2014-02-14T12:16:34-06:00 2013-06-30 621517792 PERSHING YOAKLEY & ASSOCIATES P C ONE CHEROKEE MILLS 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2012-07-01 331216751 HUGHSTON HOSPITAL INC HUGH 7066606103 707 CENTER STREET COLUMBUS GA 31901 CHARLES A STARK 7065711927 2014-02-14 1 SUSAN CLARK CPA P00017549 8656730844 2012 2015-11-30 17:44:51Z CHARLES A STARK 707 CENTER STREET COLUMBUS GA 31901 65913169 0 X COLUMBUSREGIONAL.COM X 2008 GA TO PROMOTE THE HEALTH AND HEALING OF OUR PATIENTS. 15 12 433 2 0 0 0 0 63430419 65771263 74637 141906 0 0 63505056 65913169 1274 11205 0 0 18758127 18692672 0 0 0 41757697 44309560 60517098 63013437 2987958 2899732 81250223 84452152 68867659 69223534 12382564 15228618 X HUGHSTON HOSPITAL PROVIDES OUR COMMUNITY EXCELLENCE IN ORTHOPEDIC AND REHABILITATIVE CARE. BECAUSE THIS IS A SPECIALTY HOSPITAL, SERVICES ARE FOCUSED EXCLUSIVELY ON ORTHOPEDIC RELATED NEEDS. HUGHSTON HOSPITAL WAS THE NATION'S FIRST HOSPITAL DESIGNED SPECIFICALLY TO TREAT PATIENTS WITH MUSCULOSKELETAL INJURIES OR DISORDERS. TODAY, THE 100-BED, PRIVATE ROOM, SPECIALTY HOSPITAL IS NATIONALLY RECOGNIZED FOR DELIVERING OUTSTANDING CLINICAL QUALITY AND THE HIGHEST LEVELS OF CUSTOMER SERVICE. SERVICES ARE DELIVERED THROUGH A HIGHLY SPECIALIZED TEAM OF PROFESSIONALS USING THE LATEST TECHNOLOGY AND RESEARCH TO CARE FOR PEOPLE OF EVERY AGE AND ABILITY AND EVERY LEVEL OF MUSCULOSKELETAL INJURY OR DISORDER. 0 0 3232270 0 2282125 REHABILITATIONAWARDED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR STROKE REHABILITATION, THE REHABILITATION CENTER AT HUGHSTON HOSPITAL OFFERS THE BEST POSSIBLE REHABILITATIVE CARE DESIGNED TO SERVE INDIVIDUALS WHO HAVE A NEED FOR ACUTE INPATIENT REHABILITATION. HUGHSTON'S REHABILITATION CENTER OFFERS A VARIETY OF THERAPEUTIC TREATMENTS DESIGNED TO GET EMPLOYEES BACK TO WORK, GET PHYSICALLY ACTIVE INDIVIDUALS PLAYING AGAIN AND GET EACH PATIENT TO ENJOYING LIFE. THE THERAPY IS ADMINISTERED IN A HOME-LIKE AREA AIMED AT RESTORING A PATIENT'S FUNCTIONS RELATED TO DAILY LIVING ACTIVITIES. THE PROGRAM INCLUDES FAMILY-CENTERED CARE, AROUND THE CLOCK VISITATION AND ROOMING IN.THE GOAL OF THE PROGRAM IS TO ASSIST INDIVIDUALS IN REGAINING THEIR INDEPENDENCE. THE PROGRAM FEATURES A HIGHLY STRUCTURED ENVIRONMENT AND INDIVIDUAL ASSISTANCE BY A MULTI-DISCIPLINARY TEAM OF PROFESSIONALS, ALL IN A THERAPEUTIC, RESIDENTIALLY FOCUSED SETTING. THE REHABILITATION IS RESIDENTIALLY FOCUSED WHERE FAMILY MEMBERS ARE ENCOURAGED TO JOIN THEM. FOR CONSIDERATION, PATIENTS SHOULD BE MEDICALLY STABLE, HAVE THE POTENTIAL TO IMPROVE, AND BE PHYSICALLY ABLE TO START THE PROGRAM. 4194216 0 14581537 RECONSTRUCTIVE TRAUMAHUGHSTON HOSPITAL OFFERS THE ONLY ORTHOPEDIST SPECIALIZING IN TRAUMATOLOGY IN THE REGION. HUGHSTON'S ADVANCED RECONSTRUCTIVE TRAUMA SERVICES OFFERS PATIENTS MORE TREATMENT OPTIONS FOR MULTIPLE BROKEN BONES IN MULTIPLE LIMBS, BROKEN BONES THAT DON'T HEAL CORRECTLY OR A SEVERE INJURY.OFTEN, TRAUMATOLOGISTS ARE CONSULTED ABOUT A SEVERELY INJURED PATIENT WHO IS EN ROUTE TO THE HOSPITAL SO THEY CAN BE IN THE EMERGENCY ROOM WHEN THE PATIENT ARRIVES. THIS ALLOWS THE TRAUMATOLOGIST TO BE INVOLVED IN WHAT HAS BECOME KNOWN AS THE "GOLDEN HOUR" OF TRAUMA CARE. DURING THIS PERIOD, DECISIONS HAVE TO BE MADE RAPIDLY WITH VERY LITTLE TIME FOR REFLECTION. ALTHOUGH ALL ORTHOPEDISTS TREAT COMMON INJURIES, THE HUGHSTON TRAUMATOLOGIST IS SOUGHT OUT FOR THE DEFINITIVE CARE OF THE MOST COMPLEX PROBLEMS. 19303912 0 27272716 JOINT REPLACEMENTHUGHSTON HOSPITAL'S JOINT REPLACEMENT CENTER IS DEDICATED SPECIFICALLY TO THE CARE OF KNEE, HIP AND SHOULDER REPLACEMENT PATIENTS. PATIENTS ARE TREATED LIKE SPECIAL GUESTS WHO ARE TEMPORARILY SIDELINED WITH A JOINT OR ORTHOPEDIC PROBLEM. THE FOCUS IS ON WELLNESS,AND GUESTS ARE ACTIVE PARTICIPANTS IN A UNIQUE TREATMENT MODEL THAT BEGINS AT DIAGNOSIS IN THE SURGEON'S OFFICE AND CONTINUES AT THE HUGHSTON HOSPITAL JOINT REPLACEMENT CENTER. GUESTS ARE PROVIDED AS MUCH INFORMATION AS POSSIBLE AND KEPT EDUCATED, MOTIVATED AND INVOLVED. HUGHSTON'S JOINT REPLACEMENT SPECIALISTS, VOTED BEST SURGEONS FOR TOTAL JOINT REPLACEMENT, OFFER THE LATEST PROCEDURES AND TECHNOLOGY, INCLUDING COMPUTER ASSISTED SURGICAL NAVIGATION, MINIMALLY INVASIVE SURGERY AND REVERSE TOTAL SHOULDER. THESE INNOVATIVE TECHNIQUES PROVIDE EXTRAORDINARY OUTCOMES AND QUICKER RECOVERIES FOR THEIR PATIENTS. 24652963 11205 21634885 HUGHSTON HOSPITAL, INC. WAS ESTABLISHED IN 1984 AND BECAME AN AFFILIATE OF THE COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. IN JULY 2008. THIS 100-BED, PRIVATE ROOM, SPECIALTY HOSPITAL IS RECOGNIZED NATIONALLY FOR DELIVERING OUTSTANDING CLINICAL QUALITY, ACCOMPANIED BY THE HIGHEST LEVELS OF CUSTOMER SERVICE. SERVICES ARE DELIVERED BY A HIGHLY SPECIALIZED TEAM OF PROFESSIONALS USING THE LATEST TECHNOLOGY AND RESEARCH TO CARE FOR PEOPLE OF EVERY AGE AND ABILITY AND EVERY LEVEL OF MUSCULOSKELETAL INJURY OR DISORDER.THE HOSPITAL CURRENTLY PROVIDES A FULL RANGE OF ORTHOPEDIC SERVICES. THESE INCLUDE KNEE AND HIP JOINT REPLACEMENT, SPINE TREATMENT AND SURGERY, HAND AND UPPER EXTREMITY, ADVANCED RECONSTRUCTIVE AND TRAUMA SURGERY, AND REHABILITATION SERVICES.IN ADDITION TO PROVIDING EXCEPTIONAL CLINICAL CARE AND CUSTOMER SERVICE, THE EMPLOYEES OF HUGHSTON HOSPITAL ARE ENGAGED IN COMMUNITY ACTIVITIES. HUGHSTON HOSPITAL IS THE BUSINESS PARTNER OF ALLEN ELEMENTARY SCHOOL IN COLUMBUS, THROUGH THE PARTNERS IN EDUCATION PROGRAM OF THE GREATER COLUMBUS, GEORGIA CHAMBER OF COMMERCE. IN ADDITION, EMPLOYEES SUPPORT ACTIVITIES OF THE ARTHRITIS FOUNDATION AND THE AMERICAN CANCER SOCIETY, AMONG OTHER CHARITABLE CAUSES. 24652963 11205 21634885 51383361 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 58 0 1 433 1 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 GA X CHARLES A STARK 7066606103 707 CENTER STREET COLUMBUS GA 31901 CHARLES A STARK 2.00 40.00 X X 0 889364 201352 EUGENE A DEMONET 2.00 X 0 0 0 MAX BRABSON JR 2.00 X 0 0 0 KATHRYN CHEEK MD 2.00 X 0 0 0 CECIL CHEVES 2.00 X 0 0 0 MICHAEL GORUM MD 2.00 X 0 0 0 JULIUS H HUNTER JR 2.00 X 0 0 0 RICHARD S HANNAY MD 2.00 X 0 0 0 JOEY LOUDERMILK 2.00 X 0 0 0 WILLIAM ROUNDTREE MD 2.00 X 0 0 0 CAROLE RUTLAND PHD 2.00 X 0 0 0 WARREN STEELE 2.00 X 0 0 0 TODD JARRELL MD 2.00 X 0 0 0 LILIANA MCDANIEL 2.00 X 0 0 0 HENRY SWIFT JR 2.00 X 0 0 0 LANCE DUKE 2.00 40.00 X 0 490513 142891 ROLAND L THACKER 2.00 40.00 X 0 441879 106748 KAREN SMITH 2.00 40.00 X 0 70810 24448 JAMES R WHEELER 40.00 X 370082 0 166054 DONALD ELDER 2.00 40.00 X 0 341252 157623 MICHELLE BREITFELDER 30.00 10.00 X 124999 53631 22033 HUGH TAYLOR 40.00 X 131841 0 15413 DIANE MORRIS 40.00 X 118174 0 20325 JOHN LESH 40.00 X 147638 0 21103 892734 2287449 877990 5 0 1 0 HCA SHARED SERVICES PO BOX 741995 ATLANTA GA 37027 AP/PURCH./DISTRIB. 1429870 HSS SYSTEMS 6640 CAROTHERS PARKWAY FRANKLIN TN 37067 REVENUE CYCLE 1353583 AMSOL ANESTHETISTS OF GA P O BOX 6633 HIGH POINT NC 27262 ANESTHESIA SERVICES 1018793 RADIOLOGY ASSOCIATES 717 20TH STREET COLUMBUS GA 31904 RADIOLOGY SERVICES 582389 HCA INFO TECH & SERVICES PO BOX 415000 NASHVILLE TN 37241 INFO TECH SERVICES 502287 12 PATIENT REVENUE 621400 65303539 65303539 CAFETERIA 722210 345283 345283 HOSPITAL GIFT SHOP 453220 70975 70975 MEDICAL RECORDS 621400 38445 38445 OTHER PROGRAM SERVICE REVENUE 900099 13021 13021 65771263 141906 141906 65913169 65303539 0 609630 11205 11205 702255 702255 14669329 14062695 606634 2198489 1950477 248012 1122599 1021516 101083 3188602 3188602 51236 51236 6061633 5387336 674297 61654 11808 49846 823241 670510 152731 690 630 60 1576865 1561440 15425 23248 16883 6365 18364 15311 3053 3034740 3034740 2288027 2288027 247654 247654 SUPPLIES 24831178 24794772 36406 PROVIDER TAX 928056 928056 BAD DEBT 393709 393709 EQUIPMENT RENTAL 279055 269274 9781 501608 287739 213869 63013437 51383361 11630076 0 6690614 8800919 11048248 10295746 5625325 5522567 2242112 2100131 62760613 11869715 51907716 50890898 3665975 6754202 70233 87689 81250223 84452152 6021878 6672292 62361651 62400289 484130 150953 68867659 69223534 X 12382564 15228618 12382564 15228618 81250223 84452152 2899732 -53678 0 X 0 1 X 1 0 X X 32191 32191 518575354 518607545 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 31169 27379 32330 32191 123069 250000 250000 250000 250000 1000000 1500000 4190000 4190000 48124170 6015791 42108379 9663622 5853924 3809698 782821 782821 50890898 DUE TO AFFILIATES 150953 150953 X 65465781 -53678 -393710 -447388 65913169 0 65913169 62619727 0 62619727 393710 393710 63013437 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2013, MANAGEMENT DOES NOT BELIEVE THE HOSPITAL HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE UNDER FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES (ASC 740). PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -393,710. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 393,710. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 202200 11375 190825 0.00300 406611 351629 54982 0.00090 608811 363004 245807 0.00390 2500 2500 0.00000 2500 2500 611311 363004 248307 0.00390 1 143370 0 20978731 27433082 -6454351 X 1 1 1 1 HUGHSTON HOSPITAL INC

707 CENTER STREET COLUMBUS GA 31901

WWW.COLUMBUSREGIONAL.COM X X HUGHSTON HOSPITALINC 1 1 X X X X X X X X X 12 1 1 1 X X X X X X X X X X 1 0 1 1 250.000000000000 1 250.000000000000 1 X X X X X X X 1 1 X X 1 0 X X X X 1 X 0 0 PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT FOR THE HUGHSTON HOSPITAL, INC. WAS PREPARED BY 501(C)(3) AFFILIATE, COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. DATA PRESENTED IN THE REPORT ALSO INCLUDES OTHER 501(C)(3) AFFILIATES DOCTOR'S HOSPITAL, INC. (#26-1739383) AND THE MEDICAL CENTER, INC. (#58-1685139). 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 MEDICARE COST REPORT AND IS A COMPOSITE OF TRADITIONAL AND MANAGED CARE MEDICARE AND TRICARE COST TO CHARGE RATIOS EXCLUDING THE INPATIENT REHABILITATION UNIT. PART I, L7 COL(F): BAD DEBT EXPENSE IN THE AMOUNT OF $393,709 WAS SUBTRACTED FROM FORM 990, PART IX, LINE 25 FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. PART II: N/A PART III, LINE 4: THE AMOUNTS OF BAD DEBT EXPENSE AT COST WAS CALCULATED USING THE COST TO CHARGE RATIO FROM THE ORGANIZATION'S FISCAL YEAR 2013 FILED MEDICARE COST REPORT AND IS A COMPOSITE OF TRADITIONAL AND MANAGED CARE MEDICARE AND TRICARE COST TO CHARGE RATIOS EXCLUDING INPATIENT REHABILITATION UNIT. THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE DESCRIBING BAD DEBT EXPENSE. BAD DEBT EXPENSE REPORTED ON THE INCOME STATEMENT IS CALCULATED ON HISTORICAL WRITE OFFS AND THE PERCENTAGE OF GROSS CHARGES. ONCE GROSS CHARGES FOR SELF-PAY PATIENTS ARE CALCULATED FOR THE MONTH, THE HISTORICAL PERCENTAGE IS APPLIED TO THE CHARGES AND REPORTED ON THE FINANCIAL STATEMENT. PART III, LINE 8: HUGHSTON HOSPITAL, INC. BELIEVES THAT ALL OF THE MEDICARE SHORTFALL REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. MEMBERS OF THE MEDICARE COMMUNITY ARE PROVIDED THE SAME CARE AND TREATMENT AS ALL OTHER PATIENTS OF THIS FACILITY. BECAUSE OF LOW PAYMENT RATES OF THE MEDICARE PROGRAM, LOSSES RELATED TO SERVING THIS IMPORTANT POPULATION OF OUR COMMUNITY INDICATES THAT HUGHSTON HOSPITAL, INC. IS DEDICATED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS REGARDLESS OF REIMBURSEMENT. THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 WAS THE MEDICARE COST REPORT. PART III, LINE 9B: IT IS THE POLICY OF HUGHSTON HOSPITAL, INC. TO PROVIDE QUALITY MEDICAL CARE TO ALL PATIENTS. THOSE PATIENTS REQUIRING FINANCIAL ASSISTANCE ARE TREATED IN THIS FACILITY AND ARE TREATED EQUALLY REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS THAT HAVE QUALIFIED FOR FINANCIAL ASSISTANCE ARE CATEGORIZED INTO GROUPS IN ORDER TO CAPTURE THEIR DISPOSITION FOR THE STATE OF GEORGIA INDIGENCY GUIDELINES.UNINSURED PATIENTS AUTOMATICALLY QUALIFY FOR FINANCIAL ASSISTANCE IF INCOME LEVELS ARE AT OR BELOW 250% OF LATEST PUBLISHED FEDERAL POVERTY GUIDELINES. PATIENT CHARGES ARE DISCOUNTED 100% IF PATIENT AND/OR GUARANTOR'S ANNUAL INCOME IS AT OR BELOW 250% OF LATEST PUBLISHED FEDERAL POVERTY GUIDELINES. 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. HUGHSTON HOSPITAL,INC. PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH 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 THE 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. HUGHSTON HOSPITAL,INC. PART V, SECTION B, LINE 4: THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR HUGHSTON HOSPITAL, INC. WAS CONDUCTED WITH THREE OTHER AREA HOSPITALS. TWO OF THOSE FACILITIES, THE MEDICAL CENTER, INC. AND DOCTOR'S HOSPITAL, INC. ARE AFFILIATES OF HUGHSTON HOSPITAL, INC. ALSO PARTICIPATING IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS ST. FRANCIS HOSPITAL WHICH ALSO SERVES MUSCOGEE COUNTY AND THE SURROUNDING AREA. HUGHSTON HOSPITAL,INC. PART V, SECTION B, LINE 5C: THE COMMUNITY HEALTH NEEDS ASSESSMENT IS MADE AVAILABLE TO THE PUBLIC BY REQUEST AS WELL AS ON THE ORGANIZATION'S WEBSITE AT WWW.COLUMBUSREGIONAL.COM. HUGHSTON HOSPITAL,INC. PART V, SECTION B, LINE 12H: IN CALCULATING AMOUNTS CHARGED TO FINANCIAL ASSISTANCE POLICY ELIGIBLE PATIENTS, HUGHSTON HOSPITAL, INC. ALSO CONSIDERS THE RESIDENCY OF APPLICANTS TO DETERMINE FOR WHICH FINANCIAL ASSISTANCE PROGRAM THE PATIENT MAY QUALIFY. HUGHSTON HOSPITAL,INC. PART V, SECTION B, LINE 20D: MAXIMUM AMOUNTS THAT COULD BE CHARGED FINANCIAL ASSISTANCE POLICY ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE WERE BASED ON AN AVERAGE OF THE HIGHEST NON-GOVERNMENTAL PAYER MIX CONTRACTS. 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 A 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: HUGHSTON HOSPITAL, INC., LOCATED IN COLUMBUS, GEORGIA, IS A NOT-FOR-PROFIT 100-BED PRIVATE ROOM, SPECIALTY HOSPITAL THAT IS NATIONALLY RECOGNIZED FOR DELIVERING OUTSTANDING CLINICAL QUALITY AND THE HIGHEST LEVELS OF CUSTOMER SERVICE. 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. 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 APPROXIMATELY 2.45 PERSONS PER HOUSEHOLD. MEDIAN INCOME FOR THIS AREA IS $41,088. A TOTAL OF 18.8% OF THE POPULATION IN THIS AREA IS BELOW THE POVERTY LEVEL. PART VI, LINE 5: SINCE 1984, HUGHSTON HOSPITAL, INC. HAS PROVIDED OUR COMMUNITY EXCELLENCE IN ORTHOPEDIC AND REHABILITATIVE CARE. BECAUSE THIS IS A SPECIALTY HOSPITAL, SERVICES ARE FOCUSED EXCLUSIVELY ON ORTHOPEDIC AND REHABILATIVE CARE. SERVICES ARE DELIVERED THROUGH A HIGHLY SPECIALIZED TEAM OF PROFESSIONALS USING THE LATEST TECHNOLOGY AND RESEARCH TO CARE FOR PEOPLE OF EVERY AGE AND ABILITY AND EVERY LEVEL OF MUSCULOSKELETAL INJURY OR DISORDER. HUGHSTON HOSPITAL WAS THE NATION'S FIRST HOSPITAL DESIGNED SPECIFICALLY TO TREAT PATIENTS WITH MUSCULOSKELETAL INJURIES OR DISORDERS. TODAY, THE 100-BED, PRIVATE ROOM, SPECIALTY HOSPITAL IS NATIONALLY RECOGNIZED FOR DELIVERING OUTSTANDING CLINICAL QUALITY AND THE HIGHEST LEVELS OF CUSTOMER SERVICE. HUGHSTON HOSPITAL, INC. BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY LEADERS DEDICATED TO PROVIDING QUALITY HEALTHCARE FOR OUR COMMUNITY. IN GENERAL, OUR VOLUNTEER BOARD MEMBERS ARE PERSONS WHO RESIDE IN OUR PRIMARY SERVICE AREA AND NEITHER THEY (NOR THEIR FAMILY MEMBERS) ARE EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION.MEDICAL STAFF PRIVILEGES IN THE HOSPITAL IS AVAILABLE TO ALL QUALIFIED PHYSICIANS AS DETERMINED THROUGH A DETAILED CREDENTIALING PROCESS. HUGHSTON HOSPITAL, INC. HAS OVER 200 AFFILIATED PHYSICIANS WITH 100 PHYSICIANS IN THE ACTIVE OR ACTIVE PROVISIONAL CATEGORIES PROVIDING HEALTHCARE SERVICE AT HUGHSTON HOSPITAL, INC.THE ORGANIZATION REINVESTS ALL PROFITS BACK INTO PHYSICIAN AND STAFF TRAINING AND FACILITIES AND EQUIPMENT TO CONTINUALLY IMPROVE PATIENT CARE. IN CONTRAST TO INVESTOR-OWNED HOSPITALS, NO PART OF NET EARNINGS DIRECTLY OR INDIRECTLY BENEFITS ANY PRIVATE SHAREHOLDERS OR INDIVIDUALS.ALL FACILITIES PARTICIPATE IN MEDICARE, MEDICAID, CHAMPUS AND PEACHCARE AS APPROPRIATE FOR SERVICES PROVIDED. PART VI, LINE 6: HUGHSTON HOSPITAL, INC. IS PART OF THE COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. THIS SYSTEM WAS ORGANIZED TO PLAN, DEVELOP AND COORDINATE THE ACTIVITIES OF AN INTEGRATED HEALTH NETWORK SERVING WEST GEORGIA AND EAST ALABAMA. 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, HUGHSTON HOSPITAL, INC. MAKES QUALITY HEALTH CARE SERVICES AVAILABLE TO EVERYONE IN ITS SERVICE AREA, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE SERVICES PROVIDED INCLUDE ACUTE, PRIMARY AND PREVENTIVE CARE, MEDICAL EDUCATION, CLINICAL TRAINING AND COMMUNITY EDUCATION. ALL AFFILIATES IN THIS SYSTEM PLACE A HIGH PRIORITY ON EXCEEDING THE EXPECTATIONS OF EACH PATIENT, VISITOR AND CUSTOMER.AFFILIATES OF HUGHSTON HOSPITAL, INC. IN THE COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. INCLUDE:1)COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. - A NOT-FOR-PROFIT COMPANY SERVING COLUMBUS AND SURROUNDING COUNTIES. COLUMBUS AMBULATORY HEALTHCARE SERVICES PROVIDES A WIDE VARIETY OF PRIMARY AND SPECIALTY PHYSICIAN SERVICES TO ALL PATIENTS REQUESTING SUCH SERVICES REGARDLESS OF ABILITY TO PAY. MANY OF THESE PATIENTS ARE CLASSIFIED AS INDIGENT RESIDENTS OF MUSCOGEE COUNTY, AND AS SUCH ARE COVERED THROUGH A CONTRACTUAL AGREEMENT WITH THE COLUMBUS CONSOLIDATED GOVERNMENT.2)COLUMBUS REGIONAL MEDICAL FOUNDATION, INC. - A NOT-FOR-PROFIT FOUNDATION ESTABLISHED IN 1983 TO ENDOW AND PROMOTE THE MEDICAL, CHARITABLE AND EDUCATIONAL SERVICES OF THE MEDICAL CENTER, INC. PRIMARY FUNCTIONS OF THE FOUNDATION INCLUDE FUND-RAISING TO SUPPORT THE JOHN B. AMOS CANCER CENTER AT THE MEDICAL CENTER, INC. AND THE CHILDREN'S MIRACLE NETWORK, TO SUPPORT CLINICAL EDUCATION THROUGH STUDENT SCHOLARSHIPS AND FELLOWSHIPS, AND TO PROVIDE FUNDING FOR THE MEDICAL CENTER TO PURCHASE HEALTH, MEDICAL AND RELATED EQUIPMENT TO BENEFIT PATIENTS AND ENHANCE SERVICES TO THE COMMUNITY.3)THE MEDICAL CENTER, INC. - A NOT-FOR-PROFIT 413-LICENSED BED, 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 INCLUDE ACUTE, PRIMARY AND PREVENTIVE CARE, MEDICAL EDUCATION, CLINICAL TRAINING AND COMMUNITY EDUCATION.4)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 PRIORTY ON EACH PATIENT ENCOUNTER AND LISTENS TO THE NEEDS OF THE COMMUNITY AND PROVIDES A HIGH QUALITY SERVICE TO CONTINUALLY MEET THOSE NEEDS.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, 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. REPORTS FILED WITH STATES PART VI, LINE 7 GA 1 COLUMBUS HEALTH DEPARTMENT PO BOX 2299 COLUMBUS GA 31902 580957459 GOVERNMENT 10000 GENERAL SUPPORT OF PROGRAMS 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. AND ITS AFFILIATES ACKNOWLEDGE THEIR RESPONSIBILITY AS GOOD CORPORATE CITIZENS TO SUPPORT WORTHWHILE ACTIVITIES, SERVICES AND EFFORTS IN THE COMMUNITY, STATE AND NATION. TO EFFECTIVELY CARRY OUT THAT RESPONSIBILITY AND ENSURE ITS RESOURCES FOR THIS PURPOSE ARE USED IN WAYS WHICH ARE OF LASTING VALUE AND IMPORTANCE, CERTAIN PROCEDURES HAVE BEEN ESTABLISHED TO APPROPRIATELY ALLOCATE CORPORATE RESOURCES TO OUTSIDE AGENCIES, ORGANIZATIONS AND EFFORTS. ALL REQUESTS FOR CHARITABLE CONTRIBUTIONS MUST BE SENT IN WRITING OR THROUGH E-MAIL TO THE COLUMBUS REGIONAL HEALTHCARE SYSTEM SENIOR VICE PRESIDENT FOR STRATEGY, MARKETING AND PUBLIC RELATIONS. REQUESTS MUST BE RECEIVED AT LEAST 45 DAYS BEFORE THE EVENT OR NEED IN ORDER TO BE CONSIDERED. THE SENIOR VICE PRESIDENT FOR STRATEGY, MARKETING AND PUBLIC RELATIONS CONSULTS WITH THE CHIEF COMPLIANCE OFFICER TO ENSURE THAT CHARITABLE CONTRIBUTIONS ARE IN COMPLIANCE WITH THE CORPORATE COMPLIANCE PROGRAM. THE TOTAL AMOUNTS OF FUNDS SET ASIDE FOR PURPOSES OF DONATION OR CONTRIBUTION TO OUTSIDE AGENCIES IS ESTABLISHED DURING THE CORPORATE BUDGET PROCESS AND THE AMOUNT MAY VARY FROM YEAR TO YEAR. X X X X X 0 1 0 0 0 0 0 0 0 CHARLES A STARK 0 630970 0 255000 0 3394 0 185750 0 15602 0 1090716 0 0 LANCE DUKE 0 377235 0 90000 0 23278 0 129650 0 13241 0 633404 0 0 ROLAND L THACKER 0 317235 0 111250 0 13394 0 92050 0 14698 0 548627 0 0 JAMES R WHEELER 198048 0 92089 0 79945 0 151250 0 14804 0 536136 0 0 0 DONALD ELDER 0 215010 0 69875 0 56367 0 144450 0 13173 0 498875 0 0 MICHELLE BREITFELDER 118901 28464 0 21391 6098 3776 5960 4022 10106 1945 141065 59598 0 0 JOHN LESH 147287 0 0 0 351 0 6376 0 14727 0 168741 0 0 0 PART I, LINE 4B EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN: CHARLES STARK $182,000 LANCE DUKE $ 92,400 DONALD ELDER $ 50,000 JAMES WHEELER $ 63,800 ROLAND THACKER $ 57,400 PART I, LINE 4B: PAYOUT FROM 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN (INCLUDED IN REPORTABLE COMPENSATION): DONALD ELDER $ 50,000 JAMES WHEELER $ 63,800 FORM 990, PART VI, SECTION A, LINE 6 THE BOARD OF DIRECTORS OF HUGHSTON HOSPITAL, INC. IS APPOINTED BY THE BOARD OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF HUGHSTON HOSPITAL, INC. IS APPOINTED BY THE BOARD OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS OF HUGHSTON HOSPITAL, INC. IS APPOINTED BY THE BOARD OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 INFORMATION FOR FORM 990 WAS PROVIDED TO AN INDEPENDENT CPA FIRM FOR PREPARATION OF RETURN. AFTER RETURN WAS PREPARED IT WAS REVIEWED BY THE PRESIDENT AND CEO OF THE ORGANIZATION. CURRENTLY, A COPY OF THE FORM 990 IS NOT PROVIDED TO THE GOVERNING BODY PRIOR TO FILING. THE BOARD IS PROVIDED A THOROUGH AND CONDENSED OVERVIEW OF INFORMATION ON THE FORM 990 BY THE PRESIDENT OF THE ORGANIZATION. PRESENTATION OF THIS INFORMATION TO THE BOARD WILL BE MADE AS CLOSE TO THE FILING DATE AS POSSIBLE, BUT MAY NOT BE PRIOR TO THE FILING DATE. 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 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 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 INDIVIDUAL'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE CHIEF COMPLIANCE OFFICER DETERMINES THE INDIVIDUAL HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, HE/SHE SHALL FORWARD THE INFORMATION TO THE HUMAN RESOURCES DEPARTMENT AND/OR THE BOARD OF DIRECTORS TO TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 COLUMBUS REGIONAL TAKES VERY SERIOUSLY THE RESPONSIBILITY TO APPROPRIATELY AND EFFECTIVELY MANAGE THE EXECUTIVE COMPENSATION AND BENEFITS PROGRAM FOR ITS KEY EXECUTIVES. SETTING THE COMPENSATION 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. 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