2016-11-09T13:27:17-06:00 2014-12-31 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2014-01-01 580633978 TY COBB HEALTHCARE SYSTEM INC TYCO 7062457272 PO BOX 9 FRANKLIN SPRINGS GA 30639 GREGORY HEARN CEO 7062457272 2016-11-02 true WILLIAM EDWARD PHILLIPS P00451499 2298837878 2016-11-09 2014 2017-02-10 21:41:12Z X X TY COBB REGIONAL MEDICAL CENTER GREGORY HEARN P O BOX 9 FRANKLIN SPRINGS GA 30639 55053243 false X TYCOBBHEALTHCARE.COM X 1950 GA 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. X 6 5 917 4415801 6473 53880 118555 49045169 37040875 92679 5681539 1497091 1078303 50688819 43919272 0 0 27455120 18470863 0 0 32288660 29954742 59743780 48425605 -9054961 -4506333 60872485 27252746 44543385 19702312 16329100 7550434 X 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. false true 45511460 33682056 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. 45511460 true true false true false false false true false false true false true true true true false true false false true false false false false false true true false false true false false false false false false true false false false false true true true true true false false true 146 0 true 917 true true true true CJ false false false false false false false false X 6 5 false false false false false false false true true false false true true false true true false true true true false GA X BETH DALTON 7062453119 PO BOX 9 FRANKLIN SPRINGS GA 30639 X HARRIS LITTLE VICE CHAIR 1.00 2.00 X 10800 0 0 DON JOHNSON BOARD MEMBER 1.00 X 9600 0 0 FORT OGLESBY BOARD CHAIR 1.00 2.00 X X 7000 0 0 DEBORAH HARBIN BOARD MEMBER 1.00 X 4000 0 0 F MAYES DAVISON BOARD MEMBER 1.00 X 0 0 0 SCOTT HARDIGREE BOARD SECRET 1.00 2.00 X X 0 0 0 GREGORY HEARN CEO 48.00 2.00 X 202676 0 27036 EVELYN MURPHY CHIEF CLINIC 40.00 X 117007 0 14956 TIMOTHY VICKERY CHIEF INFORM 48.00 2.00 X 98615 0 3307 MATT R MCREE CFO 48.00 2.00 X 87565 0 16339 LAUREN PAPKA ADMINISTRATO 40.00 X 70689 0 35905 JAMES BAUERBAND MD PHYSICIAN 40.00 X 220944 0 39146 DONNA TONEY DIRECTOR OF 40.00 X 122677 0 25658 ANGELA HARPOLD PHARMACIST 40.00 X 110846 0 5505 ANGELA R HOOPER DIRECTOR OF 40.00 X 109688 0 1898 JENNIFER DICKERSON PHARMACIST 40.00 X 100721 0 33006 1272828 202756 7 false true false STERIGEN LLC PO BOX 11407 BIRMINGHAM AL 35246 HOUSEKEEPING 851486 METZ CULINARY TWO WOODLAND DRIVE DALLAS PA 18612 FOOD SERVICES 760816 US ANESTHESIA PO BOX 68 TENNILLE GA 31089 PHYSICIAN 705000 MCDERMOTT WILL & EMORY PO BOX 6043 CHICAGO IL 60680 LEGAL 622358 INNOVATIVE THERAPY CONCEPTS 2 MASHBURN STREET SUITE 102 HAWKINSVILLE GA 31036 PHYSICAL THERAP 600989 16 118555 118555 NET PATIENT SERVICE REVENUES 621990 32625074 32625074 MEDIA 519100 4415801 4415801 37040875 275032 275032 428836 730147 -301311 -301311 -301311 146881 15663450 10403824 146881 5259626 5406507 5406507 EHR MEANINGFUL USE INCENTIVE 845642 845642 CAFETERIA & VENDING 183117 183117 OTHER 168025 168025 182830 43315 139515 1379614 43919272 33682056 4415801 5702860 X 739331 220944 518387 14011563 13862667 148896 21806 21806 3289690 3265003 24687 408473 380470 28003 14807 14807 25370 25370 109807 109807 7220176 6866896 353280 13310910 11941426 1369484 1250390 1250390 119750 75435 44315 32710 32710 2082209 1878436 203773 794632 794632 COGS 2869598 2869598 REPAIRS & MAINTENANCE 1131736 1116663 15073 MEDICAID PROVIDER TAX 698522 698522 DUES & SUBSCRIPTIONS 175315 117052 58263 118810 118810 48425605 45511460 2914145 0 5266063 1165066 855285 190000 4334868 3033140 3188580 1798284 1114146 317704 1027152 20226591 6672674 25168957 13553917 15029160 2020380 415360 782210 1396586 677277 1433717 5357379 60872485 27252746 9526789 6311688 3073414 33620839 3404117 1395757 6913093 44543385 19702312 X 16329100 7550434 16329100 7550434 60872485 27252746 X -4506333 -233657 -4038676 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6312 6312 false SCHEDULE C, PART II-B, LINE 1 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. X X false 1120516 1120516 8060121 1956861 6103260 11045954 4715813 6330141 13553917 EQUITY IN CAPTIVE INSURANCE SUBSIDIA 1396586 F 1396586 RELATED PARTY RECEIVABLE 4757464 THIRD PARTY SETTLEMENTS 475507 OTHER RECEIVABLE 124408 FINANCING COSTS 5357379 DUE TO RELATED PARTIES 5115550 DUE TO HART COUNTY 1078132 MEDICARE/MEDICAID COST REPORT SETTLE 719411 6913093 X 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. false CAYMAN ISLANDS INVESTMENT 1396586 1396586 1396586 false false true false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CAYMAN ISLANDS 0 1,396,586 true true X true X 1.250000000000 true X true true true false true true 846187 846187 0.01750 5663056 6153546 -490490 247394 168298 79096 0.00160 6756637 6321844 434793 0.01910 6756637 6321844 434793 0.01910 false 7231623 7499437 11007464 -3508027 X true true NGTC HEALTH PROPERT LEASE HOSPITAL FIXED ASSETS 0.18000 0.82000 1 1 TY COBB REGIONAL MEDICAL CENTER 367 CLEAR CREEK PARKWAY LAVONIA GA 30553 TYCOBBHEALTHCARE.COM 059-677 X X X TY COBB REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X X X 13 true false false true X TYCOBBHEALTHCARE.COM X true 13 false true false true X 125.000000000000 200.000000000000 true true X X X true X TYCOBBHEALTHCARECOM X X X X X true X true X X X true X false false 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. 3 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 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 X X X false false false false false false false false false GREGORY HEARN CEO 202676 7120 19916 229712 JAMES BAUERBAND MD PHYSICIAN 220944 4543 34603 260090 TYLER R DAVISON FAMILY MEMBER 55770 RN IN EMERGENCY ROOM false JODI A DAVISON FAMILY MEMBER 20334 OCCUPATIONAL THERAPI false SCHEDULE L, PART V 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. TRANSFER - RELATED ORG 2014-08-14 5019117 CASH VALUE 465502814 LAKE HARTWELL HEALTHCARE FOUNDATION PO BOX 9 FRANKLIN SPRINGS GA 30639 501C3 SALE - BUILDING 2014-03-31 3025000 NEGOTIATED 465019077 HART COUNTY HOLDINGS II 1005 BOULDER DRIVE GRAY GA 31032 LLC SALE - NURSING HOME 2014-03-31 6933034 NEGOTIATED 405032617 FRANKLIN COUNTY HOLDINGS 1005 BOULDER DRIVE GRAY GA 31032 LLC SALE - NURSING HOME 2014-03-31 5616143 NEGOTIATED 465046728 MADISON COUNTY HOLDINGS 1005 BOULDER DRIVE GRAY GA 31032 LLC true false false false SCHEDULE N, PART II, PAGE 2, LINE 2E 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. 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) TY COBB REGIONAL MEDICAL CENTER LLC PO BOX 9 FRANKLIN SPRINGS GA 30639 264541857 HEALTHCARE GA -8795319 13717583 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 10859 1148458 N/A THE COBB FOUNDATION PO BOX 9 FRANKLIN SPRINGS GA 30639 581634125 DORMANT GA 501C3 3 TY COBB true LAKE HARTWELL HEALTHCARE FOUNDATION PO BOX 9 FRANKLIN SPRINGS GA 30639 465502814 SUPPORT GA 501C3 11B TY COBB true HOME TOWN HEALTH LLC 3280 CHERRY OAK LANE SUITE 100 CUMMING GA 30041 582403678 EDUCATION GA TY COBB RELATED 118360 289748 false true 0.53710 false true true false false true false false false false false false false false false false true true false COBB FOUNDATION Q 957588 ACTUAL EXPENSE REIMBURSED COBB FOUNDATION C 2134703 NET EQUITY TRANSFER (FMV) HOME TOWN HEALTH F 80562 DISTRIBUTION COBB FOUNDATION R 8533 LAB SERVICES LAKE HARTWELL HEALTHCARE FOUNDATION B 5654149 EQUITYTRANSFER (FMV)