Skip to page content Shepherd Center Why Shepherd? Patient Programs About Admissions For Healthcare Professionals Support Us My Chart Transparency Documents You are here: Home About Shepherd Center Transparency Documents IN THIS SECTION Page Content Financial and Organizational Information Regarding Our Hospital Transparency Completeness Checklist (HB 321 & HB 186) Prepared by the Georgia Alliance of Community Hospitals and Georgia Hospital Association HB 321 Document/List/Report Required: Special Requirements/Notes: Date Posted: Consolidated Financial Statements including Hospital Previous: FY20 Statements - 6/26/20 FY19 Statements - 10/1/19 Contains HB 321 required note (gross patient revenue, allowances, charity care, and net patient revenue) 07/07/21 Combining or Consolidating Schedules/Financial Information break out for Hospital Subsidiaries Previous: 2020 Schedules - 6/26/20 2019 Schedules - 10/1/19 Contains GAAS required report: see Independent Auditor's Report in Audited Financials 07/07/21 IRS Form 990 Previous: FY19 Form - 6/26/20 FY18 Form - 10/1/19 Copies of Schedule H and other filed Schedules (except Schedule B) 07/07/21 AHQ Previous: 2019 AHQ - 6/26/20 2018 AHQ - 10/1/19 248 Annual Hospital Questionnaire Final and Filed 07/07/21 Medicaid DSH Survey 2019 Previous: 2018 DSH Survey - 6/26/21 2017 DSH Survey: part 1 & part 2 - 10/1/19 Disproportionate Share Hospital (DSH) Examination Parts I & II 07/07/21 List of Real Property Holdings Owned by Hospital 07/07/21 List of Hospital Indebtedness GACH/GHA template: see Audited Financial Statements, Note 8 Previous: FY20 Statements - 6/26/20 FY19 Statements - 10/1/19 Does not include names of any bond disclosure sites to which hospital submitted info 07/07/21 Report of End of Year Net Assets: see Audited Financials, Note 9 Previous: FY20 Statements - 6/26/20 FY19 Statements - 10/1/19 Includes assets for hospital, parent, subsidiaries, and foundation controlled or owned by hospital or parent 07/07/21 Dated Organizational Chart - 10/18/21 Previous: Dated Organizational Chart - 7/12/21 Dated Organizational Chart - 5/1/21 Dated Organizational Chart - 11/1/21 Corporate Chart - 10/1/19 10/25/21 Compensation Benefits Report Previous: 2019 Report - 6/26/20 2018 Report - 10/1/19 07/07/21 Evidence of Hospital Accreditation (e.g. the Joint Commission or DNV) 10/13/21 Indigent and Charity Care Policy Previous: 2019 Policy - 10/1/19 06/26/20 Debt Collection Policy Previous: 2019 Policy - 10/1/19 06/26/20 Audited Financial Statements - Hospital N/A 06/26/20 Audited Financial Statements - Hospital Parent Company N/A 06/26/20 Combining or Consolidating Schedules/Financial Information break out for Hospital & Brother/Sister Co. N/A 06/26/20 Audited Financial Statements - Hospital Subsidiaries N/A 06/26/20 Alternative IRS Form 990 (if available) N/A 10/01/19 Community Benefit Report N/A 01/11/21 List of Hospital JVs and Ownership Interests N/A 10/01/19 Statement that there is no going concern disclosure in the hospital's audited financial statements N/A 10/01/19 Copy of any "going concern" note in Hospital Financial Statements N/A 10/01/19 HB 186 Documents Required: Special Requirements: Date Posted: Shepherd Center Financial Survey Previous: 2018 Survey - 11/2/20 N/A 07/07/21 Any ASC Surveys Filed by Hospital N/A 06/26/20 Any Imaging Center Surveys by Hospital N/A 10/01/19 Shepherd Center REFER A PATIENT DONATE FIND US Shepherd Center 2020 Peachtree Road NW Atlanta, GA 30309-1465 404-352-2020 Get Directions CONNECT WITH US Events Latest News Volunteer Employment Opportunities About Us Contact Us FOLLOW US Twitter LinkedIn Facebook YouTube Instagram Glassdoor LATEST FROM TWITTER FEED Shepherd Center @ShepherdCenter Giving Tuesday is November 30. Giving Tuesday is a global generosity movement with one simple goal: encourage peopl… https://t.co/UdquxV4b1O 47 minutes ago Joint Commission CARF © Copyright 2021 Shepherd Center Terms & Conditions Privacy Policy Social Media Policy English Espanol Site by Piszko