2013-05-13T13:08:12-05:00 2012-06-30 621517792 PERSHING YOAKLEY & ASSOCIATES P C ONE CHEROKEE MILLS 2220 SUTHERLAND KNOXVILLE TN 379192363 990 2011-07-01 581719994 COLUMBUS REGIONAL HEALTHCARE SYSTEM INC COLU 7066606303 707 CENTER STREET COLUMBUS GA 31901 ROLAND L THACKER 7065711927 2013-05-13 1 SUSAN P CLARK CPA P00017549 8656730844 2011 2016-02-24 21:20:13Z CHARLES A STARK 707 CENTER STREET COLUMBUS GA 31901 29488394 0 X COLUMBUSREGIONAL.COM X 1986 GA THE MISSION OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. IS TO PROMOTE THE HEALTH AND HEALING OF OUR PATIENTS. 13 10 300 131 1820385 0 170184 0 24445301 27874525 3256162 1482695 69568 130982 27941215 29488202 562060 514950 0 0 16247678 17626196 0 0 0 11131477 11347056 27941215 29488202 0 0 61363336 57119215 44632601 68109262 16730735 -10990047 X COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC., IS A NOT-FOR-PROFIT ORGANIZATION FORMED 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. 0 0 14987911 514950 26543800 COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC., IS A NOT-FOR-PROFIT ORGANIZATION FORMED 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.EMPLOYEE RELATIONS AND BENEFITS PROGRAMWITH 3,078 FULL-TIME EQUIVALENT (FTE) EMPLOYEES AT THE CLOSE OF FISCAL YEAR 2012, COLUMBUS REGIONAL HEALTHCARE SYSTEM IS ONE OF THE LARGEST EMPLOYERS IN COLUMBUS. THE HUMAN RESOURCES DEPARTMENT DEVELOPS AND COORDINATES EMPLOYEE RELATIONS AND BENEFITS PROGRAMS FOR THE CORPORATION INCLUDING AN ON-SITE FITNESS CENTER FOR EMPLOYEES, A YEAR-ROUND EMPLOYEE RECOGNITION PROGRAM AND ANNUAL EMPLOYEE RECOGNITION LUNCHEON, A HOLIDAY LUNCH AND DINNER, AND DISCOUNT PASSES TO LOCAL SPORTING AND ENTERTAINMENT EVENTS. A NEWSLETTER FOCUSES ON THE ACTIVITIES AND ACCOMPLISHMENTS OF EMPLOYEES AND THE ORGANIZATION AND ADDRESSES ANY EMPLOYEE QUESTIONS.THE EMPLOYEE ADVISORY GROUP MEMBERS ACT AS REPRESENATIVES OF COLUMBUS REGIONAL EMPLOYEES BY PROVIDING HONEST AND THOUGHTFUL INPUT AND IDEAS TO COLUMBUS REGIONAL'S LEADERSHIP AND THE HUMAN RESOURCES DEPARTMENT ON MATTERS PERTAINING TO THE WELFARE AND ENGAGEMENT AND MOTIVATION OF EMPLOYEES. COLUMBUS REGIONAL HEALTHCARE SYSTEM OFFERS NUMEROUS BENEFITS TO ITS EMPLOYEES. THESE INCLUDE HEALTH, LIFE AND DISABILITY INSURANCE; A PENSION PROGRAM; WORKER'S COMPENSATION COVERAGE AND TUITION REIMBURSEMENT FOR EMPLOYEES FURTHERING THEIR EDUCATION AT LOCAL COLLEGES, UNIVERSITIES AND OTHER APPROVED ACADEMIC INSTITUTIONS. IN FISCAL YEAR 2012, $420,311 WAS PROVIDED TO COLUMBUS REGIONAL AFFILIATE EMPLOYEES IN REIMBURSEMENT FOR COURSE TUITION AND BOOKS AT LOCAL COLLEGES, UNIVERSITIES, TECHNICAL SCHOOLS AND OTHER EDUCATIONAL PROVIDERS.COMBINED SALARY AND BENEFIT EXPENDITURES IN FISCAL YEAR 2012 WERE $214,963,897 OR 43.83 PERCENT OF TOTAL OPERATING EXPENSES. IN FISCAL YEAR 2012, THE TOTAL BENEFIT COST PER FTE WAS $13,206. 991313 1330725 COMMUNITY OUTREACHTHE COMMUNITY HEALTHCARE NETWORK IS A PARTNERSHIP OF PUBLIC AND PRIVATE ENTITIES PROVIDING PRIMARY CARE SERVICES AND HEALTH EDUCATION PROGRAMS TO A 14-COUNTY AREA OF SOUTHWEST GEORGIA, INCLUDING MUSCOGEE COUNTY. THE NETWORK WAS DEVELOPED TO IMPROVE THE HEALTH CARE STATUS OF THE REGION BY ADDRESSING MEDICAL, HEALTH AND EDUCATION NEEDS ACROSS THE AGE AND ECONOMIC SPECTRUM. MANY NETWORK PROGRAMS AND SERVICES FOCUS ON THE NEEDS OF WOMEN AND CHILDREN, ESPECIALLY MEDICAID RECIPIENTS.COLUMBUS REGIONAL HEALTHCARE SYSTEM PARTNERS WITH VARIOUS ORGANIZATIONS AND AGENCIES TO PROVIDE OUTREACH SERVICES IN THE COMMUNITY AND THE REGION. INITIAL FUNDING FOR OUTREACH SERVICES WAS PROVIDED THROUGH COLUMBUS REGIONAL HEALTHCARE SYSTEM'S PARTICIPATION IN THE GEORGIA INDIGENT CARE TRUST FUND. THIS VOLUNTARY CONTRIBUTION PROGRAM WAS CREATED BY STATE LEGISLATION IN 1990 TO EXPAND MEDICAID ELIGIBILITY, PROVIDE FUNDING FOR INDIGENT CARE AND SUPPORT PRIMARY HEALTH CARE INITIATIVES AT THE COMMUNITY LEVEL. HOSPITALS SERVING A DISPROPORTIONATE NUMBER OF MEDICAID, MEDICARE AND INDIGENT PATIENTS MAY CONTRIBUTE TO THE STATE INDIGENT CARE TRUST FUND. STATE DOLLARS ARE MATCHED BY FEDERAL FUNDS THROUGH FEDERAL FINANCIAL PARTICIPATION (FFP). THE MEDICAL CENTER IS A PARTICIPATING DISPROPORTIONATE SHARE HOSPITAL.PROGRAMS AND SERVICES PROVIDED DURING FISCAL YEAR 2012 INCLUDED THE FOLLOWING:- COLUMBUS REGIONAL PROVIDES PRIMARY CARE PHYSICIAN SERVICES TO THE COLUMBUS DEPARTMENT OF PUBLIC HEALTH. THE PRACTICE IS LOCATED IN THE HEALTH AND HUMAN SERVICES CENTER, A COLUMBUS REGIONAL FACILITY WHICH HOUSES PUBLIC HEALTH AND FAMILY SERVICES.- THE SOURCE CASE MANAGEMENT PROGRAM FOR THE AGED AND DISABLED HELPS THEM REMAIN IN THEIR HOMES RATHER THAN IN NURSING HOMES. THE CASE MANAGER ENSURES THE PATIENT RECEIVES APPROPRIATE FOLLOW-UP CARE, ASSISTS WITH TRANSPORTATION AND HOUSING NEEDS, AND HELPS ENSURE CONTINUED ELIGIBILITY FOR PROGRAM BENEFITS. IN FISCAL YEAR 2012, SOURCE HAD 7,801 PATIENT ENCOUNTERS AT A COST APPROXIMATELY 75 PERCENT LOWER THAN THE AVERAGE COST OF A YEAR IN A NURSING HOME. OTHER ACTIVITIES FOCUSED ON INFANT SAFETY, SCHOOL HEALTH AND ACCESS TO HEALTH CARE. THE INFANT/CHILD CAR SAFETY SEAT PROGRAM IS A JOINT PROGRAM OF COLUMBUS REGIONAL AND THE COLUMBUS HEALTH DEPARTMENT. IT PROVIDES FREE CAR SAFETY SEATS TO PARENTS WHO COMPLETE PRENATAL CLASSES AND CAR SAFETY SEAT TRAINING. IN TALBOT COUNTY, SCHOOL-BASED HEALTH INITIATIVES INCLUDE A WIDE RANGE OF HEALTH SERVICES FOR ELEMENTARY AND HIGH SCHOOL STUDENTS PROVIDED BY A LICENSED PRACTICAL NURSE AND A REGISTERED NURSE. COLUMBUS REGIONAL ACTIVELY PROMOTES AND SUPPORTS THE ENROLLMENT OF ELIGIBLE CHILDREN AND FAMILIES FOR STATE HEALTH CARE ASSISTANCE IN PEACHCARE FOR KIDS, A CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) OF THE STATE OF GEORGIA.COMMUNITY EDUCATIONCOLUMBUS REGIONAL HEALTHCARE SYSTEM'S COMMITMENT TO A HEALTHY, WELL-INFORMED PUBLIC IS EVIDENCED BY THE VARIETY OF COMMUNITY EDUCATION PROGRAMS AND ACTIVITIES IT OFFERS THROUGHOUT THE REGION. THROUGH HEALTH FAIRS, SEMINARS AND SHORT PROGRAMS, PUBLICATIONS, TELEVISION AND RADIO BROADCASTS, COLUMBUS REGIONAL HEALTHCARE SYSTEM KEEPS RESIDENTS OF THE SERVICE AREA INFORMED OF THE LATEST DEVELOPMENTS IN HEALTH CARE, PROMOTES WELLNESS AND PREVENTION AND ENCOURAGES INDIVIDUALS TO BE BETTER INFORMED HEALTH CARE CONSUMERS.- CHILDBIRTH EDUCATION PROGRAMS INCLUDED GENERAL INFORMATION SESSIONS FOR EXPECTANT PARENTS, EARLY PREGNANCY CLASSES, EXERCISE CLASSES FOR EXPECTANT MOTHERS, PREPARED CHILDBIRTH AND BREAST-FEEDING CLASSES. - ONGOING SUPPORT GROUPS WERE OFFERED FOR INDIVIDUALS EXPERIENCING DISEASE OR CHRONIC HEALTH CONDITIONS SUCH AS CHRONIC OBSTRUCTIVE PULMONARY DISEASE. - PROGRAMS OFFERED IN CONJUNCTION WITH THE JOHN B. AMOS CANCER CENTER FOCUSED ON PREVENTION, DETECTION AND TREATMENT OF VARIOUS FORMS OF CANCER. - COMMUNITY EDUCATION AND CLINICAL STAFF COLLABORATED TO PROVIDE OR PARTICIPATE IN HEALTH FAIRS IN THE COMMUNITY. THESE EVENTS FOR CHILDREN AND ADULTS PROVIDED GENERAL HEALTH SCREENINGS AND INFORMATION ON PREVENTION, WELLNESS AND DISEASE MANAGEMENT.THE MAJORITY OF COMMUNITY EDUCATION PROGRAMS ARE COORDINATED THROUGH COLUMBUS REGIONAL HEALTHCARE SYSTEM'S COMMUNITY EDUCATION DEPARTMENT. MANY ARE PRESENTED AT THE COLUMBUS REGIONAL CONFERENCE CENTER AT THE MEDICAL CENTER. THIS MULTI-PURPOSE, THREE-ROOM FACILITY PROVIDES ACCOMMODATIONS FOR FREE COMMUNITY EDUCATION PROGRAMS; MEDICAL, CLINICAL AND CONTINUING EDUCATION PROGRAMS OFFERED FOR MEDICAL STAFF AND EMPLOYEES; AND HEALTH-RELATED COMMUNITY PROGRAMS AND MEETINGS OFFERED BY LOCAL ORGANIZATIONS. DURING FISCAL YEAR 2012, THE EDUCATION DEPARTMENT OFFERED PROGRAMS AT THE CONFERENCE CENTER AND OTHER LOCATIONS FOR APPROXIMATELY 100,000 PARTICIPANTS. CONFERENCE FACILITIES ALSO ARE MADE AVAILABLE AT NO CHARGE TO COMMUNITY ORGANIZATIONS WITH A PROGRAM OR EMPHASIS ON HEALTH-CARE ISSUES.IN ADDITION TO OFFERING EDUCATIONAL PROGRAMS AND ACTIVITIES FOR THE COMMUNITY, COLUMBUS REGIONAL HEALTHCARE SYSTEM PROVIDES NUMEROUS OPPORTUNITIES FOR EMPLOYEES TO DEVELOP AND UPGRADE SKILLS THROUGH EMPLOYEE EDUCATION ACTIVITIES. 15979224 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 98 0 1 300 1 1 1 0 0 0 0 0 0 0 0 0 X 13 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 GA X ROLAND L THACKER TREASURER 7066606303 707 CENTER STREET COLUMBUS GA 31901 CHARLES A STARK 40.00 X X 0 0 0 LARRY S SANDERS 40.00 X X 3055821 0 77341 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 W GORUM MD 2.00 X 0 0 0 JULIUS HUNTER JR ESQ 2.00 X 0 0 0 GEORGE W JETER 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 HENRY W SWIFT JR 2.00 X 0 0 0 LANCE DUKE 40.00 X 675595 0 136516 ROLAND L THACKER 40.00 X 427987 0 100636 THOMAS TITUS 40.00 X 141134 0 11441 DONALD ELDER 40.00 X 323678 0 146938 JOHN SIMS 40.00 X 366559 0 113606 WAYNE JOINER 40.00 X 253655 0 89507 LUCUIS LAYFIELD III 40.00 X 270577 0 57950 DOUGLAS COLBURN 40.00 X 206027 0 15479 ARTHUR M HILL 40.00 X 213077 167600 136275 KAREN SMITH 40.00 X 65443 0 22829 JANET WOODHAM 40.00 X 116431 0 25473 BARBARA MCFERRIN 40.00 X 145015 0 35936 TERRY RICHARDS 40.00 X 137819 0 38701 CHARLES BRUMBELOE 40.00 X 128497 0 67160 ALLEN HOLLADAY 40.00 X 148062 0 21206 6675377 167600 1096994 23 0 1 0 PERSHING YOAKLEY & ASSOCIATES PO BOX 11748 KNOXVILLE TN 37939 AUDITING SERVICES 232475 TYLER & COMPANY 400 NORTHRIDGE ROAD ATLANTA GA 30350 RECRUITING FEES 178897 HORTY SPRINGER & MATTERN PC 4814 FIFTH AVENUE PITTSBURG PA 15213 LEGAL SERVICES 168298 LITTLER MENDELSON PC PO BOX 45547 SAN FRANCISCO CA 94145 LEGAL SERVICES 155906 SANTA BARBARA ASSET MGMT 200 EAST CARRILLO STREET SANTA BARBARA CA 93101 MANAGEMENT SERVICES 146310 9 CORPORATE SERVICE FEES 561000 25563351 24488593 1074758 PATIENT REVENUE 621400 1330725 1330725 MANAGEMENT FEES 561000 745627 745627 OTHER OPER. REVENUE 900099 234822 234822 27874525 1482887 1482887 130982 0 130982 130982 130982 192 -192 -192 -192 29488202 26184930 1820385 1482887 514950 514950 14251130 8455664 5795466 2461035 1660802 800233 914031 611106 302925 607962 607962 148400 148400 617456 617456 2715168 1791996 923172 1232100 1045233 186867 1095687 745063 350624 362046 358241 3805 417815 391742 26073 121913 90331 31582 55845 44209 11636 547934 547934 1112596 1112596 229779 229779 RECRUITMENT 565973 565973 EMPLOYEE ACTIVITIES 543338 5303 538035 PROFESSIONAL DUES 197107 11267 185840 VHA DUES 195052 195052 580885 253317 327568 29488202 15979224 13508978 0 -17958177 -17080790 18420083 15331953 101379 70192 52647 30625 902413 1001380 32567108 25165399 6676286 7401709 53159205 50354646 9500 9500 61363336 57119215 9006660 7661883 9413641 9418024 1331610 26212300 49697745 44632601 68109262 X 16730735 -10990047 16730735 -10990047 61363336 57119215 X 0 -27720782 X 0 1 1 X 0 X X X 0 0 0 THE MEDICAL CENTER 581685139 3 0 1 1 0 1 0 X 32330 32330 32330 32330 29455872 531600193 29488202 531632523 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 21646 31169 27379 32330 112524 250000 250000 250000 250000 1000000 1500000 3241265 3241265 7328512 6349961 978551 19717881 16597540 3120341 2279450 2217898 61552 7401709 MINIMUN PENSION LIABILITY 42325900 POST RETIRMENT LIABILITY 3919200 CHANGE IN EST FAIR VALUE TAX SWAP 3452645 49697745 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE SYSTEM AND AFFILIATES ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. AT JUNE 30, 2012, MANAGEMENT DOES NOT BELIEVE THE SYSTEM HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE UNDER ASC 740. 1 COLUMBUS REGIONAL MEDICAL FOUNDATION INC 707 CENTER STREET COLUMBUS GA 31901 581501642 501(C)(3) 240000 TO SUPPORT THE FOUNDATION AND ITS AFFILIATES. AMERICAN CANCER SOCIETY P O BOX 1382 COLUMBUS GA 31902 131788491 501(C)(3) 28080 TO SUPPORT PROGRAMS OF THE AMERICAN CANCER SOCIETY. COLUMBUS STATE UNIVERSITY 4225 UNIVERSITY AVE COLUMBUS GA 31907 586043198 501(C)(3) 100480 TO SUPPORT HEALTH RELATED PROGRAMS OF COLUMBUS STATE UNIVERSITY. PASTORAL INSTITUTE P O BOX 8649 COLUMBUS GA 31908 580647764 501(C)(3) 30995 TO SUPPORT PROGRAMS OF THE PASTORAL INSTITUTE. RONALD MCDONALD HOUSE 1959 HAMILTON RD COLUMBUS GA 31904 582065776 501(C)(3) 10000 TO SUPPORT PROGRAMS OF THE RONALD MCDONALD HOUSE. MARCH OF DIMES 6501 VETERANS PARKWAY 4B COLUMBUS GA 31909 581846366 501(C)(3) 15000 TO SUPPORT PROGRAMS OF THE MARCH OF DIMES. AMERICAN HEART ASSOCIATION - SOUTHEAST AFFILIATE P O BOX 6744 COLUMBUS GA 31917 135613797 501(C)(3) 5000 TO SUPPORT PROGRAMS OF THE AMERICAN HEART ASSOCIATION. UPTOWN COLUMBUS INC P O BOX 1237 COLUMBUS GA 31902 581521594 501(C)(3) 5000 TO SUPPORT PROGRAMS OF UPTOWN COLUMBUS, INC. MUSCOGEE EDUCATIONAL EXCELLENCE FOUNDATION 1520 13TH AVENUE COLUMBUS GA 31901 582236445 501(C)(3) 5000 TO SUPPORT PROGRAMS OF THE EDUCTATION EXCELLENCE FOUNDATION. ST FRANCIS HOSPITAL P O BOX 84012 COLUMBUS GA 31908 580641240 501(C)(3) 5150 TO SUPPORT PROGRAMS OF ST. FRANCIS HOSPITAL. COLUMBUS TECHNICAL COLLEGE 928 MANCHESTER EXPRESSWAY COLUMBUS GA 31904 581739966 501(C)(3) 5000 TO SUPPORT HEALTH RELATED PROGRAMS OF COLUMBUS TECHNICAL COLLEGE. ARTHRITIS FOUNDATION 2970 PEACHTREE ROAD NW ATLANTA GA 30305 586011830 501(C)(3) 5000 TO SUPPORT PROGRAMS OF THE ARTHRITIS FOUNDATION. CHATTAHOOCHEE COUNCIL INC BOY SCOUTS OF AMERICA 1237 FIRST AVENUE COLUMBUS GA 31901 580601576 501(C)(3) 5000 TO SUPPORT PROGRAMS OF THE BOY SCOUTS. COLUMBUS SPORTS COUNCIL P O BOX 1519 COLUMBUS GA 31901 311534813 501(C)(3) 12500 TO SUPPORT 2012 BLIND GOLF PROGRAM. BROOKSTONE SCHOOL 440 BRADLEY PARK DRIVE COLUMBUS GA 31904 501(C)(3) 6000 TO SUPPORT 2012 NATIONAL SIGNING DAY. 14 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 GIFTS OR DONATIONS OF MONEY OR OTHER RESOURCES OF THE SYSTEM MUST BE APPROVED BY COLUMBUS REGIONAL. THE TOTAL AMOUNTS OF FUNDS SET ASIDE FOR PURPOSES OF DONATION OR CONTRIBUTION TO OUTSIDE ORGANIZATIONS IS ESTABLISHED ANNUALLY DURING THE CORPORATE BUDGET PROCESS AND THE AMOUNT MAY VARY FROM YEAR TO YEAR. THE MANAGEMENT OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. IS REQUIRED TO ESTABLISH CRITERIA AND STANDARDS TO ASSIST IN ALLOCATING RESOURCES. A COMMUNITY SERVICE COMMITTEE SHALL BE ESTABLISHED TO REVIEW CERTAIN REQUESTS AND MAKE RECOMMENDATIONS ON THE APPROPRIATENESS AND LEVEL OF SUPPORT TO BE CONSIDERED. THE COMMITTEE SHALL BE CHAIRED BY THE SENIOR VICE PRESIDENT OF MARKETING AND SHALL BE COMPRISED OF THE FOLLOWING INDIVIDUALS: MANAGER OF MARKETING AND COMMUNICATIONS, COLUMBUS REGIONAL DIRECTOR OF PASTORAL CARE, COLUMBUS REGIONAL PRESIDENT OF THE MEDICAL CENTER, INC., AND THE SENIOR VICE PRESIDENT OF PHYSICIAN SERVICES. X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 LARRY S SANDERS 428600 0 80831 0 2546390 0 65671 0 11670 0 3133162 0 0 0 LANCE DUKE 386915 0 45000 0 243680 0 124475 0 12041 0 812111 0 0 0 ROLAND L THACKER 305438 0 38750 0 83799 0 86775 0 13861 0 528623 0 0 0 THOMAS TITUS 115449 0 22313 0 3372 0 7095 0 4346 0 152575 0 0 0 DONALD ELDER 208211 0 26875 0 88592 0 133175 0 13763 0 470616 0 0 0 JOHN SIMS 183707 0 23750 0 159102 0 97770 0 15836 0 480165 0 0 0 WAYNE JOINER 187520 0 24375 0 41760 0 72475 0 17032 0 343162 0 0 0 LUCUIS LAYFIELD III 222938 0 28750 0 18889 0 42595 0 15355 0 328527 0 0 0 DOUGLAS COLBURN 186772 0 19000 0 255 0 3139 0 12340 0 221506 0 0 0 ARTHUR M HILL 0 167600 42520 0 170557 0 64981 63579 2091 5624 280149 236803 0 0 BARBARA MCFERRIN 136322 0 0 0 8693 0 21351 0 14585 0 180951 0 0 0 TERRY RICHARDS 131838 0 0 0 5981 0 29215 0 9486 0 176520 0 0 0 CHARLES BRUMBELOE 120410 0 0 0 8087 0 60259 0 6901 0 195657 0 0 0 ALLEN HOLLADAY 142126 0 0 0 5936 0 20421 0 785 0 169268 0 0 0 PART I, LINE 4B EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN JOHN SIMS $ 82,600 LANCE DUKE $ 92,400 DONALD ELDER $ 50,000 ROLAND THACKER $ 57,400 WAYNE JOINER $ 14,000 LUCUIS LAYFIELD $ 20,500 PART I, LINE 4B: PAYOUT FROM 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN (INCLUDED IN REPORTABLE COMPENSATION). LARRY SANDERS $2,309,841 LANCE B. DUKE $ 142,742 DONALD ELDER $ 81,980 ROLAND THACKER $ 70,728 JOHN SIMS $ 157,852 WAYNE JOINER $ 29,256 LUCUIS LAYFIELD III $ 18,325 ARTHUR HILL $ 255,264 DURING 2012, ALL PREVIOUSLY ACCRUED OBLIGATIONS UNDER THE SERP WERE PAID TO THE RESPECTIVE MEMBERS OF MANAGEMENT AND A NEW SERP THAT IS CONSISTENT IN STRUCTURE WAS IMPLEMENTED. DURING THE FISCAL YEAR, MR. SANDERS RETIRED FROM COLUMBUS REGIONAL HEALTHCARE SYSTEMS AFTER SERVING AS ITS CHAIRMAN AND CEO FOR 30 YEARS. THE MEDICAL CENTER HOSPITAL AUTHORITY 580905094 584521DU9 2008-11-01 110225000 PERMANENT FINANCING OF DOCTORS HOSPITAL AND DEFEASE THE SERIES 1992 BONDS. 0 0 0 THE MEDICAL CENTER HOSPITAL AUTHORITY 580905094 584521EF1 2010-09-01 168589392 PERMANENT FINANCING OF HUGHSTON HOSPITAL, REFUND THE SERIES 1999 BONDS. 0 0 0 104137303 88425000 1879973 3418600 2010 1 0 1 1 168589392 138810983 2365817 4848857 22563735 2010 1 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 INFORMATION FOR THE FORM 990 WAS PROVIDED TO AN INDEPENDENT CPA FIRM FOR PREPARATION OF RETURN. AFTER RETURN WAS PREPARED, IT WAS REVIEWED BY TREASURER 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 CONDENSED AND THOROUGH OVERVIEW OF THE FORM BY THE TREASURER 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 IT IS THE POLICY OF COLUMBUS REGIONAL THAT EMPLOYEES AND AGENTS CANNOT PARTICIPATE IN ANY ACTIVITIES THAT CONFLICT WITH, OR APPEAR TO CONFLICT WITH, THEIR PROFESSIONAL RESPONSIBILITIES TO THE ORGANIZATION. IT IS THE POLICY OF COLUMBUS REGIONAL TO PROVIDE MECHANISMS BY WHICH EMPLOYEES, MEDICAL STAFF, AND OTHER ASSOCIATES OF THE ORGANIZATION MAY REPORT SUSPECTED VIOLATIONS OF GOVERNMENT LAWS OR CORPORATE POLICIES WITHOUT FEAR OF RETALIATION OR TERMINATION OF EMPLOYMENT. EMPLOYEES AND AGENTS HAVE A RESPONSIBILITY TO REPORT SUSPECTED VIOLATIONS, PROVIDED THEY ARE REPORTING IN GOOD FAITH AND HAVE EVIDENCE TO SUPPORT THEIR SUSPICION. COLUMBUS REGIONAL ENCOURAGES THE DEVELOPMENT OF AN "OPEN DOOR" POLICY BY MANAGERS TO WELCOME COMMENTS, CONCERNS AND QUESTIONS FROM THEIR EMPLOYEES AND AGENTS. SUSPECTED CONFLICT OF INTEREST VIOLATIONS MAY BE REPORTED TO MANAGERS OR SUPERVISORS. VIOLATIONS MAY ALSO BE REPORTED TO THE CORPORATE COMPLIANCE OFFICER (BY PHONE, E-MAIL OR IN PERSON), BY COMPLETING A FORM, OR BY CONTACTING THE COMPLIANCE HELPLINE. IF AN INDIVIDUAL IS HESITANT ABOUT USING ANY OF THESE REPORTING MECHANISMS, HE/SHE MAY CONTACT COLUMBUS REGIONAL'S PRESIDENT AND CHIEF EXECUTIVE OFFICER. ALL REPORTS OF SUSPECTED VIOLATIONS ARE INVESTIGATED IN A PROMPT AND REASONABLE MANNER BY THE CORPORATE COMPLIANCE OFFICER OR, AS APPROPRIATE, BY A MEMBER OF THE CORPORATE COMPLIANCE COMMITTEE. AN INHERENT AND IMPORTANT PART OF COLUMBUS REGIONAL'S CORPORATE COMPLIANCE PROGRAM INVOLVES MEASURING THE EFFECTIVENESS OF THE PROGRAM IN ADHERING TO SPECIFIC GOVERNMENTAL REGULATIONS, CORPORATE POLICIES AND BUSINESS ETHICAL STANDARDS. AT THE DESIGNATION OF MANAGEMENT, COMPLIANCE ACTIVITIES ARE REVIEWED. THE CORPORATE COMPLIANCE OFFICER ENSURES THAT THE RESULTS OF COMPLIANCE-RELATED AUDITS, HELPLINE ACTIVITY, EMPLOYEE COMPLIANCE ACTIVITIES AND OTHER COMPLIANCE ISSUES DEEMED RELEVANT ARE REPORTED ON A PERIODIC BASIS TO COLUMBUS REGIONAL'S CEO AND FINANCE AND PLANNING COMMITTEE. 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. COLUMBUS REGIONAL HAS HAD A COMPENSATION COMMITTEE FOR MANY YEARS. THE COMMITTEE IS CURRENTLY CHAIRED BY A 20+ YEAR BOARD MEMBER. 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, IN ADDITION TO OTHER CORPORATE AND GOVERNING POLICIES, IS NOT MADE AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAIN/LOSS -2,233,130. ABO DEFICIENCY -22,035,007. CHANGE IN EST. FAIR VALUE TAX SWAP -3,452,645. TOTAL TO FORM 990, PART XI, LINE 5: -27,720,782. 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