COMMUNITY SERVICES GROUP INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY SERVICES GROUP INC (EIN 58-0633978)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2016-11-09
- IRS object ID
- 201613149349301506
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule J
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-09T13:27:17-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 580914992 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 71309 | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 317081309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580633978 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TY COBB HEALTHCARE SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TYCO | BusinessNameControlTxt |
| Phone | 7062457272 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 9 | AddressLine1Txt |
| City | FRANKLIN SPRINGS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30639 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREGORY HEARN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7062457272 | PhoneNum |
| Signature | 2016-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM EDWARD PHILLIPS | PreparerPersonNm |
| PTIN | P00451499 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2016-11-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Amended Return | Yes (X) | AmendedReturnInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TY COBB REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GREGORY HEARN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 9 | AddressLine1Txt |
| City | FRANKLIN SPRINGS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30639 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $55,053,243 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | TYCOBBHEALTHCARE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1950 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO CONTINUOUSLY IMPROVE THE QUALITY OF PRIMARY CARE, LONG-TERM CARE AND HOME CARE WITHIN OUR RESOURCE CAPABILITIES AND TO PROMOTE HEALTHIER LIFESTYLES THROUGH EDUCATION CONSISTEND WITH INDIVIDUAL AND COMMUNITY NEEDS. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 917 | TotalEmployeeCnt |
| Total Gross UBI | $4,415,801 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $6,473 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $53,880 | PYContributionsGrantsAmt |
| CY Contributions Grants | $118,555 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $49,045,169 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $37,040,875 | CYProgramServiceRevenueAmt |
| PY Investment Income | $92,679 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,681,539 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,497,091 | PYOtherRevenueAmt |
| CY Other Revenue | $1,078,303 | CYOtherRevenueAmt |
| PY Total Revenue | $50,688,819 | PYTotalRevenueAmt |
| CY Total Revenue | $43,919,272 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $27,455,120 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,470,863 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $32,288,660 | PYOtherExpensesAmt |
| CY Other Expenses | $29,954,742 | CYOtherExpensesAmt |
| PY Total Expenses | $59,743,780 | PYTotalExpensesAmt |
| CY Total Expenses | $48,425,605 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$9,054,961 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,506,333 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $60,872,485 | TotalAssetsBOYAmt |
| Total Assets EOY | $27,252,746 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,543,385 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,702,312 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,329,100 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,550,434 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO CONTINUOUSLY IMPROVE THE QUALITY OF PRIMARY CARE, LONG-TERM CARE AND HOME CARE WITHIN OUR RESOURCE CAPABILITIES AND TO PROMOTE HEALTHIER LIFESTYLES THROUGH EDUCATION CONSISTEND WITH INDIVIDUAL AND COMMUNITY NEEDS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $45,511,460 | ExpenseAmt |
| Revenue | $33,682,056 | RevenueAmt |
| Desc | DURING 2014,TY COBB HEALTHCARE SYSTEM, INC. (THE SYSTEM) OPERATED BROWN MEMORIAL CONVALESCENT CENTER, A 144-BED LONG-TERM CARE FACILITY, COBB HEALTHCARE CENTER, A 116 BED LONG-TERM CARE FACILITY, THE GABLES AT COBB VILLAGE, A 48 BED ASSISTED LIVING FACILITY, AND TY COBB REGIONAL MEDICAL CENTER, A 56 BED ACUTE CARE HOSPITAL. TY COBB REGIONAL MEDICAL CENTER HAD 6,150 INPATIENT DAYS AND 17,651 EMERGENCY ROOM VISITS DURING 2014. THE HOSPITAL PARTICIPATED IN THE MEDICARE AND MEDICAID GOVERNMENT INSURANCE PROGRAMS DURING 2014. UNDER THESE PROGRAMS, THE HOSPITAL PROVIDES CARE TO PATIENTS AT PAYMENT RATES WHICH ARE DETERMINED BY THE FEDERAL AND STATE GOVERNMENTS, REGARDLESS OF THE HOSPITAL'S ACTUAL CHARGES. IN SOME CASES, THESE PROGRAMS PAY THE HOSPITAL AT AMOUNTS WHICH ARE LESS THAN THE COST OF PROVIDING THE SERVICES. THE HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS INDIGENT AND CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. CHARGES FOREGONE, AT ESTABLISHED RATES, UNDER THE INDIGENT AND CHARITY CARE POLICY APPROXIMATED 2,121,000. IN ADDITION, THE HOSPITAL HAD BAD DEBT EXPENSE (PATIENT BILLS THAT WERE NOT COLLECTED) OF APPROXIMATELY 7,232,000. | Desc |
| Total Program Service Expenses | $45,511,460 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | Yes (true) | 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 | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 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 | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 146 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 917 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | 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 | 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 | false | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BETH DALTON | PersonNm |
| Phone | 7062453119 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 9 | AddressLine1Txt |
| City | FRANKLIN SPRINGS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30639 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| HARRIS LITTLE | |||||||||
| VICE CHAIR | 1.00 | 2.00 | Yes (X) | $10,800 | $0 | $0 | |||
| DON JOHNSON | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $9,600 | $0 | $0 | ||||
| FORT OGLESBY | |||||||||
| BOARD CHAIR | 1.00 | 2.00 | Yes (X) | $7,000 | $0 | $0 | Yes (X) | ||
| DEBORAH HARBIN | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $4,000 | $0 | $0 | ||||
| F MAYES DAVISON | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SCOTT HARDIGREE | |||||||||
| BOARD SECRET | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GREGORY HEARN | |||||||||
| CEO | 48.00 | 2.00 | $202,676 | $0 | $27,036 | Yes (X) | |||
| EVELYN MURPHY | |||||||||
| CHIEF CLINIC | 40.00 | $117,007 | $0 | $14,956 | Yes (X) | ||||
| TIMOTHY VICKERY | |||||||||
| CHIEF INFORM | 48.00 | 2.00 | $98,615 | $0 | $3,307 | Yes (X) | |||
| MATT R MCREE | |||||||||
| CFO | 48.00 | 2.00 | $87,565 | $0 | $16,339 | Yes (X) | |||
| LAUREN PAPKA | |||||||||
| ADMINISTRATO | 40.00 | $70,689 | $0 | $35,905 | Yes (X) | ||||
| JAMES BAUERBAND MD | |||||||||
| PHYSICIAN | 40.00 | $220,944 | $0 | $39,146 | Yes (X) | ||||
| DONNA TONEY | |||||||||
| DIRECTOR OF | 40.00 | $122,677 | $0 | $25,658 | Yes (X) | ||||
| ANGELA HARPOLD | |||||||||
| PHARMACIST | 40.00 | $110,846 | $0 | $5,505 | Yes (X) | ||||
| ANGELA R HOOPER | |||||||||
| DIRECTOR OF | 40.00 | $109,688 | $0 | $1,898 | Yes (X) | ||||
| JENNIFER DICKERSON | |||||||||
| PHARMACIST | 40.00 | $100,721 | $0 | $33,006 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,272,828 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $202,756 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| STERIGEN LLC | |||||
| PO BOX 11407 | BIRMINGHAM | AL | 35246 | HOUSEKEEPING | $851,486 |
| METZ CULINARY | |||||
| TWO WOODLAND DRIVE | DALLAS | PA | 18612 | FOOD SERVICES | $760,816 |
| US ANESTHESIA | |||||
| PO BOX 68 | TENNILLE | GA | 31089 | PHYSICIAN | $705,000 |
| MCDERMOTT WILL & EMORY | |||||
| PO BOX 6043 | CHICAGO | IL | 60680 | LEGAL | $622,358 |
| INNOVATIVE THERAPY CONCEPTS | |||||
| 2 MASHBURN STREET SUITE 102 | HAWKINSVILLE | GA | 31036 | PHYSICAL THERAP | $600,989 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $118,555 | AllOtherContributionsAmt |
| Total Contributions | $118,555 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUES | 621990 | $32,625,074 | $32,625,074 | |
| MEDIA | 519100 | $4,415,801 | $4,415,801 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $37,040,875 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $275,032 | TotalRevenueColumnAmt |
| Exclusion | $275,032 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $428,836 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $730,147 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$301,311 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$301,311 | TotalRevenueColumnAmt |
| Exclusion | -$301,311 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $146,881 | SecuritiesAmt |
| Other | $15,663,450 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,403,824 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $146,881 | SecuritiesAmt |
| Other | $5,259,626 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,406,507 | TotalRevenueColumnAmt |
| Exclusion | $5,406,507 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|
| EHR MEANINGFUL USE INCENTIVE | $845,642 | $845,642 | |
| CAFETERIA & VENDING | $183,117 | $183,117 | |
| OTHER | $168,025 | $168,025 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $182,830 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,315 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $139,515 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,379,614 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,919,272 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,682,056 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,415,801 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,702,860 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $739,331 | TotalAmt |
| Program Services | $220,944 | ProgramServicesAmt |
| Management And General | $518,387 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,011,563 | TotalAmt |
| Program Services | $13,862,667 | ProgramServicesAmt |
| Management And General | $148,896 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,806 | TotalAmt |
| Program Services | $21,806 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,289,690 | TotalAmt |
| Program Services | $3,265,003 | ProgramServicesAmt |
| Management And General | $24,687 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $408,473 | TotalAmt |
| Program Services | $380,470 | ProgramServicesAmt |
| Management And General | $28,003 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,807 | TotalAmt |
| Management And General | $14,807 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,370 | TotalAmt |
| Management And General | $25,370 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,807 | TotalAmt |
| Management And General | $109,807 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,220,176 | TotalAmt |
| Program Services | $6,866,896 | ProgramServicesAmt |
| Management And General | $353,280 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,310,910 | TotalAmt |
| Program Services | $11,941,426 | ProgramServicesAmt |
| Management And General | $1,369,484 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,250,390 | TotalAmt |
| Program Services | $1,250,390 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,750 | TotalAmt |
| Program Services | $75,435 | ProgramServicesAmt |
| Management And General | $44,315 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,710 | TotalAmt |
| Program Services | $32,710 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,082,209 | TotalAmt |
| Program Services | $1,878,436 | ProgramServicesAmt |
| Management And General | $203,773 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $794,632 | TotalAmt |
| Program Services | $794,632 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| COGS | $2,869,598 | $2,869,598 | |
| REPAIRS & MAINTENANCE | $1,131,736 | $1,116,663 | $15,073 |
| MEDICAID PROVIDER TAX | $698,522 | $698,522 | |
| DUES & SUBSCRIPTIONS | $175,315 | $117,052 | $58,263 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,810 | TotalAmt |
| Program Services | $118,810 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,425,605 | TotalAmt |
| Program Services | $45,511,460 | ProgramServicesAmt |
| Management And General | $2,914,145 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,266,063 | BOYAmt |
| EOY | $1,165,066 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $855,285 | BOYAmt |
| EOY | $190,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,334,868 | BOYAmt |
| EOY | $3,033,140 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,188,580 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,798,284 | BOYAmt |
| EOY | $1,114,146 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $317,704 | BOYAmt |
| EOY | $1,027,152 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,226,591 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,672,674 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,168,957 | BOYAmt |
| EOY | $13,553,917 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,029,160 | BOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,020,380 | BOYAmt |
| EOY | $415,360 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $782,210 | BOYAmt |
| EOY | $1,396,586 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $677,277 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,433,717 | BOYAmt |
| EOY | $5,357,379 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,872,485 | BOYAmt |
| EOY | $27,252,746 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,526,789 | BOYAmt |
| EOY | $6,311,688 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,073,414 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,620,839 | BOYAmt |
| EOY | $3,404,117 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,395,757 | BOYAmt |
| EOY | $6,913,093 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,543,385 | BOYAmt |
| EOY | $19,702,312 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,329,100 | BOYAmt |
| EOY | $7,550,434 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,329,100 | BOYAmt |
| EOY | $7,550,434 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,872,485 | BOYAmt |
| EOY | $27,252,746 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,506,333 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$233,657 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$4,038,676 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $6,312 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,312 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | THE SYSTEM IS A MEMBER OF THE GEORGIA HOSPITAL ASSOCIATION (GHA). A PORTION OF THE ANNUAL DUES PAID TO GHA ARE ALLOCATED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Collection Used Preservation | Yes (X) | CollectionUsedPreservationInd |
| Solicited Assets Sale | false | SolicitedAssetsSaleInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,120,516 | OtherCostOrOtherBasisAmt |
| Book Value | $1,120,516 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,060,121 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,956,861 | DepreciationAmt |
| Book Value | $6,103,260 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,045,954 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,715,813 | DepreciationAmt |
| Book Value | $6,330,141 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,553,917 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EQUITY IN CAPTIVE INSURANCE SUBSIDIA | Desc |
| Book Value | $1,396,586 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $1,396,586 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RELATED PARTY RECEIVABLE | $4,757,464 |
| THIRD PARTY SETTLEMENTS | $475,507 |
| OTHER RECEIVABLE | $124,408 |
| FINANCING COSTS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,357,379 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTIES | $5,115,550 |
| DUE TO HART COUNTY | $1,078,132 |
| MEDICARE/MEDICAID COST REPORT SETTLE | $719,411 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,913,093 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART III, LINE 4 | BASEBALL LEGEND TY COBB DONATED FUNDS TO BUILD THE ORIGINAL HOSPITAL FACILITY. THE SYSTEM OPERATES THE TY COBB MUSEUM. ARTICLES AND MEMORABILIA FROM TY COBB'S BASEBALL CAREER (MUCH OF WHICH IS ON LOAN FROM OWNERS OTHER THAN TY COBB HEALTHCARE SYSTEM) ARE DISPLAYED. THE OPERATION OF THE MUSEUM IS FOR THE BENEFIT OF THE COMMUNITY, FOR HISTORICAL PRESERVATION AND TO PAY TRIBUTE TO THE MAN RESPONSIBLE FOR THE FORMATION OF THE ORIGINAL HOSPITAL. |
| SCHEDULE D, PAGE 3, PART X | THE SYSTEM, THE FOUNDATION, AND LAKE HARTWELL ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SEGREGATED PORTFOLIO INTENDS TO CONDUCT ITS AFFAIRS IN A MANNER IN WHICH IT WILL NOT BE SUBJECT TO U.S. FEDERAL INCOME TAX OR GEORGIA INCOME TAX. REGIONAL IS CONSIDERED A DISREGARDED ENTITY OF THE SYSTEM. THE SYSTEM FILES A FORM 990-T TO REPORT THE UNRELATED BUSINESS INCOME OF SPRINGS MEDIA THAT IS SUBJECT TO TAX. THE SYSTEM APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE SYSTEM ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OF A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSE. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2014 AND 2013 OR FOR THE YEARS THEN ENDED. THE SYSTEM'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CAYMAN ISLANDS | RegionTxt |
| Type Of Activities Conducted | INVESTMENT | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $1,396,586 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $1,396,586 | SubtotalSpentAmt |
| Total Spent | $1,396,586 | TotalSpentAmt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE F, PAGE 1, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | CAYMAN ISLANDS 0 1,396,586 | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 1.250000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $846,187 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $846,187 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01750 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,663,056 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,153,546 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$490,490 | NetCommunityBenefitExpnsAmt |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $247,394 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $168,298 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $79,096 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,756,637 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,321,844 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $434,793 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01910 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,756,637 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,321,844 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $434,793 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01910 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,231,623 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $7,499,437 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,007,464 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,508,027 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NGTC HEALTH PROPERT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | LEASE HOSPITAL FIXED ASSETS | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.18000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.82000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TY COBB REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 367 CLEAR CREEK PARKWAY | AddressLine1Txt |
| City | LAVONIA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30553 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | TYCOBBHEALTHCARE.COM | WebsiteAddressTxt |
| State License | 059-677 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TY COBB REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | TYCOBBHEALTHCARE.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | TYCOBBHEALTHCARECOM | FAPAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, TY COBB REGIONAL MEDICAL CENTER - PART V, LINE 5 | THE CHIEF FINANCIAL OFFICER (CFO) OF THE SYSTEM DEVELOPED THE CHNA HOSPITAL STEERING COMMITTEE (CHSC). THE CHSC IDENTIFIED COMMUNITY LEADERS, PARTNERS, AND REPRESENTATIVES TO INCLUDE IN THE CHNA PROCESS. INDIVIDUALS, AGENCIES, PARTNERS, POTENTIAL PARTNERS, AND OTHERS WERE REQUESTED TO WORK WITH THE HOSPITAL TO 1) ASSESS THE NEEDS OF THE COMMUNITY, 2) REVIEW AVAILABLE COMMUNITY RESOURCES AND 3) PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. GROUPS OR INDIVIDUALS WHO REPRESENTED MEDICALLY-UNDERSERVED POPULATIONS, LOW INCOME POPULATIONS, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASES WERE INCLUDED. COMMUNITY STAKEHOLDERS, ALSO CALLED KEY INFORMANTS, ARE PEOPLE INVESTED OR INTERESTED IN THE WORK OF THE HOSPITAL, PEOPLE WHO HAVE SPECIAL KNOWLEDGE OF HEALTH ISSUES, PEOPLE IMPORTANT TO THE SUCCESS OF ANY HOSPITAL OR HEALTH PROJECT, OR ARE FORMAL OR INFORMAL COMMUNITY LEADERS. THE HOSPITAL IDENTIFIED OVER 60 COMMUNITY MEMBERS TO PARTICIPATE IN THE CHNA PROCESS. |
| FACILITY 1, TY COBB REGIONAL MEDICAL CENTER - PART V, LINE 11 | ALL NEEDS IDENTIFIED IN THE CHNA ARE ADDRESSED IN THE IMPLEMENTATION STRATEGIES. |
| FACILITY 1, TY COBB REGIONAL MEDICAL CENTER - PART V, LINE 16I | THE SYSTEM MADE ITS FINANCIAL ASSISTANCE POLICY AVAILABLE ON ITS WEBSITE. AFTER THE END OF THE 2014 TAX YEAR AND PRIOR TO FILING THIS TAX RETURN, THE SYSTEM SOLD THE HOSPITAL FACILITY TO AN UNRELATED TAX EXEMPT ORGANIZATION. THE FAP IS NO LONGER ON THE WEBSITE SINCE THE ORGANIZATION NO LONGER OPERATES A HOSPITAL FACILITY. |
| FACILITY 1, TY COBB REGIONAL MEDICAL CENTER - PART V, LINE 22D | THE SYSTEM DISCOUNTS GROSS CHARGES FOR FAP-ELIGIBLE PATIENTS BASED ON A SLIDING SCALE UTILIZING A COMPARISON OF THE PATIENT'S HOUSEHOLD INCOME TO FEDERAL POVERTY GUIDELINES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| BROWN MEMORIAL CONVALESCENT CENTER | ||||
| PO BOX 589 | ROYSTON | GA | 30662 | SKILLED NURSING FACILITY |
| COBB HEALTHCARE CENTER | ||||
| PO BOX 589 | ROYSTON | GA | 30662 | SKILLED NURSING FACILITY |
| THE GABLES AT COBB VILLAGE | ||||
| PO BOX 589 | ROYSTON | GA | 30662 | ASSISTED LIVING FACILITY |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | THE SYSTEM USED WORKSHEETS 1,2, AND 3 LOCATED IN THE IRS INSTRUCTIONS TO FORM 990, SCHEDULE H TO CALCULATE THE COMMUNITY BENEFIT EXPENSE REPORTED IN THE TABLE ON LINE 7. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD- PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY WAS 100% FOR 2014 AND 2013. THE PROVISION FOR BAD DEBTS INCLUDED IN DISCONTINUED OPERATIONS IS APPROXIMATELY 7,269,000 AND 9,789,000 FOR 2014 AND 2013, RESPECTIVELY. THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING 2014 OR 2013. THE SYSTEM DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITEOFFS FOR THIRD-PARTY PAYORS. |
| PART III, LINE 8 - MEDICARE EXPLANATION | THE SYSTEM USED THE MEDICARE COST REPORT FOR THE HOSPITAL TO IDENTIFY THE ALLOWABLE COSTS. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | THE SYSTEM NOTIFIES PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY IN COMMUNICATIONS WITH PATIENTS REGARDING THE PATIENTS' BILL. NORMAL COLLECTION PRACTICES, BASED ON THE PATIENT'S RESPONSE, WOULD CEASE ONCE IT IS DETERMINED THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | SELF PAY PATIENTS ARE REFERRED TO A PATIENT FINANCIAL COUNSELOR. THE PATIENT FINANCIAL COUNSELOR WILL ASSIST THE PATIENT OR GUARANTOR IN APPLYING FOR FINANCIAL ASSISTANCE. IF NO SOURCE OF FINANCIAL ASSISTANCE IS AVAILABLE, THE HOSPITAL WILL REVIEW THE ACCOUNT FOR INDIGENT OR CHARITY ALLOWANCE. ALSO PATIENTS ARE NOTIFIED OF THE FACILITY'S FINANCIAL ASSISTANCE POLICY IN COMMUNICATIONS WITH THE PATIENT ABOUT THEIR BILL. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | FRANKLIN COUNTY AND HART COUNTY ARE LOCATED IN THE NORTHEASTERN PART OF GEORGIA. FRANKLIN COUNTY HAS A POPULATION OF 22,048 AND IS HOME TO TY COBB REGIONAL MEDICAL CENTER, A 56 BED COMMUNITY HOSPITAL. HART COUNTY BORDERS FRANKLIN COUNTY AND HAS A POPULATION OF 25,217. THE SURROUNDING AREAS IN FRANKLIN ARE DIVERSE AS FAR AS POPULATION OF RURAL AND URBAN AREAS. CARNESVILLE AND MARTIN ARE LESS POPULATED THAN ROYSTON AND CANON. THE POPULATION DISTRIBUTION IN FRANKLIN COUNTY AMONG RURAL AND URBAN AREAS IS 11.1 PERCENT URBAN AND 88.9 RURAL. IN HART COUNTY 25.5 PERCENT OF THE POPULATION IS URBAN AND 74.5 PERCENT IS RURAL. ONLY .9 PERCENT OF FRANKLIN COUNTY'S LAND AREA IS URBAN WHILE 99.1 PERCENT IS RURAL. IN HART COUNTY 2.7 PERCENT OF THE LAND IS URBAN AND 97.3 PERCENT IS RURAL. THE CITY OF HARTWELL IS THE MOST POPULATED PART OF THE COUNTY. FRANKLIN COUNTY'S POPULATION IS PREDICTED TO INCREASE TO 22,590 RESIDENTS BY 2015. HART COUNTY'S POPULATION IS PREDICTED TO INCREASE TO 25,851 BY 2015. THE PERCENTAGE OF RESIDENTS AGED 55 AND OLDER INCREASED IN BOTH COUNTIES FROM 2000 TO 2010. THIS INCREASE IDENTIFIED AN IMMEDIATE NEED FOR DELIVERY OF HEALTHCARE THAT SERVES INDIVIDUALS WITH CHRONIC CONDITIONS. THE HISPANIC POPULATION ALSO INCREASED, ALTHOUGH THIS SEGMENT REMAINED A SMALL PORTION OF THE POPULATION. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | THE SYSTEM HAS AN OPEN MEDICAL STAFF AND THE BOARD OF DIRECTORS CONSISTS OF COMMUNITY LEADERS. THE EMERGENCY ROOM IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, TO THE PUBLIC WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | IN 2014, THE SYSTEM OPERATED TY COBB REGIONAL MEDICAL CENTER, A 56 BED ACUTE CARE FACILITY AND THE GABLES AT COBB VILLAGE, A 48 BED ASSISTED LIVING FACILITY. THE SYSTEM ALSO OPERATED BROWN MEMORIAL CONVALESCENT CENTER, A 116 BED LONG-TERM CARE FACILITY, UNTIL IT WAS SOLD IN MARCH 2014. COBB FOUNDATION, INC. OPERATED HARTWELL HEALTHCARE CENTER, A SKILLED NURSING FACILITY. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | GEORGIA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| GREGORY HEARN | ||||
| CEO | $202,676 | $7,120 | $19,916 | $229,712 |
| JAMES BAUERBAND MD | ||||
| PHYSICIAN | $220,944 | $4,543 | $34,603 | $260,090 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| TYLER R DAVISON | |||
| FAMILY MEMBER | $55,770 | RN IN EMERGENCY ROOM | false |
| JODI A DAVISON | |||
| FAMILY MEMBER | $20,334 | OCCUPATIONAL THERAPI | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | SCHEDULE L, PART IV, LINE 1 - TYLER DAVISON IS THE SON OF A BOARD MEMBER. HE WORKS AS AN RN IN THE EMERGENCY ROOM OF THE HOSPITAL. HIS WAGES ARE AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED. SCHEDULE L, PART IV, LINE 2 - JODI DAVISON IS THE DAUGHTER IN-LAW OF A BOARD MEMBER. HER WAGES ARE AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED. | ExplanationTxt |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail (4 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| LAKE HARTWELL HEALTHCARE FOUNDATION | |||||||||
| TRANSFER - RELATED ORG | 2014-08-14 | $5,019,117 | CASH VALUE | 465502814 | PO BOX 9 | FRANKLIN SPRINGS | GA | 30639 | 501C3 |
| HART COUNTY HOLDINGS II | |||||||||
| SALE - BUILDING | 2014-03-31 | $3,025,000 | NEGOTIATED | 465019077 | 1005 BOULDER DRIVE | GRAY | GA | 31032 | LLC |
| FRANKLIN COUNTY HOLDINGS | |||||||||
| SALE - NURSING HOME | 2014-03-31 | $6,933,034 | NEGOTIATED | 405032617 | 1005 BOULDER DRIVE | GRAY | GA | 31032 | LLC |
| MADISON COUNTY HOLDINGS | |||||||||
| SALE - NURSING HOME | 2014-03-31 | $5,616,143 | NEGOTIATED | 465046728 | 1005 BOULDER DRIVE | GRAY | GA | 31032 | LLC |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | Yes (true) | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | false | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE N, PART II, PAGE 2, LINE 2E | FormAndLineReferenceDesc |
| Explanation | FOLLOWING A SALE OF ITS TWO NURSING HOMES AND A HOSPITAL BUILDING TO INDEPENDENT UNRELATED ORGANIZATIONS, TY COBB HEALTHCARE SYSTEM FORMED A SUPPORTING ORGANIZATION, LAKE HARTWELL HEALTHCARE FOUNDATION. A SUBSTANTIAL PORTION OF THE NET PROCEEDS OF THE SALE WERE TRANSFERRED TO THIS NEW ENTITY. THE CEO (GREG HEARN) AND CERTAIN BOARD MEMBERS (HARRIS LITTLE, FORT OGLESBY AND SCOTT HARDIGREE) SERVE BOTH TY COBB HEALTHCARE AND ITS SUPPORTING ORGANIZATION. GREG HEARN WILL CONTINUE TO BE PAID A REASONABLE SALARY FOR HIS SERVICE AS CEO OF THE SYSTEM. MR. LITTLE, MR. OGLESBY AND MR. HARDIGREE ARE NOT PAID FOR SERVING AS BOARD MEMBERS OF THE NEW SUPPORTING ORGANIZATION. TY COBB HEALTHCARE SYSTEM IS THE SOLE MEMBER OF THE NEW RELATED SECTION 501 (C)(3) ENTITY. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, ITEM C | BROWN MEMORIAL CONVALESCENT CENTER, COBB HEALTHCARE CENTER, THE GABLES AT COBB VILLAGE, THE FITNESS FIRM OF TCHS, HEALTH WORKS OF TCHS, HOME BASE HEALTH SERVICES, CARNESVILLE FAMILY PRACTICE, TY COBB MUSEUM |
| FORM 990, PAGE 1, ITEM B | FOLLOWING THE FILING OF THE ORIGINAL RETURN, THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS WERE ISSUED. THE 2014 FORM 990 IS BEING AMENDED TO REFLECT THE RESULTS OF AUDIT ADJUSTMENTS MADE AND TO ATTACH A COPY OF THE AUDITED FINANCIAL STATEMENTS TO THE RETURN. THE AUDITED FINANCIAL STATEMENTS WERE ISSUED AFTER THE EXTENDED DUE DATE OF THE ORIGINAL RETURN. CHANGES WERE MADE TO PARTS VIII (STATEMENT OF REVENUES), IX (STATEMENT OF FUNCTIONAL EXPENSES), X (BALANCE SHEET), XI (RECONCILIATION OF NET ASSETS), SCHEDULE H (HOSPITAL), SCHEDULE J (COMPENSATION INFORMATION), SCHEDULE N (DISPOSITION OF ASSETS). IN ADDITION, CHANGES TO NARRATIVES THROUGHOUT THE RETURN WERE MADE TO CONSISTENTLY REFERENCE THE FILING ORGANIZATION BY THE SAME TERM AND TO CLARIFY CERTAIN DETAILS REGARDING DISCONTINUED OPERATIONS. |
| FORM 990 - ORGANIZATION'S MISSION | TO CONTINUOUSLY IMPROVE THE QUALITY OF PRIMARY CARE, LONG-TERM CARE AND HOME CARE WITHIN OUR RESOURCE CAPABILITIES AND TO PROMOTE HEALTHIER LIFESTYLES THROUGH EDUCATION CONSISTEND WITH INDIVIDUAL AND COMMUNITY NEEDS. |
| FORM 990, PAGE 2, PART III, LINE 3 | ON MARCH 31, 2014, THE SYSTEM SOLD BOTH OF ITS NURSING HOMES - BROWN MEMORIAL CONVALESCENT CENTER AND COBB HEALTHCARE CENTER. IN ADDITION, A BUILDING OWNED BY THE SYSTEM THAT ONCE SERVED AS THE HART COUNTY HOSPITAL BUILDING WAS SOLD. GAIN FROM THE SALE OF THESE ASSETS TOTALS 5,276,636. AFTER THAT DATE, THE PRIMARY ACTIVITY OF THE SYSTEM IS THE OPERATION OF AN ASSISTED LIVING FACILITY. |
| FORM 990, PAGE 2, PART III, LINE 4A | THE HOSPITAL'S ACTUAL CHARGES. IN SOME CASES, THESE PROGRAMS PAY THE HOSPITAL AT AMOUNTS WHICH ARE LESS THAN THE COST OF PROVIDING THE SERVICES. THE HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS INDIGENT AND CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. CHARGES FOREGONE, AT ESTABLISHED RATES, UNDER THE INDIGENT AND CHARITY CARE POLICY APPROXIMATED 2,121,000. IN ADDITION, THE HOSPITAL HAD BAD DEBT EXPENSE (PATIENT BILLS THAT WERE NOT COLLECTED) OF APPROXIMATELY 7,232,000. |
| FORM 990, PART V, LINE 4B | CAYMAN ISLANDS |
| FORM 990, PAGE 6, PART VI, LINE 11B | AFTER MANAGEMENT REVIEW AND APPROVAL, AN ELECTRONIC COPY OF THE FORM 990 WAS EMAILED TO ALL MEMBERS OF THE TYCOBB HEALTHCARE SYSTEM, INC.'S BOARD OF DIRECTORS FOR APPROVAL PRIOR TO SUBMISSION. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD OF DIRECTORS AND CEO MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE COMPENSATION OF TY COBB HEALTHCARE SYSTEM, INC.'S CEO IS REVIEWED AND APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS. EXTERNAL COMPARABILITY REPORTING WAS ALSO USED IN THE DETERMINATION OF COMPENSATION OF THE CEO. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE COMPENSATION OF TY COBB HEALTHCARE SYSTEM, INC.'S CFO IS REVIEWED AND APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS. EXTERNAL COMPARABILITY REPORTING WAS ALSO USED IN THE DETERMINATION OF COMPENSATION OF THE CFO. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE TY COBB HEALTHCARE SYSTEM, INC.'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR THE PUBLIC TO REVIEW AT THE SYSTEM'S CORPORATE OFFICE UPON REQUEST. |
| FORM 990, PART VII | THE BOARD OF DIRECTORS OF TY COBB REGIONAL MEDICAL CENTER, LLC HAS OVERSIGHT OF THE OPERATIONS OF THE HOSPITAL FACILITY. THIS BOARD IS UNDER THE CONTROL OF TY COBB HEALTHCARE SYSTEM, INC. THE SOLE OWNER OF THE LLC. THE MEMBERS OF THIS OVERSIGHT BOARD INCLUDE THE FOLLOWING INDIVIDUALS: LESLIE FORDHAM; JODON GARRINGER, M.D.; DEBORAH HARBIN; HUGH JENKINS, M.D.; HARRIS LITTLE; JEFF MARSHALL, M.D.; RAM REDDY, M.D.; BOB RIDGWAY, AND DIANE TONEY. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES 6,866,896 353,280 0 |
| FORM 990, PART XI, LINE 9 | WHOLLY OWNED CAPTIVE CONSOLIDATED GAIN 614,376 EQUITY TRANSFERS -3,519,446 IMPAIRMENT LOSS -1,195,372 990T BOOK TAX DIFFERENCES 3,386 CONTRIBUTION LIMITATION 990T 58,380 TOTAL OTHER CHANGES (4,038,676) |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|
| TY COBB REGIONAL MEDICAL CENTER LLC | ||||||||||
| PO BOX 9 | FRANKLIN SPRINGS | GA | 30639 | 264541857 | HEALTHCARE | GA | -$8,795,319 | $13,717,583 | TY COBB | |
| COBB ENTERPRISES LLC | ||||||||||
| PO BOX 9 | FRANKLIN SPRINGS | GA | 30639 | 208356011 | COLLECTION | GA | TY COBB | |||
| SPRINGS MEDIA LLC | ||||||||||
| PO BOX 9 | FRANKLIN SPRINGS | GA | 30639 | 462299364 | PRINTING | GA | $10,859 | $1,148,458 | N/A | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| THE COBB FOUNDATION | ||||||||||
| PO BOX 9 | FRANKLIN SPRINGS | GA | 30639 | 581634125 | DORMANT | GA | 501C3 | 3 | TY COBB | Yes (true) |
| LAKE HARTWELL HEALTHCARE FOUNDATION | ||||||||||
| PO BOX 9 | FRANKLIN SPRINGS | GA | 30639 | 465502814 | SUPPORT | GA | 501C3 | 11B | TY COBB | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOME TOWN HEALTH LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3280 CHERRY OAK LANE SUITE 100 | AddressLine1Txt |
| City | CUMMING | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30041 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582403678 | EIN |
| Primary Activities | EDUCATION | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TY COBB | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $118,360 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $289,748 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.53710 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (true) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COBB FOUNDATION | ||
| Q | $957,588 | ACTUAL EXPENSE REIMBURSED |
| COBB FOUNDATION | ||
| C | $2,134,703 | NET EQUITY TRANSFER (FMV) |
| HOME TOWN HEALTH | ||
| F | $80,562 | DISTRIBUTION |
| COBB FOUNDATION | ||
| R | $8,533 | LAB SERVICES |
| LAKE HARTWELL HEALTHCARE FOUNDATION | ||
| B | $5,654,149 | EQUITYTRANSFER (FMV) |
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