HUGHSTON HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- HUGHSTON HOSPITAL INC (EIN 33-1216751)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201741359349313084
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
- Affiliated Group Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T18:56:03-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1747 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 253261747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 331216751 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUGHSTON HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HUGH | BusinessNameControlTxt |
| Phone | 7066606103 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 CENTER STREET | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALLEN BUTCHER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7606606303 | PhoneNum |
| Signature | 2017-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUSAN S DULL | PreparerPersonNm |
| PTIN | P00233523 | PTIN |
| Phone | 3043430168 | PhoneNum |
| Preparation | 2017-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | M SCOTT HILL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 CENTER STREET | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $67,441,389 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | COLUMBUSREGIONAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE THE HEALTH AND HEALING OF OUR PATIENTS AND DELIVERY OF CLINICAL CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 411 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $63,749,375 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $67,329,876 | CYProgramServiceRevenueAmt |
| PY Investment Income | $350,735 | PYInvestmentIncomeAmt |
| CY Investment Income | $111,513 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $64,100,110 | PYTotalRevenueAmt |
| CY Total Revenue | $67,441,389 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $12,288 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,930,031 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,326,897 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $45,386,948 | PYOtherExpensesAmt |
| CY Other Expenses | $46,685,185 | CYOtherExpensesAmt |
| PY Total Expenses | $66,316,979 | PYTotalExpensesAmt |
| CY Total Expenses | $67,024,370 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,216,869 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $417,019 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $87,516,028 | TotalAssetsBOYAmt |
| Total Assets EOY | $87,232,950 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $71,099,628 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $70,459,832 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,416,400 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,773,118 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HUGHSTON HOSPITAL, INC. PROVIDES OUR COMMUNITY EXCELLENCE IN ORTHOPEDIC AND REHABILITATIVE CARE. SERVICES ARE FOCUSED EXCLUSIVELY ON ORTHOPEDIC RELATED NEEDS. HUGHSTON HOSPITAL WAS THE NATION'S FIRST HOSPITAL DESIGNED SPECIFICALLY TO TREAT PATIENTS WITH MUSCULOSKELETAL INJURIES OR DISORDERS. TODAY, THE 100-BED, PRIVATE ROOM HOSPITAL IS NATIONALLY RECOGNIZED FOR DELIVERING OUTSTANDING CLINICAL QUALITY AND THE HIGHEST LEVELS OF CUSTOMER SERVICE.SERVICES ARE DELIVERED THROUGH A HIGHLY SPECIALIZED TEAM OF PROFESSIONALS USING THE LATEST TECHNOLOGY AND RESEARCH TO CARE FOR PEOPLE OF EVERY AGE AND ABILITY AND EVERY LEVEL OF MUSCULOSKELETAL INJURY OR DISORDER. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $21,114,704 | ExpenseAmt |
| Grant | $12,288 | GrantAmt |
| Revenue | $24,746,869 | RevenueAmt |
| Desc | HUGHSTON HOSPITAL'S JOINT REPLACEMENT CENTER IS DEDICATED SPECIFICALLY TO THE CARE OF KNEE, HIP AND SHOULDER REPLACEMENT PATIENTS. PATIENTS ARE TREATED LIKE SPECIAL GUESTS WHO ARE TEMPORARILY SIDELINED WITH A JOINT OR ORTHOPEDIC PROBLEM. THE FOCUS IS ON WELLNESS AND GUEST ARE ACTIVE PARTICIPANTS IN A UNIQUE TREATMENT MODEL THAT BEGINS AT DIAGNOSIS IN THE SURGEON'S OFFICE AND CONTINUES AT THE HUGHSTON HOSPITAL JOINT REPLACEMENT CENTER. GUESTS ARE PROVIDED AS MUCH INFORMATION AS POSSIBLE AND KEPT EDUCATED, MOTIVATED AND INVOLVED. HUGHSTON'S JOINT REPLACEMENT SPECIALISTS, VOTED BEST SURGEONS FOR TOTAL JOINT REPLACEMENT, OFFER THE LATEST PROCEDURES AND TECHNOLOGY, INCLUDING COMPUTER ASSISTED SURGICAL NAVIGATION, MINIMALLY INVASIVE SURGERY AND REVERSE TOTAL SHOULDER. THESE INNOVATIVE TECHNIQUES PROVIDE EXTRAORDINARY OUTCOMES AND QUICKER RECOVERIES FOR THEIR PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,559,656 | ExpenseAmt |
| Revenue | $13,594,026 | RevenueAmt |
| Desc | HUGHSTON HOSPITAL OFFERS THE ONLY ORTHOPEDIST SPECIALIZING IN TRAUMATOLOGY IN THE REGION. HUGHSTON'S ADVANCED RECONSTRUCTIVE TRAUMA SERVICES OFFERS PATIENTS MORE TREATMENT OPTIONS FOR MULTIPLE BROKEN BONES IN MULTIPLE LIMBS, BROKEN BONES THAT DON'T HEAL CORRECTLY OR A SEVERE INJURY.OFTEN, TRAUMATOLOGISTS ARE CONSULTED ABOUT A SEVERELY INJURED PATIENT WHO IS EN ROUTE TO THE HOSPITAL SO THEY CAN BE IN THE EMERGENCY ROOM WHEN THE PATIENT ARRIVES. THIS ALLOWS THE TRAUMATOLOGIST TO BE INVOLVED IN WHAT HAS BECOME KNOWN AS THE "GOLDEN HOUR" OF TRAUMA CARE. DURING THIS PERIOD, DECISIONS HAVE TO BE MADE RAPIDLY WITH VERY LITTLE TIME FOR REFLECTION. ALTHOUGH ALL ORTHOPEDISTS TREAT COMMON INJURIES, THE HUGHSTON TRAUMATOLOGIST IS SOUGHT OUT FOR THE DEFINITIVE CARE OF THE MOST COMPLEX PROBLEMS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,505,065 | ExpenseAmt |
| Revenue | $2,653,345 | RevenueAmt |
| Desc | AWARDED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR STROKE REHABILITATION, THE REHABILITATION CENTER AT HUGHSTON HOSPITAL OFFERS THE BEST POSSIBLE REHABILITATIVE CARE DESIGNED TO SERVE INDIVIDUALS WHO HAVE A NEED FOR ACUTE INPATIENT REHABILITATION.HUGHSTON'S REHABILITATION CENTER OFFERS A VARIETY OF THERAPEUTIC TREATMENTS DESIGNED TO GET EMPLOYEES BACK TO WORK, GET PHYSICALLY ACTIVE INDIVIDUALS PLAYING AGAIN AND GET EACH PATIENT TO ENJOYING LIFE. THE THERAPY IS ADMINISTERED IN A HOME-LIKE AREA AIMED AT RESTORING A PATIENT'S FUNCTION RELATED TO DAILY LIVING ACTIVITIES. THE PROGRAM INCLUDES FAMILY-CENTERED CARE, AROUND THE CLOCK VISITATION AND ROOMING IN.THE GOAL OF THE PROGRAM IS TO ASSIST INDIVIDUALS IN REGAINING THEIR INDEPENDENCE. THE PROGRAM FEATURES A HIGHLY STRUCTURED ENVIRONMENT AND INDIVIDUAL ASSISTANCE BY A MULTI-DISCIPLINARY TEAM OF PROFESSIONALS, ALL IN A THERAPEUTIC, RESIDENTIALLY FOCUSED SETTING. THE REHABILITATION IS RESIDENTIALLY FOCUSED WHERE FAMILY MEMBERS ARE ENCOURAGED TO JOIN THEM. FOR CONSIDERATION, PATIENTS SHOULD BE MEDICALLY STABLE, HAVE THE POTENTIAL TO IMPROVE, AND BE PHYSICALLY ABLE TO START THE PROGRAM. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $32,964,626 | ExpenseAmt |
| Revenue | $25,419,042 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $32,964,626 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $25,419,042 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $61,144,051 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 411 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLEN BUTCHER CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7066606303 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 CENTER STREET | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31901 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| MAX BRABSON JR | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATHRYN CHEEK MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| CECIL CHEVES | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| TODD JARRELL MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOEY LOUDERMILK | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| LILIANA MCDANIEL | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILIAM ROUNDTREE MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| CAROLE RUTLAND PHD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| WARREN STEELE II | |||||||||
| CHAIRMAN | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| M SCOTT HILL | |||||||||
| PRESIDENT & CEO CRHS | 2.00 | Yes (X) | $0 | $704,762 | $138,490 | Yes (X) | 40.00 | ||
| SHANE DARRAH MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILL WHITE | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JUDGE JOHN ALLEN | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN DALE HESTER | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JACK PEZOLD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALLEN R BUTCHER | |||||||||
| SR. VP & CFO | 2.00 | $0 | $458,599 | $88,639 | Yes (X) | 40.00 | |||
| KAREN SMITH | |||||||||
| CORPORATE SECRETARY | 2.00 | $0 | $72,806 | $13,922 | Yes (X) | 40.00 | |||
| EDWARD HICKSON | |||||||||
| EXECUTIVE VP & PRESIDENT | 40.00 | $310,947 | $0 | $29,082 | Yes (X) | ||||
| CARY BURCHAM | |||||||||
| VP, CNO | 40.00 | $23,887 | $0 | $13,975 | Yes (X) | ||||
| HOLLY LEHMBERG | |||||||||
| INTERIM CNO, 3/25/15-11/2/15 | 40.00 | $108,508 | $0 | $17,273 | Yes (X) | ||||
| DIANE MORRIS | |||||||||
| DIRECTOR - SURGICAL SERVIC | 40.00 | $128,149 | $0 | $17,195 | Yes (X) | ||||
| LYNN KELLY | |||||||||
| DIRECTOR - NURSING | 40.00 | $105,446 | $0 | $20,918 | Yes (X) | ||||
| JUDITH HILL | |||||||||
| CLINICAL PHARMACIST | 40.00 | $127,945 | $0 | $24,724 | Yes (X) | ||||
| NANCY CHAFFEE | |||||||||
| DIR. PHARMACY | 40.00 | $166,493 | $0 | $7,841 | Yes (X) | ||||
| TIMARA REMBERT | |||||||||
| CLINICAL PHARMACIST | 40.00 | $123,935 | $0 | $22,976 | Yes (X) | ||||
| TAMARA L JACKSON | |||||||||
| CEO; TRMD 11/3/14 | 10.00 | $286,957 | $0 | $17,821 | 40.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,382,267 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,236,167 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $412,856 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BATSON-COOK COMPANY | |||||
| 400 GALLERIA PKWY SE 1900 | ATLANTA | GA | 30339 | CONTRACTING | $1,730,615 |
| HSS SYSTEMS LLC | |||||
| 6640 CAROTHERS PKWY | FRANKLIN | TN | 37067 | REVENUE CYCLE SERVICES | $1,441,101 |
| SYSCO FOOD SERVICES | |||||
| 3604 MACON ROAD SUITE 16 | COLUMBUS | GA | 31907 | FOOD SERVICES | $447,507 |
| SPECTRA CONTRACT FLOORING | |||||
| 6684 JIMMY CARTER BLVD 500 | NORCROSS | GA | 30071 | CONTRACTING | $237,405 |
| SPINALGRAFT TECHNOLOGIES LLC | |||||
| 4340 SWINNEA ROAD | MEMPHIS | TN | 38118 | MEDICAL SERVICES | $133,021 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621400 | $66,413,881 | $66,413,881 | |
| OTHER PROGRAM SERVICE REVENUE | 900099 | $587,142 | $587,142 | |
| CAFETERIA | 722210 | $328,608 | $328,608 | |
| MEDICAL RECORDS | 621400 | $245 | $245 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $67,329,876 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $111,513 | TotalRevenueColumnAmt |
| Exclusion | $111,513 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,441,389 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $66,413,881 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,027,508 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,288 | TotalAmt |
| Program Services | $12,288 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $443,342 | TotalAmt |
| Program Services | $443,342 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,032,205 | TotalAmt |
| Program Services | $15,249,217 | ProgramServicesAmt |
| Management And General | $782,988 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,674,404 | TotalAmt |
| Program Services | $2,652,256 | ProgramServicesAmt |
| Management And General | $22,148 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,176,946 | TotalAmt |
| Program Services | $1,125,741 | ProgramServicesAmt |
| Management And General | $51,205 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,715,049 | TotalAmt |
| Management And General | $4,715,049 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,655 | TotalAmt |
| Management And General | $54,655 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,627,331 | TotalAmt |
| Program Services | $4,501,038 | ProgramServicesAmt |
| Management And General | $126,293 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,039 | TotalAmt |
| Management And General | $41,039 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,949 | TotalAmt |
| Program Services | $356,958 | ProgramServicesAmt |
| Management And General | $42,991 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228 | TotalAmt |
| Management And General | $228 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,513,655 | TotalAmt |
| Program Services | $1,504,625 | ProgramServicesAmt |
| Management And General | $9,030 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,653 | TotalAmt |
| Program Services | $5,270 | ProgramServicesAmt |
| Management And General | $10,383 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,010 | TotalAmt |
| Program Services | $590 | ProgramServicesAmt |
| Management And General | $3,420 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,099,856 | TotalAmt |
| Program Services | $3,099,856 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,679,592 | TotalAmt |
| Program Services | $2,679,592 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,047 | TotalAmt |
| Program Services | $391,047 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $25,678,311 | $25,657,421 | $20,890 |
| BAD DEBT EXPENSE | $1,787,511 | $1,787,511 | |
| PROVIDER FEE | $941,261 | $941,261 | |
| REPAIRS AND MAINTANENCE | $736,038 | $736,038 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,024,370 | TotalAmt |
| Program Services | $61,144,051 | ProgramServicesAmt |
| Management And General | $5,880,319 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,051,240 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,370,372 | BOYAmt |
| EOY | $9,631,573 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,806,788 | BOYAmt |
| EOY | $4,928,550 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,524 | BOYAmt |
| EOY | $95,318 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $68,961,512 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,712,943 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,860,713 | BOYAmt |
| EOY | $49,248,569 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,678,406 | BOYAmt |
| EOY | $10,633,772 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,601,985 | BOYAmt |
| EOY | $12,695,168 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,516,028 | BOYAmt |
| EOY | $87,232,950 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,319,606 | BOYAmt |
| EOY | $6,011,347 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,564,122 | BOYAmt |
| EOY | $61,439,078 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,900 | BOYAmt |
| EOY | $3,009,407 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,099,628 | BOYAmt |
| EOY | $70,459,832 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,416,400 | BOYAmt |
| EOY | $16,773,118 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,416,400 | BOYAmt |
| EOY | $16,773,118 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,516,028 | BOYAmt |
| EOY | $87,232,950 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $417,019 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$60,301 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $2,387 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $25,509 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $2,387 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $25,509 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $67,021,983 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $516,649,160 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $67,024,370 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $516,674,669 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $32,191 | CurrentYearMinus3Amt |
| Current Year Minus2 | $14,315 | CurrentYearMinus2Amt |
| Current Year Minus1 | $26,833 | CurrentYearMinus1Amt |
| Current Year | $25,509 | CurrentYearAmt |
| Total | $98,848 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,190,000 | OtherCostOrOtherBasisAmt |
| Book Value | $4,190,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,348,815 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,668,257 | DepreciationAmt |
| Book Value | $40,680,558 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,710,948 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,044,686 | DepreciationAmt |
| Book Value | $3,666,262 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $711,749 | OtherCostOrOtherBasisAmt |
| Book Value | $711,749 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $49,248,569 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $12,548,860 |
| DUE FROM UNRELATED PARTIES | $146,308 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,695,168 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROFESSIONAL LIABILITY | Desc |
| Amt | $3,009,407 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,009,407 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 125.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 185.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,553,490 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $214,355 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,339,135 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03490 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$2,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,553,490 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $216,855 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,336,635 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03490 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,650 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $43,650 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,650 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $43,650 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,597,140 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $216,855 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,380,285 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03560 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,787,512 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $214,346 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $20,158,488 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $26,552,694 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,394,206 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUGHSTON HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 CENTER STREET | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.COLUMBUSREGIONAL.COM | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUGHSTON HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://COLUMBUSREGIONAL.COM/ABOUT-US/COMMUNITY-OUTREACH/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://COLUMBUSREGIONAL.COM/ABOUT-US/COMMUNITY-OUTREACH/ | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 185.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://COLUMBUSREGIONAL.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://COLUMBUSREGIONAL.COM/MEDIA/1487/FINANCIAL-ASSISTANCE-APPLICATION.PD | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://COLUMBUSREGIONAL.COM/MEDIA/1489/CRH-PLAIN-LANGUAGE-SUMMARY.PDF | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HUGHSTON HOSPITAL, 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 |
| HUGHSTON HOSPITAL, 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. |
| HUGHSTON HOSPITAL, 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 TWO 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: HUGHSTON HOSPITAL SHALL PRIMARILY COORDINATE STRATEGIES TO ADDRESS THE CHALLENGES OF CHILDHOOD OBESITY AND SEPARATELY, NUTRITION.THE ENTIRE RESPONSE CAN BE ACCESSED AT:HTTPS://COLUMBUSREGIONAL.COM/MEDIA/1589/2016-2019-CHNA-ACTION-PLANS.PDF |
| HUGHSTON HOSPITAL, INC. | PART V, SECTION B, LINE 13B: HUGHSTON HOSPITAL, INC. ALSO CONSIDERS PATIENTS WITH INCOME LOW ENOUGH THAT THEY ARE NOT REQUIRED TO FILE AN INCOME TAX RETURN. |
| HUGHSTON HOSPITAL, INC. | PART V, SECTION B, LINE 13H: IN CALCULATING AMOUNTS CHARGED TO FINANCIAL ASSISTANCE POLICY ELIGIBLE PATIENTS, HUGHSTON HOSPITAL, INC. ALSO CONSIDERS THE RESIDENCY OF APPLICANTS TO DETERMINE FOR WHICH FINANCIAL ASSISTANCE PROGRAM THE PATIENT MAY QUALIFY. |
| HUGHSTON HOSPITAL, 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. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2014 FILED MEDICARE COST REPORT AND IS A COMPOSITE OF TRADITIONAL AND MANAGED CARE MEDICARE AND TRICARE COST TO CHARGE RATIOS EXCLUDING THE INPATIENT REHABILITATION UNIT. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE IN THE AMOUNT OF $1,787,512 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: | A HISTORICAL ANALYSIS OF THE SELF-PAY AND PATIENT PORTION OF INSURED ACCOUNTS IS DONE TO DETERMINE THE APPROPRIATE ALLOWANCE TO RESERVE FOR WHAT IS LIKELY TO BE UNCOLLECTIBLE AND AN EXPENSE IS RECORDED TO ESTABLISH THAT ALLOWANCE. |
| PART III, LINE 3: | BASED ON THE POVERTY LEVEL OF THE COMMUNITY WE SERVE, > 40% OF HOUSEHOLDS IN THE SURROUNDING COUNTIES WOULD QUALIFY FOR DISCOUNTS IF THEY WOULD JUST PROVIDE INCOME INFORMATION. THE AMOUNT ENTERED ABOVE IS 40% OF OUR BAD DEBT AT THE CURRENT YEAR'S COST 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: | HUGHSTON HOSPITAL, INC. BELIEVES THAT ALL OF THE MEDICARE SHORTFALL REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. MEMBERS OF THE MEDICARE COMMUNITY ARE PROVIDED THE SAME CARE AND TREATMENT AS ALL OTHER PATIENTS OF THIS FACILITY. BECAUSE OF LOW PAYMENT RATES OF THE MEDICARE PROGRAM, LOSSES RELATED TO SERVING THIS IMPORTANT POPULATION OF OUR COMMUNITY INDICATE THAT HUGHSTON HOSPITAL, INC. IS DEDICATED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS REGARDLESS OF REIMBURSEMENT. THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 WAS THE MEDICARE COST REPORT. |
| PART III, LINE 9B: | IT IS THE POLICY OF HUGHSTON HOSPITAL, 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. |
| PART VI, LINE 2: | IN ADDITION TO THE CHNAS REPORTED IN PART V, SECTION B OF THE FORM 990, SCH H FOR HUGHSTON HOSPITAL, INC. AKA NORTHSIDE MEDICAL CENTER UNDERSTANDS THE VALUE OF COMMUNITY. THAT'S WHY THE STAFF IS INVOLVED IN A RANGE OF COMMUNITY ACTIVITIES, SUCH AS:-LOCAL HEALTH EXPOS-STROKE RISK ASSESSMENTS-SUPPORT GROUPS FOR STROKE SURVIVORS, TRAUMATIC BRAIN INJURY PATIENTS AND THEIR FAMILES AND CAREGIVERS-FREE EDUCATIONAL SEMINARS ON A VARIETY OF ORTHOPEDIC TOPICS ON A MONTHLY BASIS-PARTNERS WITH A LOCAL ELEMENTARY SCHOOL GIVING HOSPITAL EMPLOYEES AN OPPORTUNITY TO DONATE ITEMS FOR THE STUDENTS AND VOLUNTEER THROUGHOUT THE YEARBUILDING UPON ITS 100TH PERCENTILE RANKING IN NATIONALLY REPORTED CLINICAL PROCESS AND PATIENT SATISFACTION SCORES (CMS HOSPITAL VALUE-BASED PURCHASING PROGRAM SIMULATED HOSPITAL REPORT, JUNE 2012), NORTHSIDE MEDICAL CENTER HAS RECEIVED STATE APPROVAL TO DEVELOP AN EMERGENCY DEPARTMENT. ONCE COMPLETED, NORTHSIDE MEDICAL CENTER'S WILL BE ABLE TO FURTHER MEET THE NEEDS OF NORTH COLUMBUS AND HARRIS COUNTY FOR GENERATIONS TO COME. |
| 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: | SINCE 1984, HUGHSTON HOSPITAL, INC. HAS PROVIDED OUR COMMUNITY EXCELLENCE IN ORTHOPEDIC AND REHABILITATIVE CARE. SERVICES FOCUSED EXCLUSIVELY ORTHOPEDIC AND REHABILITATIVE CARE. SERVICES ARE DELIVERED THROUGH A HIGHLY SPECIALIZED TEAM OF PROFESSIONALS USING THE LATEST TECHNOLOGY AND RESEARCH TO CARE FOR PEOPLE OF EVERY AGE AND ABILITY AND EVERY LEVEL OF MUSCULOSKELETAL INJURY OR DISORDER.HUGHSTON HOSPITAL, INC. WAS THE NATION'S FIRST HOSPITAL DESIGNED SPECIFICALLY TO TREAT PATIENTS WITH MUSCULOSKELETAL INJURIES OR DISORDERS. TODAY, THE 100-BED, PRIVATE ROOM HOSPITAL IS NATIONALLY RECOGNIZED FOR DELIVERING OUTSTANDING CLINICAL QUALITY AND THE HIGHEST LEVELS OF CUSTOMER SERVICE.HUGHSTON HOSPITAL, 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 ARE CONTRACTORS OF THE ORGANIZATION.MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS AS DETERMINED THROUGH A DETAILED CREDENTIALING PROCESS. HUGHSTON HOSPITAL, INC. HAS OVER 200 AFFILIATED PHYSICIANS WITH 100 PHYSICIANS IN THE ACTIVE OR ACTIVE PROVISIONAL CATEGORIES PROVIDING HEALTHCARE SERVICE AT HUGHSTON HOSPITAL, INC. THE ORGANIZATION REINVESTS ALL PROFITS BACK INTO PHYSICIAN AND STAFF TRAINING AND FACILITIES AND EQUIPMENT TO CONTINUALLY IMPROVE PATIENT CARE. IN CONTRACTS TO INVESTOR-OWNED HOSPITALS, NO PART OF NET EARNINGS DIRECTLY OR INDIRECTLY BENEFITS ANY PRIVATE SHAREHOLDERS OR INDIVIDUALS.ALL FACILITIES PARTICIPATE IN MEDICARE, MEDICAID, CHAMPUS AND PEACHCARE AS APPROPRIATE FOR SERVICES PROVIDED.OUR 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 HUGHSTON HOSPITAL, INC. |
| PART VI, LINE 6: | HUGHSTON HOSPITAL, 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, HUGHSTON HOSPITAL, 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 HUGHSTON HOSPITAL, 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.3) THE MEDICAL CENTER, INC. - A NOT-FOR-PROFIT 413-BED LICENSED ACUTE CARE HOSPITAL LOCATED IN COLUMBUS, GEORGIA. 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 INCLUDED ACUTE, PRIMARY AND PREVENTIVE CARE, MEDICAL EDUCATION, CLINICAL TRANING AND COMMUNITY EDUCATION.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. 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. PRIORITY ON EACH PATIENT ENCOUNTER AND LISTENS TO THE NEEDS OF THE COMMUNITY AND PROVIDES A HIGH QUALITY SERVICE TO CONTINUALLY MEET THOSE NEEDS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | GA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN CANCER SOCIETY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1382 SUPPORT PROGRAMS OF THE | AddressLine1Txt |
| Address Line2 | THE | AddressLine2Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31920 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 131788491 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $11,688 | CashGrantAmt |
| Purpose Of Grant | PROGRAM SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | HUGHSTON HOSPITAL, 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| M SCOTT HILL | ||||||||||||||
| PRESIDENT & CEO CRHS | $0 | $701,852 | $0 | $300 | $0 | $2,610 | $0 | $117,441 | $0 | $21,049 | $0 | $843,252 | $0 | $0 |
| ALLEN R BUTCHER | ||||||||||||||
| SR. VP & CFO | $0 | $455,726 | $0 | $300 | $0 | $2,573 | $0 | $70,620 | $0 | $18,019 | $0 | $547,238 | $0 | $0 |
| EDWARD HICKSON | ||||||||||||||
| EXECUTIVE VP & PRESIDENT | $309,683 | $0 | $300 | $0 | $964 | $0 | $12,438 | $0 | $16,644 | $0 | $340,029 | $0 | $0 | $0 |
| JUDITH HILL | ||||||||||||||
| CLINICAL PHARMACIST | $127,666 | $0 | $100 | $0 | $179 | $0 | $5,118 | $0 | $19,606 | $0 | $152,669 | $0 | $0 | $0 |
| NANCY CHAFFEE | ||||||||||||||
| DIR. PHARMACY | $163,248 | $0 | $250 | $0 | $2,995 | $0 | $6,660 | $0 | $1,181 | $0 | $174,334 | $0 | $0 | $0 |
| TAMARA L JACKSON | ||||||||||||||
| CEO; TRMD 11/3/14 | $281,603 | $0 | $0 | $0 | $5,354 | $0 | $11,478 | $0 | $6,343 | $0 | $304,778 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINES 4A-B | FormAndLineReferenceDesc |
| Explanation | 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; THEREFORE, NO PAYMENT WAS MADE IN THE FISCAL YEAR ENDING 6/30/2015. 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 CARY BURCHAM $ 13,127 PAYOUT FROM 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN (INCLUDED IN REPORTABLE COMPENSATION): CARY BURCHAM $ 2,693 SEVERANCE PAYMENTS: TAMARA JACKSON RECEIVED SEVERANCE FROM HUGHSTON HOSPITAL THROUGH 11/2/15. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC - A RELATED 501(C)(3) ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS OF HUGHSTON HOSPITAL, INC. IS APPOINTED BY THE BOARD OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF DIRECTORS OF HUGHSTON HOSPITAL, INC. DETERMINES THE ISSUES THAT ARE BROUGHT UP FOR DISCUSSION AND MOST ITEMS CAN BE APPROVED ALONG WITH THE EXECUTIVE TEAM OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION. CAPITAL EXPENDITURES IN EXCESS OF $500,000 MUST BE APPROVED BY THE COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. |
| 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 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 THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | COLUMBUS REGIONAL HEALTHCARE SYSTEM 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 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 AGREEMENT. A CONFLICT OF INTEREST MAY ARISE IN THE RELATIONSHIPS WITH COLUMBUS REGIONAL AGENTS WITH 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 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 THE ORGANIZATION 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 CHIEF 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 MAKING 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 OR 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 BENEFITS PROGRAMS FOR ALL EMPLOYEES AT ALL LEVELS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CONFLICT OF INTEREST POLICY, AS WELL AS FINANCIAL STATEMENTS AND OTHER CORPORATE AND GOVERNING DOCUMENTS, IS NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XII, LINE 2C | NO CHANGE FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE MEDICAL CENTER INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581685139 | ACUTE CARE HOSPITAL | GA | 501(C)(3) | LINE 3 | COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | Yes (1) | |
| 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 | Yes (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 | Yes (1) | |
| COLUMBUS REGIONAL AUXILIARY | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 580917974 | HOSPITAL AUXILIARY | GA | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| 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 | Yes (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 | Yes (1) | |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 591719994 | HEALTH SYSTEM MANAGEMENT | GA | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| COLUMBUS DIAGNOSTIC IMAGING CTR LLC | |||||||
| 116 INTRACOASTAL POINTE DR 300 | JUPITER | FL | 33477 | 262291768 | DIAGNOSTIC IMAGING | FL | N/A |
| 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 | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedScheduleGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Electing OrganizationElectingOrganizationInd | Total Grassroots LobbyTotalGrassrootsLobbyAmt | Total Direct LobbyTotalDirectLobbyAmt | Total Lobby ExpenditureTotalLobbyExpenditureAmt | Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt | Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt | Lobby NontxLobbyNontxAmt | Grassroots NontxGrassrootsNontxAmt | Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt | Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt | Share Excess Lobby ExpendShareExcessLobbyExpendAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581719994 | Yes (X) | $0 | $13,442 | $13,442 | $35,634,724 | $35,648,166 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| THE MEDICAL CENTER INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581685139 | $0 | $9,680 | $9,680 | $379,655,541 | $379,665,221 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| CRHS LONG TERM & HOME CARE INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581778572 | $0 | $0 | $0 | $350,515 | $350,515 | $70,103 | $17,526 | $0 | $0 | $0 | |
| COLUMBUS AMBULATORY HEALTHCARE SERVICES | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581719867 | $0 | $0 | $0 | $24,394,539 | $24,394,539 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| COLUMBUS REGIONAL MEDICAL FOUNDATION INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581501642 | $0 | $0 | $0 | $2,813,095 | $2,813,095 | $290,655 | $72,664 | $0 | $0 | $0 | |
| COLUMBUS REGIONAL SENIOR LIVING | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 582628502 | $0 | $0 | $0 | $6,411,676 | $6,411,676 | $470,584 | $117,646 | $0 | $0 | $0 | |
| COLUMBUS REGIONAL AUXILIARY | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 580917974 | $0 | $0 | $0 | $364,087 | $364,087 | $72,817 | $18,204 | $0 | $0 | $0 | |
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