2015-05-13T15:48:01-05:00 2014-06-30 560747981 DIXON HUGHES GOODMAN LLP PO BOX 1747 CHARLESTON WV 253261747 990 2013-07-01 581685139 THE MEDICAL CENTER INC MEDI 7066606103 710 CENTER STREET COLUMBUS GA 31901 ALLEN R BUTCHER CFO CFO 7606606303 2015-05-04 1 SUSAN S DULL P00233523 3043430168 2013 2016-02-25 16:41:14Z M SCOTT HILL 710 CENTER STREET COLUMBUS GA 31901 366335436 0 X COLUMBUSREGIONAL.COM X 1986 GA TO PROMOTE THE HEALTH AND HEALING OF OUR PATIENTS. 15 11 2849 14 755452 -690870 12868022 3184746 320846290 340278143 8493596 22304976 873909 567571 343081817 366335436 108026 119005 0 0 123169829 129163767 0 0 0 199821379 241602216 323099234 370884988 19982583 -4549552 355717903 370177907 118085052 150276800 237632851 219901107 X THE MEDICAL CENTER IS A 413-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 250870036 119005 289378067 THE MEDICAL CENTER, INC. IS A 413-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. 33151674 50712195 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 2014, 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 CITYS 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 2014, 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. 284021710 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 1 263 0 1 2849 1 1 1 0 0 0 0 0 0 0 X 15 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X ALLEN BUTCHER CFO 7066606303 707 CENTER STREET COLUMBUS GA 31901 EUGENE DEMONET CHAIRMAN DIRECTOR 2.00 X 0 0 0 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 MICHAEL W GORUM MD DIRECTOR 2.00 X 0 0 0 R SCOTT HANNAY MD DIRECTOR 2.00 X 0 0 0 JULIUS H HUNTER JR DIRECTOR 2.00 X 0 0 0 TODD JARRELL MD DIRECTOR 2.00 X 0 0 0 JOEY LOUDERMILK DIRECTOR 2.00 X 0 0 0 LILIANA MCDANIEL DIRECTOR 2.00 X 0 0 0 WILIAM ROUNDTREE MD DIRECTOR 2.00 X 0 0 0 CAROLE RUTLAND PHD DIRECTOR 2.00 X 0 0 0 WARREN STEELE II DIRECTOR 2.00 X 0 0 0 HENRY W SWIFT JR DIRECTOR 2.00 X 0 0 0 CHARLES A STARK PRESIDENT & CEO; RSGND 6/12/14 40.00 2.00 X 0 785221 40481 M SCOTT HILL PRESIDENT & CEO; APPTD 6/12/14 40.00 2.00 X 0 503116 87012 ROLAND L THACKER SR. VP & CFO; TRMD 10/31/13-SVR 10/31/14 40.00 2.00 X 0 599420 130567 ALLEN R BUTCHER SR. VP & CFO; HIRED 3/12/14 40.00 2.00 X 0 0 0 LAURA DREW SR. VICE PRESIDENT 40.00 X 0 214333 45405 RYAN CHANDLER CEO - THE MEDICAL CENTER 40.00 X 0 400197 100375 KAREN SMITH CORPORATE SECRETARY 40.00 2.00 X 0 63597 17883 MICHELLE BREITFELDER SR. VICE PRESIDENT 25.00 15.00 X 111068 110101 55744 BONNIE FRANCO VP, CHIEF NURSING OFFICER 40.00 X 241327 0 14688 W MARK TWILLA VP, CHIEF OPERATING OFFICER 40.00 X 214023 0 9985 ANDREW MORLEY JR SR. VP & CMO 40.00 X 19650 0 1451 BRIAN LAVERTY VICE PRESIDENT 40.00 X 65224 0 7361 RICHARD BARKER DIRECTOR, ONCOLOGY 40.00 X 392914 0 23316 KENDALL HANDY CHIEF OF SERVICE 39.00 1.00 X 322155 1469 30994 JOHN R BUCHOLTZ DIRECTOR, MEDICAL EDUCATION 40.00 X 282020 0 143658 JOSEPH ZANGA CHIEF OF SERVICE 40.00 X 270761 0 23736 JEFFERSON JONES PHYSICIAN 40.00 X 257314 0 20643 LANCE B DUKE EXEC VP & COO; TRMD 4/9/12-SVR 6/30/13 0.00 0.00 X 0 459891 124696 DEBRA HERNANDEZ SR. VP, CNO; TRMD8/10/12SVR8/31/14 0.00 X 221327 0 50097 2397783 3137345 928092 103 1 1 0 AMERICAN INTEGRATED MANAGEMENT PO BOX 6633 HIGH POINT NC 27262 ANESTHESIOLOGY SERVICES 3499100 HUMAN PERFORMANCE AND REHAB PO BOX 8068 COLUMBUS GA 319088068 REHAB SERVICES 1968596 ROBINSON & MORTON 400 SHADES CREEK PKWY BIRMINGHAM AL 35209 CONSTRUCTION SERVICES 1682622 TEAM RADIOLOGY INC PO BOX 30698 KNOXVILLE TN 37930 RADIOLOGY SERVICES 1438595 AMN HEALTHCARE INC 2735 COLLECTIONS CTR DRIVE CHICAGO IL 60693 STAFFING 1292386 43 3184746 3184746 PATIENT REVENUE 621400 324192901 324192901 IND CARE INCOME 900099 8006980 8006980 INTENSIVE AND MATERNAL HEALTH 624100 1943147 1943147 EDUCATION FEES 624100 1504540 1504540 OTHER OPERATING REVENUE 624100 1276864 1276864 3353711 2619829 733882 340278143 7676123 7676123 567571 0 567571 567571 546001 21570 14628853 0 14628853 14628853 14628853 366335436 340090262 755452 22304976 X 119005 119005 104471768 99683281 4788487 17214162 15437925 1776237 7477837 6952741 525096 26377976 174219 26203757 5619160 174682 5444478 38481824 34707385 3774439 355316 14214 341102 6989768 5451540 1538228 5718277 195553 5522724 5917055 2074376 3842679 420513 384363 36150 139159 134664 4495 4539747 4539747 19271620 19271620 7960142 7960142 SUPPLIES 59365925 59088948 276977 BAD DEBT 51584751 51584751 PROVIDER TAX 3355060 3355060 LEASE MEDICAL EQUIPMENT 1451465 1451465 4054458 3037538 1016920 370884988 284021710 86863278 0 66815035 66281849 3011019 20209 670184 63402760 57063302 5513184 5642374 6896256 5181007 314709448 170525285 132842824 144184163 77232679 90961906 172913 4146 355717903 370177907 23615147 38400997 85702994 87511361 8766911 24364442 118085052 150276800 X 237019020 219213518 613831 687589 237632851 219901107 355717903 370177907 X -4549552 -3910697 -9271495 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 14315 14315 531698600 531712915 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 27379 32330 32191 14315 106215 250000 250000 250000 250000 1000000 1500000 613831 613831 613831 613831 613831 613831 648156 -34325 613831 1087368 -439212 648156 1.00000 0 0 8108176 8108176 136197753 56252744 79945009 21535 21535 0 158636112 111528645 47107467 11745872 2722361 9023511 144184163 X 314369936 -51130411 -51130411 365500347 835089 835089 366335436 332101680 14764530 14764530 317337150 53547838 53547838 370884988 PART V, LINE 4: OPERATIONS OF THE MEDICAL CENTER - TO BE USED FOR THE PEDIATRIC INTENSIVIST AND PET. PART X, LINE 2: THE MEDICAL CENTER, INC. IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) AS ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. AT JUNE 30, 2014, MANAGEMENT DOES NOT BELIEVE THE MEDICAL CENTER HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE UNDER ASC 740. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -51,584,751. INTERCOMPANY TRANSFER 439,568. CROTC REVENUE TRANSFERRED TO AMBULATORY 14,772. PART XI, LINE 4B - OTHER ADJUSTMENTS: EQUITY IN UNDISTRIBUTED NET INCOME OF SUBSIDIARY 835,089. PART XII, LINE 2D - OTHER ADJUSTMENTS: NET UNREALIZED LOSS 3,910,697. GOODWILL IMPAIRMENT 10,500,000. CROTC EXPENSES TRANSFERRED TO AMBULATORY 353,833. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 51,584,751. EQUITY IN UNDISTRIBUTED NET EXPENSES OF SUBSIDIARY 1,963,087. 1 1 1 X 125.000000000000 1 X 185.000000000000 1 1 1 0 0 17076652 87179 16989473 0.05320 56335630 51805187 4530443 0.01420 8559271 13389689 -4830418 0.00000 81971553 65282055 16689498 0.06740 46435 2020 44415 0.00010 8231195 2718565 5512630 0.01730 322558 53754 268804 0.00080 8600188 2774339 5825849 0.01820 90571741 68056394 22515347 0.08560 1 51584751 81068250 108216404 -27148154 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 1 X X X X X X X X X 12 1 1 1 X WWW.COLUMBUSREGIONAL.COM X X X X X X X X X 0 0 1 1 125.000000000000 1 185.000000000000 1 X X X X X X X X 1 1 X X X 1 0 X X X X 1 X 0 0 THE MEDICAL CENTER, INC. PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT CONSISTED OF QUANTITATIVE AND QUALITATIVE DATA. QUALITATIVE DATA WAS COLLECTED THROUGH INPUT FROM KEY REPRESENTATIVES IN THE COMMUNITY CONSISTING OF PHYSICIANS, OTHER HEALTH PROFESSIONALS, COMMUNITY LEADERS, BUSINESS LEADERS, FAITH-BASED MEMBERS AND SCHOOL DISTRICT REPRESENTATIVES. FOCUS GROUPS PROVIDED THE FORUM FOR THIS DATA COLLECTION AND WERE ARRANGED IN ADVANCE TO PROMOTE ACTIVE PARTICIPATION. OPPORTUNITIES FOR COLLECTIVE AS WELL AS INDIVIDUAL INPUT WERE PROVIDED AND USED IN THE OVERALL ASSESSMENT REPORT.IN ADDITION TO FOCUS GROUPS, A VARIETY OF EXISTING (SECONDARY) DATA SOURCES WAS CONSULTED TO COMPLEMENT THE RESEARCH QUALITY OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT. DATA FOR MUSCOGEE COUNTY WAS OBTAINED FROM THE FOLLOWING SOURCES: CENTERS FOR DISEASE CONTROL & PREVENTION, GEORGIA DEPARTMENT OF PUBLIC HEALTH, GEORGIA BUREAU OF INVESTIGATION, NATIONAL CENTER FOR HEALTH STATISTICS, U.S. CENSUS BUREAU, U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND THE U.S. DEPARTMENT OF JUSTICE, FEDERAL BUREAU OF INVESTIGATION. THE MEDICAL CENTER, INC. PART V, SECTION B, LINE 4: THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE MEDICAL CENTER, INC. WAS CONDUCTED WITH THREE OTHER AREA HOSPITALS. TWO OF THOSE FACILITIES, DOCTOR'S HOSPITAL, INC. AND HUGHSTON HOSPITAL, INC. ARE AFFILIATES OF THE MEDICAL CENTER, INC. ALSO PARTICIPATING IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS ST. FRANCIS HOSPITAL WHICH ALSO SERVES MUSCOGEE COUNTY AND THE SURROUNDING AREA. THE MEDICAL CENTER, INC. PART V, SECTION B, LINE 7: 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, ACCESS TO CARE AND HEART DISEASE;THE ENTIRE RESPONSE CAN BE ACCESSED AT:HTTP://WWW.COLUMBUSREGIONAL.COM/MEDIA/FILE/COMMUNITYHEALTHRESPONSEPLAN/2013_COMMUNITY_HEALTH_RESPONSE_PLAN-THEMEDICALCENTER.PDF THE MEDICAL CENTER, INC. PART V, SECTION B, LINE 12I: 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 20D: THE AMOUNTS GENERALLY BILLED (AGB) FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE CALCULATED BASED ON MEDICARE FEE FOR SERVICE. THE FACILITY CALCULATES THE CHARGE FOR SERVICE DIVIDED BY THE SUM OF ASSOCIATED GROSS CHARGES RELATED TO THOSE CLAIMS. IF A PATIENT DOES NOT QUALIFY FOR ANY OF THE EXTENSIVE FINANCIAL ASSISTANCE AVAILABLE AND IS UNINSURED, A DISCOUNT OF 30% BILLED CHARGES IS AVAILABLE. 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 2013 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 $51,584,751 WAS SUBTRACTED FROM FORM 990, PARK IX, LINE 25 FOR PURPOSES OF COMPUTING THE PERCENTAGE IN THIS COLUMN. PART II, COMMUNITY BUILDING ACTIVITIES: N/A PART III, LINE 2: THE AMOUNT OF BAD DEBT EXPENSE AT COST WAS CALCULATED USING THE COST TO CHARGE RATIO FROM THE ORGANIZATION'S FISCAL YEAR 2014 FILED MEDICAID COST REPORT AND IS A COMPOSITE OF GEORGIA AND ALABAMA TRADITIONAL MEDICAID AND GEORGIA MANAGED CARE MEDICAID COST TO CHARGE RATIOS. THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE REGARDING BAD DEBT EXPENSE. BAD DEBT EXPENSE REPORTED ON THE INCOME STATEMENT IS CALCULATED ON HISTORICAL WRITE OFS AND THE PERCENTAGE OF GROSS CHARGES. ONCE GROSS CHARGES FOR SELF-PAY PATIENTS ARE CALCULATED FOR THE MONTH THEN THE HISTORICAL PERCENTAGE IS APPLIED TO THE CHARGES AND REPORTED ON THE FINANCIAL STATEMENT. PART III, LINE 8: THE MEDICAL CENTER, 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 THE MEDICAL CENTER, 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 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: THE FORMAL NEEDS ASSESSMENT WAS CONDUCTED BY THE INDEPENDENT RESEARCH FIRM, PROFESSIONAL RESEARCH CONSULTANTS, INC. THE HEALTH STATUS, BEHAVIORS AND NEEDS OF THE RESIDENTS OF MUSCOGEE COUNTY, GEORGIA WERE DETERMINED USING A SYSTEMATIC, DATA-DRIVEN APPROACH. THE COMMUNITY NEEDS ASSESSMENT PROVIDED INFORMATION TO ALLOW COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. TO: IDENTIFY NEEDS THAT IF ADDRESSED COULD LEAD TO IMPROVED HEALTH STATUS, INCREASE LIFE SPANS AND ELEVATE OVERALL QUALITY OF LIFE; REDUCE HEALTH DISPARITIES; AND INCREASE ACCESSIBILITY TO PREVENTATIVE SERVICES FOR ALL RESIDENTS IN THE SERVICE AREA. THE PRIMARY DATA FROM PROFESSIONAL RESEARCH CONSULTANTS IS REFLECTIVE OF A POPULATION-BASED TELEPHONE SURVEY WITH RANDOM SAMPLING OF RESIDENTS IN THE COMMUNITY SEGMENTED BY VARYING ZIP CODES FOR EASE OF GEOGRAPHICAL IDENTIFICATION. THE TELEPHONE SURVEYS INCLUDED LANDLINE SUPPLEMENTED BY CELL PHONE NUMBERS AND FINDINGS WERE GENERALIZED TO INDIVIDUALS VERSUS HOUSEHOLDS. IN ORDER TO QUANTIFY INDIVIDUAL EXPERIENCES AND BEHAVIORS, PROFESSIONAL RESEARCH CONSULTANTS USED THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM WHICH ALLOWED FOR RANDOMIZED SAMPLING WITHIN THE HOUSEHOLD. BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM IS A NATIONAL TELEPHONE HEALTH SURVEY SYSTEM ESTABLISHED BY THE CENTER FOR DISEASE CONTROL. THE SYSTEM ADDRESSES SUCH ISSUES AS MEDICAL CONDITIONS, ACCESS TO CARE AND INJURY CONTROL. THE INFORMATION FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM WAS COMBINED WITH THE PROFESSIONAL RESEARCH CONSULTANTS CUSTOMIZED COMMUNITY HEALTH SURVEY FINDINGS REFLECTIVE OF GENERAL HEALTH STATUS, PRIMARY CARE, ACCESS TO HEALTHCARE SERVICES, USE OF ALCOHOL AND TOBACCO, DISEASE SCREENING, NUTRITION AND PHYSICAL FITNESS, AMONG OTHERS TO COMPLETE THEIR PRIMARY RESEARCH.THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED FOURTEEN PRIORITY COMMUNITY NEEDS. COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. HAS SELECTED NINE OF THE IDENTIFIED PRIORITY AREAS TO FOCUS ITS EFFORTS. THOSE NINE WILL BE DIVIDED BETWEEN HUGHSTON HOSPITAL, INC., THE MEDICAL CENTER, INC. AND DOCTOR'S HOSPITAL, INC., THE THREE AFFILIATE HOSPITALS IN THE COLUMBUS REGIONAL HEALTHCARE SYSTEM.THE REMAINING FIVE PRIORITY AREAS WILL HAVE MORE LIMITED FOCUS BY THE COLUMBUS REGIONAL HEALTHCARE SYSTEM BUT WILL BE ADDRESSED BY THE SYSTEM IN MANY MEANINGFUL WAYS. COLUMBUS REGIONAL HEALTHCARE SYSTEM WILL PLAY A LEADERSHIP ROLE IN HELPING TO COORDINATE CARE AND SERVICES SO AS TO CONSERVE THE LIMITED FISCAL RESOURCES OF THE STATE AND FEDERAL GOVERNMENTS, WHILE REDUCING DUPLICATION OF SERVICES AND WHILE ALSO BEING A PRIMARY PROVIDER OF SERVICES AS FEASIBLE.WITH THE COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. DEVELOPED A THREE YEAR PLAN TO ADDRESS THE NINE PRIORITY AREAS. THE PLAN RELIES ON SPECIFIC, MEASURABLE, ACHIEVABLE, REALISTIC AND TIME SPECIFIC ACTION STEPS. THIS APPROACH WILL SUPPORT THE PROCESS OF ONGOING EVALUATION THROUGH EASIER IDENTIFICATION OF AREAS THAT NEED MODIFICATION AND CAN REASONABLY BE EXPECTED TO BE IMPACTED BY THE EFFORTS OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. PART VI, LINE 3: 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 MEDICAL CENTER, INC. LOCATED IN COLUMBUS, GEORGIA IS A NOT-FOR-PROFIT 413-LICENSED BED ACUTE CARE HOSPITAL, 128-BED LONG-TERM CARE FACILITY AND 19 BED TRANSITIONAL CARE UNIT. COLUMBUS IS LOCATED APPROXIMATELY 100 MILES SOUTHWEST OF ATLANTA AND IS THE THIRD LARGEST CITY IN THE STATES OF GEORGIA AND THE 116TH LARGEST CITY IN THE UNITED STATES. THE CITY COVERS A TOTAL OF 220.8 SQUARE MILES WHICH INCLUDES 4.7 MILES OF WATER AND 216.1 MILES OF LAND. COLUMBUS IS LOCATED APPROXIMATELY ONE MILE FROM THE ALABAMA/GEORGIA BOUNDARY AND SERVES 2 COUNTIES IN ALABAMA. IN 2012, THE COLUMBUS, GEORGIA METROPOLITAN AREA HAD AN ESTIMATED POPULATION OF 198,413. THE WEST GEORGIA HEALTH DISTRICT IS LOCATED IN COLUMBUS AND SERVES A 15 COUNTY AREA IN GEORGIA WHICH INCLUDES TWO OF GEORGIA'S POOREST COUNTIES.COLUMBUS, GEORGIA IS LOCATED IN MUSCOGEE COUNTY WHICH IS COMPRISED OF 48.7% MALE AND 51.3% FEMALE. THE ETHNIC MIX OF THE POPULATION IS 43.0% WHITE, 46.1% BLACK, 7.3% HISPANIC, AND 3.6% OTHER. APPROXIMATELY 2.6% ARE PERSONS OF MIXED RACE. PERSONS UNDER THE AGE OF 5 ACCOUNT FOR 7.6% OF THE POPULATION WHILE PERSONS UNDER AGE 18 ACCOUNT FOR 25.4% AND PERSONS OVER THE AGE OF 65 ACCOUNT FOR 11.5%. THERE ARE APPROXIMATLEY 2.45 PERSONS PER HOUSEHOLD. MEDIAN INCOME FOR THIS AREA IS $41,088. THE TOTAL OF 18.8% OF THE POPULATION IN THIS AREA IS BELOW THE POVERTY LEVEL. PART VI, LINE 5: THE MEDICAL CENTER, INC., IS A NOT-FOR-PROFIT, 413-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 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. ITS 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.3) DOCTOR'S HOSPITAL, INC. - A NOT-FOR-PROFIT 219-BED GENERAL ACUTE CARE FACILITY THAT HAS SERVED THE REGION SINCE 1975. THE HOSPITAL IS KNOWN THROUGHOUT THE COMMUNITY FOR ITS QUALITY OF CARE AND CUSTOMER SERVICE. SERVICES INCLUDE MEDICAL AND SURGICAL SERVICES, IMAGING, A SLEEP DISORDERS CENTER AND SPECIALTY UNITS FOR GYNECOLOGY, OBSTETRICS, POST-SURGICAL, REHABILITATIVE AND TELEMETRY/CRITICAL CARE UNIT. THIS COMPREHENSIVE NETWORK OF SERVICES TOUCHES THE LIVES OF MOST OF THE CHILDREN AND ADULTS IN THIS REGION. DOCTOR'S HOSPITAL PLACES A PRIORITY ON EACH PATIENT ENCOUNTER AND LISTENS TO THE NEEDS OF THE COMMUNITY AND PROVIDES A HIGH QUALITY SERVICE TO CONTINUALLY MEET THOSE NEEDS.4) HUGHSTON HOSPITAL, INC. - A NOT-FOR-PROFIT ORGANIZATION PROVIDING ORTHOPEDIC AND REHABILITATIVE CARE. SERVICES ARE FOCUSED EXCLUSIVELY ON ORTHOPEDIC RELATED NEEDS. HUGHSTON HOSPITAL WAS THE NATION'S FIRST HOSPITAL DESIGNATED TO TREAT PATIENTS WITH MUSCULOSKELETAL INJURIES OR DISORDERS. TODAY, THE 100-BED, PRIVATE ROOM HOSPITAL IS NATIONAL RECOGNIZED FOR DELIVERING OUTSTANDING CLINICAL QUALITY AND THE HIGHEST LEVELS OF CUSTOMER SERVICE. SERVICES ARE DELIVERED THROUGH TEAMS 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.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 (FORMERLY THE MEDICAL CENTER AUXILIARY) - A NOT-FOR-PROFIT ORGANIZATION PROVIDING A WIDE VARIETY OF VALUABLE SERVICES TO THE MEDICAL CENTER, DOCTOR'S HOSPITAL 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. ON APRIL 1, 2013, THE MEDICAL CENTER AUXILIARY AND DOCTOR'S HOSPITAL AUXILIARY MERGED TO FORM COLUMBUS REGIONAL AUXILIARY.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 COLUMBUS REGIONAL AUXILIARY 707 CENTER STREET COLUMBUS GA 31901 580917974 501 (C) (3) 119005 GENERAL SUPPORT OF AUXILIARY 1 0 PART I, LINE 2: THE MEDICAL CENTER AUXILIARY COMES UNDER THE DIRECTION OF THE VOLUNTEER SERVICES DEPARTMENT OF THE MEDICAL CENTER, INC. OPERATING EXPENSES FOR THIS DEPARTMENT ARE MONITORED BY THE DIRECTOR OF VOLUNTEER SERVICES. THE GRANT FUNDS LISTED IN PART II COVERED OPERATING EXPENSES FOR THE VOLUNTEER SERVICES DEPARTMENT. EXPENDITURES ARE SUBJECT TO THE SAME PROCEDURES AS ALL OTHER DEPARTMENTS OF THE MEDICAL CENTER, INC. PURCHASE REQUISITIONS MUST BE SUBMITTED FOR ALL PURCHASES. REQUISITIONS MUST BE FILLED OUT AND SIGNED BY AN INDIVIDUAL WITH SUFFICIENT APPROVAL AUTHORITY. PURCHASE ORDERS ARE ISSUED BY MATERIALS MANAGEMENT AND GOODS ARE DELIVERED TO MATERIALS MANAGEMENT WHENEVER POSSIBLE. ALL INVOICES ARE SUBMITTED TO ACCOUNTS PAYABLE WITH THE APPRORIATE CHECK REQUEST SIGNED BY AN INDIVIDUAL WITH SUFFICIENT APPROVAL AUTHORITY. X X X X X 1 1 0 0 0 0 0 0 0 CHARLES A STARK PRESIDENT & CEO; RSGND 6/12/14 0 676805 0 102000 0 6416 0 19573 0 20908 0 825702 0 0 M SCOTT HILL PRESIDENT & CEO; APPTD 6/12/14 0 460727 0 37500 0 4889 0 67069 0 19943 0 590128 0 0 ROLAND L THACKER SR. VP & CFO; TRMD 10/31/13-SVR 10/3 0 350110 0 35200 0 214110 0 113778 0 16789 0 729987 0 141218 LAURA DREW SR. VICE PRESIDENT 0 198167 0 15000 0 1166 0 31797 0 13608 0 259738 0 0 RYAN CHANDLER CEO - THE MEDICAL CENTER 0 332918 0 49650 0 17629 0 80867 0 19508 0 500572 0 0 MICHELLE BREITFELDER SR. VICE PRESIDENT 105855 82718 0 18500 5213 8883 48180 0 7564 0 166812 110101 0 0 BONNIE FRANCO VP, CHIEF NURSING OFFICER 215620 0 21600 0 4107 0 6115 0 8573 0 256015 0 0 0 W MARK TWILLA VP, CHIEF OPERATING OFFICER 199931 0 12667 0 1425 0 2136 0 7849 0 224008 0 0 0 RICHARD BARKER DIRECTOR, ONCOLOGY 389425 0 0 0 3489 0 10085 0 13231 0 416230 0 0 0 KENDALL HANDY CHIEF OF SERVICE 319875 1469 0 0 2280 0 12420 0 18574 0 353149 1469 0 0 JOHN R BUCHOLTZ DIRECTOR, MEDICAL EDUCATION 257526 0 15651 0 8843 0 129150 0 14508 0 425678 0 0 0 JOSEPH ZANGA CHIEF OF SERVICE 264846 0 0 0 5915 0 9771 0 13965 0 294497 0 0 0 JEFFERSON JONES PHYSICIAN 256800 0 0 0 514 0 5944 0 14699 0 277957 0 0 0 LANCE B DUKE EXEC VP & COO; TRMD 4/9/12-SVR 6/30/ 0 184262 0 0 0 275629 0 118731 0 5965 0 584587 0 191268 DEBRA HERNANDEZ SR. VP, CNO; TRMD8/10/12SVR8/31/14 220532 0 0 0 795 0 41862 0 8235 0 271424 0 0 0 PART I, LINES 4A-B EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN: CHARLES STARK $182,200 LANCE DUKE $ 92,400 RYAN CHANDLER $ 71,600 ROLAND THACKER $ 79,800 SCOTT HILL $ 62,100 DEBRA HERNANDEZ $ 35,100 MICHELLE BREITFELDER $ 43,300 JOHN BUCHOLTZ $ 83,600 PAYOUT FROM 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN (INCLUDED IN REPORTABLE COMPENSATION): ROLAND THACKER $141,218 LANCE DUKE $191,268 SEVERANCE COMPENSATION: THE 2013 W-2 INCOME RECEIVED BY LANCE B. DUKE REPRESENTS SEVERANCE COMPENSATION FROM RELATED ENTITY, COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. LANCE B. DUKE RECEIVED SEVERANCE COMPENSATION THROUGH 6/30/13. 2013 W-2 COMPENSATION RECEIVED BY DEBRA HERNANDEZ REPRESENTS SEVERANCE INCOME FROM THE MEDICAL CENTER, INC. SEVERANCE COMPENSATION FOR DEBRA HERNANDEZ WAS RECEIVED THROUGH 8/31/14. COLUMBUS NEUROLOGIC INSTITUTE BOARD MEMBER MICHAEL GORUM IS PART OWNER OF CNI 834911 MEDICAL SERVICES PROVIDED TO TMC 0 SURGICAL ASSOCIATES OF COLUMBUS BOARD MEMBER R. HANNAY IS PART OWNER OF SA 687291 MEDICAL SERVICES PROVIDED TO TMC 0 RIVERTOWN PEDIATRICS BOARD MEMBER K. CHEEK IS PART OWNER OF RP 26229 MEDICAL SERVICES PROVIDED TO TMC 0 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 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 A, LINE 7B THE BOARD OF DIRECTORS OF THE MEDICAL CENTER, INC. DETERMINES THE ISSUES THAT ARE BROUGHT UP FOR DISCUSSION AND MOST ITEMS CAN BE APPROVED ALONG WITH THE EXECTIVE 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 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 COLUMBUS REGIONAL HEALTHCARE SYSTEM, 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 COLUMBUS REGIONAL TAKES VERY SERIOUSLY THE RESPONSIBILITY TO APPROPRIATELY AND EFFECTIVELY MANAGE THE EXECUTIVE COMPENSATION AND BENEFITS PROGRAM FOR ITS KEY EXECUTIVES. SETTING THE COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, APPROVING THE COMPENSATION OF OTHER SENIOR EXECUTIVES, AND OVERSEEING THE EXECUTIVE COMPENSATION PROGRAM AS A WHOLE, ARE THE RESPONSIBILITIES OF THE COMPENSATION COMMITTEE OF THE BOARD. TO ASSIST THE COMMITTEE, THE BOARD HAS ENGAGED THE SERVICES OF A NATIONALLY RECOGNIZED EXECUTIVE COMPENSATION CONSULTING FIRM. COLUMBUS REGIONAL'S EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO ATTRACT AND RETAIN HIGHLY QUALIFIED EXECUTIVES TO FULFILL COLUMBUS REGIONAL'S MISSION OF PROMOTING THE HEALTH AND HEALING OF PATIENTS. COLUMBUS 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 34,707,385. MANAGEMENT AND GENERAL EXPENSES 3,774,439. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,481,824. FORM 990, PART XI, LINE 9: IMPAIRMENT LOSS -10,500,000. EQUITY IN UNDISTRIBUTED NET INCOME OF SUBSIDIARY 1,127,998. CHANGE IN TRANSFER TO AFFILIATES 100,507. 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