2026-05-11T12:04:37-04:00 2025-06-30 581094351 MCNAIR MCLEMORE MIDDLEBROOKS & CO LLC POST OFFICE BOX ONE MACON GA 312020001 990 2024-07-01 432007492 HOME & COMMUNITY SERVICES INC HOME 4786212070 110 STONE BROOKE DRIVE GRAY GA 31032 TERESA MOODY SECRETARY 4786212070 2026-05-07 true false WILLIAM R ROUNTREE P01231836 4787466277 2026-05-11 2024 2025-03-06 01:10:19Z TERESA MOODY 110 STONE BROOKE DRIVE GRAY GA 31032 90838143 false X WWW.SOURCE-GA.ORG X 2003 GA THE ORGANIZATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF IRC SECTION 501(C)(3), INCLUDING, WITHOUT LIMITATION, THE PROVISION OF HOME CARE AND COMMUNITY-BASED HEALTH CARE AND RELATED SERVICES AMONG THE MEMBERS OF THE COMMUNITY HEALTH SYSTEMS, INC. (CHSI) INTEGRATED HEALTHCARE DELIVERY SYSTEM (IHDS). SERVICES INCLUDE HOSPICE, HOME HEALTH, AMBULATORY TRANSPORTATION AND CASE MANAGEMENT. CHSI IS 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 IHDS PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITIES IT SERVES AND CONTINUES TO ASSESS AND DEVELOP PROGRAMS TO BENEFIT THE COMMUNITY. 3 3 768 0 3506556 4999637 64839717 85814082 20226 24424 0 68366499 90838143 8913700 0 0 32129476 37609612 0 0 31441315 53001660 72484491 90611272 -4117992 226871 17721380 18657399 7635591 8344739 10085789 10312660 X THE ORGANIZATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF IRC SECTION 501(C)(3), INCLUDING, WITHOUT LIMITATION, THE PROVISION OF HOME CARE AND COMMUNITY-BASED HEALTH CARE AND RELATED SERVICES AMONG THE MEMBERS OF THE COMMUNITY HEALTH SYSTEMS, INC. (CHSI) INTEGRATED HEALTHCARE DELIVERY SYSTEM (IHDS). SERVICES INCLUDE HOSPICE, HOME HEALTH, AMBULATORY TRANSPORTATION AND CASE MANAGEMENT. CHSI IS 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 IHDS PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITIES IT SERVES AND CONTINUES TO ASSESS AND DEVELOP PROGRAMS TO BENEFIT THE COMMUNITY. false false 90611272 85814082 TO PROVIDE HOME CARE AND RELATED SERVICES TO MEMBERS OF THE COMMUNITY HEALTH SYSTEMS, INC. (CHSI) INTEGRATED HEALTHCARE DELIVERY SYSTEM (IHDS). SERVICES INCLUDE HOSPICE, HOME HEALTH, AMBULATORY TRANSPORTATION AND CASE MANAGEMENT. CHSI IS 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 IHDS PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITIES IT SERVES AND CONTINUES TO ASSESS AND DEVELOP PROGRAMS TO BENEFIT THE COMMUNITY. 90611272 true true false false false false false false false false true false false false true false true true 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 false false false true 134 0 true 768 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 HOME COMMUNITY SERVICES INC 4786212100 PO BOX 1803 MACON GA 31202 KIMBERLY SHEFFIELD PRESIDENT 4.00 40.00 X 0 284324 36973 MICHELLE MOORE-ANDREWS SENIOR VP 40.00 X 248557 0 36251 TERESA MOODY SECRETARY 4.00 40.00 X 0 233661 35637 TRACIE CLARK VICE PRESIDE 40.00 X 210767 0 24428 SARAH THOMPSON VICE PRESIDE 40.00 X 179976 0 31923 KIMBERLY FOSKEY DIRECTOR HOS 40.00 X 120103 0 13999 LESLIE NELSON RN 40.00 X 116225 0 17398 KELLY POTTS SEN. DIRECTO 40.00 X 115327 0 13429 TARA ORMSBY RN 40.00 X 110537 0 16300 KIMBERLY O'CONNOR ADMINISTRATO 40.00 X 111828 0 8555 PAUL A CABLE DIRECTOR 1.00 4.00 X 0 24000 0 KATHRYN DENNIS DIRECTOR 1.00 4.00 X 0 24000 0 JOSEPH A WALL CHAIRMAN 1.00 4.00 X 0 24000 0 1213320 589985 234893 27 false true false AVALON HEALTH AND REHABILITATION 120 SPRING STREET NEWNAN GA 302632824 HEALTHCARE 1066112 OAKVIEW HEALTH AND REHABILITATION 960 HIGHLAND AVENUE SUMMERVILLE GA 30747 HEALTHCARE 774053 BROWN HEALTH AND REHABILITATION 545 COOK STREET ROYSTON GA 30662 HEALTHCARE 632858 GORDON HEALTH AND REHAB 1280 MAULDIN ROAD NW CALHOUN GA 307018615 HEALTHCARE 554167 STEVENS PARK HEALTH REHAB 820 STEVENS CREEK RD AUGUSTA GA 30907 HEALTHCARE 384983 17 X 4894717 104920 4999637 NET SERVICE REVENUES 85707050 85707050 OTHER REVENUES 107032 107032 85814082 24424 24424 90838143 85814082 24424 880420 880420 30811818 30811818 654390 654390 2928906 2928906 2334078 2334078 2761211 2761211 217578 217578 72167 72167 1438301 1438301 114113 114113 418360 418360 1426561 1426561 CONTRACTED SERVICES 26011644 26011644 CREDIT LOSS EXPENSE 12654472 12654472 TRAVEL 2370869 2370869 PLANT SUPPLIES / REPAIRS 2319975 2319975 3196409 3196409 90611272 90611272 0 0 13615836 14900080 547102 230475 13669487 10183293 3419749 3486194 138693 40650 17721380 18657399 5373062 6856228 2137992 1443174 124537 45337 7635591 8344739 X 10085789 10312660 10085789 10312660 17721380 18657399 226871 X false true X true false X 3236009 4011667 3506556 4999637 15753869 45910567 62603705 64098822 64839717 85814082 323266893 49146576 66615372 64098822 68346273 90813719 339020762 339020762 2627 3774 2046 20226 24424 53097 2627 3774 2046 20226 24424 53097 49149203 66619146 64100868 68366499 90838143 339073859 0.99980 0.99990 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 655588 655588 2504325 839022 1665303 10509574 9344271 1165303 3486194 UNEARNED INCOME 40080 OPERATING LEASE OBLIGATION 5257 45337 85943426 85943426 4894717 4894717 90838143 90611272 90611272 90611272 SCHEDULE D, PAGE 4, PART XI, LINE 4B CONTRIBUTIONS FROM IHDS 4,894,717 X X X X X false false false false false false false false false KIMBERLY SHEFFIELD PRESIDENT 284324 11200 25773 321297 MICHELLE MOORE-ANDREWS SENIOR VP 248557 10256 25995 284808 TERESA MOODY SECRETARY 233661 9906 25731 269298 TRACIE CLARK VICE PRESIDENT 210767 6131 18297 235195 SARAH THOMPSON VICE PRESIDENT 179976 7754 24169 211899 A CENTRAL GEORGIA JOINT DEV AUTH BANK OF OKLAHOMA (TRUSTEE) 611416768 2012-07-01 8000000 ACQUISITION OF RE false false false A false false true true A false false false false false false false A false false false false false false false false true A false PURPOSE OF ISSUE DESCRIPTION CENTRAL GEORGIA JOINT DEV AUTH ACQUISITION OF RE FORM 990 - ORGANIZATION'S MISSION THE ORGANIZATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF IRC SECTION 501(C)(3), INCLUDING, WITHOUT LIMITATION, THE PROVISION OF HOME CARE AND COMMUNITY-BASED HEALTH CARE AND RELATED SERVICES AMONG THE MEMBERS OF THE COMMUNITY HEALTH SYSTEMS, INC. (CHSI) INTEGRATED HEALTHCARE DELIVERY SYSTEM (IHDS). SERVICES INCLUDE HOSPICE, HOME HEALTH, AMBULATORY TRANSPORTATION AND CASE MANAGEMENT. CHSI IS 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 IHDS PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITIES IT SERVES AND CONTINUES TO ASSESS AND DEVELOP PROGRAMS TO BENEFIT THE COMMUNITY. 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 HOME & COMMUNITY SERVICE, 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. 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. 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. FORM 990, PART VIII PART VIII, LINE 1E GOVERNMENT GRANTS/CONTRIBUTIONS THE CARES ACT ESTABLISHED THE EMPLOYEE RETENTION CREDIT (AMENDED BY THE TAXPAYER CERTAINTY AND DISASTER TAX RELIEF ACT OF 2020, ENACTED DECEMBER 27, 2020), WHICH PROVIDES A REFUNDABLE PAYROLL TAX CREDIT TO ENTITIES THAT WERE SUBJECT TO FULL OR PARTIAL COVID-19 SHUTDOWNS OR WHOSE GROSS RECEIPTS DECLINED BY A SPECIFIED PERCENTAGE WHEN COMPARED TO THE SAME QUARTER IN THE PRIOR YEAR. THE ERC, WHICH COVERS A CAPPED AMOUNT OF WAGES AND HEALTH CARE BENEFIT EXPENSES PER EMPLOYEE, MAY NOT BE CLAIMED FOR WAGES PAID WITH THE PROCEEDS OF A PPP LOAN THAT HAVE BEEN FORGIVEN. THE ORGANIZATION DID NOT RECEIVE ANY PPP FUNDING. THE ORGANIZATION HAS SUBMITTED PAYROLL TAX FILINGS FOR CERTAIN ELIGIBLE QUARTERS AS OF JUNE 30, 2025. THE ORGANIZATION'S POLICY IS TO ACCOUNT FOR ANY TAX CREDITS RECEIVED THROUGH THE ERC PROGRAM IN ACCORDANCE WITH ASC 958-605 AS A CONDITIONAL CONTRIBUTION. UNDER ASC 958-605, CONDITIONAL CONTRIBUTION ACCOUNTING HAS CERTAIN BARRIERS WHICH MUST BE OVERCOME BEFORE THE CONDITIONAL CONTRIBUTION IS RECOGNIZED AS REVENUE. ALTHOUGH THE ORGANIZATION HAS MADE CERTAIN AMENDED PAYROLL TAX FILINGS, THE ORGANIZATION HAS TAKEN THE POSITION THAT THE FINAL BARRIER TO REVENUE RECOGNITION OF THE CONDITIONAL CONTRIBUTIONS IS THE ACTUAL RECEIPT OF THE TAX CREDITS IN CASH. THE ORGANIZATION RECEIVED 104,920 FROM THE ERC PROGRAM DURING THE YEAR ENDED JUNE 30, 2025. 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GA CHSI C CORP false false false true false false false false false false false true false true false false false false false false COMMUNITY ANCILLARY SERVICES INC M 330428 FMV COMMUNITY HEALH SYSTEMS INC C 4894717 NBV COMMUNITY HEALTH VENTURES INC M 124668 FMV COMMUNITY HEATH SYSTEMS INC M 2761211 FMV HEALTH SYSTEMS FACILITIES INC K 1774373 FMV HEATLH SCHOLARSHIPS INC K 20389325 FMV PIEDMONT REGIONAL HEALTH INC K 1299794 FMV SCHEDULE R SCHEDULE R, PART II: EACH OF THE TAX-EXEMPT ORGANIZATIONS LISTED IN SCHEDULE R, PART II ARE MEMBERS OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM.