2012-05-07T06:23:10-07:00 2011-06-30 McNair McLemore Middlebrooks Post Office Box One Macon GA 312020001 990 2010-07-01 432007498 Piedmont Regional Health Inc PIED 4786212100 1005 Boulder Drive Gray GA 31032 Teresa W Moody 2012-05-07 J RANDOLPH NICHOLS 4787466277 2010 2016-02-24 21:20:13Z Kay F Gray 1005 Boulder Drive Gray GA 31032 20328118 false false X www.ethicahealth.org X 2003 GA The development, construction, acquisition, ownership, leasing, management and operation of skilled health care facilities. 5 5 431 0 0 19960761 20318769 164 9349 0 19960925 20328118 0 0 8444974 8202939 0 0 9074481 11049910 17519455 19252849 2441470 1075269 12670771 12164655 9558413 9477028 3112358 2687627 The development, construction, acquisition, ownership, leasing, management and operation of skilled health care facilities. false false 19252849 20318769 Leased and operated skilled care, intermediate care and other health care related facilities. Consistent with the policies previously adopted by the board of directors of Community Health Systems, Inc., the Section 509(a)(3) supporting organization and parent entity of the integrated health care delivery system of which the Organization is a member, the Organization provides substantial community benefit to the communities it serves pursuant to both community benefit quidelines and a charity care policy. The Organization continues to assess and develop programs to benefit the community. 19252849 true false false false false false false false false false true false false false false false true false false false false false false false false false false false false true true false false false false false false false false false false false false false false true true true false false false true 73 0 true 431 true false false false false false false false false false false false 0 false false true true false false false false false false false X 5 5 true false false false true true false true true false false false true true true true true true true true false false GA X Piedmont Regional Health Inc 4786212100 1005 Boulder Drive Gray GA 31032 Teresa W Moody 4.00 X 0 120860 16753 T Randolph Coody 0.00 X 0 154008 20547 Ronnie D Rollins 0.00 X 0 943888 26395 Paul A Cable 4.00 X 0 24000 0 Pamela S O'Rourke 0.00 X 0 145432 16844 Mark A Waldrop 0.00 X 0 719885 24692 Lucy M Rogers 0.00 X 0 141108 17209 Lorraine T Taylor 0.00 X 0 451589 23050 Kay F Gray 13.33 X 0 146576 18399 Joseph A Wall 4.00 X 0 24000 0 James B Patton 4.00 X 0 24000 0 J Olan Jones 4.00 X 0 24000 0 Herbert M Ponder 4.00 X 0 24000 0 2943346 163889 0 true true false Pulaski Real Estate Holdings PO Box 448 Metter GA 30439 Professional Servs. 102977 MSC Nursing Homes LLC PO Box 448 Metter GA 30439 Lease 412425 Lighthouse Nursing Agency PO Box 823473 Philadelphia PA 191823473 Professional Servs. 139980 3 0 Service Revenues 6243591 6243591 Governmental Programs Rev 14075178 14075178 20318769 9349 9349 0 0 0 0 0 0 0 0 20328118 20318769 9349 0 0 0 0 0 0 7211663 7211663 103495 103495 348036 348036 539745 539745 753174 753174 24700 24700 0 0 0 0 0 0 0 0 0 37237 37237 0 0 0 764127 764127 0 457826 457826 1203254 1203254 UTILITES 491307 491307 Taxes and Licenses 1321589 1321589 Support Services 565092 565092 Nursing Services 3854817 3854817 Community Benefit 970411 970411 606376 606376 19252849 19252849 0 0 2849627 2852705 0 0 1440332 1210600 0 0 0 0 20943 40189 9614422 1753062 8193875 7861360 0 0 0 0 165994 199801 12670771 12164655 1154458 1278241 3285000 3200000 5118955 4998787 9558413 9477028 X 3112358 2687627 3112358 2687627 12670771 12164655 X 1075269 -1500000 X false true true X false false X 0 9138884 20331400 17378588 19960791 20318769 87128432 0 0 0 9138884 20331400 17378588 19960791 20318769 87128432 0 0 87128432 27283 8954 164 9349 45750 0 27283 8954 164 9349 45750 0 0 9138884 20358683 17387542 19960955 20328118 87174182 0.99950 0.99950 0.00050 0.00050 X 8900000 1648954 7251046 536177 50345 485832 178245 53763 124482 7861360 20328118 19252849 1075269 -1500000 -1500000 -424731 20328118 20328118 20328118 19252849 19252849 19252849 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Distribution to Supporting Organization of the System $ -1500000 X X X X X false false false false false false false false false false T Randolph Coody 154008 6160 14387 174555 Ronnie D Rollins 943888 9800 16595 970283 Pamela S O'Rourke 145432 5817 11027 162276 Mark A Waldrop 719885 9800 14892 744577 Lucy M Rogers 141108 5644 11565 158317 Lorraine T Taylor 451589 9800 13250 474639 Kay F Gray 146576 5863 12536 164975 Middle Coastal Unified Development Authority 582140014 2007-01-15 3515000 Acquisition of Real Estate false false 3515000 false false true false false false false false false true Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The Organization's governing documents, conflict of interest policy and financial statements are available for public inspection upon request in accordance with the Section 6104(d) disclosure requirements. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Organization regularly and consistently complies with the compensation approval process which is part of its conflicts of interest policy. Every two to three years, on average, the Organization participates in a comprehensive process conducted on its behalf by the compensation committee of the board of directors of Community Health Systems, Inc., its sole member and parent of the integrated health care delivery system in which the Organization is a member. This process involves review of comparability data compiled by an independent third-party compensation consultant. Comparability data is gathered for the Organization's senior management, and on occasion, key or highly compensated employees, and, based on the same, the consultant issues a written report reflecting the consultant's opinion concerning whether the proposed compensation arrangements constitute reasonable compensation under Section 4958 of the Code. This process is conducted by the compensation committee, which then makes recommendations to the board of directors. The board of directors is also provided with materials regarding the compensation review, including copies of the consultant's report. The board then votes as to the reasonableness of each of the individual compensation arrangements (if any disqualified or otherwise conflicted individuals are present at the meeting, they do not participate in the deliberations and are excused from the room during the vote). The process is designed and carried out by the board of directors in a manner designed to satisfy all three of the requirements necessary to establish the rebuttable presumption of reasonableness with respect to compensation arrangements for disqualified persons under Section 53.4958-6 of the Regulations. As part of this process, outside counsel is retained to further advise the board on the rebuttable presumption process and to provide the board with a legal opinion regarding the same. As a final step, each part of the process required to establish the rebuttable presumption is documented using the Rebuttable Presumption Checklist released by the IRS. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization regularly and consistently monitors and enforces compliance with its conflicts of interest policy. Such compliance is effectuated through the Organization's board of directors' review of annual conflict disclosure statements from the directors as well as receipt and review of conflict disclosure statements with respect to certain proposed transactions or arrangements the Organization is considering prior to any board action with respect to such matters. The conflicts policy outlines the specific procedure to be followed to determine whether interested persons have actual conflicts of interest. If it is determined that a board member has an actual conflict of interest, then such board member is not allowed to participate in the board deliberations on the specific matter and is excused from, and is not allowed to participate in any board vote on the matter. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process This process involves the electronic posting of the draft Form 990 with all its schedules for the Organization's board of directors to review followed, after a sufficient review period, by a meeting of the board at which board members will have the opportunity to ask questions of management and the outside tax advisors involved in the preparation of the Form 990. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The Organization has a sole member, Community Health Systems, Inc., a nonprofit Georgia corporation. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Each of the directors of the Organization, Messrs. Wall, Patton, Cable, Jones and Ponder are also members of the board of directors of Community Health Ventures, Inc., a taxable Georgia corporation which is a related organization. This director overlap creates a business relationship. Johnson County LTC LLC 1005 Boulder Drive Gray GA 31032 203644958 Health Care GA 3547417 329274 NA Candler County II LTC LLC 1005 Boulder Drive Gray GA 31032 203644923 Health Care GA 4322699 632306 NA Bulloch County LTC LLC 1005 Boulder Drive Gray GA 31032 203644663 Health Care GA 3990287 470431 NA Evans County LTC LLC 1005 Boulder Drive Gray GA 31032 203645112 Health Care GA 4365865 393417 NA Candler County LTC LLC 1005 Boulder Drive Gray GA 31032 203644753 Health Care GA 3960780 493377 NA Steward Health Services Inc 213 Third Street Macon GA 31201 432007486 Hospice Services, Home Health Services GA 501(c)(3) Line 9 CHSI true Pharmacy Services Inc 213 Third Street Macon GA 31201 432007496 Pharmaceutical & Medical Supplies GA 501(c)(3) Line 9 CHSI true Home & Community Services Inc PO Box 1803 Macon GA 31202 432007492 Home Care & Related Services GA 501(c)(3) Line 9 CHSI true Health Systems Real Estate Inc 1005 Boulder Drive Gray GA 31032 432007488 Real Estate GA 501(c)(3) Line 9 CHSI true Health Systems Facilities Inc 1005 Boulder Drive Gray GA 31032 743083594 Operation of HC Facilities GA 501(c)(3) Line 9 CHSI true Health Scholarships Inc 1005 Boulder Drive Gray GA 31032 581805305 Operation of HC Facilities GA 501(c)(3) Line 9 CHSI true Community Rehabilitation Services Inc PO Box 1804 Macon GA 31202 203253779 Rehabilitation Services GA 501(c)(3) Line 9 CHSI true Community Health Systems Inc PO Box 1037 Macon GA 31202 743083593 Support Services GA 501(c)(3) Ln 11, Type 1 NA false Community Health Foundation Inc PO Box 1833 Macon GA 31202 571157153 Financial Support, Scholarship Program GA 501(c)(3) Line 9 CHSI true Clinical Services Inc 1005 Boulder Drive Gray GA 31032 571157115 Clinical & Healthcare Services GA 501(c)(3) Line 9 CHSI true Community Health Ventures Inc 213 Third Street Macon GA 31201 201392241 Risk Mgmt. GA CHSI C corp false false false false false false false false true false false true false false false false true false Pharmacy Services Inc l 944706 Community Rehabilitation Services Inc l 1153835 Community Health Systems Inc l 565092 Community Health Foundation Inc q 963085 Clinical Services Inc l 753174 Clinical Services Inc i 141024