2026-08-17T10:15:10-04:00 2025-09-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2024-10-01 586001667 STEPHENS COUNTY HOSPITAL AUTHORITY STEP 7062824200 163 HOSPITAL DRIVE TOCCOA GA 305776820 VAN LOSKOSKI CEO 7062824200 2026-08-11 true false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2026-08-17 2024 2025-03-06 01:10:19Z VAN LOSKOSKI 163 HOSPITAL DRIVE TOCCOA GA 305776820 52470898 false X WWW.STEPHENSCOUNTYHOSPITAL.COM X 1945 GA THE MISSION OF STEPHENS COUNTY HOSPITAL AUTHORITY IS TO PROVIDE HEALTH CARE AND RELATED SERVICES TO ENHANCE INDIVIDUAL HEALTH AND WELL BEING IN A MANNER THAT MEETS THE EXPECTATIONS OF PATIENTS AND OTHER CUSTOMERS; PRESERVE THE RIGHTS OF PATIENTS, EMPLOYEES AND OTHERS TO BE TREATED WITH DIGNITY, RESPECT AND CONCERN; PROVIDE PROFESSIONALLY AND TECHNICALLY PROFICIENT PERSONNEL IN AN EFFECTIVE AND RESOURCE EFFICIENT MANNER; AND UTILILIZE RESOURCES APPROPRIATELY TO CONTAIN COSTS AND TO PROVIDE FOR ADDITIONAL SERVICE OPPORTUNITIES. ALL PHASES OF OPERATION MUST BE CARRIED OUT IN AN ETHICAL MANNER DEDICATED TO EXCELLENCE IN HEALTHCARE FOR EVERY LIFE WE TOUCH. 7 7 583 0 7282485 4479142 46707273 47286264 14600 5920 422001 699572 54426359 52470898 0 0 27638954 27850192 0 0 25404272 25151976 53043226 53002168 1383133 -531270 22533152 22847436 27443356 27798656 -4910204 -4951220 X THE MISSION OF STEPHENS COUNTY HOSPITAL AUTHORITY IS TO PROVIDE HEALTH CARE AND RELATED SERVICES TO ENHANCE INDIVIDUAL HEALTH AND WELL BEING IN A MANNER THAT MEETS THE EXPECTATIONS OF PATIENTS AND OTHER CUSTOMERS; PRESERVE THE RIGHTS OF PATIENTS, EMPLOYEES AND OTHERS TO BE TREATED WITH DIGNITY, RESPECT AND CONCERN; PROVIDE PROFESSIONALLY AND TECHNICALLY PROFICIENT PERSONNEL IN AN EFFECTIVE AND RESOURCE EFFICIENT MANNER; AND UTILILIZE RESOURCES APPROPRIATELY TO CONTAIN COSTS AND TO PROVIDE FOR ADDITIONAL SERVICE OPPORTUNITIES. ALL PHASES OF OPERATION MUST BE CARRIED OUT IN AN ETHICAL MANNER DEDICATED TO EXCELLENCE IN HEALTHCARE FOR EVERY LIFE WE TOUCH. false false 47774005 47817414 STEPHENS COUNTY HOSPITAL AUTHORITY IS LICENSED TO OPERATE 96 INPATIENT BEDS AND PROVIDES OUTPATIENT SERVICES TO A SERVICE AREA THAT EXTENDS BEYOND STEPHENS COUNTY INTO THE SURROUNDING COUNTIES OF FRANKLIN, HART, HABERSHAM, RABUN AND BANKS IN GEORGIA, AND INTO NEIGHBORING OCONEE COUNTY IN SOUTH CAROLINA. STEPHENS COUNTY HOSPITAL AUTHORITY ALSO OPERATES A 92-BED PERSONAL CARE HOME. THE HOSPITAL PARTICIPATES IN SEVERAL EMPLOYER SPONSORED HEALTH FAIRS AND SUPPORTS THE LOCAL EMPLOYERS IN THE "DRUGS DON'T WORK" PROGRAM. THE HOSPITAL PROVIDES FREE DIAGNOSTIC TESTING TO THE OPEN ARMS CLINIC (A FREE CLINIC OPERATING IN STEPHENS COUNTY). THE HOSPITAL DOES NOT TURN DOWN ANYONE FOR EMERGENCY AND/OR MEDICALLY NECESSARY SERVICES BASED ON THE ABILITY TO PAY FOR SUCH SERVICES. 47774005 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true true true false false true 24 0 583 true false false false false false false false false false false false false X 7 7 false false false false false true false true true false false true true true true true true true true false GA X RICK SHEERIN 7062824250 163 HOSPITAL DRIVE TOCCOA GA 30577 CHRISTOPHER M VAUGHN MD PHYSICIAN 40.00 X 569404 0 12022 KALPESH V MISTRY MD PHYSICIAN 40.00 X 551698 0 2281 CECIL BROWN PHYSICIAN 40.00 X 483898 0 17056 JAMES R WADE MD PHYSICIAN 40.00 X 409663 0 14596 VAN LOSKOSKI CEO 40.00 X 276803 0 27635 ROBERT QUICK MD PHYSICIAN 40.00 X 250006 0 14196 TYLER WILLIAMS CFO 40.00 X 208780 0 28935 DEBORAH BLOCK CNO 40.00 X 59871 0 6860 PHYLLIS AYERS TREASURER/SE 1.00 2.00 X X 0 0 0 PAUL DEFOOR DIRECTOR 1.00 2.00 X 0 0 0 BO DOTSON DIRECTOR 1.00 2.00 X 0 0 0 CLAY FISHER VICE CHAIR 1.00 2.00 X X 0 0 0 MAC MCALLISTER DIRECTOR 1.00 2.00 X 0 0 0 RICK PHILLIPS DIRECTOR 1.00 2.00 X 0 0 0 STAN ROBERTS CHAIRMAN 1.00 2.00 X X 0 0 0 2810123 123581 29 false true false HEALTHCARE WORKFORCE LOGISTICS 2655 NORTHWINDS PKWY ALPHARETTA GA 30009 STAFFING 1038027 PARAGON CONTRACTING PO BOX 634850 CINCINNATI OH 452634850 ER PHYSICIAN 694068 SOUTHEASTER MED SPECIALIST 210 WASHINGTON STREET SUITE 101 GAINESVILLE GA 30501 ER DOCTORS 693750 CORE ADMINISTRATIVE SERVICES 515 MULBERY STREET SUITE 300 MACON GA 31201 BENEFITS MGM/TP 625879 SYNERGI PO BOX 5599 FLORENCE SC 295025599 CONSULTING 522839 10 56100 3412863 1010179 4479142 NET PATIENT SERVICE REVENUE 623000 47286264 47286264 47286264 5920 5920 INSURANCE REIMBURSEMENT 623000 271322 271322 CAFETERIA 722514 213271 213271 PHARMACY -EMPLOYEES 623000 168422 168422 46557 46557 699572 52470898 47817414 174342 X 545454 545454 23259934 22719940 539994 260190 248325 11865 2116335 2019830 96505 1668279 1592205 76074 18262 18262 180000 180000 10403861 8598962 1804899 1272434 965406 307028 529434 459337 70097 1602327 1390178 212149 58746 58746 458037 397657 60380 1818312 1577567 240745 1190161 442365 747796 MEDICAL SUPPLIES 5290906 5290906 REPAIRS & MAINTENANCE 1580140 1370929 209211 PROVIDER TAX 430475 430475 COST OF GOODS SOLD (FOOD) 166265 166265 152616 44912 107704 53002168 47774005 5228163 0 510577 616807 26592 235 4941904 4682083 1217088 1316050 160721 94054 76856513 62212806 14790625 14643707 60408 825237 1494500 22533152 22847436 16820398 17776183 862144 5905000 5265000 4548801 3783691 169157 111638 27443356 27798656 X -4910204 -4951220 -4910204 -4951220 22533152 22847436 X -531270 490254 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6852 6852 false SCHEDULE C, PART II-B, LINE 1 MEMBERSHIP DUES PAID TO THE GEORGIA HOSPITAL ASSOCIATION AND TO HOME TOWN HEALTH ARE ALLOCATED IN PART TO LOBBYING ACTIVITIES. 255787 255787 36690099 25103704 11586395 39069837 37109102 1960735 840790 840790 14643707 ICTF & UPL RECEIVABLE 1257929 ROU ASSET- SBITA 236562 OTHER ASSETS 9 1494500 ESTIMATED 3RD PARTY 111638 111638 X 52304633 52304633 166265 166265 52470898 52835903 52835903 166265 166265 53002168 SCHEDULE D, PAGE 3, PART X THE AUTHORITY IS A GOVERNMENTAL ENTITY AND HAS BEEN RECOGNIZED AS TAX- EXEMPT UNDER THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. SCHPG AND SCEP ARE NOT-FOR-PROFIT ORGANIZATIONS THAT HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. SCHPG AND SCEP APPLY ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, SCHPG AND SCEP ONLY RECOGNIZE THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY TO BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENTS EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2025 AND 2024, OR FOR THE YEARS THEN ENDED. SCHPG AND SCEPS TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. SCHEDULE D, PAGE 4, PART XI, LINE 4B RECLASSIFIED FOOD AND MISCELLANEOUS EXPENSES 166,265 SCHEDULE D, PAGE 4, PART XII, LINE 4B RECLASSIFIED FOOD AND MISCELLANEOUS EXPENSES 166,265 true true X true X true X true true false false 2012115 569520 1442595 0.02720 3741211 4304985 53226 34960 18266 0.00030 5806552 4909465 1460861 0.02760 5806552 4909465 1460861 0.02760 false 7673879 4988021 5731704 8942550 -3210846 X true true 1 1 STEPHENS COUNTY HOSPITAL 163 HOSPITAL DRIVE TOCCOA GA 30577 WWW.STEPHENSCOUNTYHOSPITAL.COM 127-169 X X X DISPROPORTIONATE SHARE HOSP. STEPHENS COUNTY HOSPITAL 1 false false true X X X X X X X X X X 25 true true true true X WWW.STEPHENSCOUNTYHOSPITAL.COM X true 25 true HTTPS://STEPHENSCOUNTYHOSPITAL.COM/FUL false false true X 150.000000000000 300.000000000000 X X X X X true true X X X true X HTTPS://STEPHENSCOUNTYHOSPITAL.COM/FUL X HTTPS://STEPHENSCOUNTYHOSPITAL.COM/FUL X HTTP://STEPHENSCOUNTYHOSPITAL.COM/FULL X X X X X X true X false X X X true X false false FACILITY 1, STEPHENS COUNTY HOSPITAL - PART V, LINE 3E THE FOLLOWING HEALTH PRIORITIES WERE IDENTIFIED SPECIFICALLY FOR STEPHENS COUNTY HOSPITAL AS THE FOCUS FOR THE NEXT 3 YEARS - 1) MENTAL HEALTH 2) ACCESS TO CARE 3) HEART DISEASE 4) CANCER FACILITY 1, STEPHENS COUNTY HOSPITAL - PART V, LINE 5 QUALITATIVE DATA GATHERING FOCUSED ON EXPERIENCES AND PERSPECTIVES OBTAINED FROM INTERVIEWS AND FEEDBACK PROVIDED DIRECTLY FROM COMMUNITY MEMBERS. TWO ONLINE SURVEYS WERE LAUNCHED - ONE FOR EMPLOYEES OF THE MEMBER PARTICIPANTS AND ONE FOR THE COMMUNITY. THE COMMUNITY SURVEY WAS AVAILABLE IN 3 LANGUAGES AND OPEN TO ANYONE INTERESTED. THE SURVEY WAS PROMOTED VIA A PRESS RELEASE, AN OPEN INVITATION THROUGH MYCHART, AND ACTIVE PROMOTION BY ALL PARTNERS. BOTH SURVEYS WERE OPEN AND AVAILABLE ONLINE TO RECEIVE INPUT FOR ONE MONTH. IN ADDITION, BETWEEN JANUARY AND MARCH 2025, THE THOMOSS GROUP FACILITATED FOCUS GROUPS AND ONE-ON-ONE STAKEHOLDER INTERVIEWS. THE STAFF OF GOOD NEWS CLINICS, DISTRICT 2 PUBLIC HEALTH, COMPASS CENTER AT UNITED WAY OF HALL COUNTY, GROUPS SERVING PEOPLE LIVING IN HOMELESS CAMPS, AND THE HOUSING AUTHORITY CONDUCTED IN-PERSON INTERVIEWS WITH APPROXIMATELY 330 COMMUNITY MEMBERS. PARTICIPANTS IN THESE SESSIONS INCLUDED INDIVIDUALS AND ORGANIZATIONS REPRESENTING THE INTERESTS OF MEDICALLY UNDERSERVED, LOW- INCOME, AND/OR MINORITY POPULATIONS IN THE COMMUNITY, AND IN MANY CASES, THE UNINSURED LOW-INCOME INDIVIDUALS THEMSELVES. QUANTITATIVE DATA WAS GATHERED FROM APPROXIMATELY 145 SOURCES INCLUDING DISTRICT 2 PUBLIC HEALTH, GEORGIA DEPARTMENT OF PUBLIC HEALTH, US DHHS CENTER FOR MEDICARE AND MEDICAID SERVICES, US DHHS HRSA, VARIOUS UNIVERSITIES, THE US CENSUS BUREAU, NEILSEN, STATE CANCER PROFILES, AND MANY MORE GOVERNMENT AGENCIES AND NONPROFIT ORGANIZATIONS. FACILITY 1, STEPHENS COUNTY HOSPITAL - PART V, LINE 6A THE JOINT CHNA WAS CONDUCTED BY THESE JOINT CHNA PARTNERS: STEPHENS COUNTY HOSPITAL NGMC HABERSHAM MEDICAL CENTER NGMC GAINESVILLE NGMC BRASELTON NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN NORTHEAST GEORGIA MEDICAL CENTER BARROW GOOD NEWS CLINICS FACILITY 1, STEPHENS COUNTY HOSPITAL - PART V, LINE 6B GEORGIA DEPARTMENT OF PUBLIC HEALTH - DISTRICT 2 PUBLIC HEALTH FACILITY 1, STEPHENS COUNTY HOSPITAL - PART V, LINE 11 STEPHENS COUNTY HOSPITAL HAS ADDRESSED EACH OF THE SIGNIFICANT HEALTH NEEDS AS PRIORITIZED IN THE CHNA BY ITS WORK GROUP AND DEVELOPED IMPLEMENTATION STRATEGIES TO ADDRESS EACH OF THE HEALTH ISSUES IDENTIFIED OVER THE NEXT THREE YEARS. COLLECTIVELY, THE CHNA IDENTIFIED CORE HEALTH ISSUES SUCH AS POVERTY AND FOOD INSECURITIES THAT ARE BEYOND THE RESOURCES OF THE HOSPITAL TO ADDRESS. 2 THE CLARY CARE CENTER 249 HOSPITAL DRIVE TOCCOA GA 30577 ADVANCED PERSONAL CARE THE WILKINSON CENTER 269 HOSPITAL DRIVE TOCCOA GA 30577 PERSONAL CARE SCHEDULE H, PART I, LINE 7 THE ORGANIZATION USES A COST-TO-CHARGE RATIO AS CALCULATED USING FORM 990, SCHEDULE H, WORKSHEET 2 TO CALCULATE THE DISCLOSURES IN SCHEDULE H, PART I, LINE 7 A - C. SCHEDULE H, PART III, LINE 2 THE AUTHORITY PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON THE EVALUATION OF OVERALL COLLECTABILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE, THEY ARE CHARGED AGAINST THE ALLOWANCE. SCHEDULE H, PART III, LINE 3 THE BAD DEBT EXPENSE ATTRIBUTABLE TO CARE THAT WOULD QUALIFY FOR FINANCIAL ASSISTANCE (65%) IS BASED ON MANAGEMENT'S EVALUATION OF THE MEDIAN INCOME AND POVERTY LEVELS IN THE SERVICE AREA. SCHEDULE H, PART III, LINE 4 AUDITED FINANCIAL STATEMENTS HAVE NOT BEEN ISSUED FOR THE CURRENT YEAR HAVE NOT BEEN ISSUED AS OF THE DATE OF FILING THIS RETURN. FOOTNOTES 2 AND 3 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE PRIOR YEAR ADDRESS UNCOMPENSATED CARE INCLUDING UNINSURED PATIENTS AND THE PROVISION FOR BAD DEBTS. PLEASE SEE PAGES 21 - 25. SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. THE FULL AMOUNT OF THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. MEDICARE IS A FEDERAL PROGRAM WHICH DICTATES PAYMENT RATES AND CONDITIONS OF PARTICIPATION FOR SERVING CERTAIN ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. SERVING THE NEEDS OF OUR CITIZENS AT BELOW MEDICARE'S COMPUTATION OF COST PROVIDES NECESSARY LOCAL CARE FOR A SEGMENT OF THE POPULATION THAT CONSTITUTES A CHARITABLE CLASS. SCHEDULE H, PART III, LINE 9B PATIENTS KNOWN TO HAVE QUALIFIED FOR FINANCIAL ASSISTANCE ARE CONTACTED TO ASCERTAIN THEIR ABILITY TO PAY ANY BALANCE DUE AFTER THE FAP DISCOUNT AND/OR THEIR PLACEMENT ON THE INDIGENT/CHARITY CARE POLICY GUIDELINES OR TO CONFIRM WHETHER OR NOT THERE HAS BEEN A CHANGE IN THEIR FINANCIAL SITUATION. IF PREVIOUS QUALIFICATION OCCURRED WITHIN THE PRIOR 3 MONTHS OR THERE IS A HISTORIC LONG-TERM QUALIFICATION PATTERN, A PATIENT MAY BE PRESUMED INDIGENT OR IN NEED OF CHARITY. SCHEDULE H, PART VI, LINE 2 IN ADDITION TO CONDUCTING A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL RECEIVES INPUT AND ADVICE FROM MEMBERS OF THE MEDICAL STAFF, NURSING STAFF AND COMMUNITY MEMBERS THROUGHOUT THE YEAR. SCHEDULE H, PART VI, LINE 3 ALL PATIENTS AND VISITORS RECEIVE NOTIFICATION AT REGISTRATION THAT THERE ARE ASSISTANCE PROGRAMS AVAILABLE AND THAT THE HOSPITAL STAFF WILL ASSIST THEM IN EXPLORING ELIGIBILITY. ALL UNINSURED PATIENTS ARE CHECKED AGAINST THE MEDICAID DATABASE FOR ELIGIBILITY AND ENCOURAGED TO COMPLETE THE PROCESS IF ELIGIBILITY IS INDICATED. PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FAP UPON ADMISSION AND SIGNAGE THROUGHOUT THE FACILITY ALERTS PATIENTS OF THE AVAILABILITY OF THE FINANCIAL ASSISTANCE POLICY UPON REQUEST. THE FAP, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE. SCHEDULE H, PART VI, LINE 4 STEPHENS COUNTY HOSPITAL AUTHORITY IS LOCATED IN TOCCOA, GEORGIA AND SERVES BOTH STEPHENS AND FRANKLIN COUNTIES. THE AREA IS GROWING SLOWLY WITH A PROJECT GROWTH RATE OF LESS THAN HALF THE RATE OF THE STATE OF GEORGIA. THE MEDIAN AGE OF THE AREA IS MUCH OLDER THAN THE STATE AVERAGE; MEDIAN HOUSEHOLD INCOME IS SIGNIFICANTLY LOWER THAN STATE AND NATIONAL BENCHMARKS; AND THE ESTIMATED UNINSURED RATE IS GREATER THAN STATE AND FEDERAL LEVELS. TOCCOA HAS A POPULATION OF 9,133 ACCORDING TO THE 2020 U.S. CENSUS, AND A RACIAL COMPOSITION OF 69.2% WHITE, 20.3% BLACK OR AFRICAN AMERICAN, AND 3.7% HISPANIC OR LATINO. SCHEDULE H, PART VI, LINE 5 STEPHENS COUNTY HOSPITAL AUTHORITY APPLIES ANY EXCESS REVENUES OVER EXPENSES TO THE PROVISION OF PATIENT CARE, PATIENT AND COMMUNITY HEALTH EDUCATION, RETIREMENT OF DEBT RELATED TO THE PURCHASE OF FIXED ASSETS UTILIZED IN THE PROVISION OF PATIENT CARE AND THE PURCHASE OF EQUIPMENT FOR THE PROVISION OF HEALTHCARE OR EXPANSION OF HEALTHCARE SERVICES TO THE COMMUNITY. THE STEPHENS COUNTY HOSPITAL AUTHORITY'S GOVERNING BOARD INCLUDES INDIVIDUALS RESIDING IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE HOSPITAL'S EMERGENCY ROOM IS OPEN 24 HOURS A DAY, 365 DAYS PER YEAR TO EVERYONE WITHOUT REGARD TO THEIR ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN THE MEDICARE, MEDICAID AND OTHER GOVERNMENT PROGRAMS. THE HOSPITAL PROVIDES EMERGENCY AND OTHER MEDICALLY NECESSARY CARE TO THE COMMUNITY ON A NONDISCRIMINATORY BASIS WITHOUT REGARD TO AN INDIVIDUAL'S ABILITY TO PAY FOR SUCH CARE. SCHEDULE H, PART VI, LINE 6 STEPHENS COUNTY HOSPITAL FOUNDATION, INC. IS A FUNDRAISING AFFILIATE THAT SUPPORTS THE HOSPITAL. STEPHENS COUNTY EMERGENCY PHYSICIANS, INC. IS A DORMANT TAX-EXEMPT ENTITY. PRIOR TO CEASING OPERATIONS, IT PROVIDED EMERGENCY ROOM PHYSICIANS TO THE HOSPITAL (THE HOSPITAL NOW CONTRACTS DIRECTLY WITH A THIRD PARTY PROVIDER FOR THESE SERVICES). SCHEDULE H, PART VI, LINE 7 GEORGIA SCHEDULE H, PART VI THE COMPLETE URL FOR THE FAP, FAP PLAIN LANGUAGE SUMMARY, THE FINANCIAL ASSISTANCE APPLICATION, THE CHNA AND THE IMPLEMENTATION STRATEGY REPORTS ARE AS FOLLOWS _ FAP - HTTPS://STEPHENSCOUNTYHOSPITAL.COM/FULLPANEL/UPLOADS/FILES/SCH- FINANCIAL-ASSISTANCE-POLICY-PATIENT.PDF. PLS - HTTP://STEPHENSCOUNTYHOSPITAL.COM/FULLPANEL/UPLOADS/FILES/FINANCIAL- ASSISTANCE-PROGRAM---PLAIN-LANGUAGE-00003.PDF. APPLICATION - HTTPS://STEPHENSCOUNTYHOSPITAL.COM/FULLPANEL/UPLOADS/FILES/4 -ITF-APPLICATION.PDF. CHNA - HTTPS://STEPHENSCOUNTYHOSPITAL.COM/FULLPANEL/UPLOADS/FILES/NEGA- CHNA-FOR-EXTERNAL-USE.PDF. IMPLEMENTATION STRATEGY REPORT - HTTPS://STEPHENSCOUNTYHOSPITAL.COM/FULLPANEL/UPLOADS/FILES/2019-SCH- IMPLEMENTATION-STRATEGY.PDF. false false false false false false false false false CHRISTOPHER M VAUGHN MD PHYSICIAN 569404 12022 581426 KALPESH V MISTRY MD PHYSICIAN 373297 178401 2281 553979 CECIL BROWN PHYSICIAN 483898 10358 6698 500954 JAMES R WADE MD PHYSICIAN 409663 8772 5824 424259 VAN LOSKOSKI CEO 276803 27635 304438 ROBERT QUICK MD PHYSICIAN 250006 5426 8770 264202 TYLER WILLIAMS CFO 208780 28935 237715 A STEPHENS COUNTY HOSPITAL AUTHORITY 586001667 NONENONEN 2017-06-07 9500000 CURRENT REFUNDING, IMPROVEMENTS, EQUIPMENT false false false A 4235000 9500000 180500 4403550 4915950 2017 true false false true A false false false false false false true A false false true false false false false false true A false PURPOSE OF ISSUE DESCRIPTION STEPHENS COUNTY HOSPITAL AUTHORITY CURRENT REFUNDING, IMPROVEMENTS, EQUIPMENT FORM 990 - ORGANIZATION'S MISSION THE MISSION OF STEPHENS COUNTY HOSPITAL AUTHORITY IS TO PROVIDE HEALTH CARE AND RELATED SERVICES TO ENHANCE INDIVIDUAL HEALTH AND WELL BEING IN A MANNER THAT MEETS THE EXPECTATIONS OF PATIENTS AND OTHER CUSTOMERS; PRESERVE THE RIGHTS OF PATIENTS, EMPLOYEES AND OTHERS TO BE TREATED WITH DIGNITY, RESPECT AND CONCERN; PROVIDE PROFESSIONALLY AND TECHNICALLY PROFICIENT PERSONNEL IN AN EFFECTIVE AND RESOURCE EFFICIENT MANNER; AND UTILILIZE RESOURCES APPROPRIATELY TO CONTAIN COSTS AND TO PROVIDE FOR ADDITIONAL SERVICE OPPORTUNITIES. ALL PHASES OF OPERATION MUST BE CARRIED OUT IN AN ETHICAL MANNER DEDICATED TO EXCELLENCE IN HEALTHCARE FOR EVERY LIFE WE TOUCH. FORM 990, PAGE 6, PART VI, LINE 7A MEMBERS OF THE BOARD OF TRUSTEES ARE NOT COMPENSATED. THEY ARE ELECTED TO A SIX YEAR TERM. ANY OPENING OR VACANCY IS FILLED BY THE REMAINING MEMBERS OF THE BOARD SELECTED FROM A SLATE OF THREE NOMINEES MADE BY THE COUNTY COMMISSION. FORM 990, PAGE 6, PART VI, LINE 11B THE RETURN IS PREPARED BY AN INDEPENDENT CPA , REVIEWED BY MANAGEMENT AND PROVIDED TO EACH MEMBER OF THE BOARD FOR REVIEW PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION CONDUCTS PERIODIC REVIEWS OF EXISTING BUSINESS RELATIONSHIPS AND INITIAL REVIEWS OF ANY NEW BUSINESS RELATIONSHIPS. DECISIONS RELATED TO POTENTIAL CONFLICTS ARE MADE BY THE REMAINING NONCONFLICTED BOARD MEMBERS. VIOLATION OF THE COI POLICY IS SUBJECT TO CORRECTIVE ACTION. FORM 990, PAGE 6, PART VI, LINE 15A THE AUTHORITY SETS AND REVIEWS THE COMPENSATION PACKAGE OF THE CEO USING COMPARABLE DATA PROVIDED BY THE GEORGIA HOSPITAL ASSOCIATION ON CEO COMPENSATION AT SIMILAR SIZED HOSPITALS LOCATED IN GEORGIA. CONSIDERATION IS GIVEN TO THE LEVEL OF EXPERIENCE AND OVERALL PERFORMANCE OF THE HOSPITAL. THE SAME PROCESS IS USED THROUGHOUT THE ORGANIZATION IN SETTING AND REVIEWING PAY SCALES FOR ALL JOBS, INCLUDING OTHER OFFICERS AND KEY EMPLOYEES. FORM 990, PAGE 6, PART VI, LINE 15B SEE RESPONSE TO 15A ABOVE. FORM 990, PAGE 6, PART VI, LINE 19 THE STEPHENS COUNTY HOSPITAL AUTHORITY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR & PURCH. SERV. 7,865,844 0 0 CONSULTING 0 1,667,842 0 HOUSEKEEPING 733,118 0 0 SECURITY 0 137,057 0 TOTAL 8,598,962 1,804,899 0 FORM 990, PART XI, LINE 9 POST FILING AUDIT ADJUSTMENTS 490,254 THE PRIOR YEAR AUDIT WAS COMPLETED AFTER THE RETURN WAS REQUIRED TO BE FILED. STEPHENS COUNTY HOSPITAL PHYSICAN GROUP LLC 163 HOSPITAL DRIVE TOCCOA GA 30577 PHYSICIANS GA SCHA STEPHENS COUNTY HOSPITAL AUTHORITY STEPHENS COUNTY EMERGENCY PHYSICIAN 163 HOSPITAL DRIVE TOCCOA GA 305776820 020692996 DORMANT GA 501C3 3 SCHA STEPHENS COUNTY HOSPITAL AUTHORITY true STEPHENS COUNTY HOSPITAL FOUNDATION 163 HOSPITAL DRIVE TOCCOA GA 305776820 208089919 FUNDRAISIN GA 501C3 12A SCHA STEPHENS COUNTY HOSPITAL AUTHORITY true false false true false false false false false false false false false true true true false false false false STEPHENS COUNTY HOSPITAL FOUNDATION C 56100 CASH VALUE STEPHENS COUNTY HOSPITAL FOUNDATION M NO VALUE ESTIMATED STEPHENS COUNTY HOSPITAL FOUNDATION N NO VALUE ESTIMATED STEPHENS COUNTY HOSPITAL FOUNDATION O NO VALUE ESTIMATED