2017-05-15T18:56:03-05:00 2016-06-30 560747981 DIXON HUGHES GOODMAN LLP PO BOX 1747 CHARLESTON WV 253261747 990 2015-07-01 581685139 THE MEDICAL CENTER INC MEDI 7066606103 710 CENTER STREET COLUMBUS GA 31901 ALLEN R BUTCHER CFO CFO 7606606303 2017-05-15 1 SUSAN S DULL P00233523 3043430168 2017-05-15 2015 2021-01-29 14:40:06Z M SCOTT HILL 710 CENTER STREET COLUMBUS GA 31901 412068189 0 X COLUMBUSREGIONAL.COM X 1986 GA TO PROMOTE THE HEALTH AND HEALING OF OUR PATIENTS AND TO COORDINATE DELIVERY OF CLINICAL CARE. 15 14 2534 14 467221 0 7611114 972737 366098537 407290713 13067739 1979959 3282556 1106845 390059946 411350254 15000 20208 0 0 140749138 125288773 0 0 0 277558172 254356240 418322310 379665221 -28262364 31685033 430367973 437278820 275535031 252443899 154832942 184834921 X THE MEDICAL CENTER IS A 583-LICENSED BED ACUTE CARE HOSPITAL, WHICH MEETS THE HEALTH AND MEDICAL NEEDS OF A DIVERSE COMMUNITY WITH A WIDE ARRAY OF SERVICES, MANY OF WHICH ARE AVAILABLE NOWHERE ELSE IN THE REGION. THE MEDICAL CENTER IS HOME TO ONE OF THE SIX REGIONAL PERINATAL CENTERS SERVING 27 GEORGIA AND ALABAMA COUNTIES AND ALSO PROVIDES ADVANCED EMERGENCY SERVICES AS A LEVEL 2 TRAUMA CENTER. 0 0 291353277 20208 352212682 THE MEDICAL CENTER, INC. IS A 583-LICENSED BED TERTIARY CARE "SAFETY NET" HOSPITAL PROVIDING A WIDE ARRAY OF SERVICES TO MEET THE HEALTH AND MEDICAL NEEDS OF A DIVERSE REGION. THE MEDICAL CENTER IS ALSO HOME TO THE JOHN B. AMOS CANCER CENTER, A COMPREHENSIVE MULTI-DISCIPLINARY CANCER CENTER.ONE OF THE TOP BIRTH CENTERS AND ONE OF SIX REGIONAL PERINATAL CENTERS IN THE STATE, THE MEDICAL CENTER OFFERS THE REGION'S ONLY ADVANCED (LEVEL 3) MATERNITY SERVICES, NEONATAL INTENSIVE CARE UNIT AND PEDIATRIC INTENSIVE CARE UNIT. AS A REGIONAL PERINATAL REFERRAL CENTER, THE MEDICAL CENTER SERVES 21 COUNTIES IN GEORGIA AND TWO IN EAST ALABAMA.THE HOSPITAL ALSO PROVIDES THE REGION'S ONLY DEDICATED TRAUMA CENTER - A LEVEL 2 FACILITY SERVING THE 13 COUNTIES OF GEORGIA REGION 7. THE MEDICAL CENTER IS HOME TO THE FAMILY PRACTICE RESIDENCY PROGRAM WHICH HAS PROVIDED ADVANCED TRAINING TO PHYSICIANS SINCE 1972. IN ADDITION, THE MEDICAL CENTER HAS AN AFFILIATION AGREEMENT WITH MERCER UNIVERSITY SCHOOL OF MEDICINE IN MACON, GEORGIA, TO PROVIDE COLUMBUS-BASED TRAINING TO THIRD AND FOURTH YEAR MEDICAL STUDENTS. 36532238 352212682 THE JOHN B. AMOS CANCER CENTER, THE REGION'S LEADING PROVIDER OF CANCER SERVICES, IS PART OF THE MEDICAL CENTER, INC. THE CENTER IS ACCREDITED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS - THE ONLY CANCER CENTER WITH THIS DISTINCTION IN THE 14-COUNTY SERVICE AREA. THE CENTER OFFERS A FULL RANGE OF CANCER TREATMENT SERVICES, A WIDE ARRAY OF CANCER SUPPORT SERVICES FOR PATIENTS AND FAMILIES AND ACCESS TO CLINICAL RESEARCH TRIALS FOR A VARIETY OF CANCERS. SERVICES INCLUDE MEDICAL AND RADIATION ONCOLOGY, RADIATION THERAPY, OUTPATIENT CHEMOTHERAPY, NUTRITION SERVICES, PHARMACY, AND LAB PATIENT NAVIGATION SUPPORT GROUPS AND PASTORAL CARE.IN KEEPING WITH ITS TAX-EXEMPT MISSION, THE MEDICAL CENTER MAKES HEALTH AND MEDICAL SERVICES AVAILABLE TO EVERYONE IN THE SERVICE AREA, REGARDLESS OF THEIR ABILITY TO PAY. MANY OF THESE PATIENTS ARE CLASSIFIED AS INDIGENT RESIDENTS OF MUSCOGEE COUNTY, AND AS SUCH ARE COVERED UNDER A CONTRACTUAL AGREEMENT WITH THE COLUMBUS CONSOLIDATED GOVERNMENT.AS A SAFETY NET HOSPITAL, THE MEDICAL CENTER PROVIDES A VARIETY OF ESSENTIAL SERVICES, INCLUDING EMERGENCY AND TRAUMA SERVICES FOR CHILDREN AND ADULTS, ADVANCED MATERNITY SERVICES AND A NEONATAL INTENSIVE CARE UNIT, AND A DEDICATED CHILDREN'S HOSPITAL WITH A PEDIATRIC INTENSIVE CARE UNIT. ON JUNE 12, 2013, THE MEDICAL CENTER OPENED A PEDIATRIC EMERGENCY DEPARTMENT. THIS IS THE AREAS FIRST AND ONLY EMERGENCY DEPARTMENT DESIGNED AND STAFFED EXCLUSIVELY TO CARE FOR CHILDREN UP TO AGE 19. THIS NEW DEPARTMENT OFFERS A SEPARATE ENTRANCE AND A STAFF SPECIALLY TRAINED TO TREAT THE UNIQUE NEEDS OF CHILDREN.IN FISCAL YEAR 2015, THE MEDICAL CENTER HAD 16,502 INPATIENT ADMISSIONS, 197,447 OUTPATIENT VISITS, 93,117 EMERGENCY VISITS, 326 NEONATAL INTENSIVE CARE ADMISSIONS, 157 PEDIATRIC INTENSIVE CARE ADMISSIONS AND 3,139 DELIVERIES.EMPLOYEES OF THE MEDICAL CENTER ARE ENGAGED IN COMMUNITY ACTIVITIES AND SUPPORT ACTIVITIES OF THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, THE JUVENILE DIABETES FOUNDATION AND OTHER CHARITABLE CAUSES.DISPROPORTIONATE SHARE HOSPITALTHE MEDICAL CENTER, A DESIGNATED MEDICAID DISPROPORTIONATE SHARE HOSPITAL, PARTICIPATES IN THE INDIGENT CARE TRUST FUND VOLUNTARY CONTRIBUTION PROGRAM CREATED BY THE STATE LEGISLATURE. THE GOAL OF THE INDIGENT CARE TRUST FUND IS TO IMPROVE ACCESS TO HEALTH CARE FOR THE INDIGENT BY EXPANDING MEDICAID ELIGIBILITY, FUNDING INDIGENT CARE AND SUPPORTING PRIMARY HEALTH CARE. PROCEEDS FROM THE PARTICIPATION IN THIS PROGRAM ARE TRANSFERRED TO COLUMBUS REGIONAL HEALTHCARE SYSTEM FOR DESIGNATION AND USE AS THE COMMUNITY HEALTH DEVELOPMENT FUND. THE FUND'S PURPOSE IS TO IDENTIFY AREAS OF NEED IN THE COUNTIES TARGETED AS THE SERVICE AREA AND TO DEVELOP PROGRAMS THAT ADDRESS THESE NEEDS AND REDUCE ACCESS BARRIERS TO HEALTH CARE.FAMILY PRACTICE CENTERTHE FAMILY PRACTICE CENTER IS A SERVICE OF THE MEDICAL CENTER, INC. AND AFFILIATE, COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. IT PROVIDES A VARIETY OF HEALTH AND MEDICAL SERVICES TO FAMILIES OF THE REGION, REGARDLESS OF ABILITY TO PAY. SERVICES INCLUDE FAMILY MEDICINE, GERIATRICS, PRENATAL AND PEDIATRIC SERVICES, IMAGING AND LABORATORY SERVICES. THE FAMILY PRACTICE CENTER IS OPERATED BY THE FACULTY OF THE FAMILY PRACTICE RESIDENCY PROGRAM, WHICH WAS ESTABLISHED BY THE MEDICAL CENTER IN 1972 TO TRAIN PRIMARY CARE PHYSICIANS TO SERVE PRIMARILY IN RURAL AND OTHER MEDICALLY UNDERSERVED AREAS. THE CENTER SERVES AS A TRAINING SITE FOR RESIDENTS IN THE PROGRAM.FAMILY PRACTICE RESIDENCY PROGRAMTHE MEDICAL CENTER WAS THE FIRST HOSPITAL IN GEORGIA TO ESTABLISH A FAMILY PRACTICE RESIDENCY PROGRAM TO TRAIN PHYSICIANS IN FAMILY PRACTICE. THE PROGRAM IS LICENSED TO TRAIN FORTY RESIDENTS AND IS FULLY ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. THE PRIMARY PURPOSE OF THE PROGRAM IS TO TRAIN PHYSICIANS TO SERVE IN RURAL AND OTHER UNDERSERVED AREAS.INDIGENT CAREINDIGENT PATIENTS RECEIVE WHAT COULD BE THEIR ONLY SOURCE OF AFFORDABLE, AVAILABLE CARE THROUGH A PRIMARY CARE CLINIC, MULTIPLE SPECIALTY CLINICS AND THE SERVICES OF VISITING SPECIALISTS IN THE OUTPATIENT CLINICS. THIS HELPS REDUCE THE BURDEN OF HEALTH CARE COSTS BY PROVIDING AN ALTERNATIVE TO USING THE MORE COSTLY, HIGHLY SPECIALIZED EMERGENCY DEPARTMENT FOR NON-EMERGENT CARE. ACCESS TO A MULTITUDE OF SERVICES IS INCREASED FOR INDIGENT AND LOW-INCOME PATIENTS AS CLINIC STAFF NETWORK WITH SUPPORT GROUPS, CHARITABLE ORGANIZATIONS AND SOCIAL SERVICE AGENCIES IN THE AREA.THE MEDICAL CENTER, INC. PROVIDES OUTPATIENT AND INPATIENT SERVICES TO THE CITY'S INDIGENT THROUGH A CONTRACTUAL AGREEMENT WITH THE COLUMBUS CONSOLIDATED GOVERNMENT. THE OBJECTIVE OF THIS INDIGENT CARE PROGRAM IS TO PROVIDE COMPREHENSIVE HEALTH CARE FOR COLUMBUS RESIDENTS WHO ARE NOT COVERED UNDER A PRIVATE OR GOVERNMENTAL INSURANCE PLAN. INDIVIDUALS MEETING RESIDENCY AND INCOME REQUIREMENTS HAVE ACCESS TO A PRIMARY CARE CLINIC AND VARIOUS SPECIALTY CLINICS STAFFED BY QUALIFIED PHYSICIANS AND OTHER HEALTH CARE PERSONNEL. THE CLINICS PROVIDE DIAGNOSTIC SERVICES, PREVENTATIVE CARE AND MEDICAL TREATMENT, AND HEALTH EDUCATION.IF INPATIENT ADMISSION IS REQUIRED, PATIENTS RECEIVE CARE AT THE MEDICAL CENTER, WHERE THEY HAVE ACCESS TO A FULL RANGE OF DIAGNOSTIC AND TREATMENT SERVICES. IN ADDITION TO ENSURING CARE FOR THE CITY'S INDIGENT RESIDENTS, THE MEDICAL CENTER PROVIDES INPATIENT CARE AND CERTAIN OUTPATIENT SERVICES TO THE COMMUNITY'S PRISON POPULATION.DURING FISCAL YEAR 2015, TOTAL CHARGES TO PROVIDE INPATIENT AND OUTPATIENT SERVICES THROUGH THE INDIGENT CARE PROGRAM WERE $27,419,440. TOTAL PAYMENTS FROM THE COLUMBUS CONSOLIDATED GOVERNMENT WERE $13,389,689, LEAVING A DEFICIT OF $14,029,751. 327885515 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 453 0 1 2534 1 1 1 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 GA X ALLEN BUTCHER CFO 7066606303 707 CENTER STREET COLUMBUS GA 31901 MAX BRABSON JR DIRECTOR 2.00 X 0 0 0 KATHRYN CHEEK MD 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 WILLIAM ROUNDTREE MD DIRECTOR 2.00 X 0 0 0 CAROLE RUTLAND PHD DIRECTOR 2.00 X 0 0 0 WARREN STEELE II CHAIRMAN 2.00 X X 0 0 0 M SCOTT HILL PRESIDENT & CEO 2.00 40.00 X X 0 704762 138490 WILL WHITE DIRECTOR 2.00 X 0 0 0 SHANE DARRAH MD DIRECTOR 2.00 X 0 0 0 JUDGE JOHN ALLEN 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 2.00 X 0 458599 88639 RYAN CHANDLER CEO - THE MEDICAL CENTER 40.00 X 400304 0 84827 KAREN SMITH CORPORATE SECRETARY 40.00 2.00 X 0 72806 13922 DOUGLAS COLBURN VP, OPERATIONS 5.00 40.00 X 303819 0 55078 WILLIAM TUSTIN VP, ONCOLOGY SERVICES 40.00 X 168830 0 40149 KENDALL HANDY CHIEF OF SERVICE 40.00 X 317888 0 27599 ANDREW PIPPAS MEDICAL DIRECTOR, JBACC 20.00 20.00 X 1409655 0 76108 PETER JIANG PHYSICIAN, ONCOLOGY 40.00 X 1177715 0 64028 SURESH MUKALA PHYSICIAN, ONCOLOGY 40.00 X 589644 0 40505 SAJID AHMED MEDICAL DIRECTOR, JBACC 40.00 X 450544 0 36041 BONNIE FRANCO VP, CHIEF NURSING OFFICER 40.00 X 134347 0 9850 W MARK TWILLA VP, CHIEF OPERATING OFFICE 40.00 X 114675 0 8270 REGINA BLOUNT VP, CNO - TRMD 5/22/15 40.00 X 128414 0 15267 5195835 1236167 698773 112 1 1 0 HSS SYSTEMS LLC 6640 CAROTHERS PKWY FRANKLIN TN 37067 REVENUE CYCLE SERVICES 6967674 THE ROBINS & MORTON GROUP 400 SHADES CREEK PKWY 100 BIRMINGHAM AL 35209 CONTRACTING 3546874 KING & SPALDING PO BOX 116133 ATLANTA GA 30368 LEGAL SERVICES 2474112 WELLS FARGO EQUIPMENT FINANCE 35 TECHNOLOGY PKWY S NORCROSS GA 30092 FINANCING SERVICES 2106348 SOUTHERN PHYSICIAN MEDICINE SERVICES 710 CENTER ST COLUMBUS GA 31901 PHYSICIAN SERVICES 1900000 35 972737 972737 PATIENT REVENUE 621400 378886809 378886809 IND CARE INCOME 900099 17822311 17822311 JOINT VENTURE REVENUE 900099 3713533 3713533 RESIDENT CAPITATION PROGRAM 624100 2082445 2082445 INTENSIVE AND MATERNAL HEALTH 624100 1866555 1866555 2919060 2451839 467221 407290713 1889959 1889959 1106845 0 1106845 1106845 1106845 807935 717935 90000 90000 90000 411350254 408020337 467221 1889959 X 20208 20208 872953 872953 96982168 92103834 4878334 3431596 3299317 132279 17077304 16401896 675408 6924752 6625953 298799 29197121 14446 29182675 298118 148117 150001 38324089 33802606 4521483 543198 851 542347 5677813 5352042 325771 6600151 140747 6459404 7568848 3665937 3902911 189609 149460 40149 136020 133822 2198 11534412 11534412 19252778 19252778 1633091 1633091 BAD DEBT 65625964 65625964 SUPPLIES 60671037 60411123 259914 PROVIDER TAX 4029943 4029943 LEASED MEDICAL EQUIPMEN 712496 712496 2361552 1953519 408033 379665221 327885515 51779706 0 1826694 668148 435564 59295842 59677786 6276969 5832902 2633420 1881199 389519400 225559800 177330313 163959600 114041918 103086553 11046969 11130253 57247700 91274963 430367973 437278820 50978872 38463577 180084639 178726464 14973644 9858915 29497876 25394943 275535031 252443899 X 154145353 184834921 687589 0 154832942 184834921 430367973 437278820 X 31685033 -2270854 587800 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 9680 25509 9680 25509 379655541 516649160 379665221 516674669 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 32191 14315 26833 25509 98848 250000 250000 250000 250000 1000000 1500000 PART II-A THIS REPORTING IS A RESULT OF DUES PAID TO GEORGIA HOSPITAL ASSOCIATION AND ALABAMA HOSPITAL ASSOCIATION, WHO PERFORMED THESE ACTIVITIES ON BEHALF OF ALL THEIR MEMBERS. 613831 613831 613831 613831 613831 613831 613831 613831 613831 613831 0 0 16509138 16509138 177498540 73254138 104244402 267545 636073 -368528 191564647 151338238 40226409 3679530 331351 3348179 163959600 INTERCOMPANY RECEIVABLES 84038666 UNAMORTIZED BOND ISSUE COSTS 6314820 GUARANTEED INCOME 921477 91274963 PROFESSIONAL LIABILITY 10261625 SETTLEMENT LOSS LIABILITY 15133318 25394943 X PART V, LINE 4: OPERATIONS OF THE MEDICAL CENTER - TO BE USED FOR THE PEDIATRIC INTENSIVIST AND PET. 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, 2016 AND 2015. FISCAL YEARS ENDED ON OR AFTER JUNE 30, 2013 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. 1 1 X 1 X 125.000000000000 1 X 185.000000000000 1 1 1 0 1 1 1111552 79250 1032302 0.00270 39051845 52430166 -13378321 0.00000 1218060 13436963 -12218903 0.00000 41381457 65946379 -24564922 0.00270 673642 259160 414482 0.00110 7189835 1466650 5723185 0.01510 0 0 285731 141458 144273 0.00040 8149208 1867268 6281940 0.01660 49530665 67813647 -18282982 0.01930 1 65625964 12671298 66027481 63158943 2868538 X 1 1 1 1 THE MEDICAL CENTER INC 710 CENTER STREET COLUMBUS GA 31901 WWW.COLUMBUSREGIONAL.COM X X X X NURSING HOME THE MEDICAL CENTER INC 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X HTTPS://COLUMBUSREGIONAL.COM/ABOUT-US/COMMUNITY-OUTREACH/ X 1 15 1 HTTPS://COLUMBUSREGIONAL.COM/ABOUT-US/COMMUNITY-OUTREACH/ 0 0 1 X 125.000000000000 185.000000000000 X X X X X X X 1 1 X X X 1 X HTTPS://COLUMBUSREGIONAL.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ X HTTPS://COLUMBUSREGIONAL.COM/MEDIA/1487/FINANCIAL-ASSISTANCE-APPLICATION.PD X HTTPS://COLUMBUSREGIONAL.COM/MEDIA/1489/CRH-PLAIN-LANGUAGE-SUMMARY.PDF X X X 1 X 0 X X X X 1 X 0 0 THE MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY COLUMBUS REGIONAL HEALTHCARE SYSTEM AND COLUMBUS SPECIALTY HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 104 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED BELOW: NUMBER INVITED NUMBER PARTICIPATING COMMUNITY/BUSINESS LEADER 96 41OTHER HEALTH PROVIDER 46 23PHYSICIAN 17 8PUBLIC HEALTH REPRESENTATIVE 7 5SOCIAL SERVICES PROVIDER 52 27 THE MEDICAL CENTER, INC. PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FOR COLUMBUS REGIONAL HEALTHCARE SYSTEM, FEIN 58-1719994, WHICH INCLUDES THE MEDICAL CENTER,INC. AND HUGHSTON HOSPITAL, INC., FEIN 33-1216751. THE MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: CRHS HAS SELECTED NINE (9) OF THE IDENTIFIED FOURTEEN (14) PRIORITY AREAS UPON WHICH TO FOCUS ITS EFFORTS AND HAS SPLIT THOSE NINE (9) AMONGST ITS THREE HOSPITALS FOR PRIMARY RESPONSIBILITY TO IMPLEMENT THE ACTION PLANS ACCORDINGLY, RECOGNIZING THAT COORDINATION AMONGST ITS HOSPITALS AND SHARING OF RESOURCES WILL BE REQUIRED TO SUPREMELY EFFECTIVE: THE MEDICAL CENTER SHALL PRIMARILY COORDINATE STRATEGIES TO DEAL WITH DIABETES, LUNG CANCER,AND STROKETHE ENTIRE RESPONSE CAN BE ACCESSED AT:HTTPS://COLUMBUSREGIONAL.COM/MEDIA/1589/2016-2019-CHNA-ACTION-PLANS.PDF THE MEDICAL CENTER, INC. PART V, SECTION B, LINE 13B: THE MEDICAL CENTER, INC. ALSO CONSIDERS PATIENTS WITH INCOME LOW ENOUGH THAT THEY ARE NOT REQUIRED TO FILE AN INCOME TAX RETURN. THE MEDICAL CENTER, INC. PART V, SECTION B, LINE 13H: IN CALCULATING AMOUNTS CHARGED TO FINANCIAL ASSISTANCE POLICY ELIGIBLE PATIENTS, THE MEDICAL CENTER, INC. ALSO CONSIDERS THE RESIDENCY OF APPLICANTS TO DETERMINE FOR WHICH FINANCIAL ASSISTANCE PROGRAM THE PATIENT MAY QUALIFY. THE MEDICAL CENTER, INC. PART V, SECTION B, LINE 22D: FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, A DISCOUNT OF 30-40% BILLED CHARGES IS AVAILABLE. NO PATIENT IS EXPECTED TO PAY MORE THAN COMMERCIAL PAYER'S BEST DISCOUNT. 1 1 - COLUMBUS DIAGNOSTIC IMAGING CTR LLC 116 INTRACOASTAL POINTE DR 300 JUPITER FL 33477 DIAGNOSTIC IMAGING PART I, LINE 7: THE AMOUNTS ON LINE 7, COLUMN C WERE CALCULATED USING THE COST TO CHARGE RATIO FROM THE ORGANIZATION'S FISCAL YEAR 2015 FILED MEDICAID COST REPORT AND IS A COMPOSITE OF GEORGIA AND ALABAMA TRADITIONAL MEDICAID AND ALABAMA TRADITIONAL MEDICAID AND GEORGIA MANAGED CARE MEDICAID COST TO CHARGE RATIOS. PART I, LN 7 COL(F): BAD DEBT EXPENSE IN THE AMOUNT OF $65,625,964 WAS SUBTRACTED FROM FORM 990, PART IX, LINE 25 FOR PURPOSES OF COMPUTING THE PERCENTAGE IN THIS COLUMN. PART II, COMMUNITY BUILDING ACTIVITIES: N/A PART III, LINE 2: AN ESTIMATE OF THE AMOUNT OF THE PATIENT'S PORTION OF ACCOUNTS RECEIVABLE THAT WILL NOT BE COLLECTED IS ESTABLISHED AT THE END OF EVERY MONTH BASED ON HISTORICAL COLLECTIONS RATIOS FOR EACH 30 DAY AGED GROUPING. THE BAD DEBT EXPENSE IS THE CUMULATIVE VALUE OF THIS MONTHLY ADJUSTMENTS FOR THE FY. PART III, LINE 3: MANY PATIENTS REFUSE TO PROVIDE THE HOUSEHOLD INCOME INFORMATION, PROOF OF RESIDENCY AND OTHER REQUIREMENTS OF OUR POLICY THAT WOULD QUALIFY THEM AS INDIGENT OR DESERVING OF A DISCOUNT. WE ESTIMATE THIS TO BE 2/3 OF THE UNINSURED GROSS CHARGES WRITTEN OFF AND HAVE VALUED IT AT OUR CURRENT YEAR'S COST TO CHARGE RATIO. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF BOTH AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND AN ESTIMATED ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS. THE CONTRACTUAL ALLOWANCE REPRESENTS THE DIFFERENCE BETWEEN ESTABLISHED BILLING RATES AND ESTIMATED REIMBURSEMENT FROM MEDICARE, MEDICAID, AND OTHER THIRD-PARTY PAYMENT PROGRAMS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTIMATED BASED UPON THE AGE OF THE PATIENT ACCOUNT, PRIOR EXPERIENCE AND ANY UNUSUAL CIRCUMSTANCES WHICH MAY AFFECT THE COLLECTABILITY OF RECEIVABLES, INCLUDING MANAGEMENT'S ASSUMPTIONS AND JUDGMENTS ABOUT CONDITIONS IT EXPECTS TO EXIST AND COURSES OF ACTION IT EXPECTS TO TAKE. PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 WAS THE MEDICARE COST REPORT. THE COSTS ARE ALLOCATED TO THE VARIOUS DEPARTMENTS USING A STEP DOWN APPROACH AND REMOVING ANY COSTS THAT ARE NOT ALLOWABLE UNDER MEDICARE RULES. PART III, LINE 9B: IT IS THE POLICY OF THE MEDICAL CENTER, INC. TO PROVIDE QUALITY MEDICAL CARE TO ALL PATIENTS. THOSE PATIENTS REQUIRING FINANCIAL ASSISTANCE ARE TREATED IN THIS FACILITY AND ARE TREATED EQUALLY REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS THAT HAVE QUALIFIED FOR FINANCIAL ASSISTANCE ARE CATEGORIZED INTO GROUPS IN ORDER TO CAPTURE THEIR DISPOSITION FOR THE STATE OF GEORGIA INDIGENCY GUIDELINES.UNINSURED PATIENTS AUTOMATICALLY QUALIFY FOR FINANCIAL ASSISTANCE IF INCOME LEVELS ARE AT OR BELOW 185% OF LATEST PUBLISHED FEDERAL POVERTY GUIDELINES. PATIENT CHARGES ARE DISCOUNTED 100% IF PATIENT AND/OR GUARANTOR'S ANNUAL INCOME IS AT OR BELOW 125% OF LATEST PUBLISHED FEDERAL POVERTY GUIDELINES.PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THESE INCOME GUIDELINES, BUT WHOSE HOSPITAL CHARGES EXCEED 50% OF THEIR ANNUAL INCOME, AND IT IS NOT REASONABLE TO EXPECT TO RECEIVE REIMBURSEMENT WITHOUT EXCESSIVE HARDSHIP DUE TO THE VERY LARGE BALANCE OF DEBT MAY BE CLASSIFIED AS COLUMBUS REGIONAL CHARITY (CATASTROPHIC).ONCE CLASSIFIED IN ONE OF THESE THREE GROUPS, THE ORGANIZATION DOES NOT SEEK TO COLLECT ANY AMOUNTS WRITTEN OFF UNDER THIS POLICY FROM SUCH PATIENTS.ALL PATIENTS REQUIRING FINANCIAL ASSISTANCE ARE ASKED TO COMPLETE AN APPLICATION PROVIDING DEMOGRAPHIC INFORMATION, UNINSURED STATUS AND INCOME.UNINSURED PATIENTS NOT MEETING FINANCIAL ASSISTANCE CRITERIA AUTOMATICALLY RECEIVE A PERCENTAGE DISCOUNT FROM GROSS CHARGES EQUIVALENT TO A CALCULATED AVERAGE CONTRACT DISCOUNT. PART VI, LINE 2: IN ADDITION TO THE CHNAS REPORTED IN PART V, SECTION B THE MEDICAL CENTER ALSO HAS THE THREE FOLLOWING PROGRAMS:PARTNERS IN EDUCATIONTHE MEDICAL CENTER PARTNERS WITH CLUBVIEW ELEMENTARY SCHOOL IN THE PARTNERS IN EDUCATION PROGRAM OF THE GREATER COLUMBUS CHAMBER OF COMMERCE. MANAGEMENT AND EMPLOYEES SUPPORT A VARIETY OF ACTIVITIES DURING THE SCHOOL YEAR, INCLUDING A MONTHLY AMAZING AMBASSADORS RECOGNITION BREAKFAST, A MONTHLY WONDERFUL WEDNESDAY EDUCATION PROGRAM, AND PARTICIPATION IN CAREER DAY. STUDENTS FROM THE SCHOOLS PERFORM AT VARIOUS COLUMBUS REGIONAL HEALTH ACTIVITIES SUCH AS THE ANNUAL TREE OF LIGHT CELEBRATION AT THE MEDICAL CENTER.HEALTH MOBILE UNITTHE MOBILE UNIT OFFERS SERVICES AND HEALTH EDUCATION PROGRAMS TO RESPOND TO NEEDS AND IMPROVE THE HEALTH OF THE CHATTAHOOCHEE VALLEY AREA. THE 40-FOOT VEHICLE, WHICH SERVES AS A MOBILE CLINIC, CONSISTS OF A WAITING AREA, WELL-EQUIPPED EXAM ROOMS AND A LAB. THE UNIT TEAM CONSISTS OF AN RN (MOBILE UNIT COORDINATOR), PHYSICIANS AND A PHARMACIST. THROUGH HEALTH SCREENINGS, HEALTH AND WELLNESS EDUCATION AND RESOURCES, THE UNIT IS ABLE TO HELP IDENTIFY AND TARGET HEALTH RISKS. EARLY DETECTION OF POTENTIAL AND EXISTING MEDICAL CONDITIONS ALLOWS FOR MORE EFFECTIVE TREATMENT AND SUPPORTS OVERALL HEALTH. THE UNIT SERVES A MULTITUDE OF ORGANIZATIONS (I.E. HEALTH DEPARTMENTS, CIVIC ORGANIZATIONS, SCHOOL SYSTEMS AND CHURCHES). THE UNIT PROVIDES AN OPPORTUNITY FOR THOSE IT SERVES TO TAKE PREVENTIVE MEASURES, ENSURING THEIR HEALTH AND WELL-BEING. THESE TYPES OF LIFE-CHANGING DIAGNOSES ARE MADE POSSIBLE BECAUSE OF THE MOBILE UNIT'S WORK IN THE COMMUNITY.SOURCESOURCE PROVIDES IN-HOME HEALTH AND MEDICAL SERVICES FOR THE AGED AND DISABLED ON MEDICAID, AND HELPS THEM REMAIN IN THEIR HOMES FOR AS LONG AS POSSIBLE, AVOIDING OR DELAYING COSTLY LONG-TERM PLACEMENT IN NURSING FACILITIES. SOURCE STANDS FOR SERVICE OPTIONS USING RESOURCES IN COMMUNITY ENVIRONMENTS.THE GOALS OF THE PROGRAM ARE:-TO REDUCE THE NEED FOR LONG-TERM PLACEMENT WHILE INCREASING OPTIONS IN THE COMMUNITY-TO ELIMINATE FRAGMENTED CARE AND ENHANCE WELLNESS-TO ENCOURAGE COST-EFFECTIVE USE OF STATE MEDICAID RESOURCES PART VI, LINE 3: IN ADDITION TO THE WEBSITES ALREADY PROVIDED THE ORGANIZATION HAS POSTED SIGNS IN ALL PATIENT ACCESS AREAS INFORMING THE PATIENTS OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS. WRITTEN INFORMATION IS ALSO PROVIDED TO ALL PATIENTS AT THE POINT OF REGISTRATION. IN ADDITION, ALL STATEMENTS SENT TO PATIENTS CONTAIN A MESSAGE ABOUT WHO TO CALL IF FINANCIAL ASSISTANCE IS NEEDED. PART VI, LINE 4: THE STUDY AREA FOR THE SURVEY EFFORT IS DEFINED AS THE PRIMARY RESIDENTIAL ZIP CODES COMPRISING MUSCOGEE COUNTY, GEORGIA INCLUDING, 31804, 31808, 31820, 31829, 31901, 31903, 31904, 31906, 31907, AND 31909.COLUMBUS, GEORGIA IS LOCATED IN MUSCOGEE COUNTY WHICH IS COMPRISED OF 46.4% MALE AND 53.6% FEMALE. IN LOOKING AT RACE INDEPENDENT OF ETHNICITY (HISPANIC OR LATINO ORIGIN), 46.5% OF RESIDENTS ARE WHITE AND 45.1% ARE BLACK. A TOTAL OF 6.8% RESIDENTS ARE HISPANIC OR LATINO. 25.3% OF THE POPULATION ARE INFANTS, CHILDREN OR ADOLESCENTS (AGE 0-17); ANOTHER 63.2% ARE AGE 18 TO 64, WHILE 11.6% ARE AGE 65 AND OLDER.THERE ARE APPROXIMATELY 43.1%, AN ESTIMATED 78,668 INDIVIDUALS, UNDER THE 200% FEDERAL POVERTY LEVEL. PART VI, LINE 5: THE MEDICAL CENTER, INC., IS A NOT-FOR-PROFIT, 583-LICENSED BED, ACUTE-CARE HOSPITAL. IN KEEPING WITH ITS TAX-EXEMPT MISSION, THE MEDICAL CENTER MAKES QUALITY HEALTH CARE SERVICES AVAILABLE TO EVERYONE IN ITS SERVICE AREA, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE SERVICES PROVIDED INCLUDE ACUTE, PRIMARY AND PREVENTIVE CARE, MEDICAL EDUCATION, CLINICAL TRAINING AND COMMUNITY EDUCATION.THE MEDICAL CENTER PROVIDES ACUTE, PREVENTIVE AND LONG-TERM CARE THROUGH REHABILITATION HOSPITAL OF PHENIX CITY OWNED BY THE MEDICAL CENTER TO RESIDENTS OF MUSCOGEE COUNTY AND THE SURROUNDING 29 COUNTIES THAT MAKE UP THE MEDICAL CENTER'S EXTENDED SERVICE AREA. THE MEDICAL CENTER PROVIDES A WIDE ARRAY OF DIAGNOSTIC AND TREATMENT SERVICES, MANY OF WHICH ARE UNAVAILABLE AT OTHER LOCATIONS IN THE REGION. THESE SERVICES INCLUDE:-A REGIONAL TRAUMA CENTER FOR THE 13-COUNTY EMERGENCY SERVICE REGION 7.-THE AREA'S ONLY LEVEL III OBSTETRICAL SERVICES AND HIGH-RISK NURSERY. THE MEDICAL CENTER'S REGIONAL PERINATAL REFERRAL CENTER COVERS 21 COUNTIES IN GEORGIA. IT ALSO SERVES TWO COUNTIES IN ALABAMA.-THE REGION'S ONLY 24-HOUR, FULL-SERVICE INPATIENT PHARMACY AND ANESTHESIA SERVICES.-A DEDICATED PEDIATRIC UNIT AND THE REGION'S ONLY PEDIATRIC INTENSIVE CARE UNIT AND PEDIATRIC EMERGENCY ROOM.-THE JOHN B. AMOS CANCER CENTER, THE REGION'S LEADING PROVIDER OF CANCER SERVICES. THE JOHN B. AMOS CANCER CENTER OPENED IN 2005. IT IS A FREESTANDING FACILITY OF APPROXIMATELY 50,000 SQUARE FEET OFFERING ADVANCED DIAGNOSTIC AND TREATMENT CAPABILITIES, PATIENT AND FAMILY SERVICES, AN ONCOLOGY PHARMACY, AND COMMUNITY EDUCATION PROGRAMS.REALIZING THAT HEALTH CARE IS EDUCATION IN PROGRESS, THE MEDICAL CENTER PROVIDES EVERY OPPORTUNITY FOR HEALTH PROFESSIONALS TO STAY CURRENT IN THEIR FIELDS OF EXPERTISE. AREA PHYSICIANS EARN AMERICAN MEDICAL ASSOCIATION CATEGORY I CME CREDITS THROUGH SEMINARS SPONSORED BY THE MEDICAL EDUCATION DEPARTMENT. LOCAL, REGIONAL AND NATIONAL MEDICAL EXPERTS TEACH CONFERENCES AND GRAND ROUNDS IN AREAS SUCH AS MEDICINE, SURGERY, OBSTETRICS, PEDIATRICS AND FAMILY MEDICINE. IN ADDITION, NURSE EDUCATORS DELIVER PROFESSIONAL TRAINING TO HEALTH CARE PROVIDERS THROUGHOUT THE MEDICAL CENTER'S 21-COUNTY PERINATAL REFERRAL REGION.THE MEDICAL CENTER SERVES ALSO AS A REGIONAL CLINICAL SITE THROUGH AFFILIATIONS WITH AREA NURSING PROGRAMS, AS WELL AS WITH PROGRAMS IN RESPIRATORY THERAPY, RADIOLOGIC TECHNOLOGY, MEDICAL TECHNOLOGY AND PHARMACY. NURSING FELLOWSHIPS ARE OFFERED IN PERINATOLOGY, CRITICAL CARE, PEDIATRICS AND MEDICAL/SURGICAL CARE. THE COLUMBUS REGIONAL MEDICAL FOUNDATION, AN AFFILIATE, PROVIDES SUPPORT THROUGH SCHOLARSHIPS FOR CONTINUING EDUCATION. THE SIMON SCHWOB MEDICAL LIBRARY AT THE MEDICAL CENTER SUPPORTS THESE EDUCATIONAL EFFORTS.THE MEDICAL CENTER'S CONTRIBUTION TO THE COMMUNITY GOES FAR BEYOND DIAGNOSIS AND TREATMENT OF ILLNESS. IT IS A MAJOR SOURCE OF COMMUNITY HEALTH EDUCATION. PROGRAM TOPICS INCLUDED PRENATAL AND CHILDBIRTH EDUCATION; CHILD HEALTH AND SAFETY; NUTRITION; DISEASE DETECTION, PREVENTION AND MANAGEMENT; AND SUPPORT GROUPS FOR THOSE EXPERIENCING ILLNESS. MANY COMMUNITY EDUCATION PROGRAMS ARE OFFERED IN THE COLUMBUS REGIONAL CONFERENCE CENTER LOCATED AT THE MEDICAL CENTER.THE MEDICAL CENTER, INC. BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY LEADERS DEDICATED TO PROVIDING QUALITY HEALTHCARE FOR OUR COMMUNITY. IN GENERAL, OUR VOLUNTEER BOARD MEMBERS ARE PERSONS WHO RESIDE IN OUR PRIMARY SERVICE AREA AND NEITHER THEY (NOR THEIR FAMILY MEMBERS) ARE EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION.MEDICAL STAFF PRIVILEGES IN THE HOSPITALS ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS AS DETERMINED THROUGH A DETAILED CREDENTIALING PROCESS. THE MEDICAL CENTER, INC. HAS OVER 200 AFFILIATED PHYSICIANS WITH 100 PHYSICIANS IN THE ACTIVE OR ACTIVE PROVISIONAL CATEGORIES PROVIDING HEALTHCARE SERVICE AT THE MEDICAL CENTER, INC.THE ORGANIZATION REINVESTS ALL PROFITS BACK INTO PHYSICIAN AND STAFF TRAINING, AND FACILITIES AND EQUIPMENT TO CONTINUALLY IMPROVE PATIENT CARE. IN CONTRAST TO INVESTOR-OWNED HOSPITALS, NO PART OF NET EARNINGS DIRECTLY OR INDIRECTLY BENEFITS ANY PRIVATE SHAREHOLDERS OR INDIVIDUALS.A FULL-TIME EMERGENCY DEPARTMENT IS OPERATED AT THE MEDICAL CENTER, INC. NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT REGARDLESS OF THEIR ABILITY TO PAY. PART VI, LINE 6: THE MEDICAL CENTER, INC. IS PART OF THE COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. THIS SYSTEM WAS ORGANIZED TO PLAN, DEVELOP AND COORDINATE THE ACTIVITIES OF AN INTEGRATED HEALTH NETWORK SERVING WEST GEORGIA AND EAST ALABAMA. THE SYSTEM'S RESPONSIBILITIES INCLUDE STRATEGIC PLANNING, PROJECT DEVELOPMENT, RESOURCE ALLOCATION, PROPERTY MANAGEMENT, DEVELOPMENT OF PHYSICIAN PRACTICES, MARKETING AND COMMUNICATION AND COMMUNITY HEALTH EDUCATION. AS A PART OF THIS SYSTEM, THE MEDICAL CENTER, INC. MAKES QUALITY HEALTH CARE SERVICES AVAILABLE TO EVERYONE IN ITS SERVICE AREA, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE SERVICES PROVIDED INCLUDE ACUTE, PRIMARY AND PREVENTIVE CARE, MEDICAL EDUCATION, CLINICAL TRAINING AND COMMUNITY EDUCATION. ALL AFFILIATES IN THIS SYSTEM PLACE A HIGH PRIORITY ON EXCEEDING THE EXPECTATIONS OF EACH PATIENT, VISITOR AND CUSTOMER.AFFILIATES OF THE MEDICAL CENTER, INC. IN THE COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. INCLUDE:1) COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. - A NOT-FOR-PROFIT COMPANY SERVING COLUMBUS AND SURROUNDING COUNTIES. COLUMBUS AMBULATORY HEALTHCARE SERVICES PROVIDES A WIDE VARIETY OF PRIMARY AND SPECIALTY PHYSICIAN SERVICES TO ALL PATIENTS REQUESTING SUCH SERVICES REGARDLESS OF ABILITY TO PAY. MANY OF THESE PATIENTS ARE CLASSIFIED AS INDIGENT RESIDENTS OF MUSCOGEE COUNTY, AND AS SUCH ARE COVERED THROUGH A CONTRACTUAL AGREEMENT WITH THE COLUMBUS CONSOLIDATED GOVERNMENT.2) COLUMBUS REGIONAL MEDICAL FOUNDATION, INC. - A NOT-FOR-PROFIT FOUNDATION ESTABLISHED IN 1983 TO ENDOW AND PROMOTE THE MEDICAL CHARITABLE AND EDUCATIONAL SERVICES OF THE MEDICAL CENTER, INC. PRIMARY FUNCTIONS OF THE FOUNDATION INCLUDE FUND-RAISING TO SUPPORT THE JOHN B. AMOS CANCER CENTER AT THE MEDICAL CENTER, INC. AND THE CHILDREN'S MIRACLE NETWORK, TO SUPPORT CLINICAL EDUCATION THROUGH STUDENT SCHOLARSHIPS AND FELLOWSHIPS, AND TO PROVIDE FUNDING FOR THE MEDICAL CENTER TO PURCHASE HEALTH, MEDICAL AND RELATED EQUIPMENT TO BENEFIT PATIENTS AND ENHANCE SERVICES TO THE COMMUNITY.4) HUGHSTON HOSPITAL, INC. - A NOT-FOR-PROFIT ORGANIZATION PROVIDING GENERAL ACUTE CARE AS WELL AS ORTHOPEDIC AND REHABILITATIVE CARE. THE 100-BED, PRIVATE ROOM HOSPITAL IS NATIONALLY RECOGNIZED FOR DELIVERING OUTSTANDING CLINICAL QUALITY AND THE HIGHEST LEVELS OF CUSTOMER SERVICE. THE HOSPITAL PROVIDES A FULL RANGE OF SERVICES FOR KNEE AND HIP JOINT REPLACEMENT, SPINE TREATMENT AND SURGERY, HAND AND UPPER EXTREMITY, ADVANCED RECONSTRUCTIVE AND TRAUMA SURGERY, AND PHYSICAL REHABILITATION SERVICES. THE EXEMPT STATUS PROVIDES RESOURCES FOR THE ADDITION OF MORE COMPREHENSIVE SERVICES TO THE COMMUNITY WE SERVE. WE ARE UTILIZING THOSE RESOURCES TO HELP FUND THE PLANNING AND IMPLEMENTATION OF OUR ADDING EMERGENCY SERVICES TO NORTHSIDE MEDICAL CENTER.5) COLUMBUS REGIONAL SENIOR LIVING, INC. - A NOT-FOR-PROFIT CONTINUING CARE RETIREMENT COMMUNITY NAMED SPRING HARBOR AT GREEN ISLAND. SPRING HARBOR PROVIDES CONTINUING CARE LIVING FOR INDEPENDENT OLDER ADULTS WITH COMPREHENSIVE HEALTH AND MEDICAL SERVICES AVAILABLE, INCLUDING ASSISTED LIVING, ALZHEIMER'S DISEASE CARE AND LONG-TERM NURSING CARE. THIS COMMUNITY IS DESIGNED FOR PEOPLE 62 OR OLDER. INDEPENDENT LIVING UNITS INCLUDE TWO AND THREE-BEDROOM APARTMENTS AND GARDEN HOMES. ALL UNITS ARE EQUIPPED WITH CALL SYSTEMS TO SUMMON HELP IF A HEALTH OR MEDICAL PROBLEM ARISES. 6) COLUMBUS REGIONAL AUXILIARY - A NOT-FOR-PROFIT ASSOCIATION PROVIDING A WIDE VARIETY OF VALUABLE SERVICES TO THE MEDICAL CENTER AND HUGHSTON HOSPITAL, INC. THE AUXILIARY WAS ESTABLISHED IN 1963. MEMBERS VOLUNTEER IN DIFFERENT DEPARTMENTS THROUGHOUT THE ORGANIZATION TO PROVIDE ASSISTANCE TO PATIENTS AND THEIR FAMILIES AND EMPLOYEES. MEMBERS ALSO ASSIST WITH VARIOUS COMMUNITY ACTIVITIES ON BEHALF OF THE THREE AFFILIATE HOSPITALS. 7) CRHS LONG TERM AND HOME CARE, INC. - A NOT-FOR-PROFIT ORGANIZATION FORMED TO PROVIDE SKILLED NURSING FACILITIES FOR RESIDENTS OF MUSCOGEE COUNTY. CRHS LONG TERM AND HOME CARE, INC. SOLD ITS FACILITY TO THE HOSPITAL AUTHORITY IN MARCH 2012. PART VI, LINE 7, REPORTS FILED WITH STATES GA 1 AMERICAN CANCER SOCIETY PO BOX 1382 SUPPORT PROGRAMS OF THE THE COLUMBUS GA 31902 131788491 501(C)(3) 15813 SUPPORT PROGRAMS OF THE AMERICAN CANCER SOCIETY 1 0 PART I, LINE 2: THE MEDICAL CENTER, 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 X X X X 1 1 0 0 0 0 0 0 0 M SCOTT HILL PRESIDENT & CEO 0 701852 0 300 0 2610 0 117441 0 21049 0 843252 0 0 ALLEN R BUTCHER SR. VP & CFO 0 455726 0 300 0 2573 0 70620 0 18019 0 547238 0 0 RYAN CHANDLER CEO - THE MEDICAL CENTER 380745 0 300 0 19259 0 66125 0 18702 0 485131 0 18000 0 DOUGLAS COLBURN VP, OPERATIONS 302102 0 300 0 1417 0 35551 0 19527 0 358897 0 0 0 WILLIAM TUSTIN VP, ONCOLOGY SERVICES 154393 0 300 0 14137 0 22324 0 17825 0 208979 0 13889 0 KENDALL HANDY CHIEF OF SERVICE 297502 0 250 0 20136 0 11996 0 15603 0 345487 0 18000 0 ANDREW PIPPAS MEDICAL DIRECTOR, JBACC 1394043 0 250 0 15362 0 55916 0 20192 0 1485763 0 11750 0 PETER JIANG PHYSICIAN, ONCOLOGY 1175533 0 250 0 1932 0 47109 0 16919 0 1241743 0 0 0 SURESH MUKALA PHYSICIAN, ONCOLOGY 588267 0 250 0 1127 0 23586 0 16919 0 630149 0 0 0 SAJID AHMED MEDICAL DIRECTOR, JBACC 445336 0 250 0 4958 0 18022 0 18019 0 486585 0 0 0 BONNIE FRANCO VP, CHIEF NURSING OFFICER 131924 0 0 0 2423 0 5374 0 4476 0 144197 0 0 0 W MARK TWILLA VP, CHIEF OPERATING OFFICE 113920 0 0 0 755 0 4587 0 3683 0 122945 0 0 0 REGINA BLOUNT VP, CNO - TRMD 5/22/15 128329 0 0 0 85 0 5137 0 10130 0 143681 0 0 0 PART I, LINES 4A-B THE COLUMBUS REGIONAL HEALTHCARE SYSTEM MAINTAINS A SERP PLAN THAT VESTS EVERY 3 YEARS FOR ITS PARTICIPATING OFFICERS. THE LAST VESTING OCCURRED ON 6/30/2014; THE NEXT VESTING DATE WILL OCCUR ON 6/30/2017. EMPLOYER CONTRIBUTIONS TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN: SCOTT HILL $ 89,250 ALLEN BUTCHER $ 52,276 RYAN CHANDLER $ 50,833 DOUGLAS COLBURN $ 23,398 WILLIAM TUSTIN $ 16,126 PAYOUT FROM 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN (INCLUDED IN REPORTABLE COMPENSATION): RYAN CHANDLER $18,000 WILLIAM TUSTIN $13,889 KENDALL HANDY $18,000 ANDREW PIPPAS $11,750 SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM THE MEDICAL CENTER INC: BONNIE FRANCO THROUGH 7/2/15 $134,347 W. MARK TWILLA THROUGH 7/2/15 $114,675 REGINA BLOUNT THROUGH 5/21/16 $128,414 FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF THE MEDICAL CENTER, INC. IS APPOINTED BY THE BOARD OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 INFORMATION FOR FORM 990 WAS PROVIDED TO AN INDEPENDENT CPA FIRM FOR PREPARATION OF THE RETURN. AFTER THE RETURN WAS PREPARED, IT WAS REVIEWED BY THE CFO OF THE ORGANIZATION. THE FORM 990 IS PROVIDED TO AND REVIEWED WITH THE FINANCE COMMITTEE. THE BOARD IS PROVIDED A THOROUGH AND CONDENSED OVERVIEW OF INFORMATION ON THE FORM 990 AT A BOARD MEETING BY THE CFO OF THE ORGANIZATION ASSISTED BY THE INDEPENDENT CPA PRIOR TO FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE MEDICAL CENTER, INC. AND ITS AFFILIATES ARE ACCOUNTABLE TO GOVERNMENTAL AUTHORITIES AS WELL AS TO MEMBERS OF THE PUBLIC FOR BOTH THE INTEGRITY OF ITS ACTIONS AS WELL AS PERCEPTIONS AS 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 COLUMBUS REGIONAL. 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 INTEREST OF THE ORGANIZATION MUST BE THE FIRST PRIORITY IN ALL RELATED DECISIONS AND ACTIONS. THIS POLICY IS ALSO DIRECTED TOWARD ANYONE WHO HAS PROPRIETARY INFORMATION CONCERNING COLUMBUS REGIONAL. IT IS THE POLICY OF COLUMBUS REGIONAL HEALTHCARE SYSTEM AND ITS AFFILIATES, IN CONNECTION WITH ANY ACTION 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 AGREEMENT. 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 AND 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 COLUMBUS REGIONAL. 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 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 OF INTEREST 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 THE MEDICAL CENTER 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 REGIONALS 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 33,802,606. MANAGEMENT AND GENERAL EXPENSES 4,521,483. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,324,089. FORM 990, PART XI, LINE 9: CHANGE IN TRANSFER TO AFFILIATES 164,172. INTERCOMPANY TRANSFER 1,825. TAX INCOME ADJUSTMENT FOR JOINT VENTURES 421,803. PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR REGIONAL ORTHOPEDICS LLC 707 CENTER STREET COLUMBUS GA 31901 582578658 PHYSICIANS GA 0 0 COLUMBUS REGIONAL HEALTHCARE SYSTEM REGIONAL ONCOLOGY LLC 707 CENTER STREET COLUMBUS GA 31901 582578648 ONCOLOGY BILLING GA 0 0 THE MEDICAL CENTER INC COLUMBUS RADIATION ONCOLOGY TREATMENT CENTER LLC 707 CENTER STREET COLUMBUS GA 31901 273019214 ONCOLOGY GA 0 0 COLUMBUS AMBULATORY HEALTHCARE SERVICES INC COLUMBUS REGIONAL HEALTHCARE SYSTEM INC 707 CENTER STREET COLUMBUS GA 31901 581719994 HEALTH SYSTEM MANAGEMENT GA 501(C)(3) LINE 11B, II N/A 0 COLUMBUS AMBULATORY HEALTHCARE SERVICES INC 707 CENTER STREET COLUMBUS GA 31901 581719867 AMBULATORY CARE GA 501(C)(3) LINE 3 COLUMBUS REGIONAL HEALTHCARE SYSTEM INC 1 COLUMBUS REGIONAL MEDICAL FOUNDATION INC 707 CENTER STREET COLUMBUS GA 31901 581501642 FUNDRAISING GA 501(C)(3) LINE 7 COLUMBUS REGIONAL HEALTHCARE SYSTEM INC 1 HUGHSTON HOSPITAL INC 707 CENTER STREET COLUMBUS GA 31901 331216751 ACUTE CARE HOSPITAL GA 501(C)(3) LINE 3 COLUMBUS REGIONAL HEALTHCARE SYSTEM INC 1 COLUMBUS REGIONAL AUXILIARY 707 CENTER STREET COLUMBUS GA 31901 580917974 HOSPITAL AUXILIARY GA 501(C)(3) LINE 11C, III-FI N/A 0 CRHS LONG TERM AND HOME CARE INC 707 CENTER STREET COLUMBUS GA 31901 581719867 NURSING HOME GA 501(C)(3) LINE 3 COLUMBUS REGIONAL HEALTHCARE SYSTEM INC 1 COLUMBUS REGIONAL SENIOR LIVING INC 707 CENTER STREET COLUMBUS GA 31901 582628502 CONTINUING CARE RETIREMENT COMMUNITY & ASSISTED LIVING GA 501(C)(3) LINE 11C, III-FI COLUMBUS REGIONAL HEALTHCARE SYSTEM INC 1 COLUMBUS DIAGNOSTIC IMAGING CTR LLC 116 INTRACOASTAL POINTE DR 300 JUPITER FL 33477 262291768 DIAGNOSTIC IMAGING FL THE MEDICAL CENTER INC RELATED 602392 2670061 0 0 0.49500 COLUMBUS REGIONAL RESEARCH INSTITUTE LLC 5210 ARMOUR ROAD SUITE 300 COLUMBUS GA 31904 383907670 RESEARCH MANAGEMENT GA N/A REHABILITATION HOSPITAL OF PHENIX CITY LLC 3660 GRANDVIEW PARKWAY SUITE 200 BIRMINGHAM AL 35243 631280233 REHABILITATION HOSPITAL AL THE MEDICAL CENTER INC RELATED 4056686 8460192 0 0 0.50000 COLUMBUS HEALTH SERVICES INC 707 CENTER STREET COLUMBUS GA 31901 581640939 RETAIL PHARMACIES GA N/A C 0 COLUMBUS HEALTHCARE RESOURCES INC 707 CENTER STREET COLUMBUS GA 31901 581717754 PROPERTY MANAGEMENT GA N/A C 0 WOMEN'S MEDICAL SERVICES INC 707 CENTER STREET COLUMBUS GA 31901 581695456 MANAGEMENT SERVICES GA N/A C 0 0 1 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 1 COLUMBUS REGIONAL HEALTHCARE SYSTEM INC M 595356 PART III COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC IS THE PARENT OF THE MEDICAL CENTER, COLUMBUS HEALTHCARE RESOURCES AND AFFILIATES. THE MEDICAL CENTER OWNS 49% OF REHABILITATION HOSPITAL OF PHENIX CITY, LLC AND COLUMBUS HEALTHCARE RESOURCES OWNS 1%. TOGETHER AND UNDER COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. THE MEDICAL CENTER EFFECTIVELY HAS CONTROL OVER REHABILITATION HOSPITAL OF PHENIX CITY, LLC. 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