2024-05-13T12:03:04-04:00 2023-06-30 581094351 MCNAIR MCLEMORE MIDDLEBROOKS & CO LLC POST OFFICE BOX ONE MACON GA 312020001 990 2022-07-01 571157115 CLINICAL SERVICES INC CLIN 4786212100 1005 BOULDER DRIVE GRAY GA 31032 TERESA MOODY SECRETARY 4786212100 2024-05-10 true TERESA MOODY 999009999 false WILLIAM R ROUNTREE P01231836 4787466277 2024-05-13 2022 2023-04-26 12:10:37Z TERESA MOODY 1005 BOULDER DRIVE GRAY GA 31032 27787421 false X WWW.ETHICAHEALTH.ORG X 2003 GA TO PROVIDE CLINICAL SERVICES, RELATED HEALTH CARE SERVICES AND VARIOUS CONSULTING SERVICES TO FELLOW MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. 3 3 121 0 127596 0 38151871 27787421 0 0 38279467 27787421 0 0 12289753 10469077 0 0 24516032 24472539 36805785 34941616 1473682 -7154195 846652 2754278 1647885 3707694 -801233 -953416 TO PROVIDE CLINICAL SERVICES, RELATED HEALTH CARE SERVICES AND VARIOUS CONSULTING SERVICES TO FELLOW MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. false false 34941616 PROVIDED CLINICAL SERVICES, RELATED HEALTH CARE SERVICES AND VARIOUS CONSULTING SERVICES TO FELLOW MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. CONSISTENT WITH THE POLICIES AND PROCEDURES PREVIOUSLY ADOPTED BY THE BOARD OF DIRECTORS OF COMMUNITY HEALTH SYSTEMS, INC., THE SECTION 509(C)(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. 34941616 true false false false false false false false false false true false false true true false true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 18 0 true 121 true false false false false false false false false X 3 3 false false false false true true false true true false false true true true true true true true true false GA X CLINICAL SERVICES INC 4786212100 1005 BOULDER DRIVE GRAY GA 31032 RALPH WARNOCK DIRECTOR 4.00 1.00 X 0 315369 18002 BRANDON POOLE SENIOR VP 40.00 0.00 X 300771 0 18474 ANGELA HAMMACK CORPORATE SE 0.00 40.00 X 0 290941 18410 JILL SNOW VICE PRESIDE 40.00 0.00 X 282868 0 18000 KEITTA EVANS VICE PRESIDE 40.00 0.00 X 264131 0 18767 FRANK POWELL ATTENDING PH 40.00 X 257365 0 9668 KIMBERLY SHEFFIELD PRESIDENT 4.00 40.00 X 0 225616 20131 GEORGE HUNT EXECUTIVE VP 0.00 40.00 X 0 221885 17964 KEN MCDONALD VICE PRESIDE 0.00 40.00 X 0 221769 17565 TERESA MOODY SECRETARY 4.00 40.00 X 0 212891 20021 MICHAEL SATCHELL ATTENDING PH 40.00 0.00 X 214928 0 12140 CHRISTEN WEBER ATTENDING PH 40.00 0.00 X 213298 0 12088 MELISSA PRIMROSE ATTENDING PH 40.00 0.00 X 205334 0 19306 GREGORY DAVIS REGIONAL VP 40.00 0.00 X 203691 0 20463 APRIL KENERLY VICE PRESIDE 0.00 40.00 X 0 205841 11933 KIMBERLY HODGES REGIONAL VP 40.00 0.00 X 195199 0 17509 SYLVIA ROWE VICE PRESIDE 40.00 0.00 X 151191 0 12206 KATIE CARR VICE PRESIDE 0.00 0.00 X 0 113357 10502 STEVEN SHEETS VICE PRESIDE 40.00 0.00 X 99574 0 2920 KATHRYN DENNIS CHAIRMAN 4.00 1.00 X 0 24000 0 JOSEPH A WALL DIRECTOR 4.00 1.00 X 0 24000 0 PAUL A CABLE DIRECTOR 0.00 4.00 X 0 24000 0 BUDDY PONDER DIRECTOR 0.00 0.00 X 0 12000 0 LUCY ROGERS DIRECTOR 0.00 0.00 X 0 12000 0 2388350 1903669 296069 28 true true false STONE BROOKE OFFICES LLC PO BOX 697 GRAY GA 31032 HEALTHCARE 292054 1 SERVICE REVENUES 27787421 27787421 27787421 27787421 27787421 1605764 1605764 7388356 7388356 295519 295519 573095 573095 606343 606343 98306 98306 382349 382349 13387 13387 216751 216751 SUPPORT SERVICE FEES 20091713 20091713 CONTRACTED SERVICES 2134207 2134207 TRAVEL 879122 879122 OTHER ADMINISTRATIVE 439945 439945 216759 216759 34941616 34941616 0 0 19348 24125 595409 810423 122363 135193 1848984 1790602 109532 58382 1726155 846652 2754278 1507444 1950013 140441 1757681 1647885 3707694 X -801233 -953416 -801233 -953416 846652 2754278 X -7154195 7002012 X false true X true false X 127596 127596 38359808 39342282 38178962 38151871 27787421 181820344 38359808 39342282 38178962 38279467 27787421 181947940 181947940 38359808 39342282 38178962 38279467 27787421 181947940 1.00000 1.00000 0.00000 0.00000 X 92688 57147 35541 630573 607732 22841 1125723 1125723 58382 RIGHT-OF-USE ASSET OPERATING 1686558 CONSTRUCTION IN PROGRESS 39597 1726155 OPERATING LEASE OBLIGATION 1721079 ADVANCE PAYMENTS UNAPPLIED 36602 1757681 27787421 27787421 27787421 34941616 34941616 34941616 X X X X X false false false false false false false false false RALPH WARNOCK DIRECTOR 295421 19948 18002 333371 BRANDON POOLE SENIOR VP 289657 11114 18474 319245 ANGELA HAMMACK CORPORATE SECRETARY 279741 11200 18410 309351 JILL SNOW VICE PRESIDENT 270926 11942 18000 300868 KEITTA EVANS VICE PRESIDENT 251536 12595 18767 282898 FRANK POWELL ATTENDING PHYSICIAN 251987 5378 9668 267033 KIMBERLY SHEFFIELD PRESIDENT 214172 11444 20131 245747 GEORGE HUNT EXECUTIVE VP 192758 29127 17964 239849 KEN MCDONALD VICE PRESIDENT 209097 12672 17565 239334 TERESA MOODY SECRETARY 200516 12375 20021 232912 MICHAEL SATCHELL ATTENDING PHYSICIAN 208691 6237 12140 227068 CHRISTEN WEBER ATTENDING PHYSICIAN 205088 8210 12088 225386 MELISSA PRIMROSE ATTENDING PHYSICIAN 201006 4328 19306 224640 GREGORY DAVIS REGIONAL VP 192608 11083 20463 224154 APRIL KENERLY VICE PRESIDENT 194371 11470 11933 217774 KIMBERLY HODGES REGIONAL VP 185172 10027 17509 212708 SYLVIA ROWE VICE PRESIDENT 142677 8514 12206 163397 KATIE CARR VICE PRESIDENT 107868 5489 10502 123859 PAUL A CABLE DIRECTOR 24000 24000 BUDDY PONDER DIRECTOR 12000 12000 LUCY ROGERS DIRECTOR 12000 12000 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 THE FORM 990 FOR CLINICAL SERVICES, INC. IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. UPON COMPLETION, THE INDEPENDENT ACCOUNTING FIRM PROVIDES A DRAFT OF THE FORM 990 TO THE AUDIT COMMITTEE OF THE ORGANIZATION FOR ITS REVIEW. ALLOWING ADEQUATE TIME FOR REVIEW, THE INDEPENDENT ACCOUNTING FIRM SUBSEQUENTLY MEETS WITH THE AUDIT COMMITTEE OF THE ORGANIZATION TO REVIEW AND DISCUSS THE DRAFT FORM 990. FOLLOWING THE AUDIT COMMITTEE'S REVIEW, DISCUSSION AND APPROVAL OF THE DRAFT FORM 990, THE AUDIT COMMITTEE THEN PROVIDES THE DRAFT FORM 990 TO THE ORGANIZATION'S BOARD OF DIRECTORS WITH A RECOMMENDATION TO REVIEW AND APPROVE THE FORM 990. SUBSEQUENT TO RECEIPT OF THE DRAFT FORM 990, A MEETING OF THE ORGANIZATION'S BOARD OF DIRECTORS IS HELD TO DISCUSS THE RECOMMENDATION FROM ITS AUDIT COMMITTEE AND TO ASK QUESTIONS OF THE INDEPENDENT ACCOUNTING FIRM AND THE ORGANIZATION'S MANAGEMENT. FOLLOWING REVIEW AND DISCUSSION, THE BOARD THEN APPROVES THE FORM 990 TO BE FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 12C COMPLIANCE WITH THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY IS EFFECTUATED BY, AT A MINIMUM, THE BOARD OF DIRECTOR'S ANNUAL REVIEW OF CONFLICT DISCLOSURE STATEMENTS PROVIDED BY THE ORGANIZATION'S DIRECTORS AND OFFICERS. ALSO, THE ORGANIZATION'S BOARD OF DIRECTORS REVIEW CONFLICT DISCLOSURE STATEMENTS PRIOR TO TAKING ACTION ON PROPOSED TRANSACTIONS AND CONTRACTUAL ARRANGEMENTS. THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY PROVIDES THE PROCEDURE FOR WHICH INTERESTED PERSONS ARE EVALUATED TO DETERMINE IF A CONFLICT EXISTS. IF IT IS DETERMINED THAT A BOARD MEMBER HAS A CONFLICT OF INTEREST, THEN SUCH BOARD MEMBERS ARE NOT ALLOWED TO PARTICIPATE IN DELIBERATIONS ON THE SPECIFIC MATTER AND IS EXCUSED FROM, AND 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, AS DEFINED BY ITS CONFLICTS OF INTEREST POLICY, THROUGH A COMPREHENSIVE ENGAGEMENT CONDUCTED BY ITS COMPENSATION COMMITTEE. A THIRD-PARTY COMPENSATION CONSULTANT IS ENGAGED TO GATHER COMPARABILITY DATA FOR THE ORGANIZATION'S SENIOR MANAGEMENT AND ITS KEY OR HIGHLY COMPENSATED EMPLOYEES. FOLLOWING COMPLETION OF THE ENGAGEMENT, THE THIRD-PARTY CONSULTANT ISSUES A WRITTEN REPORT REFLECTING ITS OPINION CONCERNING WHETHER THE ORGANIZATION'S PROPOSED COMPENSATION ARRANGEMENTS CONSTITUTE REASONABLE COMPENSATION UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE. UPON RECEIPT AND REVIEW OF THE CONSULTANT'S WRITTEN REPORT AND SUPPORTING MATERIALS, THE ORGANIZATION'S COMPENSATION COMMITTEE THEN PROVIDES ALL SUCH MATERIALS ALONG WITH RECOMMENDATIONS TO ITS BOARD OF DIRECTORS FOR CONSIDERATION. SUBSEQUENTLY, THE BOARD OF DIRECTORS HOLDS A MEETING TO REVIEW THE MATERIALS AND RECOMMENDATIONS FROM ITS COMPENSATION COMMITTEE AT WHICH TIME THE BOARD WILL VOTE ON THE REASONABLENESS OF COMPENSATION FOR EACH INDIVIDUAL INCLUDED IN THE COMPENSATION ENGAGEMENT. IF ANY DISQUALIFIED OR OTHERWISE CONFLICTED BOARD MEMBERS ARE PRESENT AT THE MEETING, THEY DO NOT PARTICIPATE IN THE DELIBERATIONS AND ARE EXCUSED FROM VOTING ON SUCH MATTERS. THE COMPENSATION APPROVAL PROCESS IS CARRIED OUT BY THE ORGANIZATION'S 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 INTERNAL REVENUE CODE. AS PART OF THE PROCESS, THE ORGANIZATION'S BOARD OF DIRECTORS RETAINS THIRD-PARTY LEGAL COUNSEL TO FURTHER ADVISE THE BOARD ON THE REBUTTABLE PRESUMPTION PROCESS AND TO PROVIDE THE BOARD WITH A LEGAL OPINION REGARDING THE SAME. THE FINAL STEP IN THE PROCESS IS PREPARATION OF DOCUMENTATION REQUIRED TO ESTABLISH THE REBUTTABLE PRESUMPTION UTILIZING THE REBUTTABLE PRESUMPTION CHECKLIST ISSUED BY THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 15B THE ORGANIZATION REGULARLY AND CONSISTENTLY COMPLIES WITH THE COMPENSATION APPROVAL PROCESS, AS DEFINED BY ITS CONFLICTS OF INTEREST POLICY, THROUGH A COMPREHENSIVE ENGAGEMENT CONDUCTED BY ITS COMPENSATION COMMITTEE. A THIRD-PARTY COMPENSATION CONSULTANT IS ENGAGED TO GATHER COMPARABILITY DATA FOR THE ORGANIZATION'S SENIOR MANAGEMENT AND ITS KEY OR HIGHLY COMPENSATED EMPLOYEES. FOLLOWING COMPLETION OF THE ENGAGEMENT, THE THIRD-PARTY CONSULTANT ISSUES A WRITTEN REPORT REFLECTING ITS OPINION CONCERNING WHETHER THE ORGANIZATION'S PROPOSED COMPENSATION ARRANGEMENTS CONSTITUTE REASONABLE COMPENSATION UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE. UPON RECEIPT AND REVIEW OF THE CONSULTANT'S WRITTEN REPORT AND SUPPORTING MATERIALS, THE ORGANIZATION'S COMPENSATION COMMITTEE THEN PROVIDES ALL SUCH MATERIALS ALONG WITH RECOMMENDATIONS TO ITS BOARD OF DIRECTORS FOR CONSIDERATION. SUBSEQUENTLY, THE BOARD OF DIRECTORS HOLDS A MEETING TO REVIEW THE MATERIALS AND RECOMMENDATIONS FROM ITS COMPENSATION COMMITTEE AT WHICH TIME THE BOARD WILL VOTE ON THE REASONABLENESS OF COMPENSATION FOR EACH INDIVIDUAL INCLUDED IN THE COMPENSATION ENGAGEMENT. IF ANY DISQUALIFIED OR OTHERWISE CONFLICTED BOARD MEMBERS ARE PRESENT AT THE MEETING, THEY DO NOT PARTICIPATE IN THE DELIBERATIONS AND ARE EXCUSED FROM VOTING ON SUCH MATTERS. THE COMPENSATION APPROVAL PROCESS IS CARRIED OUT BY THE ORGANIZATION'S 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 INTERNAL REVENUE CODE. AS PART OF THE PROCESS, THE ORGANIZATION'S BOARD OF DIRECTORS RETAINS THIRD-PARTY LEGAL COUNSEL TO FURTHER ADVISE THE BOARD ON THE REBUTTABLE PRESUMPTION PROCESS AND TO PROVIDE THE BOARD WITH A LEGAL OPINION REGARDING THE SAME. THE FINAL STEP IN THE PROCESS IS PREPARATION OF DOCUMENTATION REQUIRED TO ESTABLISH THE REBUTTABLE PRESUMPTION UTILIZING THE REBUTTABLE PRESUMPTION CHECKLIST ISSUED BY THE INTERNAL REVENUE SERVICE. 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. 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