2024-03-15T15:39:41-05:00 2023-04-30 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-05-01 586000498 GLYNN-BRUNSWICK MEMORIAL HOSP AUTHORITY GLYN 9124667058 2415 PARKWOOD DR BRUNSWICK GA 31520 DAVID D STOB EXEC. CONSULTANT & INTERIM CFO 9124467058 2024-03-15 1 DAVID STOB 999009999 1 AMY BIBBY P00445891 8282542254 2024-03-15 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z BYRON S RAYNES 2415 PARKWOOD DR BRUNSWICK GA 31520 6105559 0 X HTTP://WWW.SGHS.ORG X 1954 GA SOUTHEAST GEORGIA HEALTH SYSTEM INC., ASSUMED ALL OF THE OPERATIONS OF THE GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY ON MAY 1, 2015 AND HAS AGREED TO OPERATE THE FACILITIES THEREOF AS A COMMUNITY HEALTHCARE PROVIDER, OFFERING SAFE, QUALITY, ACCESSIBLE, AND COST-EFFECTIVE CARE TO MEET THE HEALTH NEEDS OF THE PEOPLE AND COMMUNITIES IT SERVES. X 9 9 0 0 0 0 0 0 8949000 6105559 0 0 0 0 8949000 6105559 0 0 0 0 0 0 0 0 0 8949000 6105559 8949000 6105559 0 0 242841000 0 242841000 0 0 0 X SOUTHEAST GEORGIA HEALTH SYSTEM INC., ASSUMED ALL OF THE OPERATIONS OF THE GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY ON MAY 1, 2015 AND HAS AGREED TO OPERATE THE FACILITIES THEREOF AS A COMMUNITY HEALTHCARE PROVIDER, OFFERING SAFE, QUALITY, ACCESSIBLE, AND COST-EFFECTIVE CARE TO MEET THE HEALTH NEEDS OF THE PEOPLE AND COMMUNITIES IT SERVES. 0 0 6105559 6105559 EFFECTIVE MAY 1, 2015, THE AUTHORITY UNDERTOOK A CORPORATE RESTRUCTURING AND EXECUTED A LEASE AND TRANSFER AGREEMENT WITH SOUTHEAST GEORGIA HEALTH SYSTEM, INC. (THE SYSTEM), A GEORGIA NOT-FOR-PROFIT CORPORATION, (FORMERLY KINGS BAY COMMUNITY HOSPITAL, INC. 58-1911751), WICH ASSUMED SUBSTANTIALLY ALL OF THE OPERATIONS, ASSETS, AND LIABILITIES OF THE AUTHORITY AND AGEED TO OPERATE THE FACILITIES THEREOF AS A COMMUNITY HEALTHCARE PROVIDER AND TO PERFORM AND ABIDE BY ALL COVENANTS, AGREEMENTS, AND RESTRICTIONS THEREOF FOR AN INITIAL PERIOD OF FORTY YEARS. UNDER THE AGREEMENT, THE SYSTEM MAKES NOMINAL LEASE PAYMENTS TO THE AUTHORITY PLUS AMOUNTS SUFFICIENT TO MAKE DEBT SERVICE PAYMENTS ON AUTHORITY CONDUIT DEBT OBLIGATIONS AS THEY COME DUE AND ASSUMES ALL OPERATIONAL, FINANCIAL, INDIGENT CARE, AND COMMUNITY RESPONSIBILITIES. IN CONNECTION WITH THE RESTRUCTURING, THE AUTHORITY AND THE SYSTEM ENTERED INTO AN EMPLOYEE LEASE AGREEMENT WHEREBY THE AUTHORITY LEASED ALL OF ITS EMPLOYEES TO THE SYSTEM FROM MAY 1, 2015 THROUGH DECEMBER 31, 2015, AT COST. ALL LEASED AUTHORITY EMPLOYEES WERE CONVERTED TO THE SYSTEM EMPLOYMENT EFFECTIVE JANUARY 1, 2016.IN ADDITION TO LEASE PAYMENTS, THE ORGANIZATION ASSISTS WITH FLOW-THROUGH PAYMENTS RELATED TO UPL AND DSH . THE FINANCIAL TRANSACTIONS REPORTED ON THE RETURN RELATE TO UPL AND DSH. 6105559 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 GA X X JOHN A MILAZZO III VPCFO 9124467058 2415 PARKWOOD DR BRUNSWICK GA 315204766 X ROOSEVELT HARRIS CHAIRMAN 6.00 X X 0 0 0 MH WOODY WOODSIDE VICE CHAIRMAN 2.00 X X 0 0 0 VALERIE A HEPBURN PHD SECRETARY/TREASURER 2.00 X X 0 0 0 REV JAMES DAVIS BOARD MEMBER 4.00 X 0 0 0 ANGELA L HEYS CPA BOARD MEMBER 2.00 X 0 0 0 MICHAEL D HODGES BOARD MEMBER 2.00 X 0 0 0 CATINA TINDALL BOARD MEMBER 2.00 X 0 0 0 ROBERT C TURNER BOARD MEMBER 2.00 X 0 0 0 BARRETTE E WALKER BOARD MEMBER 2.00 X 0 0 0 0 0 0 0 0 0 0 0 UPL AND DSH FLOWTHROUGH PAYMENTS 621990 6105559 6105559 6105559 6105559 0 0 6105559 UPL AND DSH FLOWTHROUGH 6105559 6105559 6105559 6105559 0 0 7013000 0 235828000 0 242841000 0 7013000 0 235828000 0 242841000 0 X 0 0 242841000 0 0 0 X X 0 1 X 1 0 X 0 X 6105559 0 6105559 0 6105559 6105559 0 6105559 0 6105559 PART X, LINE 2: THE GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY (THE AUTHORITY) IS EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 AS AMENDED. ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN PRESENTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE AUTHORITY HAS EVALUATED ITS TAX POSITIONS AND DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS. RECLASSIFICATION OF FINANCIAL STATEMENT PRESENTATION RELATING TO GASB STATEMENT 91. IN ADDITION TO THE ASSET BEING ELIMINATED SO WAS THE PAYBLES RESULTING IN NO CHANGE TO THE ORGANIZATIONS NET ASSETS. 2023-04-30 242841000 ASSET APPROACH 581911751 SOUTHEAST GEORGIA HOSPITAL SYSTEM INC 2415 PARKWOOD DR BRUNSWICK GA 31520 501(C)(3) 0 0 0 0 FORM 990, SCHEDULE N, PART II THE TOTAL AMOUNT OF THE ORGANIZATION'S ASSETS AND LIABILITIES WERE TRANSFERRED TO SOUTHEAST GEORGIA HOSPITAL SYSTEM INC DUE TO THE REQUIREMENT TO RESTATE GLYNN-BRUNSWICK MEMORIAL HOSP AUTHORITY'S FINANCIAL STATEMENTS FOR THE IMPLEMENTATION OF GASB 91. FORM 990, PART VI, SECTION A, LINE 6 THE GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY (THE AUTHORITY), A PUBLIC BODY CORPORATE AND POLITIC, WAS ESTABLISHED BY THE GOVERNING BODIES OF GLYNN COUNTY, GEORGIA (THE COUNTY), AND THE CITY OF BRUNSWICK, GEORGIA (THE CITY), ON MARCH 1,1961 UNDER THE HOSPITAL AUTHORITIES LAW OF GEORGIA. THE AUTHORITY IS GOVERNED BY NINE MEMBERS, FOUR OF WHOM ARE APPOINTED BY THE AUTHORITY FROM NOMINEES SUBMITTED BY THE GOVERNING BODY OF THE CITY AND ONE APPOINTED FROM NOMINEES SUBMITTED JOINTLY BY THE COUNTY AND CITY. EFFECTIVE MAY 1, 2015, THE AUTHORITY UNDERTOOK A CORPORATE RESTRUCTURING AND EXECUTED A LEASE AND TRANSFER AGREEMENT WITH SOUTHEAST GEORGIA HEALTH SYSTEM, INC., A GEORGIA NOT-FOR-PROFIT CORPORATION, WHICH ASSUMED SUBSTANTIALLY ALL OF THE OPERATIONS, ASSETS AND LIABILITIES OF THE AUTHORITY AND AGREED TO OPERATE THE FACILITIES THEREOF AS A COMMUNITY HEALTHCARE PROVIDER AND TO PERFORM AND ABIDE BY ALL COVENANTS AGREEMENTS,AND RESTRICTIONS, THEREOF FOR AN INITIAL PERIOD OF FORTY YEARS. FORM 990, PART VI, SECTION A, LINE 7A THE GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY (THE AUTHORITY), A PUBLIC BODY CORPORATE AND POLITIC, WAS ESTABLISHED BY THE GOVERNING BODIES OF GLYNN COUNTY, GEORGIA (THE COUNTY), AND THE CITY OF BRUNSWICK, GEORGIA (THE CITY), ON MARCH 1,1961 UNDER THE HOSPITAL AUTHORITIES LAW OF GEORGIA. THE AUTHORITY IS GOVERNED BY NINE MEMBERS, FOUR OF WHOM ARE APPOINTED BY THE AUTHORITY FROM NOMINEES SUBMITTED BY THE GOVERNING BODY OF THE CITY AND ONE APPOINTED FROM NOMINEES SUBMITTED JOINTLY BY THE COUNTY AND CITY. EFFECTIVE MAY 1, 2015, THE AUTHORITY UNDERTOOK A CORPORATE RESTRUCTURING AND EXECUTED A LEASE AND TRANSFER AGREEMENT WITH SOUTHEAST GEORGIA HEALTH SYSTEM, INC., A GEORGIA NOT-FOR-PROFIT CORPORATION, WHICH ASSUMED SUBSTANTIALLY ALL OF THE OPERATIONS, ASSETS AND LIABILITIES OF THE AUTHORITY AND AGREED TO OPERATE THE FACILITIES THEREOF AS A COMMUNITY HEALTHCARE PROVIDER AND TO PERFORM AND ABIDE BY ALL COVENANTS AGREEMENTS,AND RESTRICTIONS, THEREOF FOR AN INITIAL PERIOD OF FORTY YEARS. FORM 990, PART VI, SECTION B, LINE 11B AN ELETRONIC COPY OF FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS OF THE GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE. MANAGEMENT ADDRESSED ALL QUESTIONS AND RECOMMENDATIONS THAT THE HOSPITAL AUTHORITY RAISED. FORM 990, PART VI, SECTION B, LINE 12C UNDER THE CONFLICT-OF-INTEREST, WHISTLEBLOWER, AND DOCUMENT RETENTION AND DESTRUCTION POLICIES OF THE GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY, THE COMPLIANCE DEPARTMENT REQUIRES ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO REORT ANY POTENTIAL CONFLICTS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 EXCEPT THROUGH THE NORMAL IRS/FORM 990 INSPECTION PROCESS, THE GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY HAS NOT ESTABLISHED A STANDARD PROCESS FOR MAKING ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2 THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.