Organizational & Financial Information | Coffee Regional Medical Center In support of providing transparency of relevant organizational and financial information, please see below for the required reporting materials: To learn more about the documents, click here For documentation records of previous years, visit our archive below: View Archived Documents Documents 2024 Federal Related Disclosures Audited Financial Statement Internal Revenue Service Form 990 – Coffee Regional Medical Center, Inc. Internal Revenue Service Form 990 – CRH Health Care, Inc. Internal Revenue Service Form 990 – CRH Health Services, Inc. 2024 Georgia Supplemental Disclosures Annual Hospital Questionnaire Community Benefit Report Disproportionate Share Hospital Survey Real Property Holdings of the Hospital Listing of any Ownership or Interest Bond Indebtedness, Outstanding Loans, and Bond Defaults Report of Ending Fund Balances Legal Chart of Corporate Structure Report of Top 10 Administrative Positions Evidence of Accreditation Hospital’s Policies Regarding Charity Care and Reduced Cost Services Documents Information For a description of each document, please click on the field below: 2024 Federal Financial Statement Audited Financial Statement Audited financial statements are the basic financial statements of an organization that have been examined by an independent certified public accountant (CPA). Audited financial statements include the basic financial statements of an organization along with an opinion from the auditor, indicating whether or not the financial statements present fairly the results of operations, financial position and cash flows of the issuing entity. Internal Revenue Service Form 990 Form 990 is an informational return that certain tax-exempt organizations must file with the Internal Revenue Service (IRS) on an annual basis. Form 990 is the primary tool of the IRS for gathering information about tax-exempt organizations. 2024 Organizational Related Disclosure Annual Hospital Questionnaire The Annual Hospital Questionnaire was developed to report basic facility and operating data, including the types and amount of services provided by a hospital for state health planning purposes. Disproportionate Share Hospital Survey Disproportionate Share Hospital (DSH) is a federal program that seeks to increase healthcare access for the medically indigent. Georgia’s DSH payments are distributed based upon each hospital’s uncompensated cost of services provided to Medicaid patients and the uninsured. The Department of Community Health collects the information necessary to determine these payments annually via this survey. Community Benefit Report A report of the cost of indigent and charity care provided annually pursuant to O.C.G.A 31-7-90.1. Real Property Holdings of the Hospital A listing and certain information related to all real properties (land and buildings) owned by the hospital. Listing of any Ownership or Interest A listing and certain information related to any ownership or interest the hospital has in any joint venture, partnership or subsidiary company. Bond Indebtedness, Outstanding Loans, and Bond Defaults A listing and certain information related to the outstanding debt of the organization. Report of Ending Fund Balances A report providing information related to the ending net assets of the organization, including the purpose of any donor or otherwise restricted net assets. Legal Chart of Corporate Structure A chart providing information related to the organization and its parent, subsidiaries and/or commonly controlled organizations. Report of Top 10 Administrative Positions – Salaries A report listing the ten highest-paid administrative positions, including the compensation and benefits for each position. Evidence of Accreditation Accreditation is the official review process administered by an approved national accreditation organization, demonstrating the hospital’s compliance with the conditions of participation from CMS and other established standards. Hospital’s Policies Regarding Charity Care and Reduced Cost Services A copy of the hospital’s financial assistance policy, which provides information to patients disclosing the hospital’s method for evaluating and discounting charges for services rendered when the patient meets certain financial criteria. We value your privacy We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. By clicking “Accept All”, you consent to the use of ALL the cookies. By clicking "Reject All", you consent to the use of only the Necessary cookies. Click "Customize" to customize and control your consent. Customize Reject All Accept All Consent Preferences Privacy Overview This website uses cookies to improve your experience while you navigate through the website. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. 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