COFFEE REGIONAL MEDICAL CENTER INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- COFFEE REGIONAL MEDICAL CENTER INC (EIN 65-0543088)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202113199349317176
- Schema version
- 2020v4.1
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-15T14:23:41-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN 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 | 2020-01-01 | 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 AND CEO | PersonTitleTxt |
| Phone | 9123841900 | PhoneNum |
| Signature | 2021-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | VICKI | PersonFirstNm |
| Person Last | LEWIS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2021-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | VICKI LEWIS | PrincipalOfficerNm |
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 | $164,368,541 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | 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 | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1084 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $65,151 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,763,839 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,426,956 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $141,271,179 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $151,472,614 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,030,734 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,905,877 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,987,699 | PYOtherRevenueAmt |
| CY Other Revenue | $4,563,094 | CYOtherRevenueAmt |
| PY Total Revenue | $150,053,451 | PYTotalRevenueAmt |
| CY Total Revenue | $164,368,541 | 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 | $70,742,454 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $75,752,093 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $77,597,217 | PYOtherExpensesAmt |
| CY Other Expenses | $87,529,156 | CYOtherExpensesAmt |
| PY Total Expenses | $148,339,671 | PYTotalExpensesAmt |
| CY Total Expenses | $163,281,249 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,713,780 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,087,292 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $91,799,404 | TotalAssetsBOYAmt |
| Total Assets EOY | $118,005,356 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $66,143,065 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $90,196,776 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $25,656,339 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $27,808,580 | 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 | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $147,175,878 | ExpenseAmt |
| Revenue | $155,045,306 | RevenueAmt |
| Desc | HOSPITAL SERVICES SHORT TERM CARE FOR INPATIENT AND OUTPATIENT SERVICES FOR DOUGLAS AND COFFEE COUNTY. COFFEE REGIONAL MEDICAL CENTER (CRMC) SERVED 5,169 PATIENTS FOR A TOTAL OF 20,259 INPATIENT DAYS IN 2020. NURSERY DAYS WERE 911 IN 2020. COFFEE REGIONAL MEDICAL CENTER PROVIDED APPROXIMATELY $18,422,880 OF INDIGENT AND CHARITY SERVICES IN 2020. | Desc |
| Total Program Service Expenses | $147,175,878 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 94 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1084 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARTIN HUTSON | PersonNm |
| 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 (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARLENE BALDREE | |||||||||
| CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES DENNIS | |||||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ADAM SMITH | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ELLEN FITZGERALD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CARL MCDONALD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRANDY WILKES | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GARY EVANS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RUSS STORY | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JON LOTT | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHNNY WAYNE JOWERS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WESLEY VICKERS NON VOTING | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ARISTOTLE COCHON | |||||||||
| DIRECTOR/PHYSICIAN | 40.00 | Yes (X) | $44,589 | $0 | $20,780 | ||||
| LAURA THARP | |||||||||
| DIRECTOR/PHYSICIAN | 40.00 | Yes (X) | $586,004 | $0 | $27,293 | ||||
| VICKI LEWIS | |||||||||
| PRESIDENT/CEO | 50.00 | 2.00 | Yes (X) | $608,160 | $0 | $2,921 | |||
| MARTIN HUTSON | |||||||||
| EXECUTIVE VP/CFO | 50.00 | Yes (X) | $304,852 | $0 | $10,576 | ||||
| SUE LANE HUGHES | |||||||||
| VP OF NURSING SERVICES/CNO | 50.00 | $171,910 | $0 | $770 | Yes (X) | ||||
| BENNETT FLOYD | |||||||||
| VP OF OPERATIONS | 50.00 | $213,024 | $0 | $26,350 | Yes (X) | ||||
| PEGGY KIRKLAND | |||||||||
| DIRECTOR OF PHARMACY | 50.00 | $191,275 | $0 | $19,283 | Yes (X) | ||||
| LAVONDA CRAVEY | |||||||||
| EXECUTIVE VP | 50.00 | 2.00 | $208,165 | $0 | $17,712 | Yes (X) | |||
| SHERRY THOMAS | |||||||||
| EXECUTIVE VP / COO | 50.00 | $267,662 | $0 | $24,936 | Yes (X) | ||||
| HEWATT M SIMS | |||||||||
| ORTHOPEDIC PHYSICIAN | 50.00 | $1,106,576 | $0 | $32,833 | Yes (X) | ||||
| GLENN H EVANS | |||||||||
| CARDIOLOGY PHYSICIAN | 50.00 | $1,020,395 | $0 | $30,436 | Yes (X) | ||||
| THOMAS W WEHMANN | |||||||||
| SURGICAL PHYSICIAN | 50.00 | $766,675 | $0 | $14,391 | Yes (X) | ||||
| JOSHUA L VICKERS | |||||||||
| ORTHOPEDIC PHYSICIAN | 50.00 | $754,883 | $0 | $28,100 | Yes (X) | ||||
| JOEL W FERREE | |||||||||
| CARDIOLOGY PHYSICIAN | 50.00 | $671,353 | $0 | $4,647 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,915,523 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $261,028 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 85 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | 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 LL | |||||
| PO BOX 2546 | DOUGLAS | GA | 31533 | STAFFING SERVICES | $2,450,475 |
| REHABILITATION SPECIALISTS | |||||
| 169 MEADOWLARK LANE | FITZGERALD | GA | 31750 | CONTRACT PHYSICAL THERAPY | $785,590 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | STAFFING SERVICES | $703,402 |
| COFFEE EMERGENCY GROUP LLC | |||||
| PO BOX 677979 | DALLAS | TX | 752677979 | STAFFING SERVICES | $494,671 |
| HEALTH SUITE INC | |||||
| 10782 WAVERLY BLUFF WAY | JACKSONVILLE | FL | 32223 | STAFFING SERVICES | $494,637 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $25,000 | RelatedOrganizationsAmt |
| Government Grants | $4,328,921 | GovernmentGrantsAmt |
| All Other Contributions | $1,073,035 | AllOtherContributionsAmt |
| Total Contributions | $5,426,956 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 621990 | $151,407,463 | $151,407,463 | |
| REFERENCE LAB | 621500 | $65,151 | $65,151 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $151,472,614 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,875,923 | TotalRevenueColumnAmt |
| Exclusion | $2,875,923 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $284,465 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $284,465 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $284,465 | TotalRevenueColumnAmt |
| Exclusion | $284,465 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $29,954 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $29,954 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,954 | TotalRevenueColumnAmt |
| Exclusion | $29,954 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PHARMACY REVENUE | 621990 | $2,411,161 | $2,411,161 | |
| OTHER OPERATING INCOME | 900099 | $1,226,682 | $1,226,682 | |
| CAFETERIA | 722514 | $640,786 | $640,786 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,278,629 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $164,368,541 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $155,045,306 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $65,151 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,831,128 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,595,639 | TotalAmt |
| Program Services | $2,336,077 | ProgramServicesAmt |
| Management And General | $259,562 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,606,499 | TotalAmt |
| Program Services | $47,345,849 | ProgramServicesAmt |
| Management And General | $5,260,650 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,816 | TotalAmt |
| Program Services | $301,334 | ProgramServicesAmt |
| Management And General | $33,482 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,702,183 | TotalAmt |
| Program Services | $15,031,965 | ProgramServicesAmt |
| Management And General | $1,670,218 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,512,956 | TotalAmt |
| Program Services | $3,161,660 | ProgramServicesAmt |
| Management And General | $351,296 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,281 | TotalAmt |
| Management And General | $189,281 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,967 | TotalAmt |
| Management And General | $142,967 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,291 | TotalAmt |
| Management And General | $167,291 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,704 | TotalAmt |
| Management And General | $9,704 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,166 | TotalAmt |
| Management And General | $19,166 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,599,009 | TotalAmt |
| Program Services | $12,486,971 | ProgramServicesAmt |
| Management And General | $3,112,038 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,368 | TotalAmt |
| Program Services | $61,650 | ProgramServicesAmt |
| Management And General | $154,718 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,440,090 | TotalAmt |
| Program Services | $2,992,878 | ProgramServicesAmt |
| Management And General | $447,212 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,672,128 | TotalAmt |
| Program Services | $2,324,751 | ProgramServicesAmt |
| Management And General | $347,377 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,487 | TotalAmt |
| Program Services | $84,039 | ProgramServicesAmt |
| Management And General | $18,448 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,259 | TotalAmt |
| Program Services | $189,401 | ProgramServicesAmt |
| Management And General | $5,858 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,408,333 | TotalAmt |
| Program Services | $1,408,333 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,248,049 | TotalAmt |
| Program Services | $3,695,803 | ProgramServicesAmt |
| Management And General | $552,246 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,044,931 | TotalAmt |
| Program Services | $347,638 | ProgramServicesAmt |
| Management And General | $1,697,293 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT | $24,554,303 | $24,554,303 |
| SUPPLIES | $20,678,383 | $20,678,383 |
| DEVELOPMENT | $6,290,849 | $6,290,849 |
| PHARMACY EXPENSE | $1,674,826 | $1,674,826 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,875,732 | TotalAmt |
| Program Services | $2,209,168 | ProgramServicesAmt |
| Management And General | $1,666,564 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,281,249 | TotalAmt |
| Program Services | $147,175,878 | ProgramServicesAmt |
| Management And General | $16,105,371 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,918,579 | BOYAmt |
| EOY | $22,592,642 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,710,991 | BOYAmt |
| EOY | $13,998,029 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,417,201 | BOYAmt |
| EOY | $2,819,703 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $714,174 | BOYAmt |
| EOY | $747,846 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $101,049,087 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $83,143,874 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,140,771 | BOYAmt |
| EOY | $17,905,213 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,460,419 | BOYAmt |
| EOY | $25,084,820 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,105,635 | BOYAmt |
| EOY | $17,089,167 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,331,634 | BOYAmt |
| EOY | $17,767,936 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,799,404 | BOYAmt |
| EOY | $118,005,356 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,117,739 | BOYAmt |
| EOY | $32,930,703 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,987 | BOYAmt |
| EOY | $12,111,422 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,738,291 | BOYAmt |
| EOY | $29,751,152 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,547,980 | BOYAmt |
| EOY | $995,517 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,521,068 | BOYAmt |
| EOY | $14,407,982 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,143,065 | BOYAmt |
| EOY | $90,196,776 | 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 | $25,656,339 | BOYAmt |
| EOY | $27,808,580 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,656,339 | BOYAmt |
| EOY | $27,808,580 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,799,404 | BOYAmt |
| EOY | $118,005,356 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,087,292 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $924,953 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $139,996 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $9,704 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $9,704 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PORTION OF THE ANNUAL DUES PAID TO THE GEORGIA HOSPITAL ASSOCIATION AND THE GEORGIA ALLIANCE FO COMMUNITY HOSPITALS ARE ALLOCATED AS LOBBYING EXPENDITURES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $860,771 | OtherCostOrOtherBasisAmt |
| Book Value | $860,771 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,646,027 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,083,584 | DepreciationAmt |
| Book Value | $21,562,443 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,375,417 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,930,136 | DepreciationAmt |
| Book Value | -$4,554,719 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $146,203 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,154 | DepreciationAmt |
| Book Value | $16,049 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,669 | OtherCostOrOtherBasisAmt |
| Book Value | $20,669 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,905,213 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INVESTMENTS | Desc |
| Book Value | $17,089,167 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $17,089,167 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED PARTIES | $8,513,003 |
| RIGHT OF USE ASSETS - LEASES | $5,666,755 |
| OTHER ASSETS | $3,588,178 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $17,767,936 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTIES | $8,581,821 |
| OPERATING LEASE LIABILITY | $791,690 |
| FINANCE LEASE LIABILITY | $2,715,948 |
| MEDICARE ADVANCE PAYMENT LIABILITY | $2,318,523 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,407,982 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | 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, 2020 AND 2019 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 | $9,211,907 | 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 | $9,211,907 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $9,211,907 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III ACCOUNTING METHOD: | FormAndLineReferenceDesc |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,672,099 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,671,684 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,000,415 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02160 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,725,437 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,638,879 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,086,558 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03670 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,397,536 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,310,563 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,086,973 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05830 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,400 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,400 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,400 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,400 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,409,936 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,310,563 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,099,373 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05840 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 4 | PersonsServedCnt |
| Total Community Benefit Expns | $4,800 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 530 | PersonsServedCnt |
| Total Community Benefit Expns | $9,920 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,920 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 534 | PersonsServedCnt |
| Total Community Benefit Expns | $14,720 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,720 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $24,554,303 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $18,415,727 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $21,729,791 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $21,652,894 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $76,897 | MedicareSurplusOrShortfallAmt |
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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | Yes (1) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (1) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | 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 (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.COFFEEREGIONAL.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | 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 (1) | 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 (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COFFEE REGIONAL MEDICAL CENTER INC | PART V, SECTION B, LINE 5: INPUT WAS RECEIVED FROM LOCAL BUSINESS OWNERS, MUNICIPALITIES, CHAMBER OF COMMERCE MEMBERS, CIVIC ORGANIZATIONS, FAITH-BASED ORGANIZATIONS THAT REPRESENT DIVERSE POPULATIONS, AND INDIVIDUALS WITHIN THE MEDICAL COMMUNITY. |
| COFFEE REGIONAL MEDICAL CENTER INC | PART V, SECTION B, LINE 6A: INDIRECTLY, MOST NOTABLY THE RELATIONSHIP WITH COMMUNITY BUSINESSES INVOLVING THE DELIVERY OF HEALTHCARE AND CRMC'S CRITICAL ACCESS PARTNER HOSPITALS. |
| COFFEE REGIONAL MEDICAL CENTER INC | PART V, SECTION B, LINE 11: 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 |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LN 7 COL(F): | THERE IS $24,554,303 OF BAD DEBT EXPENSE WHICH IS INCLUDED IN FORM 990, PART IX, LINE 24(A). THIS AMOUNT WAS REMOVED IN THE CALCULATION OF THE PERCENT OF TOTAL EXPENSE ON SCHEDULE H LINE 7F. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | 2020 CRMC OUTREACH ACTIVITIESCOFFEE 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".THE COVID-19 PANDEMIC, WHICH BEGAN IN MARCH OF 2020, HAD A NEGATIVE IMPACT ON OUR ABILITY TO CONDUCT SOME OF THE AS A RESULT OF THE COVID-19 PANDEMIC, WHICH HIT IN MARCH, MANY OF OUR SCHEDULED EVENTS AND ACTIVITIES HAD TO BE CANCELED OR SCALED BACK. HOWEVER, PLEASE READ BELOW FOR THE DETAILS ON THE ACTIVITIES CARRIED OUT IN 2020. HEALTH FAIRTHE ANNUAL HEALTH & WELLNESS FAIR WAS HELD OCTOBER 26 OCTOBER 28TH. THE EVENT ATTRACTED 179 VISITORS. THERE WERE FOURTEEN VENDORS PRESENT AT THE FAIR TO HELP EDUCATE THE COMMUNITY ON VARIOUS WELLNESS TOPICS. BIOCHEMICAL BLOOD PROFILES WERE OFFERED TO PARTICIPANTS AT A REDUCED FEE OF $35. THESE TESTS NORMALLY COST APPROXIMATELY $800. THIS BENEFIT PROVIDED A SAVINGS TO THE COMMUNITY OF APPROXIMATELY $138,000. THE HEALTH FAIR REQUIRED APPROXIMATELY 60 MAN HOURS OF WORK ON THE PART OF CRMC TO PREPARE AND CONDUCT THE LAB TESTS AND REGISTER PATIENTS, AS WELL AS SHARING HEALTH INFORMATION WITH THE GUESTS. (ESTIMATED HOURLY RATE OF LAB PERSONNEL HELPING OUT AT $22 PER HOUR. $22 X 60 HOURS = $1,320 TOTAL EXPENSE)HEART 2 HEART WALK COFFEE REGIONAL'S ANNUAL FALL FITNESS 5K RUN/FUN WALK WAS HELD ON FEBRUARY 29TH. OVER 130 PARTICIPANTS CAME OUT FOR THIS EVENT AT THE STATE PARK. ACTIVITIES WERE ALSO HELD FOR KIDS THAT FOCUSED ON OUTDOORS AND EXERCISE. THERE WERE APPROXIMATELY 60-MAN HOURS, AT A COST OF APPROXIMATELY $2,400, INVOLVED IN HOSTING THIS EVENT. THE EVENT RAISED APPROXIMATELY $3,600 TO SUPPORT CARDIAC REHABILITATION SCHOLARSHIPS AT THE HOSPITAL. WEAR RED CAMPAIGNFEBRUARY IS RECOGNIZED AS HEART DISEASE AWARENESS MONTH; THEREFORE, CRMC HOLDS VARIOUS EDUCATIONAL AND FUNDRAISING EVENTS DURING THE MONTH TO SUPPORT OUR CARDIAC REHABILITATION PROGRAMS. THE ANNUAL WEAR RED CAMPAIGN IS A COMMUNITY EDUCATION AND AWARENESS PROGRAM THAT ENCOMPASSES THE IMPORTANCE OF HEART DISEASE PREVENTION. EDUCATION IS PROVIDED TO THE COMMUNITY AT NO COST. THIS PROGRAM CONSISTS OF EDUCATIONAL LECTURES AND OTHER MATERIALS THROUGHOUT THE MONTH OF FEBRUARY. FLOWERS, T-SHIRTS AND VARIOUS OTHER ITEMS WERE SOLD THROUGHOUT THE MONTH IN SUPPORT OF THIS CAUSE. THE EVENT RAISED APPROXIMATELY $4,700 FOR THE CARDIAC REHABILITATION PROGRAM. THESE FUNDS ALLOW PATIENTS, WITHOUT THE ABILITY TO PAY, TO PARTICIPATE IN CARDIAC REHABILITATION AT OUR FACILITY FREE OF CHARGE. APPROXIMATELY 20 STAFF MEMBERS WORK ON THIS PROJECT DURING THE MONTH.OPEN ARMS CLINICAN OUTREACH PROJECT OF COFFEE REGIONAL MEDICAL CENTER, THE GOAL OF THIS CLINIC IS TO REDUCE HEALTH DISPARITIES WITHIN OUR COMMUNITY (COFFEE & ATKINSON COUNTIES), HELPING FULFILL OUR MISSION TO CLOSE THE GAP IN HEALTHCARE. OUR PRIMARY GOAL IS THE PREVENTION OF CHRONIC DISEASE THROUGH THE TREATMENT HYPERTENSION, DIABETES, AND HEART DISEASE. DUE TO THE CHALLENGES CAUSED BY COVID-19 IN 2020, THE CLINIC WAS ONLY OPEN FOR APPROXIMATELY 6 MONTHS. EVEN IN THIS SHORT AMOUNT OF TIME, THE CLINIC WAS ABLE TO TREAT 188 PATIENTS. ACTUAL NON-SALARY EXPENSES OF OPERATING THE CLINIC WERE APPROXIMATELY $3,000. PHYSICIAN AND SUPPORT STAFF DONATE THEIR TIME TO THE CLINIC. THE ESTIMATED VALUE OF THE PHYSICIAN AND SUPPORT STAFF PROVIDING SERVICES AT THE CLINIC IS $35,720. PROJECT SEARCHPROJECT SEARCH IS A TRANSITION-TO-WORK PROGRAM. 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 YOUNG PEOPLE WITH SIGNIFICANT DISABILITIES 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 2020-2021 SCHOOL TERM, THE PROJECT SEARCH PROGRAM AT COFFEE REGIONAL MEDICAL CENTER HAD 4 INTERNS THAT RANGED IN AGE FROM 18-21. THE DEPARTMENTS WITHIN THE HOSPITAL THAT PROVIDED TRAINING OPPORTUNITIES TO THE INTERNS WERE DIETARY, ENVIRONMENTAL, ENGINEERING, PATIENT ACCESS, AND MATERIALS MANAGEMENT. EACH INTERN SPENT 10 WEEKS IN THEIR GIVEN DEPARTMENT, THEN ROTATED TO A NEW DEPARTMENT. DURING THIS TIME, INTERNS WERE TAUGHT MANY SKILLS WHILE WORKING WITH A MENTOR IN EACH DEPARTMENT. 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. CRMC DONATES THE CLASSROOM SPACE AT APPROXIMATELY $300 PER MONTH. IN ADDITION, APPROXIMATELY 60 STAFF HOURS OF TRAINING, MENTORING AND EDUCATION AT A COST OF APPROXIMATELY $1,200. SPORTS PHYSICALSATHLETIC PHYSICALS ARE REQUIRED BY BOTH THE GEORGIA HIGH SCHOOL AND GEORGIA INDEPENDENT SCHOOL ASSOCIATION FOR STUDENTS PLANNING ON PARTICIPATING IN SCHOOL ATHLETIC PROGRAMS. THIS YEAR COFFEE REGIONAL PROVIDED 530 SPORTS PHYSICALS, AT NO COST, TO STUDENTS PARTICIPATING IN INTERSCHOLASTIC SPORTS DURING THE SUMMER AND THROUGHOUT THE FOLLOWING YEAR. THIS EVENT WAS PERFORMED BY 2 PHYSICIANS, 7 MID-LEVELS AND ABOUT 20 STAFF MEMBERS. THE SPORTS PHYSICALS NORMALLY COST $25, BUT WERE PERFORMED FREE OF CHARGE THROUGH THIS PROGRAM, RESULTING IN A COST SAVINGS TO THE COMMUNITY OF OVER $13,000. APPROXIMATELY 56 PHYSICIAN HOURS AND 80 STAFF HOURS WERE PROVIDED PRO BONO TO OUR COMMUNITY DURING THIS PROGRAM. APPROXIMATE PERSONNEL COST OF THIS PROGRAM WAS $9,920, PLUS EXPENSES.SIDLEINE SERVICECRMC PROVIDES SIDELINE SERVICE FOR EACH HIGH SCHOOL FOOTBALL GAME FOR THE LOCAL PUBLIC SCHOOL SYSTEM'S VARSITY FOOTBALL EVENTS IN COFFEE COUNTY. A FULLY EQUIPPED AMBULANCE, EMT, AND PARAMEDIC ARE PROVIDED FOR EACH HOME GAMES AS A COURTESY TO THE SCHOOL SYSTEM AND OUR COMMUNITY. (COST OF $250 PER GAME AND $1,250 PER YEAR)BREAST CANCER SCREENINGSTHE EARLIER BREAST CANCER IS DETECTED, THE BETTER THE OUTCOME FOR THE PATIENT. THE CRH ONCOLOGY GROUP HOLDS BREAST CANCER SCREENING EVENTS ANNUALLY. IN 2020, SESSIONS WERE HELD ON OCTOBER 15TH AND 22ND. PARTICIPANTS WERE PROVIDED EDUCATIONAL INFORMATION ON DETECTING A LUMP AND OVERALL BREAST HEALTH. THE EVENT DATES WERE 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. CRMC MAMMOGRAPHY, COFFEE COUNTY HEALTH DEPARTMENT AND THE LOCAL BEST SIGMA PHI ORGANIZATION JOINED CRH ONCOLOGY TO SUPPORT THE EVENT AND PROVIDE RESOURCES FOR ATTENDEES.A TOTAL OF 61 COMMUNITY RESIDENTS TOOK ADVANTAGE OF THIS OPPORTUNITY. OF THOSE, 8 SCHEDULED MAMMOGRAMS WITH THE CRMC MAMMOGRAPHY DEPARTMENT AND 33 SCHEDULED TO FOLLOW UP WITH THE COFFEE COUNTY HEALTH DEPARTMENT FOR FURTHER ASSISTANCE WITH SCREENING. THERE WERE 20 RESIDENTS WHO DID NOT NEED ANY FOLLOW-UP FORM THE BREAST EXAMS. IN TOTAL, 9 PROVIDERS AND 44 STAFF MEMBERS ASSISTED WITH THE TWO SESSIONS. RESOURCES REQUIRED TO HOST THIS EVENT INCLUDED APPROXIMATELY 36 PHYSICIAN HOURS AND 100 STAFF HOURS AT AN ESTIMATED COST OF $9,400.COMMUNITY CHILDBIRTH CLASSESCRMC PROVIDES CHILDBIRTH CLASSES FOR THE COMMUNITY. THE SESSIONS ARE FACILITATED BY CRMS'S PERINATAL INSTRUCTOR AND RN. THE CLASSES PROVIDE EDUCATIONAL LESSONS ABOUT THE NUTRITIONAL NEEDS OF BOTH MOTHER AND FETUS, AS WELL AS INFORMATION ON ANESTHESIA, DELIVERY, BREASTFEEDING AND MANY OTHER INFORMATIVE TOPICS. DURING 2020, CRMC HOSTED 6 CLASSES. DUE TO THE COVID-19 PANDEMIC, THIS YEAR'S CLASSES WERE HOSTED IN A VIRTUAL SETTING.DISCUSSION WITH THE DOCCRMC PERIODICALLY HOSTS EDUCATIONAL EVENTS TO HELP EDUCATE THE COMMUNITY ON A VARIETY OF HEALTH TOPICS. THESE EVENTS ARE OPEN TO THE PUBLIC FREE OF CHARGE. DUE TO COVID-19, ONLY ONE OF THESE EVENTS WAS HOSTED IN 2020. IN FEBRUARY, ONE OF THE COMPANY'S CARDIOLOGISTS SPOKE ON THE TOPIC OF RISK FACTORS OF HEART DISEASE. THE EVENT WAS ATTENDED BY 29 COMMUNITY MEMBERS AND 6 STAFF. APPROXIMATELY 12-MAN HOURS WERE REQUIRED TO PREPARE, PROMOTE AND HOST THE EVENT, AT A COST OF APPROXIMATELY $2,500. |
| PART III, LINE 2: | 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. |
| PART III, LINE 3: | 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. |
| PART III, LINE 4: | 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. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. |
| PART III, LINE 9B: | 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. |
| PART VI, LINE 2: | COFFEE REGIONAL MEDICAL CENTER EVALUATES THE NEEDS OF ITS PATIENT BASE THROUGH THE NUMBER OF PATIENTS REFERRED TO OTHER FACILITIES FOR SERVICES NOT PROVIDED BY THE FACILITY ITSELF AND THROUGH OTHER INDICATORS. IN 2019, THE HOSPITAL ORGANIZATION COMPLETED ITS COMMUNITY HEALTH NEEDS ASSESSMENT. THE FINAL REPORT CAN BE FOUND AT THE FOLLOWING LINK:HTTP://WWW.COFFEEREGIONAL.ORG/THE IMPLEMENTATION STRATEGY PLAN IS INCLUDED AS A PART OF THE CHNA ON PAGES 28 THROUGH 34. |
| PART VI, LINE 3: | 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. |
| PART VI, LINE 4: | COFFEE REGIONAL MEDICAL CENTER'S PRIMARY SERVICE AREA IS COFFEE COUNTY, GEORGIA. THE COUNTY HAD A POPULATION OF 43,218 CITIZENS IN 2020, OF WHICH APPROXIMATELY 20.2% FALL BELOW GOVERNMENTAL DEFINED POVERTY GUIDELINES. COFFEE COUNTY'S UNEMPLOYMENT RATE AT 2020 YEAREND WAS 5.8%. |
| PART VI, LINE 5: | COFFEE REGIONAL MEDICAL CENTER IS GOVERNED BY A BOARD OF DIRECTORS CONSISTING OF 12 MEMBERS. CRH HEALTHCARE, INC., THE SOLE MEMBER, ELECTS ALL BOARD MEMBERS OF CRMC. THE BOARD IS MADE UP OF TEN COMMUNITY MEMBERS REFLECTING THE DIVERSITY OF THE COMMUNITY. THE REMAINING TWO MEMBERS ARE THE CHIEF OF STAFF OF CRMC AND THE CHIEF OF STAFF ELECT. 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) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | 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 | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEWATT M SIMS | ||||||||||||||
| ORTHOPEDIC PHYSICIAN | $821,507 | $0 | $285,069 | $0 | $0 | $0 | $5,500 | $0 | $27,333 | $0 | $1,139,409 | $0 | $0 | $0 |
| GLENN H EVANS | ||||||||||||||
| CARDIOLOGY PHYSICIAN | $702,727 | $0 | $60,000 | $0 | $257,668 | $0 | $5,500 | $0 | $24,936 | $0 | $1,050,831 | $0 | $0 | $0 |
| JOSHUA L VICKERS | ||||||||||||||
| ORTHOPEDIC PHYSICIAN | $669,883 | $0 | $45,000 | $0 | $40,000 | $0 | $4,578 | $0 | $23,522 | $0 | $782,983 | $0 | $0 | $0 |
| THOMAS W WEHMANN | ||||||||||||||
| SURGICAL PHYSICIAN | $526,399 | $0 | $236,276 | $0 | $4,000 | $0 | $4,697 | $0 | $9,694 | $0 | $781,066 | $0 | $0 | $0 |
| JOEL W FERREE | ||||||||||||||
| CARDIOLOGY PHYSICIAN | $671,353 | $0 | $0 | $0 | $0 | $0 | $4,647 | $0 | $0 | $0 | $676,000 | $0 | $0 | $0 |
| LAURA THARP | ||||||||||||||
| DIRECTOR/PHYSICIAN | $552,671 | $0 | $0 | $0 | $33,333 | $0 | $3,771 | $0 | $23,522 | $0 | $613,297 | $0 | $0 | $0 |
| VICKI LEWIS | ||||||||||||||
| PRESIDENT/CEO | $521,617 | $0 | $86,543 | $0 | $0 | $0 | $2,921 | $0 | $0 | $0 | $611,081 | $0 | $0 | $0 |
| MARTIN HUTSON | ||||||||||||||
| EXECUTIVE VP/CFO | $273,488 | $0 | $26,500 | $0 | $4,864 | $0 | $1,977 | $0 | $8,599 | $0 | $315,428 | $0 | $0 | $0 |
| SHERRY THOMAS | ||||||||||||||
| EXECUTIVE VP / COO | $261,162 | $0 | $6,500 | $0 | $0 | $0 | $0 | $0 | $24,936 | $0 | $292,598 | $0 | $0 | $0 |
| BENNETT FLOYD | ||||||||||||||
| VP OF OPERATIONS | $201,324 | $0 | $6,500 | $0 | $5,200 | $0 | $1,414 | $0 | $24,936 | $0 | $239,374 | $0 | $0 | $0 |
| LAVONDA CRAVEY | ||||||||||||||
| EXECUTIVE VP | $201,215 | $0 | $6,950 | $0 | $0 | $0 | $1,374 | $0 | $16,338 | $0 | $225,877 | $0 | $0 | $0 |
| PEGGY KIRKLAND | ||||||||||||||
| DIRECTOR OF PHARMACY | $182,325 | $0 | $6,950 | $0 | $2,000 | $0 | $1,226 | $0 | $18,057 | $0 | $210,558 | $0 | $0 | $0 |
| SUE LANE HUGHES | ||||||||||||||
| VP OF NURSING SERVICES/CNO | $163,710 | $0 | $6,500 | $0 | $1,700 | $0 | $770 | $0 | $0 | $0 | $172,680 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | UPON REVIEW OF PERSONNEL RECORDS AND THE COMPENSATION CONTRACT FOR THE CEO, IT WAS DETERMINED THAT THERE WAS AN AMOUNT DUE TO THE CEO FOR PRIOR SERVICES PROVIDED IN ACCORDANCE WITH THE COMPENSATION WRITTEN CONTRACT FOR THE YEARS 2014-2018. THE BOARD REVIEWED THE COMPENSATION CONTRACT AND THE PERSONNEL RECORDS AND APPROVED PAYMENT. AS A RESULT, THE PAYMENT WAS MADE IN 2020 AND WAS GROSSED-UP FOR INCOME TAX PURPOSES AS APPROVED BY THE BOARD. THE 36,506 PAYMENT AND GROSS-UP WERE RECOGNIZED AS A TAXABLE EVENT AT THE TIME OF PAYMENT AND REPORTED ACCORDINGLY ON THE CEO'S ANNUAL WAGE STATEMENT. | 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 | 0 | 0 | 0 |
| COFFEE COUNTY HOSPITAL AUTHORITY | ||||||||
| B | 586003116 | 000000000 | 2018-12-14 | $11,500,000 | CONSTRUCT AND EQUIP HOSPITAL FACILITIES | 0 | 0 | 0 |
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 | Capitalized InterestCapitalizedInterestAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $9,372,000 | $24,963,471 | $24,367,008 | $2,171,000 | $24,963,471 | $468,262 | 0 | Yes (1) | Yes (1) | Yes (1) | ||
| B | $915,169 | $11,500,000 | $161,260 | 0 | 0 | 0 | 0 | $9,653 | $2,210,374 |
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 | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | CRH HEALTHCARE, INC., THE PARENT ORGANIZATION, HAS THE AUTHORITY TO APPOINT OR REMOVE BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | BOARD MEMBERS OF THE ORGANIZATION ARE APPOINTED, AND CAN BE REMOVED, BY CRH HEALTHCARE, INC., THE PARENT ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS OF THE BOARD ARE SUBJECT TO APPROVAL BY CRH HEALTHCARE, INC., THE PARENT ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | 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, SECTION B, LINE 12C | 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, SECTION B, LINE 15 | COMPENSATION OF THE CEO AND EXECUTIVE OFFICERS OF CRMC IS DETERMINED BY AN INDEPENDENT COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT AND SURVEYS, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | 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 XI, LINE 9: | EQUITY TRANSFER 139,996. |
| FORM 990, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED SINCE 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 | Address Line1ForeignAddress/AddressLine1Txt | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CRH PHYSICIAN PRACTICIES LLC | ||||||||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | 205778734 | PHYSICIANS OFFICES | GA | $10,323,813 | $2,889,829 | CRMC | |||
| EMERGENCY PHYSICIANS OF COFFEE CO LLC | ||||||||||||
| PO BOX 1287 | DOUGLAS | GA | 31534 | 451775790 | ER PHYSICIANS | GA | $2,868,118 | $415,727 | CRMC | |||
| ORTHOPEDIC SURGEONS OF GEORGIA LLC | ||||||||||||
| PO BOX 1287 | DOUGLAS | GA | 31534 | 452786844 | PHYSICIANS OFFICES | GA | $4,917,903 | $769,668 | CRMC | |||
| COFFEE REGIONAL MEDICAL CENTER SEGREGATED PORTFOLIO | ||||||||||||
| INSURANCE | $1,256,814 | $12,583,050 | CRMC | 62 FORUM LANE 3RD FLOOR BOX 30600 | CJ | 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 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| CRH HEALTHCARE INC | |||||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | 582163724 | MANAGEMENT SERVICES | GA | 501(C)(3) | LINE 12C, III-FI | 0 |
| CRH HEALTH SERVICES INC | |||||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | 582165827 | FOUNDATION | GA | 501(C)(3) | LINE 12B, II | 0 |
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 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| CRH VENTURES INC | ||||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | 582165279 | OFFICE RENTAL | GA | C | 0 |
| SOUTHEASTERN MANAGED CARE INC | ||||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | 582236627 | MANAGED CARE | GA | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |