COMMUNITY HEALTH SYSTEMS INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH SYSTEMS INC (EIN 74-3083593)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-12
- IRS object ID
- 202121329349302627
- Schema version
- 2019v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-12T12:23:11-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 581094351 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCNAIR MCLEMORE MIDDLEBROOKS & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE BOX ONE | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 312020001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 743083593 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 4786212040 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1037 | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LORRAINE T TAYLOR | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4786212040 | PhoneNum |
| Signature | 2021-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM R ROUNTREE | PreparerPersonNm |
| PTIN | P01231836 | PTIN |
| Phone | 4787466277 | PhoneNum |
| Preparation | 2021-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LORRAINE T TAYLOR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1037 | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,265,463 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHS-GA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO 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 Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 214 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $34,521,410 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,012,880 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,291,306 | PYInvestmentIncomeAmt |
| CY Investment Income | -$3,787,669 | CYInvestmentIncomeAmt |
| PY Other Revenue | $135,184 | PYOtherRevenueAmt |
| CY Other Revenue | $1,040,252 | CYOtherRevenueAmt |
| PY Total Revenue | $36,947,900 | PYTotalRevenueAmt |
| CY Total Revenue | $26,265,463 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,764,461 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,331,825 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,623,850 | PYOtherExpensesAmt |
| CY Other Expenses | $12,588,519 | CYOtherExpensesAmt |
| PY Total Expenses | $31,388,311 | PYTotalExpensesAmt |
| CY Total Expenses | $28,920,344 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,559,589 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,654,881 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $111,053,056 | TotalAssetsBOYAmt |
| Total Assets EOY | $105,897,705 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $30,439,087 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,441,358 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $80,613,969 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $101,456,347 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $28,920,344 | ExpenseAmt |
| Revenue | $29,012,880 | RevenueAmt |
| Desc | STRATEGIC 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 | $28,920,344 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 60 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 214 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | 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 | COMMUNITY HEALTH SYSTEMS INC | PersonNm |
| Phone | 4786212100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1037 | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| RONNIE D ROLLINS | |||||||||
| DIR, PRES & | 40.00 | 0.00 | Yes (X) | Yes (X) | $839,529 | $0 | $26,099 | ||
| LORRAINE T TAYLOR | |||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $755,200 | $0 | $23,966 | |||
| FREDDIE WALTER | |||||||||
| SENIOR VP | 40.00 | 0.00 | Yes (X) | $392,758 | $0 | $18,146 | |||
| JON HOWELL | |||||||||
| SENIOR VP | 40.00 | 0.00 | Yes (X) | $389,726 | $0 | $19,630 | |||
| RUSTY LEE | |||||||||
| SENIOR VP | 40.00 | 0.00 | Yes (X) | $325,620 | $0 | $17,093 | |||
| MICHELLE MOORE-ANDREWS | |||||||||
| SENIOR VP | 40.00 | 0.00 | Yes (X) | $260,344 | $0 | $18,948 | |||
| RALPH WARNOCK | |||||||||
| EXEC VP, DIR | 4.00 | 1.00 | Yes (X) | Yes (X) | $0 | $252,206 | $15,377 | ||
| HUNTER HURST | |||||||||
| SENIOR VP | 40.00 | 0.00 | Yes (X) | $245,014 | $0 | $16,674 | |||
| BEN GRIFFIN | |||||||||
| SENIOR VP | 40.00 | 0.00 | Yes (X) | $238,786 | $0 | $11,569 | |||
| ANGELA HAMMACK | |||||||||
| SENIOR VP | 40.00 | 0.00 | Yes (X) | $233,178 | $0 | $15,799 | |||
| KIMBERLY SHEFFIELD | |||||||||
| SENIOR VP | 20.00 | 20.00 | Yes (X) | $213,164 | $0 | $17,709 | |||
| KEN MCDONALD | |||||||||
| SENIOR VP | 40.00 | 0.00 | Yes (X) | $212,578 | $0 | $18,004 | |||
| TERESA MOODY | |||||||||
| SENIOR VP | 40.00 | 4.00 | Yes (X) | $207,375 | $0 | $17,628 | |||
| PAMELA O' ROURKE | |||||||||
| SENIOR VP | 40.00 | 0.00 | Yes (X) | $203,142 | $0 | $15,312 | |||
| APRIL KENNERLY | |||||||||
| VICE PRESIDE | 40.00 | 0.00 | Yes (X) | $194,850 | $0 | $10,952 | |||
| CHRISTOPHER JOHNSON | |||||||||
| SENIOR VP | 40.00 | 0.00 | Yes (X) | $189,371 | $0 | $15,184 | |||
| THOMAS RANDOLPH COODY | |||||||||
| DIRECTOR | 4.00 | 0.00 | Yes (X) | $204,000 | $0 | $0 | |||
| KIMBERLY HERRON | |||||||||
| VICE PRESIDE | 40.00 | 0.00 | Yes (X) | $160,100 | $0 | $10,472 | |||
| HIMABINDU AKKINENI | |||||||||
| DIRECTOR | 40.00 | 0.00 | $153,955 | $0 | $14,094 | Yes (X) | |||
| GENEEN RANSAW | |||||||||
| VICE PRESIDE | 40.00 | 0.00 | Yes (X) | $157,278 | $0 | $10,426 | |||
| SANDRA JEAN | |||||||||
| VICE PRESIDE | 40.00 | 0.00 | Yes (X) | $149,923 | $0 | $17,356 | |||
| BUCKIE NORTON | |||||||||
| VICE PRESIDE | 40.00 | 0.00 | Yes (X) | $148,927 | $0 | $16,817 | |||
| CORI REESE | |||||||||
| VICE PRESIDE | 40.00 | 0.00 | Yes (X) | $148,044 | $0 | $16,736 | |||
| SYLVIA ROWE | |||||||||
| VICE PRESIDE | 40.00 | 0.00 | Yes (X) | $147,938 | $0 | $14,607 | |||
| MARK PAVLOVICH | |||||||||
| SR DIRECTOR | 40.00 | 0.00 | $146,267 | $0 | $14,654 | Yes (X) | |||
| MARCUS TRAINER | |||||||||
| DIR NW OPERA | 40.00 | 0.00 | $138,749 | $0 | $17,207 | Yes (X) | |||
| MICHAEL TAYLOR | |||||||||
| VICE PRESIDE | 40.00 | 0.00 | Yes (X) | $140,648 | $0 | $14,507 | |||
| AUTUMN WARD | |||||||||
| VICE PRESIDE | 40.00 | 0.00 | Yes (X) | $137,627 | $0 | $17,168 | |||
| EDWIN SPIVEY | |||||||||
| NETWORK OPER | 40.00 | 0.00 | $126,334 | $0 | $16,313 | Yes (X) | |||
| JOHNNY MCGINNIS | |||||||||
| SENIOR DIREC | 40.00 | 0.00 | $125,033 | $0 | $15,063 | Yes (X) | |||
| VICKI HILL-HOFFMAN | |||||||||
| VICE PRESIDE | 40.00 | 0.00 | Yes (X) | $124,077 | $0 | $14,079 | |||
| YOLANDA PENCE | |||||||||
| VICE PRESIDE | 40.00 | 0.00 | Yes (X) | $119,490 | $0 | $14,923 | |||
| LUCY ROGERS | |||||||||
| DIRECTOR, SE | 30.00 | 1.00 | Yes (X) | Yes (X) | $50,034 | $0 | $3,828 | ||
| PAUL A CABLE | |||||||||
| DIRECTOR | 4.00 | 1.00 | Yes (X) | $24,000 | $0 | $0 | |||
| KATHRYN DENNIS | |||||||||
| DIRECTOR | 4.00 | 1.00 | Yes (X) | $24,000 | $0 | $0 | |||
| HERBERT M PONDER JR | |||||||||
| DIRECTOR | 4.00 | 1.00 | Yes (X) | $24,000 | $0 | $0 | |||
| JOSEPH A WALL | |||||||||
| CHAIRMAN | 4.00 | 1.00 | Yes (X) | $24,000 | $0 | $0 | |||
| JAMES B PATTON | |||||||||
| DIRECTOR | 0.00 | 0.00 | $12,000 | $0 | $0 | Yes (X) | |||
| BRANDON POOLE | |||||||||
| SENIOR VP | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,387,059 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $252,206 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $506,340 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SUPPORT ORGANIZATION FEES | Desc |
| Total Revenue Column | $29,012,880 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,012,880 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,012,880 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,787,669 | TotalRevenueColumnAmt |
| Exclusion | -$3,787,669 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Total Revenue Column | $1,040,252 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,040,252 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,040,252 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,265,463 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,053,132 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$3,787,669 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,098,353 | TotalAmt |
| Program Services | $7,098,353 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,000 | TotalAmt |
| Program Services | $12,000 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,103,561 | TotalAmt |
| Program Services | $8,103,561 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $488,045 | TotalAmt |
| Program Services | $488,045 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$339,210 | TotalAmt |
| Program Services | -$339,210 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $969,076 | TotalAmt |
| Program Services | $969,076 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,815 | TotalAmt |
| Program Services | $126,815 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,307 | TotalAmt |
| Program Services | $46,307 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $725,833 | TotalAmt |
| Program Services | $725,833 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $455,919 | TotalAmt |
| Program Services | $455,919 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,863 | TotalAmt |
| Program Services | $57,863 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $416,540 | TotalAmt |
| Program Services | $416,540 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| OTHER ADMINISTRATIVE | $5,509,730 | $5,509,730 |
| CONTRACT SERVICES | $4,936,931 | $4,936,931 |
| DIRECTORS' FEES | $132,000 | $132,000 |
| UTILITIES | $72,896 | $72,896 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,685 | TotalAmt |
| Program Services | $107,685 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,920,344 | TotalAmt |
| Program Services | $28,920,344 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,653,179 | BOYAmt |
| EOY | $13,304,178 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $24,500 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,500,000 | BOYAmt |
| EOY | $3,150,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $863,538 | BOYAmt |
| EOY | $704,645 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,926,005 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,532,988 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383,123 | BOYAmt |
| EOY | $393,017 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,651,791 | BOYAmt |
| EOY | $87,401,231 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,425 | BOYAmt |
| EOY | $920,134 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,053,056 | BOYAmt |
| EOY | $105,897,705 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,439,087 | BOYAmt |
| EOY | $4,247,424 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $193,934 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,439,087 | BOYAmt |
| EOY | $4,441,358 | 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 | $80,613,969 | BOYAmt |
| EOY | $101,456,347 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,613,969 | BOYAmt |
| EOY | $101,456,347 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,053,056 | BOYAmt |
| EOY | $105,897,705 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,654,881 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $23,497,259 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 10 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (10 entries)
| Business Name Line2SupportedOrganizationName/BusinessNameLine2Txt | EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|---|
| HEALTH SCHOLARSHIPS INC | |||||
| HEALTH SCHOLARSHIPS INC | 581805305 | 10 | Yes (true) | $0 | $0 |
| HEALTH SYSTEMS FACILITIES INC | |||||
| HEALTH SYSTEMS FACILITIES INC | 743083594 | 10 | Yes (true) | $0 | $0 |
| PIEDMONT REGIONAL HEALTH INC | |||||
| PIEDMONT REGIONAL HEALTH INC | 432007498 | 10 | Yes (true) | $0 | $0 |
| CLINICAL SERVICES INC | |||||
| CLINICAL SERVICES INC | 571157115 | 10 | Yes (true) | $20,197,896 | $0 |
| COMMUNITY REHABILITATION SERVICES INC | |||||
| COMMUNITY REHABILITATION SERVICES INC | 203523779 | 10 | Yes (true) | $1,849,219 | $0 |
| COMMUNITY ANCILLARY SERVICES INC | |||||
| COMMUNITY ANCILLARY SERVICES INC | 432007496 | 10 | Yes (true) | $5,433,660 | $0 |
| HOME & COMMUNITY SERVICES INC | |||||
| HOME & COMMUNITY SERVICES INC | 432007492 | 10 | Yes (true) | $1,084,704 | $0 |
| COMMUNITY HEALTH VENTURES INC | |||||
| COMMUNITY HEALTH VENTURES INC | 201392241 | 10 | Yes (true) | $31,314 | $0 |
| HEALTH SYSTEMS REAL ESTATE INC | |||||
| HEALTH SYSTEMS REAL ESTATE INC | 432007488 | 10 | Yes (true) | $426,046 | $0 |
| STEWARD HEALTH SERVICES INC | |||||
| STEWARD HEALTH SERVICES INC | 432007486 | 10 | Yes (true) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 10 | SupportedOrganizationsTotalCnt |
| Support Sum | $29,022,839 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (true) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | false | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 11H | FormAndLineReferenceDesc |
| Explanation | COMMUNITY ANCILLARY SERVICES, INC. 43-2007496 10 X 5,433,660 0 HOME & COMMUNITY SERVICES, INC. 43-2007492 10 X 1,084,704 0 COMMUNITY HEALTH VENTURES, INC. 20-1392241 10 X 31,314 0 HEALTH SYSTEMS REAL ESTATE, INC. 43-2007488 10 X 426,046 0 STEWARD HEALTH SERVICES, INC. 43-2007486 10 X 0 0 | ExplanationTxt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $295,027 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $295,027 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $295,027 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $295,027 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $28,920,344 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $610,832,933 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $29,215,371 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $611,127,960 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $310,716 | CurrentYearMinus3Amt |
| Current Year Minus2 | $308,289 | CurrentYearMinus2Amt |
| Current Year Minus1 | $315,044 | CurrentYearMinus1Amt |
| Current Year | $295,027 | CurrentYearAmt |
| Total | $1,229,076 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-A | FormAndLineReferenceDesc |
| Explanation | CLINICAL SERVICES, INC. 57-1157115 1005 BOULDER DRIVE GRAY, GA 31032 0 0 0 38,502,150 0 0 COMMUNITY ANCILLARY SERVICES, INC. 43-2007496 110 STONE BROOKE DRIVE GRAY, GA 31032 0 0 0 91,962,413 0 0 COMMUNITY HEALTH FOUNDATION, INC. 57-1157153 110 STONE BROOKE DRIVE GRAY, GA 31032 0 0 0 1,053,859 0 0 COMMUNITY REHABILITATION SERV, INC. 20-3253779 110 STONE BROOKE DRIVE GRAY, GA 31032 0 0 0 28,760,818 0 0 HEALTH SCHOLARSHIPS, INC. 58-1805305 1005 BOULDER DRIVE GRAY, GA 31032 0 0 0 247,890,435 0 0 HEALTH SYSTEMS FACILITIES, INC. 74-3083594 1005 BOULDER DRIVE GRAY, GA 31032 0 0 0 103,005,033 0 0 HEALTH SYSTEMS REAL ESTATE, INC. 43-2007488 110 STONE BROOKE DRIVE GRAY, GA 31032 0 0 0 8,346,585 0 0 HOME & COMMUNITY SERVICES, INC. 43-2007492 110 STONE BROOKE DRIVE GRAY, GA 31032 0 0 0 35,795,443 0 0 PIEDMONT REGIONAL HEALTH, INC. 43-2007498 1005 BOULDER DRIVE GRAY, GA 31032 0 0 0 26,567,303 0 0 STEWARD HEALTH SERVICES, INC. 43-2007486 110 STONE BROOKE DRIVE GRAY, GA 31032 0 0 0 28,550 0 0 COMMUNITY HEALTH SYSTEMS, INC. 74-3083593 P.O. BOX 1037 MACON, GA 31202 0 295,027 295,027 28,920,344 0 0 | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,740,043 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,385,152 | DepreciationAmt |
| Book Value | $354,891 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $185,962 | OtherCostOrOtherBasisAmt |
| Depreciation | $147,836 | DepreciationAmt |
| Book Value | $38,126 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $393,017 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ACCRUED PAYROLL TAXES | Desc |
| Amt | $193,934 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $193,934 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|
| RONNIE D ROLLINS | ||||||||
| DIR, PRES & CEO | $824,330 | $15,199 | $26,099 | $865,628 | ||||
| LORRAINE T TAYLOR | ||||||||
| CFO | $740,426 | $14,774 | $23,966 | $779,166 | ||||
| FREDDIE WALTER | ||||||||
| SENIOR VP | $381,194 | $11,564 | $18,146 | $410,904 | ||||
| JON HOWELL | ||||||||
| SENIOR VP | $378,151 | $11,575 | $19,630 | $409,356 | ||||
| RUSTY LEE | ||||||||
| SENIOR VP | $313,399 | $12,221 | $17,093 | $342,713 | ||||
| MICHELLE MOORE-ANDREWS | ||||||||
| SENIOR VP | $249,865 | $10,479 | $18,948 | $279,292 | ||||
| RALPH WARNOCK | ||||||||
| EXEC VP, DIRECTOR | $236,424 | $15,782 | $15,377 | $267,583 | ||||
| HUNTER HURST | ||||||||
| SENIOR VP | $234,883 | $10,131 | $16,674 | $261,688 | ||||
| BEN GRIFFIN | ||||||||
| SENIOR VP | $229,598 | $9,188 | $11,569 | $250,355 | ||||
| ANGELA HAMMACK | ||||||||
| SENIOR VP | $224,158 | $9,020 | $15,799 | $248,977 | ||||
| KIMBERLY SHEFFIELD | ||||||||
| SENIOR VP | $204,290 | $8,874 | $17,709 | $230,873 | ||||
| KEN MCDONALD | ||||||||
| SENIOR VP | $203,884 | $8,694 | $18,004 | $230,582 | ||||
| TERESA MOODY | ||||||||
| SENIOR VP | $198,696 | $8,679 | $17,628 | $225,003 | ||||
| PAMELA O' ROURKE | ||||||||
| SENIOR VP | $190,559 | $12,583 | $15,312 | $218,454 | ||||
| APRIL KENNERLY | ||||||||
| VICE PRESIDENT | $187,082 | $7,768 | $10,952 | $205,802 | ||||
| CHRISTOPHER JOHNSON | ||||||||
| SENIOR VP | $181,719 | $7,652 | $15,184 | $204,555 | ||||
| THOMAS RANDOLPH COODY | ||||||||
| DIRECTOR | $204,000 | $204,000 | ||||||
| KIMBERLY HERRON | ||||||||
| VICE PRESIDENT | $153,952 | $6,148 | $10,472 | $170,572 | ||||
| HIMABINDU AKKINENI | ||||||||
| DIRECTOR | $147,958 | $5,997 | $14,094 | $168,049 | ||||
| GENEEN RANSAW | ||||||||
| VICE PRESIDENT | $150,769 | $6,509 | $10,426 | $167,704 | ||||
| SANDRA JEAN | ||||||||
| VICE PRESIDENT | $143,566 | $6,357 | $17,356 | $167,279 | ||||
| BUCKIE NORTON | ||||||||
| VICE PRESIDENT | $142,791 | $6,136 | $16,817 | $165,744 | ||||
| CORI REESE | ||||||||
| VICE PRESIDENT | $142,181 | $5,863 | $16,736 | $164,780 | ||||
| SYLVIA ROWE | ||||||||
| VICE PRESIDENT | $141,975 | $5,963 | $14,607 | $162,545 | ||||
| MARK PAVLOVICH | ||||||||
| SR DIRECTOR | $140,357 | $5,910 | $14,654 | $160,921 | ||||
| MARCUS TRAINER | ||||||||
| DIR NW OPERATIONS | $133,267 | $5,482 | $17,207 | $155,956 | ||||
| MICHAEL TAYLOR | ||||||||
| VICE PRESIDENT | $135,054 | $5,594 | $14,507 | $155,155 | ||||
| AUTUMN WARD | ||||||||
| VICE PRESIDENT | $131,810 | $5,817 | $17,168 | $154,795 | ||||
| JAMES B PATTON | ||||||||
| DIRECTOR | $12,000 | $12,000 | ||||||
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAKE PARK REAL ESTATE INC | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE BELOW | RelationshipDescriptionTxt |
| Transaction | $141,169 | TransactionAmt |
| Transaction | RENTAL OF REALESTATE | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | LAKE PARK REAL ESTATE, INC. IS A SUBSIDIARY OF AN ENTITY THAT IS OWNED BY RONNIE D. ROLLINS, PRESIDENT AND CEO. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO 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. |
| FORM 990, PAGE 2, PART III, LINE 4A | STRATEGIC 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 11B | THE 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 12C | COMPLIANCE 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 15A | THE 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 15B | THE 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 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND ITS AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC CONSUMPTION UPON REQUEST IN ACCORDANCE WITH THE INTERNAL REVENUE CODE SECTION 6104(D) DISCLOSURE REQUIREMENTS. |
| FORM 990, PART XI, LINE 9 | CONTRIBUTION OF NET ASSETS 23,497,259 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SYSTEM ADMINISTRATIVE SERVICES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 STONE BROOKE DRIVE | AddressLine1Txt |
| City | GRAY | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31032 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271572118 | EIN |
| Primary Activities | ADMINISTRA | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Total Income | $25,727,617 | TotalIncomeAmt |
| End Of Year Assets | $2,379,880 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Business Name Line2 | NA | BusinessNameLine2Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CLINICAL SERVICES INC | ||||||||||
| 1005 BOULDER DRIVE | GRAY | GA | 31032 | 571157115 | CLINICAL A | GA | 501C | 10 | NA | false |
| COMMUNITY HEALTH FOUNDATION INC | ||||||||||
| 110 STONE BROOKE DRIVE | GRAY | GA | 31032 | 571157153 | FINANCIAL | GA | 501C | 10 | NA | false |
| COMMUNITY REHABILITATION SERVICES | ||||||||||
| 110 STONE BROOKE DRIVE | GRAY | GA | 31032 | 203253779 | REHABILITA | GA | 501C | 10 | NA | false |
| HEALTH SCHOLARSHIPS INC | ||||||||||
| 1005 BOULDER DRIVE | GRAY | GA | 31032 | 581805305 | OPERATION | GA | 501C | 10 | NA | false |
| HEALTH SYSTEMS FACILITIES INC | ||||||||||
| 1005 BOULDER DRIVE | GRAY | GA | 31032 | 743083594 | OPERATION | GA | 501C | 10 | NA | false |
| HEALTH SYSTEMS REAL ESTATE INC | ||||||||||
| 110 STONE BROOKE DRIVE | GRAY | GA | 31032 | 432007488 | RE | GA | 501C | 10 | NA | false |
| HOME & COMMUNITY SERVICES INC | ||||||||||
| 110 STONE BROOKE DRIVE | GRAY | GA | 31032 | 432007492 | TRANS | GA | 501C | 10 | NA | false |
| COMMUNITY ANCILLARY SERVICES INC | ||||||||||
| 110 STONE BROOKE DRIVE | GRAY | GA | 31032 | 432007496 | PHAR | GA | 501C | 10 | NA | false |
| PIEDMONT REGIONAL HEALTH INC | ||||||||||
| 1005 BOULDER DRIVE | GRAY | GA | 31032 | 432007498 | OPERATION | GA | 501C | 10 | NA | false |
| STEWARD HEALTH SERVICES INC | ||||||||||
| 110 STONE BROOKE DRIVE | GRAY | GA | 31032 | 432007486 | HOSPICE | GA | 501C | 10 | NA | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH VENTURES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4875 RIVERSIDE DRIVE SUITE 105 | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201392241 | EIN |
| Primary Activities | RISK MGMT. | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| CLINICAL SERVICES INC | |
| L | $20,197,896 |
| COMMUNITY ANCILLARY SERVICES INC | |
| L | $5,433,660 |
| COMMUNITY REHABILITATION SERV INC | |
| L | $1,849,219 |
| HOME & COMMUNITY SERVICES INC | |
| L | $1,084,704 |
| CLINICAL SERVICES INC | |
| K | $180,888 |
| HEALTH SYSTEMS REAL ESTATE INC | |
| L | $426,046 |
| COMMUNITY HEALTH FOUNDATION INC | |
| R | $208 |
| COMMUNITY ANCILLARY SERVICES INC | |
| J | $159,000 |
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