DOCTOR'S HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- DOCTOR'S HOSPITAL INC (EIN 26-1739383)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-13
- IRS object ID
- 201531339349303368
- Schema version
- 2013v4.0
- 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 | 2015-05-13T15:48:01-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1747 | AddressLine1 |
| City | CHARLESTON | City |
| State | WV | State |
| ZIP Code | 253261747 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261739383 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOCTOR'S HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DOCT | BusinessNameControlTxt |
| Phone | 7066606103 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 CENTER STREET | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31901 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALLEN R BUTCHER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7606606303 | PhoneNum |
| Signature | 2015-05-04 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | 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 | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $35,764,195 | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 534 | 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 | $44,460,585 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $34,021,829 | CYProgramServiceRevenueAmt |
| PY Investment Income | $39,580 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,365,240 | CYInvestmentIncomeAmt |
| PY Other Revenue | $401,691 | PYOtherRevenueAmt |
| CY Other Revenue | $367,960 | CYOtherRevenueAmt |
| PY Total Revenue | $44,901,856 | PYTotalRevenueAmt |
| CY Total Revenue | $35,755,029 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $20,100 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $20,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,302,662 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,621,091 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,739,895 | PYOtherExpensesAmt |
| CY Other Expenses | $34,058,500 | CYOtherExpensesAmt |
| PY Total Expenses | $56,062,657 | PYTotalExpensesAmt |
| CY Total Expenses | $48,699,591 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$11,160,801 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$12,944,562 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $98,219,454 | TotalAssetsBOYAmt |
| Total Assets EOY | $76,279,468 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $130,093,277 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $144,875,259 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$31,873,823 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$68,595,791 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | DOCTOR'S HOSPITAL IS A COMMUNITY-BASED NOT-FOR-PROFIT FACILITY COMMITTED TO PROVIDING THE HIGHEST QUALITY CARE AND SERVICE. A 219-BED FULL SERVICE FACILITY, DOCTOR'S HOSPITAL OFFERS BUSINESS HEALTH, OUTPATIENT SURGERY, RADIOLOGY, REHABILITATION SERVICES, SLEEP DISORDERS CENTER AND TELEMETRY SERVICES. 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 HIGH QUALITY SERVICE TO CONTINUALLY MEET THOSE NEEDS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $30,913,922 | ExpenseAmt |
| Grant | $20,000 | GrantAmt |
| Revenue | $34,389,789 | RevenueAmt |
| Desc | DOCTOR'S HOSPITAL IS A 219-BED GENERAL ACUTE CARE FACILITY THAT HAS SERVED THE REGION SINCE 1975. THE HOSPITAL IS KNOWN THROUGHOUT THE COMMUNITY FOR ITS QUALITY CARE AND CUSTOMER SERVICE. SERVICES INCLUDE MEDICAL AND SURGICAL SERVICES, IMAGING, A SLEEP DISORDERS CENTER AND TELEMETRY. 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 HIGH QUALITY SERVICE TO CONTINUALLY MEET THOSE NEEDS.IN ADDITION TO PROVIDING EXCEPTIONAL CLINICAL CARE AND CUSTOMER SERVICE, THE EMPLOYEES AT DOCTOR'S HOSPITAL ARE ENGAGED IN COMMUNITY ACTIVITIES AND SUPPORT THE EFFORTS OF THE AMERICAN CANCER SOCIETY AMONG OTHER CHARITABLE CAUSES. | Desc |
| Total Program Service Expenses | $30,913,922 | 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 | Yes (1) | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 62 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 534 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7066606303 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 CENTER STREET | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31901 | ZIPCode |
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 | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| EUGENE DEMONET CHAIRMAN | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| 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 | ||||
| MICHAEL W GORUM MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| R SCOTT HANNAY MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JULIUS H HUNTER JR | |||||||||
| 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 | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| HENRY W SWIFT JR | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES A STARK | |||||||||
| PRESIDENT & CEO; RSGND 6/12/14 | 2.00 | $0 | $785,221 | $212,481 | 40.00 | Yes (X) | |||
| M SCOTT HILL | |||||||||
| PRESIDENT & CEO; APPTD 6/12/14 | 2.00 | $0 | $503,116 | $87,012 | 40.00 | Yes (X) | |||
| ROLAND L THACKER | |||||||||
| SR. VP & CFO; TRMD 10/31/13 | 2.00 | $0 | $599,420 | $130,567 | 40.00 | Yes (X) | |||
| ALLEN R BUTCHER | |||||||||
| SR. VP & CFO; HIRED 3/12/14 | 2.00 | $0 | $0 | $0 | 40.00 | Yes (X) | |||
| KAREN SMITH | |||||||||
| CORPORATE SECRETARY | 2.00 | $0 | $88,480 | $0 | 40.00 | Yes (X) | |||
| TAMARA L JACKSON HIRED 41513 | |||||||||
| CEO, DOCTOR'S/HUGHSTON | 25.00 | $153,653 | $65,303 | $6,686 | 15.00 | Yes (X) | |||
| REGINA BLOUNT | |||||||||
| VICE PRESIDENT & CNO | 40.00 | $146,304 | $0 | $20,065 | Yes (X) | ||||
| KEVIN SASS | |||||||||
| CEO; TRMD 2/19/13 | 40.00 | $52,600 | $0 | $13,982 | Yes (X) | ||||
| RODNEY F WALLER | |||||||||
| DIRECTOR, CONSTRUCTION/FLEET OPERATIONS | 15.00 | $54,654 | $129,272 | $76,258 | 25.00 | Yes (X) | |||
| LANCE B DUKE | |||||||||
| EXEC VP & COO; TRMD 4/9/12 | 0.00 | $0 | $459,891 | $125,696 | 0.00 | Yes (X) | |||
| DONALD ELDER | |||||||||
| SR. VP; TRMD 1/1/13 | 0.00 | $0 | $262,491 | $122,223 | 0.00 | Yes (X) | |||
| ELIZABETH HARFORD | |||||||||
| VP & CNO; TRMD 4/13 | 40.00 | $136,766 | $0 | $28,500 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $543,977 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,893,194 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $823,470 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CENTRAL SHARED SERVICES LLC | |||||
| PO BOX 741995 | ATLANTA | GA | 37027 | AP, PURCHASING, SUPPLY DISTRIBUTION, REB | $1,508,967 |
| PARALLON TECHNOLOGY SOLUTIONS | |||||
| PO BOX 415000 | NASHVILLE | TN | 372415000 | IT SERVICES | $1,272,130 |
| AMSOL ANESTHETISTS OF GA LLC | |||||
| PO 6633 | HIGH POINT | NC | 27262 | CRNA SUBSIDY | $1,019,901 |
| HSS SYSTEMS LLC | |||||
| 6640 CAROTHERS PKWY | FRANKLIN | TN | 37067 | REVENUE CYCLE SERVICES | $820,258 |
| INPHYNET CONTRACTING SERVICES LLC | |||||
| PO BOX 634850 | CINCINNATI | OH | 452634850 | HOSPITAL PHYSICIAN COVERAGE | $395,336 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 621400 | $27,100,585 | $27,100,585 | |
| OTHER PROGRAM SERVICE REVENUE | 900099 | $6,544,219 | $6,544,219 | |
| CAFETERIA | 722210 | $355,841 | $355,841 | |
| MEDICAL RECORDS | 900099 | $21,184 | $21,184 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $34,021,829 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,374,406 | TotalRevenueColumnAmt |
| Exclusion | $1,374,406 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $367,960 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $367,960 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $367,960 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $367,960 | RelatedOrExemptFuncIncomeAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $9,166 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$9,166 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$9,166 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$9,166 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,755,029 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,003,598 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,751,431 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,000 | TotalAmt |
| Program Services | $20,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $543,977 | TotalAmt |
| Program Services | $543,977 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,408,906 | TotalAmt |
| Program Services | $10,162,806 | ProgramServicesAmt |
| Management And General | $1,246,100 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,732,229 | TotalAmt |
| Program Services | $1,302,718 | ProgramServicesAmt |
| Management And General | $429,511 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $935,979 | TotalAmt |
| Program Services | $782,304 | ProgramServicesAmt |
| Management And General | $153,675 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,496 | TotalAmt |
| Management And General | $11,496 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,842,764 | TotalAmt |
| Program Services | $3,985,726 | ProgramServicesAmt |
| Management And General | $5,857,038 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,028,390 | TotalAmt |
| Program Services | $671,766 | ProgramServicesAmt |
| Management And General | $356,624 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,034 | TotalAmt |
| Program Services | $5,469 | ProgramServicesAmt |
| Management And General | $2,565 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,853,889 | TotalAmt |
| Program Services | $782,321 | ProgramServicesAmt |
| Management And General | $1,071,568 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,181 | TotalAmt |
| Program Services | $7,666 | ProgramServicesAmt |
| Management And General | $4,515 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,166 | TotalAmt |
| Program Services | $3,166 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,513,323 | TotalAmt |
| Management And General | $5,513,323 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,643,954 | TotalAmt |
| Management And General | $3,643,954 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$608,428 | TotalAmt |
| Management And General | -$608,428 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $7,117,637 | $7,113,649 | $3,988 |
| BAD DEBT | $4,071,767 | $4,071,767 | |
| PROVIDER TAX | $852,081 | $852,081 | |
| EQUIPMENT RENTAL | $457,386 | $448,680 | $8,706 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,860 | TotalAmt |
| Program Services | $159,826 | ProgramServicesAmt |
| Management And General | $91,034 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,699,591 | TotalAmt |
| Program Services | $30,913,922 | ProgramServicesAmt |
| Management And General | $17,785,669 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,667,792 | BOYAmt |
| EOY | $6,506,694 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,986,511 | BOYAmt |
| EOY | $1,920,885 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,668 | BOYAmt |
| EOY | $294,966 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $68,471,102 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,248,796 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,043,369 | BOYAmt |
| EOY | $49,222,306 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,851,601 | BOYAmt |
| EOY | $11,868,182 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,777,406 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,699,107 | BOYAmt |
| EOY | $6,466,435 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,219,454 | BOYAmt |
| EOY | $76,279,468 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,839,557 | BOYAmt |
| EOY | $6,602,828 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,597,258 | BOYAmt |
| EOY | $96,210,802 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,814,200 | BOYAmt |
| EOY | $6,813,309 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,842,262 | BOYAmt |
| EOY | $35,248,320 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,093,277 | BOYAmt |
| EOY | $144,875,259 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$31,873,823 | BOYAmt |
| EOY | -$68,595,791 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$31,873,823 | BOYAmt |
| EOY | -$68,595,791 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,219,454 | BOYAmt |
| EOY | $76,279,468 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$12,944,562 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$23,777,405 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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) |
|---|---|---|
| Affiliated Group Total | $14,315 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $14,315 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $531,698,600 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $531,712,915 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $27,379 | CurrentYearMinus3Amt |
| Current Year Minus2 | $32,330 | CurrentYearMinus2Amt |
| Current Year Minus1 | $32,191 | CurrentYearMinus1Amt |
| Current Year | $14,315 | CurrentYearAmt |
| Total | $106,215 | 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 | $5,787,961 | OtherCostOrOtherBasisAmt |
| Book Value | $5,787,961 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,370,557 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,442,210 | DepreciationAmt |
| Book Value | $34,928,347 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,281,369 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,806,586 | DepreciationAmt |
| Book Value | $8,474,783 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,215 | OtherCostOrOtherBasisAmt |
| Book Value | $31,215 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $49,222,306 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| UNAMORTIZED BOND ISSUE COSTS | $4,097,097 |
| MEMBERSHIP DEPOSITS | $8,750 |
| INTERCOMPANY RECEIVABLES | $2,570,699 |
| THIRD PARTY SETTLEMENTS | -$210,111 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,466,435 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $35,248,320 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $35,248,320 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $31,692,428 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$4,062,601 | OtherRevenueAmt |
| Revenue Not Reported | -$4,062,601 | RevenueNotReportedAmt |
| Revenue Subtotal | $35,755,029 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $35,755,029 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $72,476,997 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $23,777,406 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $23,777,406 | ExpensesNotReportedAmt |
| Expenses Subtotal | $48,699,591 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $48,699,591 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) AS AN 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 HOSPITAL HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE UNDER FASB ASC 740, INCOME TAXES (ASC 740). |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBT -4,071,767. OTHER REVENUE 9,166. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | GOODWILL IMPAIRMENT 23,777,406. |
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 | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| 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 | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $305,260 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,135 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $304,125 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,187,603 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,690,524 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$502,921 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,539 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,255 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,284 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,522,402 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,706,914 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$184,512 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00710 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,542,402 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,706,914 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$164,512 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00750 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,071,767 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $8,825,401 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,176,743 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,351,342 | 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 | DOCTOR'S HOSPITAL INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 CENTER STREET | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31901 | ZIPCode |
| 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 | DOCTOR'S HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.COLUMBUSREGIONAL.COM | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| Residency | Yes (X) | ResidencyInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| 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 |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DOCTOR'S HOSPITAL, 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. |
| DOCTOR'S HOSPITAL, INC | PART V, SECTION B, LINE 4: THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR DOCTOR'S HOSPITAL, INC. WAS CONDUCTED WITH THREE OTHER AREA HOSPITALS. TWO OF THOSE FACILITIES, THE MEDICAL CENTER, INC. AND HUGHSTON HOSPITAL, INC. ARE AFFILIATES OF DOCTOR'S HOSPITAL, INC. ALSO PARTICIPATING IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS ST. FRANCIS HOSPITAL WHICH ALSO SERVES MUSCOGEE COUNTY AND THE SURROUNDING AREA. |
| DOCTOR'S HOSPITAL, 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: DOCTORS HOSPITAL SHALL PRIMARILY COORDINATE STRATEGIES TO ADDRESS THE CHALLENGES OF INJURY AND VIOLENCE PREVALENCE, SEXUALLY TRANSMITTED DISEASES (STDS), AND KIDNEY DISEASE.THE ENTIRE RESPONSE CAN BE ACCESSED AT:HTTP://WWW.COLUMBUSREGIONAL.COM/MEDIA/FILE/COMMUNITYHEALTHRESPONSE/2013_COMMUNITY_HEALTH_RESPONSE_PLAN-DOCTORSHOSPITAL.PDF |
| DOCTOR'S HOSPITAL, 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. |
Supplemental Information Detail SupplementalInformationDetail (12 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 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 $4,071,767 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 4: | 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 DOCTOR'S 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 DOCTOR'S 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 DOCTOR'S 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: | 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: | DOCTOR'S HOSPITAL, INC., LOCATED IN COLUMBUS, GEORGIA, IS A NOT-FOR-PROFIT 219-BED FULL SERVICE FACILITY OFFERING A FULL LINE OF MEDICAL AND SURGICAL SERVICES. COLUMBUS IS LOCATED APPROXIMATELY 100 MILES SOUTHWEST OF ATLANTA AND IS THE THIRD LARGEST CITY IN THE STATE 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 POPULATION. 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: | DOCTOR'S HOSPITAL IS 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 HIGH QUALITY SERVICE TO CONTINUALLY MEET THOSE NEEDS.DOCTOR'S 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 OR CONTRACTORS OF THE ORGANIZATION.MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS AS DETERMINED THROUGH A DETAILED CREDENTIALING PROCESS. DOCTOR'S HOSPITAL, INC. HAS OVER 200 AFFILIATED PHYSICIANS WITH 100 PHYSICIANS IN THE ACTIVE OR ACTIVE PROFESSIONAL CATEGORIES PROVIDING HEALTHCARE SERVICE AT DOCTOR'S HOSPITAL, 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. |
| PART VI, LINE 6: | DOCTOR'S 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. 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, DOCTOR'S 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 DOCTOR'S 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.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, ACUTE CARE HOSPITAL IS NATIONALLY RECOGNIZED FOR DELIVERING OUTSTANDING CLINICAL QUALITY AND THE HIGHEST LEVELS OF CUSTOMER SERVICE. SERVICES ARE DELIVERED THROUGH HIGHLY SPECIALIZED 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 |
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 | COLUMBUS HEALTH DEPARTMENT | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 COMER AVENUE | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31904 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 580957459 | RecipientEIN |
| IRC Section | GOVERNMENT | IRCSectionDesc |
| Cash Grant | $20,000 | CashGrantAmt |
| Purpose Of Grant | GENERAL PROGRAMS 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 | COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. AND ITS AFFILIATES ACKNOWLEDGE THEIR RESPONSIBILITY AS GOOD CORPORATE CITIZENS TO SUPPORT WORTHWHILE ACTIVITIES, SERVICES AND EFFORTS IN THE COMMUNITY, STATE AND NATION. TO EFFECTIVELY CARRY OUT THAT RESPONSIBILITY AND ENSURE ITS RESOURCES FOR THIS PURPOSE ARE USED IN WAYS WHICH ARE OF LASTING VALUE AND IMPORTANCE, CERTAIN PROCEDURES HAVE BEEN ESTABLISHED TO APPROPRIATELY ALLOCATE CORPORATE RESOURCES TO OUTSIDE AGENCIES, ORGANIZATIONS AND EFFORTS. ALL REQUESTS FOR CHARITABLE CONTRIBUTIONS MUST BE SENT IN WRITING OR THROUGH E-MAIL TO THE COLUMBUS REGIONAL HEALTHCARE SYSTEM DIRECTOR FOR STRATEGY, MARKETING AND PUBLIC RELATIONS. REQUESTS MUST BE RECEIVED AT LEAST 45 DAYS BEFORE 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 AMOUNT OF FUNDS SET ASIDE FOR PURPOSE 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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES A STARK | ||||||||||||||
| PRESIDENT & CEO; RSGND 6/12/14 | $0 | $676,805 | $0 | $102,000 | $0 | $6,416 | $0 | $191,573 | $0 | $20,908 | $0 | $997,702 | $0 | $0 |
| M SCOTT HILL | ||||||||||||||
| PRESIDENT & CEO; APPTD 6/12/14 | $0 | $460,727 | $0 | $37,500 | $0 | $4,889 | $0 | $67,069 | $0 | $19,943 | $0 | $590,128 | $0 | $0 |
| ROLAND L THACKER | ||||||||||||||
| SR. VP & CFO; TRMD 10/31/13 | $0 | $350,110 | $0 | $35,200 | $0 | $214,110 | $0 | $113,778 | $0 | $16,789 | $0 | $729,987 | $0 | $141,218 |
| TAMARA L JACKSON HIRED 41513 | ||||||||||||||
| CEO, DOCTOR'S/HUGHSTON | $126,962 | $65,303 | $20,000 | $0 | $6,691 | $0 | $719 | $493 | $3,779 | $1,695 | $158,151 | $67,491 | $0 | $0 |
| REGINA BLOUNT | ||||||||||||||
| VICE PRESIDENT & CNO | $138,872 | $0 | $6,739 | $0 | $693 | $0 | $7,884 | $0 | $12,181 | $0 | $166,369 | $0 | $0 | $0 |
| RODNEY F WALLER | ||||||||||||||
| DIRECTOR, CONSTRUCTION/FLEET OPERATI | $50,185 | $62,476 | $0 | $6,651 | $4,469 | $60,145 | $29,509 | $35,808 | $4,365 | $6,576 | $88,528 | $171,656 | $0 | $55,476 |
| LANCE B DUKE | ||||||||||||||
| EXEC VP & COO; TRMD 4/9/12 | $0 | $184,262 | $0 | $0 | $0 | $275,629 | $0 | $118,731 | $0 | $6,965 | $0 | $585,587 | $0 | $191,268 |
| DONALD ELDER | ||||||||||||||
| SR. VP; TRMD 1/1/13 | $0 | $210,055 | $0 | $0 | $0 | $52,436 | $0 | $108,987 | $0 | $13,236 | $0 | $384,714 | $0 | $50,000 |
| ELIZABETH HARFORD | ||||||||||||||
| VP & CNO; TRMD 4/13 | $115,940 | $0 | $0 | $0 | $20,826 | $0 | $19,459 | $0 | $9,041 | $0 | $165,266 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINES 4A-B | FormAndLineReferenceDesc |
| Explanation | 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 DONALD ELDER $ 50,000 RODNEY WALLER $ 26,800 PAYOUT FROM 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN (INCLUDED IN REPORTABLE COMPENSATION): DONALD ELDER $ 50,000 ROLAND THACKER $141,218 LANCE DUKE $191,268 RODNEY WALLER $ 55,476 SEVERANCE COMPENSATION: THE 2013 W-2 INCOME RECEIVED BY LANCE B. DUKE AND DONALD ELDER REPRESENTS SEVERANCE COMPENSATION FROM RELATED ENTITY, COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. LANCE B. DUKE RECEIVED SEVERANCE COMPENSATION THROUGH 6/30/13, AND DONALD ELDER RECEIVED SEVERANCE COMPENSATION THROUGH 12/31/13. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | DUE TO DUPLICATION OF SERVICES OFFERED NEXT DOOR AT THE MEDICAL CENTER, INC. AS WELL AS OTHER FACILITIES IN THE AREA, DOCTOR'S HOSPITAL HAS CLOSED THE FOLLOWING FACILITIES: EMERGENCY ROOM (PREVIOUSLY DISCLOSED) IN JUNE 2012 LABOR AND DELIVERY SERVICES IN OCTOBER 2013 |
| 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 DOCTOR'S 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 DOCTOR'S 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 ARRANGEMENT. A CONFLICT OF INTEREST MAY ARISE IN THE RELATIONSHIPS WITH COLUMBUS REGIONAL AGENTS WITH PERSONS AND FIRMS SUPPLYING GOODS AND SERVICES TO THE ORGANIZATIONS; 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 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 INDIVIDUALS 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 OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, APPROVING THE COMPENSATION OF OTHER SENIOR EXECUTIVES, AND OVERSEEING THE EXECUTIVE COMPENSATION PROGRAM AS A WHOLE, ARE THE RESPONSIBILITIES OF THE COMPENSATION COMMITTEE OF THE BOARD. TO ASSIST THE COMMITTEE, THE BOARD HAS ENGAGED THE SERVICES OF A NATIONALLY RECOGNIZED EXECUTIVE COMPENSATION CONSULTING FIRM. COLUMBUS REGIONAL'S EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO ATTRACT AND RETAIN HIGHLY QUALIFIED EXECUTIVES TO FULFILL COLUMBUS REGIONAL'S MISSION OF PROMOTING THE HEALTH AND HEALING OF PATIENTS. COLUMBUS REGIONAL'S PEER GROUP CONSISTS OF NON-PROFIT HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY FROM ACROSS THE NATION. BASE SALARIES OF EXECUTIVES ARE POSITIONED AT SPECIFIC PERCENTILE TARGETS OF COLUMBUS REGIONAL'S PEER GROUP. CURRENT STUDIES INDICATE THAT OUR BASE SALARIES ARE AT TARGETED LEVELS. COLUMBUS REGIONAL STRIVES TO PROVIDE ALL EXECUTIVES WITH RETIREMENT BENEFITS THAT ARE EQUIVALENT FOR ALL EMPLOYEES. RETIREMENT CONTRIBUTIONS ARE BASED ON A CLEARLY STATED INCOME REPLACEMENT TARGET AS DETERMINED BY RETIREMENT PLAN CONSULTANTS. THE GOAL OF COLUMBUS REGIONAL IS TO PROVIDE MARKET COMPETITIVE COMPENSATION AND 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 IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 3,985,726. MANAGEMENT AND GENERAL EXPENSES 5,857,038. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,842,764. |
| FORM 990, PART XI, LINE 9: | LOSS ON IMPAIRMENT OF GOODWILL -23,777,405. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581719994 | HEALTH SYSTEM MANAGEMENT | GA | 501(C)(3) | LINE 11B, II | N/A | 0 | |
| COLUMBUS AMBULATORY HEALTHCARE SERVICES INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581719867 | AMBULATORY CARE | GA | 501(C)(3) | LINE 3 | Yes (1) | COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |
| COLUMBUS REGIONAL MEDICAL FOUNDATION INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581501642 | FUNDRAISING | GA | 501(C)(3) | LINE 7 | Yes (1) | COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |
| HUGHSTON HOSPITAL INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 331216751 | ACUTE CARE HOSPITAL | GA | 501(C)(3) | LINE 3 | Yes (1) | COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |
| COLUMBUS REGIONAL AUXILIARY (FRA MEDICAL CENTER AUXILIARY) | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 580917974 | HOSPITAL AUXILIARY | GA | 501(C)(3) | LINE 11C, III-FI | N/A | 0 | |
| CRHS LONG TERM AND HOME CARE INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581719867 | NURSING HOME | GA | 501(C)(3) | LINE 3 | Yes (1) | COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |
| COLUMBUS REGIONAL SENIOR LIVING INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 582628502 | CONTINUING CARE RETIREMENT COMMUNITY | GA | 501(C)(3) | LINE 11C, III-FI | Yes (1) | COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |
| THE MEDICAL CENTER INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581685139 | ACUTE CARE HOSPITAL | GA | 501(C)(3) | LINE 3 | Yes (1) | COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS DIAGNOSTIC IMAGING CTR LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 116 INTRACOASTAL POINTE DR 300 | AddressLine1 |
| City | JUPITER | City |
| State | FL | State |
| ZIP Code | 33477 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262291768 | EIN |
| Primary Activities | DIAGNOSTIC IMAGING | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 | $14,315 | $14,315 | $39,976,479 | $39,990,794 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| THE MEDICAL CENTER INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581685139 | $0 | $0 | $0 | $354,626,607 | $354,626,607 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| CRHS LONG TERM & HOME CARE INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581778572 | $0 | $0 | $0 | $359,871 | $359,871 | $71,974 | $17,994 | $0 | $0 | $0 | |
| COLUMBUS AMBULATORY HEALTHCARE SERVICES | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581719867 | $0 | $0 | $0 | $18,559,752 | $18,559,752 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| COLUMBUS REGIONAL MEDICAL FOUNDATION INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581501642 | $0 | $0 | $0 | $1,307,972 | $1,307,972 | $205,797 | $51,449 | $0 | $0 | $0 | |
| COLUMBUS REGIONAL SENIOR LIVING | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 582628502 | $0 | $0 | $0 | $5,688,354 | $5,688,354 | $434,418 | $108,605 | $0 | $0 | $0 | |
| DOCTOR'S HOSPITAL INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 261739383 | $0 | $0 | $0 | $46,125,202 | $46,125,202 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| HUGHSTON HOSPITAL INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 331216751 | $0 | $0 | $0 | $64,290,590 | $64,290,590 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| COLUMBUS REGIONAL AUXILIARY | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 580917974 | $0 | $0 | $0 | $723,773 | $723,773 | $133,566 | $33,392 | $0 | $0 | $0 | |
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