COMMUNITY HEALTH SYSTEMS INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH SYSTEMS INC (EIN 74-3083593)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-12
- IRS object ID
- 201741329349302904
- Schema version
- 2015v3.0
- 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 | 2017-05-12T11:25:39-04:00 | ReturnTs |
| Tax Period End | 2016-06-30 | 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 | 2015-07-01 | 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 | 2017-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | J RANDOLPH NICHOLS | PreparerPersonNm |
| PTIN | P00347246 | PTIN |
| Phone | 4787466277 | PhoneNum |
| Preparation | 2017-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 1833 | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,035,802 | 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 THROUGH PROVIDING STRATEGIC PLANNING, OVERSIGHT, MANAGEMENT, SUPERVISION, ADMINISTRATIVE SERVICES AND OTHER ESSENTIAL FUNCTIONS TO SECTION 501(C)(3) SUPPORTED ORGANIZATIONS WITHIN AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 66 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,951,964 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,657,552 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,510,526 | PYInvestmentIncomeAmt |
| CY Investment Income | -$634,004 | CYInvestmentIncomeAmt |
| PY Other Revenue | $36,144 | PYOtherRevenueAmt |
| CY Other Revenue | $12,254 | CYOtherRevenueAmt |
| PY Total Revenue | $16,498,634 | PYTotalRevenueAmt |
| CY Total Revenue | $15,035,802 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,894,546 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,073,788 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,287,267 | PYOtherExpensesAmt |
| CY Other Expenses | $5,655,611 | CYOtherExpensesAmt |
| PY Total Expenses | $16,181,813 | PYTotalExpensesAmt |
| CY Total Expenses | $14,729,399 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $316,821 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $306,403 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $77,196,175 | TotalAssetsBOYAmt |
| Total Assets EOY | $77,972,514 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,003,535 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $21,912,220 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $53,192,640 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $56,060,294 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO SUPPORT AND ENCOURAGE HEALTH CARE AND RELATED SERVICES THROUGH PROVIDING STRATEGIC PLANNING, OVERSIGHT, MANAGEMENT, SUPERVISION, ADMINISTRATIVE SERVICES AND OTHER ESSENTIAL FUNCTIONS TO SECTION 501(C)(3) SUPPORTED ORGANIZATIONS WITHIN AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $14,729,399 | ExpenseAmt |
| Revenue | $15,657,552 | RevenueAmt |
| Desc | SUPPORTED AND ENCOURAGED HEALTH CARE AND RELATED SERVICES THROUGH PROVIDING STRATEGIC PLANNING, OVERSIGHT, MANAGEMENT, SUPERVISION, ADMINISTRATIVE SERVICES AND OTHER ESSENTIAL FUNCTIONS TO SECTION 501(C)(3) SUPPORTED ORGANIZATIONS WITHIN AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. COMMUNITY HEALTH SYSTEMS, INC., AS THE SECTION 501(A)(3) SUPPORTING ORGANIZATION AND PARENT ENTITY OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM, HAS ADOPTED GUIDING POLICIES AND PROCEDURES REGARDING COMMUNIT BENEFIT FOR EACH OF ITS SUPPORTED ORGANIZATIONS. AS PART OF THE STRATEGIC PLANNING IT PROVDIES TO ITS SUPPORTED ORGANIZATIONS, COMMUNITY HEALTH SYSTEMS, INC. CONTINUES TO ASSESS AND DEVELOP PROGRAMS TO HELP ITS SUPPORTED ORGANIZATIONS PROVIDE BENEFIT TO THEIR COMMUNITIES. IN ADDITION, IT HELPS ITS SUPPORTED ORGANIZATIONS AS NEEDED IN THEIR PROVISION OF COMMUNITY BENEFIT. | Desc |
| Total Program Service Expenses | $14,729,399 | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| 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 | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 66 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | Yes (true) | 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 (21 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 |
|---|---|---|---|---|---|---|---|---|
| RONNIE D ROLLINS | ||||||||
| DIR, PRES & | 40.00 | 0.00 | Yes (X) | Yes (X) | $384,667 | $0 | $26,700 | |
| THOMAS RANDOLPH COODY | ||||||||
| DIRECTOR, VP | 40.00 | 0.00 | Yes (X) | $166,087 | $0 | $21,168 | ||
| JOSEPH A WALL | ||||||||
| CHAIRMAN | 4.00 | 40.00 | Yes (X) | $24,000 | $0 | $0 | ||
| PAUL A CABLE | ||||||||
| DIRECTOR | 4.00 | 40.00 | Yes (X) | $24,000 | $0 | $0 | ||
| JAMES B PATTON | ||||||||
| DIRECTOR | 4.00 | 40.00 | Yes (X) | $24,000 | $0 | $0 | ||
| HERBERT M PONDER JR | ||||||||
| DIRECTOR | 4.00 | 40.00 | Yes (X) | $24,000 | $0 | $0 | ||
| KATHRYN DENNIS | ||||||||
| DIRECTOR | 4.00 | 40.00 | Yes (X) | $24,000 | $0 | $0 | ||
| MARK A WALDROP | ||||||||
| COO | 40.00 | 0.00 | Yes (X) | $1,048,138 | $0 | $34,832 | ||
| LORRAINE T TAYLOR | ||||||||
| CFO | 40.00 | 4.00 | Yes (X) | $665,585 | $0 | $30,440 | ||
| BEN H GRIFFIN JR | ||||||||
| VICE PRESIDE | 40.00 | 0.00 | Yes (X) | $218,601 | $0 | $19,332 | ||
| HUNTER HURST | ||||||||
| SENIOR VP | 40.00 | 0.00 | Yes (X) | $212,077 | $0 | $25,065 | ||
| BLAIR LAKE | ||||||||
| VICE PRESIDE | 40.00 | 0.00 | Yes (X) | $155,874 | $0 | $19,080 | ||
| TERESA MOODY | ||||||||
| VICE PRESIDE | 40.00 | 4.00 | Yes (X) | $153,716 | $0 | $18,884 | ||
| ANGELA HAMMACK | ||||||||
| VP-SPECIAL P | 40.00 | 0.00 | Yes (X) | $142,720 | $0 | $15,329 | ||
| RENEE MADDOX | ||||||||
| VP-SPECIAL P | 40.00 | 0.00 | Yes (X) | $123,980 | $0 | $10,829 | ||
| SHELLEY MARSHALL | ||||||||
| VP - BENEFIT | 40.00 | 0.00 | Yes (X) | $96,970 | $0 | $11,732 | ||
| NEIL GOODENOUGH | ||||||||
| DIRECTOR INF | 40.00 | 0.00 | $146,430 | $0 | $15,647 | Yes (X) | ||
| CHRISTOPHER JOHNSON | ||||||||
| SR. DIRECTOR | 40.00 | 0.00 | $137,516 | $0 | $12,758 | Yes (X) | ||
| JAMES TAYLOR | ||||||||
| SENIOR REG D | 40.00 | 0.00 | $122,051 | $0 | $13,922 | Yes (X) | ||
| SANDRA JEAN | ||||||||
| SR. DIRECTOR | 40.00 | 0.00 | $118,964 | $0 | $13,362 | Yes (X) | ||
| SCOTT TRASHER | ||||||||
| DIRECTOR | 40.00 | 0.00 | $117,917 | $0 | $14,132 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,131,293 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $303,212 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| MCKENNA LONG AND ALDRIDGE LLP | ||||||
| 303 PEACHTREE STREET NE | ATLANTA | GA | 30308 | LEGAL | $1,987,542 | |
| OGLETREE DEAKINS NASH SMOAK STEWART | ||||||
| PO BOX 89 | COLUMBIA | SC | 29202 | LEGAL | $510,085 | |
| SUNERA LLC | ||||||
| 201 E KENNEDY BLVD | TAMPA | FL | 33602 | HEALTHCARE | $222,301 | SUITE 415 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SUPPORT ORGANIZATION FEES | Desc |
| Total Revenue Column | $15,657,552 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,657,552 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,657,552 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$634,004 | TotalRevenueColumnAmt |
| Exclusion | -$634,004 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Total Revenue Column | $12,254 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,254 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,254 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,035,802 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,669,806 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$634,004 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,721,806 | TotalAmt |
| Program Services | $3,721,806 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,409,844 | TotalAmt |
| Program Services | $3,409,844 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,678 | TotalAmt |
| Program Services | $191,678 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,366,126 | TotalAmt |
| Program Services | $1,366,126 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,334 | TotalAmt |
| Program Services | $384,334 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,698 | TotalAmt |
| Program Services | $345,698 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,250 | TotalAmt |
| Program Services | $28,250 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470,069 | TotalAmt |
| Program Services | $470,069 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,644 | TotalAmt |
| Program Services | $377,644 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| OTHER ADMINISTRATIVE | $2,123,833 | $2,123,833 |
| CONTRACT SERVICES | $1,714,122 | $1,714,122 |
| INTEREST EXPENSE | $160,622 | $160,622 |
| DEPRECIATION | $123,859 | $123,859 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,514 | TotalAmt |
| Program Services | $311,514 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,729,399 | TotalAmt |
| Program Services | $14,729,399 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,104,745 | BOYAmt |
| EOY | $2,447,667 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,164,061 | BOYAmt |
| EOY | $599,808 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $414,625 | BOYAmt |
| EOY | $455,760 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,483,239 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,179,642 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $427,456 | BOYAmt |
| EOY | $303,597 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,085,288 | BOYAmt |
| EOY | $74,165,682 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,196,175 | BOYAmt |
| EOY | $77,972,514 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,003,535 | BOYAmt |
| EOY | $21,912,220 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,003,535 | BOYAmt |
| EOY | $21,912,220 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,192,640 | BOYAmt |
| EOY | $56,060,294 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,192,640 | BOYAmt |
| EOY | $56,060,294 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,196,175 | BOYAmt |
| EOY | $77,972,514 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $306,403 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $2,561,251 | 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 | 9 | false | $7,027,032 | $0 |
| HEALTH SYSTEMS FACILITIES INC | |||||
| HEALTH SYSTEMS FACILITIES INC | 743083594 | 9 | false | $3,202,464 | $0 |
| PIEDMONT REGIONAL HEALTH INC | |||||
| PIEDMONT REGIONAL HEALTH INC | 432007498 | 9 | false | $765,048 | $0 |
| CLINICAL SERVICES INC | |||||
| CLINICAL SERVICES INC | 571157115 | 9 | false | $144,519 | $0 |
| COMMUNITY REHABILITATION SERVICES INC | |||||
| COMMUNITY REHABILITATION SERVICES INC | 203523779 | 9 | false | $1,431,384 | $0 |
| COMMUNITY ANCILLARY SERVICES INC | |||||
| COMMUNITY ANCILLARY SERVICES INC | 432007496 | 9 | false | $1,753,620 | $0 |
| HOME & COMMUNITY SERVICES INC | |||||
| HOME & COMMUNITY SERVICES INC | 432007492 | 9 | false | $782,148 | $0 |
| COMMUNITY HEALTH VENTURES INC | |||||
| COMMUNITY HEALTH VENTURES INC | 201392241 | 9 | false | $0 | $0 |
| HEALTH SYSTEMS REAL ESTATE INC | |||||
| HEALTH SYSTEMS REAL ESTATE INC | 432007488 | 9 | false | $0 | $0 |
| STEWARD HEALTH SERVICES INC | |||||
| STEWARD HEALTH SERVICES INC | 432007486 | 9 | false | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 10 | SupportedOrganizationsTotalCnt |
| Support Sum | $15,106,215 | 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 9 1,753,620 0 HOME & COMMUNITY SERVICES, INC. 43-2007492 9 782,148 0 COMMUNITY HEALTH VENTURES, INC. 20-1392241 9 0 0 HEALTH SYSTEMS REAL ESTATE, INC. 43-2007488 9 0 0 STEWARD HEALTH SERVICES, INC. 43-2007486 9 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 | $278,406 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $278,406 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $278,406 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $278,406 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $14,450,993 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $576,319,674 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $14,729,399 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $576,598,080 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $886,470 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $221,618 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,850,661 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,813,075 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $5,663,736 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $8,495,604 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $279,841 | CurrentYearMinus3Amt |
| Current Year Minus2 | $271,481 | CurrentYearMinus2Amt |
| Current Year Minus1 | $288,227 | CurrentYearMinus1Amt |
| Current Year | $278,406 | CurrentYearAmt |
| Total | $1,117,955 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $462,665 | CurrentYearMinus3Amt |
| Current Year Minus2 | $453,269 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,415,934 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $2,123,901 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,347,176 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,061,779 | DepreciationAmt |
| Book Value | $285,397 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $136,063 | OtherCostOrOtherBasisAmt |
| Depreciation | $117,863 | DepreciationAmt |
| Book Value | $18,200 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $303,597 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $15,035,802 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $15,035,802 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $15,035,802 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,729,399 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $14,729,399 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $14,729,399 | TotalExpensesPerForm990Amt |
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 (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| RONNIE D ROLLINS | ||||
| DIR, PRES & CEO | $384,667 | $10,600 | $16,100 | $411,367 |
| THOMAS RANDOLPH COODY | ||||
| DIRECTOR, VP | $166,087 | $7,130 | $14,038 | $187,255 |
| MARK A WALDROP | ||||
| COO | $1,048,138 | $10,600 | $24,232 | $1,082,970 |
| LORRAINE T TAYLOR | ||||
| CFO | $665,585 | $10,600 | $19,840 | $696,025 |
| BEN H GRIFFIN JR | ||||
| VICE PRESIDENT | $218,601 | $8,742 | $10,590 | $237,933 |
| HUNTER HURST | ||||
| SENIOR VP | $212,077 | $8,731 | $16,334 | $237,142 |
| BLAIR LAKE | ||||
| VICE PRESIDENT | $155,874 | $6,295 | $12,785 | $174,954 |
| TERESA MOODY | ||||
| VICE PRESIDENT | $153,716 | $6,683 | $12,201 | $172,600 |
| ANGELA HAMMACK | ||||
| VP-SPECIAL PROJECTS | $142,720 | $5,839 | $9,490 | $158,049 |
| NEIL GOODENOUGH | ||||
| DIRECTOR INFO SEC | $146,430 | $6,086 | $9,561 | $162,077 |
| CHRISTOPHER JOHNSON | ||||
| SR. DIRECTOR | $137,516 | $3,326 | $9,432 | $150,274 |
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 OWNED BY AN ENTITY THAT IS OWNED BY RONNIE D. ROLLINS, PRESIDENT AND CEO. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO SUPPORT AND ENCOURAGE HEALTH CARE AND RELATED SERVICES THROUGH PROVIDING STRATEGIC PLANNING, OVERSIGHT, MANAGEMENT, SUPERVISION, ADMINISTRATIVE SERVICES AND OTHER ESSENTIAL FUNCTIONS TO SECTION 501(C)(3) SUPPORTED ORGANIZATIONS WITHIN AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. |
| FORM 990, PAGE 2, PART III, LINE 4A | IT HELPS ITS SUPPORTED ORGANIZATIONS AS NEEDED IN THEIR PROVISION OF COMMUNITY BENEFIT. |
| FORM 990, PAGE 6, PART VI, LINE 5 | DURING THE ORGANIZATION'S TAXABLE YEAR ENDING JUNE 30, 2016, THE ORGANIZATION BECAME AWARE THAT FOR SEVERAL YEARS, AN OFFICER OF THE ORGANIZATION AND HIS ASSISTANT HAD BOTH IMPROPERLY SUBMITTED NON-QUALIFYING EMPLOYEE BUSINESS EXPENSES THAT WERE REIMBURSED AND PAID TO THEM PURSUANT TO THE ORGANIZATION'S ACCOUNTABLE PLAN. FOR THE PERIOD BEGINNING JANUARY 1, 2010 AND ENDING JUNE 30, 2016, THE ORGANIZATION ESTIMATES THAT COLLECTIVELY, OVER 273,000 WAS IMPROPERLY PAID TO THIS OFFICER AND HIS ASSISTANT. THE ORGANIZATION ACKNOWLEDGES THAT THE ESTIMATED AMOUNT CONSITUTES A SIGNIFICANT DIVERSION OF THE ORGANIZATION'S ASSETS, BASED SOLELY UNDER THE APPLICABLE PROVISIONS OF FORM 990 INSTRUCTIONS. UPON DISCOVERY OF THE FACTS SURROUNDING THE PAYMENT OF SUCH IMPROPER BUSINESS EXPENSES IN JUNE 2016, THE BOARD OF DIRECTORS OF THE ORGANIZATION TERMINATED THE OFFICER'S EMPLOYMENT "FOR CAUSE" UNDER THE TERMS OF SUCH OFFICER'S EMPLOYMENT AGREEMENT. THE BOARD ALSO IMMEDIATELY TERMINATED THE EMPLOYMENT OF HIS ASSISTANT. FOLLOWING THE OFFICER'S TERMINATION, THE OFFICER FILED CIVIL LITIGATION AGAINST THE ORGANIZATION FOR WRONGTUL TERMINATION OF SUCH EMPLOYMENT AGREEMENT. THE ORGANIZATION RESPONDED TO SUCH LITIGATION BY FILING, AMONG OTHER THINGS, VARIOUS COUNTERCLAIMS AGAINST THE OFFICER SEEKING RECOVERY OF ALL SUCH IMPROPERLY REIMBURSED BUSINESS EXPENSE AMOUNTS. THE LITIGATION REMAINS ONGOING. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THIS PROCESS INVOLVES THE ELECTRONIC POSTING OF THE DRAFT FORM 990 WITH ALL ITS SCHEDULES FOR THE ORGANIZATION'S BOARD OF DIRECTORS TO REVIEW FOLLOWED, AFTER A SUFFICIENT REVIEW PERIOD, BY A MEETING OF THE BOARD AT WHICH BOARD MEMBERS WILL HAVE THE OPPORTUNITY TO ASK QUESTIONS OF MANAGEMENT AND THE OUTSIDE TAX ADVISORS INVOLVED IN THE PREPARATION OF THE FORM 990. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICTS OF INTEREST POLICY. SUCH COMPLIANCE IS EFFECTUATED THROUGH THE ORGANIZATION'S BOARD OF DIRECTORS' REVIEW OF ANNUAL CONFLICT DISCLOSURE STATEMENTS FROM THE DIRECTORS AS WELL AS RECEIPT AND REVIEW OF CONFLICT DISCLOSURE STATEMENTS WITH RESPECT TO CERTAIN PROPOSED TRANSACTIONS OR ARRANGEMENTS THE ORGANIZATION IS CONSIDERING PRIOR TO ANY BOARD ACTION WITH RESPECT TO SUCH MATTERS. THE CONFLICTS POLICY OUTLINES THE SPECIFIC PROCEDURE TO BE FOLLOWED TO DETERMINE WHETHER INTERESTED PERSONS HAVE ACTUAL CONFLICTS OF INTEREST. IF IT IS DETERMINED THAT A BOARD MEMBER HAS AN ACTUAL CONFLICT OF INTEREST, THEN SUCH BOARD MEMBERS IF NOT ALLOWED TO PARTICIPATE IN THE BOARD DELIBERATIONS ON THE SPECIFIC MATTER AND IS EXCUSED FROM, AND IS 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 WHICH IS PART OF ITS CONFLICTS OF INTEREST POLICY. EVERY TWO TO THREE YEARS, ON AVERAGE, THE ORGANIZATION PARTICIPATES IN A COMPREHENSIVE PROCESS CONDUCTED ON ITS BEHALF BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC., ITS SOLE MEMBER AND PARENT OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM IN WHICH THE ORGANIZATION IS A MEMBER. THIS PROCESS INVOLVES REVIEW OF COMPARABILITY DATA COMPILED BY AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT. COMPARABILITY DATA IS GATHERED FOR THE ORGANIZATION'S SENIOR MANAGEMENT, AND ON OCCASION, KEY OR HIGHLY COMPENSATED EMPLOYEES, AND, BASED ON THE SAME, THE CONSULTANT ISSUES A WRITTEN REPORT REFLECTING THE CONSULTANT'S OPINION CONCERNING WHETHER THE PROPOSED COMPENSATION ARRANGEMENTS CONSTITUTE REASONABLE COMPENSATION UNDER SECTION 4958 OF THE CODE. THIS PROCESS IS CONDUCTED BY THE COMPENSATION COMMITTEE, WHICH THEN MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS ALSO PROVIDED WITH MATERIALS REGARDING TEH COMPENSATION REVIEW, INCLUDING COPIES OF THE CONSULTANT'S REPORT. THE BOARD THEN VOTES AS TO THE REASONABLENESS OF EACH OF THE INDIVIDUAL COMPENSATION ARRANGEMENTS (IF ANY DISQUALIFIED OR OTHERWISE CONFLICTED INDIVIDUALS ARE PRESENT AT THE MEETING, THEY DO NOT PARTICIPATE IN THE DELIBERATIONS AND ARE EXCUSED FROM THE ROOM DURING THE VOTE). THE PROCESS IS DESIGNED AND CARRIED OUT BY THE 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 ARRANGMENTS FOR DISQUALIFIED PERSONS UNDER SECTION 53.4958-6 OF THE REGULATIONS. AS PART OF THIS PROCESS, OUTSIDE COUNSEL IS RETAINED TO FURTHER ADVISE THE BOARD ON THE REBUTTABLE PRESUMPTION PROCESS AND TO PROVIDE THE BOARD WITH A LEGAL OPINION REGARDING THE SAME. AS A FINAL STEP, EACH PART OF THE PROCESS REQUIRED TO ESTABLISH THE REBUTTABLE PRESUMPTION IS DOCUMENTED USING THE REBUTTABLE PRESUMPTION CHECKLIST RELEASED BY THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE ORGANIZATION REGULARLY AND CONSISTENTLY COMPLIES WITH THE COMPENSATION APPROVAL PROCESS WHICH IS PART OF ITS CONFLICTS OF INTEREST POLICY. EVERY TWO TO THREE YEARS, ON AVERAGE, THE ORGANIZATION PARTICIPATES IN A COMPREHENSIVE PROCESS CONDUCTED ON ITS BEHALF BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC., ITS SOLE MEMBER AND PARENT OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM IN WHICH THE ORGANIZATION IS A MEMBER. THIS PROCESS INVOLVES REVIEW OF COMPARABILITY DATE COMPILED BY AN INDEPENDENT THRID-PARTY COMPENSATION CONSULTANT. COMPARABILITY DATA IS GATHERED FOR THE ORGANIZATION'S SENIOR MANAGEMENT, AND ON OCCASION, KEY OR HIGHLY COMPENSATED EMPLOYEES, AND, BASED ON THE SAME, THE CONSULTANT ISSUES A WRITTEN REPORT REFLECTING THE CONSULTANT'S OPINION CONCERNING WHETHER THE PROPOSED COMPENSATION ARRANGEMENTS CONSTITUTE REASONABLE COMPENSATION UNDER SECTION 4958 OF THE CODE. THIS PROCESS IS CONDUCTED BY THE COMPENSATION COMMITTEE, WHICH THEN MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS ALSO PROVIDED WITH MATERIALS REGARDING THE COMPENSATION REVIEW, INCLUDING COPIES OF THE CONSULTANT'S REPORT. THE BOARD THEN VOTES AS TO THE REASONABLENESS OF EACH OF THE INDIVIDUAL COMPENSATION ARRANGEMENTS (IF ANY DISQUALIFIED OR OTHERWISE CONFLICTED INDIVIDUALS ARE PRESENT AT THE MEETING, THEY DO NOT PARTICIPATE IN THE DELIBERATIONS AND ARE EXCUSED FROM THE ROOM DURING THE VOTE.) THE PROCESS IS DESIGNED AND CARRIED OUT BY THE BOARD OF DIRECTORS IN A MANNER DESIGNED TO SATISFY ALL THREE OF THE REQUIREMENTS NECESSARY TO ESTABLISH THE REBUTTABLE PRESUMPTION OF RESONABLENESS WITH RESPECT TO COMPENSATION ARRANGEMENTS FOR DISQUALIFIED PERSONS UNDER SECTION 53.4958-6 OF THE REGULATIONS. AS PART OF THIS PROCESS, OUTSIDE COUNSEL IS RETAINED TO FURTHER ADVISE THE BOARD ON THE REBUTTABLE PRESUMPTION PROCESS AND TO PROVIDE THE BOARD WITH A LEGAL OPINION REGARDING THE SAME. AS A FINAL STEP, EACH PART OF THE PROCESS REQUIRED TO ESTABLISH THE REBUTTABLE PRESUMPTION IS DOCUMENTED USING THE REBUTTABLE PRESUMPTION CHECKLIST RELEASED BY THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FNANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST IN ACCORDANCE WITH THE SECTION 6104(D) DISCLOSURE REQUIREMENTS. |
| FORM 990, PART XI, LINE 9 | CONTRIBUTION FROM OTHER MEMBERS 2,561,251 TOTAL 2,561,251 |
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 | 1007 BOULDER 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 | $11,895 | TotalIncomeAmt |
| End Of Year Assets | $1,031,375 | 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 | 9 | NA | false |
| COMMUNITY HEALTH FOUNDATION INC | ||||||||||
| PO BOX 1833 | MACON | GA | 31202 | 571157153 | FINANCIAL | GA | 501C | 9 | NA | false |
| COMMUNITY REHABILITATION SERVICES | ||||||||||
| PO BOX 1804 | MACON | GA | 31202 | 203253779 | REHABILITA | GA | 501C | 9 | NA | false |
| HEALTH SCHOLARSHIPS INC | ||||||||||
| 1005 BOULDER DRIVE | GRAY | GA | 31032 | 581805305 | OPERATION | GA | 501C | 9 | NA | false |
| HEALTH SYSTEMS FACILITIES INC | ||||||||||
| 1005 BOULDER DRIVE | GRAY | GA | 31032 | 743083594 | OPERATION | GA | 501C | 9 | NA | false |
| HEALTH SYSTEMS REAL ESTATE INC | ||||||||||
| 1005 BOULDER DRIVE | GRAY | GA | 31032 | 432007488 | RE | GA | 501C | 9 | NA | false |
| HOME & COMMUNITY SERVICES INC | ||||||||||
| PO BOX 1803 | MACON | GA | 31202 | 432007492 | TRANS | GA | 501C | 9 | NA | false |
| COMMUNITY ANCILLARY SERVICES INC | ||||||||||
| 213 THIRD STREET | MACON | GA | 31201 | 432007496 | PHAR | GA | 501C | 9 | NA | false |
| PIEDMONT REGIONAL HEALTH INC | ||||||||||
| 1005 BOULDER DRIVE | GRAY | GA | 31032 | 432007498 | OPERATION | GA | 501C | 9 | NA | false |
| STEWARD HEALTH SERVICES INC | ||||||||||
| 213 THIRD STREET | MACON | GA | 31201 | 432007486 | HOSPICE | GA | 501C | 9 | 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 | 213 THIRD STREET | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31201 | 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 | false | 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 | $155,748 |
| COMMUNITY ANCILLARY SERVICES INC | |
| L | $2,293,728 |
| COMMUNITY REHABILITATION SERV INC | |
| L | $1,431,384 |
| HEALTH SCHOLARSHIPS INC | |
| L | $7,027,032 |
| HEALTH SYSTEMS FACILITIES INC | |
| L | $3,202,464 |
| PIEDMONT REGIONAL HEALTH INC | |
| L | $765,048 |
| HOME & COMMUNITY SERVICES INC | |
| L | $782,148 |
| CLINICAL SERVICES INC | |
| K | $93,900 |
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