2026-05-12T07:58:24-04:00 2025-06-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2024-07-01 582175978 CRISP REGIONAL HOSPITAL INC CRIS 2292763130 902 7TH STREET NORTH CORDELE GA 310153234 STEVE GAUTNEY PRES/CEO 2292763132 2026-05-06 true false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2026-05-06 2024 2025-03-06 01:10:19Z STEVE GAUTNEY 902 7TH STREET NORTH CORDELE GA 310153234 141325368 false X WWW.CRISPREGIONAL.ORG X 1995 GA TO PROVIDE APPROPRIATE, QUALITY CARE AND ASSISTANCE IN MAINTAINING GOOD HEALTH IN AN EFFICIENT AND CARING MANNER TO ALL WHO NEED OUR SERVICES AND AS NEAR THEIR HOME AS POSSIBLE. 9 8 1095 35 0 1665355 2553232 118970605 133824760 3270323 3080299 1930320 1846033 125836603 141304324 351885 237007 0 56302217 59482674 0 0 70729746 78422802 127383848 138142483 -1547245 3161841 187184493 189125070 74231514 69056786 112952979 120068284 TO PROVIDE APPROPRIATE, QUALITY CARE AND ASSISTANCE IN MAINTAINING GOOD HEALTH IN AN EFFICIENT AND CARING MANNER TO ALL WHO NEED OUR SERVICES AND AS NEAR THEIR HOME AS POSSIBLE. false false 104648272 237007 134038942 THE ORGANIZATION OPERATES A HOSPITAL, TWO SNFS & A HHA PROVIDING SHORT-TERM ACUTE CARE FOR INPATIENT & OUTPATIENT SERVICES FOR CRISP COUNTY AND SURROUNDING COUNTIES. TOTAL PATIENT DAYS FOR FYE 6/30/25 WERE 10,658 ; HHA VISITS FOR WERE 14,673; AND SNF PATIENT DAYS WERE 26,812 ; CORDELE HEALTH AND REHABILITATION (A FREE-STANDING SNF) PATIENT DAYS TOTAL 22,603 , AND RURAL HEALTH CLINIC VISITS TOTALED 5,562. 104648272 true true false true false false false false false false true false false false true true false true false false true false false false false false true true false true true true false false false false false false false false false false false false false false false true true true false false true 130 0 1095 true false false false false false false false false false false false false X 9 8 false false false false false false false true true false false true true true true true true true true true true GA X X JESSICA CARTER 2292763130 902 7TH STREET CORDELE GA 310153234 SAMYUKTA CHAVA MD PHYSICIAN 40.00 X 638119 0 2300 LYNN ALAN LYONS MD PHYSICIAN 40.00 X 596293 0 37715 DAVID COX PHYSICIAN 40.00 X 542559 0 38899 SRILATHA NADIPINENI MD PHYSICIAN 40.00 X 523561 0 35217 STEVE GAUTNEY PRES/CEO 40.00 X X 507662 0 27389 RANDY C LAVENDER PHYSICIAN 40.00 X 472878 0 37715 JESSICA CARTER CFO 40.00 X 309281 0 38267 APRIL DUKES VP PATIENT C 40.00 X 211725 0 18674 DAVID KICKER VP 40.00 X 150240 0 25321 VICKIE TEEMER VP HR 40.00 X 170281 0 4528 MATT COLEY BOARD MEMBER 1.00 X 0 0 0 HEATH HAMILTON BOARD MEMBER 1.00 X 0 0 0 CINDY HUGHES SECRETARY/TR 1.00 X X 0 0 0 NOEL WILLIAMS JR ASST SEC/TRE 1.00 X X 0 0 0 CLAIRE KRAUSE BOARD MEMBER 1.00 X 0 0 0 SULE SALAMI MD CHAIRMAN 1.00 X X 0 0 0 WILLIAM PANNELL MD CHAIRMAN(T-6 1.00 X X 0 0 0 ARTHUR PARKER BOARD MEMBER 1.00 X 0 0 0 DR GUY T YOUNG BOARD MEMBER 1.00 X 0 0 0 4122599 266025 112 false true false HOAR CONSTRUCTION 2 METROPLEX DRIVE STE 400 BIRMINGHAM AL 35209 PROFESSIONAL SV 11375219 INNOVATIVE THERAPY CONCEPTS LLC 2 MASHBURN ST SUITE 102 HAWKINSVILLE GA 310364961 THERAPY 2362980 ANESTHESIA MANAGEMENT SOLUTIONS 28 N PALAFOX ST PENSACOLA FL 32502 MEDICAL SVS 1652057 TOM BARROW COMPANY PO BOX 116406 ATLANTA GA 30368 PROFESSIONAL SV 818818 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 MEDICAL SVS 716108 30 1426170 1127062 2553232 PROGRAM SERVICE REVENUE 623000 133204486 133204486 EMS OPERATIONS CONTRACT 621990 620274 620274 133824760 3017165 3017165 131168 131168 131168 131168 63134 63134 63134 63134 40473 21044 19429 19429 DIETARY/VENDING 722514 601649 601649 PURCHASE DISCOUNTS 621990 368598 368598 PRISON CLINIC 621990 280130 280130 445059 100746 344313 1695436 141304324 134705402 4045690 X 237007 237007 46935407 35749133 11186274 1117237 613169 504068 6986333 4184639 2801694 4443697 3188127 1255570 310593 45000 265593 -119933 -119933 151850 151850 313685 313685 25660035 18907502 6752533 516045 360889 155156 6710173 5381390 1328783 3757244 3644527 112717 702779 437448 265331 133416 38701 94715 7159071 3173099 3985972 4027894 2877101 1150793 MEDICAL SUPPLIES 23711352 23711352 LICENSES AND TAXES 1911990 32275 1879715 OTHER MISCELLANEOUS 1561595 544998 1016597 HOSPITAL/NURSING HOME 1171326 1171326 743687 350589 393098 138142483 104648272 33494211 0 76162 2413226 17565109 1711764 35697329 29796176 1891627 2404599 3141183 3157250 165346748 92690136 56582012 72656612 58182751 62720458 431969 547234 1929103 841527 7909228 7045204 3778020 5831020 187184493 189125070 23589890 18881445 758892 752892 47525395 45956698 1926329 2922736 431008 543015 74231514 69056786 X 112952979 120068284 112952979 120068284 187184493 189125070 X 3161841 2816753 1136711 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 16857 16857 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE ORGANIZATIONS. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THOSE ORGANIZATIONS PARTICIPATE. 3939620 3939620 63933306 32860394 31072912 1579814 1267191 312623 76713782 58562551 18151231 19180226 19180226 72656612 THIRD PARTY SETTLEMENTS 543015 543015 X SCHEDULE D, PAGE 3, PART X CRISP REGIONAL HEALTH SERVICES, INC., CRISP REGIONAL HOSPITAL, INC. AND CRIS REGIONAL DEVELOPMENT FOUNDATION, INC. ARE NOT-FOR-PROFIT CORPORATIONS THAT HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CRISP REGIONAL HOSPITAL PORTFOLIO INSURANCE COMPANY IS EXEMPTED FROM ALL LOCAL INCOME, PROFIT, OR CAPITAL GAINS TAXES UNTIL JULY 28, 2042 UNDER THE CAYMAN ISLAND TAX CONCESSIONS LAW. THE CORPORATIONS APPLY 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, THEY ONLY RECOGNIZE THAT 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 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 RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING COMBINED BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2025 OR 2024 OR FOR THE YEARS THEN ENDED. THE CORPORATIONS' TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. true CENTRAL AMERICA AND THE CARIBBEAN INVESTMENT 7987330 7987330 7987330 true false true false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 7,987,330 true true X true X 1.250000000000 true X true false false 105781 105781 0.00080 26419172 25775522 643650 0.00470 26524953 25775522 749431 0.00540 72903 72903 0.00050 208817 208817 0.00150 21277819 9184109 12093710 0.08750 4850 4850 21564389 9184109 12380280 0.08960 48089342 34959631 13129711 0.09500 true 29996216 17789409 17921054 -131645 X true true CRISP HC ALLIANCE HEALTH SERVICES 0.82000 0.18000 1 1 CRISP REGIONAL HOSPITAL INC 902 7TH STREET NORTH CORDELE GA 310105007 WWW.CRISPREGIONAL.ORG 040-495 X X X SNF, NF, HHA, HOSPICE, RHC, RD CRISP REGIONAL HOSPITAL INC 1 false false true X X X X X X X X X X 25 true false false true X WWW.CRISPREGIONAL.ORG X true 26 true HTTPS://CRISPREGIONAL.ORG/ABOUT/ false false true X 125.000000000000 200.000000000000 X X X X true true X X X X true X WWW.CRISPREGIONAL.ORG X WWW.CRISPREGIONAL.ORG X WWW.CRISPREGIONAL.ORG X X X X X X true X false X X X X true X false false FACILITY 1, CRISP REGIONAL HOSPITAL INC - PART V, LINE 3E THE 2025 CHNA IDENTIFIED HYPERTENSION, DIABETES, OVERWEIGHT/OBESITY, MENTAL HEALTH, AND AGING RELATED HEALTH ISSUES WERE IDENTIFIED AS MAJOR HEALTH PROBLEMS IN THE COMMUNITY. COMMUNITY MEMBERS EXPRESSED THE NEED FOR SPECIALTY CARE SERVICES, ESPECIALLY MENTAL AND BEHAVIORAL HEALTH SERVICES AND CARDIOLOGY, AS WELL AS IMPROVED ACCESS TO CARE, INCLUDING TRANSPORTATION ASSISTANCE. PARTICIPANTS ALSO HIGHLIGHTED THE NEED FOR COMMUNITY OUTREACH TO RAISE AWARENESS OF AVAILABLE HEALTHCARE RESOURCES, PROMOTE LIFESTYLE CHANGE PROGRAMS, AND MOTIVATE INDIVIDUALS TO ENGAGE IN PREVENTIVE CARE. FACILITY 1, CRISP REGIONAL HOSPITAL INC - PART V, LINE 5 THE CHNA PROCESS INVOLVES FIVE STEPS: DEFINING THE COMMUNITY, COLLECTING SECONDARY DATA, COLLECTING PRIMARY DATA, PRIORITIZING COMMUNITY HEALTH NEEDS, AND DEVELOPING STRATEGIES TO ADDRESS THOSE NEEDS. IN 2024, CRISP REGIONAL HOSPITAL PARTNERED WITH THE UNIVERSITY OF GEORGIA (UGA) ARCHWAY PARTNERSHIP AND UGA COLLEGE OF PHARMACY (COP) TO CONDUCT ITS 2025 CHNA. THE CHNA TEAM FOLLOWED THE FIVE-STEP PROCESS IN CONDUCTING THE CHNA. FIRST, THE COMMUNITY,OR SERVICE AREA FOR CRISP REGIONAL HOSPITAL WAS DEFINED. WHILE CRISP COUNTY, WHERE THE HOSPITAL IS LOCATED, SERVED AS THE PRIMARY SERVICE AREA, THE HOSPITAL ALSO SERVES SURROUNDING COUNTIES, INCLUDING DOOLY, LEE, SUMTER, TURNER, WILCOX AND WORTH. AFTER DEFINING THE SERVICE AREA AND COMMUNITY, THE CHNA TEAM COLLECTED BOTH PRIMARY AND SECONDARY DATA. SECONDARY DATA WERE COLLECTED FROM THE FOLLOWING SOURCES: COUNTY HEALTH RANKINGS, THE U.S. CENSUS BUREAU, GEORGIA DEPARTMENT OF PUBLIC HEALTHS OASIS, AND KIDS COUNT DATA FROM THE ANNIE E. CASEY FOUNDATION. DATA WERE COMPILED INTO EXCEL, ALLOWING FOR COMPARISON ACROSS COUNTIES, AND THE STATE TO IDENTIFY POTENTIAL AREAS FOR IMPROVEMENT. FOLLOWING THE COLLECTION OF SECONDARY DATA, THE CHNA TEAM COLLECTED PRIMARY DATA FROM COMMUNITY MEMBERS. FOUR FOCUS GROUPS WERE CONDUCTED WITH THIRTEEN COMMUNITY STAKEHOLDERS TO GAIN AN IN-DEPTH UNDERSTANDING OF OVERALL COMMUNITY HEALTH STATUS AND NEEDS, HEALTH BEHAVIORS, AND HOSPITAL USE. PARTICIPANTS VARIED IN EXPERTISE AND REPRESENTED DIVERSE SECTORS AND EXPERIENCES. ALL FOCUS GROUPS WERE RECORDED AND TRANSCRIBED, AND THEMATICALLY ANALYZED BY THE UGA-COP CHNA TEAM. IN ADDITION TO THE QUALITATIVE DATA COLLECTION, THE TEAM DEVELOPED A COMMUNITY SURVEY TO EXAMINE INDIVIDUAL HEALTH STATUS, HEALTH BEHAVIORS, HOSPITAL USE, AND VIEWS ON OVERALL COMMUNITY HEALTH STATUS AND NEEDS. THE SURVEY WAS ADMINISTERED BOTH ONLINE AND ON PAPER. AN ARCHWAY PSO PROFESSIONAL DISTRIBUTED THE ELECTRONIC VERSION VIA EMAIL AND QR CODE, WHILE PAPER COPIES WERE MADE AVAILABLE AS NEEDED. SURVEY RESPONSES WERE ANALYZED USING DESCRIPTIVE STATISTICS. CROSS-TABULATIONS WERE CONDUCTED TO EXAMINE RELATIONSHIPS BETWEEN SELECTED DEMOGRAPHICS AND HEALTH OUTCOMES. A TOTAL OF 135 PARTICIPANTS COMPLETED THE ONLINE SURVEY. FACILITY 1, CRISP REGIONAL HOSPITAL INC - PART V, LINE 11 THE HOSPITAL WILL ADDRESS THE NEEDS IDENTIFIED BY THE COMMUNITY WITH PROGRAMS TO EXPAND OUTREACH TO RAISE AWARENESS OF COMMUNITY RESOURCES, EDUCATING THE COMMUNITY ON HEALTHY LIVING AND LIFESTYLE ALTERNATIVES, AND COLLABORATION WITH OTHER PROVIDERS, NONPROFITS AND GOVERNEMNT AGENCIES. TRANSPORTATION ASSISTANCE IS BEYOND THE SCOPE OF THE RESOURCES OF THE HOSPITAL. 8 CRISP REGIONAL NURSING HOME & REHAB 902 BLACKSHEAR ROAD CORDELE GA 31015 NURSING FACILITY CARESOUTH OF CRISP REGIONAL 906 5TH STREET NORTH CORDELE GA 31015 HOME HEALTH CRISP REGIONAL HOSPICE 910 5TH STREET NORTH CORDELE GA 31015 HOSPICE WARWICK HEALTHCARE CENTER 135 DOGWOOD STREET WARWICK GA 31796 RHC CRISP REGIONAL DIALYSIS UNIT 1302 5TH STREET NORTH CORDELE GA 31015 DIALYSIS CORDELE HEALTH & REHAB 1106 NORTH 4TH STREET CORDELE GA 31015 NURSING FACILITY CRISP REGIONAL CONVENIENT CARE 902 NORTH 7TH STREET CORDELE GA 31015 RHC BLACKSHEAR RETIREMENT VILLAS 1110 BLACKSHEAR ROAD CORDELE GA 31015 ASSISTED LIVING SCHEDULE H, PART I, LINE 7G THIS SECTION INCLUDES NET ACTUAL COSTS FOR SUBSIDIZED PHYSICIAN AND RURAL HEALTH CLINICS OF 12,093,710. SCHEDULE H, PART I, LINE 7 COSTS FOR PART I, LINE 7A WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. PART I, LINE 7B COSTS WERE CALCULATED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. PART I, LINE 7G COSTS WERE CALCULATED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. SCHEDULE H, PART III, LINE 2 AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE. PURSUANT TO ASU NO. 2014-09 (TOPIC 606), THE AMOUNT IDENTIFIED AS BAD DEBT ON SCHEDULE H, PART II, LINE 2 PRIMARILY REPRESENTS AMOUNTS ESTIMATED AT THE TRANSACTION DATE THAT ARE CONSIDERED A PRICE CONCESSION. THE ORGANIZATION DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE SYSTEMS POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. IMPLICIT PRICE CONCESSIONS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION THE ORGANIZATION EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS. SCHEDULE H, PART III, LINE 4 SEE THE DISCUSSION REGARDING UNINSURED PATIENTS AND BAD DEBT EXPENSE WITH THE NET PATIENT SERVICE REVENUE FOOTNOTE ON PAGES 15-21 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS. UNCOMPENSATED SERVICES ARE DISCUSSED ON PAGE 22. SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. SCHEDULE H, PART III, LINE 9B PATIENTS, WHO MEET ALL THE REQUIREMENTS TO BE CLASSIFIED AS MEDICALLY INDIGENT UNDER THE ORGANIZATION'S ICTF POLICY, WILL HAVE THEIR ACCOUNTS WRITTEN OFF ON A SLIDING SCALE FEE (100% OF ACCOUNTS AT 125% OF THE FEDERAL POVERTY SCALE, 7% OF ACCOUNTS WHEN INCOME IS AT 200% OF THE SCALE, UP TO THE MAXIMUM ALLOWED PER PATIENT PER YEAR). ANY AMOUNT NOT ADJUSTED OFF PER POLICY, WOULD FOLLOW THE COLLECTION PRACTICE AS ANY OTHER ACCOUNT. SCHEDULE H, PART VI, LINE 2 CRISP REGIONAL ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY BY EVALUATING DISEASE INCIDENCES IN THE POPULATION AS WELL AS ECONOMIC AND DEMOGRAPHIC CHARACTERISTICS OF THE POPULATION IN COMPARISON TO THE UTILIZATION AND AVAILABILITY OF APPLICABLE SERVICES. PRIMARY SOURCE FOR ASSESSMENT INFORMATION IS THE COMMUNITY HEALTH STATUS INDICATORS PUBLISHED BY THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES AND INTERNAL INFORMATION PRODUCED BY HOSPITAL RECORDS. CRISP REGIONAL IS CLASSIFIED AS A HEALTH MANPOWER SHORTAGE AREA DUE TO THE DISPROPORTIONALLY LARGE LOW INCOME POPULATION. IN ADDITION, CRISP'S SERVICE HAS A SIGNIFICANT NUMBER OF MIGRANT AND UNDOCUMENTED FARM WORKS THAT PRESENT EPISODIC COMMUNITY HEALTH NEEDS. BOTH OF THE ORGANIZATION'S 2025 AND 2022 COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGY PLANS ARE AVAILABLE FOR DOWNLOAD ON ITS WEBSITE AT HTTPS://CRISPREGIONAL.ORG SCHEDULE H, PART VI, LINE 3 CRISP REGIONAL HOSPITAL HAS A CLEARLY DEFINED PROCESS FOR ADDRESSING INDIGENT AND/OR SELF-PAY PATIENTS. PATIENTS THAT PRESENT AT THE REGISTRATION DESK AS SELF PAY PATIENTS RECEIVING OUTPATIENT SERVICES ARE DIRECTED TO OUR PATIENT FINANCIAL COUNSELOR FOR ADVISEMENT. AT THIS POINT, A FINANCIAL COUNSELOR REVIEWS THE APPLICATION FOR THE INDIGENT CARE TRUST FUND ASSISTANCE. IF THIS ASSISTANCE APPLIES, THE COUNSELOR WILL ASSIST IN THE APPLICATION PROCESS AND ASSURE COMPLETION OF THE APPLICATION FOR REVIEW. IF THIS ASSISTANCE DOES NOT APPLY, WE REFER TO A LIST OF SERVICES THAT REQUIRE A CERTAIN AMOUNT TO BE PAID BEFORE THE SERVICE IS RENDERED. WE ALSO ASSIST IN SETTING UP A CONTRACT TO INITIATE A MONTHLY PAYMENT PLAN. FOR A PATIENT THAT PRESENTS IN CRISP REGIONAL HOSPITAL AS AN INPATIENT AND IS SELF PAY, THE PATIENT FINANCIAL COUNSELOR GOES TO THE PATIENT'S ROOM TO ASSURE THAT THEY ARE CORRECTLY CLASSIFIED AS A SELF PAY PATIENT. SELF PAY PATIENTS ARE THEN REFERRED TO CHANGE HEALTHCARE TO ASSESS ELIGIBILITY FOR MEDICAID ASSISTANCE. IF NOT ELIGIBLE FOR MEDICAID, WE ASSIST THEM WITH AN APPLICATION FOR INDIGENT CARE TRUST FUND ASSISTANCE. IF NOT ELIGIBLE FOR THE INDIGENT PROGRAM, THEN WE ASSIST WITH A CONTRACT TO START MONTHLY PAYMENTS. SCHEDULE H, PART VI, LINE 4 CRISP REGIONAL HOSPITAL SERVES CRISP, DOOLY AND WILCOX COUNTIES AS OUR PRIMARY SERVICE AREAS. THESE AREAS ACCOUNT FOR 79.60% OF PATIENT ACTIVITY. THE OTHER FOUR CONTIGUOUS COUNTIES, SUMTER, WORTH, TURNER AND LEE, ARE SECONDARY GEOGRAPHIC MARKET AREAS. CORDELE IS THE ECONOMIC AND MEDICAL HUB OF THIS AREA AND DRAWS ON A POPULATION APPROACHING 135,000. THE MOST RECENTLY AVAILABLE SCHOOL ENROLLMENT IN CRISP COUNTY WAS 6,259. NURSERY SCHOOL AND KINDERGARTEN ENROLLMENT WAS 222 AND ELEMENTARY OR HIGH SCHOOL ENROLLMENT WAS 3,893 CHILDREN. COLLEGE OR GRADUATE SCHOOL ENROLLMENT WAS 2,144. INDUSTRIES: IN 2022, FOR THE EMPLOYED POPULATION 16 YEARS AND OLDER, THE LEADING INDUSTRIES IN CRISP COUNTY WERE HEALTHCARE, SOCIAL ASSISTANCE, EDUCATIONAL SERVICES, MANUFACTURING, RETAIL TRADE, AND MANUFACTURING. INCOME: THE MEDIAN INCOME OF HOUSEHOLDS IN CRISP COUNTY WAS 42,748 IN 2023. 67% OF THE HOUSEHOLDS RECEIVED EARNINGS AND 15% RECEIVED RETIREMENT INCOME OTHER THAN SOCIAL SECURITY. 12% OF THE HOUSEHOLDS RECEIVED SOCIAL SECURITY. THESE INCOME SOURCES ARE NOT MUTUALLY EXCLUSIVE; THAT IS, SOME HOUSEHOLDS RECEIVED INCOME FROM MORE THAN ONE SOURCE. POVERTY AND PARTICIPATION IN GOVERNMENT PROGRAMS: IN 2023, 24.1% OF PEOPLE WERE IN POVERTY. 39% OF RELATED CHILDREN UNDER 18 WERE BELOW THE POVERTY LEVEL, COMPARED WITH 13% OF PEOPLE 65 YEARS OLD AND OVER. FOR PEOPLE REPORTING ONE RACE ALONE, 48% WERE WHITE; 45% WERE BLACK OR AFRICAN AMERICAN; 4% WERE HISPANIC OR LATINO; 1% WAS ASIAN; AND 1% WAS CLASSIFIED AS OTHER RACE. 2% REPORTED TWO OR MORE RACES. HOUSING COSTS: THE MEDIAN MONTHLY HOUSING COSTS FOR MORTGAGED OWNERS WAS 1,229, NON-MORTGAGED OWNERS 473, AND RENTERS 743. 21% OF OWNERS WITH MORTGAGES, 17% OF OWNERS WITHOUT MORTGAGES, SPENT 50% OR MORE OF HOUSEHOLD INCOME ON HOUSING. NATIVITY AND LANGUAGE: 1.6% OF THE PEOPLE LIVING IN CRISP COUNTY IN 2023 WERE FOREIGN BORN. 98.4% WERE NATIVE. AMONG PEOPLE AT LEAST 5 YEARS OLD LIVING IN CRISP COUNTY IN 2023, 4.4% SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME. SCHEDULE H, PART VI, LINE 5 CRISP REGIONAL IS SERVED BY A VOLUNTEER GOVERNING BOARD COMPOSED OF COMMUNITY MEMBERS FROM CRISP AND DOOLY COUNTIES. A PRIMARY FOCUS OF THE BOARD IS TO ADDRESS THE ACCESSIBILITY OF HEALTHCARE SERVICES AND ACCESS TO QUALIFIED HEALTHCARE PROFESSIONALS. THE ORGANIZATION OPERATES A 24HR/7DAY A WEEK EMERGENCY DEPARTMENT THAT SERVES APPROXIMATELY 21,000 PATIENTS ANNUALLY. AS A MEANS TO ALLEVIATE ED OVERCROWDING AND CREATE A MORE APPROPRIATE TREATMENT ENVIRONMENT, THE BOARD ALSO FUNDS FINANCIALLY OPERATING DEFICITS AT THE CRISP FAMILY MEDICINE CLINIC (CONVENIENT CARE CLINIC). THE ED PATIENT POPULATION INCLUDES 15% THAT ARE CLASSIFIED AS INDIGENT OR NON-INSURED. IN MARCH 2024, URGENT CARE WAS OPENED TO SERVE THE COMMUNITY. THE FAMILY MEDICINE CLINIC AND URGENT CARE CLINIC EXPERIENCE NEARLY 13% INDIGENT OR SELF-PAY POPULATION AND REQUIRE 800,000 IN NON-COMPENSATED FUNDING FROM THE ORGANIZATION'S GENERAL FUNDS. CRISP REGIONAL PROMOTES HEALTH AND ADDRESSES HEALTH PROFESSIONAL ACCESS IN SEVERAL COMMUNITY SERVICES. THE HOSPITAL PROVIDES HOUSING WITHOUT COST TO MEDICAL RESIDENTS AND STUDENTS ENGAGED IN CLINICAL EXPERIENCE AT CRISP REGIONAL. THE BOARD FURNISHES THREE APARTMENTS AS A MEANS TO ASSURE MEDICAL STUDENTS AND MEDICAL RESIDENTS ARE EXPOSED TO THE SPECIAL NEEDS OF RURAL POPULATIONS AND AGRICULTURE ECONOMY. IN ADDITION TO THESE SERVICES, CRISP REGIONAL PARTNERS WITH COLLEGES TO OFFER PRACTICAL EXPERIENCE IN A VARIETY OF AREAS THROUGHOUT THE HOSPITAL - FROM PROVIDING BEDSIDE CARE ON PATIENT FLOORS TO THE INTENSIVE CARE UNIT (ICU) AND EMERGENCY DEPARTMENT (ED). DURING THEIR CLINICAL ROTATIONS, STUDENTS CAN DIRECTLY APPLY WHAT THEY ARE LEARNING ABOUT THE CAUSES OF CERTAIN HEALTH CONDITIONS AND HOW TO DIAGNOSE AND TREAT THEM. THROUGH ITS RURAL HEALTH CLINIC PROGRAM, CRISP REGIONAL HEALTH SERVICES OFFERS MEDICAL CARE TO SURROUNDING RURAL COMMUNITIES. TWO RURAL HEALTH CARE CLINICS PROVIDE COVERAGE FOR PRIMARY HEALTH CARE, CHRONIC AND ACUTE ILLNESS, MINOR SUTURING, VARIOUS VACCINATIONS, LAB DRAWINGS AND PHYSICALS. THE PROGRAM ALLOWS RURAL RESIDENTS TO RECEIVE EXCELLENT HEALTH CARE PROVIDED BY HIGH-QUALITY HEALTH CARE PROFESSIONALS CLOSE TO HOME. IT ALSO OFFERS AFFORDABLE HEALTH CARE COVERAGE TO THESE RESIDENTS. LAST YEAR, BOTH CLINICS TREATED A TOTAL OF 5,562 PATIENTS. CRISP REGIONAL HEALTH SERVICES HOSTS MULTIPLE ANNUAL COMMUNITY HEALTH FAIRS, OFFERING INFORMATION, EDUCATION AND BASIC TESTS FOR FREE OR AT DEEPLY-REDUCED COSTS. TESTS INCLUDE BODY MASS INDEX, BLOOD PRESSURE SCREENING, HEIGHT AND WEIGHT CHECKS, BLOOD GLUCOSE, AND PULMONARY LUNG FUNCTION. ALSO INCLUDED IS DIAGNOSTIC LAB WORK, CONSISTING OF LIPID PROFILE, THYROID, PROSTATE AND IRON PANEL SCREENINGS. WE PROVIDE THIS TO OUR COMMUNITY BECAUSE THE IMPORTANCE OF PRE-SCREENING, INCREASED AWARENESS AND EDUCATING THE COMMUNITY CONTRIBUTES TO RESIDENTS' BETTER OVERALL HEALTH. CRISP REGIONAL OFFERS THE WELLNESS WORKS PROGRAM TO PARTNER WITH LOCAL BUSINESSES TO MAINTAIN THE HEALTH OF THEIR EMPLOYEES AND PREVENT ILLNESS TO MAINTAIN A HEALTHY WORKPLACE. THIS PROGRAM INCLUDES SCREENINGS, HEALTH FAIRS, AND EDUCATION TO EMPLOYEES. ATHLETIC TRAINER-CRISP COUNTY SCHOOL SYSTEM SERVING AS AN EXTENSION OF ELITE PHYSICAL THERAPY SERVICES AT CRISP REGIONAL AND WITH A PARTNERSHIP WITH CRISP COUNTY SCHOOL SYSTEM, CRISP COUNTY HIGH SCHOOL BENEFITS BY HAVING AN ONSITE CERTIFIED ATHLETIC TRAINER (ATC) AVAILABLE TO ALL STUDENT ATHLETES PROVIDING FIRST AID AND EMERGENCY CARE DURING SPORTING EVENTS ALONG WITH PHYSICAL THERAPY AS PART OF ATHLETIC TRAINING AND MUSCULOSKELETAL THERAPY. THE ATHLETIC TRAINER CARES FOR STUDENT ATHLETES USING THERAPEUTIC MODALITIES SUCH AS ULTRASOUND, ELECTRICAL STIMULATION, CRYOTHERAPY, SEQUENTIAL COMPRESSION, LASER, THERMAL THERAPY, WHIRLPOOL AND OTHER EQUIPMENT. THE ATHLETIC TRAINER WORKS UNDER THE DIRECT SUPERVISION AND PROTOCOLS OF A SUPERVISING ORTHOPEDIC PHYSICIAN AND IN COLLABORATION WITH OUR PHYSICAL THERAPISTS AND STAFF. THE ANNUAL COSTS FOR THIS PROGRAM TOTAL 70,403 FOR THE FISCAL YEAR. THE ATHLETIC TRAINER HOSTS AN ANNUAL EVENT TO PROVIDE SPORTS PHYSICALS TO STUDENT ATHLETES IN TURNER COUNTY. 150 STUDENTS WERE SEEN IN 2025 BY MEMBERS OF ASHBURN CLINIC, ELITE PHYSICAL THERAPY, AND CRISP REGIONAL ORTHOPEDICS. STOP THE BLEED- CRISP COUNTY EMS AND CRISP REGIONAL NURSING STAFF PARTNERED WITH THE SCHOOL SYSTEMS TO OFFER LIFE SAVING TRAINING WITH STOP THE BLEED. THROUGH OUR STOP THE BLEED COURSE, OUR COMMUNITY PARTNERS GAIN THE ABILITY TO RECOGNIZE LIFE-THREATENING BLEEDING AND INTERVENE EFFECTIVELY. THIS PROGRAM IS DESIGNED TO ENABLE SCHOOL TEACHERS, NURSES, AND STAFF HOW TO RENDER IMMEDIATE, POTENTIALLY LIFE-SAVING MEDICAL AID TO INJURED STUDENTS OR CO- WORKERS WHILE AWAITING THE ARRIVAL OF PROFESSIONAL RESPONDERS. EACH SCHOOL RECEIVED LIFE SAVING STOP THE BLEED KITS TO HAVE AVAILABLE DURING LIFE SAVING EMERGENCIES. MEDICATION ASSISTANCE CRISP REGIONAL IDENTIFIES PATIENTS DURING THEIR HOSPITAL STAY THAT CAN'T AFFORD THEIR MAINTENANCE AND DISCHARGE MEDICATIONS. ONCE THIS NEED IS DETERMINED, THE HOSPITAL OWNED RETAIL PHARMACY FILLS THESE MEDICATIONS AT NO COST TO THE PATIENT PRIOR TO DISCHARGE TO HELP ENSURE THAT ALL PATIENTS HAVE ACCESS TO THEIR REQUIRED MEDICATIONS TO KEEP THEM HEALTHY AND PREVENT A READMISSION. THE APPROXIMATE COST OF PROVIDING THESE MEDICATIONS WAS 10,000 IN THE 2025 FISCAL YEAR. BACK TO SCHOOL BASH EACH AUGUST, FAMILY CONNECTIONS HOSTS THE ANNUAL BACK TO SCHOOL BASH, A COMMUNITY-FOCUSED EVENT THAT PROVIDES MUCH-NEEDED SCHOOL SUPPLIES TO UNDERPRIVILEGED CHILDREN IN OUR AREA. CRISP REGIONAL PROUDLY SUPPORTS THIS EVENT EVERY YEAR THROUGH A MONETARY CONTRIBUTION,PROVIDING LUNCH FOR ALL ATTENDEES, DONATING ESSENTIAL SCHOOL ITEMS SUCH AS BACKPACKS AND PENCILS, AND SUPPLYING A TEAM OF DEDICATED VOLUNTEERS TO HELP ENSURE THE EVENT'S SUCCESS. THE APPROXIMATE ANNUAL COSTS FOR THIS PROGRAM ARE 4,500. SCHEDULE H, PART VI, LINE 6 THE HOSPITAL AUTHORITY OF CRISP COUNTY (AUTHORITY) REORGANIZED AND ESTABLISHED CRISP REGIONAL HEALTH SERVICES, INC. AS THE CONTROLLING COMPANY OF CRISP REGIONAL HOSPITAL, INC., CRISP REGIONAL DEVELOPMENT FOUNDATION, INC., AND CRISP MEDICAL SERVICES, INC. CRISP REGIONAL HOSPITAL, INC. AND CRISP REGIONAL DEVELOPMENT FOUNDATION, INC. ARE NOT-FOR-PROFIT CORPORATIONS. CRISP REGIONAL HOSPITAL, INC. OPERATES CRISP REGIONAL HOSPITAL (ACUTE CARE HOSPITAL), CRISP REGIONAL NURSING AND REHABILITATION CENTER (SKILLED NURSING FACILITY), CARESOUTH OF CRISP REGIONAL HOSPITAL (HOME HEALTH AGENCY), BLACKSHEAR RETIREMENT VILLA (A RETIREMENT FACILITY), AND CORDELE HEALTH AND REHABILITATION CENTER, INC. (SKILLED NURSING FACILITY). IN ADDITION, CRISP REGIONAL HOSPITAL, INC. OPERATES VARIOUS HEALTH CLINICS AND PHYSICIAN PRACTICES. CRISP MEDICAL SERVICES, INC. IS A DORMANT FOR-PROFIT CORPORATION ORGANIZED TO CONDUCT TAXABLE ACTIVITIES. SCHEDULE H, PART VI PART I LINE 6A COMMUNITY BENEFIT REPORT THE ORGANIZATION DOES NOT HAVE A FORMALIZED WRITTEN COMMUNITY BENEFIT REPORTING PROCESS, BUT DOES PUBLICIZE A COMMUNITY BENEFIT REPORT. true EMPLOYEE EDUCATION LOANS 8 28190 PHYSICIAN EDUCATION LOANS 18 208817 SCHEDULE I, PAGE 1, PART I, LINE 2 THE ORGANIZATION OFFERS TO PROMOTE HEALTH CARE CAREERS FOR PEOPLE IN CRISP AND SURROUNDING COUNTIES BY PROVIDING SCHOLARSHIPS WITHIN CERTAIN GUIDELINES. EACH APPLICANT MUST PROVIDE A COMPLETED APPLICATION, SCHOOL TRANSCRIPTS, LETTER OF RECOMMENDATION, COMPLETION OF PREREQUISITES AND LETTER OF ACCEPTANCE TO A SPECIFIC PROGRAM, INTENT TO BECOME EMPLOYED BY THE ORGANIZATION, INTERVIEW BY APPROPRIATE VICE PRESIDENT, AND OBTAIN APPROVAL BY THE EDUCATIONAL LOAN REVIEW BOARD. REIMBURSEMENT FOR THE COST OF TUITION, BOOKS, AND REQUIRED COURSE MATERIALS PER SEMESTER WILL BE GIVEN FOR A CURRENT GPA OF 2.0 OR BETTER. A REIMBURSEMENT REQUEST INCLUDING EVIDENCE OF ACTUAL EXPENSES MUST BE SUBMITTED FOR APPROVAL. DEFAULT OF THE TERMS REQUIRES FULL OR PARTIAL PAYBACK OF THE SCHOLARSHIP FUNDS. AMOUNTS REPORTED REFLECT ASSISTANCE FORGIVEN BASED ON YEARS OF EMPLOYMENT PROVIDED. X X false false false false false false false false false SAMYUKTA CHAVA MD PHYSICIAN 622951 14753 415 2300 640419 LYNN ALAN LYONS MD PHYSICIAN 594465 1828 37715 634008 DAVID COX PHYSICIAN 520378 21544 637 38899 581458 SRILATHA NADIPINENI MD PHYSICIAN 523146 415 35217 558778 STEVE GAUTNEY PRES/CEO 494298 13364 27389 535051 RANDY C LAVENDER PHYSICIAN 472599 279 37715 510593 JESSICA CARTER CFO 306976 2305 38267 347548 APRIL DUKES VP PATIENT CARE SVC 210897 828 18674 230399 DAVID KICKER VP 148363 1877 25321 175561 VICKIE TEEMER VP HR 169614 667 4528 174809 A HOSPITAL AUTH OF CRISP COUNTY GA 586003098 226688DP1 2021-09-01 49552495 ISSUED FOR PURPOSES OF (I) FINANCING OR REFUNDING A PORTION OF THE COST OF ACQUISITION, CONSTRUCTION false false false A 3066638 49552970 22874970 677524 26000001 2024 true false false false A false false false false false false false A false true true false false false false false false A false PURPOSE OF ISSUE DESCRIPTION HOSPITAL AUTH OF CRISP COUNTY, GA ISSUED FOR PURPOSES OF (I) FINANCING OR REFUNDING A PORTION OF THE COST OF ACQUISITION, CONSTRUCTION, INSTALLATION AND EQUIPPING OF HOSPITAL AND RELATED FACILITIES OF THE CORPORATION, (II)REFUNDING THE SERIES 2013 AND 2015 CERTIFICATES, AND (III) PAYING ALL OR A PORTION OF THE COSTS OF ISSUANCE OF THE 2021 CERTIFICATES FORM 990, PAGE 6, PART VI, LINE 11B ALL BOARD MEMBERS RECEIVE A COPY OF THE FORM 990 BEFORE IT IS FILED. IF ANY MEMBER HAS ANY CONCERNS, THEY MUST INFORM ADMINISTRATION. AN EXTENSIVE REVIEW IS PERFORMED BY MANAGEMENT. THE BOARD MEMBERS PERFORM ONLY A BASIC REVIEW OF THE RETURN PRIOR TO ITS FILING WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY IS DIRECTED NOT ONLY TO DIRECTORS AND OFFICERS, BUT TO ALL EMPLOYEES WHO CAN INFLUENCE THE ACTIONS OF CRISP REGIONAL HOSPITAL, INC. A CONFLICTING INTEREST MAY BE DEFINED AS AN INTEREST, DIRECT OR INDIRECT, WITH ANY PERSONS OR FIRMS. IT IS THE POLICY OF THE BOARD THAT THE EXISTENCE OF ANY OF THE INTERESTS SHALL BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT SHALL BE THE CONTINUING RESPONSIBILITY OF THE BOARD, OFFICERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. DISCLOSURES OF CONFLICTS SHOULD BE MADE TO THE BOARD OR A COMMITTEE THEREOF, WHO WILL DETERMINE WHETHER A CONFLICT EXISTS, AND IN THE CASE OF AN EXISTING CONFLICT, DETERMINE APPROPRIATE ACTION. THE INDIVIDUAL WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTIONS. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO. THE BOARD USES COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS AT SIMILARLY SIZED ORGANIZATIONS. THE GHA ANNUAL SALARY SURVEY AND OTHER DATA IS USED TO DETERMINE COMPENSATION FOR MANAGEMENT. THE DECISION IS DOCUMENTED BY THE BOARD. THIS PROCESS IS PERFORMED ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15B THE CEO REVIEWS AND APPROVES THE COMPENSATION FOR THE CFO AND OTHER TOP OFFICERS. THE CEO USES COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS AT SIMILARLY SIZED ORGANIZATIONS. THE GHA ANNUAL SALARY SURVEY AND OTHER DATA IS ALSO UTILIZED. THIS PROCESS IS PERFORMED ANNUALLY. CRISP REGIONAL'S COMPENSATION PHILOSOPHY IS THE SAME FOR ALL OFFICERS AND EMPLOYEES - TO PROVIDE APPROPRIATE COMPENSATION TO EMPLOYEES BASED ON MARKET DRIVEN DATA AS WELL AS DEMAND WITHIN THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION WILL MAKE AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO ANY MEMBER OF THE PUBLIC WHO MAKES THEIR REQUEST AT THE ADMINISTRATIVE OFFICE OF THE FILING ENTITY. FORM 990, PART IX, LINE 11G SERVICE CONTRACTS 2,324,076 3,596,693 0 PHYSICIAN FEES 8,405,452 0 0 OTHER PURCHASED SERVICES 6,521,772 2,639,824 0 THERAPY CONTRACT FEES 1,291,303 0 0 LAUNDRY/LINEN SERVICES 364,899 238,798 0 COLLECTION AGENCIES 0 277,218 0 TOTAL 18,907,502 6,752,533 0 FORM 990, PART XI OPENING NET ASSETS WERE ADJUSTED TO RECORD THE INVESTMENT IN CRISP REGIONAL HOSPITAL PORTFOLIO INSURANCE COMPANY, A LEASED CELL CAPTIVE THAT PROVIDES SELF-INSURANCE COVERAGE FOR CRISP REGIONAL. FORM 990, PART XI, LINE 9 EQUITY IN EARNINGS OF CAPTIVE INSURANCE SUBSIDIARY 1,087,576 INTERCOMPANY ADJUSTMENT 49,135 TOTAL 1,136,711 CRISP REGIONAL HEALTH SERVICE INC 902 7TH STREET NORTH CORDELE GA 310153234 582175975 HOLDING CO GA 501C3 12B NA false CRISP REGIONAL HOSP DEV FNDN INC 902 7TH STREET NORTH CORDELE GA 310153234 582175978 FOUNDATION GA 501C3 12A CRH CRISP REGIONAL HOSPITAL true HOSPITAL AUTHORITY OF CRISP COUNTY 902 7TH STREET NORTH CORDELE GA 310153234 586003098 AUTHORITY GA 501C3 6 NA false CRISP HEALTHCARE ALLIANCE LLC PO BOX 5007 CORDELE GA 310105007 582307830 PURCHASING GA N/A false false CRISP MEDICAL SERVICES INC 902 7TH STREET NORTH CORDELE GA 310153234 582175987 DORMANT GA N/A false false false false true false false false false false false false false true true true false false false false CRISP REGIONAL HOSPITAL DEVELOPMENT D BELOW THRESHOLD CRISP REGIONAL HOSPITAL DEVELOPMENT M BELOW THRESHOLD CRISP REGIONAL HOSPITAL DEVELOPMENT N AMOUNT INDETERMINABLE CRISP REGIONAL HOSPITAL DEVELOPMENT O AMOUNT INDETERMINABLE CRISP REGIONAL HOSPITAL DEVELOPMENT Q BELOW THRESHOLD CRISP REGIONAL HOSPITAL DEVELOPMENT S BELOW THRESHOLD