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GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY (EIN 58-6000498)
Tax period
2012-05-01 to 2013-04-30
Filed
2013-12-13
IRS object ID
201333479349300728
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-12-13T10:51:30-08:00Timestamp
Tax Period End Date2013-04-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN586000498EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GLYNN-BRUNSWICK MEMORIAL HOSP AUTHORITYBusinessNameLine1
Business Name Line2dba S E GA HEALTH SYSTEM-BRUNSWICKBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlGLYNNameControl
Phone9124663395Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12415 Parkwood DrAddressLine1
CityBrunswickCity
StateGAState
ZIP Code31520ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael D ScherneckName
TitleExec Vice Pres,CFOTitle
Date Signed2013-12-13DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGary R Colberg FACHENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15030 Riverside DrAddressLine1
CityBrunswickCity
StateGAState
ZIP Code31520ZIPCode
FieldValueIRS element (for citing)
Gross Receipts301921195GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitesghs.orgWebSite
Type Of Organization AssociationXTypeOfOrganizationAssociation
Year Formation1954YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionSoutheast Georgia Health System will provide safe, quality, accessible, and cost-effective care to meet the health needs of the people and communities it serves.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees2295TotalNbrEmployees
Total Nbr Volunteers378TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1614755ContributionsGrantsPriorYear
Contributions Grants Current Year899898ContributionsGrantsCurrentYear
Program Service Revenue Prior Year225777283ProgramServiceRevenuePriorYear
Program Service Revenue CY238993781ProgramServiceRevenueCY
Investment Income Prior Year2512320InvestmentIncomePriorYear
Investment Income Current Year8828605InvestmentIncomeCurrentYear
Other Revenue Prior Year2710260OtherRevenuePriorYear
Other Revenue Current Year3075069OtherRevenueCurrentYear
Total Revenue Prior Year232614618TotalRevenuePriorYear
Total Revenue Current Year251797353TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year954942GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY743913GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year98877385SalariesEtcPriorYear
Salaries Etc Current Year100279966SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year114648457OtherExpensePriorYear
Other Expenses Current Year119375304OtherExpensesCurrentYear
Total Expenses Prior Year214480784TotalExpensesPriorYear
Total Expenses Current Year220399183TotalExpensesCurrentYear
Revenues Less Expenses Prior Year18133834RevenuesLessExpensesPriorYear
Revenues Less Expenses CY31398170RevenuesLessExpensesCY
Total Assets BOY455084275TotalAssetsBOY
Total Assets EOY489778407TotalAssetsEOY
Total Liabilities BOY198168683TotalLiabilitiesBOY
Total Liabilities EOY212267230TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY256915592NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY277511177NetAssetsOrFundBalancesEOY
Mission DescriptionSoutheast Georgia Health System will provide safe, quality, accessible, and cost-effective care to meet the health needs of the people and communities it serves.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense209796000Expense
Grants743913Grants
Revenue238993781Revenue
DescriptionGlynn Brunswick Memorial Hospital Authority, D/B/A Southeast Georgia Health System - Brunswick Campus, is a 316 bed acute care hospital located in southeast Georgia in the city of Brunswick. For the 12 month fiscal period beginning 05/01/2012 and ended 04/30/2013, the medical center had 54,706 inpatient patient days and 1,336 births. We served 146,283 patients on an outpatient basis and an additional 53,218 patients were seen in the emergency room. Our financial statements include over $66.7 million in free care (includes indigent care, charity care and bad debts).Description
Total Program Service Expense209796000TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096164NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2295NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMichael DScherneckExecVPCFONamePerson
Telephone Number9124667049TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12415 Parkwood DrAddressLine1
CityBrunswickCity
StateGAState
ZIP Code315204766ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MH Woody Woodside
Board Member2.000.00X000
Robert C Turner
Board Member2.000.00X000
Joanne M Matukaitis FAACVPR
Board Member2.002.00X000
Mitchell T Jones MD
Board Member2.004.00X000X
J Vance Hughes
Board Member2.000.00X000X
Michael Hodges
Treasurer4.002.00X000
Walter McNeely
Secretary2.000.00X000
Mark Bedner
Vice Chairman3.000.00X000X
Carl Alexander
Chairman6.000.00X000X
Michael D Scherneck
Exec VP/CFO40.000.003637090114945X
Gary R Colberg FACHE
President & CEO40.000.006721360100020X
Patrick D Ebri
VP, Human Resources40.000.00215661071050X
Elizabeth Gunn
VP, Patient Care Svcs.40.000.00179189058243X
Timothy Jamieson MD
Physician40.000.0011238370113887X
Jack Deese MD
Physician40.000.0010315000117138X
Thomas Sasser MD
Physician40.000.001031799094051X
Dennis Carter MD
Physician40.000.009916530106396X
Michael Sullivan MD
Physician40.000.008586580105746X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6468142TotalReportableCompFromOrg
Total Other Compensation881476TotalOtherCompensation
Number Individuals GT100 K144NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Morrison Management Specialists
PO Box 102289AtlantaGA30368Cafeteria Management3212338
Diversified Clinical Services
PO BOx 636981CincinnatiOH452636981Wound Care715640
Davita Inc
PO Box 403008AtlantaGA30384Dialysis941040
Alliance Healthcare Services
PO Box 96485ChicagoIL60693PET Scan1414705
Alapaha GASC Surg Svcs
6339 E Speedway Blvd 201TusconAZ85710Lithotripsy674179
FieldValueIRS element (for citing)
Number Of Contractors GT100 K25NumberOfContractorsGT100K
Related Organizations409695RelatedOrganizations
All Other Contributions490203AllOtherContributions
Total Contributions899898TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Svc RevenueDescription
Business Code621400BusinessCode
Total Revenue Column238993781TotalRevenueColumn
Related Or Exempt Function Income238993781RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue238993781TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3949349TotalRevenueColumn
Exclusion$3,949,349ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column17TotalRevenueColumn
Exclusion$17ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2488192Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real341991Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2146201Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2146201TotalRevenueColumn
Exclusion$2,146,201ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities54660743Securities
Other347Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities49781589Securities
Other262Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4879154Securities
Other85Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4879239TotalRevenueColumn
Exclusion$4,879,239ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Other Operating Revenue621400311455$311,455
5501-5215 Camden Laundry900099227891$227,891
5500-5525 Utility Income900099389522$389,522
FieldValueIRS element (for citing)
Total Other Revenue928868TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column251797353TotalRevenueColumn
Related Or Exempt Function Income238993781RelatedOrExemptFunctionIncome
Exclusion$11,903,674ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total719913Total
Program Services719913ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total24000Total
Program Services24000ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1574702Total
Program Services1500376ProgramServices
Management And General74326ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total73085417Total
Program Services70485561ProgramServices
Management And General2599856ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3320972Total
Program Services3164222ProgramServices
Management And General156750ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16867665Total
Program Services16071511ProgramServices
Management And General796154ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5431210Total
Program Services5174857ProgramServices
Management And General256353ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total805171Total
Management And General805171ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total182506Total
Management And General182506ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total32398Total
Program Services32398ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total31684366Total
Program Services28429098ProgramServices
Management And General3255268ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1114222Total
Program Services270581ProgramServices
Management And General843641ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total51527105Total
Program Services50288553ProgramServices
Management And General1238552ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4446039Total
Program Services4319137ProgramServices
Management And General126902ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total482328Total
Program Services350243ProgramServices
Management And General132085ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total5463762Total
Program Services5463762ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16686928Total
Program Services16551309ProgramServices
Management And General135619ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2475439Total
Program Services2475439ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Cash Over and Short-17-17
Property Taxes1459814598
Recruitment Expense366401366401
Provider Taxes40940584094058

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total220399183Total
Program Services209796000ProgramServices
Management And General10603183ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3230589BOY
EOY3236631EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY38845272BOY
EOY41023803EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY9784660EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5686003BOY
EOY6738088EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2364004BOY
EOY3120113EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis395396508LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec202667470LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY203335115BOY
EOY192729038EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY142810535BOY
EOY157813250EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY55037058BOY
EOY73034411EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY166618BOY
EOY154390EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3609081BOY
EOY2144023EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY455084275BOY
EOY489778407EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY55647609BOY
EOY65460822EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY125000BOY
EOY672565EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY126862096BOY
EOY125688820EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY9376670BOY
EOY15947537EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6157308BOY
EOY4497486EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY198168683BOY
EOY212267230EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY256915592BOY
EOY277511177EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY256915592BOY
EOY277511177EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY455084275BOY
EOY489778407EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses31398170ReconcilationRevenueExpenses
Reconciliation Unrealized Invest6383919ReconciliationUnrealizedInvest
Reconcilation Other Changes-17186504ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$64,921DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB64921TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationThe Hospital Authority is a member of the Georgia Hospital Association and The Georgia Alliance of Community Hospitals. A portion of the dues paid to those industry organizations is deemed to be attributed to the lobbying efforts of those organizations on behalf of all hospitals throughout the state of Georgia. In addition, the Hospital Authority has engaged Hurt Norton to represent the Hospital Authority on issues and appropriation opportunities that are specific to the hospitals operated by the Hospital Authority and the communities which it serves.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis20566189OtherCostOrOtherBasis
Book Value20566189BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis197230045OtherCostOrOtherBasis
Depreciation76463963Depreciation
Book Value120766082BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4035776OtherCostOrOtherBasis
Depreciation2725310Depreciation
Book Value1310466BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis141350629OtherCostOrOtherBasis
Depreciation114270973Depreciation
Book Value27079656BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis32213869OtherCostOrOtherBasis
Depreciation9207224Depreciation
Book Value23006645BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings192729038TotalOfBookValueLandBuildings
Total Of Book Value Program Related73034411TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Rounding$3
Lease Obligation L/T$4,497,483
FieldValueIRS element (for citing)
Total Of Amounts4497486TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt258181272TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments6383919NetUnrealizedGainsInvestments
Revenue Not Rptd F9906383919RevenueNotRptdF990
Revenue Subtotal251797353RevenueSubtotal
Total Revenue Per Form990251797353TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt220399183TotExpensesEtcAuditedFinclStmt
Expenses Subtotal220399183ExpensesSubtotal
Total Expenses Per Form990220399183TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationOn May 1, 2009, Southeast Georgia Health System adopted the uncertain tax positions provisions of FASB ASC Topic 740 ("ASC 740"), Income Taxes, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the combined financial statements. Under ASC 740-10-25, Southeast Georgia Health System may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. The tax benefits recognized in the combined financial statements from such a position are measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. ASC 740 also provides guidance on de-recognition, classification, interest and penalties on income taxes, and accounting in interim periods. The System has determined that it does not have any material unrecognized tax benefits or obligations as of April 30, 2013 and 2012, respectively. Fiscal years ending on and after April 30, 2010 remain subject to examination by federal and state tax authorities.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage125.000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense17911337TotalCommunityBenefitExpense
Direct Offsetting Revenue2653940DirectOffsettingRevenue
Net Community Benefit Expense15257397NetCommunityBenefitExpense
Percent Of Total Expense0.06920PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense19216121TotalCommunityBenefitExpense
Direct Offsetting Revenue18734231DirectOffsettingRevenue
Net Community Benefit Expense481890NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense367506TotalCommunityBenefitExpense
Direct Offsetting Revenue317506DirectOffsettingRevenue
Net Community Benefit Expense50000NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense37494964TotalCommunityBenefitExpense
Direct Offsetting Revenue21705677DirectOffsettingRevenue
Net Community Benefit Expense15789287NetCommunityBenefitExpense
Percent Of Total Expense0.07160PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense481426TotalCommunityBenefitExpense
Net Community Benefit Expense481426NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense92500TotalCommunityBenefitExpense
Net Community Benefit Expense92500NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1048896TotalCommunityBenefitExpense
Net Community Benefit Expense1048896NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1622822TotalCommunityBenefitExpense
Net Community Benefit Expense1622822NetCommunityBenefitExpense
Percent Of Total Expense0.00740PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense39117786TotalCommunityBenefitExpense
Direct Offsetting Revenue21705677DirectOffsettingRevenue
Net Community Benefit Expense17412109NetCommunityBenefitExpense
Percent Of Total Expense0.07900PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$8,235,515BadDebtExpenseAmount
Amount Attributable To1301211AmountAttributableTo
Amount Reimbursed By Medicare74170257AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare79620571CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5450314MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
Renue Plastic Surgery Ctr
Plastic Surgery Services0.150000.85000
SE GA Cyberknife CenterLLC
Cancer Care Services0.510000.49000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SGHS-BrunswickBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12415 Parkwood DrAddressLine1
CityBrunswickCity
StateGAState
ZIP Code31520ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SGHS-BrunswickBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccountfalseTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailablefalseCHNAWidelyAvailable
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
File Form4720 Report Excise TaxfalseFileForm4720ReportExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent125.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Senior Care Center - St Marys
805 Dilworth StSt MarysGA31558Long Term Care Facility
Senior Care Center - Brunswick
2611 Wildwood DrBrunswickGA31520Long Term Care Facility

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - States Where Community Benefit Report FiledGA
Part VI - Community Building ActivitiesOur community efforts resulted in patients being served by our Wellness on Wheels(WOW),mobile health vehicle which provides free screening (mammography, dexascan, blood pressure and blood sugar, hearing, vaccinations), and Community Care Center, a pediatric center that is dedicated to the health care needs of our Medicaid population. These programs and many others form the foundation of our commitment to community health improvement.Wellness on Wheels(WOW), mobile health vehicle is our mobile "health care on wheels" that travels and delivers care throughout the nine county region. The WOW operates mostly Monday through Saturday and some Sunday's, as requested and serves a different location each week.. Staffed by our expert providers; the WOW provides a broad range of free services: mammography, dexascan, blood pressure and blood sugar, hearing, cholesterol screenings to basic health care check-ups, medical exams, and vaccinations. In addition to providing medical care, our financial counselors assist patients in applying for a variety of community assistance programs. Our financial counselors work with individuals to understand their unique needs and assist them in applying for federal, state, and local programs they may qualify for, including Medicaid and pharmaceutical assistance, food stamps, and the Women, Infants and Children (WIC) program. Community Care Center is a pediatric and adolescent focused program that offers health services for Medicaid patients. The program was established when it was determined that our pediatricians were unable to meet the growing needs in our community. The Community Care Center is conveniently located off the main interstate and next to our Glynco Immediate Care Center, and provides physical health services. Nearly 100 percent of participating families are either uninsured or enrolled in Medicaid. Our community partners are critical to helping us improve the health and well-being of the greater coastal Georgia region. Together, we can combine resources and strengths, positively impacting the greatest number of people. By working closely with community leaders, we also build a greater sense of community and a shared commitment toward our common goal of improving the community's health. We're proud of our partners.Community partners include:Coastal Medical Access ProgramCoastal Health DistrictCoastal Coalition of ChildrenGolden Isles Child Advocacy CenterOur vice president responsible for ancillary services and our administrative resident coordinates with area high schools to offer an Explore Post program that brings awareness to high school students of the job opportunities in the health care field. Our director of volunteer services also coordinates and works with area high school students on a shadowing program and promote health careers at their annual information fairs at the local high schools. Employees in the CommunityEvery year, Southeast Georgia Health System unites around corporate-wide efforts: Ringing bells for the Salvation Army; fundraising for the American Cancer Society, participating in our local United Way Campaign and so much more.At Southeast Georgia Health System, it's important to us to give back to our community. In addition to team member United Way donations and volunteer time at Relay For Life and other sponsored events, our team members participate in a variety of community service initiatives, from Habitat for Humanity to the Boys and Girls Club of Southeast Georgia to local student mentoring programs.
Part VI - Community InformationThe Glynn-Brunswick Memorial Hospital Authority is located within the city limits of Brunswick in Glynn County, Georgia. St.Simons Island, Sea Island and Jekyll Island are other residential areas in the county. The primary service area includes Glynn, Brantley, McIntosh and Camden Counties. There are approximately 162,883 residents in the primary service area year-round according to U.S. Census bureau estimates for 2010 and approximately 20,000 additional temporary residents during the tourist season. The Glynn-Brunswick Memorial Hospital Authority's secondary service area consists of counties adjacent to Glynn County and located within a 50-mile radius of Brunswick. These counties include Pierce, Long, Charlton and Wayne Counties in Georgia and Nassau County in Northeast Florida. The approximate population for the secondary service area is 148,806 residents according to the U.S. Census Bureau estimates for 2010.The Glynn-Brunswick Memorial Hospital Authority derived approximately 87% of its admissions from its primary service area with approximately 64% of such admissions from Glynn County. Approximately 5% of the Brunswick Campus's admissions were from the secondary service area. The remaining approximately 8% of admissions originated from other parts of Georgia and other states.The Glynn-Brunswick Memorial Hospital Authority is the only hospital located in Glynn County and there are no other hospitals within a 35 mile radius. The only other hospitals in the secondary service area are King's Bay Community Hospital, Inc., a 40 bed affiliated hospital located in St. Marys, Georgia and Wayne Memorial Hospital, a 138-bed hospital located in Jesup, Georgia in Wayne County.
Part VI - Patient Education of Eligibility for AssistanceSoutheast Georgia Health System's Financial Assistance Program (Indigent/Charity Policy) is advertised by signage in Admissions, the Emergency Care Center and the Business Office. Program information is also contained periodically in Southeast Georgia Health System's healthcare magazine which is distributed throughout the community.*The standard registration packet for all patients contains a printed form describing the Financial Assistance Program and the application process. The Financial Assistance process is further explained to the patients by the Registrars during the registration process. Additionally, patients being admitted as an inpatient are provided an information booklet which further details the Financial Assistance Program relating to the inability to pay for medical costs.*Financial Counselors in Admissions engage patients/financially responsible persons and investigate repayment options for medical costs incurred by patients being admitted to an inpatient status who display no identifiable means of paying for medical services through a third party insurer or other source. Contract staff is on site and available to assist patients with United States Social Security Disability and/or Supplemental Income programs. Financial Counselors will assist patients in the application process for other federal and state public assistance programs and if ineligible, will promote Southeast Georgia Health System's internal financial assistance program as an additional option.*All billing statements address the patient's potential inability to pay for medical services by advertising Southeast Georgia Health System's Financial Assistance Program on the front and back of each statement mailer.*Business Office reception and telephone inquiry staff educate and promote Southeast Georgia Health System's Financial Assistance Program and distribute applications when a patient has indicated financial hardship, unemployment or the need for a low monthly repayment plan.*Financial Assistance Program information is contained on Southeast Georgia Health System's website with the ability for the patient to print an application for their use.*Financial Assistance Program information and applications are also provided by collection staff and collection subcontractors upon indication of a patient's financial need or inability to pay for medical services. Federal and state public assistance programs are suggested as well.
Part VI - Needs AssessmentAt the Glynn-Brunswick Memorial Hospital Authority, our goal is to strengthen the health and well-being of our patients and neighbors, as well as the broader community. Glynn-Brunswick Memorial Hospital Authority d/b/a Southeast Georgia Health System-Brunswick Campus provided $17.9 million in community benefits, which is more important to building the vitality of our community than ever. The services we provide are essential to not only the community's overall health, but also to the quality of life of every resident. This belief is ingrained in our culture, from our volunteer Glynn-Brunswick Memorial Hospital Authority board to our physicians and nurses, staff, auxiliary volunteers, and our Southeast Georgia Health System Foundation.We participate in informal community needs assessments regularly, collaborating with local agencies, schools, and community groups. The results help us determine our short- and long-term priorities as well as strategies for improving community health. Our leadership team is involved with several community activities and on boards. These range from the Rotaries to the International Seafarers program to the Coastal Medical Access Program which serves the under-and uninsured in our community and beyond.
Part V, Line 20d - Other Billing Determination of Individuals Without InsuranceMedical ChargesSoutheast Georgia Health System medical charges are the same for all patients and are not tiered by payer source. Patients incurring financial liabilities whether insured or uninsured are provided discount incentives for resolving outstanding balances. A substantial prompt pay discount, which is the equivalent of our average managed care insurance contracted discount rate, is offered for patient balances. Also, patients demonstrating a diminished ability to pay through full financial disclosure and repayment analysis are considered for settlement discounts which may exceed or be equivalent to Medicare rates.Number of Hospital Faciltiy - 1
Part V, Line 18e - Other Actions Took Before Any Collection ActionsCollection agencies are required to promote Southeast Georgia Health System's Financial Assistance Program when the debtor has demonstrated an inability to pay in response to collection activity. Repayment plans are allowed and monthly payments can be modified to align with the debtor's resources. At the end of ninety days of collection activity from the date of debt referral, collection agencies are required to assess the debtor's ability to pay based upon their response or lack of response in meeting their financial obligation. Debt identified as having no collection potential or an identifiable source for repayment will be closed and returned to Southeast Georgia Health System as "uncollectible" and all collection activity ceases.Number of Hospital Faciltiy - 1
Part V, Line 14g - Other Means Hospital Facility Publicized the PolicyFor patients seeking medical care, Southeast Georgia Health System does process applications and issue approvals prior to the rendering of services upon completion of a financial assistance application and provision of supporting documentation. In situations where medical care is emergent and the patient is receiving or has just received services, the application process can be initiated at the time of service but processing and adjudication cannot occur until supporting documentation such as the most current tax return, paycheck stubs, social security payments and financial assets such as savings, investments, rental income or income producing property are investigated. Household income and dependents supported are factored into the eligibility criteria. The patient's residence is not considered in the determination of eligibility.Number of Hospital Faciltiy - 1
Part V, Line 12h - Other Factors Used in Determing Amounts Charged PatientsSoutheast Georgia Health System medical charges are the same for all patients and are not tiered by payer source. Patients incurring financial liabilities whether insured or uninsured are provided discount incentives for resolving outstanding balances.Number of Hospital Faciltiy - 1
Part III, Line 8 - Explanation Of Shortfall As Community BenefitThe Hospital Authority believes that the shortfall in Medicare program funding does represent a community benefit as the shortfall has arisen primarily as a result of the Hospital Authority's decision to support the community with certain programs and services which would not otherwise be available if it were not for the Hospital Authority's decision to support the range of services irrespective of the payments provided under the Medicare program.
Part III, Line 4 - Bad Debt ExpenseNet patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others as services are rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payors, and provision for bad debts. Retroactive third-party payor settlements and bad debt adjustments are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods as final settlements are determined. The cost value of Bad Debts was determined by multiplying Bad Debt measured on a gross charge basis by the overall cost to charge ratio developed on the Medicare Cost Report. The amount estimated to have been eligible for financial assistance was determined by multiplying Bad Debt Expense(at cost)by the poverty rate for Glynn County, Georgia

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrantDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
United WayCoastal GA
PO Box 877BrunswickGA31521580671327501(c)(3)363990Primary Exempt Activity
SE GA Health Sys Found
2415 Parkwood DrBrunswickGA31520582125644501(c)(3)3182260Operation Expense of Foundation
Hospice-Golden Isles Fndtn
1692 Glynco PkwyBrunswickGA31525200368663501(c)(3)140000Primary Exempt Activity
Golden Isles FCA
8701 Leeds RoadKansas CityMO64129440610626501(c)(3)250000Primary Exempt Activity
Davis Love III Foundation
P O Box 20344St Simons IslGA31522202920597501(c)(3)750000Primary Exempt Activity
College of Coastal GA
Foundation Inc-3700 Altama AVeBrunswickGA31520586072323501(c)(3)092500Continuing Nursing EducationStaffed Position
Coastal Symphony of GA
PO Box 21733St Simons IslGA31522581637768501(c)(3)80000Primary Exempt Activity
Brunswick Port Society
IntSeamans 307 Newcastle StBrunswickGA31520581544208501(c)(3)100000Primary Exempt Activity
American Cancer Society
3011 Hampton Ave Suite 361BrunswickGA31520131788491501(c)(3)187500Primary Exempt Activity
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants9TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantScholarships & Student LoansTypeOfGrant
Number Of Recipients4NumberOfRecipients
Amount Of Cash Grant24000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationAs a major corporate presence within the communities it serves, the Health System recognizes its corporate responsibility to support worthwhile organizational initiatives in the areas of health improvement, education and community development. An in depth knowledge of the communities which the Health System serves developed through the involvement of its officers, directors and key employees enables the Health System to assess the potential benefits offered by various organizations and to monitor their activities to ensure that the proceeds are utilized for the intended purposes.It is the policy of Southeast Georgia Health System that scholarship assistance is provided based on criteria established and approved by the Administrative Council's Scholarship Committee (Scholarship Committee) as appointed by the Vice President, Human Resources and for identified, critically needed positions. Critically needed positions are those which have been identified as in short supply regionally or nationally and/or are specialized. A scholarship fund is established and budgeted for at the beginning of each Southeast Georgia Health System fiscal year.Scholarships are provided to assist students while supplying an additional employment stream to the Health System. The intent of the scholarship is for the student to work with the Health System following graduation from the accredited program or to repay the monies granted (principal plus interest) in accordance with the procedures outlined in this policy.Scholarship assistance is typically provided to allied health or nursing school students who are willing to commit to at least one (1) year of fulltime employment in goal position with Southeast Georgia Health System in exchange for one year of scholarship assistance.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Timothy Jamieson MD
Physician6523764248164664548700651871237724
Thomas Sasser MD
Physician5245134547175256931700623511125850
Patrick D Ebri
VP, Human Resources17975735904337453730528671110346
Michael Sullivan MD
Physician52624832424681644870057046964404
Michael D Scherneck
Exec VP/CFO30086762842892042574147865452105
Jack Deese MD
Physician8500015182312967659700574381148638
Gary R Colberg FACHE
President & CEO4828351893014870051320772156
Elizabeth Gunn
VP, Patient Care Svcs.17581533743816720076237432
Dennis Carter MD
Physician5247994058716098346185602111098049

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part I, Line 7Part I, Line 7: Non-Fixed payments not listed aboveCertain physicians are entitled to receive non-fixed payments based on the productivity of that physician based upon worked relative value units(WRVU) without regard to the revenues or net earnings of the organization.
Sch J, Part I, Line 6bPart I, Line 6b: Explanation of organization compensation contingent on net earnings from related orCompensation contingent on Net Earnings of the organization: Certain members of Management participate in a Management Incentive Plan which is based on a variety of managerial, quality and financial performance indicators. However, compensation is provided under that plan only if a certain net earnings threshold is met.
Sch J, Part I, Line 1aPart I, Line 1a: Relevant information in regards to selections on 1a.Certain of the individuals listed in Form 990, Part VII, Section A, Line 1a are eligible for an auto allowance, a portion of which is based upon actual mileage traveled reimbursed at the allowable IRS rate. The balance is subject to a tax indemnification and gross-up so that the net amount of said payments, and the aforementioned mileage reimbursement, does not exceed a predetermined amount.Certain of the individuals listed in Form 990, Part VII, Section A, Line 1a are eligible for participation under a corporate membership at Brunswick Country Club. The related dues are treated as a taxable benefit to those individuals.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancingCUSIP NumberCUSIPNumber
Glynn-Bwk Mem Hosp Author
D5860004982012-02-294200000Advance Refundingfalsefalsefalse
Glynn-Brunswick Memorial Hospital Authority
C5860004982008-09-0940570000Capital ProjectsfalsefalsefalseSeePartVI
Glynn-Brunswick Memorial Hospital Authority
B5860004982008-09-09106865000Advanced RefundingfalsefalsefalseSeePartVI
Glynn-Brunswick Memorial Hosp Authority
A5860004982005-04-2818285000Advanced RefundingfalsefalsefalseSeePartVI

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresAmount In Reserve FundAmountInReserveFundOther Spent ProceedsOtherSpentProceeds
D465000422000042200001998falsetruetruetrue
C120000405700002010falsefalsetruetrue57000040000000
B1045923552006falsetruetruetrue1075399951695694000000
A8850000182850001998falsetruetruetrue82017017464830

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Dfalsefalsefalsefalsetrue
Cfalsefalsefalsefalsetrue
Bfalsefalsefalsefalsetrue
Afalsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledException To RebateExceptionToRebateHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsRebate Not Due YetRebateNotDueYet
Dfalsetruefalsefalsefalsefalse
Cfalsefalsefalsefalsefalsetrue
Bfalsefalsefalsefalsefalsetrue
Afalsetruefalsefalsefalsefalse

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart VIReturnReference
ExplanationCUSIP NUMBERS-SERIES 2005:380037EJ6,380037EK3,380037EL1,380037EM9,380037EN7,380037EP2,380037EQ0,380037ER8,380037ES6,380037ET4,380037EU1,380037EV9CUSIP NUMBERS-SERIES 2008:380037FF3,380037FG1,380037FH9,380037FJ5,380037FK2,380037FC0,380037FD8,380037FE6Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMichael Hodges Board MemberNamePerson
FieldValueIRS element (for citing)
RelationshipAmeris BankRelationship
Amount Of Transaction1000000AmountOfTransaction
Description Of TransactionSee Schedule ODescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part IV, Line 28c - Schedule LDESCRIPTIONMr. Michael Hodges is a key employee of Ameris Bank, a financial institution with which Southeast Georgia Health System maintains certain deposits approximating $1,000,000. Those deposits were placed through a competitive bid process. To the extent required, Mr. Hodges has recused himself from any decisions with respect to that relationship.
Other Changes In Net Assets Or Fund Balances - Other DecreasesOrg 009 Prior Year Adjustments = -$73092Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other DecreasesOrg 001 Prior Year Adjustments = -$2530977Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other DecreasesMinority Interest CyberKnife = -$705252Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other DecreasesEquity Transfer CHSI 5502-5215 = -$25534000Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other IncreasesEquity in Earnings from Foundation = $4909341Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other IncreasesEquity in Earnings from Camden = $8253614Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other DecreasesEquity in Earnings CHSI = -$1506138Form 990, Part XI, Line 9
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableExcept through the normal I.R.S/ Form 990 inspection process, The Glynn-Brunswick Memorial Hospital Authority d/b/a, Southeast Georgia Health System, has not established a standard process for making its governing documents, conflict of interest policy and financial statements available to the public.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe compensation amounts paid to the individual serving in the capacity as Chief Executive Officer, Executive Director and/or other top management officials and officers are determined based on comparative survey/market data compiled by an independent consulting firm specializing in executive and employee compensation matters. The findings and recommendation of the consultant are reviewed with the Compensation Committee and/or the Executive Compensation Committee of Southeast Georgia Health System which in turn makes recommendations to the full Authority (i.e., Board) of Southeast Georgia Health System which ultimately approves those compensation amounts.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsUnder the conflict-of-interest, whistleblower, and document retention and destruction policies of The Glynn-Brunswick Memorial Hospital Authority d/b/a Southeast Georgia Health System, the Compliance Department requires all members of the Board of Directors, officers and key employees to report any potential conflicts on an annual basis.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11b: Form 990 Review ProcessA draft electronic copy of Form 990 was provided to the members of the Board of the Glynn-Brunswick Memorial Hospital Authority prior to being filed with the Internal Revenue Service. Management reviewed Form 990 with the Hospital Authority at a subsequent meeting and addressed all questions and recommendations that the Hospital Authority raised.Form 990, Part VI, Line 11b
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe Glynn-Brunswick Memorial Hospital Authority (the "Authority") is a public body corporate and politic, which was created in 1961 pursuant to the State of Georgia Hospital Authorities Act by resolutions adopted by the governing bodies of Glynn County and the City of Brunswick. The Authority's governing board is comprised of nine members, four of whom are appointed by the Authority from the nominees submitted by the City of Brunswick, and four of whom are appointed by the Authority from the nominees submitted by Glynn County. One member is appointed by the Authority from the nominees submitted jointly from the City of Brunswick and Glynn County. The appointments have staggered terms and the appointments are for four years.Form 990, Part VI, Line 6

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Southeast GA Health Sys Foundation Inc
2415 Parkwood DrBrunswickGA31520582125644Charitable FoundationGA501(c)(3)11N/Atrue
Cooperative Healthcare Svcs Inc
2415 Parkwood DrBrunswickGA31520010594994Physician and Immediate Care FacilitiesGA501(c)(3)11N/Atrue
Kings Bay Hosp dba SE GA Health Sys-CMC
2000 Dan Proctor DrSt MarysGA31558581911751Inpatient and Outpatient Healthcare ServicesGA501(c)(3)3N/Atrue

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipDirect Controlling Entity NADirectControllingEntityNAShare Of EOY AssetsShareOfEOYAssetsShare Of Total IncomeShareOfTotalIncome
Glynco LLC
3010 W White River BlvdMuncieIL47304593762931Real Estate LeasingINNAN/Afalsefalse0.55000
SGHS QALICB I LLC
2415 Parkwood DrBrunswickGA31520900912965Real Estate HoldingsGARelatedfalsefalse0.95000N/A20071910
Southeast Georgia Cyberknife Center LLC
2500 Starling St Suite 107BrunswickGA31520273316081Medical ServicesGARelatedfalsefalse0.51000N/A514575997315

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Thomas & Mildred Beach Foundation TrustBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1c/o Amsouth Bank PO Box 11426AddressLine1
CityBirminghamCity
StateALState
ZIP Code35202ZIPCode
FieldValueIRS element (for citing)
Primary ActivityCharitable Remainder TrustPrimaryActivity
Legal Domicile StateALLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityTrustTypeOfEntity
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Southeast GA Health Sys Foundation Inc
c409695
Southeast GA Health Sys Foundation Inc
b318226
Cooperative Healthcare Svcs Inc
q1320342
Cooperative Healthcare Svcs Inc
o40509711
Cooperative Healthcare Svcs Inc
j1610632
Cooperative Healthcare Svcs Inc
b25534000
Kings Bay Hosp dba SE GA Health Sys-CMC
q486541
Kings Bay Hosp dba SE GA Health Sys-CMC
o1230659