CRISP REGIONAL HOSPITAL INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- CRISP REGIONAL HOSPITAL INC (EIN 58-2175978)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-13
- IRS object ID
- 202411349349302996
- Schema version
- 2022v5.0
- Note
- A later return for the same period supersedes this one.
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-13T11:41:16-04:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 580914992 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 71309 | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 317081309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582175978 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRISP REGIONAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CRIS | BusinessNameControlTxt |
| Phone | 2292763130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 902 7TH STREET NORTH | AddressLine1Txt |
| City | CORDELE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 310153234 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVE GAUTNEY | PersonNm |
| Person Title | PRES/CEO | PersonTitleTxt |
| Phone | 2292763132 | PhoneNum |
| Signature | 2024-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STEVE | PersonFirstNm |
| Person Last | GAUTNEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM EDWARD PHILLIPS | PreparerPersonNm |
| PTIN | P00451499 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2024-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVE GAUTNEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 902 7TH STREET NORTH | AddressLine1Txt |
| City | CORDELE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 310153234 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $123,957,447 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CRISPREGIONAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE APPROPRIATE, QUALITY CARE AND ASSISTANCE IN MAINTAINING GOOD HEALTH IN AN EFFICIENT AND CARING MANNER TO ALL WHO NEED OUR SERVICES AND AS NEAR THEIR HOME AS POSSIBLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1075 | TotalEmployeeCnt |
| Total Volunteers | 32 | TotalVolunteersCnt |
| Total Gross UBI | -$3,505 | TotalGrossUBIAmt |
| PY Contributions Grants | $16,439,674 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,872,408 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $114,840,810 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $115,592,044 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,520,100 | PYInvestmentIncomeAmt |
| CY Investment Income | $710,212 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,550,467 | PYOtherRevenueAmt |
| CY Other Revenue | $2,356,190 | CYOtherRevenueAmt |
| PY Total Revenue | $136,351,051 | PYTotalRevenueAmt |
| CY Total Revenue | $122,530,854 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $329,133 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $230,066 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $49,649,694 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $51,670,568 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $69,344,208 | PYOtherExpensesAmt |
| CY Other Expenses | $74,210,471 | CYOtherExpensesAmt |
| PY Total Expenses | $119,323,035 | PYTotalExpensesAmt |
| CY Total Expenses | $126,111,105 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $17,028,016 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,580,251 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $183,252,929 | TotalAssetsBOYAmt |
| Total Assets EOY | $179,801,700 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $71,747,604 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $68,962,180 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $111,505,325 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $110,839,520 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE APPROPRIATE, QUALITY CARE AND ASSISTANCE IN MAINTAINING GOOD HEALTH IN AN EFFICIENT AND CARING MANNER TO ALL WHO NEED OUR SERVICES AND AS NEAR THEIR HOME AS POSSIBLE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $91,847,540 | ExpenseAmt |
| Grant | $230,066 | GrantAmt |
| Revenue | $115,465,463 | RevenueAmt |
| Desc | THE ORGANIZATION OPERATES A HOSPITAL, TWO SNFS & A HHA PROVIDING SHORT-TERM ACUTE CARE FOR INPATIENT & OUTPATIENT SERVICES FOR CRISP COUNTY AND SURROUNDING COUNTIES. TOTAL PATIENT DAYS FOR FYE 6/30/21 WERE 16,386; HHA VISITS FOR WERE 13,117; AND SNF PATIENT DAYS WERE 19,654; CORDELE HEALTH AND REHABILITATION (A FREE-STANDING SNF) PATIENT DAYS TOTAL 18,671, AND RURAL HEALTH CLINIC VISITS TOTALED 16,808. | Desc |
| Total Program Service Expenses | $91,847,540 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 187 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1075 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSICA CARTER | PersonNm |
| Phone | 2292763130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 902 7TH STREET | AddressLine1Txt |
| City | CORDELE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 310153234 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| SAMYUKTA CHAVA MD | |||||||||
| PHYSICIAN | 40.00 | Yes (X) | $643,743 | $0 | $2,726 | ||||
| LYNN ALAN LYONS MD | |||||||||
| PHYSICIAN | 40.00 | Yes (X) | $595,473 | $0 | $35,568 | ||||
| STEVE GAUTNEY | |||||||||
| PRES/CEO | 40.00 | $497,503 | $0 | $57,445 | 2.00 | Yes (X) | Yes (X) | ||
| VINCENT S CULPEPPER MD | |||||||||
| PHYSICIAN | 40.00 | Yes (X) | $494,398 | $0 | $35,568 | ||||
| JAMES FORDYCE MD | |||||||||
| PHYSICIAN | 40.00 | Yes (X) | $505,880 | $0 | $16,388 | ||||
| JESSICA CARTER | |||||||||
| CFO | 40.00 | $271,201 | $0 | $51,991 | 2.00 | Yes (X) | |||
| APRIL DUKES | |||||||||
| VP PATIENT C | 40.00 | $170,578 | $0 | $27,477 | Yes (X) | ||||
| DAVID KICKER | |||||||||
| VP | 40.00 | Yes (X) | $141,470 | $0 | $18,759 | ||||
| VICKIE TEEMER | |||||||||
| VP HR | 40.00 | $151,503 | $0 | $7,848 | Yes (X) | ||||
| MATT COLEY | |||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | 1.00 | Yes (X) | |||
| HEATH HAMILTON | |||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | 1.00 | Yes (X) | |||
| CINDY HUGHES | |||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| NOEL WILLIAMS JR | |||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | 1.00 | Yes (X) | |||
| CLAIRE KRAUSE | |||||||||
| SECRETARY/TR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| SULE SALAMI MD | |||||||||
| ASST SEC/TRE | 1.00 | $0 | $0 | $0 | 1.00 | Yes (X) | Yes (X) | ||
| WILLIAM PANNELL MD | |||||||||
| CHAIRMAN | 1.00 | $0 | $0 | $0 | 1.00 | Yes (X) | Yes (X) | ||
| ARTHUR PARKER | |||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,471,749 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $253,770 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PARRISH CONSTRUCTION GROUP | |||||
| 221 INDUSTRIAL PARK DRIVE | PERRY | GA | 31069 | PROFESSIONAL SV | $3,336,554 |
| INNOVATIVE THERAPY CONCEPTS LLC | |||||
| 2 MASHBURN ST SUITE 102 | HAWKINSVILLE | GA | 310364961 | THERAPY | $2,121,348 |
| ALLY HEALTHCARE STAFFING | |||||
| PO BOX 393 | GRAY | GA | 31032 | STAFFING | $1,360,056 |
| 4NGELS HEALTHCARE | |||||
| 4922 BILL GARDNER PARKWAY STE 280 | LOCUST GROVE | GA | 30248 | CONTRACT LABOR | $1,241,539 |
| GT YOUNG LLC | |||||
| 79 ABERDEEN CIRCLE | CORDELE | GA | 310155155 | ANESTHESIA | $997,751 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 35 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $923,684 | GovernmentGrantsAmt |
| All Other Contributions | $2,948,724 | AllOtherContributionsAmt |
| Total Contributions | $3,872,408 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROGRAM SERVICE REVENUE | 623000 | $115,020,606 | $115,020,606 |
| EMS OPERATIONS CONTRACT | 621990 | $571,438 | $571,438 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $115,592,044 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,146,330 | TotalRevenueColumnAmt |
| Exclusion | $1,146,330 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $115,578 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $115,578 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $115,578 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $115,578 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $987,939 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,424,057 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$436,118 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$436,118 | TotalRevenueColumnAmt |
| Exclusion | -$436,118 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $22,309 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $2,536 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,773 | TotalRevenueColumnAmt |
| Exclusion | $19,773 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| DIETARY/VENDING | 722514 | $525,844 | $525,844 | |
| PRISON CLINIC | 621990 | $428,481 | $428,481 | |
| OTHER REVENUES | 621990 | $374,838 | $374,838 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $891,676 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $406,309 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$3,505 | UnrelatedBusinessRevenueAmt |
| Exclusion | $488,872 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,220,839 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $122,530,854 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $116,917,250 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$3,505 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,744,701 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,066 | TotalAmt |
| Program Services | $230,066 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,213,832 | TotalAmt |
| Management And General | $1,213,832 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,454,267 | TotalAmt |
| Program Services | $29,765,684 | ProgramServicesAmt |
| Management And General | $9,688,583 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $821,764 | TotalAmt |
| Program Services | $586,417 | ProgramServicesAmt |
| Management And General | $235,347 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,079,981 | TotalAmt |
| Program Services | $3,144,303 | ProgramServicesAmt |
| Management And General | $2,935,678 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,100,724 | TotalAmt |
| Program Services | $2,865,143 | ProgramServicesAmt |
| Management And General | $1,235,581 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,459 | TotalAmt |
| Program Services | $45,000 | ProgramServicesAmt |
| Management And General | $237,459 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $913,140 | TotalAmt |
| Management And General | $913,140 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,036 | TotalAmt |
| Management And General | $15,036 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,711 | TotalAmt |
| Management And General | $372,711 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,306,611 | TotalAmt |
| Program Services | $25,115,913 | ProgramServicesAmt |
| Management And General | $6,190,698 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $401,900 | TotalAmt |
| Program Services | $291,215 | ProgramServicesAmt |
| Management And General | $110,685 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,282,713 | TotalAmt |
| Program Services | $5,106,214 | ProgramServicesAmt |
| Management And General | $1,176,499 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,888,675 | TotalAmt |
| Program Services | $402,428 | ProgramServicesAmt |
| Management And General | $2,486,247 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $581,151 | TotalAmt |
| Program Services | $278,270 | ProgramServicesAmt |
| Management And General | $302,881 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,965 | TotalAmt |
| Program Services | $44,323 | ProgramServicesAmt |
| Management And General | $41,642 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,857,243 | TotalAmt |
| Program Services | $2,741,483 | ProgramServicesAmt |
| Management And General | $4,115,760 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,736,665 | TotalAmt |
| Program Services | $2,958,067 | ProgramServicesAmt |
| Management And General | $778,598 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $17,284,274 | $17,284,274 | |
| LICENSES AND TAXES | $1,638,332 | $53,313 | $1,585,019 |
| HOSPITAL/NURSING HOME | $429,031 | $429,031 | |
| OTHER MISCELLANEOUS | $407,512 | $71,337 | $336,175 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,053 | TotalAmt |
| Program Services | $435,059 | ProgramServicesAmt |
| Management And General | $291,994 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,111,105 | TotalAmt |
| Program Services | $91,847,540 | ProgramServicesAmt |
| Management And General | $34,263,565 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,100 | BOYAmt |
| EOY | $87,035 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,597,413 | BOYAmt |
| EOY | $28,302,785 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,219,913 | BOYAmt |
| EOY | $30,150,081 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,292,523 | BOYAmt |
| EOY | $2,026,946 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,946,098 | BOYAmt |
| EOY | $2,757,968 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $129,887,926 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $80,223,593 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,882,847 | BOYAmt |
| EOY | $49,664,333 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,613,102 | BOYAmt |
| EOY | $54,452,243 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $431,969 | BOYAmt |
| EOY | $431,969 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $337,286 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,580,012 | BOYAmt |
| EOY | $8,735,294 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,484,952 | BOYAmt |
| EOY | $2,855,760 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,252,929 | BOYAmt |
| EOY | $179,801,700 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,120,816 | BOYAmt |
| EOY | $17,087,939 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,013,082 | BOYAmt |
| EOY | $9,001 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,369,470 | BOYAmt |
| EOY | $48,534,933 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,704,248 | BOYAmt |
| EOY | $2,823,490 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $539,988 | BOYAmt |
| EOY | $506,817 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,747,604 | BOYAmt |
| EOY | $68,962,180 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,505,325 | BOYAmt |
| EOY | $110,839,520 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,505,325 | BOYAmt |
| EOY | $110,839,520 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,252,929 | BOYAmt |
| EOY | $179,801,700 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,580,251 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,910,941 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $3,505 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $15,122 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $15,122 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE ORGANIZATIONS. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THOSE ORGANIZATIONS PARTICIPATE. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,939,620 | OtherCostOrOtherBasisAmt |
| Book Value | $3,939,620 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,201,566 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,039,133 | DepreciationAmt |
| Book Value | $22,162,433 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,371,751 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,172,353 | DepreciationAmt |
| Book Value | $199,398 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $67,060,129 | OtherCostOrOtherBasisAmt |
| Depreciation | $49,012,107 | DepreciationAmt |
| Book Value | $18,048,022 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,314,860 | OtherCostOrOtherBasisAmt |
| Book Value | $5,314,860 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $49,664,333 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THIRD PARTY SETTLEMENTS | Desc |
| Amt | $506,817 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $506,817 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | PART X - FIN 48 FOOTNOTE CRISP REGIONAL HEALTH SERVICES, INC., CRISP REGIONAL HOSPITAL, INC. AND CRIS REGIONAL DEVELOPMENT FOUNDATION, INC. ARE NOT-FOR-PROFIT CORPORATIONS THAT HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CRISP REGIONAL HOSPITAL PORTFOLIO INSURANCE COMPANY IS EXEMPTED FROM ALL LOCAL INCOME, PROFIT, OR CAPITAL GAINS TAXES UNTIL JULY 28, 2042 UNDER THE CAYMAN ISLAND TAX CONCESSIONS LAW. THE CORPORATIONS APPLY ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THEY ONLY RECOGNIZE THAT MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIXED FOR UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING COMBINED BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FUTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2023 OR 2022 OR FOR THE YEARS THEN ENDED. THE CORPORATIONS' TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OFT THOSE RETURNS. | ExplanationTxt |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | RegionTxt |
| Type Of Activities Conducted | INVESTMENT | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $5,391,845 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $5,391,845 | SubtotalSpentAmt |
| Total Spent | $5,391,845 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE F, PAGE 1, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | CENTRAL AMERICA AND THE CARIBBEAN 0 5,391,845 | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 1.250000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $823,168 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $823,168 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,769,554 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,735,770 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,033,784 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02410 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,592,722 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,735,770 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,856,952 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03060 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,147 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $73,147 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,060,372 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,273,785 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,786,587 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06970 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,800 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,800 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,137,319 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,273,785 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,863,534 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07030 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,730,041 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,009,555 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,720,486 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $26,675,450 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $12,181,687 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,532,030 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,350,343 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRISP HC ALLIANCE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HEALTH SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.82000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.18000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRISP REGIONAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 902 7TH STREET NORTH | AddressLine1Txt |
| City | CORDELE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 310105007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.CRISPREGIONAL.ORG | WebsiteAddressTxt |
| State License | 040-495 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | SNF, NF, HHA, HOSPICE, RHC, RD | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRISP REGIONAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.CRISPREGIONAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.CRISPREGIONAL.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.CRISPREGIONAL.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.CRISPREGIONAL.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.CRISPREGIONAL.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, CRISP REGIONAL HOSPITAL INC - PART V, LINE 3E | AREAS OF NEED THAT WERE HIGHLIGHTED IN MORE THAN ONE DATA SOURCE INCLUDED PHYSICAL ACTIVITY/EXERCISE, MENTAL HEALTH, RISKY TEEN SEXUAL BEHAVIOR, NUTRITION, PRESCRIPTION COMPLIANCE, TRANSPORTATION AND ACCESS TO CARE, SENIOR CARE, AND PULMONARY HEALTH. AFTER REVIEWING THESE DATA AND CONSIDERING THE HOSPITALS PAST CHNA PLANS AND RELATED INITIATIVES, THE HOSPITAL CHNA STEERING COMMITTEE PRIORITIZED FOUR AREAS FOR THE 2022 IMPLEMENTATION PLAN: 1) MATERNAL AND CHILD HEALTH, 2) MENTAL HEALTH, 3) TRANSPORTATION, AND 4) RISKY TEEN BEHAVIORS. EACH PRIORITIZED NEED IS ADDRESSED THROUGH COLLABORATION, EDUCATION OR SERVICE. |
| FACILITY 1, CRISP REGIONAL HOSPITAL INC - PART V, LINE 5 | THE CENTER FOR PUBLIC HEALTH PRACTICE AND RESEARCH PROJECT TEAM WORKED WITH THE HOSPITAL CHNA STEERING COMMITTEE THROUGHOUT THE PROJECT. THE STEERING COMMITTEE FACILITATED COMPLETION OF A COMMUNITY SURVEY, RECRUITED KEY STAKEHOLDERS FOR FOCUS GROUP DISCUSSIONS, PROVIDED INFORMATION ABOUT THE HOSPITALS ACTIVITIES TO ADDRESS COMMUNITY HEALTH NEEDS SINCE THE LAST CHNA WAS COMPLETED IN 2019, AND PROVIDED THE HEALTHCARE RESOURCE LISTING AT THE END OF THIS REPORT. THE COMMUNITY SURVEY THAT WAS ADMINISTERED AIMED AT ASSESSING LOCAL HEALTH CARE ACCESS AND NEEDS OF THE PEOPLE RESIDING IN THE PRIMARY SERVICE AREA OF CRISP REGIONAL HOSPITAL CRISP COUNTY. THE COMMUNITY SURVEY WAS DISSEMINATED VIA THE HOSPITALS SOCIAL MEDIA WEBPAGES AND EMAIL LISTSERVS, AS WELL AS THOSE OF LOCAL COMMUNITY PARTNERS. FOCUS GROUP PARTICIPANTS WERE ALL KEY STAKEHOLDERS IN MAINTAINING THE OVERALL HEALTH OF THE COMMUNITY. THEIR PERSPECTIVES PROVIDED A WELL-ROUNDED VIEW OF LIFE IN THE COMMUNITY AND THE HEALTH AND HEALTHCARE NEEDS OF THE RESIDENTS. INFORMATION FROM THESE PRIMARY DATA COLLECTION EFFORTS WAS SUPPLEMENTED BY SECONDARY QUANTITATIVE DATA ON THE COMMUNITYS PROFILE, HEALTH CARE ACCESS, AND UTILIZATION. THESE DATA WERE OBTAINED FROM MULTIPLE PUBLICLY AVAILABLE SOURCES INCLUDING THE US CENSUS BUREAU, THE AREA RESOURCE FILE, CENTERS FOR DISEASE CONTROL (CDC) DISEASE AND MORTALITY DATA, GEORGIA POPULATION PROJECTIONS, COUNTY HEALTH RANKINGS, AND THE GEORGIA DEPARTMENT OF HEALTHS ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM (OASIS). THE MOST RECENTLY AVAILABLE DATA WERE OBTAINED FROM ALL DATA SOURCES AT THE TIME OF ANALYSIS. FINDINGS FROM ALL THE ABOVE-DESCRIBED PRIMARY AND SECONDARY DATA COLLECTION EFFORTS INFORMED THE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS BY THE HOSPITAL STEERING COMMITTEE, AS WELL AS PROVIDED SUGGESTED SOLUTIONS TO ADDRESS THESE NEEDS. |
| FACILITY 1, CRISP REGIONAL HOSPITAL INC - PART V, LINE 11 | INFORMATION GATHERED FROM THE COMMUNITY MEETING, INTERVIEW, DISCUSSIONS WITH THE HOSPITAL LEADERSHIP TEAM, REVIEW OF DEMOGRAPHIC AND HEALTH STATUS, AND HOSPITAL UTILIZATION DATA WERE USED TO DETERMINE THE PRIORITY HEALTH NEEDS OF THE POPULATION. A VARIETY OF NEEDS WERE IDENTIFIED THAT ARE NOT POSSIBLE FOR THE HOSPITAL TO ADDRESS BY ITSELF, BUT WILL BE ADDRESSED THROUGH COMMUNITY EDUCATION OR IN COLLABORATION WITH OTHERS WITHIN THE COMMUNITY. THE CHNA AND IMPLEMENTATION STRATEGY CAN BE DOWNLOADED BY VISITING HTTPS://CRISPREGIONAL.ORG |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CRISP REGIONAL NURSING HOME & REHAB | ||||
| 902 BLACKSHEAR ROAD | CORDELE | GA | 31015 | NURSING FACILITY |
| CARESOUTH OF CRISP REGIONAL | ||||
| 906 5TH STREET NORTH | CORDELE | GA | 31015 | HOME HEALTH |
| CRISP REGIONAL HOSPICE | ||||
| 910 5TH STREET NORTH | CORDELE | GA | 31015 | HOSPICE |
| WARWICK HEALTHCARE CENTER | ||||
| 135 DOGWOOD STREET | WARWICK | GA | 31796 | RHC |
| CRISP REGIONAL DIALYSIS UNIT | ||||
| 1302 5TH STREET NORTH | CORDELE | GA | 31015 | DIALYSIS |
| CORDELE HEALTH & REHAB | ||||
| 1106 NORTH 4TH STREET | CORDELE | GA | 31015 | NURSING FACILITY |
| CRISP REGIONAL CONVENIENT CARE | ||||
| 902 NORTH 7TH STREET | CORDELE | GA | 31015 | RHC |
| BLACKSHEAR RETIREMENT VILLAS | ||||
| 1110 BLACKSHEAR ROAD | CORDELE | GA | 31015 | ASSISTED LIVING |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7G | THIS SECTION INCLUDES NET ACTUAL COSTS FOR SUBSIDIZED PHYSICIAN AND RURAL HEALTH CLINICS OF 16,060,372. |
| SCHEDULE H, PART I, LINE 7 | COSTS FOR PART I, LINE 7A WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. PART I, LINE 7B COSTS WERE CALCULATED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. PART I, LINE 7G COSTS WERE CALCULATED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. |
| SCHEDULE H, PART III, LINE 2 | AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE. PURSUANT TO ASU NO. 2014-09 (TOPIC 606), THE AMOUNT IDENTIFIED AS BAD DEBT ON SCHEDULE H, PART II, LINE 2 PRIMARILY REPRESENTS AMOUNTS ESTIMATED AT THE TRANSACTION DATE THAT ARE CONSIDERED A PRICE CONCESSION. THE ORGANIZATION DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE SYSTEMS POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. IMPLICIT PRICE CONCESSIONS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION THE ORGANIZATION EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS. |
| SCHEDULE H, PART III, LINE 4 | SEE THE DISCUSSION REGARDING UNINSURED PATIENTS AND BAD DEBT EXPENSE WITH THE NET PATIENT SERVICE REVENUE FOOTNOTE ON PAGES 15-21 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, LINE 8 | MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. |
| SCHEDULE H, PART III, LINE 9B | PATIENTS, WHO MEET ALL THE REQUIREMENTS TO BE CLASSIFIED AS MEDICALLY INDIGENT UNDER THE ORGANIZATION'S ICTF POLICY, WILL HAVE THEIR ACCOUNTS WRITTEN OFF ON A SLIDING SCALE FEE (100% OF ACCOUNTS AT 125% OF THE FEDERAL POVERTY SCALE, 7% OF ACCOUNTS WHEN INCOME IS AT 200% OF THE SCALE, UP TO THE MAXIMUM ALLOWED PER PATIENT PER YEAR). ANY AMOUNT NOT ADJUSTED OFF PER POLICY, WOULD FOLLOW THE COLLECTION PRACTICE AS ANY OTHER ACCOUNT. |
| SCHEDULE H, PART VI, LINE 2 | CRISP REGIONAL ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY BY EVALUATING DISEASE INCIDENCES IN THE POPULATION AS WELL AS ECONOMIC AND DEMOGRAPHIC CHARACTERISTICS OF THE POPULATION IN COMPARISON TO THE UTILIZATION AND AVAILABILITY OF APPLICABLE SERVICES. PRIMARY SOURCE FOR ASSESSMENT INFORMATION IS THE COMMUNITY HEALTH STATUS INDICATORS PUBLISHED BY THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES AND INTERNAL INFORMATION PRODUCED BY HOSPITAL RECORDS. CRISP REGIONAL IS CLASSIFIED AS A HEALTH MANPOWER SHORTAGE AREA DUE TO THE DISPROPORTIONALLY LARGE LOW INCOME POPULATION. IN ADDITION, CRISP'S SERVICE HAS A SIGNIFICANT NUMBER OF MIGRANT AND UNDOCUMENTED FARM WORKS THAT PRESENT EPISODIC COMMUNITY HEALTH NEEDS. BOTH OF THE ORGANIZATION'S 2022 AND 2019 COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGY PLANS ARE AVAILABLE FOR DOWNLOAD ON ITS WEBSITE AT HTTPS://CRISPREGIONAL.ORG |
| SCHEDULE H, PART VI, LINE 3 | CRISP REGIONAL HOSPITAL HAS A CLEARLY DEFINED PROCESS FOR ADDRESSING INDIGENT AND/OR SELF-PAY PATIENTS. PATIENTS THAT PRESENT AT THE REGISTRATION DESK AS SELF PAY PATIENTS RECEIVING OUTPATIENT SERVICES ARE DIRECTED TO OUR PATIENT FINANCIAL COUNSELOR FOR ADVISEMENT. AT THIS POINT, A FINANCIAL COUNSELOR REVIEWS THE APPLICATION FOR THE INDIGENT CARE TRUST FUND ASSISTANCE. IF THIS ASSISTANCE APPLIES, THE COUNSELOR WILL ASSIST IN THE APPLICATION PROCESS AND ASSURE COMPLETION OF THE APPLICATION FOR REVIEW. IF THIS ASSISTANCE DOES NOT APPLY, WE REFER TO A LIST OF SERVICES THAT REQUIRE A CERTAIN AMOUNT TO BE PAID BEFORE THE SERVICE IS RENDERED. WE ALSO ASSIST IN SETTING UP A CONTRACT TO INITIATE A MONTHLY PAYMENT PLAN. FOR A PATIENT THAT PRESENTS IN CRISP REGIONAL HOSPITAL AS AN INPATIENT AND IS SELF PAY, THE PATIENT FINANCIAL COUNSELOR GOES TO THE PATIENT'S ROOM TO ASSURE THAT THEY ARE CORRECTLY CLASSIFIED AS A SELF PAY PATIENT. SELF PAY PATIENTS ARE THEN REFERRED TO CHANGE HEALTHCARE TO ASSESS ELIGIBILITY FOR MEDICAID ASSISTANCE. IF NOT ELIGIBLE FOR MEDICAID, WE ASSIST THEM WITH AN APPLICATION FOR INDIGENT CARE TRUST FUND ASSISTANCE. IF NOT ELIGIBLE FOR THE INDIGENT PROGRAM, THEN WE ASSIST WITH A CONTRACT TO START MONTHLY PAYMENTS. |
| SCHEDULE H, PART VI, LINE 4 | CRISP REGIONAL HOSPITAL SERVES CRISP, DOOLY AND WILCOX COUNTIES AS OUR PRIMARY SERVICE AREAS. THESE AREAS ACCOUNT FOR 85.62% OF PATIENT ACTIVITY. THE OTHER FOUR CONTIGUOUS COUNTIES, SUMTER, WORTH, TURNER AND LEE, ARE SECONDARY GEOGRAPHIC MARKET AREAS. CORDELE IS THE ECONOMIC AND MEDICAL HUB OF THIS AREA AND DRAWS ON A POPULATION APPROACHING 135,000. THE MOST RECENTLY AVAILABLE SCHOOL ENROLLMENT IN CRISP COUNTY WAS 6,351. NURSERY SCHOOL AND KINDERGARTEN ENROLLMENT WAS 698 AND ELEMENTARY OR HIGH SCHOOL ENROLLMENT WAS 3,975 CHILDREN. COLLEGE OR GRADUATE SCHOOL ENROLLMENT WAS 1,678. INDUSTRIES: IN 2021, FOR THE EMPLOYED POPULATION 16 YEARS AND OLDER, THE LEADING INDUSTRIES IN CRISP COUNTY WERE HEALTHCARE, SOCIAL ASSISTANCE, EDUCATIONAL SERVICES, MANUFACTURING, AND RETAIL TRADE. INCOME: THE MEDIAN INCOME OF HOUSEHOLDS IN CRISP COUNTY WAS 41,605 IN 2021. 67% OF THE HOUSEHOLDS RECEIVED EARNINGS AND 15% RECEIVED RETIREMENT INCOME OTHER THAN SOCIAL SECURITY. 12% OF THE HOUSEHOLDS RECEIVED SOCIAL SECURITY. THESE INCOME SOURCES ARE NOT MUTUALLY EXCLUSIVE; THAT IS, SOME HOUSEHOLDS RECEIVED INCOME FROM MORE THAN ONE SOURCE. POVERTY AND PARTICIPATION IN GOVERNMENT PROGRAMS: IN 2021, 29.7% OF PEOPLE WERE IN POVERTY. 47.9% OF RELATED CHILDREN UNDER 18 WERE BELOW THE POVERTY LEVEL, COMPARED WITH 16.9% OF PEOPLE 65 YEARS OLD AND OVER. 28% OF ALL FAMILIES AND 68% OF FAMILIES WITH A FEMALE HOUSEHOLDER AND NO HUSBAND PRESENT HAD INCOMES BELOW THE POVERTY LEVEL. FOR PEOPLE REPORTING ONE RACE ALONE, 52% WERE WHITE; 45% WERE BLACK OR AFRICAN AMERICAN; 4% WERE HISPANIC OR LATINO; 1% WAS ASIAN; AND 1% WAS CLASSIFIED AS OTHER RACE. 2% REPORTED TWO OR MORE RACES. HOUSING COSTS: THE MEDIAN MONTHLY HOUSING COSTS FOR MORTGAGED OWNERS WAS 1,099, NON-MORTGAGED OWNERS 420, AND RENTERS 695. 18% OF OWNERS WITH MORTGAGES, 11% OF OWNERS WITHOUT MORTGAGES, AND 27% OF RENTERS IN CRISP COUNTY SPENT 50% OR MORE OF HOUSEHOLD INCOME ON HOUSING. NATIVITY AND LANGUAGE: LESS THAN 1% OF THE PEOPLE LIVING IN CRISP COUNTY IN 2021 WERE FOREIGN BORN. 99% WERE NATIVE, INCLUDING 86% WHO WERE BORN IN GEORGIA. AMONG PEOPLE AT LEAST 5 YEARS OLD LIVING IN CRISP COUNTY IN 2021, 3.4% SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME. |
| SCHEDULE H, PART VI, LINE 5 | CRISP REGIONAL IS SERVED BY A VOLUNTEER GOVERNING BOARD COMPOSED OF COMMUNITY MEMBERS FROM CRISP AND DOOLY COUNTIES. A PRIMARY FOCUS OF THE BOARD IS TO ADDRESS THE ACCESSIBILITY OF HEALTHCARE SERVICES AND ACCESS TO QUALIFIED HEALTHCARE PROFESSIONALS. THE ORGANIZATION OPERATES A 24HR/7DAY A WEEK EMERGENCY DEPARTMENT THAT SERVES APPROXIMATELY 20,000 PATIENTS ANNUALLY. AS A MEANS TO ALLEVIATE ED OVERCROWDING AND CREATE A MORE APPROPRIATE TREATMENT ENVIRONMENT, THE BOARD ALSO FUNDS FINANCIALLY OPERATING DEFICITS AT THE CRISP CONVENIENT CARE CLINIC. THE ED PATIENT POPULATION INCLUDES 23% THAT ARE CLASSIFIED AS INDIGENT OR NON-INSURED. THE CONVENIENT CARE CLINIC EXPERIENCES NEARLY 22% INDIGENT OR SELF-PAY POPULATION AND REQUIRES 332,000 IN NON- COMPENSATED FUNDING FROM THE ORGANIZATION'S GENERAL FUNDS. CRISP REGIONAL PROMOTES HEALTH AND ADDRESSES HEALTH PROFESSIONAL ACCESS IN SEVERAL COMMUNITY SERVICES. THE HOSPITAL PROVIDES HOUSING WITHOUT COST TO MEDICAL RESIDENTS AND STUDENTS ENGAGED IN CLINICAL EXPERIENCE AT CRISP REGIONAL. THE BOARD FURNISHES THREE APARTMENTS AS A MEANS TO ASSURE MEDICAL STUDENTS AND MEDICAL RESIDENTS ARE EXPOSED TO THE SPECIAL NEEDS OF RURAL POPULATIONS AND AGRICULTURE ECONOMY. IN ADDITION TO THESE SERVICES, CRISP REGIONAL PARTNERS WITH COLLEGES TO OFFER PRACTICAL EXPERIENCE IN A VARIETY OF AREAS THROUGHOUT THE HOSPITAL - FROM PROVIDING BEDSIDE CARE ON PATIENT FLOORS TO THE INTENSIVE CARE UNIT (ICU) AND EMERGENCY DEPARTMENT (ED). DURING THEIR CLINICAL ROTATIONS, STUDENTS CAN DIRECTLY APPLY WHAT THEY ARE LEARNING ABOUT THE CAUSES OF CERTAIN HEALTH CONDITIONS AND HOW TO DIAGNOSE AND TREAT THEM. THROUGH ITS RURAL HEALTH CLINIC PROGRAM, CRISP REGIONAL HEALTH SERVICES OFFERS MEDICAL CARE TO SURROUNDING RURAL COMMUNITIES. TWO RURAL HEALTH CARE CLINICS PROVIDE COVERAGE FOR PRIMARY HEALTH CARE, CHRONIC AND ACUTE ILLNESS, MINOR SUTURING, VARIOUS VACCINATIONS, LAB DRAWINGS AND PHYSICALS. THE PROGRAM ALLOWS RURAL RESIDENTS TO RECEIVE EXCELLENT HEALTH CARE PROVIDED BY HIGH-QUALITY HEALTH CARE PROFESSIONALS CLOSE TO HOME. IT ALSO OFFERS AFFORDABLE HEALTH CARE COVERAGE TO THESE RESIDENTS. LAST YEAR, BOTH CLINICS TREATED A TOTAL OF 19,382 PATIENTS. CRISP REGIONAL HEALTH SERVICES HOSTS FIVE ANNUAL COMMUNITY HEALTH FAIRS, OFFERING INFORMATION, EDUCATION AND BASIC TESTS FOR FREE OR AT DEEPLY- REDUCED COSTS. TESTS INCLUDE BODY MASS INDEX, BLOOD PRESSURE SCREENING, HEIGHT AND WEIGHT CHECKS, BLOOD GLUCOSE, AND PULMONARY LUNG FUNCTION. ALSO INCLUDED IS DIAGNOSTIC LAB WORK, CONSISTING OF LIPID PROFILE, THYROID, PROSTATE AND IRON PANEL SCREENINGS. WE PROVIDE THIS TO OUR COMMUNITY BECAUSE THE IMPORTANCE OF PRE-SCREENING, INCREASED AWARENESS AND EDUCATING THE COMMUNITY CONTRIBUTES TO RESIDENTS' BETTER OVERALL HEALTH. CRISP REGIONAL OFFERS THE WELLNESS WORKS PROGRAM TO PARTNER WITH LOCAL BUSINESSES TO MAINTAIN THE HEALTH OF THEIR EMPLOYEES AND PREVENT ILLNESS TO MAINTAIN A HEALTHY WORKPLACE. THIS PROGRAM INCLUDES SCREENINGS, HEALTH FAIRS, AND EDUCATION TO EMPLOYEES. ATHLETIC TRAINER-CRISP COUNTY SCHOOL SYSTEM SERVING AS AN EXTENSION OF ELITE PHYSICAL THERAPY SERVICES AT CRISP REGIONAL AND WITH A PARTNERSHIP WITH CRISP COUNTY SCHOOL SYSTEM, CRISP COUNTY HIGH SCHOOL BENEFITS BY HAVING AN ONSITE CERTIFIED ATHLETIC TRAINER (ATC) AVAILABLE TO ALL STUDENT ATHLETES PROVIDING FIRST AID AND EMERGENCY CARE DURING SPORTING EVENTS ALONG WITH PHYSICAL THERAPY AS PART OF ATHLETIC TRAINING AND MUSCULOSKELETAL THERAPY. THE ATHLETIC TRAINER CARES FOR STUDENT ATHLETES USING THERAPEUTIC MODALITIES SUCH AS ULTRASOUND, ELECTRICAL STIMULATION, CRYOTHERAPY, SEQUENTIAL COMPRESSION, LASER, THERMAL THERAPY, WHIRLPOOL AND OTHER EQUIPMENT. THE ATHLETIC TRAINER WORKS UNDER THE DIRECT SUPERVISION AND PROTOCOLS OF A SUPERVISING ORTHOPEDIC PHYSICIAN AND IN COLLABORATION WITH OUR PHYSICAL THERAPISTS AND STAFF. STOP THE BLEED- CRISP COUNTY EMS AND CRISP REGIONAL NURSING STAFF PARTNERED WITH THE SCHOOL SYSTEMS TO OFFER LIFE SAVING TRAINING WITH STOP THE BLEED. THROUGH OUR STOP THE BLEED COURSE, OUR COMMUNITY PARTNERS GAIN THE ABILITY TO RECOGNIZE LIFE-THREATENING BLEEDING AND INTERVENE EFFECTIVELY. THIS PROGRAM IS DESIGNED TO ENABLE SCHOOL TEACHERS, NURSES, AND STAFF HOW TO RENDER IMMEDIATE, POTENTIALLY LIFE-SAVING MEDICAL AID TO INJURED STUDENTS OR CO- WORKERS WHILE AWAITING THE ARRIVAL OF PROFESSIONAL RESPONDERS. EACH SCHOOL RECEIVED LIFE SAVING STOP THE BLEED KITS TO HAVE AVAILABLE DURING LIFE SAVING EMERGENCIES. TEEN MAZE- PARTNERING WITH THE CRISP COUNTY SCHOOL SYSTEM AND OTHER PARTNERS, THE TEEN MAZE IS A LIFE-SIZED INTERACTIVE GAME THAT STUDENTS ADVANCE THROUGH BY CHANCE. THE TEEN MAZE IS AN EXPERIENTIAL LEARNING EVENT. THE GOAL OF THE EFFORT IS TO HELP STUDENTS REALIZE THE IMPACT OF MAKING GOOD CHOICES. STUDENTS HAVE NO CONTROL OF THEIR CHOICES DURING THE MAZE, AND ARE PRESENTED CONSEQUENCES OF CHOICES RELATED TO SUBSTANCE ABUSE, UNPROTECTED SEX, TEEN PREGNANCY/PARENTING, FINANCIAL OBLIGATIONS, DATE VIOLENCE, DRINKING/TEXTING AND DRIVING, CRIMINAL ACTIVITY, ETC. THE OVERALL MESSAGE IS THAT MAKING GOOD CHOICES WILL SET STUDENTS ON A SUCCESSFUL PATH TO HIGH SCHOOL GRADUATION. STUDENTS WILL BE ENCOURAGED TO LEARN FROM THEIR PEERS EXPERIENCES IN THE MAZE AND TO DISCUSS THEIR OWN EXPERIENCES WITH THEIR PARENTS. MEDICATION ASSISTANCE CRISP REGIONAL IDENTIFIES PATIENTS DURING THEIR HOSPITAL STAY THAT CAN'T AFFORD THEIR MAINTENANCE AND DISCHARGE MEDICATIONS. ONCE THIS NEED IS DETERMINED, THE HOSPITAL OWNED RETAIL PHARMACY FILLS THESE MEDICATIONS AT NO COST TO THE PATIENT PRIOR TO DISCHARGE TO HELP ENSURE THAT ALL PATIENTS HAVE ACCESS TO THEIR REQUIRED MEDICATIONS TO KEEP THEM HEALTHY AND PREVENT A READMISSION. THE APPROXIMATE COST OF PROVIDING THESE MEDICATIONS WAS 10,000 IN THE 2023 FISCAL YEAR. |
| SCHEDULE H, PART VI, LINE 6 | THE HOSPITAL AUTHORITY OF CRISP COUNTY (AUTHORITY) REORGANIZED AND ESTABLISHED CRISP REGIONAL HEALTH SERVICES, INC. AS THE CONTROLLING COMPANY OF CRISP REGIONAL HOSPITAL, INC., CRISP REGIONAL DEVELOPMENT FOUNDATION, INC., AND CRISP MEDICAL SERVICES, INC. CRISP REGIONAL HOSPITAL, INC. AND CRISP REGIONAL DEVELOPMENT FOUNDATION, INC. ARE NOT-FOR-PROFIT CORPORATIONS. CRISP REGIONAL HOSPITAL, INC. OPERATES CRISP REGIONAL HOSPITAL (ACUTE CARE HOSPITAL), CRISP REGIONAL NURSING AND REHABILITATION CENTER (SKILLED NURSING FACILITY), CARESOUTH OF CRISP REGIONAL HOSPITAL (HOME HEALTH AGENCY), BLACKSHEAR RETIREMENT VILLA (A RETIREMENT FACILITY), AND CORDELE HEALTH AND REHABILITATION CENTER, INC. (SKILLED NURSING FACILITY). IN ADDITION, CRISP REGIONAL HOSPITAL, INC. OPERATES VARIOUS HEALTH CLINICS AND PHYSICIAN PRACTICES. CRISP MEDICAL SERVICES, INC. IS A DORMANT FOR-PROFIT CORPORATION ORGANIZED TO CONDUCT TAXABLE ACTIVITIES. |
| SCHEDULE H, PART VI | PART I LINE 6A COMMUNITY BENEFIT REPORT THE ORGANIZATION DOES NOT HAVE A FORMALIZED WRITTEN COMMUNITY BENEFIT REPORTING PROCESS, BUT DOES PUBLICIZE A COMMUNITY BENEFIT REPORT. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| EMPLOYEE EDUCATION LOANS | 13 | $31,853 |
| PHYSICIAN EDUCATION LOANS | 23 | $198,213 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION OFFERS TO PROMOTE HEALTH CARE CAREERS FOR PEOPLE IN CRISP AND SURROUNDING COUNTIES BY PROVIDING SCHOLARSHIPS WITHIN CERTAIN GUIDELINES. EACH APPLICANT MUST PROVIDE A COMPLETED APPLICATION, SCHOOL TRANSCRIPTS, LETTER OF RECOMMENDATION, COMPLETION OF PREREQUISITES AND LETTER OF ACCEPTANCE TO A SPECIFIC PROGRAM, INTENT TO BECOME EMPLOYED BY THE ORGANIZATION, INTERVIEW BY APPROPRIATE VICE PRESIDENT, AND OBTAIN APPROVAL BY THE EDUCATIONAL LOAN REVIEW BOARD. REIMBURSEMENT FOR THE COST OF TUITION, BOOKS, AND REQUIRED COURSE MATERIALS PER SEMESTER WILL BE GIVEN FOR A CURRENT GPA OF 2.0 OR BETTER. A REIMBURSEMENT REQUEST INCLUDING EVIDENCE OF ACTUAL EXPENSES MUST BE SUBMITTED FOR APPROVAL. DEFAULT OF THE TERMS REQUIRES FULL OR PARTIAL PAYBACK OF THE SCHOLARSHIP FUNDS. AMOUNTS REPORTED REFLECT ASSISTANCE FORGIVEN BASED ON YEARS OF EMPLOYMENT PROVIDED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt |
|---|---|---|---|---|---|---|
| SAMYUKTA CHAVA MD | ||||||
| PHYSICIAN | $611,347 | $31,965 | $431 | $2,726 | $646,469 | |
| LYNN ALAN LYONS MD | ||||||
| PHYSICIAN | $593,863 | $1,610 | $35,568 | $631,041 | ||
| STEVE GAUTNEY | ||||||
| PRES/CEO | $486,710 | $10,793 | $32,445 | $554,948 | $25,000 | |
| VINCENT S CULPEPPER MD | ||||||
| PHYSICIAN | $493,162 | $1,236 | $35,568 | $529,966 | ||
| JAMES FORDYCE MD | ||||||
| PHYSICIAN | $488,410 | $16,664 | $806 | $16,388 | $522,268 | |
| JESSICA CARTER | ||||||
| CFO | $253,774 | $17,427 | $39,404 | $323,192 | $12,587 | |
| APRIL DUKES | ||||||
| VP PATIENT CARE SVC | $169,872 | $706 | $19,545 | $198,055 | $7,932 | |
| DAVID KICKER | ||||||
| VP | $139,961 | $1,509 | $18,759 | $160,229 | ||
| VICKIE TEEMER | ||||||
| VP HR | $151,062 | $441 | $1,612 | $159,351 | $6,236 | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 4 | FormAndLineReferenceDesc |
| Explanation | STEVE GAUTNEY 0 25,000 0 JESSICA CARTER 0 12,587 0 APRIL DUKES 0 7,932 0 VICKIE TEEMER 0 6,236 0 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL AUTH OF CRISP COUNTY GA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 586003098 | BondIssuerEIN |
| CUSIP | 226688DP1 | CUSIPNum |
| Bond Issued | 2021-09-01 | BondIssuedDt |
| Issue Price | $49,552,495 | IssuePriceAmt |
| Purpose | ISSUED FOR PURPOSES OF (I) FINANCING OR REFUNDING A PORTION OF THE COST OF ACQUISITION, CONSTRUCTION | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $834,538 | RetiredAmt |
| Total Proceeds | $49,552,495 | TotalProceedsAmt |
| Refunding Escrow | $22,874,970 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $677,524 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $3,770,077 | CapitalExpendituresAmt |
| Unspent | $22,229,923 | UnspentAmt |
| Refunding Tax Exempt Bonds | Yes (true) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | false | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PURPOSE OF ISSUE DESCRIPTION | FormAndLineReferenceDesc |
| Explanation | HOSPITAL AUTH OF CRISP COUNTY, GA ISSUED FOR PURPOSES OF (I) FINANCING OR REFUNDING A PORTION OF THE COST OF ACQUISITION, CONSTRUCTION, INSTALLATION AND EQUIPPING OF HOSPITAL AND RELATED FACILITIES OF THE CORPORATION, (II)REFUNDING THE SERIES 2013 AND 2015 CERTIFICATES, AND (III) PAYING ALL OR A PORTION OF THE COSTS OF ISSUANCE OF THE 2021 CERTIFICATES | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | ALL BOARD MEMBERS RECEIVE A COPY OF THE FORM 990 BEFORE IT IS FILED. IF ANY MEMBER HAS ANY CONCERNS, THEY MUST INFORM ADMINISTRATION. AN EXTENSIVE REVIEW IS PERFORMED BY MANAGEMENT. THE BOARD MEMBERS PERFORM ONLY A BASIC REVIEW OF THE RETURN PRIOR TO ITS FILING WITH THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CONFLICT OF INTEREST POLICY IS DIRECTED NOT ONLY TO DIRECTORS AND OFFICERS, BUT TO ALL EMPLOYEES WHO CAN INFLUENCE THE ACTIONS OF CRISP REGIONAL HOSPITAL, INC. A CONFLICTING INTEREST MAY BE DEFINED AS AN INTEREST, DIRECT OR INDIRECT, WITH ANY PERSONS OR FIRMS. IT IS THE POLICY OF THE BOARD THAT THE EXISTENCE OF ANY OF THE INTERESTS SHALL BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT SHALL BE THE CONTINUING RESPONSIBILITY OF THE BOARD, OFFICERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. DISCLOSURES OF CONFLICTS SHOULD BE MADE TO THE BOARD OR A COMMITTEE THEREOF, WHO WILL DETERMINE WHETHER A CONFLICT EXISTS, AND IN THE CASE OF AN EXISTING CONFLICT, DETERMINE APPROPRIATE ACTION. THE INDIVIDUAL WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTIONS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO. THE BOARD USES COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS AT SIMILARLY SIZED ORGANIZATIONS. THE GHA ANNUAL SALARY SURVEY AND OTHER DATA IS USED TO DETERMINE COMPENSATION FOR MANAGEMENT. THE DECISION IS DOCUMENTED BY THE BOARD. THIS PROCESS IS PERFORMED ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE CEO REVIEWS AND APPROVES THE COMPENSATION FOR THE CFO AND OTHER TOP OFFICERS. THE CEO USES COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS AT SIMILARLY SIZED ORGANIZATIONS. THE GHA ANNUAL SALARY SURVEY AND OTHER DATA IS ALSO UTILIZED. THIS PROCESS IS PERFORMED ANNUALLY. CRISP REGIONAL'S COMPENSATION PHILOSOPHY IS THE SAME FOR ALL OFFICERS AND EMPLOYEES - TO PROVIDE APPROPRIATE COMPENSATION TO EMPLOYEES BASED ON MARKET DRIVEN DATA AS WELL AS DEMAND WITHIN THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION WILL MAKE AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO ANY MEMBER OF THE PUBLIC WHO MAKES THEIR REQUEST AT THE ADMINISTRATIVE OFFICE OF THE FILING ENTITY. |
| FORM 990, PART IX, LINE 11G | SERVICE CONTRACTS 1,682,999 2,756,495 0 PHYSICIAN FEES 10,532,258 0 0 OTHER PURCHASED SERVICES 10,918,721 2,910,092 0 THERAPY CONTRACT FEES 1,431,563 0 0 LAUNDRY/LINEN SERVICES 549,412 261,602 0 CONSULTING FEES 960 0 0 COLLECTION AGENCIES 0 262,509 0 TOTAL 25,115,913 6,190,698 0 |
| FORM 990, PART XI, LINE 9 | UBI LOSSES FROM PASSTHROUGH K1S 3,505 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CRISP REGIONAL HEALTH SERVICE INC | |||||||||||
| 902 7TH STREET NORTH | CORDELE | GA | 310153234 | 582175975 | HOLDING CO | GA | 501C3 | 12B | NA | false | |
| CRISP REGIONAL HOSP DEV FNDN INC | |||||||||||
| 902 7TH STREET NORTH | CORDELE | GA | 310153234 | 582175978 | FOUNDATION | GA | 501C3 | 12A | CRH | Yes (true) | CRISP REGIONAL HOSPITAL |
| HOSPITAL AUTHORITY OF CRISP COUNTY | |||||||||||
| 902 7TH STREET NORTH | CORDELE | GA | 310153234 | 586003098 | AUTHORITY | GA | 501C3 | 6 | NA | false | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRISP HEALTHCARE ALLIANCE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5007 | AddressLine1Txt |
| City | CORDELE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 310105007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582307830 | EIN |
| Primary Activities | PURCHASING | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRH | BusinessNameLine1Txt |
| Business Name Line2 | CRISP REGIONAL HOSPITAL INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $13,131 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $806,276 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.82000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRISP MEDICAL SERVICES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 902 7TH STREET NORTH | AddressLine1Txt |
| City | CORDELE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 310153234 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582175987 | EIN |
| Primary Activities | DORMANT | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|
| CRISP REGIONAL HOSPITAL DEVELOPMENT | |
| D | BELOW THRESHOLD |
| CRISP REGIONAL HOSPITAL DEVELOPMENT | |
| M | BELOW THRESHOLD |
| CRISP REGIONAL HOSPITAL DEVELOPMENT | |
| N | AMOUNT INDETERMINABLE |
| CRISP REGIONAL HOSPITAL DEVELOPMENT | |
| O | AMOUNT INDETERMINABLE |
| CRISP REGIONAL HOSPITAL DEVELOPMENT | |
| Q | BELOW THRESHOLD |
| CRISP REGIONAL HOSPITAL DEVELOPMENT | |
| S | BELOW THRESHOLD |