Form 990 for tax year 2022
Filed by COMMUNITY ANCILLARY SERVICES INC.
Totals
- Total revenue
- $52,274,147
- Total expenses
- $45,822,382
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $51,411,880
- Investment income
- $13,677
- Other revenue
- $848,590
- Total assets, end of year
- $14,558,962
- Total liabilities, end of year
- $4,206,986
- Net assets or fund balances, end of year
- $10,351,976
- Program services expenses (Part IX)
- $45,822,382
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $45,822,382
Program services were 100.0% 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: GOVERNMENTAL PROGRAMS REV
total $31,722,063 · related or exempt $31,722,063
-
2b · Program service revenue: PROGRAM SERVICES
total $19,689,817 · related or exempt $19,689,817
-
3 · Investment income
total $13,677 · excluded $13,677
-
11a · Other revenue: OTHER
total $579,195 · related or exempt $579,195
-
11b · Other revenue: MANAGEMENT FEE
total $269,395 · related or exempt $269,395
-
11e · Other revenue, total
$848,590
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $1,085,727 · program services $1,085,727
-
7 · Other salaries and wages
total $6,716,834 · program services $6,716,834
-
8 · Pension plan contributions
total $223,357 · program services $223,357
-
9 · Other employee benefits
total $437,938 · program services $437,938
-
10 · Payroll taxes
total $595,466 · program services $595,466
-
11b · Fees: legal
total $37,647 · program services $37,647
-
16 · Occupancy
total $1,179,206 · program services $1,179,206
-
20 · Interest
total $4,304 · program services $4,304
-
22 · Depreciation, depletion and amortization
total $428,898 · program services $428,898
-
23 · Insurance
total $211,661 · program services $211,661
-
24a · Other expenses: MEDICAL SUPPLY EXPENSE
total $33,012,382 · program services $33,012,382
-
24b · Other expenses: SUPPORT ORGANIZATION FEES
total $3,304,884 · program services $3,304,884
-
24c · Other expenses: OTHER ADMINISTRATIVE
total $389,327 · program services $389,327
-
24d · Other expenses: TAXES
total $271,155 · program services $271,155
-
24e · All other expenses
total -$2,076,404 · program services -$2,076,404
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,370,826 · end of year $698,650
-
4 · Accounts receivable
beginning of year $4,788,103 · end of year $5,477,178
-
8 · Inventories for sale or use
beginning of year $3,208,731 · end of year $3,187,942
-
9 · Prepaid expenses and deferred charges
beginning of year $306,557 · end of year $302,073
-
10a · Land, buildings and equipment: cost or other basis
$8,568,817
-
10b · Land, buildings and equipment: accumulated depreciation
$4,992,771
-
10c · Land, buildings and equipment, net
beginning of year $3,954,878 · end of year $3,576,046
-
11 · Investments: publicly traded securities
beginning of year $2,021
-
15 · Other assets
beginning of year $5,649 · end of year $1,317,073
-
17 · Accounts payable and accrued expenses
beginning of year $3,464,903 · end of year $2,871,167
-
25 · Other liabilities
beginning of year $16,838 · end of year $1,335,819
-
27 · Net assets without donor restrictions
beginning of year $10,155,024 · end of year $10,351,976
Mission and programs · 2022
Mission
THE PROVISION OF PHARMACEUTICAL, MEDICAL EQUIPMENT, HEALTHCARE SUPPLIES, HOME CARE AND RELATED SERVICES, HOSPICE SERVICES, AND HOME HEALTH SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM.
Activities or mission (Part I)
THE PROVISION OF PHARMACEUTICAL, MEDICAL SUPPLIES AND EQUIPMENT, HOME HEALTH AND RELATED SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM.
-
PROVIDED A FULL SERVICE PHARMACY THROUGH A REGIONAL NETWORK OF PERSONAL CARE AND NURSING FACILITIES TO PATIENTS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED MEDICAL, HEALTH CARE AND RELATED SUPPLIES TO PERSONAL CARE AND NURSING FACILITIES FOR MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED MEDICAL EQUIPMENT, GOODS, LINENS, UNIFORMS AND COMMODITIES TO PERSONAL CARE AND NURSING FACILITIES FOR MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED HOME-HEALTH CARE FOR MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. PROVIDED HOSPICE SERVICES AND HOME HEALTH SERVICES FOR 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(A)(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.
Expenses $45,822,382
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Lorraine T TaylorLORRAINE T TAYLOR
SECRETARY
- Total calculated
- $771,185
- From this org
- $0
- From related orgs
- $746,048
- Other
- $25,137
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $731,274 related
- Bonus
- not reported
- Other
- not reported + $14,774 related
- Deferred
- not reported
- Nontaxable benefits
- not reported + $25,137 related
- Filer's total
- not reported + $771,185 related
-
James R Lee JrJAMES R LEE JR
VICE PRESIDE
- Total calculated
- $344,629
- From this org
- $0
- From related orgs
- $325,753
- Other
- $18,876
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $311,896 related
- Bonus
- not reported
- Other
- not reported + $13,857 related
- Deferred
- not reported
- Nontaxable benefits
- not reported + $18,876 related
- Filer's total
- not reported + $344,629 related
-
Angela HammackANGELA HAMMACK
CORPORATE SE
- Total calculated
- $309,351
- From this org
- $0
- From related orgs
- $290,941
- Other
- $18,410
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $279,741 related
- Bonus
- not reported
- Other
- not reported + $11,200 related
- Deferred
- not reported
- Nontaxable benefits
- not reported + $18,410 related
- Filer's total
- not reported + $309,351 related
-
Michelle Moore-AndrewsMICHELLE MOORE-ANDREWS
PRESIDENT
- Total calculated
- $283,806
- From this org
- $0
- From related orgs
- $262,524
- Other
- $21,282
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $249,208 related
- Bonus
- not reported
- Other
- not reported + $13,316 related
- Deferred
- not reported
- Nontaxable benefits
- not reported + $21,282 related
- Filer's total
- not reported + $283,806 related
-
Calvin D FranklinCALVIN D FRANKLIN
VICE PRESIDE
- Total calculated
- $264,708
- From this org
- $249,244
- From related orgs
- $0
- Other
- $15,464
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $243,223
- Bonus
- not reported
- Other
- $6,021
- Deferred
- not reported
- Nontaxable benefits
- $15,464
- Filer's total
- $264,708
-
Kimberly SheffieldKIMBERLY SHEFFIELD
PRESIDENT
- Total calculated
- $245,747
- From this org
- $0
- From related orgs
- $225,616
- Other
- $20,131
- Hours/week
- 4 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $214,172 related
- Bonus
- not reported
- Other
- not reported + $11,444 related
- Deferred
- not reported
- Nontaxable benefits
- not reported + $20,131 related
- Filer's total
- not reported + $245,747 related
-
Teresa MoodyTERESA MOODY
SECRETARY
- Total calculated
- $238,912
- From this org
- $0
- From related orgs
- $218,891
- Other
- $20,021
- Hours/week
- 4 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $206,516 related
- Bonus
- not reported
- Other
- not reported + $12,375 related
- Deferred
- not reported
- Nontaxable benefits
- not reported + $20,021 related
- Filer's total
- not reported + $238,912 related
-
Amanda RobersonAMANDA ROBERSON
VP OPERATION
- Total calculated
- $229,916
- From this org
- $209,369
- From related orgs
- $0
- Other
- $20,547
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $198,409
- Bonus
- not reported
- Other
- $10,960
- Deferred
- not reported
- Nontaxable benefits
- $20,547
- Filer's total
- $229,916
-
Andy HillANDY HILL
VP PROJECT M
- Total calculated
- $213,982
- From this org
- $202,052
- From related orgs
- $0
- Other
- $11,930
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $194,180
- Bonus
- not reported
- Other
- $7,872
- Deferred
- not reported
- Nontaxable benefits
- $11,930
- Filer's total
- $213,982
-
Tracie P ClarkTRACIE P CLARK
VICE PRESIDE
- Total calculated
- $209,753
- From this org
- $0
- From related orgs
- $197,938
- Other
- $11,815
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- not reported + $186,262 related
- Bonus
- not reported
- Other
- not reported + $11,676 related
- Deferred
- not reported
- Nontaxable benefits
- not reported + $11,815 related
- Filer's total
- not reported + $209,753 related
-
Melissa PriceMELISSA PRICE
VP COMPLIANC
- Total calculated
- $205,324
- From this org
- $187,601
- From related orgs
- $0
- Other
- $17,723
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $176,193
- Bonus
- not reported
- Other
- $11,408
- Deferred
- not reported
- Nontaxable benefits
- $17,723
- Filer's total
- $205,324
-
Stephanie KirklandSTEPHANIE KIRKLAND
SENIOR DIR P
- Total calculated
- $201,339
- From this org
- $181,148
- From related orgs
- $0
- Other
- $20,191
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $174,010
- Bonus
- not reported
- Other
- $7,138
- Deferred
- not reported
- Nontaxable benefits
- $20,191
- Filer's total
- $201,339
-
Sarah ThompsonSARAH THOMPSON
VICE PRESIDE
- Total calculated
- $180,834
- From this org
- $0
- From related orgs
- $163,584
- Other
- $17,250
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $155,105 related
- Bonus
- not reported
- Other
- not reported + $8,479 related
- Deferred
- not reported
- Nontaxable benefits
- not reported + $17,250 related
- Filer's total
- not reported + $180,834 related
-
Loray ChildsLORAY CHILDS
VICE PRESIDE
- Total calculated
- $170,142
- From this org
- $153,064
- From related orgs
- $0
- Other
- $17,078
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $142,767
- Bonus
- not reported
- Other
- $10,297
- Deferred
- not reported
- Nontaxable benefits
- $17,078
- Filer's total
- $170,142
-
Leslie MayLESLIE MAY
SR. DIR. OF
- Total calculated
- $167,607
- From this org
- $148,819
- From related orgs
- $0
- Other
- $18,788
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $142,497
- Bonus
- not reported
- Other
- $6,322
- Deferred
- not reported
- Nontaxable benefits
- $18,788
- Filer's total
- $167,607
-
Ginger LancasterGINGER LANCASTER
DIR OF PHARM
- Total calculated
- $162,787
- From this org
- $143,681
- From related orgs
- $0
- Other
- $19,106
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $137,913
- Bonus
- not reported
- Other
- $5,768
- Deferred
- not reported
- Nontaxable benefits
- $19,106
- Filer's total
- $162,787
-
Timothy JewettTIMOTHY JEWETT
SR DIR PHARM
- Total calculated
- $149,238
- From this org
- $131,056
- From related orgs
- $0
- Other
- $18,182
- Hours/week
- 40
-
Daniel WellsDANIEL WELLS
PHARMACIST
- Total calculated
- $146,859
- From this org
- $131,712
- From related orgs
- $0
- Other
- $15,147
- Hours/week
- 40
-
Paul A CablePAUL A CABLE
DIRECTOR
- Total calculated
- $24,000
- From this org
- $0
- From related orgs
- $24,000
- Other
- $0
- Hours/week
- 4 + 1 related
-
Kathryn DennisKATHRYN DENNIS
DIRECTOR
- Total calculated
- $24,000
- From this org
- $0
- From related orgs
- $24,000
- Other
- $0
- Hours/week
- 4 + 1 related
-
Joseph A WallJOSEPH A WALL
CHAIRMAN
- Total calculated
- $24,000
- From this org
- $0
- From related orgs
- $24,000
- Other
- $0
- Hours/week
- 4 + 1 related
-
Herbert M Ponder JrHERBERT M PONDER JR
DIRECTOR
- Total calculated
- $12,000
- From this org
- $0
- From related orgs
- $12,000
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- not reported + $12,000 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported + $12,000 related
-
Lucy RogersLUCY ROGERS
DIRECTOR
- Total calculated
- $12,000
- From this org
- $0
- From related orgs
- $12,000
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- not reported + $12,000 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported + $12,000 related
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
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Form 990 of other organizations
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 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
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.
-
501C · CLINICAL & · GA
Directly controlled by CHSI
-
COMMUNITY HEALTH FOUNDATION INC
501C · FINANCIAL · GA
Directly controlled by CHSI
-
501C · SUPPORT SE · GA
Directly controlled by NA
-
COMMUNITY REHABILITATION SERVICES
501C · REHABILITA · GA
Directly controlled by CHSI
-
501C · OPERATION · GA
Directly controlled by CHSI
-
501C · OPERATION · GA
Directly controlled by CHSI
-
HEALTH SYSTEMS REAL ESTATE INC
501C · RE · GA
Directly controlled by CHSI
-
501C · TRANS · GA
Directly controlled by CHSI
-
501C · OPERATION · GA
Directly controlled by CHSI
-
501C · HOSPICE · GA
Directly controlled by CHSI
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.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
COMMUNITY HEALTH VENTURES INC
C CORP · RISK MGMT · GA
Directly controlled by CHSI
-
GEORGIA PHARMACY SERVICES INC
PHARMACY · GA
-
HEALTH DISTRIBUTION SERVICES INC
SUPPLY DIS · GA
-
COMMUNITY CARE PHAR - HAWKINSVILLE
PHARMACY · GA
-
COMMUNITY CARE PHARMACY-ROYSTON
PHARMACY · GA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 10 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202411349349303981
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