2011-10-21T14:09:04-05:00 2010-12-31 DRAFFIN & TUCKER LLP PO BOX 6 ALBANY GA 317020006 990 2010-01-01 582155150 NEWTON HEALTH SYSTEM INC NEWT 7707867053 5126 HOSPITAL DRIVE COVINGTON GA 30014 TROY B BROOKS 7707867053 2011-10-31 true JACQUELINE G ATKINS 2298837878 2011-10-20 2010 2016-03-07 17:11:31Z JAMES F WEADICK CEO 5126 HOSPITAL DRIVE NE COVINGTON GA 30014 75291593 false X WWW.NEWTONMEDICAL.COM X 1995 GA PROVIDE HEALTHCARE TO THE COMMUNITY 10 8 936 233 0 5307875 4633948 74204880 68748168 79569 85864 1473661 804678 81065985 74272658 41549 9000 0 36671538 37404836 0 0 46701597 37631275 83414684 75045111 -2348699 -772453 76463854 74658532 35791788 34664789 40672066 39993743 PROVIDE HEALTHCARE TO THE COMMUNITY false false 65671682 9000 68970225 NEWTON HEALTH SYSTEM, INC. (THE SYSTEM) LOCATED IN COVINGTON, GEORGIA, OPERATES NEWTON MEDICAL CENTER, A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE SYSTEM PROVIDED INPATIENT, OUTPATIENT, EMERGENCY CARE AND HOME HEALTH SERVICES FOR RESIDENTS OF NEWTON COUNTY AND THE SURROUNDING AREA. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. SERVICES ARE PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 65671682 true true false true false false false false false false true false false false true true true false false false false false false false true false true true false true true true false false false false false false false true false false false false false false false false false false false false true 117 0 true 936 true false false false false false true true false false false false false false X 10 8 true false false false false false false true true false false true true true true true true true true false GA X TROY BROOKS 7703854426 5126 HOSPITAL DRIVE COVINGTON GA 30014 A STEVEN WHITWORTH MD 1.00 X 16000 0 0 TIM PARK MD 1.00 X 6000 0 0 DL KNOX 1.00 X X 0 0 0 MELVIN BAKER DMD 1.00 X X 0 0 0 WILLIAM D FORTSON JR 1.00 X X 0 0 0 BOB RICHARDSON 1.00 X 0 0 0 ESTHER WILLIAMS 1.00 X 0 0 0 DIXON HAYS 1.00 X 0 0 0 RICHARD BROWN 1.00 X 0 0 0 GEORGE HART 1.00 X 0 0 0 RANDALL MEADOWS 1.00 X 0 0 0 JAMES WEADICK 40.00 X 238152 0 65130 TROY B BROOKS 40.00 X 183115 0 31986 MICHAEL HANOWELL MD 40.00 X 365451 0 5790 BRYAN PARRY MD 40.00 X 282306 0 8987 KARUNA SHAH DO 40.00 X 222940 0 6493 CARTER ROGERS MD 40.00 X 221997 0 10088 ERINNE GRAHAM MD 40.00 X 221265 0 3176 1757226 131650 23 false true false PHYSICAL THERAPY CLINICS OF GA PC PO BOX 767068 ROSWELL GA 30076 PT SERVICES 695437 RIVERDALE ANESTHESIA ASSOC PC 405 ARROWHEAD BLVD SUITE C JONESBORO GA 30236 ANESTHESIA SVCS 539114 ALCOVY HOSPITALIST PC P O BOX 2779 COVINGTON GA 30015 HOSPITALISTS 360000 SLEEPMED INCORPORATED 60 CHASTAIN CTR BLVD STE 66 KENNESAW GA 30144 SLEEP SPECIALIS 297233 FIRSTSOURCE SOLUTIONS USA LLC 6455 RELIABLE PARKWAY CHICAGO IL 60686 COLLECTION SVC 248127 12 16930 4539995 77023 4633948 PROGRAM SERVICE REVENUE 621990 68748168 68748168 68748168 110534 110534 505025 510737 -5712 -5712 -5712 24670 -24670 -24670 -24670 323431 16930 328906 -5475 -5475 152425 154622 -2197 -2197 CAFETERIA SALES 722210 369567 369567 CASH DISCOUNTS ON PURCHASES 561000 222057 222057 DRUG SALES TO EMPLOYEES 561000 109264 109264 117174 117174 818062 74272658 68970225 668485 9000 9000 518383 518383 31985265 27910464 4074801 887878 853014 34864 1632748 1431228 201520 2380562 2077279 303283 23572 23572 171552 171552 192982 192982 12068 12068 6961935 5526032 1435903 316608 183944 132664 14432913 13989374 443539 2898084 2679858 218226 153574 106161 47413 36780 36780 60091 60091 5570690 5151217 419473 836185 789470 46715 REPAIRS & MAINTENANCE 2810304 2072076 738228 PROVISION FOR BAD DEBT 1931819 1931819 MISCELLANEOUS 534647 315909 218738 TAXES & LICENSES 492527 492527 DUES & SUBSCRIPTIONS 194944 115530 79414 75045111 65671682 9373429 0 3332511 3684887 9571006 9558858 10613824 11272270 473147 613380 135894 80237 111602061 64149513 50388627 47452548 1948845 1996352 76463854 74658532 9045367 9418449 25830002 24575002 916419 671338 35791788 34664789 X 40672066 39993743 40672066 39993743 76463854 74658532 -772453 94130 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false false false true 12068 12068 false false false false false SCHEDULE C, PART II-B, LINE 1I THE HOSPITAL PAYS AHA DUES ANNUALLY. A PORTION OF THE FEES PAID IS USED BY AHA TO COVER LOBBYING EXPENSES. FOR FISCAL YEAR 2010, 25% OF THE TOTAL PAID WAS ALLOCATED TO LOBBYING ACTIVITIES. false false false false false false false false false false 1615489 1615489 65409862 30832236 34577626 629186 463625 165561 43714419 32853652 10860767 233105 233105 47452548 74272658 75045111 -772453 -87294 -87294 -859747 74720770 535406 535406 74185364 87294 87294 74272658 75580517 535406 535406 75045111 75045111 LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE SYSTEM IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)3 OF THE INTERNAL REVENUE CODE. THE SYSTEM APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE SYSTEM ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2010 AND 2009 OR FOR THE YEARS THEN ENDED. THE SYSTEM'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2007-2009. RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 LOSS ON DISPOSAL OF EQUIPMENT 24,669 RENTAL EXPENSES 510,737 AUXILIARY FUNDRAISING AND INVENTORY NET REVENUES -87,294 LOSS ON DISPOSAL OF EQUIPMENT -24,669 RENTAL EXPENSES -510,737 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D LOSS ON DISPOSAL OF EQUIPMENT 24,669 RENTAL EXPENSES 510,737 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B AUXILIARY FUNDRAISING AND INVENTORY NET REVENUES 87,294 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D LOSS ON DISPOSAL OF EQUIPMENT 24,669 RENTAL EXPENSES 510,737 GALA SPECIAL EV 141460 14130 127330 48863 AUXILIARY SPECI 141327 141327 270769 2 57574 2800 54774 9274 340361 16930 323431 328906 328906 -5475 true true true X true X true true true false true true 4047504 4047504 0.05460 11078874 10555726 523148 0.00710 15126378 10555726 4570652 0.06170 923805 923805 0.01250 18171869 12337529 5834340 0.07870 114327 114327 0.00150 19210001 12337529 6872472 0.09270 34336379 22893255 11443124 0.15440 185000 185000 0.00250 16250 16250 0.00020 850 850 28000 28000 0.00040 293700 293700 0.00400 523800 523800 0.00710 true 560991 23706067 18141515 5564552 X true true 1 1 NEWTON MEDICAL CENTER

5126 HOSPITAL DRIVE COVINGTON GA 30014

X X X HOME HEALTH SVCS;CLINICS NEWTON MEDICAL CENTER 1 false false false false true SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G THIS SECTION INCLUDES 1237547 COSTS NET OF CHARITY AND BAD DEBTS FOR PHYSICIAN CLINICS WHICH PROVIDE ACCESS TO PHYSICIAN SERVICES IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN F THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990 PART IX LINE 25 FORM 990 PART IX LINE 25 75045111 LESS BAD DEBTS IN PART IX 1931819 ADD EXPENSES REPORTED IN PART VIII 994265 DENOMINATOR FOR COLUMN F 74107557 COSTING METHODOLOGY EXPLANATION PART I LINE 7 THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATIONS A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS 2008 SEE ALSO THE DESCRIPTION FOR PART III LINE 4 COMMUNITY BUILDING ACTIVITIES PART II FREE HEALTH SCREENINGS STAFF VOLUNTEERS AT FREE COMMUNITY HEALTH CLINIC FREE SEMINARS AND SUPPORT GROUPS BAD DEBT EXPENSE EXPLANATION PART III LINE 4 AMOUNTS ON PART III LINES 2 AND 3 WERE CALCULATED USING THE RCC AS DEFINED IN WORKSHEET 2 NEWTON MEDICAL CENTER IS THE SOLE PROVIDER OF 24 HOUR 7 DAY A WEEK EMERGENT CARE IN NEWTON COUNTY GEORGIA IN ADDITION MANY CITIZENS OF NEWTON COUNTY HAVE NO ACCESS TO PRIMARY CARE AS A RESULT OF THEIR INABILITY OR UNWILLINGNESS TO PAY FOR SERVICES OTHERS HAVE NO ACCESS TO PRIMARY CARE PHYSICIANS DUE TO THEIR PARTICULAR INSURANCE PLAN THIS IS ESPECIALLY TRUE OF MEDICAID RECIPIENTS MANY OF THESE COMMUNITY MEMBERS SEEK CARE IN THE EMERGENCY ROOM AT NEWTON MEDICAL CENTER FOR BOTH EMERGENT AND NONEMERGENT HEALTH CARE NEEDS SOME OF THESE PATIENTS REQUIRE EXTENDED CARE AS INPATIENTS OR EXTENSIVE OBSERVATION OUR EMERGENCY ROOM ALSO SERVES AS A HOLDING AREA FOR THE MENTALLY ILL OFTEN KEEPING THESE CITIZENS FOR SEVERAL DAYS BEFORE THEY ARE PLACED IN A MORE APPROPRIATE SETTING MANY OF THESE PATIENTS DO NOT MEET CRITERIA OR ARE NONCOMPLIANT IN COMPLETING THE PROCESS NEEDED TO SHOW ELIGIBILITY FOR CHARITY CARE OTHERS ARE UNWILLING TO PAY EVEN THOUGH THEY MAY HAVE THE MEANS TO DO SO MANY INSURED PATIENTS HAVE HIGH DEDUCTIBLES AND ALSO FAIL TO PAY FOR THEIR CARE IN ADDITION NEWTON MEDICAL CENTER PROVIDES SERVICES TO PATIENTS ON AN ELECTIVE BASIS THAT ARE UNABLE TO MEET THEIR OUT OF POCKET EXPENSES UNDER THEIR INSURANCE PROGRAM MEDICARE OR OTHER THIRD PARTY PROVIDER IN THESE CASES THE HOSPITAL DOES WORK WITH THE PATIENTS TO MAKE PAYMENT ARRANGEMENTS HOWEVER MANY PATIENTS FAIL TO FOLLOW THROUGH OR ARE FINANCIALLY UNABLE TO COMPLETE THOSE ARRANGEMENTS CARE IS PROVIDED DESPITE THE RISK THAT MANY PATIENTS WILL NOT MAKE AGREED UPON PAYMENTS IN ALL OF THE CASES DESCRIBED ABOVE THE RESULT IS THE HOSPITAL INCURRING BAD DEBT EXPENSE BY PROVIDING HEALTH CARE SERVICES THAT ARE NEEDED BY COMMUNITY MEMBERS ACCORDINGLY IT IS CLEAR THAT THE COMMUNITY BENEFITS FROM THE HOSPITAL INCURRING BAD DEBT EXPENSE FOR CARE PROVIDED EXCERPT FROM AUDITED FINANCIAL STATEMENTS ALLOWANCE FOR DOUBTFUL ACCOUNTS THE SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE EVALUATION OF THE OVERALL COLLECTABILITY OF THE ACCOUNTS RECEIVABLE AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE THE ACCOUNT IS CHARGED AGAINST THE ALLOWANCE MEDICARE EXPLANATION PART III LINE 8 MEDICARE COSTS ARE BASED ON THE COST REPORT USING APPROPRIATE ALLOCATION METHODOLOGIES AND ACCEPTABLE STATISTICAL BASES MEDICARE RECEIPTS WERE COMPILED FROM THE PSR DATA MEDICARE COST REPORT COLLECTION PRACTICES EXPLANATION PART III LINE 9B THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS NEEDS ASSESSMENT PART VI LOCAL AND STATE DEMOGRAPHICS FROM THE NEWTON COUNTY CHAMBER OF COMMERCE FINANCIAL RECORDS OF PATIENTS FEEDBACK FROM HOSPITAL SPONSORED SCREENINGS AND SUPPORT GROUPS PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI SIGNS ADVISING PATIENTS OF THE CHARITY CARE POLICY ARE POSTED AND SUMMARIES ARE AVAILABLE IN ADMISSIONS AND IN THE EMERGENCY ROOM PATIENTS THAT ARE POTENTIALLY ELIGIBLE FOR THE PROGRAMS ARE DIRECTED TO OUR FINANACIAL COUNSELORS FOR FURTHER SCREENING AND TO COMPLETE APPLICATION TO DETERMINE ELIGIBILITY INPATIENTS WHO MAY BE ELIGIBLE FOR CHARITY CARE ARE INFORMED OF THE CHARITY CARE PROGRAMS AS PART OF THE INPATIENT DISCHARGE PROCESS SOME OF THE STAFF ARE BILINGUAL AND ARE USED WITH NONENGLISH SPEAKING PATIENTS WHEN NEEDED THE HOSPITAL USES MEDASSIST TO WORK WITH UNINSURED PATIENTS TO ASSIST THEM IN DETERMINING IF THEY ARE ELIGIBLE FOR PROGRAMS SUCH AS DISABILITY MEDICAID AS WELL THE HOSPITALS CHARITY CARE PROGRAM ALL PATIENTS ACCOUNTS REGISTRATION AND SCHEDULING STAFF ARE TRAINED TO UNDERSTAND THE HOSPITALS CHARITY CARE POLICY AND TO REFER PATIENTS WHO MAY BE ELIGIBLE TO OUR PATIENT COUNSELORS FOR FURTHER ASSISTANCE ALL THIRD PARTIES THAT COLLECT PAYMENT ON BEHALF OF THE HOSPITAL HAVE BEEN MADE AWARE AND RECEIVED TRAINING TO IDENTIFY AND REFER PATIENTS FOR CHARITY CARE THEY ARE REQUIRED TO FOLLOW HOSPITAL POLICIES IN THESE MATTERS COMMUNITY INFORMATION PART VI THE ORGANIZATION PRIMARILY SERVES THE RESIDENTS OF NEWTON COUNTY GEORGIA AND THE SURROUNDING COUNTIES APPROXIMATELY 13 OF THE NEWTON COUNTY POPULATION IS UNDER THE FEDERAL POVERTY LEVEL HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI FREE PRESCRIPTION MEDICATIONS TO INDIVIDUALS UNDER THE POVERTY LEVELFREE TREATMENT BY SOME MEDICAL STAFF ADDITIONAL INFORMATION PART VI NEWTON MEDICAL CENTER DOES PROVIDE AN ANNUAL COMMUNITY BENEFIT REPORT THIS REPORT INCLUDES FINANCIALS AND DATA ON HOSPITAL OPERATIONS A LETTER FROM THE ADMINISTRATOR DISCUSSING ANY NEW ADDITIONS TO NEWTON MEDICAL CENTER AS WELL AS STATISTICS ON EMPLOYEES AND VOLUNTEERS THIS DOCUMENT ALSO PROVIDES A GLIMPSE INTO ANY NEW PHYSICIAN INITATIVES AND QUALITY INPROVEMENT FOR THE HOSPITAL AND AFFILIATED OFFICES THIS REPORT INCLUDES A DETAILED LISTING OF ALL ORGANIZATIONS THAT NEWTON MEDICAL CENTER PROVIDED CASH DONATIONS OR VOLUNTEERED SERVICES AT IN THE COMMUNITY NEWTON MEDICAL CENTER ALSO PROVIDED NUMEROUS FREE EDUCATIONAL FORUMS AND SUPPORT GROUPS TO THE COMMUNITY ON AN ANNUAL BASIS LASTLY NEWTON MEDICAL CENTER PROVIDES A SIGNIFICANT SERVICE TO THE COMMUNITY IN THE FORM OF CHARITY CARE THIS INFORMATION IS ALSO INCLUDED IN THE ANNUAL COMMUNITY BENEFIT REPORT true TUITION ASSISTANCE 10 9000 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 TUITION ASSISTANCE PROGRAM FULL-TIME AND PART-TIME EMPLOYEES WHO HAVE COMPLETED AT LEAST SIX MONTHS OF UNINTERRUPTED SERVICE ARE ELIGIBLE TO PARTICIPATE IN THE TUITION ASSISTANCE PROGRAM. PRN EMPLOYEES MAY BE ELIGIBLE FOR REIMBURSEMENT FOR NURSING PROGRAMS. COURSES OF STUDY MUST BE RELATED TO A POSITION IN THE MEDICAL CENTER. REIMBURSEMENT UNDER THIS PROGRAM IS LIMITED TO 100% OF TUITION FEES FOR COURSE COMPLETED. THE PROGRAM WILL NOT REIMBURSE EMPLOYEES FOR BOOKS, PARKING, TRAVEL, REGISTRATION, STUDENT ACTIVITIES FEES, MISCELLANEOUS SUPPLIES AND FEES, OR OTHER EXPENSES OF A PERSONAL NATURE. X X X false true false false false false false false false JAMES WEADICK 229501 8651 61410 3720 303282 TROY B BROOKS 179128 3987 28266 3720 215101 MICHAEL HANOWELL MD 267943 97030 478 5790 371241 BRYAN PARRY MD 279037 3269 8987 291293 KARUNA SHAH DO 213672 5923 3345 6493 229433 CARTER ROGERS MD 191942 26943 3112 10088 232085 ERINNE GRAHAM MD 220750 515 3176 224441 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 JAMES WEADICK 0 31,250 0 TROY B. BROOKS 0 19,000 0 OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III THE ORGANIZATION PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. IT IS ADMINISTERED BY VANGUARD AND IS CONSTRUCTED AS A 457(F)PLAN. THE ONLY PARTICIPANTS ARE THE FOUR MEMBERS OF THE HOSPITAL'S EXECUTIVE STAFF: CEO, CFO, ASSISTANT ADMINISTRATOR AND DIRECTOR OF HUMAN RESOURCES. PART II, COLUMN (B)(II) BONUS & INCENTIVE COMPENSATION - EMPLOYEE INCENTIVE PLAN THE EMPLOYEE INCENTIVE PLAN IS BASED ON MULTIPLE GOALS, ONE OF WHICH IS NET OPERATING MARGIN FOR THE HOSPITAL. INCENTIVE PLAN FOR DOCTORS THE PHYSICIAN INCENTIVE PLANS ARE ALL BASED ON NET COLLECTIONS INTO THE PRACTICE, NOT NET INCOME. THEY ARE NOT PREDICATED ON ANY VOLUME GENERATED INTO THE HOSPITAL, NOR FOR THAT MATTER ARE THEY TIED TO PURE VOLUME OF VISITS/SURGERIES/DELIVERIES EITHER. NEWTON COUNTY HOSPITAL AUTHORITY 2006 REVENUE BONDS 586004174 NONENONEN 2006-04-27 8930000 4TH FLOOR ADDN HOSP false false false NEWTON COUNTY HOSPITAL AUTHORITY 2007 BOND ISSUE 586004174 NONENONEN 2007-05-30 17225000 ADVC REFUND 1999 BONDS false false false 1325000 9010590 1349661 178600 8751400 2007 false false true true 254998 17235133 1126717 16989001 235999 2002 false true true true false false false false true true false false false false true true false false false false false false false false false false false false DIFFERENCES IN ISSUE PRICE EXPLANATION SCHEDULE K NEWTON COUNTY HOSPITAL AUTHORITY LINE 3 TOTAL PROCEEDS INCLUDES TOTAL INVESTMENT EARNINGS FROM SINKING FUND OF 80600 APPROXIMATELY NEWTON COUNTY HOSPITAL AUTHORITY LINE 3 TOTAL PROCEEDS INCLUDES TOTAL INVESTMENT EARNINGS FROM SINKING FUND OF 10100 APPROXIMATELY STEVEN WHITWORTH MD BOARD MEMBER 35879 RENTAL PAYMENTS false ADDITIONAL INFORMATION SCHEDULE L PART V THE HOSPITAL OWNS A TWO PHYSICIAN NEUROLOGY PRACTICE THE PRACTICE IS LOCATED IN SPACE OWNED BY DR STEVEN WHITWORTH AND IS LEASED BY NMC EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS FORM 990, PAGE 1, PART I, LINE 6 ESTIMATED VOLUNTEER HOURS FOR FISCAL YEAR 2010 IS 35,957. THE VOLUNTEERS GREET PEOPLE AS THEY ENTER THE HOSPITAL AND WORK AT THE INFORMATION DESK. THEY WORK IN THE HOSPITAL'S GIFT SHOPS. THEY ACT AS GUIDES FOR ANYONE NEEDING ASSISTANCE GETTING AROUND THE HOSPITAL. RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 TROY BROOKS W.D. FORTSON CFO BOARD MEMBER BUSINESS RELATIONSHIP TROY BROOKS BOB RICHARDSON CFO BOARD MEMBER BUSINESS RELATIONSHIP D.L. KNOX RANDALL MEADOWS BOARD MEMBER BOARD MEMBER BUSINESS RELATIONSHIP ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE COMPLETED 990 WILL BE REVIEWED IN A MEETING OF THE AUDIT COMMITTEE PRIOR TO FILING THE FORM WITH THE IRS. THERE WILL BE DISCUSSION AND MINUTES WILL RECORD THIS OCCURRENCE. THERE WILL BE A DETAILED REVIEW. OTHER VOTING MEMBERS OF THE BOARD OF DIRECTORS WILL RECEIVE A COPY UPON REQUEST AND KNOW HOW TO OBTAIN A COPY OF THE REPORT. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C BOARD MEMBERS ARE SUBJECT TO ANNUAL CONFLICT OF INTEREST INQUIRIES AND ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. AN EXAMPLE OF A CONFLICT OF INTEREST OCCURRING AND HOW IT WOULD BE DEALT WITH IS DESCRIBED HERE. CAPITAL BUDGETS AND CAPITAL CONSTRUCTION ARE APPROVED BY THE ENTIRE BOARD OF DIRECTORS. IF A CONFLICT OF INTEREST WAS PRESENT, IT WOULD BE IDENTIFIED AT THAT TIME OR SHORTLY THEREAFTER AND CERTAINLY BEFORE ANY AGREEMENTS WERE SIGNED. IF A CONFLICT OF INTEREST WAS IDENTIFIED IT WOULD BE BROUGHT TO THE APPROPRIATE PERSON'S ATTENTION. THIS PERSON WOULD REMOVE HIMSELF FROM ANY POSITION OF KNOWLEDGE OR INFLUENCE ON THE ISSUE AT QUESTION. COMPETITIVE QUOTES WOULD BE SOLICITED FROM SIMILAR TYPES OF VENDORS. THEN THE BEST AND LOW COST VENDOR WOULD BE SELECTED. EACH YEAR BOARD MEMBERS AND MEMBERS OF MANAGEMENT REVIEW THE CONFLICT OF INTEREST POLICY. THEY THEN COMPLETE A FORM WHICH IDENTIFIES WHETHER OR NOT THEY HAVE OR HAVE HAD A CONFLICT OF INTEREST IN THEIR DEALINGS WITH THE HOSPITAL. THIS FORM IS SIGNED AND RETAINED IN THE ADMINISTRATOR'S OFFICE. AN EXISTING CONFLICT IS FIRST REVIEWED BY ONE OR MORE EXECUTIVE MANAGEMENT MEMBERS. IF THE MATTER CANNOT BE RESOLVED AT THAT LEVEL IT WOULD BE REFERRED TO THE CORPORATE COMPLIANCE COMMITTEE OR TO THE BOARD OF DIRECTORS FOR CLARIFICATION AND RESOLUTION. RESTRICTIONS PLACED ON THE APPROPRIATE PERSON WOULD RANGE FROM NOT HAVING ACCESS TO COST INFORMATION OF OTHER VENDORS, NOT BEING INVOLVED IN NEGOTIATIONS, NOT BEING INVOLVED IN SELECTING VENDORS TO SELL TO THE HOSPITAL. WHEN DISCUSSIONS OCCUR THAT PERTAIN TO THIS SUBJECT THIS PERSON WOULD HAVE TO PHYSICALLY REMOVE HIMSELF FROM THAT FORUM. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A OFFICERS OF THE BOARD OF DIRECTORS, WITH THE EXCEPTION OF THE SECRETARY'S POSITION OCCUPIED BY THE HOSPITAL CEO, ARE NOT COMPENSATED. THE AUDIT COMMITTEE REVIEWS AND DISCUSSES COMPENSATION OF THE MEMBERS OF MANAGEMENT. THEIR RECOMMENDATIONS ARE MADE TO THE FULL BOARD WHERE THEY ARE ACTED UPON. IN SOME INSTANCES THE FULL BOARD RATHER THAN THE COMMITTEE WILL DELIBERATE AND ACT. IN SETTING ANNUAL COMPENSATION FOR MANAGEMENT, A COMPENSATION SURVEY IS USED. APPROVAL BY THE BOARD IS REQUIRED. PROCESS LAST CONDUCTED IN 2010. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE AUDIT COMMITTEE REVIEWS AND DISCUSSES COMPENSATION OF THE MEMBERS OF MANAGEMENT. THEIR RECOMMENDATIONS ARE MADE TO THE FULL BOARD WHERE THEY ARE ACTED UPON. IN SOME INSTANCES THE FULL BOARD RATHER THAN THE COMMITTEE WILL DELIBERATE AND ACT. IN SETTING ANNUAL COMPENSATION FOR MANAGEMENT, A COMPENSATION SURVEY IS USED. APPROVAL BY THE BOARD IS REQUIRED. THIS PROCESS WAS LAST CONDUCTED IN 2010. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES UPON REQUEST.