STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

COOPERATIVE HEALTHCARE SERVICES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
COOPERATIVE HEALTHCARE SERVICES INC (EIN 01-0594994)
Tax period
2016-05-01 to 2017-04-30
Filed
2017-12-14
IRS object ID
201733489349301028
Schema version
2016v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-12-14T11:40:38-08:00ReturnTs
Tax Period End2017-04-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-05-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010594994EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COOPERATIVE HEALTHCARE SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOOPBusinessNameControlTxt
Phone9124667049PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12415 PARKWOOD DRAddressLine1Txt
CityBRUNSWICKCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31520ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichael DScherneckPersonNm
Person TitlePresident & CEOPersonTitleTxt
Signature2017-12-14SignatureDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMichael DScherneckPresCEOPrincipalOfficerNm
Gross Receipts$56,132,084GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.sghs.org/about/cooperative-healthWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionCooperative Healthcare Services, Inc., will serve as a supporting organization to further enable Southeast Georgia Health System to provide safe, quality, accessible and cost-effictive care to meet the health needs of the people and communities it serves.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,962PYContributionsGrantsAmt
CY Contributions Grants$19,766CYContributionsGrantsAmt
PY Program Service Revenue$49,467,722PYProgramServiceRevenueAmt
CY Program Service Revenue$50,324,879CYProgramServiceRevenueAmt
PY Investment Income$3,646PYInvestmentIncomeAmt
CY Investment Income$28,003CYInvestmentIncomeAmt
PY Other Revenue$4,449,843PYOtherRevenueAmt
CY Other Revenue$5,759,436CYOtherRevenueAmt
PY Total Revenue$53,923,173PYTotalRevenueAmt
CY Total Revenue$56,132,084CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$66,320,766PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$67,967,061CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$16,889,066PYOtherExpensesAmt
CY Other Expenses$17,209,379CYOtherExpensesAmt
PY Total Expenses$83,209,832PYTotalExpensesAmt
CY Total Expenses$85,176,440CYTotalExpensesAmt
PY Revenues Less Expenses-$29,286,659PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$29,044,356CYRevenuesLessExpensesAmt
Total Assets BOY$12,932,880TotalAssetsBOYAmt
Total Assets EOY$11,804,973TotalAssetsEOYAmt
Total Liabilities BOY$12,866,891TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,713,973TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$65,989NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$909,000NetAssetsOrFundBalancesEOYAmt
MissionCooperative Healthcare Services, Inc., will serve as a supporting organization to further enable Southeast Georgia Health System to provide safe, quality, accessible and cost-effictive care to meet the health needs of the people and communities it serves.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$81,771,959ExpenseAmt
Revenue$56,039,717RevenueAmt
DescCooperative Healthcare Services, Inc. is an organization based in Southeast Georgia which provides Physician and Immediate Care services on an inpatient and outpatient basis. For the twelve month fiscal period beginning 05/01/2016 and ended 04/30/2017, the Physician and Immediate Care Centers served 422,489 patients in Glynn, Camden, McIntosh and Brantley Counties. Our financial statements for this time period include over $5,875,923 in free care (charity care and bad debts).Desc
Total Program Service Expenses$81,771,959TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document32IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMichael DScherneckPresCEOPersonNm
Phone9124667049PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12415 PARKWOOD DRAddressLine1Txt
CityBRUNSWICKCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31520ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Mitchell T Jones MD
Chairman4.002.00Yes (X)Yes (X)$0$0$0
Ron Adams
Board Member2.002.00Yes (X)$0$0$0
J Melvin Deese MD
Board Mbr/Phys40.008.00Yes (X)$0$930,869$78,938
W H Bill Gross
Board Member2.002.00Yes (X)$0$0$0
Michael D Hodges
Board Member2.004.00Yes (X)$0$0$0
Joanne M Matukaitis FAACVPR
Board Member2.003.00Yes (X)$0$0$0
Michael D Scherneck
President & CEO8.0046.00Yes (X)$0$681,376$130,079
Patrick D Ebri
VP Human Resources4.0044.00$0$263,458$74,742Yes (X)
Gary R Colberg
Former CEO (08/15/2015)0.000.00$0$402,196$15,900Yes (X)
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$2,277,899TotReportableCompRltdOrgAmt
Total Other Compensation$299,659TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Georgia Neurosurgical Solutions LLC
632 Del Prado Blvd STE 101Cape CoralFL33909Medical Prof Svcs$1,265,490
Glynn Physicians PC
3400 Parkwood DrBrunswickGA31520Medical Prof Svcs$729,905
Bay Anesthesia LLC
682 Marian Isles DrWoodbineGA31569Anesthesia Services$213,170
CERNER Corporation
2702 RockCreek PkwyKansas CityMO64117Computer Services$212,474
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
All Other Contributions$19,766AllOtherContributionsAmt
Total Contributions$19,766TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Meaningful Use Revenue621990$442,947$442,947
Net Patient Svc Revenue621400$49,881,932$49,881,932
FieldValueIRS element (for citing)
Total Program Service Revenue$50,324,879TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,003TotalRevenueColumnAmt
Exclusion$28,003ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
CHSI ED Call Coverage621400$5,159,859$5,159,859
Medical Record Fees900099$23,910$23,910
Misc Fees Revenue621990$554,979$554,979

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,688TotalRevenueColumnAmt
Exclusion$20,688ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,759,436OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,132,084TotalRevenueColumnAmt
Related Or Exempt Func Income$56,039,717RelatedOrExemptFuncIncomeAmt
Exclusion$72,601ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$58,189,594TotalAmt
Program Services$56,067,178ProgramServicesAmt
Management And General$2,122,416ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,759,716TotalAmt
Program Services$1,669,970ProgramServicesAmt
Management And General$89,746ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,441,309TotalAmt
Program Services$5,163,802ProgramServicesAmt
Management And General$277,507ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,576,442TotalAmt
Program Services$2,445,043ProgramServicesAmt
Management And General$131,399ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$75,488TotalAmt
Management And General$75,488ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,326,499TotalAmt
Program Services$5,641,260ProgramServicesAmt
Management And General$685,239ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,712,083TotalAmt
Program Services$8,703,355ProgramServicesAmt
Management And General$8,728ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$111,221TotalAmt
Program Services$108,536ProgramServicesAmt
Management And General$2,685ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$328,032TotalAmt
Program Services$316,759ProgramServicesAmt
Management And General$11,273ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$44,417TotalAmt
Program Services$44,417ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$536,314TotalAmt
Program Services$536,314ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$747,981TotalAmt
Program Services$747,981ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Recruitment Expense$326,289$326,289
Property Taxes$932$932
Cash Over and Short$123$123

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$85,176,440TotalAmt
Program Services$81,771,959ProgramServicesAmt
Management And General$3,404,481ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$505,548BOYAmt
EOY-$849,724EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,595,878BOYAmt
EOY$7,507,719EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$146,475BOYAmt
EOY$142,355EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$107,989BOYAmt
EOY$73,100EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,470,310LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,216,356LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,416,156BOYAmt
EOY$4,253,954EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$127,147BOYAmt
EOY$127,147EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1BOYAmt
EOY$1EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$44,782BOYAmt
EOY$550,421EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,932,880BOYAmt
EOY$11,804,973EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,715,721BOYAmt
EOY$11,621,458EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,151,170BOYAmt
EOY$1,092,515EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,866,891BOYAmt
EOY$12,713,973EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$65,989BOYAmt
EOY-$909,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$65,989BOYAmt
EOY-$909,000EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,932,880BOYAmt
EOY$11,804,973EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$29,044,356ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$28,069,367OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Southeast Georgia Health SystemIncBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN581911751EIN
Organization Type3OrganizationTypeCd
Governing Document ListedfalseGoverningDocumentListedInd
Support$0SupportAmt
Other Support$81,771,959OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Other Support Sum$81,771,959OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart I: Additional InformationFormAndLineReferenceDesc
ExplanationCooperative Healthcare Services, Inc., provides a required service that the supported organization would otherwise have to engage on its own.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$350,000OtherCostOrOtherBasisAmt
Book Value$350,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,364,339OtherCostOrOtherBasisAmt
Depreciation$455,587DepreciationAmt
Book Value$908,752BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$597,973OtherCostOrOtherBasisAmt
Depreciation$295,282DepreciationAmt
Book Value$302,691BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,099,998OtherCostOrOtherBasisAmt
Depreciation$3,432,302DepreciationAmt
Book Value$2,667,696BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,000OtherCostOrOtherBasisAmt
Depreciation$33,185DepreciationAmt
Book Value$24,815BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,253,954TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationThe Cooperative Healthcare Services,Inc (CHSI)has been recognized as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for state or federal income taxes has been presented in the accompanying consolidated financial statements. CHSI recognizes the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. CHSI has determined that it does not have any material unrecognized tax benefits or obligations.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Gary R Colberg
Former CEO (08/15/2015)$39,137$363,059$15,900$418,096
J Melvin Deese MD
Board Mbr/Phys$35,123$161,780$15,900$1,009,807$733,966$63,038
Michael D Scherneck
President & CEO$156,973$24,000$77,081$811,455$500,403$52,998$24,471
Patrick D Ebri
VP Human Resources$35,914$13,706$33,071$338,200$213,838$41,671$9,804

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related orCompensation contingent on Net Earnings of the organization: Certain members of Management participate in a Management Incentive Plan which is based on a variety of managerial, quality and financial performance indicators. However, compensation is provided under that plan only if a certain net earnings threshold is met.
Part I, Line 7: Non-Fixed payments not listed aboveCertain physicians are entitled to receive non-fixed payments based on the productivity of that physician based upon worked relative value units(WRVU) without regard to the revenues or net earnings of the organization.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJ Melvin Deese MDPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBusinessRelationshipDescriptionTxt
Transaction$1,009,807TransactionAmt
TransactionPhysician ServicesTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderEffective May 1, 2015, Southeast Georgia Health System, Inc. (SGHS, Inc.) is the sole corporate member of Cooperative Healthcare Services, Inc. (CHSI).
Form 990, Part VI, Line 11b: Form 990 Review ProcessAn electronic copy of Form 990 was provided to the members of the Board of Directors of Cooperative Healthcare Services, Inc., prior to being filed with the Internal Revenue Service.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsCooperative Healthcare Services, Inc. has adopted the conflict-of-interest, whistleblower, and document retention and destruction policies of The Southeast Georgia Health System, Inc., the sole corporate member of Cooperative Healthcare Services, Inc. Under the conflict-of-interest policy, the Compliance Department requires all members of the Board of Directors, officers and key employees to report any potential conflicts on an annual basis.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableExcept through the normal I.R.S/ Form 990 inspection process, Cooperative Healthcare Services, Inc. has not established a standard process for making its governing documents, conflict of interest policy and financial statements available to the public. These documents are available to the public upon request.
Other Changes In Net Assets Or Fund Balances - Other DecreasesGlynco LLC Distr = -$131438
Other Changes In Net Assets Or Fund Balances - Other IncreasesRecapitalize Investment in CHSI = $28200805
Form 990, Part XII, Line 2: Change of Oversight or Selection ProcessThis process has not changed from the prior year.
Explanation of Salaries PaidPart IX,Line 7 reflects salaries and wages paid by Southeast Georgia Health System, Inc.,(58-1911751), on behalf of Cooperative Healthcare Services Inc., therefore, no amounts have been entered in Part 5 line 2a with regard to the number of employees reported on form W-3. However, 586 employees were included in the number of employees reported by Southeast Georgia Health System, Inc., for the calendar year ending within the year covered by this return corresponding to the amount reported on Part IX,Line 7.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Glynn-Brunswick Mem Hosp Authority
2415 Parkwood DrBrunswickGA31520586000498Leased employeesGA501(c)(3)3N/Afalse
SE Georgia Health System Inc
2415 Parkwood DrBrunswickGA31520581911751Inpatient and Outpatient Healthcare ServicesGA501(c)(3)3N/Afalse
SE Georgia Health System Foundation
2415 Parkwood DrBrunswickGA31520582125644Charitable FoundationGA501(c)(3)11falseSE GA Health System Inc
Coastal Community Health Inc
3563 Philips Hwy Bld F Ste 608JacksonvilleFL32207471322041Regional Affiliation of 501(c)(3) orgsFL501(c)(3)3N/Afalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Glynco LLC
1601 Grey Marsh RoadMt PleasantSC29466593762931Property RentalSCN/A$81,948$701,918falsefalse0.55000
SGHS QALICB I LLC
2415 Parkwood DrBrunswickGA31520900912965Real Estate HoldingsGAN/A-$246$400,807falsefalse0.02000
Southeast Georgia Cyberknife Center LLC
2500 Starling St Ste 107BrunswickGA31520273316081Medical ServicesGAN/Afalsefalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Glynco LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TyperTransactionTypeTxt
Involved$83,682InvolvedAmt