2011-02-11T13:06:56-06:00 2010-06-30 DRAFFIN & TUCKER LLP PO BOX 6 ALBANY GA 317020006 990 2009-07-01 630288852 CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY CHAT 3347561050 4800 48TH STREET VALLEY AL 36854 DOUG DEWBERRY 3347561050 2011-02-15 true JACQUELINE G ATKINS 2298837878 2011-02-11 2009 2016-02-24 21:20:13Z DOUG DEWBERRY 4800 48TH STREET VALLEY AL 36854 45597009 false X WWW.LANIERHOSPITAL.COM X 1942 AL TO PROVIDE MEDICAL SERVICES TO RESIDENTS OF CHAMBERS COUNTY, ALABAMA AND WEST POINT, GEORGIA. 16 16 609 75 39305 218042 115935 42817990 45079932 121734 62744 319431 328026 43477197 45586637 47602 0 0 18058686 19110079 0 0 26378974 26874459 44485262 45984538 -1008065 -397901 37832573 35997124 19671605 18234057 18160968 17763067 TO PROVIDE MEDICAL SERVICES TO RESIDENTS OF CHAMBERS COUNTY, ALABAMA AND WEST POINT, GEORGIA. false false 41857143 45368653 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. 41857143 true true false false false false false false false true true false false false false false false false true false true false false true false false false false false false false false false false false false false true false false false true 74 0 true 609 true true true false false false false false false false false false false 16 16 true false false false false false false true true false false true true true true false true true true false X RICHARD SCOTT 3347561050 4800 48TH STREET VALLEY AL 36854 RICHARD SCOTT 3.00 X X 0 0 0 CY WOOD 3.00 X X 0 0 0 CURT KOLLAR 3.00 X X 0 0 0 JINKS PATTERSON 3.00 X 0 0 0 LUANNE D BERLIN 3.00 X 0 0 0 GLORIA HULL 3.00 X 0 0 0 ARTHUR PERKINS MD 3.00 X 0 0 0 KEVIN PIGG 3.00 X 0 0 0 ARVIND KAMATH MD 3.00 X 0 0 0 ENRIQUE DUPRAT MD 3.00 X 0 0 0 JAMES BENDELL MD 3.00 X 0 0 0 OSCAR CRAWLEY 3.00 X 0 0 0 BOB JOHNSON 3.00 X 0 0 0 CAM LANIER 3.00 X 0 0 0 WILLIAM SCOTT III 3.00 X 0 0 0 GAINES LANIER 3.00 X 0 0 0 VALERIE GRAY 3.00 X 0 0 0 KELLI POWERS 40.00 X 170791 0 0 FRANK OPRANDY 40.00 X 127743 0 0 TOMMY LANE 40.00 X 30738 0 0 DOUG DEWBERRY 40.00 X 0 0 0 PHILLIPPE TRANQUI 40.00 X 316853 0 0 DAVID FAGAN 40.00 X 221140 0 0 ANNETTE BRADY 40.00 X 107131 0 0 SANDRA BERRYHILL 40.00 X 100160 0 0 1074556 6 false true false 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 9 115935 115935 45040627 45040627 REFERENCE LAB 621500 39305 39305 45079932 54856 54856 8500 612 7888 7888 7888 31817 9760 22057 22057 CAFETERIA 203398 203398 MISCELLANEOUS 49939 49939 SCHOLARSHIPS 29925 29925 22707 22707 305969 45586637 45368653 39305 62744 329272 329272 15925265 15136015 789250 1623968 1512239 111729 1231574 1146842 84732 165590 165590 172274 172274 4489365 3603707 885658 5137 5137 7756422 7137595 618827 2108911 1920163 188748 30045 21674 8371 7781 6497 1284 2005343 1825865 179478 352187 228553 123634 BAD DEBTS 6897751 6897751 USE TAX 1605452 1605452 REPAIRS & MAINTENANCE 748066 745811 2255 RECRUITING 419815 5933 413882 MISCELLANEOUS 60388 56925 3463 49932 6121 43811 45984538 41857143 4127395 0 1460 1560 6661776 6226182 6101371 5092203 205951 216603 169203 143743 58307122 38007731 21176130 20299391 1785852 1801589 372620 372620 1358210 1843233 37832573 35997124 5053885 4027933 12145000 11555000 2328433 2017337 144287 633787 19671605 18234057 X 18160968 17763067 18160968 17763067 37832573 35997124 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 199400 199400 36677164 20206152 16471012 1137475 900867 236608 20114399 16900712 3213687 178684 178684 20299391 OTHER RECEIVABLES 1683833 DEFERRED FINANCING 159400 1843233 THIRD PARTY SETTLEMENTS 525727 BOND INTEREST PAYABLE 108060 633787 45586637 45984538 -397901 -85441 -85441 -483342 45424106 9760 9760 45414346 172291 172291 45586637 45907448 9760 9760 45897688 86850 86850 45984538 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 GOLF TOURNAMENT 28545 28545 9760 28545 28545 9760 9760 18785 true true true X true X 1.75000 true false false 335048 335048 0.00860 6271256 5460951 810305 0.02070 131355 137128 -5773 6737659 5598079 1139580 0.02930 6737659 5598079 1139580 0.02930 50000 50000 0.00130 50000 50000 0.00130 true 3141394 15355981 13857349 1498632 X true true CHATTAHOOCHEE VALLEY HOSPITAL SOCIE

4800 48TH STREET VALLEY AL 36854

X 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. 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 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. 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. 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. 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. 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. 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. 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. X X X false false false false false false false false false KELLI POWERS 170791 170791 PHILLIPPE TRANQUI 316853 316853 DAVID FAGAN 221140 221140 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. LANIER HEALTH SERVICES FOUNDATION 4800 48TH STREET VALLEY AL 36854 631286859 FOUNDATION AL 501 11A NA false false true false false false false false false false false true true true false false false false