2020-05-15T09:20:47-05:00 2019-06-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2018-07-01 582175978 CRISP REGIONAL HOSPITAL INC CRIS 2292763130 902 7TH STREET NORTH CORDELE GA 310153234 STEVE GAUTNEY PRES/CEO 2292763132 2020-05-15 true JACQUELINE G ATKINS P00861721 2298837878 2020-05-15 208.73.87.26 2020-05-15 09:20:47 CD P 3DB754BF4A86932C7270BAD44D636E9B352C5FAB BCE9FDEBD4CA8CCF95D3BA2F4EBE0DF2FFF03695 2018 2020-09-23 17:36:50Z STEVE GAUTNEY 902 7TH STREET NORTH CORDELE GA 310153234 118924413 false X WWW.CRISPREGIONAL.ORG X 1995 GA TO PROVIDE APPROPRIATE, QUALITY CARE AND ASSISTANCE IN MAINTAINING GOOD HEALTH IN AN EFFICIENT AND CARING MANNER TO ALL WHO NEED OUR SERVICES AND AS NEAR THEIR HOME AS POSSIBLE. 8 6 1040 53 -27258 966459 1305564 92559114 96321050 1514396 1896893 1576033 1694921 96616002 101218428 159002 210116 0 39220975 42191107 0 728 53117751 56459983 92497728 98861206 4118274 2357222 118288959 124424226 33289876 35947251 84999083 88476975 TO PROVIDE APPROPRIATE, QUALITY CARE AND ASSISTANCE IN MAINTAINING GOOD HEALTH IN AN EFFICIENT AND CARING MANNER TO ALL WHO NEED OUR SERVICES AND AS NEAR THEIR HOME AS POSSIBLE. false false 70560807 210116 96966336 THE ORGANIZATION OPERATES A HOSPITAL, TWO SNFS & A HHA PROVIDING SHORT-TERM ACUTE CARE FOR INPATIENT & OUTPATIENT SERVICES FOR CRISP COUNTY AND SURROUNDING COUNTIES. TOTAL PATIENT DAYS FOR FYE 6/30/19 WERE 12,780; HHA VISITS FOR WERE 14,464; AND SNF PATIENT DAYS WERE 23,882; CORDELE HEALTH AND REHABILITATION (A FREE-STANDING SNF) PATIENT DAYS TOTAL 22,813, AND RURAL HEALTH CLINIC VISITS TOTALED 13,041. 70560807 true true false true false false false false false false true false false false false true false true false false false false false false false false true true false true true true false false false false false false false false false false false false false false false true true true false false true 122 0 1040 true false false false false false false false false false false false false X 8 6 false false false false false false false true true false false true true true true true true true true true true GA X X JESSICA CARTER 2292763130 902 7TH STREET CORDELE GA 310153234 STEVE GAUTNEY PRES/CEO 40.00 4.00 X X 322007 0 37024 SULE SALAMI MD ASST SEC/TRE 1.00 1.00 X X 48660 0 0 WILLIAM PANNELL MD CHAIRMAN 1.00 3.00 X X 5500 0 0 RANN FOLSOM SECRETARY/TR 1.00 1.00 X X 0 0 0 NOEL WILLIAMS JR BOARD MEMBER 1.00 3.00 X 0 0 0 CLAIRE KRAUSE BOARD MEMBER 1.00 X 0 0 0 ARTHUR PARKER BOARD MEMBER 1.00 X 0 0 0 HEATH HAMILTON BOARD MEMBER 1.00 1.00 X 0 0 0 WAYNE MARTIN BD MBR (LEFT 1.00 2.00 X 0 0 0 MIKE MILLER RPH BD MBR (LEFT 1.00 X 0 0 0 JESSICA CARTER CFO 40.00 4.00 X 216502 0 43656 LESTER LITTELL MD PHYSICIAN 40.00 X 705079 0 9472 LYNN ALAN LYONS MD PHYSICIAN 40.00 X 662657 0 50637 DOMINIC SCALANOGNA MD PHYSICIAN 40.00 X 588422 0 20353 SRILATHA NADIPINENI MD PHYSICIAN 40.00 X 474298 0 48498 MANA KASONGO MD PHYSICIAN 40.00 X 445419 0 31607 3468544 241247 48 false true false INNOVATIVE THERAPY CONCEPTS LLC 2 MASHBURN ST SUITE 102 HAWKINSVILLE GA 310364961 THERAPY 2267816 WATERCOURSE HEALTHCARE LLC 149 GOLDEN WAY TIFTON GA 31794 MEDICAL SVCS 1111924 CERNER CORPORATION P O BOX 959156 ST LOUIS MO 63195 SOFTWARE SVCS 971570 HIMFORMATICS LLC 1579 MONROE DR NE SUITE F BOX 188 ATLANTA GA 30324 PROJECT MGMT 870549 DRAFFIN & TUCKER LLP P O BOX 71309 ALBANY GA 31708 INTERIM & ACCTG 649837 23 193070 1112494 1305564 PROGRAM SERVICE REVENUE 623000 95738970 95738970 EMS OPERATIONS CONTRACT 621990 457026 457026 EMS EQUIPMENT 621910 125054 125054 96321050 1441582 1441582 118574 13603 104971 104971 111444 -6473 18121059 17660943 4805 460116 -4805 455311 455311 13953 26634 -12681 -12681 DIETARY/VENDING 722513 611770 611770 DIETARY CATERING 722513 287620 287620 OTHER REVENUES 621990 258039 258039 445202 275803 -20785 190184 1602631 101218428 96966336 -27258 2973786 X 210116 210116 673349 54160 619189 31973820 23989930 7983890 797798 525924 271874 5512486 2156443 3356043 3233654 2226609 1007045 352372 45000 307372 546622 546622 147502 147502 353484 353484 25634145 19949528 5684617 312465 109857 202608 4788373 3838924 949449 728 728 2002224 284508 1717716 572447 378389 194058 222293 50851 171442 3657121 1548693 2108428 905071 393432 511639 MEDICAL SUPPLIES 13805973 13805973 LICENSES AND TAXES 1585738 30817 1554921 HOSPITAL/NURSING HOME 541757 541757 REPAIRS & MAINTENANCE 476442 249785 226657 555226 170111 385115 98861206 70560807 28299671 728 119007 84512 8699467 5116451 17435480 19967360 2419072 2335168 1363579 1706413 104652373 62388442 38675184 42263931 41280618 43917463 430969 430969 3545846 3545846 4319737 5056113 118288959 124424226 7139876 10607251 26150000 25340000 33289876 35947251 X 84999083 88476975 84999083 88476975 118288959 124424226 2357222 1120670 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 11613 11613 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE ORGANIZATIONS. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THOSE ORGANIZATIONS PARTICIPATE. 3771319 3771319 49590743 25212010 24378733 1240552 1053736 186816 45929796 36122696 9807100 4119963 4119963 42263931 X SCHEDULE D, PAGE 3, PART X CRISP REGIONAL HEALTH SERVICES, INC., CRISP REGIONAL HOSPITAL, INC. AND CRISP REGIONAL DEVELOPMENT FOUNDATION, INC. ARE NOT-FOR-PROFIT CORPORATIONS THAT HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CORPORATIONS APPLY 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, THEY ONLY RECOGNIZE 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 MANAGEMENTS EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING COMBINED BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2019 AND 2018 OR FOR THE YEARS THEN ENDED. THE CORPORATIONS 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. true true X true X 1.250000000000 true X true false false 816279 816279 0.00830 17291615 16465010 826605 0.00840 18107894 16465010 1642884 0.01670 15692873 7699776 7993097 0.08430 8250 8250 0.00010 15701123 7699776 8001347 0.08440 33809017 24164786 9644231 0.10110 true 24240452 20201267 18623378 1577889 X true true CRISP HC ALLIANCE HEALTH SERVICES 0.80000 0.20000 1 1 CRISP REGIONAL HOSPITAL INC 902 7TH STREET NORTH CORDELE GA 310105007 WWW.CRISPREGIONAL.ORG 040-495 X X X SNF, NF, HHA, HOSPICE, RHC, RD CRISP REGIONAL HOSPITAL INC 1 false false true X X X X X X X X X X 19 true false false true X WWW.CRISPREGIONAL.ORG X true 19 true HTTP://WWW.CRISPREGIONAL.ORG false false true X 125.000000000000 200.000000000000 X X X X true true X X X X true X WWW.CRISPREGIONAL.ORG X WWW.CRISPREGIONAL.ORG X WWW.CRISPREGIONAL.ORG X X X X X X true X false X X X X true X false false FACILITY 1, CRISP REGIONAL HOSPITAL INC - PART V, LINE 3E THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS IDENTIFIED AND THE METHODOLOGY FOR PRIORITIZING EACH NEED IS DESCRIBED ON PAGES 109-111 OF THE 2019 CHNA. FACILITY 1, CRISP REGIONAL HOSPITAL INC - PART V, LINE 5 THE HOSPITALS CHIEF EXECUTIVE OFFICER DEVELOPED A HOSPITAL STEERING COMMITTEE, THE CHNA HOSPITAL STEERING COMMITTEE (CHSC). THE CHSC IDENTIFIED COMMUNITY LEADERS, PARTNERS, AND REPRESENTATIVES TO INCLUDE IN THE CHNA PROCESS. INDIVIDUALS, AGENCIES, PARTNERS, POTENTIAL PARTNERS, AND OTHERS WERE REQUESTED TO WORK WITH THE HOSPITAL TO 1)ASSESS THE NEEDS OF THE COMMUNITY, 2) REVIEW AVAILABLE COMMUNITY RESOURCES AND 3) PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. GROUPS OR INDIVIDUALS, WHO REPRESENT MEDICALLY- UNDERSERVED POPULATIONS, LOW INCOME POPULATIONS, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASES, WERE INCLUDED. THE HOSPITAL IDENTIFIED OVER 40 INDIVIDUALS TO BE A PART OF THIS PROCESS. TWO-HOUR COMMUNITY HEALTH INPUT MEETINGS (COMMUNITY MEETINGS) AND ONE-HOUR COMMUNITY STAKEHOLDER INTERVIEWS (INTERVIEWS) WERE ESSENTIAL PARTS OF THE CHNA PROCESS. TWO COMMUNITY MEETINGS AND 3 STAKEHOLDER INTERVIEWS WERE CONDUCTED IN ORDER TO OBTAIN THE COMMUNITYS INPUT INTO THE HEALTH NEEDS OF CRISP COUNTY. FACILITY 1, CRISP REGIONAL HOSPITAL INC - PART V, LINE 11 INFORMATION GATHERED FROM THE COMMUNITY MEETING, INTERVIEW, DISCUSSIONS WITH THE HOSPITAL LEADERSHIP TEAM, REVIEW OF DEMOGRAPHIC AND HEALTH STATUS, AND HOSPITAL UTILIZATION DATA WERE USED TO DETERMINE THE PRIORITY HEALTH NEEDS OF THE POPULATION. THE FOLLOWING PRIORITY NEEDS WILL BE ADDRESSED IN THE HOSPITALS IMPLEMENTATION STRATEGY DOCUMENT. SOCIAL DETERMINANTS OF HEALTH MENTAL HEALTH LIFESTYLE AND OBESITY ACCESS TO CARE ADOLESCENT BEHAVIOR THE CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT HTTP://WWW.CRISPREGIONAL.ORG/WP- CONTENT/UPLOADS/2019/06/CRISP_CHNA_2019_REPORT.PDF AND HTTP://WWW.CRISPREGIONAL.ORG/WP- CONTENT/UPLOADS/2019/11/CLIENT-ACTION-REQUIRED-CRISP-2019-IMPLEMENTATION- STRATEGY-TEMPLATE.DOCX, RESPECTIVELY. 8 CRISP REGIONAL NURSING HOME & REHAB 902 BLACKSHEAR ROAD CORDELE GA 31015 NURSING FACILITY CARESOUTH OF CRISP REGIONAL 906 5TH STREET NORTH CORDELE GA 31015 HOME HEALTH CRISP REGIONAL HOSPICE 910 5TH STREET NORTH CORDELE GA 31015 HOSPICE WARWICK HEALTHCARE CENTER 135 DOGWOOD STREET WARWICK GA 31796 RHC CRISP REGIONAL DIALYSIS UNIT 1302 5TH STREET NORTH CORDELE GA 31015 DIALYSIS CORDELE HEALTH & REHAB 1106 NORTH 4TH STREET CORDELE GA 31015 NURSING FACILITY CRISP REGIONAL CONVENIENT CARE 902 NORTH 7TH STREET CORDELE GA 31015 RHC BLACKSHEAR RETIREMENT VILLAS 1110 BLACKSHEAR ROAD CORDELE GA 31015 ASSISTED LIVING PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION THIS SECTION INCLUDES NET ACTUAL COSTS FOR SUBSIDIZED PHYSICIAN AND RURAL HEALTH CLINICS OF 5,756,484. PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN (F), THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25: FORM 990, PART IX, LINE 25 98,861,206 ADD: EXPENSES ON PART VIII 40,237 DENOMINATOR FOR COLUMN (F) 98,901,443 PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION COSTS FOR PART I, LINE 7A AND 7B WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. SEE ALSO THE DESCRIPTION FOR PART III, LINE 2. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY AMOUNTS ON PART III, LINE 2 REPRESENT THE AMOUNT OF NET CHARGES WRITTEN OFF AS UNCOLLECTIBLE AND RECORDED AS BAD DEBT EXPENSE ON THE AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS SEE PAGE 17 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 - MEDICARE EXPLANATION 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 - COLLECTION PRACTICES EXPLANATION PATIENTS, WHO MEET ALL THE REQUIREMENTS TO BE CLASSIFIED AS MEDICALLY INDIGENT UNDER THE ORGANIZATION'S ICTF POLICY, WILL HAVE THEIR ACCOUNTS WRITTEN OFF ON A SLIDING SCALE FEE (100% OF ACCOUNTS AT 125% OF THE FEDERAL POVERTY SCALE, 7% OF ACCOUNTS WHEN INCOME IS AT 200% OF THE SCALE, UP TO THE MAXIMUM ALLOWED PER PATIENT PER YEAR). ANY AMOUNT NOT ADJUSTED OFF PER POLICY, WOULD FOLLOW THE COLLECTION PRACTICE AS ANY OTHER ACCOUNT. PART VI, LINE 2 - NEEDS ASSESSMENT CRISP REGIONAL ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY BY EVALUATING DISEASE INCIDENCES IN THE POPULATION AS WELL AS ECONOMIC AND DEMOGRAPHIC CHARACTERISTICS OF THE POPULATION IN COMPARISON TO THE UTILIZATION AND AVAILABILITY OF APPLICABLE SERVICES. PRIMARY SOURCE FOR ASSESSMENT INFORMATION IS THE COMMUNITY HEALTH STATUS INDICATORS PUBLISHED BY THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES AND INTERNAL INFORMATION PRODUCED BY HOSPITAL RECORDS. CRISP REGIONAL IS CLASSIFIED AS A HEALTH MANPOWER SHORTAGE AREA DUE TO THE DISPROPORTIONALLY LARGE LOW INCOME POPULATION. IN ADDITION, CRISP'S SERVICE HAS A SIGNIFICANT NUMBER OF MIGRANT AND UNDOCUMENTED FARM WORKS THAT PRESENT EPISODIC COMMUNITY HEALTH NEEDS. THE ORGANIZATION POSTS THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY PLAN ON ITS WEBSITE AT HTTP://WWW.CRISPREGIONAL.ORG/WP- CONTENT/UPLOADS/2019/06/CRISP_CHNA_2019_REPORT.PDF AND HTTP://WWW.CRISPREGIONAL.ORG/WP- CONTENT/UPLOADS/2019/11/CLIENT -ACTION-REQUIRED-CRISP-2019-IMPLEMENTATION- STRATEGY TEMPLATE.DOCX, RESPECTIVELY. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CRISP REGIONAL HOSPITAL HAS A CLEARLY DEFINED PROCESS FOR ADDRESSING INDIGENT AND/OR SELF-PAY PATIENTS. PATIENTS THAT PRESENT AT THE REGISTRATION DESK AS SELF PAY PATIENTS RECEIVING OUTPATIENT SERVICES ARE DIRECTED TO OUR PATIENT FINANCIAL COUNSELOR FOR ADVISEMENT. AT THIS POINT, A FINANCIAL COUNSELOR REVIEWS THE APPLICATION FOR THE INDIGENT CARE TRUST FUND ASSISTANCE. IF THIS ASSISTANCE APPLIES, THE COUNSELOR WILL ASSIST IN THE APPLICATION PROCESS AND ASSURE COMPLETION OF THE APPLICATION FOR REVIEW. IF THIS ASSISTANCE DOES NOT APPLY, WE REFER TO A LIST OF SERVICES THAT REQUIRE A CERTAIN AMOUNT TO BE PAID BEFORE THE SERVICE IS RENDERED. WE ALSO ASSIST IN SETTING UP A CONTRACT TO INITIATE A MONTHLY PAYMENT PLAN. FOR A PATIENT THAT PRESENTS IN CRISP REGIONAL HOSPITAL AS AN INPATIENT AND IS SELF PAY, THE PATIENT FINANCIAL COUNSELOR GOES TO THE PATIENT'S ROOM TO ASSURE THAT THEY ARE CORRECTLY CLASSIFIED AS A SELF PAY PATIENT. SELF PAY PATIENTS ARE THEN REFERRED TO CHANGE HEALTHCARE TO ASSESS ELIGIBILITY FOR MEDICAID ASSISTANCE. IF NOT ELIGIBLE FOR MEDICAID, WE ASSIST THEM WITH AN APPLICATION FOR INDIGENT CARE TRUST FUND ASSISTANCE. IF NOT ELIGIBLE FOR THE INDIGENT PROGRAM, THEN WE ASSIST WITH A CONTRACT TO START MONTHLY PAYMENTS. PART VI, LINE 4 - COMMUNITY INFORMATION CRISP REGIONAL HOSPITAL SERVES CRISP, DOOLY AND WILCOX COUNTIES AS OUR PRIMARY SERVICE AREAS. THESE AREAS ACCOUNT FOR 83% OF PATIENT ACTIVITY. THE OTHER FOUR CONTIGUOUS COUNTIES, SUMTER, WORTH, TURNER AND LEE, ARE SECONDARY GEOGRAPHIC MARKET AREAS. CORDELE IS THE ECONOMIC AND MEDICAL HUB OF THIS AREA AND DRAWS ON A POPULATION APPROACHING 135,000. THE MOST RECENTLY AVAILABLE SCHOOL ENROLLMENT IN CRISP COUNTY WAS 6,351. NURSERY SCHOOL AND KINDERGARTEN ENROLLMENT WAS 698 AND ELEMENTARY OR HIGH SCHOOL ENROLLMENT WAS 3,975 CHILDREN. COLLEGE OR GRADUATE SCHOOL ENROLLMENT WAS 1,678. INDUSTRIES: IN 2017, FOR THE EMPLOYED POPULATION 16 YEARS AND OLDER, THE LEADING INDUSTRIES IN CRISP COUNTY WERE HEALTHCARE, SOCIAL ASSISTANCE, EDUCATIONAL SERVICES, MANUFACTURING, AND RETAIL TRADE. INCOME: THE MEDIAN INCOME OF HOUSEHOLDS IN CRISP COUNTY WAS 33,194. 56% OF THE HOUSEHOLDS RECEIVED EARNINGS AND 20% RECEIVED RETIREMENT INCOME OTHER THAN SOCIAL SECURITY. 12% OF THE HOUSEHOLDS RECEIVED SOCIAL SECURITY. THESE INCOME SOURCES ARE NOT MUTUALLY EXCLUSIVE; THAT IS, SOME HOUSEHOLDS RECEIVED INCOME FROM MORE THAN ONE SOURCE. POVERTY AND PARTICIPATION IN GOVERNMENT PROGRAMS: IN 2017, 32.9% OF PEOPLE WERE IN POVERTY. 48% OF RELATED CHILDREN UNDER 18 WERE BELOW THE POVERTY LEVEL, COMPARED WITH 17% OF PEOPLE 65 YEARS OLD AND OVER. 31.2% OF ALL FAMILIES AND 66% OF FAMILIES WITH A FEMALE HOUSEHOLDER AND NO HUSBAND PRESENT HAD INCOMES BELOW THE POVERTY LEVEL. FOR PEOPLE REPORTING ONE RACE ALONE, 53% WERE WHITE; 45% WERE BLACK OR AFRICAN AMERICAN; 3% WERE HISPANIC OR LATINO; 1% WAS ASIAN; AND <1% WAS CLASSIFIED AS OTHER RACE. 1% REPORTED TWO OR MORE RACES. HOUSING COSTS: THE MEDIAN MONTHLY HOUSING COSTS FOR MORTGAGED OWNERS WAS 957, NON-MORTGAGED OWNERS 360, AND RENTERS 624. 23% OF OWNERS WITH MORTGAGES, 13% OF OWNERS WITHOUT MORTGAGES, AND 25% OF RENTERS IN CRISP COUNTY SPENT 50% OR MORE OF HOUSEHOLD INCOME ON HOUSING. NATIVITY AND LANGUAGE: LESS THAN 3% OF THE PEOPLE LIVING IN CRISP COUNTY IN 2017 WERE FOREIGN BORN. 97% WAS NATIVE, INCLUDING 86% WHO WERE BORN IN GEORGIA. AMONG PEOPLE AT LEAST 5 YEARS OLD LIVING IN CRISP COUNTY IN 2015, 4.2% SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME. OF THOSE SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME, 53% SPOKE SPANISH. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH CRISP REGIONAL IS SERVED BY A VOLUNTEER GOVERNING BOARD COMPOSED OF COMMUNITY MEMBERS FROM CRISP AND DOOLY COUNTIES. A PRIMARY FOCUS OF THE BOARD IS TO ADDRESS THE ACCESSIBILITY OF HEALTHCARE SERVICES AND ACCESS TO QUALIFIED HEALTHCARE PROFESSIONALS. THE ORGANIZATION OPERATES A 24HR/7DAY A WEEK EMERGENCY DEPARTMENT THAT SERVES APPROXIMATELY 23,000 PATIENTS ANNUALLY. AS A MEANS TO ALLEVIATE ED OVERCROWDING AND CREATE A MORE APPROPRIATE TREATMENT ENVIRONMENT, THE BOARD ALSO FUNDS FINANCIALLY OPERATING DEFICITS AT THE CRISP CONVENIENT CARE CLINIC. THE ED PATIENT POPULATION INCLUDES 25% THAT ARE CLASSIFIED AS INDIGENT OR NON-INSURED. THE CONVENIENT CARE CLINIC EXPERIENCES NEARLY 16% INDIGENT OR SELF-PAY POPULATION AND REQUIRES 298,000 IN NON- COMPENSATED FUNDING FROM THE ORGANIZATION'S GENERAL FUNDS. CRISP REGIONAL PROMOTES HEALTH AND ADDRESSES HEALTH PROFESSIONAL ACCESS IN SEVERAL COMMUNITY SERVICES. THE HOSPITAL PROVIDES HOUSING WITHOUT COST TO MEDICAL RESIDENTS AND STUDENTS ENGAGED IN CLINICAL EXPERIENCE AT CRISP REGIONAL. THE BOARD FURNISHES THREE APARTMENTS AS A MEANS TO ASSURE MEDICAL STUDENTS AND MEDICAL RESIDENTS ARE EXPOSED TO THE SPECIAL NEEDS OF RURAL POPULATIONS AND AGRICULTURE ECONOMY. IN ADDITION TO THESE SERVICES, CRISP REGIONAL PARTNERS WITH COLLEGES TO OFFER PRACTICAL EXPERIENCE IN A VARIETY OF AREAS THROUGHOUT THE HOSPITAL - FROM PROVIDING BEDSIDE CARE ON PATIENT FLOORS TO THE INTENSIVE CARE UNIT (ICU) AND EMERGENCY DEPARTMENT (ED). DURING THEIR CLINICAL ROTATIONS, STUDENTS CAN DIRECTLY APPLY WHAT THEY ARE LEARNING ABOUT THE CAUSES OF CERTAIN HEALTH CONDITIONS AND HOW TO DIAGNOSE AND TREAT THEM. THROUGH ITS RURAL HEALTH CLINIC PROGRAM, CRISP REGIONAL HEALTH SERVICES OFFERS MEDICAL CARE TO SURROUNDING RURAL COMMUNITIES. TWO RURAL HEALTH CARE CLINICS PROVIDE COVERAGE FOR PRIMARY HEALTH CARE, CHRONIC AND ACUTE ILLNESS, MINOR SUTURING, OB-GYN SERVICES, VARIOUS VACCINATIONS, LAB DRAWINGS AND PHYSICALS. THE PROGRAM ALLOWS RURAL RESIDENTS TO RECEIVE EXCELLENT HEALTH CARE PROVIDED BY HIGH-QUALITY HEALTH CARE PROFESSIONALS CLOSE TO HOME. IT ALSO OFFERS AFFORDABLE HEALTH CARE COVERAGE TO THESE RESIDENTS. LAST YEAR, BOTH CLINICS TREATED A TOTAL OF 13,130 PATIENTS. CRISP REGIONAL HEALTH SERVICES HOSTS FIVE ANNUAL COMMUNITY HEALTH FAIRS, OFFERING INFORMATION, EDUCATION AND BASIC TESTS FOR FREE OR AT DEEPLY- REDUCED COSTS. TESTS INCLUDE BODY MASS INDEX, BLOOD PRESSURE SCREENING, HEIGHT AND WEIGHT CHECKS, BLOOD GLUCOSE, AND PULMONARY LUNG FUNCTION. ALSO INCLUDED IS DIAGNOSTIC LAB WORK, CONSISTING OF LIPID PROFILE, THYROID, PROSTATE AND IRON PANEL SCREENINGS. WE PROVIDE THIS TO OUR COMMUNITY BECAUSE THE IMPORTANCE OF PRE-SCREENING, INCREASED AWARENESS AND EDUCATING THE COMMUNITY CONTRIBUTES TO RESIDENTS' BETTER OVERALL HEALTH. CRISP REGIONAL OFFERS THE SENIORS LEARNING AND SOCIALIZING (SOLAS) PROGRAM ONCE A MONTH FOR SENIORS IN THE COMMUNITY TO LISTEN TO A PRESENTATION DURING LUNCH. IN ADDITION, CRISP REGIONAL OFFERS THE WELLNESS WORKS PROGRAM TO PARTNER WITH LOCAL BUSINESSES TO MAINTAIN THE HEALTH OF THEIR EMPLOYEES AND PREVENT ILLNESS TO MAINTAIN A HEALTHY WORKPLACE. THIS PROGRAM INCLUDES SCREENINGS, HEALTH FAIRS, AND EDUCATION TO EMPLOYEES. ATHLETIC TRAINER-CRISP COUNTY SCHOOL SYSTEM SERVING AS AN EXTENSION OF ELITE PHYSICALTHERAPY SERVICES AT CRISP REGIONAL AND WITH A PARTNERSHIP WITH CRISP COUNTY SCHOOL SYSTEM, CRISP COUNTY HIGH SCHOOL BENEFITS BY HAVING AN ONSITE CERTIFIED ATHLETIC TRAINER (ATC) AVAILABLE TO ALL STUDENT ATHLETES PROVIDING FIRST AID AND EMERGENCY CARE DURING SPORTING EVENTS ALONG WITH PHYSICAL THERAPY AS PART OF ATHLETIC TRAINING AND MUSCULOSKELETAL THERAPY. THE ATHLETIC TRAINER CARES FOR STUDENT ATHLETES USING THERAPEUTIC MODALITIES SUCH AS ULTRASOUND, ELECTRICAL STIMULATION, CRYOTHERAPY, SEQUENTIAL COMPRESSION, LASER, THERMAL THERAPY, WHIRLPOOL AND OTHER EQUIPMENT. THE ATHLETIC TRAINER WORKS UNDER THE DIRECT SUPERVISION AND PROTOCOLS OF A SUPERVISING ORTHOPEDIC PHYSICIAN AND IN COLLABORATION WITH OUR PHYSICAL THERAPIST AND STAFF. EPIPEN 4 SCHOOLS- THE EPIPEN4SCHOOLS PROGRAM PROVIDES EPIPEN(EPINEPHRINE INJECTION, USP) OR EPIPEN JR (EPINEPHRINE INJECTION, USP) AUTO-INJECTORS ALONG WITH EPIPEN TRAINERS AND A DETAILED TRAINING VIDEO. THE EPIPEN4SCHOOL PROGRAM IS COORDINATED WITH THE PHYSICIANS AND STAFF AND CRISP REGIONAL PEDIATRICS. CRH PROVIDED 20 EPIPENS THROUGHOUT OUR SERVICE AREA INCLUDING CRISP AND DOOLY COUNTY SCHOOLS. STOP THE BLEED- CRISP COUNTY EMS AND CRISP REGIONAL NURSING STAFF PARTNERED WITH THE SCHOOL SYSTEMS TO OFFER LIFE SAVING TRAINING WITH STOP THE BLEED. THROUGH OUR STOP THE BLEED COURSE, OUR COMMUNITY PARTNERS GAIN THE ABILITY TO RECOGNIZE LIFE-THREATENING BLEEDING AND INTERVENE EFFECTIVELY. THIS PROGRAM IS DESIGNED TO ENABLE SCHOOL TEACHERS, NURSES, AND STAFF HOW TO RENDER IMMEDIATE, POTENTIALLY LIFE-SAVING MEDICAL AID TO INJURED STUDENTS OR CO- WORKERS WHILE AWAITING THE ARRIVAL OF PROFESSIONAL RESPONDERS. EACH SCHOOL RECEIVED LIFE SAVING STOP THE BLEED KITS TO HAVE AVAILABLE DURING LIFE SAVING EMERGENCIES. TEEN MAZE- PARTNERING WITH THE CRISP COUNTY SCHOOL SYSTEM AND OTHER PARTNERS, THE TEEN MAZE IS A LIFE-SIZED INTERACTIVE GAME THAT STUDENTS ADVANCE THROUGH BY CHANCE. THE TEEN MAZE IS AN EXPERIENTIAL LEARNING EVENT. THE GOAL OF THE EFFORT IS TO HELP STUDENTS REALIZE THE IMPACT OF MAKING GOOD CHOICES. STUDENTS HAVE NO CONTROL OF THEIR CHOICES DURING THE MAZE, AND ARE PRESENTED CONSEQUENCES OF CHOICES RELATED TO SUBSTANCE ABUSE, UNPROTECTED SEX, TEEN PREGNANCY/PARENTING, FINANCIAL OBLIGATIONS, DATE VIOLENCE, DRINKING/TEXTING AND DRIVING, CRIMINAL ACTIVITY, ETC. THE OVERALL MESSAGE IS THAT MAKING GOOD CHOICES WILL SET STUDENTS ON A SUCCESSFUL PATH TO HIGH SCHOOL GRADUATION. STUDENTS WILL BE ENCOURAGED TO LEARN FROM THEIR PEERS EXPERIENCES IN THE MAZE AND TO DISCUSS THEIR OWN EXPERIENCES WITH THEIR PARENTS. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM THE HOSPITAL AUTHORITY OF CRISP COUNTY (AUTHORITY) REORGANIZED AND ESTABLISHED CRISP REGIONAL HEALTH SERVICES, INC. AS THE CONTROLLING COMPANY OF CRISP REGIONAL HOSPITAL, INC., CRISP REGIONAL DEVELOPMENT FOUNDATION, INC., AND CRISP MEDICAL SERVICES, INC. CRISP REGIONAL HOSPITAL, INC. AND CRISP REGIONAL DEVELOPMENT FOUNDATION, INC. ARE NOT-FOR-PROFIT CORPORATIONS. CRISP REGIONAL HOSPITAL, INC. OPERATES CRISP REGIONAL HOSPITAL (ACUTE CARE HOSPITAL), CRISP REGIONAL NURSING AND REHABILITATION CENTER (SKILLED NURSING FACILITY), CARESOUTH OF CRISP REGIONAL HOSPITAL (HOME HEALTH AGENCY), BLACKSHEAR RETIREMENT VILLA (A RETIREMENT FACILITY), AND CORDELE HEALTH AND REHABILITATION CENTER, INC. (SKILLED NURSING FACILITY). IN ADDITION, CRISP REGIONAL HOSPITAL, INC. OPERATES VARIOUS HEALTH CLINICS AND PHYSICIAN PRACTICES. CRISP MEDICAL SERVICES, INC. IS A DORMANT FOR-PROFIT CORPORATION ORGANIZED TO CONDUCT TAXABLE ACTIVITIES. ADDITIONAL INFORMATION PART I LINE 6A COMMUNITY BENEFIT REPORT THE ORGANIZATION DOES NOT HAVE A FORMALIZED WRITTEN COMMUNITY BENEFIT REPORTING PROCESS, BUT DOES PUBLICIZE A COMMUNITY BENEFIT REPORT. true EMPLOYEE EDUCATION LOANS 48 99760 PHYSICIAN EDUCATION LOANS 14 110356 SCHEDULE I, PAGE 1, PART I, LINE 2 THE ORGANIZATION OFFERS TO PROMOTE HEALTH CARE CAREERS FOR PEOPLE IN CRISP AND SURROUNDING COUNTIES BY PROVIDING SCHOLARSHIPS WITHIN CERTAIN GUIDELINES. EACH APPLICANT MUST PROVIDE A COMPLETED APPLICATION, SCHOOL TRANSCRIPTS, LETTER OF RECOMMENDATION, COMPLETION OF PREREQUISITES AND LETTER OF ACCEPTANCE TO A SPECIFIC PROGRAM, INTENT TO BECOME EMPLOYED BY THE ORGANIZATION, INTERVIEW BY APPROPRIATE VICE PRESIDENT, AND OBTAIN APPROVAL BY THE EDUCATIONAL LOAN REVIEW BOARD. REIMBURSEMENT FOR THE COST OF TUITION, BOOKS, AND REQUIRED COURSE MATERIALS PER SEMESTER WILL BE GIVEN FOR A CURRENT GPA OF 2.0 OR BETTER. A REIMBURSEMENT REQUEST INCLUDING EVIDENCE OF ACTUAL EXPENSES MUST BE SUBMITTED FOR APPROVAL. DEFAULT OF THE TERMS REQUIRES FULL OR PARTIAL PAYBACK OF THE SCHOLARSHIP FUNDS. AMOUNTS REPORTED REFLECT ASSISTANCE FORGIVEN BASED ON YEARS OF EMPLOYMENT PROVIDED. X X false false false false false false false false false STEVE GAUTNEY PRES/CEO 319086 2921 16250 20774 359031 JESSICA CARTER CFO 216157 345 10558 33098 260158 LESTER LITTELL MD PHYSICIAN 694866 10213 9472 714551 LYNN ALAN LYONS MD PHYSICIAN 658490 4167 17539 33098 713294 DOMINIC SCALANOGNA MD PHYSICIAN 571755 16667 20353 608775 SRILATHA NADIPINENI MD PHYSICIAN 474298 18000 30498 522796 MANA KASONGO MD PHYSICIAN 437419 8000 31607 477026 A HOSPITAL AUTH OF CRISP COUNTY GA CRH REV CERTIFICATES PAYABLE 2013 586003098 226688CS6 2013-06-18 16500000 CONSTRUCTION false true false B HOSPITAL AUTH OF CRISP COUNTY GA CRH REV CERTIFICATES PAYABLE 2015 586003098 NONENONEN 2015-04-02 11185000 DEFEASE 2008 REVENUE BONDS false true false A 16500000 847137 16170000 2013 false false true true B 2345000 11185000 11185000 2015 true false true true A false false false false false false true B false false false false false false true A false false true false false false false false false B false false true false false false false false true A false B true FORM 990, PAGE 6, PART VI, LINE 11B ALL BOARD MEMBERS RECEIVE A COPY OF THE FORM 990 BEFORE IT IS FILED. IF ANY MEMBER HAS ANY CONCERNS, THEY MUST INFORM ADMINISTRATION. AN EXTENSIVE REVIEW IS PERFORMED BY MANAGEMENT. THE BOARD MEMBERS PERFORM ONLY A BASIC REVIEW OF THE RETURN PRIOR TO ITS FILING WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY IS DIRECTED NOT ONLY TO DIRECTORS AND OFFICERS, BUT TO ALL EMPLOYEES WHO CAN INFLUENCE THE ACTIONS OF CRISP REGIONAL HOSPITAL, INC. A CONFLICTING INTEREST MAY BE DEFINED AS AN INTEREST, DIRECT OR INDIRECT, WITH ANY PERSONS OR FIRMS. IT IS THE POLICY OF THE BOARD THAT THE EXISTENCE OF ANY OF THE INTERESTS SHALL BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT SHALL BE THE CONTINUING RESPONSIBILITY OF THE BOARD, OFFICERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. DISCLOSURES OF CONFLICTS SHOULD BE MADE TO THE BOARD OR A COMMITTEE THEREOF, WHO WILL DETERMINE WHETHER A CONFLICT EXISTS, AND IN THE CASE OF AN EXISTING CONFLICT, DETERMINE APPROPRIATE ACTION. THE INDIVIDUAL WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTIONS. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO. THE BOARD USES COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS AT SIMILARLY SIZED ORGANIZATIONS. THE GHA ANNUAL SALARY SURVEY AND OTHER DATA IS USED TO DETERMINE COMPENSATION FOR MANAGEMENT. THE DECISION IS DOCUMENTED BY THE BOARD. THIS PROCESS IS PERFORMED ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15B THE CEO REVIEWS AND APPROVES THE COMPENSATION FOR THE CFO AND OTHER TOP OFFICERS. THE CEO USES COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS AT SIMILARLY SIZED ORGANIZATIONS. THE GHA ANNUAL SALARY SURVEY AND OTHER DATA IS ALSO UTILIZED. THIS PROCESS IS PERFORMED ANNUALLY. CRISP REGIONAL'S COMPENSATION PHILOSOPHY IS THE SAME FOR ALL OFFICERS AND EMPLOYEES - TO PROVIDE APPROPRIATE COMPENSATION TO EMPLOYEES BASED ON MARKET DRIVEN DATA AS WELL AS DEMAND WITHIN THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION WILL MAKE AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO ANY MEMBER OF THE PUBLIC WHO MAKES THEIR REQUEST AT THE ADMINISTRATIVE OFFICE OF THE FILING ENTITY. FORM 990, PART IX, LINE 11G COLLECTION AGENCIES 0 286,642 0 SERVICE CONTRACTS 1,921,721 2,104,593 0 LAUNDRY/LINEN SERVICES 45,588 168,287 0 OTHER PURCHASED SERVICES 7,094,300 3,125,095 0 PHYSICIAN FEES 8,634,656 0 0 THERAPY CONTRACT FEES 2,253,263 0 0 TOTAL 19,949,528 5,684,617 0 CRISP REGIONAL HEALTH SERVICE INC 902 7TH STREET NORTH CORDELE GA 310153234 582175975 HOLDING CO GA 501C3 12B NA false CRISP REGIONAL HOSP DEV FNDN INC 902 7TH STREET NORTH CORDELE GA 310153234 582175978 FOUNDATION GA 501C3 12A CRH CRISP REGIONAL HOSPITAL true HOSPITAL AUTHORITY OF CRISP COUNTY 902 7TH STREET NORTH CORDELE GA 310153234 586003098 AUTHORITY GA 501C3 6 NA false CRISP HEALTHCARE ALLIANCE LLC PO BOX 5007 CORDELE GA 310105007 582307830 PURCHASING GA CRH CRISP REGIONAL HOSPITAL INC RELATED 70497 800523 false false 0.80000 CRISP MEDICAL SERVICES INC 902 7TH STREET NORTH CORDELE GA 310153234 582175987 DORMANT GA N/A false false false false true false false false false false false false false true true true false true false false CRISP REGIONAL HOSPITAL DEVELOPMENT D 66142 GENERAL LEDGER CRISP REGIONAL HOSPITAL DEVELOPMENT M 154517 NET FUNDS RAISED CRISP REGIONAL HOSPITAL DEVELOPMENT N AMOUNT INDETERMINABLE CRISP REGIONAL HOSPITAL DEVELOPMENT O AMOUNT INDETERMINABLE CRISP REGIONAL HOSPITAL DEVELOPMENT Q 15860 GENERAL LEDGER