2020-05-13T10:14:21-05:00 2019-06-30 581094351 MCNAIR MCLEMORE MIDDLEBROOKS & CO LLC POST OFFICE BOX ONE MACON GA 312020001 990 2018-07-01 432007496 COMMUNITY ANCILLARY SERVICES INC COMM 4786212100 213 THIRD STREET MACON GA 31201 TERESA MOODY PRESIDENT 4786212100 2020-05-08 true WILLIAM R ROUNTREE P01231836 4787466277 2020-05-13 98.175.202.218 2020-05-13 10:14:21 CD P A3B94424D657E207F786669336710D9C6E8823F7 A3B94424D657E207F786669336710D9C6E8823F7 2018 2020-09-23 17:36:50Z TERESA MOODY 440 INDUSTRIAL BOULEVARD HAWKINSVILLE GA 31036 98955246 false X WWW.ELDERCAREPHARMACY.ORG X 2003 GA THE PROVISION OF PHARMACEUTICAL, MEDICAL SUPPLIES AND EQUIPMENT, HOME HEALTH AND RELATED SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. 5 5 681 0 0 97862513 97508544 233597 473010 438803 973692 98534913 98955246 0 0 27688670 27748567 0 0 60761182 62750308 88449852 90498875 10085061 8456371 38870866 38406482 11758292 15446862 27112574 22959620 X THE PROVISION OF PHARMACEUTICAL, MEDICAL EQUIPMENT, HEALTHCARE SUPPLIES, HOME CARE AND RELATED SERVICES, HOSPICE SERVICES, AND HOME HEALTH SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. false false 90498875 97508544 PROVIDED A FULL SERVICE PHARMACY THROUGH A REGIONAL NETWORK OF PERSONAL CARE AND NURSING FACILITIES TO PATIENTS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED MEDICAL, HEALTH CARE AND RELATED SUPPLIES TO PERSONAL CARE AND NURSING FACILITIES FOR MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED MEDICAL EQUIPMENT, GOODS, LINENS, UNIFORMS AND COMMODITIES TO PERSONAL CARE AND NURSING FACILITIES FOR MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED HOME-HEALTH CARE FOR MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED HOSPICE SERVICES AND HOME HEALTH SERVICES FOR MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. CONSISTENT WITH THE POLICIES AND PROCEDURES PREVIOUSLY ADOPTED BY THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC., THE SECTION 509(A)(3) SUPPORTING ORGANIZATION AND PARENT ENTITY OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM OF WHICH THE ORGANIZATION IS A MEMBER, THE ORGANIZATION PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITIES IT SERVES PURSUANT TO BOTH COMMUNITY BENEFIT GUIDELINES AND A CHARITY CARE POLICY. THE ORGANIZATION CONTINUES TO ASSESS AND DEVELOP PROGRAMS TO BENEFIT THE COMMUNITY. 90498875 true false false false false false false false false false true false false true true false true false false false false false false false false false false false false true true false false false false false false false false false false false false false false true true false false false true 517 0 true 681 true false false false false false false false false X 5 5 false false false false true true false true true false false true true true true true true true true false GA X COMMUNITY ANCILLARY SERVICES INC 4786212100 213 THIRD STREET MACON GA 31201 JOSEPH A WALL CHAIRMAN 4.00 40.00 X 0 24000 0 PAUL A CABLE DIRECTOR 4.00 40.00 X 0 24000 0 JAMES B PATTON DIRECTOR 4.00 40.00 X 0 24000 0 HERBERT M PONDER JR DIRECTOR 4.00 40.00 X 0 24000 0 KATHRYN DENNIS DIRECTOR 4.00 40.00 X 0 24000 0 JAMES R LEE JR VICE PRESIDE 40.00 0.00 X 0 307056 12228 CALVIN D FRANKLIN VICE PRESIDE 40.00 0.00 X 254616 0 16929 ANGELA HAMMACK CORPORATE SE 4.00 40.00 X 0 207575 15002 TERESA MOODY PRESIDENT 4.00 40.00 X 0 203294 16776 ANDY HILL VP PROJECT M 40.00 0.00 X 198538 0 10728 AMANDA ROBERSON VP OPERATION 40.00 0.00 X 193055 0 9522 MELISSA PRICE VP COMPLIANC 40.00 0.00 X 176654 0 16418 SARAH THOMPSON VICE PRESIDE 40.00 0.00 X 152028 0 16100 TRACIE P CLARK VICE PRESIDE 40.00 0.00 X 131806 0 9488 STEPHANIE KIRKLAND SENIOR DIR P 40.00 0.00 X 169675 0 12601 GINGER LANCASTER DIR PHARMACY 40.00 0.00 X 150242 0 16757 LESLIE MAY SR. 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OF 40.00 0.00 X 146972 0 9737 JACLYN HOWARD DIR PHARMACY 40.00 0.00 X 146520 0 9991 RONALD HOGLAND DIR PHARMACY 40.00 0.00 X 142958 0 15949 LORRAINE T TAYLOR FORMER SECRE 0.00 40.00 X 0 737116 21988 MICHELLE MOORE-ANDREWS FORMER PRESI 0.00 40.00 X 0 291912 18725 GENEEN RANSAW FORMER VP 0.00 40.00 X 0 155876 10109 1863064 2022829 239048 39 true true false INTEGRA REHABILITATION 1013 RIVERBURCH PARKWAY DALTON GA 30721 REHAB SERVICES 2256155 STRATEGIC DELIVERY SOLUTIONS PO BOX 239 FARMINGDALE NY 11735 COURIER SERVICE 1157155 HARTWELL HEALTH AND REHABILITATION 94 CADE STREET HARTWELL GA 306431814 HEATLH CARE 680549 BROWN HEALTH AND REHABILITATION 545 COOK STREET ROYSTON GA 30662 HEALTH CARE 514456 SOUTHLAND HEALTH AND REHABILITATION PO BOX 2747 PEACHTREE CITY GA 30269 HEALTH CARE 447981 23 GOVERNMENTAL PROGRAMS REV 64304447 64304447 PROGRAM SERVICES 33204097 33204097 97508544 473010 473010 OTHER 744992 744992 MANAGEMENT FEE 228700 228700 973692 98955246 98482236 473010 1185882 1185882 22247021 22247021 572613 572613 2014351 2014351 1728700 1728700 62514 62514 2686150 2686150 377003 377003 880860 880860 336623 336623 MEDICAL SUPPLY EXPENSE 36602542 36602542 CONTRACTED SERVICES 7628514 7628514 OTHER ADMINISTRATIVE 6438642 6438642 SUPPORT ORGANIZATION FEES 5771697 5771697 1965763 1965763 90498875 90498875 0 0 6204583 5825988 8959795 9309714 3355736 3205239 408177 444152 10537423 4384159 6510375 6153264 6519687 9049920 6912513 4418205 38870866 38406482 5995625 11917117 3997581 2339524 1302586 877721 462500 312500 11758292 15446862 X 21812407 17887688 5300167 5071932 27112574 22959620 38870866 38406482 X 8456371 -12609325 X false true X true false X 65855499 67803264 81029683 98301316 98482236 411471998 65855499 67803264 81029683 98301316 98482236 411471998 411471998 146668 157587 46028 233597 473010 1056890 146668 157587 46028 233597 473010 1056890 66002167 67960851 81075711 98534913 98955246 412528888 0.99740 0.99680 0.00000 0.00000 X 129641 129641 4666669 1078539 3588130 1029538 391836 637702 4711575 2913784 1797791 6153264 RESTRICTED FUNDS 3217245 OTHER ASSETS 1200960 4418205 CONTRACT LIABILITY 312500 312500 98955246 98955246 98955246 90498875 90498875 90498875 X X X X X false false false false false false false false false JAMES R LEE JR VICE PRESIDENT 294282 12774 12228 319284 CALVIN D FRANKLIN VICE PRESIDENT 244304 10312 16929 271545 ANGELA HAMMACK CORPORATE SECRETARY 199544 8031 15002 222577 TERESA MOODY PRESIDENT 192424 10870 16776 220070 ANDY HILL VP PROJECT MANAGER 190855 7683 10728 209266 AMANDA ROBERSON VP OPERATIONS 189580 3475 9522 202577 MELISSA PRICE VP COMPLIANCE & QA 169420 7234 16418 193072 SARAH THOMPSON VICE PRESIDENT 145773 6255 16100 168128 STEPHANIE KIRKLAND SENIOR DIR PHARMACY 164075 5600 12601 182276 GINGER LANCASTER DIR PHARMACY 144248 5994 16757 166999 LESLIE MAY SR. DIR. OF PHARMACY 143032 3940 9737 156709 JACLYN HOWARD DIR PHARMACY 142332 4188 9991 156511 RONALD HOGLAND DIR PHARMACY 137054 5904 15949 158907 LORRAINE T TAYLOR FORMER SECRETARY 722655 14461 21988 759104 MICHELLE MOORE-ANDREWS FORMER PRESIDENT 278226 13686 18725 310637 GENEEN RANSAW FORMER VP 148126 7750 10109 165985 A BONDS PAYABLE PULASKI COUNTY - HAWKINSVILLE 586000877 2003-09-30 17200000 ACQUISITION OF REAL ESTATE false false false A false false true true A false false false false false false false A false false false false false false false false true A false FORM 990, PAGE 2, PART III, LINE 4A PROVIDED A FULL SERVICE PHARMACY THROUGH A REGIONAL NETWORK OF PERSONAL CARE AND NURSING FACILITIES TO PATIENTS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED MEDICAL, HEALTH CARE AND RELATED SUPPLIES TO PERSONAL CARE AND NURSING FACILITIES FOR MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED MEDICAL EQUIPMENT, GOODS, LINENS, UNIFORMS AND COMMODITIES TO PERSONAL CARE AND NURSING FACILITIES FOR MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED HOME-HEALTH CARE FOR MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED HOSPICE SERVICES AND HOME HEALTH SERVICES FOR MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. CONSISTENT WITH THE POLICIES AND PROCEDURES PREVIOUSLY ADOPTED BY THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC., THE SECTION 509(A)(3) SUPPORTING ORGANIZATION AND PARENT ENTITY OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM OF WHICH THE ORGANIZATION IS A MEMBER, THE ORGANIZATION PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITIES IT SERVES PURSUANT TO BOTH COMMUNITY BENEFIT GUIDELINES AND A CHARITY CARE POLICY. THE ORGANIZATION CONTINUES TO ASSESS AND DEVELOP PROGRAMS TO BENEFIT THE COMMUNITY. FORM 990, PAGE 6, PART VI, LINE 6 THE ORGANIZATION HAS A SOLE MEMBER, COMMUNITY HEALTH SYSTEMS, INC., A NONPROFIT GEORGIA CORPORATION. FORM 990, PAGE 6, PART VI, LINE 7A UNDER THE ORGANIZATION'S BYLAWS, WHILE IT IS THE SOLE MEMBER OF THE ORGANIZATION, COMMUNITY HEALTH SYSTEMS, INC., AS A TYPE I SECTION 509(A)(3) AND SECTION 501(C)(3) SUPPORTING ORGANIZATION, HAS THE SOLE RIGHT TO ELECT, REPLACE AND TO REMOVE THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS AND SHALL ENSURE THAT AT ALL TIMES, A MAJORITY OF THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS SHALL BE COMPOSED OF PERSONS WHO ARE CONCURRENTLY SERVING AS MEMBERS OF THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC. FORM 990, PAGE 6, PART VI, LINE 11B THIS PROCESS INVOLVES THE ELECTRONIC POSTING OF THE DRAFT FORM 990 WITH ALL ITS SCHEDULES FOR THE ORGANIZATION'S BOARD OF DIRECTORS TO REVIEW FOLLOWED, AFTER A SUFFICIENT REVIEW PERIOD, BY A MEETING OF THE BOARD AT WHICH BOARD MEMBERS WILL HAVE THE OPPORTUNITY TO ASK QUESTIONS OF MANAGEMENT AND THE OUTSIDE TAX ADVISORS INVOLVED IN THE PREPARATION OF THE FORM 990. FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICTS OF INTEREST POLICY. SUCH COMPLIANCE IS EFFECTUATED THROUGH THE ORGANIZATION'S BOARD OF DIRECTORS' REVIEW OF ANNUAL CONFLICT DISCLOSURE STATEMENTS FROM THE DIRECTORS AS WELL AS RECEIPT AND REVIEW OF CONFLICT DISCLOSURE STATEMENTS WITH RESPECT TO CERTAIN PROPOSED TRANSACTIONS OR ARRANGEMENTS THE ORGANIZATION IS CONSIDERING PRIOR TO ANY BOARD ACTION WITH RESPECT TO SUCH MATTERS. THE CONFLICTS POLICY OUTLINES THE SPECIFIC PROCEDURE TO BE FOLLOWED TO DETERMIN WHETHER INTERESTED PERSONS HAVE ACTUAL CONFLICTS OF INTEREST. IF IT IS DETERMINED THAT A BOARD MEMBER HAS AN ACTUAL CONFLICT OF INTEREST, THEN SUCH BOARD MEMBER IS NOT ALLOWED TO PARTICIPATE IN THE BOARD DELIBERATIONS ON THE SPECIFIC MATTER AND IS EXCUSED FROM, AND IT NOT ALLOWED TO PARTICIPATE IN ANY BOARD VOTE ON THE MATTER. FORM 990, PAGE 6, PART VI, LINE 15A THE ORGANIZATION REGULARLY AND CONSISTENTLY COMPLIES WITH THE COMPENSATION APPROVAL PROCESS WHICH IS PART OF ITS CONFLICT OF INTEREST POLICY. EVERY TWO TO THREE YEARS, ON AVERAGE, THE ORGANIZATION PARTICIPATES IN A COMPREHENSIVE PROCESS CONDUCTED ON ITS BEHALF BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC., ITS SOLE MEMBER AND PARENT OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM IN WHICH THE ORGAINZATION IS A MEMBER. THIS PROCESS INVOLVES REVIEW OF THE COMPARABILITY DATA COMPILED BY AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT. COMPARABILITY DATA IS GATHERED FOR THE ORGANIZATION'S SENIOR MANAGEMENT, AND ON OCCASION, KEY OR HIGHLY COMPENSATED EMPLOYEES, AND, BASED ON THE SAME, THE CONSULTANT ISSUES A WRITTEN REPORT REFLECTING THE CONSULTANT'S OPINION CONCERNING WHETHER THE PROPOSED COMPENSATION ARRANGEMENTS CONSTITUTE RESONABLE COMPENSATION UNDER SECTION 4958 OF THE CODE. THIS PROCESS IS CONDUCTED BY THE COMPENSATION COMMITTEE, WHICH THEN MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS ALSO PROVIDED WITH MATERIALS REGARDING TEH COMPENSATION REIVEW, INCLUDING COPIES OF THE CONSULTANT'S REPORT. THE BOARD THEN VOTES AS TO THE RESONABLENESS OF EACH OF THE INDIVIDUAL COMPENSATION ARRANGEMENTS (IF ANY DISQUALIFIED OR OTHERWISE CONFLICTED INDIVIDUALS ARE PRESENT AT THE MEETING, THEY DO NOT PARTICIPATE IN THE DELIBERATIONS AND ARE EXCUSED FROM THE ROOM DURING THE VOTE). THE PROCESS IS DESIGNED AND CARRIED OUT BY THE BOARD OF DIRECTORS IN A MANNER DESIGNED TO SATISFY ALL THREE OF THE REQUIREMENTS NECESSARY TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS WITH RESPECT TO COMPENSATION ARRANGMENTS FOR DISQUALIFIED PERSON UNDER SECTION 53.4958-6 OF THE REGULATIONS. AS PART OF THIS PROCESS, OUTSIDE COUNSEL IS RETAINED TO FURTHER ADVISE THE BOARD ON THE REBUTTABLE PRESUMPTION PROCESS AND TO PROVIDE THE BOARD WITH A LEGAL OPINION REGARDING THE SAME. AS A FINAL STEP, EACH PART OF THE PROCESS REQUIRED TO ESTABLISH THE REBUTTABLE PRESUMPTION IS DOCUMENTED USING THE REBUTTABLE PRESUMPTION CHECKLIST RELEASED BY THE IRS. FORM 990, PAGE 6, PART VI, LINE 15B THE ORGANIZATION REGULARLY AND CONSISTENTLY COMPLIES WITH THE COMPENSATION APPROVAL PROCESS WHICH IS PART OF ITS CONFLICTS OF INTEREST POLICY. EVERY TWO TO THREE YEARS, ON AVERAGE, THE ORGANIZATION PARTICIPATES IN A COMPREHENSIVE PROCESS CONDUCTED ON ITS BEHALF BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC., ITS SOLE MEMBER AND PARENT OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM IN WHICH THE ORGANIZATION IS A MEMBER. THIS PROCESS INVOLVES REVIEW OF COMPARABILITY DATA COMPILED BY AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT. COMPARABILITY DATA IS GATHERED FOR THE ORGANIZATION'S SENIOR MANAGEMENT, AND ON OCCASION, KEY OR HIGHLY COMPENSATED EMPLOYEES, AND, BASED ON THE SAME, THE CONSULTANT ISSUES A WRITTEN REPORT REFLECTING THE CONSULTANT'S OPINION CONCERNING WHETHER THE PROPOSED COMPENSATION ARRANGEMENTS CONSTITUTE REASONABLE COMPENSATION UNDER SECTION 4958 OF THE CODE. THIS PROCESS IS CONDUCTED BY THE COMPENSATION COMMITTEE, WHICH MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS ALSO PROVIDED WITH MATERIALS REGARDING THE COMPENSATION REVIEW, INCLUDING COPIES OF THE CONSULTANT'S REPORT. THE BOARD THEN VOTES AS TO THE REASONABLENESS OF EACH OF THE INDIVIDUAL COMPENSATION ARRANGEMENTS (IF ANY DISQUALIFIED OR OTHERWISE CONFLICTED INDIVIDUALS ARE PRESENT AT THE MEETING, THEY DO NOT PARTICIPATE IN THE DELIBERATIONS AND ARE EXCUSED FROM THE ROOM DURING THE VOTE). THE PROCESS IS DESIGNED AND CARRIED OUT BY THE BOARD OF DIRECTORS IN A MANNER DESIGNED TO SATISFY ALL THREE OF THE REQUIREMENTS NECESSARY TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS WITH RESPECT TO COMPENSATION ARRANGEMENTS FOR DISQUALIFIED PERSONS UNDER SECTION 53.4958-6 OF THE REGULATIONS. AS PART OF THIS PROCESS, OUTSIDE COUNSEL IS RETAINED TO FURTHER ADVISE THE BOARD ON THE REBUTTABLE PRESUMPTION PROCESS AND TO PROVIDE THE BOARD WITH A LEGAL OPINION REGARDING THE SAME. AS A FINAL STEP, EACH PART OF THE PROCESS REQUIRED TO ESTABLISH THE REBUTTABLE PRESUMPTION IS DOCUMENTED USING THE REBUTTABLE PRESUMPTION CHECKLIST RELEASED BY THE IRS. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST IN ACCORDANCE WITH THE SECTION 6104(D) DISCLOSURE REQUIREMENTS. 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