COOPERATIVE HEALTHCARE SERVICES INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COOPERATIVE HEALTHCARE SERVICES INC (EIN 01-0594994)
Tax period
2013-05-01 to 2014-04-30
Filed
2014-12-22
IRS object ID
201403569349300500
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-12-22T05:32:02-08:00ReturnTs
Tax Period End2014-04-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-05-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010594994EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COOPERATIVE HEALTHCARE SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCOOPBusinessNameControlTxt
Phone9124667049PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12415 PARKWOOD DRAddressLine1
CityBRUNSWICKCity
StateGAState
ZIP Code31520ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichael DScherneckPersonNm
Person TitlePresidentPersonTitleTxt
Signature2014-12-22SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMichael D ScherneckPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1341 Oak Grove Island DrAddressLine1
CityBrunswickCity
StateGAState
ZIP Code31520ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$40,566,209GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionCooperative Healthcare Services, Inc., will serve as a supporting organization to further enable Southeast Georgia Health System to provide safe, quality, accessible and cost-effictive care to meet the health needs of the people and communities it serves.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee475TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$251,418PYContributionsGrantsAmt
CY Contributions Grants$21,483CYContributionsGrantsAmt
PY Program Service Revenue$35,378,538PYProgramServiceRevenueAmt
CY Program Service Revenue$36,615,778CYProgramServiceRevenueAmt
PY Investment Income$41,232PYInvestmentIncomeAmt
CY Investment Income$4,822CYInvestmentIncomeAmt
PY Other Revenue$1,843,005PYOtherRevenueAmt
CY Other Revenue$3,924,126CYOtherRevenueAmt
PY Total Revenue$37,514,193PYTotalRevenueAmt
CY Total Revenue$40,566,209CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$48,080,504PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$55,197,324CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$16,433,194PYOtherExpensesAmt
CY Other Expenses$16,812,933CYOtherExpensesAmt
PY Total Expenses$64,513,698PYTotalExpensesAmt
CY Total Expenses$72,010,257CYTotalExpensesAmt
PY Revenues Less Expenses-$26,999,505PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$31,444,048CYRevenuesLessExpensesAmt
Total Assets BOY$17,884,523TotalAssetsBOYAmt
Total Assets EOY$15,024,065TotalAssetsEOYAmt
Total Liabilities BOY$7,365,936TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,973,641TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,518,587NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,050,424NetAssetsOrFundBalancesEOYAmt
MissionCooperative Healthcare Services, Inc., will serve as a supporting organization to further enable Southeast Georgia Health System to provide safe, quality, accessible and cost-effictive care to meet the health needs of the people and communities it serves.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$67,731,251ExpenseAmt
Revenue$40,513,172RevenueAmt
DescCooperative Healthcare Services, Inc. is an organization based in Southeast Georgia which provides Physician and Immediate Care services on an outpatient basis. For the twelve month fiscal period beginning 05/01/2013 and ended 04/30/2014, the Physician and Immediate Care Centers served 299,621 patients on an outpatient basis in Glynn, Camden, McIntosh and Brantley Counties. Our financial statements for this time period include over $10,664,693 in free care - includes charity care and bad debts.Desc
Total Program Service Expenses$67,731,251TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document49IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee475EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMichael DScherneckExecVPCFOPersonNm
Phone9124667049PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12415 PARKWOOD DRAddressLine1
CityBRUNSWICKCity
StateGAState
ZIP Code31520ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeInd
Ronald Adams
Board Member2.000.00Yes (X)$0$0$0
WH Bill Gross
Board Member2.002.00Yes (X)$0$0$0
Joanne M Matukaitis FAACVPR
Board Member2.003.00Yes (X)$0$0$0
Mike Hodges
Board Member2.004.00Yes (X)$0$0$0
Mitchell Jones MD
Chairman4.002.00Yes (X)$0$0$0Yes (X)
J Melvin Deese MD
Bdmbr/Physcn40.008.00Yes (X)$0$1,002,948$72,086
Michael D Scherneck
President8.0046.00$0$379,118$91,414Yes (X)
Carlton DeVooght
Asst. Secretary0.0040.00$0$245,866$75,851Yes (X)
Gary R Colberg FACHE
President & CEO8.0040.00$0$672,787$67,050Yes (X)
Patrick D Ebri
VP Human Resources4.0040.00$0$214,125$60,675Yes (X)
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$2,514,844TotReportableCompRltdOrgAmt
Total Other Compensation$367,076TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Georgia Neurosurgical Solutions LLC
632 Del Prado Blvd STE 101Cape CoralFL33909Medical Prof Svcs$1,296,425
Glynn Physicians PC
3400 Parkwood DrBrunswickGA31520Medical Prof Svcs$699,994
Leidos Health LLC
PO Box 223866PittsburghPA152512866Training Services$129,692
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$21,483AllOtherContributionsAmt
Total Contributions$21,483TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet Patient Svc RevenueDesc
Business621400BusinessCd
Total Revenue Column$36,615,778TotalRevenueColumnAmt
Related Or Exempt Func Income$36,615,778RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$36,615,778TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,822TotalRevenueColumnAmt
Exclusion$4,822ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$14,175RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$14,175RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,175TotalRevenueColumnAmt
Related Or Exempt Func Income$14,175RelatedOrExemptFuncIncomeAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CHSI ED Call Coverage621400$3,259,750$3,259,750
Meaningful Use Revenue621990$582,304$582,304
Other Revenue$41,165$41,165

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,732TotalRevenueColumnAmt
Exclusion$26,732ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,909,951OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,566,209TotalRevenueColumnAmt
Related Or Exempt Func Income$40,513,172RelatedOrExemptFuncIncomeAmt
Exclusion$31,554ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$46,674,804TotalAmt
Program Services$44,209,189ProgramServicesAmt
Management And General$2,465,615ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,393,779TotalAmt
Program Services$1,338,380ProgramServicesAmt
Management And General$55,399ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,097,902TotalAmt
Program Services$4,895,275ProgramServicesAmt
Management And General$202,627ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,030,839TotalAmt
Program Services$1,950,119ProgramServicesAmt
Management And General$80,720ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,559TotalAmt
Management And General$38,559ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,323,843TotalAmt
Program Services$5,908,183ProgramServicesAmt
Management And General$1,415,660ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,823,737TotalAmt
Program Services$7,808,295ProgramServicesAmt
Management And General$15,442ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$238,798TotalAmt
Program Services$238,798ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$236,604TotalAmt
Program Services$231,620ProgramServicesAmt
Management And General$4,984ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$63,526TotalAmt
Program Services$63,526ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$645,845TotalAmt
Program Services$645,845ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Recruitment Expense$441,641$441,641
Property Taxes$227$227
Cash Over and Short$153$153

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$72,010,257TotalAmt
Program Services$67,731,251ProgramServicesAmt
Management And General$4,279,006ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$305,024BOYAmt
EOY$1,039,620EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,150,638BOYAmt
EOY$9,631,986EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$292,602BOYAmt
EOY$214,315EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$54,807BOYAmt
EOY$113,367EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,584,405LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,705,714LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,783,480BOYAmt
EOY$3,878,691EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$137,775BOYAmt
EOY$130,635EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,160,197BOYAmt
EOY$15,451EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,884,523BOYAmt
EOY$15,024,065EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,083,304BOYAmt
EOY$8,741,032EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,004BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,276,628BOYAmt
EOY$1,232,609EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,365,936BOYAmt
EOY$9,973,641EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,518,587BOYAmt
EOY$5,050,424EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,518,587BOYAmt
EOY$5,050,424EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,884,523BOYAmt
EOY$15,024,065EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$31,444,048ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$25,975,885OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
CertificationYes (X)CertificationInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Glynn-Brunswick Mem Hospital AuthBusinessNameLine1
FieldValueIRS element (for citing)
EIN586000498EIN
Organization Type3OrganizationTypeDesc
Governing Document ListedYes (true)GoverningDocumentListedInd
Supported Org NotifiedYes (true)SupportedOrgNotifiedInd
US OrganizedYes (true)USOrganizedInd
Support$0SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$350,000OtherCostOrOtherBasisAmt
Book Value$350,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,364,339OtherCostOrOtherBasisAmt
Depreciation$693,460DepreciationAmt
Book Value$670,879BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$597,973OtherCostOrOtherBasisAmt
Depreciation$398,458DepreciationAmt
Book Value$199,515BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,214,093OtherCostOrOtherBasisAmt
Depreciation$2,596,672DepreciationAmt
Book Value$2,617,421BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,000OtherCostOrOtherBasisAmt
Depreciation$17,124DepreciationAmt
Book Value$40,876BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,878,691TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$40,566,209TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$40,566,209RevenueSubtotalAmt
Total Revenue Per Form990$40,566,209TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$72,010,257TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$72,010,257ExpensesSubtotalAmt
Total Expenses Per Form990$72,010,257TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationOn May 1, 2009, Southeast Georgia Health System adopted the uncertain tax positions provisions of FASB ASC Topic 740 ("ASC 740"), Income Taxes, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the combined financial statements. Under ASC 740-10-25, Southeast Georgia Health System may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. The tax benefits recognized in the combined financial statements from such a position are measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. ASC 740 also provides guidance on de-recognition, classification, interest and penalties on income taxes, and accounting in interim periods. The System has determined that it does not have any material unrecognized tax benefits or obligations as of April 30, 2014 and 2013, respectively. Fiscal years ending on and after April 30, 2011 remain subject to examination by federal and state tax authorities.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Carlton DeVooght
Asst. Secretary$222,621$23,245$37,395$38,456$321,717
Gary R Colberg FACHE
President & CEO$478,184$194,603$15,300$51,750$739,837
J Melvin Deese MD
Bdmbr/Physcn$878,846$4,647$15,300$56,786$1,075,034$119,455
Michael D Scherneck
President$304,199$74,919$64,977$26,437$470,532$62,545
Patrick D Ebri
VP Human Resources$194,104$20,021$23,193$37,482$274,800$12,559

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related orCompensation contingent on Net Earnings of the organization: Certain members of Management participate in a Management Incentive Plan which is based on a variety of managerial, quality and financial performance indicators. However, compensation is provided under that plan only if a certain net earnings threshold is met.
Part I, Line 7: Non-Fixed payments not listed aboveCertain physicians are entitled to receive non-fixed payments based on the productivity of that physician based upon worked relative value units(WRVU) without regard to the revenues or net earnings of the organization.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJ Melvin Deese MDPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBusinessRelationshipDescriptionTxt
Transaction$1,075,034TransactionAmt
TransactionPhysician ServicesTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe Glynn-Brunswick Memorial Hospital Authority is the sole corporate member of Cooperative Healthcare Services, Inc.
Form 990, Part VI, Line 11b: Form 990 Review ProcessA draft electronic copy of Form 990 was provided to the members of the Board of Directors of Cooperative Healthcare Services, Inc., prior to being filed with the Internal Revenue Service. Management reviewed Form 990 with the Hospital Authority at a subsequent meeting and addressed all questions and recommendations that the Board of Directors raised.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsCooperative Healthcare Services, Inc. has adopted the conflict-of-interest, whistleblower, and document retention and destruction policies of The Glynn-Brunswick Memorial Hospital Authority d/b/a Southeast Georgia Health System, the sole corporate member of Cooperative Healthcare Services, Inc. Under the conflict-of-interest policy, the Compliance Department requires all members of the Board of Directors, officers and key employees to report any potential conflicts on an annual basis.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableExcept through the normal I.R.S/ Form 990 inspection process, Cooperative Healthcare Services, Inc. has not established a standard process for making its governing documents, conflict of interest policy and financial statements available to the public.
Other Changes In Net Assets Or Fund Balances - Other DecreasesGlynco LLC Distr = -$66000
Other Changes In Net Assets Or Fund Balances - Other DecreasesQALICB, LLC Equity in Earnings = -$7140
Other Changes In Net Assets Or Fund Balances - Other IncreasesRecapialize Investment in CHSI = $49025
Other Changes In Net Assets Or Fund Balances - Other IncreasesRecapitalize Investment in CHSI = $26000000
Explanation of Salaries PaidPart IX,Line 7 reflects salaries and wages paid by Glynn Brunswick Memorial Hospital Authority (58-6000498) on behalf of Cooperative Healthcare Services Inc., therefore, no amounts have been entered in Part 5 line 2a with regard to the number of employees reported on form W-3. However, 475 employees were included in the number of employees reported by Glynn Brunswick Memorial Hospital Authority for the calendar year ending within the year covered by this return corresponding to the amount reported on Part IX,Line 7.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Glynn Brunswick Mem Hosp DBA Southeast
Health System-Brunswick CampusPrkwd BrunswickGA31520586000498Inpatient and Outpatient Healthcare ServicesGA501(c)(3)3N/Afalse
Kings Bay Community Hospital Inc dba
SE GA Health Sys-CamdenSt MarysGA31558581911751Inpatient and Outpatient Healthcare ServicesGA501(c)(3)3falseGlynn-Brunswick Memorial Hosp Authority
SE Georgia Health System Foundation
2415 Parkwood DrBrunswickGA31520582125644Charitable FoundationGA501(c)(3)11falseGlynn-Brunswick Memorial Hosp Authority

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Glynco LLC
4021 W Kilgore AveMuncieIN47304593762931Property RentalINN/ARelated$65,871$765,913falsefalse0.55000
SGHS QALICB I LLC
2415 Parkwood DrBrunswickGA31520900912965Real Estate HoldingsGAN/ARelated$7,140$419,000falsefalse0.02000
Southeast Georgia Cyberknife Center LLC
2500 Starling St Ste 107BrunswickGA31520273316081Medical ServicesGAN/AN/Afalsefalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Glynco LLCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TyperTransactionTypeTxt
Involved$69,361InvolvedAmt
Method Of Amount DeterminationPercentageMethodOfAmountDeterminationTxt

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