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 331216751 HUGHSTON HOSPITAL INC HUGH 7066606303 707 CENTER STREET COLUMBUS GA 31901 ROLAND L THACKER 7065711927 2013-05-13 1 SUSAN CLARK CPA P00017549 8656730844 2011 2016-02-24 21:20:13Z CHARLES A STARK 707 CENTER STREET COLUMBUS GA 31901 63505056 0 X COLUMBUSREGIONAL.COM X 2008 GA THE MISSION OF HUGHSTON HOSPITAL, INC. IS TO PROMOTE THE HEALTH AND HEALING OF OUR PATIENTS. 13 10 425 2 0 0 0 0 69695333 63430419 12579 74637 0 0 69707912 63505056 145263 1274 0 0 18579176 18758127 0 0 0 43606064 41757697 62330503 60517098 7377409 2987958 78233824 81250223 68895922 68867659 9337902 12382564 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 3594784 2998937 REHABILITATIONTHE 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. 4436262 14394720 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. 10233536 27042098 HUGHSTON HOSPITAL'S JOINT REPLACEMENT CENTER IS DEDICATED SPECIFICALLY TO THE CARE OF KNEE, HIP AND SHOULDER REPLACEMENT PATIENTS. PATIENTS ARE TREATED LIKE SPECIAL GUESTS WHO ARE TEMPORARILY SIDELINED WITH A JOINT OR ORTHOPEDIC PROBLEM. THE FOCUS IS ON WELLNESS,AND 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. GUEST 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. 30926054 1274 18994664 30926054 1274 18994664 49190636 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 58 0 1 425 1 0 0 0 0 0 0 0 0 0 0 X 13 10 0 0 0 0 1 1 1 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 LARRY S SANDERS 40.00 X X 0 3055821 77341 CHARLES A STARK 40.00 X X 0 0 0 EUGENE 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 ESQ 2.00 X 0 0 0 MICHAEL GORUM MD 2.00 X 0 0 0 JULIUS HUNTER ESQ 2.00 X 0 0 0 GEORGE 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 SWIFT JR 2.00 X 0 0 0 LANCE DUKE 40.00 X 0 675595 136516 ROLAND L THACKER 40.00 X 0 427987 100636 KAREN SMITH 40.00 X 0 65443 22829 JAMES WHEELER 40.00 X 318696 0 167465 DONALD ELDER 40.00 X 0 323678 146938 MICHELLE BREITFELDER 40.00 X 165920 0 20279 HUGH TAYLOR 40.00 X 130616 0 15179 MARLENE CHIN 40.00 X 122189 0 8393 JOHNNY DOLES 40.00 X 130506 0 30536 JANET PETERS 40.00 X 102305 0 9505 DIANE MORRIS 40.00 X 108266 0 20668 1078498 4548524 756285 10 0 1 0 AMSOL ANESTHETISTS P O BOX 6633 HIGH POINT NC 27262 ANESTHESIA SERVICES 943270 RADIOLOGY ASSOCIATES 717 20TH STREET COLUMBUS GA 31904 RADIOLOGY SERVICES 522833 HUMAN PERFOMANCE REHAB CENTER PO BOX 8068 COLUMBUS GA 31904 INTRA-OP MONITORING 440450 AMSOL PHYSICIANS P O BOX 6633 HIGH POINT NC 27262 PHYSICIAN SERVICES 182844 DR STANLEY HIMES 578 PINEWOOD WAY CATAULA GA 31804 PHYSICIAN SERVICES 151913 7 PATIENT REVENUE 621400 62928348 62928348 CAFETERIA 621400 353768 353768 HOSPITAL GIFT SHOP 453220 87687 87687 MEDICAL RECORDS 621400 32597 32597 OTHER PROGRAM SERVICE 621400 28019 28019 63430419 72712 72712 1925 0 1925 1925 1925 63505056 62928348 0 576708 1274 1274 15595577 14416046 1179531 2034967 1729647 305320 1127583 1044352 83231 2824708 2824708 17575 17575 5956 5956 5811726 5170178 641548 85173 37413 47760 850818 674391 176427 1716 1716 1600897 1581996 18901 28752 18856 9896 17643 13365 4278 3034722 3034722 2303109 2303109 301510 301510 SUPPLIES 22234318 22167671 66647 BAD DEBT 1136846 1136846 INDIGENT CARE ASSESSMEN 661240 661240 EQUIPMENT RENTAL 263085 250763 12322 577903 286598 291305 60517098 49190636 11326462 0 3703018 6690614 11302678 11048248 5876359 5625325 205321 206568 61589404 9681688 53213437 51907716 3933011 5771752 78233824 81250223 6296504 6021878 62323012 62361651 276406 484130 68895922 68867659 X 9337902 12382564 9337902 12382564 78233824 81250223 X 2987958 56704 X 0 1 1 X 0 X X 32330 32330 531600193 531632523 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 21646 31169 27379 32330 112524 250000 250000 250000 250000 1000000 1500000 4190000 4190000 48124170 4812610 43311560 9195234 4869078 4326156 80000 80000 51907716 BOND ISSUE COSTS 2035544 ASSETS LIMITED AS TO USE 3665975 THIRD PARTY SETTLEMENTS 70233 5771752 DUE TO AFFILIATES 484130 484130 63505056 60517098 2987958 56704 56704 3044662 63430419 0 63430419 74637 74637 63505056 60517098 0 60517098 0 60517098 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2012, MANAGEMENT DOES NOT BELIEVE THE HOSPITAL HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENTS RECOGNITION OR DISCLOSURE UNDER FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES (ASC 740). PART XII, LINE 4B - OTHER ADJUSTMENTS: NON-OPERATING REVENUE, NET 74,637. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 166424 8186 158238 0.00270 845446 645804 199642 0.00340 1011870 653990 357880 0.00610 1604 1604 0.00000 1604 1604 1013474 653990 359484 0.00610 1 176928 0 19698131 25050917 -5352786 X 1 1 1 1 HUGHSTON HOSPITAL INC

707 CENTER STREET COLUMBUS GA 31901

X X HUGHSTON HOSPITALINC 1 1 1 250.000000000000 1 250.000000000000 1 X X X X X X X 1 1 X X 1 0 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 FY 2012 FILED MEDICARE COST REPORT AND IS A COMPOSITE OF TRADITIONAL AND MANAGED CARE MEDICARE AND TRICARE COST TO CHARGE RATIOS EXCLUDING INPATIENT REHABILITATION UNIT. PART I, L7 COL(F): BAD DEBT EXPENSE IN THE AMOUNT OF $1,136,846 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 FY 2012 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 THEN 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 CONTRACTED INSURED DISCOUNT. HUGHSTON HOSPITAL,INC. PART V, SECTION B, LINE 11H: IN CALCULATING AMOUNTS CHARGED TO FAP ELIGIBLE PATIENTS, HUGHSTON HOSPITAL, INC. ALSO CONSIDERS THE RESIDENCY OF APPLICANTS TO DETERMINE WHICH FINANCIAL ASSISTANCE PROGRAM THE PATIENT MAY QUALIFY FOR. HUGHSTON HOSPITAL,INC. PART V, SECTION B, LINE 19D: 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 COMMUNITY NEEDS ASSESSMENT COMBINED QUANTITATIVE AND QUALITATIVE INFORMATION BASED ON REVIEW OF HEALTH AND QUALITY-OF-LIFE DATA AND A LIMITED NUMBER OF INTERVIEWS WITH COMMUNITY LEADERS, DEPARTMENT DIRECTORS, AND REPRESENTATIVES OF LOCAL AGENCIES. COMPARISONS WERE MADE TO OTHER GEORGIA COUNTIES, AS WELL AS TO NATIONAL BENCHMARKS SUCH AS HEALTHY PEOPLE 2010, GEORGIA HEALTH EQUITY INITIATIVE, AND CHC BEHAVIOR RISK FACTORS STUDY. THE ASSESSMENT HIGHLIGHTED IMPORTANT ISSUES IN THE COMMUNITY MAINLY IDENTIFIED BY DATA SEARCHES. DATA RESEARCH IDENTIFIED A NUMBER OF MAJOR HEALTH CONCERNS FOR OUR COMMUNITY. RATHER THAN FOCUSING ON ONE ISOLATED AREA OF NEED, THE NEEDS ASSESSMENT CREATED A COMPREHENSIVE NEEDS ASSESSMENT FOR THE COUNTY USING MULTIPLE HEALTH AND QUALITY-OF-LIFE INDICATORS. THE NEEDS ASSESSMENT PROCESS INVOLVED ASSESSMENT AND UNDERSTANDING OF DEMOGRAPHICS, HEALTH ACCESS, HEALTH CARE USAGE, HEALTH BEHAVIORS, HEALTH STATUS, AS WELL AS SOCIAL AND ENVIROMENTAL FACTORS THAT ULTIMATELY AFFECT HEALTH OUTCOMES. THE REVIEW AND EVALUATION ENABLE THE IDENTIFICATION OF REOCCURING RISK FACTORS THAT SHOULD BE CONSIDERED AS PRIORITY AREAS IN THE COMMUNITY.BASED ON THE RESEARCH, THE SIX PRIORITY AREAS INDENTIFIED WERE: HEART DISEASE AND STROKE; CANCER, OBESITY; DIABETES; ASTHMA; AND ARTHRITIS. THE NEEDS ASSESSMENT CONCLUDED THAT WHILE THESE ARE TYPICALLY THE DISEASES FOCUSED ON BY THE MUSCOGEE COUNTY MEDICAL COMMUNITY, THERE ARE ALSO UNDERLYING HEALTH AND SOCIAL CONCERNS THAT NEED TO BE BETTER ASSESSED TO DETERMINE THEIR CAUSE AND EFFECT ON THESE CONDITIONS. THERE ARE A NUMBER OF HOMELESS FAMILIES AND INDIVIDULAS LIVING IN POVERTY WITH LIMITED TRANSPORTATION RESULTING IN THEM UTILIZING THE HOSPITAL EMERGENCY ROOMS AS THEIR PRIMARY CARE PROVIDERS. IT IS BELIEVED THE TEEN PREGNANCY AND INFANT MORTALITY RATES ARE MUCH HIGHER THAN THEY SHOULD BE IN OUR COMMUNITY. THERE ARE ALSO CONCERNS THAT ACCIDENTS AND INJURIES ARE TOO FREQUENT DUE TO A SUBSTANCE ABUSE PROBLEM THAT IS DIFFICULT TO MEASURE. 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. ALSO, 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 123RD LARGEST CITY IN THE UNITED STATES. THE CITY COVERS A TOTAL OF 220.9 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 2010, THE COLUMBUS, GEORGIA METROPOLITAN AREA HAD AN ESTIMATED POPULATION OF 189,885. 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 50.42% WHITE, 43.74% BLACK, 4.4% HISPANIC AND 1.44% OTHER. APPROXIMATELY 2.2% ARE PERSONS OF MIXED RACE. PERSONS UNDER THE AGE OF 5 ACCOUNT FOR 7.34% OF THE POPULATION WHILE PERSONS UNDER AGE 18 ACCOUNT FOR 26.8% AND PERSONS OVER THE AGE OF 65 ACCOUNT FOR 11.7%.THERE ARE APPROXIMATELY 2.54 PERSONS PER HOUSEHOLD. MEDIAN INCOME FOR THIS AREA IS $34,276. A TOTAL OF 15.7% OF THE POPULATION IN THIS AREA IS BELOW THE POVERTY LEVEL. HOSPITALS SERVING MUSCOGEE COUNTY AND THE SURROUNDING AREAS INCLUDE THE MEDICAL CENTER, INC., DOCTOR'S HOSPITAL, INC., ST. FRANCIS HOSPITAL, AND EAST ALABAMA MEDICAL CENTER. THE AREA IS ALSO SERVED BY SPECIALTY HOSPITALS INCLUDING HUGHSTON HOSPITAL, INC., REGIONAL REHABILITATION HOSPITAL, AND JACK HUGHSTON MEMORIAL HOSPITAL. PART VI, LINE 5: SINCE 1984, HUGHSTON HOSPITAL 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. AFFILIATES OF HUGHSTON HOSPITAL, INC. IN THE COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. INCLUDE:1)CRHS LONG TERM AND HOME CARE, INC. - A NOT-FOR-PROFIT ORGANIZATION PROVIDING SKILLED NURSING FACILITIES FOR RESIDENTS OF MUSCOGEE COUNTY. CRHS LONG TERM AND HOME CARE, INC. OPERATES AZALEA TRACE NURSING CENTER IN COLUMBUS, GEORGIA. AZALEA TRACE IS A 110-BED SKILLED NURSING FACILITY. AZALEA TRACE WAS OPERATED BY CHRS LONG TERM AND HOME CARE, INC. UNTIL MARCH 1, 2012. AT THAT TIME, THIS FACILITY WAS SOLD TO MUSCOGEE MANOR, A WELL-RESPECTED SPECIALTY CARE ORGANIZATION.2)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.3)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. PRIMARY FUNCTIONS OF THE FOUNDATION INCLUDE FUND-RAISING TO SUPPORT THE JOHN B. AMOS CANCER CENTER AT THE MEDICAL CENTER 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.4)THE MEDICAL CENTER, INC. -A NOT-FOR-PROFIT 413-LICENSED BED, ACUTE-CARE HOSPITAL, 128-BED LONG-TERM CARE FACILITY AND 19-BED TRANSITIONAL CARE UNIT 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.5)HUGHSTON HOSPITAL, INC. - A NOT-FOR-PROFIT ORGANIZATION PROVIDING 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.6)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. 7)THE MEDICAL CENTER AUXILIARY - A NOT-FOR-PROFIT ORGANIZATION PROVIDING A WIDE VARIETY OF VALUABLE SERVICES TO THE MEDICAL CENTER. 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 MEDICAL CENTER, INC.8)DOCTOR'S HOSPITAL AUXILIARY - A NOT-FOR-PROFIT ORGANIZATION ESTABLISHED IN 1976 FOR THE PURPOSE OF RENDERING SERVICES TO DOCTOR'S HOSPITAL AND ITS PATIENTS. MEMBERS VOLUNTEER IN DIFFERENT DEPARTMENTS THROUGHOUT THE ORGANIZATION AND ASSIST WITH VARIOUS COMMUNITY ACTIVITIES ON BEHALF OF DOCTOR'S HOSPITAL, INC. REPORTS FILED WITH STATES PART VI, LINE 7 GA 0 X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 LARRY S SANDERS 0 428600 0 80831 0 2546390 0 65671 0 11670 0 3133162 0 0 LANCE DUKE 0 386915 0 45000 0 243680 0 124475 0 12041 0 812111 0 0 ROLAND L THACKER 0 305438 0 38750 0 83799 0 86775 0 13861 0 528623 0 0 JAMES WHEELER 189570 0 41119 0 88007 0 155138 0 12327 0 486161 0 0 0 DONALD ELDER 0 208211 0 26875 0 88592 0 133175 0 13763 0 470616 0 0 MICHELLE BREITFELDER 133291 0 23715 0 8914 0 9528 0 10751 0 186199 0 0 0 JOHNNY DOLES 125160 0 0 0 5346 0 22997 0 7539 0 161042 0 0 0 PART I, LINE 4B EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN 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). LARRY SANDERS $2,309,841 LANCE B. DUKE $ 142,742 DONALD ELDER $ 81,980 ROLAND THACKER $ 70,728 JAMES WHEELER $ 73,000 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. 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 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 THOROUGH AND CONDENSED OVERVIEW OF INFORMATION ON THE FORM 990 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 GAINS ON INVESTMENTS: 56,704. 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