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Nonprofiteer
← COLQUITT REGIONAL HEALTH INC

Form 990 for tax year 2022

Filed by COLQUITT REGIONAL HEALTH INC.

Totals

Total revenue
$3,426,606
Total expenses
$3,292,889
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$3,003,398
Investment income
$0
Other revenue
$423,208
Total assets, end of year
$836,152
Total liabilities, end of year
$438,855
Net assets or fund balances, end of year
$397,297
Program services expenses (Part IX)
$2,611,245
Management and general expenses
$681,644
Fundraising expenses
$0
Program service expenses (Part III)
$2,611,245

Program services were 79.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PROGRAM SERVICE REVENUE

    total $3,003,398 · related or exempt $3,003,398

  • 6a · Gross rents

    real property $423,208

  • 6c · Rental income or loss

    real property $423,208

  • 6d · Net rental income or loss

    total $423,208 · excluded $423,208

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $2,108,748 · program services $1,586,861 · management and general $521,887

  • 8 · Pension plan contributions

    total $115,799 · program services $89,489 · management and general $26,310

  • 9 · Other employee benefits

    total $333,599 · program services $257,805 · management and general $75,794

  • 10 · Payroll taxes

    total $187,134 · program services $144,617 · management and general $42,517

  • 11g · Fees: other

    total $82,553 · program services $82,553

  • 13 · Office expenses

    total $61,406 · program services $61,406

  • 16 · Occupancy

    total $140,940 · program services $129,129 · management and general $11,811

  • 17 · Travel

    total $152,403 · program services $152,403

  • 22 · Depreciation, depletion and amortization

    total $30,806 · program services $28,224 · management and general $2,582

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $51,377 · program services $51,377

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $9,715 · program services $9,715

  • 24c · Other expenses: DUES & SUBSCRIPTIONS

    total $9,113 · program services $8,370 · management and general $743

  • 24d · Other expenses: MISCELLANEOUS

    total $8,265 · program services $8,265

  • 24e · All other expenses

    total $1,031 · program services $1,031

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $112,667 · end of year $142,263

  • 4 · Accounts receivable

    beginning of year $452,220 · end of year $516,067

  • 9 · Prepaid expenses and deferred charges

    beginning of year $23,066 · end of year $23,066

  • 10a · Land, buildings and equipment: cost or other basis

    $1,593,949

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,439,193

  • 10c · Land, buildings and equipment, net

    beginning of year $171,259 · end of year $154,756

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,420 · end of year $3,091

  • 25 · Other liabilities

    beginning of year $493,212 · end of year $435,764

  • 27 · Net assets without donor restrictions

    beginning of year $263,580 · end of year $397,297

Mission and programs · 2022

Mission

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.

  • 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.

    Expenses $2,611,245 · Revenue $3,003,398

As filed on the 2022 return.

Listed in Part VII

  • James L Matney

    CEO/PRESIDEN

    Total calculated
    $2,071,782
    From this org
    $0
    From related orgs
    $1,829,084
    Other
    $242,698
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $1,002,926 related
    Bonus
    not reported + $341,636 related
    Other
    not reported + $484,522 related
    Deferred
    not reported + $241,798 related
    Nontaxable benefits
    not reported + $900 related
    Filer's total
    not reported + $2,071,782 related
  • Shamb Purohit

    FORMER CFO

    Total calculated
    $713,392
    From this org
    $0
    From related orgs
    $604,807
    Other
    $108,585

    Schedule J breakdown matched by us

    Base
    not reported + $502,909 related
    Bonus
    not reported + $72,535 related
    Other
    not reported + $29,363 related
    Deferred
    not reported + $107,685 related
    Nontaxable benefits
    not reported + $900 related
    Filer's total
    not reported + $713,392 related
  • Greg Johnson

    VP

    Total calculated
    $435,837
    From this org
    $0
    From related orgs
    $367,635
    Other
    $68,202
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    not reported + $290,732 related
    Bonus
    not reported + $43,616 related
    Other
    not reported + $33,287 related
    Deferred
    not reported + $67,302 related
    Nontaxable benefits
    not reported + $900 related
    Filer's total
    not reported + $435,837 related
  • Julie Bhavnani

    CFO

    Total calculated
    $367,497
    From this org
    $0
    From related orgs
    $313,021
    Other
    $54,476
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    not reported + $250,856 related
    Bonus
    not reported + $34,049 related
    Other
    not reported + $28,116 related
    Deferred
    not reported + $53,576 related
    Nontaxable benefits
    not reported + $900 related
    Filer's total
    not reported + $367,497 related
  • Shana Wertz

    ASST VP

    Total calculated
    $174,886
    From this org
    $0
    From related orgs
    $160,652
    Other
    $14,234
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    not reported + $142,019 related
    Bonus
    not reported + $18,377 related
    Other
    not reported + $256 related
    Deferred
    not reported + $13,334 related
    Nontaxable benefits
    not reported + $900 related
    Filer's total
    not reported + $174,886 related
  • Tina Jenkins

    PHYSICAL THE

    Total calculated
    $160,093
    From this org
    $0
    From related orgs
    $129,641
    Other
    $30,452

    Schedule J breakdown matched by us

    Base
    not reported + $125,126 related
    Bonus
    not reported + $4,007 related
    Other
    not reported + $508 related
    Deferred
    not reported + $13,017 related
    Nontaxable benefits
    not reported + $17,435 related
    Filer's total
    not reported + $160,093 related
  • Richard Bass

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • B Durwood Dominy

    SECRETARY/TR

    Total calculated
    $0
    Hours/week
    1
  • Kirk Friedlander

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • D W Adcock MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Elaine Barber MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Brooks Sheldon

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1
  • Maureen Yearta

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • COLQUITT REGIONAL MEDICAL INC

    PHYS OFC · GA

Provenance

Return type
form_990
Tax year
2022
Filed
30 July 2024
IRS schema version
2022v5.0
Source object
202412139349300031

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