2012-08-15T15:04:56-05:00 2011-09-30 CHERRY BEKAERT & HOLLAND LLP 1180 WEST PEACHTREE STREET SUITE 14 ATLANTA GA 30309 990 2010-10-01 582176794 HUTCHESON MEDICAL CENTER INC HUTC 7068582418 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 FARRELL HAYES 7068582418 2012-08-15 1 LYNN JOHNSON 4042090954 2010 2016-02-24 21:20:13Z FARRELL HAYES 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30309 68596252 0 X WWW HUTCHESON ORG X 1995 GA TO PROVIDE ACCESS TO QUALITY, COST EFFECTIVE, COMMUNITY-BASED HEALTH CARE SERVICES 13 13 1203 114 0 0 186652 3024 89602041 67251500 437819 32637 1354072 1309091 91580584 68596252 0 0 0 0 48393136 41032690 0 0 0 50085441 49875260 98478577 90907950 -6897993 -22311698 70009689 46646786 54711828 52175679 15297861 -5528893 X THE PRIMARY MISSION OF HUTCHESON MEDICAL CENTER, INC (HMC) IS TO PROVIDE ACCESS TO QUALITY, COST EFFECTIVE, COMMUNITY - BASED HEALTH CARE SERVICES TO RESIDENTS OF WALKER, DADE, AND CATOOSA COUNTIES IN NORTHWEST GEORGIA. 0 0 82248844 67251500 HMC INCLUDES AN ACUTE CARE HOSPITAL, A SKILLED NURSING SUB ACUTE CARE UNIT, AND A NURSING HOME. ADDITIONALLY, HMC OFFERS HOSPICE RELATED SERVICES. HMC PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF HMC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICE. FURTHER, HMC'S MISSION IS TO SERVE THE COMMUNITY WITH RESPECT, PROVDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE IS PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND AN INDIVIDUAL'S ABILITY TO PAY COEXIST. THESE ACTIVITIES INCLUDE HEALTH EVALUATION, SCREENING PROGRAMS AND SPECIFIC SERVICES FOR THE ELDERLY AND HOME BOUND AS WELL AS A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. HMC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MAEDICAID PATIENTS. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH HMC BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. 82248844 1 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 96 0 1 1203 1 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 0 1 1 GA X X FARRELL HAYES 7068582418 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 D ASHLEY JEWELL 1.00 X 0 0 0 STEVEN M ELLIS 1.00 X 0 0 0 ALEX CASE 1.00 X 0 0 0 DAVID ASHBURN 1.00 X 0 0 0 MARIA BOWERS 1.00 X 0 0 0 WILLIAM H CHAPIN 1.00 X 0 0 0 WILLIAM L COHEN 1.00 X 0 0 0 JOHN CULPEPPER 1.00 X 0 0 0 JIM EBERSON 1.00 X 0 0 0 LARRY MOORE 1.00 X 0 0 0 KEN RHUDY 1.00 X 0 0 0 EVAN STONE 1.00 X 0 0 0 T DARRELL WELDON MD 1.00 X 0 0 0 CHARLES STEWART 40.00 X 346440 0 32588 DOUG VOLINSKI 40.00 X 34629 0 6140 DEBBIE REEVES 40.00 X 158344 0 29861 GERALD FAIRCLOTH 40.00 X 153294 0 29787 ERIC GARRARD 40.00 X 119458 0 29297 ETHAN D HIX 40.00 X 221409 0 30775 TROY D RAY 40.00 X 220062 0 30756 TROY E MORRISON 40.00 X 201483 0 27856 WILL C FOSTER 40.00 X 196691 0 30417 JEFFREY R TIEDER 40.00 X 187203 0 30279 1839013 0 277756 9 0 1 0 SPECIALTY NETWORKS LLC 5959 SHALLOWFORD ROAD SUITE 575 CHATTANOOGA TN 37421 CONSULTING/PACS NETWORK ADMIN 383101 CROTHALL SERVICES GROUP 955 CHESTERBROOK BLVD SUITE 300 WAYNE PA 19087 LINEN SERVICE 317397 QUEST DIAGNOSTICS INC PO BOX 101071 ATLANTA GA 30392 LAB SERVICE 271679 MEDICAL THIRD PARTY RESOURCES INC PO BOX 3596 HARLINGEN TX 78551 PATIENT FINANCIAL ASSISTANCE 203233 ROMERO ANESTHESIA INC 8088 CHINKAPIN COURT OOLTEWAH TN 37363 CRNA 200884 13 3024 3024 PATIENT SERVICES REVEN 621110 47369623 47369623 IMAGING SERVICES 621110 18173143 18173143 ANCILLARY REVENUE 900099 1689667 1689667 MEDICAL RECORD FEES 900099 19067 19067 67251500 32637 32637 499857 33836 499857 33836 533693 533693 CHILD CARE REVENUE 900099 389566 389566 PURCHASE REBATES 900099 186117 186117 CAFETERIA SALES 900099 175071 175071 24644 24644 775398 68596252 68026898 0 566330 1839013 1250538 588475 31152699 29242433 1910266 8040978 7398115 642863 937920 937920 194448 194448 3781391 2877238 904153 108886 6062 102824 10415746 9207626 1208120 4839923 4607793 232130 95284 83436 11848 16894 16894 1892809 1892809 2457278 2457278 621248 621248 BAD DEBT EXPENSE 21384297 21384297 EQUIPMENT REPAIRS 3055322 3055322 MISCELLANEOUS 73814 57458 16356 90907950 82248844 8659106 0 3622217 489885 175008 12055831 9213572 1548330 1437799 862163 376352 149513284 124734490 26843824 24778794 19115306 3011111 96328 122895 4782123 6614837 908559 601541 70009689 46646786 12914146 15204966 34410000 22330118 7387682 14640595 54711828 52175679 X 15024451 -5805740 273410 276847 15297861 -5528893 70009689 46646786 X -22311698 1484944 X 0 0 0 X 5147438 5147438 69783591 60233109 9550482 74582255 64501381 10080874 24778794 INVESTMENT IN BATTLEFIELD IMAGING, LLC 604471 C FOUDATION RELATED INVESTMENT 1231144 C DUE FROM AFFILIATES 4779222 C 6614837 DUE TO AFFILIATE 11730 THIRD PARTY PAYABLES 14628865 14640595 68596252 90907950 -22311698 -1460411 2945355 1484944 -20826754 1 1 1 X 1 X 1 1 1 0 1 1 2939346 2939346 5610549 3769161 1841388 0.02650 6332 6332 0.00010 8556227 6708507 1847720 0.02660 8556227 6708507 1847720 0.02660 1 6316991 2939346 21000000 21000000 X 1 1 5 1 HUTCHESON MEDICAL CENTER INC

100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742

X X X 2 SUBACUTE CARE AT HUTCHESON

100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742

CUBACUTE UNIT 3 PARKSIDE AT HUTCHESON MEDICAL CENTER

110 PARK CITY ROAD ROSSVILLE GA 30741

NURSING HOME 4 HUTCHESON HOME HEALTH

100 MITCHELL ROAD FORT OGLETHORPE GA 30742

HOME HEALTH 5 HUTCHESON HOSPICE

100 MITCHELL ROAD FORT OGLETHORPE GA 30742

HOSPICE HUTCHESON MEDICAL CENTER INC 1 0 0 0 0 0 0 0 0 0 0 0 SUBACUTE CARE AT HUTCHESON 2 0 0 0 0 0 0 0 0 0 0 0 PARKSIDE AT HUTCHESON MEDICAL CENTER 3 0 0 0 0 0 0 0 0 0 0 0 HUTCHESON HOME HEALTH 4 0 0 0 0 0 0 0 0 0 0 0 HUTCHESON HOSPICE 5 0 0 0 0 0 0 0 0 0 0 0 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 $ 21384297. PART VI, LINE 2: PART VI, LINE 2 THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH PHYSICIAN, HOSPITAL BOARD, AND COMMUNITY LEADER GUIDANCE ADDITIONALLY, THE HOSPITAL HOSTS COMMUNITY FORUMS TO GARNER FEEDBACK FROM THE PUBLIC ABOUT COMMUNITY HEALTH CARE NEEDS PART VI, LINE 3: PART VI, LINE 4 HUTCHESON MEDICAL CENTER SERVES THE PRINCIPAL AREA OF CATOOSA, DADE AND WALKER COUNTIES IN NORTH GOERGIA PER THE 2010 CENSUS, THE POPULATION OF CATOOSA COUNTY IS 63,942, PRIMARILY CAUSASIAN, WITH A MEDIAN INCOME OF $43,814. 13.1% OF THE POPULATION IS BELOW POVERTY LEVEL. THE POPULATION OF WALKER COUNTY IS 68,756, PRIPARILY CAUSASIAN, WITH A MEDIAN INCOME OF $38,497, 17,4% OF THE POPULATION IS BELOW POVERTY LEVEL. THE POPULATION OF DADE COUNTY IS 16,633, PRIMARILY CAUCASIAN, WITH MEDIAN INCOME OF $38,797, 18.3% OF THE POPULATION IS BELOW POVERTY LEVEL. PART VI, LINE 6: PART VI, LINE 6. IN ORDER TO PROMOTE COMMUNITY HEALTH, THE HOSPITAL PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE THROUGH A LOCAL, INDEPENDENT BOARD OF DIRECTORS, MEDICAL STAFF PRIVILEGES ARE EXTENDED TO QUALIFIED COMMUNITY PHYSICIANS WHEN APPROPRIATE SURPLUS FUNDS ARE REINVESTED IN THE HOSPITAL TO PURCHASE MEDICAL EQUIPMENT. X X 0 0 0 0 0 0 0 0 0 CHARLES STEWART 346440 0 0 0 0 0 0 0 32588 0 379028 0 0 0 DEBBIE REEVES 158344 0 0 0 0 0 0 0 29861 0 188205 0 0 0 GERALD FAIRCLOTH 153294 0 0 0 0 0 0 0 29787 0 183081 0 0 0 ETHAN D HIX 221409 0 0 0 0 0 0 0 30775 0 252184 0 0 0 TROY D RAY 220062 0 0 0 0 0 0 0 30756 0 250818 0 0 0 TROY E MORRISON 201483 0 0 0 0 0 0 0 27856 0 229339 0 0 0 WILL C FOSTER 196691 0 0 0 0 0 0 0 30417 0 227108 0 0 0 JEFFREY R TIEDER 187203 0 0 0 0 0 0 0 30279 0 217482 0 0 0 THE HOSPITAL AUTHORITY OF WALKER DADE & CATOOSA 586004464 931635GEO 2008-05-28 35500000 ACQUISITION, RENOVATION & EQUIPMENT 0 0 0 35500000 3723861 611829 12350253 10937851 2011 1 0 0 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WAS PROVIDED TO EACH VOTING BOARD MEMBER THROUGH SECURE WEBSITE ACCESS FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST PER THE POLICY ANNUALLY. THEY ARE ALSO REQUIRED TO NOTIFY THE ORGANIZATION OF ANY CHANGES THAT MAY AFFECT THEIR DISCLOSURE CORPORATE COMPLIANCE INVESTIGATES ALL POTENTIAL CONFLICTS OF INTEREST THAT HAVE BEEN REPORTED. FORM 990, PART VI, SECTION B, LINE 15A CEO COMPENSATION PACKAGES ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. CEO, OTHER TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES' COMPENSATION PACKAGES ARE DETERMINED THROUGH USE OF WY ATT SALARY SURVEY, INTEGRATED HEALTHCARE STRATEGIES SURVEY AND VARIOUS MARKET SURVEY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,460,411. PRIOR PERIOD ADJUSTMENTS: 2,945,355. TOTAL TO FORM 990, PART XI, LINE 5: 1,484,944. HMC PHYSICIAN'S BILLING LLC 06-1803009 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 PHYSICIAN BILLING GA 0 0 N/A HUTCHESON HEALTH FOUNDATION INC 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 581984748 SUPPORT HUTCHESON MEDICAL CENTER INC GA 501(C)(3) 7 HUTCHESON MEDICAL CENTER 0 HUTCHESON HEATLH ENTERPRISES INC HUTCHESON HEATLH ENTERPRISES INC FORT OGLETHORPE GA 30742 582176793 SUPPORT THE PROVISION OF HOSPITAL CARE GA 501(C)(3) 11,TYPE III HUTCHESON MEDICAL CENTER 0 BATTLEFIELD IMAGING LLC 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 113661778 PROVIDE IMAGING AND RADIOLOGICAL SERVICES GA RELATED -1643730 351831 0 0 HUTCHESON MEDICAL DIVISION INC 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 582605147 PHYSICIAN PRACTICES GA N/A C 0 0 0 1 0 0 0 0 1 0 0 0 1 1 1 0 0 0