Organizational & Financial Information
In support of providing transparency of relevant organizational and financial information, please see below for the required reporting material:
To learn more about the documents, click here.
Last updated 5/19/25
2024 Federal Related Disclosures
* Audited Financial Statement (2023 to 2024)
* Internal Revenue Service Form 990 (2023 to 2024)
2024 Georgia Supplemental Disclosures
* Annual Hospital Questionnaire (2023 to 2024)
* Community Benefit Report
* Disproportionate Share Hospital Survey
* Real Property Holdings of the Hospital (2023 to 2024)
* Listing of any Ownership or Interest
* Bond Indebtedness, Outstanding Loans, and Bond Defaults
* Report of Ending Fund Balances
* Legal Chart of Corporate Structure
* Report of Top 10 Administrative Positions - Salaries (2023 to 2024)
* Evidence of Accreditation - LRMC (2023 to 2024) | LRMC Lab
* Hospital's Policies regarding Charity Care and Reduced Cost Services (2023 to 2024)
For documentation records of previous years, visit our archive below:
Document Information
For a description of each document, please click on the field below:
Audited Financial Statement
Audited financial statements are the basic financial statements of an organization that have been examined by an independent certified public accountant (CPA). Audited financial statements include the basic financial statements of an organization along with an opinion from the auditor, indicating whether or not the financial statements present fairly the results of operations, financial position, and cash flows of the issuing entity.
Internal Revenue Service Form 990
Form 990 is an informational return that certain tax-exempt organizations nust file with the Internal Revenue Service (IRS) on an annual basis. Form 990 is the primary tool of the IRS for gathering information about tax-exempt organizations.
Annual Hospital Questionaire
The Annual Hospital Questionaire was developed to report basic facility and operating data including the types and amount of services provided by a hospital for state health planning purposes.
Community Benefit Report
A report of the cost of indigent and charity care provided annually pursuant to O.C.C.A. 31-7901.
Disproportionate Share Hospital Survey
Disproportionate Share Hospital (DSH) is a federal program that seeks to increase health care access for the medically indigent. Georgia's DSH payments are distributed based upon each hospital's uncompensated cost of services provided to Medicaid patient and the uninsured. The Department of Community Health collects the information necessary to determine these payments annually via this survey.
Real Property Holding of the Hospital
A listing and certain information related to all real properties (land and buildings) owned by the hospital.
Listing of Any Ownership or Interest
A listing and certain information related to any ownership or interest the hospital has in any joint venture, partnership or subsidary company.
Bond Indebtedness, Outstanding Loans, and Bond Defaults
A listing and certain information related to the outstanding debt of the organization.
Report of Ending Fund Balances
A report providing information related to the ending net assets of the organization including the purpose of any donor or otherwise restricted net assests.
Legal Chart of Corporate Structure
A chart providing inforamtion related to the organization and its parent, subsidiaries and/or commonly controlled organizations.
Report of the Top 10 Administrative Positions-Salaries
A report listing the ten highest paid administrative positions including the compensation and benefits for each position.
Evidence of Accreditation
Accreditation is the offical review process administrated by an approved national accreditation organization demotrating the hospital's compliance with the conditions of participation from CMS and other established standards.
Hospital Policies Regarding Charity Care and Reduced Cost Services
A copy of the hospital's financial assistance policy which provides information to patients disclosing the hospital's method for evaluating and discounting charges for services rendered when the patient meets certain financial criteria.
