COMMUNITY HEALTH SYSTEMS INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH SYSTEMS INC (EIN 74-3083593)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-12
IRS object ID
202241329349301134
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-12T09:12:26-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN581094351PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MCNAIR MCLEMORE MIDDLEBROOKS & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX ONEAddressLine1Txt
CityMACONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP312020001ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN743083593EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH SYSTEMS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone4786212040PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1037AddressLine1Txt
CityMACONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLORRAINE T TAYLORPersonNm
Person TitleCFO, CAO, SECRETARYPersonTitleTxt
Phone4786212040PhoneNum
Signature2022-05-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLORRAINEPersonFirstNm
Person LastTAYLORPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWILLIAM R ROUNTREEPreparerPersonNm
PTINP01231836PTIN
Phone4787466277PhoneNum
Preparation2022-05-12PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLORRAINE T TAYLORPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1037AddressLine1Txt
CityMACONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$49,008,420GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHS-GA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO SUPPORT AND ENCOURAGE HEALTH CARE AND RELATED SERVICES BY PROVIDING STRATEGIC PLANNING, OVERSIGHT, MANAGEMENT, SUPERVISION, ADMINISTRATIVE SERVICES AND OTHER ESSENTIAL FUNCTIONS TO SECTION 501(C)(3) SUPPORTED ORGANIZATIONS WITHIN AN INTEGRATED HEALTH CARE DELIVERY SYSTEM.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee181TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$29,012,880PYProgramServiceRevenueAmt
CY Program Service Revenue$28,804,040CYProgramServiceRevenueAmt
PY Investment Income-$3,787,669PYInvestmentIncomeAmt
CY Investment Income$19,143,901CYInvestmentIncomeAmt
PY Other Revenue$1,040,252PYOtherRevenueAmt
CY Other Revenue$1,060,479CYOtherRevenueAmt
PY Total Revenue$26,265,463PYTotalRevenueAmt
CY Total Revenue$49,008,420CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,331,825PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$17,027,317CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$12,588,519PYOtherExpensesAmt
CY Other Expenses$9,739,529CYOtherExpensesAmt
PY Total Expenses$28,920,344PYTotalExpensesAmt
CY Total Expenses$26,766,846CYTotalExpensesAmt
PY Revenues Less Expenses-$2,654,881PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$22,241,574CYRevenuesLessExpensesAmt
Total Assets BOY$105,897,705TotalAssetsBOYAmt
Total Assets EOY$149,456,293TotalAssetsEOYAmt
Total Liabilities BOY$4,441,358TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,059,756TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$101,456,347NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$137,396,537NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO SUPPORT AND ENCOURAGE HEALTH CARE AND RELATED SERVICES THROUGH PROVIDING STRATEGIC PLANNING, OVERSIGHT, MANAGEMENT, SUPERVISION, ADMINISTRATIVE SERVICES AND OTHER ESSENTIAL FUNCTIONS TO SECTION 501(C)(3) SUPPORTED ORGANIZATIONS WITHIN AN INTEGRATED HEALTH CARE DELIVERY SYSTEM.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$26,766,846ExpenseAmt
DescSTRATEGIC PLANNING: COMMUNITY HEALTH SYSTEMS, INC. PROVIDED GUIDANCE TO ITS SUPPORTED ORGANIZATIONS IN THE DEVELOPMENT AND EXECUTION OF STRATEGIC INITIATIVES TO FULFILL THE ORGANIZATION'S MISSION "TO PROVIDE GEORGIA DIRECT ACCESS TO HEALTH CARE SERVICES". OVERSIGHT, MANAGEMENT AND ADMINISTRATIVE SERVICES: COMMUNITY HEALTH SYSTEMS, INC. PROVIDED THE FRAMEWORK FOR GOVERNANCE OF THE ORGANIZATION'S ACTIVITIES AND PROVIDED SERVICES TO FACILITATE THE ADMINISTRATIVE FUNCTIONS OF THE ORGANIZATION. THESE SERVICES INCLUDED, BUT WERE NOT LIMITED TO, ENTERPRISE BUSINESS PLATFORMS; PROJECT MANAGEMENT SUPPORT; COMMUNICATIONS SUPPORT; TECHNOLOGY INFRASTRUCTURE AND SUPPORT; FINANCIAL AND ACCOUNTING SUPPORT AND HUMAN CAPITAL MANAGEMENT SUPPORT.Desc
Total Program Service Expenses$26,766,846TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document48IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee181EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCOMMUNITY HEALTH SYSTEMS INCPersonNm
Phone4786212100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1037AddressLine1Txt
CityMACONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31202ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
RONNIE D ROLLINS
DIR, PRES &40.004.00Yes (X)Yes (X)$813,363$0$26,824
LORRAINE T TAYLOR
CFO, CAO, SE40.004.00Yes (X)$719,479$0$26,070
JON HOWELL
SENIOR VP40.000.00Yes (X)$376,040$0$20,398
FREDDIE WALTER
SENIOR VP40.000.00Yes (X)$366,581$0$19,380
RUSTY LEE
SR VICE PRES40.000.00Yes (X)$315,931$0$17,931
BRANDON POOLE
SENIOR VP40.000.00Yes (X)$268,280$0$17,266
JILL SNOW
SENIOR VP0.0040.00$0$257,513$18,784Yes (X)
MICHELLE MOORE-ANDREWS
SENIOR VP40.000.00Yes (X)$255,599$0$19,750
RALPH WARNOCK
DIRECTOR, EX40.004.00Yes (X)Yes (X)$102,197$142,765$23,002
HUNTER HURST
SENIOR VP40.000.00Yes (X)$244,315$0$17,019
ANGELA HAMMACK
VP-SYS SUPPO40.000.00Yes (X)$214,232$0$16,273
BEN H GRIFFIN JR
SENIOR VP40.004.00Yes (X)$214,781$0$11,866
TERESA MOODY
SENIOR VP40.004.00Yes (X)$200,580$0$18,388
KIMBERLY SHEFFIELD
VICE PRESIDE40.004.00Yes (X)$198,246$0$18,354
KEN MCDONALD
SENIOR VP40.000.00Yes (X)$198,931$0$15,543
CHRISTOPHER JOHNSON
VICE PRESIDE40.000.00Yes (X)$198,587$0$15,573
THOMAS RANDOLPH COODY
DIRECTOR, VP4.000.00Yes (X)Yes (X)$204,000$0$0
PAMELA O' ROURKE
SR VICE PRES40.000.00Yes (X)$179,041$0$15,905
SANDRA JEAN
VICE PRESIDE40.000.00Yes (X)$172,532$0$18,633
APRIL KENNERLY
VICE PRESIDE40.000.00Yes (X)$177,798$0$11,378
CORI REESE
VICE PRESIDE40.000.00Yes (X)$168,149$0$14,739
GENEEN RANSAW
VICE PRESIDE40.000.00Yes (X)$170,877$0$11,180
KIMBERLY HERRON
VICE PRESIDE40.000.00Yes (X)$167,199$0$10,987
BUCKIE NORTON
DIRECTOR OF40.000.00$158,980$0$13,778Yes (X)
HIMABINDU AKKINENI
DIRECTOR40.000.00$154,477$0$14,775Yes (X)
AUTUMN WARD
VICE PRESIDE40.000.00Yes (X)$133,444$0$18,041
MICHAEL TAYLOR
VICE PRESIDE40.000.00Yes (X)$134,826$0$14,930
SYLVIA ROWE
VICE PRESIDE40.000.00Yes (X)$129,851$0$15,140
YOLANDA PENCE
VICE PRESIDE40.000.00Yes (X)$124,987$0$17,349
EDWIN SPIVEY
NETWORK OPER40.000.00$122,453$0$16,874Yes (X)
MARCUS TRAINER
DIR NW OPERA40.000.00$122,184$0$16,853Yes (X)
JOHNNY MCGINNIS
SENIOR DIREC40.000.00$122,162$0$16,068Yes (X)
VICKI HILL-HOFFMAN
VICE PRESIDE40.000.00Yes (X)$97,552$0$14,367
LISA DAVIES
VICE PRESIDE40.000.00Yes (X)$76,230$0$13,515
LUCY ROGERS
DIRECTOR, SR30.001.00Yes (X)Yes (X)$50,078$0$3,831
PAUL A CABLE
DIRECTOR4.001.00Yes (X)$24,000$0$0
KATHRYN DENNIS
DIRECTOR4.001.00Yes (X)$24,000$0$0
HERBERT M PONDER JR
DIRECTOR4.001.00Yes (X)$24,000$0$0
JOSEPH A WALL
CHAIRMAN4.001.00Yes (X)$24,000$0$0
KELLY LAUGHLIN
VICE PRESIDE40.000.00Yes (X)$19,854$0$1,710
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,469,816TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$400,278TotReportableCompRltdOrgAmt
Total Other Compensation$562,474TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K37IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
COLLAIN HEALTHCARE LLC
33313 COLLECTION CENTER DRIVECHICAGOIL606930333HEALTHCARE$1,183,553
TMP WORLDWIDE AD COMM LLC
PO BOX 2310HICKSVILLENY11802ADVERTISING$272,417
COSAIRUS LLC
3525 PIEDMONT ROAD NEATLANTAGA30305SOFTWARE$232,813BLDG 8 SUITE 400
BAKER HOSTETLER LLP
PO BOX 70189CLEVELANDOH441900189LEGAL$159,686
NETWORK CONSULTING SERVICES INC
585 WEST 500 SOUTH SUITE 110BOUNTIFULUT84010CONSULTING$131,274
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSUPPORT ORGANIZATION FEESDesc
Total Revenue Column$28,804,040TotalRevenueColumnAmt
Related Or Exempt Func Income$28,804,040RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$28,804,040TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,143,901TotalRevenueColumnAmt
Exclusion$19,143,901ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Total Revenue Column$1,060,479TotalRevenueColumnAmt
Related Or Exempt Func Income$1,060,479RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,060,479OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,008,420TotalRevenueColumnAmt
Related Or Exempt Func Income$29,864,519RelatedOrExemptFuncIncomeAmt
Exclusion$19,143,901ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,282,031TotalAmt
Program Services$7,282,031ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,676,218TotalAmt
Program Services$7,676,218ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$481,198TotalAmt
Program Services$481,198ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$654,831TotalAmt
Program Services$654,831ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$933,039TotalAmt
Program Services$933,039ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$259,698TotalAmt
Program Services$259,698ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$42,075TotalAmt
Program Services$42,075ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$642,727TotalAmt
Program Services$642,727ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$32,907TotalAmt
Program Services$32,907ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$63,650TotalAmt
Program Services$63,650ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$449,798TotalAmt
Program Services$449,798ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
CONTRACT SERVICES$4,207,952$4,207,952
OTHER ADMINISTRATIVE$3,677,170$3,677,170
DIRECTORS' FEES$120,000$120,000
TAXES & LICENSES$113,878$113,878

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$129,674TotalAmt
Program Services$129,674ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$26,766,846TotalAmt
Program Services$26,766,846ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,304,178BOYAmt
EOY$28,547,432EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,500BOYAmt
EOY$48,701EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,150,000BOYAmt
EOY$3,100,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$704,645BOYAmt
EOY$511,626EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,938,892LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,596,639LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$393,017BOYAmt
EOY$342,253EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$87,401,231BOYAmt
EOY$115,927,051EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$920,134BOYAmt
EOY$979,230EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$105,897,705BOYAmt
EOY$149,456,293EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,247,424BOYAmt
EOY$1,763,067EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$193,934BOYAmt
EOY$10,296,689EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,441,358BOYAmt
EOY$12,059,756EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$101,456,347BOYAmt
EOY$137,396,537EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$101,456,347BOYAmt
EOY$137,396,537EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$105,897,705BOYAmt
EOY$149,456,293EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$22,241,574ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$13,698,616OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations11SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (11 entries)

Business Name Line2SupportedOrganizationName/BusinessNameLine2TxtEINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
HEALTH SCHOLARSHIPS INC
HEALTH SCHOLARSHIPS INC58180530510Yes (true)$0$0
HEALTH SYSTEMS FACILITIES INC
HEALTH SYSTEMS FACILITIES INC74308359410Yes (true)$0$0
PIEDMONT REGIONAL HEALTH INC
PIEDMONT REGIONAL HEALTH INC43200749810Yes (true)$0$0
CLINICAL SERVICES INC
CLINICAL SERVICES INC57115711510Yes (true)$0$0
COMMUNITY REHABILITATION SERVICES INC
COMMUNITY REHABILITATION SERVICES INC20352377910Yes (true)$0$0
COMMUNITY ANCILLARY SERVICES INC
COMMUNITY ANCILLARY SERVICES INC43200749610Yes (true)$0$0
COMMUNITY HEALTH VENTURES INC
COMMUNITY HEALTH VENTURES INC20139224110Yes (true)$0$0
HEALTH SYSTEMS REAL ESTATE INC
HEALTH SYSTEMS REAL ESTATE INC43200748810Yes (true)$0$0
STEWARD HEALTH SERVICES INC
STEWARD HEALTH SERVICES INC43200748610Yes (true)$0$0
HOME AND COMMUNITY SERVICES INC
HOME AND COMMUNITY SERVICES INC43200749210Yes (true)$0$0
COMMUNITY HEALTH FOUNDATION INC
COMMUNITY HEALTH FOUNDATION INC57115715310Yes (true)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total11SupportedOrganizationsTotalCnt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 11HFormAndLineReferenceDesc
ExplanationCOMMUNITY ANCILLARY SERVICES, INC. 43-2007496 10 X 0 0 COMMUNITY HEALTH VENTURES, INC. 20-1392241 10 X 0 0 HEALTH SYSTEMS REAL ESTATE, INC. 43-2007488 10 X 0 0 STEWARD HEALTH SERVICES, INC. 43-2007486 10 X 0 0 HOME AND COMMUNITY SERVICES, INC. 43-2007492 10 X 0 0 COMMUNITY HEALTH FOUNDATION, INC. 57-1157153 10 X 0 0ExplanationTxt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$215,475FilingOrganizationsTotalAmt
Affiliated Group Total$215,475AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$215,475FilingOrganizationsTotalAmt
Affiliated Group Total$215,475AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Affiliated Group Total$558,474,514AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$215,475FilingOrganizationsTotalAmt
Affiliated Group Total$558,689,989AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$43,095FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$10,774FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$308,289CurrentYearMinus3Amt
Current Year Minus2$315,044CurrentYearMinus2Amt
Current Year Minus1$295,027CurrentYearMinus1Amt
Current Year$215,475CurrentYearAmt
Total$1,133,835TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-AFormAndLineReferenceDesc
ExplanationCLINICAL SERVICES, INC. 57-1157115 1005 BOULDER DRIVE GRAY, GA 31032 0 0 0 37,449,441 0 0 COMMUNITY ANCILLARY SERVICES, INC. 43-2007496 213 THIRD STREET MACON, GA 31201 0 0 0 68,253,110 0 0 COMMUNITY HEALTH FOUNDATION, INC. 57-1157153 P.O. BOX 1833 MACON, GA 31202 0 0 0 471,978 0 0 COMMUNITY REHABILITATION SERV, INC. 20-3253779 P.O. BOX 1804 MACON, GA 31202 0 0 0 22,783,501 0 0 HEALTH SCHOLARSHIPS, INC. 58-1805305 1005 BOULDER DRIVE GRAY, GA 31032 0 0 0 233,944,984 0 0 HEALTH SYSTEMS FACILITIES, INC. 74-3083594 1005 BOULDER DRIVE GRAY, GA 31032 0 0 0 93,660,072 0 0 HEALTH SYSTEMS REAL ESTATE, INC. 43-2007488 1005 BOULDER DRIVE GRAY, GA 31032 0 0 0 7,458,398 0 0 HOME & COMMUNITY SERVICES, INC. 43-2007492 P.O. BOX 1803 MACON, GA 31202 0 0 0 43,920,485 0 0 PIEDMONT REGIONAL HEALTH, INC. 43-2007498 1005 BOULDER DRIVE GRAY, GA 31032 0 0 0 23,748,078 0 0 STEWARD HEALTH SERVICES, INC. 43-2007486 213 THIRD STREET MACON, GA 31201 0 0 0 17,621 0 0 COMMUNITY HEALTH SYSTEMS, INC. 74-3083593 P.O. BOX 1037 MACON, GA 31202 0 215,475 215,475 26,766,846 0 0ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,755,088OtherCostOrOtherBasisAmt
Depreciation$1,432,817DepreciationAmt
Book Value$322,271BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$183,804OtherCostOrOtherBasisAmt
Depreciation$163,822DepreciationAmt
Book Value$19,982BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$342,253TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
NOTE PAYABLE - SHORT-TERM$10,032,907
ACCRUED PAYROLL TAXES$263,782
FieldValueIRS element (for citing)
Total Liability$10,296,689TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$49,008,420TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$49,008,420RevenueSubtotalAmt
Total Revenue Per Form990$49,008,420TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$26,766,846TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$26,766,846ExpensesSubtotalAmt
Total Expenses Per Form990$26,766,846TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
RONNIE D ROLLINS
DIR, PRES & CEO$797,830$15,533$26,824$840,187
LORRAINE T TAYLOR
CFO, CAO, SECRETARY$704,407$15,072$26,070$745,549
JON HOWELL
SENIOR VP$364,840$11,200$20,398$396,438
FREDDIE WALTER
SENIOR VP$355,381$11,200$19,380$385,961
RUSTY LEE
SR VICE PRESIDENT$304,731$11,200$17,931$333,862
BRANDON POOLE
SENIOR VP$268,280$17,266$285,546
JILL SNOW
SENIOR VP$244,881$12,632$18,784$276,297
MICHELLE MOORE-ANDREWS
SENIOR VP$245,114$10,485$19,750$275,349
RALPH WARNOCK
DIRECTOR, EXEC VP$97,945$4,252$10,131$112,328$137,037$5,728$12,871$155,636
HUNTER HURST
SENIOR VP$233,981$10,334$17,019$261,334
ANGELA HAMMACK
VP-SYS SUPPORT$205,523$8,709$16,273$230,505
BEN H GRIFFIN JR
SENIOR VP$205,593$9,188$11,866$226,647
TERESA MOODY
SENIOR VP$192,074$8,506$18,388$218,968
KIMBERLY SHEFFIELD
VICE PRESIDENT$189,758$8,488$18,354$216,600
KEN MCDONALD
SENIOR VP$190,398$8,533$15,543$214,474
CHRISTOPHER JOHNSON
VICE PRESIDENT$189,983$8,604$15,573$214,160
THOMAS RANDOLPH COODY
DIRECTOR, VP$204,000$204,000
PAMELA O' ROURKE
SR VICE PRESIDENT$166,000$13,041$15,905$194,946
SANDRA JEAN
VICE PRESIDENT$165,232$7,300$18,633$191,165
APRIL KENNERLY
VICE PRESIDENT$169,923$7,875$11,378$189,176
CORI REESE
VICE PRESIDENT$162,397$5,752$14,739$182,888
GENEEN RANSAW
VICE PRESIDENT$163,275$7,602$11,180$182,057
KIMBERLY HERRON
VICE PRESIDENT$160,472$6,727$10,987$178,186
BUCKIE NORTON
DIRECTOR OF SAS$153,306$5,674$13,778$172,758
HIMABINDU AKKINENI
DIRECTOR$148,216$6,261$14,775$169,252
AUTUMN WARD
VICE PRESIDENT$127,705$5,739$18,041$151,485

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonLAKE PARK REAL ESTATE INCPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSEE BELOWRelationshipDescriptionTxt
Transaction$142,079TransactionAmt
TransactionRENTAL OF REALESTATETransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationLAKE PARK REAL ESTATE, INC. IS OWNED BY A SUBSIDIARY THAT IS OWNED BY RONNIE D. ROLLINS, PRESIDENT AND CEO.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTO SUPPORT AND ENCOURAGE HEALTH CARE AND RELATED SERVICES THROUGH PROVIDING STRATEGIC PLANNING, OVERSIGHT, MANAGEMENT, SUPERVISION, ADMINISTRATIVE SERVICES AND OTHER ESSENTIAL FUNCTIONS TO SECTION 501(C)(3) SUPPORTED ORGANIZATIONS WITHIN AN INTEGRATED HEALTH CARE DELIVERY SYSTEM.
FORM 990, PAGE 2, PART III, LINE 4ASTRATEGIC PLANNING: COMMUNITY HEALTH SYSTEMS, INC. PROVIDED GUIDANCE TO ITS SUPPORTED ORGANIZATIONS IN THE DEVELOPMENT AND EXECUTION OF STRATEGIC INITIATIVES TO FULFILL THE ORGANIZATION'S MISSION "TO PROVIDE GEORGIA DIRECT ACCESS TO HEALTH CARE SERVICES". OVERSIGHT, MANAGEMENT AND ADMINISTRATIVE SERVICES: COMMUNITY HEALTH SYSTEMS, INC. PROVIDED THE FRAMEWORK FOR GOVERNANCE OF THE ORGANIZATION'S ACTIVITIES AND PROVIDED SERVICES TO FACILITATE THE ADMINISTRATIVE FUNCTIONS OF THE ORGANIZATION. THESE SERVICES INCLUDED, BUT WERE NOT LIMITED TO, ENTERPRISE BUSINESS PLATFORMS; PROJECT MANAGEMENT SUPPORT; COMMUNICATIONS SUPPORT; TECHNOLOGY INFRASTRUCTURE AND SUPPORT; FINANCIAL AND ACCOUNTING SUPPORT AND HUMAN CAPITAL MANAGEMENT SUPPORT.
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 FOR COMMUNITY HEALTH SYSTEMS, INC. IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. UPON COMPLETION, THE INDEPENDENT ACCOUNTING FIRM PROVIDES A DRAFT OF THE FORM 990 TO THE AUDIT COMMITTEE OF THE ORGANIZATION FOR ITS REVIEW. ALLOWING ADEQUATE TIME FOR REVIEW, THE INDEPENDENT ACCOUNTING FIRM SUBSEQUENTLY MEETS WITH THE AUDIT COMMITTEE OF THE ORGANIZATION TO REVIEW AND DISCUSS THE DRAFT FORM 990. FOLLOWING THE AUDIT COMMITTEE'S REVIEW, DISCUSSION AND APPROVAL OF THE DRAFT FORM 990, THE AUDIT COMMITTEE THEN PROVIDES THE DRAFT FORM 990 TO THE ORGANIZATION'S BOARD OF DIRECTORS WITH A RECOMMENDATION TO REVIEW AND APPROVE THE FORM 990. SUBSEQUENT TO RECEIPT OF THE DRAFT FORM 990, A MEETING OF THE ORGANIZATION'S BOARD OF DIRECTORS IS HELD TO DISCUSS THE RECOMMENDATION FROM ITS AUDIT COMMITTEE AND TO ASK QUESTIONS OF THE INDEPENDENT ACCOUNTING FIRM AND THE ORGANIZATION'S MANAGEMENT. FOLLOWING REVIEW AND DISCUSSION, THE BOARD THEN APPROVES THE FORM 990 TO BE FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PAGE 6, PART VI, LINE 12CCOMPLIANCE WITH THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY IS EFFECTUATED BY, AT A MINIMUM, THE BOARD OF DIRECTOR'S ANNUAL REVIEW OF CONFLICT DISCLOSURE STATEMENTS PROVIDED BY THE ORGANIZATION'S DIRECTORS AND OFFICERS. ALSO, THE ORGANIZATION'S BOARD OF DIRECTORS REVIEW CONFLICT DISCLOSURE STATEMENTS PRIOR TO TAKING ACTION ON PROPOSED TRANSACTIONS AND CONTRACTUAL ARRANGEMENTS. THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY PROVIDES THE PROCEDURE FOR WHICH INTERESTED PERSONS ARE EVALUATED TO DETERMINE IF A CONFLICT EXISTS. IF IT IS DETERMINED THAT A BOARD MEMBER HAS A CONFLICT OF INTEREST, THEN SUCH BOARD MEMBERS ARE NOT ALLOWED TO PARTICIPATE IN DELIBERATIONS ON THE SPECIFIC MATTER AND IS EXCUSED FROM, AND NOT ALLOWED TO PARTICIPATE IN, ANY BOARD VOTE ON THE MATTER.
FORM 990, PAGE 6, PART VI, LINE 15ATHE ORGANIZATION REGULARLY AND CONSISTENTLY COMPLIES WITH THE COMPENSATION APPROVAL PROCESS, AS DEFINED BY ITS CONFLICTS OF INTEREST POLICY, THROUGH A COMPREHENSIVE ENGAGEMENT CONDUCTED BY ITS COMPENSATION COMMITTEE. A THIRD-PARTY COMPENSATION CONSULTANT IS ENGAGED TO GATHER COMPARABILITY DATA FOR THE ORGANIZATION'S SENIOR MANAGEMENT AND ITS KEY OR HIGHLY COMPENSATED EMPLOYEES. FOLLOWING COMPLETION OF THE ENGAGEMENT, THE THIRD-PARTY CONSULTANT ISSUES A WRITTEN REPORT REFLECTING ITS OPINION CONCERNING WHETHER THE ORGANIZATION'S PROPOSED COMPENSATION ARRANGEMENTS CONSTITUTE REASONABLE COMPENSATION UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE. UPON RECEIPT AND REVIEW OF THE CONSULTANT'S WRITTEN REPORT AND SUPPORTING MATERIALS, THE ORGANIZATION'S COMPENSATION COMMITTEE THEN PROVIDES ALL SUCH MATERIALS ALONG WITH RECOMMENDATIONS TO ITS BOARD OF DIRECTORS FOR CONSIDERATION. SUBSEQUENTLY, THE BOARD OF DIRECTORS HOLDS A MEETING TO REVIEW THE MATERIALS AND RECOMMENDATIONS FROM ITS COMPENSATION COMMITTEE AT WHICH TIME THE BOARD WILL VOTE ON THE REASONABLENESS OF COMPENSATION FOR EACH INDIVIDUAL INCLUDED IN THE COMPENSATION ENGAGEMENT. IF ANY DISQUALIFIED OR OTHERWISE CONFLICTED BOARD MEMBERS ARE PRESENT AT THE MEETING, THEY DO NOT PARTICIPATE IN THE DELIBERATIONS AND ARE EXCUSED FROM VOTING ON SUCH MATTERS. THE COMPENSATION APPROVAL PROCESS IS CARRIED OUT BY THE ORGANIZATION'S BOARD OF DIRECTORS IN A MANNER DESIGNED TO SATISFY ALL THREE OF THE REQUIREMENTS NECESSARY TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS WITH RESPECT TO COMPENSATION ARRANGEMENTS FOR DISQUALIFIED PERSONS UNDER SECTION 53.4958-6 OF THE INTERNAL REVENUE CODE. AS PART OF THE PROCESS, THE ORGANIZATION'S BOARD OF DIRECTORS RETAINS THIRD-PARTY LEGAL COUNSEL TO FURTHER ADVISE THE BOARD ON THE REBUTTABLE PRESUMPTION PROCESS AND TO PROVIDE THE BOARD WITH A LEGAL OPINION REGARDING THE SAME. THE FINAL STEP IN THE PROCESS IS PREPARATION OF DOCUMENTATION REQUIRED TO ESTABLISH THE REBUTTABLE PRESUMPTION UTILIZING THE REBUTTABLE PRESUMPTION CHECKLIST ISSUED BY THE INTERNAL REVENUE SERVICE.
FORM 990, PAGE 6, PART VI, LINE 15BTHE ORGANIZATION REGULARLY AND CONSISTENTLY COMPLIES WITH THE COMPENSATION APPROVAL PROCESS, AS DEFINED BY ITS CONFLICTS OF INTEREST POLICY, THROUGH A COMPREHENSIVE ENGAGEMENT CONDUCTED BY ITS COMPENSATION COMMITTEE. A THIRD-PARTY COMPENSATION CONSULTANT IS ENGAGED TO GATHER COMPARABILITY DATA FOR THE ORGANIZATION'S SENIOR MANAGEMENT AND ITS KEY OR HIGHLY COMPENSATED EMPLOYEES. FOLLOWING COMPLETION OF THE ENGAGEMENT, THE THIRD-PARTY CONSULTANT ISSUES A WRITTEN REPORT REFLECTING ITS OPINION CONCERNING WHETHER THE ORGANIZATION'S PROPOSED COMPENSATION ARRANGEMENTS CONSTITUTE REASONABLE COMPENSATION UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE. UPON RECEIPT AND REVIEW OF THE CONSULTANT'S WRITTEN REPORT AND SUPPORTING MATERIALS, THE ORGANIZATION'S COMPENSATION COMMITTEE THEN PROVIDES ALL SUCH MATERIALS ALONG WITH RECOMMENDATIONS TO ITS BOARD OF DIRECTORS FOR CONSIDERATION. SUBSEQUENTLY, THE BOARD OF DIRECTORS HOLDS A MEETING TO REVIEW THE MATERIALS AND RECOMMENDATIONS FROM ITS COMPENSATION COMMITTEE AT WHICH TIME THE BOARD WILL VOTE ON THE REASONABLENESS OF COMPENSATION FOR EACH INDIVIDUAL INCLUDED IN THE COMPENSATION ENGAGEMENT. IF ANY DISQUALIFIED OR OTHERWISE CONFLICTED BOARD MEMBERS ARE PRESENT AT THE MEETING, THEY DO NOT PARTICIPATE IN THE DELIBERATIONS AND ARE EXCUSED FROM VOTING ON SUCH MATTERS. THE COMPENSATION APPROVAL PROCESS IS CARRIED OUT BY THE ORGANIZATION'S BOARD OF DIRECTORS IN A MANNER DESIGNED TO SATISFY ALL THREE OF THE REQUIREMENTS NECESSARY TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS WITH RESPECT TO COMPENSATION ARRANGEMENTS FOR DISQUALIFIED PERSONS UNDER SECTION 53.4958-6 OF THE INTERNAL REVENUE CODE. AS PART OF THE PROCESS, THE ORGANIZATION'S BOARD OF DIRECTORS RETAINS THIRD-PARTY LEGAL COUNSEL TO FURTHER ADVISE THE BOARD ON THE REBUTTABLE PRESUMPTION PROCESS AND TO PROVIDE THE BOARD WITH A LEGAL OPINION REGARDING THE SAME. THE FINAL STEP IN THE PROCESS IS PREPARATION OF DOCUMENTATION REQUIRED TO ESTABLISH THE REBUTTABLE PRESUMPTION UTILIZING THE REBUTTABLE PRESUMPTION CHECKLIST ISSUED BY THE INTERNAL REVENUE SERVICE.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FNANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST IN ACCORDANCE WITH THE SECTION 6104(D) DISCLOSURE REQUIREMENTS.
FORM 990, PART XI, LINE 9CONTRIBUTION OF NET ASSETS 13,698,616

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SYSTEM ADMINISTRATIVE SERVICES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 STONE BROOKE DRIVEAddressLine1Txt
CityGRAYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31032ZIPCd
FieldValueIRS element (for citing)
EIN271572118EIN
Primary ActivitiesADMINISTRAPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Total Income$26,130,857TotalIncomeAmt
End Of Year Assets$595,617EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
Business Name Line2NABusinessNameLine2Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CLINICAL SERVICES INC
1005 BOULDER DRIVEGRAYGA31032571157115CLINICAL AGA501C10NAfalse
COMMUNITY HEALTH FOUNDATION INC
110 STONE BROOKE DRIVEGRAYGA31032571157153FINANCIALGA501C10NAfalse
COMMUNITY REHABILITATION SERVICES
110 STONE BROOKE DRIVEGRAYGA31032203253779REHABILITAGA501C10NAfalse
HEALTH SCHOLARSHIPS INC
1005 BOULDER DRIVEGRAYGA31032581805305OPERATIONGA501C10NAfalse
HEALTH SYSTEMS FACILITIES INC
1005 BOULDER DRIVEGRAYGA31032743083594OPERATIONGA501C10NAfalse
HEALTH SYSTEMS REAL ESTATE INC
110 STONE BROOKE DRIVEGRAYGA31032432007488REGA501C10NAfalse
HOME & COMMUNITY SERVICES INC
110 STONE BROOKE DRIVEGRAYGA31032432007492TRANSGA501C10NAfalse
COMMUNITY ANCILLARY SERVICES INC
110 STONE BROOKE DRIVEGRAYGA31032432007496PHARGA501C10NAfalse
PIEDMONT REGIONAL HEALTH INC
1005 BOULDER DRIVEGRAYGA31032432007498OPERATIONGA501C10NAfalse
STEWARD HEALTH SERVICES INC
110 STONE BROOKE DRIVEGRAYGA31032432007486HOSPICEGA501C10NAfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH VENTURES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14875 RIVERSIDE DRIVE SUITE 105AddressLine1Txt
CityMACONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31210ZIPCd
FieldValueIRS element (for citing)
EIN201392241EIN
Primary ActivitiesRISK MGMT.PrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
CLINICAL SERVICES INC
L$20,197,896
COMMUNITY ANCILLARY SERVICES INC
L$4,407,868
COMMUNITY REHABILITATION SERV INC
L$1,849,219
HOME & COMMUNITY SERVICES INC
L$1,735,412
CLINICAL SERVICES INC
K$180,888
HEALTH SYSTEMS REAL ESTATE INC
L$426,046
COMMUNITY HEALTH FOUNDATION INC
R$1,119
COMMUNITY ANCILLARY SERVICES INC
J$159,000

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