TAYLOR REGIONAL HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- TAYLOR REGIONAL HOSPITAL (EIN 58-0655369)
- Tax period
- 2020-04-01 to 2021-03-31
- Filed
- 2022-02-07
- IRS object ID
- 202210389349301076
- Schema version
- 2020v4.0
- 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 H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-02-07T14:57:42-06:00 | ReturnTs |
| Tax Period End | 2021-03-31 | 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 | 2020-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580655369 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR REGIONAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TAYL | BusinessNameControlTxt |
| Phone | 4787830200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1297 | AddressLine1Txt |
| City | HAWKINSVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31036 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD STOKES | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9127830200 | PhoneNum |
| Signature | 2022-02-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RICHARD | PersonFirstNm |
| Person Last | STOKES | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM EDWARD PHILLIPS | PreparerPersonNm |
| PTIN | P00451499 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2022-02-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PINEWOOD MANOR NURSING HOME | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JONATHAN L GREEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1297 | AddressLine1Txt |
| City | HAWKINSVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $36,902,383 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TAYLORREGIONAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1936 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TAYLOR REGIONAL HOSPITAL IS A 49-BED, GENERAL, ACUTE-CARE HEALTH INSTITUTION OFFERING A WIDE RANGE OF SPECIALIZED SERVICES AND PROGRAMS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 544 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $800,369 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,587,218 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $33,582,719 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,952,565 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,217 | PYInvestmentIncomeAmt |
| CY Investment Income | $19,013 | CYInvestmentIncomeAmt |
| PY Other Revenue | $252,029 | PYOtherRevenueAmt |
| CY Other Revenue | $343,587 | CYOtherRevenueAmt |
| PY Total Revenue | $34,641,334 | PYTotalRevenueAmt |
| CY Total Revenue | $36,902,383 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,679,440 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,382,452 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,815,513 | PYOtherExpensesAmt |
| CY Other Expenses | $14,767,710 | CYOtherExpensesAmt |
| PY Total Expenses | $35,494,953 | PYTotalExpensesAmt |
| CY Total Expenses | $33,150,162 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$853,619 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,752,221 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,800,326 | TotalAssetsBOYAmt |
| Total Assets EOY | $29,263,755 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,749,912 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $25,461,120 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $50,414 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,802,635 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TAYLOR REGIONAL HOSPITAL IS A 49-BED, GENERAL, ACUTE-CARE HEALTH INSTITUTION OFFERING A WIDE RANGE OF SPECIALIZED SERVICES AND PROGRAMS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $24,517,730 | ExpenseAmt |
| Revenue | $29,808,985 | RevenueAmt |
| Desc | TAYLOR REGIONAL HOSPITAL IS A 49-BED, GENERAL, ACUTE-CARE HEALTH INSTITUTION OFFERING A WIDE RANGE OF SPECIALIZED SERVICES AND PROGRAMS. SERVICES AND PROGRAMS INCLUDE ACUTE MEDICAL/SURGICAL, INTENSIVE CARE, MAGNETIC RESONANCE IMAGING, OB/GYN, OUTPATIENT SURGERY CENTER, PHARMACY, DIAGNOSTIC RADIOLOGY, 24-HOUR EMERGENCY SERVICE, SURGERY, PHYSICAL THERAPY, POST-OPERATIVE RECOVERY ROOM, RESPIRATORY SERVICES, PEDIATRIC RURAL HEALTH CLINIC, 102-BED LONG TERM CARE FACILITY AND HOME CARE SERVICES. DURING FISCAL YEAR 2020, PATIENT DAYS AT TAYLOR REGIONAL HOSPITAL TOTALED 4,355; DISCHARGES TOTALED 869; AND SNF DAYS TOTALED 26,698. | Desc |
| Total Program Service Expenses | $24,517,730 | 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 | Yes (true) | 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 | false | 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 | false | 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 | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 47 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 544 | 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIFFANY JOLLY | PersonNm |
| Phone | 4787830462 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1297 | AddressLine1Txt |
| City | HAWKINSVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31036 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| KIMBERLI CARPENTER MD | |||||||||
| PHYSICIAN | 40.00 | Yes (X) | $384,350 | $0 | $28,917 | ||||
| ROBERT C CAMPBELL MD | |||||||||
| PHYSICIAN | 40.00 | $398,623 | $0 | $4,124 | Yes (X) | ||||
| MARTIN ALAN BAGGETT MD | |||||||||
| PHYSICIAN | 40.00 | $313,922 | $0 | $28,877 | Yes (X) | ||||
| SANDRA S KOPACZ MD | |||||||||
| PHYSICIAN | 40.00 | $276,061 | $0 | $28,917 | Yes (X) | ||||
| JONATHAN L GREEN | |||||||||
| CEO | 40.00 | $246,202 | $0 | $28,877 | 1.00 | Yes (X) | |||
| ROBERT HEATH MD | |||||||||
| PHYSICIAN | 40.00 | Yes (X) | $251,270 | $0 | $10,041 | ||||
| BRANDI WYNNE MD | |||||||||
| PHYSICIAN | 40.00 | Yes (X) | $222,840 | $0 | $28,917 | ||||
| GUY T EASTERLING MD | |||||||||
| PHYSICIAN | 40.00 | $218,966 | $0 | $10,041 | Yes (X) | ||||
| MICHELE T EDWARDS-PASCHAL MD | |||||||||
| PHYSICIAN | 40.00 | Yes (X) | $198,426 | $0 | $28,917 | ||||
| DONNA K TALLON-THOMPSON MD | |||||||||
| PHYSICIAN | 40.00 | Yes (X) | $143,957 | $0 | $0 | ||||
| KAREN MCLEOD | |||||||||
| CFO | 40.00 | $113,728 | $0 | $9,214 | 1.00 | Yes (X) | |||
| RICHARD STOKES | |||||||||
| CFO | 40.00 | $52,574 | $0 | $4,715 | 1.00 | Yes (X) | |||
| RANDY COODY | |||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| KEN HARDY | |||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| MANSE JENNINGS | |||||||||
| VICE CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| DONALD JOHNSON | |||||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| R G LAMAR | |||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| RUBEN ROBERTS MD | |||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | 0.25 | Yes (X) | |||
| DENNIS VICKERS | |||||||||
| CHAIRMAN | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,820,919 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $211,557 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 22 | 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 |
|---|---|---|---|---|---|
| SOUTHLAND MEDICAL GROUP LLC | |||||
| 100 S MADISON STREET | THOMASVILLE | GA | 31799 | PHYSICIAN SERV. | $1,562,658 |
| INNOVATIVE THERAPY CONCEPTS LLC | |||||
| 2 MASHBURN STREET SUITE 102 | HAWKINSVILLE | GA | 31036 | PHYSICAL THERAP | $589,940 |
| PHARMD ON DEMAND | |||||
| 1607 LEA HAVEN WAY | ATHENS | GA | 30606 | PHARMACY | $434,212 |
| KING'S MEDICAL | |||||
| 1920A GEORGETOWN ROAD | HUDSON | OH | 44236 | IMAGING | $278,997 |
| DRAFFIN & TIUCKER LLP | |||||
| 2617 GILLIONVILLE ROAD | ALBANY | GA | 31707 | ACCOUNTING | $215,142 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,801,848 | GovernmentGrantsAmt |
| All Other Contributions | $785,370 | AllOtherContributionsAmt |
| Total Contributions | $6,587,218 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 623000 | $29,336,498 | $29,336,498 | |
| BECKLEY SHARED SERVICES REV. | 623000 | $346,844 | $346,844 | |
| PHYSICIAN CLINICS | 621300 | $269,223 | $269,223 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,952,565 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,405 | TotalRevenueColumnAmt |
| Exclusion | $17,405 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $65,535 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $65,535 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,535 | TotalRevenueColumnAmt |
| Exclusion | $65,535 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,608 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,608 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,608 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,608 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| 340B PROGRAM | 722514 | $189,404 | $189,404 | |
| CAFETERIA SALES | 713940 | $66,364 | $66,364 | |
| DISCOUNTS | 623000 | $10,637 | $10,637 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,647 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,615 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $10,032 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $278,052 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,902,383 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,808,985 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $506,180 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,567,967 | TotalAmt |
| Program Services | $1,161,578 | ProgramServicesAmt |
| Management And General | $406,389 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,201,978 | TotalAmt |
| Program Services | $11,001,960 | ProgramServicesAmt |
| Management And General | $3,200,018 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,527,565 | TotalAmt |
| Program Services | $1,178,211 | ProgramServicesAmt |
| Management And General | $349,354 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,084,942 | TotalAmt |
| Program Services | $836,816 | ProgramServicesAmt |
| Management And General | $248,126 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,269 | TotalAmt |
| Management And General | $4,269 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,058 | TotalAmt |
| Management And General | $139,058 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,010,781 | TotalAmt |
| Program Services | $3,190,328 | ProgramServicesAmt |
| Management And General | $2,820,453 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,479 | TotalAmt |
| Program Services | $17,479 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $696,287 | TotalAmt |
| Program Services | $578,684 | ProgramServicesAmt |
| Management And General | $117,603 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $386,502 | TotalAmt |
| Program Services | $321,222 | ProgramServicesAmt |
| Management And General | $65,280 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $625,310 | TotalAmt |
| Program Services | $519,695 | ProgramServicesAmt |
| Management And General | $105,615 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,681 | TotalAmt |
| Program Services | $24,681 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,546 | TotalAmt |
| Program Services | $30,546 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,977 | TotalAmt |
| Program Services | $328,180 | ProgramServicesAmt |
| Management And General | $125,797 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,164,458 | TotalAmt |
| Program Services | $960,629 | ProgramServicesAmt |
| Management And General | $203,829 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $641,289 | TotalAmt |
| Program Services | $532,975 | ProgramServicesAmt |
| Management And General | $108,314 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,607,642 | $2,167,211 | $440,431 |
| REPAIRS AND MAINT | $781,613 | $649,599 | $132,014 |
| PROVIDER FEE-NURSING HOME | $460,353 | $460,353 | |
| PROVIDER TAX - HOSPITAL | $246,007 | $246,007 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,458 | TotalAmt |
| Program Services | $311,576 | ProgramServicesAmt |
| Management And General | $165,882 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,150,162 | TotalAmt |
| Program Services | $24,517,730 | ProgramServicesAmt |
| Management And General | $8,632,432 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $851,276 | BOYAmt |
| EOY | $11,095,428 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,879 | BOYAmt |
| EOY | $350,401 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,756,036 | BOYAmt |
| EOY | $2,586,959 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $311,281 | BOYAmt |
| EOY | $272,302 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,192 | BOYAmt |
| EOY | $638,270 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $30,960,312 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $23,564,073 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,395,637 | BOYAmt |
| EOY | $7,396,239 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,695 | BOYAmt |
| EOY | $307,036 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,600,000 | BOYAmt |
| EOY | $3,200,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,363,330 | BOYAmt |
| EOY | $3,417,120 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,800,326 | BOYAmt |
| EOY | $29,263,755 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,395,916 | BOYAmt |
| EOY | $5,869,533 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,501 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,709,030 | BOYAmt |
| EOY | $4,649,745 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,966,304 | BOYAmt |
| EOY | $5,722,569 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,000 | BOYAmt |
| EOY | $341,360 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,161 | BOYAmt |
| EOY | $8,877,913 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,749,912 | BOYAmt |
| EOY | $25,461,120 | 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 | $50,414 | BOYAmt |
| EOY | $3,802,635 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,414 | BOYAmt |
| EOY | $3,802,635 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,800,326 | BOYAmt |
| EOY | $29,263,755 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,752,221 | ReconcilationRevenueExpnssAmt |
| 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 | false | FederalGrantAuditRequiredInd |
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 | $10,501 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,501 | 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 | TAYLOR REGIONAL HOSPITAL, INC. IS A MEMBER OF INDUSTRY ASSOCIATIONS WHICH LOBBY FEDERAL AND STATE OFFICIALS ON BEHLAF OF THEIR MEMBERS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $515,206 | OtherCostOrOtherBasisAmt |
| Book Value | $515,206 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,149,593 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,146,354 | DepreciationAmt |
| Book Value | $4,003,239 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,950,093 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,484,331 | DepreciationAmt |
| Book Value | $1,465,762 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,345,420 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,933,388 | DepreciationAmt |
| Book Value | $1,412,032 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,396,239 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| THIRD PARTY RECEIVABLES | $3,413,974 |
| DUE FROM HOSPITAL AUTHORITY-BLECKLEY | $3,146 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,417,120 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| REFUNDABLE CARES ACT UNEARNED REV. | $5,586,237 |
| MEDICARE ADVANCED PAYMENTS | $2,815,107 |
| THIRD PARTY SETTLEMENTS | $476,569 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,877,913 | 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 | THE HOSPITAL AND FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT IS A TAXABLE CORPORATION AND IS, THEREFORE, SUBJECT TO FEDERAL AND STATE INCOME TAXES. NETWORK IS CONSIDERED A DISREGARDED ENTITY OF THE HOSPITAL. THE HOSPITAL 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 HOSPITAL 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 BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSES AS OF MARCH 31, 2021 AND 2020 OR FOR THE YEARS THEN ENDED. THE HOSPITAL'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. | 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 | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $147,758 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $225,000 | DirectOffsettingRevenueAmt |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,388,438 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,044,382 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $344,056 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01040 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,176 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,352 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,824 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,585,372 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,296,734 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $365,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01100 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,032,879 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,329,238 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,703,641 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,032,879 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,329,238 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,703,641 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,618,251 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,625,972 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,069,521 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06240 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,225,569 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $6,702,340 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,833,826 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $868,514 | 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 |
| 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 | TAYLOR REGIONAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1297 | AddressLine1Txt |
| Address Line2 | 222 PERRY HIGHWAY | AddressLine2Txt |
| City | HAWKINSVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.TAYLORREGIONAL.ORG | WebsiteAddressTxt |
| State License | 116-175 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | HHA, SNF, CLINICS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR REGIONAL HOSPITAL | 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 | 19 | 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.TAYLORREGIONAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://TAYLORREGIONAL.ORG/ASSETS/FILE | 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 |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://TAYLORREGIONAL.ORG/FINANCIAL.H | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://TAYLORREGIONAL.ORG/FINANCIAL.H | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://TAYLORREGIONAL.ORG/FINANCIAL.H | 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 | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, TAYLOR REGIONAL HOSPITAL - PART V, LINE 3E | THE 2019 CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS: 1) COMMUNICATION ABOUT HEALTHCARE SERVICES/AMENITIES, INCLUDING EDUCATION ABOUT PREVENTATIVE SERVICES. 2) TRANSPORTATION. 3) EDUCATION ABOUT CHRONIC DISEASE MANAGEMENT. 4) TRUST IN PROVIDER. 5) EDUCATION ABOUT ER USAGE AND ITS EFFECT, MENTAL HEALTH AND SPECIALTY CARE. |
| FACILITY 1, TAYLOR REGIONAL HOSPITAL - PART V, LINE 5 | IN ORDER TO ENGAGE STAKEHOLDERS, A CHNA STEERING COMMITTEE AND A COMMUNITY ADVISORY COMMITTEE WERE FORMED. THE CHNA STEERING COMMITTEE SERVED AS THE GUIDE FOR THE ENTIRE CHNA PROCESS AND LED EFFORTS TO ENCOURAGE PARTICIPATION AND ENGAGEMENT IN THE CHNA PROCESS. THE COMMUNITY ADVISORY COMMITTEE WAS RESPONSIBLE FOR PILOTING THE COMMUNITY SURVEY, RECRUITING PARTICIPANTS FOR SURVEY COMPLETION AND FOCUS GROUPS, AND PROVIDING FEEDBACK ON THE DATA COLLECTED. THE CONTRIBUTION FROM THE TWO TEAMS FOSTERED A COLLABORATIVE APPROACH IN COMPLETING THE CHNA BETWEEN COMMUNITY MEMBERS AND THE UNIVERSITY OF GEORGIA. A TEAM OF UNIVERSITY OF GEORGIA FACULTY AND STUDENTS AND A PUBLIC SERVICE AND OUTREACH PROFESSIONAL WHO WORKS IN THE COMMUNITY WAS FORMED IN ORDER TO COMPLETE THE CHNA. THE CHNA TEAM COLLECTED PRIMARY DATA FROM COMMUNITY MEMBERS. THREE FOCUS GROUPS WERE CONDUCTED IN HAWKINSVILLE, GEORGIA WITH 14 COMMUNITY STAKEHOLDERS WHO VARIED IN EXPERTISE AND REPRESENTED DIVERSE COMMUNITY VIEWS. ALL FOCUS GROUPS WERE RECORDED AND TRANSCRIBED BY THE CHNA TEAM. THE CHNA TEAM SUMMARIZED THE RESPONSES FROM THE FOCUS GROUPS AND IDENTIFIED KEY THEMES. IN ADDITION TO QUALITATIVE DATA COLLECTION, THE CHNA TEAM DEVELOPED A COMMUNITY SURVEY TO IDENTIFY INDIVIDUAL HEALTH STATUS, HEALTH BEHAVIORS, HOSPITAL USE,AND VIEWS ON OVERALL COMMUNITY HEALTH STATUS AND NEEDS. PAPER SURVEYS WERE DISTRIBUTED THROUGHOUT PULASKI COUNTY AND WERE ALSO AVAILABLE ONLINE. SURVEY RESULTS WERE ANALYZED TO PRODUCE DESCRIPTIVE STATISTICS AND CROSS-TABULATIONS WERE RUN TO EXAMINE RELATIONSHIPS BETWEEN SELECTED DEMOGRAPHICS AND HEALTH OUTCOMES. THE COMMUNITY, OR SERVICE AREA, IDENTIFIED FOR TAYLOR REGIONAL HOSPITAL INCLUDED PULASKI COUNTY, WILCOX COUNTY, BLECKLEY COUNTY, AND DOOLY COUNTY. THE CHNA TEAM PULLED COUNTY LEVEL DATA FOR THE FOUR COUNTIES WITHIN THE IDENTIFIED SERVICE AREA. SOURCES FOR SECONDARY DATA INCLUDED THE GEORGIA COUNTY HEALTH RANKINGS, U.S. CENSUS BUREAU, GEORGIA DEPARTMENT OF PUBLIC HEALTH'S ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM (OASIS), AND THE ANNIE E. CASEY FOUNDATION KIDS COUNT DATA. SECONDARY DATA WAS EXPORTED INTO EXCEL FOR COUNTY LEVEL AND STATE LEVEL COMPARISONS. SUMMARIES WERE CREATED FOR EACH COUNTY WHICH GENERATED A COUNTY HEALTH PROFILE AND COMPARED HEALTH OUTCOMES TO OTHER COUNTIES, GEORGIA, AND NATIONAL STATISTICS IN ORDER TO IDENTIFY POTENTIAL AREAS FOR IMPROVEMENT. |
| FACILITY 1, TAYLOR REGIONAL HOSPITAL - PART V, LINE 11 | THE 2019 - 2011 IMPLEMENTATION STRATEGY REPORT GROUPED THE IDENTIFIED HEALTH NEEDS INTO 3 MAIN THEMES AND ADDRESSES EACH OF THEM: 1) COMMUNICATION BETWEEN HOSPITAL AND COMMUNITY. 2) PREVENTATIVE CARE EDUCATION. 3) TRANSPORTATION. THE FULL REPORT MAY BE FOUND AT THE FOLLOWING ADDRESS - HTTPS://TAYLORREGIONAL.ORG/ASSETS/FILES/IMPLEMENTATIONSTRATEGY2019-2022.PDF THE ORGANIZATION PROVIDES MANY COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THE HEALTH AND SOCIAL DETERMINANTS OF HEALTH THROUGHOUT THE COUNTY AND SURROUNDING COMMUNITIES. SOME OF THE NEEDS IDENTIFIED IN THE 2019 CHNA, SUCH AS PROVIDING MENTAL HEALTH TREATMENTS AND OTHER SPECIALTY SERVICES, ARE BEYOND THE FINANCIAL RESOURCES AND/OR SCOPE OF SERVICES OF THE HOSPITAL. PROVIDING TRANSPORTATION IS ALSO BEYOND THE FINANCIAL ABILITY OF THE HOSPITAL, BUT THE HOSPITAL WILL SERVE AS A RESOURCE TO INCREASE COMMUNITY KNOWLEDGE OF AVAILABLE ALTERNATIVES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| TAYLOR REGIONAL HOSP SWING BED SNF | ||||
| P O BOX 1297 | HAWKINSVILLE | GA | 31036 | SWING BED SNF |
| TAYLOR REGIONAL HHA | ||||
| P O BOX 1297 | HAWKINSVILLE | GA | 31036 | HOME HEALTH AGENCY |
| TAYLOR REG PINEWOOD MANOR NURSING | ||||
| P O BOX 1297 | HAWKINSVILLE | GA | 31036 | NURSING HOME |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7G | PART I, LINE 7G - ACTUAL CHARGES FOR EACH PHYSICIAN CLINIC ARE TRACED AND REPORTED USING THE ORGANIZATION'S ACCOUNTING SYSTEM. THE COSTS FOR THESE CLINICS TOTALED 7,677,258 FOR THE FISCAL YEAR. THE REPORTED SUBSIDY INCLUDES MEDICAID REVENUES FROM PATIENTS RECEIVING CARE IN A CLINIC. THE AMOUNT REPORTED ON LINE 7B EXCLUDES THE REVENUES (AND COSTS) FROM MEDICAID PATIENTS RECEIVING CARE IN A CLINIC. |
| SCHEDULE H, PART I, LINE 7 | THE DATA REPORTED IN THIS AREA OF SCHEDULE H IS REPORTED AS INSTRUCTED BY ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". THE COSTS FOR PART I, LINE 7A, 7B AND 7C WERE CALCULATED USING THE RATIO OF COSTS TO CHARGES CALCULATED USING WORKSHEET 2 IN THE IRS INSTRUCTIONS TO THE FORM 990 FOR HOSPITAL ONLY COSTS. THE COST TO CHARGE RATIO AND THE MEDICAID SHORTFALL CALCULATIONS ARE ADJUSTED FOR HOSPITAL BASED PROVIDER TAXES AND UPL REVENUES. PROVIDER FEES AND UPL REVENUES RELATED TO THE OPERATION OF THE NURSING HOME ARE EXCLUDED. THE SUBSIDIZED HEALTH SERVICES WERE CALCULATED USING COSTS IDENTIFIED THROUGH THE ORGANIZATION'S COST ACCOUNTING SYSTEM. |
| 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)DISCUSSED IN MORE DETAIL BELOW, 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. |
| SCHEDULE H, PART III, LINE 4 | IN 2021, THE HOSPITAL ADOPTED ASU NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH IS A NEW COMPREHENSIVE REVENUE RECOGNITION STANDARD. THE CORE PRINCIPLE OF THE REVENUE MODEL IS THAT AN ENTITY RECOGNIZES REVENUE TO DEPICT THE TRANSFER OF PROMISED GOODS OR SERVICES TO CUSTOMERS IN AN AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ENTITY EXPECTS TO BE ENTITLED IN EXCHANGE FOR THOSE GOODS OR SERVICES. THE HOSPITAL IS USING THE FULL RETROSPECTIVE METHOD OF TRANSITION WITH PRACTICAL EXPEDIENTS IN FASB ASC 606-10-65-1(F) WITH NO SIGNIFICANT IMPACT. THE HOSPITAL PERFORMED AN ANALYSIS OF REVENUE STREAMS AND TRANSACTIONS UNDER ASU NO. 2014-09. IN PARTICULAR, FOR NET PATIENT SERVICE REVENUE, THE HOSPITAL PERFORMED AN ANALYSIS INTO THE APPLICATION OF THE PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO GROUP PATIENT CONTRACTS WITH SIMILAR CHARACTERISTICS, SUCH THAT REVENUE FOR A GIVEN PORTFOLIO WOULD NOT BE MATERIALLY DIFFERENT THAN IF IT WERE EVALUATED ON CONTRACT-BY CONTRACT BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR BAD DEBTS (REPRESENTING APPROXIMATELY 2,537,000 FOR THE YEAR ENDED MARCH 31, 2020) AND PRESENTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE ON THE STATEMENT OF OPERATIONS IS NOW TREATED AS A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS NET PATIENT SERVICE REVENUE. CHANGES IN CREDIT ISSUES NOT ASSESSED AT THE DATE OF SERVICE, ARE RECOGNIZED AS BAD DEBT EXPENSE AND INCLUDED AS A COMPONENT OF OPERATING EXPENSES ON THE STATEMENT OF OPERATIONS. THE NEW STANDARD ALSO REQUIRES ENHANCED DISCLOSURES RELATED TO THE DISAGGREGATION OF REVENUE AND SIGNIFICANT JUDGMENTS MADE IN MEASUREMENT AND RECOGNITION. THE ADOPTION OF THIS GUIDANCE DID NOT MATERIALLY IMPACT TOTAL OPERATING REVENUES, EXCESS REVENUES (EXPENSES), OR NET ASSETS. SEE NOTE 3 FOR DISCUSSION OF CHARITY CARE AND UNINSURED DISCOUNTS. |
| 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. THE MEDICARE PROGRAM PAYS AT AMOUNTS WHICH ARE LESS THAN THE COST OF PROVIDING SERVICES. ANY COST NOT REIMBURSED BY MEDICARE IS BORNE BY HOSPITAL WHICH EASES THE BURDEN TO THE GOVERNMENT FOR THE PROVISION OF HEALTHCARE UNDER THE MEDICARE PROGRAM. |
| SCHEDULE H, PART III, LINE 9B | INITIAL SCREENINGS OF ALL INPATIENT, EMERGENCY, AND SURGERY ENCOUNTERS, AS WELL AS MOST OUTPATIENT VISITS, ARE CONDUCTED BY PATIENT ACCESS SERVICES IN ORDER TO IDENTIFY ANY AVAILABLE INSURANCE OR OTHER COVERAGE FOR EACH PATIENT. PATIENT ACCESS SERVICES EXPLAINS AND PROVIDES THE NECESSARY CHARITY CARE PROGRAM'S APPLICATION WITH THE PATIENT AND THEIR FAMILY. PATIENTS WITH TOTAL CHARGES EXCEEDING 1,500 ARE REFERRED TO TAYLOR'S CONTRACTED COUNSELOR. COUNSELOR ASSISTS THE PATIENT/FAMILY WITH IDENTIFYING ANY PROGRAMS FOR WHICH THE PATIENT/SERVICE MAY QUALIFY (INCLUDING MEDICAID, STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP), PRIVATE OR GOVERNMENT INSURANCE COVERAGE, AND CHARITY ASSISTANCE). IF THE FAMILY CANNOT BE TIMELY LOCATED OR IS UNCOOPERATIVE, RELATED ACCOUNTS ARE TRANSFERRED TO AN INTERNAL COLLECTION DEPARTMENT FOR FURTHER ATTEMPTS TO OBTAIN PAYMENT OR, IF THE PATIENT MAY QUALIFY FOR ASSISTANCE, TO SECURE A FINANCIAL ASSISTANCE APPLICATION. THE ORGANIZATION'S DEBT COLLECTION POLICY AND PROCEDURES PROHIBIT ANY COLLECTION EFFORTS FOR THE PORTION OF A PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. THE RESULTS OF BEING APPROVED FOR CHARITY ALSO PREVENTS THE PATIENT FROM ANY POTENTIAL ADVERSE EFFECT ON THEIR CREDIT. |
| SCHEDULE H, PART VI, LINE 2 | THE ORGANIZATION CONDUCTS REGULAR NEEDS ASSESSMENTS THROUGH FORMAL AND INFORMAL SURVEYS AND PROCESSES. TAYLOR REGIONAL HAS ONGOING COLLABORATIONS WITH BOTH PUBLIC AND COMMUNITY AGENCIES IN DEVELOPMENT OF A COMMUNITY ASSESSMENT. BASED UPON FEEDBACK FROM TELEPHONE SATISFACTION SURVEYS AND PAPER SURVEYS, OUR TEAM DEVELOPS PLANS TO MEET THE NEEDS OF OUR COMMUNITY. TAYLOR REGIONAL HOSPITAL CONTRIBUTES BOTH FINANCIALLY AND WITH PERSONNEL TO THE ANNUAL RELAY FOR LIFE CANCER PROGRAM. THE HOSPITAL BOARD MEMBERS ARE ACTIVE RESIDENTS IN THE COMMUNITY REPRESENTING VARIOUS WALKS OF LIFE INCLUDING LOCAL BUSINESS OWNERS, AGRICULTURISTS, AND RETIRED PHYSICIANS. BOARD MEMBERS REPRESENT THE COMMUNITY, PROVIDING FEEDBACK AND RECOMMENDATIONS BASED UPON NEEDS. TAYLOR REGIONAL HOSPITAL ACTIVELY PARTICIPATES WITH ARCHWAY PARTNERSHIP, A COMMUNITY PROGRAM FROM THE UNIVERSITY SYSTEM OF GEORGIA. AS A COMMUNITY PARTNER WORKING WITH ARCHWAY IN HAWKINSVILLE-PULASKI COUNTY, THE HOSPITAL INTERACTS WITH OTHER REPRESENTATIVES INCLUDING: PULASKI COUNTY GOVERNMENT, THE HAWKINSVILLE CITY COMMISSION, PULASKI TOMORROW, THE BOARD OF EDUCATION, AND OTHER LOCAL BUSINESSES. AMONG THE ISSUES THE COMMUNITY WILL TAKE ON AS PART OF ARCHWAY ARE EDUCATION, LEADERSHIP DEVELOPMENT, COMMUNITY HEALTH, WORKFORCE HOUSING, GOVERNMENT SERVICE DELIVERY, AND ECONOMIC DEVELOPMENT. OUR CHNA MAY BE FOUND ON OUR WEBSITE AT: HTTPS://TAYLORREGIONAL.ORG/ASSETS/FILES/TRHCHNA19.PDF. |
| SCHEDULE H, PART VI, LINE 3 | WHEN AN UNINSURED PATIENT IS ADMITTED TO TAYLOR REGIONAL HOSPITAL, CASE MANAGEMENT AND/OR REGISTRATION NOTIFIES THE FINANCIAL COUNSELOR. THE FINANCIAL COUNSELOR MEETS WITH THE PATIENT TO EXPLAIN OUR FINANCIAL ASSISTANCE POLICY AND REFERS THE PATIENT TO DECO (MEDICAID ELIGIBILITY CONSULTANTS). TAYLOR REGIONAL HOSPITAL IS CONTRACTED WITH DECO WHICH ASSISTS THE PATIENTS WITH COMPLETION OF APPLICATIONS FOR STATE AND FEDERAL ASSISTANCE PROGRAMS. IF NEEDED BY THE PATIENT, DECO WILL ACCOMPANY THE PATIENTS TO DOOLY COUNTY DIVISION OF FAMILY AND CHILDREN SERVICES. IF THE PATIENT IS DENIED FOR ASSISTANCE THROUGH ALL LOCAL, STATE, AND FEDERAL PROGRAMS AND RESIDES IN PULASKI, DOOLY, WILCOX, OR BLECKLEY COUNTY, AN INDIGENT CARE APPLICATION IS PROCESSED ACCORDING TO THE FEDERAL POVERTY GUIDELINES. SIGNAGE THROUGHOUT THE HOSPITAL FACILITY NOTIFIES PATIENTS OF THE HOSPITAL'S FIANCIAL ASSISTANCE POLICY. THE FAP, APPLICATION AND A PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON THE HOSPITAL'S WEBSITE. A COPY OF THE PLAIN LANGUAGE SUMMARY IS OFFERED TO EACH PATIENT PRIOR TO DISCHARGE. IF THE PATIENT DOES NOT QUALIFY FOR ANY OF THE FINANCIAL ASSISTANCE, THE BUSINESS OFFICE WORKS WITH THE PATIENT TO SET UP MONTHLY PAYMENTS. |
| SCHEDULE H, PART VI, LINE 4 | TAYLOR REGIONAL HOSPITAL REACHES A PATIENT BASE OF OVER 189,000 AND PROVIDES PATIENTS WITH ACCESS TO OVER 94 CREDENTIALED PHYSICIANS REPRESENTING 25 MAJOR SPECIALTIES. COMPRISED OF A HOME HEALTH AGENCY, DURABLE MEDICAL EQUIPMENT AND OUTREACH PHYSICIAN CLINICS, THE ORGANIZATION HAS A SERVICE AREA REACHING: PULASKI COUNTY, WILCOX COUNTY, BLECKLEY COUNTY, DOOLY COUNTY AND BEYOND. TAYLOR REGIONAL HOSPITALS SERVICE AREA IS A RURAL COMMUNITY. THE MAJORITY OF THE POPULATION IS WHITE (62%), WHILE AFRICAN-AMERICANS CONSTITUTE THE LARGEST MINORITY (37%). MEDIAN HOUSEHOLD INCOME, PROPORTION WITH AT LEAST A HIGH SCHOOL DIPLOMA AND PERCENTAGE WITHOUT HEALTH INSURANCE LAG BEHIND THE STATE AVERAGES. THE AREA HAS A HIGHER PROPORTION OF OLDER ADULTS AND FEWER INDIVIDUALS AGED 20-44 THAN THE STATE AVERAGE. |
| SCHEDULE H, PART VI, LINE 5 | SERVING AN AGING POPULATION, THE ORGANIZATION PARTICIPATES WITH THE SILVER SNEAKERS PROGRAM TO ASSIST OUR COMMUNITY MEMBERS WITH A MEANS OF ENHANCING WELLNESS THROUGH EXERCISE AND FELLOWSHIP WITH OTHER PARTICIPANTS OF THE PROGRAM. TAYLOR REGIONAL SUPPORTS THE FIGHT AGAINST CANCER BY CONTRIBUTING BOTH FINANCIALLY AND WITH PERSONNEL TO THE ANNUAL RELAY FOR LIFE CANCER PROGRAM. THE HOSPITAL BOARD MEMBERS ARE ACTIVE RESIDENTS IN THE COMMUNITY REPRESENTING VARIOUS WALKS OF LIFE INCLUDING LOCAL BUSINESS OWNERS, AGRICULTURISTS, AND RETIRED PHYSICIANS. BOARD MEMBERS REPRESENT THE COMMUNITY, PROVIDING FEEDBACK AND RECOMMENDATIONS BASED UPON NEEDS. THE MEDICAL STAFF AND VARIOUS HOSPITAL STAFF MEMBERS PARTICIPATE IN COMMUNITY HEALTH FAIRS, PROVIDING EDUCATION AND SCREENINGS TO THE PUBLIC. TAYLOR REGIONAL HOSPITAL HAS AN EMERGENCY ROOM OPEN 24/7/365, AN OPEN MEDICAL STAFF, A COMMUNITY BASED BOARD OF DIRECTORS AND THE HOSPITAL REINVESTS ANY SURPLUS FUNDS TO IMPROVE PATIENT CARE TO THE COMMUNITY. |
| SCHEDULE H, PART VI, LINE 7 | GEORGIA |
| SCHEDULE H, PART VI | SPECIFIC WEBSITE URLS - FAP - HTTPS://TAYLORREGIONAL.ORG/ASSETS/FILES/TRH-FAP.PDF CHNA - HTTPS://TAYLORREGIONAL.ORG/ASSETS/FILES/TRHCHNA19.PDF IMPLEMENTATION STRATEGIES - HTTPS://TAYLORREGIONAL.ORG/ASSETS/FILES/IMPLEMENTATIONSTRATEGY2019-2022.PDF |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | 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 | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|
| KIMBERLI CARPENTER MD | ||||
| PHYSICIAN | $384,350 | $28,917 | $413,267 | |
| ROBERT C CAMPBELL MD | ||||
| PHYSICIAN | $398,623 | $4,124 | $402,747 | |
| MARTIN ALAN BAGGETT MD | ||||
| PHYSICIAN | $313,922 | $28,877 | $342,799 | |
| SANDRA S KOPACZ MD | ||||
| PHYSICIAN | $199,180 | $28,917 | $304,978 | $76,881 |
| JONATHAN L GREEN | ||||
| CEO | $246,202 | $28,877 | $275,079 | |
| ROBERT HEATH MD | ||||
| PHYSICIAN | $244,471 | $10,041 | $261,311 | $6,799 |
| BRANDI WYNNE MD | ||||
| PHYSICIAN | $214,052 | $28,917 | $251,757 | $8,788 |
| GUY T EASTERLING MD | ||||
| PHYSICIAN | $218,966 | $10,041 | $229,007 | |
| MICHELE T EDWARDS-PASCHAL MD | ||||
| PHYSICIAN | $198,426 | $28,917 | $227,343 | |
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 AUTHORITY OF PULASKI COUNT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 472597897 | BondIssuerEIN |
| CUSIP | NONENONEN | CUSIPNum |
| Bond Issued | 2014-12-23 | BondIssuedDt |
| Issue Price | $5,100,000 | IssuePriceAmt |
| Purpose | PURCHASE NURSING HOME AND REHABILITATION CENTER | 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 | $315,000 | RetiredAmt |
| Total Proceeds | $5,100,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $170,982 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $4,929,232 | OtherSpentProceedsAmt |
| Substantial Completion | 2014 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | false | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | 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 | Yes (true) | 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 | false | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | 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 AUTHORITY OF PULASKI COUNTY PURCHASE NURSING HOME AND REHABILITATION CENTER | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT CPA FROM INFORMATION PROVIDED BY MANAGEMENT. FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | CONFLICTS ARE DISCLOSED TO THE CEO OF TAYLOR REGIONAL HOSPITAL OR THE CHAIRMAN OF THE BOARD. A RECOMMENDATION IS MADE BY THE CEO TO THE BOARD AS TO ACTIONS TO BE TAKEN TO RESOLVE THE CONFLICT. DISMISSAL OF THE INDIVIDUAL OR REMOVAL OF THE CONFLICTED INDIVIDUAL ARE POSSIBLE OPTIONS OUTLINED IN THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE BOARD REVIEWS THE PROPOSED COMPENSATION AGAINST COMPARATIVE DATA. MINUTES OF THE DELIBERATION AND APPROVAL OF THE CEO'S COMPENSATION ARE MAINTAINED. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE CEO OF THE ORGANIZATION REVIEWS AND DETERMINES THE COMPENSATION FOR ALL OTHER MEMBERS OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | TAYLOR REGIONAL HOSPITAL PROVIDES COPIES OF ITS FINANCIAL STATEMENTS AND ITS GOVERNING DOCUMENTS TO THE PUBLIC UPON REQUEST. GOVERNING DOCUMENTS ARE ALSO AVAILABLE ON THE GEORGIA SECRETARY OF STATE'S WEBSITE OR THROUGH THAT OFFICE. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES 674,313 315,287 0 CLINICAL & OUTSIDE SERVICES 2,459,681 2,478,826 0 COLLECTION FEES 29,424 13,758 0 SERVICE FEES 26,910 12,582 0 TOTAL 3,190,328 2,820,453 0 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR REGIONAL HEALTH NETWORK LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1297 | AddressLine1Txt |
| City | HAWKINSVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582371021 | EIN |
| Primary Activities | HOLD INVES | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
| End Of Year Assets | $177,036 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRH | BusinessNameLine1Txt |
| Business Name Line2 | TAYLOR REGIONAL HOSPITAL INC | BusinessNameLine2Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR MEMORIAL CARE FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1297 | AddressLine1Txt |
| City | HAWKINSVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581733602 | EIN |
| Primary Activities | FUNDRSNG | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | 12A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRH | BusinessNameLine1Txt |
| Business Name Line2 | TAYLOR REGIONAL HOSPITAL | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR MANAGEMENT SERVICES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1297 | AddressLine1Txt |
| City | HAWKINSVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582371969 | EIN |
| Primary Activities | DORMANT | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRH | BusinessNameLine1Txt |
| Business Name Line2 | TAYLOR REGIONAL HOPSITAL | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (true) | 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 | false | 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 | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|
| TAYLOR MEMORIAL CARE FOUNDATION | |
| M | AMOUNTS UNDETERMINED |
| TAYLOR MEMORIAL CARE FOUNDATION | |
| N | AMOUNTS UNDETERMINED |
| TAYLOR MEMORIAL CARE FOUNDATION | |
| O | AMOUNTS UNDETERMINED |