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WINSTON COUNTY MEDICAL FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WINSTON COUNTY MEDICAL FOUNDATION (EIN 64-6010402)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-12
IRS object ID
201122249349300532
Schema version
2010v3.2
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)
Timestamp2011-08-12T07:21:44-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Watkins Ward and Stafford PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line153 North Dunn StreetAddressLine1
CityEuporaCity
StateMSState
ZIP Code39744ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN646010402EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WINSTON COUNTY COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWINSNameControl
Phone6627736211Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 967AddressLine1
CityLOUISVILLECity
StateMSState
ZIP Code39339ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLee McCallName
TitleAdministratorTitle
Date Signed2011-08-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameThomas Browder CPAName
Phone6622582331Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts21087309GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.winstonmedical.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileMSStateLegalDomicile
Activity Or Mission DescriptionProvide health care servicesActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees261TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year20724ContributionsGrantsPriorYear
Contributions Grants Current Year4265ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18215858ProgramServiceRevenuePriorYear
Program Service Revenue CY20725308ProgramServiceRevenueCY
Investment Income Prior Year178592InvestmentIncomePriorYear
Investment Income Current Year81295InvestmentIncomeCurrentYear
Other Revenue Prior Year193803OtherRevenuePriorYear
Other Revenue Current Year275624OtherRevenueCurrentYear
Total Revenue Prior Year18608977TotalRevenuePriorYear
Total Revenue Current Year21086492TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6650782SalariesEtcPriorYear
Salaries Etc Current Year6989785SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12320236OtherExpensePriorYear
Other Expenses Current Year13377356OtherExpensesCurrentYear
Total Expenses Prior Year18971018TotalExpensesPriorYear
Total Expenses Current Year20367141TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-362041RevenuesLessExpensesPriorYear
Revenues Less Expenses CY719351RevenuesLessExpensesCY
Total Assets BOY13545127TotalAssetsBOY
Total Assets EOY14076827TotalAssetsEOY
Total Liabilities BOY1697880TotalLiabilitiesBOY
Total Liabilities EOY1510229TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11847247NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12566598NetAssetsOrFundBalancesEOY
Mission DescriptionProvide health care servicesMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense18581899Expense
DescriptionWinston County Medical Foundation D/B/A Winston Medical Center provides health care services to the residents of Winston County and surrounding areas including persons unable to pay for required services.Description
Total Program Service Expense18581899TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees261NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLee McCallNamePerson
Telephone Number6627736211TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 967AddressLine1
CityLouisvilleCity
StateMSState
ZIP Code39339ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeKey EmployeeKeyEmployee
Roland Byrd
Trustee5.00X000
Roger Mason
Trustee5.00X000
Robert Higginbotham
Dir. Radiology44.0011043108400X
Jerry Donald
Trustee5.00X000
Jack Miller
Trustee5.00X000
Dale Saulters
Administrator40.00111499038500X
Allen Watts
Secretary5.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org221930TotalReportableCompFromOrg
Total Other Compensation46900TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Valley Services
PO Box 5454JacksonMS39288Dietary Services699731
Medicomp
PO Box 426MageeMS39111Resp, Occ, Phy Therp1088666
Hospital Housekeeping Systems
PO Box 826San AntonioTX78293Housekeeping Service625086
Emergency Room MD LLC
3578 Hwy 45NColumbusMS39701ER Physicians1134064
Ameris
1114 17th Ave Ste 205NashvilleTN37212Management Services1178950
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
All Other Contributions4265AllOtherContributions
Total Contributions4265TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient CareDescription
Total Revenue Column20725308TotalRevenueColumn
Exclusion$20,725,308ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue20725308TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column82112TotalRevenueColumn
Related Or Exempt Function Income82112RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real191216Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real191216Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column191216TotalRevenueColumn
Related Or Exempt Function Income191216RelatedOrExemptFunctionIncome

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other817Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-817Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-817TotalRevenueColumn
Related Or Exempt Function Income-817RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionReturn on Equity in HPICDescription
Total Revenue Column84408TotalRevenueColumn
Related Or Exempt Function Income84408RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue84408TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21086492TotalRevenueColumn
Related Or Exempt Function Income356919RelatedOrExemptFunctionIncome
Exclusion$20,725,308ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total151011Total
Management And General151011ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5600107Total
Program Services5167458ProgramServices
Management And General432649ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total296740Total
Program Services296740ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total529393Total
Program Services529393ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total412534Total
Program Services412534ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6442Total
Management And General6442ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total62900Total
Management And General62900ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total617454Total
Program Services489395ProgramServices
Management And General128059ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total430417Total
Program Services430417ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total14183Total
Program Services6783ProgramServices
Management And General7400ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total30115Total
Program Services30115ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total830790Total
Program Services830790ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Professional Fees16193491619349
Pharmacy - Drugs885678885678
Other Fees2510883243329277591
Contractual fees15506321550632
Bad debts30395533039553

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1778960Total
Program Services859770ProgramServices
Management And General919190ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20367141Total
Program Services18581899ProgramServices
Management And General1785242ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5332BOY
EOY4834EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3908406BOY
EOY4629691EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3364659BOY
EOY3385394EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY173742BOY
EOY165023EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY157898BOY
EOY166625EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14435216LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9137428LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5571806BOY
EOY5297788EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY363284BOY
EOY427472EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13545127BOY
EOY14076827EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1043961BOY
EOY1015658EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY594375BOY
EOY435027EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY59544BOY
EOY59544EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1697880BOY
EOY1510229EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11847247BOY
EOY12566598EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11847247BOY
EOY12566598EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13545127BOY
EOY14076827EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses719351ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis123162OtherCostOrOtherBasis
Book Value123162BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8632493OtherCostOrOtherBasis
Depreciation4793316Depreciation
Book Value3839177BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis137002OtherCostOrOtherBasis
Depreciation108677Depreciation
Book Value28325BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5518948OtherCostOrOtherBasis
Depreciation4235435Depreciation
Book Value1283513BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23611OtherCostOrOtherBasis
Book Value23611BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5297788TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to Third Party PayorDescription
Amount$59,544Amount
FieldValueIRS element (for citing)
Total Of Amounts59544TotalOfAmounts
Total Revenue21086492TotalRevenue
Total Expenses20367141TotalExpenses
Excess Or Deficit For Year719351ExcessOrDeficitForYear
Excess Or Deficit Per FS719351ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt21086492TotRevenueEtcAuditedFinclStmt
Revenue Subtotal21086492RevenueSubtotal
Total Revenue Per Form99021086492TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20367141TotExpensesEtcAuditedFinclStmt
Expenses Subtotal20367141ExpensesSubtotal
Total Expenses Per Form99020367141TotalExpensesPerForm990

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense714618TotalCommunityBenefitExpense
Direct Offsetting Revenue323690DirectOffsettingRevenue
Net Community Benefit Expense390928NetCommunityBenefitExpense
Percent Of Total Expense0.01920PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense2331865TotalCommunityBenefitExpense
Direct Offsetting Revenue1491519DirectOffsettingRevenue
Net Community Benefit Expense840346NetCommunityBenefitExpense
Percent Of Total Expense0.04130PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense3046483TotalCommunityBenefitExpense
Direct Offsetting Revenue1815209DirectOffsettingRevenue
Net Community Benefit Expense1231274NetCommunityBenefitExpense
Percent Of Total Expense0.06050PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3046483TotalCommunityBenefitExpense
Direct Offsetting Revenue1815209DirectOffsettingRevenue
Net Community Benefit Expense1231274NetCommunityBenefitExpense
Percent Of Total Expense0.06050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Written Debt Collection PolicyfalseWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
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 Line1Winston County Comm HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1PO Box 967AddressLine1
CityLousivilleCity
StateMSState
ZIP Code39339ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Winston County Comm HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedfalseEligibilityCriteriaExplained
Uses FPG FreefalseUsesFPGFree
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasisfalseExplainsBasis
Explains Application MethodfalseExplainsApplicationMethod
Includes Publicity MeasuresfalseIncludesPublicityMeasures
Actions On NonpaymentfalseActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe applicable department heads review each employee and submit a recommended pay adjustment to the administrator, The administrator then goes to the board of trustees who will decide on a pay raise, if any.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsDuring the year end audit, related party transactions are reviewed.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessTax return was reviewed with management and tax preparer.