PIEDMONT NEWTON HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PIEDMONT NEWTON HOSPITAL INC (EIN 58-2155150)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201313189349303781
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T12:17:25-06:00	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	DRAFFIN & TUCKER LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 71309	AddressLine1
City	ALBANY	City
State	GA	State
ZIP Code	317081309	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	582155150	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NEWTON HEALTH SYSTEM INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NEWT	NameControl
Phone	7707867053	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5126 HOSPITAL DRIVE NE	AddressLine1
City	COVINGTON	City
State	GA	State
ZIP Code	300142566	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	TROY B BROOKS	Name
Title	CFO	Title
Phone	7707867053	Phone
Date Signed	2013-11-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JACQUELINE G ATKINS	Name
Phone	2298837878	Phone
Date Prepared	2013-11-14	DatePrepared

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)
Name Of Principal Officer Person	JAMES F WEADICK CEO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	5126 HOSPITAL DRIVE NE	AddressLine1
City	COVINGTON	City
State	GA	State
ZIP Code	300142566	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	80630904	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.NEWTONMEDICAL.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1995	YearFormation
State Legal Domicile	GA	StateLegalDomicile
Activity Or Mission Description	PROVIDE STATE-OF-ART MEDICAL FACILITIES AND HEALTHCARE TO COVINGTON AND OTHER SURROUNDING AREAS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	999	TotalNbrEmployees
Total Nbr Volunteers	305	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	4369113	ContributionsGrantsPriorYear
Contributions Grants Current Year	3409263	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	68630909	ProgramServiceRevenuePriorYear
Program Service Revenue CY	72955050	ProgramServiceRevenueCY
Investment Income Prior Year	212976	InvestmentIncomePriorYear
Investment Income Current Year	-80338	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1045565	OtherRevenuePriorYear
Other Revenue Current Year	3376665	OtherRevenueCurrentYear
Total Revenue Prior Year	74258563	TotalRevenuePriorYear
Total Revenue Current Year	79660640	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	6000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	12000	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	39728265	SalariesEtcPriorYear
Salaries Etc Current Year	42669120	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	37017525	OtherExpensePriorYear
Other Expenses Current Year	37454735	OtherExpensesCurrentYear
Total Expenses Prior Year	76751790	TotalExpensesPriorYear
Total Expenses Current Year	80135855	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-2493227	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-475215	RevenuesLessExpensesCY
Total Assets BOY	72802936	TotalAssetsBOY
Total Assets EOY	73657086	TotalAssetsEOY
Total Liabilities BOY	35597537	TotalLiabilitiesBOY
Total Liabilities EOY	36984859	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	37205399	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	36672227	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDE STATE-OF-ART MEDICAL FACILITIES AND HEALTHCARE TO COVINGTON AND OTHER SURROUNDING AREAS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	69467764	Expense
Grants	12000	Grants
Revenue	75295792	Revenue
Description	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.	Description
Total Program Service Expense	69467764	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	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	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	true	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	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	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	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	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	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	130	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	999	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
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
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	true	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	true	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	false	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
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	TROY BROOKS	NamePerson
Telephone Number	7703854426	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	5126 HOSPITAL DRIVE NE	AddressLine1
City	COVINGTON	City
State	GA	State
ZIP Code	30014	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
TIM PARK MD
MEMBER	1.00	X	6000	0	0
DL KNOX
CHAIRMAN	1.00	X	0	0	0	X
MELVIN BAKER DMD
TREASURER	1.00	X	0	0	0	X
WILLIAM D FORTSON JR
VICE CHAIR	1.00	X	0	0	0	X
BOB RICHARDSON
MEMBER	1.00	X	0	0	0
ESTHER WILLIAMS
MEMBER	1.00	X	0	0	0
RICHARD BROWN
MEMBER	1.00	X	0	0	0
GEORGE HART
MEMBER	1.00	X	0	0	0
RANDALL MEADOWS
MEMBER	1.00	X	0	0	0
MARK HANSON MD
MEMBER	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	40.00		400265	0	59252	X
TROY B BROOKS
CFO	40.00		261327	0	43445	X
CARTER ROGERS MD
SURGEON	40.00		325603	0	28002		X
RENEE RILEY MD
PHYSICIAN	40.00		325162	0	10408		X
SONAL HAZARIWALA MD
NEUROLOGIST	40.00		254618	0	12250		X
JAMES HARBIN MD
PHYSICIAN	40.00		220595	0	9553		X
KARUNA SHAH DO
NEUROLOGIST	40.00		214004	0	24581		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2007574	TotalReportableCompFromOrg
Total Other Compensation	187491	TotalOtherCompensation
Number Individuals GT100 K	26	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	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
PHYSICAL THERAPY CLINICS OF GA PC
PO BOX 767068	ROSWELL	GA	30076	PT SERVICES	761441
RIVERDALE ANESTHESIA ASSOC PC
405 ARROWHEAD BLVD SUITE C	JONESBORO	GA	30236	ANESTHESIA SVCS	567421
WOUNDCARE ADVANTAGE
304 SIERRA MADRE BLVD	SIERRA MADRE	CA	91024	WOUND CARE SVC	394898
ALCOVY HOSPITALIST PC
P O BOX 2779	COVINGTON	GA	30015	HOSPITALISTS	326664
BEACON PARTNERS
1745 NORTH BROWN RD	LAWRENCEVILLE	GA	30043	SOFTWARE	260275

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	17	NumberOfContractorsGT100K
Government Grants	3409168	GovernmentGrants
All Other Contributions	95	AllOtherContributions
Total Contributions	3409263	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PROGRAM SERVICE REVENUE	Description
Business Code	621990	BusinessCode
Total Revenue Column	72955050	TotalRevenueColumn
Related Or Exempt Function Income	72955050	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	72955050	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	50261	TotalRevenueColumn
Exclusion	$50,261	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	546042	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	528546	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	17496	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	17496	TotalRevenueColumn
Exclusion	$17,496	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	130599	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-130599	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-130599	TotalRevenueColumn
Exclusion	-$130,599	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	374004	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	156937	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	217067	TotalRevenueColumn
Exclusion	$217,067	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	151153	GrossSalesOfInventory
Cost Of Goods Sold	154182	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-3029	TotalRevenueColumn
Exclusion	-$3,029	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
EHR REVENUE	621990	2079013	2079013
CAFETERIA SALES	722514	402138		$402,138
DRUG SALES TO EMPLOYEES	621990	282777		$282,777

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	381203	TotalRevenueColumn
Related Or Exempt Function Income	261729	RelatedOrExemptFunctionIncome
Exclusion	$119,474	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3145131	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	79660640	TotalRevenueColumn
Related Or Exempt Function Income	75295792	RelatedOrExemptFunctionIncome
Exclusion	$955,585	ExclusionAmount

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

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	12000	Total
Program Services	12000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	900472	Total
Program Services	6000	ProgramServices
Management And General	894472	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	34301857	Total
Program Services	30192935	ProgramServices
Management And General	4108922	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	861117	Total
Program Services	803195	ProgramServices
Management And General	57922	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4018739	Total
Program Services	3483794	ProgramServices
Management And General	534945	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2586935	Total
Program Services	2225799	ProgramServices
Management And General	361136	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	14434	Total
Management And General	14434	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	93824	Total
Management And General	93824	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	200004	Total
Management And General	200004	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	11720	Total
Management And General	11720	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	8255230	Total
Program Services	6889175	ProgramServices
Management And General	1366055	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	658327	Total
Program Services	108787	ProgramServices
Management And General	549540	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2510501	Total
Program Services	1869653	ProgramServices
Management And General	640848	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2479976	Total
Program Services	2309354	ProgramServices
Management And General	170622	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	136812	Total
Program Services	93450	ProgramServices
Management And General	43362	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	21632	Total
Program Services	21632	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	74024	Total
Management And General	74024	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	5607339	Total
Program Services	5221554	ProgramServices
Management And General	385785	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	744157	Total
Program Services	693965	ProgramServices
Management And General	50192	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	12611089	12611089
REPAIRS & MAINTENANCE	2857980	1957849	900131
TAXES & LICENSES	879933	879933
DUES & SUBSCRIPTIONS	241116	87600	153516

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	56637	Total
Management And General	56637	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	80135855	Total
Program Services	69467764	ProgramServices
Management And General	10668091	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2925099	BOY
EOY	2026410	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	10012938	BOY
EOY	9957996	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	10699293	BOY
EOY	13100136	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	656149	BOY
EOY	669091	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	80213	BOY
EOY	95213	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	118711982	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	73000916	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	46476999	BOY
EOY	45711066	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1952245	BOY
EOY	2097174	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	72802936	BOY
EOY	73657086	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	9951153	BOY
EOY	12815823	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	23260002	BOY
EOY	21885002	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2386382	BOY
EOY	2284034	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	35597537	BOY
EOY	36984859	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	37205399	BOY
EOY	36672227	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	37205399	BOY
EOY	36672227	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	72802936	BOY
EOY	73657086	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-475215	ReconcilationRevenueExpenses
Reconcilation Other Changes	-57957	ReconcilationOtherChanges
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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$11,720	OtherActivitiesAmount
Total Lobbying Expenditures IIB	11720	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Return Reference	SCHEDULE C, PART II-B, LINE 1	ReturnReference
Explanation	THE HOSPITAL PAYS AHA DUES ANNUALLY. A PORTION OF THE FEES PAID IS USED BY AHA TO COVER LOBBYING EXPENSES. FOR FISCAL YEAR 2012, 24% OF THE TOTAL PAID WAS ASSOCIATED WITH LOBBYING ACTIVITIES.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1615489	OtherCostOrOtherBasis
Book Value	1615489	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	70287790	OtherCostOrOtherBasis
Depreciation	36669358	Depreciation
Book Value	33618432	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	629186	OtherCostOrOtherBasis
Depreciation	510041	Depreciation
Book Value	119145	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	44889949	OtherCostOrOtherBasis
Depreciation	35821517	Depreciation
Book Value	9068432	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1289568	OtherCostOrOtherBasis
Book Value	1289568	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	45711066	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	80105747	TotRevenueEtcAuditedFinclStmt
Other Revenues	659145	OtherRevenues
Revenue Not Rptd F990	659145	RevenueNotRptdF990
Revenue Subtotal	79446602	RevenueSubtotal
Other Revenues Not Included	214038	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	214038	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	79660640	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	80795000	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	659145	OtherExpensesIncluded
Expenses Not Rptd F990	659145	ExpensesNotRptdF990
Expenses Subtotal	80135855	ExpensesSubtotal
Total Expenses Per Form990	80135855	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTE	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 OR 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, 2012 AND 2011 OR FOR THE YEARS THEN ENDED. THE SYSTEM'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2009-2011.
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 2D	RENTAL EXPENSES 528,546 GAIN ON SALE OF EQUIPMENT 130,599
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 4B	AUXILIARY NET INCOME 214,038
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	RENTAL EXPENSES 528,546 GAIN ON SALE OF EQUIPMENT 130,599

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	AUXILIARY EVENT	NameOfEvent1
Gross Receipts Event1	220855	GrossReceiptsEvent1
Gross Revenue Event1	220855	GrossRevenueEvent1
Other Direct Expenses Event1	102925	OtherDirectExpensesEvent1
Name Of Event2	GALA SPECIAL EV	NameOfEvent2
Gross Receipts Event2	89639	GrossReceiptsEvent2
Gross Revenue Event2	89639	GrossRevenueEvent2
Other Direct Expenses Event2	42727	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	63510	GrossReceiptsOtherEvents
Gross Revenue Other Events	63510	GrossRevenueOtherEvents
Other Direct Expenses Other Events	11285	OtherDirectExpensesOtherEvents
Gross Receipts Total	374004	GrossReceiptsTotal
Gross Revenue Total Events	374004	GrossRevenueTotalEvents
Other Direct Expenses Total Events	156937	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	156937	DirectExpenseSummaryEvents
Net Income Summary	217067	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4548396	TotalCommunityBenefitExpense
Net Community Benefit Expense	4548396	NetCommunityBenefitExpense
Percent Of Total Expense	0.05630	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14180418	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15297574	DirectOffsettingRevenue
Net Community Benefit Expense	-1117156	NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18728814	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15297574	DirectOffsettingRevenue
Net Community Benefit Expense	3431240	NetCommunityBenefitExpense
Percent Of Total Expense	0.05630	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	644539	TotalCommunityBenefitExpense
Net Community Benefit Expense	644539	NetCommunityBenefitExpense
Percent Of Total Expense	0.00800	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14711602	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13293502	DirectOffsettingRevenue
Net Community Benefit Expense	1418100	NetCommunityBenefitExpense
Percent Of Total Expense	0.01750	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	93421	TotalCommunityBenefitExpense
Net Community Benefit Expense	93421	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15449562	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13293502	DirectOffsettingRevenue
Net Community Benefit Expense	2156060	NetCommunityBenefitExpense
Percent Of Total Expense	0.02670	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	34178376	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28591076	DirectOffsettingRevenue
Net Community Benefit Expense	5587300	NetCommunityBenefitExpense
Percent Of Total Expense	0.08300	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$2,145,353	BadDebtExpenseAmount
Amount Reimbursed By Medicare	25341286	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	20433547	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	4907739	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

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	NEWTON MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	5126 HOSPITAL DRIVE NE	AddressLine1
City	COVINGTON	City
State	GA	State
ZIP Code	300142566	ZIPCode

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NEWTON MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Other	X	Other
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	true	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	100.0	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.0	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	1	NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NEWTON MEDICAL CENTER HOME HEALTH	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	5126 HOSPITAL DRIVE	AddressLine1
City	COVINGTON	City
State	GA	State
ZIP Code	30209	ZIPCode

Field	Value	IRS element (for citing)
Facility Type	HOME HEALTH AGENCY	FacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUBSIDIZED HEALTH SERVICES EXPLANATION	PART I LINE 7G	THIS SECTION INCLUDES 1814000 COSTS FOR PHYSICIAN CLINICS WHICH PROVIDE ACCESS TO PHYSICIAN SERVICES IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	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 80135855 ADD EXPENSES REPORTED IN PART VIII 682728 DENOMINATOR FOR COLUMN F 80818583
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 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 NONEMERGENT 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 NONCOMPLIANT 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 EXCERPT FROM AUDITED FINANCIAL STATEMENTS ALLOWANCE FOR DOUBTFUL ACCOUNTS THE SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE EVALUATION OF THE OVERALL COLLECTABILITY OF THE ACCOUNTS RECEIVABLE AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE THE ACCOUNT IS CHARGED AGAINST THE ALLOWANCE
MEDICARE EXPLANATION	PART III LINE 8	MEDICARE COSTS ARE BASED ON THE COST REPORT USING APPROPRIATE ALLOCATION METHODOLOGIES AND ACCEPTABLE STATISTICAL BASES MEDICARE RECEIPTS WERE COMPILED FROM THE PSR DATA MEDICARE COST REPORT
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS
NEEDS ASSESSMENT	PART VI	LOCAL AND STATE DEMOGRAPHICS FROM THE NEWTON COUNTY CHAMBER OF COMMERCE FINANCIAL RECORDS OF PATIENTS FEEDBACK FROM HOSPITAL SPONSORED SCREENINGS AND SUPPORT GROUPS
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	INFORMATION IS AVAILABLE VIA OUR WEBSITE AT HTTPWWWNEWTONMEDICALCOMPATIENTFINANCIALHTML 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 BILINGUAL AND ARE USED WITH NONENGLISH SPEAKING PATIENTS WHEN NEEDED THE HOSPITAL USES MEDASSIST TO WORK WITH UNINSURED PATIENTS TO ASSIST THEM IN DETERMINING IF THEY ARE ELIGIBLE FOR PROGRAMS SUCH AS DISABILITY MEDICAID AS WELL THE HOSPITALS CHARITY CARE PROGRAM ALL PATIENTS ACCOUNTS REGISTRATION AND SCHEDULING STAFF ARE TRAINED TO UNDERSTAND THE HOSPITALS 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
COMMUNITY INFORMATION	PART VI	NEWTON COUNTY HAS A HIGHER UNEMPLOYMENT RATE THAN THAT OF THE STATE OR NATION AT 98 UNINSURED PATIENTS MAKE UP 21 OF NEWTON COUNTY THE POPULATION OF THE COUNTY IS AT 100814 AS OF 2012 WITH 55 BEING WHITE 41 BLACK WITH 4 HISPANIC OR OTHER THE HISPANIC POPULATION HAS QUADRUPLED SINCE 2000 THE POPULATION IS AGING IN PLACE
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	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
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED	PART VI	GEORGIA
ADDITIONAL INFORMATION	PART VI	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 INPROVEMENT 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
NEWTON MEDICAL CENTER LINE NUMBER 1 PART V LINE 3	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 CHAMBER OF COMMERCE PARTICIPANTS IN THE STAKEHOLDER INTERVIEWS WERE REPRESENTED AS FOLLOWS NURSES SHERRIFFS 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
NEWTON MEDICAL CENTER LINE NUMBER 1 PART V LINE 5C	PART V LINE 5C	A COMPLETE COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT HTTPNEWTONMEDICALCOMPDFNEWTON20FINAL20REPORT2013PDF
NEWTON MEDICAL CENTER LINE NUMBER 1 PART V LINE 14G	PART V LINE 14G	INFORMATION IS AVAILABLE VIA OUR WEBSITE AT HTTPWWWNEWTONMEDICALCOMPATIENTFINANCIALHTML AS WELL AS A BROCHURE AND INFORMATION WITHIN OUR PATIENT GUIDE
NEWTON MEDICAL CENTER LINE NUMBER 1 PART V LINE 18E	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 INHOUSE 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 THIRDPARTY COVERAGE ANDOR BENEFITS AVAILABLE WILL BE OFFERED THE FACILITY FLAT RATE IF THE PATIENT STATES THAT THEY ARE UNABLE TO AFFORD THE FACILITY ESTABLISHED SELFPAY 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 1OFFER THE PATIENT A CONFIDENTIAL FINANCIAL APPLICATION FORM 2ASSIST THE PATIENT IN COMPLETING A CONFIDENTIAL FINANCIAL APPLICATION WHICH WILL DOCUMENT THE PATIENTS FINANCIAL NEED 3OBTAIN THE PATIENTS 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 PATIENTS 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 APPLICANTS 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 PATIENTS 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 NONDISCRETIONARY 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 EO 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 ANDOR ASSISTANT ADMINISTRATOR FOR FISCAL SERVICES IF THE ACCOUNT IS APPROVED BY TWO OF THE THREE ABOVE STATED MANAGERS FOR NON DISCRETIONARY FINANCIAL ASSISTANCE AN ADJUSTMENT WILL BE MADE TO THE ACCOUNT WITH THE DESIGNATED WRITEOFF CODE ALL OTHER ACCOUNTS WILL BE RETURNED TO EO 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 1MEDICAL ASSISTANCE ELIGIBILITY SCREENINGDENIAL NOTICE THE MEDICAID ELIGIBILITY VENDOR MUST HAVE SCREENED PATIENT PRIOR TO APPLICATION SCREENING RESULTS SHOULD BE SHOWN BY DOCUMENTATION IN THE MEDITECH SYSTEM 2INCOME TAX RETURNS FOR THE MOST RECENTLY FILED YEAR 3PROOF OF INCOME AND ADJUSTED GROSS INCOME SUCH AS THE PATIENTS YEAR END PAY STUBS W2 OR THEIR ANNUAL MOST RECENT TAX RETURN 4BANK STATEMENTS CHECKING AND SAVINGS PAST 60 DAYS 5ANY OTHER DOCUMENTATION THAT MAY SERVE AS PROOF OF ELIGIBILITY FOR FINANCIAL ASSISTANCE 6A 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 PATIENTS FAMILY SIZE IS USED TO DETERMINE WHETHER ANNUAL INCOME FALLS AT BELOW OR EXCEEDS 300 OF THE FPG
NEWTON MEDICAL CENTER LINE NUMBER 1 PART V LINE 20D	PART V LINE 20D	THE HOSPITAL USED THE AVERAGE MANAGED CARE DISCOUNT

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	TUITION/SCHOLA ASSISTANCE	TypeOfGrant
Number Of Recipients	9	NumberOfRecipients
Amount Of Cash Grant	12000	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES	Identifier
Return Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	ReturnReference
Explanation	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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg
JAMES WEADICK
CEO	395027	5238	43750	15502	459517
TROY B BROOKS
CFO	260932	395	28646	14799	304772
CARTER ROGERS MD
SURGEON	325207	396	12500	15502	353605
RENEE RILEY MD
PHYSICIAN	274847	315	3536	6872	335570	50000
SONAL HAZARIWALA MD
NEUROLOGIST	196441	162	5485	6765	266868	58015
JAMES HARBIN MD
PHYSICIAN	220271	324	3357	6196	230148
KARUNA SHAH DO
NEUROLOGIST	213137	867	10836	13745	238585

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS	SCHEDULE J, PAGE 1, PART I, LINE 4	JAMES WEADICK 0 31,250 0 TROY B. BROOKS 0 19,000 0
OTHER ADDITIONAL INFORMATION	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, NOT NET INCOME. THEY ARE NOT PREDICATED ON ANY VOLUME GENERATED INTO THE HOSPITAL, NOR FOR THAT MATTER ARE THEY TIED TO PURE VOLUME OF VISITS/SURGERIES/DELIVERIES EITHER.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Business Name Line2IssuerName/BusinessNameLine2	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
NEWTON COUNTY HOSPITAL AUTHORITY
A	2006 REVENUE BONDS	586004174	NONENONEN	2006-04-27	8930000	4TH FLOOR ADDN HOSP	false	false	false
NEWTON COUNTY HOSPITAL AUTHORITY
B	2007 BOND ISSUE	586004174	NONENONEN	2007-05-30	17225000	ADVC REFUND 1999 BONDS	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Refunding EscrowRefundingEscrow
A	2145000	9010590	1349661	178600	8751400	2007	false	false	true	true
B	2124998		1126717	235999		2002	false	true	true	true	16989001

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	false	false	false	false	false	true
B	false	false	false	false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	false	false	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false	false	false

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	false	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	DIFFERENCES IN ISSUE PRICE EXPLANATION	Identifier
Return Reference	SCHEDULE K	ReturnReference
Explanation	NEWTON COUNTY HOSPITAL AUTHORITY TOTAL PROCEEDS INCLUDES TOTAL INVESTMENT EARNINGS FROM SINKING FUND OF APPROXIMATELY 80600	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	WILLIAM D FORTSON	NamePerson

Field	Value	IRS element (for citing)
Relationship	BOARD MEMBER	Relationship
Amount Of Transaction	60000	AmountOfTransaction
Description Of Transaction	RENT	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE L PART V	ReturnReference
Explanation	WILLIAM D FORTSON ALONG WITH HIS SPOUSE OWN AND OPERATE GINN MOTOR COMPANY THE FILING ORGANIZATION COMPENSATED MR AND MRS FORTON 60000 DURING THE CALENDAR YEAR 2012 TO LEASE OFFICE SPACE ONE LEASE FOR THE IMAGING CENTER WAS IN EFFECT FOR THE FULL YEAR THE SPACE IS 4000 SQUARE FEET AND THE TOTAL EXPENDITURE FOR 2012 WAS 48000 THE SECOND LEASE FOR SOUTHEAST NEUROLOGY COMMENCED IN OCTOBER 2012 THE SPACE IS 4000 SQUARE FEE AND THE EXPENSE FOR 2012 WAS 12000	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS	FORM 990, PAGE 1, PART I, LINE 6	ESTIMATED VOLUNTEER HOURS FOR FISCAL YEAR 2012 IS 33,616. 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.
RELATED PARTY INFORMATION AMONG OFFICERS	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
ELECTION OF MEMBERS AND THEIR RIGHTS	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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	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 12, 2013 MEETING AND THE MEMBERS WILL BE INFORMED THAT A REVIEW OF THE ENTIRE DOCUMENT IS AVAILABLE TO THEM IF THEY SO DESIRED.
ENFORCEMENT OF CONFLICTS POLICY	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.
COMPENSATION PROCESS FOR TOP OFFICIAL	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.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	SEE LINE 15A ABOVE.
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 AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES UPON REQUEST.
OTHER FEES FOR SERVICES	FORM 990, PART IX, LINE 11G	PURCHASED SERVICES NONMED 2,460,730 508,280 0 PROFESSIONAL SERVICES 1,666,194 309,385 0 PURCHASED SERVICES MEDICA 1,890,810 80,836 0 COLLECTION SERVICES 0 376,356 0 AGENCY FEES 871,441 91,198 0
RECONCILIATION OF CHANGES - OTHER	FORM 990, PART XI, LINE 9	RENTAL EXPENSES 528,546 GAIN ON SALE OF EQUIPMENT 130,599 AUXILIARY NET INCOME -214,038 RENTAL EXPENSES -528,546 GAIN ON SALE OF EQUIPMENT -130,599
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	AUXILIARY ADJUSTMENT 156,081

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	NEWTON COUNTY HOSPITAL AUTHORITY	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	5126 HOSPITAL DRIVE NE	AddressLine1
City	COVINGTON	City
State	GA	State
ZIP Code	300142566	ZIPCode

Field	Value	IRS element (for citing)
EIN	586004714	EIN
Primary Activities	AUTHORITY	PrimaryActivities
Legal Domicile State	GA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg