PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HEALTHCARE ORGANIZATIONS. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THESE NATIONAL AND STATE HEALTHCARE ORGANIZATIONS PARTICIPATE.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis175676OtherCostOrOtherBasis
Book Value175676BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4200052OtherCostOrOtherBasis
Depreciation1995845Depreciation
Book Value2204207BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis149829OtherCostOrOtherBasis
Depreciation82051Depreciation
Book Value67778BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6678348OtherCostOrOtherBasis
Depreciation4282356Depreciation
Book Value2395992BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4843653TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO PHOEBE PUTNEY HEALTH SYSTEMSDescription
Amount$12,368,396Amount
FieldValueIRS element (for citing)
Total Of Amounts12368396TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt14993784TotRevenueEtcAuditedFinclStmt
Other Revenues52163OtherRevenues
Revenue Not Rptd F99052163RevenueNotRptdF990
Revenue Subtotal14941621RevenueSubtotal
Total Revenue Per Form99014941621TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16892195TotExpensesEtcAuditedFinclStmt
Other Expenses Included52163OtherExpensesIncluded
Expenses Not Rptd F99052163ExpensesNotRptdF990
Expenses Subtotal16840032ExpensesSubtotal
Total Expenses Per Form99016840032TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XTHE 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 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 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 JULY 31, 2013 AND 2012 OR FOR THE YEARS THEN ENDED. THE HOSPITAL'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2010-2012.
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 2DRENTAL EXPENSES 52,163
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DRENTAL EXPENSES 52,163

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage2.25000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1957735TotalCommunityBenefitExpense
Direct Offsetting Revenue859745DirectOffsettingRevenue
Net Community Benefit Expense1097990NetCommunityBenefitExpense
Percent Of Total Expense0.06500PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1957735TotalCommunityBenefitExpense
Direct Offsetting Revenue859745DirectOffsettingRevenue
Net Community Benefit Expense1097990NetCommunityBenefitExpense
Percent Of Total Expense0.06500PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4044276TotalCommunityBenefitExpense
Direct Offsetting Revenue2616099DirectOffsettingRevenue
Net Community Benefit Expense1428177NetCommunityBenefitExpense
Percent Of Total Expense0.08450PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense45619TotalCommunityBenefitExpense
Net Community Benefit Expense45619NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4089895TotalCommunityBenefitExpense
Direct Offsetting Revenue2616099DirectOffsettingRevenue
Net Community Benefit Expense1473796NetCommunityBenefitExpense
Percent Of Total Expense0.08720PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6047630TotalCommunityBenefitExpense
Direct Offsetting Revenue3475844DirectOffsettingRevenue
Net Community Benefit Expense2571786NetCommunityBenefitExpense
Percent Of Total Expense0.15220PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,438,637BadDebtExpenseAmount
Amount Reimbursed By Medicare4990944AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare4945876CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall45068MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1PHOEBE WORTH MEDICAL CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1807 S ISABELLA STREETAddressLine1
CitySYLVESTERCity
StateGAState
ZIP Code31791ZIPCode
FieldValueIRS element (for citing)
Website AddressWWWPHOEBEPUTNEYCOMWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours
OtherSWB SNFOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PHOEBE WORTH MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
OtherXOther
Needs Assessment Conducted13NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent225.0FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
PHOEBE FAMILY MEDICAL CENTER
354 E WASHINGTON AVENUEASHBURNGA31714RHC
PHOEBE WORTH FAMILY MEDICAL CENTER
1014 WEST FRANKLIN STREETSYLVESTERGA31791RHC

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUBSIDIZED HEALTH SERVICES EXPLANATIONPART I LINE 7GTHE NET COST ASSOCIATED WITH THE EMERGENCY ROOM DEPARTMENT REPORTED ON SCHEDULE H PART 7G IS 1416559
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSEPART I LINE 7 COLUMN FIN 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 16840032 ADD EXPENSES REPORTED IN PART VIII 52163 DENOMINATOR FOR COLUMN F 16892195
COSTING METHODOLOGY EXPLANATIONPART I LINE 7THE COST OF FINANCIAL ASSISTANCE AND SUBSIDIZED HEALTH SERVICES WAS CALCULATED USING THE COSTTOCHARGE RATIO FROM WORKSHEET 2 OF THE IRS FORM 990 INSTRUCTIONS THE COST OF ON LINE 7I WAS GENERATED FROM THE ORGANIZATIONS ACCOUNTING RECORDS
BAD DEBT EXPENSE EXPLANATIONPART III LINE 4THE AMOUNT ON PART III LINE 2 WAS CALCULATED USING THE RCC AS DEFINED IN WORKSHEET 2 ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR 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 THIRDPARTY 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 SELFPAY PATIENTS WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY 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 FISCAL YEAR 2013 INCREASED APPROXIMATELY 5 AS A PERCENTAGE OF ACCOUNTS RECEIVABLE COMPARED TO FISCAL YEAR 2012 THE INCREASE WAS DUE TO SEVERAL FACTORS INCLUDING AN INCREASE IN THE ACCOUNTS RECEIVABLE DUE IN PART TO THE IMPLEMENTATION OF A NEW HOSPITALWIDE INFORMATION SYSTEM IN JULY OF 2012 IN ADDITION THE HOSPITAL EXPERIENCED AN INCREASE IN SELFPAY VOLUME DURING FISCAL YEAR 2013 ANOTHER FACTOR THAT LED TO THE INCREASE IS THE RESULT OF NEGATIVE TRENDS RELATED TO THE COLLECTABILITY OF AMOUNTS DUE FROM SELFPAY PATIENTS DURING FISCAL YEAR 2013 THE HEALTHCARE INDUSTRY IS ALSO EXPERIENCING A MOVEMENT OF MORE PATIENTS FAVORING THE HIGH DEDUCTIBLE INSURANCE PLANS WITH LOWER PREMIUM COSTS ALTHOUGH THESE PATIENTS ARE INSURED COLLECTION IS OFTEN DIFFICULT WHEN THE PATIENT IS LEFT WITH THE RESPONSIBILITY OF THE ACCOUNT BALANCE AFTER INSURANCE HAS PAID THE CLAIM
MEDICARE EXPLANATIONPART III LINE 8MEDICARE 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
COLLECTION PRACTICES EXPLANATIONPART III LINE 9BTHE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS
NEEDS ASSESSMENTPART VINEEDS ASSESSMENTS HAVE TRADITIONALLY LED TO THE CREATION OF COMMUNITYBASED DELIVERY SYSTEMS THAT EXPAND ACCESS TO HEALTH CARE MEET THE NEEDS OF THE PEOPLE AND BUILD HEALTHY COMMUNITIES IN THE BROADEST SENSE BY IMPACTING MAJOR DETERMINANTS SUCH AS ECONOMIC DEVELOPMENT EMPLOYMENT CHILDRENS SAFETY EDUCATION AND ADEQUATE HOUSING THE ORGANIZATION CONDUCTS REGULAR NEEDS ASSESSMENT THROUGH FORMAL AND INFORMAL SURVEYS AND PROCESSES INCLUDING COLLABORATIONS WITH PUBLIC AND COMMUNITY AGENCIES THROUGH STRATEGIC PLANNING AND COMMUNITY INTERVIEWS THE ORGANIZATION DEVELOPS PROGRAMS AND SERVICES THAT CONSIDER THE ECONOMIC IMPERATIVES OF THE REGION THE EFFECT OF LEGISLATION AND THE INVOLVEMENT OF OTHER COMMUNITYBASED ORGANIZATIONS AND PARTNERS THE ORGANIZATION REGULARLY CONDUCTS FOCUS GROUPS IN THE COMMUNITY TO UNDERSTAND ISSUES AFFECTING ITS PATIENTS AND HAS CREATED PROGRAMS IN RESPONSE TO HEALTH DISPARITIES PREVALENT IN THE AREA THE ORGANIZATION ALSO COLLECTS HEALTH NEEDS INFORMATION FROM NURSES WHO PROVIDE DIRECT CARE TO STUDENTS AND STAFF AND WHO COLLABORATE WITH OTHER AGENCIES TO DEVELOP HEALTH AWARENESS AND DISEASE PREVENTION PROGRAMS THE ORGANIZATION ALSO CONDUCTS REGULAR PHYSICIAN WORKFORCE STUDIES THROUGH ITS STRATEGIC PLANNING ARM TO DETERMINE UNMET PHYSICIAN NEEDS AND BARRIERS TO ACCESSING CARE THE ORGANIZATION MEASURES THE SUCCESS OF ITS COMMITMENT BY HOW WELL IT KEEPS PEOPLE HEALTHY AND HOW WELL IT IMPACTS THE SOCIALCULTURAL BONDS THAT WILL SECURE THE COMMUNITIES OF THE FUTURE THE HOSPITAL LAST CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2013
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VITHE BOARD HAS CLEARLY WRITTEN INDIGENT AND CHARITY CARE POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION WEB SITE AND THROUGH THE BUSINESS OFFICE SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND CHARITY CARE PATIENT EDUCATION ON THE ORGANIZATIONS INDIGENT AND CHARITY CARE PROGRAMS ARE CONDUCTED DURING PREREGISTRATION THROUGH FLOOR VISITS BY BUSINESS OFFICE REPRESENTATIVES FOR PATIENTS THAT STRESS CONCERN IN MEETING THE FINANCIAL OBLIGATIONS FOR THEIR SERVICES THROUGH OUR CUSTOMER SERVICE DEPARTMENT AND THE PHOEBE CARES DEPARTMENT BROCHURES ARE PROMINENTLY DISPLAYED AT EACH REGISTRATION BOOTH THE BUSINESS OFFICE CONTINUOUSLY PROVIDES UPDATED MATERIAL TO PHYSICIAN OFFICES FOR ISSUANCE TO THEIR PATIENTS THAT HIGHLIGHT THE FINANCIAL ASSISTANCE PROGRAM AND POLICIES THE PATIENT STATEMENTS HIGHLIGHT THE ORGANIZATIONS CHARITY PROGRAM AND ENCOURAGE PATIENTS TO CALL FOR FINANCIAL ASSISTANCE
COMMUNITY INFORMATIONPART VIWORTH COUNTY IS LOCATED IN THE SOUTHWESTERN PART OF GEORGIA THE CITY OF ALBANY IS IN CLOSE PROXIMITY TO THE COUNTY WORTH COUNTY HAS A TOTAL LAND AREA OF 570 SQUARE MILES WORTH COUNTY INCLUDES THE CITIES AND TOWNS OF SYLVESTER POULAN OAKFIELD SUMNER AND WARWICK THE POPULATION DISTRIBUTION IS 308 PERCENT URBAN AND 692 PERCENT RURAL ALMOST ALL OF WORTH COUNTYS LAND AREA IS RURAL IN 2010 WORTH COUNTYS RESIDENT POPULATION WAS 21630 WHICH WAS A SLIGHT DECREASE FROM 2000 FROM 2010 TO 2015 THE POPULATION IS PREDICTED TO INCREASE BY 29 PERCENT THE POPULATION IS PREDICTED TO INCREASE TO 22258 IN 2015 AND 22700 IN 2020 ACCORDING TO THE 2010 CENSUS 14 PERCENT OF WORTH COUNTYS POPULATION WAS AGE 65 AND OVER IN GEORGIA THE AVERAGE PERCENTAGE OF THE POPULATION AGE 65 OR OLDER WAS 107 PERCENT COMPARED TO 131 PERCENT FOR THE US POPULATION PROJECTIONS INDICATE THAT THE COUNTY POPULATION WILL INCREASE BY 29 PERCENT FROM 2010 TO 2015 ACCORDING TO 2010 US CENSUS RECORDS WORTH COUNTYS POPULATION WAS 703 PERCENT WHITE 276 PERCENT BLACK AND 15 PERCENT HISPANIC THE HISPANIC POPULATION ALTHOUGH SMALL INCREASED BY 36 PERCENT FROM 2000 TO 2010 MOST OF THE PRIMARY JOBS 6470 LOCATED WITHIN WORTH COUNTY WERE CENTERED WITHIN THE MOST POPULOUS CITY IN THE COUNTY WHICH IS SYLVESTER HEALTH CARE AND SOCIAL ASSISTANCE WAS THE MAJOR INDUSTRY SECTOR BY JOB COUNT IN WORTH COUNTY AT 144 PERCENT OF THE JOBS THIS WAS FOLLOWED BY RETAIL 134 PERCENT AND MANUFACTURING 112 PERCENT
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSEPART VITHE ORGANIZATION AND ALL ITS VOLUNTEER BOARDS ARE COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS AS WELL AS PHYSICIAN MEMBERS IN ALL FACILITIES EMERGENCY CENTERS ARE OPERATED 247 AND OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY THE BOARD MAINTAINS OPEN MEDICAL STAFF POLICIES WITH PRIVILEGES AVAILABLE TO ALL QUALIFYING PHYSICIANS THE BOARD HAS CLEARLY WRITTEN FINANCIAL ASSISTANCE POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION WEB SITE AND THROUGH THE BUSINESS OFFICE SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND CHARITY CARE THE ORGANIZATION HAS A MULTIPRONGED APPROACH TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES 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 SURPLUS FUNDS ARE REINVESTED IN RESOURCES TO IMPROVE THE DELIVERY OF MEDICAL AND HEALTH CARE SERVICES PRIMARY CARE IS FIRST AND CREATES A PROFOUND IMPACT ON THE COMMUNITIES SERVED PRIMARY CARE SERVICES ARE ESTABLISHED IN AREAS WHERE RESIDENTS ARE MOST LIKELY TO SUFFER FROM SEVERE MANPOWER SHORTAGES HIGH POVERTY LEVELS AND A LACK OF ACCESS TO CARE THE ORGANIZATION ALSO EASES THE BURDEN ON TAXPAYERS WITH SPECIFIC PROGRAMMING THAT INCLUDES EXERCISE SEMINARS AND LIFESTYLE PROGRAMS FOR FIREFIGHTERS AND EMTS WHO MUST MEET HEALTH BIOMETRIC REQUIREMENTS WITHIN THE NEXT YEAR THESE PROGRAMS AND SERVICES SUCCESSFULLY REDUCE INAPPROPRIATE USE OF EMERGENCY CENTER SERVICES AND PROVIDE RESIDENTS WITH PRIMARY CARE AT THE LOCAL LEVEL WHERE IT IS MOST EFFECTIVE AND LEAST COSTLY
AFFILIATED HEALTH CARE INFORMATIONPART VIHAVING JOINED PHOEBE PUTNEY HEALTH SYSTEM IN 2002 PWMC COMBINES THE INNOVATIONS OF A PROGRESSIVE HEALTH CARE SYSTEM WITH PERSONALIZED CARE IN A HOMETOWN SETTING PWMC IS DESIGNATED AS ONE OF THE STATES CRITICAL ACCESS HOSPITALS PWMC PROVIDES STATEOFTHEART HEALTH CARE SERVICES FOR THE COMMUNITY IT SERVES
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILEDPART VIGEORGIA
ADDITIONAL INFORMATIONPART VISERVICE TO THE COMMUNITY PHOEBE WORTH MEDICAL CENTER IS A NOTFORPROFIT HEALTH CARE ORGANIZATION THAT EXISTS TO SERVE THE COMMUNITY THE HOSPITAL HAS NO STOCKHOLDERS OR OWNERS AND IS PART OF THE NOTFORPROFIT PHOEBE PUTNEY HEALTH SYSTEM INC AFTER OPERATING EXPENSES ARE COVERED ANY REMAINING REVENUES ARE REINVESTED IN THE OPERATION OF THE HOSPITAL IN ORDER TO ENHANCE OUR ABILITY TO CARRY OUT OUR LOCAL MISSION OF TAKING CARE OF OUR COMMUNITIES CITIZENS IN 2013 WE WORKED WITH THE WORTH COUNTY HEALTH DEPARTMENT TO ENABLE THEM TO SUPPORT TWO HEALTH PREVENTION TYPE PROGRAMS ONE PROGRAM WAS STROKE AND HEART ATTACK PREVENTION SHAPP THE SECOND PROGRAM WAS A DIABETES PROGRAM THE COST TO THE HOSPITAL WAS 45619 THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS WHICH COVER MANY GEORGIANS HEALTH CARE NEEDS AND BY SO DOING FOREGOES SOME CHARGES AND HAS UNREIMBURSED EXPENSES CHARGES FOREGONE DESCRIBED AS CONTRACTUAL ADJUSTMENTS AND COSTS NOT REIMBURSED DESCRIBED AS INDIGENT OR CHARITY CARE ARE OUTLINED BELOW THE MEDICAL CENTER ALSO OPERATES TWO RURAL HEALTH CLINICS RHCS WHICH ALSO FOREGO SOME CHARGES AND HAVE COSTS NOT REIMBURSED THROUGH PATIENTS QUALIFYING FOR THESE SAME INDIGENT AND CHARITY PROGRAMS THE AMOUNTS LISTED BELOW ARE ALL INCLUSIVE OF BOTH HOSPITAL AND CLINIC ACTIVITIES ESTIMATED UNREIMBURSED MEDICARE 4162760 ESTIMATED UNREIMBURSED MEDICAID 2512285 ESTIMATED INDIGENT AND CHARITY CARE 3539178 TOTALS 10214223 PATIENTS WHOSE INCOME FALLS BELOW 225 OF FEDERAL POVERTY GUIDELINES ARE ELIGIBLE TO APPLY FOR ASSISTANCE THROUGH THE INDIGENT PROGRAM COST TO SUPPORT THE COMMUNITY HEALTH NEEDS ASSESSMENT AND REPORTING WAS 25133
PHOEBE WORTH MEDICAL CENTER INC LINE NUMBER 1 PART V LINE 3PART V LINE 3THE HOSPITALS CHIEF ADMINISTRATIVE OFFICER APPOINTED INDIVIDUALS TO SERVE ON THE CHNA HOSPITAL STEERING COMMITTEE CHSC THE CHSC IDENTIFIED COMMUNITY LEADERS PARTNERS AND REPRESENTATIVES TO INCLUDE IN THE CHNA PROCESS INDIVIDUALS AGENCIES PARTNERS POTENTIAL PARTNERS AND OTHERS WERE REQUESTED TO WORK WITH THE HOSPITAL TO 1 ASSESS THE NEEDS OF THE COMMUNITY 2 REVIEW AVAILABLE COMMUNITY RESOURCES AND 3 PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY GROUPS OR INDIVIDUALS WHO REPRESENT MEDICALLYUNDERSERVED POPULATIONS LOW INCOME POPULATIONS MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASES WERE INCLUDED THE HOSPITAL IDENTIFIED OVER 40 COMMUNITY MEMBERS TO PARTICIPATE IN THE CHNA PROCESS TWOHOUR COMMUNITY HEALTH INPUT MEETINGS COMMUNITY MEETINGS AND ONEHOUR COMMUNITY STAKEHOLDER INTERVIEWS STAKEHOLDER INTERVIEWS WERE ESSENTIAL PARTS OF THE CHNA PROCESS TWO COMMUNITY MEETINGS AND FIVE STAKEHOLDER INTERVIEWS WERE CONDUCTED IN ORDER TO OBTAIN THE COMMUNITYS INPUT INTO THE HEALTH NEEDS OF WORTH COUNTY EACH COMMUNITY MEETING WAS DRIVEN BY AN AGENDA PLANNED IN ADVANCE SIGNIN SHEETS AND EVALUATIONS WERE ALSO USED THE COMMUNITY HEALTH PROFILE WAS SHARED WITH THE PARTICIPANTS AT EACH MEETING PARTICIPANTS WERE ASKED ABOUT THEIR OBSERVATIONS ON THE HEALTH DATA PRESENTED IN THE PROFILE IN ADDITION PARTICIPANTS WERE REQUESTED TO PROVIDE INPUT AS TO NEEDS THAT MAY NOT HAVE BEEN IDENTIFIED IN THE PROFILE QUESTIONS AND DISCUSSIONS WERE ENCOURAGED WITH THE OBJECTIVE THAT PARTICIPANTS WOULD INCREASE THEIR UNDERSTANDING OF WHAT THE DATA MEANT IN TERMS OF THE BURDEN OF CHRONIC DISEASES THE IMPACT OF THE DEMOGRAPHICS OF THE POPULATION ON HEALTH SERVICES AND HEALTH STATUS HEALTH BEHAVIORS AS WELL AS ACCESS TO HEALTHCARE AS THE GROUP DISCUSSED THE HEALTH PROBLEMS OR HEALTH ISSUES THE FACILITATOR MADE A LIST OF THE HEALTH PROBLEMS THE COMMUNITY PARTICIPANTS INDICATED WERE IMPORTANT AT THE END OF THE DISCUSSION PRIORITY ISSUES WERE IDENTIFIED THESE PRIORITIES DID NOT REFLECT PROGRAMS SERVICES OR APPROACHES TO RESOLVING PROBLEMS BUT RATHER HEALTH ISSUES TO BE ADDRESSED COMMUNITY PARTICIPANTS INCLUDED PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EDUCATORS ENTREPRENEURS AND OTHER BUSINESSMEN AND WOMEN PROFESSIONALS REPRESENTATIVES FROM THE DEPARTMENT OF FAMILY AND CHILDREN SERVICES HOUSING AUTHORITY AND THE HEALTH DEPARTMENT
PHOEBE WORTH MEDICAL CENTER INC LINE NUMBER 1 PART V LINE 5CPART V LINE 5CA COMPLETE COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT HTTPWWWPHOEBEPUTNEYCOMMEDIAFILEPHOEBEWORTHCHNAPHOEBE 20WORTH2013PDF
PHOEBE WORTH MEDICAL CENTER INC LINE NUMBER 1 PART V LINE 7PART V LINE 7COMMUNITY WORK PLAN FOR ACCESS TO CARE TRANSPORTATION CHNA PAGE REFERENCE PAGES 91 9394 IT IS BEYOND THE HOSPITALS MISSION AND FINANCIAL RESOURCES TO PROVIDE TRANSPORTATION THE HOSPITAL WILL INCREASE ACCESS TO HEALTH SERVICES BY PROVIDING SCREENINGS AND OTHER FORMS OF PREVENTIVE CARE IN COMMUNITY LOCATIONS OTHER THAN THE HOSPITALS MAIN CAMPUS THE HOSPITAL WILL PROVIDE A COMMUNITY RESOURCE DIRECTORY THAT WILL GUIDE INDIVIDUALS TO TRANSPORTATION SERVICES
PHOEBE WORTH MEDICAL CENTER INC LINE NUMBER 1 PART V LINE 20DPART V LINE 20DUNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY FOR 2013 ALMOST ALL ELIGIBLE PATIENTS QUALIFIED FOR 100 FREE CARE

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1WORTH COUNTY HEALTH DEPARTMENTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11012 W FRANKLIN STREETAddressLine1
CitySYLVESTERCity
StateGAState
ZIP Code31791ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient581568404EINOfRecipient
Amount Of Cash Grant45619AmountOfCashGrant
Purpose Of GrantSEE PART IVPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE I, PAGE 4, PART IVReturnReference
ExplanationIN 2013, PWMC WORKED WITH THE WORTH COUNTY HEALTH DEPARTMENT TO ENABLE THEM TO SUPPORT TWO HEALTH PREVENTION TYPE PROGRAMS. ONE PROGRAM WAS STROKE AND HEART ATTACK PREVENTION (SHAPP), THE SECOND PROGRAM WAS A DIABETES PROGRAM.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
JOEL WERNICK
BD MEMBERPPHS CEO7443162053127563901513128291871533
JOE AUSTIN
BOARD MEMBER42959197391117018809714822641602
KERRY LOUDERMILK
PPHS CFO39530390794980710896315554620421
KIM GILMAN
CAO13346518281378129081149159584
TIM TROTTIER
SVP REG OPERATIONS2775956492719506989716871431240
TINA JENKINS
REHAB DIRECTOR982975644814230729636167595

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELATED ORG METHODS USED FOR COMPENSATION EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 3NONE OF THE INDIVIDUAL BOARD MEMBERS OR OFFICERS ARE COMPENSATED BY THE FILING ORGANIZATION AND THE ORGANIZATION MUST RELY ON THE METHODS EMPLOYED BY THE RELATED ORGANIZATION, PHOEBE PUTNEY HEALTH SYSTEMS, INC (PPHS), TO DETERMINE REASONABLE COMPENSATION FOR THE INDIVIDUALS.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4JOEL WERNICK 0 854,100 0 JOE AUSTIN 0 71,400 0 KERRY LOUDERMILK 0 71,100 0 TIM TROTTIER 0 53,200 0
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIIPART I, LINE 4 - DEFERRED COMPENSATION PLAN 457(B) THE DEFERRED COMPENSATION PLAN IS AN ADDITIONAL RETIREMENT PLAN OFFERED THROUGH PHOEBE PUTNEY. THE 457(B) PLAN IS A NON-QUALIFIED RETIREMENT PLAN THAT ALLOWS ONE TO DEFER ADDITIONAL DOLLARS TOWARDS RETIREMENT. HIGHLIGHTS INCLUDE: O NOT LIMITED BY THE AMOUNTS DEFERRED INTO THE PHOEBE 403(B) O PLAN IS SUBJECT TO ANNUAL DEFERRAL LIMITS SET BY THE IRS O PER IRS REGULATIONS, EACH PARTICIPANT IS A GENERAL UNSECURED CREDITOR OF THE PLAN SPONSOR, CREATING A RISK OF FORFEITURE SENIOR VICE PRESIDENTS AND ABOVE AND PHYSICIANS MAKING OVER 115,000 ARE ELIGIBLE TO PARTICIPATE IN THE 457(B) PLAN. SCHEDULE J, PART II, COLUMN C A SUBSTANTIAL PORTION OF THE AMOUNT REPORTED IN COLUMN C OF SCHEDULE J, PART II (RETIREMENT AND OTHER DEFERRED COMPENSATION) FOR EMPLOYEES IDENTIFIED ABOVE IS A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM. THE PURPOSE OF THE PLAN IS TO PROVIDE A RETIREMENT BENEFIT FOR AFFECTED EXECUTIVES CONSISTENT WITH THE BENEFIT AVAILABLE TO EMPLOYEES NOT IMPACTED BY IRS COMPENSATION LIMITS ON DEFINED BENEFIT PLANS. THE AMOUNTS REPORTED AS SUPPLEMENTAL EXECUTIVE RETIREMENT COMPENSATION FOR AFFECTED EMPLOYEES REPRESENTS CREDITED, BUT NOT VESTED, RETIREMENT BENEFITS AND IS AVAILABLE IN FUTURE PERIODS TO THE EMPLOYEE SUBJECT TO CONTINUING EMPLOYMENT. PPHS MAINTAINS OWNERSHIP OF THE FUNDS ALLOCATED TO THE PARTICIPANT. PRIOR TO NORMAL RETIREMENT AGE, PPHS RETAINS AT LEAST THREE YEARS OF DEPOSITS WHICH ARE SUBJECT TO CONTINUING EMPLOYMENT FOR THE PARTICIPANT TO RECEIVE THE FUNDS. THIS PLAN IS A DEFINED CONTRIBUTION ACCOUNT BASED AND PARTICIPANT DIRECTED INVESTMENT PROGRAM THAT IS EMPLOYEE FUNDED.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE BOARD OF DIRECTORS OF PHOEBE PUTNEY HEALTH SYSTEM, INC. (PPHS), THE PARENT ORGANIZATION, HAS THE RIGHT TO APPOINT DIRECTORS OF THE FILING ORGANIZATION.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHE MEMBER SHALL HAVE THE FOLLOWING RESPONSIBILITIES: - THE MEMBER SHALL SELECT OR REMOVE THE ORGANIZATION'S OFFICERS. - THE MEMBER SHALL APPROVE ALL AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE. - THE MEMBER SHALL APPROVE ANY ANNUAL OPERATING OR CAPITAL BUDGETS. - THE MEMBER SHALL APPOINT OR REMOVE THE INDEPENDENT AUDITORS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE INDEPENDENT ACCOUNTING FIRM THAT PREPARES THE FORM 990 (BASED UPON INFORMATION PROVIDED BY THE ORGANIZATION) PROVIDES A COPY OF THE RETURN TO BE REVIEWED BY MANAGEMENT. UPON REVIEW, THE FORM 990 IS THEN FORWARDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW, TO GAIN THEIR COMMENTS AND APPROVAL. UPON APPROVAL FROM THE FINANCE COMMITTEE, THE FORM 990 AND RELATED SCHEDULES ARE PROVIDED TO ALL BOARD MEMBERS FOR REVIEW AND FEEDBACK. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES, A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CON AN ANNUAL BASIS, PHOEBE WORTH MEDICAL CENTER, INC. (PWMC) BOARD MEMBERS AS WELL AS ALL OFFICERS COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. THIS QUESTIONNAIRE IS ADMINISTERED BY THE PHOEBE PUTNEY HEALTH SYSTEM (PPHS) COMPLIANCE DEPARTMENT AND THE DOCUMENT ASKS EACH INDIVIDUAL TO DISCLOSE ANY PERSONAL, BUSINESS, OR OTHER AFFILIATIONS AND MONETARY AMOUNT IF APPLICABLE THAT THEY OR THEIR IMMEDIATE FAMILY MEMBERS HAVE HAD WITHIN THE PAST 12 MONTHS WITH PWMC OR ANY RELATED ENTITIES. ALL RESPONSES ARE THEN EVALUATED BY THE PPHS COMPLIANCE DEPARTMENT.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CEO IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACCOMPLISHING THE ORGANIZATION'S MISSION, ACHIEVE ITS STRATEGIC GOALS, TO RECOGNIZE PERFORMANCE, AND TO OPERATE IN KEEPING WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. THE EXECUTIVE COMPENSATION COMMITTEE OF PPHS'S BOARD OF DIRECTORS CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION OF THE CEO. THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE MARKET RANGES OF BASE, INCENTIVE AND TOTAL CASH COMPENSATION. THE INFORMATION THE COMMITTEE MAY CONSIDER CAN INCLUDE BUT IS NOT LIMITED TO THE PERFORMANCE OF AN INDIVIDUAL, THE PERFORMANCE OF THE ORGANIZATION, AN INDIVIDUAL'S LENGTH OF SERVICE, CREDENTIALS AND EXPERIENCE, THE ELEMENTS OF TOTAL COMPENSATION AND SALARY HISTORY, THE ORGANIZATION'S COMPENSATION TARGETS, AND COMPARABILITY DATA, INCLUDING THE DATA PREPARED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE COMMITTEE. THE COMMITTEE INCORPORATES A FORMAL PERFORMANCE APPRAISAL PROCESS IN THE CEO COMPENSATION REVIEW. IT UTILIZES A MULTI-PERSPECTIVE APPROACH AND PERFORMANCE MEASURES WHICH ARE LINKED TO THE ORGANIZATION'S LONG-TERM STRATEGIC PLAN AND ACHIEVEMENT OF ANNUAL SYSTEM OBJECTIVES. THE CEO IS NOT PRESENT WHEN THE COMMITTEE DISCUSSES AND ESTABLISHES HIS COMPENSATION.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BSEE NARRATIVE FOR 15A.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES AVAILABLE TO THE PUBLIC ITS CONFLICT OF INTEREST AND AUDITED FINANCIAL STATEMENTS ON THE ORGANIZATION'S WEBSITE, BY PROVIDING COPIES UPON REQUEST, AND BY INSPECTION AT THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION.
OTHER FEES FOR SERVICESFORM 990, PART IX, LINE 11GPHYSICIAN FEES 2,043,706 0 0 CONSULTANT FEES 266,622 403,861 0 COLLECTION SERVICES 0 120,214 0

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
PHOEBE PUTNEY HEALTH SYSTEMS INC
PO BOX 3770ALBANYGA31706582001014HEALTHCAREGA501C311ANAfalse
PHOEBE PUTNEY MEMORIAL HOSPITAL INC
PO BOX 3770ALBANYGA31706581928247HEALTHCAREGA501C33PPHSfalse
PHOEBE PHYSICIAN GROUP INC
PO BOX 3770ALBANYGA31706263792403HEALTHCAREGA501C39PPHSfalse
PHOEBE SUMTER MEDICAL CENTER INC
126 HIGHWAY 280 WESTAMERICUSGA31719263975185HEALTHCAREGA501C33PPHSfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg