CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY (EIN 63-0288852)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-02-11
- IRS object ID
- 201140429349301114
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-02-11T13:06:56-06:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 6 | AddressLine1 |
| City | ALBANY | City |
| State | GA | State |
| ZIP Code | 317020006 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 630288852 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHATTAHOOCHEE VALLEY HOSPITAL | BusinessNameLine1 |
| Business Name Line2 | SOCIETY | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHAT | NameControl |
| Phone | 3347561050 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 48TH STREET | AddressLine1 |
| City | VALLEY | City |
| State | AL | State |
| ZIP Code | 36854 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DOUG DEWBERRY | Name |
| Title | CEO | Title |
| Phone | 3347561050 | Phone |
| Date Signed | 2011-02-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JACQUELINE G ATKINS | Name |
| Phone | 2298837878 | Phone |
| Date Prepared | 2011-02-11 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DOUG DEWBERRY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 48TH STREET | AddressLine1 |
| City | VALLEY | City |
| State | AL | State |
| ZIP Code | 36854 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 45597009 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.LANIERHOSPITAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1942 | YearFormation |
| State Legal Domicile | AL | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE MEDICAL SERVICES TO RESIDENTS OF CHAMBERS COUNTY, ALABAMA AND WEST POINT, GEORGIA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 609 | TotalNbrEmployees |
| Total Nbr Volunteers | 75 | TotalNbrVolunteers |
| Total Gross UBI | 39305 | TotalGrossUBI |
| Contributions Grants Prior Year | 218042 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 115935 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 42817990 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 45079932 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 121734 | InvestmentIncomePriorYear |
| Investment Income Current Year | 62744 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 319431 | OtherRevenuePriorYear |
| Other Revenue Current Year | 328026 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 43477197 | TotalRevenuePriorYear |
| Total Revenue Current Year | 45586637 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 47602 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 18058686 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 19110079 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 26378974 | OtherExpensePriorYear |
| Other Expenses Current Year | 26874459 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 44485262 | TotalExpensesPriorYear |
| Total Expenses Current Year | 45984538 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1008065 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -397901 | RevenuesLessExpensesCY |
| Total Assets BOY | 37832573 | TotalAssetsBOY |
| Total Assets EOY | 35997124 | TotalAssetsEOY |
| Total Liabilities BOY | 19671605 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 18234057 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 18160968 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 17763067 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE MEDICAL SERVICES TO RESIDENTS OF CHAMBERS COUNTY, ALABAMA AND WEST POINT, GEORGIA. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 41857143 | Expense |
| Revenue | 45368653 | Revenue |
| Description | THE GEORGE H. LANIER MEMORIAL HOSPITAL PROVIDES EMERGENCY SERVICES, AN ENCOSCOPY UNIT, SURGERY UNIT, CATH LAB, CARDIAC REHAB, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, RADIOLOGY LAB AND SLEEP DISORDERS LAB. THE HOSPITAL IS A LICENSED 115-BED (APPROXIMATELY 62 IN SERVICE) NOT-FOR- PROFIT ACUTE CARE FACILITY PRIMARILY SERVING CHAMBER COUNTY, ALABAMA AND WEST POINT, GEORGIA. SERVICES PROVIDED INCLUDE GENERAL SURGERY, CARDIOLOGY, GENERAL MEDICINE, GASTROENTEROLOGY, PULMONARY, EMERGENCY MEDICINE, IMAGING/RADIOLOGY, DIALYSIS, AMBULATORY SURGERY AND SWING BED. THE GEORGE H. LANIER NURSING HOME IS A 103-BED SKILLED NURSING FACILITY. | Description |
| Total Program Service Expense | 41857143 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 74 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 609 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RICHARD SCOTT | NamePerson |
| Telephone Number | 3347561050 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 48TH STREET | AddressLine1 |
| City | VALLEY | City |
| State | AL | State |
| ZIP Code | 36854 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| RICHARD SCOTT | |||||||
| SECRETARY/TR | 3.00 | X | X | 0 | 0 | 0 | |
| CY WOOD | |||||||
| VICE PRESIDE | 3.00 | X | X | 0 | 0 | 0 | |
| CURT KOLLAR | |||||||
| PRESIDENT | 3.00 | X | X | 0 | 0 | 0 | |
| JINKS PATTERSON | |||||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 | ||
| LUANNE D BERLIN | |||||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 | ||
| GLORIA HULL | |||||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 | ||
| ARTHUR PERKINS MD | |||||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 | ||
| KEVIN PIGG | |||||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 | ||
| ARVIND KAMATH MD | |||||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 | ||
| ENRIQUE DUPRAT MD | |||||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 | ||
| JAMES BENDELL MD | |||||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 | ||
| OSCAR CRAWLEY | |||||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 | ||
| BOB JOHNSON | |||||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 | ||
| CAM LANIER | |||||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 | ||
| WILLIAM SCOTT III | |||||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 | ||
| GAINES LANIER | |||||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 | ||
| VALERIE GRAY | |||||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 | ||
| KELLI POWERS | |||||||
| CEO | 40.00 | X | 170791 | 0 | 0 | ||
| FRANK OPRANDY | |||||||
| CFO/COO | 40.00 | X | 127743 | 0 | 0 | ||
| TOMMY LANE | |||||||
| CFO | 40.00 | X | 30738 | 0 | 0 | ||
| DOUG DEWBERRY | |||||||
| CEO | 40.00 | X | 0 | 0 | 0 | ||
| PHILLIPPE TRANQUI | |||||||
| EMPLOYEE | 40.00 | 316853 | 0 | 0 | X | ||
| DAVID FAGAN | |||||||
| EMPLOYEE | 40.00 | 221140 | 0 | 0 | X | ||
| ANNETTE BRADY | |||||||
| EMPLOYEE | 40.00 | 107131 | 0 | 0 | X | ||
| SANDRA BERRYHILL | |||||||
| EMPLOYEE | 40.00 | 100160 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1074556 | TotalReportableCompFromOrg |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HUMAN PERFORMANCE & REHAB CTRS | |||||
| P O BOX 8068 | COLUMBUS | GA | 319088068 | PHYSICAL THERAP | 1337244 |
| MORRISON MANAGEMENT SPECIALIST | |||||
| P O BOX 102289 | ATLANTA | GA | 303682289 | DIETARY SVCS | 1142029 |
| BATSON COOK COMPANY | |||||
| 817 FOURTH AVENUE | WEST POINT | GA | 31833 | BLDG CONTRACTOR | 834241 |
| RIVERVIEW ANESTHESIA INC | |||||
| 106 EMBER WAY | LAGRANGE | GA | 30240 | ANESTHESIA | 638555 |
| ALLIANCE IMAGING INC | |||||
| P O BOX 96485 | CHICAGO | IL | 606936485 | MRI SVCS | 448168 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| All Other Contributions | 115935 | AllOtherContributions |
| Total Contributions | 115935 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | DescriptionDescription | Business CodeBusinessCode | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| 45040627 | 45040627 | |||
| 39305 | REFERENCE LAB | 621500 | 39305 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 45079932 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 54856 | TotalRevenueColumn |
| Exclusion | $54,856 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 8500 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 612 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7888 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7888 | TotalRevenueColumn |
| Exclusion | $7,888 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 31817 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 9760 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22057 | TotalRevenueColumn |
| Related Or Exempt Function Income | 22057 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| CAFETERIA | 203398 | 203398 |
| MISCELLANEOUS | 49939 | 49939 |
| SCHOLARSHIPS | 29925 | 29925 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22707 | TotalRevenueColumn |
| Related Or Exempt Function Income | 22707 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 305969 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45586637 | TotalRevenueColumn |
| Related Or Exempt Function Income | 45368653 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 39305 | UnrelatedBusinessRevenue |
| Exclusion | $62,744 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 329272 | Total |
| Management And General | 329272 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15925265 | Total |
| Program Services | 15136015 | ProgramServices |
| Management And General | 789250 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1623968 | Total |
| Program Services | 1512239 | ProgramServices |
| Management And General | 111729 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1231574 | Total |
| Program Services | 1146842 | ProgramServices |
| Management And General | 84732 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165590 | Total |
| Management And General | 165590 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172274 | Total |
| Management And General | 172274 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4489365 | Total |
| Program Services | 3603707 | ProgramServices |
| Management And General | 885658 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5137 | Total |
| Management And General | 5137 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7756422 | Total |
| Program Services | 7137595 | ProgramServices |
| Management And General | 618827 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2108911 | Total |
| Program Services | 1920163 | ProgramServices |
| Management And General | 188748 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30045 | Total |
| Program Services | 21674 | ProgramServices |
| Management And General | 8371 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7781 | Total |
| Program Services | 6497 | ProgramServices |
| Management And General | 1284 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2005343 | Total |
| Program Services | 1825865 | ProgramServices |
| Management And General | 179478 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 352187 | Total |
| Program Services | 228553 | ProgramServices |
| Management And General | 123634 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 6897751 | 6897751 | |
| USE TAX | 1605452 | 1605452 | |
| REPAIRS & MAINTENANCE | 748066 | 745811 | 2255 |
| RECRUITING | 419815 | 5933 | 413882 |
| MISCELLANEOUS | 60388 | 56925 | 3463 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49932 | Total |
| Program Services | 6121 | ProgramServices |
| Management And General | 43811 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45984538 | Total |
| Program Services | 41857143 | ProgramServices |
| Management And General | 4127395 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1460 | BOY |
| EOY | 1560 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6661776 | BOY |
| EOY | 6226182 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6101371 | BOY |
| EOY | 5092203 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 205951 | BOY |
| EOY | 216603 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169203 | BOY |
| EOY | 143743 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 58307122 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 38007731 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21176130 | BOY |
| EOY | 20299391 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1785852 | BOY |
| EOY | 1801589 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 372620 | BOY |
| EOY | 372620 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1358210 | BOY |
| EOY | 1843233 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37832573 | BOY |
| EOY | 35997124 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5053885 | BOY |
| EOY | 4027933 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12145000 | BOY |
| EOY | 11555000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2328433 | BOY |
| EOY | 2017337 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 144287 | BOY |
| EOY | 633787 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19671605 | BOY |
| EOY | 18234057 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18160968 | BOY |
| EOY | 17763067 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18160968 | BOY |
| EOY | 17763067 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37832573 | BOY |
| EOY | 35997124 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 199400 | OtherCostOrOtherBasis |
| Book Value | 199400 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 36677164 | OtherCostOrOtherBasis |
| Depreciation | 20206152 | Depreciation |
| Book Value | 16471012 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1137475 | OtherCostOrOtherBasis |
| Depreciation | 900867 | Depreciation |
| Book Value | 236608 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20114399 | OtherCostOrOtherBasis |
| Depreciation | 16900712 | Depreciation |
| Book Value | 3213687 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 178684 | OtherCostOrOtherBasis |
| Book Value | 178684 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 20299391 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLES | 1683833 |
| DEFERRED FINANCING | 159400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1843233 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| THIRD PARTY SETTLEMENTS | $525,727 |
| BOND INTEREST PAYABLE | $108,060 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 633787 | TotalOfAmounts |
| Total Revenue | 45586637 | TotalRevenue |
| Total Expenses | 45984538 | TotalExpenses |
| Excess Or Deficit For Year | -397901 | ExcessOrDeficitForYear |
| Other | -$85,441 | OtherAmount |
| Total Adjustments | -85441 | TotalAdjustments |
| Excess Or Deficit Per FS | -483342 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 45424106 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 9760 | OtherRevenues |
| Revenue Not Rptd F990 | 9760 | RevenueNotRptdF990 |
| Revenue Subtotal | 45414346 | RevenueSubtotal |
| Other Revenues Not Included | 172291 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 172291 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 45586637 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 45907448 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 9760 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 9760 | ExpensesNotRptdF990 |
| Expenses Subtotal | 45897688 | ExpensesSubtotal |
| Other Expenses Not Included | 86850 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 86850 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 45984538 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| LIABILITY UNDER FIN 48 FOOTNOTE | SCHEDULE D, PAGE 3, PART X | EFFECTIVE DECEMBER 15, 2009, THE SOCIETY ADOPTED ASC 740-10-50-15, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE STANDARD PRESCRIBES A MINIMUM RECOGNITION THRESHOLD AND MEASUREMENT METHODOLOGY THAT A TAX POSITION, TAKEN OR EXPECTED TO BE TAKEN, IN A TAX RETURN IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. THE CUMULATIVE EFFECT OF THIS CHANGE IN ACCOUNTING PRINCIPLE WAS IMMATERIAL. AS OF JUNE 30, 2010, THE SOCIETY HAD NO UNRECOGNIZED TAX BENEFITS OR ACCRUED INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. |
| RECONCILIATION OF CHANGES - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 8 | FUNDRAISING EXPENSES 9,760 CAPITAL CONTRIBUTIONS -85,441 WAIVER EXPENSE -56,925 SCHOLARSHIP/RECRUITING EXPENSE -29,925 FUNDRAISING EXPENSES -9,760 WAIVER EXPENSE 56,925 SCHOLARSHIP/RECRUITING EXPENSE 29,925 |
| REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 2D | FUNDRAISING EXPENSES 9,760 |
| REVENUE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 4B | CAPITAL CONTRIBUTIONS 85,441 WAIVER EXPENSE 56,925 SCHOLARSHIP/RECRUITING EXPENSE 29,925 |
| EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XIII, LINE 2D | FUNDRAISING EXPENSES 9,760 |
| EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XIII, LINE 4B | WAIVER EXPENSE 56,925 SCHOLARSHIP/RECRUITING EXPENSE 29,925 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 28545 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 28545 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 9760 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 28545 | GrossReceiptsTotal |
| Gross Revenue Total Events | 28545 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 9760 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 9760 | DirectExpenseSummaryEvents |
| Net Income Summary | 18785 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 1.75000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | false | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 335048 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 335048 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00860 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6271256 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5460951 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 810305 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02070 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 131355 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 137128 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -5773 | NetCommunityBenefitExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6737659 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5598079 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1139580 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02930 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6737659 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5598079 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1139580 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02930 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 50000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 50000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 50000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 50000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $3,141,394 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 15355981 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 13857349 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1498632 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHATTAHOOCHEE VALLEY HOSPITAL SOCIE | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 48TH STREET | AddressLine1 |
| City | VALLEY | City |
| State | AL | State |
| ZIP Code | 36854 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Critical Access Hospital | X | CriticalAccessHospital |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". SEE ALSO THE DESCRIPTION FOR PART III, LINE 4. | CostingMethodUsed |
| Percent Of Total Expense Expln | 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 45,984,538 LESS: BAD DEBTS IN PART IX ( 6,897,751) DENOMINATOR FOR COLUMN (F) 39,086,787 | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | EXCERPT FROM FOOTNOTE TO AUDITED FINANCIAL STATEMENT ALLOWANCE FOR DOUBTFUL ACCOUNTS THE SOCIETY 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. | BadDebtFootnote |
| Shortfall As Community Benefit | COSTS FOR PART I, LINE 7A AND 7B AND PART III, SECTION A, LINE 2 WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | COLLECTION ATTEMPTS ON ALL ACCOUNTS ARE MADE BY THE HOSPITAL WITHIN THE FIRST 90 DAYS. AFTER AN ACCOUNT GOES BEYOND 90 DAYS, THE ACCOUNT IS SENT TO A COLLECTION AGENCY. THE ACCOUNT STAYS WITH THE COLLECTION AGENCY FOR APPROXIMATELY 4 MONTHS AND IF NOT COLLECTED, THE ACCOUNT IS SENT BACK TO THE HOSPITAL AND WRITTEN OFF AS A BAD DEBT. | DebtCollectionPolicy |
| Needs Assessment | WE USE THE STATE DEPARTMENT OF PUBLIC HEALTH'S ANNUAL STATISTICAL REPORT TO LOOK AT THE HEALTHCARE NEEDS OF CHAMBERS COUNTY AND EVALUATE SERVICES NEEDED OR PROVIDED IN RESPONSE TO THAT REPORT. OUR BOARD OF TRUSTEES ALSO DISCUSSES AS PART OF OUR ANNUAL STRATEGIC PLAN UPDATE ANY NEW REQUIREMENTS. ALSO, WE LOOK AT PHYSICIAN MANPOWER NEEDS IN OUR COMMUNITY EVERY SO OFTEN. | NeedsAssessment |
| Patient Education Assistance | WE HAVE A SOCIAL WORKER WHO WORKS WITH PATIENTS AND EXPLAINS TO THEM OPTIONS THEY HAVE AVAILABLE AND TRIES TO HELP THEM QUALIFY FOR ANY OUTSIDE AID AVAILABLE. WE ALSO HAVE AN INDIGENT./CHARITY CARE POLICY THAT QUALIFYING PATIENTS ARE ELIGIBLE FOR. | PatientEducationAssistance |
| Community Information | THE ORGANIZATION SERVES A PREDOMINATELY RURAL AREA. THE PRIMARY SERVICE AREA IS CHAMBERS COUNTY IN ALABAMA AND WEST POINT, GEORGIA AND SURROUNDING AREA. THE POPULATION OF CHAMBERS COUNTY IS APPROXIMATELY 34,480 WITH A PER CAPITA INCOME OF 17,625 AND A MEDIAN HOUSEHOLD INCOME OF 33,494. APPROXIMATELY 9% OF THE POPULATION HAS A BACHELORS DEGREE OR HIGHER EDUCATION. APPROXIMATELY 36% OF THE POPULATION DOESN'T HAVE A HIGH SCHOOL DIPLOMA. THE UNEMPLOYMENT RATE IN THE COUNTY IS 18.2%. THE POPULATION OF WEST POINT, GA. IS APPROXIMATELY 3,300 WITH A PER CAPITA INCOME OF 16,977 AND A MEDIAN HOUSEHOLD INCOME OF 32,491. THE AREAS' CITIZENS EXPERIENCE HIGH LEVELS OF HEART DISEASE, DIABETES AND CANCER. | CommunityInformation |
| Other Information | LANIER HAS BEEN INSTRUMENTAL IN PROVIDING HEALTHCARE AWARENESS TO THE COMMUNITY BY HOSTING NUMEROUS EVENTS INCLUDING AN ANNUAL HEALTH FAIR OPEN TO ALL RESIDENTS OF THE COMMUNITY OFFERING SERVICES FOR THE PEDIATRIC TO THE GERIATRIC RESIDENTS. OTHER EVENTS INCLUDE BREAST CANCER AWARENESS, HEART HEALTH MONTH, SELF MANAGED DIABETES CLASSES, DIABETIC EYE DISEASE SEMINAR AND VARIOUS HEALTH RELATED SUPPORT GROUPS. LANIER ALSO PARTICIPATES IN LOCAL SCHOOL OUTREACH PROGRAMS PROVIDING EDUCATION IN THE AREAS OF SMOKING CESSATION, ALCOHOL, HEALTHY EATING HABITS AND THE IMPORTANCE OF EXERCISE AND READING. WE ALSO PARTICIPATE IN KID CHECK, CAREER DAY EVENTS AND SCHOOL HEALTH FAIRS. LANIER HAS PARTNERED WITH THE LOCAL COMMUNITY CENTER TO SPONSOR "AFTER HOURS" HEALTHCARE RELATED PROGRAMS TO ELEMENTARY CHILDREN. PHYSICIANS AND MID-LEVEL PRACTIONERS SPEAK REGULARLY AT LOCAL CIVIC CLUBS TO PROVIDE HEALTHCARE AWARENESS AND PREVENTATIVE MEASURE INFORMATION. LANIER HAS DONATED MEDICAL EQUIPMENT FOR TRAINING PURPOSES TO SOUTHERN UNION STATE JUNIOR COLLEGE'S NURSING PROGRAM. | OtherInformation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|
| KELLI POWERS | |
| 170791 | 170791 |
| PHILLIPPE TRANQUI | |
| 316853 | 316853 |
| DAVID FAGAN | |
| 221140 | 221140 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RELATED PARTY INFORMATION AMONG OFFICERS | FORM 990, PAGE 6, PART VI, LINE 2 | CAM LANIER GAINES LANIER TRUSTEE TRUSTEE FAMILY RELATIONSHIP RICHARD SCOTT WILLIAM SCOTT TRUSTEE TRUSTEE FAMILY RELATIONSHIP |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11 | THE FORM 990 WAS DISTRIBUTED TO TRUSTEES FOR THEIR REVIEW BY POSTING ON LANIER'S WEBSITE UNDER A SECURE FORMAT/PASSWORD PROTECTED. QUESTIONS FROM THE TRUSTEES REGARDING THE TAX RETURN, IF ANY WERE ASKED, WERE ANSWERED AT THE BOARD MEETING BEFORE THE TAX RETURN WAS FILED. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION REQUIRES ALL MANAGEMENT EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY AND MONITORS THE COMPLIANCE WITH THIS POLICY. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | A COMMITTEE OF THE BOARD REVIEWS ANNUAL PERFORMANCE OF THE CEO AND SETS THE COMPENSATION AFTER THE REVIEW. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | PERFORMANCE APPRAISALS ARE PERFORMED ANNUALLY BY THE CEO. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | AS A GENERAL RULE, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ANY WRITTEN REQUESTS BY THE PUBLIC WOULD BE REVIEWED AND ACTED UPON BY THE BOARD. |
| ADDITIONAL INFORMATION | SCHEDULE O | FORM 990, PART VII SECTION A - COMPENSATION OF OFFICERS THE ORGANIZATION'S CURRENT CEO WAS HIRED AFTER THE CALENDAR YEAR ENDING DECEMBER 31, 2009; THEREFORE, HIS COMPENSATION, WHICH IS BASED ON W-2S FILED FOR THE CALENDAR YEAR 2009 AND REPORTED ON PART VII SECTION A, IS ZERO. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LANIER HEALTH SERVICES FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 48TH STREET | AddressLine1 |
| City | VALLEY | City |
| State | AL | State |
| ZIP Code | 36854 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 631286859 | EIN |
| Primary Activities | FOUNDATION | PrimaryActivities |
| Legal Domicile State | AL | LegalDomicileState |
| Exempt Code Section | 501 | ExemptCodeSection |
| Public Charity Status | 11A | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |