TAYLOR REGIONAL HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- TAYLOR REGIONAL HOSPITAL (EIN 58-0655369)
- Tax period
- 2012-04-01 to 2013-03-31
- Filed
- 2014-02-14
- IRS object ID
- 201440459349301729
- Schema version
- 2012v2.3
- 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 H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-02-14T12:40:48-06:00 | Timestamp |
| Tax Period End Date | 2013-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 71309 | AddressLine1 |
| City | ALBANY | City |
| State | GA | State |
| ZIP Code | 317081309 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580655369 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TAYL | NameControl |
| Phone | 4787830200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1297 | AddressLine1 |
| City | HAWKINSVILLE | City |
| State | GA | State |
| ZIP Code | 31036 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | NICOLE PAULK | Name |
| Title | CEO | Title |
| Phone | 4787830200 | Phone |
| Date Signed | 2014-02-18 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JACQUELINE G ATKINS | Name |
| Phone | 2298837878 | Phone |
| Date Prepared | 2014-02-12 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | NIKKI PAULK CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1297 | AddressLine1 |
| City | HAWKINSVILLE | City |
| State | GA | State |
| ZIP Code | 31036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 28389926 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.TAYLORREGIONAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1936 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | TAYLOR REGIONAL HOSPITAL IS A 55 BED, GENERAL, ACUTE-CARE HEALTH INSTITUTION OFFERING A WIDE RANGE OF SPECIALIZED SERVICES AND PROGRAMS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 441 | TotalNbrEmployees |
| Total Nbr Volunteers | 10 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 621766 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 543186 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 30843336 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 25538448 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 43323 | InvestmentIncomePriorYear |
| Investment Income Current Year | 18466 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 587878 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2176006 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 32096303 | TotalRevenuePriorYear |
| Total Revenue Current Year | 28276106 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 18431895 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 18773821 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 16677244 | OtherExpensePriorYear |
| Other Expenses Current Year | 12115827 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 35109139 | TotalExpensesPriorYear |
| Total Expenses Current Year | 30889648 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3012836 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2613542 | RevenuesLessExpensesCY |
| Total Assets BOY | 18323315 | TotalAssetsBOY |
| Total Assets EOY | 17597968 | TotalAssetsEOY |
| Total Liabilities BOY | 9488807 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 11278078 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8834508 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6319890 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TAYLOR REGIONAL HOSPITAL IS A 55 BED, GENERAL, ACUTE-CARE HEALTH INSTITUTION OFFERING A WIDE RANGE OF SPECIALIZED SERVICES AND PROGRAMS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 27020695 | Expense |
| Revenue | 27479497 | Revenue |
| Description | TAYLOR REGIONAL HOSPITAL IS A 55 BED, GENERAL, ACUTE-CARE HEALTH INSTITUTION OFFERING A WIDE RANGE OF SPECIALIZED SERVICES AND PROGRAMS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | Description |
| Total Program Service Expense | 27020695 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 83 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 441 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SANDRA HERNDON | NamePerson |
| Telephone Number | 4787830200 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1297 | AddressLine1 |
| City | HAWKINSVILLE | City |
| State | GA | State |
| ZIP Code | 31036 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| RICHARD COLEY | ||||||||
| CHAIRMAN | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |
| BOB LAMAR | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| JENNIFER BAKER DVM | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| MIKE PENN | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| JOHN D WAY | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| ROYCE CONNER | ||||||||
| SECRETARY/TR | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |
| DENNIS VICKERS | ||||||||
| VICE CHAIRMA | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |
| TED COLEMAN MD | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| DAN MADDOCK | ||||||||
| CEO | 40.00 | 1.00 | X | 164832 | 165000 | 6475 | ||
| MELISSA JOHNSON | ||||||||
| CNO | 40.00 | X | 89288 | 0 | 7272 | |||
| SANDRA HERNDON | ||||||||
| COMPTROLLER | 40.00 | 1.00 | X | 73744 | 0 | 22658 | ||
| MARTIN ALAN BAGGETT MD | ||||||||
| PHYSICIAN | 40.00 | 487799 | 0 | 24585 | X | |||
| MARK SENGER MD | ||||||||
| PHYSICIAN | 40.00 | 346586 | 0 | 21515 | X | |||
| SANDRA S KOPACZ MD | ||||||||
| PHYSICIAN | 40.00 | 331421 | 0 | 21575 | X | |||
| CANDACE VAUGHN MD | ||||||||
| PHYSICIAN | 40.00 | 278981 | 0 | 21575 | X | |||
| ROBERT HEATH MD | ||||||||
| PHYSICIAN | 40.00 | 273507 | 0 | 20620 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2046158 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 165000 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 146275 | TotalOtherCompensation |
| Number Individuals GT100 K | 17 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SOUTHERN CRESCENT ANESTHESIOLOGY | |||||
| 3025 HWY 154 BLDG B | NEWNAN | GA | 30265 | ANESTHETIST | 1038749 |
| INNOVATIVE THERAPY CONCEPTS LLC | |||||
| 2 MASHBURN STREET SUITE 102 | HAWKINSVILLE | GA | 31036 | PHYSICAL THERAP | 739945 |
| HAWKINSVILLE EMERGENCY GROUP | |||||
| PO BOX 82368 | LAFAYETTE | LA | 70598 | EMERGENCY SV | 406053 |
| HAWKINSVILLE PHYSICIANS SVCS LLC | |||||
| PO BOX 82368 | LAFAYETTE | LA | 70598 | HOSP PHYSICIANS | 390396 |
| KING'S MEDICAL COMPANY | |||||
| 1894 GEORGETOWN ROAD | HUDSON | OH | 44236 | RADIOLOGY SV | 283193 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Government Grants | 243722 | GovernmentGrants |
| All Other Contributions | 299464 | AllOtherContributions |
| Total Contributions | 543186 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROGRAM SERVICE REVENUE | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 25538448 | TotalRevenueColumn |
| Related Or Exempt Function Income | 25538448 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 25538448 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19146 | TotalRevenueColumn |
| Exclusion | $19,146 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 43821 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 30765 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 13056 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13056 | TotalRevenueColumn |
| Exclusion | $13,056 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 680 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -680 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -680 | TotalRevenueColumn |
| Exclusion | -$680 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 129970 | GrossSalesOfInventory |
| Cost Of Goods Sold | 82375 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 47595 | TotalRevenueColumn |
| Related Or Exempt Function Income | 47595 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| EMR INCENTIVE | 623000 | 1726921 | 1726921 | |
| CAFETERIA SALES | 722514 | 108655 | $108,655 | |
| MISCELLANEOUS REV-PHYSICIANS | 621990 | 108515 | 108515 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 171264 | TotalRevenueColumn |
| Related Or Exempt Function Income | 58018 | RelatedOrExemptFunctionIncome |
| Exclusion | $113,246 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2115355 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28276106 | TotalRevenueColumn |
| Related Or Exempt Function Income | 27479497 | RelatedOrExemptFunctionIncome |
| Exclusion | $253,423 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 357794 | Total |
| Management And General | 357794 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15278918 | Total |
| Program Services | 13860377 | ProgramServices |
| Management And General | 1418541 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2076003 | Total |
| Program Services | 1867120 | ProgramServices |
| Management And General | 208883 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1061106 | Total |
| Program Services | 940777 | ProgramServices |
| Management And General | 120329 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 144698 | Total |
| Management And General | 144698 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70919 | Total |
| Management And General | 70919 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96695 | Total |
| Management And General | 96695 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3962 | Total |
| Management And General | 3962 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4099110 | Total |
| Program Services | 3519076 | ProgramServices |
| Management And General | 580034 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12874 | Total |
| Management And General | 12874 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1144135 | Total |
| Program Services | 909832 | ProgramServices |
| Management And General | 234303 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 763998 | Total |
| Program Services | 675298 | ProgramServices |
| Management And General | 88700 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81861 | Total |
| Program Services | 63672 | ProgramServices |
| Management And General | 18189 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30748 | Total |
| Program Services | 26527 | ProgramServices |
| Management And General | 4221 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170846 | Total |
| Management And General | 170846 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1156292 | Total |
| Program Services | 1022046 | ProgramServices |
| Management And General | 134246 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166062 | Total |
| Program Services | 166062 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 2512669 | 2512669 | |
| REPAIRS AND MAINT | 972349 | 865175 | 107174 |
| PROVIDER TAXES | 350627 | 350627 | |
| RECRUITMENT | 171705 | 171705 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166277 | Total |
| Program Services | 69732 | ProgramServices |
| Management And General | 96545 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30889648 | Total |
| Program Services | 27020695 | ProgramServices |
| Management And General | 3868953 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 311450 | BOY |
| EOY | 199669 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3683806 | BOY |
| EOY | 3449010 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3290951 | BOY |
| EOY | 2975590 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13114 | BOY |
| EOY | 19173 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 304485 | BOY |
| EOY | 299093 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 360239 | BOY |
| EOY | 492764 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 28582161 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 21492991 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7287634 | BOY |
| EOY | 7089170 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130000 | BOY |
| EOY | 259175 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2941636 | BOY |
| EOY | 2814324 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18323315 | BOY |
| EOY | 17597968 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4955395 | BOY |
| EOY | 4756734 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3953138 | BOY |
| EOY | 5669163 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 580274 | BOY |
| EOY | 852181 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9488807 | BOY |
| EOY | 11278078 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8834508 | BOY |
| EOY | 6319890 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8834508 | BOY |
| EOY | 6319890 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18323315 | BOY |
| EOY | 17597968 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2613542 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 98924 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $3,962 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 3962 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE C, PART II-B, LINE 1 | ReturnReference |
| Explanation | TAYLOR REGIONAL HOSPITAL IS A MEMBER OF INDUSTRY ASSOCIATIONS WHICH LOBBY STATE AND FEDERAL OFFICIALS ON BEHALF OF THE ASSOCIATION'S MEMBERSHIP. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 402337 | OtherCostOrOtherBasis |
| Book Value | 402337 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12845158 | OtherCostOrOtherBasis |
| Depreciation | 9044725 | Depreciation |
| Book Value | 3800433 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13592047 | OtherCostOrOtherBasis |
| Depreciation | 12448266 | Depreciation |
| Book Value | 1143781 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1742619 | OtherCostOrOtherBasis |
| Book Value | 1742619 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 7089170 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| CASH VALUE OF LIFE INSURANCE PLAN | 1531417 |
| OTHER RECEIVABLES | 1031171 |
| PHYSICIAN NOTES RECEIVABLE | 163350 |
| INTERCOMPANY RECEIVABLES | 88386 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2814324 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| THIRD PARTY SETTLEMENTS | $432,163 |
| DUE RELATED PARTIES | $420,018 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 852181 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LIABILITY UNDER FIN 48 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PAGE 3, PART X | ReturnReference |
| Explanation | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL'S WHOLLY OWNED SUBSIDIARY, TAYLOR DEVELOPMENT CORPORATION IS A TAXABLE ENTITY AND IS, THEREFORE, SUBJECT TO FEDERAL INCOME TAXES. TAYLOR DEVELOPMENT CORPORATION FILES A SEPARATE INCOME TAX RETURN. THE HOSPITAL 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 HOSPITAL ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR 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 EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF MARCH 31, 2013 AND 2012 OR FOR THE YEARS THEN ENDED. THE HOSPITAL'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2010-2012. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | false | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 545961 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 545961 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01760 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4573210 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2873345 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1699865 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05480 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 264930 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 158041 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 106889 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00340 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5384101 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3031386 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2352715 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07580 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3514323 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1638531 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1875792 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3514323 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1638531 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1875792 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06050 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8898424 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4669917 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4228507 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13630 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $3,674,818 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 5790744 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 5624838 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 165906 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR REGIONAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1297 | AddressLine1 |
| Address Line2 | 222 PERRY HIGHWAY | AddressLine2 |
| City | HAWKINSVILLE | City |
| State | GA | State |
| ZIP Code | 31036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWWTAYLORREGIONALORG | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | HHA, SNF, CLINICS | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 13 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 100.0 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 250.0 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| TAYLOR REGIONAL HOSP SWING BED SNF | ||||
| P O BOX 1297 | HAWKINSVILLE | GA | 31036 | SWING BED SNF |
| TAYLOR REGIONAL HHA | ||||
| P O BOX 1297 | HAWKINSVILLE | GA | 31036 | HOME HEALTH AGENCY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUBSIDIZED HEALTH SERVICES EXPLANATION | PART I LINE 7G | PART I LINE 7G A RATIO OF PATIENT CARE COST TO CHARGES CONSISTENT WITH WORKSHEET 2 WAS USED TO REPORT THE AMOUNTS IN PART I LINES 7A 7D LINES 7E 7K ACTUAL CHARGES FOR EACH COMMUNITY BENEFIT ACTIVITY ARE TRACED AND REPORTED USING THE ORGANIZATIONS ACCOUNTING SYSTEM SUBSIDIZED HEALTH SERVICES INCLUDE OUTPATIENT EMERGENCY ROOM CHARGES INCLUDING ALL ASSOCIATED CHARGES FOR LAB RADIOLOGY MEDICAL SUPPLIES AS WELL AS THE EMERGENCY ROOM SERVICES |
| EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE | PART I LINE 7 COLUMN F | IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN F THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990 PART IX LINE 25 FORM 990 PART IX LINE 25 30889648 ADD EXPENSES REPORTED IN PART VIII 113140 DENOMINATOR FOR COLUMN F 31002788 |
| COSTING METHODOLOGY EXPLANATION | PART I LINE 7 | THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATIONS A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS 2008 SEE ALSO THE DESCRIPTION FOR PART III LINE 4 COSTS FOR PART I LINE 7A 7B AND 7C WERE CALCULATED USING THE RCC CALCULATED USING WORKSHEET 2 IN THE IRS INSTRUCTIONS TO THE FORM 990 |
| BAD DEBT EXPENSE EXPLANATION | PART III LINE 4 | 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 THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS PERIODICALLY MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITEOFF EXPERIENCE BY PAYER CATEGORY THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES TAYLOR REGIONAL HOSPITAL PROVIDES CARE TO THE COMMUNITY REGARDLESS OF PATIENTS ABILITY TO PAY BASED ON PRIOR EXPERIENCE AND CERTAIN DEMOGRAPHICS AND OTHER INFORMATION OBTAINED DURING ADMISSIONS THE ORGANIZATION BELIEVES A PORTION OF THE BAD DEBT EXPENSES AT COST IS ATTRIBUTED TO PATIENTS THAT WOULD OTHERWISE QUALIFY FOR CHARITY CARE DESPITE ITS BEST EFFORTS TO EDUCATE PATIENTS ABOUT QUALIFYING FOR ITS CHARITY CARE PROGRAM MANY UNINSURED PATIENTS EITHER REFUSE OR FAIL TO COMPLETE A CHARITY CARE APPLICATION OR PROVIDE SUFFICIENT INFORMATION AT THE TIME OF ADMISSION DURING THEIR STAY OR AFTER BEING DISCHARGED TO QUALIFY FOR ASSISTANCE UNDER THE ORGANIZATIONS CHARITY CARE POLICY EXCERPT FROM AUDITED FINANCIAL STATEMENTS ALLOWANCE FOR DOUBTFUL ACCOUNTS ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE THE HOSPITAL 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 THIRDPARTY COVERAGE THE HOSPITAL 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 SELFPAY PATIENTS WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE EXISTS FOR PART OF THE BILL THE HOSPITAL 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 HOSPITALS ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELFPAY PATIENTS REMAINED CONSISTENT AT 99 OF SELFPAY ACCOUNTS RECEIVABLE AT MARCH 31 2013 AND 2012 THE HOSPITALS SELFPAY WRITEOFFS ALSO REMAINED CONSISTENT AT APPROXIMATELY 4000000 FOR BOTH 2013 AND 2012 THE HOSPITAL HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2012 OR 2013 |
| MEDICARE EXPLANATION | PART III LINE 8 | MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS THE MEDICARE PROGRAM PAYS AT AMOUNTS WHICH ARE LESS THAN THE COST OF PROVIDING SERVICES ANY COST NOT REIMBURSED BY MEDICARE IS BORNE BY HOSPITAL WHICH EASES THE BURDEN TO THE GOVERNMENT FOR THE PROVISION OF HEALTHCARE UNDER THE MEDICARE PROGRAM |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | INITIAL SCREENINGS OF ALL INPATIENT EMERGENCY AND SURGERY ENCOUNTERS AS WELL AS MOST OUTPATIENT VISITS ARE CONDUCTED BY PATIENT ACCESS SERVICES IN ORDER TO IDENTIFY ANY AVAILABLE INSURANCE OR OTHER COVERAGE FOR EACH PATIENT PATIENT ACCESS SERVICES EXPLAINS AND PROVIDES THE NECESSARY CHARITY CARE PROGRAMS APPLICATION WITH THE PATIENT AND THEIR FAMILY PATIENTS WITH TOTAL CHARGES EXCEEDING 1500 ARE REFERRED TO TAYLORS CONTRACTED COUNSELOR COUNSELOR ASSISTS THE PATIENTFAMILY WITH IDENTIFYING ANY PROGRAMS FOR WHICH THE PATIENT SERVICE MAY QUALIFY INCLUDING MEDICAID STATE CHILDRENS HEALTH INSURANCE PROGRAM SCHIP PRIVATE OR GOVERNMENT INSURANCE COVERAGE AND CHARITY ASSISTANCE IF THE FAMILY CANNOT BE TIMELY LOCATED OR IS UNCOOPERATIVE RELATED ACCOUNTS ARE TRANSFERRED TO AN INTERNAL COLLECTION DEPARTMENT FOR FURTHER ATTEMPTS TO OBTAIN PAYMENT OR IF THE PATIENT MAY QUALIFY FOR ASSISTANCE TO SECURE A FINANCIAL ASSISTANCE APPLICATION THE ORGANIZATIONS DEBT COLLECTION POLICY AND PROCEDURES PROHIBIT ANY COLLECTION EFFORTS FOR THE PORTION OF A PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATIONS CHARITY CARE POLICY THE RESULTS OF BEING APPROVED FOR CHARITY ALSO PREVENTS THE PATIENT FROM ANY POTENTIAL ADVERSE EFFECT ON THEIR CREDIT |
| NEEDS ASSESSMENT | PART VI | THE ORGANIZATION CONDUCTS REGULAR NEEDS ASSESSMENTS THROUGH FORMAL AND INFORMAL SURVEYS AND PROCESSES TAYLOR REGIONAL HAS ONGOING COLLABORATIONS WITH BOTH PUBLIC AND COMMUNITY AGENCIES IN DEVELOPMENT OF A COMMUNITY ASSESSMENT BASED UPON FEEDBACK FROM BOTH TELEPHONE SATISFACTION SURVEYS AS WELL AS COMPLETION OF PAPER SURVEYS OUR TEAM DEVELOPS PLANS TO MEET THE NEEDS OF OUR CLIENTS AND FAMILIES IN 2013 THE ORGANIZATION WITH THE ASSISTANCE OF GEORGIA SOUTHERN UNIVERSITY AND STATE FUNDING CONDUCTED ITS FIRST FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT THIS DOCUMENT CAN BE FOUND AT HTTPWWWTAYLORREGIONALORG UNDER IMPORTANT DOCUMENTS SERVING AN AGING POPULATION THE ORGANIZATION PARTICIPATES WITH THE SILVER SNEAKERS PROGRAM TO ASSIST OUR COMMUNITY MEMBERS WITH A MEANS OF ENHANCING WELLNESS THROUGH EXERCISE AND FELLOWSHIP WITH OTHER PARTICIPANTS OF THE PROGRAM TAYLOR REGIONAL HOSPITAL CONTRIBUTES BOTH FINANCIALLY AND WITH PERSONNEL TO THE ANNUAL RELAY FOR LIFE CANCER PROGRAM THE HOSPITAL BOARD MEMBERS ARE ACTIVE RESIDENTS IN THE COMMUNITY REPRESENTING MANY WALKS OF LIFE INCLUDING LOCAL BUSINESS OWNERS AGRICULTURISTS VETERINARIANS RETIRED PHYSICIANS BOARD MEMBERS REPRESENT THE COMMUNITY PROVIDING FEEDBACK AND RECOMMENDATIONS BASED UPON NEEDS TAYLOR REGIONAL HOSPITAL ACTIVELY PARTICIPATES WITH ARCHWAY PARTNERSHIP A COMMUNITY PROGRAM FROM THE UNIVERSITY SYSTEM OF GEORGIA AS A COMMUNITY PARTNER WORKING WITH ARCHWAY IN HAWKINSVILLEPULASKI COUNTY THE HOSPITAL INTERACTS WITH OTHER REPRESENTATIVES INCLUDING PULASKI COUNTY GOVERNMENT THE HAWKINSVILLE CITY COMMISSION UNITED PULASKI THE BOARD OF EDUCATION AND OTHER LOCAL BUSINESSES AMONG THE ISSUES THE COMMUNITY WILL TAKE ON AS PART OF ARCHWAY ARE EDUCATION LEADERSHIP DEVELOPMENT COMMUNITY HEALTH WORKFORCE HOUSING GOVERNMENT SERVICE DELIVERY AND ECONOMIC DEVELOPMENT |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | WHEN A PATIENT IS ADMITTED TO TAYLOR REGIONAL HOSPITAL OR TOTAL CHARGES WILL BE GREATER THAN 150000 CASE MANAGEMENT ANDOR REGISTRATION NOTIFIES THE COLLECTIONS COORDINATOR THE COLLECTIONS COORDINATOR MEETS WITH THE PATIENT TO EXPLAIN OUR INDIGENT CARE PROGRAM AND REFERS THE PATIENT TO FIRST SOURCE TAYLOR REGIONAL HOSPITAL IS CONTRACTED WITH FIRST SOURCE WHICH ASSISTS THE PATIENTS WITH COMPLETION OF APPLICATIONS FOR STATE AND FEDERAL ASSISTANCE PROGRAMS IF NEEDED BY THE PATIENT FIRST SOURCE WILL ACCOMPANY THE PATIENTS TO DFCS IF THE PATIENT IS DENIED FOR ASSISTANCE THROUGH ALL LOCAL STATE AND FEDERAL PROGRAMS AND RESIDES IN PULASKI DOOLY WILCOX OR BLECKLEY COUNTY AN INDIGENT CARE APPLICATION IS PROCESSED ACCORDING TO THE FEDERAL POVERTY GUIDELINES IF THE PATIENT DOES NOT QUALIFY FOR ANY OF THE ABOVE ASSISTANCE THE BUSINESS OFFICE WORKS WITH THE PATIENT TO SET UP MONTHLY PAYMENTS |
| COMMUNITY INFORMATION | PART VI | TAYLOR REGIONAL HOSPITAL REACHES A PATIENT BASE OF OVER 189000 AND PROVIDES PATIENTS WITH ACCESS TO OVER 94 CREDENTIALED PHYSICIANS REPRESENTING TWENTY FIVE MAJOR SPECIALTIES COMPRISED OF A HOME HEALTH AGENCY DURABLE MEDICAL EQUIPMENT AND OUTREACH PHYSICIAN CLINICS THE ORGANIZATION HAS A SERVICE AREA REACHING COCHRAN VIENNA KATHLEEN EASTMAN ROCHELLE UNADILLA ALONG WITH OTHER OUTLYING COUNTIES TAYLOR REGIONAL HOSPITALS SERVICE AREA IS A RURAL COMMUNITY THE MAJORITY OF THE POPULATION IS WHITE 65 WHILE AFRICANAMERICANS CONSTITUTE THE LARGEST MINORITY 32 MEDIAN HOUSEHOLD INCOME PROPORTION WITH AT LEAST A HIGH SCHOOL DIPLOMA AND PERCENTAGE WITHOUT HEALTH INSURANCE LAG BEHIND THE STATE AVERAGES THE AREA HAS A HIGHER PROPORTION OF OLDER ADULTS AND FEWER INDIVIDUALS AGED 2044 THAN THE STATE AVERAGE |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | SERVING AN AGING POPULATION THE ORGANIZATION PARTICIPATES WITH THE SILVER SNEAKERS PROGRAM TO ASSIST OUR COMMUNITY MEMBERS WITH A MEANS OF ENHANCING WELLNESS THROUGH EXERCISE AND FELLOWSHIP WITH OTHER PARTICIPANTS OF THE PROGRAM TAYLOR REGIONAL SUPPORTS THE FIGHT AGAINST CANCER BY CONTRIBUTING BOTH FINANCIALLY AND WITH PERSONNEL TO THE ANNUAL RELAY FOR LIFE CANCER PROGRAM THE HOSPITAL BOARD MEMBERS ARE ACTIVE RESIDENTS IN THE COMMUNITY REPRESENTING MANY WALKS OF LIFE INCLUDING LOCAL BUSINESS OWNERS AGRICULTURISTS VETERINARIANS RETIRED PHYSICIANS BOARD MEMBERS REPRESENT THE COMMUNITY PROVIDING FEEDBACK AND RECOMMENDATIONS BASED UPON NEEDS THE MEDICAL STAFF AND VARIOUS HOSPITAL STAFF MEMBERS PARTICIPATE IN COMMUNITY HEALTH FAIRS PROVIDING EDUCATION AND SCREENINGS TO THE PUBLIC |
| LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED | PART VI | GEORGIA |
| TAYLOR REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 3 | PART V LINE 3 | INITIALLY THE COMUNITY ADVISORY COMMITTEE WAS SELECTED ITS 25 MEMBERS REPRESENTING A CROSSSECTION OF THE TARGET AREA INCLUDING LOCAL POLITICIANS EDUCATORS BUSINESSMEN NURSES AND OTHER COMMUNITY MEMBERS COMMUNITYBASED SURVEYS AND FOCUS GROUPS PROVIDED A WIDE ARRAY OF COMMUNITY INPUT |
| TAYLOR REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 4 | PART V LINE 4 | THE COLLEGE OF PUBLIC HEALTH GEORGIA SOUTHERN UNIVERSITY WAS GRANTED FUNDING BY THE DEPARTMENT OF COMMUNITY HEALTH TO PROVIDE TECHNICAL ASSISTANCE TO 18 NONPROFIT HOSPITALS IN COMPLETING THE COMMUNITY HEALTH NEEDS ASSESSMENT CHNA AS MANDATED BY THE IRS HOSPITALS INCLUDED IN THE CHNA PROJECT INCLUDED BACON REGIONAL HOSPITAL CHATUGE REGIONAL HOSPITAL CLINCH COUNTY HOSPITAL EVANS MEMORIAL HOSPITAL JASPER MEMORIAL HOSPITAL JEFF DAVIS HOSPITAL JEFFERSON HOSPITAL MILLER COUNTY HOSPITAL MONROE COUNTY HOSPITAL MORGAN MEMORIAL HOSPITAL PHOEBE WORTH MEDICAL CENTER TAYLOR REGIONAL HOSPITAL UNION GENERAL HOSPITAL WASHINGTON COUNTY MEDICAL CENTER MEMORIAL HOSPITAL MANOR MEADOWS REGIONAL MEDICAL CENTER STEPHENS COUNTY HOSPITAL LOUIS SMITH MEMORIAL HOSPITAL |
| TAYLOR REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 7 | PART V LINE 7 | THE ORGANIZATION PROVIDES MANY COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THE HEALTH AND SOCIAL DETERMINANTS OF HEALTH THROUGHOUT THE COUNTY AND SURROUNDING COMMUNITIES THE COUNTY IS FORTUNATE TO HAVE A LARGE NUMBER OF HEALTH AND SOCIAL SERVICE AGENCIES WHO WORK INDIVIDUALLY AND COLLECTIVELY TO PROVIDE SERVICES PROGRAMS AND SUPPORT FOR COUNTY RESIDENTS TO THAT END THE FILING ORGANIZATION WILL NOT ADDRESS SOME OF THE NEEDS IDENTIFIED IN THE 2013 ASSESSMENT BECAUSE 1 THE FILING ORGANIZATION ADDRESSES THE NEED BUT CURRENTLY HAS NO PLANS TO EXPAND SERVICES 2 OTHER PROVIDERS ARE ALREADY ADDRESSING THE NEEDS AND 3 THE NEED IDENTIFIED IS BEYOND THE SCOPE OF THE FILING ORGANIZATION |
| TAYLOR REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 20D | PART V LINE 20D | THE ORGANIZATION USES AN ESTIMATE OF THEIR THREE LOWEST NEGOTIATED COMMERCIAL RATES |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg |
|---|---|---|---|---|---|---|---|---|---|
| DAN MADDOCK | |||||||||
| CEO | 164832 | 165000 | 6475 | 164832 | 171475 | 164832 | |||
| MARTIN ALAN BAGGETT MD | |||||||||
| PHYSICIAN | 448839 | 512384 | 31572 | 7388 | 24585 | ||||
| MARK SENGER MD | |||||||||
| PHYSICIAN | 220795 | 368101 | 125791 | 21515 | |||||
| SANDRA S KOPACZ MD | |||||||||
| PHYSICIAN | 187230 | 352996 | 139793 | 4398 | 21575 | ||||
| CANDACE VAUGHN MD | |||||||||
| PHYSICIAN | 189580 | 300556 | 84799 | 4602 | 21575 | ||||
| ROBERT HEATH MD | |||||||||
| PHYSICIAN | 165895 | 294127 | 102020 | 5592 | 20620 | ||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | DAN MADDOCK 0 164,832 0 |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | OTHER REPORTABLE COMPENSATION FOR DR. SENGER INCLUDES SCHOLARSHIP LOAN FORGIVEN IN THE AMOUNT OF 118,944. THE LOAN WAS FORGIVEN IN ACCORDANCE WITH THE WRITTEN SCHOLARSHIP AGREEMENT WHICH PROVIDES FOR A PROPORTIONATE AMOUNT TO BE WRITTEN OFF AFTER A YEAR OF SERVICE TO THE ORGANIZATION. BONUS/INCENTIVE PHYSICIANS ARE AWARDED A BONUS PAYMENT BASED ON FACTORS INCLUDING, BUT NOT LIMITED TO, CLINIC PROFITABILITY, INDIVIDUAL PERFORMANCE GOALS, ETC. |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARK SENGER MD | NamePerson |
| Purpose Of Loan | SCHOLARSHIP LOAN | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $75,000 | OriginalPrincipalAmount |
| Balance Due | 19173 | BalanceDue |
| Default | false | Default |
| Approved By Board | true | ApprovedByBoard |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 19173 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| JOHN WAY | |||
| BD/BANK BD MBR | 119638 | BANK LOANS PYMTS | false |
| JOHN WAY | |||
| BD/BANK BD MBR | 772559 | BANK CASH BALANCES | false |
| ROYCE CONNER | |||
| BD/BANK BD MBR | 19265 | BANK LOANS PAYMTS | false |
| ROYCE CONNER | |||
| BD/BANK BD MBR | 571101 | BANK CASH BALANCES | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE L PART V | ReturnReference |
| Explanation | ROYCE CONNER BOARD MEMBER ALSO SERVES AS A MEMBER OF THE BOARD FOR SUNMARK BANK A LOCAL BANK WHICH PROVIDES A NUMBER OF LOANS TO THE ORGANIZATION ADDITIONALLY THE ORGANIZATION MAINTAINS CASH ACCOUNTS WITH THE BANK JOHN WAY BOARD MEMBER ALSO SERVES AS A MEMBER OF THE BOARD FOR PLANTERS BANK A LOCAL BANK WHICH PROVIDES A NUMBER OF LOANS TO THE ORGANIZATION ADDITIONALLY THE ORGANIZATION MAINTAINS CASH ACCOUNTS WITH THE BANK | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ADDITIONAL INFORMATION | FORM 990, PART III | SERVICES AND PROGRAMS INCLUDE ACUTE MEDICAL/SURGICAL, INTENSIVE CARE, MAGNETIC RESONANCE IMAGING, OB/GYN, OUTPATIENT SURGERY CENTER, PHARMACY, DIAGNOSTIC RADIOLOGY, 24-HOUR EMERGENCY SERVICE, SURGERY, PHYSICAL THERAPY, POST-OPERATIVE RECOVERY ROOM, RESPIRATORY SERVICES AND HOME CARE SERVICES. DURING FISCAL YEAR 2013, PATIENT DAYS AT TAYLOR REGIONAL HOSPITAL TOTALED 5,001; DISCHARGES TOTALED 1,424 AND HOME HEALTH VISITS TOTALED 6,902. |
| MANAGEMENT DELEGATED | FORM 990, PAGE 6, PART VI, LINE 3 | THE CEO IS EMPLOYED AND COMPENSATED BY TAYLOR MANAGEMENT SERVICES, A FOR PROFIT CORPORATION PROVIDING MANAGEMENT SERVICES TO THE HOSPITAL AND RELATED ORGANIZATIONS. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE FORM 990 IS REVIEWED DURING THE BOARD MEETING BY BOARD MEMBERS AND MANAGEMENT BEFORE FILING WITH THE INTERNAL REVENUE SERVICE. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | CONFLICTS ARE DISCLOSED TO THE PRESIDENT OF TAYLOR REGIONAL HOSPITAL OR THE CHAIRMAN OF THE BOARD. A RECOMMENDATION IS MADE BY THE PRESIDENT TO THE BOARD AS TO ACTIONS TO BE TAKEN TO RESOLVE THE CONFLICT. DISMISSAL OF THE INDIVIDUAL OR REMOVAL OF THE CONFLICTED INDIVIDUAL ARE POSSIBLE OPTIONS OUTLINED IN THE CONFLICT OF INTEREST POLICY. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE BOARD REVIEWS THE PROPOSED COMPENSATION AGAINST COMPARATIVE DATA. MINUTES OF THE DELIBERATION AND APPROVAL OF THE CEO'S COMPENSATION ARE MAINTAINED. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE CEO OF THE ORGANIZATION REVIEWS AND DETERMINES THE COMPENSATION FOR ALL OTHER MEMBERS OF THE ORGANIZATION. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | TAYLOR REGIONAL HOSPITAL PROVIDES COPIES OF ITS FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES 800,753 0 0 CONSULTING & OUTSIDE SERVICES 2,639,374 580,034 0 OTHER FEES 78,949 0 0 |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 9 | CONSOLIDATE DISREGARDED ENTITY 30,905 CHANGE IN CSV SERP LIFE INSURANCE 68,019 NET INCREASE IN NET ASSETS 98,924 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR REGIONAL HEALTH NETWORK LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1297 | AddressLine1 |
| City | HAWKINSVILLE | City |
| State | GA | State |
| ZIP Code | 31036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582371021 | EIN |
| Primary Activities | PPO MGMT | PrimaryActivities |
| Legal Domicile State | GA | LegalDomicileState |
| Total Income | 9615 | TotalIncome |
| EOY Assets | 206800 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRH | BusinessNameLine1 |
| Business Name Line2 | TAYLOR REGIONAL HOSPITAL INC | BusinessNameLine2 |
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR MEMORIAL CARE FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1297 | AddressLine1 |
| City | HAWKINSVILLE | City |
| State | GA | State |
| ZIP Code | 31036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581733602 | EIN |
| Primary Activities | FUNDRSNG | PrimaryActivities |
| Legal Domicile State | GA | LegalDomicileState |
| Exempt Code Section | 501C3 | ExemptCodeSection |
| Public Charity Status | 11A | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRH | BusinessNameLine1 |
| Business Name Line2 | TAYLOR REGIONAL HOSPITAL | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | true | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Business Name Line2DirectControllingEntityName/BusinessNameLine2 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAYLOR MANAGEMENT SERVICES INC | |||||||||||||
| PO BOX 1297 | HAWKINSVILLE | GA | 31036 | 582371969 | MGMT | GA | THN | TAYLOR HEALTH NETWORK | C CORP | 192572 | 940298 | 1.00000 | true |
| TAYLOR DEVELOPMENT CORP | |||||||||||||
| PO BOX 1297 | HAWKINSVILLE | GA | 31036 | 581310513 | LEASE MGMT | GA | TRH | TAYLOR REGIONAL HOSPITAL | C CORP | 30300 | 79035 | 1.00000 | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| TAYLOR MEMORIAL CARE FOUNDATION | ||
| M | 15942 | NET FUNDS RAISED |
| TAYLOR MEM CARE FDN TAYLOR DEV COR | ||
| N | AMOUNTS UNDETERMINED | |
| TAYLOR MEM CARE FDN TAYLOR DEV COR | ||
| O | AMOUNTS UNDETERMINED | |
| TAYLOR MANAGEMENT SVCS | ||
| N | AMOUNTS UNDETERMINED | |
| TAYLOR MANAGEMENT SVCS | ||
| O | AMOUNTS UNDETERMINED | |