2014-03-14T16:26:41-05:00 2013-04-30 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2012-05-01 582513901 CHATUGE REGIONAL HOSPITAL INC CHAT 7068962222 110 SOUTH MAIN STREET HIAWASSEE GA 305460509 MICHAEL GOWDER 7068962222 2014-03-17 true WILLIAM EDWARD PHILLIPS 2298837878 2014-03-14 2012 2015-11-30 17:44:51Z MICHAEL GOWDER 110 SOUTH MAIN STREET HIAWASSEE GA 30546 19310094 false X WWW.CHATUGEREGIONALHOSPITAL.ORG X 1955 GA TO PROVIDE HIGH QUALITY, COST EFFECTIVE HEALTH CARE AND TO PROMOTE WELLNESS THROUGHOUT OUR COMMUNITY. 7 6 334 41 0 17244 961 18292146 18282436 22240 6681 236587 1020016 18568217 19310094 0 0 9753303 9962275 0 0 9740703 7101647 19494006 17063922 -925789 2246172 9310801 9632049 3523860 1598936 5786941 8033113 X TO PROVIDE HIGH QUALITY, COST EFFECTIVE HEALTH CARE AND TO PROMOTE WELLNESS THROUGHOUT OUR COMMUNITY. false false 15024164 19149555 CHATUGE REGIONAL HOSPITAL (CRH), A 501(C)(3) HEALTHCARE ORGANIZATION, TAKES A PROACTIVE APPROACH TO MEET COMMUNITY HEALTH NEEDS, THE ORGANIZATION'S TAX-EXEMPTION REQUIREMENTS AND OFFERS COMMUNITY BENEFIT PROGRAMS AND SERVICES WHICH RESULT IN A POSITIVE IMPACT ON COMMUNITY HEALTH. CRH AND CHATUGE REGIONAL NURSING HOME (CRNH) HAVE A VISION TO BE THE "FIRST CHOICE" PROVIDER OF COMPREHENSIVE MEDICAL SERVICES IN OUR AREA. WE VALUE OUR PATIENTS AND RESIDENTS AND BELIEVE THEY ARE OUR MOST IMPORTANT RESPONSIBILITY. WE SHALL ALWAYS SEEK TO MEET THE PHYSICAL, EMOTIONAL, EDUCATIONAL, AND SPIRITUAL NEEDS OF OUR PATIENTS AND THEIR FAMILIES. WE VALUE OUR MEDICAL STAFF AND WILL SEEK WAYS TO HELP THEM IMPROVE PROFESSIONALLY AND FACILITATE THE PRACTICE OF MEDICINE. WE VALUE OUR EMPLOYEES AND SHALL TREAT EACH OTHER WITH COURTESY, FAIRNESS, RESPECT, AND INTEGRITY. WE SHALL WORK AS A TEAM TO DO OUR BEST TO PROMOTE OUR MISSION AND FULFILL OUR VISION. WE VALUE OUR COMMUNITY. WE ARE COMMITTED TO THE TREATMENT AND CARE OF OUR PATIENTS AND PROMOTION OF HEALTH AND WELLNESS IN OUR COMMUNITY. WE WILL CONFRONT ALL ETHICAL AND MORAL HEALTH-RELATED ISSUES NECESSARY TO ENHANCE THE QUALITY OF LIFE IN OUR COMMUNITY. WE VALUE QUALITY CARE AND WILL SEEK TO DELIVER CUSTOMER-FOCUSED, COST EFFICIENT SERVICES WITH COMPASSION AND CARING. CRH WAS DEEMED TO BE A CRITICAL ACCESS HOSPITAL BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), EFFECTIVE MAY 1, 2002, AND BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH (DCH). CRH IS THE ONLY ACUTE CARE HOSPITAL IN TOWNS COUNTY, GEORGIA. CRH IS LIMITED TO 25 ACUTE AND INTENSIVE CARE MEDICAL/SURGICAL BEDS. THESE BEDS ARE ALSO USED FOR SHORT-TERM SKILLED NURSING CARE. OUTPATIENT SERVICES INCLUDE RADIOLOGY, LABORATORY AND OTHER DIAGNOSTIC SERVICES, REHABILITATION SERVICES, AND 24/7 EMERGENCY MEDICAL SERVICES. CRNH IS THE ONLY NURSING FACILITY IN THE COUNTY PROVIDING SKILLED AND INTERMEDIATE LEVELS OF LONG-TERM CARE. CRNH IS LICENSED FOR 112 BEDS AND CONSISTENTLY HAS A WAITING LIST FOR ADMISSIONS. A MAJORITY OF THE RESIDENTS OF CRNH ARE MEDICARE AND MEDICAID BENEFICIARIES. IT IS A LONG-ESTABLISHED POLICY OF CRH TO PROVIDE QUALITY CARE FOR ITS PATIENTS REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. QUALIFICATION FOR HOSPITAL INDIGENT CARE IS SET AT 125% OF THE CURRENT FEDERAL POVERTY GUIDELINES AND IS BASED ON SIZE OF THE FAMILY UNIT. CRH AND CRNH ALSO PROVIDE FREE OR REDUCED COST CARE TO ALL ELIGIBLE PERSONS REQUESTING CHARITY CARE ASSISTANCE. FOR EMERGENCY MEDICAL SERVICES, INCLUDING ACTIVE LABOR, NO PERSON WILL BE DENIED CARE DUE TO AN INABILITY TO PAY FOR SERVICES. CRH AND CRNH PARTICIPATE IN MEDICARE, MEDICAID, PEACHCARE, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. CRH, IN CONJUNCTION WITH ITS SISTER HOSPITAL, UNION GENERAL HOSPITAL, ARE THE ONLY TAX-EXEMPT, NON-PROFIT HOSPITALS WITHIN THE IMMEDIATE EIGHT-COUNTY AREA OF THE NORTH CENTRAL AND NORTHEAST GEORGIA MOUNTAINS. DUE TO THE MOUNTAINOUS TERRAIN AND BEING BOUNDED BY THE CHATTAHOOCHEE NATIONAL FOREST AND LAKE CHATUGE, TOWNS COUNTY AND ITS NEIGHBORING CLAY COUNTY, NC, HAVE SEVERAL VERY REMOTE COMMUNITIES FROM WHICH ACCESS TO MEDICAL CARE CAN LITERALLY BE MORE THAN AN HOUR AWAY IN SOME CASES. TOWNS COUNTY ATTRACTS MANY VISITORS FOR CAMPING, HIKING, FISHING AND HUNTING. THE TWISTING MOUNTAIN ROADS ATTRACT BICYCLISTS AND MOTORCYCLISTS THROUGHOUT THE SPRING, SUMMER AND FALL SEASONS. THESE ACTIVITIES MANY TIMES RESULT IN MEDICAL EMERGENCIES, SOME VERY SERIOUS, FOR WHICH THE EMERGENCY DEPARTMENT OF CRH MUST BE PREPARED. CRH ESTABLISHED A FAMILY MEDICAL PRACTICE IN HAYESVILLE, NC (CLAY COUNTY) TO HELP MEET THE MEDICALLY UNDERSERVED IN THE COMMUNITY. THE MEDICAL OFFICE IS STAFFED WITH FAMILY NURSE PRACTITIONERS AND SUPPORTED BY PHYSICIANS FROM CRH'S EMERGENCY DEPARTMENT. 15024164 true false false true false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 21 0 true 334 true false false false false false false false false false false X 7 6 true false false false true false false true true false false true true true true false false true false false GA X X STEPHANIE FLETCHER 7064396498 35 HOSPITAL ROAD BLAIRSVILLE GA 30512 X DAVID GOWDER MD 1.00 5.00 X 0 50884 13348 PATSY EFIRD 1.00 1.00 X X 0 0 0 DAVID BREEDLOVE MD 1.00 1.00 X 0 0 0 MAX COCHRAN 1.00 1.00 X 0 0 0 DINAH PARIS 1.00 1.00 X 0 0 0 JEFF PATTERSON 1.00 1.00 X 0 0 0 MYRON TURNER 1.00 1.00 X 0 0 0 JAMES K WILLIAMS 1.00 1.00 X 0 0 0 J MICHAEL GOWDER 10.00 40.00 X 0 149518 23930 TIMOTHY N HENRY 10.00 40.00 X 0 144303 18442 REBECCA T DYER 10.00 40.00 X 0 115683 63824 RICHARD L KELLEY 40.00 X 133591 0 5411 KAREN KELLEY 40.00 X 116889 0 11974 ANNETTE STOOKEY 42.00 X 111242 0 11354 EMORY PLOTT 43.00 X 106021 0 1063 467743 460388 149346 4 false true false THE ERX GROUP LLC 9724 KINGSTON PIKE SUITE 406 KNOXVILLE TN 37922 ER PHYSICIANS 1062297 QUEST DIAGNOSTICS P O BOX 740736 ATLANTA GA 303740736 LAB SVCS 169115 2 961 961 NET PATIENT REVENUE 623000 18282436 18282436 18282436 6681 6681 152897 152897 152897 152897 EHR INCENTIVE 764643 764643 CAFETERIA & VENDING 60809 60809 OTHER INCOME 41667 41667 867119 19310094 19149555 159578 8458076 7520596 937480 119268 106053 13215 750584 667419 83165 634347 564061 70286 38201 38201 3311 3311 1685542 1582162 103380 26049 10898 15151 2087792 1889223 198569 7088 7088 481044 450931 30113 31894 25582 6312 13750 13750 554202 519509 34693 170441 170441 MEDICAL SUPPLIES 705629 705629 PROVIDER FEE 613246 613246 REPAIRS & MAINTENANCE 348051 269212 78839 DUES & SUBSCRIPTIONS 319249 98243 221006 16158 1400 14758 17063922 15024164 2039758 0 1877338 2596103 244558 244558 2349197 2118971 344616 345421 542901 484565 10145342 6327911 3937608 3817431 14583 25000 9310801 9632049 1495906 1248517 18648 2198 118106 60493 1891200 287728 3523860 1598936 X 5786941 8033113 5786941 8033113 9310801 9632049 2246172 X false true X true false X false false false false false false false false true 3311 3311 false SCHEDULE C, PART II-B, LINE 1 THE FILING ORGANIZATION IS A MEMBER OF NATIONAL AND STATE HEALTHCARE ASSOCIATIONS. A PERCENTAGE OF THE DUES PAID TO THESE ASSOCIATIONS ARE USED TO COVER THE COST OF THEIR LOBBYING ACTIVITIES. 415739 415739 3653500 1774938 1878562 129722 121015 8707 5946381 4431958 1514423 3817431 INTERCOMPANY PAYABLES 229915 LEASE OBLIGATION 57613 THIRD PARTY SETTLEMENTS 200 287728 X LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE CORPORATION 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 CORPORATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENTS EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF APRIL 30, 2013 AND 2012 OR FOR THE YEARS THEN ENDED. THE CORPORATIONS OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2010-2012. true true X true X 1.25000 true X true false true true 122525 122525 0.00720 4489263 6370860 -1881597 4611788 6370860 -1759072 0.00720 4317 4317 0.00030 4317 4317 0.00030 4616105 6370860 -1754755 0.00740 false 155073 24036 5429881 5472130 -42249 X true true 1 1 CHATUGE REGIONAL HOSPITAL INC

110 SOUTH MAIN STREET HIAWASSEE GA 305460509

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386 BELAIRE DRIVE HIAWASSEE GA 30546

SKILLED NURSING HAYESVILLE FAMILY PRACTICE

450 HIGHWAY 64 BUSINESS SUITE 4 HAYESVILLE NC 28904

FAMILY CLINIC COSTING METHODOLOGY EXPLANATION PART I LINE 7 THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATIONS A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS 2008 SEE ALSO THE DESCRIPTION FOR PART III LINE 4 BAD DEBT EXPENSE EXPLANATION PART III LINE 4 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 LINE 3 BASED ON EXPERIENCE THE ORGANIZATION HAS FOUND THAT THERE IS A PORTION OF BAD DEBT THAT IS GENERALLY ATTRIBUTABLE TO CHARITY CARE BASED ON ECONOMIC CENSUS RECORDS 155 OF PERSONS ARE BELOW POVERTY LEVEL AND SINCE OUR FINANCIAL ASSISTANCE POLICY GOES TO 400 OF THE POVERTY LEVEL WE ESTIMATED THAT 155 OF THE BAD DEBT AMOUNT ON LINE 2 WOULD BE ATTRIBUTABLE TO THOSE PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY BUT FAILED TO COMPLETE THE APPLICATION PROCESS FOR WHATEVER REASON MEDICARE EXPLANATION PART III LINE 8 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 COLLECTION PRACTICES EXPLANATION PART III LINE 9B ONCE THE PATIENT IS APPROVED FOR INDIGENT CARE 100 WRITE OFF THE ACCOUNTS IS ARE RECLASSIFIED TO INDIGENT CARE AND NO FURTHER COLLECTION ACTIVITY IS CONDUCTED FOR PATIENTS APPROVED FOR CHARITY CARE REDUCED CHARGE THE ACCOUNT GUARANTOR WILL RECEIVE STATEMENTS AND PHONE CALLS TO COLLECT THE REMAINING BALANCE DUE NEEDS ASSESSMENT PART VI THE ORGANIZATION PRIMARILY SOLICITS FEEDBACK FROM THE MEDICAL STAFF AND THE CITY AND COUNTY OFFICIALS IN 2013 THE ORGANIZATION WITH THE ASSISTANCE OF GEORGIA SOUTHERN UNIVERSITY AND STATE FUNDING CONDUCTED ITS FIRST FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT THIS DOCUMENT CAN BE FOUND AT WWWCHATUGEREGIONALHOSPITALORG ON THE HOME PAGE PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI NOTICES ARE PUBLISHED IN THE LOCAL COMMUNITY NEWSPAPER REGARDING THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY ACCOUNT COLLECTORS ALSO INFORM THE ACCOUNT GUARANTOR OF THE AVAILABILITY OF INDIGENT AND CHARITY CARE ONCE THE COLLECTION PROCESS IS INITIATED THE ORGANIZATION MAILS OUT APPLICATIONS FOR FINANCIAL AID BUT A LIMITED NUMBER ARE EVER RETURNED COMMUNITY INFORMATION PART VI CHATUGE REGIONAL HOSPITAL CRH SERVES A GENERALLY RURAL MOUNTAINOUS AREA AND IS THE SOLE HOSPITAL IN TOWNS COUNTY DUE TO THE MOUNTAINOUS TERRAIN AND BEING BOUNDED BY THE CHATTAHOOCHEE NATIONAL FOREST AND LAKE CHATUGE TOWNS COUNTY AND ITS NEIGHBORING CLAY COUNTY NC HAVE VERY REMOTE COMMUNITIES FROM WHICH ACCESS TO MEDICAL CARE CAN LITERALLY BE MORE THAN AN HOUR AWAY IN SOME CASES TOWNS COUNTY ATTRACTS MANY VISITORS FOR CAMPING BOATING HIKING FISHING AND HUNTING AS WELL AS BICYCLISTS AND MOTORCYCLISTS WHICH OFTEN LEAD TO SERIOUS INJURY THAT THE EMERGENCY DEPARTMENT MUST BE PREPARED TO MEET FURTHERMORE CRH IS A CRITICAL ACCESS HOSPITAL FOR THE RESIDENTS OF TOWNS COUNTY GA AND CLAY COUNTY NC SIGNIFICANT PORTIONS OF THE RESIDENT POPULATION ARE MEDICARE AND MEDICAID BENEFICIARIES TOWNS COUNTY IS DEEMED TO HAVE A MEDICALLY UNDERSERVED POPULATION MUP BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI THE ORGANIZATION PROMOTES CONDUCTS HEALTH FAIRS OPEN TO THE COMMUNITY WHEREIN FREE HEALTH SCREENINGS AND LOWCOST BASIC LAB TESTS ARE DONE OTHER HEALTH INFORMATION IS PROVIDED INCLUDING INFORMATION ON SMOKING CESSATION AND DIABETES THE ORGANIZATION IS ENTIRELY TOBACCOFREE THUS PROMOTING A HEALTHY LIFESTYLE SURPLUS FUNDS ARE USED TO PROVIDE FOR THE ADDITION IMPROVEMENT OR REPLACEMENT OF CAPITAL AND EQUIPMENT NEEDS LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI GEORGIA ADDITIONAL INFORMATION PART VI AUDITED FINANCIAL STATEMENTS ATTACHED THE MOST RECENT AUDITED FINANCIAL STATEMENTS AVAILABLE AT THE TIME OF FILING THE FORM 990 IS FOR THE FISCAL YEAR ENDING APRIL 30 2012 CHATUGE REGIONAL HOSPITAL INC LINE NUMBER 1 PART V LINE 3 PART V LINE 3 INITIALLY THE COMMUNITY ADVISORY COMMITTEE WAS SELECTED ITS 22 MEMBERS REPRESENTING A CROSSSECTION OF THE TARGET AREA INCLUDING LOCAL POLITICIANS EDUCATORS BUSINESSMEN NURSES AND OTHER COMMUNITY MEMBERS COMMUNITYBASED SURVEYS AND FOCUS GROUPS PROVIDED A WIDE ARRAY OF COMMUNITY INPUT CHATUGE REGIONAL HOSPITAL INC LINE NUMBER 1 PART V LINE 4 PART V LINE 4 THE COLLEGE OF PUBLIC HEALTH GEORGIA SOUTHERN UNIVERSITY WAS GRANTED FUNDING BY THE DEPARTMENT OF COMMUNITY HEALTH TO PROVIDE TECHNICAL ASSISTANCE TO 18 NONPROFIT HOSPITALS IN COMPLETING THE COMMUNITY HEALTH NEEDS ASSESSMENT CHNA AS MANDATED BY THE IRS HOSPITALS INCLUDED IN THE CHNA PROJECT INCLUDED BACON REGIONAL HOSPITAL CHATUGE REGIONAL HOSPITAL CLINCH COUNTY HOSPITAL EVANS MEMORIAL HOSPITAL JASPER MEMORIAL HOSPITAL JEFF DAVIS HOSPITAL JEFFERSON HOSPITAL MILLER COUNTY HOSPITAL MONROE COUNTY HOSPITAL MORGAN MEMORIAL HOSPITAL PHOEBE WORTH MEDICAL CENTER TAYLOR REGIONAL HOSPITAL UNION GENERAL HOSPITAL WASHINGTON COUNTY MEDICAL CENTER MEMORIAL HOSPITAL MANOR MEADOWS REGIONAL MEDICAL CENTER STEPHENS COUNTY HOSPITAL LOUIS SMITH MEMORIAL HOSPITAL CHATUGE REGIONAL HOSPITAL INC LINE NUMBER 1 PART V LINE 14G PART V LINE 14G ANNUAL NEWSPAPER NOTICE INDICATING THE AVAILABILITY OF FINANCIAL ASSISTANCE REGISTRATION AND COLLECTORS PROVIDE INFORMATION AND FINANCIAL ASSISTANCE APPLICATIONS SIGNAGE POSTED IN REGISTRATION AND EMERGENCY DEPARTMENTS CHATUGE REGIONAL HOSPITAL INC LINE NUMBER 1 PART V LINE 16E PART V LINE 16E THE ORGANIZATION WOULD REPORT AN INDIVIDUAL TO THE COLLECTION AGENCY IF ALL OTHER CRITERIA FOR COLLECTION EFFORTS HAD BEEN MET CHATUGE REGIONAL HOSPITAL INC LINE NUMBER 1 PART V LINE 17E PART V LINE 17E THE ORGANIZATION WOULD REPORT AN INDIVIDUAL TO THE COLLECTION AGENCY IF ALL OTHER CRITERIA FOR COLLECTION EFFORTS HAD BEEN MET false false false false false false false false false J MICHAEL GOWDER 148918 600 6371 17559 173448 TIMOTHY N HENRY 138069 600 5634 6109 12333 162745 REBECCA T DYER 115083 600 57000 6824 179507 RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 3 NONE OF THE INDIVIDUAL BOARD MEMBERS OR OFFICERS ARE COMPENSATED BY THE FILING ORGANIZATION. THE FILING ORGANIZATION, INSTEAD, RELIES ON THE METHODS USED BY THE RELATED ORGANIZATION, UNION GENERAL HOSPITAL ("UGH") TO ESTABLISH COMPENSATION OF THE CEO AND EXECUTIVE OFFICERS. COMPENSATION DETERMINATION BY UGH INCLUDES INDEPENDENT COMPENSATION SURVEYS, COMPARISONS WITH OTHER ORGANIZATIONS' FORM 990, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED. FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A PROFESSIONALLY AND FACILITATE THE PRACTICE OF MEDICINE. WE VALUE OUR EMPLOYEES AND SHALL TREAT EACH OTHER WITH COURTESY, FAIRNESS, RESPECT, AND INTEGRITY. WE SHALL WORK AS A TEAM TO DO OUR BEST TO PROMOTE OUR MISSION AND FULFILL OUR VISION. WE VALUE OUR COMMUNITY. WE ARE COMMITTED TO THE TREATMENT AND CARE OF OUR PATIENTS AND PROMOTION OF HEALTH AND WELLNESS IN OUR COMMUNITY. WE WILL CONFRONT ALL ETHICAL AND MORAL HEALTH-RELATED ISSUES NECESSARY TO ENHANCE THE QUALITY OF LIFE IN OUR COMMUNITY. WE VALUE QUALITY CARE AND WILL SEEK TO DELIVER CUSTOMER-FOCUSED, COST EFFICIENT SERVICES WITH COMPASSION AND CARING. CRH WAS DEEMED TO BE A CRITICAL ACCESS HOSPITAL BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), EFFECTIVE MAY 1, 2002, AND BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH (DCH). CRH IS THE ONLY ACUTE CARE HOSPITAL IN TOWNS COUNTY, GEORGIA. CRH IS LIMITED TO 25 ACUTE AND INTENSIVE CARE MEDICAL/SURGICAL BEDS. THESE BEDS ARE ALSO USED FOR SHORT-TERM SKILLED NURSING CARE. OUTPATIENT SERVICES INCLUDE RADIOLOGY, LABORATORY AND OTHER DIAGNOSTIC SERVICES, REHABILITATION SERVICES, AND 24/7 EMERGENCY MEDICAL SERVICES. CRNH IS THE ONLY NURSING FACILITY IN THE COUNTY PROVIDING SKILLED AND INTERMEDIATE LEVELS OF LONG-TERM CARE. CRNH IS LICENSED FOR 112 BEDS AND CONSISTENTLY HAS A WAITING LIST FOR ADMISSIONS. A MAJORITY OF THE RESIDENTS OF CRNH ARE MEDICARE AND MEDICAID BENEFICIARIES. IT IS A LONG-ESTABLISHED POLICY OF CRH TO PROVIDE QUALITY CARE FOR ITS PATIENTS REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. QUALIFICATION FOR HOSPITAL INDIGENT CARE IS SET AT 125% OF THE CURRENT FEDERAL POVERTY GUIDELINES AND IS BASED ON SIZE OF THE FAMILY UNIT. CRH AND CRNH ALSO PROVIDE FREE OR REDUCED COST CARE TO ALL ELIGIBLE PERSONS REQUESTING CHARITY CARE ASSISTANCE. FOR EMERGENCY MEDICAL SERVICES, INCLUDING ACTIVE LABOR, NO PERSON WILL BE DENIED CARE DUE TO AN INABILITY TO PAY FOR SERVICES. CRH AND CRNH PARTICIPATE IN MEDICARE, MEDICAID, PEACHCARE, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. CRH, IN CONJUNCTION WITH ITS SISTER HOSPITAL, UNION GENERAL HOSPITAL, ARE THE ONLY TAX-EXEMPT, NON-PROFIT HOSPITALS WITHIN THE IMMEDIATE EIGHT-COUNTY AREA OF THE NORTH CENTRAL AND NORTHEAST GEORGIA MOUNTAINS. DUE TO THE MOUNTAINOUS TERRAIN AND BEING BOUNDED BY THE CHATTAHOOCHEE NATIONAL FOREST AND LAKE CHATUGE, TOWNS COUNTY AND ITS NEIGHBORING CLAY COUNTY, NC, HAVE SEVERAL VERY REMOTE COMMUNITIES FROM WHICH ACCESS TO MEDICAL CARE CAN LITERALLY BE MORE THAN AN HOUR AWAY IN SOME CASES. TOWNS COUNTY ATTRACTS MANY VISITORS FOR CAMPING, HIKING, FISHING AND HUNTING. THE TWISTING MOUNTAIN ROADS ATTRACT BICYCLISTS AND MOTORCYCLISTS THROUGHOUT THE SPRING, SUMMER AND FALL SEASONS. THESE ACTIVITIES MANY TIMES RESULT IN MEDICAL EMERGENCIES, SOME VERY SERIOUS, FOR WHICH THE EMERGENCY DEPARTMENT OF CRH MUST BE PREPARED. CRH ESTABLISHED A FAMILY MEDICAL PRACTICE IN HAYESVILLE, NC (CLAY COUNTY) TO HELP MEET THE MEDICALLY UNDERSERVED IN THE COMMUNITY. THE MEDICAL OFFICE IS STAFFED WITH FAMILY NURSE PRACTITIONERS AND SUPPORTED BY PHYSICIANS FROM CRH'S EMERGENCY DEPARTMENT. ADDITIONAL INFORMATION FORM 990, PART VI THE BOARD OF DIRECTORS, CEO, AND CFO SERVE IN A SIMILAR CAPACITY FOR BOTH UNION GENERAL HOSPITAL AND CHATUGE REGIONAL HOSPITAL. THEREFORE A BUSINESS RELATIONSHIP EXISTS BETWEEN ALL OF THESE INDIVIDUALS. ADDITIONALLY, OFFICERS GOWDER, HENRY AND DYER SERVE ON THE GOVERNING BODY FOR UNION GENERAL AMBULANCE SERVICE, INC., A RELATED 501C3 ORGANIZATION. RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 G. DAVID GOWDER, MD J. MICHAEL GOWDER BOARD MBR CEO FAMILY RELATIONSHIP CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 UNION GENERAL HOSPITAL, INC., A GEORGIA 501(C)(3) NON-PROFIT HEALTHCARE ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE CFO REVIEWED THE RETURN IN DETAIL AND PROVIDED A COPY OF THE COMPLETED FORM 990 TO EACH BOARD MEMBER PRIOR TO FILING. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C OFFICERS AND DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY THAT REQUIRES DISCLOSURE OF ANY POTENTIAL RELATIONSHIP CONFLICTS. ANY CONFLICTS ARE REPORTED TO THE CHAIRMAN OF THE BOARD AND/OR DISINTERESTED PERSON OR COMMITTEE. THE INDIVIDUAL MEMBER WITH THE CONFLICT RECUSES HIMSELF FROM THE DISCUSSIONS AND VOTES ON THE ISSUE. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A NO COMPENSATION IS PAID BY THIS ORGANIZATION TO ITS OFFICERS. THE COMPENSATION OF THE OFFICERS FOR WORK PERFORMED FOR THIS ORGANIZATION AND ANY RELATED PARTIES IS DETERMINED IN ACCORDANCE WITH THE COMPENSATION PRACTICES OF UNION GENEREAL HOSPITAL AND INCLUDE COMPARISONS TO AN INDEPENDENT COMPENSATION STUDY, APPROVAL OF THE CEO'S COMPENSATION BY THE BOARD OF DIRECTORS, AND MANAGEMENT AND OVERSIGHT OF OTHER EXECUTIVE COMPENSATION BY THE CEO. NO PUBLIC DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 18 PHOTOCOPIES OF THE ORGANIZATION'S FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONAL INFORMATION FORM 990, PART VII G. DAVID GOWDER IS COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES PERFORMED AS ER DIRECTOR OF THAT ORGANIZATION. NO PART OF HIS COMPENSATION IS PAID FOR HIS SERVICES AS BOARD MEMBER. UNION GENERAL HOSPITAL INC 35 HOSPITAL ROAD BLAIRSVILLE GA 30512 586025393 HOSPITAL GA 501C3 3 N/A false MOUNTAIN COMMUNITY HEALTHCARE FOUND P O BOX 509 HIAWASSEE GA 30546 201376498 FUNDRAISIN GA 501C3 11C UGH UNION GENERAL HOSPITAL INC false UNION GENERAL AMBULANCE SERVICE INC 35 HOSPITAL ROAD BLAIRSVILLE GA 30512 452735005 AMBULANCE GA 501C3 11B UGH UNION GENERAL HOSPITAL INC false UNION COUNTY DIALYSIS LLC 214 HOSPITAL CIRCLE BLAIRSVILLE GA 30512 582503326 DIALYSIS C GA N/A false false false false false false true false false false false false false false false true true true true false false