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PIEDMONT NEWTON HOSPITAL INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
PIEDMONT NEWTON HOSPITAL INC (EIN 58-2155150)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-07
IRS object ID
201403119349301645
Schema version
2013v3.1
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)
Return2014-11-07T15:44:09-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580914992PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1
CityALBANYCity
StateGAState
ZIP Code317081309ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN582155150EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEWTON HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlNEWTBusinessNameControlTxt
Phone7707867053PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15126 HOSPITAL DRIVE NEAddressLine1
CityCOVINGTONCity
StateGAState
ZIP Code300142566ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTROY B BROOKSPersonNm
Person TitleCFOPersonTitleTxt
Phone7707867053PhoneNum
Signature2014-11-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJACQUELINE G ATKINSPreparerPersonNm
PTINP00861721PTIN
Phone2298837878PhoneNum
Preparation2014-11-07PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES F WEADICK CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15126 HOSPITAL DRIVE NEAddressLine1
CityCOVINGTONCity
StateGAState
ZIP Code300142566ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$82,166,476GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NEWTONMEDICAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionPROVIDE STATE-OF-ART MEDICAL FACILITIES AND HEALTHCARE TO COVINGTON AND OTHER SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1011TotalEmployeeCnt
Total Volunteers220TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,409,263PYContributionsGrantsAmt
CY Contributions Grants$3,256,182CYContributionsGrantsAmt
PY Program Service Revenue$72,955,050PYProgramServiceRevenueAmt
CY Program Service Revenue$75,113,815CYProgramServiceRevenueAmt
PY Investment Income-$80,338PYInvestmentIncomeAmt
CY Investment Income$12,566CYInvestmentIncomeAmt
PY Other Revenue$3,376,665PYOtherRevenueAmt
CY Other Revenue$3,137,746CYOtherRevenueAmt
PY Total Revenue$79,660,640PYTotalRevenueAmt
CY Total Revenue$81,520,309CYTotalRevenueAmt
PY Grants And Similar Paid$12,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$15,016CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$42,669,120PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$42,428,838CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$37,454,735PYOtherExpensesAmt
CY Other Expenses$37,712,057CYOtherExpensesAmt
PY Total Expenses$80,135,855PYTotalExpensesAmt
CY Total Expenses$80,155,911CYTotalExpensesAmt
PY Revenues Less Expenses-$475,215PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,364,398CYRevenuesLessExpensesAmt
Total Assets BOY$73,657,086TotalAssetsBOYAmt
Total Assets EOY$74,859,194TotalAssetsEOYAmt
Total Liabilities BOY$36,984,859TotalLiabilitiesBOYAmt
Total Liabilities EOY$36,757,043TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$36,672,227NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$38,102,151NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE STATE-OF-ART MEDICAL FACILITIES AND HEALTHCARE TO COVINGTON AND OTHER SURROUNDING AREAS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$69,644,206ExpenseAmt
Grant$15,016GrantAmt
Revenue$77,057,193RevenueAmt
DescNEWTON 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$69,644,206TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document123IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1011EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTROY BROOKSPersonNm
Phone7703854426PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15126 HOSPITAL DRIVE NEAddressLine1
CityCOVINGTONCity
StateGAState
ZIP Code30014ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
NORRIS LITTLE
MEMBER1.00Yes (X)$10,000$0$0
TIM PARK MD
MEMBER1.00Yes (X)$6,000$0$01.00
DL KNOX
CHAIRMAN1.00Yes (X)$0$0$01.00Yes (X)
MELVIN BAKER DMD
TREASURER1.00Yes (X)$0$0$01.00Yes (X)
WILLIAM D FORTSON JR
VICE CHAIR1.00Yes (X)$0$0$01.00Yes (X)
BOB RICHARDSON
MEMBER1.00Yes (X)$0$0$0
ESTHER WILLIAMS
MEMBER1.00Yes (X)$0$0$0
RICHARD BROWN
MEMBER1.00Yes (X)$0$0$01.00
GEORGE HART
MEMBER1.00Yes (X)$0$0$01.00
RANDALL MEADOWS
PAST MEMBER1.00Yes (X)$0$0$01.00
J VINCENT EAGAN
MEMBER1.00Yes (X)$0$0$0
SAMUEL HAY III
MEMBER1.00Yes (X)$0$0$0
JAMES WEADICK
CEO, BD SECR60.00$578,497$0$65,883Yes (X)
TROY B BROOKS
CFO52.00$201,002$0$47,981Yes (X)
PATRICIA WALLER
CNO58.00$150,775$0$27,386Yes (X)
RENEE RILEY MD
PHYSICIAN65.00$573,315$0$28,349Yes (X)
CARTER ROGERS MD
SURGEON65.00$338,349$0$34,686Yes (X)
SONAL HAZARIWALA MD
NEUROLOGIST60.00$260,964$0$7,168Yes (X)
VICTORIA AFSHANI MD
PHYSICIAN40.00$234,454$0$9,249Yes (X)
JAMES HARBIN MD
PHYSICIAN60.00$228,500$0$26,075Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,581,856TotalReportableCompFromOrgAmt
Total Other Compensation$246,777TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K18IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
PHYSICAL THERAPY CLINICS OF GA PC
PO BOX 767068ROSWELLGA30076PT SERVICES$829,337
RIVERDALE ANESTHESIA ASSOC PC
405 ARROWHEAD BLVD SUITE CJONESBOROGA30236ANESTHESIA SVCS$729,471
ALCOVY HOSPITALIST PC
P O BOX 2779COVINGTONGA30015HOSPITALISTS$310,337
MRG MEDICAL SOLUTIONS
3424 PEACHTREE ROAD NE STE 700ATLANTAGA30326BILLING COMPANY$239,909
FIRSTSOURCE SOLUTIONS USA LLC
6455 RELIABLE PARKWAYCHICAGOIL60686BILLING COMPANY$227,436
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K19CntrctRcvdGreaterThan100KCnt
Government Grants$3,141,282GovernmentGrantsAmt
All Other Contributions$114,900AllOtherContributionsAmt
Total Contributions$3,256,182TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE REVENUEDesc
Business621990BusinessCd
Total Revenue Column$75,113,815TotalRevenueColumnAmt
Related Or Exempt Func Income$75,113,815RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$75,113,815TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,804TotalRevenueColumnAmt
Exclusion$42,804ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$548,624RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$351,181RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$197,443RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$197,443TotalRevenueColumnAmt
Exclusion$197,443ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$30,238OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$30,238OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$30,238TotalRevenueColumnAmt
Exclusion-$30,238ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$279,319FundraisingGrossIncomeAmt
Fundraising Direct Expenses$115,921FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$163,398TotalRevenueColumnAmt
Exclusion$163,398ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$156,701GrossSalesOfInventoryAmt
Cost Of Goods Sold$148,827CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,874TotalRevenueColumnAmt
Exclusion$7,874ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
EHR REVENUE621990$1,620,176$1,620,176
CAFETERIA SALES722514$417,270$417,270
CASH DISCOUNTS ON PURCHASES621990$323,202$323,202

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$408,383TotalRevenueColumnAmt
Exclusion$408,383ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,769,031OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,520,309TotalRevenueColumnAmt
Related Or Exempt Func Income$77,057,193RelatedOrExemptFuncIncomeAmt
Exclusion$1,206,934ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,500TotalAmt
Program Services$1,500ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$13,516TotalAmt
Program Services$13,516ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,087,524TotalAmt
Program Services$16,000ProgramServicesAmt
Management And General$1,071,524ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$34,959,782TotalAmt
Program Services$30,736,092ProgramServicesAmt
Management And General$4,223,690ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$869,572TotalAmt
Program Services$825,606ProgramServicesAmt
Management And General$43,966ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,897,294TotalAmt
Program Services$2,519,544ProgramServicesAmt
Management And General$377,750ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,614,666TotalAmt
Program Services$2,238,085ProgramServicesAmt
Management And General$376,581ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$17,340TotalAmt
Management And General$17,340ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$124,463TotalAmt
Management And General$124,463ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$203,907TotalAmt
Management And General$203,907ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$12,333TotalAmt
Management And General$12,333ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,141,349TotalAmt
Program Services$5,792,835ProgramServicesAmt
Management And General$1,348,514ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$393,208TotalAmt
Program Services$57,945ProgramServicesAmt
Management And General$335,263ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,351,781TotalAmt
Program Services$1,839,897ProgramServicesAmt
Management And General$511,884ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,459,456TotalAmt
Program Services$2,288,834ProgramServicesAmt
Management And General$170,622ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$122,432TotalAmt
Program Services$96,037ProgramServicesAmt
Management And General$26,395ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$35,491TotalAmt
Program Services$35,491ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$88,246TotalAmt
Management And General$88,246ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,471,224TotalAmt
Program Services$5,085,439ProgramServicesAmt
Management And General$385,785ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$702,752TotalAmt
Program Services$648,535ProgramServicesAmt
Management And General$54,217ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$14,172,401$14,172,401
REPAIRS & MAINTENANCE$2,969,314$2,155,252$814,062
TAXES & LICENSES$950,606$950,606
DUES & SUBSCRIPTIONS$315,187$132,958$182,229

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$180,567TotalAmt
Program Services$37,633ProgramServicesAmt
Management And General$142,934ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$80,155,911TotalAmt
Program Services$69,644,206ProgramServicesAmt
Management And General$10,511,705ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,026,410BOYAmt
EOY$5,087,001EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,957,996BOYAmt
EOY$10,122,642EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,100,136BOYAmt
EOY$10,970,793EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$669,091BOYAmt
EOY$622,398EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$95,213BOYAmt
EOY$64,925EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$123,199,761LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$77,446,123LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$45,711,066BOYAmt
EOY$45,753,638EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,097,174BOYAmt
EOY$2,237,797EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$73,657,086BOYAmt
EOY$74,859,194EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,815,823BOYAmt
EOY$11,882,436EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,885,002BOYAmt
EOY$20,445,002EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,284,034BOYAmt
EOY$4,429,605EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,984,859BOYAmt
EOY$36,757,043EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$36,672,227BOYAmt
EOY$38,102,151EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,672,227BOYAmt
EOY$38,102,151EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$73,657,086BOYAmt
EOY$74,859,194EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,364,398ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$65,526OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$12,333OtherActivitiesAmt
Total Lobbying Expenditures$12,333TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationTHE HOSPITAL PAYS AHA DUES ANNUALLY. A PORTION OF THE FEES PAID IS USED BY AHA TO COVER LOBBYING EXPENSES. FOR FISCAL YEAR 2013, 25% OF THE TOTAL PAID WAS ASSOCIATED WITH LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,615,489OtherCostOrOtherBasisAmt
Book Value$1,615,489BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$71,902,614OtherCostOrOtherBasisAmt
Depreciation$39,687,009DepreciationAmt
Book Value$32,215,605BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$629,186OtherCostOrOtherBasisAmt
Depreciation$525,068DepreciationAmt
Book Value$104,118BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,157,483OtherCostOrOtherBasisAmt
Depreciation$37,234,046DepreciationAmt
Book Value$10,923,437BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$894,989OtherCostOrOtherBasisAmt
Book Value$894,989BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$45,753,638TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$81,827,541TotalRevEtcAuditedFinclStmtAmt
Other Revenue$768,167OtherRevenueAmt
Revenue Not Reported$768,167RevenueNotReportedAmt
Revenue Subtotal$81,059,374RevenueSubtotalAmt
Other Revenues Not Included$460,935OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$460,935RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$81,520,309TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$80,521,108TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$381,419OtherExpensesIncludedAmt
Expenses Not Reported$381,419ExpensesNotReportedAmt
Expenses Subtotal$80,139,689ExpensesSubtotalAmt
Other Expenses Not Included$16,222OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$16,222ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$80,155,911TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 3, PART XTHE 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, 2013 AND 2012 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 2DRENTAL EXPENSES 351,181 LOSS ON SALE OF EQUIPMENT 30,238 SPECIAL EVENT EXPENSES (AUXILIARY) 115,921 COST OF GOODS SOLD (AUXILIARY) 148,827 AUXILIARY CONTRIBUTION TO HOSPITAL INTERCOMPANY 122,000
SCHEDULE D, PAGE 4, PART XI, LINE 4BAUXILIARY REVENUES 452,035 CAPITAL CONTRIBUTIONS 8,900
SCHEDULE D, PAGE 4, PART XII, LINE 2DRENTAL EXPENSES 351,181 LOSS ON SALE OF EQUIPMENT 30,238
SCHEDULE D, PAGE 4, PART XII, LINE 4BAUXILIARY OPERATING EXPENSES 16,222

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GALA SPECIAL EVNameOfEvent1Amt
Gross Receipts Event1$140,685GrossReceiptsEvent1Amt
Gross Revenue Event1$140,685GrossRevenueEvent1Amt
Cash Prizes Event1$2,928CashPrizesEvent1Amt
Rent Facility Costs Event1$8,575RentFacilityCostsEvent1Amt
Food And Beverage Event1$32,759FoodAndBeverageEvent1Amt
Entertainment Event1$3,500EntertainmentEvent1Amt
Other Direct Expenses Event1$83OtherDirectExpensesEvent1Amt
Name Of Event2GOLF SPECIAL EVNameOfEvent2Amt
Gross Receipts Event2$48,321GrossReceiptsEvent2Amt
Gross Revenue Event2$48,321GrossRevenueEvent2Amt
Cash Prizes Event2$1,100CashPrizesEvent2Amt
Non Cash Prizes Event2$2,650NonCashPrizesEvent2Amt
Rent Facility Costs Event2$6,690RentFacilityCostsEvent2Amt
Food And Beverage Event2$840FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$205OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$90,313GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$90,313GrossRevenueOtherEventsAmt
Food And Beverage Other Events$152FoodAndBeverageOtherEventsAmt
Entertainment Other Events$20EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$56,419OthDirectExpnssOtherEventsAmt
Gross Receipts Total$279,319GrossReceiptsTotalAmt
Gross Revenue Total Events$279,319GrossRevenueTotalEventsAmt
Cash Prizes Total Events$4,028CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$2,650NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$15,265RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$33,751FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,520EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$56,707OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$115,921DirectExpenseSummaryEventsAmt
Net Income Summary$163,398NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,321,094TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,321,094NetCommunityBenefitExpnsAmt
Total Expense0.06590TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,795,001TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,581,359DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,213,642NetCommunityBenefitExpnsAmt
Total Expense0.03980TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,116,095TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,581,359DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,534,736NetCommunityBenefitExpnsAmt
Total Expense0.10570TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$249,944TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$249,944NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,530,180TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,665,580DirectOffsettingRevenueAmt
Net Community Benefit Expns$864,600NetCommunityBenefitExpnsAmt
Total Expense0.01070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,153TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$54,153NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,834,277TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,665,580DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,168,697NetCommunityBenefitExpnsAmt
Total Expense0.01450TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,950,372TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,246,939DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,703,433NetCommunityBenefitExpnsAmt
Total Expense0.12020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$2,127,545BadDebtExpenseAmt
Reimbursed By Medicare$25,518,207ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$19,467,195CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$6,051,012MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEWTON MEDICAL CENTERBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line15126 HOSPITAL DRIVE NEAddressLine1
CityCOVINGTONCity
StateGAState
ZIP Code300142566ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.NEWTONMEDICAL.COMWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherPHYSICIAN CLINICSOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NEWTON MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.NEWTONMEDICAL.COMOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (true)AllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, NEWTON MEDICAL CENTER - PART V, LINE 3IN 2012, 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 5CA COMPLETE COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT HTTP://WWW.NEWTONMEDICAL.COM/PDF/NEWTON%20COMMUNITY%20REPORT_2012.PDF
FACILITY 1, NEWTON MEDICAL CENTER - PART V, LINE 14GINFORMATION IS AVAILABLE VIA OUR WEBSITE AT: HTTP://WWW.NEWTONMEDICAL.COM/PATIENT_FINANCIAL.HTML AS WELL AS A BROCHURE AND INFORMATION WITHIN OUR PATIENT GUIDE.
FACILITY 1, NEWTON MEDICAL CENTER - PART V, LINE 18EFINANCIAL COUNSELOR PROCEDURE: IF A PATIENT IS UNINSURED, THE HOSPITAL FINANCIAL COUNSELOR WILL ATTEMPT TO IDENTIFY IF THE PATIENT IS INDIGENT AT THE TIME OF ADMISSION OR WHILE THE PATIENT IS IN-HOUSE. ONCE IDENTIFIED, THE FINANCIAL COUNSELOR SHOULD REFER THE PATIENT FOR ASSISTANCE IN DETERMINING WHETHER THEY ARE ELIGIBLE FOR MEDICAL ASSISTANCE. THE MEDICAID ELIGIBILITY VENDOR WILL WORK WITH THE PATIENT TO DETERMINE IF THEY ARE ELIGIBLE FOR THE MEDICAID PROGRAM AND ASSIST THEM IN FILING THE NECESSARY DOCUMENTS. IF THE PATIENT IS FOUND TO BE INELIGIBLE FOR MEDICAID, PATIENTS WHO HAVE NO THIRD-PARTY COVERAGE AND/OR BENEFITS AVAILABLE WILL BE OFFERED THE FACILITY FLAT RATE. IF THE PATIENT STATES THAT THEY ARE UNABLE TO AFFORD THE FACILITY ESTABLISHED SELF-PAY RATE, THEY WILL BE ASSESSED FOR FINANCIAL ASSISTANCE UNDER THE GUIDELINES SET FORTH BY THE FINANCIAL ASSISTANCE POLICY. MEDICAID ELIGIBILITY VENDOR PROCEDURE PATIENTS WITHOUT INSURANCE COVERAGE WILL BE SCREENED FOR POTENTIAL LINKAGE TO GOVERNMENT PROGRAMS BEFORE ANY FINANCIAL ASSISTANCE APPLICATION IS PROCESSED. DURING THE SCREENING PROCESS, THE REPRESENTATIVE SHOULD SECURE A CONFIDENTIAL FINANCIAL APPLICATION. THE APPLICATION IS TO BE USED FOR POTENTIAL FINANCIAL ASSISTANCE DETERMINATION ONLY IN THE EVENT THE REPRESENTATIVE IS UNABLE TO OBTAIN ELIGIBILITY FOR THE PATIENT FOR GOVERNMENT PROGRAMS REIMBURSEMENT. IF, DURING THE INITIAL INTERVIEW WITH THE PATIENT, IT IS REVEALED THAT THERE IS NO VIABLE SOURCE OF PAYMENT AND THE PATIENT WILL NOT QUALIFY FOR ANY GOVERNMENTAL PROGRAMS, THE MEDICAID ELIGIBILITY SPECIALIST REPRESENTATIVE WILL: 1.OFFER THE PATIENT A CONFIDENTIAL FINANCIAL APPLICATION FORM. 2.ASSIST THE PATIENT IN COMPLETING A CONFIDENTIAL FINANCIAL APPLICATION, WHICH WILL DOCUMENT THE PATIENT'S FINANCIAL NEED. 3.OBTAIN THE PATIENT'S SIGNATURE ON THE CONFIDENTIAL FINANCIAL APPLICATION AND FORWARD THE APPLICATION TO THE FINANCIAL COUNSELOR, AS DEEMED APPROPRIATE. IN THE EVENT THAT IT IS DETERMINED THAT THE PATIENT HAS SOME ABILITY TO PAY, PAYMENT ARRANGEMENTS WILL BE MADE ACCORDING TO THE PATIENT'S MEANS. ANY DISCOUNT GIVEN TO THE PATIENT WILL BE PRESENTED TO THE PFS DIRECTOR. FINAL DETERMINATION WILL BE BASED NOT ONLY ON INCOME, BUT A REVIEW OF THE APPLICANT'S PERSONAL AND BUSINESS ASSETS AND LIABILITIES. FOR THOSE ACCOUNTS THAT REMAIN IN THE DETERMINATION PHASE FOR MEDICAID ELIGIBILITY PAST 30 DAYS FROM ASSIGNMENT WITH NO GOVERNMENT PROGRAM LINKAGE AND THAT MEET THE FINANCIAL CRITERIA FOR FINANCIAL ASSISTANCE, MEDICAID ELIGIBILITY SPECIALIST SHOULD HAVE GATHERED ALL SUBSTANTIAL INFORMATION TO ENABLE THE HOSPITAL TO UTILIZE THE FINANCIAL ASSISTANCE POLICY. INCLUDED IN THE FINANCIAL ASSISTANCE PACKET IS A CONFIDENTIAL FINANCIAL APPLICATION. IF THE MEDICAID ELIGIBILITY SPECIALIST REPRESENTATIVE HAS EXHAUSTED ALL EFFORTS TO SECURE ALL NECESSARY VERIFICATIONS, THE APPLICATION FOR FINANCIAL ASSISTANCE SHOULD BE SUBMITTED TO PFS FOR REVIEW AND FINALIZATION WITHOUT THE VERIFICATIONS. EARLY OUT PROCEDURE: THERE WILL BE CASES WHERE A PATIENT'S ABILITY TO PAY MAY CHANGE AFTER THEY LEAVE THE HOSPITAL. IN ORDER TO RECOGNIZE THIS, THE EARLY OUT AGENCY MUST FOLLOW THESE STEPS TO DO AN INITIAL SCREENING FOR FINANCIAL ASSISTANCE. IF IT IS DETERMINED BY THE ANSWERS OF THE PATIENT THAT THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE, THE ACCOUNT IS THEN RETURNED BACK TO THE FACILITY BY CHANGING THE PAYOR ID TO FINANCIAL ASSISTANCE. A CONFIDENTIAL FINANCIAL APPLICATION WILL BE SENT TO THE PATIENT AND DETERMINATION WILL BE MADE BY NMC UNDER THE NON-DISCRETIONARY SEGMENT OF THIS POLICY. THE PATIENT WILL BE REQUIRED TO COMPLETE THE APPLICATION AND PROVIDE THE NECESSARY DOCUMENTATION TO PROCESS THE APPLICATION. IF THE APPLICATION IS NOT RETURNED OR THE REQUIRED DOCUMENTATION IS INCOMPLETE TO THE BUSINESS OFFICE WITHIN 30 DAYS, THE ACCOUNT WILL BE ASSIGNED BACK TO EARLY OUT TO RESUME COLLECTION EFFORTS. ACCOUNTS GREATER THAN 6 MONTHS FROM THE SERVICE DATE MAY NOT BE ELIGIBLE FOR THE FINANCIAL ASSISTANCE PROGRAM. IF THE ACCOUNT EXCEEDS 6 MONTHS, IT WILL BE DETERMINED BY THE PFS DIRECTOR IF THE PATIENT WILL BE ALLOWED TO APPLY. AT THE TIME OF BAD DEBT REVIEW, E/0 WILL MAKE A DETERMINATION FOR A FINANCIAL ASSISTANCE RECOMMENDATION UNDER THE DISCRETIONARY PORTION OF THIS POLICY. THE ACCOUNTS, ONCE DETERMINED FOR RECOMMENDATION, WILL THEN BE RETURNED TO THE FACILITY FOR REVIEW AND APPROVAL BY THE PFS DIRECTOR, CONTROLLER AND/OR ASSISTANT ADMINISTRATOR FOR FISCAL SERVICES. IF THE ACCOUNT IS APPROVED BY TWO OF THE THREE ABOVE STATED MANAGERS FOR NONDISCRETIONARY FINANCIAL ASSISTANCE, AN ADJUSTMENT WILL BE MADE TO THE ACCOUNT WITH THE DESIGNATED WRITE-OFF CODE. ALL OTHER ACCOUNTS WILL BE RETURNED TO E/O TO RESUME COLLECTION EFFORTS. DOCUMENT REQUIREMENTS WHEN A PATIENT IS IDENTIFIED AS UNINSURED, OR REQUESTS A CONFIDENTIAL FINANCIAL APPLICATION, NMC PERSONNEL OR A REPRESENTATIVE OF NMC SHALL PROVIDE THE PATIENT WITH THE CONFIDENTIAL FINANCIAL APPLICATION. THE PATIENT MUST COMPLETE AND SIGN THE CONFIDENTIAL FINANCIAL APPLICATION. SOME OR ALL OF THE FOLLOWING DOCUMENTATION WILL BE REQUIRED AT THE TIME OF THE APPLICATION: 1.MEDICAL ASSISTANCE ELIGIBILITY SCREENING/DENIAL NOTICE THE MEDICAID ELIGIBILITY VENDOR MUST HAVE SCREENED PATIENT PRIOR TO APPLICATION. SCREENING RESULTS SHOULD BE SHOWN BY DOCUMENTATION IN THE MEDITECH SYSTEM. 2.INCOME TAX RETURNS FOR THE MOST RECENTLY FILED YEAR. 3.PROOF OF INCOME AND ADJUSTED GROSS INCOME SUCH AS THE PATIENT'S YEAR END PAY STUBS, W-2, OR THEIR ANNUAL MOST RECENT TAX RETURN. 4.BANK STATEMENTS - CHECKING AND SAVINGS PAST 60 DAYS 5.ANY OTHER DOCUMENTATION THAT MAY SERVE AS PROOF OF ELIGIBILITY FOR FINANCIAL ASSISTANCE 6.A CREDIT BUREAU REPORT MAY BE NEEDED IN DETERMINING ELIGIBILITY THE FINANCIAL RESOURCES OF A PARENT OR GUARDIAN MAY BE CONSIDERED IN DETERMINING THE ELIGIBILITY OF A PATIENT WHO IS DEPENDENT ON THE PARENT OR GUARDIAN FOR FINANCIAL SUPPORT. THE FINANCIAL COUNSELOR WILL APPLY FPG GUIDELINES BY USING THE FPG TABLE, WHICH IS UPDATED ANNUALLY. THE PATIENT'S FAMILY SIZE IS USED TO DETERMINE WHETHER ANNUAL INCOME FALLS AT, BELOW, OR EXCEEDS 300% OF THE FPG.
FACILITY 1, NEWTON MEDICAL CENTER - PART V, LINE 20DTHE HOSPITAL USED THE AVERAGE MANAGED CARE DISCOUNT.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEWTON MEDICAL CENTER HOME HEALTHBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line15126 HOSPITAL DRIVEAddressLine1
CityCOVINGTONCity
StateGAState
ZIP Code30209ZIPCode
FieldValueIRS element (for citing)
FacilityHOME HEALTH AGENCYFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATIONTHIS SECTION INCLUDES 650,000 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 EXPENSEIN 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 80,139,690 ADD: EXPENSES REPORTED IN PART VIII 618,328 DENOMINATOR FOR COLUMN (F) 80,758,018
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATIONTHE 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 METHODOLOGYAMOUNTS 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 STATEMENTSACCOUNTS 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 INCREASED FROM 71% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012, TO 81% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2013. IN ADDITION, THE SYSTEM'S SELF-PAY ALLOWANCES INCREASED APPROXIMATELY 2,100,000 FROM APPROXIMATELY 6,800,000 FOR 2012 TO 8,900,000 FOR 2013. THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING 2013 OR 2012.
PART III, LINE 8 - MEDICARE EXPLANATIONMEDICARE 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 EXPLANATIONTHE 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 ASSESSMENTLOCAL AND STATE DEMOGRAPHICS FROM THE NEWTON COUNTY CHAMBER OF COMMERCE. FINANCIAL RECORDS OF PATIENTS. FEEDBACK FROM HOSPITAL SPONSORED SCREENINGS AND SUPPORT GROUPS. IN 2012, THE ORGANIZATION CONDUCTED ITS FIRST FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. THE DOCUMENT CAN BE FOUND ON ITS WEBSITE AT HTTP://WWW.NEWTONMEDICAL.COM/PDF/NEWTON%20FINAL%20REPORT.PDF. IMPLEMENTATION PLAN PROGRESS: IN 2013 NEWTON MEDICAL CENTER 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 NEWTON COUNTY COMMUNITY PARTNERSHIP 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 IN NCCP OFFICES ON THE 2ND TUESDAY OF EACH MONTH. THE CORE LEADERSHIP TEAM CONSISTS OF: NEWTON PARTNERSHIP, GNR HEALTH, NEWTON MEDICAL CENTER, NEWTON COUNTY SCHOOLS, VIEW POINT HEALTH (MENTAL HEALTH) AND HEARTS FOR FAMILIES. THE 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: "NMC RECRUITED AN ADDITIONAL ORTHOPEDIC SPORTS MEDICINE PHYSICIAN IN 2013 SUPPORTING THE EXISTING ATHLETIC TRAINING PROGRAM THAT NMC SUPPORTS FOR NEWTON COUNTY SCHOOLS. THERE ARE TWO PHYSICIANS AND THREE TRAINERS THAT COVER THE THREE HIGH SCHOOLS IN THE COUNTY. "REACH OUT AND READ PROGRAM DISTRIBUTED 8,172 BOOKS THROUGH NEWTON COUNTY PEDIATRICIAN'S OFFICES IN 2013 "NMC FIRST STEPS PROGRAM PROVIDED 798 CONTACTS WITH NEW MOTHERS AND 111 CAR SEAT INSPECTIONS CONTINUING ACCESS TO CARE AND SUPPORT AFTER DISCHARGE FROM THE BIRTHCARE CENTER IN 2013. "NMC IS PRESENT FOR COMMUNITY EVENTS: FUZZ RUN, CHEERIOS CHALLENGE, SNAPPING SHOALS ANNUAL MEETING, COMMUNITY HEALTH FAIRS "WITH NMC, NCCP, YMCA, NC RECREATION DEPARTMENT CONDUCTING ONGOING EDUCATION ABOUT DISEASE PREVENTION AND HOW TO ACCESS APPROPRIATE MEDICAL CARE "NCCP HAS A RESOURCE GUIDE LISTING TRANSPORTATION CONTACTS "NEWTON SENIOR CENTER IS AN ADVOCATE FOR SENIOR LIFESTYLES AND SUPPORT CENTER FOR SENIORS. THEY SERVE ABOUT 600 ADULTS EACH YEAR. NEWTON COUNTY SENIOR CENTER SERVES AS A RESOURCE CENTER FOR SENIORS, AND HOSTS QUARTERLY HEALTH FAIRS SERVING ABOUT 150 SENIORS EACH TIME. ACTIVITIES ARE PROVIDED ON SITE AND STAFF PROVIDES 125 HOME DELIVERY MEALS DAILY. NMC PARTICIPATES IN SENIOR CENTER ACTIVITIES AND HEALTH FAIRS. ACCESS TO MENTAL HEALTH SERVICES: "VIEWPOINT HEALTH (VPH) OF NEWTON RESUMED SERVICES TO CHILDREN AND ADOLESCENTS JUNE 2013. "VPH DEVELOPING PROTOCOLS FOR TRAUMA-INFORMED CARE EFFECTIVE JULY 1, 2016 "STATE IMPLEMENTED IMPROVED BEHAVIORAL HEALTH LINK CRISIS LINE 1-800-715- 4225 WITH GOAL OF SERVICE WITHIN 1 HOUR "APARTMENT HOUSING FOR ADULTS WITH DEVELOPMENTAL DISABILITIES TO BE OPENED JULY 1, 2015 OBESITY AND DIABETES: "OBESITY AND DIABETES WITH FOCUS ON HEALTHY BODY WEIGHT FOR CHILDREN. NMC IS A PARTNER IN COORDINATING ACTIVITIES THROUGHOUT NEWTON. NMC DIETICIAN SPENT 25 HOURS IN 2013 TEACHING HEALTHY EATING HABITS TO ADULTS AND CHILDREN. NMC OFFERS DIABETES EDUCATION "NEWTON SCHOOL SYSTEM ONLY SYSTEM IN GA WITH FEDERAL PEP GRANT (2013-2015) INVOLVES COMMUNITY PARTICIPATION IN HEALTHY BEHAVIORS (19,600 STUDENTS IN SCHOOLS) "CORE TEAM ESTABLISHED "BE HEALTHY NEWTON" TAG FOR COMMUNITY ACTIVITIES "BE HEALTHY NEWTON HOSTING QUARTERLY BE HEALTHY NEWTON MEETINGS TO BUILD WELLNESS CULTURE "CONDUCTED COMMUNITY RESOURCE MAP OF OPPORTUNITIES FOR PHYSICAL ACTIVITY AND CONTACT NAMES FOR EVENTS. NEWTON HAS 42 PEOPLE WHO THE COMMUNITY IDENTIFIED AS ASSETS. 16 FREE NATURAL RESOURCES TO SUPPORT PHYSICAL ACTIVITY AND HEALTHY FOOD. 47 BUSINESSES/INSTITUTIONS/ ORGANIZATIONS IDENTIFIED AS ASSETS. 29 STRUCTURES TO SUPPORT PHYSICAL ACTIVITY AND HEALTHY FOODS "IDENTIFIED FOOD DESERT AND INCREASED NUMBER OF CHILDREN PARTICIPATING IN SUMMER FEEDING PROGRAM TO 2,500. "NCCP CONDUCTED FRUIT AND VEGGE CHALLENGE IN 13 ELEMENTARY SCHOOL CLASSROOMS SERVING ABOUT 500 STUDENTS WITH EDUCATIONAL INCENTIVES TO EAT MORE FRUIT AND VEGETABLE SERVINGS. "NCCP PROVIDED POWERPOINT EDUCATIONAL PRESENTATION FOR OVER 1,000 ADULTS IN 10 COMMUNITY EVENTS "NCCP PARTICIPATED IN 3 NC SCHOOL SUMMITS SERVING 500 PARENTS WITH EDUCATIONAL MATERIALS FOR IMPROVING HEALTHY FOOD CHOICES AND FUN FAMILY ACTIVITIES PROMOTING PHYSICAL ACTIVITY "NEWTON MEDICAL CENTER BEGAN A WELLNESS INITIATIVE FOR EMPLOYEES "CITY OF COVINGTON HOSTING WELLNESS INITIATIVE FOR EMPLOYEES "WITH PUBLIC HEALTHY SUPPORT, BEAVER MANUFACTURING WENT COMPLETELY TOBACCO-FREE EFFECTIVE JUNE, 2014 TOBACCO USE PREVENTION: "PUBLIC HEALTH OPERATES THE 1-800 QUITLINE, A TOBACCO-CESSATION SUPPORT SYSTEM SERVING NEWTON COUNTY. "LOCAL MEDIA OUTLETS PROVIDE FREE INFORMATION ON KICK BUTTS DAY AND OTHER TOBACCO CESSATION PROGRAMMING. "NMC PROVIDES QUITLINE INFORMATION THROUGH THE PATIENT GUIDE DISTRIBUTED TO ALL PATIENTS ADMITTED TO THE HOSPITAL. TEEN LIFESTYLE ISSUES: "NCCP PRODUCED POWERPOINT FOR TEEN SEXUAL BEHAVIORS AND PRESENTED TO ABOUT 150 YOUTH AND ADULTS. NCCP FOUNDED THE DRUG-FREE COMMUNITY COALITION IN 2007 AND PARTNERS WITH NMC, PUBLIC HEALTH, JUV CT., DJJ, DFCS, HEARTS FOR FAMILIES, AND SCHOOLS TO PROVIDE ONGOING EDUCATION ABOUT RISKY BEHAVIORS, UNPROTECTED SEX AND DANGERS OF SUBSTANCE ABUSE AND UNDERAGE DRINKING. "HEARTS FOR FAMILIES PROVIDED COMMUNITY AWARENESS EDUCATION FOR 200 PARENTS ON SOCIAL HOSTING AND PROVIDED 6 CLASSES OF 8 ADULTS EACH ON "GUIDING GOOD CHOICES", A RESEARCH-BASED CURRICULUM FOR PARENTS OF STUDENTS IN JUVENILE COURT. NCCP PROVIDES LEADERSHIP TRAINING FOR 250 YOUTH IN MIDDLE AND HIGH SCHOOL CLUB PROGRAMS. "NCCP WITH THE DRUG-FREE COALITION PROVIDES ONGOING ACTIVITIES TO PROMOTE HEALTHY LIFESTYLE CHOICES FOR YOUTH. HEARTS FOR FAMILIES PROVIDED COMMUNITY AWARENESS EDUCATION FOR 400 PARENTS ON RISKY BEHAVIORS OF UNDERAGE DRINKING AND PROVIDED 6 CLASSES OF 8 ADULTS EACH ON "GUIDING GOOD CHOICES", A RESEARCH-BASED CURRICULUM FOR PARENTS OF STUDENTS IN JUVENILE COURT. "NCCP PROVIDES LEADERSHIP TRAINING FOR 250 YOUTH IN MIDDLE AND HIGH SCHOOL CLUB PROGRAMS.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEINFORMATION IS AVAILABLE VIA OUR WEBSITE AT: HTTP://WWW.NEWTONMEDICAL.COM/PATIENT_FINANCIAL.HTML AS WELL AS A BROCHURE AND INFORMATION WITHIN OUR PATIENT GUIDE. SIGNS ADVISING PATIENTS OF THE CHARITY CARE 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 CHARITY CARE ARE INFORMED OF THE CHARITY CARE 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 CHARITY CARE PROGRAM. ALL PATIENT'S ACCOUNTS, REGISTRATION, AND SCHEDULING STAFF ARE TRAINED TO UNDERSTAND THE HOSPITAL'S CHARITY CARE 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 CHARITY CARE. THEY ARE REQUIRED TO FOLLOW HOSPITAL POLICIES IN THESE MATTERS.
PART VI, LINE 4 - COMMUNITY INFORMATIONNEWTON 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 HEALTHNEWTON 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 IS A NOT-FOR-PROFIT AND AS SUCH, ANY EXCESS OR SURPLUS FUNDS ARE USED 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 NEWTON MEDICAL CENTER 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. NEWTON MEDICAL CENTER 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 REPORTGEORGIA
ADDITIONAL INFORMATIONNEWTON MEDICAL CENTER 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 NEWTON MEDICAL CENTER, 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 NEWTON MEDICAL CENTER PROVIDED CASH DONATIONS OR VOLUNTEERED SERVICES AT IN THE COMMUNITY. NEWTON MEDICAL CENTER ALSO PROVIDED NUMEROUS FREE EDUCATIONAL FORUMS AND SUPPORT GROUPS TO THE COMMUNITY ON AN ANNUAL BASIS. LASTLY, NEWTON MEDICAL CENTER PROVIDES A SIGNIFICANT SERVICE TO THE COMMUNITY IN THE FORM OF CHARITY CARE. THIS INFORMATION IS ALSO INCLUDED IN THE ANNUAL COMMUNITY BENEFIT REPORT.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeTUITION/SCHOLA ASSISTANCEGrantTypeTxt
Recipient14RecipientCnt
Cash Grant$13,516CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationTUITION 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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmount
JAMES WEADICK
CEO, BD SECRETARY$249,344$329,153$43,750$22,133$644,380$93,750
TROY B BROOKS
CFO$200,893$109$31,526$16,455$248,983
PATRICIA WALLER
CNO$150,623$152$19,642$7,744$178,161
RENEE RILEY MD
PHYSICIAN$494,827$173$8,482$19,867$601,664$78,315
CARTER ROGERS MD
SURGEON$338,182$167$12,500$22,186$373,035
SONAL HAZARIWALA MD
NEUROLOGIST$197,549$52$6,549$619$268,132$63,363
VICTORIA AFSHANI MD
PHYSICIAN$234,357$97$4,239$5,010$243,703
JAMES HARBIN MD
PHYSICIAN$228,410$90$4,249$21,826$254,575

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4JAMES WEADICK 0 31,250 0 TROY B. BROOKS 0 19,000 0
SCHEDULE J, PART IIITHE 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 ReferenceBondReferenceCdBusiness Name Line2IssuerName/BusinessNameLine2Bond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
NEWTON COUNTY HOSPITAL AUTHORITY
A2006 REVENUE BONDS586004174NONENONEN2006-04-27$8,930,0004TH FLOOR ADDN HOSPfalsefalsefalse
NEWTON COUNTY HOSPITAL AUTHORITY
B2007 BOND ISSUE586004174NONENONEN2007-05-30$17,225,000ADVC REFUND 1999 BONDSfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmt
A$2,585,000$9,010,590$1,349,661$178,600$8,751,4002007falsefalseYes (true)Yes (true)
B$3,124,998$1,126,717$235,9992002falseYes (true)Yes (true)Yes (true)$16,989,001

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalsefalsefalsefalsefalseYes (true)
BfalsefalsefalsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Afalsefalsefalsefalsefalsefalsefalsefalsefalse
Bfalsefalsefalsefalsefalsefalsefalsefalsefalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATIONFormAndLineReferenceDesc
ExplanationNEWTON 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

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonWILLIAM D FORTSONPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBOARD MEMBERRelationshipDescriptionTxt
Transaction$96,000TransactionAmt
TransactionRENTTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationWILLIAM D. FORTSON, ALONG WITH HIS SPOUSE, OWN AND OPERATE GINN MOTOR COMPANY. THE FILING ORGANIZATION COMPENSATED MR. AND MRS. FORTON 96,000 DURING THE CALENDAR YEAR 2013 TO LEASE OFFICE SPACE. ONE LEASE, FOR THE IMAGING CENTER, WAS IN EFFECT FOR THE FULL YEAR. THE SPACE IS 4,000 SQUARE FEET AND THE TOTAL EXPENDITURE FOR 2013 WAS 48,000. THE SECOND LEASE, FOR SOUTHEAST NEUROLOGY, WAS ALSO IN EFFECT FOR THE FULL YEAR. THE SPACE IS 4,000 SQUARE FEET AND THE EXPENSE FOR 2013 WAS 48,000.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6ESTIMATED VOLUNTEER HOURS FOR FISCAL YEAR 2013 IS 30,453. THE VOLUNTEERS GREET PEOPLE AS THEY ENTER THE HOSPITAL AND WORK AT THE INFORMATION DESK. THEY WORK IN THE HOSPITAL'S GIFT SHOPS. THEY ACT AS GUIDES FOR ANYONE NEEDING ASSISTANCE GETTING AROUND THE HOSPITAL.
FORM 990, PAGE 6, PART VI, LINE 2TROY 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 7ATHE 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.
FORM 990, PAGE 6, PART VI, LINE 11BTHE 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 A REVIEW OF THE ENTIRE DOCUMENT IS AVAILABLE TO THEM IF THEY SO DESIRED.
FORM 990, PAGE 6, PART VI, LINE 12CBOARD 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 15AOFFICERS 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 15BSEE LINE 15A ABOVE.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES UPON REQUEST.
FORM 990, PART XI, LINE 9RENTAL EXPENSES 351,181 LOSS ON SALE OF EQUIPMENT 30,238 SPECIAL EVENT EXPENSES (AUXILIARY) 115,921 COST OF GOODS SOLD (AUXILIARY) 148,827 AUXILIARY CONTRIBUTION TO HOSPITAL INTERCOMPANY 122,000 AUXILIARY REVENUES -452,035 CAPITAL CONTRIBUTIONS -8,900 RENTAL EXPENSES -351,181 LOSS ON SALE OF EQUIPMENT -30,238 AUXILIARY OPERATING EXPENSES 16,222
FORM 990, PART XI, LINE 9AUXILIARY ADJUSTMENT -56,474 CAPITAL CONTRIBUTIONS RECOGNIZED 8,900 AUXILIARY NET INCOME INCLUDED IN 990 171,065 NET CHANGE IN UNRESTRICTED NET ASSETS 65,525

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1NEWTON COUNTY HOSPITAL AUTHORITYBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line15126 HOSPITAL DRIVE NEAddressLine1
CityCOVINGTONCity
StateGAState
ZIP Code300142566ZIPCode
FieldValueIRS element (for citing)
EIN586004714EIN
Primary ActivitiesAUTHORITYPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd