2015-11-16T10:41:22-06:00 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 2015-11-09 true WILLIAM EDWARD PHILLIPS P00451499 2298837878 2015-11-16 2014 2016-02-25 16:41:14Z X TY COBB REGIONAL MEDICAL CENTER GREGORY HEARN P O BOX 9 FRANKLIN SPRINGS GA 30639 44907361 false X TYCOBBHEALTHCARE.COM X 1950 GA TO CONTINUOUSLY IMPROVE THE QUALITY OF PRIMARY, LONG-TERM AND HOME CARE WITHIN OUR RESOURCE CAPABILITIES AND TO PROMOTE HEALTHIER LIFESTYLES THROUGH EDUCATION CONSISTENT WITH INDIVIDUAL AND COMMUNITY NEEDS. X 6 5 917 4415801 6473 53880 118554 49045169 37284700 92679 5681540 1497091 1092420 50688819 44177214 0 0 27455120 18764010 0 0 32288660 30085991 59743780 48850001 -9054961 -4672787 60872485 27177166 44543385 19673899 16329100 7503267 X TO CONTINUOUSLY IMPROVE THE QUALITY OF PRIMARY, LONG-TERM AND HOME CARE WITHIN OUR RESOURCE CAPABILITIES AND TO PROMOTE HEALTHIER LIFESTYLES THROUGH EDUCATION CONSISTENT WITH INDIVIDUAL AND COMMUNITY NEEDS. false true 45935856 33939998 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 PROVIDE 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, TY COBB SOLD BROWN MEMORIAL CONVALESCENT CENTER AND COBB HEALTHCARE CENTER DURING 2014. 45935856 true true false true false false false true false false true true 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 false 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 118554 118554 NET PATIENT SERVICE REVENUES 621990 32868899 32868899 MEDIA 519100 4415801 4415801 37284700 275033 275033 428836 730147 -301311 -301311 -301311 5406507 5406507 5406507 5406507 EHR MEANINGFUL USE INCENTIVE 859759 859759 CAFETERIA & VENDING 183117 183117 OTHER 168025 168025 182830 43315 139515 1393731 44177214 33939998 4415801 5702861 X 739331 220944 518387 14012059 13863163 148896 21806 21806 3582341 3557654 24687 408473 380470 28003 14807 14807 25370 25370 109807 109807 7235418 6882138 353280 13310910 11941426 1369484 1250390 1250390 119750 75435 44315 32710 32710 2082209 1878436 203773 762341 762341 COGS 2869598 2869598 REPAIRS & MAINTENANCE 1131736 1116663 15073 MEDICAID PROVIDER TAX 698522 698522 DUES & SUBSCRIPTIONS 175315 117052 58263 267108 267108 48850001 45935856 2914145 0 5266063 1024309 855285 190000 4334868 3547321 3188580 1798284 1443414 317704 336680 20226591 6672674 25168957 13553917 15029160 2020380 1610732 782210 1396586 677277 1433717 4074207 60872485 27177166 9526789 6447183 3073414 33620839 3404117 1395757 6749185 44543385 19673899 X 16329100 7503267 16329100 7503267 60872485 27177166 -4672787 -4153046 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 TY COBB HEALTHCARE SYSTEM IS A MEMBER OF THE GEORGIA HOSPITAL SYSTEM. A PORTION OF THE ANNUAL DUES ARE ALLOCATED TO LOBBYING ACTIVITIES. X X false 1120516 1120516 8060121 1956861 6103260 11045954 4715813 6330141 13553917 NGTC HEALTH PROPERTIES, LLC 1320984 C HOMETOWN HEALTH, LLC 289748 C ALTERNATIVE INVESTMENTS F TY COBB SEGREGATED PORTFOLIO F 1610732 EQUITY IN CAPTIVE INSURANCE SUBSIDIA 1396586 F 1396586 RELATED PARTY RECEIVABLE 3495561 THIRD PARTY SETTLEMENTS 467629 OTHER RECEIVABLE 111017 FINANCING COSTS 4074207 DUE TO RELATED PARTIES 5217465 DUE TO HART COUNTY 1078132 MEDICARE/MEDICAID COST REPORT SETTLE 453588 6749185 X SCHEDULE D, PAGE 2, PART III, LINE 4 TY COBB HEALTHCARE 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. SCHEDULE D, PAGE 3, PART X THE AUDITED FINANCIAL STATEMENTS FOR CALENDAR YEAR ENDED 12/31/2014 HAD NOT BEEN ISSUED AT THE TIME THIS RETURN WAS FILED. WHEN ISSUED, THE FINANCIAL STATEMENTS WILL ADDRESS FIN 45 (ASC 740). AT THIS TIME, IT IS ANTICIPATED THAT NO LIABILITY WILL BE RECORDED FOR UNRECOGNIZED TAX POSITIONS. 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 true X 1.250000000000 true X true true true false true true 853418 853418 0.01750 5708549 6153546 -444997 249508 168298 81210 0.00170 6811475 6321844 489631 0.01910 6811475 6321844 489631 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 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 TY COBB REGIONAL MEDICAL CENTER 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 TY COBB HEALTHCARE 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, TY COBB HEALTHCARE SYSTEM SOLD THE HOSPITAL FACILITY TO AN UNRELATED TAX EXEMPT ORGANIZATION. THE FAP IS NO LONGER ON THE TY COBB WEBSITE SINCE THE ORGANIZATION NO LONGER OPERATES A HOSPITAL FACILITY. FACILITY 1, TY COBB REGIONAL MEDICAL CENTER - PART V, LINE 22D THE HOSPITAL FACILITY 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, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE BAD DEBTS ARE INCLUDED AS AN OFFSET TO PATIENT REVENUES. NO ADJUSTMENT IS NECESSARY FOR THE CALCULATING THE DENOMINATOR FOR PURPOSES OF DETERMINING THE COMMUNITY BENEFIT PERCENT OF TOTAL EXPENSES. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION TY COBB HEALTHCARE SYSTEM, INC. 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 II - COMMUNITY BUILDING ACTIVITIES TY COBB HEALTHCARE SYSTEM, INC. PROVIDES FREE MONTHLY HEALTH EDUCATION PROGRAMS TO THE PUBLIC TO PROMOTE WELLNESS AND HEALTHIER LIFESTYLES. THE OCCUPATIONAL MEDICINE AND WELLNESS DEPARTMENT ALSO PARTICIPATES IN LUNCH AND LEARN AND HEALTH FAIRS THROUGHOUT THE YEAR THAT PROVIDE HEALTH EDUCATION AND SCREENING OPPORTUNITIES FOR EMPLOYEES OF LOCAL BUSINESSES AS WELL AS THE PUBLIC AT LARGE. TCHS EMPLOYEES ARE ACTIVE IN AND PROMOTE WELLNESS TO LOCAL CIVIC GROUPS INCLUDING, BUT NOT LIMITED TO THE TRI-COUNTY DIABETES TASK FORCE, CHAMBER OF COMMERCE, ROTARY CLUB, KIWANIS CLUB, AND SERVICE LEAGUES. 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 THE AUDITED FINANCIAL STATEMENTS HAD NOT BEEN ISSUED WHEN THIS RETURN WAS FILED. FOLLOWING IS THE PRIOR YEAR FOOTNOTE: ALLOWANCE FOR DOUBTFUL ACCOUNTS. 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 99% FOR 2013 AND 2012. THE SYSTEM'S PROVISION FOR BAD DEBTS INCREASED APPROXIMATELY 2,345,000 FROM APPROXIMATELY 7,070,000 FOR 2012 TO APPROXIMATELY 9,415,000 FOR 2013, DUE PRIMARILY TO REGIONAL PROVIDING A FULL YEAR OF SERVICES IN 2013. THE PROVISION FOR BAD DEBTS INCLUDED IN DISCONTINUED OPERATIONS IS APPROXIMATELY 1,015,000 AND 374,000 FOR 2012 AND 2013, RESPECTIVELY. THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING 2013 OR 2012. 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 TY COBB HEALTHCARE SYSTEM, INC. USED THE MEDICARE COST REPORT FOR THE HOSPITAL TO IDENTIFY THE ALLOWABLE COSTS. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION THE HOSPITAL NOTIFIES PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN COMMUNICATIONS WITH THE PATIENTS REGARDING THE PATIENTS' BILLS. 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 2 - NEEDS ASSESSMENT THE CHIEF FINANCIAL OFFICER (CFO) OF TY COBB REGIONAL MEDICAL CENTER DEVELOPED THE CHNA HOSPITAL STEERING COMMITTEE (CHSC). THE CFO APPOINTED 11 EMPLOYEES TO THE CHSC. THE CHSC SELECTED A GEOGRAPHIC SERVICE AREA DEFINITION. THIS DEFINITION WAS BASED UPON THE HOSPITAL'S PRIMARY SERVICE AREA IN A MANNER THAT INCLUDED THE BROAD INTERESTS OF THE COMMUNITY SERVED AND INCLUDED MEDICALLY- UNDERSERVED POPULATIONS, LOW-INCOME PERSONS, MINORITY GROUPS, OR THOSE WITH CHRONIC DISEASE NEEDS. FRANKLIN AND HART COUNTY WERE SELECTED AS THE COMMUNITY FOR INCLUSION IN THIS REPORT. 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. A COMMUNITY HEALTH PROFILE (PROFILE) WAS PREPARED BY DRAFFIN & TUCKER, LLP, A PROFESSIONAL SERVICES FIRM THAT FACILITATED THE CHNA PROCESS, TO REFLECT THE MAJOR HEALTH PROBLEMS AND HEALTH NEEDS OF FRANKLIN AND HART COUNTY. THE PROFILE ADDRESSED: - ACCESS TO PREVENTIVE HEALTH SERVICES, - UNDERLYING CAUSES OF HEALTH PROBLEMS, AND - MAJOR CHRONIC DISEASES OF THE POPULATION. QUANTITATIVE DATA, SUCH AS HEALTH DATA FROM A VARIETY OF SOURCES INCLUDING VITAL RECORDS, HEALTH STATUS DATA FROM A VARIETY OF STATE AND NATIONAL SOURCES AND HOSPITAL UTILIZATION DATA, COMPRISED THE DATA AND INDICATORS USED FOR THE PROFILE. TWO-HOUR COMMUNITY HEALTH INPUT MEETINGS (COMMUNITY MEETINGS) AND ONE-HOUR COMMUNITY STAKEHOLDER INTERVIEWS (STAKEHOLDER INTERVIEWS) WERE ESSENTIAL PARTS OF THE CHNA PROCESS. THREE COMMUNITY MEETINGS AND 15 STAKEHOLDER INTERVIEWS WERE CONDUCTED IN ORDER TO OBTAIN THE COMMUNITY'S INPUT INTO THE HEALTH NEEDS OF FRANKLIN AND HART COUNTY. PARTICIPANTS WERE ASKED TO PROVIDE THEIR OBSERVATIONS ON THE HEALTH DATA PRESENTED IN THE PROFILE. IN ADDITION, PARTICIPANTS WERE REQUESTED TO PROVIDE INPUT AS TO NEEDS THAT WERE NOT IDENTIFIED IN THE PROFILE. QUESTIONS AND DISCUSSIONS WERE ENCOURAGED, WITH THE OBJECTIVE THAT PARTICIPANTS WOULD INCREASE THEIR UNDERSTANDING OF WHAT THE DATA MEANT IN TERMS OF THE BURDEN OF CHRONIC DISEASES, THE IMPACT OF THE DEMOGRAPHICS OF THE POPULATION ON HEALTH SERVICES, HEALTH STATUS, HEALTH BEHAVIORS, AND ACCESS TO HEALTHCARE. THE GROUP DISCUSSED THE HEALTH PROBLEMS OR HEALTH ISSUES AND THE FACILITATOR MADE A LIST OF THE HEALTH PROBLEMS THE COMMUNITY PARTICIPANTS INDICATED WERE IMPORTANT. PRIORITY ISSUES WERE IDENTIFIED AT THE END OF THE DISCUSSION. THESE PRIORITIES DID NOT REFLECT PROGRAMS, SERVICES OR APPROACHES TO RESOLVING PROBLEMS, BUT RATHER HEALTH ISSUES TO BE ADDRESSED. 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 HOSPITAL HAS MULTIPLE LOCATIONS THROUGHOUT FRANKLIN AND HART COUNTY. 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 TY COBB HEALTHCARE SYSTEM, INC. HAS AN OPEN MEDICAL STAFF AND THE BOARRD OF DIRECTORS CONSIST 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 ABILTY TO PAY. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM TY COBB HEALTHCARE SYSTEM, INC. OPERATES TY COBB REGIONAL MEDICAL CENTER, A 56 BED ACUTE CARE FACILITY. THE SYSTEM ALSO OPERATES BROWN MEMORIAL CONVALESCENT CENTER, A 116 BED LONG-TERM CARE FACILITY, AND THE GABLES AT COBB VILLAGE, A 48 BED ASSISTED LIVING FACILITY. COBB FOUNDATION, INC. OPERATES HARTWELL HEALTHCARE CENTER, A SKILLED NURSING FACILITY, THAT PROVIDED OVER 31,800 RESIDNET DAYS DURING 2013 TO THE COMMUNITY. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT GEORGIA ADDITIONAL INFORMATION TY COBB HEALTHCARE SYSTEM, INC. PROVIDES FREE MONTHLY HEALTH EDUCATION PROGRAMS TO THE PUBLIC TO PROMOTE WELLNESS AND HEALTHIER LIFESTYLES. THE OCCUPATIONAL MEDICINE AND WELLNESS DEPARTMENT ALSO PARTICIPATE IN LUNCH AND LEARN PRESENTATIONS AND HEALTH FAIRS THROUGHOUT THE YEAR THAT PROVIDE HEALTH EDUCATION AND SCREENING OPPORTUNITIES FOR EMPLOYEES OF LOCAL BUSINESSES AS WELL AS THE PUBLIC AT LARGE. SYSTEM EMPLOYEES ARE ACTIVE IN AND PROMOTE WELLNESS TO LOCAL CIVIC GROUPS INCLUDING, BUT NOT LIMITED TO, THE TRI-COUNTY DIABETES TASK FORCE, CHAMBER OF COMMERCE, ROTARY CLUB, KIEANIS CLUB, AND SERVICE LEAGUES. 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 SCHEDULE J, PART III THE FOLLOWING EMPLOYEES RECEIVED SEVERANCE PAYMENTS DURING THE TAX REPORTING YEAR: DAVID SEAGRAVES 107,692 JERRY WISE 35,624 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 1 - JODI DAVISON IS THE DAUGHTER IN-LAW OF A BOARD MEMBER. HER WAGES ARE AT FAIR MARKET VALUEFOR 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 true false false false SCHEDULE N, PART II, PAGE 2, LINE 2E FOLLOWING A SALE OF ITS NURSING HOMES TO AN INDEPENDENT UNRELATED TAX EXEMPT ORGANIZATION, TY COBB HEALTHCARE SYSTEM FORMED A SUPPORTING ORGANIZATION, LAKE HARTWELL HEALTHCARE FOUNDATION. THE CEO AND CERTAIN BOARD MEMBERS SERVE BOTH TY COBB HEALTHCARE AND ITS SUPPORTING ORGANIZATION. TY COBB HEALTHCARE SYSTEM IS THE SOLE MEMBER OF THE NEW RELATED ENTITY. FORM 990, PAGE 1, ITEM C BROWN MEMORIAL CONVALESCENT CENTER, COBB HEALTHCARE CENTER, THE GABLES AT COBB VILLAGE, THE FITNESS FIRM OF TCHS, HELATH WORKS OF TCHS, HOME BASE HEALTH SERVICES, CARNESVILLE FAMILY PRACTICE, TY COBB MUSEUM FORM 990, PAGE 2, PART III, LINE 3 TY COBB HEALTHCARE SYSTEM SOLD TWO NURSING HOMES AT THEIR FAIR MARKET VALUES TO AN UNRELATED TAX EXEMPT ORGANIZATION DURING 2014. 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 PROVIDE 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, TY COBB SOLD BROWN MEMORIAL CONVALESCENT CENTER AND COBB HEALTHCARE CENTER DURING 2014. 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 6,882,138 353,280 0 FORM 990, PART XI, LINE 9 BOOK / TAX DEPRECIATION DIFFERENCE 408,711 FORM 990, PART XI, LINE 9 WHOLLY OWNED CAPTIVE CONSOLIDATED GAIN 614,376 EQUITY TRANSFERS -5,019,117 BOOK TAX DIFFERENCES FOR 990-T -61,763 OTHER CHANGES -95,253 TY COBB REGIONAL MEDICAL CENTER LLC PO BOX 9 FRANKLIN SPRINGS GA 30639 264541857 HEALTHCARE GA 8791016 13707525 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 HEALTHCARE GA 501C3 3 TY COBB true LAKE HARTWELL HEALTHCARE FOUNDATION PO BOX 9 FRANKLIN SPRINGS GA 30639 465502814 SUPPORT GA 501C3 11B TY COBB false 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 false false false false false false false false false true false true false true COBB FOUNDATION Q 957588 ACTUAL EXPENSE REIMBURSED COBB FOUNDATION C 6010553 NET EQUITY TRANSFER HOME TOWN HEALTH F 80562 DISTRIBUTION COBB FOUNDATION R 8533 LAB SERVICES LAKE HARTWELL HEALTHCARE FOUNDATION R 7365282 FMV TRANSFER