Civic Intelligence

Piedmont Regional Health Inc

EIN 43-2007498 • 501(c)3 • Gray, GA

Profile

The development, construction, acquisition, ownership, leasing, management, and operation of skilled health care facilities.

1005 Boulder DriveGray, GA 31032

www.ethicahealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

84th percentile

0.73x

Higher debt load relative to assets than 84% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

32nd percentile

0.14x

Higher debt load relative to revenue than 32% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

47th percentile

3.3%

Higher net margin than 47% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

65th percentile

$335,490

Higher top officer pay than 65% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

79th percentile

16%

Faster asset growth than 79% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

81st percentile

36%

Faster revenue growth than 81% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$5,607,674

Up $780,715 (+16%) from 2023

Liabilities

Down

$4,076,118

Down $168,150 (-4.0%) from 2023

Net Assets

Up

$1,531,556

Up $948,865 (+163%) from 2023

Revenue

Up

$28,834,048

Up $7,596,349 (+36%) from 2023

Expenses

Up

$27,885,183

Up $3,615,613 (+15%) from 2023

Net Income

Up

$948,865

Up $3,980,736 (+131%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0-$5.0MAssets 2010: $12,670,771Liabilities 2010: $9,558,413Net Assets 2010: $3,112,3582010Assets 2011: $12,164,655Liabilities 2011: $9,477,028Net Assets 2011: $2,687,6272011Assets 2012: $11,016,733Liabilities 2012: $9,376,627Net Assets 2012: $1,640,1062012Assets 2013: $12,094,938Liabilities 2013: $10,351,818Net Assets 2013: $1,743,1202013Assets 2014: $13,131,670Liabilities 2014: $12,089,442Net Assets 2014: $1,042,2282014Assets 2015: $9,283,452Liabilities 2015: $8,764,588Net Assets 2015: $518,8642015Assets 2016: $9,375,696Liabilities 2016: $8,400,435Net Assets 2016: $975,2612016Assets 2017: $8,578,537Liabilities 2017: $8,164,698Net Assets 2017: $413,8392017Assets 2018: $8,665,409Liabilities 2018: $8,075,364Net Assets 2018: $590,0452018Assets 2019: $8,096,316Liabilities 2019: $7,285,218Net Assets 2019: $811,0982019Assets 2020: $7,043,247Liabilities 2020: $7,656,553Net Assets 2020: -$613,3062020Assets 2021: $6,165,812Liabilities 2021: $6,844,199Net Assets 2021: -$678,3872021Assets 2022: $5,936,950Liabilities 2022: $5,540,921Net Assets 2022: $396,0292022Assets 2023: $4,826,959Liabilities 2023: $4,244,268Net Assets 2023: $582,6912023Assets 2024: $5,607,674Liabilities 2024: $4,076,118Net Assets 2024: $1,531,5562024

Highlighted filing

2024

Assets$5,607,674
Liabilities$4,076,118
Net Assets$1,531,556

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $17,519,4552010Expenses 2011: $19,252,8492011Expenses 2012: $20,843,8272012Expenses 2013: $23,297,2972013Revenue 2014: $27,767,208Expenses 2014: $25,370,920Net Income 2014: $2,396,2882014Revenue 2015: $25,544,881Expenses 2015: $26,985,425Net Income 2015: -$1,440,5442015Revenue 2016: $26,000,803Expenses 2016: $24,754,406Net Income 2016: $1,246,3972016Revenue 2017: $25,869,304Expenses 2017: $24,905,726Net Income 2017: $963,5782017Revenue 2018: $26,926,169Expenses 2018: $26,551,222Net Income 2018: $374,9472018Revenue 2019: $27,050,373Expenses 2019: $26,654,980Net Income 2019: $395,3932019Revenue 2020: $26,855,399Expenses 2020: $26,567,303Net Income 2020: $288,0962020Revenue 2021: $23,612,641Expenses 2021: $23,748,078Net Income 2021: -$135,4372021Revenue 2022: $23,594,337Expenses 2022: $24,592,753Net Income 2022: -$998,4162022Revenue 2023: $21,237,699Expenses 2023: $24,269,570Net Income 2023: -$3,031,8712023Revenue 2024: $28,834,048Expenses 2024: $27,885,183Net Income 2024: $948,8652024

Highlighted filing

2024

Revenue$28,834,048
Expenses$27,885,183
Net Income$948,865

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.61$4.08$1.53$28.8$27.9$0.95
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.83$4.24$0.58$21.2$24.3$3.03
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.94$5.54$0.40$23.6$24.6$1.00
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.17$6.84$0.68$23.6$23.7$0.14
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.04$7.66$0.61$26.9$26.6$0.29
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.10$7.29$0.81$27.1$26.7$0.40
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.67$8.08$0.59$26.9$26.6$0.37
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.58$8.16$0.41$25.9$24.9$0.96
2016Detailed filing. Detailed filing data is available for this year.$9.38$8.40$0.98$26.0$24.8$1.25
2015Detailed filing. Detailed filing data is available for this year.$9.28$8.76$0.52$25.5$27.0$1.44
2014Detailed filing. Detailed filing data is available for this year.$13.1$12.1$1.04$27.8$25.4$2.40
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.1$10.4$1.74$23.3
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.0$9.38$1.64$20.8
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.2$9.48$2.69$19.3
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.7$9.56$3.11$17.5
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2019 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
May 8, 2020
Return Version
2018v3.2
Gross Receipts
$27,050,373
Mission and Program Overview

Mission

The development, construction, acquisition, ownership, leasing, management, and operation of skilled health care facilities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$5,653,305$5,287,993▼ $365,312
Accounts Receivable$2,452,116$2,281,902▼ $170,214
Cash and Non-Interest-Bearing Accounts$445,854$439,039▼ $6,815
Prepaid Expenses and Deferred Charges$57,002$53,207▼ $3,795
Intangible Assets$48,822$34,175▼ $14,647
Total Assets$8,665,409$8,096,316▼ $569,093
Other Assets Total$8,310--
Liabilities
Mortgage Notes Payable Secured by Investment Property$3,630,533$3,326,844▼ $303,689
Tax Exempt Bond Liabilities$2,331,000$2,161,000▼ $170,000
Accounts Payable and Accrued Expenses$2,113,831$1,797,374▼ $316,457
Total Liabilities$8,075,364$7,285,218▼ $790,146
Net Assets / Fund Balance
Unrestricted Net Assets$590,045$811,098▲ $221,053
Total Net Assets Fund Balance$590,045$811,098▲ $221,053
Total Liabilities and Net Assets / Fund Balance$8,665,409$8,096,316▼ $569,093

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,002,596$4,897,404$8,900,000
Leasehold Improvements$832,283$504,835$1,337,118
Equipment$453,114$476,530$929,644
Compensation and Service Providers

Employees

NameTitleOtherTotal
Angela HammackCorporate Se$222,577$222,577
Kay GrayFormer Presi$209,393$209,393
Herbert M Ponder JrDirector$24,000$24,000
James B PattonDirector$24,000$24,000
Joseph a WallChairman$24,000$24,000
Kathryn DennisDirector$24,000$24,000
Paul a CableDirector$24,000$24,000

Board Members and Trustees

NameTitle
Kay GrayFormer President
Teresa W MoodyPresident
Angela HammackCorporate Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Integra RehabilitationRehab Services1013 RIVERBURCH PKWY SUITE 2, Dalton, GA 30721$1,776,684
Lincare INCTherapy Service1209 MARTHA BERRY BOULEVARD, Rome, GA 30165$835,348
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$27,050,207
Investment Income
$166
Other Revenue
$0
Change in Net Assets
$395,393

Audited Revenue Reconciliation

Revenue per Audited Statements
$27,050,373
Total Revenue per Audited Statements
$27,050,373
Total Revenue per Form 990
$27,050,373
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$16,523,517
Other Expenses$10,131,463
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$12,180,896--$12,180,896
Other Employee Benefits$3,308,988--$3,308,988
Fees for Services Management$2,117,328--$2,117,328
Payroll Taxes$827,868--$827,868
Depreciation Depletion$603,057--$603,057
Interest$522,715--$522,715
All Other Expenses$513,648--$513,648
Other Expenses$428,604--$428,604
Insurance$365,035--$365,035
Pension Plan Contributions$205,765--$205,765
Occupancy$92,838--$92,838
Fees for Services Accounting$23,500--$23,500
Fees for Services Legal$7,084--$7,084
Total Functional Expenses$26,654,980$0$0$26,654,980

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$26,654,980
Total Expenses per Audited Statements$26,654,980
Total Expenses per Form 990$26,654,980
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Bond Issues

BondIssuerIssuedIssue PricePurpose
AMiddle Coastal United Da2007-01-15$3,515,000ACQUISITION OF RE

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A----

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

The organization has a sole member, community health systems, inc., a nonprofit georgia corporation.

Form 990, Page 6, Part VI, Line 7A

Under the organization's bylaws, while it is the sole member of the organization, community health systems, inc., as a type i section 509(a)(3) and section 501(c)(3) supporting organization, has the sole right to elect, replace and to remove the members of the organization's board of directors and shall ensure that at all times, a majority of the members of the organization's board of directors shall be composed of persons who are concurrently serving as members of the board of directors of community health systems, inc.

Form 990, Page 6, Part VI, Line 11B

This process involves the electronic posting of the draft form 990 with all its schedules for the organization's board of directors to review followed, after a sufficient reveiw period, by a meeting of the board at which board members will have the opportunity to ask questions of management and the outside tax advisors involved in the preparation of the form 990.

Form 990, Page 6, Part VI, Line 12C

The organization regularly and consistently monitors and enforces compliance with its conflicts of interest policy. Such compliance is effectuated through the organization's board of directors' review of annual conflict disclosure statements from the directors as well as receipt and review of conflict disclosure statements with respect to certain proposed transactions or arrangements the organization is considering prior to any board action with respect to such matters. The conflicts policy outlines the specific procedure to be followed to 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, Page 6, Part VI, Line 15A

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 reasonble 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 a rebuttable presumption is documented using the rebuttable presumption checklist released by the irs.

Form 990, Page 6, Part VI, Line 15B

The organization regularly and consistently complies with the compensation approval process which is part of its conflicts of interest policy. Every two to three years, on average, the organization participates in a comprehensive process conducted on its behalf by the compensation committee of the board of directors of community health systems, inc., its sole member and parent of the integrated health care delivery system in which the organization is a member. This process involves review of comparability data compiled by an indepedent 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 of otherwise conflicted individuals are present at the meeting, they do not participate in the deliberations and are excused from the room during the vote). The process is designed and carried out by the board of directors in a manner designed to satisfy all three of the requirements necessary to establish the rebuttable presumption of reasonableness with respect to compensation arrangements for disqualified persons under section 53.4958-6 of the regulations. As part of this process, outside counsel is retained to further advise the board on the rebuttable presumption process and to provide the board with a legal opinion regarding the same. As a final step, each part of the process required to establish the rebuttable presumption is documented using the rebuttable presumption checklist released by the irs.

Form 990, Page 6, Part VI, Line 19

The organization's governing documents, conflict of interest policy and financial statements are available for public inspection upon request in accordance with the section 6104(d) disclosure requirements.

Filing and Contact Details

Filer

Filer Name
Piedmont Regional Health Inc
EIN
43-2007498
Phone
4786212100
Address
1005 BOULDER DRIVE, GRAY, GA 31032

Signing Officer

Name
Teresa W Moody
Title
President
Phone
4786212100
Signed
2020-05-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Teresa W Moody
Formed
2003
Legal Domicile
Ga
Voting Board Members
5
Independent Board Members
5
Employees
579

Preparer

Firm
Mcnair Mclemore Middlebrooks & Co LLC
Address
POST OFFICE BOX ONE, MACON, GA 31202-0001
Preparer
William R Rountree
Phone
4787466277
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Contribution of net assets -174,340

Raw XML AppendixShowing 400 of 708 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/AccountsPayableAccrExpnssGrp/EOYAmt01797374
IRS990/AccountsReceivableGrp/BOYAmt02452116
IRS990/AccountsReceivableGrp/EOYAmt02281902
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IRS990/ActivityOrMissionDesc0THE DEVELOPMENT, CONSTRUCTION, ACQUISITION, OWNERSHIP, LEASING, MANAGEMENT, AND OPERATION OF SKILLED HEALTH CARE FACILITIES.
IRS990/AllOtherExpensesGrp/ProgramServicesAmt0513648
IRS990/AllOtherExpensesGrp/TotalAmt0513648
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IRS990/BooksInCareOfDetail/PhoneNum04786212100
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IRS990/DepreciationDepletionGrp/ProgramServicesAmt0603057
IRS990/DepreciationDepletionGrp/TotalAmt0603057
IRS990/Desc0LEASED AND OWNED SKILLED CARE, INTERMEDIATE CARE, AND OTHER HEALTH CARE RELATED FACILITIES. CONSISTENT WITH THE POLICIES PREVIOUSLY ADOPTED BY THE BOARD OF DIRECTORS OF COMMUNITY HEATLH SYSTEMS, INC., THE SECTION 509(A)(3) SUPPORTING ORGANIZATION AND PARENT ENTITY OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM OF WHICH THE ORGANIZATION IS A MEMBER, THE ORGANIZATION PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITIES IT SERVES PURSUANT TO BOTH COMMUNITY BENEFIT GUIDELINES AND A CHARITY CARE POLICY. THE ORGANIZATION CONTINUES TO ASSESS AND DEVELOP PROGRAMS TO BENEFIT THE COMMUNITY.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS A SOLE MEMBER, COMMUNITY HEALTH SYSTEMS, INC., A NONPROFIT GEORGIA CORPORATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1UNDER THE ORGANIZATION'S BYLAWS, WHILE IT IS THE SOLE MEMBER OF THE ORGANIZATION, COMMUNITY HEALTH SYSTEMS, INC., AS A TYPE I SECTION 509(A)(3) AND SECTION 501(C)(3) SUPPORTING ORGANIZATION, HAS THE SOLE RIGHT TO ELECT, REPLACE AND TO REMOVE THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS AND SHALL ENSURE THAT AT ALL TIMES, A MAJORITY OF THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS SHALL BE COMPOSED OF PERSONS WHO ARE CONCURRENTLY SERVING AS MEMBERS OF THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THIS 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 REVEIW 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE 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 REASONBLE 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 A REBUTTABLE PRESUMPTION IS DOCUMENTED USING THE REBUTTABLE PRESUMPTION CHECKLIST RELEASED BY THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE 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 INDEPEDENT 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 OF 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7CONTRIBUTION OF NET ASSETS -174,340
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 15A

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