WINSTON COUNTY MEDICAL FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: WINSTON COUNTY MEDICAL FOUNDATION (EIN 64-6010402)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-08-13
IRS object ID: 201312259349303121
Schema version: 2012v2.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-13T14:31:00-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Watkins Ward and Stafford PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	53 North Dunn Street	AddressLine1
City	Eupora	City
State	MS	State
ZIP Code	39744	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	646010402	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	WINSTON COUNTY MEDICAL FOUNDATION	BusinessNameLine1
Business Name Line2	DBA WINSTON MEDICAL CENTER	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	WINS	NameControl
Phone	6627736211	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 967	AddressLine1
City	LOUISVILLE	City
State	MS	State
ZIP Code	39339	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Lee McCall	Name
Title	Administrator	Title
Date Signed	2013-08-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Thomas Browder CPA	Name
PTIN	P00444647	PTIN
Phone	6622582331	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	21008975	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.winstonmedical.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1994	YearFormation
State Legal Domicile	MS	StateLegalDomicile
Activity Or Mission Description	Provide health care services	ActivityOrMissionDescription
Nbr Voting Members Governing Body	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	263	TotalNbrEmployees
Total Nbr Volunteers	15	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	18815	ContributionsGrantsPriorYear
Contributions Grants Current Year	29315	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	21166070	ProgramServiceRevenuePriorYear
Program Service Revenue CY	20680277	ProgramServiceRevenueCY
Investment Income Prior Year	122545	InvestmentIncomePriorYear
Investment Income Current Year	77292	InvestmentIncomeCurrentYear
Other Revenue Prior Year	208688	OtherRevenuePriorYear
Other Revenue Current Year	222091	OtherRevenueCurrentYear
Total Revenue Prior Year	21516118	TotalRevenuePriorYear
Total Revenue Current Year	21008975	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	7399685	SalariesEtcPriorYear
Salaries Etc Current Year	7859209	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	13289441	OtherExpensePriorYear
Other Expenses Current Year	13032994	OtherExpensesCurrentYear
Total Expenses Prior Year	20689126	TotalExpensesPriorYear
Total Expenses Current Year	20892203	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	826992	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	116772	RevenuesLessExpensesCY
Total Assets BOY	15257677	TotalAssetsBOY
Total Assets EOY	17247901	TotalAssetsEOY
Total Liabilities BOY	1864087	TotalLiabilitiesBOY
Total Liabilities EOY	3737539	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	13393590	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	13510362	NetAssetsOrFundBalancesEOY
Mission Description	Provide health care services	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	18682733	Expense
Description	Winston County Medical Foundation D/B/A Winston Medical Center provides health care services to the residents of Winston County and surrounding areas including persons unable to pay for required services.	Description
Total Program Service Expense	18682733	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	false	ScheduleORequired
Number Forms Transmitted With1096	38	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	263	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Lee McCall	NamePerson
Telephone Number	6627736211	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 967	AddressLine1
City	Louisville	City
State	MS	State
ZIP Code	39339	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
Al Porter
Trustee	5.00	0.00	X	0	0	0
Will Hill
Trustee	5.00	0.00	X	0	0	0
Roger Mason
Trustee	5.00	0.00	X	0	0	0
Jack Miller
Trustee	5.00	0.00	X	0	0	0
Lex Taylor
Trustee	5.00	0.00	X	0	0	0
Lee McCall
Administrator	40.00	0.00		131423	0	18338	X
Paul Black
CFO	40.00	0.00		106586	0	9202	X
Robert Higginbotham
Dir. Radiology	44.00	0.00		108526	0	10628		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	346535	TotalReportableCompFromOrg
Total Other Compensation	38168	TotalOtherCompensation
Number Individuals GT100 K	3	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
The McCarty Company
PO Box 440	Tupelo	MS	38802	Construction	918393
Medicomp
PO Box 426	Magee	MS	39111	Resp, Occ, Phy Therp	1093423
Hospital Housekeeping Systems
PO Box 826	San Antonio	TX	78293	Environmental Serv.	642031
Emergency Room MD LLC
46 Holtzenger Ave Apt G	Starkville	MS	39759	ER Physicians	677868
Ameris
1114 17th Ave Ste 205	Nashville	TN	37212	Management Services	1058775

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	11	NumberOfContractorsGT100K
All Other Contributions	29315	AllOtherContributions
Total Contributions	29315	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Patient Care	Description
Total Revenue Column	20680277	TotalRevenueColumn
Exclusion	$20,680,277	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	20680277	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	77292	TotalRevenueColumn
Related Or Exempt Function Income	77292	RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	222091	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	222091	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	222091	TotalRevenueColumn
Related Or Exempt Function Income	222091	RelatedOrExemptFunctionIncome

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	21008975	TotalRevenueColumn
Related Or Exempt Function Income	299383	RelatedOrExemptFunctionIncome
Exclusion	$20,680,277	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	238009	Total
Management And General	238009	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	6132013	Total
Program Services	5598899	ProgramServices
Management And General	533114	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	388686	Total
Program Services	388686	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	637110	Total
Program Services	637110	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	463391	Total
Program Services	463391	ProgramServices

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	52659	Total
Management And General	52659	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	62067	Total
Management And General	62067	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	970433	Total
Program Services	809205	ProgramServices
Management And General	161228	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	455239	Total
Program Services	455239	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	246682	Total
Program Services	231533	ProgramServices
Management And General	15149	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	78918	Total
Program Services	78918	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	783532	Total
Program Services	783532	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	0	Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Other Fees	1405484	1295652	109832
Contractual fees	1910154	1910154
Bad debts	2077862	2077862
Professional Fees	2410434	2410434

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2579530	Total
Program Services	1542118	ProgramServices
Management And General	1037412	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	20892203	Total
Program Services	18682733	ProgramServices
Management And General	2209470	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3786	BOY
EOY	1741111	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	4313762	BOY
EOY	2782425	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2994478	BOY
EOY	3364815	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	175982	BOY
EOY	183331	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	175868	BOY
EOY	355657	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	17677482	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	10618298	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	4887943	BOY
EOY	7059184	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2705858	BOY
EOY	1761378	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	15257677	BOY
EOY	17247901	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1116599	BOY
EOY	1310077	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	689566	BOY
EOY	2399986	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	57922	BOY
EOY	27476	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1864087	BOY
EOY	3737539	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	13393590	BOY
EOY	13510362	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	13393590	BOY
EOY	13510362	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	15257677	BOY
EOY	17247901	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	116772	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	123162	OtherCostOrOtherBasis
Book Value	123162	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11104777	OtherCostOrOtherBasis
Depreciation	5616990	Depreciation
Book Value	5487787	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	140952	OtherCostOrOtherBasis
Depreciation	120109	Depreciation
Book Value	20843	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6284980	OtherCostOrOtherBasis
Depreciation	4881199	Depreciation
Book Value	1403781	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	23611	OtherCostOrOtherBasis
Book Value	23611	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	7059184	TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
Rounding	3
Other Receivables	280940
Interest Receivable	1281
Equity in MHA Insurance	141832
Due from Medicaid - EHR Incentive	230750
Construction in Progress	1106572

Field	Value	IRS element (for citing)
Total Book Value Other Assets	1761378	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Due to Third Party Payor	Description
Amount	$27,476	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	27476	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	21008975	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	21008975	RevenueSubtotal
Total Revenue Per Form990	21008975	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	20892203	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	20892203	ExpensesSubtotal
Total Expenses Per Form990	20892203	TotalExpensesPerForm990

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	false	AnnualCommunityBenefitReport
Report Publically Available	false	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	867585	TotalCommunityBenefitExpense
Direct Offsetting Revenue	180253	DirectOffsettingRevenue
Net Community Benefit Expense	687332	NetCommunityBenefitExpense
Percent Of Total Expense	0.03290	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1677762	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1036631	DirectOffsettingRevenue
Net Community Benefit Expense	641131	NetCommunityBenefitExpense
Percent Of Total Expense	0.03070	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2545347	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1216884	DirectOffsettingRevenue
Net Community Benefit Expense	1328463	NetCommunityBenefitExpense
Percent Of Total Expense	0.06360	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8962	TotalCommunityBenefitExpense
Net Community Benefit Expense	8962	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8962	TotalCommunityBenefitExpense
Net Community Benefit Expense	8962	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2554309	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1216884	DirectOffsettingRevenue
Net Community Benefit Expense	1337425	NetCommunityBenefitExpense
Percent Of Total Expense	0.06400	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	8962	TotalCommunityBuildingExpense
Net Community Building Expense	8962	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	8962	TotalCommunityBuildingExpense
Net Community Building Expense	8962	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$2,077,862	BadDebtExpenseAmount
Amount Attributable To	224441	AmountAttributableTo
Amount Reimbursed By Medicare	4301640	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	4266414	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	35226	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Winston County Comm Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	PO Box 967	AddressLine1
City	Lousiville	City
State	MS	State
ZIP Code	39339	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Winston County Comm Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	150.0000	FPGFreePercent
Uses FPG Discounted	false	UsesFPGDiscounted
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	true	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Number of Hospital Faciltiy - 1	Part V, Line 11 - Criteria Used For Discounted Care If Not FPG	A 20% discount is given for prompt payment.
	Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	The facility has in place a charity care applicaction for which any patient can apply, provided they meet the qualifications on the application.
	Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	Aging of account balances

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (22 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Waste Disposal: Column (A) - Total = $20397; Column (B) - Program Services = $20397; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Uniforms: Column (A) - Total = $100; Column (B) - Program Services = $100; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Telephone: Column (A) - Total = $72272; Column (B) - Program Services = $72272; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Supplies & Expenses: Column (A) - Total = $121516; Column (B) - Program Services = $121516; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Sales Tax: Column (A) - Total = $18; Column (B) - Program Services = $0; Column (C) - Management & General = $18; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Repair and Maintenance: Column (A) - Total = $400059; Column (B) - Program Services = $394011; Column (C) - Management & General = $6048; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Raw Food: Column (A) - Total = $6004; Column (B) - Program Services = $6004; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Postage and Shipping: Column (A) - Total = $12529; Column (B) - Program Services = $0; Column (C) - Management & General = $12529; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Pharmacy - Drugs: Column (A) - Total = $726447; Column (B) - Program Services = $726447; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Medicaid assessment: Column (A) - Total = $745511; Column (B) - Program Services = $153658; Column (C) - Management & General = $591853; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	MARKETING: Column (A) - Total = $23472; Column (B) - Program Services = $4671; Column (C) - Management & General = $18801; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Licenses & subscriptions: Column (A) - Total = $49452; Column (B) - Program Services = $22407; Column (C) - Management & General = $27045; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Insurance: Column (A) - Total = $320605; Column (B) - Program Services = $0; Column (C) - Management & General = $320605; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Collection fees: Column (A) - Total = $60513; Column (B) - Program Services = $0; Column (C) - Management & General = $60513; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	City & County Ad Valorem Tax: Column (A) - Total = $0; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Buildings & general: Column (A) - Total = $6235; Column (B) - Program Services = $6235; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Ambulance Subsidy: Column (A) - Total = $14400; Column (B) - Program Services = $14400; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	No documents available to the public.
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The applicable department heads review each employee and submit a recommended pay adjustment to the administrator, The administrator then goes to the board of trustees who will decide on a pay raise, if any.
Form 990, Part VI, Line 15a	Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	The board of trustees reviews the job performance of the administrator and based upon pay of other similar administrators adjusts his pay accordingly.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	During the year end audit, related party transactions are reviewed.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	Tax return was reviewed with management and tax preparer.