2024-07-31T14:06:08-04:00 2023-09-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2022-10-01 581729544 COLQUITT REGIONAL HEALTH INC COLQ 2299853420 3131 S MAIN STREET MOULTRIE GA 317686925 JULIE BHAVNANI CFO 2298903538 2024-07-30 true false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2024-07-31 2022 2024-08-08 14:25:15Z JAMES L MATNEY 3131 S MAIN STREET MOULTRIE GA 317686925 3426606 false X N/A X 1988 GA COLQUITT REGIONAL HEALTH, INC. PROVIDES RURAL HEALTH CLINIC SERVICES, HOME HEALTH SERVICES, COMMUNITY CARE SERVICES, AND TRANSPORTATION SERVICES TO PATIENTS IN THE RURAL AREAS OF COLQUITT COUNTY AND THE SURROUNDING AREAS. 8 7 0 6 0 0 2544770 3003398 0 739538 423208 3284308 3426606 0 0 2632337 2745280 0 0 518473 547609 3150810 3292889 133498 133717 759212 836152 495632 438855 263580 397297 COLQUITT REGIONAL HEALTH, INC. PROVIDES RURAL HEALTH CLINIC SERVICES, HOME HEALTH SERVICES, COMMUNITY CARE SERVICES, AND TRANSPORTATION SERVICES TO PATIENTS IN THE RURAL AREAS OF COLQUITT COUNTY AND THE SURROUNDING AREAS. false false 2611245 3003398 COLQUITT REGIONAL HEALTH, INC. PROVIDES RURAL HEALTH CLINIC SERVICES, HOME HEALTH SERVICES, COMMUNITY CARE SERVICES, AND TRANSPORTATION SERVICES TO PATIENTS IN THE RURAL AREAS OF COLQUITT COUNTY AND THE SURROUNDING AREAS. THESE SERVICES ARE PROVIDED TO THE ELDERLY, HOMEBOUND, AND OTHERS AS NEEDED IN THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. 2611245 true false false false false false false false false false true false false false true true false true 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 0 0 0 false false false false false false false false false false false false X 8 7 false false false false false false false true true false false true true true true true true false false false GA X JULIE BHAVNANI 2299853420 3131 SOUTH MAIN ST MOULTRIE GA 31768 JAMES L MATNEY CEO/PRESIDEN 1.00 40.00 X X 0 1829084 242698 SHAMB PUROHIT FORMER CFO X 0 604807 108585 GREG JOHNSON VP 40.00 X 0 367635 68202 JULIE BHAVNANI CFO 40.00 X 0 313021 54476 SHANA WERTZ ASST VP 40.00 X 0 160652 14234 TINA JENKINS PHYSICAL THE X 0 129641 30452 RICHARD BASS BOARD MEMBER 1.00 X 0 0 0 B DURWOOD DOMINY SECRETARY/TR 1.00 X X 0 0 0 KIRK FRIEDLANDER BOARD MEMBER 1.00 X 0 0 0 D W ADCOCK MD BOARD MEMBER 1.00 X 0 0 0 ELAINE BARBER MD BOARD MEMBER 1.00 X 0 0 0 BROOKS SHELDON CHAIRMAN 1.00 X X 0 0 0 MAUREEN YEARTA BOARD MEMBER 1.00 X 0 0 0 3404840 518647 5 true true false PROGRAM SERVICE REVENUE 621990 3003398 3003398 3003398 423208 423208 423208 423208 3426606 3003398 423208 2108748 1586861 521887 115799 89489 26310 333599 257805 75794 187134 144617 42517 82553 82553 61406 61406 140940 129129 11811 152403 152403 30806 28224 2582 MEDICAL SUPPLIES 51377 51377 REPAIRS & MAINTENANCE 9715 9715 DUES & SUBSCRIPTIONS 9113 8370 743 MISCELLANEOUS 8265 8265 1031 1031 3292889 2611245 681644 0 112667 142263 452220 516067 23066 23066 1593949 1439193 171259 154756 759212 836152 2420 3091 493212 435764 495632 438855 X 263580 397297 263580 397297 759212 836152 133717 X true true X true false X 55000 55000 2982151 2796963 2733045 2544770 3003398 14060327 2982151 2851963 2733045 2544770 3003398 14115327 14115327 568294 536602 500419 739538 423208 2768061 568294 536602 500419 739538 423208 2768061 3550445 3388565 3233464 3284308 3426606 16883388 0.83600 0.83040 0.16000 0.17000 X 1414636 1300724 113912 179313 138469 40844 154756 DUE TO CRMC 435764 435764 X SCHEDULE D, PAGE 3, PART X PART X - FIN 48 FOOTNOTE THE MEDICAL CENTER IS A GOVERNMENTAL ENTITY AND IS EXEMPT FROM INCOME TAXES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN CONSIDERED IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. COLQUITT REGIONAL HEALTH, INC. IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CRM, INC. IS A FEDERALLY TAXABLE ENTITY ORGANIZED AS A NOT-FOR-PROFIT CORPORATION UNDER STATE LAW. THE AUTHORITY APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE AUTHORITY ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2023 AND 2022 OR FOR THE YEARS THEN ENDED. COLQUITT REGIONAL HEALTH, INC. AND CRM, INC.'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES,THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. ABBREVIATIONS: THE MEDICAL CENTER = COLQUITT REGIONAL MEDICAL CENTER CRM, INC. = COLQUITT REGIONAL MEDICAL, INC. AUTHORITY = THE HOSPITAL AUTHORITY OF COLQUITT COUNTY, DBA COLQUITT REGIONAL MEDICAL CENTER false true false false false false false false false JAMES L MATNEY CEO/PRESIDENT 1002926 341636 484522 241798 900 2071782 SHAMB PUROHIT FORMER CFO 502909 72535 29363 107685 900 713392 GREG JOHNSON VP 290732 43616 33287 67302 900 435837 JULIE BHAVNANI CFO 250856 34049 28116 53576 900 367497 SHANA WERTZ ASST VP 142019 18377 256 13334 900 174886 TINA JENKINS PHYSICAL THERAPIST 125126 4007 508 13017 17435 160093 SCHEDULE J, PAGE 1, PART I, LINE 3 NONE OF THE INDIVIDUAL BOARD MEMBERS OR OFFICERS ARE COMPENSATED BY THE FILING ORGANIZATION AND THE ORGANIZATION MUST RELY ON THE METHODS EMPLOYED BY THE RELATED ORGANIZATION, COLQUITT REGIONAL MEDICAL CENTER (CRMC), TO DETERMINE REASONABLE COMPENSATION FOR THE INDIVIDUALS. COMPENSATION DETERMINATION BY CRMC INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION SURVEY, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED. SCHEDULE J, PAGE 1, PART I, LINE 4 JAMES L. MATNEY 0 180,798 0 SHAMB PUROHIT 0 57,467 0 GREG JOHNSON 0 36,700 0 JULIE BHAVNANI 0 31,302 0 SCHEDULE J, PART III BONUSES/INCENTIVE PAYMENTS INCENTIVE BONUSES AWARDED TO OFFICERS AND PHYSICIANS ARE BASED ON MEASURES OF SUCCESS IN ACHIEVING ANNUAL GOALS AND IN ACCORDANCE WITH POLICY. FORM 990, PAGE 6, PART VI, LINE 11B COPIES OF THE FORM 990 TO BE FILED ARE E-MAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. THE REVIEW OF THE RETURN IS CONDUCTED BY THE CHIEF FINANCIAL OFFICER OF COLQUITT REGIONAL MEDICAL CENTER (CRMC), A RELATED ORGANIZATION, AND WILL INCLUDE REVIEW OF ALL MAJOR COMPONENTS OF THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY THAT GOVERNS THE EMPLOYEES, OFFICERS AND BOARD OF DIRECTORS OF THE ORGANIZATION IS LOCATED IN THE CRMC'S POLICY MANUAL. CRMC'S CEO OVERSEES THE POLICY PERTAINING TO THE BOARD OF DIRECTORS. ALL EMPLOYEES AND THE BOARD HAVE RECEIVED A COPY OF THE CODE OF CONDUCT AND ETHICAL BEHAVIOR WHICH ADDRESSES GIFTS AND CONFLICTS OF INTERESTS. FOR ANY POTENTIAL OR ACTUAL CONFLICT, THE INDIVIDUAL IS EXPECTED TO RECUSE HIMSELF FROM DISCUSSIONS AND VOTING ON THE ISSUE. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. COLQUITT REGIONAL MEDICAL CENTER 3131 S MAIN ST MOULTRIE GA 317686925 580607088 AUTHORITY GA 501C3 3 NA false COLQUITT REGIONAL MEDICAL INC P O BOX 40 MOULTRIE GA 317760040 260259807 PHYS OFC GA N/A false false false false false true false false false false false true false true true true true false true true