In support of providing transparency of relevant organizational and financial information, please see below for the required reporting materials:
To learn more about the documents, click here.
Last updated March 29, 2025
2024 Federal Related Disclosures
Audited Financial Statement
Internal Revenue Service Form 990
2024 Georgia Supplemental Disclosures
Annual Hospital Questionnaire
Community Benefit Report
Disproportionate Share Hospital Survey
Real Property Holdings of the Hospital
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 10 Administrative Positions – Salaries
Evidence of Accreditation
Hospital’s Policies regarding Charity Care and Reduced Cost Services
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 must file with the Internal Revenue Service (IRS) on an annual basis. Form 990 is the primary tool of the IRS for gathering information about taxexempt organizations.
Annual Hospital Questionnaire
The Annual Hospital Questionnaire 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.G.A 31-7-90.1.
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 patients and the uninsured. The Department of Community Health collects the information necessary to determine these payments annually via this survey.
A listing and certain information related to
all real properties (land and buildings)
owned by the hospital.
Real Property Holdings 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 subsidiary 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 assets.
Legal Chart of Corporate Structure
A chart providing information related to the organization and its parent, subsidiaries and/or commonly controlled organizations.
Report of 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 official review process administered by an approved national accreditation organization demonstrating the hospital’s compliance with the conditions of participation from CMS and other established standards.
Hospital s 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.