COFFEE REGIONAL MEDICAL CENTER INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- COFFEE REGIONAL MEDICAL CENTER INC (EIN 65-0543088)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202313199349304746
- Schema version
- 2022v5.0
- 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 J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-15T09:12:37-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650543088 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COFFEE REGIONAL MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COFF | BusinessNameControlTxt |
| Phone | 9123841900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 OCILLA RD | AddressLine1Txt |
| City | DOUGLAS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31533 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VICKI LEWIS | PersonNm |
| Person Title | PRESIDENT AND CEO | PersonTitleTxt |
| Phone | 9123841900 | PhoneNum |
| Signature | 2023-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | VICKI | PersonFirstNm |
| Person Last | LEWIS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2023-11-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| 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 | VICKI LEWIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 OCILLA RD | AddressLine1Txt |
| City | DOUGLAS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31533 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $181,100,286 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COFFEEREGIONAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO BE A LEADING PROVIDER OF A COMPREHENSIVE RANGE OF HIGH-QUALITY, REASONABLY PRICED HEALTH CARE SERVICES IN COFFEE COUNTY, GEORGIA, AND THE SURROUNDING REGION. THESE HEALTH CARE SERVICES ARE PROVIDED TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1364 | TotalEmployeeCnt |
| Total Volunteers | 48 | TotalVolunteersCnt |
| Total Gross UBI | $69,400 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,090,533 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,805,673 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $167,965,029 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $163,500,869 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,312,403 | PYInvestmentIncomeAmt |
| CY Investment Income | $983,175 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,210,839 | PYOtherRevenueAmt |
| CY Other Revenue | $7,799,097 | CYOtherRevenueAmt |
| PY Total Revenue | $191,578,804 | PYTotalRevenueAmt |
| CY Total Revenue | $181,088,814 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $87,904,961 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $90,444,120 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $92,782,685 | PYOtherExpensesAmt |
| CY Other Expenses | $86,542,011 | CYOtherExpensesAmt |
| PY Total Expenses | $180,687,646 | PYTotalExpensesAmt |
| CY Total Expenses | $176,986,131 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,891,158 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,102,683 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $126,312,270 | TotalAssetsBOYAmt |
| Total Assets EOY | $128,105,070 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $88,429,089 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $89,244,762 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $37,883,181 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $38,860,308 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO BE A LEADING PROVIDER OF A COMPREHENSIVE RANGE OF HIGHQUALITY, REASONABLY PRICED HEALTH CARE SERVICES IN COFFEE COUNTY, GEORGIA, AND THE SURROUNDING REGION. THESE HEALTH CARE SERVICES ARE PROVIDED TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $157,904,501 | ExpenseAmt |
| Revenue | $167,975,867 | RevenueAmt |
| Desc | HOSPITAL SERVICES SHORT TERM CARE FOR INPATIENT AND OUTPATIENT SERVICES FOR DOUGLAS AND COFFEE COUNTY. COFFEE REGIONAL MEDICAL CENTER (CRMC) SERVED 4,904 PATIENTS FOR A TOTAL OF 17,769INPATIENT DAYS IN 2022. NURSERY DAYS WERE 1,076 IN 2022. COFFEE REGIONAL MEDICAL CENTER PROVIDED APPROXIMATELY $23,359,371 OF INDIGENT AND CHARITY SERVICES IN 2022. | Desc |
| Total Program Service Expenses | $157,904,501 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 109 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1364 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9123841900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 OCILLA RD | AddressLine1Txt |
| City | DOUGLAS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31533 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARLENE BALDREE | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JIM COTTINGHAM | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES DENNIS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ELLEN FITZGERALD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GRACE JAMES | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| CARL MCDONALD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| OSCAR PAULK | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| CHET ROYALS MD | |||||||||
| DIRECTOR/PHYSICIAN | 50.00 | Yes (X) | $687,245 | $0 | $13,368 | ||||
| SHANE SHOOK | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| ADAM SMITH | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| RUSS STORY | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSHUA VICKERS MD | |||||||||
| DIRECTOR/PHYSICIAN | 50.00 | Yes (X) | $753,811 | $0 | $11,527 | ||||
| WESLEY VICKERS | |||||||||
| DIRECTOR, NON VOTING | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| VICKI LEWIS | |||||||||
| PRESIDENT / CEO | 50.00 | $676,550 | $0 | $50,412 | 3.00 | Yes (X) | |||
| MARTIN HUTSON | |||||||||
| EXECUTIVE VP / CFO | 50.00 | $309,313 | $0 | $5,772 | 1.00 | Yes (X) | |||
| SHERRY THOMAS | |||||||||
| EXECUTIVE VP / SENIOR RISK MANAGER | 50.00 | $279,807 | $0 | $7,137 | 1.00 | Yes (X) | |||
| LAVONDA CRAVEY | |||||||||
| VP OF REVENUE | 50.00 | $228,768 | $0 | $5,028 | 2.00 | Yes (X) | |||
| BENNETT FLOYD | |||||||||
| VP OF OPERATIONS | 50.00 | $242,342 | $0 | $9,450 | Yes (X) | ||||
| SUE LANE HUGHES | |||||||||
| VP OF NURSING SERVICES / CNO | 50.00 | $252,599 | $0 | $2,826 | 2.00 | Yes (X) | |||
| PEGGY KIRKLAND | |||||||||
| EXECUTIVE VP OF HR | 50.00 | $241,887 | $0 | $4,880 | Yes (X) | ||||
| JERRY WEST | |||||||||
| VP OF QUALITY & PATIENT EXPERIENCE | 50.00 | $151,395 | $0 | $1,457 | Yes (X) | ||||
| HEWITT SIMS | |||||||||
| ORTHOPEDIC PHYSICIAN | 50.00 | $1,128,732 | $0 | $7,045 | Yes (X) | ||||
| ERIC ANDERSON | |||||||||
| ONCOLOGY PHYSICIAN | 50.00 | $738,739 | $0 | $6,810 | Yes (X) | ||||
| GLENN EVANS SR | |||||||||
| CARDIOLOGY PHYSICIAN | 50.00 | $779,814 | $0 | $7,185 | Yes (X) | ||||
| THOMAS WEHMANN | |||||||||
| SURGICAL PHYSICIAN | 50.00 | $843,276 | $0 | $6,904 | Yes (X) | ||||
| JOEL FERREE | |||||||||
| CARDIOLOGY PHYSICIAN | 50.00 | $676,002 | $0 | $6,960 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,990,280 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $146,761 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 125 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COFFEE COUNTY HOSPITALIST PHYSICIANS LL | |||||
| PO BOX 2546 | DOUGLAS | GA | 31533 | STAFFING SERVICES | $2,784,553 |
| PARRISH CONSTRUCTION GROUP | |||||
| 221 INDUSTRIAL PARK DRIVE | PERRY | GA | 31069 | CONSTRUCTION CONTRACTOR | $2,283,226 |
| HEALTHCARE WORKFORCE LOGISTICS LLC | |||||
| PO BOX 860573 | MINNEAPOLIS | MN | 55486 | STAFFING SERVICES | $1,935,122 |
| REHABILITATION SPECIALISTS | |||||
| 169 MEADOWLARK LANE | FITZGERALD | GA | 31750 | PHYSICAL THERAPY SERVICES | $1,092,414 |
| OTAS LLC | |||||
| 1060 WOODS ROAD | WAYCROSS | GA | 31501 | CONTRACT PHYSICIAN SERVICES | $571,162 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 24 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,140,082 | GovernmentGrantsAmt |
| All Other Contributions | $2,665,591 | AllOtherContributionsAmt |
| Total Contributions | $8,805,673 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $163,500,869 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $163,431,469 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $69,400 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $163,500,869 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $994,647 | TotalRevenueColumnAmt |
| Exclusion | $994,647 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $302,082 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $302,082 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $302,082 | TotalRevenueColumnAmt |
| Exclusion | $302,082 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,472 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$11,472 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$11,472 | TotalRevenueColumnAmt |
| Exclusion | -$11,472 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PHARMACY REVENUE | 621990 | $3,426,537 | $3,426,537 | |
| UNEARNED PREMIUM | 900099 | $2,141,086 | $2,141,086 | |
| OTHER OPERATING INCOME | 900099 | $1,117,861 | $1,117,861 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $811,531 | TotalRevenueColumnAmt |
| Exclusion | $811,531 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,497,015 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $181,088,814 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $167,975,867 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $69,400 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,237,874 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,921,178 | TotalAmt |
| Program Services | $3,564,707 | ProgramServicesAmt |
| Management And General | $356,471 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,840 | TotalAmt |
| Program Services | $246,456 | ProgramServicesAmt |
| Management And General | $27,384 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,782,349 | TotalAmt |
| Program Services | $58,268,467 | ProgramServicesAmt |
| Management And General | $6,513,882 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $680,966 | TotalAmt |
| Program Services | $612,869 | ProgramServicesAmt |
| Management And General | $68,097 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,244,941 | TotalAmt |
| Program Services | $14,620,447 | ProgramServicesAmt |
| Management And General | $1,624,494 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,540,846 | TotalAmt |
| Program Services | $4,086,761 | ProgramServicesAmt |
| Management And General | $454,085 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,573 | TotalAmt |
| Management And General | $179,573 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,430 | TotalAmt |
| Management And General | $292,430 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,846 | TotalAmt |
| Management And General | $257,846 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,691 | TotalAmt |
| Management And General | $27,691 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,502 | TotalAmt |
| Management And General | $26,502 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,227,110 | TotalAmt |
| Program Services | $13,003,841 | ProgramServicesAmt |
| Management And General | $3,223,269 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,904 | TotalAmt |
| Program Services | $86,023 | ProgramServicesAmt |
| Management And General | $215,881 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,562,851 | TotalAmt |
| Program Services | $3,099,680 | ProgramServicesAmt |
| Management And General | $463,171 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,852,282 | TotalAmt |
| Program Services | $2,481,485 | ProgramServicesAmt |
| Management And General | $370,797 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,522 | TotalAmt |
| Program Services | $122,608 | ProgramServicesAmt |
| Management And General | $26,914 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,983 | TotalAmt |
| Program Services | $149,364 | ProgramServicesAmt |
| Management And General | $4,619 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,256,312 | TotalAmt |
| Program Services | $1,256,312 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,315,322 | TotalAmt |
| Program Services | $3,754,330 | ProgramServicesAmt |
| Management And General | $560,992 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,623,442 | TotalAmt |
| Program Services | $445,985 | ProgramServicesAmt |
| Management And General | $2,177,457 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| UNRELATED BUSINESS INCO | $13,944 | $13,944 | |
| SUPPLIES | $20,238,456 | $20,238,456 | |
| BAD DEBT | $19,247,771 | $19,247,771 | |
| DEVELOPMENT | $6,986,600 | $6,986,600 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,828,470 | TotalAmt |
| Program Services | $5,632,339 | ProgramServicesAmt |
| Management And General | $2,196,131 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,986,131 | TotalAmt |
| Program Services | $157,904,501 | ProgramServicesAmt |
| Management And General | $19,081,630 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,697,185 | BOYAmt |
| EOY | $11,330,360 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,700,257 | BOYAmt |
| EOY | $13,799,128 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,620,224 | BOYAmt |
| EOY | $3,109,527 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $769,054 | BOYAmt |
| EOY | $835,885 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $117,918,965 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $92,674,587 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,470,748 | BOYAmt |
| EOY | $25,244,378 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,278,415 | BOYAmt |
| EOY | $16,474,408 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,960,902 | BOYAmt |
| EOY | $16,589,132 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,815,485 | BOYAmt |
| EOY | $40,722,252 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,312,270 | BOYAmt |
| EOY | $128,105,070 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,141,015 | BOYAmt |
| EOY | $31,070,139 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,140,082 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,748,419 | BOYAmt |
| EOY | $21,485,562 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $859,426 | BOYAmt |
| EOY | $1,012,414 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,540,147 | BOYAmt |
| EOY | $35,676,647 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,429,089 | BOYAmt |
| EOY | $89,244,762 | 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 | $37,585,460 | BOYAmt |
| EOY | $38,639,465 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,721 | BOYAmt |
| EOY | $220,843 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,883,181 | BOYAmt |
| EOY | $38,860,308 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,312,270 | BOYAmt |
| EOY | $128,105,070 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,102,683 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,125,556 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $19,501 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $19,501 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PORTION OF THE ANNUAL DUES PAID TO THE GEORGIA HOSPITAL ASSOCIATION AND THE GEORGIA ALLIANCE OF COMMUNITY HOSPITALS ARE ALLOCATED AS LOBBYING EXPENDITURES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $883,014 | OtherCostOrOtherBasisAmt |
| Book Value | $883,014 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $80,968,987 | OtherCostOrOtherBasisAmt |
| Depreciation | $67,378,444 | DepreciationAmt |
| Book Value | $13,590,543 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,590,856 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,448,898 | DepreciationAmt |
| Book Value | $141,958 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,397,633 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,847,245 | DepreciationAmt |
| Book Value | $8,550,388 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,078,475 | OtherCostOrOtherBasisAmt |
| Book Value | $2,078,475 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,244,378 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INVESTMENTS | Desc |
| Book Value | $16,589,132 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $16,589,132 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED PARTIES | $32,373,200 |
| RIGHT OF USE ASSETS - LEASES | $4,292,199 |
| OTHER ASSETS | $4,056,853 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $40,722,252 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTIES | $32,468,215 |
| OPERATING LEASE LIABILITY | $1,380,883 |
| FINANCE LEASE LIABILITY | $1,814,659 |
| MEDICARE ADVANCE PAYMENT LIABILITY | $12,890 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $35,676,647 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | CRH HEALTH CARE, INC. AND CRH HEALTH SERVICES, INC. ARE EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES ON QUALIFYING ACTIVITIES HAS BEEN MADE FOR THESE ENTITIES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. HOWEVER, CERTAIN ENTITIES AND OPERATIONS ARE SUBJECT TO INCOME TAXES. ORTHOPEDIC SURGEONS OF GEORGIA, LLC, EMERGENCY PHYSICIANS OF COFFEE COUNTY, LLC, AND COFFEE COUNTY OPEN ARMS CLINIC, LLC, ARE LIMITED LIABILITY COMPANIES AND TREATED AS PASS THROUGH ENTITIES FOR TAX PURPOSES. CRH VENTURES, INC. AND SOUTHEASTERN MANAGED CARE, INC. ARE TAXABLE ENTITIES AND ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. CRH VENTURES, INC. AND SOUTHEASTERN MANAGED CARE, INC. FILE SEPARATE FEDERAL AND STATE INCOME TAX RETURNS, AND THE TAXABLE AMOUNTS ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. COFFEE REGIONAL MEDICAL CENTER SEGREGATED PORTFOLIO IS AN EXEMPTED SEGREGATED PORTFOLIO COMPANY THAT WAS INCORPORATED UNDER THE PROVISIONS OF THE COMPANIES LAW OF THE CAYMAN ISLANDS AND HAS RECEIVED AN UNDERTAKING FROM THE CAYMAN ISLANDS GOVERNMENT EXEMPTING IT FROM ALL LOCAL INCOME, PROFITS, AND CAPITAL GAINS TAXES. THE SYSTEM APPLIES 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, THE SYSTEM ONLY RECOGNIZES THE 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 RECOGNIZED FOR THE 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 THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2022 AND 2021 OR FOR THE YEARS THEN ENDED. THE SYSTEM'S 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 OF THOSE RETURNS. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | RegionTxt |
| Offices | 1 | OfficesCnt |
| Employee | 1 | EmployeeCnt |
| Type Of Activities Conducted | INVESTMENTS | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $7,253,129 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 1 | SubtotalOfficesCnt |
| Subtotal Employees | 1 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 1 | TotalOfficeCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Subtotal Spent | $7,253,129 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $7,253,129 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III ACCOUNTING METHOD: | FormAndLineReferenceDesc |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,207,178 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,017,088 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,190,090 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01390 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,232,844 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,705,107 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $527,737 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,440,022 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,722,195 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,717,827 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01720 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,626 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $61,626 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $250,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $250,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $311,626 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $311,626 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,751,648 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,722,195 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,029,453 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01920 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 4 | PersonsServedCnt |
| Total Community Benefit Expns | $8,760 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 4 | PersonsServedCnt |
| Total Community Benefit Expns | $8,760 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $19,247,771 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $15,458,928 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $18,371,467 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,349,109 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $22,358 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| 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 | COFFEE REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 OCILLA ROAD PO BOX 1287 | AddressLine1Txt |
| City | DOUGLAS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31533 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 034-490 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | PHYSICIAN OFFICES, RURAL HEALTH CLINIC | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COFFEE REGIONAL MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.COFFEEREGIONAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.COFFEEREGIONAL.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | 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 |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | 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 (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.COFFEEREGIONAL.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.COFFEEREGIONAL.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.COFFEEREGIONAL.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 (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COFFEE REGIONAL MEDICAL CENTER INC | PART V, SECTION B, LINE 5: WE, ALONG WITH PYA, DEVELOPED SURVEYS THAT WERE SENT OUT TO ALL COMMUNITY MEMBERS. WE REACHED OUT TO INDEPENDENT MEDICAL PROFESSIONALS AS WELL AS INDIVIDUALS WITH THE LOCAL HEALTH DEPARTMENT . |
| COFFEE REGIONAL MEDICAL CENTER INC | PART V, SECTION B, LINE 6A: INDIRECTLY, MOST NOTABLY THE RELATIONSHIP WITH COMMUNITY BUSINESSES INVOLVING THE DELIVERY OF HEALTHCARE AND CRMC'S CRITICAL ACCESS PARTNER HOSPITALS. |
| COFFEE REGIONAL MEDICAL CENTER INC | PART V, SECTION B, LINE 11: CRMC HAS PREVIOUSLY AND CONTINUES TO IMPLEMENT AND INCORPORATE STRATEGIC INITIATIVES TO ADDRESS AREA IDENTIFIES IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AS WELL AS ON-GOING FEEDBACK FROM OUR MEDICAL STAFF, OUR PATIENTS, OUR COMMUNITY AND OUR BUSINESS PARTNERS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 20 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - BARIATRIC AND METABOLIC CENTER | ||||
| 100 DOCTORS DRIVE SUITE B | DOUGLAS | GA | 31533 | SPECIALTY PHYSICIAN FACILITY |
| 2 - CRH SURGICAL GROUP | ||||
| 100 DOCTORS DRIVE SUITE C | DOUGLAS | GA | 31533 | PHYSICIAN OFFICE |
| 3 - CRH FAMILY MEDICINE GROUP (TANNER) | ||||
| 100 DOCTORS DRIVE SUITE G | DOUGLAS | GA | 31533 | FAMILY MEDICINE OFFICE |
| 4 - CRMC WELLNESS CENTER & CARDIAC REHAB | ||||
| 200 DOCTORS DRIVE SUITE R | DOUGLAS | GA | 31533 | REHABILITATION FACILITY |
| 5 - CRH WOMEN'S CENTER | ||||
| 2010 OCILLA ROAD | DOUGLAS | GA | 31533 | SPECIALTY PHYSICIAN FACILITY |
| 6 - CRMC ADVANCED WOUND CARE & HYPERBARICS | ||||
| 304 WESTSIDE DRIVE | DOUGLAS | GA | 31533 | REHABILITATION FACILITY |
| 7 - CRH UROLOGY CLINIC | ||||
| 2007 OCILLA ROAD | DOUGLAS | GA | 31533 | SPECIALTY PHYSICIAN FACILITY |
| 8 - COFFEE REGIONAL FIRST CARE | ||||
| 1301 SOUTH PETERSON AVENUE | DOUGLAS | GA | 31533 | URGENT CARE |
| 9 - CRMC OUTPATIENT IMAGING | ||||
| 190 WESTSIDE DRIVE D | DOUGLAS | GA | 31533 | MEDICAL IMAGING FACILITY |
| 10 - CRH PAIN MEDICINE GROUP | ||||
| 100 DOCTORS DRIVE SUITE A | DOUGLAS | GA | 31533 | REHABILITATION FACILITY |
| 11 - CRMC REHABILITATION SERVICES | ||||
| 100 DOCTORS DRIVE SUITE E | DOUGLAS | GA | 31533 | REHABILITATION FACILITY |
| 12 - CRH FAMILY MEDICINE GROUP | ||||
| 100 DOCTORS DRIVE SUITE F | DOUGLAS | GA | 31533 | FAMILY MEDICINE OFFICE |
| 13 - ORTHOPEDIC SURGEONS OF GEORGIA | ||||
| 100 DOCTORS DRIVE SUITE I | DOUGLAS | GA | 31533 | PHYSICIAN OFFICE |
| 14 - CRH PEDIATRIC GROUP | ||||
| 200 DOCTORS DRIVE SUITE P | DOUGLAS | GA | 31533 | SPECIALTY PHYSICIAN FACILITY |
| 15 - CRH CARDIOLOGY GROUP | ||||
| 1305 OCILLA ROAD | DOUGLAS | GA | 31533 | SPECIALTY PHYSICIAN FACILITY |
| 16 - CRH INDUSTRIAL MEDICINE | ||||
| 205 SHIRLEY AVENUE | DOUGLAS | GA | 31533 | REHABILITATION FACILITY |
| 17 - CRH FAMILY MEDICINE GROUP | ||||
| 200 DOCTORS DRIVE SUITE K | DOUGLAS | GA | 31533 | FAMILY MEDICINE OFFICE |
| 18 - CRH MEDICAL SPECIALTY GROUP | ||||
| 200 DOCTORS DRIVE SUITE S | DOUGLAS | GA | 31533 | SPECIALTY PHYSICIAN FACILITY |
| 19 - CRH ONCOLOGY GROUP | ||||
| 903 WEST WARD STREET B | DOUGLAS | GA | 31533 | SPECIALTY PHYSICIAN FACILITY |
| 20 - COFFEE COUNTY OPEN ARMS CLINIC LLC | ||||
| 508 SPRING STREET | DOUGLAS | GA | 31533 | MEDICAL CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LN 7 COL(F): | THERE IS $19,247,771WAS REMOVED IN THE CALCULATION OF THE PERCENT OF TOTAL EXPENSE ON SCHEDULE H LINE 7F. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | 2022 CRMC OUTREACH ACTIVITIESCOFFEE REGIONAL MEDICAL CENTER TAKES GREAT PRIDE IN PROVIDING VARIOUS OUTREACH AND EDUCATIONAL ACTIVITIES FOR OUR SERVICE AREA TO HELP SUPPORT OUR MISSION "TO PROVIDE EXCEPTIONAL CARE AND WELLNESS CLOSE TO HOME". BELOW ARE THE EVENTS WE HOSTED IN 2022.ONCOLOGY PATIENT FINANCIAL ASSISTANCE (PEGGY KIRKLAND)CRMC'S CANCER PATIENTS HAVE REPORTED ECONOMIC HARDSHIP WHEN FACED WITH THE HIGH TREATMENT COSTS. THIS FINANCIAL BURDEN OFTEN RESULTS IN A BARRIER TO QUALITY CARE (I.E., PATIENTS CHOOSING NOT TO RECEIVE PRESCRIBED THERAPIES). UNFORTUNATELY, CANCER MEDICATIONS ARE RISING AT TWO TO THREE TIMES OTHER HEALTHCARE COSTS. FOR EXAMPLE, NEW CANCER THERAPIES CAN COST MORE THAN $60,000 PER MONTH AND $10,000 ON AVERAGE. EVEN WITH HEALTH INSURANCE, PATIENTS CAN'T AFFORD THE OUT-OF-POCKET COSTS. REALIZING THIS, CRMC PARTNERED WITH QUALIFY HEALTH TO FACILITATE PATIENT FINANCIAL ASSISTANCE. THIS NEW SERVICE OFFERED BY CRMC IN 2022 RESULTED IN 122 PATIENTS RECEIVING FINANCIAL ASSISTANCE TOTALING $350,783. THIS TOTAL CAN BE BROKEN DOWN AS $31,889 IN MEDICATION CO-PAY CARDS, $197,220 FREE MEDICATIONS, AND $121,674 IN FOUNDATION ASSISTANCE VIA GRANTS. CRMC PAID 10% OF THE TOTAL FINANCIAL ASSISTANCE TOTALING $35,078. COMMUNITY HEALTH AND WELLNESS FAIR (DANNY MCCARTY)THE ANNUAL COMMUNITY HEALTH & WELLNESS FAIR WAS HELD OCTOBER 8, 2022 AT COFFEE REGIONAL MEDICAL CENTER'S MAIN CAMPUS, WITH OVER 350 COMMUNITY MEMBERS VISITING THE FAIR THAT DAY. CRMC STAFF, ALONG WITH OUTSIDE VENDORS, PROVIDED FREE SCREENINGS ON BLOOD PRESSURE, SUGAR LEVELS, HEART RATE, OXYGEN RATE AND RESPIRATORY WELLNESS. EDUCATIONAL MATERIAL RELATED TO CANCER, STROKE, HEART DISEASE, DIABETES TREATMENT AND PREVENTION, FIRE AND HOME SAFETY, NUTRITION AND ELDERLY SUPPORT WAS PROVIDED TO PARTICIPANTS. IN ADDITION, BIOCHEMICAL BLOOD PROFILES WERE OFFERED BY CRMC'S LAB TO PARTICIPANTS AT A REDUCED FEE OF $40. THE NORMAL COST FOR THESE TESTS IS $800, WHICH RESULTED IN A SAVINGS TO THE COMMUNITY OF $108,000. HEART 2 HEART RUN EVENT (DANNY MCCARTY) COFFEE REGIONAL'S ANNUAL HEART 2 HEART 5K RUN/FUN WALK WAS HELD A GENERAL COFFEE STATE PARK ON FEBRUARY 26, 2022. THE FOCUS OF THIS EVENT WAS TO RAISE AWARENESS OF HEART DISEASE. THE EVENT INCLUDED A FUN RUN, 1.5 MILE WALK, 5K RACE AND 10K RACE, ALONG WITH ARTS, CRAFTS AND GAMES. OVER 220 COMMUNITY RESIDENTS ATTENDED THE EVENT. PARTICIPANT REGISTRATION FEES FOR THE EVENT GENERATED $10,200, WHICH WILL BE USED TO ASSIST PATIENTS, MANY OF WHOM ARE UNINSURED, WITH THE COST OF REHABILITATIVE TREATMENTS AFTER A CARDIAC EVENT.APPROXIMATELY 36 CRMC EMPLOYEES ASSISTED WITH PREPARATION AND HOSTING OF THE EVENT, WHICH REQUIRED OVER 80-MAN HOURS OF WORK. THE ESTIMATED COST TO CRMC FOR HOSTING THIS EVENT WAS $3,500. VOLUNTEERS FROM THE COMMUNITY AND SEVERAL SCHOOL CLUBS ALSO ASSISTED WITH HOSTING THE EVENT.WEAR RED CAMPAIGN (DANNY MCCARTY)CRMC'S ANNUAL WEAR RED CAMPAIGN TOOK PLACE DURING FEBRUARY, WHICH IS RECOGNIZED AS HEART DISEASE AWARENESS MONTH. THE WEAR RED CAMPAIGN CONSISTED OF T-SHIRT SALES AND A VALENTINE RAFFLE. THESE EVENTS ARE DESIGNED TO RAISE AWARENESS OF HEART DISEASE AND PREVENTION. THESE FUNDRAISER SALES GENERATED APPROXIMATELY $6,800, WHICH WILL BE USED TO ASSIST PATIENTS, MANY OF WHOM ARE UNINSURED, WITH THE COST OF REHABILITATIVE TREATMENTS AFTER SUFFERING A CARDIAC EVENT. THE CAMPAIGN ENDED ON THE LAST DAY OF THE MONTH WHEN CRMC EMPLOYEES AND COMMUNITY MEMBERS WERE ENCOURAGED TO WEAR RED IN RECOGNITION OF HEART DISEASE AND PREVENTION. MULTIPLE COMMUNITY PARTNERS JOINED TO DONATE GIVEAWAYS FOR THE RAFFLE. OPEN ARMS CLINIC (SUE LANE HUGHES)THE OPEN ARMS CLINIC IS AN OUTREACH PROJECT OF COFFEE REGIONAL MEDICAL CENTER, THE GOAL OF WHICH IS TO REDUCE HEALTH DISPARITIES WITHIN OUR COMMUNITY. THE CLINIC SERVES UNINSURED PATIENTS WHO RESIDE IN COFFEE OR ATKINSON COUNTY AND HAVE NON-EMERGENT HEALTHCARE NEEDS. ONE GOAL OF THE OPEN ARMS CLINIC IS THE PREVENTION OF CHRONIC DISEASE THROUGH THE TREATMENT OF ILLNESSES SUCH AS HYPERTENSION, DIABETES, AND HEART DISEASE. DURING 2022, THE CLINIC TREATED 215 PATIENTS. ACTUAL NON-SALARY EXPENSES OF OPERATING THE CLINIC WERE APPROXIMATELY $2,228. PHYSICIANS AND SUPPORT STAFF DONATE THEIR TIME TO THE CLINIC.PROJECT SEARCH (WALDA KIGHT & SHANNA OVERSTREET AT COFFEE COUNTY SCHOOL SYSTEM)PROJECT SEARCH IS A SCHOOL-TO-WORK TRANSITION PROGRAM SERVING STUDENTS WITH SIGNIFICANT INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. THE PROJECT SEARCH PROGRAM AT COFFEE HIGH SCHOOL, IN CONJUNCTION WITH COFFEE REGIONAL MEDICAL CENTER, HAS BEEN HELPING YOUNG PEOPLE WITH SIGNIFICANT DISABILITIES FIND FULFILLMENT, LEARN NEW SKILLS, AND GAIN EMPLOYMENT SINCE AUGUST 2008. THE PROGRAM TAKES PLACE ENTIRELY AT THE WORKPLACE AND THE GOAL FOR EACH PROGRAM PARTICIPANT IS COMPETITIVE EMPLOYMENT. TO REACH THAT GOAL, THE PROGRAM PROVIDES REAL-LIFE WORK EXPERIENCE COMBINED WITH TRAINING IN EMPLOYABILITY AND INDEPENDENT-LIVING SKILLS TO HELP THE PARTICIPANTS MAKE SUCCESSFUL TRANSITIONS TO PRODUCTIVE ADULT LIFE. THE PROJECT SEARCH MODEL INVOLVES AN EXTENSIVE PERIOD OF SKILLS TRAINING AND CAREER EXPLORATION, INNOVATIVE ADAPTATIONS, LONG-TERM JOB COACHING, AND CONTINUOUS FEEDBACK FROM TEACHERS, SKILLS TRAINERS, AND EMPLOYERS. AS A RESULT, AT THE COMPLETION OF THE TRAINING PROGRAM, STUDENTS WITH SIGNIFICANT INTELLECTUAL DISABILITIES ARE EMPLOYED IN NONTRADITIONAL, COMPLEX AND REWARDING JOBS. DURING THE 2021-2022 SCHOOL TERM, THE PROJECT SEARCH PROGRAM AT COFFEE REGIONAL MEDICAL CENTER HAD 4 PARTICIPANTS. VARIOUS DEPARTMENTS WITHIN THE HOSPITAL PROVIDED TRAINING OPPORTUNITIES TO THE PARTICIPANTS INCLUDING DIETARY, ENVIRONMENTAL, ENGINEERING, PATIENT ACCESS, AND MATERIALS MANAGEMENT. EACH PARTICIPANT SPENT 10 WEEKS IN THEIR GIVEN DEPARTMENT, THEN ROTATED TO A NEW DEPARTMENT. DURING THIS TIME, PARTICIPANTS WERE TAUGHT MANY SKILLS WHILE WORKING WITH A MENTOR IN EACH DEPARTMENT. EACH YEAR CRMC DONATES CLASSROOM SPACE FOR THE PROGRAM, ONE MEAL A DAY TO BOTH PARTICIPANTS AND INSTRUCTORS AND APPROXIMATELY 60 CRMC STAFF HOURS OF TRAINING, MENTORING AND EDUCATION. THE TOTAL ESTIMATED COST FOR THESE SERVICES IS APPROXIMATELY $12,360 ANNUALLY.SCHOOL SPORTS PHYSICALS (CARRIE MINCHEW)ATHLETIC PHYSICALS ARE REQUIRED BY BOTH THE GEORGIA HIGH SCHOOL ASSOCIATION AND THE GEORGIA INDEPENDENT SCHOOL ASSOCIATION FOR STUDENTS PARTICIPATING IN SCHOOL ATHLETIC PROGRAMS. EACH YEAR COFFEE REGIONAL MEDICAL CENTER PROVIDES SPORTS PHYSICALS TO LOCAL SCHOOL STUDENTS PLANNING TO PARTICIPATE IN INTERSCHOLASTIC SPORTS AT NO COST. ON 04/21/2022, COFFEE REGIONAL PROVIDED 610 SPORTS PHYSICALS, AT NO COST, TO LOCAL AREA STUDENTS. THE PHYSICALS EVENT WAS STAFFED BY 9 HEALTHCARE PROVIDERS AND 21 NURSES AND STAFF MEMBERS. SPORTS PHYSICALS NORMALLY COST $32, BUT WERE PERFORMED FREE OF CHARGE THROUGH THIS PROGRAM, RESULTING IN A COST SAVINGS TO THE COMMUNITY OF $19,520. APPROXIMATELY 180 MAN-HOURS WERE REQUIRED TO HOST THIS EVENT, RESULTING IN A TOTAL PERSONNEL & SUPPLIES COST TO COFFEE REGIONAL OF APPROXIMATELY $8,600.SIDLEINE SERVICE (ANDY SMITH)CRMC PROVIDES SIDELINE EMERGENCY MEDICAL SERVICES FOR EACH VARSITY HIGH SCHOOL FOOTBALL GAME FOR THE COFFEE COUNTY SCHOOL SYSTEM. A FULLY EQUIPPED AMBULANCE STAFFED BY AN EMT AND A PARAMEDIC ARE PROVIDED FREE OF CHARGE FOR EACH HOME GAME. THE ESTIMATED COST OF THIS SERVICE TO CRMC IS APPROXIMATELY $100/HOUR ESTIMATING A TOTAL EXPENSE OF $1,500.GRADUATION CEREMONY (ANDY SMITH)CRMC PROVIDES EMERGENCY MEDICAL SERVICES FOR THE HIGH SCHOOL GRADUATION CEREMONY FOR THE COFFEE COUNTY SCHOOL SYSTEM. A FULLY EQUIPPED AMBULANCE STAFFED BY AN EMT AND A PARAMEDIC ARE PROVIDED FREE OF CHARGE FOR THIS CEREMONY. THE ESTIMATED COST OF THIS SERVICE TO CRMC IS APPROXIMATELY $100/HOUR ESTIMATING A TOTAL EXPENSE OF $300.BREAST CANCER SCREENINGS (KELLI DELK)THE CRH ONCOLOGY GROUP SPONSORS A BREAST CANCER SCREENING EVENT EACH YEAR WITH THE GOAL OF PROMOTING AWARENESS OF BREAST CANCER AND THE IMPORTANCE OF EARLY DETECTION. IN 2022, TWO SESSIONS OF THE BREAST CANCER SCREENING EVENT WERE HELD. PARTICIPANTS WERE PROVIDED EDUCATIONAL INFORMATION ON DETECTING A LUMP AND OVERALL BREAST HEALTH. THE EVENT WAS PROMOTED THROUGH VARIOUS MARKETING EFFORTS AND FLYERS AS WELL AS SOCIAL MEDIA TO ENCOURAGE WOMEN, ESPECIALLY THOSE WITHOUT INSURANCE TO PARTICIPATE AND RECEIVE A FREE SCREENING. FIVE CRMC HEALTHCARE PROVIDERS AND 16 STAFF MEMBERS WORKED THE EVENT. IN ADDITION, CRMC MAMMOGRAPHY, COFFEE COUNTY HEALTH DEPARTMENT, CRMC AUXILIARY AND THE LOCAL BEST SIGMA PHI ORGANIZATION PROVIDED SUPPORT FOR THE EVENT AND RESOURCES TO THE PARTICIPANTS.A TOTAL OF 32 COMMUNITY RESIDENTS TOOK ADVANTAGE OF THIS OPPORTUNITY AND RECEIVED A FREE BREAST CANCER SCREENING. THE VALUE OF THOSE FREE SCREENINGS TO THE COMMUNITY WAS $4,800. THE COST TO CRMC FOR SPONSORING THIS YEAR'S EVENT WAS APPROXIMATELY $3,000 AND REPRESENTED APPROXIMATELY 62-MAN HOURS. |
| PART III, LINE 2: | AMOUNTS ON PART III, LINES 2 AND 3 REPRESENT CHARGES WRITTEN OFF AS UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT AND WRITTEN OFF TO BAD DEBT EXPENSE. LINE 3 IS ESTIMATED AT 75% OF THE AMOUNT ON LINE 2. |
| PART III, LINE 3: | IMPLICIT PRICE CONCESSIONS FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE ARE ESTIMATED BASED ON HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT. FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM RECOGNIZES REVENUE ON THE BASIS OF ESTABLISHED RATES, DISCOUNTED ACCORDING TO POLICY FOR SERVICES RENDERED. HISTORICAL EXPERIENCE HAS SHOWN A SIGNIFICANT PROPORTION OF THE SYSTEM'S UNINSURED PATIENTS, IN ADDITION TO A GROWING PROPORTION OF THE SYSTEM'S INSURED PATIENTS, WILL BE UNABLE OR UNWILLING TO PAY FOR THEIR RESPONSIBLE AMOUNTS FOR THE SERVICES PROVIDED. IN ORDER TO ESTIMATE THE NET REALIZABLE VALUE OF THE REVENUES AND ACCOUNTS RECEIVABLE ASSOCIATED WITH THIRD-PARTY PAYORS AND UNINSURED PATIENTS, MANAGEMENT REGULARLY ASSESSES THEIR VALUATION BASED UPON BUSINESS AND ECONOMIC CONSIDERATIONS, TRENDS IN HEALTHCARE COVERAGE, HISTORICAL WRITE-OFF EXPERIENCE AND OTHER COLLECTION TRENDS. |
| PART III, LINE 4: | IMPLICIT PRICE CONCESSIONS FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE ARE ESTIMATED BASED ON HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT. FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM RECOGNIZES REVENUE ON THE BASIS OF ESTABLISHED RATES, DISCOUNTED ACCORDING TO POLICY FOR SERVICES RENDERED. HISTORICAL EXPERIENCE HAS SHOWN A SIGNIFICANT PROPORTION OF THE SYSTEM'S UNINSURED PATIENTS, IN ADDITION TO A GROWING PROPORTION OF THE SYSTEM'S INSURED PATIENTS, WILL BE UNABLE OR UNWILLING TO PAY FOR THEIR RESPONSIBLE AMOUNTS FOR THE SERVICES PROVIDED. IN ORDER TO ESTIMATE THE NET REALIZABLE VALUE OF THE REVENUES AND ACCOUNTS RECEIVABLE ASSOCIATED WITH THIRD-PARTY PAYORS AND UNINSURED PATIENTS, MANAGEMENT REGULARLY ASSESSES THEIR VALUATION BASED UPON BUSINESS AND ECONOMIC CONSIDERATIONS, TRENDS IN HEALTHCARE COVERAGE, HISTORICAL WRITE-OFF EXPERIENCE AND OTHER COLLECTION TRENDS. |
| 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. |
| PART III, LINE 9B: | THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES THAT QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS AGAINST THOSE BALANCES. |
| PART VI, LINE 2: | EVERY THREE YEARS, WE SURVEY KEY STAKEHOLDERS THROUGHOUT THE COMMUNITY AND DEVELOP STRATEGIC INITIATIVES FOCUSED ON THE RESPONSES. WE ALSO PERFORM MARKET SHARE ANALYSIS TO UNDERSTAND WHAT SERVICES OUT COMMUNITY IS SEEKING THAT WE CURRENTLY DO NOT OFFER, AND POTENTIALLY WHAT SERVICES THAT WE MAY BE ABLE TO OFFER, IN THE FUTURE. |
| PART VI, LINE 3: | THE FINANCIAL COUNSELING DEPARTMENT WILL PROVIDE INFORMATION AND APPLICATIONS TO ALL PATIENTS OR GUARANTORS SEEKING FINANCIAL ASSISTANCE FOR SERVICES RENDERED AT COFFEE REGIONAL MEDICAL CENTER THAT ARE DEEMED MEDICALLY NECESSARY. FINANCIAL COUNSELORS WILL DISCUSS ELIGIBILITY FOR MEDICAL ASSISTANCE PROGRAMS THROUGH THE DEPARTMENT OF FAMILY & CHILDREN SERVICES AND THE SOCIAL SECURITY ADMINISTRATION. IF ELIGIBILITY IS NOT MET FOR ANY MEDICAL ASSISTANCE PROGRAM, THE FINANCIAL COUNSELING DEPARTMENT WILL SEEK ELIGIBILITY THROUGH COFFEE REGIONAL MEDICAL CENTER'S INDIGENT CARE TRUST FUND PROGRAM. PATIENTS OR GUARANTORS REQUESTING FINANCIAL ASSISTANCE ARE REFERRED TO THE FINANCIAL COUNSELORS (FC) OR THE BENEFIT SPECIALISTS CONTACT THE PATIENT AT THE TIME OF REGISTRATION FOR OUTPATIENT SERVICES OR IN THE EMERGENCY DEPARTMENT (AFTER MEDICAL SCREENING HAS BEEN COMPLETED). THE FC WILL ALSO CONTACT AN INDIVIDUAL IF THERE IS A REQUEST FROM SOCIAL SERVICES, A PHYSICIAN OFFICE, OR THE PATIENT FINANCIAL SERVICES DEPARTMENT. PATIENTS ADMITTED FOR INPATIENT OR OBSERVATION SERVICES MAY BE VISITED BY THE FC AFTER THE PATIENT HAS BEEN PLACED IN A ROOM AND STABILIZED. THE FC WILL DISCUSS WITH THE PATIENT OR GUARANTOR THE INDIGENT CARE TRUST FUND PROGRAM REQUIREMENTS AND APPLICATION PROCESS. THE PATIENT OR GUARANTOR WILL BE REQUIRED TO COMPLETE AN INDIGENT APPLICATION, PROVIDE PROOF OF IDENTITY, PROVIDE BIRTH CERTIFICATES OR PROOF OF DEPENDENCY FOR CHILDREN WITH NO IDENTITY, AND PROVIDE VERIFICATION OF INCOME (I.E. W2'S, FEDERAL TAX RETURN, PAY STUBS, ETC.). IF VERIFICATION IS NOT PROVIDED AT THE TIME OF THE INTERVIEW, THE PATIENT OR GUARANTOR WILL BE REQUIRED TO PROVIDE WITHIN 30 DAYS. APPLICATIONS MADE ON BEHALF OF DECEASED PATIENTS MUST HAVE VERIFICATION OF INCOME AND INFORMATION CONCERNING THE VALUE OF THE PATIENT'S ESTATE. PATIENTS WHO CHOOSE NOT TO UTILIZE CURRENT BENEFITS THEY ARE ELIGIBLE FOR (I.E. VETERANS BENEFITS, MEDICARE, AND COMMERCIAL INSURANCE) WILL NOT BE CONSIDERED FOR THE INDIGENT PROGRAM. UPON RECEIPT OF THE COMPLETED APPLICATION INCLUDING NECESSARY DOCUMENTATION, CALCULATION OF THE HOUSEHOLD SIZE AND ANNUAL HOUSEHOLD INCOME IS COMPUTED AND COMPARED TO THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE THE PERCENTAGE OF ASSISTANCE A PATIENT OR GUARANTOR IS ELIGIBLE TO RECEIVE. PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BELOW THE GROSS INCOME CEILING FOR POTENTIAL MEDICAID ELIGIBILITY ARE REQUIRED TO APPLY FOR MEDICAID. ASSISTANCE IS PROVIDED TO PATIENTS IN FILING FOR OTHER BENEFITS AND COMPLETING MEDICAID APPLICATIONS. PATIENTS WHO CHOOSE NOT TO APPLY FOR OTHER BENEFITS TO WHICH THEY MAY BE ENTITLED (I.E. MEDICAID) WILL NOT BE CONSIDERED FOR THE INDIGENT PROGRAM. PATIENTS WHO CHOOSE TO APPLY COFFEE REGIONAL MEDICAL CENTER'S ACCOUNTS FOR THE PURPOSE OF MEETING MEDICALLY NEEDY SPEND DOWN TO RECEIVE ONGOING MEDICAID WILL NOT BE ALLOWED TO APPLY FOR THE INDIGENT PROGRAM FOR THAT ACCOUNT. PATIENTS OR GUARANTORS OVER 18 YEARS OF AGE BUT CLASSIFIED AS DEPENDENTS FOR TAX PURPOSES DUE TO STUDENT ELIGIBILITY WILL HAVE A TOTAL HOUSEHOLD SIZE THAT INCLUDES PARENTS AND SUBSEQUENT INCOME. PATIENTS OR GUARANTORS NOT ELIGIBLE FOR OTHER MEDICAL ASSISTANCE PROGRAMS WILL BE PROCESSED UNDER THE INDIGENT CARE TRUST FUND GUIDELINES USING THE FOLLOWING CATEGORIES: - INDIGENT FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BELOW 125% OF THE FPG, THE APPLICABLE ACCOUNTS WILL BE ADJUSTED TO ZERO BALANCES. CHARITY - FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS GREATER THAN OR EQUAL TO 125% BUT NOT GREATER THAN 200% OF THE FPG, THE APPLICABLE ACCOUNTS WILL BE ADJUSTED BY THE APPROPRIATE PERCENTAGES. AN ADJUSTMENT OF 85% OF APPLICABLE CHARGES FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BETWEEN 125% AND 150% OF FPG AN ADJUSTMENT OF 70% OF APPLICABLE CHARGES FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BETWEEN 150% AND 175% OF FPG AN ADJUSTMENT OF 62% OF APPLICABLE CHARGES FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BETWEEN 175% AND 200% OF FPG CATASTROPHIC PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS GREATER THAN 200% FPG MAY QUALIFY FOR CHARITY ADJUSTMENTS ON APPLICABLE ACCOUNTS, IF CONSIDERATION OF THE CRMC PATIENT OBLIGATIONS REDUCES THE ANNUAL HOUSEHOLD INCOME TO THE APPROPRIATE FPG. NOTIFICATION OF STATUS OF COMPLETED APPLICATION IS PROVIDED TO THE PATIENT OR GUARANTOR WITHIN 5 WORKING DAYS OF RECEIPT OF NEEDED INFORMATION. APPROVED APPLICATIONS ARE VALID FOR 180 DAYS FROM DATE OF SIGNATURE. INCOMPLETE APPLICATIONS ARE HELD FOR 30 DAYS. IF NO DOCUMENTATION IS PROVIDED TO COMPLETE THE APPLICATION, A DENIAL LETTER IS SENT TO THE PATIENT OR GUARANTOR. THE APPLICATION MAY BE COMPLETED IF THE PATIENT OR GUARANTOR PROVIDES THE REQUESTED INFORMATION WITHIN 15 WORKING DAYS OF THE DENIAL. NOTIFICATION OF STATUS OF COMPLETED APPLICATION WILL BE MAILED WITHIN 15 WORKING DAYS OF RECEIPT OF NEEDED INFORMATION. THE APPLICATION AND DOCUMENTATION WILL BECOME PROPERTY OF COFFEE REGIONAL MEDICAL CENTER AND IS TO BE KEPT CONFIDENTIAL IN THE SAME MANNER AS MEDICAL RECORDS. HOWEVER, THIS INFORMATION WILL BE USED FOR AGGREGATE REPORTING PURPOSES ONLY. |
| PART VI, LINE 4: | THE TOTAL SERVICE AREA FOR CRMC IS APPROXIMATELY 73,000 INDIVIDUALS. APPROXIMATELY 48% OF THE POPULATION IS FEMALE AND 52$ IS MALE. 69% OF THE POPULATION IS WHITE, 29% BLACK, AND 3% IS OTHER. 12% OF THE POPULATION IS O HISPANIC OR LATINO ORIGIN AND 29% OF INDIVIDUALS ARE BELOW THE POVERTY LEVEL, COMPARED TO 14% FOR THE STATE OF GEORGIA. THE MEDIAN HOUSEHOLD INCOME IS $36,500 AND THE HIGH SCHOOL . GRADUATION RATE IS 78%. IN 2018, 19.4% OF INDIVIDUALS WERE UNINSURED, COMPARED TO 15.7% FOR THE STATE OF GEORGIA. |
| PART VI, LINE 5: | COFFEE REGIONAL MEDICAL CENTER IS GOVERNED BY A BOARD OF DIRECTORS CONSISTING OF 13 MEMBERS. CRH HEALTHCARE, INC., THE SOLE MEMBER, ELECTS THE BOARD MEMBERS OF CRMC. THE CRMC BOARD IS MADE UP OF 9 COMMUNITY MEMBERS REFLECTING THE DIVERSITY OF THE COMMUNITY. TWO ADDITIONAL MEMBERS ARE THE CHIEF OF STAFF OF CRMC AND THE CHIEF OF STAFF ELECT. ONE ADDITIONAL MEMBER IS THE SITTING CHAIRMAN OF THE COFFEE COUNTY BOARD OF COMMISSIONERS. THE REMAINING BOARD MEMBER, WHO SERVES AS A NON-VOTING MEMBER, IS THE INDIVIDUAL HOLDING THE OFFICE OF COUNTY ADMINISTRATOR OF COFFEE COUNTY. IT IS THE PHILOSOPHY OF CRMC TO ASSURE THE CONTINUATION AND ENHANCEMENT OF PATIENT CARE BY REINVESTING EXCESS FUNDS BACK INTO THE OPERATIONS OF THE FACILITY. THIS INCLUDES GREATER ACCESSIBILITY OF CARE THROUGH THE CREATION OF A RURAL HEALTH CENTER, IMPLEMENTATION OF A TELEMEDICINE PROGRAM AND RECRUITMENT OF PHYSICIANS TO THE UNDERSERVED ENVIRONMENT. ENHANCEMENT OF TECHNOLOGY IS ALSO IMPERATIVE TO ASSURE APPROPRIATE DIAGNOSTIC AND THERAPEUTIC OPTIONS FOR THE COMMUNITY. UPDATING THE AMBULANCE FLEET IS CONSISTENTLY HIGH ON THE FUNDING PRIORITY LIST TO ASSURE SERVICE TO THE MOST REMOTE AREAS OF THE COUNTY, WHICH IN SQUARE MILES IS THE SECOND LARGEST COUNTY IN THE STATE OF GEORGIA. CRMC HAS AN OPEN MEDICAL STAFF POLICY EXTENDING PRIVILEGES TO PROFESSIONALLY COMPETENT PRACTITIONERS WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS OF CRMC. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEWITT SIMS | ||||||||||||||
| ORTHOPEDIC PHYSICIAN | $829,711 | $0 | $299,021 | $0 | $0 | $0 | $7,045 | $0 | $0 | $0 | $1,135,777 | $0 | $0 | $0 |
| THOMAS WEHMANN | ||||||||||||||
| SURGICAL PHYSICIAN | $517,808 | $0 | $325,280 | $0 | $188 | $0 | $6,904 | $0 | $0 | $0 | $850,180 | $0 | $0 | $0 |
| GLENN EVANS SR | ||||||||||||||
| CARDIOLOGY PHYSICIAN | $692,574 | $0 | $1,262 | $0 | $85,978 | $0 | $7,185 | $0 | $0 | $0 | $786,999 | $0 | $0 | $0 |
| JOSHUA VICKERS MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $659,876 | $0 | $52,510 | $0 | $41,425 | $0 | $4,789 | $0 | $6,738 | $0 | $765,338 | $0 | $0 | $0 |
| ERIC ANDERSON | ||||||||||||||
| ONCOLOGY PHYSICIAN | $544,790 | $0 | $117,219 | $0 | $76,730 | $0 | $6,810 | $0 | $0 | $0 | $745,549 | $0 | $0 | $0 |
| VICKI LEWIS | ||||||||||||||
| PRESIDENT / CEO | $624,365 | $0 | $52,185 | $0 | $0 | $0 | $45,926 | $0 | $4,486 | $0 | $726,962 | $0 | $0 | $0 |
| CHET ROYALS MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $422,186 | $0 | $205,444 | $0 | $59,615 | $0 | $6,589 | $0 | $6,779 | $0 | $700,613 | $0 | $0 | $0 |
| JOEL FERREE | ||||||||||||||
| CARDIOLOGY PHYSICIAN | $675,002 | $0 | $1,000 | $0 | $0 | $0 | $6,960 | $0 | $0 | $0 | $682,962 | $0 | $0 | $0 |
| MARTIN HUTSON | ||||||||||||||
| EXECUTIVE VP / CFO | $299,313 | $0 | $10,000 | $0 | $0 | $0 | $3,432 | $0 | $2,340 | $0 | $315,085 | $0 | $0 | $0 |
| SHERRY THOMAS | ||||||||||||||
| EXECUTIVE VP / SENIOR RISK MANAGER | $267,007 | $0 | $10,000 | $0 | $2,800 | $0 | $3,183 | $0 | $3,954 | $0 | $286,944 | $0 | $0 | $0 |
| SUE LANE HUGHES | ||||||||||||||
| VP OF NURSING SERVICES / CNO | $230,999 | $0 | $10,000 | $0 | $11,600 | $0 | $2,826 | $0 | $0 | $0 | $255,425 | $0 | $0 | $0 |
| BENNETT FLOYD | ||||||||||||||
| VP OF OPERATIONS | $227,542 | $0 | $10,000 | $0 | $4,800 | $0 | $2,671 | $0 | $6,779 | $0 | $251,792 | $0 | $0 | $0 |
| PEGGY KIRKLAND | ||||||||||||||
| EXECUTIVE VP OF HR | $226,587 | $0 | $10,500 | $0 | $4,800 | $0 | $2,540 | $0 | $2,340 | $0 | $246,767 | $0 | $0 | $0 |
| LAVONDA CRAVEY | ||||||||||||||
| VP OF REVENUE | $216,768 | $0 | $10,000 | $0 | $2,000 | $0 | $2,508 | $0 | $2,520 | $0 | $233,796 | $0 | $0 | $0 |
| JERRY WEST | ||||||||||||||
| VP OF QUALITY & PATIENT EXPERIENCE | $147,995 | $0 | $1,000 | $0 | $2,400 | $0 | $1,457 | $0 | $0 | $0 | $152,852 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| COFFEE COUNTY HOSPITAL AUTHORITY | ||||||||
| A | 586003116 | 192137DW4 | 2016-12-22 | $24,367,008 | DEFEASANCE OF PREVIOUS BONDS | 0 | 0 | 0 |
| COFFEE COUNTY HOSPITAL AUTHORITY | ||||||||
| B | 586003116 | 000000000 | 2018-12-14 | $11,500,000 | CONSTRUCT AND EQUIP HOSPITAL FACILITIES | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capitalized InterestCapitalizedInterestAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $13,892,000 | $24,963,471 | $24,367,008 | $2,171,000 | $24,963,471 | $468,262 | 0 | Yes (1) | Yes (1) | Yes (1) | ||
| B | $2,166,642 | $11,500,000 | $161,260 | 0 | 0 | 0 | 0 | $103,759 | $9,128,688 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MELISSA OTT | |||
| FAMILY MEMBER OF KEY EMPLOYEE SUE LANE HUGHES | $59,976 | COMPENSATION RECEIVED FROM EMPLOYMENT | 0 |
| JACQUELYN JOWERS | |||
| FAMILY MEMBER OF KEY EMPLOYEE SUE LANE HUGHES | $26,171 | COMPENSATION RECEIVED FROM EMPLOYMENT | 0 |
| ADREAN CRAVEY | |||
| FAMILY MEMBER OF KEY EMPLOYEE LAVONFA CRAVEY | $61,789 | COMPENSATION RECEIVED FROM EMPLOYMENT | 0 |
| PAYTON THOMAS | |||
| FAMILY MEMBER OF KEY EMPLOYEE SHERRY THOMAS | $21,768 | COMPENSATION RECEIVED FROM EMPLOYMENT | 0 |
| MEGAN SOLOMON | |||
| FAMILY MEMBER OF BOARD MEMBER SHANE SHOOK | $15,393 | COMPENSATION RECEIVED FROM EMPLOYMENT | 0 |
| WALDA KIGHT | |||
| FAMILY MEMBER OF BOARD MEMBER JAMES DENNIS | $88,743 | COMPENSATION RECEIVED FROM EMPLOYMENT | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | CRH HEALTHCARE, INC., THE PARENT ORGANIZATION, HAS THE AUTHORITY TO APPOINT OR REMOVE BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | BOARD MEMBERS OF THE ORGANIZATION ARE APPOINTED, AND CAN BE REMOVED, BY CRH HEALTHCARE, INC., THE PARENT ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS OF THE BOARD ARE SUBJECT TO APPROVAL BY CRH HEALTHCARE, INC., THE PARENT ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS PREPARED BY AN INDEPENDENT FIRM AND IS PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS. THE MANAGEMENT OF COFFEE REGIONAL MEDICAL CENTER, INC. PERFORMS A REVIEW OF FORM 990 BEFORE THE FILING DATE AND INCLUDES A REVIEW OF FINANCIAL DATA AND OTHER DETAILS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS ANNUALLY. THIS IS REVIEWED BY THE CEO AND BOARD CHAIRMAN, IF NEEDED. MEMBERS RECUSE THEMSELVES FROM CERTAIN DISCUSSIONS/DECISIONS AS A RESULT OF ANY CONFLICTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION OF THE CEO AND EXECUTIVE OFFICERS OF CRMC IS DETERMINED BY AN INDEPENDENT COMPENSATION COMMITTEE, GEORGIA HOSPITAL ASSOCIATION SURVEYS, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE ALL AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S CORPORATE HEADQUARTERS. |
| FORM 990, PART XII, LINE 2C: | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Address Line1ForeignAddress/AddressLine1Txt | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CRH PHYSICIAN PRACTICES LLC | ||||||||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | 205778734 | PHYSICIANS OFFICES | GA | $13,498,641 | $3,211,662 | CRMC | |||
| EMERGENCY PHYSICIANS OF COFFEE CO LLC | ||||||||||||
| PO BOX 1287 | DOUGLAS | GA | 31534 | 451775790 | ER PHYSICIANS | GA | $1,672,778 | $504,434 | CRMC | |||
| ORTHOPEDIC SURGEONS OF GEORGIA LLC | ||||||||||||
| PO BOX 1287 | DOUGLAS | GA | 31534 | 452786844 | PHYSICIANS OFFICES | GA | $3,016,489 | $410,910 | CRMC | |||
| COFFEE REGIONAL MEDICAL CENTER SEGREGATED PORTFOLIO | ||||||||||||
| INSURANCE | $2,141,086 | $10,845,388 | CRMC | 62 FORUM LANE 3RD FLOOR BOX 30600 | CJ | CJ | ||||||
| COFFEE COUNTY OPEN ARMS CLINIC LLC | ||||||||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | 842372588 | MEDICAL SERVICES | GA | $0 | $0 | CRMC | |||
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| CRH HEALTHCARE INC | |||||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | 582163724 | MANAGEMENT SERVICES | GA | 501(C)(3) | LINE 12C, III-FI | 0 |
| CRH HEALTH SERVICES INC | |||||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | 582165827 | FOUNDATION | GA | 501(C)(3) | LINE 12B, II | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CRH VENTURES INC | ||||||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | 582165279 | OFFICE RENTAL | GA | C | $477,686 | $3,835,634 | 0 |
| SOUTHEASTERN MANAGED CARE INC | ||||||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | 582236627 | MANAGED CARE | GA | C | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRH VENTURES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | A | TransactionTypeTxt |
| Involved | $130,416 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |
Comments