STRATEGY STUDIO / PUBLIC DATA EXPLORER

MAGEE BENEVOLENT ASSOCIATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MAGEE BENEVOLENT ASSOCIATION (EIN 64-0324402)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201213209349304946
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)
Timestamp2012-11-15T13:24:46-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARSHA H DIECKMAN CPAName
PTINP00246741PTIN
Phone6013261000Phone
Date Prepared2012-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts28047228GrossReceipts
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.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees424TotalNbrEmployees
Total Nbr Volunteers28TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year67114ContributionsGrantsPriorYear
Contributions Grants Current Year169647ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27276968ProgramServiceRevenuePriorYear
Program Service Revenue CY27434782ProgramServiceRevenueCY
Investment Income Prior Year54719InvestmentIncomePriorYear
Investment Income Current Year76479InvestmentIncomeCurrentYear
Other Revenue Prior Year329619OtherRevenuePriorYear
Other Revenue Current Year366320OtherRevenueCurrentYear
Total Revenue Prior Year27728420TotalRevenuePriorYear
Total Revenue Current Year28047228TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11388684SalariesEtcPriorYear
Salaries Etc Current Year11864914SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year15649944OtherExpensePriorYear
Other Expenses Current Year16567650OtherExpensesCurrentYear
Total Expenses Prior Year27038628TotalExpensesPriorYear
Total Expenses Current Year28432564TotalExpensesCurrentYear
Revenues Less Expenses Prior Year689792RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-385336RevenuesLessExpensesCY
Total Assets BOY26489423TotalAssetsBOY
Total Assets EOY27715478TotalAssetsEOY
Total Liabilities BOY9247240TotalLiabilitiesBOY
Total Liabilities EOY10874315TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17242183NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16841163NetAssetsOrFundBalancesEOY
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
Expense24481467Expense
Revenue27821102Revenue
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 Expense24481467TotalProgramServiceExpense
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 Organizations0GrantsToOrganizations
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 Person1GrantToRelatedPerson
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 With1096105NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees424NumberOfEmployees
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
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 Venture0InvestmentInJointVenture
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 (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
CHARLES PRUITT III MD
BOARD CHAIRMAN/PRESIDENT1.00X6900000
JOE STEPHENS
DIRECTOR1.00X25000
ALTHEA H CRUMPTON
CEO/SECRETARY/TREASURER40.00X105264012799X
LYN LAMPHERE
DIRECTOR1.00X25000
RS RUNNELS SR MD
BOARD VICE-PRESIDENT1.00X1650000
BETTY C WADE RN
DIRECTOR1.00X25000
PJ PASCO DO
DIRECTOR1.00X25000
KELLI SMITH MD
DIRECTOR1.00X25000
MELISSA D BRUNTLETT
CFO40.009521205224X
SHARON SCRUGGS
NURSE PRACTIONER40.0013703106664X
MARTHA SMITH
NURSE PRACTIONER40.0020053405822X
DR GENE CATHEY
PHYSICIAN40.0021306705502X
MOLLIE K SMITH SOWELL
PHYSICIAN40.0012859202668X
JUANITA TURNER
PHARMACIST40.0011235903948X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1078809TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation42627TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
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 HEALTHCARE MANAGEMENT
6075 POPLAR AVENUE STE 727MEMPHISTN38119ER COVERAGE1391431
SOUTHERN ANESTHESIA SERVICES
135 PEARCE ROADMT OLIVEMS39119ANESTHESIA SERVICES648960
MID SOUTH REHAB
711 AVIGNON DRIVERIDGELANDMS39157PHYSICAL THERAPY621864
MAGEE RADIOLOGY
104 HICKORY HILLS DRCLINTONMS39056RADIOLOGY SERVICES386173
HARRY DOWDY MD PA
3 EASTBROOK CIRCLEMADISONMS391101764RADIOLOGY SERVICES298925
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Related Organizations140028RelatedOrganizations
Government Grants24573GovernmentGrants
All Other Contributions5046AllOtherContributions
Noncash Contributions16943NoncashContributions
Total Contributions169647TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code621990BusinessCode
Total Revenue Column27434782TotalRevenueColumn
Related Or Exempt Function Income27434782RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue27434782TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column56479TotalRevenueColumn
Exclusion$56,479ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other20000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other20000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column20000TotalRevenueColumn
Related Or Exempt Function Income20000RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER HOSPITAL SERVICEDescription
Business Code621990BusinessCode
Total Revenue Column366320TotalRevenueColumn
Related Or Exempt Function Income366320RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue366320TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column28047228TotalRevenueColumn
Related Or Exempt Function Income27821102RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$56,479ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total287226Total
Management And General287226ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10091058Total
Program Services8578003ProgramServices
Management And General1513055ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total102657Total
Program Services77383ProgramServices
Management And General25274ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total649557Total
Program Services536881ProgramServices
Management And General112676ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total734416Total
Program Services598305ProgramServices
Management And General136111ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total48229Total
Management And General48229ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total92929Total
Management And General92929ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total37478Total
Program Services37478ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total334974Total
Program Services16989ProgramServices
Management And General317985ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total66866Total
Program Services13549ProgramServices
Management And General53317ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total371409Total
Program Services371409ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1546762Total
Program Services1546762ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total439379Total
Program Services424639ProgramServices
Management And General14740ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FEES52394395069432170007
SUPPLIES28031902693297109893
BAD DEBTS27849292784929
EQUIPMENT RENTAL & MAIN18900521385275504777

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total912014Total
Program Services347136ProgramServices
Management And General564878ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28432564Total
Program Services24481467ProgramServices
Management And General3951097ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2028BOY
EOY2575EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1564570BOY
EOY2725983EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4294707BOY
EOY4387918EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY597400BOY
EOY557473EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY328672BOY
EOY359123EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY209132BOY
EOY172277EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis28907677LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13925042LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14950047BOY
EOY14982635EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3155465BOY
EOY3424621EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1387402BOY
EOY1102873EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26489423BOY
EOY27715478EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1728724BOY
EOY1994772EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY6883534BOY
EOY6566347EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY634982BOY
EOY2313196EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9247240BOY
EOY10874315EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16898098BOY
EOY16791137EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY344085BOY
EOY50026EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17242183BOY
EOY16841163EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26489423BOY
EOY27715478EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-385336ReconcilationRevenueExpenses
Reconcilation Other Changes-15684ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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$2,121OtherActivitiesAmount
Total Lobbying Expenditures IIB2121TotalLobbyingExpendituresIIB
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 19.67% OF THE FYE 4/30/11 MEMBERSHIP FEE WAS RELATED TO MHA'S LOBBYING ACTIVITIES. THIS AVERAGES TO 16.16% FOR CALENDAR YEAR 2011, IN WHICH $13,123 IN DUES WERE PAID BY THE HOSPITAL TO MHA.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 Basis10637574OtherCostOrOtherBasis
Depreciation3538811Depreciation
Book Value7098763BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis228765OtherCostOrOtherBasis
Depreciation33936Depreciation
Book Value194829BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16623997OtherCostOrOtherBasis
Depreciation10352295Depreciation
Book Value6271702BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14982635TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TRUSTMARK FINANCIAL SERVICES2246942F
MHA INVESTMENT POOL1177679F
FieldValueIRS element (for citing)
Total Of Book Value Securities3424621TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
OBLIGATIONS UNDER CAPITAL LEASE$911,415
LINE OF CREDIT$1,401,781
FieldValueIRS element (for citing)
Total Of Amounts2313196TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationFASB 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, 2011. TAX PERIODS FOR ALL FISCAL YEARS AFTER 2007 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 Expense873122TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense873122NetCommunityBenefitExpense
Percent Of Total Expense0.03410PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense6383033TotalCommunityBenefitExpense
Direct Offsetting Revenue5057273DirectOffsettingRevenue
Net Community Benefit Expense1325760NetCommunityBenefitExpense
Percent Of Total Expense0.05180PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense194239TotalCommunityBenefitExpense
Direct Offsetting Revenue193963DirectOffsettingRevenue
Net Community Benefit Expense276NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense7450394TotalCommunityBenefitExpense
Direct Offsetting Revenue5251236DirectOffsettingRevenue
Net Community Benefit Expense2199158NetCommunityBenefitExpense
Percent Of Total Expense0.08590PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense255522TotalCommunityBenefitExpense
Net Community Benefit Expense255522NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2683720TotalCommunityBenefitExpense
Direct Offsetting Revenue1478859DirectOffsettingRevenue
Net Community Benefit Expense1204861NetCommunityBenefitExpense
Percent Of Total Expense0.04710PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2939242TotalCommunityBenefitExpense
Direct Offsetting Revenue1478859DirectOffsettingRevenue
Net Community Benefit Expense1460383NetCommunityBenefitExpense
Percent Of Total Expense0.05710PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10389636TotalCommunityBenefitExpense
Direct Offsetting Revenue6730095DirectOffsettingRevenue
Net Community Benefit Expense3659541NetCommunityBenefitExpense
Percent Of Total Expense0.14300PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,859,882BadDebtExpenseAmount
Amount Attributable To1429941AmountAttributableTo
Amount Reimbursed By Medicare6743830AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare7269894CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-526064MedicareSurplusOrShortfall

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
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 Facilities6NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
PEDIATRIC CLINIC OF MAGEE
360 SIMPSON HWY 149MAGEEMS39111PHYSICIAN CLINIC
MGH CLINIC
360 SIMPSON HWY 149MAGEEMS39111PHYSICIAN CLINIC
GENE CATHEY MD CLINIC
360 SIMPSON HWY 149MAGEEMS39111PHYSICIAN CLINIC
MEDICAL PAVILION
234 MAGNOLIA DRRALEIGHMS39153PHYSICIAN CLINIC
HARPER CLINIC
105 EATON STTAYLORSVILLEMS39168PHYSICIAN CLINIC
MIZE HEALTHCARE
208 HIGHWAY 28MIZEMS39116PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 $595,692.
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 $ 2859882.
THE HOSPITAL BEGAN ITS COMMUNITY NEEDS HEALTH ASSESSMENT IN 2011.PREPARATION OF ANNUAL COMMUNITY BENEFIT REPORTPART I, LINE 6A:
PART III, LINE 4: BAD DEBT EXPENSE IS REFLECTED AS THE AMOUNT OF CHARGES ACTUALLY WRITTEN OFF. THE FOOTNOTE IN THE FINANCIAL STATEMENTS REFLECTS- THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON HISTORICAL LOSSES AND AN ANALYSIS OF CURRENTLY OUTSTANDING AMOUNTS. THIS ACCOUNT IS GENERALLY INCREASED BY CHARGES TO A PROVISION FOR DOUBTFUL ACCOUNTS, AND DECREASED BY WRITE-OFFS OF ACCOUNTS DETERMINED BY MANAGEMENT TO BE UNCOLLECTIBLE. 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 3 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 10: NO DISCOUNTED CARE PROVIDEDMAGEE GENERAL HOSPITAL
PART V, SECTION B, LINE 11H: NO DISCOUNTED CARE PROVIDEDMAGEE GENERAL HOSPITAL
PART V, SECTION B, LINE 13G: 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.MAGEE GENERAL HOSPITAL
PART V, SECTION B, LINE 15E: 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 16E: 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 19D: 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 ENGAGES AN OUTSIDE CONSULTING GROUP, STROUDWATER & ASSOCIATES, TO ANAYLZE COMMUNITY NEEDS. THIS ASSESSMENT INCLUDES DETERMINING HOW MANY AND WHAT TYPES OF SERVICES AND/OR PHYSICIANS ARE NEEDED TO SERVE THE POPULATION.
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: MAGEE GENERAL HOSPITAL SERVES THE MAGEE/SIMPSON COUNTY AND SURROUNDING AREAS. MGH IS THE LARGEST MEDICAL FACILITY ALONG HWY 49 BETWEEN JACKSON AND HATTIESBURG. MGH IS SETTLED IN A RURAL AREA, WITH ONLY ONE OTHER SMALLER HOSPITAL IN SIMPSON COUNTY. MAGEE HAS AN APPROXIMATE POPULATION OF 4,200 RESIDENTS.
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 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 (2 entries)

Base 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
MARTHA SMITH
10009301004410004046017760206356000
DR GENE CATHEY
1880670250000003569019330218569000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF MAGEE HOSPITAL REVENUE BOND SERIES 2007A
6460006642007-05-295500000HOSPITAL CONSTRUCTION AND RENOVATION010
CITY OF MAGEE HOSPITAL REVENUE BOND SERIES 2007B
6460006642007-05-292000000REFINANCING EXISTING HOSPITAL DEBT010

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindWorking Capital ExpendituresWorkingCapitalExpenditures
5500000169149533085120090011
200000061509200700111938491

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000
00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000

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 Due557473BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due557473TotalBalanceDue

Form990 Schedule L Part III Form990ScheduleLPartIII (2 entries)

Name Of Interested PersonNameOfInterestedPersonRelationship With OrganizationRelationshipWithOrganizationAmount Of GrantAmountOfGrantType Of AssistanceTypeOfAssistance
ALTHEA H CRUMPTONCEO OF HOSPITAL3312DISCOUNTED HOSPITAL SERVICES
MELISSA D BRUNTLETTCFO OF HOSPITAL2173DISCOUNTED HOSPITAL SERVICES

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 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.55740RENTAL 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.50238PAYMENTS 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
(no name)
0
MEDICAL AND SURGICAL CLINIC INC
MEDICAL SURGICAL, INC. IS WHOLLY OWNED BY 3 BOARD MEMBERS.28215ENTAL PAYMENTS PAID BY THE ORGANIZATION TO MEDICAL SURGICAL, INC. MMEDICAL SURGICAL, INC IS WHOLLY OWNED BY 3 BOARD MEMBERS: CHARLES PRUITT, PATRICK PASCO, AND R.S. RUNNELS.0
(no name)
0
MEDICAL TOWERS AT TUSCAN COURT
CHARLES PRUITT IS A 50% OWNER OF MEDICAL TOWERS AT TUSCAN COURT.586743RENTAL 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 AND CHIEF FINANCIAL OFFICERS 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 5:NET UNREALIZED LOSSES ON INVESTMENTS: -15,684.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, MELISSA BRUNTLETT, 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
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
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 Orgs0RentalOfFacilitiesFrOtherOrgs
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 (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MAGEE BENEVOLENT FOUNDATION DBA HEALTHTRUST
C123085CASH
MAGEE BENEVOLENT FOUNDATION DBA HEALTHTRUST
C16943FAIR MARKET VALUE
MAGEE BENEVOLENT FOUNDATION DBA HEALTHTRUST
P77753CASH