2018-05-15T17:13:40-05:00 2017-06-30 560747981 DIXON HUGHES GOODMAN LLP PO BOX 1747 CHARLESTON WV 253261747 990 2016-07-01 581719994 COLUMBUS REGIONAL HEALTHCARE SYSTEM INC COLU 7066606103 707 CENTER STREET COLUMBUS GA 31901 ALLEN HOLLADAY INTERIM CFO 7066606303 2018-05-15 1 SUSAN S DULL P00233523 3043430168 2018-05-15 2016 2022-09-23 18:48:47Z M SCOTT HILL 707 CENTER STREET COLUMBUS GA 31901 38470703 0 X COLUMBUSREGIONAL.COM X 1986 GA TO PROMOTE THE HEALTH AND HEALING OF OUR PATIENTS AND DELIVERY OF CLINICAL CARE. 14 13 325 13 0 0 0 0 37956144 36612435 10446416 1805599 51385 52669 48453945 38470703 133537 177250 0 0 18654316 23179712 0 0 0 16860313 13792186 35648166 37149148 12805779 1321555 66795871 84494512 44153552 58016567 22642319 26477945 X COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. IS A NOT-FOR-PROFIT ORGANIZATION FORMED TO PLAN, DEVELOP AND COORDINATE THE ACTIVITIES OF AN INTEGRATED HEALTH NETWORK SERVING WEST GEORGIA AND EAST ALABAMA. ITS RESPONSIBILITIES INCLUDE STRATEGIC PLANNING, PROJECT DEVELOPMENT, RESOURCE ALLOCATION, PROPERTY MANAGEMENT, DEVELOPMENT OF PHYSICIAN PRACTICES AND COMMUNITY HEALTH EDUCATION. 0 0 25164647 177250 COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. IS A NOT-FOR-PROFIT ORGANIZATION PROVIDING HEALTH, MEDICAL AND WELLNESS EDUCATIONAL SERVICES TO WEST CENTRAL GEORGIA AND EAST CENTRAL ALABAMA. COLUMBUS REGIONAL HEALTHCARE SYSTEM WAS ESTABLISHED IN 1986 TO PLAN, DEVELOP AND COORDINATE THE ACTIVITIES OF AN INTEGRATED HEALTH NETWORK SERVING THIS AREA. ITS RESPONSIBILITIES INCLUDE STRATEGIC PLANNING, PROJECT DEVELOPMENT, RESOURCE ALLOCATION, PROPERTY MANAGEMENT, DEVELOPMENT OF PHYSICIAN PRACTICES, MARKETING AND COMMUNICATION AND COMMUNITY OUTREACH AND HEALTH EDUCATION. THE VISION OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. IS "TO BECOME NATIONALLY RECOGNIZED FOR OUR CLINICAL OUTCOMES AND OUR WORLD-FAMOUS SERVICE." THE MORE THAN 3,000 EMPLOYEES IN THE AFFILIATED GROUP (AS OF JUNE 30, 2014) WHO ARE DEDICATED TO BECOMING THE BEST THROUGH THE ACE-IT VALUES OF ATTITUDE, COMMITMENT AND ENTHUSIASM THROUGH INNOVATION AND TEAMWORK. THE ORGANIZATION'S VISION AND VALUES SUPPORT THE PATIENT EXPERIENCE, WHICH IS AT THE HEART OF COLUMBUS REGIONAL'S MISSION: "TO PROMOTE THE HEALTH AND HEALING OF OUR PATIENTS." 707666 THE SOURCE CASE MANAGEMENT PROGRAM FOR THE AGED AND DISABLED HELPS ITS CLIENTS REMAIN IN THEIR HOMES RATHER THAN IN NURSING HOMES. THE CASE MANAGER ENSURES THE CLIENT RECEIVES APPROPRIATE FOLLOW-UP CARE, ASSISTS WITH TRANSPORTATION AND HOUSING NEEDS, AND HELPS ENSURE CONTINUED ELIGIBILITY FOR PROGRAM BENEFITS. IN FISCAL YEAR 2015, SOURCE HAD 6,955 CLIENT ENCOUNTERS AT A COST APPROXIMATELY 75 PERCENT LOWER THAN THE AVERAGE COST OF A YEAR IN A NURSING HOME. 25872313 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 61 0 1 325 0 1 1 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X ALLEN HOLLADAYINTERIM CFO 7066606303 707 CENTER STREET COLUMBUS GA 31901 MAX BRABSON JR DIRECTOR 2.00 X 0 0 0 CECIL CHEVES DIRECTOR 2.00 X 0 0 0 TODD JARRELL MD DIRECTOR 2.00 X 0 0 0 JOEY LOUDERMILK DIRECTOR 2.00 X 0 0 0 LILIANA MCDANIEL DIRECTOR 2.00 X 0 0 0 WILIAM ROUNDTREE MD DIRECTOR 2.00 X 0 0 0 WARREN STEELE II CHAIRMAN 2.00 X X 0 0 0 M SCOTT HILL PRESIDENT & CEO 40.00 X X 1105105 0 182050 ALLEN HOLLADAY DIRECTOR, DECISION SUPPORT 40.00 X 233892 0 26077 WILL WHITE DIRECTOR 2.00 X 0 0 0 SHANE DARRAH MD DIRECTOR 2.00 X 0 0 0 JOHN DALE HESTER DIRECTOR 2.00 X 0 0 0 JACK PEZOLD DIRECTOR 2.00 X 0 0 0 ALLEN R BUTCHER SR. VP & CFO 40.00 X 647514 0 125190 WAYNE JOINER SR. VP-HUMAN RESOURCES 40.00 X 342983 0 93036 LUCUIS LAYFIELD III SR. VP & GENERAL COUNSEL, 40.00 X 194678 0 22439 DOUGLAS COLBURN VICE PRESIDENT (TMC) 10.00 40.00 X 0 410590 92098 LAURA DREW SR. VICE PRESIDENT 40.00 X 374785 0 37510 KAREN SMITH CORPORATE SECRETARY 2.00 40.00 X 73867 0 15673 OLIVER BANTA VP, CHIEF INFO OFFICER 40.00 X 279102 0 58750 ALINE LASSETER PRESIDENT FOUNDATION 40.00 X 286329 0 58085 RYAN CHANDLER HOSPITAL CEO (TMC) 40.00 X 0 633331 123455 SCOTT CROWLEY VP AND GENERAL COUNSEL 40.00 X 163048 0 1250 WILLIAM TUSTIN VP- DIRECTOR JBACC 40.00 X 267280 0 59243 JOHN SIMS SR. VICE PRESIDENT 40.00 X 214033 0 31014 TERRY RICHARDS DIRECTOR, APPLICATION SYST 40.00 X 156226 0 40232 THOMAS STEWART CHIEF MEDICAL OFFICER - CR 40.00 X 235194 0 29074 SHARON MCDANIEL DIR CLINICAL INFOR/PHYS TECH 40.00 X 170291 0 17622 JOESEPH LIVELY DIR REIMBURSEMENT 40.00 X 170162 0 22468 JANET WOODHAM DIR HUMAN RESOURCES 40.00 X 157375 0 18343 5071864 1043921 1053609 16 0 1 0 THE MEDICAL PROTECTIVE COMPANY 5814 REED ROAD FORT WAYNE IN 46835 MEDICAL 404462 NAVIGANT CONSULTING INC 764-788 PHIPPS BLVD NE ATLANTA GA 30342 CONSULTING 235663 KAUFMAN HALL & ASSOCIATES 5202 OLD ORCHARD ROAD SUITE N700 SKOKIE IL 60077 FINANCIAL ADVISORY 200749 DIXON HUGHES GOODMAN 191 PEACHTREE ST NE 2700 ATLANTA GA 30303 ACCOUNTING SERVICES 113414 4 CORPORATE SERVICE FEES 561000 35262661 35262661 PATIENT REVENUE 621400 1079886 1079886 MANAGEMENT FEES 561000 163212 163212 OTHER OPER. REVENUE 900099 106676 106676 36612435 1805599 1805599 52669 0 52669 52669 52669 38470703 36665104 0 1805599 X 177250 177250 18749537 12269289 6480248 3947623 3857970 89653 482552 393698 88854 1547842 1507228 40614 159084 159084 4783330 1436785 3346545 850696 677813 172883 2262486 2127106 135380 115649 115649 689657 569872 119785 98796 86295 12501 27912 18158 9754 433813 433813 1540381 1540381 316235 316235 PROFESSIONAL DUES 411640 30817 380823 RECRUITMENT 157850 122351 35499 EMPLOYEE ACTIVITIES 150548 4561 145987 246267 187042 59225 37149148 25872313 11276835 0 15312007 999082 165780 45481 792634 1252006 39323386 32898178 7275093 6425208 43250357 67373779 0 8398956 66795871 84494512 21553422 36260046 9052980 8572126 135558 0 13411592 13184395 44153552 58016567 X 22642319 26477945 22642319 26477945 66795871 84494512 1321555 2514071 0 X 0 1 X 1 0 X X 1 THE MEDICAL CENTER INC 581685139 3 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, LINE 1 THE MEDICAL CENTER, INC. SERVES THE SAME CHARITABLE CLASS AS COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. X 24675 24675 24675 24675 501097183 501097183 501121858 501121858 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 14315 26833 25509 24675 91332 250000 250000 250000 250000 1000000 1500000 2615139 2615139 6944549 6432528 512021 25870090 23879155 1990935 3893608 2586495 1307113 6425208 CASH SURRENDER VALUE OF LIFE INSURANCE POLICY 3680056 DEFERRED COMPENSATION ASSET 4718900 8398956 MINIMUM PENSION LIABILITY 13184395 13184395 X PART X, LINE 2: THE SYSTEM IS PRIMARILY COMPRISED OF ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. WITH RESPECT TO ANY INCOME GENERATED BY FOR-PROFIT SUBSIDIARIES OR UNRELATED BUSINESS INCOME, THE SYSTEM RECORDS INCOME TAXES USING THE LIABILITY METHOD UNDER WHICH THE DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR TO BE SETTLED. THE SYSTEM HAS EVALUATED ITS TAX POSITIONS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2017 AND 2016. FISCAL YEARS ENDED ON OR AFTER JUNE 30, 2014 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. 1 UNITED WAY INC P O BOX 1157 COLUMBUS GA 31902 580572434 501 C (3) SUPPORT PROGRAMS OF THE UNITED WAY COLUMBUS STATE UNIVERSITY 4225 UNIVERSITY AVENUE COLUMBUS GA 31907 586043198 501 C (3) SUPPORT PROGRAMS OF COLUMBUS STATE UNIVERSITY COLUMBUS REGIONAL MEDICAL FOUNDATION INC 707 CENTER STREET COLUMBUS GA 31901 581501642 501 C (3) SUPPORT PROGRAMS OF COLUMBUS REGIONAL MEDICAL FOUNDATION PART I, LINE 2: COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. AND ITS AFFILIATES ACKNOWLEDGE THEIR RESPONSIBILITY AS GOOD CORPORATE CITIZENS TO SUPPORT WORTHWHILE ACTIVITIES, SERVICES AND EFFORTS IN THE COMMUNITY, STATE AND NATION. TO EFFECTIVELY CARRY OUT THAT RESPONSIBILITY AND ENSURE ITS RESOURCES FOR THIS PURPOSE ARE USED IN WAYS WHICH ARE OF LASTING VALUE AND IMPORTANCE, CERTAIN PROCEDURES HAVE BEEN ESTABLISHED TO APPROPRIATELY ALLOCATE CORPORATE RESOURCES TO OUTSIDE AGENCIES, ORGANIZATIONS AND EFFORTS. ALL REQUESTS FOR CHARITABLE CONTRIBUTIONS MUST BE SENT IN WRITING OR THROUGH E-MAIL TO THE COLUMBUS REGIONAL HEALTHCARE SYSTEM DIRECTOR FOR STRATEGY, MARKETING AND PUBLIC RELATIONS. REQUESTS MUST BE RECEIVED AT LEAST 45 DAYS BEFORE THE EVENT OR NEED IN ORDER TO BE CONSIDERED. REQUESTS ARE REVIEWED WITH SENIOR LEADERSHIP AND IN CONSULTATION WITH THE CHIEF COMPLIANCE OFFICER TO ENSURE THAT CHARITABLE CONTRIBUTIONS COMPLY WITH THE CORPORATE COMPLIANCE PROGRAM. THE TOTAL AMOUNTS OF FUNDS SET ASIDE FOR PURPOSES OF DONATION OR CONTRIBUTION TO OUTSIDE AGENCIES IS ESTABLISHED DURING THE CORPORATE BUDGET PROCESS AND THE AMOUNT MAY VARY FROM YEAR TO YEAR. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 M SCOTT HILL PRESIDENT & CEO 700415 0 89250 0 315440 0 153580 0 28470 0 1287155 0 309940 0 ALLEN HOLLADAY DIRECTOR, DECISION SUPPORT 187562 0 27513 0 18817 0 24327 0 1750 0 259969 0 7575 0 ALLEN R BUTCHER SR. VP & CFO 411253 0 179983 0 56278 0 98286 0 26904 0 772704 0 52276 0 WAYNE JOINER SR. VP-HUMAN RESOURCES 239173 0 76098 0 27712 0 67799 0 25237 0 436019 0 19756 0 LUCUIS LAYFIELD III SR. VP & GENERAL COUNSEL, 151138 0 0 0 43540 0 8375 0 14064 0 217117 0 8375 0 DOUGLAS COLBURN VICE PRESIDENT (TMC) 0 301141 0 25742 0 83707 0 62814 0 29284 0 502688 0 77550 LAURA DREW SR. VICE PRESIDENT 269190 0 85806 0 19789 0 32216 0 5294 0 412295 0 18124 0 OLIVER BANTA VP, CHIEF INFO OFFICER 194740 0 48008 0 36354 0 30486 0 28264 0 337852 0 32511 0 ALINE LASSETER PRESIDENT FOUNDATION 196267 0 64906 0 25156 0 34893 0 23192 0 344414 0 14772 0 RYAN CHANDLER HOSPITAL CEO (TMC) 0 411045 0 51922 0 170364 0 94818 0 28637 0 756786 0 165296 SCOTT CROWLEY VP AND GENERAL COUNSEL 162421 0 0 0 627 0 0 0 1250 0 164298 0 0 0 WILLIAM TUSTIN VP- DIRECTOR JBACC 200718 0 39983 0 26579 0 36264 0 22979 0 326523 0 22684 0 JOHN SIMS SR. VICE PRESIDENT 177980 0 27715 0 8338 0 17772 0 13242 0 245047 0 0 0 TERRY RICHARDS DIRECTOR, APPLICATION SYST 154577 0 0 0 1649 0 18420 0 21812 0 196458 0 0 0 THOMAS STEWART CHIEF MEDICAL OFFICER - CR 167889 0 44838 0 22467 0 8084 0 20990 0 264268 0 13636 0 SHARON MCDANIEL DIR CLINICAL INFOR/PHYS TECH 147724 0 21674 0 893 0 8070 0 9552 0 187913 0 0 0 JOESEPH LIVELY DIR REIMBURSEMENT 147329 0 22377 0 456 0 6401 0 16067 0 192630 0 0 0 JANET WOODHAM DIR HUMAN RESOURCES 132121 0 19155 0 6099 0 7271 0 11072 0 175718 0 0 0 PART I, LINE 1A THE ORGANIZATION PAYS SOCIAL CLUB DUES TO TWO CLUBS FOR EXECUTIVES. THE AMOUNTS PAID ARE ADDED TO THEIR COMPANSATION AND INCLUDED AS TAXABLE INCOME ON FORM W-2. PART I, LINE 4B THE COLUMBUS REGIONAL HEALTHCARE SYSTEM MAINTAINS A SERP PLAN THAT VESTS EVERY 3 YEARS FOR ITS PARTICIPATING OFFICERS.THE PLAN VESTED ON 6/30/2017. EMPLOYER CONTRIBUTIONS TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN: SCOTT HILL $ 142,800 WAYNE JOINER $ 31,609 LAURA DREW $ 28,999 ALLEN BUTCHER $ 83,640 ALINE LASSETER $ 23,635 OLIVER BANTA $ 23,635 ALLEN HOLLADAY $ 12,120 BILL TUSTIN $ 25,801 PAYOUT FROM 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN (INCLUDED IN REPORTABLE COMPENSATION): ALINE LASSETER $ 14,772 ALLEN BUTCHER $ 52,276 ALLEN HOLLADAY $ 7,575 BILL TUSTIN $ 22,684 LAURA DREW $ 18,124 WAYNE JOINER $ 19,756 LUCUIS LAYFIELF, III $ 8,375 OLIVER BANTA $ 32,511 SCOTT HILL $ 309,940 A THE MEDICAL CENTER HOSPITAL AUTHORITY 580905094 584521EF1 2010-09-01 168589392 SEE PART VI 0 0 0 A 168589392 138810983 2365817 4848857 22563735 2011 1 0 1 1 A 0 0 1 0 1 0 0 0 1 A 0 0 1 1 0 0 0 0 0 A 0 SCHEDULE K, PART I, LINE B, BOX F CURRENTLY REFUND TAX-EXEMPT NOTES ISSUED ON 7/2/2008 TO ACQUIRE HUGHSTON HOSPITAL AND BONDS ISSUED ON 9/8/1999 AND FINANCE SEVERAL CAPITAL PROJECTS INCLUDING: (I) A HOT WATER TANK CONVERSION, (II) RENOVATIONS TO THE EXTERIOR OF THE MEDICAL CENTER, (III) CENTRAL PLANT CHILLER CONVERSION, (IV) RADIATION THERAPY VAULT MODIFICATION, (V) MEDICAL FLOOR MODIFICATION AND RENOVATION, (VI) NEW CONSTRUCTION OF A GENERATOR PLANT, AND (VII) EMERGENCY DEPARTMENT NEW CONSTRUCTION AND RENOVATIONS. FORM 990, SCHEDULE K, PART IV, LINE 3A THE REBATE CALCULATION WAS PREPARED AS OF NOVEMBER 2013. FORM 990, PART VI, SECTION A, LINE 7A SUBSEQUENT TO THE FILING PERIOD OF THIS RETURN ON MARCH 1, 2018, COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. OFFICIALLY BECAME PIEDMONT COLUMBUS REGIONAL. IT JOINED WITH PIEDMONT HEALTHCARE TO BECOME A 10-HOSPITAL SYSTEM. GEORGIA REQUIRES THAT ALL TRANSACTIONS OF THIS TYPE BE APPROVED BY THE GEORGIA ATTORNEY GENERAL IN COMPLIANCE WITH THE GEORGIA HOSPITAL ACQUISITION ACT. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO AND REVIEWED BY THE CFO. THE FINANCE COMMITTEE AND THE BOARD ARE PROVIDED A COPY OF THE FORM 990 PRIOR THE FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. AND ITS AFFILIATES ARE ACCOUNTABLE TO GOVERNMENTAL AUTHORITIES AS WELL TO MEMBERS OF THE PUBLIC FOR BOTH THE INTEGRITY OF ITS ACTIONS AS WELL AS PERCEPTIONS RELATED TO THOSE ACTIONS. CONSEQUENTLY, THERE EXISTS BETWEEN COLUMBUS REGIONAL AND THE PUBLIC THE FIDUCIARY RESPONSIBILITY WHICH CARRIES WITH IT A BROAD AND UNBENDING DUTY OF LOYALTY AND FIDELITY. COLUMBUS REGIONAL AGENTS (I.E., BOARD MEMBERS, MANAGEMENT, EMPLOYEES, CONTRACTED PARTIES AND CREDENTIALED STAFF) HAVE THE RESPONSIBILITY OF ADMINISTERING THE AFFAIRS OF THE ORGANIZATION HONESTLY AND PRUDENTLY, AND OF EXERCISING THE BEST CARE, SKILL AND JUDGMENT FOR THE SOLE BENEFIT OF THE ORGANIZATION. THOSE AGENTS SHALL EXERCISE THE UTMOST GOOD FAITH IN ALL TRANSACTIONS INVOLVED IN THEIR DUTIES AND SHALL NOT USE THEIR POSITIONS WITH COLUMBUS REGIONAL OR KNOWLEDGE GAINED FOR THEIR PERSONAL BENEFIT IN ANY MANNER. THE INTERESTS OF THE ORGANIZATION MUST BE THE FIRST PRIORITY IN ALL RELATED DECISIONS AND ACTIONS. THIS POLICY IS ALSO DIRECTED TOWARDS ANYONE WHO HAS PROPRIETARY INFORMATION CONCERNING COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. IT IS THE POLICY OF COLUMBUS REGIONAL AND ITS AFFILIATES, IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ASSOCIATED AGENTS MUST ANNUALLY DISCLOSE THE EXISTENCE OF A FINANCIAL OR OTHERWISE BENEFICIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE CHIEF COMPLIANCE OFFICER ASSOCIATED WITH THE PROPOSED CONFLICTING TRANSACTION OR ARRANGEMENT. A CONFLICT OF INTEREST MAY ARISE IN THE RELATIONSHIPS WITH COLUMBUS REGIONAL AGENTS WITH PERSONS AND FIRMS SUPPLYING GOODS AND SERVICES TO THE ORGANIZATION; PERSONS AND FIRMS FROM WHOM THE COMPANY LEASES PROPERTY AND EQUIPMENT; PERSONS AND FIRMS WITH WHOM COLUMBUS REGIONAL IS DEALING OR PLANNING TO DEAL IN CONNECTION WITH THE GIFT, PURCHASE OR SALE OF REAL ESTATE, SECURITIES OR OTHER PROPERTY; COMPETING OR AFFINITY ORGANIZATIONS; DONORS, MEMBERS OR OTHERS SUPPORTING THE ORGANIZATION; AGENCIES, ORGANIZATIONS AND ASSOCIATIONS WHICH AFFECT THE OPERATIONS OF THE COMPANY; AND FAMILY MEMBERS, FRIENDS OR OTHER EMPLOYEES. CONFLICTS OF INTEREST MAY ARISE IN A NUMBER OF DIFFERENT CIRCUMSTANCES AND TRANSACTIONS. IT IS ASSUMED THAT COLUMBUS REGIONAL AGENTS WILL RECOGNIZE SUCH AREAS AND RELATION BY ANALOGY. TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: THE CONFLICT OF INTEREST IS FULLY DISCLOSED; THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS FOR PURCHASING OR RELATED DECISIONS; AND THE CHIEF COMPLIANCE OFFICER IN CONSULTATION WITH OTHERS AS APPROPRIATE, HAS DETERMINED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. ALL DISCLOSURES MUST BE MADE TO THE CHIEF COMPLIANCE OFFICER (OR IF SHE/HE IS THE ONE WITH THE CONFLICT, THEN THE BOARD CHAIR), WHO WILL BRING THE MATTER TO THE ATTENTION OF THE BOARD AS NECESSARY. THE CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH OTHERS AS APPROPRIATE, SHALL DETERMINE WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR AND REASONABLE TO THE ORGANIZATION. THE DECISION OF THE CHIEF COMPLIANCE OFFICER AND/OR BOARD ON THESE MATTERS WILL REST IN THEIR SOLE DISCRETION AND THEIR CONCERN MUST BE FOR THE WELFARE OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. IN THE ADVANCEMENT OF ITS PURPOSE. EACH MEMBER OF MANAGEMENT AND EMPLOYEES WITH DELEGATED POWERS WHO CAN INFLUENCE THE ACTIONS OF COLUMBUS REGIONAL SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY AND COMPLETED THE DISCLOSURE STATEMENT; HAS READ AND UNDERSTANDS THE POLICY; AND HAS AGREED TO COMPLY WITH THE POLICY. IN ADDITION, SHOULD A POTENTIAL CONFLICT OCCUR DURING THE YEAR BUT PRIOR TO THE ANNUAL DISCLOSURE, THE INDIVIDUAL IS OBLIGATED TO CONTACT THE COMPLIANCE OFFICER AND UPDATE THEIR DISCLOSURE STATEMENT IN A TIMELY MANNER. IF THE CHIEF COMPLIANCE OFFICER HAS REASONABLE CAUSE TO BELIEVE A COLUMBUS REGIONAL AGENT HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, HE/SHE SHALL INFORM THAT INDIVIDUAL OF THE BASIS OF SUCH BELIEF AND AFFORD HIM/HER THE OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE INDIVIDUAL'S RESPONSE AND AFTER FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE CHIEF COMPLIANCE OFFICER DETERMINES THE INDIVIDUAL HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, HE/SHE SHALL FORWARD THE INFORMATION TO THE HUMAN RESOURCES DEPARTMENT AND/OR THE BOARD OF DIRECTORS TO TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 COLUMBUS REGIONAL TAKES VERY SERIOUSLY THE RESPONSIBILITY TO APPROPRIATELY AND EFFECTIVELY MANAGE THE EXECUTIVE COMPENSATION AND BENEFITS PROGRAM FOR ITS KEY EXECUTIVES. SETTING THE COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, APPROVING THE COMPENSATION OF OTHER SENIOR EXECUTIVES, AND OVERSEEING THE EXECUTIVE COMPENSATION PROGRAM AS A WHOLE, ARE THE RESPONSIBILITIES OF THE COMPENSATION COMMITTEE OF THE BOARD. TO ASSIST THE COMMITTEE, THE BOARD HAS ENGAGED THE SERVICES OF A NATIONALLY RECOGNIZED EXECUTIVE COMPENSATION CONSULTING FIRM. COLUMBUS REGIONAL'S EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO ATTRACT AND RETAIN HIGHLY QUALIFIED EXECUTIVES TO FULFILL COLUMBUS REGIONAL'S MISSION OF PROMOTING THE HEALTH AND HEALING OF PATIENTS. COLUMBUS REGIONAL'S PEER GROUP CONSISTS OF NON-PROFIT HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY FROM ACROSS THE NATION. BASE SALARIES OF EXECUTIVES ARE POSITIONED AT SPECIFIC PERCENTILE TARGETS OF COLUMBUS REGIONAL'S PEER GROUP. CURRENT STUDIES INDICATE THAT OUR BASE SALARIES ARE AT TARGETED LEVELS. COLUMBUS REGIONAL STRIVES TO PROVIDE ALL EXECUTIVES WITH RETIREMENT BENEFITS THAT ARE EQUIVALENT FOR ALL EMPLOYEES. RETIREMENT CONTRIBUTIONS ARE BASED ON A CLEARLY STATED INCOME REPLACEMENT TARGET AS DETERMINED BY RETIREMENT PLAN CONSULTANTS THE GOAL OF COLUMBUS REGIONAL IS TO PROVIDE MARKET COMPETITIVE COMPENSATION AND BENEFIT PROGRAMS FOR ALL EMPLOYEES AT ALL LEVELS OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY, IN ADDITION TO OTHER CORPORATE AND GOVERNING POLICIES, IS NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 1,436,785. MANAGEMENT AND GENERAL EXPENSES 3,346,545. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,783,330. 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