Stephens County Emergency Physicians Inc
990 • Fiscal year 2011 • EIN 02-0692996
Siviq Scores
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Balance Sheet
Assets
Flat$134,567
Flat from 2011
Net Assets
Flat$27,667
Flat from 2011
Liabilities
Flat$106,900
Flat from 2011
Revenue And Expenses
Revenue
-
No earlier filing loaded for comparison.
Expenses
Flat$1,300,260
Flat from 2011
Net Income
-
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Oct 1, 2010 to Sep 30, 2011
- Signed
- Feb 21, 2012
- Return Version
- 2010v3.4
- Gross Receipts
- $1,312,784
Mission and Program Overview
Mission
Health care. Contracting for provision of Emergency Room Physicians to Stephens County Hospital Authority for coverage of the emergency room 24 hours a day, 7 days a week. Insuring all residents of Stephens County, surrounding counties, visitors, guests and travelers have coverage for emergent situations regardless of their ability to pay. Total emergency room visits for year was 24,424. In addition to the coverage of the emergency room, the physician provided under this arrangement also serves the inpatient population of Stephens County Hospital in the event of an emergent situation or immediate need of a physician.
Filing and Contact Details
Filer
- EIN
- 02-0692996
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| IRS990/ActivityOrMissionDescription | 0 | Health care. Contracting for provision of Emergency Room Physicians to Stephens County Hospital Authority for coverage of the emergency room 24 hours a day, 7 days a week. Insuring all residents of Stephens County, surrounding counties, visitors, guests and travelers have coverage for emergent situations regardless of their ability to pay. |
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| IRS990/Description | 0 | Emergency Medical Care: Providing contracted Emergency Room Physicians to Stephens County Hospital to cover the Emergency Room 24 hours a day, 7 days a week. (22,572 Patient Visits) Insuring all residents of Stephens County, surrounding counties, visitor, guests and travelers have coverage for emergent situations regardless of their ability to pay. In addition to the coverage of the emergency room, the physician also under this arrangement serves the inpatient population of Stephens County Hospital in the event of an emergent situation or immediate need of a physician. |
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| IRS990ScheduleJ/Form990ScheduleJPartIII/Explanation | 0 | Per contractual employment agreement, the CEO (Hospital Administrator) receives a year end bonus of 1% of the net audited earnings of the Stephens County Hospital's Consolidated Statements of Revenues, Expenses and changes in Net Assets. During fiscal year 2011, being reported, bonus payment was calculated (paid) based on fiscal year 2010 audited statements which showed a net gain of $841,038 which resulted in payment of an $8,410 bonus which is included in the reported earnings amount included in this filing. |
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| IRS990ScheduleJ/InitialContractException | 0 | 0 |
| IRS990/ScheduleJRequired | 0 | 1 |
| IRS990ScheduleJ/SeverancePayment | 0 | 0 |
| IRS990ScheduleJ/SupplementalNonqualRetirePlan | 0 | 0 |
| IRS990ScheduleO/GeneralExplanation/Explanation | 0 | The Form 990 was reviewed extensively by the governing body at a scheduled public meeting of the governing body. There were no areas of intensive review due to the basic nature of the form and the role of this organization plays in supporting and assisting Stephens County Hospital Authority in the performance of it's mission. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 1 | All documents required to be available for public access is available upon written request to Edward C Gambrell, Jr., 163 Hospital Drive, Toccoa, Georgia 30577 |
| IRS990ScheduleO/GeneralExplanation/Identifier | 0 | F990_P06_S0B_L11a |
| IRS990ScheduleO/GeneralExplanation/Identifier | 1 | F990_P06_S0C_L19 |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 0 | Form 990, Part VI, Section B, Line 11a |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 1 | Form 990, Part VI, Section C, Line 19 |
| IRS990/ScheduleORequired | 0 | 1 |
| IRS990ScheduleR/ExchangeOfAssets | 0 | 0 |
| IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/AddressLine1 | 0 | 163 Hospital Drive |
| IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/AddressLine1 | 1 | 163 Hospital Drive |
| IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/City | 0 | Toccoa |
| IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/City | 1 | Toccoa |
| IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/State | 0 | GA |
| IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/State | 1 | GA |
| IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/ZIPCode | 0 | 305776820 |
| IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/ZIPCode | 1 | 30577 |
| IRS990ScheduleR/Form990ScheduleRPartII/DirectControllingEntityNA | 0 | N/A |
| IRS990ScheduleR/Form990ScheduleRPartII/DirectControllingEntityNA | 1 | N/A |
| IRS990ScheduleR/Form990ScheduleRPartII/EIN | 0 | 586001667 |
| IRS990ScheduleR/Form990ScheduleRPartII/EIN | 1 | 208089919 |
| IRS990ScheduleR/Form990ScheduleRPartII/ExemptCodeSection | 0 | 501(c)(3) |
| IRS990ScheduleR/Form990ScheduleRPartII/ExemptCodeSection | 1 | 501(c)(3) |
| IRS990ScheduleR/Form990ScheduleRPartII/LegalDomicileState | 0 | GA |
| IRS990ScheduleR/Form990ScheduleRPartII/LegalDomicileState | 1 | GA |
| IRS990ScheduleR/Form990ScheduleRPartII/NameOfDisregardedEntity/BusinessNameLine1 | 0 | Stephens County Hospital Authority |
| IRS990ScheduleR/Form990ScheduleRPartII/NameOfDisregardedEntity/BusinessNameLine1 | 1 | Stephens County Hospital Foundation Inc |
| IRS990ScheduleR/Form990ScheduleRPartII/PrimaryActivities | 0 | Operation of a Healthcare Facility (Hospital) |
| IRS990ScheduleR/Form990ScheduleRPartII/PrimaryActivities | 1 | Fudraising Activities in support of Stephens County Hospital |
| IRS990ScheduleR/Form990ScheduleRPartII/PublicCharityStatus | 0 | 170 |
| IRS990ScheduleR/Form990ScheduleRPartII/PublicCharityStatus | 1 | 170 |
| IRS990ScheduleR/GiftGrantOrCapContrFrOtherOrg | 0 | 0 |
| IRS990ScheduleR/GiftGrantOrCapContrToOtherOrg | 0 | 0 |
| IRS990ScheduleR/LoansOrGuaranteesFromOtherOrg | 0 | 0 |
| IRS990ScheduleR/LoansOrGuaranteesToOtherOrg | 0 | 0 |
| IRS990ScheduleR/OtherTransferFromOtherOrg | 0 | 0 |
| IRS990ScheduleR/OtherTransferToOtherOrg | 0 | 0 |
| IRS990ScheduleR/PerformOfServicesByOtherOrgs | 0 | 0 |
| IRS990ScheduleR/PerformOfServicesForOtherOrgs | 0 | 1 |
| IRS990ScheduleR/PurchaseOfAssetsFromOtherOrg | 0 | 0 |
| IRS990ScheduleR/ReceiptOfIntAnnRentsRoyalties | 0 | 0 |
| IRS990ScheduleR/ReimbursementPaidByOtherOrg | 0 | 0 |
| IRS990ScheduleR/ReimbursementPaidToOtherOrg | 0 | 0 |
| IRS990ScheduleR/RentalOfFacilitiesFrOtherOrgs | 0 | 0 |
| IRS990ScheduleR/RentalOfFacilitiesToOtherOrgs | 0 | 0 |
| IRS990ScheduleR/SaleOfAssetsToOtherOrg | 0 | 0 |
| IRS990ScheduleR/SharingOfFacilities | 0 | 0 |
| IRS990ScheduleR/SharingOfPaidEmployees | 0 | 0 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2011 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $134,567
- Liabilities
- $106,900
- Net assets
- $27,667
- Revenue
- -
- Expenses
- $1,300,260
- Net income
- -