2025-05-01T09:42:26+00:00 2023-12-31 440160260 Forvis Mazars LLP 500 Ridgefield Court Asheville NC 28806 990 2023-01-01 650543088 Coffee Regional Medical Center Inc COFF 9123841900 1101 Ocilla Rd Douglas GA 31533 Vicki Lewis President & CEO 9123841900 2025-05-01 true true Amy Bibby P00445891 8282542254 2025-04-25 2023 2025-03-06 01:10:19Z Vicki Lewis 1101 Ocilla Rd Douglas GA 31533 187406340 false X www.coffeeregional.org X 1995 GA 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. 11 8 1305 60 56712 47807 8805673 3031100 163500869 172510296 983175 1282551 7799097 10485887 181088814 187309834 0 0 0 0 90444120 94938818 0 0 0 86542011 89468387 176986131 184407205 4102683 2902629 128105070 148379108 89244762 105741114 38860308 42637994 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. false false 165106582 179422449 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. 165106582 true true false true false false false false false true true false true true true false true false false true false false false false false true true false false true true false false false false false false false false true false false false false false true true false false false true X 104 0 true 1305 true true true true CJ false false false false false false false false false false X 11 8 false false false false true true true true true false false true true true true true true true true false GA X The Organization 9123841900 1101 Ocilla Rd Douglas GA 31533 Adam Smith Director 1.0 1.0 X 0 0 0 Carl McDonald Director 1.0 X 0 0 0 Ellen Fitzgerald Director 1.0 X 0 0 0 James Dennis Director 1.0 X 0 0 0 Jeffery Winge MD Director 50.0 X 471976 0 39077 Jim Cottingham Director 1.0 X 0 0 0 Joshua Vickers MD Director / Physician 50.0 X 716591 0 39077 Marlene Baldree Director 1.0 X 0 0 0 Russ Story Director 1.0 X 0 0 0 Shane Shook Director 1.0 1.0 X 0 0 0 Ted O'Steen Director 1.0 X 0 0 0 Wesley Vickers Director, Non Voting 1.0 X 0 0 0 John McLeod Executive VP / CFO 52.0 1.0 X 211103 0 25601 Martin Hutson Deceased in 2023 Executive VP / CFO 50.0 1.0 X 132289 0 5575 Vicki Lewis President / CEO 52.0 3.0 X 626686 0 19531 Bennett Floyd VP of Operations 50.0 X 240947 0 39077 Jerry West VP of Quality & Patient Experience 50.0 X 171042 0 0 Julian Cunningham VP of Physician Practices 50.0 X 177612 0 13476 Lavonda Cravey VP of Revenue 52.0 2.0 X 239301 0 39077 Peggy Kirkland Executive VP of HR 50.0 X 278342 0 13476 Sue Lane Hughes VP of Nursing Services / CNO 50.0 2.0 X 248432 0 0 Eric Anderson Oncology Physician 50.0 X 774250 0 17673 Glenn Evans Sr Cardiology Physician 50.0 X 913883 0 39077 Hewatt Sims Orthopeadic Physician 50.0 X 1043757 0 39077 Thaihang Nguyen Family Practive Physician 50.0 X 771240 0 26974 Thomas Wehmann Surgical Physician 50.0 X 792322 0 26974 7809773 0 383742 128 false true false Coffee County Hospitalist Physicians LLC 306 WESTSIDE DRIVE DOUGLAS GA 31533 Staffing Service 2749391 Rehabilitation Specialists of South Georgia 169 MEADOWLARK LANE FITZGERALD GA 31750 Physical Therapy Services 964312 Weatherby Locums Inc PO BOX 972633 DALLAS TX 75697 Staffing Services 559082 Radar Healthcare Providers PO BOX 1708 WATKINSVILLE GA 30677 Staffing Services 476836 Forvis Mazars LLP PO BOX 602828 CHARLOTTE NC 28260 Accounting Services 430430 27 3031100 3031100 Patient revenue 621990 172510296 172453584 56712 0 0 0 0 172510296 1379057 1379057 309790 309790 0 309790 309790 96506 -96506 0 -96506 -96506 Pharmacy Revenue 621990 5139367 5139367 Unearned Premium 900099 2350674 2350674 Other Operating Income 900099 1772786 1772786 913270 0 0 913270 10176097 187309834 179365737 56712 4856285 4228085 3805276 422809 420460 378414 42046 64227898 57805109 6422789 21433920 19290528 2143392 4628455 4165610 462845 187720 187720 171721 171721 384662 384662 29331 29331 34310 34310 16707283 13389292 3317991 0 251241 71587 179654 4010091 3488779 521312 2701250 2350088 351162 208251 170766 37485 96548 93652 2896 886163 886163 4418993 3844524 574469 2273694 386528 1887166 Supplies 22004730 22004730 Bad Debt 20420667 20420667 Development 5953210 5953210 Pharmacy Expense 3782358 3782358 4946164 2819301 2126863 0 184407205 165106582 19300623 0 11330360 15497628 13799128 16193804 0 0 3109527 3472225 835885 995822 119808819 96089853 25244378 23718966 16474408 15109311 16589132 17910348 0 40722252 55481004 128105070 148379108 31070139 34965212 21485562 18076063 0 1012414 1607421 35676647 51092418 89244762 105741114 X 38639465 42482568 220843 155426 38860308 42637994 128105070 148379108 2902629 875057 0 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 29331 29331 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A portion of the annual dues paid to the Georgia hospital association and the Georgia alliance of community hospitals are allocated as lobbying expenditures. 883014 883014 84020406 69187250 14833156 1590856 1517745 73111 33221477 25384858 7836619 93066 93066 23718966 Other Investments 17910348 C 17910348 Due from related parties 45389308 Right of use assets - leases 5779165 Other Assets 4312531 55481004 due to related parties 45857919 Operating lease liability 2560072 Finance lease liability 2674427 Medicare advance payment liability 51092418 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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. Central America and the Caribbean 1 1 Investments 8413467 1 1 0 0 1 1 8413467 0 8413467 false false false false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true true true X 125 true X true true false true true 5977556 5337793 639763 0.0039 16772722 18874719 0 0.0 0 0.0 0 0 22750278 24212512 639763 0.0039 74687 74687 0.0005 0 0.0 29749425 16933202 12816223 0.0782 0 0.0 0 0.0 0 0 29824112 16933202 12890910 0.0786 0 0 52574390 41145714 13530673 0.0825 0 0.0 0 0.0 1 5 10020 10020 0.0001 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 5 10020 0 10020 0.0001 20420667 14494996 X true true 1 1 Coffee Regional Medical Center 1101 Ocilla Road PO Box 1287 Douglas GA 31533 034-490 X X X Physician Offices, Rural Health Clinic Coffee Regional Medical Center 1 false false true X X X X X X X X X 22 true true false true X www.coffeeregional.org X true 22 true www.coffeeregional.org false true X 125.0 200.0 X X true true X X X X true X www.coffeeregional.org X www.coffeeregional.org X www.coffeeregional.org X X X X X X true X false true X false false 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 24 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 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. X true false X X X X X false false false false false false false false false Jeffery Winge MD Director 376437 0 95539 0 0 0 0 0 39077 0 511053 0 0 0 Joshua Vickers MD Director / Physician 659528 0 57063 0 0 0 0 0 39077 0 755668 0 0 0 Vicki Lewis President / CEO 576932 0 49754 0 0 0 0 0 19531 0 646217 0 0 0 John McLeod Executive VP / CFO 211103 0 0 0 0 0 0 0 25601 0 236704 0 0 0 Lavonda Cravey VP of Revenue 233751 0 750 0 4800 0 0 0 39077 0 278378 0 0 0 Julian Cunningham VP of Physician Practices 169141 0 0 0 8471 0 0 0 13476 0 191088 0 0 0 Bennett Floyd VP of Operations 236147 0 0 0 4800 0 0 0 39077 0 280024 0 0 0 Sue Lane Hughes VP of Nursing Services / CNO 240632 0 0 0 7800 0 0 0 0 0 248432 0 0 0 Peggy Kirkland Executive VP of HR 273542 0 0 0 4800 0 0 0 13476 0 291818 0 0 0 Jerry West VP of Quality & Patient Experience 166242 0 0 0 4800 0 0 0 0 0 171042 0 0 0 Hewatt Sims Orthopeadic Physician 826225 0 217532 0 0 0 0 0 39077 0 1082834 0 0 0 Thaihang Nguyen Family Practive Physician 259325 0 511915 0 0 0 0 0 26974 0 798214 0 0 0 Eric Anderson Oncology Physician 547403 0 226847 0 0 0 0 0 17673 0 791923 0 0 0 Glenn Evans Sr Cardiology Physician 713668 0 154733 0 45482 0 0 0 39077 0 952960 0 0 0 Thomas Wehmann Surgical Physician 511816 0 280506 0 0 0 0 0 26974 0 819296 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees 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. A Coffee county hospital authority 586003116 192137DW4 2016-12-22 24367008 Defeasance of previous bonds false false false B Coffee county hospital authority 586003116 000000000 2018-12-14 11500000 Construct and equip hospital facilities false false false A 16322000 24963471 24367008 2171000 24963471 468262 false true true true B 2826789 11500000 161260 11338740 2023 false false false false A false false false false 0.0 0.0 0.0 false false true B false false false false 0.0 0.0 0.0 false false false A false false false false false false false false false B false true false false true false false false false A false B false Melissa Ott Family member of Key Employee Sue Lane Hughes 61315 Compensation received from employment false Jacquenlyn Jowers Family member of Key Employee Sue Lane Hughes 30601 Compensation received from employment false Walda Kight Family Member of board member James Dennis 81880 Compensation received from employment false Donna Laree Vickers Family Member of board member Joshua Vickers 40428 Compensation received from employment false Larissa Davis Family member of Key Employee Peggy Kirkland 131402 Compensation received from employment false Adrean Cravey Family Member of Key Employee Lavonda Cravey 54844 Compensation received from employment false Alexander Cravey Family Member of Key Employee Lavonda Cravey 19991 Compensation received from employment false 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. CRH Physician Practices LLC 1101 Ocilla Road Douglas GA 31533 205778734 Physicians Offices GA 13826429 3019160 CRMC Emergency physicians of coffee co llc PO Box 1287 Douglas GA 31534 451775790 ER Physicians GA 1800745 573295 CRMC Orthopedic Surgeons of georgia llc PO Box 1287 Douglas GA 31534 452786844 Physicians Offices GA 3106777 259282 CRMC Coffee Regional medical Center segregated portfolio Insurance CJ 2350674 10990852 CRMC Coffee county open arms clinic llc 1101 Ocilla Road Douglas GA 31533 842372588 Medical Services GA 0 0 CRMC 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 CRH Ventures Inc 1101 Ocilla Road Douglas GA 31533 582165279 Office Rental GA N/A C Corporation 438038 4189474 0 false Southeastern managed care inc 1101 Ocilla Road Douglas GA 31533 582236627 Managed Care GA N/A C Corporation 0 0 0 false false false false false false false false false false false false false false false false false false false false