2025-08-14T14:27:39-05:00 2024-09-30 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2023-10-01 630047680 COMMUNITY HOSPITAL INC COMM 3342836541 805 FRIENDSHIP ROAD TALLASSEE AL 36078 LEE GREER CFO 3342836541 2025-08-14 1 1 MEGAN RANDOLPH P00989558 2059794100 2025-08-14 2023 2025-03-06 01:10:19Z JENNIE RHINEHART 805 FRIENDSHIP ROAD TALLASSEE AL 36078 19753233 0 X WWW.CHAL.ORG X 1926 AL GENERAL ACUTE CARE HOSPITAL SPECIALIZING IN INPATIENT, OUTPATIENT, HOME HEALTH, HOSPICE AND GERIATRIC PSYCHIATRIC SERVICES PRIMARILY TO THE CITIZENS OF ELMORE, TALLAPOOSA AND MACON COUNTIES. 10 10 292 17 0 0 620768 242429 16175215 17851109 392477 665315 194024 667115 17382484 19425968 0 0 0 0 11877614 12325734 0 0 0 8397029 9466052 20274643 21791786 -2892159 -2365818 5199697 4568283 9191350 10541471 -3991653 -5973188 X EXPAND ITS AREA OF RESPONSIBILITY TO THE PROVISION OF HEALTH CARE OTHER THAN ACUTE CARE - SUCH AS AMBULATORY, IN-HOME, AND LONG TERM CARE. COMMUNITY HOSPITAL REALIZES, THAT IN ORDER TO FULFILL ITS COMMITMENT TO THE COMPREHENSIVE HEALTH CARE NEEDS OF THE LOCAL SERVICE POPULATION, IT NEEDS TO DEVELOP ADMINISTRATIVE AND FINANCIAL STRATEGIES THAT WILL FIT WITH THE CHANGING HEALTH CARE ENVIRONMENT INCORPORATING THE PHILOSPHY OF CONTINUOUS QUALITY IMPROVEMENT. 0 0 2907629 0 2434060 ACUTE INPATIENT SERVICES 15827748 0 13249865 OUTPATIENT SERVICES 1023010 0 856391 INPATIENT GERIATRIC PSYCHIATRIC SERVICES 2033399 0 1702217 COMMUNITY SERVICE PROGRAMS INCLUDING WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, HEALTH FAIRS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. 2033399 0 1702217 21791786 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 12 0 1 292 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X LEE S GREER 3342833754 805 FRIENDSHIP ROAD TALLASSEE AL 36078 STEVE SCHMITT CHAIRMAN 1.00 0.50 X X 0 0 0 DON HEACOCK VICE-CHAIRMAN 0.50 0.50 X X 0 0 0 BRAD DAVIS SECRETARY 0.50 0.00 X X 0 0 0 MELANIE GOODMAN DIRECTOR 0.50 0.00 X 0 0 0 ROBERT DAVIS DIRECTOR 0.50 0.00 X 0 0 0 SHANIKKA BEACHER DIRECTOR 0.50 0.00 X 0 0 0 HOLLIS MANN DIRECTOR 0.50 0.50 X 0 0 0 TOM CRAIN DIRECTOR 0.50 0.00 X 0 0 0 DON BRYANT DIRECTOR 0.50 0.50 X 0 0 0 THOMAS D BIANCHI MD DIRECTOR 0.50 0.00 X 0 0 0 JENNIE RHINEHART CEO 50.00 0.50 X 184093 0 0 LEE GREER CFO 50.00 0.50 X 167957 0 4165 VASANT TEMULL MD PHYSICIAN 40.00 0.00 X 402818 0 19447 MICHAEL COURTNEY MD PHYSICIAN 40.00 0.00 X 228955 0 0 VAN MILLIN MD PHYSICIAN 40.00 0.00 X 258837 0 0 ROBERT QUARCOO MD PHYSICIAN 40.00 0.00 X 209730 0 6294 JAMIE DINGLER NURSE ADMINISTRATOR 80.00 0.00 X 181880 0 10758 1634270 0 40664 16 0 1 0 JOSE LOPEZ MD 122 NEEDLES POINT CATAULA GA 31804 ER SERVICES 399260 KRISHNAVENI MANDU MD 1900 NORTH ASHE COURT AUBURN AL 36830 ER SERVICES 371100 2 242429 242429 NET PATIENT SERVICE REVENUE 622110 18000478 18000478 C&P HOME HEALTH 900099 -11070 -11070 C&P HOSPICE 900099 -138299 -138299 17851109 842 842 275691 0 275691 275691 275691 991738 327265 664473 664473 664473 QUALITY BONUSES 900099 319247 319247 CAFETERIA INCOME 900099 60393 60393 MEDICAL RECORDS 900099 8595 8595 3189 3189 391424 19425968 18242533 0 941006 X 385960 385960 9275247 9275247 644347 644347 2020180 2020180 66040 66040 5078101 5078101 37494 37494 804453 804453 15402 15402 58340 58340 352587 352587 488819 488819 SUPPLIES 1635121 1635121 MISCELLANEOUS EXPENSE 708301 708301 EQUIPMENT RENTAL AND MA 221394 221394 21791786 21791786 0 0 148222 71935 7039 0 1492484 1692257 200444 167323 182237 175413 31298406 29367017 2866966 1931389 302305 529966 5199697 4568283 4908938 5940554 475100 544000 2962584 3212189 844728 844728 9191350 10541471 X -3991653 -5973188 -3991653 -5973188 5199697 4568283 X -2365818 234914 149369 X X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 143658 143658 10782975 9300047 1482928 20179702 19888989 290713 192071 177981 14090 1931389 INVESTMENT IN COASTAL INSURANCE 508039 F INVESTMENT IN C&P HOME HEALTH LLC 21927 F 529966 UNEARNED REVENUE - RURAL PROVIDER RELIEF FUND 844728 844728 1 1 1 X 1 X 1 1 0 0 60027 60027 0.00280 2682961 2780587 0 0.00000 2742988 2780587 60027 0.00280 25663 25663 0.00120 492719 492719 0.02260 518382 518382 0.02380 3261370 2780587 578409 0.02660 1 2033402 508351 5125127 8787004 -3661877 X 1 1 1 1 COMMUNITY HOSPITAL INC 805 FRIENDSHIP ROAD TALLASSEE AL 36078 H2602 X X X COMMUNITY HOSPITAL INC 1 0 0 1 X X X X X X X X 22 1 0 0 1 X WWW.CHAL.ORG X 1 22 1 WWW.CHAL.ORG 0 1 X 200.000000000000 200.000000000000 X X X X 1 1 X X X 1 X WWW.CHAL.ORG X WWW.CHAL.ORG X WWW.CHAL.ORG X X X X X 1 X 0 X X X 1 X 0 0 COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 5: NUMEROUS MEETINGS WITH LOCAL AND COUNTY GOVERNMENT OFFICIALS, SCHOOL SYSTEM REPRESENTATIVES, TEACHING AFFILIATES, ECONOMIC DEVELOPMENT OFFICIALS, BUSINESS LEADERS AND HEALTHCARE AUTHORITY OFFICIALS TO GAIN INSIGHT AND PRIORITIZE HEALTHCARE NEEDS. COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 11: MULTIPLE SOURCES OF HEALTHCARE DATA ARE ANALYZED TO IDENTIFY THE MOST PRESSING HEALTH NEEDS IN THE COMMUNITIES THAT WE SERVE. WORKING IN PARTNERSHIP WITH OTHER ENTITIES THROUGHOUT THE TRI-COUNTY REGION, AND THROUGH COMMUNITY BOARD REPRESENTATION, AN ACTION PLAN TO ADDRESS THESE NEEDS IS DEVELOPED AND APPROVED. THE ACTION PLAN IS ADOPTED AS PART OF OUR STRATEGIC PLAN AND THE STATUS OF EACH ACTION ITEM IS MONITORED. UNMET HEALTHCARE NEEDS ARE IDENTIFIED AS WELL AS THE OBSTACLES ASSOCIATED IN ATTEMPTING TO MEET THOSE NEEDS. COMMUNITY HOSPITAL, INC: PART V, SECTION B, LINE 22D: DISCOUNTS WILL BE APPLIED AS FOLLOWS:1. UNINSURED PATIENTSINPATIENTA. PATIENTS WITH ANNUAL HOUSEHOLD INCOME(S) GREATER THAN 200% OF THE DHHS POVERTY GUIDELINES WILL PAY THE EQUIVALENT OF THE FACILITIES LARGEST COMMERCIAL PAYOR PER DIEM PLUS 5%.B. PATIENTS WITH ANNUAL HOUSEHOLD INCOME(S) ABOVE THE DHHS POVERTY GUIDELINES BUT LESS THAN 200% OF THE DHHS POVERTY GUIDELINES WILL PAY THE EQUIVALENT OF THE MEDICAID PER DIEM PLUS 5%.C. PATIENTS WITH ANNUAL HOUSEHOLD INCOME(S) AT OR BELOW THE DHHS POVERTY GUIDELINES WILL HAVE ANY ACCOUNT BALANCE WRITTEN OFF AS INDIGENT CARE. OUTPATIENTA. PATIENTS WITH ANNUAL HOUSEHOLD INCOME(S) ABOVE THE DHHS POVERTY GUIDELINES BUT LESS THAN 200% OF THE DHHS POVERTY GUIDELINES, WILL HAVE THE ACCOUNT BALANCE DISCOUNTED BY 50%.B. PATIENTS WITH ANNUAL HOUSEHOLD INCOME(S) AT OR BELOW THE DHHS POVERTY GUIDELINES HAVE THE ACCOUNT BALANCE WRITTEN OFF AS CHARITY CARE.C. PATIENTS WITH ANNUAL HOUSEHOLD INCOME(S) GREATER THAT 200% OF THE DHHS POVERTY GUIDELINES WILL BE OFFERED A 35% DISCOUNT FOR PAYMENT IN FULL. IF THE PATIENT IS UNABLE TO PAY THE ACCOUNT IN FULL, PAYMENT TERMS WILL BE OFFERED.2. INSURED PATIENTSA. ALL DEDUCTIBLES AND CO-PAYMENTS ATTRIBUTABLE TO AN INSURED PATIENT'S ACCOUNT ARE DUE BY THE DATE OF DISCHARGE FOR INPATIENTS AND BY THE DATE OF SERVICE FOR OUTPATIENTS. THIS ALSO INCLUDES ESTIMATED COINSURANCE AMOUNTS FOR BOTH INPATIENT AND OUTPATIENT SERVICES. NO INDIVIDUAL DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER COMMUNITY HOSPITAL FINANCIAL ASSISTANCE POLICIES WILL BE CHARGED MORE FOR EMERGENCY OR MEDICALLY NECESSARY HOSPITAL CARE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO INDIVIDUALS WITH INSURANCE COVERING SUCH CARE. PART III, LINE 4: BAD DEBTS ARE ESTIMATED BASED ON HISTORICAL AMOUNTS DUE BUT UNPAID BY PATIENTS AS COMPARED TO CURRENT AMOUNTS DUE, AND THE AGING OF UNINSURED/UNDERINSURED AMOUNTS DUE FROM PATIENTS WHO HAVE THE ABILITY TO PAY BUT CHOOSE NOT TO. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FAP IS 25%. THIS ESTIMATE REPRESENTS THE PERCENTAGE OF PATIENTS WHO WOULD QUALIFY UNDER THE FAP BUT CHOOSE NOT TO APPLY FOR FINANCIAL ASSISTANCE. PART III, LINE 8: THE COSTS IN EXCESS OF TREATING MEDICARE BENEFICIARIES AMOUNTS TO $3,661,877 AND SHOULD BE INCLUDED AS A COMMUNITY BENEFIT SINCE THERE ARE NO OTHER PROVIDERS IN THE COMMUNITY. PART III, LINE 9B: IF PATIENTS ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, THEIR BALANCES DUE ARE WRITTEN OFF ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THEY ARE NOT TURNED OVER TO COLLECTIONS. PART VI, LINE 2: COMMUNITY HOSPITAL ROUTINELY SURVEYS ITS PHYSICIANS TO SEE IF THERE IS A SERVICE THAT IS NEEDED THAT IS NOT CURRENTLY PROVIDED BY THE HOSPITAL OR A SURROUNDING FACILITY. IF SUCH A SERVICE IS IDENTIFIED, A FINANCIAL ANALYSIS IS PREPARED TO DETERMINE IF IT WOULD BE A SERVICE THAT THE HOSPITAL COULD PROVIDE FINANCIALLY. PART VI, LINE 3: FINANCIAL ASSISTANCE POLICY SIGNS ARE LOCATED IN ALL REGISTRATION AREAS, E/R, ON WEBSITE AND IN CASHIER'S OFFICES. IN ADDITION, THERE IS A STATEMENT ON THE PATIENT BILLS THAT INDICATES THAT WE HAVE A FAP IN PLACE THAT THE PATIENT MAY QUALIFY FOR. PART VI, LINE 4: COMMUNITY HOSPITAL IS IN A RURAL AREA SITUATED 30 MILES FROM A METROPOLITAN CITY. PART VI, LINE 5: HEALTH FAIRS ARE PROVIDED TO LOCAL INDUSTRIES, SENIOR CENTERS, SCHOOLS AND THE GENERAL PUBLIC. PHYSICIANS AND STAFF PARTICIPATE IN WEEKLY RADIO PROGRAMS TO DISCUSS HEALTH TOPICS AND PERIODICALLY WRITE HEALTH COLUMNS FOR THE LOCAL NEWSPAPER AND MONTHLY MAGAZINE. X X X X 0 0 0 0 0 0 0 0 0 VASANT TEMULL MD PHYSICIAN 402818 0 0 0 0 0 0 0 20221 0 423039 0 0 0 VAN MILLIN MD PHYSICIAN 258837 0 0 0 0 0 0 0 774 0 259611 0 0 0 MICHAEL COURTNEY MD PHYSICIAN 228955 0 0 0 0 0 0 0 598 0 229553 0 0 0 ROBERT QUARCOO MD PHYSICIAN 209730 0 0 0 0 0 0 0 7068 0 216798 0 0 0 JAMIE DINGLER NURSE ADMINISTRATOR 181880 0 0 0 0 0 0 0 11282 0 193162 0 0 0 JENNIE RHINEHART CEO 184093 0 0 0 0 0 0 0 569 0 184662 0 0 0 LEE GREER CFO 167957 0 0 0 0 0 0 0 4863 0 172820 0 0 0 LEE GREER CFO X 475100 470000 0 1 1 JENNIE RHINEHART CEO X 89000 74000 0 1 1 544000 FORM 990, PART IV, LINE 11F: THE AUDIT OF THE FINANCIAL STATEMENTS OF THE CURRENT TAX YEAR HAVE NOT BEEN COMPLETED AS OF THE FILING DATE OF THE TAX RETURN. FORM 990, PART IV, LINE 20B: THE AUDIT OF THE FINANCIAL STATEMENTS OF THE CURRENT TAX YEAR HAVE NOT BEEN COMPLETED AS OF THE FILING DATE OF THE TAX RETURN. THE MOST RECENTLY ISSUED AUDITED FINANCIAL STATEMENTS HAVE BEEN ATTACHED TO THE RETURN. FORM 990, PART IV, LINE 12A: THE AUDIT OF THE FINANCIAL STATEMENTS OF THE CURRENT TAX YEAR HAVE NOT BEEN COMPLETED AS OF THE FILING DATE OF THE TAX RETURN. FORM 990, PART VI, SECTION B, LINE 11B THE CEO, CFO, AND BOARD MEMBERS REVIEW THE FORM 990 AFTER IT IS PREPARED AND REVIEWED BY THE ORGANIZATION'S TAX ADVISORS. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST ANNUALLY. THE GOVERNING BOARD REVIEWS ALL POTENTIAL CONFLICTS DISCLOSED IN THE CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 FOR THE COMPENSATION OF THE CEO, FAIR MARKET VALUE COMPENSATION FIGURES ARE COMPILED FROM ALL AVAILABLE SOURCES AND GIVEN TO THE EVALUATION COMMITTEE OF THE GOVERNING BOARD. THIS COMMITTEE REVIEWS ALL OF THE DATA AS WELL AS CEO EVALUATIONS COMPLETED BY ALL BOARD MEMBERS AND MAKES A RECOMMENDATION TO THE FULL BOARD. ALL OTHER OFFICER COMPENSATION IS DETERMINED BY THE CEO WHO REVIEWS FMV BY THE USE OF COMPARABLE DATA. FORM 990, PART VI, SECTION C, LINE 19 AS A GENERAL RULE, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ANY WRITTEN REQUEST BY THE PUBLIC WOULD BE REVIEWED AND ACTED UPON BY THE BOARD. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,353,789. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,353,789. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,724,312. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,724,312. FORM 990, PART XI, LINE 9: C & P HOME HEALTH LLC K-1 11,070. C & P HOSPICE LLC K-1 138,299. FORM 990, PART XII, LINE 2B: THE AUDIT OF THE FINANCIAL STATEMENTS OF THE CURRENT TAX YEAR HAVE NOT BEEN COMPLETED AS OF THE FILING DATE OF THE TAX RETURN. FORM 990, PART XII, LINE 2C: THE ORGANIZATION MADE NO CHANGES TO ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. FORM 990, PART XII, LINE 3A & 3B: THE AUDIT OF THE FINANCIAL STATEMENTS OF THE CURRENT TAX YEAR HAVE NOT BEEN COMPLETED AS OF THE FILING DATE OF THE TAX RETURN. COMMUNITY HOSPITAL FOUNDATION INC 805 FRIENDSHIP ROAD TALLASSEE AL 36078 581973184 FUNDRAISING ACTIVITIES AL 501(C)(3) LINE 12A, I COMMUNITY HOSPITAL INC 1 C&P HOSPICE LLC 1526 GILMER AVE TALLASSEE AL 36078 931550825 HOSPICE SERVICES AL N/A N/A -138299 -9489 0 1 0.75000 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMUNITY HOSPITAL FOUNDATION INC E 260750 FMV