COMMUNITY SERVICES GROUP INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY SERVICES GROUP INC (EIN 58-0633978)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201213199349305036
- Schema version
- 2011v1.2
- 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 F
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-14T14:28:56-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | 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 6 | AddressLine1 |
| City | ALBANY | City |
| State | GA | State |
| ZIP Code | 317020006 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580633978 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TY COBB HEALTHCARE SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TYCO | NameControl |
| Phone | 7062451850 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 589 | AddressLine1 |
| City | ROYSTON | City |
| State | GA | State |
| ZIP Code | 30662 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | J STEVEN BARBER | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 7062451850 | Phone |
| Date Signed | 2012-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM EDWARD PHILLIPS | Name |
| Phone | 2298837878 | Phone |
| Date Prepared | 2012-11-12 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COBB MEMORIAL HOSPITAL BROWN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CHARLES ADAMS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 589 | AddressLine1 |
| City | ROYSTON | City |
| State | GA | State |
| ZIP Code | 30662 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 50846713 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | TYCOBBHEALTHCARE.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1950 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 742 | TotalNbrEmployees |
| Total Nbr Volunteers | 17 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 41245 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 78389 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 37287699 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 36407727 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4575875 | InvestmentIncomePriorYear |
| Investment Income Current Year | 974576 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1930585 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2404958 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 43835404 | TotalRevenuePriorYear |
| Total Revenue Current Year | 39865650 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 20850792 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20801094 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 19088655 | OtherExpensePriorYear |
| Other Expenses Current Year | 20009679 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 39939447 | TotalExpensesPriorYear |
| Total Expenses Current Year | 40810773 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3895957 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -945123 | RevenuesLessExpensesCY |
| Total Assets BOY | 64051128 | TotalAssetsBOY |
| Total Assets EOY | 62646905 | TotalAssetsEOY |
| Total Liabilities BOY | 30910717 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 32048891 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 33140411 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 30598014 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 37522916 | Expense |
| Revenue | 36590340 | Revenue |
| Description | TY COBB HEALTHCARE SYSTEM, INC. (THE SYSTEM) OPERATES COBB MEMORIAL HOSPITAL, A 71-BED ACUTE CARE HOSPITAL,BROWN MEMORIAL CONVALESCENT CENTER, A 144-BED LONG-TERM CARE FACILITY, COBB HEALTHCARE CENTER, A 116-BED LONG-TERM CARE FACILITY, AND THE GABLES AT COBB VILLAGE, A 48-BED ASSISTED LIVING FACILITY. COBB MEMORIAL HOSPITAL (THE HOSPITAL) PROVIDES INPATIENT, SWINGBED, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS OF FRANKLIN, HART, AND MADISON COUNTIES AND THE SURROUNDING AREAS. THE HOSPITAL HAD 4,937 INPATIENT DAYS, 3 SWINGBED DAYS, AND 11,431 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 CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. CHARGES FOREGONE, AT ESTABLISHED RATES, UNDER THE INDIGENT AND CHARITY CARE POLICY APPROXIMATED 1,869,000. IN ADDITION, THE HOSPITAL HAD BAD DEBT EXPENSE (PATIENT BILLS THAT WERE NOT COLLECTED) OF APPROXIMATELY 3,178,000. BROWN MEMORIAL CONVALESCENT CENTER PROVIDED OVER 51,300 RESIDENT DAYS DURING 2011. OF THESE DAYS, APPROXIMATELY 86% WERE COVERED BY THE MEDICAID AND MEDICARE INSURANCE PROGRAMS. COBB HEALTHCARE CENTER PROVIDED OVER 39,600 RESIDENT DAYS DURING 2011. OF THESE DAYS, APPROXIMATELY 80% WERE COVERED BY THE MEDICAID AND MEDICARE INSURANCE PROGRAMS. | Description |
| Total Program Service Expense | 37522916 | 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 | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | 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 | true | 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 | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | 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 | 119 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 742 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| 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 | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | 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 | false | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | false | 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 | J STEVEN BARBER | NamePerson |
| Telephone Number | 7062451850 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 589 | AddressLine1 |
| City | ROYSTON | City |
| State | GA | State |
| ZIP Code | 30662 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JACK EDMUNDS | ||||||||
| BOARD CHAIR | 3.00 | X | X | 17200 | 1200 | 0 | ||
| FORT OGLESBY | ||||||||
| SECRETARY | 3.00 | X | X | 11200 | 1950 | 0 | ||
| GREGORY HEARN | ||||||||
| BOARD VICE C | 3.00 | X | X | 11200 | 1200 | 0 | ||
| MIKE GREEN | ||||||||
| BOARD MEMBER | 2.00 | X | 10000 | 0 | 0 | |||
| DEBORAH HARBIN | ||||||||
| BOARD MEMBER | 2.00 | X | 10000 | 0 | 0 | |||
| DON JOHNSON | ||||||||
| BOARD MEMBER | 2.00 | X | 10000 | 0 | 0 | |||
| HARRIS LITTLE | ||||||||
| BOARD MEMBER | 2.00 | X | 10000 | 0 | 0 | |||
| CHARLES T ADAMS | ||||||||
| CHIEF EXEC O | 20.00 | X | 316540 | 0 | 53844 | |||
| STEVE BARBER | ||||||||
| CHIEF FINC O | 20.00 | X | 160499 | 0 | 23109 | |||
| DAVID SEAGRAVES | ||||||||
| ADMINISTRATO | 20.00 | 107000 | 107000 | 15888 | X | |||
| JERRY WISE | ||||||||
| ADMINISTRATO | 20.00 | 71731 | 71731 | 19398 | X | |||
| DONNA TONEY | ||||||||
| PHARMACIST | 20.00 | 61393 | 61393 | 16177 | X | |||
| JENNIFER DICKERSON | ||||||||
| PHARMACIST | 27.00 | 73168 | 34432 | 2629 | X | |||
| ANGELA HARPOLD | ||||||||
| PHARMACIST | 25.00 | 66078 | 40499 | 15100 | X | |||
| SANDRA SHUGART | ||||||||
| PHARMACIST | 24.00 | 64454 | 41209 | 12604 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1000463 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 360614 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 158749 | TotalOtherCompensation |
| Number Individuals GT100 K | 10 | 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 |
|---|---|---|---|---|---|
| CPSI | |||||
| 6600 WALL STREET | MOBILE | AL | 36695 | BUSINESS OFFICE | 602941 |
| PRODIGY HEALTHCARE | |||||
| 200 ARIZONA AVE NE SUITE 200 | ATLANTA | GA | 30307 | RADIOLOGISTS | 519352 |
| SELECT MEDICAL REHABILITATION SERV | |||||
| PO BOX 643920 | PITTSBURGH | PA | 15264 | REHABILITATION | 513247 |
| GEORGIA ANESTHESIA SERVICES | |||||
| 1179 MELODY LANE | HARTWELL | GA | 30643 | CRNA/ANESTHESIA | 499998 |
| FTI CAMBIO HEALTH SOLUTIONS | |||||
| PO BOX 4180005 | BOSTON | MA | 02109 | CONSULTANTS | 297712 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 12 | NumberOfContractorsGT100K |
| All Other Contributions | 78389 | AllOtherContributions |
| Noncash Contributions | 8523 | NoncashContributions |
| Total Contributions | 78389 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENUE, NET | Description |
| Total Revenue Column | 36407727 | TotalRevenueColumn |
| Related Or Exempt Function Income | 36407727 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 36407727 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 911662 | TotalRevenueColumn |
| Exclusion | $911,662 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 408006 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 184216 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 223790 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 223790 | TotalRevenueColumn |
| Exclusion | $223,790 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10859761 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10796847 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 62914 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 62914 | TotalRevenueColumn |
| Related Or Exempt Function Income | 62914 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| MANAGEMENT & LAUNDRY FEES | 1398735 | $1,398,735 |
| CAFETERIA & VENDING | 214008 | $214,008 |
| MISCELLANEOUS | 172875 | $172,875 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 395550 | TotalRevenueColumn |
| Related Or Exempt Function Income | 119699 | RelatedOrExemptFunctionIncome |
| Exclusion | $275,851 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2181168 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39865650 | TotalRevenueColumn |
| Related Or Exempt Function Income | 36590340 | RelatedOrExemptFunctionIncome |
| Exclusion | $3,196,921 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 756479 | Total |
| Management And General | 756479 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16338306 | Total |
| Program Services | 15746972 | ProgramServices |
| Management And General | 591334 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83239 | Total |
| Program Services | 80273 | ProgramServices |
| Management And General | 2966 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2355780 | Total |
| Program Services | 2271833 | ProgramServices |
| Management And General | 83947 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1267290 | Total |
| Program Services | 1199680 | ProgramServices |
| Management And General | 67610 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 341472 | Total |
| Management And General | 341472 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 139027 | Total |
| Management And General | 139027 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335087 | Total |
| Management And General | 335087 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3889306 | Total |
| Program Services | 3376076 | ProgramServices |
| Management And General | 513230 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6024473 | Total |
| Program Services | 5899092 | ProgramServices |
| Management And General | 125381 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1616221 | Total |
| Program Services | 1519248 | ProgramServices |
| Management And General | 96973 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147590 | Total |
| Program Services | 72142 | ProgramServices |
| Management And General | 75448 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1197835 | Total |
| Program Services | 1125965 | ProgramServices |
| Management And General | 71870 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 342299 | Total |
| Program Services | 342299 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 3178402 | 3178402 | |
| MEDICAID PROVIDER TAX | 1314593 | 1314593 | |
| REPAIRS & MAINTENANCE | 897272 | 882525 | 14747 |
| LOSS ON DEBT EXTINGUISHME | 432365 | 432365 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153737 | Total |
| Program Services | 81451 | ProgramServices |
| Management And General | 72286 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40810773 | Total |
| Program Services | 37522916 | ProgramServices |
| Management And General | 3287857 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 186373 | BOY |
| EOY | 247021 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5079 | BOY |
| EOY | 5089 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3042007 | BOY |
| EOY | 2761526 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14039584 | BOY |
| EOY | 15761092 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 865721 | BOY |
| EOY | 843473 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56666 | BOY |
| EOY | 48759 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 41075036 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 30984735 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10531741 | BOY |
| EOY | 10090301 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29688369 | BOY |
| EOY | 27871628 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3436789 | BOY |
| EOY | 3277750 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 608010 | BOY |
| EOY | 608010 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1590789 | BOY |
| EOY | 1132256 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64051128 | BOY |
| EOY | 62646905 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4217778 | BOY |
| EOY | 3807272 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16335045 | BOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10039941 | BOY |
| EOY | 27826190 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 317953 | BOY |
| EOY | 415429 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30910717 | BOY |
| EOY | 32048891 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33140411 | BOY |
| EOY | 30598014 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33140411 | BOY |
| EOY | 30598014 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64051128 | BOY |
| EOY | 62646905 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -945123 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1597274 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
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) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Form1120 Pol Filed | false | Form1120PolFiled |
| Form4720 Filed | false | Form4720Filed |
| 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 | $2,903 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 2903 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
| Substantially All Dues Nondeduct | false | SubstantiallyAllDuesNondeduct |
| Only In House Lobbying | false | OnlyInHouseLobbying |
| Agree To Carryover Prior Year | false | AgreeToCarryoverPriorYear |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE C, PART II-B, LINE 1 | ReturnReference |
| Explanation | TY COBB HEALTHCARE SYSTEM PARTICIPATED IN LOBBYING ACTIVITIES THROUGH MEMBERSHIP IN THE GEORGIA HOSPITAL ASSOCIATION. A PORTION OF THE SYSTEM'S YEARLY DUES IS ALLOCATED TO LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1180016 | OtherCostOrOtherBasis |
| Book Value | 1180016 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20469881 | OtherCostOrOtherBasis |
| Depreciation | 13780965 | Depreciation |
| Book Value | 6688916 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18382847 | OtherCostOrOtherBasis |
| Depreciation | 16504333 | Depreciation |
| Book Value | 1878514 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1042292 | OtherCostOrOtherBasis |
| Depreciation | 699437 | Depreciation |
| Book Value | 342855 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10090301 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| TY COBB SEGREGATED PORTFOLIO | 1705892 | C |
| NGTC HEALTH PROPERTIES, LLC | 1451948 | C |
| HOMETOWN HEALTH, LLC | 119910 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 3277750 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED COMPENSATION PLAN | $240,000 |
| MEDICARE/MEDICAID COST REPORT SETTLE | $175,429 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 415429 | TotalOfAmounts |
| Total Revenue | 39865650 | TotalRevenue |
| Total Expenses | 40810773 | TotalExpenses |
| Excess Or Deficit For Year | -945123 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -1722780 | NetUnrealizedGLOnInvestments |
| Other | -$2,683,441 | OtherAmount |
| Total Adjustments | -4406221 | TotalAdjustments |
| Excess Or Deficit Per FS | -5351344 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 55913904 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1722780 | NetUnrealizedGainsInvestments |
| Other Revenues | 17997912 | OtherRevenues |
| Revenue Not Rptd F990 | 16275132 | RevenueNotRptdF990 |
| Revenue Subtotal | 39638772 | RevenueSubtotal |
| Investment Expenses Not Included | 335087 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | -108209 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 226878 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 39865650 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 61265248 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 20605346 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 20605346 | ExpensesNotRptdF990 |
| Expenses Subtotal | 40659902 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 335087 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | -184216 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 150871 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 40810773 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 | COBB FOUNDATION 19,110,456 TY COBB HEALTHCARE SEGREGATED PORTFOLIO 471,458 INTERCOMPANY ELIMINATIONS -1,584,002 RENTAL PROPERTY EXPENSES 184,216 HOMETOWN HEALTH GAIN -74,170 NGTC LOSS -1,837 COBB FOUNDATION -21,779,059 TY COBB HEALTHCARE SEGREGATED PORTFOLIO -552,954 INTERCOMPANY ELIMINATIONS 1,726,667 RENTAL PROPERTY EXPENSES -184,216 |
| REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 2D | COBB FOUNDATION 19,110,456 TY COBB HEALTHCARE SEGREGATED PORTFOLIO 471,458 INTERCOMPANY ELIMINATIONS -1,584,002 |
| REVENUE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 4B | RENTAL PROPERTY EXPENSES -184,216 HOMETOWN HEALTH GAIN 74,170 NGTC LOSS 1,837 |
| EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XIII, LINE 2D | COBB FOUNDATION 21,779,059 TY COBB HEALTHCARE SEGREGATED PORTFOLIO 552,954 INTERCOMPANY ELIMINATIONS -1,726,667 |
| EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XIII, LINE 4B | RENTAL PROPERTY EXPENSES -184,216 |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)
| RegionRegion | Type Of Activities ConductedTypeOfActivitiesConducted |
|---|---|
| CAYMAN ISLANDS | INVESTMENT |
| CAYMAN ISLANDS | INVESTMENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Amount Spent | 4061264 | SubtotalAmountSpent |
| Total Amount Spent | 4061264 | TotalAmountSpent |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | CAYMAN ISLANDS 0 1,705,892 CAYMAN ISLANDS 0 2,355,372 | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 1.25000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| 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 | 779145 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 779145 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02110 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2939082 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3054118 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -115036 | NetCommunityBenefitExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 95120 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 70684 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24436 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3813347 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3124802 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 688545 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02180 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3813347 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3124802 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 688545 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02180 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 46573 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 4225 | DirectOffsettingRevenue |
| Net Community Building Expense | 42348 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 46573 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 4225 | DirectOffsettingRevenue |
| Net Community Building Expense | 42348 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $3,178,402 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 4572352 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 5040193 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -467841 | 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 | COBB MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 589 | AddressLine1 |
| City | ROYSTON | City |
| State | GA | State |
| ZIP Code | 30662 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COBB MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 125.0 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 200.0 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notified All Patients | X | NotifiedAllPatients |
| 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 | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| BROWN MEMORIAL CONVALESCENT CENTER | ||||
| PO BOX 589 | ROYSTON | GA | 30662 | SKILLED NURSING FACILITY |
| COBB HEALTHCARE CENTER | ||||
| PO BOX 589 | ROYSTON | GA | 30662 | SKILLED NURSING FACILITY |
| THE GABLES AT COBB VILLAGE | ||||
| PO BOX 589 | ROYSTON | GA | 30662 | ASSISTED LIVING FACILITY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 40810773 LESS BAD DEBTS IN PART IX 3178402 ADD EXPENSES REPORTED IN PART VIII 184216 DENOMINATOR FOR COLUMN F 37816587 |
| COSTING METHODOLOGY EXPLANATION | PART I LINE 7 | TY COBB HEALTHCARE SYSTEM INC USED THE WORKSHEETS 12 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 | TY COBB HEALTHCARE SYSTEM INC PROVIDES FREE MONTHLY HEALTH EDUCATION PROGRAMS TO THE PUBLIC TO PROMOTE WELLNESS AND HEALTHIER LIFESTYLES THE OCCUPATIONAL MEDICINE AND WELLNESS DEPARTMENT ALSO PARTICIPATES IN LUNCH AND LEARN AND HEALTH FAIRS THROUGHOUT THE YEAR THAT PROVIDE HEALTH EDUCATION AND SCREENING OPPORTUNITIES FOR EMPLOYEES OF LOCAL BUSINESSES AS WELL AS THE PUBLIC AT LARGE TCHS EMPLOYEES ARE ACTIVE IN AND PROMOTE WELLNESS TO LOCAL CIVIC GROUPS INCLUDING BUT NOT LIMITED TO THE 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 183355 REPORTED ON LINE 7 SHOULD BE CONSIDERED AS COMMUNITY BENEFIT COBB MEMORIAL 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 COBB MEMORIAL HOSPITAL |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | THE HOSPITAL NOTIFIES PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN COMMUNICATIONS WITH THE PATIENTS REGARDING THE PATIENTS BILLS NORMAL COLLECTION PRACTICES BASED ON THE PATIENTS RESPONSE WOULD BE CEASED ONCE IT IS DETERMINED THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE |
| NEEDS ASSESSMENT | PART VI | TY COBB HEALTHCARE SYSTEM 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 SYSTEM 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 SYSTEMS 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 INDIGENT OR CHARITY ALLOWANCE |
| COMMUNITY INFORMATION | PART VI | TY COBB HEALTHCARE SYSTEM INC OPERATES FOUR FACILITIES LOCATED IN TWO RURAL COUNTIES FRANKLIN AND MADISON COUNTIES EACH OF WHICH HAVE POPULATIONS LESS THAN 35000 PEOPLE THE COUNTIES ARE LOCATED IN THE RURAL NORTHEAST PART OF GEORGIA ALONG THE INTERSTATE 85 CORRIDOR HALFWAY BETWEEN ATLANTA GA AND GREENVILLE SC THE SYSTEM OPERATES THE ONLY ACUTE CARE HOSPITAL LOCATED IN THE TWO COUNTIES EACH COUNTY COULD BE SUMMARIZED WITH COMMON CHARACTERISTICS AS HAVING ABOUT 25000 RESIDENTS HAVING A HIGHER THAN STATE AVERAGE MEDIAN AGE LOWER THAN STATE AVERAGE EDUCATION LEVEL AND HIGHER RATES OF CHRONIC DISEASE THE REGION HAS EXPERIENCED MINIMAL GROWTH IN POPULATION JOB CREATION AND INDUSTRIAL DEVELOPMENT FORECASTERS ARE PREDICTING THE REGION WILL GROW AT A FASTER RATE IN ALL OF THESE AREAS IN THE FUTURE AS DEVELOPMENT ALONG THE I85 CORRIDOR CONTINUES AND NEW GROWTH WILL OCCUR AS HWY 17 IS WIDENED TO FOUR LANES |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | TY COBB HEALTHCARE SYSTEM 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 |
| ADDITIONAL INFORMATION | PART VI | TY COBB HEALTHCARE SYSTEM INC PROVIDES FREE MONTHLY HEALTH EDUCATION PROGRAMS TO THE PUBLIC TO PROMOTE WELLNESS AND HEALTHIER LIFESTYLES THE OCCUPATIONAL MEDICINE AND WELLNESS DEPARTMENT ALSO PARTICIPATES IN LUNCH AND LEARNS AND HEALTH FAIRS THROUGHOUT THE YEAR THAT PROVIDE HEALTH EDUCATION AND SCREENING OPPORTUNITIES FOR EMPLOYEES OF LOCAL BUSINESSES AS WELL AS THE PUBLIC AT LARGE SYSTEM EMPLOYEES ARE ACTIVE IN AND PROMOTE WELLNESS TO LOCAL CIVIC GROUPS INCLUDING BUT NOT LIMITED TO THE TRI COUNTY DIABETES TASK FORCE CHAMBER OF COMMERCE ROTARY CLUB KIWANIS CLUB AND SERVICE LEAGUES |
| COBB MEMORIAL 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 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Written Employment Contract | X | WrittenEmploymentContract |
| 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 (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES T ADAMS | |||||||||||
| 247040 | 62500 | 7000 | 37500 | 16344 | 370384 | ||||||
| STEVE BARBER | |||||||||||
| 145848 | 10500 | 4151 | 6765 | 16344 | 183608 | ||||||
| DAVID SEAGRAVES | |||||||||||
| 98751 | 7000 | 1249 | 15888 | 122888 | 98751 | 7000 | 1249 | 107000 | |||
| JERRY WISE | |||||||||||
| 68302 | 3429 | 71731 | 68302 | 3429 | 91129 | 3510 | 15888 | ||||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 | TCHS AND ITS RELATED PARTY, COBB FOUNDATION, 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 TCHS WERE OFFERED RETENTION INCENTIVES TO STAY FOR TWO YEARS DURING THE CONVERSION PROCESS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DOING BUSINESS AS | FORM 990, PAGE 1, ITEM C | MEMORIAL CONVALESCENT CENTER, COBB HEALTHCARE CENTER, THE GABLES AT COBB VILLAGE, THE FITNESS FIRM OF TCHS, HEALTH WORKS OF TCHS, HOME BASE HEALTH SERVICES, CARNESVILLE FAMILY PRACTICE, TY COBB MUSEUM |
| FIRST ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4A | PATIENTS AT PAYMENT RATES WHICH ARE DETERMINED BY THE FEDERAL AND STATE GOVERNMENTS, REGARDLESS OF THE HOSPITAL'S ACTUAL CHARGES. IN SOME CASES, THESE PROGRAMS PAY THE HOSPITAL AT AMOUNTS WHICH ARE LESS THAN THE COST OF PROVIDING THE SERVICES. THE HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS INDIGENT AND CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. CHARGES FOREGONE, AT ESTABLISHED RATES, UNDER THE INDIGENT AND CHARITY CARE POLICY APPROXIMATED 1,869,000. IN ADDITION, THE HOSPITAL HAD BAD DEBT EXPENSE (PATIENT BILLS THAT WERE NOT COLLECTED) OF APPROXIMATELY 3,178,000. BROWN MEMORIAL CONVALESCENT CENTER PROVIDED OVER 51,300 RESIDENT DAYS DURING 2011. OF THESE DAYS, APPROXIMATELY 86% WERE COVERED BY THE MEDICAID AND MEDICARE INSURANCE PROGRAMS. COBB HEALTHCARE CENTER PROVIDED OVER 39,600 RESIDENT DAYS DURING 2011. OF THESE DAYS, APPROXIMATELY 80% WERE COVERED BY THE MEDICAID AND MEDICARE INSURANCE PROGRAMS. |
| FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES | FORM 990, PART V, LINE 4B | CAYMAN ISLANDS |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | AFTER MANAGEMENT REVIEW AND APPROVAL, AN ELECTRONIC COPY OF THE FORM 990 WAS EMAILED TO ALL MEMBERS OF THE TYCOBB HEALTHCARE SYSTEM, INC.'S BOARD OF DIRECTORS FOR APPROVAL PRIOR TO SUBMISSION. |
| 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 TY COBB HEALTHCARE SYSTEM, INC.'S CEO IS REVIEWED AND APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS. EXTERNAL COMPARABILITY REPORTING WAS ALSO USED IN THE DETERMINATION OF COMPENSATION OF THE CEO. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE COMPENSATION OF TY COBB HEALTHCARE SYSTEM, INC.'S CFO IS REVIEWED AND APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS. EXTERNAL COMPARABILITY REPORTING WAS ALSO USED IN THE DETERMINATION OF COMPENSATION OF THE CFO. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THE TY COBB HEALTHCARE SYSTEM, INC.'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR THE PUBLIC TO REVIEW AT THE SYSTEM'S CORPORATE OFFICE UPON REQUEST. |
| ADDITIONAL INFORMATION | FORM 990, PART VII | HOURS SPENT AT RELATED ORGANIZATIONS BY LISTED INDIVIDUALS INCLUDE DAVID SEAGRAVES 20 HOURS DONNA TONEY 7 HOURS WILLIAM ROGERS 33 HOURS CHARLES ADAMS 20 HOURS STEVE BARBER 20 HOURS |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 5 | CHANGE IN NET UNREALIZED GAIN AND LOSSES ON OTHER THAN TRADING SECURITIES AND BOOK-TAX DIFFERENCES FROM PARTNERSHIP ACTIVITIES. UNREALIZED GAINS AND LOSSES < 1,521,267 > BOOK-TAX DIFFERENCES FROM PARTNERSHIPS < 76,007 > ------------- TOTAL - OTHER CHANGES IN NET ASSETS < 1,597,274 > ============= |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TY COBB REGIONAL MEDICAL CENTER LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 461 COOK STREET | AddressLine1 |
| City | ROYSTON | City |
| State | GA | State |
| ZIP Code | 30662 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264541857 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivities |
| Legal Domicile State | GA | LegalDomicileState |
| EOY Assets | 743417 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TY COBB | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE COBB FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 280 | AddressLine1 |
| City | HARTWELL | City |
| State | GA | State |
| ZIP Code | 30643 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581634125 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivities |
| Legal Domicile State | GA | LegalDomicileState |
| Exempt Code Section | 501C3 | ExemptCodeSection |
| Public Charity Status | 3 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TY COBB | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | true | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOME TOWN HEALTH LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3280 CHERRY OAK LANE SUITE 100 | AddressLine1 |
| City | CUMMING | City |
| State | GA | State |
| ZIP Code | 30041 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582403678 | EIN |
| Primary Activity | EDUCATION | PrimaryActivity |
| Legal Domicile State | GA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TY COBB | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | EXCLUDED | PredominantIncomeType |
| Share Of Total Income | 146809 | ShareOfTotalIncome |
| Share Of EOY Assets | 239821 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Percentage Ownership | 0.53710 | PercentageOwnership |
| 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 |
| 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 | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| COBB FOUNDATION | ||
| O | 82034 | ACTUAL EXPENSE REIMBURSED |
| COBB FOUNDATION | ||
| P | 9703621 | ACTUAL EXPENSE REIMBURSED |
| COBB FOUNDATION | ||
| N | 238520 | ALLOCATION OF SALARIES |