TAYLOR REGIONAL HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
TAYLOR REGIONAL HOSPITAL (EIN 58-0655369)
Tax period
2010-04-01 to 2011-03-31
Filed
2012-03-30
IRS object ID
201240909349300209
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-03-30T07:11:03-05:00Timestamp
Tax Period End Date2011-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DRAFFIN & TUCKER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 6AddressLine1
CityALBANYCity
StateGAState
ZIP Code317020006ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN580655369EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TAYLOR REGIONAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTAYLNameControl
Phone4787830200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1297AddressLine1
CityHAWKINSVILLECity
StateGAState
ZIP Code31036ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAN MADDOCKName
TitleCEOTitle
Phone4787830200Phone
Date Signed2012-03-30DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL L REESEName
Phone2298837878Phone
Date Prepared2012-03-30DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAN MADDOCK CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1297AddressLine1
CityHAWKINSVILLECity
StateGAState
ZIP Code31036ZIPCode
FieldValueIRS element (for citing)
Gross Receipts30896410GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TAYLORREGIONAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1936YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTAYLOR 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 Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees476TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year521195ContributionsGrantsPriorYear
Contributions Grants Current Year664565ContributionsGrantsCurrentYear
Program Service Revenue Prior Year33947870ProgramServiceRevenuePriorYear
Program Service Revenue CY29581534ProgramServiceRevenueCY
Investment Income Prior Year121436InvestmentIncomePriorYear
Investment Income Current Year40780InvestmentIncomeCurrentYear
Other Revenue Prior Year461058OtherRevenuePriorYear
Other Revenue Current Year461489OtherRevenueCurrentYear
Total Revenue Prior Year35051559TotalRevenuePriorYear
Total Revenue Current Year30748368TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year21032247SalariesEtcPriorYear
Salaries Etc Current Year19918953SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year15040649OtherExpensePriorYear
Other Expenses Current Year14141435OtherExpensesCurrentYear
Total Expenses Prior Year36072896TotalExpensesPriorYear
Total Expenses Current Year34060388TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1021337RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3312020RevenuesLessExpensesCY
Total Assets BOY23812409TotalAssetsBOY
Total Assets EOY20847809TotalAssetsEOY
Total Liabilities BOY8209050TotalLiabilitiesBOY
Total Liabilities EOY8286034TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15603359NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12561775NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTAYLOR REGIONAL HOSPITAL IS A 55 BED, GENERAL, ACUTE-CARE HEALTH INSTITUTION OFFERING A WIDE RANGE OF SPECIALIZED SERVICES AND PROGRAMS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense30649958Expense
Revenue29656573Revenue
DescriptionTAYLOR 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 Expense30649958TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109679NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees476NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSANDRA HERNDONNamePerson
Telephone Number4787830200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1297AddressLine1
CityHAWKINSVILLECity
StateGAState
ZIP Code31036ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
WENDELL DUNAWAY
CHAIRMAN1.00XX000
RICHARD COLEY
VICE CHAIR1.00XX000
BOB LAMAR
BOARD MEMBER1.00X000
JENNIFER BAKER MD
BOARD MEMBER1.00X000
MIKE PENN
BOARD MEMBER1.00X000
JOHN D WAY
BOARD MEMBER1.00X000
ROYCE CONNER
BOARD MEMBER1.00X000
DENNIS VICKERS
SEC/TREASURE1.00XX000
TED COLEMAN MD
BOARD MEMBER1.00X000
DAN MADDOCK
CEO40.00X3748321650000
MELISSA JOHNSON
CNO40.00X8443900
SANDY TAYLOR
CFO40.00X6353100
JENNIFER LASTER
COO40.00X890800
MARTIN ALAN BAGGETT MD
PHYSICIAN40.0045288300X
PHILLIP KEVIN WELLS MD
PHYSICIAN40.0039641800X
SANDRA S KOPACZ MD
PHYSICIAN40.0032943200X
ROBERT HEATH MD
PHYSICIAN40.0027217100X
MONTE SLATER MD
PHYSICIAN40.0027017000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2252784TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs165000TotalReportableCompFrmRltdOrgs
Number Individuals GT100 K21NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EAGLE HOSPITAL PHYSICIANS
1600 NORTH DALLAS PKWY STE 450DALLASTX75248HOSPITALISTS SV866100
KING'S MEDICAL COMPANY
1894 GEORGETOWN ROADHUDSONOH44236MRI SERVICES287767
TAYLOR REGIONAL EMERGENCY PHYSICIANS
P O BOX 203251HOUSTONTX77216EMERGENCY PHYS167653
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants617485GovernmentGrants
All Other Contributions47080AllOtherContributions
Total Contributions664565TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column29581534TotalRevenueColumn
Related Or Exempt Function Income29581534RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue29581534TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column40130TotalRevenueColumn
Exclusion$40,130ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other650Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other650Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column650TotalRevenueColumn
Exclusion$650ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory163439GrossSalesOfInventory
Cost Of Goods Sold148042CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column15397TotalRevenueColumn
Related Or Exempt Function Income15397RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
NONOPER. REV.561000127921$127,921
CAFETERIA SALES722210117426$117,426
WELLNESS CENTER62199097834$97,834

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column102911TotalRevenueColumn
Related Or Exempt Function Income59642RelatedOrExemptFunctionIncome
Exclusion$43,269ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue446092TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column30748368TotalRevenueColumn
Related Or Exempt Function Income29656573RelatedOrExemptFunctionIncome
Exclusion$427,230ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total508794Total
Management And General508794ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16442214Total
Program Services15234697ProgramServices
Management And General1207517ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1825331Total
Program Services1640425ProgramServices
Management And General184906ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1142614Total
Program Services1026867ProgramServices
Management And General115747ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total153132Total
Management And General153132ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total49322Total
Management And General49322ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total72819Total
Management And General72819ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total4307Total
Management And General4307ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3448742Total
Program Services3115154ProgramServices
Management And General333588ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total25974Total
Management And General25974ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4364159Total
Program Services4059634ProgramServices
Management And General304525ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total733741Total
Program Services650608ProgramServices
Management And General83133ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total77776Total
Program Services60862ProgramServices
Management And General16914ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total34354Total
Program Services33061ProgramServices
Management And General1293ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total186443Total
Management And General186443ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total922259Total
Program Services817767ProgramServices
Management And General104492ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total374547Total
Program Services374547ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS25252832525283
REPAIRS AND MAINT61273259605616676
PROVIDER TAXES266769266769
RECRUITMENT229525229525
DUES & SUBSCRIPTIONS595511870340848

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total34060388Total
Program Services30649958ProgramServices
Management And General3410430ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY713006BOY
EOY692972EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8003259BOY
EOY5830100EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3728391BOY
EOY2469995EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1386341BOY
EOY1492353EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY363813BOY
EOY323300EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY477713BOY
EOY539735EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26838639LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec20075767LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6608327BOY
EOY6762872EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY800179BOY
EOY784210EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY130000BOY
EOY130000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1601380BOY
EOY1822272EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY23812409BOY
EOY20847809EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4544339BOY
EOY4144709EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2754011BOY
EOY3448416EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY910700BOY
EOY692909EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8209050BOY
EOY8286034EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15603359BOY
EOY12561775EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15603359BOY
EOY12561775EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23812409BOY
EOY20847809EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3312020ReconcilationRevenueExpenses
Reconcilation Other Changes270436ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$4,307OtherActivitiesAmount
Total Lobbying Expenditures IIB4307TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationTAYLOR 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

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis402337OtherCostOrOtherBasis
Book Value402337BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12922661OtherCostOrOtherBasis
Depreciation8472147Depreciation
Book Value4450514BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13150649OtherCostOrOtherBasis
Depreciation11603620Depreciation
Book Value1547029BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis362992OtherCostOrOtherBasis
Book Value362992BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6762872TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
CASH VALUE OF LIFE INSURANCE PLAN1359677
PHYSICIAN NOTES RECEIVABLE351430
INTERCOMPANY RECEIVABLES111165
FieldValueIRS element (for citing)
Total Book Value Other Assets1822272TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE RELATED PARTIES$410,851
THIRD PARTY SETTLEMENTS$282,058
FieldValueIRS element (for citing)
Total Of Amounts692909TotalOfAmounts
Total Revenue30748368TotalRevenue
Total Expenses34060388TotalExpenses
Excess Or Deficit For Year-3312020ExcessOrDeficitForYear
Other$293,130OtherAmount
Total Adjustments293130TotalAdjustments
Excess Or Deficit Per FS-3018890ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt31049104TotRevenueEtcAuditedFinclStmt
Other Revenues316705OtherRevenues
Revenue Not Rptd F990316705RevenueNotRptdF990
Revenue Subtotal30732399RevenueSubtotal
Other Revenues Not Included15969OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt15969RevenueNotRptdOnFinStmt
Total Revenue Per Form99030748368TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt34067994TotExpensesEtcAuditedFinclStmt
Other Expenses Included7606OtherExpensesIncluded
Expenses Not Rptd F9907606ExpensesNotRptdF990
Expenses Subtotal34060388ExpensesSubtotal
Total Expenses Per Form99034060388TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XINCOME TAXES THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. TAYLOR DEVELOPMENT CORPORATION IS A FOR-PROFIT ENTITY AND DOES INCLUDE A PROVISION FOR INCOME TAXES ON EARNINGS, IF ANY, AT APPLICABLE RATES AS PROVIDED BY CURRENT LAW. 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 OR 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, 2011 AND 2010 OR FOR THE YEARS THEN ENDED. THE HOSPITAL'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2008-2010.
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8CHANGE IN CASH VALUE OF SERP LIFE INSURANCE 177,918 TAYLOR DEVELOPMENT RENTAL INCOME 30,300 TELFAIR EQUITY TRANSFER 108,487 UNREALIZED LOSSES ON INVESTMENTS -15,969 TAYLOR DEVELOPMENT EXPENSES -7,606
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DCHANGE IN CASH VALUE OF SERP LIFE INSURANCE 177,918 TAYLOR DEVELOPMENT RENTAL INCOME 30,300 TELFAIR EQUITY TRANSFER 108,487
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BUNREALIZED LOSSES ON INVESTMENTS 15,969
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DTAYLOR DEVELOPMENT EXPENSES 7,606

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CarefalseAmountsBudgetedForCharityCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense437520TotalCommunityBenefitExpense
Net Community Benefit Expense437520NetCommunityBenefitExpense
Percent Of Total Expense0.01380PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense2148014TotalCommunityBenefitExpense
Direct Offsetting Revenue1707108DirectOffsettingRevenue
Net Community Benefit Expense440906NetCommunityBenefitExpense
Percent Of Total Expense0.01390PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2585534TotalCommunityBenefitExpense
Direct Offsetting Revenue1707108DirectOffsettingRevenue
Net Community Benefit Expense878426NetCommunityBenefitExpense
Percent Of Total Expense0.02770PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2869045TotalCommunityBenefitExpense
Direct Offsetting Revenue1398963DirectOffsettingRevenue
Net Community Benefit Expense1470082NetCommunityBenefitExpense
Percent Of Total Expense0.04640PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2869045TotalCommunityBenefitExpense
Direct Offsetting Revenue1398963DirectOffsettingRevenue
Net Community Benefit Expense1470082NetCommunityBenefitExpense
Percent Of Total Expense0.04640PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5454579TotalCommunityBenefitExpense
Direct Offsetting Revenue3106071DirectOffsettingRevenue
Net Community Benefit Expense2348508NetCommunityBenefitExpense
Percent Of Total Expense0.07410PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,520,950BadDebtExpenseAmount
Amount Reimbursed By Medicare6308051AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare5275143CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1032908MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1TAYLOR REGIONAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1PO BOX 1297AddressLine1
Address Line2222 PERRY HIGHWAYAddressLine2
CityHAWKINSVILLECity
StateGAState
ZIP Code31036ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherHHA, SNF, CLINICSOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1TAYLOR REGIONAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
TAYLOR REGIONAL HOSP SWING BED SNF
P O BOX 1297HAWKINSVILLEGA31036SWING BED SNF
TAYLOR REGIONAL HHA
P O BOX 1297HAWKINSVILLEGA31036HOME HEALTH AGENCY

Form990 Schedule H Part VI Form990ScheduleHPartVI (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSEPART I LINE 7 COLUMN FIN 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 34060388 LESS BAD DEBTS IN PART IX 2525283 ADD EXPENSES REPORTED IN PART VIII 148042 DENOMINATOR FOR COLUMN F 31683147
COSTING METHODOLOGY EXPLANATIONPART I LINE 7THE 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
BAD DEBT EXPENSE EXPLANATIONPART III LINE 4AMOUNTS ON PART III LINES 2 AND 3 WERE CALCULATED USING THE RCC AS DEFINED IN WORKSHEET 2 EXCERPT FROM AUDITED FINANCIAL STATEMENTS ALLOWANCE FOR DOUBTFUL ACCOUNTS THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE EVALUATION OF THE OVERALL COLLECTIBILITY OF THE ACCOUNTS RECEIVABLE AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE THE ACCOUNT IS CHARGED AGAINST THE ALLOWANCE
MEDICARE EXPLANATIONPART III LINE 8COSTS FOR PART I LINE 7A AND 7B AND PART III SECTION A LINE 2 WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2
ADDITIONAL INFORMATIONPART VIA PARTNERSHIP WITH ACUTE CARE TELEMEDICINE ACT AN ATLANTABASED TELENEUROLOGY SERVICE PROVIDER NOW ENABLES TAYLOR REGIONAL TO PROVIDE EMERGENCY NEUROLOGICAL CONSULTATION SERVICES LOCATED IN THE STROKE BELT OF THE UNITED STATES CITIZENS IN OUR SERVICE AREAS FACE AS MUCH AS A 40 PERCENT HIGHER RATE OF STROKE MORTALITY THAN IN OTHER PARTS OF THE COUNTRY WITH THE USE OF TELENEUROLOGY WE CAN NOW OVERCOME THE MOST SIGNIFICANT OBSTACLE TO THE TIMELY AND EFFECTIVE TREATMENT OF ACUTE STROKE BY PROVIDING ACCESS TO TOP QUALITY NEUROLOGY CARE WITHIN THE FIRST MONTH OF USE AT TAYLOR REGIONAL ACT TREATED AT LEAST THREE PATIENTS WITH STROKE IN OUR EMERGENCY DEPARTMENT WITH ONE PATIENT RECEIVING TISSUE PLASMINOGEN ACTIVATOR TPA THE LIFESAVING DRUG USED TO OPEN UP THROMBOSED ARTERIES IN STROKE UP UNTIL THIS TIME THESE PATIENTS WOULD HAVE BEEN TRANSFERRED TO MACON OR ATLANTA TO RECEIVE THESE TIMESENSITIVE TREATMENTS ANOTHER PROGRAM HAS BEEN ESTABLISHED WITH ANCHOR HOSPITAL IN ATLANTA TO PROVIDE TELEPSYCHIATRY TREATMENT FOR BOTH INPATIENTS AND THOSE PRESENTING TO THE EMERGENCY DEPARTMENT NEEDING PSYCHIATRIC TREATMENT TAYLOR REGIONAL WAS RECENTLY AWARDED THE LEVEL III TRAUMA CENTER DESIGNATION MAKING IT THE SECOND LEVEL III IN THE STATE TRAUMATIC INJURYTYPICALLY CAUSED BY CAR CRASHES FALLS AND WORK ACCIDENTS IS THE LEADING CAUSE OF DEATH IN GEORGIA TRAUMA PATIENTS HAVE A GREATER CHANCE OF SURVIVAL IF THEY RECEIVE CARE WITHIN ONE HOUR OFTEN REFERRED TO AS THE GOLDEN HOUR THIS TRAUMA LEVEL CERTIFICATION CAN DIRECTLY AFFECT THE PATIENTS OUTCOME ONCE ONLY IN THE PLANNING STAGES TAYLOR CARDIAC REHABILITATION NOW OFFERS OUR AREA COMMUNITIES AN EXERCISE AND EDUCATIONAL PROGRAM DESIGNED FOR HEART PATIENTS AND MONITORED BY OUR TEAM OF HEALTHCARE PROFESSIONALS THE PROGRAM HELPS DEVELOP HEALTHY LIFESTYLE HABITS STRENGTHEN HEART MUSCLE IMPROVE QUALITY OF LIFE AND PREVENT FUTURE CARDIAC EVENTS DIABETES TENDS TO GO HAND IN HAND WITH OBESITY A MAJOR HEALTH ISSUE IN OUR COMMUNITY FOR PEOPLE WHO HAVE WOUNDS THAT WONT HEAL BECAUSE OF DIABETES OR OTHER HEALTH CONDITIONS SOMETIMES LIFE CAN LOSE ITS ENJOYMENT BECAUSE OF PAIN FEAR AND A REDUCED ABILITY TO GET AROUND EFFECTIVE TREATMENTS CAN HELP HEAL WOUNDS AND THATS WHAT THE WOUND CARE CLINIC AT TAYLOR REGIONAL HOSPITAL IS ALL ABOUT OUR MULTIDISCIPLINARY TEAM OF WOUND CARE SPECIALISTS INCLUDING DOCTORS NURSES THERAPISTS AND OTHER MEDICAL PROFESSIONALS USE THE LATEST MOST ADVANCED TREATMENTS TO HELP WOUNDS HEAL SO PATIENTS CAN FEEL BETTER AND GET BACK TO ENJOYING LIFE AMONG THE MANY HEALTH ISSUES PREDOMINANT IN OUR AREA ARE OBESITY CANCER HEART DISEASE AND TEENAGE PREGNANCIES RESULTING IN LOW BIRTH WEIGHT BABIES IN RESPONSE TO THESE ISSUES TAYLOR REGIONAL HAS PROVIDED THE FOLLOWING SWIMMING LESSONS INCLUDING MOMMY ME CHILDREN ADULT AND PRIVATE CLASSES EXERCISE PROGRAMS TAILORED TO FIT A VARIETY OF AGE GROUPS SILVER SNEAKERS PROGRAM FOR AGES 65 PLAYGROUND ON CAMPUS WHEN THERE WAS NO MUNICIPAL PLAY AREA IN THE COMMUNITY RUN FOR THE HEALTH OF IT AN ANNUAL 5K RUN AND WALK SMOKING CESSATION CLASSES WEIGHT WATCHERS STRESS REDUCTION CLASSES WAYS TO A HEALTHIER LIFESTYLE CLASSES HEALTHY EATING MADE EASY CLASSES NUTRITIONAL CLASSES CHILDBIRTH CLASSES WIC PROGRAM HEALTH FAIRS CPR PALS AND FIRST AID TRAINING RELAY FOR LIFE TEAM SPONSOR OUTDOOR PUBLIC WALKING TRACK PARTICIPATING MEMBER AND SUPPORTER OF ARCHWAY ENDEAVOR SPONSORED BY THE UNIVERSITY OF GEORGIA MAZE DEMONSTRATION TO DISCOURAGE TEENAGE PREGNANCIES STDS AND TRAUMA FROM DRIVING WHILE TEXTING VOLUNTEER SPEAKERS ON COMMUNITY ISSUES RANGING FROM PROGRAMS AND SERVICES OFFERED AT THE HOSPITAL AS WELL AS ISSUES ON PUBLIC SAFETY

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
DAN MADDOCK
164832165000210000374832165000164832
MARTIN ALAN BAGGETT MD
452883452883
PHILLIP KEVIN WELLS MD
396418396418
SANDRA S KOPACZ MD
329432329432
ROBERT HEATH MD
272171272171
MONTE SLATER MD
270170270170

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ATHE ORGANIZATION OWNS A CONDOMINIUM. ANY PERSONAL USE OF THE UNIT BY THE CEO IS INCLUDED IN HIS TAXABLE INCOME. THE ORGANIZATION TRANSFERRED OWNERSHIP OF THE CONDOMINIUM TO DAN MADDOCK. THE APPRAISED VALUE OF 210,000 WAS INCLUDED IN THE CEO'S TAXABLE INCOME FOR THE CALENDAR YEAR 2010.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4DAN MADDOCK 0 164,832 0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ROYCE CONNER
BD/BANK BD MBR81200BANK LOANSfalse
ROYCE CONNER
BD/BANK BD MBR230500BANK CASH BALANCESfalse
JOHN WAY
BD/BANK BD MBR76531BANK LOANSfalse
JOHN WAY
BD/BANK BD MBR627683BANK CASH BALANCESfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE L PART VReturnReference
ExplanationROYCE 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 BANKExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990REASONABLE CAUSE STATEMENT: THIS RETURN IS BEING FILED BETWEEN MARCH 1, 2012, AND MARCH 30, 2012, AS DIRECTED BY THE IRS IN NOTICE 2012-4, BECAUSE ELECTRONIC FILING WAS NOT AVAILABLE JANUARY 1, 2012 THROUGH FEBRUARY 29, 2012. WE REQUEST THAT PENALTIES BE WAIVED BECAUSE IT WOULD BE INEQUITABLE TO IMPOSE A PENALTY ON US DUE TO THE UNUSUAL CIRCUMSTANCES REQUIRING US TO DELAY THE FILING OF THIS RETURN.
ADDITIONAL INFORMATIONFORM 990, PART IIISERVICES 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 2011, PATIENT DAYS AT TAYLOR REGIONAL HOSPITAL TOTALED 6,152; DISCHARGES TOTALED 1,741 AND HOME HEALTH VISITS TOTALED 8,417.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BA 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 POLICYFORM 990, PAGE 6, PART VI, LINE 12CCONFLICTS 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 OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE 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 OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE CEO OF THE ORGANIZATION REVIEWS AND DETERMINES THE COMPENSATION FOR ALL OTHER MEMBERS OF THE ORGANIZATION.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19TAYLOR REGIONAL HOSPITAL PROVIDES COPIES OF ITS FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
RELATED ORGANIZATIONSFORM 990, PAGE 7, PART VIIAVERAGE HOURS SPENT AT RELATED ORGANIZATIONS: WENDALL DUNAWAY 1 HOUR DICK COLEY 1 HOUR ROYCE CONNER 1 HOUR DENNIS VICKERS 1 HOUR TED COLEMAN, MD 1 HOUR BOB LAMAR 1 HOUR MIKE PENN 1 HOUR JOHN WAY 1 HOUR JENNIFER BAKER, MD 1 HOUR DAN MADDOCK 5 HOURS SANDY TAYLOR 4 HOURS
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5INCREASES: CHANGE IN VALUE OF SERP 177,918 EQUITY TRANSFER 108,487 DECREASES: UNREALIZED LOSS ON SUNLIFE 15,969

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1TAYLOR MEMORIAL CARE FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1297AddressLine1
CityHAWKINSVILLECity
StateGAState
ZIP Code31036ZIPCode
FieldValueIRS element (for citing)
EIN581733602EIN
Primary ActivitiesFUNDRSNGPrimaryActivities
Legal Domicile StateGALegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status11APublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TAYLOR REGIONAL HEALTH NETWORK LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1297AddressLine1
CityHAWKINSVILLECity
StateGAState
ZIP Code31035ZIPCode
FieldValueIRS element (for citing)
EIN582371021EIN
Primary ActivityMGMTPrimaryActivity
Legal Domicile StateGALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income6806ShareOfTotalIncome
Share Of EOY Assets138627ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership1.00000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
TAYLOR MANAGEMENT SERVICES INC
PO BOX 1297HAWKINSVILLEGA31036582371969MGMTGAN/A
TAYLOR DEVELOPMENT CORP
PO BOX 1297HAWKINSVILLEGA31036581310513MGMTGANAC CORP30300600271.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
TAYLOR MEMORIAL CARE FOUNDATION
L39725NET FUNDS RAISED
TAYLOR MEM CARE FDN TAYLOR DEV COR
MAMOUNTS INDETERMINABLE
TAYLOR MANAGEMENT SERVICES
N165000ACTUAL COMPENSATION
TAYLOR MEM CARE FDN TAYLOR DEV COR
NAMOUNTS INDETERMINABLE
TAYLOR MNGMT SVCS TAYLOR REG NETWK
MAMOUNTS INDETERMINABLE

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