2026-05-14T10:13:30+00:00 2025-06-30 440160260 Forvis Mazars LLP 14221 Dallas Parkway Suite 400 Dallas TX 75254 990 2024-07-01 720995809 UNION GENERAL HOSPITAL UNIO 3183689751 PO BOX 398 FARMERVILLE LA 71241 Dianne Davidson CEO 3183689751 2026-05-14 true Andrew J Gray P01517705 9727028262 2026-05-15 2024 2025-03-06 01:10:19Z Dianne Davidson PO BOX 398 FARMERVILLE LA 71241 25452984 false X WWW.UNIONGEN.ORG X 1983 LA TO PROVIDE ACUTE CARE HOSPITAL SERVICES IN THE FARMERVILLE AREA. IT IS OUR GOAL TO DELIVER THE BEST POSSIBLE HEALTH CARE AVAILABLE AND SERVE THE DEDICATED PEOPLE OF UNION PARISH AND THE SURROUNDING AREAS. 7 7 179 7 0 0 788492 4088694 20773550 20798162 520438 477603 120590 88525 22203070 25452984 43670 36014 0 0 9493423 9773297 0 0 0 9970450 10131379 19507543 19940690 2695527 5512294 31836862 34928384 1941116 1516095 29895746 33412289 IT IS THE MISSION OF UNION GENERAL HOSPITAL TO PROVIDE QUALITY SERVICE WITH COMPASSIONATE CARE. false false 15822510 36014 20843196 PROVIDED ACUTE CARE HOSPITAL SERVICES TO INDIVIDUALS IN THE FARMERVILLE AREA; INDIVIDUALS SERVED AMOUNTED TO 2,449 PATIENT DAYS AND 6,747 EMERGENCY ROOM VISITS. THE LABORATORY PERFORMED 47,636 TESTS AND 35,652 ENDOSCOPIC, RADIOLOGY, ULTRASOUND, CT, OT, RT, ST, AND PT PROCEDURES WERE PERFORMED. THE RURAL HEALTH CLINIC LOGGED 8,164 VISITS. WE CONTINUE TO PROVIDE AN INTENSIVE OUTPATIENT PSYCHIATRIC PROGRAM (5,652 SESSIONS), IN ORDER TO PROVIDE NEEDED SERVICES FOR THOSE PATIENTS AS WELL. UGH HAS CONTINUED TO PROVIDE NECESSARY TESTING FOR OUR COMMUNITY IN A SAFE ENVIRONMENT UNDER STATE AND FEDERAL GUIDELINES FOR THE COVID-19 VIRUS. WE SET UP NEGATIVE PRESSURE ROOMS IN OUR EMERGENCY ROOM AND NURSING AREA, IN ORDER TO PROVIDE ADDITIONAL CARE NEEDED BY OUR COVID PATIENTS. 15822510 true true false true false false false false false false true false false false true true true false false false false false false false false false true true true false true false false false false false false false false false false false false false false false false false false false false true 151 0 true 179 true false false false false false false false false false false false false X 7 7 false false false false false false false true true false false false true true true true true true true true false false X BRAD ADCOCK 3183687096 901 JAMES AVE FARMERVILLE LA 71241 Allyson Crow Secretary 1.0 0.0 X X 0 0 0 Daniel Hunter Jr Vice President 1.0 0.0 X X 0 0 0 Tim Tettleton President 1.0 0.0 X X 0 0 0 Bessie Warren Director 1.0 0.0 X 0 0 0 Christy Fine Director 1.0 0.0 X 0 0 0 Danny Smith Director 1.0 0.0 X 0 0 0 Debra James Director 1.0 0.0 X 0 0 0 Brad Adcock CFO 40.0 0.0 X 150436 0 5527 Dianne Davidson CEO 40.0 0.0 X 232279 0 24277 Clay Branton Physician, Though 09/12/24 40.0 0.0 X 258032 0 18212 Connie Booth ER Director 40.0 0.0 X 168838 0 8518 Darra Jung Director of Nursing 40.0 0.0 X 163085 0 11350 Deanna Neal Nurse Practitioner 32.0 0.0 X 129191 0 7845 Erin Griffin Nurse Practitioner 40.0 0.0 X 160489 0 0 1262350 0 75729 15 false true false BUILD COMMERCIAL CONSTRUCTION LLC 7737 OLD HAMMOND HWY SUITE A-2 BATON ROUGE LA 70809 CLININC CONSTRUCTION PROJECT 2842466 EMERGENCY STAFFING SOLUTIONS INC 17304 PRESTON ROAD SUITE 1400 DALLAS TX 75252 EMERGENCY ROOM PHYSICIANS 1542867 OMEGA DIAGNOSTICS LLC 1000 E PRESTON AVENUE SHREVEPORT LA 711052704 LAB SERVICES 1456467 LINCOLN HEALTHCARE LLC DBA LEGACY REHABILITATION P O BOX 843 RUSTON LA 71273 PHYSICAL, OCCUPATIONAL & SPEECH THERAPY CONTR 1320934 SPECIALTY MANAGEMENT SERVICES OF OUACHITA LLC P O BOX 3185 MONROE LA 71210 BUSINESS OFFICE MEDICAL BILLING SERVICES 469493 10 1387398 2701296 10000 4088694 NET PATIENT SERVICE FEES 621110 20210540 20210540 OTHER OPERATING REVENUE 621110 35009 35009 PHARMACY REVENUE 446110 552613 552613 0 0 0 0 20798162 476703 476703 0 0 900 900 0 900 900 Cafeteria and Vending Machine 722514 43491 43491 Medical Records 561000 6774 6774 Utility District Reimbursements 900099 1831 1831 36429 36429 0 0 88525 25452984 20843196 0 521094 X 36014 36014 0 0 412519 335635 76884 7593859 6152083 1441776 117533 100887 16646 1067950 916698 151252 581436 499088 82348 70891 70891 122148 122148 4081 4081 6538639 5453756 1084883 0 74360 11279 63081 332599 113842 218757 319351 319351 286849 216827 70022 76721 67393 9328 91787 29769 62018 144 144 755886 597528 158358 161261 80661 80600 Medical Supplies 1114034 1114034 Collections 47013 78 46935 Dues & Subscriptions 30994 6871 24123 104621 90067 14554 0 19940690 15822510 4118180 0 12538784 12636935 9093888 9454172 0 0 2628195 2509395 0 0 0 0 248555 0 232973 234063 107875 104406 23523676 14266896 6731132 9256780 0 0 0 0 255460 732633 31836862 34928384 1415592 992409 0 0 0 0 0 0 0 0 525524 523686 1941116 1516095 X 27899995 33412289 1995751 0 29895746 33412289 31836862 34928384 X 5512294 -1995751 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4081 4081 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE HOSPITAL PAID DUES TO THE FOLLOWING ORGANIZATIONS: LA HOSPITAL ASSOCIATION LA RURAL HOSPITAL COALITION NATIONAL RURAL HEALTH ASSOCIATION A PORTION OF THESE DUES ARE DESIGNATED FOR LOBBYING EXPENSES. 454287 454287 7966707 3367478 4599229 6765403 3634828 3130575 8112279 7264590 847689 225000 225000 9256780 Federal Income Taxes ESTIMATED SELF-INSURANCE COSTS 91608 Estimated Amounts Due to Third-Party Payors 432078 523686 X 21852984 0 0 21852984 3600000 3600000 25452984 19940690 0 0 19940690 0 0 19940690 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Contributions of or for acquisition of property and equipment - 1604249 Net Assets released from restriction used for purchase of property and equipment - 1995751 true true X true X 250 false 10577 0 10577 0.00053 5958855 7181519 0 0.0 0 0 0 0.0 0 0 5969432 7181519 10577 0.00053 20686 75752 0 75752 0.00380 7659 0 7659 0.00038 0 0 0 0.0 0 0 0 0.0 45824 51402 0 51402 0.00258 0 66510 134813 0 134813 0.00676 0 66510 6104245 7181519 145390 0.00729 0 0.0 0 0.0 0 0.0 0 0.0 125 125 0.00001 0 0.0 574 39638 39638 0.00199 3553 7659 7659 0.00038 0 0.0 0 4127 47422 0 47422 0.00238 true 1969834 5423676 5418318 5358 X true true 1 1 UNION GENERAL HOSPITAL 901 JAMES AVE FARMERVILLE LA 71241 WWW.UNIONGEN.ORG 146 X X X X UNION GENERAL HOSPITAL 1 false false true X X X X X X X X X 23 true false false true X https://www.uniongen.org/media/1444/chna_2024.pdf X true 23 true https://www.uniongen.org/media/1460/union-2024-implementation-plan.pdf false true X 250.0 0 X X X true true X X X true X https://www.uniongen.org/patient-info/financial-assistance/ X https://www.uniongen.org/patient-info/financial-assistance/ X https://www.uniongen.org/patient-info/financial-assistance/ X X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Union General Hospital. REPRESENTATIVES FROM THE COMMUNITY: THE HOSPITAL GATHERED INFORMATION FROM COMMUNITY MEETINGS, STAKEHOLDER INTERVIEWS, DISCUSSIONS WITH THE HOSPITAL LEADERSHIP TEAM, REVIEW OF DEMOGRAPHIC AND HEALTH STATUS, AND HOSPITAL UTILIZATION DATA, TO PRIORITIZE THE HEALTH NEEDS OF THE POPULATION. THE HOSPITAL'S CHIEF EXECUTIVE OFFICER DEVELOPED A HOSPITAL STEERING COMMITTEE. THE CEO APPOINTED THE FOLLOWING INDIVIDUALS AS PARTICIPANTS ON THIS COMMITTEE: DIANNE DAVIDSON - CHIEF EXECUTIVE OFFICER AMANDA WHIDDON - CHIEF OPERATING OFFICER BRAD ADCOCK - CHIEF FINANCIAL OFFICER JULIE DUTY - COMPLIANCE/HIPAA OFFICER CLAUDIA WADE - COMMUNITY DEVELOPMENT MANAGER, GRANT WRITER BRITTANY SMITH - DIETARY DIRECTOR THE COMMITTEE IDENTIFIED 8 STAKEHOLDERS FOR INDIVIDUAL INTERVIEWS. BELOW IS A LIST OF THE ORGANIZATIONS REPRESENTED BY THE KEY STAKEHOLDERS. GAZETTE NEWSPAPER - UNION PARISH POLICE JURY BANNER NEWSPAPER - TOWN OF MARION UNION GENERAL HOSPITAL - UNION EMERGENCY PREPAREDNESS TOWN OF FARMERVILLE - FARMERVILLE FIRST BAPTIST CHURCH UNION COUNCIL ON AGING - DOWNSVILLE CHARTER SCHOOL UNION PARISH SHERIFF'S DEPARTMENT - UNION PARISH LIBRARY CHILDREN'S COALITION - UNION PARISH CHAMBER OF COMMERCE Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Union General Hospital. FOLLOWING THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), IT HAS BEEN NOTED THAT SEVERAL NEEDS IDENTIFIED IN THE 2023 CHNA CONTINUE TO BE A PRIORITY. THE STEERING COMMITTEE HAS HIGHLIGHTED THE FOLLOWING AREAS: CANCER: IN AN ONGOING EFFORT, THE HOSPITAL HAS BEEN CONDUCTING BREAST CANCER EDUCATION SESSIONS, SPECIFICALLY TARGETING THE PARTICIPANTS OF THE "IT'S A GIRL THING" PROGRAM, IN COLLABORATION WITH THE SCHOOL DISTRICT. ADOLESCENT BEHAVIORS: OUR PARTNERSHIP WITH THE SCHOOL DISTRICT REMAINS STRONG, FOCUSING ON PROGRAMS LIKE "IT'S A GIRL THING "MAKING PROUD CHOICES." THIS INCLUDES A COMPREHENSIVE STD/HIV AND PREGNANCY PREVENTION PROGRAM. WE'VE SEEN AN INCREASE IN PARTICIPATION AND PARENTAL INTEREST, WITH OVER 64 MEETINGS HELD AT VARIOUS LOCATIONS, INCLUDING SCHOOLS AND VIA ZOOM, TOTALING 582 SINCE THE PROGRAM'S INCEPTION IN 2013. ADDITIONALLY, IN COLLABORATION WITH THE FOOD BANK OF NORTHEAST LOUISIANA, PARTICIPANTS RECEIVE A 40-POUND FOOD BOX MONTHLY, ADDRESSING FOOD SECURITY CONCERNS. MENTAL HEALTH AND SUBSTANCE ABUSE PREVENTION: THE HOSPITAL CONTINUES TO EMPHASIZE MENTAL HEALTH, ALCOHOL AND DRUG PREVENTION, AND SUICIDE PREVENTION THROUGH OUR ADOLESCENT HEALTH PROGRAMS. OUR COLLABORATIVE EFFORTS HAVE EXPANDED OUR NETWORK AND GARNERED RECOGNITION. WE'VE ALSO BEEN PROACTIVE IN ANTI-BULLYING INITIATIVES, REACHING OVER 3,000 STUDENTS ACROSS UNION PARISH, SIGNIFICANTLY REDUCING BULLYING INCIDENTS AND SUICIDE ATTEMPTS. TEEN DRUG PREVENTION: OUR TEEN DRUG AND ALCOHOL PREVENTION PROGRAM, LAUNCHED IN 2018, HAS BEEN RECOGNIZED WITH THE OUTSTANDING RURAL HEALTH PROGRAM OF THE YEAR AWARD. THIS PROGRAM, OFFERED IN SCHOOLS AND THROUGH HOSPITAL INITIATIVES, HAS SHOWN A SIGNIFICANT IMPACT ON THE COMMUNITY. TEEN MENTAL HEALTH EDUCATION: OUR EFFORTS IN TEACHING ABOUT SUICIDE AND ANTI-BULLYING HAVE CONTRIBUTED TO A REDUCTION IN SUICIDE RATES. THE HOSPITAL MAINTAINS STRONG COLLABORATIONS WITH VARIOUS COMMUNITY ORGANIZATIONS TO ADDRESS SUBSTANCE ABUSE AND ITS CONSEQUENCES. CARDIOVASCULAR HEALTH: IN PARTNERSHIP WITH OCHSNER HEALTH SYSTEM, UNION GENERAL HOSPITAL HAS BECOME AN EMERGENCY LEVEL 3 STROKE CENTER. WE'VE FOCUSED ON INCREASING EDUCATION AND AWARENESS ABOUT EARLY PREVENTION OF HEART DISEASE AND STROKE. OUR PARTNERSHIP WITH OCHSNER CLINIC FOUNDATION HAS ENHANCED PATIENT ACCESS TO SPECIALIZED CARE. ADDITIONALLY, HEALTH FAIRS AND NUTRITION CLASSES PROMOTE HEALTHY HABITS. OBESITY AND DIABETES: WE ACTIVELY PARTICIPATE IN HEALTH FAIRS AND COMMUNITY EVENTS, COLLABORATING WITH LOCAL ORGANIZATIONS. INITIATIVES LIKE THE BIGGEST LOSER PROGRAM AND NUTRITION EDUCATION, OFFERED IN PARTNERSHIP WITH LSU AGCENTER, ARE STEPS TOWARDS FOSTERING A HEALTH-CONSCIOUS COMMUNITY. THESE EFFORTS REFLECT OUR ONGOING COMMITMENT TO ADDRESSING THE HEALTH NEEDS OF OUR COMMUNITY AS IDENTIFIED IN THE CHNA. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - UNION GENERAL HOSPITAL. ANY PATIENTS WITH MEDICAID COVERAGE THAT HAVE NON-COVERED CHARGES WILL NOT REQUIRE ANY ADDITIONAL SCREENING TO QUALIFY FOR FINANCIAL ASSISTANCE. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Union General Hospital. NOTIFICATION OF FINANCIAL ASSISTANCE POLICY: DURING THE SCREENING PROCESS, PATIENTS THAT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOTIFIED OF THE POLICY. 0 Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT N/A Schedule H, Part V Lines 18, 19, & 20 - Actions for Non-Payment NEITHER UNION GENERAL HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY UGH, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. Schedule H, Part V, Section B, Line 20d Presumptive Eligibility Determinations THE HOSPITAL DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS AS DESCRIBED UNDER SECTION 501(R) AS THEY REQUIRE ALL PATIENTS TO COMPLETE AN APPLICATION. HOWEVER, IF A PATIENT IS FOUND TO QUALIFY FOR MEDICAID, THEY WILL ALSO QUALIFY FOR FINANCIAL ASSISTANCE WITH NO FURTHER SCREENING REQUIRED. Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care THE HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: -UNDERINSURANCE STATUS -INSURANCE STATUS -MEDICAID COVERAGE Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. THE COSTS COMPUTED ON IRS WORKSHEET 4 WERE COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT. THE OTHER STUDENTS COST COMPUTED ON IRS WORKSHEET 5 IS THE WORKFORCE DEVELOPMENT EXPENSE REPORTED IN PART II COMMUNITY BUILDING ACTIVITIES. THE COSTS COMPUTED ON IRS WORKSHEET 8 WERE FROM THE HOSPITAL'S INCOME STATEMENT. Schedule H, Part II Community Building Activities A TEEN DRUG PREVENTION PROGRAM WAS ESTABLISHED AT TWO OF OUR LOCAL SCHOOLS TO MEET WITH 6TH-12TH GRADE STUDENTS TWICE A WEEK TO DISCUSS WAYS TO DEAL WITH DRUGS AND SUBSTANCE ABUSE. THAT PROGRAM CONTINUES, WITH OVER 300 STUDENTS ENROLLED IN THE PROGRAM. THE HOSPITAL CONTINUES ITS PARTNERSHIP WITH THE LOCAL SCHOOL DISTRICT AND OFFERS IT'S A GIRL THING, MAKING PROUD CHOICES, "THE HOSPITAL'S STD/HIV PREGNANCY PREVENTION PROGRAM. THE HOSPITAL EDUCATES 6TH THROUGH 12TH GRADE GIRLS EVERY WEEK FOR AN HOUR. WE HAVE CONTINUED WITH THE ANTI BULLYING PROGRAM: UNION PARISH "TOGETHER, WE CAN BE BULLY FREE, HAVE EXPANDED THE PROGRAM TO INCLUDE 3RD AND 4TH GRADERS. WE NOW HAVE OVER 1,000 STUDENTS PARTICIPATING IN THE PROGRAM. IN PARTNERSHIP WITH OMEGA LABS, THE HOSPITAL IS OFFERING FREE COLON CANCER SCREENINGS TO THE COMMUNITY. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount WE USE AN AGING APPROACH TO RESERVE AMOUNTS FOR BAD DEBT BY FINANCIAL CLASS. WHEN AN ACCOUNT REACHES THE STATUS THAT WE'VE DETERMINED THEM TO BE UNCOLLECTIBLE, THE ACCOUNT IS WRITTEN OFF AS A BAD DEBT. ALL APPROPRIATE DISCOUNTS AND PAYMENTS ARE APPLIED TO AN ACCOUNT, WHICH REDUCES ANY BAD DEBT WRITE-OFFS FOR THAT ACCOUNT. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE HOSPITAL USED MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICAID OR MEDICARE DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. IN ADDITION, THE ORGANIZATION PROVIDES CARE TO ALL PATIENTS REGARDLESS OF SOURCE OF PAYMENT; THEREFORE, COSTS TO PROVIDE CARE TO MEDICARE PATIENTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT TO THE EXTENT COSTS EXCEED MEDICARE REIMBURSEMENT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ONCE A PATIENT IS BELIEVED TO BE INDIGENT, THEY MUST COMPLETE AN APPLICATION FOR CHARITY CARE ASSISTANCE FOR UGH TO DETERMINE THE PATIENT'S ELIGIBILITY FOR ITS CHARITY CARE PROGRAM. TO BE ELIGIBLE, A PATIENT/FAMILY'S INCOME SHALL BE COMPARED TO 250% OF THE FEDERAL POVERTY GUIDELINES. THEIR INCOME MUST BE AT OR BELOW THE CORRESPONDING AMOUNT BASED ON FAMILY SIZE. IF A PATIENT WITH MEDICAID COVERAGE HAS NON-COVERED CHARGES, NO ADDITIONAL SCREENING WILL BE REQUIRED TO QUALIFY FOR CHARITY CARE. THE HOSPITAL MAY CONSIDER OTHER FINANCIAL ASSETS AND LIABILITIES OF THE PERSON WHEN DETERMINING ELIGIBILITY. THE SCREENING PROCESS TO DETERMINE A PATIENT'S ELIGIBILITY FOR THE HOSPITAL'S CHARITY CARE PROGRAM WILL BEGIN AS SOON AS POSSIBLE FOLLOWING ADMISSION TO UGH. ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR UGH'S CHARITY CARE PROGRAM, NO ADDITIONAL COLLECTION EFFORTS WILL BE MADE ON THAT ACCOUNT. Schedule H, Part V, Section B, Line 16a FAP website - UNION GENERAL HOSPITAL: Line 16a URL: https://www.uniongen.org/patient-info/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - UNION GENERAL HOSPITAL: Line 16b URL: https://www.uniongen.org/patient-info/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - UNION GENERAL HOSPITAL: Line 16c URL: https://www.uniongen.org/patient-info/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment THE HOSPITAL HAS WORKED WITH OTHER COMMUNITY ORGANIZATIONS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY. THE HOSPITAL HAS COMPLETED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT WITH ASSISTANCE FROM AN OUTSIDE FIRM. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ALL PATIENTS WITHOUT THIRD PARTY INSURANCE RECEIVE INFORMATION WHILE AT UGH REGARDING GOVERNMENTAL ASSISTANCE AND ARE ADVISED TO MAKE AN APPOINTMENT WITH A CERTIFIED MEDICAID ENROLLMENT CENTER TO DETERMINE THEIR ELIGIBILITY FOR MEDICAID ASSISTANCE. THOSE PATIENTS ARE INFORMED THAT THEY MAY BE ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE PROGRAM. ALSO, ALL INPATIENTS WITHOUT THIRD PARTY COVERAGE ARE VISITED DURING THEIR HOSPITAL STAY AND SENT INFORMATION. Schedule H, Part VI, Line 4 Community information UNION GENERAL HOSPITAL IS LOCATED IN UNION PARISH, LOUISIANA ALONG THE NORTHERN BORDER OF THE STATE. A LARGE SPRAWLING RURAL COMMUNITY MADE UP OF 905 SQUARE MILES OF ROLLING HILLS AND TALL PINE TREES. UNION PARISH'S SEAT AND LARGEST TOWN IS FARMERVILLE, LOCATED TO THE NORTHEAST OF LAKE D'ARBONNE. 14% OF THE POPULATION AND 21% OF THE CHILDREN LIVE BELOW 100% OF THE FEDERAL POVERTY GUIDELINES. FURTHERMORE, MORE THAN HALF OF SCHOOL-AGED CHILDREN (52%) IN THE PARISH ARE ELIGIBLE FOR FREE OR REDUCED LUNCHES. THERE IS NO PUBLIC TRANSPORTATION IN THE PARISH AND THE TOTAL PARISH POPULATION IS 20,650 (2023 ESTIMATE). UNION PARISH IS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA (MUA) AND A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). THE MEDIAN HOUSEHOLD INCOME FOR UNION PARISH IS SIGNIFICANTLY BELOW THE STATE MEDIAN ($47K VS $58K). THE RACE AND ETHNICITY MAKEUP OF UNION PARISH IS 70% OF THE POPULATION IS NON-HISPANIC WHITE, 23% NON-HISPANIC BLACK/AA, 6% HISPANIC, AND 1% OTHER RACES (2023 ESTIMATE). Schedule H, Part VI, Line 5 Promotion of community health UNION GENERAL HOSPITAL SERVES AS A MEDICAID ENROLLMENT CENTER FOR UNION PARISH, PROVIDES FLU SHOT CLINICS TO THE COMMUNITY AND PARTICIPATES IN HEALTH FAIRS LOCALLY. THE HOSPITAL ALSO PARTICIPATES IN CAREER FAIRS AT LOCAL COLLEGES FOR HEALTHCARE STUDENTS, REACHING OVER 200 STUDENTS, AS WELL AS SERVING AS A CLINICAL SITE FOR LPNS, RADIOLOGY, PHLEBOTOMY AND NURSE PRACTITIONERS. UGH IS INVOLVED WITH LOCAL BUSINESSES AND CHURCHES TO BRING AWARENESS AND SCREENING TO THE PUBLIC THROUGH RELAY FOR LIFE, AHA'S GO RED CAMPAIGN, UNITED WAY FUNDRAISER, SUSAN G KOMEN FUNDRAISER AND RACE FOR THE CURE, AND BY HOSTING AN ANNUAL BREAST CANCER AWARENESS DAY FOR THE COMMUNITY. THE HOSPITAL BUILT A WALKING TRAIL ON CAMPUS TO ENCOURAGE EXERCISE IN THE COMMUNITY, AS WELL AS PROVIDED NUTRITION WORKSHOPS, AND BLOOD SUGAR AND BLOOD PRESSURE SCREENING FOR THE COMMUNITY. UGH PROVIDED ANTI BULLYING, TEEN DRUG PREVENTION AND TEEN PREGNANCY PREVENTION SESSIONS AT THE HOSPITAL AND ALL THE SCHOOLS. Schedule H, Part VI, Line 6 Affiliated health care system AFFILIATED HEALTH CARE SYSTEM: N/A true UNION PARISH CHAMBER OF COMMERCE 116 N MAIN ST Farmerville LA 71241 721121936 501(c)(6) 16650 449 EMPLOYEE SALARY EMPLOYEE TIME SALARY SPONSOR LOCAL EVENTS 0 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds The organization evaluates donees based on public and private data. X X X false false false false false false false true false Dianne Davidson CEO 200788 0 20000 0 11491 0 24277 0 0 0 256556 0 0 0 Brad Adcock CFO 136368 0 14000 0 68 0 5527 0 0 0 155963 0 0 0 Darra Jung Director of Nursing 162731 0 0 0 354 0 11350 0 0 0 174435 0 0 0 Clay Branton Physician, Though 09/12/24 196258 0 0 0 61774 0 18212 0 0 0 276244 0 0 0 Connie Booth ER Director 168638 0 0 0 200 0 8518 0 0 0 177356 0 0 0 Erin Griffin Nurse Practitioner 160013 0 0 0 476 0 0 0 0 0 160489 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments THE AMOUNT OF THE CEO'S BONUS IS DETERMINED BY THE BOARD DURING AN EXECUTIVE SESSION AT THE NOVEMBER MEETING. THE CFO AND COO BONUSES ARE BASED OFF A PERCENTAGE OF ANNUAL SALARY DETERMINED BY THE CEO. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM FOLLOWING THE COMPLETION OF AN AUDIT OF FINANCIAL STATEMENTS. BOTH THE CEO AND CFO REVIEW THE RETURN, AND THE RETURN IS THEN MADE AVAILABLE TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE FULL BOARD WILL REVIEW A COPY OF THE 990 WITH RECOMMENDATIONS FROM THE FINANCE COMMITTEE PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. ALL EMPLOYEES ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST. IN THE EVENT OF A CONFLICT, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. Form 990, Part VI, Line 15a Process to establish compensation of top management official INFORMATION WAS OBTAINED FROM MODERN HEALTHCARE ARTICLES REGARDING SALARY COMPENSATION FOR THE CEO, IN THE TIMEFRAME OF 2023-2024, AND PRESENTED TO THE UGH BOARD FOR REVIEW AND DISCUSSION. THE SALARY FOR THIS POSITION WAS ADJUSTED BASED UPON RECOMMENDATION AND APPROVAL BY THE BOARD OF DIRECTORS DURING THE EXECUTIVE SESSION. DOCUMENTATION OF THE REVIEW IS KEPT IN THE EXECUTIVE SESSION'S MINUTES. Form 990, Part VI, Line 15b Process to establish compensation of other employees INFORMATION WAS OBTAINED FROM MODERN HEALTHCARE ARTICLES REGARDING SALARY COMPENSATION FOR THE CFO, IN THE TIMEFRAME OF 2023-2024, AND PRESENTED TO THE UGH BOARD FOR REVIEW AND DISCUSSION. THE SALARY FOR THIS POSITION WAS ADJUSTED BASED UPON RECOMMENDATION AND APPROVAL BY THE BOARD OF DIRECTORS DURING THE EXECUTIVE SESSION. DOCUMENTATION OF THE REVIEW IS KEPT IN THE EXECUTIVE SESSION'S MINUTES. ALL OTHER EMPLOYEES (INCLUDING OTHER OFFICERS) RECEIVE MERIT INCREASES BASED ON THEIR ANNUAL EMPLOYEE EVALUATION SCORES EVERY FEBRUARY OR MARCH. THE CEO AND CFO SET THE MAXIMUM INCREASES FOR DEPARTMENT MANAGERS, AND MAXIMUM PERCENTAGE INCREASES FOR ALL OTHER EMPLOYEES. EACH EMPLOYEE RECEIVES A PRO RATA PERCENTAGE OF THE MAXIMUM PERCENTAGE, BASED ON THEIR ACTUAL EVALUATION SCORE COMPARED TO THE MAXIMUM SCORE POSSIBLE ON THE EVALUATION. THE EVALUATIONS ARE COMPLETED BY THE EMPLOYEE'S SUPERVISOR. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All Other Revenue - Total Revenue: 36429, Related or Exempt Function Revenue: 36429, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Purchased Medical Services - Total Expense: 4461688, Program Service Expense: 3754140, Management and General Expenses: 707548, Fundraising Expenses: ; Physician Fees - Total Expense: 1610117, Program Service Expense: 1610117, Management and General Expenses: , Fundraising Expenses: ; Maintenance Agreements - Total Expense: 243231, Program Service Expense: 20276, Management and General Expenses: 222955, Fundraising Expenses: ; Contract Labor - Total Expense: 222774, Program Service Expense: 68394, Management and General Expenses: 154380, Fundraising Expenses: ; Outside Testing - Total Expense: 829, Program Service Expense: 829, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Assets Released from Restriction - -1995751; Total - -1995751;