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OCONEE REGIONAL MEDICAL CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
OCONEE REGIONAL MEDICAL CENTER INC (EIN 58-2359398)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-12
IRS object ID
201132249349301908
Schema version
2009v1.7
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)
Timestamp2011-08-12T10:09:33-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 Ridgefield CourtAddressLine1
CityAshevilleCity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN582359398EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OCONEE REGIONAL MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOCONNameControl
Phone4784543520Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1821 NORTH COBB STREETAddressLine1
CityMILLEDGEVILLECity
StateGAState
ZIP Code31061ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRENDA QUALLSName
TitleCFOTitle
Phone4784543520Phone
Date Signed2011-08-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmy BibbyName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRENDA QUALLSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1821 NORTH COBB STREETAddressLine1
CityMILLEDGEVILLECity
StateGAState
ZIP Code31061ZIPCode
FieldValueIRS element (for citing)
Gross Receipts85845908GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.OCONEEREGIONAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTHCARE SERVICES TO ALL PATIENTS WITHIN THE ORGANIZATION'S SERVICE AREA.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees868TotalNbrEmployees
Total Nbr Volunteers355TotalNbrVolunteers
Total Gross UBI1054601TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year511689ContributionsGrantsPriorYear
Contributions Grants Current Year337514ContributionsGrantsCurrentYear
Program Service Revenue Prior Year87375388ProgramServiceRevenuePriorYear
Program Service Revenue CY85047778ProgramServiceRevenueCY
Investment Income Prior Year391608InvestmentIncomePriorYear
Investment Income Current Year158743InvestmentIncomeCurrentYear
Other Revenue Prior Year697620OtherRevenuePriorYear
Other Revenue Current Year265362OtherRevenueCurrentYear
Total Revenue Prior Year88976305TotalRevenuePriorYear
Total Revenue Current Year85809397TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year19872GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY45170GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year37476205SalariesEtcPriorYear
Salaries Etc Current Year38200942SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year48443935OtherExpensePriorYear
Other Expenses Current Year47261477OtherExpensesCurrentYear
Total Expenses Prior Year85940012TotalExpensesPriorYear
Total Expenses Current Year85507589TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3036293RevenuesLessExpensesPriorYear
Revenues Less Expenses CY301808RevenuesLessExpensesCY
Total Assets BOY75591524TotalAssetsBOY
Total Assets EOY72552968TotalAssetsEOY
Total Liabilities BOY42072013TotalLiabilitiesBOY
Total Liabilities EOY37558916TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY33519511NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY34994052NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF OCONEE REGIONAL MEDICAL CENTER IS TO PROVIDE HIGH QUALITY, SAFE, COMPASSIONATE, PATIENT-FOCUSED HEALTHCARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense75040222Expense
Grants45170Grants
Revenue83993177Revenue
DescriptionOCONEE 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 Expense75040222TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109694NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees868NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BRENDA QUALLSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4784573550TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 690AddressLine1
CityMILLEDGEVILLECity
StateGAState
ZIP Code31059ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BRUCE VAUGHN
BOARD MEMBER2.00X52000
DAVID GROSECLOSE
VICE CHAIR1.00X000X
CAY QUATTLEBAUM
CHAIRMAN2.00X000X
PAUL DEAN
CHAIRMAN2.00X000X
TED ZARKOWSKY
VICE CHAIR1.00X000X
ANDY COWART
BOARD MEMBER2.00X000
GEORGE GRIMES MD
BOARD MEMBER (SEE SCH O)1.00X13078000
DON HEACOCK MD
BOARD MEMBER1.00X000
RAM PURI MD
BOARD MEMBER (SEE SCH O)1.00X20025300
CHARLIE ROSS
BOARD MEMBER1.00X000
JAMES SMITH MD
BOARD MEMBER1.00X000
REBECCA J AYCOCK
PRESIDENT/CEO40.00336890040435X
JAMES ALAN HORTON
SVP CLINICAL SERVICES40.00203206022725X
DAVID T PERRY
VP SUPPORT SERVICES40.00173727029260X
BRENDA K QUALLS
VP CFO40.00176226019871X
MOLLIE F THOMAS
VP ADMIN. SERVICES36.00172662022970X
DEBORAH S REVIS
VP CNO40.00152732013483X
JOSEPH E EVANS
PHARMACY DIRECTOR40.00167569014505X
KAY L HUFF
SURGICAL SVCS. DIRECTOR40.0013370708333X
CAROL E BABB
ASST. PHARMACY DIRECTOR40.00150460024537X
WILLIAM W COLEMAN
RADIOLOGY DIRECTOR40.00145274019575X
CAROLE F MARCHMAN
BUSINESS SERICES DIRECTOR40.00132175014446X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2276181TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation230140TotalOtherCompensation
Number Individuals GT100 K28NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LOGOS EMERGENCY SPECIALISTS
232 COUNTRY CREEK ROADMACONGA31220EMERGENCY PHYSICIAN SERVICES2080328
ENDURACARE ACUTE CARE SERVICES
DEPARTMENT AT 952922ATLANTAGA31192PT, OT, SP SERVICES1201451
ARAMARK MANAGEMENT SERVICES
12483 COLLECTIONS CENTER DRCHICAGOIL60693DIETARY SERVICES1156129
BCAS INC
PO BOX 1707MILLEDGEVILLEGA31061ANESTHESIA SERVICES1080851
QUEST DIAGNOSTIC
PO BOX 740736ATLANTAGA303740736LAB TESTING386338
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
Government Grants125000GovernmentGrants
All Other Contributions212514AllOtherContributions
Total Contributions337514TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REDescription
Business Code621400BusinessCode
Total Revenue Column85047778TotalRevenueColumn
Related Or Exempt Function Income83993177RelatedOrExemptFunctionIncome
Unrelated Business Revenue1054601UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue85047778TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column29509TotalRevenueColumn
Exclusion$29,509ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column129234TotalRevenueColumn
Exclusion$129,234ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real141856Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real36511Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real105345Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column105345TotalRevenueColumn
Exclusion$105,345ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA & DIETARY722210129979$129,979
WELLNESS CENTER71394030038$30,038
FieldValueIRS element (for citing)
Total Other Revenue160017TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column85809397TotalRevenueColumn
Related Or Exempt Function Income83993177RelatedOrExemptFunctionIncome
Unrelated Business Revenue1054601UnrelatedBusinessRevenue
Exclusion$424,105ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total45170Total
Program Services45170ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1695220Total
Program Services331033ProgramServices
Management And General1364187ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total28551468Total
Program Services24644073ProgramServices
Management And General3907395ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1078258Total
Program Services894954ProgramServices
Management And General183304ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4741329Total
Program Services3935303ProgramServices
Management And General806026ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2134667Total
Program Services1770179ProgramServices
Management And General364488ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total463675Total
Program Services155122ProgramServices
Management And General308553ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total168514Total
Management And General168514ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total47193Total
Management And General47193ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total40416Total
Management And General40416ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12098942Total
Program Services11860874ProgramServices
Management And General238068ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total89692Total
Program Services22531ProgramServices
Management And General67161ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14191000Total
Program Services12125759ProgramServices
Management And General2065241ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total317788Total
Program Services30914ProgramServices
Management And General286874ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1317744Total
Program Services1317744ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total48226Total
Program Services24133ProgramServices
Management And General24093ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1690261Total
Program Services1690261ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4047127Total
Program Services4047127ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1583263Total
Program Services1005971ProgramServices
Management And General577292ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE1087009710870097
PROVIDER TAX268977268977
RECRUITMENT1856218562

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total85507589Total
Program Services75040222ProgramServices
Management And General10467367ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3846218BOY
EOY3641861EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16712104BOY
EOY4513431EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12660646BOY
EOY12667148EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY95481BOY
EOY94731EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1735771BOY
EOY1700530EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1528190BOY
EOY1329889EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis99472161LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec66018325LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY34242605BOY
EOY33453836EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3145633BOY
EOY13455337EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1624876BOY
EOY1696205EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY75591524BOY
EOY72552968EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8844440BOY
EOY5947590EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY27884983BOY
EOY26281926EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4133169BOY
EOY3767367EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1209421BOY
EOY1562033EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY42072013BOY
EOY37558916EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY33519511BOY
EOY34994052EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33519511BOY
EOY34994052EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY75591524BOY
EOY72552968EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$40,416OtherActivitiesAmount
Total Lobbying Expenditures IIB40416TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationTHE 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 30308Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2250863OtherCostOrOtherBasis
Book Value2250863BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis46294621OtherCostOrOtherBasis
Depreciation28018834Depreciation
Book Value18275787BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis50670636OtherCostOrOtherBasis
Depreciation37999491Depreciation
Book Value12671145BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis256041OtherCostOrOtherBasis
Book Value256041BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings33453836TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED THIRD-PARTY SETTLEMENTS$1,377,221
INTEREST RATE SWAP LIABILITY$184,812
FieldValueIRS element (for citing)
Total Of Amounts1562033TotalOfAmounts
Total Revenue85809397TotalRevenue
Total Expenses85507589TotalExpenses
Excess Or Deficit For Year301808ExcessOrDeficitForYear
Net Unrealized GL On Investments1144026NetUnrealizedGLOnInvestments
Other$28,707OtherAmount
Total Adjustments1172733TotalAdjustments
Excess Or Deficit Per FS1474541ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt87018641TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1144026NetUnrealizedGainsInvestments
Other Revenues36511OtherRevenues
Revenue Not Rptd F9901180537RevenueNotRptdF990
Revenue Subtotal85838104RevenueSubtotal
Other Revenues Not Included-28707OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-28707RevenueNotRptdOnFinStmt
Total Revenue Per Form99085809397TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt85544100TotExpensesEtcAuditedFinclStmt
Other Expenses Included36511OtherExpensesIncluded
Expenses Not Rptd F99036511ExpensesNotRptdF990
Expenses Subtotal85507589ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99085507589TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT: 28707.
Part XII, Line 2d - Other Adjustments:RENTAL EXPENSES: 36511.
Part XII, Line 4b - Other Adjustments:CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT: -28707.
Part XIII, Line 2d - Other Adjustments:RENTAL EXPENSES: 36511.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage125.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2728168TotalCommunityBenefitExpense
Direct Offsetting Revenue1121587DirectOffsettingRevenue
Net Community Benefit Expense1606581NetCommunityBenefitExpense
Percent Of Total Expense0.02150PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense5222757TotalCommunityBenefitExpense
Direct Offsetting Revenue4184438DirectOffsettingRevenue
Net Community Benefit Expense1038319NetCommunityBenefitExpense
Percent Of Total Expense0.01390PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense4967233TotalCommunityBenefitExpense
Direct Offsetting Revenue4647342DirectOffsettingRevenue
Net Community Benefit Expense319891NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense12918158TotalCommunityBenefitExpense
Direct Offsetting Revenue9953367DirectOffsettingRevenue
Net Community Benefit Expense2964791NetCommunityBenefitExpense
Percent Of Total Expense0.03970PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense45170TotalCommunityBenefitExpense
Net Community Benefit Expense45170NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense45170TotalCommunityBenefitExpense
Net Community Benefit Expense45170NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense12963328TotalCommunityBenefitExpense
Direct Offsetting Revenue9953367DirectOffsettingRevenue
Net Community Benefit Expense3009961NetCommunityBenefitExpense
Percent Of Total Expense0.04030PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense52120TotalCommunityBuildingExpense
Net Community Building Expense52120NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Building Expense52120TotalCommunityBuildingExpense
Net Community Building Expense52120NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$4,049,653BadDebtExpenseAmount
Amount Attributable To1487917AmountAttributableTo
Amount Reimbursed By Medicare20482714AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare24141927CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3659213MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1OCONEE REGIONAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1821 NORTH COBB STREETAddressLine1
CityMILLEDGEVILLECity
StateGAState
ZIP Code31061ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherDISPROPORTIONATE SHARE HOSPITALOther

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnotePart III, Line 4: AN OUTSIDE AGENCY HANDLES MOST OF THE HOSPITALS COLLECTIONS. AT PERIOD END, THE COLLECTION AGENCY RETURNS A LIST OF UNCOLLECTIBLE ACCOUNTS DUE TO FINANCIAL POSITION TO THE HOSPITAL. FOR THE YEAR, THE TOTAL OF ACCOUNTS THAT WERE RETURNED AND LABELED UNCOLLECTIBLE DUE TO FINANCIAL REASONS WAS $3,994,408. ONCE THIS AMOUNT IS CONVERTED TO COST, THE RESULTING BALANCE IS $1,487,917.BadDebtFootnote
Shortfall As Community BenefitPart 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 SEVERELY 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 HAVE THE NEEDED SERVICE AVAILABLE).ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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.DebtCollectionPolicy
Needs AssessmentPart 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.NeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart 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, WIKENSON, GREENE, 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 IS 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 16%. 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.CommunityInformation
Other InformationPart 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.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: ORMC ROLE IS TO PROVIDE HEALTHCARE TO THE RESIDENTS OF THE SERVICE AREA. ALL PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT RECEIVE SERVICES OR TREATMENT IN ACCORDANCE WITH EMTALA.AffiliatedHealthCareSystem
Reports Filed With StatesGAReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
THE UNITED WAY OF CENTRAL GEORGIA
PO BOX 1302MACONGA31202580639811501(C)(3)5000CHARITABLE CONTRIBUTION
MILLEDGEVILLE-BALDWIN COUNTY CHAMBER OF COMMERCE
PO BOX 751MILLEDGEVILLEGA31059580534980501(C)(6)5000PARTNERS FOR PROGRESS CAMPAIGN
GEORGIA COLLEGE AND STATE UNIVERSITY FOUNDATION
CAMPUS BOX 96MILLEDGEVILLEGA31061586043972501(C)(3)6000CHARITABLE CONTRIBUTION
GEORGIA CHAMBER OF COMMERCE
233 PEACHTREE ST NE STE 2000ATLANTAGA30303581537370501(C)(6)10000CHARITABLE CONTRIBUTION
PROJECT HAITI HEART
PO BOX 43332ATLANTAGA30331331210423501(C)(3)10000CHARITABLE CONTRIBUTION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: THE ORGANIZATION MAKES CONTRIBUTIONS TO 501(C)(3) ORGANIZATIONS FOR USE IN THOSE ORGANIZATIONS' EXEMPT ACTIVITIES, AND DOES NOT MONITOR USAGE OF FUNDS IN RELATION TO SPECIFIC PROJECTS. GRANTS OR ASSISTANCE PAID TO 501(C)(6) ORGANIZATIONS ARE MADE UPON THE DISCRETION OF MANAGEMENT FOR SPECIFIC FUNDRAISERS OR CAMPAIGNS, AND THE MONITORING OF THE USAGE OF FUNDS IS NOT APPLICABLE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RAM PURI MD
000020025300000200253000
REBECCA J AYCOCK
32816203000057280248600155750377325000
JAMES ALAN HORTON
19779401800036120108910118340225931000
DAVID T PERRY
16851001800034170176310116290202987000
BRENDA K QUALLS
1744260180000014467054040196097000
MOLLIE F THOMAS
15092401800019938017438055320195632000
DEBORAH S REVIS
15090201050078008250052330166215000
JOSEPH E EVANS
1407730002679609147053580182074000
CAROL E BABB
10840800042052085660159710174997000
WILLIAM W COLEMAN
10561800039656079730116020164849000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 5ReturnReference
ExplanationTHE 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.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonDR CHERYL WINGATE FORMER BOARD MENamePerson
Purpose Of LoanPHYSICIAN LOAN TO ASSIST WITH MALPRACTICE INSURANCE PAYMENTSPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$152,000OriginalPrincipalAmount
Balance Due94731BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due94731TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonBRIAN D AYCOCKNamePerson
FieldValueIRS element (for citing)
RelationshipFAMILY RELATIONSHIP TO OFFICER REBECCA AYCOCKRelationship
Amount Of Transaction80538AmountOfTransaction
Description Of TransactionCOMPENSATION FOR SERVICES AS EMPLOYEE (SPECIAL PROJECTS MANAGER)DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 7aNOMINEES 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 11THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS REVIEWED BY MANAGEMENT, AND WAS PRESENTED TO A MEETING OF THE VOTING BOARD MEMBERS, ALLOWING TIME FOR QUESTIONS AND COMMENTS FROM THE BOARD. FOLLOWING THE BOARD MEETING, THE RETURN WAS FILED WITH THE IRS.
Form 990, Part VI, Section B, line 12cTHE 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 15THE 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 C, line 18PHOTOCOPIES 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 19PHOTOCOPIES 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 VII, LINE 1BOARD 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.COMPENSATION TO BOARD MEMBERS
FORM 990, PART XI, LINE 2THE ORGANIZATION RECEIVES AUDITED FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS WITH ITS CORPORATE PARENT, OCONEE REGIONAL HEALTH SYSTEMS, AND OTHER AFFILIATED ENTITIES.CONSOLIDATED FINANCIAL STATEMENTS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
OCONEE REGIONAL HEALTH SYSTEMS INC
PO BOX 690MILLEDGEVILLEGA31061582359394HEALTHCAREGA501(c)(3)Line 11a, IN/A
OCONEE REGIONAL HEALTH SERVICES INC
PO BOX 690MILLEDGEVILLEGA31061582359397HEALTHCAREGA501(c)(3)Line 11a, IN/A
OCONEE REGIONAL EMERGENCY MEDICAL SERVICES INC
PO BOX 690MILLEDGEVILLEGA31061582643857HEALTHCAREGA501(c)(3)Line 11a, IN/A
OCONEE REGIONAL HEALTHCARE FOUNDATION INC
821 NORTH COBB STREETMILLEDGEVILLEGA31061582359396FUNDRAISING AND SUPPORTGA501(c)(3)Line 11a, IN/A
OCONEE REGIONAL SENIOR LIVING
PO BOX 690MILLEDGEVILLEGA31061582455613HEALTHCAREGA501(c)(3)Line 11a, IN/A
JASPER HEALTH SERVICES INC
PO BOX 690MILLEDGEVILLEGA31061582510435HEALTHCAREGA501(c)(3)Line 3N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1OCONEE REGIONAL HEALTH VENTURES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 690AddressLine1
CityMILLEDGEVILLECity
StateGAState
ZIP Code31061ZIPCode
FieldValueIRS element (for citing)
EIN582528516EIN
Primary ActivityANCILLARY HEALTHCAREPrimaryActivity
Legal Domicile StateGALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income-383319ShareOfTotalIncome
Share Of EOY Assets643223ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1OCONEE REGIONAL HEALTH VENTURESBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved112174AmountInvolved