2012-11-14T14:28:56-06:00 2011-12-31 DRAFFIN & TUCKER LLP PO BOX 6 ALBANY GA 317020006 990 2011-01-01 581634125 THE COBB FOUNDATION INC COBB 7068566100 PO BOX 280 HARTWELL GA 30643 J STEVEN BARBER 7068566100 2012-11-15 true WILLIAM EDWARD PHILLIPS 2298837878 2012-11-12 2011 2016-02-24 21:20:13Z HART CO HOSP & HARTWELL HEALTHCARE CHARLES ADAMS PO BOX 589 ROYSTON GA 30662 19310422 false X HARTCOUNTYHOSPITAL.COM X 1986 GA TO CONTINUOUSLY IMPROVE THE QUALITY OF PRIMARY, LONG-TERM AND HOME CARE WITHIN OUR RESOURCE CAPABILITIES AND TO PROMOTE HEALTHIER LIFESTYLES THROUGH EDUCATION CONSISTENT WITH INDIVIDUAL AND COMMUNITY NEEDS. 3 3 300 28 0 492 17972 18261903 18784439 114090 95816 180244 217503 18556729 19115730 0 0 10768947 9839977 0 0 11290974 11944353 22059921 21784330 -3503192 -2668600 12633788 11587421 18088044 19850622 -5454256 -8263201 X TO CONTINUOUSLY IMPROVE THE QUALITY OF PRIMARY, LONG-TERM AND HOME CARE WITHIN OUR RESOURCE CAPABILITIES AND TO PROMOTE HEALTHIER LIFESTYLES THROUGH EDUCATION CONSISTENT WITH INDIVIDUAL AND COMMUNITY NEEDS. false false 19722691 18773895 THE COBB FOUNDATION, INC.(THE FOUNDATION) OPERATES HART COUNTY HOSPITAL, AN 82-BED ACUTE CARE HOSPITAL, AND HARTWELL HEALTHCARE CENTER, A 92-BED LONG-TERM CARE FACILITY. HART COUNTY HOSPITAL (THE HOSPITAL) PROVIDES INPATIENT, SWINGBED, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS OF HART, FRANKLIN AND ELBERT COUNTIES AND THE SURROUNDING AREAS. THE HOSPITAL HAD 2,488 INPATIENT DAYS, AND 8,535 EMERGENCY ROOM VISITS DURING 2011. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID GOVERNMENT INSURANCE PROGRAMS. UNDER THESE PROGRAMS, THE HOSPITAL PROVIDES CARE TO PATIENTS AT PAYMENT RATES WHICH ARE DETERMINED BY THE FEDERAL AND STATE GOVERNMENTS, REGARDLESS OF THE HOSPITAL'S ACTUAL CHARGES. IN SOME CASES, THESE PROGRAMS PAY THE HOSPITAL AT AMOUNTS WHICH ARE LESS THAN THE COST OF PROVIDING THE SERVICES. THE HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS INDIGENT AND CHARITY POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. CHARGES FOREGONE, AT ESTABLISHED RATES, UNDER THE INDIGENT AND CHARITY CARE POLICY APPROXIMATED 1,370,000. IN ADDITION, THE HOSPITAL HAD BAD DEBT EXPENSE (PATIENT BILLS THAT WERE NOT COLLECTED)OF APPROXIMATELY 2,347,000. HARTWELL HEALTHCARE CENTER PROVIDED OVER 32,000 RESIDENT DAYS DURING 2011. OF THESE DAYS, APPROXIMATELY 84% WERE COVERED BY THE MEDICAID AND MEDICARE INSURANCE PROGRAMS. 19722691 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false false true 54 0 true 300 true false false false false false false false false false false X 3 3 false false false false false false false true true false false true true false true true false true true false GA X KIM DRAFTS 7068566159 PO BOX 280 HARTWELL GA 30643 X JACK EDMUNDS 1.00 X X 1200 17200 0 FORT OGLESBY 1.00 X X 1950 11200 0 GREGORY HEARN 1.00 X X 1200 11200 0 CHARLES T ADAMS 20.00 X 0 316540 53844 STEVE BARBER 20.00 X 0 160499 23109 DAVID SEAGRAVES 20.00 X 107000 107000 15888 JERRY WISE 20.00 X 71731 71731 19398 DONNA TONEY 20.00 X 61393 61393 16177 JENNIFER DICKERSON 13.00 X 34432 73168 2629 ANGELA HARPOLD 15.00 X 40499 66077 15100 SANDRA SHUGART 16.00 X 41209 64454 12604 360614 960462 158749 10 false true false GEORGIA ANESTHESIA SERVICES 1179 MELODY LANE HARTWELL GA 30643 CRNA/ANESTHESIA 499998 CPSI 660 WALL STREET MOBILE AL 36695 BUSINESS OFFICE 497456 THE LONGSTREET CLINIC 725 JESSE JEWELL PKWY GAINSVILLE GA 30501 HOSPITALIST 371875 PRODIGY HEALTHCARE 200 ARIZONA AVE NE SUITE 200 ATLANTA GA 30307 RADIOLOGY SVCS 347289 HARTWELL EMERGENCY PHYSICIANS 300 S PARK RD SUITE 400 HOLLYWOOD FL 33021 ER PHYSICIAN 326000 5 17972 748 17972 PATIENT SERVICE REVENUE, NET 18784439 18784439 18784439 106360 106360 184148 194692 -10544 -10544 -10544 CAFETERIA & VENDING 136138 136138 VENDOR DISCOUNTS 73369 73369 MISCELLANEOUS 7996 7996 217503 19115730 18773895 323863 111350 111350 7892497 7613893 278604 84943 81945 2998 1168162 1126926 41236 583025 561947 21078 65862 65862 87110 87110 5273 5273 3832198 2692441 1139757 2373830 2347979 25851 761926 670495 91431 60890 31524 29366 885736 779448 106288 200314 200314 BAD DEBTS 2346841 2346841 MEDICAID PROVIDER FEE 565164 565164 REPAIRS & MAINTENANCE 521514 513670 7844 PHYSICIAN RECRUITMENT 105361 105361 132334 84743 47591 21784330 19722691 2061639 0 162198 103504 1503759 1578499 118377 7167 483633 490375 44022 31889 18642626 10659278 8813601 7983348 1055187 1031508 114406 119910 338605 241221 12633788 11587421 1590898 1255807 16497146 18594815 18088044 19850622 X -5454256 -8263201 -5454256 -8263201 12633788 11587421 X -2668600 -140345 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false false false true 2903 2903 false false false false false SCHEDULE C, PART II-B, LINE 1 COBB FOUNDATION PARTICIPATED IN LOBBYING ACTIVITIES THROUGH MEMBERSHIP IN THE GEORGIA HOSPITAL ASSOCIATION. A PORTION OF THE FOUNDATION'S YEARLY DUES IS ALLOCATED TO LOBBYING ACTIVITIES. false false false false false false false false false false 303881 303881 7703176 2450744 5252432 10383939 8005319 2378620 251630 203215 48415 7983348 TY COBB HEALTHCARE SYSTEM 15730821 HART COUNTY HOSPITAL AUTHORITY 2141413 ACCRUED PENSION BENEFITS 463665 MEDICARE/MEDICAID COST REPORT SETTLE 258916 18594815 19115730 21784330 -2668600 -1722780 -959964 -2682744 -5351344 55913904 -1722780 38526227 36803447 19110457 5273 5273 19115730 61265248 39486191 39486191 21779057 5273 5273 21784330 LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X EXCERPT FROM AUDITED FINANCIAL STATEMENTS - INCOME TAXES. THE SYSTEM AND THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SEGREGATED PORFOLIO INTENDS TO CONDUCT ITS AFFAIRS IN A MANNER IN WHICH IT WILL NOT BE SUBJECT TO U.S. FEDERAL INCOME TAX OR GEORGIA INCOME TAX. REGIONAL IS CONSIDERED A DISREGARDED ENTITY OF THE SYSTEM. THE SYSTEM APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE SYSTEM ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL 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 ACCCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2011 OR 2010 OR FOR THE YEARS THEN ENDED. THE SYSTEM'S OPEN AUDIT PERIODS ARE FOR THE TAX YEARS ENDED 2008-2010. RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 TY COBB HEALTHCARE SYSTEM 39,638,771 TY COBB HEALTHCARE SEGREGATED PORTFOLIO 471,458 INTERCOMPANY ELIMINATIONS -1,584,002 TY COBB HEALTHCARE SYSTEM -40,659,904 TY COBB HEALTHCARE SEGREGATED PORTFOLIO -552,954 INTERCOMPANY ELIMINATIONS 1,726,667 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D TY COBB HEALTHCARE SYSTEM 39,638,771 TY COBB HEALTHCARE SEGREGATED PORTFOLIO 471,458 INTERCOMPANY ELIMINATIONS -1,584,002 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D TY COBB HEALTHCARE SYSTEM 40,659,904 TY COBB HEALTHCARE SEGREGATED PORTFOLIO 552,954 INTERCOMPANY ELIMINATIONS -1,726,667 true true true X 1.25000 true X true true true false true true 564740 564740 0.02910 1557018 1764030 -207012 73141 59720 13421 0.00070 2194899 1823750 371149 0.02980 2194899 1823750 371149 0.02980 11229 300 10929 0.00060 11229 300 10929 0.00060 true 2346841 4449640 5494310 -1044670 X true true 1 1 HART COUNTY HOSPITAL

PO BOX 280 HARTWELL GA 30643

X X X HART COUNTY HOSPITAL 1 true true 125.0 true 200.0 true X true true X X X true false X true X false false 1 HARTWELL HEALTHCARE CENTER

PO BOX 280 HARTWELL GA 30643

SKILLED NURSING FACILITY 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 21784330 LESS BAD DEBTS IN PART IX 2346841 DENOMINATOR FOR COLUMN F 19437489 COSTING METHODOLOGY EXPLANATION PART I LINE 7 THE COBB FOUNDATION INC USED THE WORKSHEETS 1 2 AND 3 LOCATED IN THE INSTRUCTIONS TO SCHEDULE H OF FORM 990 TO CALCULATE THE COMMUNITY BENEFIT EXPENSE REPORTED IN THE TABLE ON LINE 7 COMMUNITY BUILDING ACTIVITIES PART II THE COBB FOUNDATION INC PROVIDES FREE MONTHLY HEALTH EDUCATION PROGRAMS TO THE PUBLIC TO PROMOTE WELLNESS AND HEALTHIER LIFESTYLES THE OCCUPATIONAL MEDICINE AND WELLNESS DEPARTMENT ALSO PARTICIPATES IN LUNCH AND LEARN AND HEALTH FAIRS THROUGHOUT THE YEAR THAT PROVIDE HEALTH EDUCATION AND SCREENING OPPORTUNITIES FOR EMPLOYEES OF LOCAL BUSINESSES AS WELL AS THE PUBLIC AT LARGE FOUNDATION EMPLOYEES ARE ACTIVE IN AND PROMOTE WELLNESS TO LOCAL CIVIC GROUPS INCLUDING BUT NOT LIMITED TO THE TRICOUNTY DIABETES TASK FORCE CHAMBER OF COMMERCE ROTARY CLUB KIWANIS CLUB AND SERVICE LEAGUES BAD DEBT EXPENSE EXPLANATION PART III LINE 4 THE FOLLOWING IS FROM THE FOOTNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS ALLOWANCE FOR DOUBTFUL ACCOUNTS THE SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE EVALUATION OF THE OVERALL COLLECTIBILITY OF ACCOUNTS RECEIVABLE AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE THE ACCOUNT IS CHARGED AGAINST THE ALLOWANCE MEDICARE EXPLANATION PART III LINE 8 MEDICARE SHORTFALL THE FULL AMOUNT OF MEDICARE SHORTFALL 1053828 REPORTED ON LINE 7 SHOULD BE CONSIDERED AS COMMUNITY BENEFIT HART COUNTY HOSPITAL HAS RECEIVED MEDICARE DEPENDENT HOSPITAL STATUS FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES MEDICARE DEPENDENT HOSPITAL STATUS MEANS THAT THE MAJORITY OF THE HOSPITALS INPATIENTS ARE INSURED BY THE MEDICARE PROGRAM THEREFORE THE HOSPITAL IS THE PRIMARY AND A VITAL SOURCE OF HEALTHCARE SERVICES TO MEDICARE PATIENTS IN ITS SERVICE AREA MEDICARE ALLOWABLE COSTS MEDICARE ALLOWABLE COSTS OF CARE REPORTED ON LINE 6 WAS DETERMINED FROM THE MEDICARE COST REPORT FOR HART COUNTY HOSPITAL COLLECTION PRACTICES EXPLANATION PART III LINE 9B THE HOSPITAL NOTIFIES PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN COMMUNICATIONS WITH THE PATIENT REGARDING THE PATIENTS BILLS NORMAL COLLECTION PRACTICES BASED ON THE PATIENTS RESPONSE WOULD CEASE ONCE IT IS DETERMINED THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE NEEDS ASSESSMENT PART VI THE COBB FOUNDATION INC USES DISCHARGE DATA MARKET ANALYSES AND INFORMATION FROM INDIVIDUALS IN THE COMMUNITY TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES RECENTLY THE FOUNDATION CONDUCTED A THOROUGH AND ACCURATE MARKET AND NEEDS ASSESSMENT USING BOTH INTERNAL RESOURCES AND PERSONNEL AS WELL AS A QUALIFIED EXTERNAL ORGANIZATION CONSULTANT EXPERIENCED IN COLLECTING ORGANIZING AND ANALYZING THE APPROPRIATE MARKET DEMOGRAPHIC AND HEALTH RELATED INFORMATION NECESSARY TO HELP MAKE THE CORRECT DECISIONS ABOUT THE HEALTHCARE SERVICES NEEDED IN OUR MARKET THE FOLLOWING DATA ELEMENTS WERE OBTAINED DEMOGRAPHIC INFORMATION ECONOMIC DATA HEALTHCARE UTILIZATION DATA HOUSING DATA AND ECONOMIC AND INDUSTRIAL DEVELOPMENT DATA AND TRENDS THE FOUNDATIONS BOARD INCLUDES COMMUNITY REPRESENTATIVES WHO VOICE THE NEEDS OF THE COMMUNITY SUGGESTION BOXES ARE ALSO AVAILABLE TO PATIENTS VISITORS AND EMPLOYEES TO SUBMIT THOUGHTS OR IDEAS PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI SELF PAY PATIENTS ARE REFERRED TO A PATIENT FINANCIAL COUNSELOR THE PATIENT FINANCIAL COUNSELOR WILL ASSIST THE PATIENT OR GUARANTOR IN APPLYING FOR FINANCIAL ASSISTANCE IF NO SOURCE OF FINANCIAL ASSISTANCE IS AVAILABLE THE HOSPITAL WILL REVIEW THE ACCOUNT FOR AN INDIGENT OR CHARITY ALLOWANCE COMMUNITY INFORMATION PART VI THE FOUNDATION OPERATES FACILITIES LOCATED IN HART COUNTY GEORGIA A RURAL AREA WITH A POPULATION OF APPROXIMATLY 25000 PEOPLE THE COUNTY IS LOCATED IN THE NORTHEAST PART OF GEORGIA ALONG THE INTERSTATE 85 CORRIDOR HALFWAY BETWEEN ATLANTA GA AND GREENVILLE SC THE FOUNDATION OPERATES THE ONLY ACUTE CARE HOSPITAL IN HART COUNTY HART COUNTY IS CHARACTERIZED AS HAVING A HIGHER THAN STATE AVERAGE MEDIAN AGE LOWER THAN STATE AVERAGE EDUCATION LEVEL AND HIGHER RATES OF CHRONIC DISEASE THE COUNTY HAS EXPERIENCED MINIMAL GROWTH IN POPULATION JOB CREATION AND INDUSTRIAL DEVELOPMENT FORECASTERS ARE PREDICTING THE COUNTY WILL GROW AT A FASTER RATE IN ALL THESE AREAS IN THE FUTURE AS DEVELOPMENT ALONG THE I85 CORRIDOR CONTINUES AND NEW GROWTH WILL OCURR AS HIGHWAY 17 IS WIDENED TO FOUR LANES HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI THE COBB FOUNDATION INC HAS AN OPEN MEDICAL STAFF AND THE BOARD OF DIRECTORS CONSIST OF COMMUNITY LEADERS LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI GEORGIA HART COUNTY HOSPITAL LINE NUMBER 1 PART V LINE 19D PART V LINE 19D PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE CHARGED A DISCOUNTED RATE BASED UPON HOSPITAL POLICY X true true X X false true false false false false false false false CHARLES T ADAMS 247040 62500 7000 37500 16344 370384 STEVE BARBER 145848 10500 4151 6765 16344 183608 DAVID SEAGRAVES 98751 98751 7000 7000 1249 1249 15888 107000 122888 JERRY WISE 68302 68302 3429 3429 3510 15888 91129 71731 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A CEO IS PROVIDED WITH A DISCRETIONARY SPENDING ACCOUNT OF 600 EACH MONTH. SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 CHARLES T ADAMS 0 30,000 0 OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III COBB FOUNDATION, INC. AND ITS RELATED PARTY, TY COBB HEALTHCARE SYSTEM, INC., EACH OPERATE AN ACUTE CARE HOSPITAL. TCHS IS IN THE PROCESS OF BUILDING A NEW ACUTE CARE HOSPITAL. THE TWO HOSPITALS OPERATED BY TCHS AND COBB FOUNDATION WILL CLOSE WHEN THE NEW HOSPITAL OPENS. THE CONVERSION FROM TWO HOSPITALS TO ONE WILL CAUSE OVERLAP IN SOME POSITIONS. TOP MANAGEMENT OFFICERS OF THE COBB FOUNDATION WERE OFFERED RETENTION INCENTIVES TO STAY FOR TWO YEARS DURING THE CONVERSION PROCESS. FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A PROVIDES CARE TO PATIENTS AT PAYMENT RATES WHICH ARE DETERMINED BY THE FEDERAL AND STATE GOVERNMENTS, REGARDLESS OF THE HOSPITAL'S ACTUAL CHARGES. IN SOME CASES, THESE PROGRAMS PAY THE HOSPITAL AT AMOUNTS WHICH ARE LESS THAN THE COST OF PROVIDING THE SERVICES. THE HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS INDIGENT AND CHARITY POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. CHARGES FOREGONE, AT ESTABLISHED RATES, UNDER THE INDIGENT AND CHARITY CARE POLICY APPROXIMATED 1,370,000. IN ADDITION, THE HOSPITAL HAD BAD DEBT EXPENSE (PATIENT BILLS THAT WERE NOT COLLECTED)OF APPROXIMATELY 2,347,000. HARTWELL HEALTHCARE CENTER PROVIDED OVER 32,000 RESIDENT DAYS DURING 2011. OF THESE DAYS, APPROXIMATELY 84% WERE COVERED BY THE MEDICAID AND MEDICARE INSURANCE PROGRAMS. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B AFTER REVIEW AND APPROVAL BY MANAGEMENT, AN ELECTRONIC COPY OF THE FORM 990 WAS EMAILED TO ALL MEMBERS OF THE COBB FOUNDATION, INC.'S BOARD OF DIRECTORS FOR APPROVAL. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE BOARD OF DIRECTORS AND CEO MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE COMPENSATION OF THE COBB FOUNDATION, INC.'S CEO IS REVIEWED AND APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS. EXTERNAL COMPARABILITY REPORTING WAS USED IN THE DETERMINATION OF THE COMPENSATION OF THE CEO. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION OF THE COBB FOUNDATION, INC.'S CFO IS REVIEWED AND APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS. EXTERNAL COMPARABILITY REPORTING WAS USED IN THE DETERMINATION OF THE COMPENSATION OF THE CFO. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE COBB FOUNDATION, INC.'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR THE PUBLIC TO REVIEW AT THE FOUNDATION'S CORPORATE OFFICE UPON REQUEST. ADDITIONAL INFORMATION FORM 990, PART VII HOURS SPENT AT RELATED ORGANIZATIONS BY LISTED INDIVIDUALS INCLUDE DAVID SEAGRAVES 20 HOURS DONNA TONEY 33 HOURS WILLIAM ROGERS 7 HOURS CHARLES ADAMS 20 HOURS STEVE BARBER 20 HOURS OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 CHANGES IN NET UNREALIZED GAINS AND LOSSES ON OTHER THAN TRADING SECURITIES AND PENSION-RELATED CHANGES OTHER THAN PERIODIC BENEFIT COST. TY COBB HEALTHCARE SYSTEM INC PO BOX 589 ROYSTON GA 30662 580633978 HEALTHCARE GA 501C3 3 NA false false false false false false false false false false false false false false true true false false false