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 tax exempt
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.
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.
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.
Going Concern Statements
"Going concern" is an accounting term used
to describe a business that is expected to
operate for the foreseeable future or at least
the next 12 months. It assumes that the
business can generate income, meet its
obligations and doesn’t plan or won’t need
to liquidate in the coming year.
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.