COFFEE REGIONAL MEDICAL CENTER INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: COFFEE REGIONAL MEDICAL CENTER INC (EIN 65-0543088)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2025-05-01
IRS object ID: 202511219349301411
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-01T09:42:26+00:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 Ridgefield Court	AddressLine1Txt
City	Asheville	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	650543088	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Coffee Regional Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COFF	BusinessNameControlTxt
Phone	9123841900	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 Ocilla Rd	AddressLine1Txt
City	Douglas	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31533	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Vicki Lewis	PersonNm
Person Title	President & CEO	PersonTitleTxt
Phone	9123841900	PhoneNum
Signature	2025-05-01	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amy Bibby	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum
Preparation	2025-04-25	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Vicki Lewis	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 Ocilla Rd	AddressLine1Txt
City	Douglas	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31533	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$187,406,340	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.coffeeregional.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	GA	LegalDomicileStateCd
Activity Or Mission	TO BE A LEADING PROVIDER OF A COMPREHENSIVE RANGE OF HIGH-QUALITY, REASONABLY PRICED HEALTH CARE SERVICES IN COFFEE COUNTY, GEORGIA, AND THE SURROUNDING REGION. THESE HEALTH CARE SERVICES ARE PROVIDED TO ALL PERSONS REGARDLESS OF ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1305	TotalEmployeeCnt
Total Volunteers	60	TotalVolunteersCnt
Total Gross UBI	$56,712	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$47,807	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,805,673	PYContributionsGrantsAmt
CY Contributions Grants	$3,031,100	CYContributionsGrantsAmt
PY Program Service Revenue	$163,500,869	PYProgramServiceRevenueAmt
CY Program Service Revenue	$172,510,296	CYProgramServiceRevenueAmt
PY Investment Income	$983,175	PYInvestmentIncomeAmt
CY Investment Income	$1,282,551	CYInvestmentIncomeAmt
PY Other Revenue	$7,799,097	PYOtherRevenueAmt
CY Other Revenue	$10,485,887	CYOtherRevenueAmt
PY Total Revenue	$181,088,814	PYTotalRevenueAmt
CY Total Revenue	$187,309,834	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$90,444,120	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$94,938,818	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$86,542,011	PYOtherExpensesAmt
CY Other Expenses	$89,468,387	CYOtherExpensesAmt
PY Total Expenses	$176,986,131	PYTotalExpensesAmt
CY Total Expenses	$184,407,205	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,102,683	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,902,629	CYRevenuesLessExpensesAmt
Total Assets BOY	$128,105,070	TotalAssetsBOYAmt
Total Assets EOY	$148,379,108	TotalAssetsEOYAmt
Total Liabilities BOY	$89,244,762	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$105,741,114	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$38,860,308	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$42,637,994	NetAssetsOrFundBalancesEOYAmt
Mission	TO BE A LEADING PROVIDER OF A COMPREHENSIVE RANGE OF HIGHQUALITY, REASONABLY PRICED HEALTH CARE SERVICES IN COFFEE COUNTY, GEORGIA, AND THE SURROUNDING REGION. THESE HEALTH CARE SERVICES ARE PROVIDED TO ALL PERSONS REGARDLESS OF ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$165,106,582	ExpenseAmt
Revenue	$179,422,449	RevenueAmt
Desc	HOSPITAL SERVICES SHORT TERM CARE FOR INPATIENT AND OUTPATIENT SERVICES FOR DOUGLAS AND COFFEE COUNTY. COFFEE REGIONAL MEDICAL CENTER (CRMC) SERVED 4,674 PATIENTS FOR A TOTAL OF 15,022 INPATIENT DAYS IN 2023. NURSERY DAYS WERE 1,239 IN 2023. COFFEE REGIONAL MEDICAL CENTER PROVIDED APPROXIMATELY $22,563,780 OF INDIGENT AND CHARITY SERVICES IN 2023.	Desc
Total Program Service Expenses	$165,106,582	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	104	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1305	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Organization	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9123841900	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 Ocilla Rd	AddressLine1Txt
City	Douglas	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31533	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Adam Smith
Director	1.0	1.0	Yes (X)	$0	$0	$0
Carl McDonald
Director	1.0		Yes (X)	$0	$0	$0
Ellen Fitzgerald
Director	1.0		Yes (X)	$0	$0	$0
James Dennis
Director	1.0		Yes (X)	$0	$0	$0
Jeffery Winge MD
Director	50.0		Yes (X)	$471,976	$0	$39,077
Jim Cottingham
Director	1.0		Yes (X)	$0	$0	$0
Joshua Vickers MD
Director / Physician	50.0		Yes (X)	$716,591	$0	$39,077
Marlene Baldree
Director	1.0		Yes (X)	$0	$0	$0
Russ Story
Director	1.0		Yes (X)	$0	$0	$0
Shane Shook
Director	1.0	1.0	Yes (X)	$0	$0	$0
Ted O'Steen
Director	1.0		Yes (X)	$0	$0	$0
Wesley Vickers
Director, Non Voting	1.0		Yes (X)	$0	$0	$0
John McLeod
Executive VP / CFO	52.0	1.0		$211,103	$0	$25,601	Yes (X)
Martin Hutson Deceased in 2023
Executive VP / CFO	50.0	1.0		$132,289	$0	$5,575	Yes (X)
Vicki Lewis
President / CEO	52.0	3.0		$626,686	$0	$19,531	Yes (X)
Bennett Floyd
VP of Operations	50.0			$240,947	$0	$39,077		Yes (X)
Jerry West
VP of Quality & Patient Experience	50.0			$171,042	$0	$0		Yes (X)
Julian Cunningham
VP of Physician Practices	50.0			$177,612	$0	$13,476		Yes (X)
Lavonda Cravey
VP of Revenue	52.0	2.0		$239,301	$0	$39,077		Yes (X)
Peggy Kirkland
Executive VP of HR	50.0			$278,342	$0	$13,476		Yes (X)
Sue Lane Hughes
VP of Nursing Services / CNO	50.0	2.0		$248,432	$0	$0		Yes (X)
Eric Anderson
Oncology Physician	50.0			$774,250	$0	$17,673			Yes (X)
Glenn Evans Sr
Cardiology Physician	50.0			$913,883	$0	$39,077			Yes (X)
Hewatt Sims
Orthopeadic Physician	50.0			$1,043,757	$0	$39,077			Yes (X)
Thaihang Nguyen
Family Practive Physician	50.0			$771,240	$0	$26,974			Yes (X)
Thomas Wehmann
Surgical Physician	50.0			$792,322	$0	$26,974			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,809,773	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$383,742	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	128	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Coffee County Hospitalist Physicians LLC
306 WESTSIDE DRIVE	DOUGLAS	GA	31533	Staffing Service	$2,749,391
Rehabilitation Specialists of South Georgia
169 MEADOWLARK LANE	FITZGERALD	GA	31750	Physical Therapy Services	$964,312
Weatherby Locums Inc
PO BOX 972633	DALLAS	TX	75697	Staffing Services	$559,082
Radar Healthcare Providers
PO BOX 1708	WATKINSVILLE	GA	30677	Staffing Services	$476,836
Forvis Mazars LLP
PO BOX 602828	CHARLOTTE	NC	28260	Accounting Services	$430,430

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	27	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$3,031,100	AllOtherContributionsAmt
Total Contributions	$3,031,100	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Patient revenue	Desc
Business	621990	BusinessCd
Total Revenue Column	$172,510,296	TotalRevenueColumnAmt
Related Or Exempt Func Income	$172,453,584	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$56,712	UnrelatedBusinessRevenueAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$172,510,296	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,379,057	TotalRevenueColumnAmt
Exclusion	$1,379,057	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$309,790	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$309,790	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$309,790	TotalRevenueColumnAmt
Exclusion	$309,790	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$96,506	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$96,506	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$96,506	TotalRevenueColumnAmt
Exclusion	-$96,506	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Pharmacy Revenue	621990	$5,139,367	$5,139,367
Unearned Premium	900099	$2,350,674		$2,350,674
Other Operating Income	900099	$1,772,786	$1,772,786

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$913,270	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$913,270	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,176,097	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$187,309,834	TotalRevenueColumnAmt
Related Or Exempt Func Income	$179,365,737	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$56,712	UnrelatedBusinessRevenueAmt
Exclusion	$4,856,285	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,228,085	TotalAmt
Program Services	$3,805,276	ProgramServicesAmt
Management And General	$422,809	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$420,460	TotalAmt
Program Services	$378,414	ProgramServicesAmt
Management And General	$42,046	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$64,227,898	TotalAmt
Program Services	$57,805,109	ProgramServicesAmt
Management And General	$6,422,789	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,433,920	TotalAmt
Program Services	$19,290,528	ProgramServicesAmt
Management And General	$2,143,392	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,628,455	TotalAmt
Program Services	$4,165,610	ProgramServicesAmt
Management And General	$462,845	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$187,720	TotalAmt
Management And General	$187,720	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$171,721	TotalAmt
Management And General	$171,721	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$384,662	TotalAmt
Management And General	$384,662	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$29,331	TotalAmt
Management And General	$29,331	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$34,310	TotalAmt
Management And General	$34,310	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,707,283	TotalAmt
Program Services	$13,389,292	ProgramServicesAmt
Management And General	$3,317,991	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$251,241	TotalAmt
Program Services	$71,587	ProgramServicesAmt
Management And General	$179,654	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,010,091	TotalAmt
Program Services	$3,488,779	ProgramServicesAmt
Management And General	$521,312	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,701,250	TotalAmt
Program Services	$2,350,088	ProgramServicesAmt
Management And General	$351,162	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$208,251	TotalAmt
Program Services	$170,766	ProgramServicesAmt
Management And General	$37,485	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$96,548	TotalAmt
Program Services	$93,652	ProgramServicesAmt
Management And General	$2,896	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$886,163	TotalAmt
Program Services	$886,163	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,418,993	TotalAmt
Program Services	$3,844,524	ProgramServicesAmt
Management And General	$574,469	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,273,694	TotalAmt
Program Services	$386,528	ProgramServicesAmt
Management And General	$1,887,166	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Supplies	$22,004,730	$22,004,730
Bad Debt	$20,420,667	$20,420,667
Development	$5,953,210	$5,953,210
Pharmacy Expense	$3,782,358	$3,782,358

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,946,164	TotalAmt
Program Services	$2,819,301	ProgramServicesAmt
Management And General	$2,126,863	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$184,407,205	TotalAmt
Program Services	$165,106,582	ProgramServicesAmt
Management And General	$19,300,623	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,330,360	BOYAmt
EOY	$15,497,628	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,799,128	BOYAmt
EOY	$16,193,804	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,109,527	BOYAmt
EOY	$3,472,225	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$835,885	BOYAmt
EOY	$995,822	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$119,808,819	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$96,089,853	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$25,244,378	BOYAmt
EOY	$23,718,966	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$16,474,408	BOYAmt
EOY	$15,109,311	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$16,589,132	BOYAmt
EOY	$17,910,348	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$40,722,252	BOYAmt
EOY	$55,481,004	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$128,105,070	BOYAmt
EOY	$148,379,108	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$31,070,139	BOYAmt
EOY	$34,965,212	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,485,562	BOYAmt
EOY	$18,076,063	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,012,414	BOYAmt
EOY	$1,607,421	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$35,676,647	BOYAmt
EOY	$51,092,418	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$89,244,762	BOYAmt
EOY	$105,741,114	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$38,639,465	BOYAmt
EOY	$42,482,568	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$220,843	BOYAmt
EOY	$155,426	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$38,860,308	BOYAmt
EOY	$42,637,994	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$128,105,070	BOYAmt
EOY	$148,379,108	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$2,902,629	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$875,057	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$29,331	OtherActivitiesAmt
Total Lobbying Expenditures	$29,331	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	A portion of the annual dues paid to the Georgia hospital association and the Georgia alliance of community hospitals are allocated as lobbying expenditures.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$883,014	OtherCostOrOtherBasisAmt
Book Value	$883,014	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$84,020,406	OtherCostOrOtherBasisAmt
Depreciation	$69,187,250	DepreciationAmt
Book Value	$14,833,156	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,590,856	OtherCostOrOtherBasisAmt
Depreciation	$1,517,745	DepreciationAmt
Book Value	$73,111	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,221,477	OtherCostOrOtherBasisAmt
Depreciation	$25,384,858	DepreciationAmt
Book Value	$7,836,619	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$93,066	OtherCostOrOtherBasisAmt
Book Value	$93,066	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$23,718,966	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	Other Investments	Desc
Book Value	$17,910,348	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$17,910,348	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Due from related parties	$45,389,308
Right of use assets - leases	$5,779,165
Other Assets	$4,312,531

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$55,481,004	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
due to related parties	$45,857,919
Operating lease liability	$2,560,072
Finance lease liability	$2,674,427
Medicare advance payment liability

Field	Value	IRS element (for citing)
Total Liability	$51,092,418	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	CRH Health Care, Inc. and CRH Health Services, Inc. are exempt from income taxes pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes on qualifying activities has been made for these entities in the accompanying consolidated financial statements. However, certain entities and operations are subject to income taxes. Orthopedic Surgeons of Georgia, LLC, Emergency Physicians of Coffee County, LLC, and Coffee County Open Arms Clinic, LLC, are limited liability companies and treated as pass through entities for tax purposes. CRH Ventures, Inc. and Southeastern Managed Care, Inc. are taxable entities and are subject to federal and state income taxes. CRH Ventures, Inc. and Southeastern Managed Care, Inc. file separate federal and state income tax returns, and the taxable amounts are not significant to the consolidated financial statements. Coffee Regional Medical Center Segregated Portfolio is an exempted Segregated Portfolio Company that was incorporated under the provisions of the Companies Law of the Cayman Islands and has received an undertaking from the Cayman Islands Government exempting it from all local income, profits, and capital gains taxes. The System applies accounting policies that prescribe when to recognize and how to measure the financial statement effects of income tax positions taken or expected to be taken on its income tax returns. These rules require management to evaluate the likelihood that, upon examination by the relevant taxing jurisdictions, those income tax positions would be sustained. Based on that evaluation, the System only recognizes the maximum benefit of each income tax position that is more than 50% likely of being sustained. To the extent that all or a portion of the benefits of an income tax position are not recognized, a liability would be recognized for the unrecognized benefits, along with any interest and penalties that would result from disallowance of the position. Should any such penalties and interest be incurred, they would be recognized as operating expenses. Based on the results of management's evaluation, no liability is recognized in the accompanying consolidated balance sheet for unrecognized income tax positions. Further, no interest or penalties have been accrued or charged to expense as of December 31, 2023 and 2022 or for the years then ended. The System's 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.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	1	OfficesCnt
Employee	1	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$8,413,467	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	1	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$8,413,467	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$8,413,467	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	125	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,977,556	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,337,793	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$639,763	NetCommunityBenefitExpnsAmt
Total Expense	0.0039	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,772,722	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,874,719	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$22,750,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,212,512	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$639,763	NetCommunityBenefitExpnsAmt
Total Expense	0.0039	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,687	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$74,687	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,749,425	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,933,202	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,816,223	NetCommunityBenefitExpnsAmt
Total Expense	0.0782	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$29,824,112	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,933,202	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,890,910	NetCommunityBenefitExpnsAmt
Total Expense	0.0786	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$52,574,390	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,145,714	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,530,673	NetCommunityBenefitExpnsAmt
Total Expense	0.0825	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	5	PersonsServedCnt
Total Community Benefit Expns	$10,020	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,020	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	5	PersonsServedCnt
Total Community Benefit Expns	$10,020	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,020	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense	$20,420,667	BadDebtExpenseAmt
Bad Debt Expense Attributable	$14,494,996	BadDebtExpenseAttributableAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Coffee Regional Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 Ocilla Road PO Box 1287	AddressLine1Txt
City	Douglas	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31533	ZIPCd

Field	Value	IRS element (for citing)
State License	034-490	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	Physician Offices, Rural Health Clinic	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Coffee Regional Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.coffeeregional.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.coffeeregional.org	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	125.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.coffeeregional.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.coffeeregional.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.coffeeregional.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Coffee Regional Medical Center Inc. We, along with PYA, developed surveys that were sent out to all community members. We reached out to independent medical professionals as well as individuals with the local health department.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Coffee Regional Medical Center Inc. Indirectly, most notably the relationship with community businesses involving the delivery of healthcare and CRMC's Critical Access Partner hospitals.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Coffee Regional Medical Center Inc. CRMC has previously and continues to implement and incorporate strategic initiatives to address area identifies in the Community Health Needs Assessment as well as on-going feedback from our medical staff, our patients, our community and our business partners

Field	Value	IRS element (for citing)
Facility	24	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Bariatric and Metabolic Center
100 Doctors Drive Suite B	Douglas	GA	31533	Specialty Physician Facility
CRH Surgical Group
100 Doctors Drive Suite C	Douglas	GA	31533	Physician Office
CRH Family Medicine Group
100 Doctors Drive Suite G	Douglas	GA	31533	Family Medicine Office
CRMC Wellness Center & Cardiac Rehab
200 Doctors Drive Suite R	Douglas	GA	31533	Rehabilitation Facility
CRH Women's Center
2010 Ocilla Road	Douglas	GA	31533	Specialty Physician Facility
CRMC Advanced Wound Care & Hyperbarics
304 Westside Drive	Douglas	GA	31533	Rehabilitation Facility
CRH Urology Clinic
2007 Ocilla Road	Douglas	GA	31533	Specialty Physician Facility
Coffee Regional First Care
1301 South Peterson Avenue	Douglas	GA	31533	Urgent Care
CRMC Outpatient Imaging
190 Westside Drive D	Douglas	GA	31533	Medical Imaging Facility
CRH Pain Medicine Group
100 Doctors Drive Suite A	Douglas	GA	31533	Rehabilitation Facility
CRMC Rehabilitation Services
100 Doctors Drive Suite E	Douglas	GA	31533	Rehabilitation Facility
CRH Family Medicine Group
100 Doctors Drive Suite F	Douglas	GA	31533	Family Medicine Office
Orthopedic Surgeons of Georgia
100 Doctors Drive Suite I	Douglas	GA	31533	Physician Office
CRH Pediatric Group
200 Doctors Drive Suite P	Douglas	GA	31533	Specialty Physician Facility
CRH Cardiology Group
1305 Ocilla Road	Douglas	GA	31533	Specialty Physician Facility
CRH Industrial Medicine
205 Shirley Avenue	Douglas	GA	31533	Rehabilitation Facility
CRH Family Medicine Group
200 Doctors Drive Suite K	Douglas	GA	31533	Family Medicine Office
CRH Medical Specialty Group
200 Doctors Drive Suite S	Douglas	GA	31533	Specialty Physician Facility
CRH Oncology Group
903 West Ward Street B	Douglas	GA	31533	Specialty Physician Facility
Coffee County Open Arms Clinic LLC
508 Spring Street	Douglas	GA	31533	Medical Clinic
Orthopedic Surgeons of Georgia
1622 Madison Avenue	Tifton	GA	31793	Specialty Physician Facility
CRH Cardiology Group
3374 Greystone Way	Valdosta	GA	31605	Specialty Physician Facility
CRH Family Practice
103 Parallel Street	Broxton	GA	31519	Family Practice
CRH Physician Practices thopedic Surgeons of Georgia
411 Lister Street	Waycross	GA	31501	Specialty Physician facility

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7f	THERE IS $20,420,667 WAS REMOVED IN THE CALCULATION OF THE PERCENT OF TOTAL EXPENSE ON SCHEDULE H LINE 7F.
Schedule H, Part II Community Building Activities Continued:	BREAST CANCER SCREENINGS The CRH Oncology Group sponsors a breast cancer screening event each year with the goal of promoting awareness of breast cancer and the importance of early detection. In 2023, the breast cancer screening event were held on 10/24/2023. Participants were provided educational information on detecting a lump and overall breast health. The event was promoted through various marketing efforts and flyers as well as social media to encourage women, especially those without insurance to participate and receive a free screening. Four CRMC healthcare providers and 16 staff members worked the event. In addition, CRMC Mammography, Coffee County Health Department, CRMC Auxiliary and the local Best Sigma Phi organization provided support for the event and resources to the participants. A total of 27 community residents took advantage of this opportunity and received a free breast cancer screening. The value of those free screenings to the community was $4,050. The cost to CRMC for sponsoring this year's event was approximately $4,192 and represented approximately 80-man hours. ONCOLOGY FLOWER SALE CRMC Oncology Flower Sale took place on Friday, May 12, 2023 raising money to support the Oncology Wellness Program offering a free Oncology Wellness Training for cancer survivors post treatment. Additionally, this program raises awareness in the community about cancer prevention and wellness. The fundraiser sales generated over $3,000. Patients are referred to the program by their Oncologist. PROSTATE SCREEN CRMC offered a free Prostate Screen on Tuesday, November 7, 2023, between 2pm and 6pm. About 1 out of 8 men will be diagnosed with Prostate Cancer in his lifetime. Providers CJ Reddy, M.D. and Danna Tanner, N.P. performed a digital screen for 31 men and a PSA was provided by the CRMC LAB. The normal cost of these test combine is $650, which resulted in a savings to the community of $20,150.
Schedule H, Part I, Line 7g Subsidized Health Services	The Organization is reporting the cost of its physician practices as part of its community benefit. The Organization operates these clinics as part of its mission in ensure access to care in the community.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	20420667
Schedule H, Part II Community Building Activities	2023 CRMC Outreach Activities Coffee Regional Medical Center takes great pride in providing various outreach and educational activities for our service area to help support our mission "To Provide Exceptional Care and Wellness Close to Home". Below are the events we hosted in 2023. ONCOLOGY PATIENT FINANCIAL ASSISTANCE CRMC's Cancer patients have reported economic hardship when faced with the high treatment costs. This financial burden often results in a barrier to quality care (i.e., patients choosing not to receive prescribed therapies). Unfortunately, cancer medications are rising at two to three times other healthcare costs. For example, new cancer therapies can cost more than $60,000 per month and $10,000 on average. Even with health insurance, patients can't afford the out-of-pocket costs. Realizing this, CRMC partnered with Qualify Health to facilitate patient financial assistance. This new service offered by CRMC in 2023 resulted in 149 patients receiving financial assistance totaling $544,040. This total can be broken down as $68,014 in medication co-pay cards, $290,573 free medications, and $163,311 in foundation assistance via grants. CRMC paid 10% of the total financial assistance totaling $54,404. COMMUNITY HEALTH AND WELLNESS FAIR The annual Community Health & Wellness Fair was held May 20, 2023 at Coffee Regional Medical Center's main campus, with over 250 community members visiting the fair that day. CRMC staff, along with outside vendors, provided free screenings on blood pressure, sugar levels, heart rate, oxygen rate and respiratory wellness. Educational material related to cancer, stroke, heart disease, diabetes treatment and prevention, fire and home safety, nutrition and elderly support was provided to participants. In addition, Biochemical Blood Profiles were offered by CRMC's lab to participants at a reduced fee of $40. The normal cost for these tests is $800, which resulted in a savings to the community of $96,000. HEART 2 HEART RUN EVENT Coffee Regional's annual Heart 2 Heart 5K Run/Fun Walk was held a General Coffee State Park on February 25, 2023. The focus of this event was to raise awareness of heart disease. The event included a Fun Run, 1.5 Mile Walk, 5K Race and 10K Race, along with arts, crafts and games. Over 215 community residents attended the event. Participant registration fees for the event generated $10,147, which will be used to assist patients, many of whom are uninsured, with the cost of rehabilitative treatments after a cardiac event. Approximately 36 CRMC employees assisted with preparation and hosting of the event, which required over 80-man hours of work. The estimated cost to CRMC for hosting this event was $4,830. Volunteers from the community and several school clubs also assisted with hosting the event. WEAR RED CAMPAIGN CRMC's annual Wear Red campaign took place during February, which is recognized as heart disease awareness month. The Wear Red Campaign consisted of T-shirt sales and a Valentine Raffle. These events are designed to raise awareness of heart disease and prevention. These fundraiser sales generated approximately $6,077, which will be used to assist patients, many of whom are uninsured, with the cost of rehabilitative treatments after suffering a cardiac event. The campaign ended on the last day of the month when CRMC employees and community members were encouraged to wear red in recognition of heart disease and prevention. Multiple community partners joined to donate giveaways for the raffle. OPEN ARMS CLINIC The Open Arms Clinic is an outreach project of Coffee Regional Medical Center, the goal of which is to reduce health disparities within our community. The clinic serves uninsured patients who reside in Coffee or Atkinson County and have non-emergent healthcare needs. One goal of the Open Arms Clinic is the prevention of chronic disease through the treatment of illnesses such as hypertension, diabetes, and heart disease. During 2023, the clinic treated 283 patients. Actual non-salary expenses of operating the clinic were approximately $7,925. Physicians and support staff donate their time to the clinic. PROJECT SEARCH Project SEARCH is a school-to-work transition program serving students with significant intellectual and developmental disabilities. The Project SEARCH program at Coffee High School, in conjunction with Coffee Regional Medical Center, has been helping young people with significant disabilities find fulfillment, learn new skills, and gain employment since August 2008. The program takes place entirely at the workplace and the goal for each program participant is competitive employment. To reach that goal, the program provides real-life work experience combined with training in employability and independent-living skills to help the participants make successful transitions to productive adult life. The Project SEARCH model involves an extensive period of skills training and career exploration, innovative adaptations, long-term job coaching, and continuous feedback from teachers, skills trainers, and employers. As a result, at the completion of the training program, students with significant intellectual disabilities are employed in nontraditional, complex and rewarding jobs. During the 2022-2023 school term, the Project SEARCH program at Coffee Regional Medical Center had 5 participants. Various departments within the hospital provided training opportunities to the participants including dietary, environmental, engineering, patient access, and materials management. Each participant spent 10 weeks in their given department, then rotated to a new department. During this time, participants were taught many skills while working with a mentor in each department. Each year CRMC donates classroom space for the program, one meal a day to both participants and instructors and approximately 60 CRMC staff hours of training, mentoring and education. The total estimated cost for these services is approximately $13,620 annually. SCHOOL SPORTS PHYSICALS Athletic physicals are required by both the Georgia High School Association and the Georgia Independent School Association for students participating in school athletic programs. Each year Coffee Regional Medical Center provides sports physicals to local school students planning to participate in interscholastic sports at no cost. On 04/13/2023, Coffee Regional provided 866 sports physicals, at no cost, to local area students. The Physicals Event was staffed by 10 healthcare providers and 21 nurses and staff members. Sports physicals normally cost $32, but were performed free of charge through this program, resulting in a cost savings to the community of $27,712 Approximately 170 man-hours were required to host this event, resulting in a total personnel & supplies cost to Coffee Regional of approximately $8,166. SIDLEINE SERVICE CRMC provides sideline emergency medical services for each varsity high school football game for the Coffee County School system. A fully equipped ambulance staffed by an EMT and a paramedic are provided free of charge for each home game. There were 10 home football games in 2023 & the games averaged about 2.5 hours each. The estimated cost of this service to CRMC is approximately $100/hour estimating a total expense of $2,500. GRADUATION CEREMONY CRMC provides emergency medical services for the High School Graduation ceremony for the Coffee County School system. A fully equipped ambulance staffed by an EMT and a paramedic are provided free of charge for this ceremony. The ceremony lasts around 3 hours. The estimated cost of this service to CRMC is approximately $100/hour estimating a total expense of $300.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	AMOUNTS ON PART III, LINES 2 AND 3 REPRESENT CHARGES WRITTEN OFF AS UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT AND WRITTEN OFF TO BAD DEBT EXPENSE. LINE 3 IS ESTIMATED AT 75% OF THE AMOUNT ON LINE 2.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	Implicit price concessions for uninsured and underinsured patients that do not qualify for financial assistance are estimated based on historical collection experience with this class of patients using a portfolio approach as a practical expedient. For uninsured and underinsured patients that do not qualify for financial assistance, the System recognizes revenue on the basis of established rates, discounted according to policy for services rendered. Historical experience has shown a significant proportion of the System's uninsured patients, in addition to a growing proportion of the System's insured patients, will be unable or unwilling to pay for their responsible amounts for the services provided. In order to estimate the net realizable value of the revenues and accounts receivable associated with third-party payors and uninsured patients, management regularly assesses their valuation based upon business and economic considerations, trends in healthcare coverage, historical write-off experience and other collection trends.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Implicit price concessions for uninsured and underinsured patients that do not qualify for financial assistance are estimated based on historical collection experience with this class of patients using a portfolio approach as a practical expedient. For uninsured and underinsured patients that do not qualify for financial assistance, the System recognizes revenue on the basis of established rates, discounted according to policy for services rendered. Historical experience has shown a significant proportion of the System's uninsured patients, in addition to a growing proportion of the System's insured patients, will be unable or unwilling to pay for their responsible amounts for the services provided. In order to estimate the net realizable value of the revenues and accounts receivable associated with third-party payors and uninsured patients, management regularly assesses their valuation based upon business and economic considerations, trends in healthcare coverage, historical write-off experience and other collection trends.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	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 Collection practices for patients eligible for financial assistance	THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES THAT QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS AGAINST THOSE BALANCES.
Schedule H, Part V, Section B, Line 16a FAP website	- Coffee Regional Medical Center: Line 16a URL: www.coffeeregional.org;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Coffee Regional Medical Center: Line 16b URL: www.coffeeregional.org;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Coffee Regional Medical Center: Line 16c URL: www.coffeeregional.org;
Schedule H, Part VI, Line 2 Needs assessment	Every three years, we survey key stakeholders throughout the community and develop strategic initiatives focused on the responses. We also perform market share analysis to understand what services out community is seeking that we currently do not offer, and potentially what services that we may be able to offer, in the future.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE FINANCIAL COUNSELING DEPARTMENT WILL PROVIDE INFORMATION AND APPLICATIONS TO ALL PATIENTS OR GUARANTORS SEEKING FINANCIAL ASSISTANCE FOR SERVICES RENDERED AT COFFEE REGIONAL MEDICAL CENTER THAT ARE DEEMED MEDICALLY NECESSARY. FINANCIAL COUNSELORS WILL DISCUSS ELIGIBILITY FOR MEDICAL ASSISTANCE PROGRAMS THROUGH THE DEPARTMENT OF FAMILY & CHILDREN SERVICES AND THE SOCIAL SECURITY ADMINISTRATION. IF ELIGIBILITY IS NOT MET FOR ANY MEDICAL ASSISTANCE PROGRAM, THE FINANCIAL COUNSELING DEPARTMENT WILL SEEK ELIGIBILITY THROUGH COFFEE REGIONAL MEDICAL CENTER'S INDIGENT CARE TRUST FUND PROGRAM. PATIENTS OR GUARANTORS REQUESTING FINANCIAL ASSISTANCE ARE REFERRED TO THE FINANCIAL COUNSELORS (FC) OR THE BENEFIT SPECIALISTS CONTACT THE PATIENT AT THE TIME OF REGISTRATION FOR OUTPATIENT SERVICES OR IN THE EMERGENCY DEPARTMENT (AFTER MEDICAL SCREENING HAS BEEN COMPLETED). THE FC WILL ALSO CONTACT AN INDIVIDUAL IF THERE IS A REQUEST FROM SOCIAL SERVICES, A PHYSICIAN OFFICE, OR THE PATIENT FINANCIAL SERVICES DEPARTMENT. PATIENTS ADMITTED FOR INPATIENT OR OBSERVATION SERVICES MAY BE VISITED BY THE FC AFTER THE PATIENT HAS BEEN PLACED IN A ROOM AND STABILIZED. THE FC WILL DISCUSS WITH THE PATIENT OR GUARANTOR THE INDIGENT CARE TRUST FUND PROGRAM REQUIREMENTS AND APPLICATION PROCESS. THE PATIENT OR GUARANTOR WILL BE REQUIRED TO COMPLETE AN INDIGENT APPLICATION, PROVIDE PROOF OF IDENTITY, PROVIDE BIRTH CERTIFICATES OR PROOF OF DEPENDENCY FOR CHILDREN WITH NO IDENTITY, AND PROVIDE VERIFICATION OF INCOME (I.E. W2'S, FEDERAL TAX RETURN, PAY STUBS, ETC.). IF VERIFICATION IS NOT PROVIDED AT THE TIME OF THE INTERVIEW, THE PATIENT OR GUARANTOR WILL BE REQUIRED TO PROVIDE WITHIN 30 DAYS. APPLICATIONS MADE ON BEHALF OF DECEASED PATIENTS MUST HAVE VERIFICATION OF INCOME AND INFORMATION CONCERNING THE VALUE OF THE PATIENT'S ESTATE. PATIENTS WHO CHOOSE NOT TO UTILIZE CURRENT BENEFITS THEY ARE ELIGIBLE FOR (I.E. VETERANS BENEFITS, MEDICARE, AND COMMERCIAL INSURANCE) WILL NOT BE CONSIDERED FOR THE INDIGENT PROGRAM. UPON RECEIPT OF THE COMPLETED APPLICATION INCLUDING NECESSARY DOCUMENTATION, CALCULATION OF THE HOUSEHOLD SIZE AND ANNUAL HOUSEHOLD INCOME IS COMPUTED AND COMPARED TO THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE THE PERCENTAGE OF ASSISTANCE A PATIENT OR GUARANTOR IS ELIGIBLE TO RECEIVE. PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BELOW THE GROSS INCOME CEILING FOR POTENTIAL MEDICAID ELIGIBILITY ARE REQUIRED TO APPLY FOR MEDICAID. ASSISTANCE IS PROVIDED TO PATIENTS IN FILING FOR OTHER BENEFITS AND COMPLETING MEDICAID APPLICATIONS. PATIENTS WHO CHOOSE NOT TO APPLY FOR OTHER BENEFITS TO WHICH THEY MAY BE ENTITLED (I.E. MEDICAID) WILL NOT BE CONSIDERED FOR THE INDIGENT PROGRAM. PATIENTS WHO CHOOSE TO APPLY COFFEE REGIONAL MEDICAL CENTER'S ACCOUNTS FOR THE PURPOSE OF MEETING MEDICALLY NEEDY SPEND DOWN TO RECEIVE ONGOING MEDICAID WILL NOT BE ALLOWED TO APPLY FOR THE INDIGENT PROGRAM FOR THAT ACCOUNT. PATIENTS OR GUARANTORS OVER 18 YEARS OF AGE BUT CLASSIFIED AS DEPENDENTS FOR TAX PURPOSES DUE TO STUDENT ELIGIBILITY WILL HAVE A TOTAL HOUSEHOLD SIZE THAT INCLUDES PARENTS AND SUBSEQUENT INCOME. PATIENTS OR GUARANTORS NOT ELIGIBLE FOR OTHER MEDICAL ASSISTANCE PROGRAMS WILL BE PROCESSED UNDER THE INDIGENT CARE TRUST FUND GUIDELINES USING THE FOLLOWING CATEGORIES: - INDIGENT FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BELOW 125% OF THE FPG, THE APPLICABLE ACCOUNTS WILL BE ADJUSTED TO ZERO BALANCES. CHARITY - FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS GREATER THAN OR EQUAL TO 125% BUT NOT GREATER THAN 200% OF THE FPG, THE APPLICABLE ACCOUNTS WILL BE ADJUSTED BY THE APPROPRIATE PERCENTAGES. AN ADJUSTMENT OF 85% OF APPLICABLE CHARGES FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BETWEEN 125% AND 150% OF FPG AN ADJUSTMENT OF 70% OF APPLICABLE CHARGES FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BETWEEN 150% AND 175% OF FPG AN ADJUSTMENT OF 62% OF APPLICABLE CHARGES FOR PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS BETWEEN 175% AND 200% OF FPG CATASTROPHIC PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS GREATER THAN 200% FPG MAY QUALIFY FOR CHARITY ADJUSTMENTS ON APPLICABLE ACCOUNTS, IF CONSIDERATION OF THE CRMC PATIENT OBLIGATIONS REDUCES THE ANNUAL HOUSEHOLD INCOME TO THE APPROPRIATE FPG. NOTIFICATION OF STATUS OF COMPLETED APPLICATION IS PROVIDED TO THE PATIENT OR GUARANTOR WITHIN 5 WORKING DAYS OF RECEIPT OF NEEDED INFORMATION. APPROVED APPLICATIONS ARE VALID FOR 180 DAYS FROM DATE OF SIGNATURE. INCOMPLETE APPLICATIONS ARE HELD FOR 30 DAYS. IF NO DOCUMENTATION IS PROVIDED TO COMPLETE THE APPLICATION, A DENIAL LETTER IS SENT TO THE PATIENT OR GUARANTOR. THE APPLICATION MAY BE COMPLETED IF THE PATIENT OR GUARANTOR PROVIDES THE REQUESTED INFORMATION WITHIN 15 WORKING DAYS OF THE DENIAL. NOTIFICATION OF STATUS OF COMPLETED APPLICATION WILL BE MAILED WITHIN 15 WORKING DAYS OF RECEIPT OF NEEDED INFORMATION. THE APPLICATION AND DOCUMENTATION WILL BECOME PROPERTY OF COFFEE REGIONAL MEDICAL CENTER AND IS TO BE KEPT CONFIDENTIAL IN THE SAME MANNER AS MEDICAL RECORDS. HOWEVER, THIS INFORMATION WILL BE USED FOR AGGREGATE REPORTING PURPOSES ONLY.
Schedule H, Part VI, Line 4 Community information	The total service area for CRMC is approximately 73,000 individuals. Approximately 48% of the population is female and 52% is male. 69% of the population is white, 29% black, and 3% is other. 12% of the population is o Hispanic or Latino origin and 29% of individuals are below the poverty level, compared to 14% for the state of Georgia. The median household income is $36,500 and the high school . graduation rate is 78%. In 2018, 19.4% of individuals were uninsured, compared to 15.7% for the state of Georgia.
Schedule H, Part VI, Line 5 Promotion of community health	Coffee Regional Medical Center is governed by a board of directors consisting of 12 members. CRH Healthcare, Inc., the sole member, elects the board members of CRMC. The CRMC board is made up of 9 community members reflecting the diversity of the community. Two additional members are the Chief of Staff of CRMC and the Chief of Staff Elect. One additional member is the sitting Chairman of the Coffee County Board of Commissioners. The remaining board member, who serves as a non-voting member, is the individual holding the office of County Administrator of Coffee County. IT IS THE PHILOSOPHY OF CRMC TO ASSURE THE CONTINUATION AND ENHANCEMENT OF PATIENT CARE BY REINVESTING EXCESS FUNDS BACK INTO THE OPERATIONS OF THE FACILITY. THIS INCLUDES GREATER ACCESSIBILITY OF CARE THROUGH THE CREATION OF A RURAL HEALTH CENTER, IMPLEMENTATION OF A TELEMEDICINE PROGRAM AND RECRUITMENT OF PHYSICIANS TO THE UNDERSERVED ENVIRONMENT. ENHANCEMENT OF TECHNOLOGY IS ALSO IMPERATIVE TO ASSURE APPROPRIATE DIAGNOSTIC AND THERAPEUTIC OPTIONS FOR THE COMMUNITY. UPDATING THE AMBULANCE FLEET IS CONSISTENTLY HIGH ON THE FUNDING PRIORITY LIST TO ASSURE SERVICE TO THE MOST REMOTE AREAS OF THE COUNTY, WHICH IN SQUARE MILES IS THE SECOND LARGEST COUNTY IN THE STATE OF GEORGIA. CRMC HAS AN OPEN MEDICAL STAFF POLICY EXTENDING PRIVILEGES TO PROFESSIONALLY COMPETENT PRACTITIONERS WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS OF CRMC.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	false	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jeffery Winge MD
Director	$376,437	$0	$95,539	$0	$0	$0	$0	$0	$39,077	$0	$511,053	$0	$0	$0
Joshua Vickers MD
Director / Physician	$659,528	$0	$57,063	$0	$0	$0	$0	$0	$39,077	$0	$755,668	$0	$0	$0
Vicki Lewis
President / CEO	$576,932	$0	$49,754	$0	$0	$0	$0	$0	$19,531	$0	$646,217	$0	$0	$0
John McLeod
Executive VP / CFO	$211,103	$0	$0	$0	$0	$0	$0	$0	$25,601	$0	$236,704	$0	$0	$0
Lavonda Cravey
VP of Revenue	$233,751	$0	$750	$0	$4,800	$0	$0	$0	$39,077	$0	$278,378	$0	$0	$0
Julian Cunningham
VP of Physician Practices	$169,141	$0	$0	$0	$8,471	$0	$0	$0	$13,476	$0	$191,088	$0	$0	$0
Bennett Floyd
VP of Operations	$236,147	$0	$0	$0	$4,800	$0	$0	$0	$39,077	$0	$280,024	$0	$0	$0
Sue Lane Hughes
VP of Nursing Services / CNO	$240,632	$0	$0	$0	$7,800	$0	$0	$0	$0	$0	$248,432	$0	$0	$0
Peggy Kirkland
Executive VP of HR	$273,542	$0	$0	$0	$4,800	$0	$0	$0	$13,476	$0	$291,818	$0	$0	$0
Jerry West
VP of Quality & Patient Experience	$166,242	$0	$0	$0	$4,800	$0	$0	$0	$0	$0	$171,042	$0	$0	$0
Hewatt Sims
Orthopeadic Physician	$826,225	$0	$217,532	$0	$0	$0	$0	$0	$39,077	$0	$1,082,834	$0	$0	$0
Thaihang Nguyen
Family Practive Physician	$259,325	$0	$511,915	$0	$0	$0	$0	$0	$26,974	$0	$798,214	$0	$0	$0
Eric Anderson
Oncology Physician	$547,403	$0	$226,847	$0	$0	$0	$0	$0	$17,673	$0	$791,923	$0	$0	$0
Glenn Evans Sr
Cardiology Physician	$713,668	$0	$154,733	$0	$45,482	$0	$0	$0	$39,077	$0	$952,960	$0	$0	$0
Thomas Wehmann
Surgical Physician	$511,816	$0	$280,506	$0	$0	$0	$0	$0	$26,974	$0	$819,296	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 1a Health or social club dues or initiation fees	FormAndLineReferenceDesc
Explanation	We pay the Douglas Golf & Country Club social dues for the President, Vicki Lewis. This is in her contract. This is also in some other key employees' contracts but Vicki's in the only one currently being paid. We paid $1,946.25 for these dues in 2023.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Coffee county hospital authority
A	586003116	192137DW4	2016-12-22	$24,367,008	Defeasance of previous bonds	false	false	false
Coffee county hospital authority
B	586003116	000000000	2018-12-14	$11,500,000	Construct and equip hospital facilities	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr
A	$16,322,000	$24,963,471	$24,367,008	$2,171,000	$24,963,471	$468,262	false	Yes (true)	Yes (true)	Yes (true)
B	$2,826,789		$11,500,000			$161,260	false	false	false	false	$11,338,740	2023

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.0	0.0	0.0	false	false	Yes (true)
B	false	false	false	false	0.0	0.0	0.0	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	false	false	false	false	false	false
B	false	Yes (true)	false	false	Yes (true)	false	false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Melissa Ott
Family member of Key Employee Sue Lane Hughes	$61,315	Compensation received from employment	false
Jacquenlyn Jowers
Family member of Key Employee Sue Lane Hughes	$30,601	Compensation received from employment	false
Walda Kight
Family Member of board member James Dennis	$81,880	Compensation received from employment	false
Donna Laree Vickers
Family Member of board member Joshua Vickers	$40,428	Compensation received from employment	false
Larissa Davis
Family member of Key Employee Peggy Kirkland	$131,402	Compensation received from employment	false
Adrean Cravey
Family Member of Key Employee Lavonda Cravey	$54,844	Compensation received from employment	false
Alexander Cravey
Family Member of Key Employee Lavonda Cravey	$19,991	Compensation received from employment	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6 Classes of members or stockholders	CRH HEALTHCARE, INC., THE PARENT ORGANIZATION, HAS THE AUTHORITY TO APPOINT OR REMOVE BOARD MEMBERS.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	BOARD MEMBERS OF THE ORGANIZATION ARE APPOINTED, AND CAN BE REMOVED, BY CRH HEALTHCARE, INC., THE PARENT ORGANIZATION.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	DECISIONS OF THE BOARD ARE SUBJECT TO APPROVAL BY CRH HEALTHCARE, INC., THE PARENT ORGANIZATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body	FORM 990 IS PREPARED BY AN INDEPENDENT FIRM AND IS PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS. THE MANAGEMENT OF COFFEE REGIONAL MEDICAL CENTER, INC. PERFORMS A REVIEW OF FORM 990 BEFORE THE FILING DATE AND INCLUDES A REVIEW OF FINANCIAL DATA AND OTHER DETAILS.
Form 990, Part VI, Line 12c Conflict of interest policy	BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS ANNUALLY. THIS IS REVIEWED BY THE CEO AND BOARD CHAIRMAN, IF NEEDED. MEMBERS RECUSE THEMSELVES FROM CERTAIN DISCUSSIONS/DECISIONS AS A RESULT OF ANY CONFLICTS.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	COMPENSATION OF THE CEO AND EXECUTIVE OFFICERS OF CRMC IS DETERMINED BY AN INDEPENDENT COMPENSATION COMMITTEE, GEORGIA HOSPITAL ASSOCIATION SURVEYS, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	COMPENSATION OF THE CEO AND EXECUTIVE OFFICERS OF CRMC IS DETERMINED BY AN INDEPENDENT COMPENSATION COMMITTEE, GEORGIA HOSPITAL ASSOCIATION SURVEYS, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED.
Form 990, Part VI, Line 19 Required documents available to the public	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE ALL AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S CORPORATE HEADQUARTERS.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Cafeteria - Total Revenue: 913270, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 913270;
Form 990, Part XII, Line 2c Change of oversight process or selection process	This process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CRH Physician Practices LLC
1101 Ocilla Road	Douglas	GA	31533	205778734	Physicians Offices	GA	$13,826,429	$3,019,160	CRMC
Emergency physicians of coffee co llc
PO Box 1287	Douglas	GA	31534	451775790	ER Physicians	GA	$1,800,745	$573,295	CRMC
Orthopedic Surgeons of georgia llc
PO Box 1287	Douglas	GA	31534	452786844	Physicians Offices	GA	$3,106,777	$259,282	CRMC
Coffee Regional medical Center segregated portfolio
					Insurance		$2,350,674	$10,990,852	CRMC	CJ
Coffee county open arms clinic llc
1101 Ocilla Road	Douglas	GA	31533	842372588	Medical Services	GA	$0	$0	CRMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
CRH Healthcare inc
1101 Ocilla Road	Douglas	GA	31533	582163724	Management Services	GA	501(c)(3)	Type III-FI	N/A	false
CRH Health Services Inc
1101 Ocilla Road	Douglas	GA	31533	582165827	Foundation	GA	501(c)(3)	Type II	N/A	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
CRH Ventures Inc
1101 Ocilla Road	Douglas	GA	31533	582165279	Office Rental	GA	N/A	C Corporation	$438,038	$4,189,474	0	false
Southeastern managed care inc
1101 Ocilla Road	Douglas	GA	31533	582236627	Managed Care	GA	N/A	C Corporation	$0	$0	0	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd