2021-11-15T14:23:41-06:00 2020-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2020-01-01 650543088 COFFEE REGIONAL MEDICAL CENTER INC COFF 9123841900 1101 OCILLA RD DOUGLAS GA 31533 VICKI LEWIS PRESIDENT AND CEO 9123841900 2021-11-15 1 VICKI LEWIS 999009999 AMY BIBBY P00445891 8282542254 2021-11-15 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z VICKI LEWIS 1101 OCILLA RD DOUGLAS GA 31533 164368541 0 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. 12 10 1084 15 65151 0 1763839 5426956 141271179 151472614 3030734 2905877 3987699 4563094 150053451 164368541 0 0 0 0 70742454 75752093 0 0 0 77597217 87529156 148339671 163281249 1713780 1087292 91799404 118005356 66143065 90196776 25656339 27808580 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. 0 0 147175878 155045306 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. 147175878 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 94 0 1 1084 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X MARTIN HUTSON 9123841900 1101 OCILLA RD DOUGLAS GA 31533 MARLENE BALDREE CHAIRMAN 1.00 1.00 X X 0 0 0 JAMES DENNIS VICE CHAIRMAN 1.00 X X 0 0 0 ADAM SMITH SECRETARY 1.00 X X 0 0 0 ELLEN FITZGERALD DIRECTOR 1.00 X 0 0 0 CARL MCDONALD DIRECTOR 1.00 X 0 0 0 BRANDY WILKES DIRECTOR 1.00 X 0 0 0 GARY EVANS DIRECTOR 1.00 X 0 0 0 RUSS STORY DIRECTOR 1.00 X 0 0 0 JON LOTT DIRECTOR 1.00 1.00 X 0 0 0 JOHNNY WAYNE JOWERS DIRECTOR 1.00 X 0 0 0 WESLEY VICKERS NON VOTING DIRECTOR 1.00 X 0 0 0 ARISTOTLE COCHON DIRECTOR/PHYSICIAN 40.00 X 44589 0 20780 LAURA THARP DIRECTOR/PHYSICIAN 40.00 X 586004 0 27293 VICKI LEWIS PRESIDENT/CEO 50.00 2.00 X 608160 0 2921 MARTIN HUTSON EXECUTIVE VP/CFO 50.00 X 304852 0 10576 SUE LANE HUGHES VP OF NURSING SERVICES/CNO 50.00 X 171910 0 770 BENNETT FLOYD VP OF OPERATIONS 50.00 X 213024 0 26350 PEGGY KIRKLAND DIRECTOR OF PHARMACY 50.00 X 191275 0 19283 LAVONDA CRAVEY EXECUTIVE VP 50.00 2.00 X 208165 0 17712 SHERRY THOMAS EXECUTIVE VP / COO 50.00 X 267662 0 24936 HEWATT M SIMS ORTHOPEDIC PHYSICIAN 50.00 X 1106576 0 32833 GLENN H EVANS CARDIOLOGY PHYSICIAN 50.00 X 1020395 0 30436 THOMAS W WEHMANN SURGICAL PHYSICIAN 50.00 X 766675 0 14391 JOSHUA L VICKERS ORTHOPEDIC PHYSICIAN 50.00 X 754883 0 28100 JOEL W FERREE CARDIOLOGY PHYSICIAN 50.00 X 671353 0 4647 6915523 0 261028 85 0 1 0 COFFEE COUNTY HOSPITALIST PHYSICIANS LL PO BOX 2546 DOUGLAS GA 31533 STAFFING SERVICES 2450475 REHABILITATION SPECIALISTS 169 MEADOWLARK LANE FITZGERALD GA 31750 CONTRACT PHYSICAL THERAPY 785590 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 STAFFING SERVICES 703402 COFFEE EMERGENCY GROUP LLC PO BOX 677979 DALLAS TX 752677979 STAFFING SERVICES 494671 HEALTH SUITE INC 10782 WAVERLY BLUFF WAY JACKSONVILLE FL 32223 STAFFING SERVICES 494637 20 25000 4328921 1073035 5426956 PATIENT REVENUE 621990 151407463 151407463 REFERENCE LAB 621500 65151 65151 151472614 2875923 2875923 284465 0 284465 284465 284465 29954 0 29954 29954 29954 PHARMACY REVENUE 621990 2411161 2411161 OTHER OPERATING INCOME 900099 1226682 1226682 CAFETERIA 722514 640786 640786 4278629 164368541 155045306 65151 3831128 2595639 2336077 259562 52606499 47345849 5260650 334816 301334 33482 16702183 15031965 1670218 3512956 3161660 351296 189281 189281 142967 142967 167291 167291 9704 9704 19166 19166 15599009 12486971 3112038 216368 61650 154718 3440090 2992878 447212 2672128 2324751 347377 102487 84039 18448 195259 189401 5858 1408333 1408333 4248049 3695803 552246 2044931 347638 1697293 BAD DEBT 24554303 24554303 SUPPLIES 20678383 20678383 DEVELOPMENT 6290849 6290849 PHARMACY EXPENSE 1674826 1674826 3875732 2209168 1666564 163281249 147175878 16105371 0 5918579 22592642 11710991 13998029 2417201 2819703 714174 747846 101049087 83143874 17140771 17905213 25460419 25084820 16105635 17089167 12331634 17767936 91799404 118005356 25117739 32930703 217987 12111422 29738291 29751152 3547980 995517 7521068 14407982 66143065 90196776 X 25656339 27808580 25656339 27808580 91799404 118005356 X 1087292 924953 139996 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9704 9704 0 PART II-B, LINE 1: A PORTION OF THE ANNUAL DUES PAID TO THE GEORGIA HOSPITAL ASSOCIATION AND THE GEORGIA ALLIANCE FO COMMUNITY HOSPITALS ARE ALLOCATED AS LOBBYING EXPENDITURES. 860771 860771 56646027 35083584 21562443 43375417 47930136 -4554719 146203 130154 16049 20669 20669 17905213 OTHER INVESTMENTS 17089167 C 17089167 DUE FROM RELATED PARTIES 8513003 RIGHT OF USE ASSETS - LEASES 5666755 OTHER ASSETS 3588178 17767936 DUE TO RELATED PARTIES 8581821 OPERATING LEASE LIABILITY 791690 FINANCE LEASE LIABILITY 2715948 MEDICARE ADVANCE PAYMENT LIABILITY 2318523 14407982 X PART X, LINE 2: 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. CENTRAL AMERICA AND THE CARIBBEAN 1 1 INVESTMENTS 9211907 1 1 0 0 1 1 9211907 0 9211907 0 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 1 1 1 X 1 1 1 0 1 1 5672099 2671684 3000415 0.02160 17725437 12638879 5086558 0.03670 23397536 15310563 8086973 0.05830 12400 12400 0.00010 12400 12400 0.00010 23409936 15310563 8099373 0.05840 1 4 4800 4800 0.00000 1 530 9920 9920 0.00010 2 534 14720 14720 0.00010 24554303 18415727 21729791 21652894 76897 X 1 1 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 INC 1 1 1 X X X X X X X X X 19 1 1 0 1 X WWW.COFFEEREGIONAL.ORG X 1 19 1 WWW.COFFEEREGIONAL.ORG 0 1 X 125.000000000000 200.000000000000 1 1 X X X X 1 X WWW.COFFEEREGIONAL.ORG X WWW.COFFEEREGIONAL.ORG X WWW.COFFEEREGIONAL.ORG X X X X X X 1 X 0 X X 1 X 0 0 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 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. X 0 0 X X X X X 0 0 0 0 0 0 0 0 0 HEWATT M SIMS ORTHOPEDIC PHYSICIAN 821507 0 285069 0 0 0 5500 0 27333 0 1139409 0 0 0 GLENN H EVANS CARDIOLOGY PHYSICIAN 702727 0 60000 0 257668 0 5500 0 24936 0 1050831 0 0 0 JOSHUA L VICKERS ORTHOPEDIC PHYSICIAN 669883 0 45000 0 40000 0 4578 0 23522 0 782983 0 0 0 THOMAS W WEHMANN SURGICAL PHYSICIAN 526399 0 236276 0 4000 0 4697 0 9694 0 781066 0 0 0 JOEL W FERREE CARDIOLOGY PHYSICIAN 671353 0 0 0 0 0 4647 0 0 0 676000 0 0 0 LAURA THARP DIRECTOR/PHYSICIAN 552671 0 0 0 33333 0 3771 0 23522 0 613297 0 0 0 VICKI LEWIS PRESIDENT/CEO 521617 0 86543 0 0 0 2921 0 0 0 611081 0 0 0 MARTIN HUTSON EXECUTIVE VP/CFO 273488 0 26500 0 4864 0 1977 0 8599 0 315428 0 0 0 SHERRY THOMAS EXECUTIVE VP / COO 261162 0 6500 0 0 0 0 0 24936 0 292598 0 0 0 BENNETT FLOYD VP OF OPERATIONS 201324 0 6500 0 5200 0 1414 0 24936 0 239374 0 0 0 LAVONDA CRAVEY EXECUTIVE VP 201215 0 6950 0 0 0 1374 0 16338 0 225877 0 0 0 PEGGY KIRKLAND DIRECTOR OF PHARMACY 182325 0 6950 0 2000 0 1226 0 18057 0 210558 0 0 0 SUE LANE HUGHES VP OF NURSING SERVICES/CNO 163710 0 6500 0 1700 0 770 0 0 0 172680 0 0 0 PART I, LINE 1A 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. A COFFEE COUNTY HOSPITAL AUTHORITY 586003116 192137DW4 2016-12-22 24367008 DEFEASANCE OF PREVIOUS BONDS 0 0 0 B COFFEE COUNTY HOSPITAL AUTHORITY 586003116 000000000 2018-12-14 11500000 CONSTRUCT AND EQUIP HOSPITAL FACILITIES 0 0 0 A 9372000 24963471 24367008 2171000 24963471 468262 0 1 1 1 B 915169 11500000 9653 161260 2210374 0 0 0 0 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 1 0 0 1 0 0 0 0 A 0 B 0 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. 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