OCONEE REGIONAL MEDICAL CENTER INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- OCONEE REGIONAL MEDICAL CENTER INC (EIN 58-2359398)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-13
- IRS object ID
- 201222269349302447
- Schema version
- 2010v3.4
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-13T16:16:40-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582359398 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OCONEE REGIONAL MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OCON | NameControl |
| Phone | 4784543520 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 821 NORTH COBB STREET | AddressLine1 |
| City | MILLEDGEVILLE | City |
| State | GA | State |
| ZIP Code | 31061 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRENDA QUALLS | Name |
| Title | CFO | Title |
| Phone | 4784543520 | Phone |
| Date Signed | 2012-08-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BRENDA QUALLS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 821 NORTH COBB STREET | AddressLine1 |
| City | MILLEDGEVILLE | City |
| State | GA | State |
| ZIP Code | 31061 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 78954636 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.OCONEEREGIONAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTHCARE SERVICES TO ALL PATIENTS WITHIN THE ORGANIZATION'S SERVICE AREA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 838 | TotalNbrEmployees |
| Total Nbr Volunteers | 240 | TotalNbrVolunteers |
| Total Gross UBI | 1096609 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -43553 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 337514 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 183478 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 85047778 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 78458098 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 158743 | InvestmentIncomePriorYear |
| Investment Income Current Year | 149258 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 265362 | OtherRevenuePriorYear |
| Other Revenue Current Year | 127291 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 85809397 | TotalRevenuePriorYear |
| Total Revenue Current Year | 78918125 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 45170 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 27410 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 38200942 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 34598110 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 47261477 | OtherExpensePriorYear |
| Other Expenses Current Year | 53380147 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 85507589 | TotalExpensesPriorYear |
| Total Expenses Current Year | 88005667 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 301808 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -9087542 | RevenuesLessExpensesCY |
| Total Assets BOY | 72552968 | TotalAssetsBOY |
| Total Assets EOY | 61679483 | TotalAssetsEOY |
| Total Liabilities BOY | 37558916 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 35809335 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 34994052 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 25870148 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF OCONEE REGIONAL MEDICAL CENTER IS TO PROVIDE HIGH QUALITY, SAFE, COMPASSIONATE, PATIENT-FOCUSED HEALTHCARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 78087426 | Expense |
| Grants | 27410 | Grants |
| Revenue | 77361489 | Revenue |
| Description | OCONEE REGIONAL MEDICAL CENTER IS A 140-BED GENERAL, ACUTE-CARE INSTITUTION, OFFERING A WIDE RANGE OF SPECIALIZED SERVICES AND PROGRAMS. SUCH SERVICES INCLUDE ACUTE MEDICAL/SURGICAL CARE, A BLOOD BANK, CANCER CENTER UNIT, CARDIOVASCULAR LABORATORY, CT & MRI SCANNERS, LITHOTRIPSY, MAMMOGRAPHY, MEDICAL/SURGICAL INTENSIVE CARE UNIT, OB/GYN, ORTHOPEIC SURGERY, OUTPATIENT SURGERY, PEDIATRIC CARE, PHARMACY DIAGNOSTIC RADIOLOGY, 24-HOUR EMERGENCY SERVICE, LAPAROSCOPIC SURGERY, LASER SURGERY, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, POST-OPERATIVE RECOVERY ROOM, PROGRESSIVE CARE UNIT, AND RESPIRATORY CARE SERVICES.IT IS THE POLICY OF OCONEE REGIONAL MEDICAL CENTER TO ADMIT AND TREAT ALL PERSONS WITHOUT REGARD TO RACE, COLOR, SEX, HANDICAP, NATIONAL ORIGIN, OR RELIGIOUS CREED. ADMISSION REQUIREMENTS AND ASSIGNMENTS OF HOSPITAL FACILITIES ARE THE SAME FOR ALL PERSONS. THERE ARE NO DISTINCTIONS IN ELIGIBILITY FOR RECEIVING ANY PATIENT CARE SERVICES. HOSPITAL FACILITIES ARE AVAILABLE TO ALL PATIENTS AND VISITORS. INDIVIDUALS AND ORGANIZATIONS HAVING OCCASION TO REFER PATIENTS FOR ADMISSION OR RECOMMEND OCONEE REGIONAL MEDICAL CENTER ARE ADVISED TO DO SO WITHIN THE HOSPITAL'S POLICY TO PROVIDE QUALITY HEALTHCARE TO ALL PERSONS.FOR THE YEAR ENDED SEPTEMBER 30, 2010, THE CENTER PROVIDED INDIGENT AND CHARITY CARE AT A COST OF APPROXIMATELY $1,606,580. THE CENTER ALSO PROVDES CARE TO PATIENTS COVERED BY MEDICARE/MEDICAID AT A TOTAL SHORTFALL OF $3,659,213 AND 1,358,210 FOR MEDICARE AND MEDICAID, RESPECTIVELY. THE CENTER ALSO PROVIDED SUPPORT TO LOCAL CHARITABLE ORGANIZATIONS AND A COMMUNITY HEALTH FAIR AT A COST OF APPROXIMATELY $52,120. THE CENTER ALSO PROVIDES A SITE FOR MEDICAL STUDENTS TO COMPLETE CLINICAL ROTATIONS FOR NURSING AND RADIOLOGY, AS WELL AS HOSTING A MONTHLY PUBLIC EDUCATION SERIES ENTITLED "TO YOUR HEALTH". | Description |
| Total Program Service Expense | 78087426 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 69 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 838 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRENDA QUALLS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4784573550 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 690 | AddressLine1 |
| City | MILLEDGEVILLE | City |
| State | GA | State |
| ZIP Code | 31059 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| PHYLLIS PARKS-VEAL PHARM D | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAVID GROSECLOSE | |||||||
| ORMC VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | |
| CAY QUATTLEBAUM | |||||||
| ORMC CHAIRMAN | 2.00 | X | 0 | 0 | 0 | X | |
| PAUL DEAN | |||||||
| ORHS CHAIRMAN | 2.00 | X | 0 | 0 | 0 | X | |
| TED ZARKOWSKY | |||||||
| ORHS VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | |
| ANDY COWART | |||||||
| FINANCE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| GEORGE GRIMES MD | |||||||
| BOARD MEMBER (SEE SCH O) | 1.00 | X | 143667 | 0 | 0 | ||
| DON HEACOCK MD | |||||||
| BOARD MEMBER | 1.00 | X | 4525 | 0 | 0 | ||
| RAM PURI MD | |||||||
| BOARD MEMBER (SEE SCH O) | 1.00 | X | 254574 | 0 | 0 | ||
| CHARLIE ROSS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JAMES SMITH MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| VANESSA WALKER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JEFF CRISP | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| REBECCA J AYCOCK | |||||||
| PRESIDENT/CEO | 40.00 | 356367 | 0 | 47178 | X | ||
| JAMES ALAN HORTON | |||||||
| SVP CLINICAL SERVICES | 40.00 | 212269 | 0 | 31538 | X | ||
| DAVID T PERRY | |||||||
| VP SUPPORT SERVICES | 40.00 | 180842 | 0 | 29383 | X | ||
| BRENDA K QUALLS | |||||||
| VP CFO | 40.00 | 184937 | 0 | 16068 | X | ||
| MOLLIE F THOMAS | |||||||
| VP ADMIN. SERVICES | 36.00 | 172897 | 0 | 16473 | X | ||
| DEBORAH S REVIS | |||||||
| VP CNO | 40.00 | 165271 | 0 | 21204 | X | ||
| JOSEPH E EVANS | |||||||
| PHARMACY DIRECTOR | 40.00 | 171392 | 0 | 15839 | X | ||
| KAY L HUFF | |||||||
| SURGICAL SVCS. DIRECTOR | 40.00 | 135596 | 0 | 7381 | X | ||
| PAMELA C HOPKINS | |||||||
| LABORATORY DIRECTOR | 40.00 | 130715 | 0 | 7370 | X | ||
| WILLIAM W COLEMAN | |||||||
| RADIOLOGY DIRECTOR | 40.00 | 153980 | 0 | 18939 | X | ||
| DEANNE K HERRING | |||||||
| CASE MANAGEMENT DIRECTOR | 40.00 | 123702 | 0 | 12869 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2390734 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 224242 | TotalOtherCompensation |
| Number Individuals GT100 K | 24 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LOGOS EMERGENCY SPECIALISTS | |||||
| 232 COUNTRY CREEK ROAD | MACON | GA | 31220 | EMERGENCY PHYSICIAN SERVICES | 3638894 |
| BCAS INC | |||||
| PO BOX 1707 | MILLEDGEVILLE | GA | 31061 | ANESTHESIA SERVICES | 1287500 |
| ENDURACARE ACUTE CARE SERVICES | |||||
| DEPARTMENT AT 952922 | ATLANTA | GA | 31192 | PT, OT, SP SERVICES | 1254058 |
| ARAMARK CTS | |||||
| 12483 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | DIETARY SERVICES | 1185799 |
| ARAMARK HEALTHCARE FACILITIES | |||||
| JP MORGAN LOCKBOX ACCOUNT 24863 NET | CHICAGO | IL | 606731248 | DIETARY SERVICES | 592732 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 14 | NumberOfContractorsGT100K |
| Government Grants | 66500 | GovernmentGrants |
| All Other Contributions | 116978 | AllOtherContributions |
| Total Contributions | 183478 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 78458098 | TotalRevenueColumn |
| Related Or Exempt Function Income | 77361489 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1096609 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 78458098 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13095 | TotalRevenueColumn |
| Exclusion | $13,095 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 136163 | TotalRevenueColumn |
| Exclusion | $136,163 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 137289 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 36511 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 100778 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 100778 | TotalRevenueColumn |
| Exclusion | $100,778 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | WELLNESS CENTER | Description |
| Business Code | 713940 | BusinessCode |
| Total Revenue Column | 26513 | TotalRevenueColumn |
| Exclusion | $26,513 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 26513 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 78918125 | TotalRevenueColumn |
| Related Or Exempt Function Income | 77361489 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1096609 | UnrelatedBusinessRevenue |
| Exclusion | $276,549 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27410 | Total |
| Program Services | 27410 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1616890 | Total |
| Program Services | 402766 | ProgramServices |
| Management And General | 1214124 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26575067 | Total |
| Program Services | 22884546 | ProgramServices |
| Management And General | 3690521 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 526047 | Total |
| Program Services | 434529 | ProgramServices |
| Management And General | 91518 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3894709 | Total |
| Program Services | 3217134 | ProgramServices |
| Management And General | 677575 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1985397 | Total |
| Program Services | 1635052 | ProgramServices |
| Management And General | 350345 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 433328 | Total |
| Program Services | 126700 | ProgramServices |
| Management And General | 306628 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129490 | Total |
| Management And General | 129490 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96910 | Total |
| Management And General | 96910 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50928 | Total |
| Management And General | 50928 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14191971 | Total |
| Program Services | 13946789 | ProgramServices |
| Management And General | 245182 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95642 | Total |
| Program Services | 27547 | ProgramServices |
| Management And General | 68095 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13593346 | Total |
| Program Services | 11623054 | ProgramServices |
| Management And General | 1970292 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 301315 | Total |
| Program Services | 19631 | ProgramServices |
| Management And General | 281684 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1462869 | Total |
| Program Services | 1462869 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31207 | Total |
| Program Services | 14451 | ProgramServices |
| Management And General | 16756 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1594115 | Total |
| Program Services | 1594115 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4385042 | Total |
| Program Services | 4385042 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1851222 | Total |
| Program Services | 1340939 | ProgramServices |
| Management And General | 510283 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 13816181 | 13816181 | |
| PROVIDER TAX | 1082786 | 1082786 | |
| MISCELLANEOUS | 165657 | 45885 | 119772 |
| RECRUITMENT | 98138 | 98138 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88005667 | Total |
| Program Services | 78087426 | ProgramServices |
| Management And General | 9918241 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3641861 | BOY |
| EOY | 160002 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4513431 | BOY |
| EOY | 3750722 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12667148 | BOY |
| EOY | 9868882 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94731 | BOY |
| EOY | 91290 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1700530 | BOY |
| EOY | 1723312 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1329889 | BOY |
| EOY | 1305673 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 101165325 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 69971285 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33453836 | BOY |
| EOY | 31194040 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13455337 | BOY |
| EOY | 11611143 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1696205 | BOY |
| EOY | 1974419 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72552968 | BOY |
| EOY | 61679483 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5947590 | BOY |
| EOY | 5665451 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26281926 | BOY |
| EOY | 25416570 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3767367 | BOY |
| EOY | 2928967 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1562033 | BOY |
| EOY | 1798347 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37558916 | BOY |
| EOY | 35809335 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34994052 | BOY |
| EOY | 25870148 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34994052 | BOY |
| EOY | 25870148 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72552968 | BOY |
| EOY | 61679483 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -9087542 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -36362 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $50,928 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 50928 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | THE ORGANIZATION CONTRIBUTES TO CAPITAL AFFAIRS, AN ORGANIZATION THAT LOBBIES ON BEHALF OF ITS MEMBERSHIP BODY. THE ORGANIZATION'S ADDRESS IS: 215 PIEDMONT AVENUE, NE, SUITE 301 / ATLANTA, GA 30308 | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2260806 | OtherCostOrOtherBasis |
| Book Value | 2260806 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 46548003 | OtherCostOrOtherBasis |
| Depreciation | 32996654 | Depreciation |
| Book Value | 13551349 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 52159689 | OtherCostOrOtherBasis |
| Depreciation | 36974631 | Depreciation |
| Book Value | 15185058 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 196827 | OtherCostOrOtherBasis |
| Book Value | 196827 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 31194040 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD-PARTY SETTLEMENTS | $1,700,226 |
| INTEREST RATE SWAP LIABILITY | $98,121 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1798347 | TotalOfAmounts |
| Total Revenue | 78918125 | TotalRevenue |
| Total Expenses | 88005667 | TotalExpenses |
| Excess Or Deficit For Year | -9087542 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -123053 | NetUnrealizedGLOnInvestments |
| Other | $86,691 | OtherAmount |
| Total Adjustments | -36362 | TotalAdjustments |
| Excess Or Deficit Per FS | -9123904 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 79041327 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 36511 | OtherRevenues |
| Revenue Not Rptd F990 | 36511 | RevenueNotRptdF990 |
| Revenue Subtotal | 79004816 | RevenueSubtotal |
| Other Revenues Not Included | -86691 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -86691 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 78918125 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 88042178 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 36511 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 36511 | ExpensesNotRptdF990 |
| Expenses Subtotal | 88005667 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 88005667 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | INCOME TAXES- THE SYSTEM AND ITS AFFILIATES, EXCEPT FOR ORHV, PCC AND OSWC, HAVE BEEN RECOGNIZED AS ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) AND, THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES. ORHV, PCC AND OSWC ACCOUNT FOR INCOME TAXES IN ACCORDANCE WITH FOR-PROFIT ACCOUNTING GUIDANCE. THE SYSTEM AND ITS AFFILIATES HAVE EVALUATED THEIR TAX POSITIONS AND HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2011 AND 2010. FISCAL YEARS ENDING ON AND AFTER SEPTEMBER 30, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 86,691. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 36,511. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT -86,691. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 36,511. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3592396 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 830823 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2761573 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03720 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5902032 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4506545 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1395487 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01880 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4883095 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4898102 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -15007 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14377523 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10235470 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4142053 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05600 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27410 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 27410 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27410 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 27410 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14404933 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10235470 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4169463 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05640 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 250 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 250 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 10200 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10200 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 250 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 250 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3290 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3290 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 199147 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 199147 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 213137 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 213137 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00280 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $5,145,759 | BadDebtExpenseAmount |
| Amount Attributable To | 1727315 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 18023415 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 21748805 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3725390 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OCONEE REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 821 NORTH COBB STREET | AddressLine1 |
| City | MILLEDGEVILLE | City |
| State | GA | State |
| ZIP Code | 31061 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | DISPROPORTIONATE SHARE HOSPITAL | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA IN 2010 PER IRS ANNOUNCEMENT 2011-37 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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 $ 13816181. | ||
| PART III, LINE 4: THE IRS WORKSHEETS WERE UTILIZED TO DETERMINE THE COST-TO-CHARGE RATIO.ACCOUNTS RETURNED TO US FROM THE COLLECTION AGENCY FOR CLAIMS WHERE THERE WERE NO ASSETS, THE PATIENT IS DECEASED, OR THE AGENCY BELIEVED THAT THERE WAS NO CHANCE OF COLLECTION TOTAL $4,624,673.52. MULTIPLY THE THE CALCULATED COST / CHARGE RATIO HERE OF 37.35% YIELDS $1,727,315. | ||
| PART III, LINE 8: THE TOTAL AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THERE ARE MEMBERS IN OUR COMMUNITY THAT ARE RESIDENTS OF THE GEORGIA WAR VETERANS HOME AND OF CENTRAL STATE HOSPITAL WHO ARE MEDICARE BENEFICIARIES. ALTHOUGH ORMC IS REIMBURSED BY MEDICARE FOR THESE PARTICULARLY FRAGILE PATIENTS UNDER THE PROSPECTIVE PAYMENT RULES, THESE PATIENTS ARE TYPICALLY MORE SEVERLY ILL, HAVE MULTIPLE COMPLICATIONS AND LONGER LENGTHS OF STAY THAN THE AVERAGE MEDICARE PATIENT. WE TREAT ALL MEDICARE PATIENTS THAT PRESENT TO OUR HOSPITAL (IF WE AHVE AVAILABLE THE NEEDED SERVICE). PROVIDING SERVICES TO COMMUNITY MEMBERS AT LESS THAN COST IS CERTAINLY A BENEFIT TO THOSE MEMBERS. | ||
| PART III, LINE 9B: ACCOUNTS FOR PATIENTS WHO MEET THE CRITERIA FOR FINANCIAL ASSISTANCE ARE WRITTEN OFF TO INDIGENT /CHARITY ACCOUNTS AND NO ATTEMPTS ARE MADE TO COLLECT FROM THE PATIENT. FOR ALL OTHER ACCOUNTS IF OTHER INFORMATION IS KNOWN TO THE COLLECTOR, SUCH AS PATIENT IS DECEASED AND THERE IS NO RECORD OF ESTATE, OR PATIENT MET CHARITY REQUIREMENTS IN PREVIOIUS YEARS AND IT IS KNOWN THAT HIS OR HER CIRCUMSTANCES HAVE NOT CHANGED, FOR INSTANCE, THE ACCOUNT IS WRITTEN OFF TO CHARITY AND NOT SENT TO COLLECTIONS. | ||
| PART VI, LINE 2: ONGOING DISCUSSIONS WITH LOCAL MEDICAL STAFF, INTERNAL CASE MANAGEMENT AND DISCHARGE PLANNING PERSONNEL, COMMUNITY BOARD MEMBERS AND LOCAL LEADERS PROVIDE INFORMATION ON THE HEALTH NEEDS OF THE POPULATION WE SERVE. IN ADDITION, PERIODICALLY IN CONJUNCTION WITH STRATEGIC PLANNING, A MEDICAL STAFF DEVELOPMENT PLAN IS CREATED. THIS PROCESS LOOKS AT GAPS IN LOCAL PHYSICIAN SPECIALITY COVERAGE AND HOW TO FILL THOSE GAPS. | ||
| PART VI, LINE 3: INFORMATION ON FINANCIAL ASSISTANCE IS POSTED IN ALL REGISTRATION AREAS. ALL UNINSURED PATIENTS RECEIVE PRINTED MATERIAL. THERE ARE THREE FULL TIME FINANCIAL COUNSELORS THAT MEET WITH ALL REFERRED PATIENTS AND FAMILIES. PATIENTS ARE REFERRED BY CASE MANAGEMENT, ADMISSIONS STAFF, AND PATIENT INQUIRY. BILLING NOTICES INCLUDE INFORMATION ON AVAILABLE FINANCIAL ASSISTANCE WITH CONTACT INFORMATION. | ||
| PART VI, LINE 4: PRIMARY SERVICE AREA INCLUDES MILLEDGEVILLE (ZIP CODE 31061 AND HADDOCK (ZIP CODE 31033). SECONDARY SERVICE AREA INCLUDES BALDWIN COUNTY, PORTIONS OF PUTNAM, HANCOCK, AND WASHINGTON COUNTIES. PRIMARY SERVICE AREA HAS A POPULATION OF 47,981. SECONDARY SERVICE AREAS HAVE A POPULATION OF 81,460. THE PSA SENIOR POPULATION 15.7% OF THE TOTAL AND IS PROJECTED TO GROW BY 15.9% FROM 2009-2014. IN THE PSA 35.3% OF THE ADULT POPULATION HAS A HIGH SCHOOL DEGREE (COMPARED WITH 28.65% FOR GEORGIA) WITH 17.1% HAVING SOME COLLEGE WORK. CURRENT UNEMPLOYMENT IN BALDWIN COUNTY IS OVER 12%. MILLEDGEVILLE IS ALSO HOME TO SEVERAL STATE PRISONS, GEORGIA WAR VETERANS HOME, AND CENTRAL STATE HOSPITAL WHOSE POPULATIONS WE SERVE FOR MEDICAL CARE NEEDS. MILLEDGEVILLE IS CONSIDERED A MEDICALLY UNDERSERVED AREA. | ||
| PART VI, LINE 6: ALL SURPLUS FUNDS ARE RETAINED BY THE ORGANIZATION. THROUGH THE CAPITAL PLANNING AND BUDGETING PROCESS, MILLIONS OF DOLLARS ARE REINVESTED IN PLANT AND EQUIPMENT EACH YEAR TO ENABLE ORMC TO PROVIDE MODERN, QUALITY CARE TO PATIENTS. NEW PROGRAMS ARE CONSIDERED AND EVALUATED BASED ON THE COLLECTIVE KNOWLEDGE OF THE COMMUNITY AND PATIENTS WE SERVE.ORMC IS THE ONLY HOSPITAL IN BALDWIN COUNTY AND MAINTAINS AN OPEN MEDICAL STAFF. BOARD MEMBERS REPRESENT A CROSS SECTION OF OUR COMMUNITY. ORMC ESTABLISHED AN OBSTETRICS CLINIC TO PROVIDE PRENATAL AND OB SERVICES TO PATIENTS WHO DO NOT HAVE ACCESS TO A PRIVATE PHYSICIAN DUE TO PAYOR SOURCE. WE HAVE COLABORATED WITH A LOCAL CHURCH SPONSORED MEDICAL CLINIC THAT SERVES PATIENTS ON A SLIDING SCALE AND WE ARE PREPARING FOR THE POSSIBILITY OF A FEDERALLY QUALIFIED HEALTH CENTER TO HELP PROVIDE BASIC MEDICAL CARE TO THE UNDERSERVED POPULATION WHO OTHERWISE DO NOT HAVE ACCESS. | ||
| PART VI, LINE 7: ORMC IS THE ONLY HOSPITAL IN BALDWIN COUNTY AND MAINTAINS AN OPEN MEDICAL STAFF. BOARD MEMBERS REPRESENT A CROSS SECTION OF OUR COMMUNITY. ORMC ESTABLISHED AN OBSTETRICS CLINIC TO PROVIDE PRENATAL AND OB SERVICES TO PATIENTS WHO DO NOT HAVE ACCESS TO A PRIVATE PHYSICIAN DUE TO PAYOR SOURCE. WE ARE PREPARING FOR THE POSSIBILITY OF A FEDERALLY QUALIFIED HEALTH CENTER TO HELP PROVIDE BASIC MEDICAL CARE TO THE UNDERSERVED POPULATION WHO ARE OTHERWISE DO NOT HAVE ACCESS. | ||
| GA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RAM PURI MD | |||||||||||||
| 0 | 0 | 0 | 0 | 254574 | 0 | 0 | 0 | 0 | 0 | 254574 | 0 | 0 | 0 |
| REBECCA J AYCOCK | |||||||||||||
| 337838 | 0 | 11250 | 0 | 7279 | 0 | 24352 | 0 | 22826 | 0 | 403545 | 0 | 0 | 0 |
| JAMES ALAN HORTON | |||||||||||||
| 201900 | 0 | 6750 | 0 | 3619 | 0 | 17903 | 0 | 13635 | 0 | 243807 | 0 | 0 | 0 |
| DAVID T PERRY | |||||||||||||
| 170974 | 0 | 6750 | 0 | 3118 | 0 | 16503 | 0 | 12880 | 0 | 210225 | 0 | 0 | 0 |
| BRENDA K QUALLS | |||||||||||||
| 178187 | 0 | 6750 | 0 | 0 | 0 | 8416 | 0 | 7652 | 0 | 201005 | 0 | 0 | 0 |
| MOLLIE F THOMAS | |||||||||||||
| 133119 | 0 | 6750 | 0 | 33028 | 0 | 8836 | 0 | 7637 | 0 | 189370 | 0 | 0 | 0 |
| DEBORAH S REVIS | |||||||||||||
| 157741 | 0 | 6750 | 0 | 780 | 0 | 13723 | 0 | 7481 | 0 | 186475 | 0 | 0 | 0 |
| JOSEPH E EVANS | |||||||||||||
| 144287 | 0 | 2438 | 0 | 24667 | 0 | 8183 | 0 | 7656 | 0 | 187231 | 0 | 0 | 0 |
| WILLIAM W COLEMAN | |||||||||||||
| 151542 | 0 | 2438 | 0 | 0 | 0 | 5636 | 0 | 13303 | 0 | 172919 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION PAYS COUNTRY CLUB DUES FOR CERTAIN OFFICERS OF THE ORGANIZATION. ANY PERSONAL USE PORTION IS INCLUDED IN THE EMPLOYEE'S FORM W-2. |
| PART I, LINE 5 | THE ORGANIZATION HAS A PERFORMANCE BONUS PROGRAM IN PLACE AVAILABLE TO ALL EMPLOYEES. CRITERIA FOR THIS PROGRAM ARE SET BY THE BOARD OF DIRECTORS, AND ONE OF THE CRITERIA IS BASED ON NET REVENUES. SEE SCHEDULE J, PART II, COLUMN (B)(II) FOR DETAILS. |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DR CHERYL WINGATE FORMER BOARD ME | NamePerson |
| Purpose Of Loan | PHYSICIAN LOAN TO ASSIST WITH MALPRACTICE INSURANCE PAYMENTS | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $152,000 | OriginalPrincipalAmount |
| Balance Due | 91290 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 91290 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BRIAN D AYCOCK | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FAMILY RELATIONSHIP TO OFFICER REBECCA AYCOCK | Relationship |
| Amount Of Transaction | 83740 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION FOR SERVICES AS EMPLOYEE (SPECIAL PROJECTS MANAGER) | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | NOMINEES TO THE BOARD OF DIRECTORS MUST BE RATIFIED BY THE BOARD OF OCONEE REGIONAL HEALTH SYSTEMS, A RELATED ORGANIZATION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS REVIEWED BY MANAGEMENT, AND WAS SENT TO ALL VOTING BOARD MEMBERS TO REVIEW. SUBSEQUENTLY THE RETURN WAS FILED WITH THE IRS. | |
| THE ORGANIZATION'S COMPLIANCE OFFICER DISTRIBUTES AND RECOLLECTS THE CONFLICT OF INTEREST POLICY QUESTIONNAIRE ANNUALLY. BOARD MEMBERS WITH ANY POTENTIAL CONFLICTS ARE REQUIRED TO BE ABSENT DURING ANY DISCUSSION OR VOTE INVOLVING THE INTERESTED PARTY. RECUSALS ARE NOTED IN THE MINUTES TO THE MEETINGS. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS CURRENT COMPENSATION PACKAGES AND AGREEMENTS OF MEMBERS OF SENIOR LEADERSHIP ANNUALLY, AND COMPARES THE OFFERS TO A SURVEY OF SALARY RANGES FOR COMPARATIVELY SITUATED HEALTHCARE ORGANIZATIONS. BENCHMARKS STUDIED ARE REPORTED BY THE GEORGIA HOSPITAL ASSOCIATION AND OTHERS BASED ON BED SIZE, VOLUMES, AND GEOGRAPHIC AREA. THE BOARD APPROVES THE COMPENSATION FOR THE CEO, AND APPROVES AN OVERALL PERCENTAGE INCREASE FOR THE VICE PRESIDENTS, FOR WHICH THE CEO DETERMINES ULTIMATE DISTRIBUTION. | FORM 990, PART VI, SECTION B, LINE 15 | |
| PHOTOCOPIES OF THE ORGANIZATION'S FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. | FORM 990, PART VI, SECTION C, LINE 18 | |
| PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. | FORM 990, PART VI, SECTION C, LINE 19 | |
| COMPENSATION TO BOARD MEMBERS | BOARD MEMBERS GEORGE GRIMES AND RAM PURI RECEIVE COMPENSATION FOR MEDICAL DIRECTOR SERVICES, AS WELL AS PAYMENTS FOR MEDICAL SERVICES, TO THE ORGANIZATION, LISTED IN COLUMN (D) OF PART VII, LINE 1. NO PORTION OF THESE AMOUNTS ARE FOR SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS. | FORM 990, PART VII, LINE 1 |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -123,053. CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 86,691. TOTAL TO FORM 990, PART XI, LINE 5: -36,362. | FORM 990, PART XI, LINE 5: |
| CONSOLIDATED FINANCIAL STATEMENTS: | THE ORGANIZATION RECEIVES AUDITED FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS WITH ITS CORPORATE PARENT, OCONEE REGIONAL HEALTH SYSTEMS, AND OTHER AFFILIATED ENTITIES. | FORM 990, PART XI, LINE 2 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| OCONEE REGIONAL HEALTH SYSTEMS INC | ||||||||||
| PO BOX 690 | MILLEDGEVILLE | GA | 31061 | 582359394 | HEALTHCARE | GA | 501(C)(3) | LINE 11A, I | N/A | 0 |
| OCONEE REGIONAL HEALTH SERVICES INC | ||||||||||
| PO BOX 690 | MILLEDGEVILLE | GA | 31061 | 582359397 | HEALTHCARE | GA | 501(C)(3) | LINE 11A, I | N/A | 0 |
| OCONEE REGIONAL EMERGENCY MEDICAL SERVICES INC | ||||||||||
| PO BOX 690 | MILLEDGEVILLE | GA | 31061 | 582643857 | HEALTHCARE | GA | 501(C)(3) | LINE 11A, I | N/A | 0 |
| OCONEE REGIONAL HEALTHCARE FOUNDATION INC | ||||||||||
| 821 NORTH COBB STREET | MILLEDGEVILLE | GA | 31061 | 582359396 | FUNDRAISING AND SUPPORT | GA | 501(C)(3) | LINE 11A, I | N/A | 0 |
| OCONEE REGIONAL SENIOR LIVING | ||||||||||
| PO BOX 690 | MILLEDGEVILLE | GA | 31061 | 582455613 | HEALTHCARE | GA | 501(C)(3) | LINE 11A, I | N/A | 0 |
| JASPER HEALTH SERVICES INC | ||||||||||
| PO BOX 690 | MILLEDGEVILLE | GA | 31061 | 582510435 | HEALTHCARE | GA | 501(C)(3) | LINE 3 | N/A | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OCONEE REGIONAL HEALTH VENTURES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 690 | AddressLine1 |
| City | MILLEDGEVILLE | City |
| State | GA | State |
| ZIP Code | 31061 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582528516 | EIN |
| Primary Activity | ANCILLARY HEALTHCARE | PrimaryActivity |
| Legal Domicile State | GA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | -286530 | ShareOfTotalIncome |
| Share Of EOY Assets | 1090626 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OCONEE REGIONAL HEALTH VENTURES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |