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GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY (EIN 58-6000498)
Tax period
2011-05-01 to 2012-04-30
Filed
2012-12-14
IRS object ID
201203499349300815
Schema version
2011v1.2
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)
Timestamp2012-12-14T11:35:11-08:00Timestamp
Tax Period End Date2012-04-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-05-01TaxPeriodBeginDate

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 Signed2012-12-14DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts244832351GrossReceipts
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 Employees2327TotalNbrEmployees
Total Nbr Volunteers349TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1089441ContributionsGrantsPriorYear
Contributions Grants Current Year1614755ContributionsGrantsCurrentYear
Program Service Revenue Prior Year222340700ProgramServiceRevenuePriorYear
Program Service Revenue CY225777283ProgramServiceRevenueCY
Investment Income Prior Year7816177InvestmentIncomePriorYear
Investment Income Current Year2512320InvestmentIncomeCurrentYear
Other Revenue Prior Year2424761OtherRevenuePriorYear
Other Revenue Current Year2710260OtherRevenueCurrentYear
Total Revenue Prior Year233671079TotalRevenuePriorYear
Total Revenue Current Year232614618TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year878180GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY954942GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year96131026SalariesEtcPriorYear
Salaries Etc Current Year98877385SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year111032635OtherExpensePriorYear
Other Expenses Current Year114648457OtherExpensesCurrentYear
Total Expenses Prior Year208041841TotalExpensesPriorYear
Total Expenses Current Year214480784TotalExpensesCurrentYear
Revenues Less Expenses Prior Year25629238RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18133834RevenuesLessExpensesCY
Total Assets BOY440571757TotalAssetsBOY
Total Assets EOY455084275TotalAssetsEOY
Total Liabilities BOY179991983TotalLiabilitiesBOY
Total Liabilities EOY198168683TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY260579774NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY256915592NetAssetsOrFundBalancesEOY
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
Expense204990150Expense
Grants954942Grants
Revenue225777283Revenue
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 05/01/2011 and ended 04/30/2012, the medical center had 53,364 inpatient patient days and 1,301 births. We served 139,548 patients on an outpatient basis and an additional 50,980 patients were seen in the emergency room. Our financial statements include over $61.6 million in free care (includes indigent care, charity care and bad debts).Description
Total Program Service Expense204990150TotalProgramServiceExpense
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 With1096174NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2327NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
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 (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Vance Hughes
Board Member2.00X000
MH Woody Woodside
Secretary2.00X000X
Carla L Yarbrough
Board Member2.00X000
Walter C McNeely
Board Member2.00X000
Mark Bedner
Board Member2.00X000
Laura Cross-McKinley
Treasurer2.00X000X
Mitchell Jones MD
Board Member2.00X000
Carl Alexander
Vice Chair2.00X000X
Michael Hodges
Chairperson5.00X000X
Michael D Scherneck
Exec VP/CFO40.00340222050897X
Gary R Colberg FACHE
President & CEO40.007100310106567X
Patrick D Ebri
VP, Human Resources40.00188180052468X
Elizabeth Gunn
VP, Patient Care Svcs.40.00168003035647X
Timothy Jamieson MD
Physician40.0010620880108017X
Jack Deese MD
Physician40.008599660108470X
Thomas Sasser MD
Physician40.00868180085596X
Dennis Carter MD
Physician40.008343150101026X
Bruce Tripp MD
Physician40.00691617085644X
Ellen Hamilton
Nurse Exec in Residence40.00190813044927X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5913415TotalReportableCompFromOrg
Total Other Compensation779259TotalOtherCompensation
Number Individuals GT100 K133NumberIndividualsGT100K
Formers ListedtrueFormersListed
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 Management3144354
Diversified Clinical Services
PO BOx 636981CincinnatiOH452636981Wound Care711496
Davita Inc
PO Box 403008AtlantaGA30384Dialysis1331176
Crothall Services Company
955 Chesterbrook BlvdWaynePA19087Environmental Svcs690647
Alliance Healthcare Services
PO Box 96485ChicagoIL60693PET Scan1607900
FieldValueIRS element (for citing)
Number Of Contractors GT100 K25NumberOfContractorsGT100K
Related Organizations459156RelatedOrganizations
Government Grants735276GovernmentGrants
All Other Contributions420323AllOtherContributions
Total Contributions1614755TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Svc RevenueDescription
Business Code621400BusinessCode
Total Revenue Column225777283TotalRevenueColumn
Related Or Exempt Function Income225777283RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue225777283TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3399823TotalRevenueColumn
Exclusion$3,399,823ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column25TotalRevenueColumn
Exclusion$25ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2118789Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real337638Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1781151Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1781151TotalRevenueColumn
Exclusion$1,781,151ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities10971717Securities
Other20850Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities11870822Securities
Other9273Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-899105Securities
Other11577Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-887528TotalRevenueColumn
Exclusion-$887,528ExclusionAmount

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 Revenue621400343495$343,495
5501-5215 Camden Laundry900099232122$232,122
5500-5525 Utility Income900099353492$353,492
FieldValueIRS element (for citing)
Total Other Revenue929109TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column232614618TotalRevenueColumn
Related Or Exempt Function Income225777283RelatedOrExemptFunctionIncome
Exclusion$5,222,580ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total927942Total
Program Services927942ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total27000Total
Program Services27000ProgramServices

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)
Total1887755Total
Program Services1798653ProgramServices
Management And General89102ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total72343182Total
Program Services70355676ProgramServices
Management And General1987506ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2900864Total
Program Services2763943ProgramServices
Management And General136921ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16339865Total
Program Services15568623ProgramServices
Management And General771242ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5405719Total
Program Services5150569ProgramServices
Management And General255150ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total762581Total
Management And General762581ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total148034Total
Management And General148034ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total85072Total
Management And General85072ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total28784Total
Program Services28784ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total29492165Total
Program Services26361920ProgramServices
Management And General3130245ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1010149Total
Program Services150406ProgramServices
Management And General859743ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total48536678Total
Program Services47663131ProgramServices
Management And General873547ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4636821Total
Program Services4580012ProgramServices
Management And General56809ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total478051Total
Program Services304517ProgramServices
Management And General173534ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total5936449Total
Program Services5936449ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16885499Total
Program Services16735107ProgramServices
Management And General150392ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2575099Total
Program Services2575099ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Recruitment Expense51000849923310775
Provider Taxes35136183513618
Property Taxes4956749567
Cash Over and Short-118-99-19

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total214480784Total
Program Services204990150ProgramServices
Management And General9490634ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5760977BOY
EOY3230589EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY44262466BOY
EOY38845272EOY

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)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5895577BOY
EOY5686003EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2667599BOY
EOY2364004EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis397301647LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec193966532LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY188799142BOY
EOY203335115EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY137742186BOY
EOY142810535EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY49395147BOY
EOY55037058EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY163618BOY
EOY166618EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5885045BOY
EOY3609081EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY440571757BOY
EOY455084275EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY43989362BOY
EOY55647609EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY605600BOY
EOY125000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY129175774BOY
EOY126862096EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY9376670EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6221247BOY
EOY6157308EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY179991983BOY
EOY198168683EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY260579774BOY
EOY256915592EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY260579774BOY
EOY256915592EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY440571757BOY
EOY455084275EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses18133834ReconcilationRevenueExpenses
Reconcilation Other Changes-21798016ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

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$85,072DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB85072TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis21733810OtherCostOrOtherBasis
Book Value21733810BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis198885633OtherCostOrOtherBasis
Depreciation74639581Depreciation
Book Value124246052BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4386052OtherCostOrOtherBasis
Depreciation2847003Depreciation
Book Value1539049BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis138299039OtherCostOrOtherBasis
Depreciation107728357Depreciation
Book Value30570682BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis33997113OtherCostOrOtherBasis
Depreciation8751591Depreciation
Book Value25245522BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings203335115TotalOfBookValueLandBuildings
Total Of Book Value Program Related55037058TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLease Obligation L/TDescription
Amount$6,157,308Amount
FieldValueIRS element (for citing)
Total Of Amounts6157308TotalOfAmounts
Total Revenue232614618TotalRevenue
Total Expenses214480784TotalExpenses
Excess Or Deficit For Year18133834ExcessOrDeficitForYear
Net Unrealized GL On Investments-2961270NetUnrealizedGLOnInvestments
Other-$18,836,746OtherAmount
Total Adjustments-21798016TotalAdjustments
Excess Or Deficit Per FS-3664182ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt229653348TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2961270NetUnrealizedGainsInvestments
Revenue Not Rptd F990-2961270RevenueNotRptdF990
Revenue Subtotal232614618RevenueSubtotal
Total Revenue Per Form990232614618TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt214480784TotExpensesEtcAuditedFinclStmt
Expenses Subtotal214480784ExpensesSubtotal
Total Expenses Per Form990214480784TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteOn 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, 2012 and 2011, respectively. Fiscal years ending on and after April 30, 2009 remain subject to examination by federal and state tax authorities.
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesEquity in Earnings from Camden $5068631 Equity in Earnings from Foundation $151550 Equity in Earnings from CHSI $501260 Recapitalization of Investment in CHSI $ -23231000 Minority Interest - CyberKnife $ -1327187

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 Expense16767231TotalCommunityBenefitExpense
Direct Offsetting Revenue1749830DirectOffsettingRevenue
Net Community Benefit Expense15017401NetCommunityBenefitExpense
Percent Of Total Expense0.07000PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense17555096TotalCommunityBenefitExpense
Direct Offsetting Revenue20283250DirectOffsettingRevenue

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense345262TotalCommunityBenefitExpense
Direct Offsetting Revenue345853DirectOffsettingRevenue
Net Community Benefit Expense-591NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense34667589TotalCommunityBenefitExpense
Direct Offsetting Revenue22378933DirectOffsettingRevenue
Net Community Benefit Expense15016810NetCommunityBenefitExpense
Percent Of Total Expense0.07000PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense491001TotalCommunityBenefitExpense
Net Community Benefit Expense491001NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense369500TotalCommunityBenefitExpense
Net Community Benefit Expense369500NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense859194TotalCommunityBenefitExpense
Net Community Benefit Expense859194NetCommunityBenefitExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1719695TotalCommunityBenefitExpense
Net Community Benefit Expense1719695NetCommunityBenefitExpense
Percent Of Total Expense0.00800PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense36387284TotalCommunityBenefitExpense
Direct Offsetting Revenue22378933DirectOffsettingRevenue
Net Community Benefit Expense16736505NetCommunityBenefitExpense
Percent Of Total Expense0.07800PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$10,172,245BadDebtExpenseAmount
Amount Attributable To1546181AmountAttributableTo
Amount Reimbursed By Medicare68835579AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare68294469CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall541110MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SGHS-Brunswick NA for 2011BusinessNameLine1

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-Brunswick NA for 2011BusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
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
Permit Other ActionsXPermitOtherActions
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Other ActionsXOtherActions
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 ChargestrueGrossCharges

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 (13 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 $16.7 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 21 - Charge Patients Amount Equal Gross Charge for ServicesSee written description for line for Line 19D.Number of Hospital Faciltiy - 0
Part V, Line 19d - 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 - 0
Part V, Line 17e - 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 - 0
Part V, Line 16e - Other Collection Actions by Facility or Third Party EngagedThird party collection services are required to abide by a "Conduct Protocol For Collection Personnel" which deals with customer service standards Southeast Georgia Health System maintains and debt collection activity allowed by the protocol. Normal debt collection through statement mailers, telephone calls, credit reporting and legal suits for the purpose of wage garnishment are allowed. Rude or abusive collection behavior is not allowed nor is the filing of property liens.Number of Hospital Faciltiy - 0
Part V, Line 15e - Other Collection Actions Against a PatientThe credit and collection policy defines the process which Southeast Georgia Health System uses to collect debt and is applied consistently to all patients regardless of being insured or uninsured. It is designed in accordance with the debtor's ability to pay and promotes the use of State and Government assistance programs and Southeast Georgia Health System's internal Financial Assistance Program.Number of Hospital Faciltiy - 0
Part V, Line 13g - 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 - 0
Part V, Line 11h - 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 - 0
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 (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
United WayCoastal GA
PO Box 877BrunswickGA31521580671327501(c)(3)300000
SE GA Health Sys Found
2415 Parkwood DrBrunswickGA31520582125644501(c)(3)1959810Operating Exp. incurred by Foundation are paid by SGHSTo further the Foundation's ability to raise donor funds.
Davis Love III Foundation
P O Box 20344St Simons IslGA31522202920597501(c)(3)500000
Cowboys & Roses Ren Ranch
145 Myers Hill Rd/1 Boy 1 ChaBrunswickGA31523203955394501(c)(3)75000
College of Coastal GA
Foundation Inc-3700 Altama AVeBrunswickGA31520586072323501(c)(3)25000092500Staffed PositionContinuing Nursing Education
Coastal Symphony of GA
PO Box 21733St Simons IslGA31522581637768501(c)(3)80000
Coastal Med Access Project
PO Box 1357BrunswickGA31521010576945501(c)(3)1065000
Brunswick Port Society
IntSeamans 307 Newcastle StBrunswickGA31520581544208501(c)(3)70000
Arch FoundationUGA
394 S Milledge Ave Ste 100AthensGA30605202779492501(c)(3)90000
American Cancer Society
3011 Hampton Ave Suite 361BrunswickGA31520131788491501(c)(3)147500
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants10TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantScholarships & Student LoansTypeOfGrant
Number Of Recipients5NumberOfRecipients
Amount Of Cash Grant27000AmountOfCashGrant

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 (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Timothy Jamieson MD
66171940036947700603171170105
Thomas Sasser MD
461033391070312005439695377616077
Patrick D Ebri
15658918685189783349024064812906
Michael D Scherneck
286148397482698123916391119143265000
Jack Deese MD
66367119064758700497709684365648
Gary R Colberg FACHE
3984501282945709649471816598183287
Ellen Hamilton
176032147811570029227235740108482
Elizabeth Gunn
1470721761417018186292036503317
Dennis Carter MD
43877338983847700533269353415704
Bruce Tripp MD
671636199813670048944777261

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)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancingCUSIP NumberCUSIPNumber
Glynn-Bwk Mem Hosp Author
5860004982012-02-294200000Advance Refundingfalsefalsefalse
Glynn-Brunswick Memorial Hospital Authority
5860004982008-09-0940570000Capital ProjectsfalsefalsefalseSeePartVI
Glynn-Brunswick Memorial Hospital Authority
5860004982008-09-09106865000Advanced RefundingfalsefalsefalseSeePartVI
Glynn-Brunswick Memorial Hosp Authority
5860004982005-04-2818285000Advanced RefundingfalsefalsefalseSeePartVI

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsRefunding EscrowRefundingEscrowCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresAmount In Reserve FundAmountInReserveFundOther Spent ProceedsOtherSpentProceeds
42200004220000falsetruetruetrue
40570000falsefalsefalsetrue57000040000000
104592355falsetruetruetrue1075399951695694000000
18285000falsetruetruetrue82017017464830

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetrue
falsefalsefalsefalsetrue
falsefalsefalsefalsetrue
falsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsetruefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

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
Description Of TransactionSee Schedule ODescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 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.
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 11: 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 11
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 (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNADisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Renue Surgery Center LLC
2500 Starling St Suite 603BrunswickGA31520262423545SurgeryGAN/Afalsefalse0.15000
Southeast Georgia Cyberknife Center LLC
2500 Starling St Suite 107BrunswickGA31520273316081MedicalGAN/Afalsefalse0.51000
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
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
c459156
Southeast GA Health Sys Foundation Inc
b195981
Cooperative Healthcare Svcs Inc
p1088100
Cooperative Healthcare Svcs Inc
n32114527
Cooperative Healthcare Svcs Inc
i1078545
Cooperative Healthcare Svcs Inc
b23231000
Kings Bay Hosp dba SE GA Health Sys-CMC
p483400
Kings Bay Hosp dba SE GA Health Sys-CMC
n1233800