2014-11-07T15:44:09-06:00 2013-12-31 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2013-01-01 582155150 NEWTON HEALTH SYSTEM INC NEWT 7707867053 5126 HOSPITAL DRIVE NE COVINGTON GA 300142566 TROY B BROOKS CFO 7707867053 2014-11-17 true JACQUELINE G ATKINS P00861721 2298837878 2014-11-07 2013 2015-11-30 17:44:51Z JAMES F WEADICK CEO 5126 HOSPITAL DRIVE NE COVINGTON GA 300142566 82166476 false X WWW.NEWTONMEDICAL.COM X 1995 GA PROVIDE STATE-OF-ART MEDICAL FACILITIES AND HEALTHCARE TO COVINGTON AND OTHER SURROUNDING AREAS. 11 9 1011 220 0 3409263 3256182 72955050 75113815 -80338 12566 3376665 3137746 79660640 81520309 12000 15016 0 42669120 42428838 0 0 37454735 37712057 80135855 80155911 -475215 1364398 73657086 74859194 36984859 36757043 36672227 38102151 PROVIDE STATE-OF-ART MEDICAL FACILITIES AND HEALTHCARE TO COVINGTON AND OTHER SURROUNDING AREAS. false false 69644206 15016 77057193 NEWTON HEALTH SYSTEM, INC. (THE SYSTEM) LOCATED IN COVINGTON, GEORGIA, OPERATES NEWTON MEDICAL CENTER, A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE SYSTEM PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE AND HOME HEALTH SERVICES FOR RESIDENTS OF NEWTON COUNTY AND THE SURROUNDING AREA. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. SERVICES ARE PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 69644206 true true false true false false false false false false true false false false false true true false false false false false false false true false true true false true true true false false false false false false false true true false false false false false false true false false false true 123 0 1011 true false false false false false false false false false false X 11 9 true false false false false true false true true false false false true true true true true true true false GA X TROY BROOKS 7703854426 5126 HOSPITAL DRIVE NE COVINGTON GA 30014 NORRIS LITTLE MEMBER 1.00 X 10000 0 0 TIM PARK MD MEMBER 1.00 1.00 X 6000 0 0 DL KNOX CHAIRMAN 1.00 1.00 X X 0 0 0 MELVIN BAKER DMD TREASURER 1.00 1.00 X X 0 0 0 WILLIAM D FORTSON JR VICE CHAIR 1.00 1.00 X X 0 0 0 BOB RICHARDSON MEMBER 1.00 X 0 0 0 ESTHER WILLIAMS MEMBER 1.00 X 0 0 0 RICHARD BROWN MEMBER 1.00 1.00 X 0 0 0 GEORGE HART MEMBER 1.00 1.00 X 0 0 0 RANDALL MEADOWS PAST MEMBER 1.00 1.00 X 0 0 0 J VINCENT EAGAN MEMBER 1.00 X 0 0 0 SAMUEL HAY III MEMBER 1.00 X 0 0 0 JAMES WEADICK CEO, BD SECR 60.00 X 578497 0 65883 TROY B BROOKS CFO 52.00 X 201002 0 47981 PATRICIA WALLER CNO 58.00 X 150775 0 27386 RENEE RILEY MD PHYSICIAN 65.00 X 573315 0 28349 CARTER ROGERS MD SURGEON 65.00 X 338349 0 34686 SONAL HAZARIWALA MD NEUROLOGIST 60.00 X 260964 0 7168 VICTORIA AFSHANI MD PHYSICIAN 40.00 X 234454 0 9249 JAMES HARBIN MD PHYSICIAN 60.00 X 228500 0 26075 2581856 246777 18 false true false PHYSICAL THERAPY CLINICS OF GA PC PO BOX 767068 ROSWELL GA 30076 PT SERVICES 829337 RIVERDALE ANESTHESIA ASSOC PC 405 ARROWHEAD BLVD SUITE C JONESBORO GA 30236 ANESTHESIA SVCS 729471 ALCOVY HOSPITALIST PC P O BOX 2779 COVINGTON GA 30015 HOSPITALISTS 310337 MRG MEDICAL SOLUTIONS 3424 PEACHTREE ROAD NE STE 700 ATLANTA GA 30326 BILLING COMPANY 239909 FIRSTSOURCE SOLUTIONS USA LLC 6455 RELIABLE PARKWAY CHICAGO IL 60686 BILLING COMPANY 227436 19 3141282 114900 3256182 PROGRAM SERVICE REVENUE 621990 75113815 75113815 75113815 42804 42804 548624 351181 197443 197443 197443 30238 -30238 -30238 -30238 279319 115921 163398 163398 156701 148827 7874 7874 EHR REVENUE 621990 1620176 1620176 CAFETERIA SALES 722514 417270 417270 CASH DISCOUNTS ON PURCHASES 621990 323202 323202 408383 408383 2769031 81520309 77057193 1206934 1500 1500 13516 13516 1087524 16000 1071524 34959782 30736092 4223690 869572 825606 43966 2897294 2519544 377750 2614666 2238085 376581 17340 17340 124463 124463 203907 203907 12333 12333 7141349 5792835 1348514 393208 57945 335263 2351781 1839897 511884 2459456 2288834 170622 122432 96037 26395 35491 35491 88246 88246 5471224 5085439 385785 702752 648535 54217 MEDICAL SUPPLIES 14172401 14172401 REPAIRS & MAINTENANCE 2969314 2155252 814062 TAXES & LICENSES 950606 950606 DUES & SUBSCRIPTIONS 315187 132958 182229 180567 37633 142934 80155911 69644206 10511705 0 2026410 5087001 9957996 10122642 13100136 10970793 669091 622398 95213 64925 123199761 77446123 45711066 45753638 2097174 2237797 73657086 74859194 12815823 11882436 21885002 20445002 2284034 4429605 36984859 36757043 X 36672227 38102151 36672227 38102151 73657086 74859194 X 1364398 65526 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 12333 12333 false SCHEDULE C, PART II-B, LINE 1 THE 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. 1615489 1615489 71902614 39687009 32215605 629186 525068 104118 48157483 37234046 10923437 894989 894989 45753638 81827541 768167 768167 81059374 460935 460935 81520309 80521108 381419 381419 80139689 16222 16222 80155911 SCHEDULE D, PAGE 3, PART X THE SYSTEM IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SYSTEM APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE SYSTEM ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 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 2D RENTAL 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 4B AUXILIARY REVENUES 452,035 CAPITAL CONTRIBUTIONS 8,900 SCHEDULE D, PAGE 4, PART XII, LINE 2D RENTAL EXPENSES 351,181 LOSS ON SALE OF EQUIPMENT 30,238 SCHEDULE D, PAGE 4, PART XII, LINE 4B AUXILIARY OPERATING EXPENSES 16,222 GALA SPECIAL EV 140685 140685 2928 8575 32759 3500 83 GOLF SPECIAL EV 48321 48321 1100 2650 6690 840 205 4 90313 90313 152 20 56419 279319 279319 4028 2650 15265 33751 3520 56707 115921 163398 true true X true X true X true true true false true true 5321094 5321094 0.06590 14795001 11581359 3213642 0.03980 20116095 11581359 8534736 0.10570 249944 249944 0.00310 2530180 1665580 864600 0.01070 54153 54153 0.00070 2834277 1665580 1168697 0.01450 22950372 13246939 9703433 0.12020 true 2127545 25518207 19467195 6051012 X true true 1 1 NEWTON MEDICAL CENTER 5126 HOSPITAL DRIVE NE COVINGTON GA 300142566 WWW.NEWTONMEDICAL.COM X X X PHYSICIAN CLINICS NEWTON MEDICAL CENTER 1 true X X X X X X X X X X 12 true false true X WWW.NEWTONMEDICAL.COM X X X X X X X X true false true true 100.000000000000 true 300.000000000000 true X true true X X X X X true false X X X X X true X false false FACILITY 1, NEWTON MEDICAL CENTER - PART V, LINE 3 IN 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 5C A 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 14G INFORMATION 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 18E FINANCIAL 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 20D THE HOSPITAL USED THE AVERAGE MANAGED CARE DISCOUNT. 1 NEWTON MEDICAL CENTER HOME HEALTH 5126 HOSPITAL DRIVE COVINGTON GA 30209 HOME HEALTH AGENCY PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION THIS 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 EXPENSE IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN (F), THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25: FORM 990, PART IX, LINE 25 80,139,690 ADD: EXPENSES REPORTED IN PART VIII 618,328 DENOMINATOR FOR COLUMN (F) 80,758,018 PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". SEE ALSO THE DESCRIPTION FOR PART III, LINE 4. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. NEWTON MEDICAL CENTER IS THE SOLE PROVIDER OF 24 HOUR, 7 DAY A WEEK EMERGENT CARE IN NEWTON COUNTY, GEORGIA. IN ADDITION, MANY CITIZENS OF NEWTON COUNTY HAVE NO ACCESS TO PRIMARY CARE AS A RESULT OF THEIR INABILITY OR UNWILLINGNESS TO PAY FOR SERVICES. OTHERS HAVE NO ACCESS TO PRIMARY CARE PHYSICIANS DUE TO THEIR PARTICULAR INSURANCE PLAN. THIS IS ESPECIALLY TRUE OF MEDICAID RECIPIENTS. MANY OF THESE COMMUNITY MEMBERS SEEK CARE IN THE EMERGENCY ROOM AT NEWTON MEDICAL CENTER FOR BOTH EMERGENT AND NON-EMERGENT HEALTH CARE NEEDS. SOME OF THESE PATIENTS REQUIRE EXTENDED CARE AS INPATIENTS OR EXTENSIVE OBSERVATION. OUR EMERGENCY ROOM ALSO SERVES AS A HOLDING AREA FOR THE MENTALLY ILL, OFTEN KEEPING THESE CITIZENS FOR SEVERAL DAYS BEFORE THEY ARE PLACED IN A MORE APPROPRIATE SETTING. MANY OF THESE PATIENTS DO NOT MEET CRITERIA OR ARE NON-COMPLIANT IN COMPLETING THE PROCESS NEEDED TO SHOW ELIGIBILITY FOR CHARITY CARE. OTHERS ARE UNWILLING TO PAY, EVEN THOUGH THEY MAY HAVE THE MEANS TO DO SO. MANY INSURED PATIENTS HAVE HIGH DEDUCTIBLES AND ALSO FAIL TO PAY FOR THEIR CARE. IN ADDITION, NEWTON MEDICAL CENTER PROVIDES SERVICES TO PATIENTS ON AN ELECTIVE BASIS THAT ARE UNABLE TO MEET THEIR OUT OF POCKET EXPENSES UNDER THEIR INSURANCE PROGRAM, MEDICARE, OR OTHER THIRD PARTY PROVIDER. IN THESE CASES, THE HOSPITAL DOES WORK WITH THE PATIENTS TO MAKE PAYMENT ARRANGEMENTS, HOWEVER, MANY PATIENTS FAIL TO FOLLOW THROUGH OR ARE FINANCIALLY UNABLE TO COMPLETE THOSE ARRANGEMENTS. CARE IS PROVIDED DESPITE THE RISK THAT MANY PATIENTS WILL NOT MAKE AGREED UPON PAYMENTS. IN ALL OF THE CASES DESCRIBED ABOVE, THE RESULT IS THE HOSPITAL INCURRING BAD DEBT EXPENSE BY PROVIDING HEALTH CARE SERVICES THAT ARE NEEDED BY COMMUNITY MEMBERS. ACCORDINGLY, IT IS CLEAR THAT THE COMMUNITY BENEFITS FROM THE HOSPITAL INCURRING BAD DEBT EXPENSE FOR CARE PROVIDED. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLES, DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS 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 EXPLANATION MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS. PART VI, LINE 2 - NEEDS ASSESSMENT LOCAL AND STATE DEMOGRAPHICS FROM THE NEWTON COUNTY CHAMBER OF COMMERCE. FINANCIAL RECORDS OF PATIENTS. FEEDBACK FROM HOSPITAL SPONSORED SCREENINGS AND SUPPORT GROUPS. IN 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 ASSISTANCE INFORMATION 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 INFORMATION NEWTON COUNTY HAS A HIGHER UNEMPLOYMENT RATE THAN THAT OF THE STATE OR NATION AT 8.4%. UNINSURED PATIENTS MAKE UP 21% OF NEWTON COUNTY. THE POPULATION OF THE COUNTY IS AT 102,446 AS OF 2013, WITH 54.1% BEING WHITE, 42.5% BLACK, WITH 3.4% HISPANIC OR OTHER. THE HISPANIC POPULATION HAS QUADRUPLED SINCE 2000. THE POPULATION IS AGING IN PLACE. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH NEWTON MEDICAL CENTER (NMC) HAS AN OPEN MEDICAL STAFF WHERE QUALIFIED APPLICANTS ARE SCREENED THROUGH A STANDARD CREDENTIALS COMMITTEE PROCESS IN ORDER TO VERIFY APPROPRIATE EDUCATION AND TRAINING FOR THE PRIVILEGES THAT THEY SEEK. THE HOSPITAL IS GOVERNED BY A HEALTH SYSTEM BOARD OF DIRECTORS MADE UP OF MEMBERS FROM WITHIN THE COMMUNITY, INCLUDING MEMBERS OF THE HOSPITAL'S MEDICAL STAFF. NMC 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 REPORT GEORGIA ADDITIONAL INFORMATION NEWTON 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. true TUITION/SCHOLA ASSISTANCE 14 13516 SCHEDULE I, PAGE 1, PART I, LINE 2 TUITION ASSISTANCE PROGRAM FULL-TIME AND PART-TIME EMPLOYEES WHO HAVE COMPLETED AT LEAST SIX MONTHS OF UNINTERRUPTED SERVICE ARE ELIGIBLE TO PARTICIPATE IN THE TUITION ASSISTANCE PROGRAM. PRN EMPLOYEES MAY BE ELIGIBLE FOR REIMBURSEMENT FOR NURSING PROGRAMS. COURSES OF STUDY MUST BE RELATED TO A POSITION IN THE MEDICAL CENTER. REIMBURSEMENT UNDER THIS PROGRAM IS LIMITED TO 100% OF TUITION FEES FOR COURSE COMPLETED. THE PROGRAM WILL NOT REIMBURSE EMPLOYEES FOR BOOKS, PARKING, TRAVEL, REGISTRATION, STUDENT ACTIVITIES FEES, MISCELLANEOUS SUPPLIES AND FEES, OR OTHER EXPENSES OF A PERSONAL NATURE. X X X false true false false false false false false false JAMES WEADICK CEO, BD SECRETARY 249344 329153 43750 22133 644380 93750 TROY B BROOKS CFO 200893 109 31526 16455 248983 PATRICIA WALLER CNO 150623 152 19642 7744 178161 RENEE RILEY MD PHYSICIAN 494827 78315 173 8482 19867 601664 CARTER ROGERS MD SURGEON 338182 167 12500 22186 373035 SONAL HAZARIWALA MD NEUROLOGIST 197549 63363 52 6549 619 268132 VICTORIA AFSHANI MD PHYSICIAN 234357 97 4239 5010 243703 JAMES HARBIN MD PHYSICIAN 228410 90 4249 21826 254575 SCHEDULE J, PAGE 1, PART I, LINE 4 JAMES WEADICK 0 31,250 0 TROY B. BROOKS 0 19,000 0 SCHEDULE J, PART III THE ORGANIZATION PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. IT IS ADMINISTERED BY VANGUARD AND IS CONSTRUCTED AS A 457(F)PLAN. THE PARTICIPANTS INCLUDE CERTAIN MEMBERS OF THE HOSPITAL'S EXECUTIVE STAFF. PART II, COLUMN (B)(II) BONUS & INCENTIVE COMPENSATION - EMPLOYEE INCENTIVE PLAN THE EMPLOYEE INCENTIVE PLAN IS BASED ON MULTIPLE GOALS, ONE OF WHICH IS NET OPERATING MARGIN FOR THE HOSPITAL. INCENTIVE PLAN FOR DOCTORS THE PHYSICIAN INCENTIVE PLANS ARE ALL BASED ON NET COLLECTIONS INTO THE PRACTICE AND WRVUS, NOT NET INCOME. THEY ARE NOT PREDICATED ON ANY VOLUME GENERATED INTO THE HOSPITAL. A NEWTON COUNTY HOSPITAL AUTHORITY 2006 REVENUE BONDS 586004174 NONENONEN 2006-04-27 8930000 4TH FLOOR ADDN HOSP false false false B NEWTON COUNTY HOSPITAL AUTHORITY 2007 BOND ISSUE 586004174 NONENONEN 2007-05-30 17225000 ADVC REFUND 1999 BONDS false false false A 2585000 9010590 1349661 178600 8751400 2007 false false true true B 3124998 1126717 16989001 235999 2002 false true true true A false false false false false false true B false false false false false false true A false false false false false false false false false B false false false false false false false false false SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION NEWTON COUNTY HOSPITAL AUTHORITY TOTAL PROCEEDS INCLUDES TOTAL INVESTMENT EARNINGS FROM SINKING FUND OF APPROXIMATELY 80,600. WILLIAM D FORTSON BOARD MEMBER 96000 RENT false SCHEDULE L, PART V WILLIAM 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. FORM 990, PAGE 1, PART I, LINE 6 ESTIMATED 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 2 TROY BROOKS W.D. FORTSON CFO BOARD MEMBER BUSINESS RELATIONSHIP TROY BROOKS BOB RICHARDSON CFO BOARD MEMBER BUSINESS RELATIONSHIP FORM 990, PAGE 6, PART VI, LINE 7A THE CHIEF OF MEDICAL STAFF IS A VOTING MEMBER OF THE BOARD OF DIRECTORS. HE/SHE IS ELECTED FOR A TWO YEAR TERM AS CHIEF OF MEDICAL STAFF BY THE MEDICAL STAFF MEMBERS AND HAS A POSITION ON THE FILING ORGANIZATION'S BOARD BY VIRTUE OF THAT POSITION. FORM 990, PAGE 6, PART VI, LINE 11B THE COMPLETED 990 WILL BE REVIEWED IN A MEETING OF THE AUDIT COMMITTEE PRIOR TO FILING THE FORM WITH THE IRS. THERE WILL BE DISCUSSION AND MINUTES WILL RECORD THIS OCCURRENCE. THERE WILL BE A DETAILED REVIEW. KEY ELEMENTS OF THE FORM 990 FILING WILL BE COVERED WITH THE ENTIRE BOARD AT THE NOVEMBER 11, 2014 MEETING AND THE MEMBERS WILL BE INFORMED THAT A REVIEW OF THE ENTIRE DOCUMENT IS AVAILABLE TO THEM IF THEY SO DESIRED. FORM 990, PAGE 6, PART VI, LINE 12C BOARD MEMBERS ARE SUBJECT TO ANNUAL CONFLICT OF INTEREST INQUIRIES AND ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. AN EXAMPLE OF A CONFLICT OF INTEREST OCCURRING AND HOW IT WOULD BE DEALT WITH IS DESCRIBED HERE. CAPITAL BUDGETS AND CAPITAL CONSTRUCTION ARE APPROVED BY THE ENTIRE BOARD OF DIRECTORS. IF A CONFLICT OF INTEREST WAS PRESENT, IT WOULD BE IDENTIFIED AT THAT TIME OR SHORTLY THEREAFTER AND CERTAINLY BEFORE ANY AGREEMENTS WERE SIGNED. IF A CONFLICT OF INTEREST WAS IDENTIFIED IT WOULD BE BROUGHT TO THE APPROPRIATE PERSON'S ATTENTION. THIS PERSON WOULD REMOVE HIMSELF FROM ANY POSITION OF KNOWLEDGE OR INFLUENCE ON THE ISSUE AT QUESTION. COMPETITIVE QUOTES WOULD BE SOLICITED FROM SIMILAR TYPES OF VENDORS. THEN THE BEST AND LOW COST VENDOR WOULD BE SELECTED. EACH YEAR BOARD MEMBERS AND MEMBERS OF MANAGEMENT REVIEW THE CONFLICT OF INTEREST POLICY. THEY THEN COMPLETE A FORM WHICH IDENTIFIES WHETHER OR NOT THEY HAVE OR HAVE HAD A CONFLICT OF INTEREST IN THEIR DEALINGS WITH THE HOSPITAL. THIS FORM IS SIGNED AND RETAINED IN THE ADMINISTRATOR'S OFFICE. AN EXISTING CONFLICT IS FIRST REVIEWED BY ONE OR MORE EXECUTIVE MANAGEMENT MEMBERS. IF THE MATTER CANNOT BE RESOLVED AT THAT LEVEL IT WOULD BE REFERRED TO THE CORPORATE COMPLIANCE COMMITTEE OR TO THE BOARD OF DIRECTORS FOR CLARIFICATION AND RESOLUTION. RESTRICTIONS PLACED ON THE APPROPRIATE PERSON WOULD RANGE FROM NOT HAVING ACCESS TO COST INFORMATION OF OTHER VENDORS, NOT BEING INVOLVED IN NEGOTIATIONS, NOT BEING INVOLVED IN SELECTING VENDORS TO SELL TO THE HOSPITAL. WHEN DISCUSSIONS OCCUR THAT PERTAIN TO THIS SUBJECT THIS PERSON WOULD HAVE TO PHYSICALLY REMOVE HIMSELF FROM THAT FORUM. FORM 990, PAGE 6, PART VI, LINE 15A OFFICERS OF THE BOARD OF DIRECTORS ARE NOT COMPENSATED IN THEIR POSITION AS BOARD MEMBERS. THE AUDIT COMMITTEE REVIEWS AND DISCUSSES COMPENSATION OF THE MEMBERS OF MANAGEMENT. THEIR RECOMMENDATIONS ARE MADE TO THE FULL BOARD WHERE THEY ARE ACTED UPON. IN SOME INSTANCES THE FULL BOARD RATHER THAN THE COMMITTEE WILL DELIBERATE AND ACT. FORM 990, PAGE 6, PART VI, LINE 15B SEE LINE 15A ABOVE. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES UPON REQUEST. FORM 990, PART XI, LINE 9 RENTAL 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 9 AUXILIARY ADJUSTMENT -56,474 CAPITAL CONTRIBUTIONS RECOGNIZED 8,900 AUXILIARY NET INCOME INCLUDED IN 990 171,065 NET CHANGE IN UNRESTRICTED NET ASSETS 65,525 NEWTON COUNTY HOSPITAL AUTHORITY 5126 HOSPITAL DRIVE NE COVINGTON GA 300142566 586004714 AUTHORITY GA NA false false false false true false false false false false true false false false true false false false false false