Civic Intelligence

Copper Basin Community Hospital Inc

EIN 62-1448752 • 501(c)3 • Copperhill, TN

Profile

To provide healthcare services to the tri-state community.

144 Medical Center DriveCopperhill, TN 37317

copperbasin.org

Siviq Scores

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

Liabilities / Assets

100th percentile

3.41x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2015

Liabilities / Revenue

61st percentile

0.34x

Higher debt load relative to revenue than 61% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2015

Net Margin

32nd percentile

-1.3%

Higher net margin than 32% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2015

Top Officer Pay

19th percentile

$80,000

Higher top officer pay than 19% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2015

Asset Growth

2nd percentile

-61%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Revenue Growth

13th percentile

-19%

Faster revenue growth than 13% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets100th percentile

Assets

Down

$1,227,357

Down $1,952,741 (-61%) from 2014

Liabilities

Down

$4,189,596

Down $1,799,028 (-30%) from 2014

Net Assets

Down

-$2,962,239

Down $153,713 (-5.5%) from 2014

Operations
Liabilities / Revenue61st percentileNet Margin32nd percentile

Revenue

Down

$12,149,873

Down $2,925,347 (-19%) from 2014

Expenses

Down

$12,303,586

Down $2,432,711 (-17%) from 2014

Net Income

Down

-$153,713

Down $492,636 (-145%) from 2014

Trend Graphs

Balance Sheet Trend

Asset Growth2nd percentile

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

$10M$5.0M$0-$5.0MAssets 2010: $3,592,501Liabilities 2010: $6,240,936Net Assets 2010: -$2,648,4352010Assets 2011: $2,791,124Liabilities 2011: $5,549,019Net Assets 2011: -$2,757,8952011Assets 2012: $2,124,268Liabilities 2012: $4,558,483Net Assets 2012: -$2,434,2152012Assets 2013: $2,083,215Liabilities 2013: $5,230,664Net Assets 2013: -$3,147,4492013Assets 2014: $3,180,098Liabilities 2014: $5,988,624Net Assets 2014: -$2,808,5262014Assets 2015: $1,227,357Liabilities 2015: $4,189,596Net Assets 2015: -$2,962,2392015

Highlighted filing

2015

Assets$1,227,357
Liabilities$4,189,596
Net Assets-$2,962,239
Open 2015 Filing

Operations Trend

Revenue Growth13th percentile

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

$20M$15M$10M$5.0M$0-$5.0MExpenses 2010: $12,537,5922010Expenses 2011: $10,598,6492011Expenses 2012: $12,183,9382012Expenses 2013: $13,715,3622013Revenue 2014: $15,075,220Expenses 2014: $14,736,297Net Income 2014: $338,9232014Revenue 2015: $12,149,873Expenses 2015: $12,303,586Net Income 2015: -$153,7132015

Highlighted filing

2015

Revenue$12,149,873
Expenses$12,303,586
Net Income-$153,713
Open 2015 Filing

Filings

Most recent year

2015 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$1,227,357
Liabilities
$4,189,596
Net assets
-$2,962,239
Revenue
$12,149,873
Expenses
$12,303,586
Net income
-$153,713
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.23$4.19$2.96$12.1$12.3$0.15
2014Detailed filing. Detailed filing data is available for this year.$3.18$5.99$2.81$15.1$14.7$0.34
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.08$5.23$3.15$13.7
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.12$4.56$2.43$12.2
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.79$5.55$2.76$10.6
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.59$6.24$2.65$12.5
Latest Detailed Filing

The latest 2015 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2014 below.

Jump To
Filing Snapshot
Filing Period
Oct 1, 2013 to Sep 30, 2014
Signed
Aug 17, 2015
Return Version
2013v4.0
Gross Receipts
$15,075,220
Mission and Program Overview

Mission

To provide healthcare services to the tri-state community.

To provide healthcare services to the tri-state community

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$792,422$1,195,337▲ $402,915
Accounts Receivable$933,617$999,265▲ $65,648
Cash and Non-Interest-Bearing Accounts$112,616$752,858▲ $640,242
Inventories for Sale or Use$176,684$183,306▲ $6,622
Prepaid Expenses and Deferred Charges$67,876$49,332▼ $18,544
Total Assets$2,083,215$3,180,098▲ $1,096,883
Liabilities
Mortgage Notes Payable Secured by Investment Property$4,130,770$3,251,498▼ $879,272
Accounts Payable and Accrued Expenses$1,109,325$2,746,557▲ $1,637,232
Deferred Revenue$-9,431$-9,431→ $0
Total Liabilities$5,230,664$5,988,624▲ $757,960
Net Assets / Fund Balance
Unrestricted Net Assets$-3,147,449$-2,808,526▲ $338,923
Total Net Assets Fund Balance$-3,147,449$-2,808,526▲ $338,923
Total Liabilities and Net Assets / Fund Balance$2,083,215$3,180,098▲ $1,096,883

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$907,746$3,074,541$3,982,287
Buildings$287,591$980,957$1,268,548
Compensation and Service Providers
Top Officer Pay19th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Alexander AltmanChief Executive OfficerFT$139,626$139,626

Board Members and Trustees

NameTitle
James D TalleyBoard Chairman
RONNIE O'NEALBoard Vice-chairman
Bill StandridgeBoard Member
Cecil Arp JrBoard Member
Douglas CollinsBoard Member
Mahmood Siddiqui MdBoard Member
Richard MooreBoard Member
Randy CollinsBoard Secretary
Beatrice TallentBoard Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
East Tn Emergency SvcEmergency Room Physician Group-$1,168,080
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$13,316,708
Investment Income
$802
Other Revenue
$1,757,710
Change in Net Assets
$338,923

Audited Revenue Reconciliation

Revenue per Audited Statements
$15,075,220
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$15,075,220
Total Revenue per Form 990
$15,075,220
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$9,829,959
Salaries, Compensation, and Employee Benefits$4,906,338
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,453,592$546,707-$4,000,299
Fees for Services Other$1,703,448$530,289-$2,233,737
Other Employee Benefits$595,526--$595,526
Payroll Taxes$310,513--$310,513
Depreciation Depletion$267,168--$267,168
Fees for Services Management-$232,466-$232,466
Occupancy$225,956$324-$226,280
Interest$206,076--$206,076
Office Expenses$73,525$64,122-$137,647
Other Expenses$91,733$9,367-$101,100
All Other Expenses$29,223$15,290-$44,513
Fees for Services Accounting-$26,719-$26,719
Advertising-$18,748-$18,748
Travel$4,728$9,566-$14,294
Fees for Services Legal-$10,120-$10,120
Total Functional Expenses$13,155,795$1,580,502$0$14,736,297

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$14,736,297
Total Expenses per Audited Statements$14,736,297
Total Expenses per Form 990$14,736,297
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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
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, Part VI, Section A, Line 2

“Two board members, james d. Talley and douglas collins, are brothers-in-law.”

Form 990, Part VI, Section B, Line 11

“The tax return is to be presented to the members of the board of directors before the return is filed. The board will review the return and approve the ceo's signature.”

Form 990, Part VI, Section B, Line 12C

“Board members sign a "duality of interest" statement. The statement requires members to disclose any potential conflicts of interest in regard to a contract or other transaction, at which time the remaining board members will decide if a true conflict exists. If so, that board member will not participate in any discussion or decision regarding that contract or transaction.”

Form 990, Part VI, Section B, Line 15

“Compensation for the ceo/cfo/cno positions are set and voted on by the board of directors.”

Form 990, Part VI, Section C, Line 19

“Financial statements (after board approval) are made available to the executive office of the polk county commission, the hospital district board of the polk county commission, and the united community bank. The form 990 is available on guidestar. Documents are also made available to the public upon request.”

Filing and Contact Details

Filer

EIN
62-1448752
Phone
4234968126

Signing Officer

Name
Anna Clark
Title
Chief Executive Officer
Phone
4234968126
Signed
2015-08-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Anna Clark
Formed
1990
Legal Domicile
Tn
Voting Board Members
9
Independent Board Members
8
Employees
206
Volunteers
15

Preparer

Preparer
Beverly Horner
Phone
9313883711
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Purchased services: program service expenses 1,703,448. Management and general expenses 530,289. Fundraising expenses 0. Total expenses 2,233,737.”

FORM 990, PART XII, LINE 2C:

“Form 990, part xii, line 2c, explanation: the organization did not change either its oversight process or selection process during the tax year.”

Raw XML AppendixShowing 400 of 561 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
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt01109325
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt02746557
IRS990/AccountsReceivableGrp/BOYAmt0933617
IRS990/AccountsReceivableGrp/EOYAmt0999265
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO PROVIDE HEALTHCARE SERVICES TO THE TRI-STATE COMMUNITY
IRS990/AdvertisingGrp/ManagementAndGeneralAmt018748
IRS990/AdvertisingGrp/TotalAmt018748
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt015290
IRS990/AllOtherExpensesGrp/ProgramServicesAmt029223
IRS990/AllOtherExpensesGrp/TotalAmt044513
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/AuditCommitteeInd01
IRS990/AuditedFinancialStmtAttInd01
IRS990/BackupWthldComplianceInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine10ANNA CLARK CHIEF EXECUTIVE OFFICER
IRS990/BooksInCareOfDetail/PhoneNum04234968153
IRS990/BooksInCareOfDetail/USAddress/AddressLine10144 MEDICAL CENTER DRIVE
IRS990/BooksInCareOfDetail/USAddress/City0COPPERHILL
IRS990/BooksInCareOfDetail/USAddress/State0TN
IRS990/BooksInCareOfDetail/USAddress/ZIPCode037317
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOfficerEntInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CashNonInterestBearingGrp/BOYAmt0112616
IRS990/CashNonInterestBearingGrp/EOYAmt0752858
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt01
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd01
IRS990/CompensationProcessOtherInd01
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContractorCompensationGrp/CompensationAmt01168080
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine10P O BOX 1075
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/City0COPPERHILL
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/State0TN
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCode037317
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine10EAST TN EMERGENCY SVC
IRS990/ContractorCompensationGrp/ServicesDesc0EMERGENCY ROOM PHYSICIAN GROUP
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt0802
IRS990/CYOtherExpensesAmt09829959
IRS990/CYOtherRevenueAmt01757710
IRS990/CYProgramServiceRevenueAmt013316708
IRS990/CYRevenuesLessExpensesAmt0338923
IRS990/CYSalariesCompEmpBnftPaidAmt04906338
IRS990/CYTotalExpensesAmt014736297
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt015075220
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DeferredRevenueGrp/BOYAmt0-9431
IRS990/DeferredRevenueGrp/EOYAmt0-9431
IRS990/DelegationOfMgmtDutiesInd00
IRS990/DepreciationDepletionGrp/ProgramServicesAmt0267168
IRS990/DepreciationDepletionGrp/TotalAmt0267168
IRS990/Desc0THE HOSPITAL PROVIDED 2,906 DAYS OF CARE TO PATIENTS ADMITTED TO THE FACILITY AND 10,654 OUTPATIENT ENCOUNTERS.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DoingBusinessAsName/BusinessNameLine10COPPER BASIN MEDICAL CENTER
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt0206
IRS990/EmploymentTaxReturnsFiledInd01
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt013155795
IRS990/FamilyOrBusinessRlnInd01
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt026719
IRS990/FeesForServicesAccountingGrp/TotalAmt026719
IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt010120
IRS990/FeesForServicesLegalGrp/TotalAmt010120
IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt0232466
IRS990/FeesForServicesManagementGrp/TotalAmt0232466
IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt0530289
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt01703448
IRS990/FeesForServicesOtherGrp/TotalAmt02233737
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt41.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt51.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt61.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt71.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt840.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt91.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/PersonNm0DOUGLAS COLLINS
IRS990/Form990PartVIISectionAGrp/PersonNm1CECIL ARP JR
IRS990/Form990PartVIISectionAGrp/PersonNm2MAHMOOD SIDDIQUI MD
IRS990/Form990PartVIISectionAGrp/PersonNm3BILL STANDRIDGE
IRS990/Form990PartVIISectionAGrp/PersonNm4RICHARD MOORE
IRS990/Form990PartVIISectionAGrp/PersonNm5JAMES D TALLEY
IRS990/Form990PartVIISectionAGrp/PersonNm6RONNIE O'NEAL
IRS990/Form990PartVIISectionAGrp/PersonNm7BEATRICE TALLENT
IRS990/Form990PartVIISectionAGrp/PersonNm8ALEXANDER ALTMAN
IRS990/Form990PartVIISectionAGrp/PersonNm9RANDY COLLINS
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt8139626
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/TitleTxt0BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt1BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt2BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt3BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD VICE-CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt8CHIEF EXECUTIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD SECRETARY
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01990
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt015075220
IRS990/GrossRentsGrp/RealAmt066550
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt08
IRS990/IndivRcvdGreaterThan100KCnt01
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InterestGrp/ProgramServicesAmt0206076
IRS990/InterestGrp/TotalAmt0206076
IRS990/InventoriesForSaleOrUseGrp/BOYAmt0176684
IRS990/InventoriesForSaleOrUseGrp/EOYAmt0183306
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt0802
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0802
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt023
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt04055498
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0792422
IRS990/LandBldgEquipBasisNetGrp/EOYAmt01195337
IRS990/LandBldgEquipCostOrOtherBssAmt05250835
IRS990/LegalDomicileStateCd0TN
IRS990/LessRentalExpensesGrp/RealAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt01644606
IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt01644606
IRS990/MissionDesc0TO PROVIDE HEALTHCARE SERVICES TO THE TRI-STATE COMMUNITY.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt04130770
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt03251498
IRS990/NetAssetsOrFundBalancesBOYAmt0-3147449
IRS990/NetAssetsOrFundBalancesEOYAmt0-2808526
IRS990/NetRentalIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt066550
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt066550
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt0324
IRS990/OccupancyGrp/ProgramServicesAmt0225956
IRS990/OccupancyGrp/TotalAmt0226280
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt064122
IRS990/OfficeExpensesGrp/ProgramServicesAmt073525
IRS990/OfficeExpensesGrp/TotalAmt0137647
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd01
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0595526
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0595526
IRS990/OtherExpensesGrp/Desc0PROVISION FOR BAD DEBTS
IRS990/OtherExpensesGrp/Desc1SUPPLIES
IRS990/OtherExpensesGrp/Desc2EQUIPMENT RENTAL
IRS990/OtherExpensesGrp/Desc3REPAIRS & MAINTENANCE
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt099281
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt117503
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt29367
IRS990/OtherExpensesGrp/ProgramServicesAmt05048638
IRS990/OtherExpensesGrp/ProgramServicesAmt1944666
IRS990/OtherExpensesGrp/ProgramServicesAmt2201003
IRS990/OtherExpensesGrp/ProgramServicesAmt391733
IRS990/OtherExpensesGrp/TotalAmt05048638
IRS990/OtherExpensesGrp/TotalAmt11043947
IRS990/OtherExpensesGrp/TotalAmt2218506
IRS990/OtherExpensesGrp/TotalAmt3101100
IRS990/OtherRevenueMiscGrp/BusinessCd0621990
IRS990/OtherRevenueMiscGrp/BusinessCd1621990
IRS990/OtherRevenueMiscGrp/Desc0CAFETERIA REVENUE
IRS990/OtherRevenueMiscGrp/Desc1TENNCARE UNCOMPENSATED CARE ASSIS
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt042044
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt14510
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt042044
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt14510
IRS990/OtherRevenueTotalAmt01691160
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0546707
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt03453592
IRS990/OtherSalariesAndWagesGrp/TotalAmt04000299
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ProgramServicesAmt0310513
IRS990/PayrollTaxesGrp/TotalAmt0310513
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt067876
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt049332
IRS990/PrincipalOfficerNm0ANNA CLARK
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621990
IRS990/ProgramServiceRevenueGrp/BusinessCd1621990
IRS990/ProgramServiceRevenueGrp/BusinessCd2621990
IRS990/ProgramServiceRevenueGrp/Desc0OUTPATIENT REVENUE
IRS990/ProgramServiceRevenueGrp/Desc1INPATIENT REVENUE
IRS990/ProgramServiceRevenueGrp/Desc2CONTRACTUAL ALLOWANCES
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt030166180
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt19667910
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt2-26517382
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt030166180
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt19667910
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt2-26517382
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0491
IRS990/PYOtherExpensesAmt08805910
IRS990/PYOtherRevenueAmt0203653
IRS990/PYProgramServiceRevenueAmt012729295
IRS990/PYRevenuesLessExpensesAmt0-781923
IRS990/PYSalariesCompEmpBnftPaidAmt04909452
IRS990/PYTotalExpensesAmt013715362
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt012933439
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0338923
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RentalIncomeOrLossGrp/RealAmt066550
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt015075220
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt0287591
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0980957
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt01268548
IRS990ScheduleD/EquipmentGrp/BookValueAmt0907746
IRS990ScheduleD/EquipmentGrp/DepreciationAmt03074541
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt03982287
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt014736297
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt015075220
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01195337
IRS990ScheduleD/TotalExpensesPerForm990Amt014736297
IRS990ScheduleD/TotalRevenuePerForm990Amt015075220
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt015075220
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt014736297
IRS990ScheduleH/AnnualCommunityBnftReportInd01
IRS990ScheduleH/BadDebtExpenseAmt05054234
IRS990ScheduleH/BadDebtExpenseReportedInd01
IRS990ScheduleH/CostingMethodologyUsedGrp/CostToChargeRatioInd0X
IRS990ScheduleH/EconomicDevelopmentGrp/NetCommunityBenefitExpnsAmt01100
IRS990ScheduleH/EconomicDevelopmentGrp/TotalCommunityBenefitExpnsAmt01100
IRS990ScheduleH/EconomicDevelopmentGrp/TotalExpensePct00.00010
IRS990ScheduleH/ExpensesExceedBudgetInd01
IRS990ScheduleH/FinancialAssistanceBudgetInd01
IRS990ScheduleH/FinancialAssistancePolicyInd01
IRS990ScheduleH/FinancialAssistancePrvsnInd01
IRS990ScheduleH/FPGReferenceDiscountedCareInd01
IRS990ScheduleH/FPGReferenceFreeCareInd01
IRS990ScheduleH/FreeCareMedicallyIndigentInd01
IRS990ScheduleH/HealthImprovementAdvocacyGrp/NetCommunityBenefitExpnsAmt02500
IRS990ScheduleH/HealthImprovementAdvocacyGrp/TotalCommunityBenefitExpnsAmt02500
IRS990ScheduleH/HealthImprovementAdvocacyGrp/TotalExpensePct00.00020
IRS990ScheduleH/HospitalFacilitiesCnt01
IRS990ScheduleH/HospitalFacilitiesGrp/BusinessName/BusinessNameLine10COPPER BASIN COMMUNITY HOSPITAL INC
IRS990ScheduleH/HospitalFacilitiesGrp/CriticalAccessHospitalInd0X
IRS990ScheduleH/HospitalFacilitiesGrp/EmergencyRoom24HrsInd0X
IRS990ScheduleH/HospitalFacilitiesGrp/FacilityNum01
IRS990ScheduleH/HospitalFacilitiesGrp/LicensedHospitalInd0X
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/AddressLine10P O BOX 990 144 MEDICAL CENTER DR
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/City0COPPERHILL
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/State0TN
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/ZIPCode037317
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AdoptBudgetInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AdoptImplementationStrategyInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AllNeedsAddressedInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AmountsGenerallyBilledInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AppFinancialAsstExplnInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AvailableOnRequestInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedWithOtherFcltsInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedYr011
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAReportWidelyAvailableInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CollectionActivitiesInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityDefinitionInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityDemographicsInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityHealthNeedsInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityHlthNeedsIdProcessInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ConsultingProcessInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/DevelopCommunityWidePlanInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/DocumentedEligDeterminationInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/EligCriteriaExplainedInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ExecCommunityWidePlanInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ExecImplementationStrategyInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ExistingResourcesInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ExplainedBasisInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FacilityNum01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPActionsOnNonpaymentInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPNotifiedAllPatientsInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPNotifiedBeforeDischargeInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPNotifiedUponAdmissionInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FPGFamilyIncmLmtDscntCarePct0250.000000000000
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FPGFamilyIncmLmtFreeCarePct0100.000000000000
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FPGUsedDeterEligFreeCareInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FPGUsedDetermEligDscntCareInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/GrossChargesInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/HospitalFacilityName/BusinessNameLine10COPPER BASIN COMMUNITY HOSPITAL INC
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/HowDataObtainedInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/IncludeOperationalPlanInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/IncludesPublicityMeasuresInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/IncomeLevelInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/InformationGapsInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/MedicaidMedicareInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/MedicalIndigencyInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/NondisEmergencyCarePolicyInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OrganizationIncurExciseTaxInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OtherFactorsInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OtherHealthIssuesInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OtherMethodUsedInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/PostedInAdmissionOfficeInd0X

Document Assets

No mirrored PDF or thumbnail assets are attached yet.