Stephens County Emergency Physicians Inc
990 • Fiscal year 2012 • EIN 02-0692996
Siviq Scores
Scores are not available for this record yet.
Balance Sheet
Assets
Flat$147,149
Flat from 2012
Net Assets
Flat$40,249
Flat from 2012
Liabilities
Flat$106,900
Flat from 2012
Revenue And Expenses
Revenue
-
No earlier filing loaded for comparison.
Expenses
Flat$1,303,295
Flat from 2012
Net Income
-
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Oct 1, 2011 to Sep 30, 2012
- Signed
- Jul 19, 2013
- Return Version
- 2011v1.2
- Gross Receipts
- $1,315,877
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
Raw XML AppendixShowing 400 of 456 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReview | 0 | 0 |
| IRS990/AccountsPayableAccruedExpenses/BOY | 0 | 106900 |
| IRS990/AccountsPayableAccruedExpenses/EOY | 0 | 106900 |
| IRS990/AccountsReceivable/BOY | 0 | 108000 |
| IRS990/AccountsReceivable/EOY | 0 | 108000 |
| IRS990/ActivitiesConductedPartnership | 0 | 0 |
| 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. |
| IRS990/AddressPrincipalOfficerUS/AddressLine1 | 0 | 163 Hospital Drive |
| IRS990/AddressPrincipalOfficerUS/City | 0 | Toccoa |
| IRS990/AddressPrincipalOfficerUS/State | 0 | GA |
| IRS990/AddressPrincipalOfficerUS/ZIPCode | 0 | 30577 |
| IRS990/BenefitsPaidToMembersCY | 0 | 0 |
| IRS990/BenefitsPaidToMembersPriorYear | 0 | 0 |
| IRS990/BsnssRltnshpThruFamilyMember | 0 | 0 |
| IRS990/BsnssRltnshpWithOrganization | 0 | 0 |
| IRS990/CashNonInterestBearing/BOY | 0 | 26567 |
| IRS990/CashNonInterestBearing/EOY | 0 | 39149 |
| IRS990/ChangesToOrganizingDocs | 0 | 0 |
| IRS990/CollectionsOfArt | 0 | 0 |
| IRS990/CompensationFromOtherSources | 0 | 0 |
| IRS990/CompensationProcessCEO | 0 | 0 |
| IRS990/CompensationProcessOther | 0 | 0 |
| IRS990/ComplianceWithBackupWitholding | 0 | 1 |
| IRS990/ConflictOfInterestPolicy | 0 | 0 |
| IRS990/ConservationEasements | 0 | 0 |
| IRS990/ConsolidatedAuditFinancialStmt | 0 | 0 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine1 | 0 | 243 Cross Creek Drive |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine1 | 1 | 929 Camp Yonah Road |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine1 | 2 | PO Box 487 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City | 0 | Toccoa |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City | 1 | Clarkesville |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City | 2 | Glenville |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/State | 0 | GA |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/State | 1 | GA |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/State | 2 | NC |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/ZIPCode | 0 | 30577 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/ZIPCode | 1 | 30523 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/ZIPCode | 2 | 28736 |
| IRS990/ContractorCompensation/Compensation | 0 | 498060 |
| IRS990/ContractorCompensation/Compensation | 1 | 462550 |
| IRS990/ContractorCompensation/Compensation | 2 | 303920 |
| IRS990/ContractorCompensation/DescriptionOfServices | 0 | Chief Emergency Room Physician |
| IRS990/ContractorCompensation/DescriptionOfServices | 1 | Staff Emergency Room Physician |
| IRS990/ContractorCompensation/DescriptionOfServices | 2 | Staff Emergency Room Physician |
| IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine1 | 0 | Lanier Emergency Services |
| IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine2 | 0 | Morgan Wood MD |
| IRS990/ContractorCompensation/NameOfContractor/NamePerson | 0 | Dennis G Dukes DO |
| IRS990/ContractorCompensation/NameOfContractor/NamePerson | 1 | John A Krowicki MD |
| IRS990/ContributionsGrantsCurrentYear | 0 | 0 |
| IRS990/ContributionsGrantsPriorYear | 0 | 0 |
| IRS990/CreditCounseling | 0 | 0 |
| IRS990/DecisionsSubjectToApproval | 0 | 0 |
| IRS990/DeductibleContributionsOfArt | 0 | 0 |
| IRS990/DeductibleNonCashContributions | 0 | 0 |
| IRS990/DeferredRevenue/BOY | 0 | 0 |
| IRS990/DelegationOfManagementDuties | 0 | 0 |
| IRS990/DescribedIn501C3 | 0 | 1 |
| 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. Insuring that all residents of Stephens County and surrounding counties, visitors, 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. |
| IRS990/DisregardedEntity | 0 | 0 |
| IRS990/DocumentRetentionPolicy | 0 | 0 |
| IRS990/DonorAdvisedFunds | 0 | 0 |
| IRS990/ElectionOfBoardMembers | 0 | 0 |
| IRS990/EscrowAccountLiability/BOY | 0 | 0 |
| IRS990/ExcessBenefitTransaction | 0 | 0 |
| IRS990/Expense | 0 | 1303295 |
| IRS990/FamilyOrBusinessRelationship | 0 | 0 |
| IRS990/FederalGrantAuditRequired | 0 | 0 |
| IRS990/FollowSFAS117 | 0 | X |
| IRS990/ForeignActivities | 0 | 0 |
| IRS990/ForeignFinancialAccount | 0 | 0 |
| IRS990/ForeignOffice | 0 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 0 | 1 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 1 | 1 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 2 | 1 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 3 | 1 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 4 | 1 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 5 | 1 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 6 | 1 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 7 | 40 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 8 | 40 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 9 | 40 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 10 | 40 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 11 | 40 |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 0 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 1 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 2 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 3 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 4 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 5 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 6 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 0 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 1 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 2 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 3 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 4 | X |
| IRS990/Form990PartVIISectionA/NamePerson | 0 | Mark Wilkinson |
| IRS990/Form990PartVIISectionA/NamePerson | 1 | Stan Roberts |
| IRS990/Form990PartVIISectionA/NamePerson | 2 | Robert Slate MD |
| IRS990/Form990PartVIISectionA/NamePerson | 3 | Paula Dickerson |
| IRS990/Form990PartVIISectionA/NamePerson | 4 | Jon West |
| IRS990/Form990PartVIISectionA/NamePerson | 5 | George Sanders |
| IRS990/Form990PartVIISectionA/NamePerson | 6 | Max Brock |
| IRS990/Form990PartVIISectionA/NamePerson | 7 | Edward C Gambrell Jr |
| IRS990/Form990PartVIISectionA/NamePerson | 8 | Jeffrey B Laird |
| IRS990/Form990PartVIISectionA/NamePerson | 9 | Faye M Taylor |
| IRS990/Form990PartVIISectionA/NamePerson | 10 | Tina DeBord |
| IRS990/Form990PartVIISectionA/NamePerson | 11 | Diane Cook Hardeman |
| IRS990/Form990PartVIISectionA/OtherCompensation | 0 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 1 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 2 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 3 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 4 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 5 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 6 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 7 | 34201 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 8 | 28299 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 9 | 18448 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 10 | 21516 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 11 | 12212 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 0 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 1 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 2 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 3 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 4 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 5 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 6 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 7 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 8 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 9 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 10 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 11 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 0 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 1 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 2 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 3 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 4 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 5 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 6 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 7 | 293788 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 8 | 98921 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 9 | 106435 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 10 | 108244 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 11 | 79840 |
| IRS990/Form990PartVIISectionA/Title | 0 | Board Chairman |
| IRS990/Form990PartVIISectionA/Title | 1 | Secretary/Treasurer |
| IRS990/Form990PartVIISectionA/Title | 2 | Board Vice-Chairman |
| IRS990/Form990PartVIISectionA/Title | 3 | Board Member |
| IRS990/Form990PartVIISectionA/Title | 4 | Board Member |
| IRS990/Form990PartVIISectionA/Title | 5 | Board Member |
| IRS990/Form990PartVIISectionA/Title | 6 | Board Member |
| IRS990/Form990PartVIISectionA/Title | 7 | Exec Director/CEO |
| IRS990/Form990PartVIISectionA/Title | 8 | CFO |
| IRS990/Form990PartVIISectionA/Title | 9 | Director of Nursing |
| IRS990/Form990PartVIISectionA/Title | 10 | Quality Improvement & Risk Management |
| IRS990/Form990PartVIISectionA/Title | 11 | Personnel Director |
| IRS990/Form990ProvidedToGoverningBody | 0 | 1 |
| IRS990/FormersListed | 0 | 0 |
| IRS990/FSAudited | 0 | 0 |
| IRS990/FundraisingActivities | 0 | 0 |
| IRS990/GainOrLoss/Other | 0 | 0 |
| IRS990/GainOrLoss/Securities | 0 | 0 |
| IRS990/Gaming | 0 | 0 |
| IRS990/Grants | 0 | 0 |
| IRS990/GrantsAndSimilarAmntsCY | 0 | 0 |
| IRS990/GrantsAndSimilarAmntsPriorYear | 0 | 0 |
| IRS990/GrantsPayable/BOY | 0 | 0 |
| IRS990/GrantsToIndividuals | 0 | 0 |
| IRS990/GrantsToOrganizations | 0 | 0 |
| IRS990/GrantToRelatedPerson | 0 | 0 |
| IRS990/GrossReceipts | 0 | 1315877 |
| IRS990/GroupReturnForAffiliates | 0 | 0 |
| IRS990/Hospital | 0 | 0 |
| IRS990/IncomeFromInvestBondProceeds/ExclusionAmount | 0 | 0 |
| IRS990/IncomeFromInvestBondProceeds/RelatedOrExemptFunctionIncome | 0 | 0 |
| IRS990/IncomeFromInvestBondProceeds/TotalRevenueColumn | 0 | 0 |
| IRS990/IncomeFromInvestBondProceeds/UnrelatedBusinessRevenue | 0 | 0 |
| IRS990/IndependentAuditFinancialStmt | 0 | 0 |
| IRS990/IndoorTanningServices | 0 | 0 |
| IRS990/InfoInScheduleOPartVI | 0 | X |
| IRS990/IntangibleAssets/BOY | 0 | 0 |
| IRS990/InventoriesForSaleOrUse/BOY | 0 | 0 |
| IRS990/InvestmentIncomeCurrentYear | 0 | 2 |
| IRS990/InvestmentIncome/ExclusionAmount | 0 | 0 |
| IRS990/InvestmentIncomePriorYear | 0 | 2 |
| IRS990/InvestmentIncome/RelatedOrExemptFunctionIncome | 0 | 2 |
| IRS990/InvestmentIncome/TotalRevenueColumn | 0 | 2 |
| IRS990/InvestmentIncome/UnrelatedBusinessRevenue | 0 | 0 |
| IRS990/InvestmentInJointVenture | 0 | 0 |
| IRS990/InvestmentsOtherSecurities/BOY | 0 | 0 |
| IRS990/InvestmentsProgramRelated/BOY | 0 | 0 |
| IRS990/InvestmentsPubTradedSecurities/BOY | 0 | 0 |
| IRS990/LoansFromOfficersDirectors/BOY | 0 | 0 |
| IRS990/LoanToOfficerOrDQP | 0 | 0 |
| IRS990/LobbyingActivities | 0 | 0 |
| IRS990/LocalChapters | 0 | 0 |
| IRS990/MaterialDiversionOrMisuse | 0 | 0 |
| IRS990/MembersOrStockholders | 0 | 0 |
| IRS990/MethodOfAccountingAccrual | 0 | X |
| IRS990/MinutesOfCommittees | 0 | 1 |
| IRS990/MinutesOfGoverningBody | 0 | 1 |
| IRS990/MissionDescription | 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. 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. |
| IRS990/MoreThan5000KToIndividuals | 0 | 0 |
| IRS990/MoreThan5000KToOrganizations | 0 | 0 |
| IRS990/MortNotesPyblSecuredInvestProp/BOY | 0 | 0 |
| IRS990/NameOfPrincipalOfficerPerson | 0 | Edward C Gambrell Jr |
| IRS990/NbrIndependentVotingMembers | 0 | 7 |
| IRS990/NbrVotingGoverningBodyMembers | 0 | 7 |
| IRS990/NbrVotingMembersGoverningBody | 0 | 7 |
| IRS990/NetAssetsOrFundBalancesBOY | 0 | 27667 |
| IRS990/NetAssetsOrFundBalancesEOY | 0 | 40249 |
| IRS990/NetUnrelatedBusinessTxblIncome | 0 | 0 |
| IRS990/NonDeductibleContributions | 0 | 0 |
| IRS990/NumberFormsTransmittedWith1096 | 0 | 4 |
| IRS990/NumberIndependentVotingMembers | 0 | 7 |
| IRS990/NumberIndividualsGT100K | 0 | 0 |
| IRS990/NumberOfContractorsGT100K | 0 | 3 |
| IRS990/NumberOfEmployees | 0 | 0 |
| IRS990/NumberW2GIncluded | 0 | 0 |
| IRS990/OfficeExpenses/Fundraising | 0 | 0 |
| IRS990/OfficeExpenses/ManagementAndGeneral | 0 | 0 |
| IRS990/OfficeExpenses/ProgramServices | 0 | 3035 |
| IRS990/OfficeExpenses/Total | 0 | 3035 |
| IRS990/OfficerEntityWithBsnssRltnshp | 0 | 0 |
| IRS990/OfficerMailingAddress | 0 | 0 |
| IRS990/Organization501c3 | 0 | X |
| IRS990/OtherAssetsTotal/BOY | 0 | 0 |
| IRS990/OtherExpensePriorYear | 0 | 1300260 |
| IRS990/OtherExpensesCurrentYear | 0 | 1303295 |
| IRS990/OtherExpenses/Description | 0 | Contracted Emergency Room Physicians |
| IRS990/OtherExpenses/Description | 1 | 990 Filing Fees |
| IRS990/OtherExpenses/Fundraising | 0 | 0 |
| IRS990/OtherExpenses/Fundraising | 1 | 0 |
| IRS990/OtherExpenses/ManagementAndGeneral | 0 | 0 |
| IRS990/OtherExpenses/ManagementAndGeneral | 1 | 0 |
| IRS990/OtherExpenses/ProgramServices | 0 | 1300200 |
| IRS990/OtherExpenses/ProgramServices | 1 | 60 |
| IRS990/OtherExpenses/Total | 0 | 1300200 |
| IRS990/OtherExpenses/Total | 1 | 60 |
| IRS990/OtherNotesLoansReceivableNet/BOY | 0 | 0 |
| IRS990/OtherRevenueCurrentYear | 0 | 0 |
| IRS990/OtherRevenuePriorYear | 0 | 0 |
| IRS990/PartialLiquidation | 0 | 0 |
| IRS990/PermanentlyRestrictedNetAssets/BOY | 0 | 0 |
| IRS990/PermanentlyRestrictedNetAssets/EOY | 0 | 0 |
| IRS990/PledgesAndGrantsReceivable/BOY | 0 | 0 |
| IRS990/PoliticalActivities | 0 | 0 |
| IRS990/PrepaidExpensesDeferredCharges/BOY | 0 | 0 |
| IRS990/PriorExcessBenefitTransaction | 0 | 0 |
| IRS990/ProfessionalFundraising | 0 | 0 |
| IRS990/ProgramServiceRevenue/BusinessCode | 0 | 621000 |
| IRS990/ProgramServiceRevenueCY | 0 | 1315875 |
| IRS990/ProgramServiceRevenue/Description | 0 | Emergency Medical Care: Providing contracted Emergency Room Physicians to Stephens County Hospital |
| IRS990/ProgramServiceRevenue/ExclusionAmount | 0 | 0 |
| IRS990/ProgramServiceRevenuePriorYear | 0 | 1312782 |
| IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome | 0 | 1315875 |
| IRS990/ProgramServiceRevenue/TotalRevenueColumn | 0 | 1315875 |
| IRS990/ProgramServiceRevenue/UnrelatedBusinessRevenue | 0 | 0 |
| IRS990/ProhibitedTaxShelterTrans | 0 | 0 |
| IRS990/ReceivablesFromDisqualPersons/BOY | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtc/BOY | 0 | 0 |
| IRS990/ReconcilationOtherChanges | 0 | 0 |
| IRS990/ReconcilationRevenueExpenses | 0 | 12582 |
| IRS990/RelatedEntity | 0 | 1 |
| IRS990/RelatedOrgControlledEntity | 0 | 1 |
| IRS990/RentalIncomeOrLoss/Personal | 0 | 0 |
| IRS990/RentalIncomeOrLoss/Real | 0 | 0 |
| IRS990/ReportFin48Footnote | 0 | 0 |
| IRS990/ReportInvestOthSecurities | 0 | 0 |
| IRS990/ReportLandBldgEquip | 0 | 0 |
| IRS990/ReportOtherAssets | 0 | 0 |
| IRS990/ReportOtherLiabilities | 0 | 0 |
| IRS990/ReportProgRelInvest | 0 | 0 |
| IRS990/Revenue | 0 | 1312782 |
| IRS990/RevenuesLessExpensesCY | 0 | 12582 |
| IRS990/RevenuesLessExpensesPriorYear | 0 | 12524 |
| IRS990/RoyaltiesRevenue/ExclusionAmount | 0 | 0 |
| IRS990/RoyaltiesRevenue/RelatedOrExemptFunctionIncome | 0 | 0 |
| IRS990/RoyaltiesRevenue/TotalRevenueColumn | 0 | 0 |
| IRS990/RoyaltiesRevenue/UnrelatedBusinessRevenue | 0 | 0 |
| IRS990/SalariesEtcCurrentYear | 0 | 0 |
| IRS990/SalariesEtcPriorYear | 0 | 0 |
| IRS990/SavingsAndTempCashInvestments/BOY | 0 | 0 |
| IRS990ScheduleA/Hospital170b1Aiii | 0 | X |
| IRS990/ScheduleBRequired | 0 | 0 |
| IRS990ScheduleJ/AnyNonFixedPayments | 0 | 0 |
| IRS990ScheduleJ/CompBasedNetEarningsFilingOrg | 0 | 0 |
| IRS990ScheduleJ/CompBasedNetEarningsRelateOrgs | 0 | 1 |
| IRS990ScheduleJ/CompBasedOnRevenueOfFilingOrg | 0 | 0 |
| IRS990ScheduleJ/CompBasedOnRevenueRelatedOrgs | 0 | 0 |
| IRS990ScheduleJ/EquityBasedCompArrangement | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs | 0 | 8410 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs | 0 | 278178 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs | 0 | 314039 |
| IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs | 0 | 8909 |
| 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 Stephens County Hospital's Consolidated Statements of Revenues, Expenses and changes in Net Assets. |
| IRS990ScheduleJ/Form990ScheduleJPartIII/Identifier | 0 | SchJ_P01_S00_L06 |
| IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference | 0 | Schedule J, Part I, Line 6 |
| IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson | 0 | Edward C Gambrell Jr |
| IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsFilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsRelatedOrgs | 0 | 25292 |
| IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationFilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationRelatedOrgs | 0 | 7200 |
| IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationFilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationRelatedOrgs | 0 | 327989 |
| 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 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 made available for public access is available upon written request to Edward Gambrell, Jr, 163 Hospital Drive, Toccoa, GA 30577. |
| IRS990ScheduleO/GeneralExplanation/Identifier | 0 | F990_P06_S0B_L11b |
| IRS990ScheduleO/GeneralExplanation/Identifier | 1 | F990_P06_S0C_L19 |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 0 | Form 990, Part VI, Section B, Line 11b |
| 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 | 1 |
| IRS990ScheduleR/PerformOfServicesForOtherOrgs | 0 | 0 |
| 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 | 1 |
| IRS990ScheduleR/SharingOfPaidEmployees | 0 | 1 |
| IRS990ScheduleR/TransactionsRelatedOrgsTable/AmountInvolved | 0 | 1315875 |
| IRS990ScheduleR/TransactionsRelatedOrgsTable/MethodOfAmtDetermination | 0 | Cash |
| IRS990ScheduleR/TransactionsRelatedOrgsTable/NameOfOtherOrganization/BusinessNameLine1 | 0 | Stephens County Hospital Authority |
| IRS990ScheduleR/TransactionsRelatedOrgsTable/TransactionType | 0 | k |
| IRS990/School | 0 | 0 |
| IRS990/SignificantChange | 0 | 0 |
| IRS990/SignificantNewProgramServices | 0 | 0 |
| IRS990/StateLegalDomicile | 0 | GA |
| IRS990/StatesWhereCopyOfReturnIsFiled | 0 | GA |
| IRS990/SubjectToProxyTax | 0 | 0 |
| IRS990/TaxablePartyNotification | 0 | 0 |
| IRS990/TaxExemptBondLiabilities/BOY | 0 | 0 |
| IRS990/TaxExemptBonds | 0 | 0 |
| IRS990/TemporarilyRestrictedNetAssets/BOY | 0 | 0 |
| IRS990/TemporarilyRestrictedNetAssets/EOY | 0 | 0 |
| IRS990/Terminated | 0 | 0 |
| IRS990/TermOrPermanentEndowments | 0 | 0 |
| IRS990/TheBooksAreInCareOf/AddressUS/AddressLine1 | 0 | 163 Hospital Drive |
| IRS990/TheBooksAreInCareOf/AddressUS/City | 0 | Toccoa |
| IRS990/TheBooksAreInCareOf/AddressUS/State | 0 | GA |
| IRS990/TheBooksAreInCareOf/AddressUS/ZIPCode | 0 | 30577 |
| IRS990/TheBooksAreInCareOf/NamePerson | 0 | Jeffrey B Laird CFO |
| IRS990/TheBooksAreInCareOf/TelephoneNumber | 0 | 7062824281 |
| IRS990/TotalAssets/BOY | 0 | 134567 |
| IRS990/TotalAssetsBOY | 0 | 134567 |
| IRS990/TotalAssets/EOY | 0 | 147149 |
| IRS990/TotalAssetsEOY | 0 | 147149 |
| IRS990/TotalCompGT150K | 0 | 1 |
| IRS990/TotalContributions | 0 | 0 |
| IRS990/TotalExpensesCurrentYear | 0 | 1303295 |
| IRS990/TotalExpensesPriorYear | 0 | 1300260 |
| IRS990/TotalFunctionalExpenses/Fundraising | 0 | 0 |
| IRS990/TotalFunctionalExpenses/ManagementAndGeneral | 0 | 0 |
| IRS990/TotalFunctionalExpenses/ProgramServices | 0 | 1303295 |
| IRS990/TotalFunctionalExpenses/Total | 0 | 1303295 |
| IRS990/TotalFundrsngExpCurrentYear | 0 | 0 |
| IRS990/TotalGrossUBI | 0 | 0 |
| IRS990/TotalLiabilities/BOY | 0 | 106900 |
| IRS990/TotalLiabilitiesBOY | 0 | 106900 |
| IRS990/TotalLiabilities/EOY | 0 | 106900 |
| IRS990/TotalLiabilitiesEOY | 0 | 106900 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $147,149
- Liabilities
- $106,900
- Net assets
- $40,249
- Revenue
- -
- Expenses
- $1,303,295
- Net income
- -