COFFEE REGIONAL MEDICAL CENTER INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: COFFEE REGIONAL MEDICAL CENTER INC (EIN 65-0543088)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-16
IRS object ID: 202033219349317143
Schema version: 2019v5.1
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	2020-11-16T15:38:33-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	621517792	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PYA P C	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2220 SUTHERLAND AVE	AddressLine1Txt
City	KNOXVILLE	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37919	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	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 ROADPO BOX 1287	AddressLine1Txt
City	DOUGLAS	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	315332207	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	VICKI LEWIS	PersonNm
Person Title	PRESIDENT AND CEO	PersonTitleTxt
Phone	9123841900	PhoneNum
Signature	2020-11-16	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DEBORAH O ERNSBERGER	PreparerPersonNm
PTIN	P00364912	PTIN
Phone	8656730844	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	50.228.55.2	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-16	IPDt
IP Tm	15:38:26	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	AF23F2A68CFF53983216DF8908F842EE3670BFA3	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	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 ROAD/PO BOX 1287	AddressLine1Txt
City	DOUGLAS	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	315332207	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$150,058,208	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	11	VotingMembersIndependentCnt
Total Employee	1100	TotalEmployeeCnt
Total Volunteers	55	TotalVolunteersCnt
Total Gross UBI	$72,964	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$17,524	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,361,084	PYContributionsGrantsAmt
CY Contributions Grants	$1,763,839	CYContributionsGrantsAmt
PY Program Service Revenue	$123,348,885	PYProgramServiceRevenueAmt
CY Program Service Revenue	$141,271,179	CYProgramServiceRevenueAmt
PY Investment Income	$3,385,156	PYInvestmentIncomeAmt
CY Investment Income	$3,030,734	CYInvestmentIncomeAmt
PY Other Revenue	$3,775,377	PYOtherRevenueAmt
CY Other Revenue	$3,987,699	CYOtherRevenueAmt
PY Total Revenue	$132,870,502	PYTotalRevenueAmt
CY Total Revenue	$150,053,451	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,690	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	$68,608,409	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$70,742,454	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$67,185,059	PYOtherExpensesAmt
CY Other Expenses	$77,597,217	CYOtherExpensesAmt
PY Total Expenses	$135,797,158	PYTotalExpensesAmt
CY Total Expenses	$148,339,671	CYTotalExpensesAmt
PY Revenues Less Expenses	-$2,926,656	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,713,780	CYRevenuesLessExpensesAmt
Total Assets BOY	$81,783,336	TotalAssetsBOYAmt
Total Assets EOY	$91,799,404	TotalAssetsEOYAmt
Total Liabilities BOY	$60,526,792	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$66,143,065	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$21,256,544	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$25,656,339	NetAssetsOrFundBalancesEOYAmt
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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$130,146,134	ExpenseAmt
Revenue	$144,182,046	RevenueAmt
Desc	HOSPITAL SERVICES - SHORT TERM CARE FOR INPATIENT AND OUTPATIENT SERVICES FOR DOUGLAS AND COFFEE COUNTY. COFFEE REGIONAL MEDICAL CENTER (CRMC) SERVED 5,064 PATIENTS FOR A TOTAL OF 17,959 INPATIENT DAYS IN 2019. NURSERY DAYS WERE 986 IN 2019. COFFEE REGIONAL MEDICAL CENTER PROVIDED APPROXIMATELY $20,873,002 OF INDIGENT AND CHARITY SERVICES IN 2019.	Desc
Total Program Service Expenses	$130,146,134	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	96	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1100	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	11	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	JOHN MCLEOD	PersonNm
Phone	9123841900	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 OCILLA ROAD	AddressLine1Txt
City	DOUGLAS	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	315332207	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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARLENE BALDREE
CHAIR	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
ARISTOTLE COCHON MD
DIRECTOR	1.00		Yes (X)		$0	$0	$0
JAMES DENNIS
DIRECTOR	1.00		Yes (X)		$0	$0	$0
GARY EVANS
DIRECTOR	1.00		Yes (X)		$0	$0	$0
ELLEN FITZGERALD
DIRECTOR	1.00		Yes (X)		$0	$0	$0
JESSE KANE MD
DIRECTOR	1.00	1.00	Yes (X)		$325,399	$0	$25,433
JIMMY KITCHENS
DIRECTOR	1.00		Yes (X)		$0	$0	$0
JON LOTT
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
CARL MCDONALD
DIRECTOR	1.00		Yes (X)		$0	$0	$0
ADAM SMITH
SECRETARY	1.00		Yes (X)	Yes (X)	$0	$0	$0
RUSS STORY
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
BRANDY WILKES
DIRECTOR	1.00		Yes (X)		$0	$0	$0
VICKI LEWIS
PRESIDENT/CEO	50.00	2.00		Yes (X)	$572,100	$0	$19,259
LAVONDA CRAVEY
EXECUTIVE VP/INTERIM CFO	50.00	2.00		Yes (X)	$208,750	$0	$24,173
MARTIN HUTSON
EXECUTIVE VP/CURRENT CFO	50.00	2.00		Yes (X)	$162,666	$0	$5,122
SHERRY THOMAS
EXECUTIVE VP/CNE	50.00	2.00			$260,984	$0	$25,149	Yes (X)
BENNETT FLOYD
EXECUTIVE VP/OPERATIONS	50.00	2.00			$211,843	$0	$24,173	Yes (X)
PEGGY KIRKLAND
DIRECTOR OF PHARMACY	50.00				$184,468	$0	$23,747	Yes (X)
HEWATT SIMS
ORTHOPEDIC PHYSICIAN	50.00				$1,216,754	$0	$33,743		Yes (X)
THOMAS WEHMANN
SURGICAL PHYSICIAN	50.00				$803,584	$0	$13,068		Yes (X)
JOSHUA VICKERS
ORTHOPEDIC PHYSICIAN	50.00				$745,930	$0	$27,920		Yes (X)
GLENN EVANS SR
CARDIOLOGY PHYSICIAN	50.00				$735,864	$0	$25,433		Yes (X)
JOEL FERREE
CARDIOLOGY PHYSICIAN	50.00				$675,249	$0	$5,500		Yes (X)
BRADLEY GOLDBERG
OB/GYN PHYSICIAN	50.00				$640,052	$0	$19,259		Yes (X)
ROBERT COLLINS MD
FORMER DIRECTOR	20.00				$266,676	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,010,319	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$271,979	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	82	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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 HOSPITALISTS PHYSICIANS L
PO BOX 2546	DOUGLAS	GA	31533	STAFFING SERVICES	$1,716,419
REHABILITATION SPECIALISTS
169 MEADOWLARK LANE	FITZGERALD	GA	31750	CONTRACT PHYSICAL THERAPY	$680,825
SOUTHEASTERN PAIN CONSULTANTS PC
285 HELENS MANOR DRIVE	LAWRENCEVILLE	GA	30045	PAIN MANAGEMENT	$459,633
WEATHERBY LOCUMS INC
6451 NORTH FEDERAL HIGHWAY SUITE 7	FORT LAUDERDALE	FL	33308	STAFFING SERVICES	$326,312
RESTORIXHEALTH
PO BOX 71849	CHICAGO	IL	60694	WOUND CARE SERVICES	$308,183

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	90	CntrctRcvdGreaterThan100KCnt
Related Organizations	$59,029	RelatedOrganizationsAmt
Government Grants	$392,454	GovernmentGrantsAmt
All Other Contributions	$1,312,356	AllOtherContributionsAmt
Total Contributions	$1,763,839	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE	621990	$141,198,215	$141,198,215
REFERENCE LAB	621500	$72,964		$72,964

Field	Value	IRS element (for citing)
Total Program Service Revenue	$141,271,179	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,959,673	TotalRevenueColumnAmt
Exclusion	$2,959,673	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$284,461	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	$284,461	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$284,461	TotalRevenueColumnAmt
Exclusion	$284,461	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$75,818	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$4,757	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$75,818	SecuritiesAmt
Other	-$4,757	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,061	TotalRevenueColumnAmt
Exclusion	$71,061	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PHARMACY REVENUE	621990	$1,635,066	$1,635,066
CAFETERIA	722210	$719,407		$719,407
EHR PAYMENT	621990	$48,846	$48,846

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,299,919	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,299,919	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,703,238	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$150,053,451	TotalRevenueColumnAmt
Related Or Exempt Func Income	$144,182,046	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$72,964	UnrelatedBusinessRevenueAmt
Exclusion	$4,034,602	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,926,210	TotalAmt
Program Services	$314,830	ProgramServicesAmt
Management And General	$1,611,380	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$54,194,538	TotalAmt
Program Services	$48,547,606	ProgramServicesAmt
Management And General	$5,646,932	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$968,571	TotalAmt
Program Services	$863,666	ProgramServicesAmt
Management And General	$104,905	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,253,280	TotalAmt
Program Services	$8,952,752	ProgramServicesAmt
Management And General	$1,300,528	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,399,855	TotalAmt
Program Services	$2,941,255	ProgramServicesAmt
Management And General	$458,600	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$47,641	TotalAmt
Management And General	$47,641	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$122,278	TotalAmt
Management And General	$122,278	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$150,172	TotalAmt
Management And General	$150,172	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$19,327	TotalAmt
Program Services	$19,327	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$128,256	TotalAmt
Management And General	$128,256	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,130,567	TotalAmt
Program Services	$6,401,191	ProgramServicesAmt
Management And General	$1,729,376	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$241,495	TotalAmt
Program Services	$68,810	ProgramServicesAmt
Management And General	$172,685	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,211,213	TotalAmt
Program Services	$3,675,648	ProgramServicesAmt
Management And General	$535,565	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,528,916	TotalAmt
Program Services	$2,189,536	ProgramServicesAmt
Management And General	$339,380	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$220,851	TotalAmt
Program Services	$179,954	ProgramServicesAmt
Management And General	$40,897	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$129,213	TotalAmt
Program Services	$124,732	ProgramServicesAmt
Management And General	$4,481	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,502,271	TotalAmt
Program Services	$1,502,271	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,160,795	TotalAmt
Program Services	$3,602,416	ProgramServicesAmt
Management And General	$558,379	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,880,769	TotalAmt
Program Services	$648,174	ProgramServicesAmt
Management And General	$3,232,595	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
BAD DEBT	$23,551,865	$23,551,865
SUPPLIES	$16,131,148	$16,131,148
DEVELOPMENT	$6,121,201	$6,121,201
PHARMACY EXPENSE	$1,638,822	$1,638,822

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,680,417	TotalAmt
Program Services	$2,670,930	ProgramServicesAmt
Management And General	$2,009,487	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$148,339,671	TotalAmt
Program Services	$130,146,134	ProgramServicesAmt
Management And General	$18,193,537	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,423,271	BOYAmt
EOY	$5,918,579	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,936,941	BOYAmt
EOY	$11,710,991	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,997,072	BOYAmt
EOY	$2,417,201	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$485,193	BOYAmt
EOY	$714,174	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$98,620,469	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$81,479,698	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$21,408,456	BOYAmt
EOY	$17,140,771	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$27,872,940	BOYAmt
EOY	$25,460,419	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$11,508,324	BOYAmt
EOY	$16,105,635	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,151,139	BOYAmt
EOY	$12,331,634	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$81,783,336	BOYAmt
EOY	$91,799,404	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$22,206,502	BOYAmt
EOY	$25,117,739	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$278,820	BOYAmt
EOY	$217,987	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,018,790	BOYAmt
EOY	$29,738,291	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,961,709	BOYAmt
EOY	$3,547,980	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$60,971	BOYAmt
EOY	$7,521,068	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$60,526,792	BOYAmt
EOY	$66,143,065	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	$21,256,544	BOYAmt
EOY	$25,656,339	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$21,256,544	BOYAmt
EOY	$25,656,339	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$81,783,336	BOYAmt
EOY	$91,799,404	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,713,780	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,783,337	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$902,678	OtherChangesInNetAssetsAmt
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	$19,327	OtherActivitiesAmt
Total Lobbying Expenditures	$19,327	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	A PORTION OF THE ANNUAL DUES PAID TO THE GEORGIA HOSPITAL ASSOCIATION AND THE GEORGIA ALLIANCE OF COMMUNITY HOSPITALS IS ALLOCATED TO THE LOBBYING ACTIVITIES OF THE ASSOCIATION.	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	$56,271,363	OtherCostOrOtherBasisAmt
Depreciation	$40,401,607	DepreciationAmt
Book Value	$15,869,756	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$146,203	OtherCostOrOtherBasisAmt
Depreciation	$124,144	DepreciationAmt
Book Value	$22,059	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,342,132	OtherCostOrOtherBasisAmt
Depreciation	$40,953,947	DepreciationAmt
Book Value	$388,185	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$17,140,771	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER INVESTMENTS	Desc
Book Value	$16,105,635	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$16,105,635	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTIES	$132,098
RIGHT OF USE ASSETS - LEASES	$7,559,855
OTHER ASSETS	$4,639,681

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$12,331,634	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$147,396
ESTIMATED THIRD PARTY PARTY SETTLEMENTS	$1,003,294
LEASE LIABILITY	$6,370,378

Field	Value	IRS element (for citing)
Total Liability	$7,521,068	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., EXCLUDING COFFEE REGIONAL MEDICAL CENTER SEGREGATED PORTFOLIO, CRH VENTURES, INC. AND SOUTHEASTERN MANAGED CARE, INC. IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. 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. CRH VENTURES, INC. AND SOUTHEASTERN MANAGED CARE, INC. ARE TAXABLE ENTITIES AND ARE, THEREFORE, SUBJECT TO FEDERAL INCOME TAXES. CRH VENTURES, INC. AND SOUTHEASTERN MANAGED CARE, INC. FILE SEPARATE FEDERAL INCOME TAX RETURNS. THE CORPORATION 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 CORPORATION 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 SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2019 OR FOR THE YEAR THEN ENDED. THE CORPORATION'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	$9,824,846	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	$9,824,846	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$9,824,846	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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	125.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
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	$5,461,729	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,461,729	NetCommunityBenefitExpnsAmt
Total Expense	0.04380	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,320,910	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,801,343	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,519,567	NetCommunityBenefitExpnsAmt
Total Expense	0.03620	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,782,639	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,801,343	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,981,296	NetCommunityBenefitExpnsAmt
Total Expense	0.08000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$409,455	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$409,455	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,823	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,823	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$414,278	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$414,278	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,196,917	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,801,343	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,395,574	NetCommunityBenefitExpnsAmt
Total Expense	0.08330	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,400	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,400	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,240	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,240	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,900	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,540	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,540	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$23,551,865	BadDebtExpenseAmt
Bad Debt Expense Attributable	$17,663,899	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$21,695,831	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$21,135,778	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$560,053	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	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	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
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	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
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	100.000000000000	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
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

COFFEE REGIONAL MEDICAL CENTER INC

PART V, SECTION B, LINE 5: IN 2019, CRMC DEVELOPED A COMMUNITY SURVEY QUESTIONNAIRE TO PROVIDE TO PERSONS WITHIN ITS SERVICE AREA. PAPER COPIES AS WELL AS AN ONLINE SURVEY WERE MADE AVAILABLE IN BOTH ENGLISH AND SPANISH. CRMC PROVIDED THE SURVEY TO ALL PATIENTS WHO PRESENTED TO CRMC THROUGH FRONT ADMISSIONS AND TO ALL PATIENTS THAT PRESENTED TO THE THREELARGEST PRIMARY CARE CLINICS: COFFEE WOMEN'S CARE CENTER, CRH OB-GYN, AND CRH PEDIATRICS. PATIENTS WERE INCENTIVIZED TO PARTICIPATE.THE SURVEY QUESTIONNAIRE INCLUDED 24 TOPIC QUESTIONS RELATED TO DEMOGRAPHICS, SOCIOECONOMIC STATUS, AND INDIVIDUAL HEALTHCARE. CRMC RECEIVED 334 RETURNED RESPONSES. THE PARTICIPANTS' RACES CLOSELY REFLECT THE RACIAL MAKE-UP OF COFFEE COUNTY; HOWEVER, THE HOUSEHOLD INCOME OF THE MAJORITY OF THE RESPONDENTS WAS BELOW THE MEDIAN HOUSEHOLD INCOME FOR COFFEE COUNTY. RESPONDENTS WERE PREDOMINATELY FEMALE, NOT ATYPICAL FOR THIS TYPE OF SURVEY.IN ADDITION, A WRITTEN SURVEY WAS PROVIDED TO PHYSICIANS AND LEADERS WITHIN THE COMMUNITY TO ASSESS THE HEALTH OF THE COMMUNITY, AS WELL AS ITS SPECIFIC NEEDS. THE LEADER BASE WAS DRAWN FROM LOCAL GOVERNMENT, SOUTH GEORGIA STATE COLLEGE, ENTREPRENEURS, COMMUNITY VOLUNTEERS AND MINISTRY.

COFFEE REGIONAL MEDICAL CENTER INC

PART V, SECTION B, LINE 11: COFFEE REGIONAL MEDICAL CENTER IDENTIFIED THE FIVE TOP AREAS TO FOCUS ON OUT OF ALL NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT. THESE FIVE ARE CONSIDERED THE MOST SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY AND WILL BE COVERED BY THE IMPACT INITIATIVES. OTHER HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT BUT NOT DEEMED SIGNIFICANT MAY BE INDIRECTLY IMPACTED BY THE INITIATIVES, BUT RESOURCE CONSTRAINTS PREVENT CRMC FROM DIRECTLY ADDRESSING THESE INITIATIVES.PRIORITY #1 ADDITIONAL PRIMARY CARE RESOURCESCRMC RECOGNIZES THAT ADDITIONAL PRIMARY CARE PHYSICIANS ARE NEEDED IN COFFEE AND ATKINSON COUNTIES TO PROVIDE APPROPRIATE ACCESS POINTS TO CARE.PRIORITY #2 ACCESS TO CARE/TRANSPORTATIONCRMC RECOGNIZES THAT LIMITED ACCESS TO FREE AND REDUCED COST CARE AND TRANSPORTATION KEEPS THE CITIZENS OF COFFEE AND ATKINSON COUNTIES FROM RECEIVING THE CARE.PRIORITY #3 HEALTH EDUCATION/OBESITY/DIET AND NUTRITION/PREVENTIVE CARECRMC RECOGNIZES THAT EDUCATION AND PREVENTATIVE CARE ARE VITAL RESOURCES TO A HEALTHIER COMMUNITY. COMBINED WITH LOCAL COMMUNITY ORGANIZATIONS, WE WILL ATTEMPT TO OFFER MORE EDUCATION AND RESOURCES ABOUT PREVENTATIVE CARE FOR A HEALTHIER COMMUNITY.PRIORITY #4 HEART HEALTH AND PREVENTION OF HEART DISEASE CRMC RECOGNIZES THAT HEART DISEASE IS THE LEADING CAUSE OF DEATH IN THE UNITED STATES. CRMC AND LOCAL PHYSICIANS KNOW THAT HEART HEALTH AND PREVENTATIVE CARE ARE THE BEST METHODS TO COMBAT HEART DISEASE.PRIORITY #5 CANCER TREATMENT OPTIONSCRMC RECOGNIZES THAT CANCER IS THE SECOND LEADING CAUSE OF DEATH IN THE UNITED STATES. CRMC AND LOCAL PHYSICIANS KNOW THAT EARLY DETECTION IS THE BEST FORM OF TREATMENT.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - COFFEE REGIONAL FIRST CARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 OCILLA ROAD	AddressLine1Txt
City	DOUGLAS	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31533	ZIPCd

Field	Value	IRS element (for citing)
Facility	RURAL HEALTH CLINIC	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LN 7 COL(F):	THERE IS $23,551,865 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:	HEART TO HEART 5K RUN - FEBRUARY, 2019COFFEE REGIONAL'S ANNUAL FALL FITNESS 5K RUN/FUN WALK WAS HELD FEBRUARY 2019 WITH OVER 100 PARTICIPANTS. IN ADDITION TO THE 5K EVENT, A ONE MILE FUN RUN WAS HELD FOR THE YOUTH IN OUR COMMUNITY. A CHECK FOR $3,200 WAS DONATED TO THE CARDIAC REHAB AWARENESS PROGRAM. (APPROXIMATELY 40 MAN HOURS AT A COST OF $1,600)2019 WEAR RED CAMPAIGN - FEBRUARYTHE 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, WITH EDUCATIONAL LECTURES AND MATERIALS THROUGHOUT THE MONTH OF FEBRUARY. FEBRUARY IS RECOGNIZED AS HEART DISEASE AWARENESS MONTH. IT ALSO SERVICES A "WEAR RED T-SHIRT" FUNDRAISER FOR THE CARDIAC REHAB SCHOLARSHIP TO PROVIDE FINANCIAL ASSISTANCE FOR CARDIAC PATIENTS ENTERING INTO THE PROGRAM, CARDIAC EDUCATION MATERIAL, AND CARDIAC EQUIPMENT FOR THE PATIENTS. A DONATION OF $1,623 WAS MADE TO THE PROGRAM.DISCUSSIONS WITH THE DOC - THROUGHOUT YEARIN 2019, WE BEGAN OUR DISCUSSIONS WITH THE DOC SERIES. THESE EVENTS ARE OPEN TO THE PUBLIC, AND FEATURE A LOCAL CRHPP PHYSICIAN. THESE EDUCATIONAL DISCUSSIONS HAVE BEEN VERY WELL RECEIVED WITH THE PUBLIC. THESE EVENTS WERE PROMOTED THROUGHOUT THE COMMUNITY AND WERE OPEN AND FREE TO THE PUBLIC. EACH EVENT HAD 25-50 ATTENDEES. THERE WERE 4 SEPARATE EVENTS IN 2019: 04/30, 06/18, 11/07, AND 12/05. EACH EVENT INCLUDED 4 PHYSICIAN HOURS AND 8 STAFF HOURS, AS BOTH PHYSICIANS AND STAFF HAD TO PREPARE THE TOPICS, PRESENTATIONS, AND DETAILS OF THE EVENTS - $3,040.HEALTH FAIR - OCTOBER 5, 2019THE ANNUAL HEALTH & SAFETY FESTIVAL HELD OCTOBER 5, 2019 ATTRACTED OVER 1,500 VISITORS. THE FAIR INCLUDED 50 EXHIBITORS. THE FESTIVAL OFFERED INTERACTIVE WAYS TO PROMOTE A HEALTHY LIFESTYLE WHICH INCLUDED OUTDOOR ACTIVITIES FOR CHILDREN, HEALTHY FOODS AND A PINK HIPPIE WALK & PEACE PEDAL TO SUPPORT PASSIONATELY PINK HOSTED BETA SIGMA PHI AND SUPPORTED BY THE CRMC WELLNESS CENTER. THE WALK HAD APPROXIMATELY 120 PARTICIPANTS. 412 VISITORS TOOK ADVANTAGE OF THE COMPLETE BIOCHEMICAL BLOOD PROFILES OFFERED AT A REDUCED FEE OF $30 (ACTUAL CHARGE OF $755.00) RESULTING IN A COMMUNITY SAVINGS OF $311,060. CRMC'S LAB PROVIDED 18 VOLUNTEERS WHO, COMBINED, WORKED APPROXIMATELY 72 HOURS DURING THE HEALTH FAIR RESULTING IN AN APPROXIMATE LABOR COST OF $2,000.BREAST CANCER SCREENING - OCTOBER 2019OUR 1ST ANNUAL FREE CLINICAL BREAST EXAM EVENT WAS HELD 10/17/19 & 10/24/19 AT THE OFFICE OF CRH ONCOLOGY GROUP. THE EARLIER BREAST CANCER IS DISCOVERED, THE BETTER THE OUTCOME FOR THE PATIENT. PARTICIPANTS WERE GIVEN RESOURCES AND EDUCATION REGARDING BREAST HEALTH INCLUDING A GOODY BAG THAT INCLUDED A SHOWER SCREENING CARD FOR BOTH MEN AND WOMEN (BREAST SELF-EXAM INSTRUCTIONS). MARKETING MATERIALS WERE CREATED AND DISTRIBUTED THROUGHOUT THE COMMUNITY ENCOURAGING WOMEN WITHOUT HEALTH INSURANCE TO SIGN UP AND RECEIVE THIS FREE BREAST SCREENING. CRMC MAMMOGRAPHY, COFFEE COUNTY HEALTH DEPARTMENT AND THE LOCAL BETA SIGMA ORGANIZATION SHARED RESOURCES WITH THE ATTENDEES. WE WERE PLEASED TO HAVE A TOTAL OF 88 WOMEN THAT TOOK ADVANTAGE OF THIS TWO-NIGHT EVENT. OF THOSE, 29 PATIENTS SCHEDULED MAMMOGRAMS WITH THE CRMC MAMMOGRAPHY DEPARTMENT AND 28+ WERE TO FOLLOW UP WITH THE COFFEE COUNTY HEALTH DEPARTMENT FOR FURTHER ASSISTANCE WITH SCREENINGS.(APPROXIMATELY 16 PHYSICIAN HOURS AND 40 STAFF HOURS AT A COST OF $3,500)PROSTATE CANCER SCREENING - DECEMBER 7, 2019THE EARLIER PROSTATE CANCER IS DISCOVERED, THE BETTER THE CHANCES ARE THAT IT CAN BE TREATED EFFECTIVELY. WHEN PROSTATE CANCER IS IN ITS EARLIEST STAGES (STILL CONFINED TO THE PROSTATE GLAND), IT USUALLY CAUSES NO PAIN OR OTHER SYMPTOMS. IN 2019, AT THE HEALTH FAIR, COFFEE REGIONAL MEDICAL CENTER OFFERED LOW COST PROSTATE CANCER SCREENINGS (DRE AND PSA BLOOD TEST) TO OUR COMMUNITY FOR A REDUCED LAB FEE OF ONLY $10.00 (ACTUAL CHARGE $210.00) RESULTING IN A COMMUNITY SAVINGS OF $19,800. IN 2019, 99 MEN TOOK ADVANTAGE OF THIS LIFE-SAVING SCREEN. (APPROXIMATELY 5 PHYSICIAN HOURS AND 36 STAFF HOURS AT A COST OF $1,470)SPORTS PHYSICALS - 2019ATHLETIC PHYSICALS ARE REQUIRED BY BOTH THE GEORGIA HIGH SCHOOL AND GEORGIA INDEPENDENT SCHOOL ASSOCIATION FOR STUDENTS PLANNING ON PARTICIPATING IN SCHOOL ATHLETIC PROGRAMS. EACH YEAR COFFEE REGIONAL PROVIDES OVER 500 SPORTS PHYSICALS TO STUDENTS PARTICIPATING IN INTERSCHOLASTIC SPORTS DURING THE SUMMER AND THROUGHOUT THE FOLLOWING YEAR AT NO COST (NORMALLY $25). FOR 2019, 505 PHYSICALS WERE DONE OVER A 4 HOUR PERIOD WITH 5 PHYSICIANS, 8 MID-LEVEL PROVIDERS, AND 20 STAFF MEMBERS. THIS EVENT RESULTED IN A TOTAL COST SAVINGS TO THE COMMUNITY OF OVER $12,625. (APPROXIMATELY 52 PHYSICIAN HOURS AND 80 STAFF HOURS AT A COST OF $9,400, PLUS EXPENSES)PROJECT SEARCH 2019PROJECT SEARCH IS A ONE-YEAR EDUCATIONAL PROGRAM FOR STUDENTS WITH DISABILITIES IN THEIR LAST YEAR OF HIGH SCHOOL. IT IS TARGETED FOR STUDENTS WHOSE MAIN GOAL IS COMPETITIVE EMPLOYMENT. COFFEE REGIONAL MEDICAL CENTER PROVIDES THE SETTING FOR TWELVE PROJECT SEARCH STUDENTS, THUS ALLOWING TOTAL IMMERSION IN THE WORKPLACE TO FACILITATE THE TEACHING AND LEARNING PROCESS THROUGH CONTINUOUS FEEDBACK AND APPLICATION OF NEW SKILLS. INDIVIDUALIZED JOB DEVELOPMENT AND PLACEMENT BEGINS AFTER ROTATIONS AT ONE OR MORE WORKSTATIONS ARE COMPLETED. STUDENTS RECEIVE SUPPORT THROUGH ON-THE-JOB COACHING AND WORKSITE ACCOMMODATIONS PROVIDED BY COFFEE REGIONAL. THE PROGRAM IS DEDICATED TO WORKFORCE DEVELOPMENT THAT BENEFITS THE INDIVIDUAL, COMMUNITY AND WORKPLACE. (CLASSROOM SPACE AT $300/MONTH TOTAL OF $2700 AND APPROXIMATELY 60 STAFF HOURS OF TRAINING, MENTORING AND EDUCATION OF 12 STUDENTS/YR AT A COST OF $1,200) COMMUNITY CHILDBIRTH CLASSES - BIMONTHLY 2019CRMC PROVIDES 2 CHILDBIRTH CLASSES EACH MONTH FOR THE COMMUNITY. THE SESSIONS ARE FACILITATED BY CRMC'S PERINATAL INSTRUCTOR AND RN. THE CLASSES PROVIDE EDUCATIONAL LESSONS ABOUT NUTRITIONAL NEEDS OF MOTHER AND FETUS, ANESTHESIA, DELIVERY, BREASTFEEDING AND MANY OTHER INFORMATIVE TOPICS. (STAFF MEMBER, 8 HOURS PER MONTH FOR 12 MONTHS AT $25 PER HOUR FOR A TOTAL ANNUAL COST OF $2400).SIDELINE SERVICE - 2019CRMC PROVIDES SIDELINE SERVICE FOR EACH HIGH SCHOOL FOOTBALL GAME IN COFFEE COUNTY. A FULLY EQUIPPED AMBULANCE, EMT, AND PARAMEDIC ARE PROVIDED FOR EACH HOME FOOTBALL GAME AS A COURTESY TO THE SCHOOL SYSTEM AND SPECTATORS. (AT A COST OF $250 PER GAME AND 1500/YEAR)COFFEE COUNTY CHAMBER OF COMMERCE LEADERSHIP COFFEE - 2019PARTICIPANTS IN LEADERSHIP COFFEE COMMIT TO AN EIGHT-MONTH PROJECT THAT ALLOWS THEM TO TAKE A CLOSE LOOK AT GOVERNMENT, EDUCATION, ECONOMIC DEVELOPMENT, AND ALL ISSUES DEALING WITH QUALITY OF LIFE ON A LOCAL AND STATE LEVEL. THE PROGRAM IS DESIGNED TO HELP PARTICIPANTS DEVELOP LEADERSHIP SKILLS FOR THE WORKPLACE AND THE COMMUNITY. CRMC SPONSORED 2 EMPLOYEES IN 2018 FOR THE NEW CENTURY LEADER PROGRAM. STAFF TIME, TRAVEL AND EXPENSES FOR THE PROGRAM IS APPROXIMATELY $3,840. (2 EMPLOYEES, 12 DAYS OF TRAINING AT 8 HOURS PER DAY = 192 STAFF HOURS/$20=$3840)GEORGIA HOSPITAL ASSOCIATION - 2019LEADERSHIP GHA IS A SIX-MONTH PROGRAM DESIGNED TO IDENTIFY, DEVELOP AND INSPIRE NEW LEADERS IN HEALTH CARE THROUGHOUT THE STATE OF GEORGIA. THE PROGRAM INCLUDES WORKSHOPS, CONFERENCES, PANEL DISCUSSIONS AND FIELD TRIPS TO A VARIETY OF HOSPITALS AND HEALTH SYSTEMS THROUGHOUT THE STATE. TO QUALIFY FOR PARTICIPATION IN THE LEADERSHIP GHA PROGRAM, INDIVIDUALS FROM GEORGIA HOSPITALS AND HEALTH SYSTEMS ARE NOMINATED BY GHA-MEMBER CEOS. STAFF TIME, TRAVEL AND EXPENSES FOR THE PROGRAM IS APPROXIMATELY $10,400. (2 EMPLOYEES, 16 HOURS/MONTH X 6 MONTHS =192 HOURS X $45/HOUR = $8,640 PLUS EXPENSES)OPEN ARMS CLINIC - OPENED IN LATE SUMMER 2019AN 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 PREVENTION OF CHRONIC DISEASE THROUGH THE TREATMENT OF HYPERTENSION, DIABETES, AND HEART DISEASE. IN THE FIRST (APPROX.) 6 MONTHS OF BEING OPEN, THE OPEN ARMS CLINIC SERVED 336 UNINSURED PATIENTS. EACH MONTH, APPROXIMATELY 56 UNINSURED PATIENTS HAVE BEEN ABLE TO RECEIVE HEALTHCARE FROM A PHYSICIAN AND A REGISTERED NURSE. (VALUE OF PHYSICIAN & TWO SUPPORT STAFF TIME BASED ON 56 PATIENTS PER MONTH FOR 4 MONTHS OF 2019: $42,560)RISE-UP PROGRAM - BEGAN JUNE 2019AS PART OF OUR EMPLOYEE CAREER LADDER PROGRAM, PARTICIPANTS WERE REQUIRED TO HAVE A MINIMUM OF 20 VOLUNTEER HOURS. THESE HOURS ENCOURAGE EMPLOYEES TO GIVE OF THEIR TIME BY VOLUNTEERING AT COMMUNITY EVENTS AND WITH NON-PROFIT ORGANIZATIONS SUCH AS THE LOCAL FOOD BANK. THERE IS A MONETARY PAYOUT TO THOSE PARTICIPANTS WHO COMPLETE THE PROGRAM. THIS PROGRAM RESULTED IN A $5,900 COMMUNITY BENEFIT.STUDENTS - 2019IN 2019 CRMC SUPPORTED HEALTHCARE EXCELLENCE BY TRAINING OVER 250 STUDENTS.
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 4:	FOLLOWING IS THE TEXT FROM THE AUDIT REPORT ADDRESSING BAD DEBTS:"USING A PORTFOLIO APPROACH, THE CORPORATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. IN ADDITION, FOR UNINSURED PATIENTS, THE CORPORATION REDUCES CHARGES FROM CURRENT RATES BASED ON AVERAGE DISCOUNTS PROVIDED TO CERTAIN THIRD-PARTY PAYERS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUES IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. NO SIGNIFICANT AMOUNT OF BAD DEBT WAS REPORTED FOR THE YEAR ENDED DECEMBER 31, 2019."
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. W-2'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 43,093 CITIZENS IN 2018, OF WHICH APPROXIMATELY 24.9% FALL BELOW GOVERNMENTAL DEFINED POVERTY GUIDELINES. COFFEE COUNTY'S UNEMPLOYMENT RATE AT 2019 YEAR-END WAS 4.3%.
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.
PART VI, LINE 6:	N/A
PART VI, LINE 7, REPORTS FILED WITH STATES	GA

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	Yes (1)	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 (14 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
JESSE KANE MD
DIRECTOR	$304,526	$0	$3,873	$0	$17,000	$0	$5,500	$0	$19,933	$0	$350,832	$0	$0	$0
VICKI LEWIS
PRESIDENT/CEO	$535,100	$0	$37,000	$0	$0	$0	$5,500	$0	$13,759	$0	$591,359	$0	$0	$0
LAVONDA CRAVEY
EXECUTIVE VP/INTERIM CFO	$201,906	$0	$6,844	$0	$0	$0	$4,240	$0	$19,933	$0	$232,923	$0	$0	$0
MARTIN HUTSON
EXECUTIVE VP/CURRENT CFO	$154,666	$0	$8,000	$0	$0	$0	$1,800	$0	$3,322	$0	$167,788	$0	$0	$0
SHERRY THOMAS
EXECUTIVE VP/CNE	$254,140	$0	$6,844	$0	$0	$0	$5,216	$0	$19,933	$0	$286,133	$0	$0	$0
BENNETT FLOYD
EXECUTIVE VP/OPERATIONS	$204,999	$0	$6,844	$0	$0	$0	$4,240	$0	$19,933	$0	$236,016	$0	$0	$0
PEGGY KIRKLAND
DIRECTOR OF PHARMACY	$177,624	$0	$6,844	$0	$0	$0	$3,814	$0	$19,933	$0	$208,215	$0	$0	$0
HEWATT SIMS
ORTHOPEDIC PHYSICIAN	$807,385	$0	$409,369	$0	$0	$0	$5,500	$0	$28,243	$0	$1,250,497	$0	$0	$0
THOMAS WEHMANN
SURGICAL PHYSICIAN	$512,779	$0	$290,805	$0	$0	$0	$5,500	$0	$7,568	$0	$816,652	$0	$0	$0
JOSHUA VICKERS
ORTHOPEDIC PHYSICIAN	$660,930	$0	$85,000	$0	$0	$0	$5,500	$0	$22,420	$0	$773,850	$0	$0	$0
GLENN EVANS SR
CARDIOLOGY PHYSICIAN	$705,801	$0	$30,063	$0	$0	$0	$5,500	$0	$19,933	$0	$761,297	$0	$0	$0
JOEL FERREE
CARDIOLOGY PHYSICIAN	$675,249	$0	$0	$0	$0	$0	$5,500	$0	$0	$0	$680,749	$0	$0	$0
BRADLEY GOLDBERG
OB/GYN PHYSICIAN	$457,968	$0	$182,084	$0	$0	$0	$5,500	$0	$13,759	$0	$659,311	$0	$0	$0
ROBERT COLLINS MD
FORMER DIRECTOR	$0	$0	$0	$0	$266,676	$0	$0	$0	$0	$0	$266,676	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 2019 AND WAS GROSSED-UP FOR INCOME TAX PURPOSES AS APPROVED BY THE BOARD. THE $47,975 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.

PART I, LINE 6

CERTAIN EXECUTIVE OFFICERS AND PHYSICIANS ARE ELIGIBLE FOR BONUS/INCENTIVE PAYMENTS. THESE PAYMENTS ARE RELIANT ON VARIOUS ORGANIZATIONAL AND PERSONAL GOALS ESTABLISHED BY THE GOVERNING BODY. WHETHER A BONUS/INCENTIVE PAYMENT IS AWARDED IS DEPENDENT UPON THE NET PROFIT OF THE ORGANIZATION.

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	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$24,963,471	$24,367,008	$2,171,000	$24,963,471	$468,262	2016	0	Yes (1)	Yes (1)	Yes (1)
B		$11,500,000			$161,260		0	0	0	0	$1,545,191

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	0	Yes (1)	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 (8 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:	PARTNERSHIP INCOME -13,068. EQUITY TRANSFER FROM SUBSIDIARIES 430,000. USDA IMPUTED DISCOUNT - INTEREST 485,856. OTHER ADJUSTMENT -110.

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	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CRH PHYSICIAN PRACTICES LLC
1101 OCILLA ROAD	DOUGLAS	GA	315332207	205778734	PHYSICIANS OFFICES	GA	$11,052,533	$1,988,702	CRMC
EMERGENCY PHYSICIANS OF COFFEE CO LLC
PO BOX 1287	DOUGLAS	GA	315341287	451775790	ER PHYSICIANS	GA	$2,040,185	$426,855	CRMC
ORTHOPEDIC SURGEONS OF GEORGIA LLC
PO BOX 1287	DOUGLAS	GA	315341287	452786844	PHYSICIANS OFFICES	GA	$3,257,814	$684,866	CRMC
COFFEE REGIONAL MEDICAL CENTER SEGREGATED PORTFOLIO
					INSURANCE		$2,960,012	$11,760,945	CRMC	62 FORUM LANE 3RD FLOOR BOX 30600	CAMANA BAY	CJ	CJ
COFFEE COUNTY OPEN ARMS CLINIC LLC
1101 OCILLA ROAD	DOUGLAS	GA	315332207	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	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
CRH HEALTHCARE INC
1101 OCILLA ROAD	DOUGLAS	GA	315332207	582163724	MANAGEMENT SERVICES	GA	501(C)(3)	LINE 12C, III-FI	N/A	0
CRH HEALTH SERVICES INC
1101 OCILLA ROAD	DOUGLAS	GA	315332207	582165827	FOUNDATION	GA	501(C)(3)	LINE 12B, II	N/A	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	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
CRH VENTURES INC
1101 OCILLA ROAD	DOUGLAS	GA	315332207	582165279	OFFICE RENTAL	GA	N/A	C	0
SOUTHEASTERN MANAGED CARE INC
1101 OCILLA ROAD	DOUGLAS	GA	315332207	582236627	MANAGED CARE	GA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	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