2024-05-13T12:36:04-04:00 2023-06-30 581094351 MCNAIR MCLEMORE MIDDLEBROOKS & CO LLC POST OFFICE BOX ONE MACON GA 312020001 990 2022-07-01 432007498 PIEDMONT REGIONAL HEALTH INC PIED 4786212100 1005 BOULDER DRIVE GRAY GA 31032 TERESA W MOODY SECRETARY 4786212100 2024-05-10 true TERESA MOODY XXX-XX-XXXX false WILLIAM R ROUNTREE P01231836 4787466277 2024-05-13 2022 2023-04-26 12:10:37Z TERESA W MOODY 1005 BOULDER DRIVE GRAY GA 31032 21237699 false X WWW.ETHICAHEALTH.ORG X 2003 GA THE DEVELOPMENT, CONSTRUCTION, ACQUISITION, OWNERSHIP, LEASING, MANAGEMENT, AND OPERATION OF SKILLED HEALTH CARE FACILITIES. 3 3 441 0 1742505 137032 21626216 20884098 168 1176 225448 215393 23594337 21237699 0 0 12554670 14413075 0 0 12038083 9856495 24592753 24269570 -998416 -3031871 5936950 4826959 5540921 4244268 396029 582691 THE DEVELOPMENT, CONSTRUCTION, ACQUISITION, OWNERSHIP, LEASING, MANAGEMENT, AND OPERATION OF SKILLED HEALTH CARE FACILITIES. false false 24269570 LEASED AND OWNED SKILLED CARE, INTERMEDIATE CARE, AND OTHER HEALTH CARE RELATED FACILITIES. CONSISTENT WITH THE POLICIES PREVIOUSLY ADOPTED BY THE BOARD OF DIRECTORS OF COMMUNITY HEATLH SYSTEMS, INC., THE SECTION 509(A)(3) SUPPORTING ORGANIZATION AND PARENT ENTITY OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM OF WHICH THE ORGANIZATION IS A MEMBER, THE ORGANIZATION PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITIES IT SERVES PURSUANT TO BOTH COMMUNITY BENEFIT GUIDELINES AND A CHARITY CARE POLICY. THE ORGANIZATION CONTINUES TO ASSESS AND DEVELOP PROGRAMS TO BENEFIT THE COMMUNITY. 24269570 true false false false false false false false false false true false false true false false true false false false false false false false false false false false false true true false false false false false false false false false false false false false false true true false false false true 110 0 true 441 true false false false false false false false false X 3 3 false false false false true true false true true false false true true true true true true true true false GA X PIEDMONT REGIONAL HEALTH INC 4786212100 1005 BOULDER DRIVE GRAY GA 31032 RALPH WARNOCK DIRECTOR 4.00 1.00 X 0 315369 18002 ANGELA HAMMACK CORPORATE SE 0.00 40.00 X 0 290941 18410 TERESA W MOODY SECRETARY 4.00 40.00 X 0 218891 20021 LYNIS HOWELL ADMINISTRATO 40.00 0.00 X 128575 0 14056 DEBRA MOORE LPN 40.00 0.00 X 109643 0 15969 LINDA FOSKEY ADMINISTRATO 40.00 0.00 X 107013 0 12471 BECKY BROWNING ADMINISTRATO 40.00 0.00 X 109076 0 8023 DAWN WALDREN RN 40.00 0.00 X 104596 0 12252 KATHRYN DENNIS CHAIRMAN 4.00 1.00 X 0 24000 0 JOSEPH A WALL DIRECTOR 4.00 1.00 X 0 24000 0 PAUL A CABLE DIRECTOR 0.00 4.00 X 0 24000 0 HERBERT M PONDER JR DIRECTOR 0.00 0.00 X 0 12000 0 LUCY ROGERS DIRECTOR 0.00 0.00 X 0 12000 0 558903 921201 119204 6 true true false INTEGRA REHABILITATION 1013 RIVERBURCH PKWY SUITE 2 DALTON GA 30721 REHAB SERVICES 704100 MSC NURSING HOME LLC PO BOX 448 METTER GA 30439 HEALTHCARE 437518 ASSIST HEALTHCARE SERVICES INC PO BOX 2530 BLUE RIDGE GA 30513 HEALTHCARE 418493 LIGHTHOUSE NURSING AGENCY INC 1040 KEITH DRIVE PERRY GA 31069 HEALTHCARE 321208 MEDICAL SOLUTIONS LLC PO BO X 850737 MINNEAPLOIS MN 554850737 AGENCY 298514 14 X 137032 137032 GOVERNMENTAL PROGRAMS REV 17713580 17713580 SERVICE REVENUES 3170518 3170518 20884098 1176 1176 OTHER 215393 215393 215393 21237699 21099491 1176 12201743 12201743 207977 207977 1152415 1152415 850940 850940 1704675 1704675 17470 17470 28650 28650 86807 86807 327468 327468 577969 577969 372766 372766 PLANT SUPPLIES / REPAIRS 2476174 2476174 TAXES 1550591 1550591 NURSING SERVICES 1265080 1265080 CONTRACTED SERVICES 469223 469223 979622 979622 24269570 24269570 0 0 9141 5504 1947389 1294494 51494 53655 3319089 1940597 1411063 1378492 2517863 2094814 5936950 4826959 1684063 1129950 1555000 1324000 2228899 1790318 72959 5540921 4244268 X 396029 582691 396029 582691 5936950 4826959 X -3031871 3218533 X false true X true false X 2579690 1742505 137032 4459227 27050207 26855377 21032668 21851664 21099491 117889407 27050207 26855377 23612358 23594169 21236523 122348634 122348634 166 22 283 168 1176 1815 166 22 283 168 1176 1815 27050373 26855399 23612641 23594337 21237699 122350449 1.00000 1.00000 0.00000 0.00000 X 500000 208332 291668 1630205 903808 726397 1188884 828457 360427 1378492 RIGHT-OF-USE ASSET OPERATING 2086701 CONSTRUCTION IN PROGRESS 8113 2094814 21237699 21237699 21237699 23876014 23876014 393556 393556 24269570 SCHEDULE D, PAGE 4, PART XII, LINE 4B BOOK / TAX DEPRECIATION DIFFERENCE 393,556 X X X X X false false false false false false false false false RALPH WARNOCK DIRECTOR 295421 19948 18002 333371 ANGELA HAMMACK CORPORATE SECRETARY 279741 11200 18410 309351 TERESA W MOODY SECRETARY 206516 12375 20021 238912 PAUL A CABLE DIRECTOR 24000 24000 HERBERT M PONDER JR DIRECTOR 12000 12000 LUCY ROGERS DIRECTOR 12000 12000 A MIDDLE COASTAL UNITED DA BANK OF OKLAHOMA 582140014 2007-01-15 3515000 ACQUISITION OF RE false false false A false false false true A false false false false false false false A false false false false false false false false true A false PURPOSE OF ISSUE DESCRIPTION MIDDLE COASTAL UNITED DA ACQUISITION OF RE FORM 990, PAGE 6, PART VI, LINE 6 THE ORGANIZATION HAS A SOLE MEMBER, COMMUNITY HEALTH SYSTEMS, INC., A NONPROFIT GEORGIA CORPORATION. FORM 990, PAGE 6, PART VI, LINE 7A UNDER THE ORGANIZATION'S BYLAWS, WHILE IT IS THE SOLE MEMBER OF THE ORGANIZATION, COMMUNITY HEALTH SYSTEMS, INC., AS A TYPE I SECTION 509(A)(3) AND SECTION 501(C)(3) SUPPORTING ORGANIZATION, HAS THE SOLE RIGHT TO ELECT, REPLACE AND TO REMOVE THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS AND SHALL ENSURE THAT AT ALL TIMES, A MAJORITY OF THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS SHALL BE COMPOSED OF PERSONS WHO ARE CONCURRENTLY SERVING AS MEMBERS OF THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 FOR PIEDMONT REGIONAL HEALTH, INC. IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. UPON COMPLETION, THE INDEPENDENT ACCOUNTING FIRM PROVIDES A DRAFT OF THE FORM 990 TO THE AUDIT COMMITTEE OF THE ORGANIZATION FOR ITS REVIEW. ALLOWING ADEQUATE TIME FOR REVIEW, THE INDEPENDENT ACCOUNTING FIRM SUBSEQUENTLY MEETS WITH THE AUDIT COMMITTEE OF THE ORGANIZATION TO REVIEW AND DISCUSS THE DRAFT FORM 990. FOLLOWING THE AUDIT COMMITTEE'S REVIEW, DISCUSSION AND APPROVAL OF THE DRAFT FORM 990, THE AUDIT COMMITTEE THEN PROVIDES THE DRAFT FORM 990 TO THE ORGANIZATION'S BOARD OF DIRECTORS WITH A RECOMMENDATION TO REVIEW AND APPROVE THE FORM 990. SUBSEQUENT TO RECEIPT OF THE DRAFT FORM 990, A MEETING OF THE ORGANIZATION'S BOARD OF DIRECTORS IS HELD TO DISCUSS THE RECOMMENDATION FROM ITS AUDIT COMMITTEE AND TO ASK QUESTIONS OF THE INDEPENDENT ACCOUNTING FIRM AND THE ORGANIZATION'S MANAGEMENT. FOLLOWING REVIEW AND DISCUSSION, THE BOARD THEN APPROVES THE FORM 990 TO BE FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 12C COMPLIANCE WITH THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY IS EFFECTUATED BY, AT A MINIMUM, THE BOARD OF DIRECTOR'S ANNUAL REVIEW OF CONFLICT DISCLOSURE STATEMENTS PROVIDED BY THE ORGANIZATION'S DIRECTORS AND OFFICERS. ALSO, THE ORGANIZATION'S BOARD OF DIRECTORS REVIEW CONFLICT DISCLOSURE STATEMENTS PRIOR TO TAKING ACTION ON PROPOSED TRANSACTIONS AND CONTRACTUAL ARRANGEMENTS. THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY PROVIDES THE PROCEDURE FOR WHICH INTERESTED PERSONS ARE EVALUATED TO DETERMINE IF A CONFLICT EXISTS. IF IT IS DETERMINED THAT A BOARD MEMBER HAS A CONFLICT OF INTEREST, THEN SUCH BOARD MEMBERS ARE NOT ALLOWED TO PARTICIPATE IN DELIBERATIONS ON THE SPECIFIC MATTER AND IS EXCUSED FROM, AND NOT ALLOWED TO PARTICIPATE IN, ANY BOARD VOTE ON THE MATTER. FORM 990, PAGE 6, PART VI, LINE 15A THE ORGANIZATION REGULARLY AND CONSISTENTLY COMPLIES WITH THE COMPENSATION APPROVAL PROCESS, AS DEFINED BY ITS CONFLICTS OF INTEREST POLICY, THROUGH A COMPREHENSIVE ENGAGEMENT CONDUCTED BY ITS COMPENSATION COMMITTEE. A THIRD-PARTY COMPENSATION CONSULTANT IS ENGAGED TO GATHER COMPARABILITY DATA FOR THE ORGANIZATION'S SENIOR MANAGEMENT AND ITS KEY OR HIGHLY COMPENSATED EMPLOYEES. FOLLOWING COMPLETION OF THE ENGAGEMENT, THE THIRD-PARTY CONSULTANT ISSUES A WRITTEN REPORT REFLECTING ITS OPINION CONCERNING WHETHER THE ORGANIZATION'S PROPOSED COMPENSATION ARRANGEMENTS CONSTITUTE REASONABLE COMPENSATION UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE. UPON RECEIPT AND REVIEW OF THE CONSULTANT'S WRITTEN REPORT AND SUPPORTING MATERIALS, THE ORGANIZATION'S COMPENSATION COMMITTEE THEN PROVIDES ALL SUCH MATERIALS ALONG WITH RECOMMENDATIONS TO ITS BOARD OF DIRECTORS FOR CONSIDERATION. SUBSEQUENTLY, THE BOARD OF DIRECTORS HOLDS A MEETING TO REVIEW THE MATERIALS AND RECOMMENDATIONS FROM ITS COMPENSATION COMMITTEE AT WHICH TIME THE BOARD WILL VOTE ON THE REASONABLENESS OF COMPENSATION FOR EACH INDIVIDUAL INCLUDED IN THE COMPENSATION ENGAGEMENT. IF ANY DISQUALIFIED OR OTHERWISE CONFLICTED BOARD MEMBERS ARE PRESENT AT THE MEETING, THEY DO NOT PARTICIPATE IN THE DELIBERATIONS AND ARE EXCUSED FROM VOTING ON SUCH MATTERS. THE COMPENSATION APPROVAL PROCESS IS CARRIED OUT BY THE ORGANIZATION'S BOARD OF DIRECTORS IN A MANNER DESIGNED TO SATISFY ALL THREE OF THE REQUIREMENTS NECESSARY TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS WITH RESPECT TO COMPENSATION ARRANGEMENTS FOR DISQUALIFIED PERSONS UNDER SECTION 53.4958-6 OF THE INTERNAL REVENUE CODE. AS PART OF THE PROCESS, THE ORGANIZATION'S BOARD OF DIRECTORS RETAINS THIRD-PARTY LEGAL COUNSEL TO FURTHER ADVISE THE BOARD ON THE REBUTTABLE PRESUMPTION PROCESS AND TO PROVIDE THE BOARD WITH A LEGAL OPINION REGARDING THE SAME. THE FINAL STEP IN THE PROCESS IS PREPARATION OF DOCUMENTATION REQUIRED TO ESTABLISH THE REBUTTABLE PRESUMPTION UTILIZING THE REBUTTABLE PRESUMPTION CHECKLIST ISSUED BY THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 15B THE ORGANIZATION REGULARLY AND CONSISTENTLY COMPLIES WITH THE COMPENSATION APPROVAL PROCESS, AS DEFINED BY ITS CONFLICTS OF INTEREST POLICY, THROUGH A COMPREHENSIVE ENGAGEMENT CONDUCTED BY ITS COMPENSATION COMMITTEE. A THIRD-PARTY COMPENSATION CONSULTANT IS ENGAGED TO GATHER COMPARABILITY DATA FOR THE ORGANIZATION'S SENIOR MANAGEMENT AND ITS KEY OR HIGHLY COMPENSATED EMPLOYEES. FOLLOWING COMPLETION OF THE ENGAGEMENT, THE THIRD-PARTY CONSULTANT ISSUES A WRITTEN REPORT REFLECTING ITS OPINION CONCERNING WHETHER THE ORGANIZATION'S PROPOSED COMPENSATION ARRANGEMENTS CONSTITUTE REASONABLE COMPENSATION UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE. UPON RECEIPT AND REVIEW OF THE CONSULTANT'S WRITTEN REPORT AND SUPPORTING MATERIALS, THE ORGANIZATION'S COMPENSATION COMMITTEE THEN PROVIDES ALL SUCH MATERIALS ALONG WITH RECOMMENDATIONS TO ITS BOARD OF DIRECTORS FOR CONSIDERATION. SUBSEQUENTLY, THE BOARD OF DIRECTORS HOLDS A MEETING TO REVIEW THE MATERIALS AND RECOMMENDATIONS FROM ITS COMPENSATION COMMITTEE AT WHICH TIME THE BOARD WILL VOTE ON THE REASONABLENESS OF COMPENSATION FOR EACH INDIVIDUAL INCLUDED IN THE COMPENSATION ENGAGEMENT. IF ANY DISQUALIFIED OR OTHERWISE CONFLICTED BOARD MEMBERS ARE PRESENT AT THE MEETING, THEY DO NOT PARTICIPATE IN THE DELIBERATIONS AND ARE EXCUSED FROM VOTING ON SUCH MATTERS. THE COMPENSATION APPROVAL PROCESS IS CARRIED OUT BY THE ORGANIZATION'S BOARD OF DIRECTORS IN A MANNER DESIGNED TO SATISFY ALL THREE OF THE REQUIREMENTS NECESSARY TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS WITH RESPECT TO COMPENSATION ARRANGEMENTS FOR DISQUALIFIED PERSONS UNDER SECTION 53.4958-6 OF THE INTERNAL REVENUE CODE. AS PART OF THE PROCESS, THE ORGANIZATION'S BOARD OF DIRECTORS RETAINS THIRD-PARTY LEGAL COUNSEL TO FURTHER ADVISE THE BOARD ON THE REBUTTABLE PRESUMPTION PROCESS AND TO PROVIDE THE BOARD WITH A LEGAL OPINION REGARDING THE SAME. THE FINAL STEP IN THE PROCESS IS PREPARATION OF DOCUMENTATION REQUIRED TO ESTABLISH THE REBUTTABLE PRESUMPTION UTILIZING THE REBUTTABLE PRESUMPTION CHECKLIST ISSUED BY THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST IN ACCORDANCE WITH THE SECTION 6104(D) DISCLOSURE REQUIREMENTS. FORM 990, PART VIII PART VIII, LINE 1E -- THE PROVIDER RELIEF FUND WAS ESTABLISHED THROUGH THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY ACT (CARES ACT)AND THE PAYCHECK PROTECTION PROGRAM AND HEALTHCARE ENHANCEMENT ACT (PPCHE). THIS LEGISLATION AUTHORIZED THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES TO MAKE GENERAL AND TARGETED DISTRIBUTIONS TO QUALIFYING HEALTHCARE PROVIDERS BASED ON THE VARIOUS FORMULAS AND CRITERIA DESIGNATED IN THE LEGISLATION. THE CORPORATION UTILIZED FUNDS TOTALING 2,579,690 DURING THE YEAR ENDED JUNE 30, 2021. THIS AMOUNT IS INCLUDED ON LINE 1E ON THE FORM 990 STATEMENT OF REVENUE. 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GA CHSI C CORP false false false false false false false false false false true false false true false false false false true false CLINICAL SERVICES INC M 1803725 COMMUNITY REHABILITATION SERV INC M 561622 COMMUNITY ANCILLARY SERV INC M 1513839 COMMUNITY HEALTH FOUNDATION INC R 1265 HOME & COMMUNITY SERVICES INC J 660000