2011-11-13T16:38:55-06:00 2010-12-31 PERSHING YOAKLEY & ASSOCIATES P C ONE CHEROKEE MILLS 2220 SUTHERLAND KNOXVILLE TN 379192363 990 2010-01-01 711045290 HOUSTON HOSPITALS INC HOUS 4789224281 PO BOX 2886 WARNER ROBINS GA 31099 MICHAEL FOWLER 4789224281 2011-11-13 1 8656730844 2010 2016-03-07 17:11:31Z CARY MARTIN PO BOX 2886 WARNER ROBINS GA 31099 279050674 0 X WWW.HHC.ORG X 2009 GA TO IMPROVE THE HEALTHCARE OF THE COMMUNITIES WE SERVE BY PROVIDING PATIENT-FOCUSED, HIGH-QUALITY, COST-EFFECTIVE SERVICES WHILE PROMOTING HEALTH AND WELLNESS. 7 4 2577 175 0 0 59633 180944 245414548 257046909 5941407 9225141 684842 216054 252100430 266669048 0 9673541 0 0 103290620 104112455 0 0 0 128571250 135013488 231861870 248799484 20238560 17869564 316122258 350148878 139269962 143392066 176852296 206756812 X TO IMPROVE THE HEALTHCARE OF THE COMMUNITIES WE SERVE BY PROVIDING PATIENT-FOCUSED, HIGH-QUALITY, COST-EFFECTIVE SERVICES WHILE PROMOTING HEALTH AND WELLNESS. 0 0 203897108 9673541 257031734 THE HOSPITALS' PRIMARY PROGRAM ACTIVITY IS THE PROVISION OF PATIENT CARE. THE HOSPITALS PROVIDED NURSING CARE IN THE AREAS OF MEDICAL, POST-SURGICAL, PSYCHIATRIC, CRITICAL CARE, INTERMEDIATE CARE, LABOR AND DELIVERY, POST PARTUM, NURSERY, PEDIATRICS AND WOUND OSTOMY CARE. THE UTILIZATION DATA INCLUDES: 15,843 ADULT AND PEDIATRIC ADMISSIONS; 71,316 PATIENT DAYS; 2,100 BIRTHS AND 80,832 EMERGENCY ROOM VISITS. THE HEALTHCARE SYSTEM PROVIDED SURGICAL SERVICES TO 20,433 PATIENTS, WHICH INCLUDED 2,723 INPATIENTS; 7,486 OUTPATIENTS; 3,378 PAIN CLINIC PATIENTS AND 6,846 ENDOSCOPY PATIENTS.THE HEALTHCARE SYSTEM PROVIDED THE FOLLOWING IMAGING SERVICES:76,166 DIAGNOSTIC RADIOLOGY PROCEDURES; 38,225 CT SCANS; 3,422 NUCLEAR MEDICINE PROCEDURES; 15,666 ULTRASOUND SCANS; 5,991 MRI SCANS; 1,499 BONE DENSITY SCANS AND 9,647 MAMMOGRAMS INCLUDING 114 DURING GIRLS NIGHT OUT, THE AWARD WINNING PROGRAM TO PROMOTE WOMEN'S HEALTH. 1114946 15175 EDUCARE, THE COMMUNITY EDUCATION DEPARTMENT OF HOUSTON HEALTHCARE, PROVIDED 91 PROGRAMS SERVING 49,029 PARTICIPANTS. THESE INCLUDED HEALTH FAIRS, SENIOR CARE LUNCHEONS, BLOOD PRESSURE SCREENINGS AND EXERCISE CLASSSES, AND VARIOUS EDUCATION CLASSES AND SUPPORT GROUPS IN THE FOLLOWING AREAS: ALZHEIMERS, ARTHRITIS, BREAST CANCER, BREASTFEEDING, CARDIAC HEALTH, CHILDBIRTH, COOKING, DIABETES, DIET, DIVORCE, HYPERTENSION, LUPUS, MULTIPLE SCLEROSIS, PREGNANCY, SIBLINGS, STRESS MANAGEMENT, TOBACCO CESSATION, WALKING AND WEIGHT LOSS. 205012054 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 1 0 0 0 0 1 225 0 1 2577 1 0 0 0 0 0 0 0 0 0 0 X 7 4 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 GA X MICHAEL FOWLER 4785427826 233 N HOUSTON ROAD WARNER ROBINS GA 31093 DANIEL DEIGHTON MD 5.00 X 0 0 0 FRED GRAHAM 3.00 X 0 0 0 TRUDIE WARREN 3.00 X 0 0 0 ED DYSON 3.00 X 0 0 0 HORATIO CABASARES MD 3.00 X 0 0 0 TOMMY STALNAKER 3.00 X 0 0 0 ARTHUR CHRISTIE 3.00 X 0 0 0 GRADY W PHILIPS III 50.00 X 375545 0 17048 FRANK R POWELL 50.00 X 262136 0 17567 CARY MARTIN 55.00 X 237872 0 16606 STEPHEN MACHEN 50.00 X 96739 0 6260 LYNNE THOMAS GORDON 45.00 X 95810 0 7332 JOHN DAVID CAMPBELL 50.00 X 145774 0 16403 MELINDA HARTLEY 45.00 X 170522 0 14720 ROBERT RHODES 45.00 X 145644 0 13528 SAMUEL O JOHNSON 45.00 X 85091 0 4660 ROBERTINA F FLETCHER 50.00 X 148453 0 16342 MICHAEL O'HARA 45.00 X 146180 0 15768 SANDRA N JOHNSON 45.00 X 150980 0 14516 RITA BANDT 40.00 X 140988 0 4314 PAIGE DAWSON 40.00 X 133445 0 12850 2250088 0 173254 26 0 1 0 ARAMARK CTS INC 10510 TWIN LAKES PARKWAY CHARLOTTE NC 28269 EVS & BIO-MED SVCS 1717586 RGL ASSOCIATES 3536 DARIEN HIGHWAY BRUNSWICK GA 31525 BILLING & COLLECTIONS 1023884 ALLIANCE HEALTHCARE SERVICES CHERRY STREET MACON GA 31201 MRI 869815 ROBINS ANESTHESIA SERVICES LLC 212 HOSPITAL DRIVE STE J WARNER ROBINS GA 31088 ANESTHESIA SERVICE 820425 ADVANCED ICU CARE INC 999 EXECUTIVE PARK STE 210 ST LOUIS MO 63141 ELECTRONIC ICU MONITORING 683725 29 94050 86894 50000 180944 NET PATIENT REVENUE 900099 255842812 255842812 CAFETERIA 900099 740397 740397 EMPLOYEE PHARMACY 900099 254627 254627 PURCHASE DISCOUNTS 900099 32882 32882 VENDING 900099 23619 23619 152572 15175 137397 257046909 6097050 6097050 296414 296414 394875 178821 216054 216054 216054 5648982 9385500 3503258 8699547 2145724 685953 2831677 2831677 266669048 255890869 0 10597235 9673541 9673541 1639506 185242 1454264 81289591 72018562 9271029 2922916 2598664 324252 12219395 10250913 1968482 6041047 5286573 754474 526912 526912 68232 68232 18071567 12892461 5179106 790653 790653 9687762 7892689 1795073 2185936 2185936 2966571 2966571 208083 139003 69080 58539 35805 22734 3786484 3786484 12213887 9160336 3053551 1649156 1649156 PATIENT SUPPLIES & PHAR 36184651 36137918 46733 BAD DEBT EXPENSE 31463701 31463701 EQUIPMENT MAINTENANCE 6701312 4088450 2612862 RISK MANAGEMENT 5661423 5661423 PROVIDER FEE 1330656 1330656 1457963 208384 1249579 248799484 205012054 43787430 0 2263542 1525725 31550279 35041449 750000 1226941 1224823 293189 459021 232244439 121107490 132016249 111136949 141808685 192862759 77750 77750 6885623 7070402 316122258 350148878 41421485 45541311 77035000 76040000 20813477 21810755 139269962 143392066 X 176852296 206756812 176852296 206756812 316122258 350148878 X 17869564 12034952 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3840066 3840066 135140702 55562140 79578562 87683313 64333247 23350066 5580358 1212103 4368255 111136949 ACCRUED PENSION LIABILITY 21810755 21810755 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: INCOME TAXES [HOUSTON HOSPITALS, INC. IS PART OF THE HOUSTON HEALTHCARE SYSTEM. ] 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. 1 1 X 1 X 225.000000000000 1 X 1 1 1 0 1 1 8534187 1702548 6831639 0.03140 24092821 16139777 7953044 0.03660 32627008 17842325 14784683 0.06800 70 29857 899909 55250 844659 0.00390 6 313 456771 370 456401 0.00210 1 176086 0 176086 0.00080 5 9477 496294 0 496294 0.00230 82 39647 2029060 55620 1973440 0.00910 82 39647 34656068 17897945 16758123 0.07710 2 2684 0 2684 0.00000 2 6866 6866 0.00000 3 9382 6580 6580 0.00000 2 2342 2342 0.00000 1 635 635 0.00000 10 9382 19107 19107 0 10571803 62820495 67593452 -4772957 X 1 1 2 1 HOUSTON MEDICAL CENTER

1601 WATSON BLVD WARNER ROBINS GA 31093

X X X 2 PERRY HOSPITAL

1120 MORNINGSIDE DR PERRY GA 31069

X X X HOUSTON MEDICAL CENTER 1 PERRY HOSPITAL 2 9 THE SURGERY CENTER

1647 WATSON BLVD WARNER ROBINS GA 31093

HOSPITAL BASED OUTPATIENT SURGERY CENTER HOUSTON LAKE MED-STOP

2510 HIGHWAY 127 KATHLEEN GA 31047

HOSPITAL BASED URGENT CARE FACILITY HOUSTON LAKE REHAB

2510 HIGHWAY 127 KATHLEEN GA 31047

HOSPITAL BASED OUTPATIENT REHAB FACILITY OCCUPATIONAL HEALTH & WELLNESS

2510 HIGHWAY 127 KATHLEEN GA 31047

HOSPITAL BASED OUTPATIENT FACILITY - CLOSED MAY 2010 PAVILION MED-STOP

233 N HOUSTON RD STE 140 WARNER ROBINS GA 31093

HOSPITAL BASED URGENT CARE FACILITY PAVILION REHAB

233 N HOUSTON RD STE 140 WARNER ROBINS GA 31093

HOSPITAL BASED OUTPATIENT REHAB FACILITY PAVILION DIAGNOSTIC CENTER

233 N HOUSTON RD STE 140 WARNER ROBINS GA 31093

HOSPITAL BASED OUTPATIENT IMAGING FACILITY LAKE JOY MED-STOP

1118 HIGHWAY 96 WEST KATHLEEN GA 31047

HOSPITAL BASED URGENT CARE FACILITY HOUSTON HEALTHCARE IMAGING SERVICES

114 SOUTHERLAND DRIVE WARNER ROBINS GA 31088

HOSPITAL BASED OUTPATIENT IMAGING FACILITY PART I, LINE 7: WORKSHEETS 1 AND 2 CONTAINED IN THE FORM 990, SCHEDULE H INSTRUCTIONS WERE USED TO DETERMINE THE COST-TO-CHARGE RATIO USED TO DETERMINE THE HOSPITAL'S CHARITY CARE AND MEDICAID COSTS. PART I, L7 COL(F): BAD DEBT EXPENSE OF 31,463,701 HAS BEEN REMOVED FROM TOTAL EXPENSE PART II: HOUSTON HEALTHCARE STAFF PROVIDE AND PARTICIPATE IN SEVERAL COMMUNITY BUILDING ACTIVITIES. SOME EXAMPLES INCLUDE: SERVING ON THE CHAMBER OF COMMERCE BOARD, HOSTING A NON-PROFIT EXPO TO INCREASE THE AWARENESS OF SERVICES AND RESOURCES IN THE COMMUNITY AS WELL AS RECRUITMENT OF NEEDED PHYSICIANS TO THE AREA. EACH YEAR STAFF MEMBERS PROMOTE AND RAISE FUNDS FOR THE UNITED WAY OF CENTRAL GEORGIA. HOUSTON HEALTHCARE SPONSORS THE FAITH AND COMMUNITY NURSES COALITION. THE COALITION IS MADE UP OF VOLUNTEER REGISTERED NURSES SERVING 25 CHURCHES IN THE CENTRAL GEORGIA AREA. HOUSTON HEALTHCARE PROVIDES A MONTHLY MEETING AND LUNCH FOR THE NURSES. AT EACH MEETING THE NURSES RECIEVE INFORMATION AND TRAINING ON PROVIDING A HEALTH PROGRAM FOR THEIRCHURCH AS WELL AS THE COMMUNTIES THE CHURCHES SERVE. HOUSTON HEALTHCARE ALSO PROVIDES AN ORIENTATION FOR RN'S WHO DESIRE TO INITIATE A HEALTH PROGRAM IN THEIR CHURCH. PART III, LINE 4: THERE IS NO FOOTNOTE IN THE FINANCIAL STATEMENTS CONCERNING BAD DEBTS. WORKSHEETS 1, 2, AND A CONTAINED IN THE FORM 990, SCHEDULE H INSTRUCTIONS WERE USED TO DETERMINE THE COST-TO-CHARGE RATIO USED TO DETERMINE THE HOSPITALS BAD DEBT AND CHARITY CARE COSTS. A SUBSTANTIAL PORTION OF BAD DEBTS SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE THE ORGANIZATION TREATS PATIENTS WITHOUT CONSIDERATION OF THEIR ABILITY TO PAY THEREFORE HAVING TO ABSORB THE EXPENSE OF UNCOLLECTED ACCOUNTS AND MANY BAD DEBTS ARE RELATED TO PATIENTS UNABLE TO PAY THE BALANCE DUE. PART III, LINE 8: 100% OF THE HOSPITAL'S MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFITS SINCE THE ORGANIZATION PROVIDES HEALTHCARE ACCESS FOR MEDICARE PATIENTS AND ACCEPTS PAYMENT BELOW COST BENEFITING OUR COMMUNITY LARGELY MADE UP OF MEDICARE BENEFICIARIES. THE SOURCE OF ALLOWABLE COSTS REPORTED IN LINE 8 WAS THE HOSPITAL'S 2010 MEDICARE COST REPORTS. PART III, LINE 9B: HOUSTON HOSPITALS' BAD DEBT POLICY STATES THAT COLLECTIONS ARE CEASED UPON THE PATIENTS' APPROVAL FOR INDIGENT OR CHARITY CARE. PER THE ORGANIZATION'S CHARITY CARE POLICY, APPROVAL OF ELIGIBILITY EXPIRES IN 6 MONTHS, AT WHICH TIME, A PATIENT MUST REAPPLY. PART I, LINE 7: HOUSTON HOSPITALS, INC. PROVIDES THE FACILITIES (FREE STANDING BUILDING) FOR THE HOUSTON COUNTY VOLUNTEER MEDICAL CLINIC. THIS FACILITY PROVIDES FREE MEDICAL/PHARMACUTICAL HELP FOR THOSE CITIZENS OF HOUSTON COUNTY THAT HAVE AN EMPLOYED FAMILY MEMBER IN THEIR HOUSEHOLD BUT ARE NOT INSURED. THE TOTAL INCOME FOR THE HOUSEHOLD MUST BE LESS THAN 200% OF THE IDENTIFIED POVERTY LEVEL. THE VOLUNTEER CLINIC IS AN INTEGRAL PART OF OUR COMMUNITY HEALTHCARE SYSTEM. PART VI, LINE 2: EVERY THREE YEARS HOUSTON HEALTHCARE COMPLETES A COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS ASSESSMENT IS USED TO IDENTIFY THE PRIORITY AREAS FOR THE COMMUNITY BENEFIT PLAN. IN 2009 THE COMMUNITY NEEDS ASSESSMENT INFORMATION WAS COLLECTED FROM SEVERAL SOURCES INCLUDING GEORGIA HOSPITAL ASSOCIATION, DISTRICT PUBLIC HEALTH, AND GEORGIA STATE UNIVERSITY AS WELL AS COMMUNITY COALITIONS. HOUSTON HEALTHCARE ALSO OBTAINED INFORMATION DIRECTLY FROM COMMUNITY REPRESENTATIVES THROUGH SUCH METHODS AS AN ON-LINE SURVEY DESIGNED BY MERCER UNIVERSITY TO COLLECT INFORMATION ON TEEN HEALTH ISSUES AS WELL AS HAVING LOCAL SENIOR ADULTS COMPLETE A SURVEY. INTERNAL INFORMATION WAS GATHERED ON LEADING CAUSES OF READMISSION AND LEADING CAUSE OF ADMISSION TO HOSPITAL. PART VI, LINE 3: INFORMATION REGARDING THE INDIGENT CARE TRUST FUND IS AVAILABLE AT EACH OF OUR REGISTRATION AREAS AND DISPLAYED WITH SIGNAGE AND CARDS. WE ALSO INFORM OUR PATIENTS AND FAMILIES OF OUR INDIGENT AND CHARITY CARE POLICY DURING THE INPATIENT AND OUTPATIENT ADMISSION PROCESS. OUR SYSTEM WEBSITE PROVIDES INFORMATION ON OUR PATIENT FINANCIAL SERVICES, WHICH INCLUDES BILLING, INSURANCE, AND OUR INDIGENT AND CHARITY CARE GUIDELINES AND POLICY. THE FIRST BILLING STATEMENT SENT OUT TO PATIENTS ALSO ADDRESSES THIS PROCESS WITH SPECIFIC INSTRUCTIONS. HOUSTON HEALTHCARE INFORMS AND EDUCATES THE COMMUNITY ABOUT THE AVAILABILITY AND ELIGIBILITY FOR FINANCIAL ASSISTANCE BY PROVIDING THESE CARDS AT COMMUNITY EVENTS, HEALTH FAIRS AND EDUCATION SEMINARS. THE CARDS AND SIGNAGE ARE PROVIDED IN ENGLISH AND SPANISH. PART VI, LINE 4: HOUSTON HEALTHCARE SERVES THE MEDICAL NEEDS OF RESIDENTS IN THE CENTRAL GEORGIA AREA. OUR PRIMARY SERVICE AREA INCLUDES HOUSTON COUNTY AND PEACH COUNTY. PEOPLE IN SURROUNDING COUNTIES ALSO TURN TO US FOR THEIR MEDICAL SERVICES. THESE COUNTIES INCLUDE BLECKLEY, CRAWFORD, DODGE, DOOLY, MACON, PULASKI, TAYLOR, TWIGGS AND BIBB COUNTY AND ARE CONSIDERED OUR SECONDARY SERVICE AREA.ALL HOUSTON HEALTHCARE FACILITIES ARE LOCATED IN HOUSTON COUNTY AND ARE GOVERNED BY TWO BOARDS OF TRUSTEES - ONE FOR THE HOUSTON HEALTHCARE SYSTEM, INC. AND ONE FOR HOUSTON HOSPITALS, INC.. THE EXECUTIVE TEAM ALSO OVERSEES ALL OPERATIONS AND ACTIVITIES FOR THE SYSTEM. MEETING THE DIVERSE HEALTH NEEDS OF THE 133,000 COUNTY RESIDENTS IS AN ON-GOING CHALLENGE. THE COMMUNITY INCLUDES AN INCREASING NUMBER OF RETIREES AND ELDERLY LIVING IN OR MOVING TO HOUSTON COUNTY DUE TO THE MILD CLIMATE AND LOWER COST OF LIVING IN THE AREA. GEORGIA HAS THE 11TH FASTEST GROWING POPULATION OF OLDER PEOPLE. IN HOUSTON COUNTY 17.3% ARE ON MEDICAID, 12.4% ARE ON PEACH CARE. 13% ARE CONSIDERED TO HAVE LOW LITERACY. ONE IN EVERY 5 OF GEORGIA'S NON-ELDERLY POPULATION IS UNINSURED.HOUSTON HEALTHCARE SERVES A DIVERSE POPULATION. THE AREA RESIDENTS INCLUDE 69% CAUCASIAN, 27% AFRICAN AMERICAN, 3% HISPANIC AND 2% OTHER. WITH OVER 2,200 EMPLOYEES, HOUSTON HEALTHCARE IS THE 4TH LARGEST EMPLOYER IN HOUSTON COUNTY. ROBINS AIR FORCE BASE IS THE LARGEST WITH OVER 26,000 EMPLOYEES, FOLLOWED BY THE HOUSTON COUNTY BOARD OF EDUCATION WITH 4,600 TEACHERS AND STAFF. PERDUE FARMS, WITH 2,300 POULTRY WORKERS (MANY OF WHOM ARE HISPANIC) IS THE 3RD LARGEST AND FRITO LAY, PRODUCER OF SNACK FOODS WITH OVER 1,000 WORKERS IS THE 5TH LARGEST.THE THREE LEADING CAUSES OF DEATH INCLUDE 34% DIE FROM CARDIOVASCULAR DISEASE, 21 PERCENT FROM CANCER AND 18% FROM STROKE. THERE IS ALSO AN INCREASING NUMBER OF PERSONS WITH DIABETES. GEORGIA STATE UNIVERSITY REPORTS CENTRAL GEORGIA COUNTIES HAVE AN AVERAGE OF 11% OF THE POPULATION WITH DIABETES. GEORGIA CONTINUES WITH HIGHER RATES OF PRE-TERM BIRTHS (LESS THAN 37 WEEKS) AND LOW BIRTH NEWBORNS THAN THE AVERAGE FOR THE UNITED STATES. HOUSTON COUNTY PERINATAL COALITION HAS ALSO IDENTIFIED AN INCREASING NUMBER OF PREGNANCIES AMONG TEENS. OUR HEALTH DISTRICT, DISTRICT 5-2 HAS A SIGNIFICANTLY HIGHER RATE OF TOBACCO USAGE AS WELL AS LUNG CANCER. THE OBESITY RATE IN CENTRAL GEORGIA RESIDENTS IS 31.1 PERCENT. THESE FACTS DEMONSTRATE THE NEED FOR EDUCATION ON LIFE STYLE CHANGES RELATED TO NUTRITION, EXERCISE AND TOBACCO AVOIDANCE. THROUGH THE 2009 COMMUNITY HEALTH NEEDS ASSESSMENT, HOUSTON HEALTHCARE HAS IDENTIFIED FOUR FOCUS AREAS OF COMMUNITY HEALTHCARE NEEDS. THE FOUR AREAS INCLUDE (1) WELLNESS PROMOTION TARGETING MAJOR RISK FACTORS OF TOBACCO, NUTRITION AND EXERCISE ( 2) ACCESS TO CARE - PROVIDING ASSISTANCE IN ESTABLISHING "MEDICAL HOMES" FOR LOWER INCOME, UNINSURED/ UNDERINSURED INDIVIDUALS. (3) CHRONIC DISEASE IS THE THIRD FOCUS AREA INCLUDING HEART DISEASE, CANCER, DIABETES, AND HYPERTENSION. (4) THE FOURTH AREA IS VULNERABLE POPULATIONS- THIS GROUP REQUIRES ADDITIONAL ASSISTANCE AND OFTEN INDIVIDUALIZED CARE. POPULATIONS IDENTIFIED AS IN THE VULNERABLE POPULATION SUCH GROUPS AS ELDERLY PERSONS, PREGNANT WOMEN AND NEWBORNS, AS WELL AS PERSONS WITH LONG TERM ILLNESSES THAT WOULD BENEFIT FROM EDUCATION AND SUPPORT GROUPS. AN EXAMPLE IS PERSONS WITH ALZHEIMER'S OR MULTIPLE SCLEROSIS PART VI, LINE 6: HOUSTON HOSPITALS, INC. EDUCARE DEPARTMENT PROVIDES THREE MEETING FACILITIES TO NOT FOR PROFIT HEALTHCARE AND COMMUNITY ENHANCEMENT ORGANIZATIONS FOR WEEKLY/MONTHLY STAFF MEETINGS AND MEETINGS FOR MEMBERS OF THE HOUSTON COUNTY COMMUNITY. EXAMPLES OF COMMUNITY ORGANIZATIONS THAT USE THESE FACILITIES INCLUDE AARP, HOUSTON COUNTY FAMILIES IN TRANSITION SERVICES, AMERICAN HEART ASSOCIATION, SUSAN KOMEN FOUNDATION, HOUSTON COUNTY PARISH NURSE'S ASSOCIATION, ALZHEIMER'S ASSOCIATION, AND HOUSTON COUNTY LUPUS SUPPORT GROUP. ALL OF THESE ORGANIZATIONS, PLUS SEVERAL OTHERS, USE THESE FACILITIES FREE OF CHARGE EACH WEEK/MONTH.HOUSTON HOSPITALS, INC. OPERATES TWO LICENSED HOSPITAL FACILITIES WHICH PROVIDE EMERGENCY CARE 24/7.HOUSTON HOSPITALS, INC. HAS AN OPEN MEDICAL STAFF, WHICH ENABLES THE ORGANIZATION TO PROVIDE THE SERVICES NEEDED BY THE COMMUNITY AND IT ALLOWS NEEDED ACCESS TO THE INDIGENT AS WELL AS MEDICARE, MEDICAID AND TRICARE POPULATIONS.HOUSTON HOSPITALS, INC. COMMUNITY BOARD MEMBERS ARE ACTIVE MEMBERS OF THE COMMUNITY. THEY ARE EMPLOYED BY OR RETIRED FROM VARIOUS COMMUNITY ORGANIZATIONS WHICH INCLUDE LOCAL SCHOOLS, LOCAL AND STATE GOVERNMENT, PHYSICIAN PRACTICES, LAW FIRMS, INSURANCE AGENCIES, ETC. THEIR EDUCATION, EXPERIENCE AND COMMUNITY INVOLVEMENT ENABLES OUR ORGANIZATION TOPROVIDE SERVICES AND BENEFITS OUR COMMUNITY NEEDS MOST.HOUSTON HEALTHCARE SUPPORTS THE HOUSTON COUNTY VOLUNTEER MEDICAL CLINIC IN SEVERAL WAYS: PROVIDING A BUILDING FOR THE FREE CLINIC, ASSISTING WITH STAFF SALARY COST, AS WELL AS ACCEPTING REFERRALS FROM THE CLINIC FOR REQUIRED SERVICES SUCH AS LAB, RADIOLOGY, ETC.HOUSTON HOSPITALS, INC. ASSESSES THE NEEDS OF OUR COMMUNITY REGULARLY TO IDENTIFY WHAT PROGRAMS WILL BE THE MOST BENEFICIAL TO THE MOST PEOPLE IN OUR COMMUNITY. HOUSTON HOSPITALS, INC. EDUCARE DEPARTMENT PROVIDES MORE THAN 45 ON-GOING HEALTH AND WELLNESS EDUCATION PROGRAMS AS WELL AS NUMEROUS HEALTHFAIRS/SCREENINGS EACH YEAR THAT SERVES SEVERAL THOUSAND RESIDENTS OF HOUSTON COUNTY. PART VI, LINE 7: HOUSTON HOSPITALS, INC. IS A PART OF HOUSTON HEALTHCARE SYSTEM, INC. WHICH ALSO INCLUDES: HOUSTON HEALTHCARE EMS - PROVIDES AMBULANCE SERVICES TO THE COMMUNITY INCLUDING ROBINS AIR FORCE BASE.HOUSTON HEALTHCARE PROPERTIES - PROVIDES PROPERTY MANAGEMENT TO HOUSTON HOSPITALS. REPORTS FILED WITH STATES PART VI, LINE 7 GA 1 HOUSTON HEALTHCARE PROPERTIES INC PO BOX 2886 WARNER ROBINS GA 31099 270174397 501(C)(2) 9473041 BOOK VALUE TRANSFER OF PROPERTY TRANSFER OF PROPERTY HOUSTON HEALTHCARE SYSTEM INC PO BOX 2886 WARNER ROBINS GA 31099 711045299 501(C)(3) 200500 TRANSFER FOR SUPPORT OF SYSTEM 1 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ALL AMOUNTS WERE TRANSFERRED TO RELATED TAX-EXEMPT ENTITIES X 1 1 X X X X X 1 0 0 0 0 0 0 0 0 GRADY W PHILIPS III 128197 0 240 0 247108 0 4774 0 12274 0 392593 0 0 0 FRANK R POWELL 253088 0 240 0 8808 0 6576 0 10991 0 279703 0 0 0 CARY MARTIN 229232 0 240 0 8400 0 5460 0 11146 0 254478 0 0 0 JOHN DAVID CAMPBELL 139534 0 240 0 6000 0 4362 0 12041 0 162177 0 0 0 MELINDA HARTLEY 168782 0 240 0 1500 0 4999 0 9721 0 185242 0 0 0 ROBERT RHODES 144258 0 240 0 1146 0 4531 0 8997 0 159172 0 0 0 ROBERTINA F FLETCHER 148213 0 240 0 0 0 4640 0 11702 0 164795 0 0 0 MICHAEL O'HARA 144440 0 240 0 1500 0 4565 0 11203 0 161948 0 0 0 SANDRA N JOHNSON 150740 0 240 0 0 0 4456 0 10060 0 165496 0 0 0 PART I, LINE 1A HOSPITAL PAID THE PREMIUM ON A LIFE INSURANCE POLICY OWNED BY THE CEO AND GROSSED UP THE PREMIUM PAYMENT FOR INCOME TAX. THE LIFE INSURANCE PAYMENT WAS MADE IN LIEU OF PROVIDING GROUP TERM INSURANCE. PART I, LINE 4A SEVERANCE PAYMENTS GRADY PHILIPS RECEIVED SEVERANCE PAY IN THE AMOUNT OF $163,737 HOSPITAL AUTHORITY OF HOUSTON COUNTY 580833515 442042DK0 2007-08-23 71610473 CONSTRUCT & EQUIP HOSPITAL TOWER. 0 0 0 60000 71610473 4894375 3053093 871608 68788545 2009 0 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 1 CITIGROUP GLOBAL GIC 2.000000000000 1 0 0 MELANIE L WARREN DAUGHTER OF DIRECTOR 70503 MS. WARREN, DAUGHTER OF DIRECTOR TRUDIE WARREN, IS EMPLOYED BY HOUSTON HOSPITALS, INC. 0 BRIAN GRAHAM SON OF DIRECTOR 46970 MR. GRAHAM, SON OF DIRECTOR FRED GRAHAM, IS EMPLOYED BY HOUSTON HOSPITALS, INC. 0 AMY DAWSON DAUGHTER OF DIRECTOR 36031 MS. DAWSON, DAUGHTER OF DIRECTOR FRED GRAHAM, IS EMPLOYED BY HOUSTON HOSPITALS, INC. 0 DANIEL DEIGHTON BOARD MEMBER 21553 DR. DEIGHTON IS A BOARD MEMBER OF THE ORGANIZATION. DR. DEIGHTON IS RENTING OFFICE SPACE FROM THE ORGANIZATION. RENT WAS NEGOTIATED AT ARM'S LENGTH AND IS AT FAIR MARKET VALUE 0 X 1 50000 FMV 0 0 1 0 FORM 990, PART VI LINE 9 - GRADY W. PHILIPS III MOVED OUT OF STATE. HIS ADDRESS IS 1105 SAM LIONS TRAIL, MARTINSVILLE, VA 24112. FORM 990, PART VI, SECTION A, LINE 6 THE BOARD OF DIRECTORS OF THE HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION, APPOINTS THE BOARD OF HOUSTON HOSPITALS, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF THE HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION, APPOINTS THE BOARD OF HOUSTON HOSPITALS, INC. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN ACTIONS OF THE BOARD OF HOUSTON HOSPITAL, INC. MUST BE APPROVED BY THE BOARD OF HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE DRAFT OF THE 990 WAS PREPARED BY THE ORGANIZATION'S CONTROLLER AND PROVIDED TO AN INDEPENDENT TAX ACCOUNTANT. THE DRAFT WAS REVIEWED BY THE TAX ACCOUNTANT AND RETURNED TO THE CONTROLLER AND PRESIDENT. AFTER COMMENTS FROM THE OFFICERS, THE RETURN WAS FINALIZED. A COPY OF THE FINALIZED FORM WAS PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES SIGN CONFLICT OF INTEREST STATEMENTS ON AN ANNUAL BASIS WHICH REQUIRES THEM TO DISCLOSE ANY POTENTIAL CONFLICT. MANAGEMENT ENSURES THAT A STATEMENT IS RECEIVED FROM EVERYONE AND THAT THERE ARE NO CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 A COMPREHENSIVE REVIEW OF THE PRESIDENT'S TOTAL COMPENSATION WAS CONDUCTED BY THE BENEFITS AND COMPENSATION COMMITTEE OF THE HOSPITAL AUTHORITY OF HOUSTON COUNTY, A RELATED ORGANIZATION. MINUTES REFLECTING THE DELIBERATIONS OF THAT COMMITTEE ARE RECORDED AND FILED. THE COMMITTEE IS POPULATED WITH THREE MEMBERS OF THE BOARD OF DIRECTORS. IN CONSIDERING AN ADJUSTMENT IN TOTAL COMPENSATION FOR THE PRESIDENT, VARIOUS STUDIES ARE CONSIDERED AND FACTORED INTO THE FINAL DECISION, INCLUDING GEORGIA VHA EXECUTIVE COMPENSATION SURVEY - CHIEF EXECUTIVE OFFICER; THE GEORGIA HOSPITAL ASSOCIATION SURVEY OF EXECUTIVE COMPENSATION; AND AN EXECUTIVE SALARY SURVEY OF GEORGIA HOSPITAL EXECUTIVES CONDUCTED ANNUALLY BY HR ADVANTAGE, A COMPENSATION CONSULTANT WITH A NATIONWIDE REACH. ALL OF THE ENTITIES AND INDIVIDUALS PROVIDE COMPENSATION DATA INDEPENDENT OF THE OTHER. SUBSEQUENT TO THE REVIEW, A RECOMMENDATION REGARDING THE PRESIDENT'S COMPENSATION IS REVIEWED AND MODIFIED / APPROVED BY MEMBERS OF THE FULL HOSPITAL BOARD. A SIMILAR PROCESS IS EMPLOYED FOR THE CFO. THE REVIEW WAS LAST PERFORMED IN 2008. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 15,933,074. INCREASE IN NET PENSION OBLIGATION -3,749,622. CHANGE IN HOUSTON HEALTHCARE VENTURES -148,500. TOTAL TO FORM 990, PART XI, LINE 5: 12,034,952. HOUSTON HEALTHCARE SYSTEM INC PO BOX 2886 WARNER ROBINS GA 31093 711045299 HEALTH SYSTEM (PARENT) GA 501(C)(3) LINE 11C, III-FI N/A 0 HOSPITAL AUTHORITY OF HOUSTON COUNTY PO BOX 2886 WARNER ROBINS GA 31093 580833515 HOSPITAL AUTHORITY GA 501(C)(3) LINE 3 N/A 0 HOUSTON HEALTHCARE PROPERTIES INC PO BOX 2886 WARNER ROBINS GA 31093 270174397 PROPERTY HOLDING COMPANY GA 501(C)(2) N/A HOUSTON HEALTHCARE SYSTEM INC 0 HOUSTON HEALTHCARE EMS INC PO BOX 2886 WARNER ROBINS GA 31093 263941348 EMERGENCY SERVICES GA 501(C)(3) LINE 9 HOUSTON HEALTHCARE SYSTEM INC 0 HOUSTON HEALTHCARE COMPLEX MSO INC PO BOX 2886 WARNER ROBINS GA 31093 582242585 ANESTHESIA SVC GA N/A C HOUSTON HEALTH VENTURES INC PO BOX 2886 WARNER ROBINS GA 31099 272814306 MEDICAL SERVICES GA N/A C 0 1 1 0 0 0 0 1 0 1 0 0 1 1 0 1 1 1