COFFEE REGIONAL MEDICAL CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: COFFEE REGIONAL MEDICAL CENTER INC (EIN 65-0543088)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-15
IRS object ID: 202243199349314394
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-15T13:24:33-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 RIDGEFIELD COURT	AddressLine1Txt
City	ASHEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	650543088	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COFFEE REGIONAL MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COFF	BusinessNameControlTxt
Phone	9123841900	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 OCILLA RD	AddressLine1Txt
City	DOUGLAS	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31533	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	VICKI LEWIS	PersonNm
Person Title	PRESIDENT AND CEO	PersonTitleTxt
Phone	9123841900	PhoneNum
Signature	2022-11-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	VICKI	PersonFirstNm
Person Last	LEWIS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY BIBBY	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum
Preparation	2022-11-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	VICKI LEWIS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 OCILLA RD	AddressLine1Txt
City	DOUGLAS	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31533	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$191,578,804	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COFFEEREGIONAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	GA	LegalDomicileStateCd
Activity Or Mission	TO BE A LEADING PROVIDER OF A COMPREHENSIVE RANGE OF HIGH-QUALITY, REASONABLY PRICED HEALTH CARE SERVICES IN COFFEE COUNTY, GEORGIA, AND THE SURROUNDING REGION. THESE HEALTH CARE SERVICES ARE PROVIDED TO ALL PERSONS REGARDLESS OF ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1301	TotalEmployeeCnt
Total Volunteers	33	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$44,879	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,426,956	PYContributionsGrantsAmt
CY Contributions Grants	$14,090,533	CYContributionsGrantsAmt
PY Program Service Revenue	$151,472,614	PYProgramServiceRevenueAmt
CY Program Service Revenue	$167,965,029	CYProgramServiceRevenueAmt
PY Investment Income	$2,905,877	PYInvestmentIncomeAmt
CY Investment Income	$2,312,403	CYInvestmentIncomeAmt
PY Other Revenue	$4,563,094	PYOtherRevenueAmt
CY Other Revenue	$7,210,839	CYOtherRevenueAmt
PY Total Revenue	$164,368,541	PYTotalRevenueAmt
CY Total Revenue	$191,578,804	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$75,752,093	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$87,904,961	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$87,529,156	PYOtherExpensesAmt
CY Other Expenses	$92,782,685	CYOtherExpensesAmt
PY Total Expenses	$163,281,249	PYTotalExpensesAmt
CY Total Expenses	$180,687,646	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,087,292	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,891,158	CYRevenuesLessExpensesAmt
Total Assets BOY	$118,005,356	TotalAssetsBOYAmt
Total Assets EOY	$126,312,270	TotalAssetsEOYAmt
Total Liabilities BOY	$90,196,776	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$88,429,089	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$27,808,580	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$37,883,181	NetAssetsOrFundBalancesEOYAmt
Mission	TO BE A LEADING PROVIDER OF A COMPREHENSIVE RANGE OF HIGHQUALITY, REASONABLY PRICED HEALTH CARE SERVICES IN COFFEE COUNTY, GEORGIA, AND THE SURROUNDING REGION. THESE HEALTH CARE SERVICES ARE PROVIDED TO ALL PERSONS REGARDLESS OF ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$162,237,393	ExpenseAmt
Revenue	$171,997,869	RevenueAmt
Desc	HOSPITAL SERVICES SHORT TERM CARE FOR INPATIENT AND OUTPATIENT SERVICES FOR DOUGLAS AND COFFEE COUNTY. COFFEE REGIONAL MEDICAL CENTER (CRMC) SERVED 5,168 PATIENTS FOR A TOTAL OF 20,907 INPATIENT DAYS IN 2021. NURSERY DAYS WERE 911 IN 2021. COFFEE REGIONAL MEDICAL CENTER PROVIDED APPROXIMATELY $23,359,371 OF INDIGENT AND CHARITY SERVICES IN 2021.	Desc
Total Program Service Expenses	$162,237,393	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	117	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1301	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MARTIN HUTSON	PersonNm
Phone	9123841900	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 OCILLA RD	AddressLine1Txt
City	DOUGLAS	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31533	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CARL MCDONALD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
JIM COTTINGHAM
DIRECTOR	1.00	Yes (X)	$0	$0	$0
GRACE JAMES
DIRECTOR	1.00	Yes (X)	$0	$0	$0
ELLEN FITZGERALD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
ADAM SMITH
CHAIRMAN	1.00	Yes (X)	$0	$0	$0	1.00	Yes (X)
MARLENE BALDREE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
JAMES DENNIS
SECRETARY	1.00	Yes (X)	$0	$0	$0		Yes (X)
RUSS STORY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
JOHN LOTT
VICE CHAIRMAN	1.00	Yes (X)	$0	$0	$0	1.00	Yes (X)
WESLEY VICKERS
NON VOTING	1.00	Yes (X)	$0	$0	$0
OSCAR PAULK
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CHET ROYALS
SURGICAL PHYSICIAN	50.00	Yes (X)	$680,581	$0	$8,270
LAURA THARP
ORTHOPEDIC PHYSICIAN	50.00	Yes (X)	$595,261	$0	$28,311
VICKI LEWIS
PRESIDENT / CEO	50.00		$575,532	$0	$10,349	2.00	Yes (X)
MARTIN HUTSON
EXECUTIVE VP / CFO	50.00		$327,115	$0	$2,659		Yes (X)
SUE LANE HUGHES
VP OF NURSING SERVICES / CNO	50.00		$245,162	$0	$734			Yes (X)
BENNETT FLOYD
VP OF OPERATIONS	50.00		$237,167	$0	$6,957			Yes (X)
PEGGY KIRKLAND
DIRECTOR OF PHARMACY	50.00		$230,507	$0	$4,107			Yes (X)
SHERRY T THOMAS
EXECUTIVE VP	50.00		$284,798	$0	$8,308			Yes (X)
LAVONDA CRAVEY
VICE PRESIDENT CORPORATE REVENUE	50.00		$229,285	$0	$7,123	2.00		Yes (X)
HEWATT SIMS
ORTHOPEDIC PHYSICIAN	50.00		$1,040,475	$0	$27,852				Yes (X)
THOMAS WEHMANN
SURGICAL PHYSICIAN	50.00		$930,036	$0	$7,164				Yes (X)
GLENN EVANS SR
CARDIOLOGY PHYSICIAN	50.00		$894,823	$0	$7,679				Yes (X)
JOSHUA VICKERS
ORTHOPEDIC PHYSICIAN	50.00		$751,427	$0	$27,852				Yes (X)
JOEL FERREE
CARDIOLOGY PHYSICIAN	50.00		$676,163	$0	$36				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,698,332	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$147,401	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	132	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PARRISH CONSTRUCTION GROUP
221 INDUSTRIAL PARK DRIVE	PERRY	GA	31069	CONSTRUCTION CONTRACTOR	$3,520,144
COFFEE COUNTY HOSPITALIST PHYSICIANS LL
PO BOX 2546	DOUGLAS	GA	31533	STAFFING SERVICES	$2,817,643
REHABILITATION SPECIALISTS
169 MEADOWLARK LANE	FITZGERALD	GA	31750	PHYSICAL THERAPY SERVICES	$838,535
OTAS LLC
1060 WOODS ROAD	WAYCROSS	GA	31501	CONTRACT PHYSICIAN SERVICES	$652,647
CROWN HEALTHCARE LAUNDRY SERVICE LLC
25 WEST CEDAR ST SUITE 405	PENSACOLA	FL	32502	LAUNDRY SERVICES	$408,508

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	22	CntrctRcvdGreaterThan100KCnt
Government Grants	$11,512,116	GovernmentGrantsAmt
All Other Contributions	$2,578,417	AllOtherContributionsAmt
Total Contributions	$14,090,533	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT REVENUE	Desc
Business	621990	BusinessCd
Total Revenue Column	$167,965,029	TotalRevenueColumnAmt
Related Or Exempt Func Income	$167,965,029	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$167,965,029	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,325,016	TotalRevenueColumnAmt
Exclusion	$1,325,016	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$293,213	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$293,213	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$293,213	TotalRevenueColumnAmt
Exclusion	$293,213	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$987,387	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$987,387	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$987,387	TotalRevenueColumnAmt
Exclusion	$987,387	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PHARMACY REVENUE	621990	$2,593,850	$2,593,850
UNEARNED PREMIUM	900099	$2,182,138		$2,182,138
OTHER OPERATING INCOME	900099	$1,438,990	$1,438,990

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$702,648	TotalRevenueColumnAmt
Exclusion	$702,648	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,917,626	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$191,578,804	TotalRevenueColumnAmt
Related Or Exempt Func Income	$171,997,869	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$5,490,402	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,405,408	TotalAmt
Program Services	$3,064,867	ProgramServicesAmt
Management And General	$340,541	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$63,761,096	TotalAmt
Program Services	$57,384,987	ProgramServicesAmt
Management And General	$6,376,109	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$247,938	TotalAmt
Program Services	$223,144	ProgramServicesAmt
Management And General	$24,794	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,204,633	TotalAmt
Program Services	$14,584,170	ProgramServicesAmt
Management And General	$1,620,463	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,285,886	TotalAmt
Program Services	$3,857,297	ProgramServicesAmt
Management And General	$428,589	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$223,934	TotalAmt
Management And General	$223,934	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$209,903	TotalAmt
Management And General	$209,903	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$327,386	TotalAmt
Management And General	$327,386	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$24,177	TotalAmt
Management And General	$24,177	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,931,715	TotalAmt
Program Services	$13,545,371	ProgramServicesAmt
Management And General	$3,386,344	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$349,596	TotalAmt
Program Services	$99,612	ProgramServicesAmt
Management And General	$249,984	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,521,076	TotalAmt
Program Services	$3,063,336	ProgramServicesAmt
Management And General	$457,740	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,708,916	TotalAmt
Program Services	$2,356,757	ProgramServicesAmt
Management And General	$352,159	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$77,938	TotalAmt
Program Services	$63,909	ProgramServicesAmt
Management And General	$14,029	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$117,329	TotalAmt
Program Services	$113,809	ProgramServicesAmt
Management And General	$3,520	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,282,040	TotalAmt
Program Services	$1,282,040	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,205,860	TotalAmt
Program Services	$3,659,098	ProgramServicesAmt
Management And General	$546,762	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,172,014	TotalAmt
Program Services	$369,242	ProgramServicesAmt
Management And General	$1,802,772	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
SUPPLIES	$24,392,562	$24,392,562
BAD DEBT	$22,784,553	$22,784,553
DEVELOPMENT	$6,551,210	$6,551,210
PHARMACY EXPENSE	$2,114,254	$2,114,254

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,788,222	TotalAmt
Program Services	$2,727,175	ProgramServicesAmt
Management And General	$2,061,047	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$180,687,646	TotalAmt
Program Services	$162,237,393	ProgramServicesAmt
Management And General	$18,450,253	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$22,592,642	BOYAmt
EOY	$17,697,185	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,998,029	BOYAmt
EOY	$13,700,257	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,819,703	BOYAmt
EOY	$2,620,224	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$747,846	BOYAmt
EOY	$769,054	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$110,264,193	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$87,793,445	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$17,905,213	BOYAmt
EOY	$22,470,748	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$25,084,820	BOYAmt
EOY	$20,278,415	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$17,089,167	BOYAmt
EOY	$17,960,902	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$17,767,936	BOYAmt
EOY	$30,815,485	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$118,005,356	BOYAmt
EOY	$126,312,270	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,930,703	BOYAmt
EOY	$33,141,015	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$12,111,422	BOYAmt
EOY	$6,140,082	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$29,751,152	BOYAmt
EOY	$24,748,419	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$995,517	BOYAmt
EOY	$859,426	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,407,982	BOYAmt
EOY	$23,540,147	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$90,196,776	BOYAmt
EOY	$88,429,089	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	$27,808,580	BOYAmt
EOY	$37,585,460	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$297,721	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,808,580	BOYAmt
EOY	$37,883,181	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$118,005,356	BOYAmt
EOY	$126,312,270	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$10,891,158	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$816,557	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$8,871	OtherActivitiesAmt
Total Lobbying Expenditures	$8,871	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A PORTION OF THE ANNUAL DUES PAID TO THE GEORGIA HOSPITAL ASSOCIATION AND THE GEORGIA ALLIANCE FO COMMUNITY HOSPITALS ARE ALLOCATED AS LOBBYING EXPENDITURES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$860,771	OtherCostOrOtherBasisAmt
Book Value	$860,771	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$74,534,862	OtherCostOrOtherBasisAmt
Depreciation	$65,482,049	DepreciationAmt
Book Value	$9,052,813	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,579,262	OtherCostOrOtherBasisAmt
Depreciation	$1,315,152	DepreciationAmt
Book Value	$264,110	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,120,918	OtherCostOrOtherBasisAmt
Depreciation	$20,996,244	DepreciationAmt
Book Value	$8,124,674	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,168,380	OtherCostOrOtherBasisAmt
Book Value	$4,168,380	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$22,470,748	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER INVESTMENTS	Desc
Book Value	$17,960,902	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$17,960,902	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTIES	$19,017,939
RIGHT OF USE ASSETS - LEASES	$6,486,989
OTHER ASSETS	$5,310,557

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$30,815,485	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO RELATED PARTIES	$18,968,389
OPERATING LEASE LIABILITY	$1,181,340
FINANCE LEASE LIABILITY	$2,840,901
MEDICARE ADVANCE PAYMENT LIABILITY	$549,517

Field	Value	IRS element (for citing)
Total Liability	$23,540,147	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	CRH HEALTH CARE, INC. AND CRH HEALTH SERVICES, INC. ARE EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES ON QUALIFYING ACTIVITIES HAS BEEN MADE FOR THESE ENTITIES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. HOWEVER, CERTAIN ENTITIES AND OPERATIONS ARE SUBJECT TO INCOME TAXES. ORTHOPEDIC SURGEONS OF GEORGIA, LLC, EMERGENCY PHYSICIANS OF COFFEE COUNTY, LLC, AND COFFEE COUNTY OPEN ARMS CLINIC, LLC, ARE LIMITED LIABILITY COMPANIES AND TREATED AS PASS THROUGH ENTITIES FOR TAX PURPOSES. CRH VENTURES, INC. AND SOUTHEASTERN MANAGED CARE, INC. ARE TAXABLE ENTITIES AND ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. CRH VENTURES, INC. AND SOUTHEASTERN MANAGED CARE, INC. FILE SEPARATE FEDERAL AND STATE INCOME TAX RETURNS, AND THE TAXABLE AMOUNTS ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. COFFEE REGIONAL MEDICAL CENTER SEGREGATED PORTFOLIO IS AN EXEMPTED SEGREGATED PORTFOLIO COMPANY THAT WAS INCORPORATED UNDER THE PROVISIONS OF THE COMPANIES LAW OF THE CAYMAN ISLANDS AND HAS RECEIVED AN UNDERTAKING FROM THE CAYMAN ISLANDS GOVERNMENT EXEMPTING IT FROM ALL LOCAL INCOME, PROFITS, AND CAPITAL GAINS TAXES. THE SYSTEM APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE SYSTEM ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2021 AND 2020 OR FOR THE YEARS THEN ENDED. THE SYSTEM'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	1	OfficesCnt
Employee	1	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$7,922,483	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	1	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$7,922,483	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$7,922,483	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART III ACCOUNTING METHOD:	FormAndLineReferenceDesc

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,203,853	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,301,720	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,902,133	NetCommunityBenefitExpnsAmt
Total Expense	0.03100	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,286,326	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,842,534	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,443,792	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,490,179	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,144,254	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,345,925	NetCommunityBenefitExpnsAmt
Total Expense	0.04010	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,492	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$45,492	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,456,006	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,778,879	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$677,127	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,501,498	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,778,879	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$722,619	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,991,677	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,923,133	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,068,544	NetCommunityBenefitExpnsAmt
Total Expense	0.04470	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	6	PersonsServedCnt
Total Community Benefit Expns	$9,768	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,768	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	6	PersonsServedCnt
Total Community Benefit Expns	$9,768	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,768	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense	$22,784,553	BadDebtExpenseAmt
Bad Debt Expense Attributable	$17,700,449	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$21,880,521	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$20,875,069	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,005,452	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COFFEE REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 OCILLA ROAD PO BOX 1287	AddressLine1Txt
City	DOUGLAS	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31533	ZIPCd

Field	Value	IRS element (for citing)
State License	034-490	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	PHYSICIAN OFFICES, RURAL HEALTH CLINIC	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	COFFEE REGIONAL MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	Yes (1)	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.COFFEEREGIONAL.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.COFFEEREGIONAL.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	125.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.COFFEEREGIONAL.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.COFFEEREGIONAL.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.COFFEEREGIONAL.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
COFFEE REGIONAL MEDICAL CENTER INC	PART V, SECTION B, LINE 5: WE, ALONG WITH PYA, DEVELOPED SURVEYS THAT WERE SENT OUT TO ALL COMMUNITY MEMBERS. WE REACHED OUT TO INDEPENDENT MEDICAL PROFESSIONALS AS WELL AS INDIVIDUALS WITH THE LOCAL HEALTH DEPARTMENT .
COFFEE REGIONAL MEDICAL CENTER INC	PART V, SECTION B, LINE 6A: INDIRECTLY, MOST NOTABLY THE RELATIONSHIP WITH COMMUNITY BUSINESSES INVOLVING THE DELIVERY OF HEALTHCARE AND CRMC'S CRITICAL ACCESS PARTNER HOSPITALS.
COFFEE REGIONAL MEDICAL CENTER INC	PART V, SECTION B, LINE 11: CRMC HAS PREVIOUSLY AND CONTINUES TO IMPLEMENT AND INCORPORATE STRATEGIC INITIATIVES TO ADDRESS AREA IDENTIFIES IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AS WELL AS ON-GOING FEEDBACK FROM OUR MEDICAL STAFF, OUR PATIENTS, OUR COMMUNITY AND OUR BUSINESS PARTNERS

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LN 7 COL(F):	THERE IS $22,784,553 OF BAD DEBT EXPENSE WHICH IS INCLUDED IN FORM 990, PART IX, LINE 24(A). THIS AMOUNT WAS REMOVED IN THE CALCULATION OF THE PERCENT OF TOTAL EXPENSE ON SCHEDULE H LINE 7F.
PART II, COMMUNITY BUILDING ACTIVITIES:	2021 CRMC OUTREACH ACTIVITIESCOFFEE REGIONAL MEDICAL CENTER TAKES GREAT PRIDE IN PROVIDING VARIOUS OUTREACH AND EDUCATIONAL ACTIVITIES FOR OUR SERVICE AREA TO HELP SUPPORT OUR MISSION "TO PROVIDE EXCEPTIONAL CARE AND WELLNESS CLOSE TO HOME".THE COVID-19 PANDEMIC, WHICH BEGAN IN MARCH OF 2020, HAS NEGATIVELY IMPACTED ON OUR ABILITY TO CONDUCT SOME OF OUR NORMAL EVENTS. AS A RESULT, MANY OF OUR SCHEDULED EVENTS AND ACTIVITIES HAD TO BE CANCELED OR SCALED BACK DURING 2020 AND 2021. BELOW ARE EVENTS WE WERE ABLE TO HOST DURING 2021.COVID-19 VACCINE CLINICDURING 2021, CRMC PROVIDED COVID-19 VACCINES TO THE PUBLIC, FREE OF CHARGE. THE CLINIC WAS STAFFED AND SUPERVISED BY CRMC PERSONNEL FOR THE ENTIRE YEAR. CRMC STAFF ALSO UPDATED PATIENT'S IMMUNIZATION RECORDS IN THE GEORGIA REGISTRY OF IMMUNIZATION TRANSACTIONS AND SERVICES (GRITS) DATABASE. A TOTAL OF 11,363 VACCINES WERE ADMINISTERED TO THE PUBLIC DURING 2021. OPERATING THE CLINIC REQUIRED APPROXIMATELY 16-MAN HOURS EACH WEEK AT A TOTAL ANNUAL COST TO CRMC OF OVER $20,000.COMMUNITY HEALTH AND WELLNESS FAIR THE ANNUAL COMMUNITY HEALTH & WELLNESS FAIR WAS HELD OCTOBER 6, 2021 AT COFFEE REGIONAL MEDICAL CENTER'S MAIN CAMPUS, WITH OVER 500 COMMUNITY MEMBERS VISITING THE FAIR THAT DAY. CRMC STAFF, ALONG WITH OUTSIDE VENDORS, PROVIDED FREE SCREENINGS ON BLOOD PRESSURE, SUGAR LEVELS, HEART RATE, OXYGEN RATE AND RESPIRATORY WELLNESS. EDUCATIONAL MATERIAL RELATED TO CANCER, STROKE, HEART DISEASE, DIABETES TREATMENT AND PREVENTION, FIRE AND HOME SAFETY, NUTRITION AND ELDERLY SUPPORT WAS PROVIDED TO PARTICIPANTS. IN ADDITION, BIOCHEMICAL BLOOD PROFILES WERE OFFERED BY CRMC'S LAB TO PARTICIPANTS AT A REDUCED FEE OF $35. THE NORMAL COST FOR THESE TESTS IS $800, WHICH RESULTED IN A SAVINGS TO THE COMMUNITY OF $144,000. HEART 2 HEART RUN EVENTCOFFEE REGIONAL'S ANNUAL HEART 2 HEART 5K RUN/FUN WALK WAS HELD A GENERAL COFFEE STATE PARK ON MARCH 6, 2021. THE FOCUS OF THIS EVENT WAS TO RAISE AWARENESS OF HEART DISEASE. THE EVENT INCLUDED A FUN RUN, 1.5 MILE WALK, 5K RACE AND 10K RACE, ALONG WITH ARTS, CRAFTS AND GAMES. OVER 200 COMMUNITY RESIDENTS ATTENDED THE EVENT. PARTICIPANT REGISTRATION FEES FOR THE EVENT GENERATED $9,700, WHICH WILL BE USED TO ASSIST PATIENTS, MANY OF WHOM ARE UNINSURED, WITH THE COST OF REHABILITATIVE TREATMENTS AFTER A CARDIAC EVENT.APPROXIMATELY 30 CRMC EMPLOYEES ASSISTED WITH PREPARATION AND HOSTING OF THE EVENT, WHICH REQUIRED OVER 80-MAN HOURS OF WORK. THE ESTIMATED COST TO CRMC FOR HOSTING THIS EVENT WAS $3,600. VOLUNTEERS FROM THE COMMUNITY AND SEVERAL SCHOOL CLUBS ALSO ASSISTED WITH HOSTING THE EVENT.WEAR RED CAMPAIGN CRMC'S ANNUAL WEAR RED CAMPAIGN TOOK PLACE DURING FEBRUARY, WHICH IS RECOGNIZED AS HEART DISEASE AWARENESS MONTH. THE WEAR RED CAMPAIGN CONSISTED OF T-SHIRT SALES, FLOWER SALES AND VARIOUS EDUCATIONAL EVENTS, PROVIDED TO THE COMMUNITY AT NO COST. THESE EVENTS ARE DESIGNED TO RAISE AWARENESS OF HEART DISEASE AND PREVENTION. THESE FUNDRAISER SALES GENERATED APPROXIMATELY $3,900, WHICH WILL BE USED TO ASSIST PATIENTS, MANY OF WHOM ARE UNINSURED, WITH THE COST OF REHABILITATIVE TREATMENTS AFTER SUFFERING A CARDIAC EVENT. THE CAMPAIGN ENDED ON THE LAST DAY OF THE MONTH WHEN CRMC EMPLOYEES AND COMMUNITY MEMBERS WERE ENCOURAGED TO WEAR RED IN RECOGNITION OF HEART DISEASE AND PREVENTION. OPEN ARMS CLINIC THE OPEN ARMS CLINIC IS AN OUTREACH PROJECT OF COFFEE REGIONAL MEDICAL CENTER, THE GOAL OF WHICH IS TO REDUCE HEALTH DISPARITIES WITHIN OUR COMMUNITY. THE CLINIC SERVES UNINSURED PATIENTS WHO RESIDE IN COFFEE OR ATKINSON COUNTY AND HAVE NON-EMERGENT HEALTHCARE NEEDS. ONE GOAL OF THE OPEN ARMS CLINIC IS THE PREVENTION OF CHRONIC DISEASE THROUGH THE TREATMENT OF ILLNESSES SUCH AS HYPERTENSION, DIABETES, AND HEART DISEASE. DURING 2021, THE CLINIC TREATED 219 PATIENTS. ACTUAL NON-SALARY EXPENSES OF OPERATING THE CLINIC WERE APPROXIMATELY $16,226. PHYSICIANS AND SUPPORT STAFF DONATE THEIR TIME TO THE CLINIC.PROJECT SEARCH PROJECT SEARCH IS A SCHOOL-TO-WORK TRANSITION PROGRAM SERVING STUDENTS WITH SIGNIFICANT INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. THE PROJECT SEARCH PROGRAM AT COFFEE HIGH SCHOOL, IN CONJUNCTION WITH COFFEE REGIONAL MEDICAL CENTER, HAS BEEN HELPING YOUNG PEOPLE WITH SIGNIFICANT DISABILITIES FIND FULFILLMENT, LEARN NEW SKILLS, AND GAIN EMPLOYMENT SINCE AUGUST 2008. THE PROGRAM TAKES PLACE ENTIRELY AT THE WORKPLACE AND THE GOAL FOR EACH PROGRAM PARTICIPANT IS COMPETITIVE EMPLOYMENT. TO REACH THAT GOAL, THE PROGRAM PROVIDES REAL-LIFE WORK EXPERIENCE COMBINED WITH TRAINING IN EMPLOYABILITY AND INDEPENDENT-LIVING SKILLS TO HELP THE PARTICIPANTS MAKE SUCCESSFUL TRANSITIONS TO PRODUCTIVE ADULT LIFE. THE PROJECT SEARCH MODEL INVOLVES AN EXTENSIVE PERIOD OF SKILLS TRAINING AND CAREER EXPLORATION, INNOVATIVE ADAPTATIONS, LONG-TERM JOB COACHING, AND CONTINUOUS FEEDBACK FROM TEACHERS, SKILLS TRAINERS, AND EMPLOYERS. AS A RESULT, AT THE COMPLETION OF THE TRAINING PROGRAM, STUDENTS WITH SIGNIFICANT INTELLECTUAL DISABILITIES ARE EMPLOYED IN NONTRADITIONAL, COMPLEX AND REWARDING JOBS. DURING THE 2020-2021 SCHOOL TERM, THE PROJECT SEARCH PROGRAM AT COFFEE REGIONAL MEDICAL CENTER HAD 6 PARTICIPANTS. VARIOUS DEPARTMENTS WITHIN THE HOSPITAL PROVIDED TRAINING OPPORTUNITIES TO THE PARTICIPANTS INCLUDING DIETARY, ENVIRONMENTAL, ENGINEERING, PATIENT ACCESS, AND MATERIALS MANAGEMENT. EACH PARTICIPANT SPENT 10 WEEKS IN THEIR GIVEN DEPARTMENT, THEN ROTATED TO A NEW DEPARTMENT. DURING THIS TIME, PARTICIPANTS WERE TAUGHT MANY SKILLS WHILE WORKING WITH A MENTOR IN EACH DEPARTMENT. EACH YEAR CRMC DONATES CLASSROOM SPACE FOR THE PROGRAM, ONE MEAL A DAY TO BOTH PARTICIPANTS AND INSTRUCTORS AND APPROXIMATELY 60 CRMC STAFF HOURS OF TRAINING, MENTORING AND EDUCATION. THE TOTAL ESTIMATED COST FOR THESE SERVICES IS APPROXIMATELY $13,300 ANNUALLY.SCHOOL SPORTS PHYSICALS ATHLETIC PHYSICALS ARE REQUIRED BY BOTH THE GEORGIA HIGH SCHOOL ASSOCIATION AND THE GEORGIA INDEPENDENT SCHOOL ASSOCIATION FOR STUDENTS PARTICIPATING IN SCHOOL ATHLETIC PROGRAMS. EACH YEAR COFFEE REGIONAL MEDICAL CENTER PROVIDES SPORTS PHYSICALS TO LOCAL SCHOOL STUDENTS PLANNING TO PARTICIPATE IN INTERSCHOLASTIC SPORTS AT NO COST. IN 2021, COFFEE REGIONAL PROVIDED 563 SPORTS PHYSICALS, AT NO COST, TO LOCAL AREA STUDENTS. THE PHYSICALS EVENT WAS STAFFED BY 10 HEALTHCARE PROVIDERS AND 18 NURSES AND STAFF MEMBERS. SPORTS PHYSICALS NORMALLY COST $32, BUT WERE PERFORMED FREE OF CHARGE THROUGH THIS PROGRAM, RESULTING IN A COST SAVINGS TO THE COMMUNITY OF $18,000. APPROXIMATELY 140 MAN-HOURS WERE REQUIRED TO HOST THIS EVENT, RESULTING IN A TOTAL PERSONNEL COST TO COFFEE REGIONAL OF APPROXIMATELY $6,800.SIDLEINE SERVICE CRMC PROVIDES SIDELINE EMERGENCY MEDICAL SERVICES FOR EACH VARSITY HIGH SCHOOL FOOTBALL GAME FOR THE COFFEE COUNTY SCHOOL SYSTEM. A FULLY EQUIPPED AMBULANCE STAFFED BY AN EMT AND A PARAMEDIC ARE PROVIDED FREE OF CHARGE FOR EACH HOME GAME. THE ESTIMATED COST OF THIS SERVICE TO CRMC EACH YEAR IS APPROXIMATELY $1,250.BREAST CANCER SCREENINGSTHE CRH ONCOLOGY GROUP SPONSORS A BREAST CANCER SCREENING EVENT EACH YEAR WITH THE GOAL OF PROMOTING AWARENESS OF BREAST CANCER AND THE IMPORTANCE OF EARLY DETECTION. IN 2021, TWO SESSIONS OF THE BREAST CANCER SCREENING EVENT WERE HELD. PARTICIPANTS WERE PROVIDED EDUCATIONAL INFORMATION ON DETECTING A LUMP AND OVERALL BREAST HEALTH. THE EVENT WAS PROMOTED THROUGH VARIOUS MARKETING EFFORTS AND FLYERS AS WELL AS SOCIAL MEDIA TO ENCOURAGE WOMEN, ESPECIALLY THOSE WITHOUT INSURANCE TO PARTICIPATE AND RECEIVE A FREE SCREENING. SEVEN CRMC HEALTHCARE PROVIDERS AND 24 STAFF MEMBERS WORKED THE EVENT. IN ADDITION, CRMC MAMMOGRAPHY, COFFEE COUNTY HEALTH DEPARTMENT, CRMC AUXILIARY AND THE LOCAL BEST SIGMA PHI ORGANIZATION PROVIDED SUPPORT FOR THE EVENT AND RESOURCES TO THE PARTICIPANTS.A TOTAL OF 75 COMMUNITY RESIDENTS TOOK ADVANTAGE OF THIS OPPORTUNITY AND RECEIVED A FREE BREAST CANCER SCREENING. THE VALUE OF THOSE FREE SCREENINGS TO THE COMMUNITY WAS $11,250. THE COST TO CRMC FOR SPONSORING THIS YEAR'S EVENT WAS APPROXIMATELY $3,000 AND REPRESENTED APPROXIMATELY 65-MAN HOURS.
PART III, LINE 2:	AMOUNTS ON PART III, LINES 2 AND 3 REPRESENT CHARGES WRITTEN OFF AS UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT AND WRITTEN OFF TO BAD DEBT EXPENSE. LINE 3 IS ESTIMATED AT 75% OF THE AMOUNT ON LINE 2.
PART III, LINE 3:	IMPLICIT PRICE CONCESSIONS FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE ARE ESTIMATED BASED ON HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT. FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM RECOGNIZES REVENUE ON THE BASIS OF ESTABLISHED RATES, DISCOUNTED ACCORDING TO POLICY FOR SERVICES RENDERED. HISTORICAL EXPERIENCE HAS SHOWN A SIGNIFICANT PROPORTION OF THE SYSTEM'S UNINSURED PATIENTS, IN ADDITION TO A GROWING PROPORTION OF THE SYSTEM'S INSURED PATIENTS, WILL BE UNABLE OR UNWILLING TO PAY FOR THEIR RESPONSIBLE AMOUNTS FOR THE SERVICES PROVIDED. IN ORDER TO ESTIMATE THE NET REALIZABLE VALUE OF THE REVENUES AND ACCOUNTS RECEIVABLE ASSOCIATED WITH THIRD-PARTY PAYORS AND UNINSURED PATIENTS, MANAGEMENT REGULARLY ASSESSES THEIR VALUATION BASED UPON BUSINESS AND ECONOMIC CONSIDERATIONS, TRENDS IN HEALTHCARE COVERAGE, HISTORICAL WRITE-OFF EXPERIENCE AND OTHER COLLECTION TRENDS.
PART III, LINE 4:	IMPLICIT PRICE CONCESSIONS FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE ARE ESTIMATED BASED ON HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT. FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM RECOGNIZES REVENUE ON THE BASIS OF ESTABLISHED RATES, DISCOUNTED ACCORDING TO POLICY FOR SERVICES RENDERED. HISTORICAL EXPERIENCE HAS SHOWN A SIGNIFICANT PROPORTION OF THE SYSTEM'S UNINSURED PATIENTS, IN ADDITION TO A GROWING PROPORTION OF THE SYSTEM'S INSURED PATIENTS, WILL BE UNABLE OR UNWILLING TO PAY FOR THEIR RESPONSIBLE AMOUNTS FOR THE SERVICES PROVIDED. IN ORDER TO ESTIMATE THE NET REALIZABLE VALUE OF THE REVENUES AND ACCOUNTS RECEIVABLE ASSOCIATED WITH THIRD-PARTY PAYORS AND UNINSURED PATIENTS, MANAGEMENT REGULARLY ASSESSES THEIR VALUATION BASED UPON BUSINESS AND ECONOMIC CONSIDERATIONS, TRENDS IN HEALTHCARE COVERAGE, HISTORICAL WRITE-OFF EXPERIENCE AND OTHER COLLECTION TRENDS.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.
PART III, LINE 9B:	THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES THAT QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS AGAINST THOSE BALANCES.
PART VI, LINE 2:	EVERY THREE YEARS, WE SURVEY KEY STAKEHOLDERS THROUGHOUT THE COMMUNITY AND DEVELOP STRATEGIC INITIATIVES FOCUSED ON THE RESPONSES. WE ALSO PERFORM MARKET SHARE ANALYSIS TO UNDERSTAND WHAT SERVICES OUT COMMUNITY IS SEEKING THAT WE CURRENTLY DO NOT OFFER, AND POTENTIALLY WHAT SERVICES THAT WE MAY BE ABLE TO OFFER, IN THE FUTURE.
PART VI, LINE 3:	THE FINANCIAL COUNSELING DEPARTMENT WILL PROVIDE INFORMATION AND APPLICATIONS TO ALL PATIENTS OR GUARANTORS SEEKING FINANCIAL ASSISTANCE FOR SERVICES RENDERED AT COFFEE REGIONAL MEDICAL CENTER THAT ARE DEEMED MEDICALLY NECESSARY. FINANCIAL COUNSELORS WILL DISCUSS ELIGIBILITY FOR MEDICAL ASSISTANCE PROGRAMS THROUGH THE DEPARTMENT OF FAMILY & CHILDREN SERVICES AND THE SOCIAL SECURITY ADMINISTRATION. IF ELIGIBILITY IS NOT MET FOR ANY MEDICAL ASSISTANCE PROGRAM, THE FINANCIAL COUNSELING DEPARTMENT WILL SEEK ELIGIBILITY THROUGH COFFEE REGIONAL MEDICAL CENTER'S INDIGENT CARE TRUST FUND PROGRAM. PATIENTS OR GUARANTORS REQUESTING FINANCIAL ASSISTANCE ARE REFERRED TO THE FINANCIAL COUNSELORS (FC) OR THE BENEFIT SPECIALISTS CONTACT THE PATIENT AT THE TIME OF REGISTRATION FOR OUTPATIENT SERVICES OR IN THE EMERGENCY DEPARTMENT (AFTER MEDICAL SCREENING HAS BEEN COMPLETED). THE FC WILL ALSO CONTACT AN INDIVIDUAL IF THERE IS A REQUEST FROM SOCIAL SERVICES, A PHYSICIAN OFFICE, OR THE PATIENT FINANCIAL SERVICES DEPARTMENT. PATIENTS ADMITTED FOR INPATIENT OR OBSERVATION SERVICES MAY BE VISITED BY THE FC AFTER THE PATIENT HAS BEEN PLACED IN A ROOM AND STABILIZED. THE FC WILL DISCUSS WITH THE PATIENT OR GUARANTOR THE INDIGENT CARE TRUST FUND PROGRAM REQUIREMENTS AND APPLICATION PROCESS. THE PATIENT OR GUARANTOR WILL BE REQUIRED TO COMPLETE AN INDIGENT APPLICATION, PROVIDE PROOF OF IDENTITY, PROVIDE BIRTH CERTIFICATES OR PROOF OF DEPENDENCY FOR CHILDREN WITH NO IDENTITY, AND PROVIDE VERIFICATION OF INCOME (I.E. W2'S, FEDERAL TAX RETURN, PAY STUBS, ETC.). IF VERIFICATION IS NOT PROVIDED AT THE TIME OF THE INTERVIEW, THE PATIENT OR GUARANTOR WILL BE REQUIRED TO PROVIDE WITHIN 30 DAYS. APPLICATIONS MADE ON BEHALF OF DECEASED PATIENTS MUST HAVE VERIFICATION OF INCOME AND INFORMATION CONCERNING THE VALUE OF THE PATIENT'S ESTATE. PATIENTS WHO CHOOSE NOT TO UTILIZE CURRENT BENEFITS THEY ARE ELIGIBLE FOR (I.E. VETERANS BENEFITS, MEDICARE, AND COMMERCIAL INSURANCE) WILL NOT BE CONSIDERED FOR THE INDIGENT PROGRAM. UPON RECEIPT OF THE COMPLETED APPLICATION INCLUDING NECESSARY DOCUMENTATION, CALCULATION OF THE HOUSEHOLD SIZE AND ANNUAL HOUSEHOLD INCOME IS COMPUTED AND COMPARED TO THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE THE PERCENTAGE OF ASSISTANCE A PATIENT OR GUARANTOR IS ELIGIBLE TO RECEIVE. PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BELOW THE GROSS INCOME CEILING FOR POTENTIAL MEDICAID ELIGIBILITY ARE REQUIRED TO APPLY FOR MEDICAID. ASSISTANCE IS PROVIDED TO PATIENTS IN FILING FOR OTHER BENEFITS AND COMPLETING MEDICAID APPLICATIONS. PATIENTS WHO CHOOSE NOT TO APPLY FOR OTHER BENEFITS TO WHICH THEY MAY BE ENTITLED (I.E. MEDICAID) WILL NOT BE CONSIDERED FOR THE INDIGENT PROGRAM. PATIENTS WHO CHOOSE TO APPLY COFFEE REGIONAL MEDICAL CENTER'S ACCOUNTS FOR THE PURPOSE OF MEETING MEDICALLY NEEDY SPEND DOWN TO RECEIVE ONGOING MEDICAID WILL NOT BE ALLOWED TO APPLY FOR THE INDIGENT PROGRAM FOR THAT ACCOUNT. PATIENTS OR GUARANTORS OVER 18 YEARS OF AGE BUT CLASSIFIED AS DEPENDENTS FOR TAX PURPOSES DUE TO STUDENT ELIGIBILITY WILL HAVE A TOTAL HOUSEHOLD SIZE THAT INCLUDES PARENTS AND SUBSEQUENT INCOME. PATIENTS OR GUARANTORS NOT ELIGIBLE FOR OTHER MEDICAL ASSISTANCE PROGRAMS WILL BE PROCESSED UNDER THE INDIGENT CARE TRUST FUND GUIDELINES USING THE FOLLOWING CATEGORIES: - INDIGENT FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BELOW 125% OF THE FPG, THE APPLICABLE ACCOUNTS WILL BE ADJUSTED TO ZERO BALANCES. CHARITY - FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS GREATER THAN OR EQUAL TO 125% BUT NOT GREATER THAN 200% OF THE FPG, THE APPLICABLE ACCOUNTS WILL BE ADJUSTED BY THE APPROPRIATE PERCENTAGES. AN ADJUSTMENT OF 85% OF APPLICABLE CHARGES FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BETWEEN 125% AND 150% OF FPG AN ADJUSTMENT OF 70% OF APPLICABLE CHARGES FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BETWEEN 150% AND 175% OF FPG AN ADJUSTMENT OF 62% OF APPLICABLE CHARGES FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BETWEEN 175% AND 200% OF FPG CATASTROPHIC PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS GREATER THAN 200% FPG MAY QUALIFY FOR CHARITY ADJUSTMENTS ON APPLICABLE ACCOUNTS, IF CONSIDERATION OF THE CRMC PATIENT OBLIGATIONS REDUCES THE ANNUAL HOUSEHOLD INCOME TO THE APPROPRIATE FPG. NOTIFICATION OF STATUS OF COMPLETED APPLICATION IS PROVIDED TO THE PATIENT OR GUARANTOR WITHIN 5 WORKING DAYS OF RECEIPT OF NEEDED INFORMATION. APPROVED APPLICATIONS ARE VALID FOR 180 DAYS FROM DATE OF SIGNATURE. INCOMPLETE APPLICATIONS ARE HELD FOR 30 DAYS. IF NO DOCUMENTATION IS PROVIDED TO COMPLETE THE APPLICATION, A DENIAL LETTER IS SENT TO THE PATIENT OR GUARANTOR. THE APPLICATION MAY BE COMPLETED IF THE PATIENT OR GUARANTOR PROVIDES THE REQUESTED INFORMATION WITHIN 15 WORKING DAYS OF THE DENIAL. NOTIFICATION OF STATUS OF COMPLETED APPLICATION WILL BE MAILED WITHIN 15 WORKING DAYS OF RECEIPT OF NEEDED INFORMATION. THE APPLICATION AND DOCUMENTATION WILL BECOME PROPERTY OF COFFEE REGIONAL MEDICAL CENTER AND IS TO BE KEPT CONFIDENTIAL IN THE SAME MANNER AS MEDICAL RECORDS. HOWEVER, THIS INFORMATION WILL BE USED FOR AGGREGATE REPORTING PURPOSES ONLY.
PART VI, LINE 4:	THE TOTAL SERVICE AREA FOR CRMC IS APPROXIMATELY 73,000 INDIVIDUALS. APPROXIMATELY 48% OF THE POPULATION IS FEMALE AND 52$ IS MALE. 69% OF THE POPULATION IS WHITE, 29% BLACK, AND 3% IS OTHER. 12% OF THE POPULATION IS O HISPANIC OR LATINO ORIGIN AND 29% OF INDIVIDUALS ARE BELOW THE POVERTY LEVEL, COMPARED TO 14% FOR THE STATE OF GEORGIA. THE MEDIAN HOUSEHOLD INCOME IS $36,500 AND THE HIGH SCHOOL . GRADUATION RATE IS 78%. IN 2018, 19.4% OF INDIVIDUALS WERE UNINSURED, COMPARED TO 15.7% FOR THE STATE OF GEORGIA.
PART VI, LINE 5:	COFFEE REGIONAL MEDICAL CENTER IS GOVERNED BY A BOARD OF DIRECTORS CONSISTING OF 13 MEMBERS. CRH HEALTHCARE, INC., THE SOLE MEMBER, ELECTS THE BOARD MEMBERS OF CRMC. THE CRMC BOARD IS MADE UP OF 9 COMMUNITY MEMBERS REFLECTING THE DIVERSITY OF THE COMMUNITY. TWO ADDITIONAL MEMBERS ARE THE CHIEF OF STAFF OF CRMC AND THE CHIEF OF STAFF ELECT. ONE ADDITIONAL MEMBER IS THE SITTING CHAIRMAN OF THE COFFEE COUNTY BOARD OF COMMISSIONERS. THE REMAINING BOARD MEMBER, WHO SERVES AS A NON-VOTING MEMBER, IS THE INDIVIDUAL HOLDING THE OFFICE OF COUNTY ADMINISTRATOR OF COFFEE COUNTY. IT IS THE PHILOSOPHY OF CRMC TO ASSURE THE CONTINUATION AND ENHANCEMENT OF PATIENT CARE BY REINVESTING EXCESS FUNDS BACK INTO THE OPERATIONS OF THE FACILITY. THIS INCLUDES GREATER ACCESSIBILITY OF CARE THROUGH THE CREATION OF A RURAL HEALTH CENTER, IMPLEMENTATION OF A TELEMEDICINE PROGRAM AND RECRUITMENT OF PHYSICIANS TO THE UNDERSERVED ENVIRONMENT. ENHANCEMENT OF TECHNOLOGY IS ALSO IMPERATIVE TO ASSURE APPROPRIATE DIAGNOSTIC AND THERAPEUTIC OPTIONS FOR THE COMMUNITY. UPDATING THE AMBULANCE FLEET IS CONSISTENTLY HIGH ON THE FUNDING PRIORITY LIST TO ASSURE SERVICE TO THE MOST REMOTE AREAS OF THE COUNTY, WHICH IN SQUARE MILES IS THE SECOND LARGEST COUNTY IN THE STATE OF GEORGIA. CRMC HAS AN OPEN MEDICAL STAFF POLICY EXTENDING PRIVILEGES TO PROFESSIONALLY COMPETENT PRACTITIONERS WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS OF CRMC.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	0	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HEWATT SIMS
ORTHOPEDIC PHYSICIAN	$873,211	$0	$167,264	$0	$0	$0	$0	$0	$27,852	$0	$1,068,327	$0	$0	$0
THOMAS WEHMANN
SURGICAL PHYSICIAN	$598,963	$0	$329,073	$0	$2,000	$0	$0	$0	$7,164	$0	$937,200	$0	$0	$0
GLENN EVANS SR
CARDIOLOGY PHYSICIAN	$692,674	$0	$130,916	$0	$71,233	$0	$0	$0	$7,679	$0	$902,502	$0	$0	$0
JOSHUA VICKERS
ORTHOPEDIC PHYSICIAN	$660,927	$0	$46,000	$0	$44,500	$0	$0	$0	$27,852	$0	$779,279	$0	$0	$0
CHET ROYALS
SURGICAL PHYSICIAN	$436,654	$0	$200,977	$0	$42,950	$0	$0	$0	$8,270	$0	$688,851	$0	$0	$0
JOEL FERREE
CARDIOLOGY PHYSICIAN	$675,163	$0	$1,000	$0	$0	$0	$0	$0	$36	$0	$676,199	$0	$0	$0
LAURA THARP
ORTHOPEDIC PHYSICIAN	$548,210	$0	$1,000	$0	$46,051	$0	$0	$0	$28,311	$0	$623,572	$0	$0	$0
VICKI LEWIS
PRESIDENT / CEO	$574,532	$0	$1,000	$0	$0	$0	$0	$0	$10,349	$0	$585,881	$0	$0	$0
MARTIN HUTSON
EXECUTIVE VP / CFO	$288,115	$0	$39,000	$0	$0	$0	$0	$0	$2,659	$0	$329,774	$0	$0	$0
SHERRY T THOMAS
EXECUTIVE VP	$261,248	$0	$18,750	$0	$4,800	$0	$629	$0	$7,679	$0	$293,106	$0	$0	$0
SUE LANE HUGHES
VP OF NURSING SERVICES / CNO	$226,912	$0	$18,250	$0	$0	$0	$0	$0	$734	$0	$245,896	$0	$0	$0
BENNETT FLOYD
VP OF OPERATIONS	$215,367	$0	$17,000	$0	$4,800	$0	$508	$0	$6,449	$0	$244,124	$0	$0	$0
LAVONDA CRAVEY
VICE PRESIDENT CORPORATE REVENUE	$211,285	$0	$18,000	$0	$0	$0	$919	$0	$6,204	$0	$236,408	$0	$0	$0
PEGGY KIRKLAND
DIRECTOR OF PHARMACY	$207,707	$0	$18,000	$0	$4,800	$0	$968	$0	$3,139	$0	$234,614	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 1A	FormAndLineReferenceDesc
Explanation	UPON REVIEW OF PERSONNEL RECORDS AND THE COMPENSATION CONTRACT FOR THE CEO, IT WAS DETERMINED THAT THERE WAS AN AMOUNT DUE TO THE CEO FOR PRIOR SERVICES PROVIDED IN ACCORDANCE WITH THE COMPENSATION WRITTEN CONTRACT FOR THE YEARS 2014-2018. THE BOARD REVIEWED THE COMPENSATION CONTRACT AND THE PERSONNEL RECORDS AND APPROVED PAYMENT. AS A RESULT, THE PAYMENT WAS MADE IN 2021 AND WAS GROSSED-UP FOR INCOME TAX PURPOSES AS APPROVED BY THE BOARD. THE 40,751 PAYMENT AND GROSS-UP WERE RECOGNIZED AS A TAXABLE EVENT AT THE TIME OF PAYMENT AND REPORTED ACCORDINGLY ON THE CEO'S ANNUAL WAGE STATEMENT.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COFFEE COUNTY HOSPITAL AUTHORITY
A	586003116	192137DW4	2016-12-22	$24,367,008	DEFEASANCE OF PREVIOUS BONDS	0	0	0
COFFEE COUNTY HOSPITAL AUTHORITY
B	586003116	000000000	2018-12-14	$11,500,000	CONSTRUCT AND EQUIP HOSPITAL FACILITIES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt	Capital ExpendituresCapitalExpendituresAmt
A	$11,577,000	$24,963,471	$24,367,008	$2,171,000	$24,963,471	$468,262	0	Yes (1)	Yes (1)	Yes (1)
B	$1,526,676		$11,500,000			$161,260	0	0	0	0	$98,714	$5,056,083

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	0	0	0	0	0	0
B	0	Yes (1)	0	0	Yes (1)	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	CRH HEALTHCARE, INC., THE PARENT ORGANIZATION, HAS THE AUTHORITY TO APPOINT OR REMOVE BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A	BOARD MEMBERS OF THE ORGANIZATION ARE APPOINTED, AND CAN BE REMOVED, BY CRH HEALTHCARE, INC., THE PARENT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS OF THE BOARD ARE SUBJECT TO APPROVAL BY CRH HEALTHCARE, INC., THE PARENT ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 IS PREPARED BY AN INDEPENDENT FIRM AND IS PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS. THE MANAGEMENT OF COFFEE REGIONAL MEDICAL CENTER, INC. PERFORMS A REVIEW OF FORM 990 BEFORE THE FILING DATE AND INCLUDES A REVIEW OF FINANCIAL DATA AND OTHER DETAILS.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS ANNUALLY. THIS IS REVIEWED BY THE CEO AND BOARD CHAIRMAN, IF NEEDED. MEMBERS RECUSE THEMSELVES FROM CERTAIN DISCUSSIONS/DECISIONS AS A RESULT OF ANY CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION OF THE CEO AND EXECUTIVE OFFICERS OF CRMC IS DETERMINED BY AN INDEPENDENT COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT AND SURVEYS, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE ALL AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S CORPORATE HEADQUARTERS.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CRH PHYSICIAN PRACTICIES LLC
1101 OCILLA ROAD	DOUGLAS	GA	31533	205778734	PHYSICIANS OFFICES	GA	$12,804,412	$3,876,327	CRMC
EMERGENCY PHYSICIANS OF COFFEE CO LLC
PO BOX 1287	DOUGLAS	GA	31534	451775790	ER PHYSICIANS	GA	$1,589,046	$342,478	CRMC
ORTHOPEDIC SURGEONS OF GEORGIA LLC
PO BOX 1287	DOUGLAS	GA	31534	452786844	PHYSICIANS OFFICES	GA	$2,898,036	$581,401	CRMC
COFFEE REGIONAL MEDICAL CENTER SEGREGATED PORTFOLIO
					INSURANCE		$2,677,751	$10,480,056	CRMC	62 FORUM LANE 3RD FLOOR BOX 30600	CJ	CJ
COFFEE COUNTY OPEN ARMS CLINIC LLC
1101 OCILLA ROAD	DOUGLAS	GA	31533	842372588	MEDICAL SERVICES	GA	$0	$0	CRMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Controlled OrganizationControlledOrganizationInd
CRH HEALTHCARE INC
1101 OCILLA ROAD	DOUGLAS	GA	31533	582163724	MANAGEMENT SERVICES	GA	501(C)(3)	LINE 12C, III-FI	0
CRH HEALTH SERVICES INC
1101 OCILLA ROAD	DOUGLAS	GA	31533	582165827	FOUNDATION	GA	501(C)(3)	LINE 12B, II	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd
CRH VENTURES INC
1101 OCILLA ROAD	DOUGLAS	GA	31533	582165279	OFFICE RENTAL	GA	C	$476,908	$3,703,390	0
SOUTHEASTERN MANAGED CARE INC
1101 OCILLA ROAD	DOUGLAS	GA	31533	582236627	MANAGED CARE	GA	C			0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CRH VENTURES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	A	TransactionTypeTxt
Involved	$130,416	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt