STRATEGY STUDIO / PUBLIC DATA EXPLORER

MAGEE BENEVOLENT ASSOCIATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MAGEE BENEVOLENT ASSOCIATION (EIN 64-0324402)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201343189349304429
Schema version
2012v2.1
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)
Timestamp2013-11-14T14:11:52-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN201941244EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HORNE LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11020 HIGHLAND COLONY PKWY STE 400AddressLine1
CityRIDGELANDCity
StateMSState
ZIP Code39157ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN640324402EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MAGEE BENEVOLENT ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMAGENameControl
Phone6018495070Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 THIRD AVENUE SEAddressLine1
CityMAGEECity
StateMSState
ZIP Code39111ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameALTHEA H CRUMPTONName
TitleCEOTitle
Phone6018495070Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARSHA H DIECKMAN CPAName
PTINP00246741PTIN
Phone6013261000Phone
Date Prepared2013-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1MAGEE GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonALTHEA H CRUMPTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 THIRD AVENUE SEAddressLine1
CityMAGEECity
StateMSState
ZIP Code39111ZIPCode
FieldValueIRS element (for citing)
Gross Receipts25158549GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MGHOSP.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1942YearFormation
State Legal DomicileMSStateLegalDomicile
Activity Or Mission DescriptionMAGEE GENERAL HOSPITAL SHALL CONTINUE TO PROVIDE QUALITY HEALTHCARE TO THOSE THAT PRESENT THEMSELVES FOR OUR SERVICES. WE ARE DEDICATED TO MEET THE CHALLENGES OF THE FUTURE TO ASSURE THAT PEOPLE OF THIS COMMUNITY RECEIVE QUALITY HEALTHCARE AT A REASONABLE COST. WE ARE COMMITTED TO MAINTAIN PATIENT CONFIDENTIALITY AND TO COMFORT AND RESPECT PATIENTS, FAMILIES AND FRIENDS.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees380TotalNbrEmployees
Total Nbr Volunteers26TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year169647ContributionsGrantsPriorYear
Contributions Grants Current Year27360ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27434782ProgramServiceRevenuePriorYear
Program Service Revenue CY24535584ProgramServiceRevenueCY
Investment Income Prior Year76479InvestmentIncomePriorYear
Investment Income Current Year-36193InvestmentIncomeCurrentYear
Other Revenue Prior Year366320OtherRevenuePriorYear
Other Revenue Current Year548811OtherRevenueCurrentYear
Total Revenue Prior Year28047228TotalRevenuePriorYear
Total Revenue Current Year25075562TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY51377GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11864914SalariesEtcPriorYear
Salaries Etc Current Year11128453SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16567650OtherExpensePriorYear
Other Expenses Current Year15596822OtherExpensesCurrentYear
Total Expenses Prior Year28432564TotalExpensesPriorYear
Total Expenses Current Year26776652TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-385336RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1701090RevenuesLessExpensesCY
Total Assets BOY27715478TotalAssetsBOY
Total Assets EOY27496631TotalAssetsEOY
Total Liabilities BOY10874315TotalLiabilitiesBOY
Total Liabilities EOY12152797TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16841163NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15343834NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMAGEE GENERAL HOSPITAL SHALL CONTINUE TO PROVIDE QUALITY HEALTHCARE TO THOSE THAT PRESENT THEMSELVES FOR OUR SERVICES. WE ARE DEDICATED TO MEET THE CHALLENGES OF THE FUTURE TO ASSURE THAT PEOPLE OF THIS COMMUNITY RECEIVE QUALITY HEALTHCARE AT A REASONABLE COST. WE ARE COMMITTED TO MAINTAIN PATIENT CONFIDENTIALITY AND TO COMFORT AND RESPECT PATIENTS, FAMILIES, AND FRIENDS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense21418356Expense
Grants51377Grants
Revenue25001408Revenue
DescriptionMAGEE GENERAL HOSPITAL OFFERS A VARIETY OF MEDICAL SERVICES THAT ARE DESIGNED TO MEET HEALTHCARE NEEDS OF THE SURROUNDING COMMUNITY. THIS SERVICE IS ACCOMPLISHED THROUGH THE OPERATION OF A FULL SERVICE INPATIENT, OUTPATIENT, AND EMERGENCY CARE FACILITY.Description
Total Program Service Expense21418356TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer1OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109696NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees380NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ALTHEA CRUMPTONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6018495070TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 3RD AVENUE SEAddressLine1
CityMAGEECity
StateMSState
ZIP Code39111ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
CHARLES PRUITT III MD
BOARD CHAIRMAN/PRESIDENT1.00X6275000
JOE STEPHENS
DIRECTOR1.00X25000
ALTHEA H CRUMPTON
CEO/SECRETARY/TREASURER40.00X95014015434X
LYN LAMPHERE
DIRECTOR1.00X25000
RS RUNNELS SR MD
BOARD VICE-PRESIDENT1.00X504500
BETTY C WADE RN
DIRECTOR1.00X25000
PJ PASCO DO
DIRECTOR1.00X25000
KELLI SMITH MD
DIRECTOR1.00X25000
MELISSA D BRUNTLETT
CFO - PART YEAR40.0073373017839X
SHARON SCRUGGS
NURSE PRACTIONER40.00154203016859X
MARTHA SMITH
NURSE PRACTIONER40.00194485011628X
JOHN HARPER MD
PHYSICIAN40.0015500000X
JUANITA TURNER
PHARMACIST40.0011148209950X
FieldValueIRS element (for citing)
Total Reportable Comp From Org852602TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation71710TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
KEYSTONE MEDICAL SERVICES
6075 POPLAR AVENUE STE 727MEMPHISTN38119ER PHYSICIAN COVERAGE811203
SOUTHERN ANESTHESIA SERVICES
135 PEARCE ROADMT OLIVEMS39119CRNA COVERAGE648960
MID SOUTH REHAB
711 AVIGNON DRIVERIDGELANDMS39157REHAB COVERAGE473941
MAGEE RADIOLOGY
104 HICKORY HILLS DRCLINTONMS39056RAD READING SERVICES394375
HARRY DOWDY MD PA
3 EASTBROOK CIRCLEMADISONMS391101764RAD READING SERVICES312949
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Related Organizations27360RelatedOrganizations
Noncash Contributions360NoncashContributions
Total Contributions27360TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code621990BusinessCode
Total Revenue Column24535584TotalRevenueColumn
Related Or Exempt Function Income24535584RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue24535584TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column46794TotalRevenueColumn
Exclusion$46,794ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities82987Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-82987Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-82987TotalRevenueColumn
Related Or Exempt Function Income-82987RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER HOSPITAL SERVICESDescription
Business Code621990BusinessCode
Total Revenue Column548811TotalRevenueColumn
Related Or Exempt Function Income548811RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue548811TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25075562TotalRevenueColumn
Related Or Exempt Function Income25001408RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$46,794ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total51377Total
Program Services51377ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total237432Total
Management And General237432ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9360971Total
Program Services7271265ProgramServices
Management And General2089706ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total108687Total
Program Services76469ProgramServices
Management And General32218ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total725570Total
Program Services550592ProgramServices
Management And General174978ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total695793Total
Program Services526868ProgramServices
Management And General168925ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total141751Total
Management And General141751ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total121047Total
Management And General121047ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total24034Total
Program Services24034ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total321281Total
Program Services16076ProgramServices
Management And General305205ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total41211Total
Program Services8942ProgramServices
Management And General32269ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total398980Total
Program Services398980ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1719219Total
Program Services1719219ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total299419Total
Program Services299419ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FEES46326204418112214508
SUPPLIES27100552305505404550
BAD DEBTS23354962335496
EQUIPMENT RENTAL & MAIN18263701146980679390

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1025339Total
Program Services269022ProgramServices
Management And General756317ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26776652Total
Program Services21418356ProgramServices
Management And General5358296ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2575BOY
EOY2231EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2725983BOY
EOY1706362EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4387918BOY
EOY3900225EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY557473BOY
EOY524527EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY359123BOY
EOY393374EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY172277BOY
EOY173264EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis30236130LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15644884LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14982635BOY
EOY14591246EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3424621BOY
EOY5899620EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1102873BOY
EOY305782EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27715478BOY
EOY27496631EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1994772BOY
EOY1638085EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY6566347BOY
EOY6234516EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2313196BOY
EOY4280196EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10874315BOY
EOY12152797EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16791137BOY
EOY15343834EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY50026BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16841163BOY
EOY15343834EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27715478BOY
EOY27496631EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1701090ReconcilationRevenueExpenses
Reconciliation Unrealized Invest130941ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment72825ReconcilationPriorAdjustment
Reconcilation Other Changes-5ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

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)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$503OtherActivitiesAmount
Total Lobbying Expenditures IIB503TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE ORGANIZATION PAYS AN ANNUAL MEMBERSHIP FEE TO BE A MEMBER OF THE MISSISSIPPI HOSPITAL ASSOCIATION (MHA). THE ORGANIZATION WAS NOTIFIED BY MHA THAT 14.41% OF THE FYE 4/30/12 MEMBERSHIP FEE AND 11.62% OF THE FYE 4/30/13 MEMBERSHIP FEE WAS RELATED TO MHA'S LOBBYING ACTIVITIES. THIS AVERAGES TO 16.16% FOR CALENDAR YEAR 2012, IN WHICH $4,004 IN DUES WERE PAID BY THE HOSPITAL TO MHA. THIS MAKES THE LOBBYING PERCENTAGE OF THOSE DUES $503 FOR CALENDAR YEAR 2012.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1417341OtherCostOrOtherBasis
Book Value1417341BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11338459OtherCostOrOtherBasis
Depreciation4076561Depreciation
Book Value7261898BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis228765OtherCostOrOtherBasis
Depreciation52931Depreciation
Book Value175834BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis17251565OtherCostOrOtherBasis
Depreciation11515392Depreciation
Book Value5736173BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14591246TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TRUSTMARK FINANCIAL SERVICES2426231F
MHA INVESTMENT POOL1237610F
BOND COVENANT CD927983F
INVESTMENT IN TUSCAN TOWERS1307796C
FieldValueIRS element (for citing)
Total Of Book Value Securities5899620TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
OBLIGATIONS UNDER CAPITAL LEASE$2,290,941
LINE OF CREDIT$1,989,255
FieldValueIRS element (for citing)
Total Of Amounts4280196TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. FASB ASC TOPIC 740 ("ASC 740") CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN INCLUDING THE ENTITY'S STATUS AS A PASS-THROUGH ENTITY. ADDITIONALLY, ASC 740 PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THE HOSPITAL HAD NO SIGNIFICANT UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2012. TAX PERIODS FOR ALL FISCAL YEARS AFTER 2008 REMAIN OPEN TO EXAMINATION BY THE FEDERAL TAXING JURISDICTIONS TO WHICH THE HOSPITAL IS SUBJECT.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage125.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent0FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1181513TotalCommunityBenefitExpense
Direct Offsetting Revenue199537DirectOffsettingRevenue
Net Community Benefit Expense981976NetCommunityBenefitExpense
Percent Of Total Expense0.04020PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense6399477TotalCommunityBenefitExpense
Direct Offsetting Revenue4488615DirectOffsettingRevenue
Net Community Benefit Expense1910862NetCommunityBenefitExpense
Percent Of Total Expense0.07820PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense165287TotalCommunityBenefitExpense
Direct Offsetting Revenue149310DirectOffsettingRevenue
Net Community Benefit Expense15977NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense7746277TotalCommunityBenefitExpense
Direct Offsetting Revenue4837462DirectOffsettingRevenue
Net Community Benefit Expense2908815NetCommunityBenefitExpense
Percent Of Total Expense0.11910PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense402269TotalCommunityBenefitExpense
Net Community Benefit Expense402269NetCommunityBenefitExpense
Percent Of Total Expense0.01650PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2726793TotalCommunityBenefitExpense
Direct Offsetting Revenue1257328DirectOffsettingRevenue
Net Community Benefit Expense1469465NetCommunityBenefitExpense
Percent Of Total Expense0.06010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3129062TotalCommunityBenefitExpense
Direct Offsetting Revenue1257328DirectOffsettingRevenue
Net Community Benefit Expense1871734NetCommunityBenefitExpense
Percent Of Total Expense0.07660PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10875339TotalCommunityBenefitExpense
Direct Offsetting Revenue6094790DirectOffsettingRevenue
Net Community Benefit Expense4780549NetCommunityBenefitExpense
Percent Of Total Expense0.19570PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,335,496BadDebtExpenseAmount
Amount Attributable To1167748AmountAttributableTo
Amount Reimbursed By Medicare5650616AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare5955679CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-305063MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
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 Line1MAGEE GENERAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1300 THIRD AVENUE SEAddressLine1
CityMAGEECity
StateMSState
ZIP Code39111ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherSKILLED NURSING; OUTPATIENT CLINICOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MAGEE GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
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 Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Prioritize Health NeedsXPrioritizeHealthNeeds
All Needs Addressed1AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent125.000000000000FPGFreePercent
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Permit Other ActionsXPermitOtherActions
Collection Activities1CollectionActivities
Other ActionsXOtherActions
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
HARPER CLINIC
105 EATON STTAYLORSVILLEMS39168PHYSICIAN CLINIC
MEDICAL PAVILION
234 MAGNOLIA DRRALEIGHMS39153PHYSICIAN CLINIC
MGH CLINIC
360 SIMPSON HWY 149MAGEEMS39111PHYSICIAN CLINIC
PEDIATRIC CLINIC OF MAGEE
360 SIMPSON HWY 149MAGEEMS39111PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 3C: IN ORDER FOR PATIENTS TO QUALIFY FOR CHARITY CARE, THEY MUST MEET THE FOLLOWING CRITERIA: PATIENT HAS NO INSURANCE; PATIENT SUBMITS DOCUMENTATION SHOWING THEY EARN LESS THAN 125% OF FEDERAL POVERTY LEVEL; PATIENT MAY QUALIFY IF THEY HAVE EXHAUSTED THEIR MEDICAID DAYS.
PART I, LINE 7: COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2.
PART I, LINE 7G: COSTS ASSOCIATED WITH PHYSICIAN CLINICS INCLUDED IN THE SUBSIDIZED HEALTH COST ARE $688,390.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2335496.
PART III, LINE 4: BAD DEBT EXPENSE IS REFLECTED AS THE AMOUNT OF CHARGES ACTUALLY WRITTEN OFF. THE FOOTNOTE IN THE FINANCIAL STATEMENTS REFLECTS- PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 53.1 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011, TO 59.1 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. THE HOSPITAL ALSO MAINTAINS ALLOWANCES FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY GOVERNMENTAL PAYORS. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR THIRD-PARTY GOVERNMENT PAYORS INCREASED FROM 4.4 PERCENT OF THIRD-PARTY GOVERNMENT ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011, TO 4.9 PERCENT OF THIRD-PARTY GOVERNMENT ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR THIRD-PARTY COMMERCIAL PAYORS INCREASED FROM 3.6 PERCENT OF THIRD-PARTY COMMERCIAL ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011, TO 5.6 PERCENT OF THIRD-PARTY COMMERCIAL ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. THE AMOUNT INCLUDED ON LINE 3 IS AN ESTIMATED GUESS AT 50%. THIS IS LIKELY HIGHER BUT INSUFFICIENT INFORMATION EXISTS TO DETERMINE THAT AMOUNT. A MAJORITY OF PATIENTS DO NOT SEEK CHARITY CARE ASSISTANCE THROUGH THE PROPER CHANNELS, THUS THE HOSPITAL NOW HAS 2 FINANCIAL COUNSELORS ON STAFF TO BETTER SERVE PATIENTS IN THIS PROCESS.
PART III, LINE 9B: MAGEE GENERAL HOSPITAL DOES NOT SEEK COLLECTIONS FROM PATIENTS WHO QUALIFY FOR CHARITY CARE.
PART V, SECTION B, LINE 3: AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, MAGEE BENEVOLENT ASSOCIATION ASKED VARIOUS LEADERS OF THE COMMUNITY TO ATTEND AND PARTICIPATE IN COMMUNITY MEETINGS TO OBTAIN THEIR INPUT REGARDING HEALTHCARE IN THE AREA. INVITEES INCLUDED CHIEF OF POLICE, SUPERVISORS, MINISTERS, HEALTHCARE CLINIC PROFESSIONALS, PHYSICIANS, AND MAYORS.MAGEE GENERAL HOSPITAL
PART V, SECTION B, LINE 11: NO DISCOUNTED CARE PROVIDEDMAGEE GENERAL HOSPITAL
PART V, SECTION B, LINE 12H: NO DISCOUNTED CARE PROVIDEDMAGEE GENERAL HOSPITAL
PART V, SECTION B, LINE 14G: FREE CARE IS DETERMINED BY THE CRITERIA OUTLINED IN THE FINANCIAL ASSISTANCE POLICY. DETERMINATIONS ARE THEN MADE BY A COMMITTEE. THE POLICY IS OFFERED TO PRIVATE PAY PATIENTS AND IS ALSO AVAILABLE ON REQUEST. EACH PATIENT SEEKING CHARITY/FREE CARE MUST APPLY, PROVIDE DOCUMENTATION AND UNDERGO REVIEW ON A CASE BY CASE BASIS BY THE HOSPITAL'S CHARITY COMMITTEE.MAGEE GENERAL HOSPITAL
PART V, SECTION B, LINE 16E: UNDER THE CHARITY POLICY, THE PATIENT IS ASKED TO FILL OUT A FINANCIAL ASSISTANCE APPLICATION DURING REGISTRATION. IF AN APPLICATION IS NOT FILLED OUT, AND PATIENT DOESN'T PAY THEIR BILL, THEY CAN BE TURNED OVER TO A COLLECTION AGENCY. IF THE PATIENT IS LATER DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE COLLECTION AGENCY REQUESTS ARE REVERSED.MAGEE GENERAL HOSPITAL
PART V, SECTION B, LINE 17E: PATIENTS THAT DID NOT FILL OUT A FINANCIAL ASSISTANCE APPLICATION, AND DID NOT PAY THEIR BILLS, WERE TURNED OVER TO A COLLECTION AGENCY. IF THE PATIENTS ARE LATER DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE COLLECTION AGENCY REQUESTS ARE REVERSED.MAGEE GENERAL HOSPITAL
PART V, SECTION B, LINE 20D: HOSPITAL'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR A 100% DISCOUNT TO ELIGIBLE INDIVIDUALS (125% OF FPG); THEREFORE, PATIENTS MEETING THIS REQUIREMENT ARE NOT CHARGED FOR THE SERVICES PROVIDED.MAGEE GENERAL HOSPITAL
PART VI, LINE 2: MAGEE GENERAL HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2012. THE CHNA CAN BE ACCESSED AT: HTTP://WWW.MGHOSP.ORG/DOCS/BU_EXECUTIVE_SUMMARY.PDF?SUB=STATIC
PART VI, LINE 3: PATIENTS WHO MAY QUALIFY FOR CHARITY CARE ASSISTANCE ARE INFORMED BY AN ON-SITE FINANCIAL COUNSELOR OR ANOTHER STAFF MEMBER OF THE AVAILABILITY OF THE PROGRAM.
PART VI, LINE 4: THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING GEOGRAPHIC AND DEMOGRAPHIC AREAS, IS ADDRESSED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED DURING 2012. THE CHNA CAN BE ACCESSED AT:HTTP://WWW.MGHOSP.ORG/DOCS/BU_EXECUTIVE_SUMMARY.PDF?SUB=STATIC
PART VI, LINE 5: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY AND DIRECTORS ARE CITIZENS OF SIMPSON OR SURROUNDING COUNTIES. MAGEE GENERAL HOSPITAL IS COMMITTED TO PROVIDE EXCELLENT HEALTHCARE FOR THE AREA BY ENSURING THE BEST QUALITY SERVICES AND CONTINUING TO EXPAND THE PROFESSIONAL SERVICES OF NUMEROUS GENERAL PRACTITIONERS AND SPECIALTY PHYSICIANS. MAGEE GENERAL HOSPITAL HAS RECENTLY EXPANDED TO INCLUDE AN UPDATED LAB, NEW LABOR AND DELIVERY SECTION, AND ADDITIONAL PHYSICIANS AND STAFF. THE NEW MEDICAL TOWERS OF TUSCAN COURT IS NEXT DOOR TO THE HOSPITAL AND INCLUDES MULTIPLE MEDICAL CLINICS AND PROVIDERS. NUMEROUS SERVICES HAVE BEEN ADDED TO SERVE THE COMMUNITY AND SURROUNDING AREAS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1MAGEE BENEVOLENT FOUNDATION DBA HEALTHTRUSTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 THIRD AVENUE SEAddressLine1
CityMAGEECity
StateMSState
ZIP Code39111ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient270031018EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant51377AmountOfCashGrant
Purpose Of GrantCHARITABLE SUPPORT - SALARY OF EXECUTIVE DIRECTORPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: MAGEE GENERAL HOSPITAL MAKES A DONATION TO MAGEE BENEVOLENT FOUNDATION (HEALTHTRUST) IN THE AMOUNT OF THE SALARY OF THE HEALTHTRUST'S EXECUTIVE DIRECTOR.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SHARON SCRUGGS
NURSE PRACTIONER8787400066329029580139010171062000
MARTHA SMITH
NURSE PRACTIONER8911300010537203955076730206113000
JOHN HARPER MD
PHYSICIAN155000000000000155000000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF MAGEE HOSPITAL REVENUE BOND SERIES 2007A
A6460006642007-05-295500000HOSPITAL CONSTRUCTION AND RENOVATION010
CITY OF MAGEE HOSPITAL REVENUE BOND SERIES 2007B
B6460006642007-05-292000000REFINANCING EXISTING HOSPITAL DEBT010

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindWorking Capital ExpendituresWorkingCapitalExpenditures
A5500000169149533085120090011
B200000061509200700111938491

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000000
B0000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000000000
B000000000

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonCHARLES PRUITT III MDNamePerson
Purpose Of LoanCONSTRUCTION OF MEDICAL TOWERS AT TUSCAN COURT, LLC., DR. PRUITT OWNS 50%.PurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$989,972OriginalPrincipalAmount
Balance Due524527BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due524527TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MED PROPERTIES OF MAGEE LLC
MED PROPERTIES OF MAGEE, LLC IS WHOLLY OWNED BY 3 BOARD MEMBERS.89708RENTAL PAYMENTS PAID BY THE ORGANIZATION TO MED PROPERTIES OF MAGEE, LLC. MED PROPERTIES OF MAGEE, LLC IS WHOLLY OWNED BY 3 BOARD MEMBERS: CHARLES PRUITT, PATRICK PASCO, AND R.S. RUNNELS.0
MEDICAL AND SURGICAL CLINIC PLLC
MEDICAL SURGICAL, PLLC IS WHOLLY OWNED BY 2 BOARD MEMBERS.49169PAYMENTS RECEIVED FROM MEDICAL SURGICAL, PLLC FOR MANAGEMENT AND ASSISTANCE PROVIDED BY THE ORGANIZATION. MEDICAL SURGICAL, PLLC IS WHOLLY OWNED BY 2 BOARD MEMBERS: CHARLES PRUITT AND PATRICK PASCO.0
MEDICAL AND SURGICAL CLINIC INC
MEDICAL SURGICAL, INC. IS WHOLLY OWNED BY 3 BOARD MEMBERS.52637RENTAL PAYMENTS PAID BY THE ORGANIZATION TO MEDICAL SURGICAL, INC. MEDICAL SURGICAL, INC IS WHOLLY OWNED BY 3 BOARD MEMBERS: CHARLES PRUITT, PATRICK PASCO, AND R.S. RUNNELS.0
MEDICAL TOWERS AT TUSCAN COURT
CHARLES PRUITT IS A 50% OWNER OF MEDICAL TOWERS AT TUSCAN COURT.596107RENTAL PAYMENTS PAID BY THE ORGANIZATION TO MEDICAL TOWERS AT TUSCAN COURT. CHARLES PRUITT, BOARD CHAIRMAN, IS A 50% OWNER OF MEDICAL TOWERS AT TUSCAN COURT.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2R.S. RUNNELS, SR, M.D. (VICE-PRESIDENT), DR. PATRICK PASCO (BOARD MEMBER), AND DR. CHARLES PRUITT (BOARD CHAIRMAN) ARE BUSINESS PARTNERS IN MAGEE AFTER HOURS CLINIC, PLLC, MED PROPERTIES OF MAGEE, LLC, MED CAMPUS, AND MEDICAL SURGICAL, INC.
FORM 990, PART VI, SECTION A, LINE 2DR. PATRICK PASCO (BOARD MEMBER), AND DR. CHARLES PRUITT (BOARD CHAIRMAN) ARE BUSINESS PARTNERS IN MEDICAL SURGICAL, PLLC.
FORM 990, PART VI, SECTION A, LINE 2DR. CHARLES PRUITT (BOARD CHAIRMAN) AND LYNN LAMPHERE (BOARD MEMBER) ARE SIBLINGS.
FORM 990, PART VI, SECTION B, LINE 11THE TAX RETURN WILL BE REVIEWED BY THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CPRIOR TO ANY GOVERNING BOARD ASSEMBLY DURING WHICH DECIDING VOTES WILL BE CAST REGARDING NEW FINANCIAL RELATIONSHIPS OR ARRANGEMENTS, THE CEO OF THE ORGANIZATION WILL REVIEW AND CONSIDER EACH MEMBER OF THE VOTING ASSEMBLY FOR ANY POTENTIAL CONFLICT OF INTEREST IN RELATION TO THE TRANSACTION OR ARRANGEMENT IN QUESTION. THE CEO WILL ASK ANY INDIVIDUAL WHOSE RELATIONSHIP MAY PRESENT A CONFLICT OF INTEREST TO ABSTAIN FROM CASTING A VOTE.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS OR THE COMPENSATION COMMITTEE APPROVES THE COMPENSATION OF THE ORGANIZATION'S CEO.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST DURING NORMAL BUSINESS HOURS AT THE ADMINISTRATION OFFICES OF THE ORGANIZATION.
FORM 990, PART XI, LINE 9:ROUNDING -5.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CTHE ORGANIZATION DOES HAVE AN AUDIT COMMITTEE AND THE PROCESS FOR SELECTING AND OVERSEEING THE INDEPENDENT AUDITORS HAS NOT CHANGED FROM PRIOR YEAR. SERVING ON THIS COMMITTEE ARE: ALTHEA CRUMPTON, CHANDA ROBERTS (CONTROLLER), AND DR. CHARLES PRUITT,III,MD.AUDIT COMMITTEE

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MAGEE BENEVOLENT FOUNDATION DBA HEALTHTRUSTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 THIRD AVENUE SEAddressLine1
CityMAGEECity
StateMSState
ZIP Code39111ZIPCode
FieldValueIRS element (for citing)
EIN270031018EIN
Primary ActivitiesSUPPORT MAGEE GENERAL HOSPITALPrimaryActivities
Legal Domicile StateMSLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(2)PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MAGEE BENEVOLENT ASSOCIATION DBA MAGEE GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1THE MEDICAL TOWERS AT TUSCAN COURT LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 THIRD AVENUE SEAddressLine1
CityMAGEECity
StateMSState
ZIP Code39111ZIPCode
FieldValueIRS element (for citing)
EIN203352577EIN
Primary ActivityMEDICAL OFFICE RENTALPrimaryActivity
Legal Domicile StateMSLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MAGEE BENEVOLENT ASSOCIATION DBA MAGEE GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income30868ShareOfTotalIncome
Share Of EOY Assets3520761ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MAGEE BENEVOLENT FOUNDATION DBA HEALTHTRUST
C27000CASH
MAGEE BENEVOLENT FOUNDATION DBA HEALTHTRUST
C360FAIR MARKET VALUE
MAGEE BENEVOLENT FOUNDATION DBA HEALTHTRUST
Q44322CASH
THE MEDICAL TOWERS AT TUSCAN COURT LLC
K303534CASH
MAGEE BENEVOLENT FOUNDATION DBA HEALTHTRUST
B51377CASH