TAYLOR REGIONAL HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
TAYLOR REGIONAL HOSPITAL (EIN 58-0655369)
Tax period
2009-04-01 to 2010-03-31
Filed
2011-02-14
IRS object ID
201140459349300239
Schema version
2009v1.7
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)
Timestamp2011-02-14T14:45:49-06:00Timestamp
Tax Period End Date2010-03-31TaxPeriodEndDate

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 Date2009-04-01TaxPeriodBeginDate

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 Signed2011-02-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLINTON A HARRISName
Phone2298837878Phone
Date Prepared2011-02-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts35112517GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Employees492TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year378941ContributionsGrantsPriorYear
Contributions Grants Current Year521195ContributionsGrantsCurrentYear
Program Service Revenue Prior Year34235743ProgramServiceRevenuePriorYear
Program Service Revenue CY33947870ProgramServiceRevenueCY
Investment Income Prior Year226093InvestmentIncomePriorYear
Investment Income Current Year121436InvestmentIncomeCurrentYear
Other Revenue Prior Year363861OtherRevenuePriorYear
Other Revenue Current Year461058OtherRevenueCurrentYear
Total Revenue Prior Year35204638TotalRevenuePriorYear
Total Revenue Current Year35051559TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22924602SalariesEtcPriorYear
Salaries Etc Current Year21032247SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14354466OtherExpensePriorYear
Other Expenses Current Year15040649OtherExpensesCurrentYear
Total Expenses Prior Year37279068TotalExpensesPriorYear
Total Expenses Current Year36072896TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2074430RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1021337RevenuesLessExpensesCY
Total Assets BOY24267340TotalAssetsBOY
Total Assets EOY23812409TotalAssetsEOY
Total Liabilities BOY7828968TotalLiabilitiesBOY
Total Liabilities EOY8209050TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16438372NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15603359NetAssetsOrFundBalancesEOY
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
Expense32400249Expense
Revenue34080430Revenue
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 Expense32400249TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
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 OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109673NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees492NumberOfEmployees
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
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 VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJENNIFER LEENamePerson
Telephone Number4787830200TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
WENDELL DUNAWAY
CHAIRMAN1.00XX000
RICHARD COLEY
SECR./TREAS.1.00XX000
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
BOARD MEMBER1.00X000
DR TED COLEMAN
BOARD MEMBER1.00X000
DAN MADDOCK
CEO40.00X1744941650000
NICOLE PAULK
CNO40.00X8824900
JENNIFER LASTER
COO40.00X8332200
SANDY TAYLOR
CFO40.00X7693600
MELISSA JOHNSON
CNO40.00X6295300
DR DONALD H ROSENBAUM
PHYSICIAN40.0047397700X
DR MARTIN ALAN BAGGETT
PHYSICIAN40.0042941800X
DR PHILLIP KEVIN WELLS
PHYSICIAN40.0040312700X
DR SANDRA S KOPACZ
PHYSICIAN40.0030933500X
JOHN NINO MD
PHYSICIAN40.0029283700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2394648TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs165000TotalReportableCompFrmRltdOrgs
Number Individuals GT100 K23NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EAGLE HOSPITAL PHYSICIANS
5901-C PEACHTREE DUNWOODY RD STE 35ATLANTAGA30328HOSPITALISTS SV1090717
KING'S MEDICAL COMPANY
1894 GEORGETOWN ROADHUDSONOH44236MRI SERVICES441372
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants501867GovernmentGrants
All Other Contributions19328AllOtherContributions
Total Contributions521195TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUEDescription
Total Revenue Column33947870TotalRevenueColumn
Related Or Exempt Function Income33947870RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue33947870TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column121436TotalRevenueColumn
Exclusion$121,436ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1950Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1950Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1950TotalRevenueColumn
Related Or Exempt Function Income1950RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Sales Of Inventory130620GrossSalesOfInventory
Cost Of Goods Sold60958CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column69662TotalRevenueColumn
Related Or Exempt Function Income69662RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA SALES121961$121,961
WELLNESS CENTER95996$95,996
DISCOUNTS6094860948

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column110541TotalRevenueColumn
Exclusion$110,541ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue389446TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column35051559TotalRevenueColumn
Related Or Exempt Function Income34080430RelatedOrExemptFunctionIncome
Exclusion$449,934ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total476339Total
Management And General476339ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17467672Total
Program Services16140547ProgramServices
Management And General1327125ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1894608Total
Program Services1704200ProgramServices
Management And General190408ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1193628Total
Program Services1073668ProgramServices
Management And General119960ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total346035Total
Management And General346035ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17536Total
Management And General17536ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total80530Total
Management And General80530ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3039023Total
Program Services2764726ProgramServices
Management And General274297ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total19981Total
Management And General19981ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5224927Total
Program Services4870769ProgramServices
Management And General354158ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total628816Total
Program Services560212ProgramServices
Management And General68604ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total83461Total
Program Services66843ProgramServices
Management And General16618ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total72967Total
Program Services61413ProgramServices
Management And General11554ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total186164Total
Management And General186164ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total905501Total
Program Services806711ProgramServices
Management And General98790ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total477512Total
Program Services477512ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS30365083036508
REPAIRS AND MAINT63631459259343721
RECRUITMENT229088229088
DUES & SUBSCRIPTIONS562861545940827

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total36072896Total
Program Services32400249ProgramServices
Management And General3672647ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY895095BOY
EOY713006EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8395155BOY
EOY8003259EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3599298BOY
EOY3728391EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1594187BOY
EOY1386341EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY352940BOY
EOY363813EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY591300BOY
EOY477713EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis25772346LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19164019LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7033858BOY
EOY6608327EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY575625BOY
EOY930179EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1229882BOY
EOY1601380EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24267340BOY
EOY23812409EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4800520BOY
EOY4544339EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2822908BOY
EOY2754011EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY205540BOY
EOY910700EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7828968BOY
EOY8209050EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16438372BOY
EOY15603359EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16438372BOY
EOY15603359EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24267340BOY
EOY23812409EOY
FieldValueIRS element (for citing)
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 Basis12553042OtherCostOrOtherBasis
Depreciation8128645Depreciation
Book Value4424397BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12816967OtherCostOrOtherBasis
Depreciation11035374Depreciation
Book Value1781593BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6608327TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
CASH VALUE OF LIFE INSURANCE PLAN1181759
PHYSICIAN NOTES RECEIVABLE308456
INTERCOMPANY RECEIVABLES111165
FieldValueIRS element (for citing)
Total Book Value Other Assets1601380TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY SETTLEMENTS$564,665
DUE RELATED PARTIES$346,035
FieldValueIRS element (for citing)
Total Of Amounts910700TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
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 Expense537014TotalCommunityBenefitExpense
Net Community Benefit Expense537014NetCommunityBenefitExpense
Percent Of Total Expense0.01630PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense1984325TotalCommunityBenefitExpense
Direct Offsetting Revenue1562697DirectOffsettingRevenue
Net Community Benefit Expense421628NetCommunityBenefitExpense
Percent Of Total Expense0.01280PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2521339TotalCommunityBenefitExpense
Direct Offsetting Revenue1562697DirectOffsettingRevenue
Net Community Benefit Expense958642NetCommunityBenefitExpense
Percent Of Total Expense0.02910PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2521339TotalCommunityBenefitExpense
Direct Offsetting Revenue1562697DirectOffsettingRevenue
Net Community Benefit Expense958642NetCommunityBenefitExpense
Percent Of Total Expense0.02910PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,689,440BadDebtExpenseAmount
Amount Reimbursed By Medicare7730667AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare5739579CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1991088MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1TAYLOR REGIONAL HOSPITALBusinessNameLine1

Address Address

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

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedTHE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". SEE ALSO THE DESCRIPTION FOR PART III, LINE 4.CostingMethodUsed
Percent Of Total Expense ExplnIN 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 36,072,896 LESS: BAD DEBTS IN PART IX ( 3,036,508) DENOMINATOR FOR COLUMN (F) 33,036,388PercentOfTotalExpenseExpln
Bad Debt FootnoteAMOUNTS 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.BadDebtFootnote
Shortfall As Community BenefitCOSTS FOR PART I, LINE 7A AND 7B AND PART III, SECTION A, LINE 2 WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2.ShortfallAsCommunityBenefit

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
1648791650009615174494165000164879
DR DONALD H ROSENBAUM
473977473977
DR MARTIN ALAN BAGGETT
429418429418
DR PHILLIP KEVIN WELLS
403127403127
DR SANDRA S KOPACZ
309335309335
JOHN NINO MD
292837292837

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 THIS UNIT BY THE CEO IS INCLUDED IN HIS TAXABLE INCOME.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4DAN MADDOCK 0 164,879 0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11A COPY OF THE FORM 990 IS REVIEWED DURING THE BOARD MEETING BY BOARD MEMBERS AND MANAGEMENT AFTER 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 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.
ADDITIONAL INFORMATIONSCHEDULE OFORM 990, PART III, LINE 4A - SERVICES AND PROGRAMS INCLUDE ACUTE MEDICAL/SURGICAL, INTENSIVE CARE, MAGNETIC RESONANCE IMAGING, OB/GYN, OUTPATIENT SURGERY CENTER, PHARMACY, DIAGNOSTIC RADIOLOGY, 24-HOUR EMERGENCY SERVICE, SURGERY, PHYSICAL THERAPY, POST-OPERATIVE RECOVERY ROOM, RESPIRATORY SERVICES AND HOME CARE SERVICES. DURING FISCAL YEAR 2010, PATIENT DAYS AT TAYLOR REGIONAL HOSPITAL TOTALED 7,324; DISCHARGES TOTALED 1,917 AND HOME HEALTH VISITS TOTALED 9,012.

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 ActivitiesFUNDRAISINPrimaryActivities
Legal Domicile StateGALegalDomicileState
Exempt Code Section501ExemptCodeSection
Public Charity Status11APublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

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 Income-1209ShareOfTotalIncome
Share Of EOY Assets225909ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner

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 CORP28200540581.00000
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 OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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