2017-05-15T14:13:39-05:00 2016-06-30 581374304 ROBINSON GRIMES & COMPANY PC PO BOX 4299 COLUMBUS GA 31914 990 2015-07-01 580905094 MEDICAL CENTER HOSPITAL AUTHORITY MEDI 7066606271 707 CENTER STREET NO 400 COLUMBUS GA 31901 CLINT MORRIS DIRECTOR OF CORP. FINANCE 7066606271 2017-05-11 1 CHRISTOPHER A MILLER CPA P00189493 7063245435 2015 2021-01-29 14:40:06Z CLINT MORRIS 707 CENTER STREET NO 400 COLUMBUS GA 31901 36671537 0 X N/A X GOVERNMENTAL NON-PROFIT 1979 GA THE MEDICAL CENTER HOSPITAL AUTHORITY IS A NON-PROFIT ORGANIZATION THAT HAS DEVELOPED THE HEALTH AND HUMAN SERVICES CENTER. THE PRIMARY OBJECTIVE OF THE CENTER IS TO PROVIDE MODERN AND EFFICIENT FACILITIES FOR THE MANY CLINICAL AND SOCIAL SERVICES PROGRAMS OFFERED BY TENANTS OF THE CENTER, TO REDUCE OPERATING COSTS FOR THE TENANTS AND TO IMPROVE THE QUALITY OF PATIENTS AND CLIENT SERVICES THROUGH INNOVATIVE WORKING RELATIONSHIPS AMONG THE OCCUPANTS OF THE CENTER. 12 9 0 0 0 0 15197384 15659963 17514684 18362267 501386 -8853017 0 0 33213454 25169213 15081181 15432576 0 0 6508186 6816127 0 0 0 11042283 10956507 32631650 33205210 581804 -8035997 92004415 81594899 87903783 85530264 4100632 -3935365 X THE MEDICAL CENTER HOSPITAL AUTHORITY IS A NON-PROFIT ORGANIZATION THAT HAS DEVELOPED THE HEALTH AND HUMAN SERVICES CENTER. THE PRIMARY OBJECTIVE OF THE CENTER IS TO PROVIDE MODERN AND EFFICIENT FACILITIES FOR THE MANY CLINICAL AND SOCIAL SERVICES PROGRAMS OFFERED BY TENANTS OF THE CENTER, TO REDUCE OPERATING COSTS FOR THE TENANTS AND TO IMPROVE THE QUALITY OF PATIENTS AND CLIENT SERVICES THROUGH INNOVATIVE WORKING RELATIONSHIPS AMONG THE OCCUPANTS OF THE CENTER. 0 0 13774244 13774244 COLUMBUS CONSOLIDATED GOVERNMENT - INDIGENT CARE PROGRAMTHE AUTHORITY ACTS AS A CONDUIT FOR THE MEDICAL CENTER, INC. IN SECURING FUNDING FOR THE INDIGENT CARE PROGRAM THROUGH THE CITY OF COLUMBUS AND FOR FUNDING FROM THE STATE OF GEORGIA FOR ITS PHYSICIAN TRAINING PROGRAM. THE ASSOCIATED REVENUES ARE SHOWN IN PART I LINE 1D AND THE EXPENSE IS SHOWN IN PART II LINE 22.IN ADDITION, THE AUTHORITY HAS DEVELOPED THE HEALTH AND HUMAN SERVICES CENTER. THE HEALTH AND HUMAN SERVICES CENTER (THE "CENTER") IS A 214,000 SQUARE FOOT COMPLEX CONSTRUCTED ON APPROXIMATELY 5.5 ACRES IN COLUMBUS, GA. THE CENTER HOUSES A NUMBER OF CLINICAL AND SOCIAL SERVICES PROVIDERS, INCLUDING THE MUSCOGEE COUNTY DEPARTMENT OF FAMILY AND CHILDREN SERVICES (DFACS), THE WEST CENTRAL DISTRICT HEALTH DEPARTMENT AND THE COLUMBUS HEALTH DEPARTMENT, AND MANY SERVICES OF THE MEDICAL CENTER, INC., A TAX-EXEMPT ORGANIZATION AFFILIATED WITH COLUMBUS REGIONAL HEALTHCARE SYSTEM. THE BUILDING CONSISTS OF A FIVE-STORY OFFICE TOWER AND A CONNECTED TWO-STORY STRUCTURE HOUSING CLINICAL AND SUPPORT SERVICES.THE PRIMARY OBJECTIVE OF THE CENTER IS TO PROVIDE MODERN AND EFFICIENT FACILITIES FOR THE MANY CLINICAL AND SOCIAL SERVICES PROGRAMS OFFERED BY THE TENANTS OF THE CENTER, TO REDUCE OPERATING COSTS FOR THE TENANTS AND TO IMPROVE THE QUALITY OF PATIENT AND CLIENT SERVICES THROUGH INNOVATIVE WORKING RELATIONSHIPS AMONG THE OCCUPANTS OF THE CENTER. THE ADVANTAGES OF THE CENTER INCLUDE EFFICIENT DESIGN AND COLLOCATION OF PROGRAMS, LOWER OPERATING COSTS FOR ENERGY AND BUILDING MAINTENANCE, CONSOLIDATION OF SELECTED PROGRAMS AND SERVICES AND OVERALL IMPROVED ACCESS FOR PATIENTS AND CLIENTS OF DFACS, THE COLUMBUS HEALTH DEPARTMENT AND COLUMBUS AMBULATORY HEALTHCARE SERVICES. SINCE MANY PATIENTS AND CLIENTS REQUIRE SERVICES FROM TWO OR MORE OF THE CENTERS OCCUPANTS, THE CENTER INCLUDES AN INTERNAL "MALL-LIKE" ACCESS TO VARIOUS PROGRAMS AND SERVICES, AS WELL AS IMPROVEMENTS TO COMMUNICATIONS THROUGH TELEPHONE AND COMPUTER SYSTEM INTEGRATION.DFACS, A DIVISION OF THE GEORGIA DEPARTMENT OF HUMAN RESOURCES, OCCUPIES APPROXIMATELY 59,000 SQUARE FEET IN THE CENTER. DFACS ADMINISTERS PROGRAMS FOR THE FEDERAL, STATE, AND LOCAL GOVERNMENT, INCLUDING TEMPORARY ASSISTANCE FOR NEEDY FAMILIES ("TANF"), THE INDIGENT CARE PROGRAM, THE FOOD STAMP PROGRAM, MEDICAID ELIGIBILITY, ADOPTION PROGRAMS, CHILD PROTECTIVE SERVICES, FOSTER CARE AND SPECIAL EMPLOYMENT AND GENERAL ASSISTANCE SERVICES.THE HEALTH DEPARTMENT OCCUPIES APPROXIMATELY 80,000 SQUARE FEET IN THE CENTER, INCLUDING SPACE OCCUPIED BY THE HEALTH DEPARTMENT'S PHYSICAL AND MENTAL HEALTH DIVISIONS AND THE WEST CENTRAL HEALTH DISTRICT. PROGRAMS OPERATED BY THE HEALTH DEPARTMENT INCLUDE CHILD HEALTH, DENTAL HEALTH, ENVIRONMENTAL HEALTH, FAMILY PLANNING, HEALTH EDUCATION, MATERNAL HEALTH, A SENIOR REFERRAL SERVICE, A SEXUALLY TRANSMITTED DISEASE PROGRAM, TEEN HEALTH, TUBERCULOSIS CONTROL, VITAL RECORDS AND THE WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL FOOD PROGRAM.IN 2005, THE AUTHORITY COMPLETED CONSTRUCTION ON THE SPRING HARBOR AT GREEN ISLAND, A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) CONSISTING OF 196 INDEPENDENT LIVING UNITS, A HEALTH CENTER WITH 30 PERSONAL CARE UNITS, 30 SPECIALTY CARE BEDS, AND 40 SKILLED NURSING BEDS. THE AUTHORITY IS THE OWNER OF THE ASSETS OF SPRING HARBOR EXCLUDING THE LAND WHICH IS OWNED BY COLUMBUS REGIONAL HEALTHCARE SYSTEM, PURSUANT TO A GROUND LEASE DATED JUNE 1, 2004), AS SUCH, THE ASSETS AND LIABILITIES AS WELL AS REVENUES AND EXPENSES OF SPRING HARBOR HAVE BEEN INCLUDED IN THE AUTHORITY'S CONSOLIDATED BALANCE SHEET AND STATEMENTS OF REVENUES AND EXPENSES. 1658332 1658332 JOINT BOARD OF FAMILY PRACTICE - PHYSICIAN TRAINING PROGRAM SEE RESPONSE ON LINE 4A ABOVE 17772634 18362267 OTHER MEDICAL CENTER HOSPITAL AUTHORITY AND SPRING HARBOR EXPENSESSEE RESPONSE ON LINE 4A ABOVE 33205210 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 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 0 1 1 0 0 0 1 8 0 0 0 0 0 0 0 0 0 0 X 12 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 GA X CLINT MORRIS 7066606271 707 CENTER STREET SUITE 400 COLUMBUS GA 31901 MICHAEL GORUM MD CHAIRMAN 1.00 X X 0 0 0 C ROBERT KOON VICE CHAIRMAN 1.00 X X 0 0 0 MERRIAN DOUGLASS TREASURER 1.00 X X 0 0 0 RASHMI HUDSON SECRETARY 1.00 X X 0 0 0 MIKE BURNS BOARD MEMBER 1.00 X 0 0 0 DR SUSAN MCWHIRTER BOARD MEMBER 1.00 X 0 0 0 MERIDITH A JARRELL BOARD MEMBER 1.00 X 0 0 0 WARREN STEELE JR BOARD MEMBER 1.00 X 0 0 0 REBECCA RUMER BOARD MEMBER 1.00 X 0 0 0 KAREN C SMITH ASST. SECRETARY 1.00 40.00 X 0 72806 12611 ALLEN BUTCHER ASST. TREASURER 1.00 40.00 X 0 458599 36019 MEREDITH BASS DIRECTOR OF CORP. FINANCE 1.00 40.00 X 0 164108 0 0 695513 48630 0 0 1 0 COLUMBUS REGIONAL HEALTHCARE SYSTEM 707 CENTER STREET COLUMBUS GA 31901 MANAGEMENT 542232 HERITAGE HEALTHCARE 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY 414886 ASHLEY DRAKE 6410 GA HWY 240N BOX SPRINGS GA 31801 REPAIR & MAINTENANCE 161345 3 227387 15432576 15659963 RESIDENT FEES 623000 7865913 7865913 NET PATIENT SERVICE REVENUE 623000 4891251 4891251 AMORTIZATION OF DEFERRED ENTRANCE 623000 2813440 2813440 BLDG LEASE REVENUE 531120 2791663 2791663 18362267 149307 149307 2500000 11502324 -9002324 -9002324 -9002324 25169213 18362267 0 -8853017 15432576 15432576 6816127 6816127 542232 542232 384403 384403 34000 34000 1002023 1002023 3151371 3151371 2089912 2089912 2961733 2961733 GENERAL AND ADMINISTRAT 790833 790833 33205210 33205210 0 0 3948420 6734991 7437311 5330764 334122 551384 88212 87380 70544213 23732858 59111041 46811355 17824093 18861793 3261216 3217232 92004415 81594899 2053238 2621833 12445537 12699306 43022975 37579384 30382033 32629741 87903783 85530264 X -22720503 -21657011 26821135 17721646 4100632 -3935365 92004415 81594899 -8035997 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 837181 837181 56185267 14439500 41745767 5147550 3112603 2034947 8374215 6180755 2193460 46811355 MONEY MARKET FUNDS 1965030 F CERTIFICATES OF DEPOSIT 1000004 F US TREASURY NOTES AND MUNICIPAL BONDS 2290139 F EQUITIES 4154018 F US CORPORATE BONDS 2756452 F MORTGAGE BACKED SECURITIES 704995 F MUTUAL FUNDS 5945109 F ACCRUED INTEREST 46046 F 18861793 ENTRANCE FEE DEPOSITS 138673 MEMBER REFUNDS 361571 REFUNDS PAYABLE 32129497 32629741 X 18738961 9002324 9002324 9736637 15432576 15432576 25169213 26774958 9002324 9002324 17772634 15432576 15432576 33205210 PART X, LINE 2: GAAP REQUIRES RECOGNITION OF A TAX LIABILITY FOR THE BENEFIT RESULTING FROM ANY UNCERTAIN TAX POSITIONS TAKEN BY THE AUTHORITY. THE INCOME TAX RETURNS OF THE AUTHORITY ARE SUBJECT TO EXAMINATION BY THE IRS AND STATE TAXING AUTHORITIES WITHIN THE STANDARD STATUTE OF LIMITATION PERIODS. THERE ARE CURRENTLY NO INCOME TAX RETURNS UNDER EXAMINATION. BASED ON THE EVALUATION OF THE AUTHORITY'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR THE YEAR ENDED JUNE 30, 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF LAND INCLUDED IN REVENUE 9,002,324. PART XI, LINE 4B - OTHER ADJUSTMENTS: PG. 1, LN 1C PASSTHROUGH - COLUMBUS CONSOLIDATED GOVT 13,774,244. PG. 1, LN 1C PASSTHROUGH - JOINT BD OF FAMILY PRACTICE 1,658,332. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF LAND INCLUDED IN REVENUE 9,002,324. PART XII, LINE 4B - OTHER ADJUSTMENTS: PG. 2, LN 22 PASSTHROUGH - INDIGENT CARE PROGRAM 13,774,244. PG. 2, LN 22 PASSTHROUGH - PHYS. TRAIN. PROG 1,658,332. 1 THE MEDICAL CENTER INC 710 CENTER ST COLUMBUS GA 31901 581685139 501(C)(3) 1658332 SUPPORT FOR FAMILY RESIDENCY PROGRAM THE MEDICAL CENTER INC 710 CENTER ST COLUMBUS GA 31901 581685139 501(C)(3) 13774244 SUPPORT FOR INDIGENT CARE SERVICES FORM 990, SCHEDULE I, PART IV PART II: $1,658,332 GRANT IS A STATE FUNDED PROGRAM WHEREBY PREDETERMINED AMOUNTS BASED ON THE NUMBER OF RESIDENTS EMPLOYED ARE AWARDED ON A QUARTERLY BASIS. THIS GRANT IS TO BE USED AS SUPPORT OF THE FAMILY RESIDENCY PROGRAM. THE MEDICAL CENTER HOSPITAL AUTHORITY RECEIVES A REPORT FROM THE MEDICAL CENTER, INC. THAT REPORTS TOTAL COST ASSOCIATED WITH THIS PROGRAM TO DATE AND HOW THE GRANT WAS USED. PART II: $13,774,244 GRANT IS THE RESULT OF AN AGREEMENT BETWEEN THE MEDICAL CENTER AND THE MUSCOGEE COUNTY LOCAL GOVERNMENT. THE GRANT AMOUNT IS BASED ON THE TOTAL LOCAL PROPERTY TAXES COLLECTED - THE GRANT AMOUNT IS 3 MILS OF THIS COLLECTED AMOUNT EACH YEAR. THE GRANT IS TO BE USED AS SUPPORT FOR THE INDIGENT CARE SERVICES. THE MEDICAL CENTER HOSPITAL AUTHORITY RECEIVES A REPORT FROM THE MEDICAL CENTER, INC. THAT REPORTS TOTAL COST ASSOCIATED WITH THIS PROGRAM TO DATE AND HOW THE GRANT WAS USED. 0 1 0 0 0 0 0 0 0 ALLEN BUTCHER ASST. TREASURER 0 458599 0 0 0 0 0 18000 0 18019 0 494618 0 0 MEREDITH BASS DIRECTOR OF CORP. FINANCE 0 164108 0 0 0 0 0 0 0 0 0 164108 0 0 PART I, LINE 4B ALLEN BUTCHER, ASSISTANT TREASURER, IS PAID COMPENSATION FROM COLUMBUS REGIONAL HEALTH CARE, INC. 58-1719994, A RELATED ORGANIZATION. HIS EMPLOYER CONTRIBUTED $57,200 TO A 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN ON HIS BEHALF. A THE MEDICAL CENTER HOSPITAL AUTHORITY 580905094 2007-04-01 41355000 REFUND & RETIRE 2004 BDS, FD DEBT SERVICE RESERVE FD & PAY COSTS OF 2007 BDS 0 0 0 B THE MEDICAL CENTER HOSPITAL AUTHORITY 580905094 1993-11-01 17745000 PAY COST OF ACQUIRING, CONSTRUCTING, AND EQUIPPING THE CENTER 0 0 0 A 41355000 4092964 1219545 41355000 2004 0 0 1 1 B 17745000 1265187 1099502 17745000 1993 0 0 1 1 A 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 0 B 0 FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT FEES ARE PAID TO COLUMBUS REGIONAL HEALTHCARE TO PROVIDE LABOR/PROPERTY MANAGEMENT SERVICES FOR THE HEALTH AND HUMAN SERVICES CENTER. SENIOR MANAGEMENT AND OVERSIGHT FOR ACCOUNTING AND ADMINISTRATIVE DUTIES ARE PAID TO COLUMBUS REGIONAL SENIOR LIVING AND COLUMBUS REGIONAL HEALTHCARE. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S FORM 990 IS PREPARED BY A CERTIFIED PUBLIC ACCOUNTANT WELL KNOWN TO THE ORGANIZATION AND EXPERIENCED IN THE AREA OF NON-PROFIT TAXATION. THE BOARD PERFORMS A REVIEW OF THE RETURN TO MAKE SURE NO MATERIAL OMISSIONS OR MISSTATEMENTS ARE MADE ON THE RETURN BEFORE IT IS FILED. ONCE APPROVED, THE RETURN IS SIGNED BY AN AUTHORIZED AGENT AND FILED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND EITHER MAILS, EMAILS, OR FAXES THE APPLICABLE DOCUMENTS TO THE RECIPIENT DEPENDING ON THE PARTICULAR CIRCUMSTANCES. IN ADDITION, THE ORGANIZATION'S 990 IS REPORTED ON GUIDESTAR.COM EACH YEAR FOR GENERAL PUBLIC REVIEW. FORM 990 PAGE 12, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SPRING HARBOR AT GREEN ISLAND 100 SPRING HARBOR DRIVE COLUMBUS GA 31904 NURSING CARE AND ASSISTED LIVING GA COLUMBUS REGIONAL HEALTHCARE SYSTEM COLUMBUS REGIONAL HEALTHCARE SYSTEM INC 707 CENTER STREET COLUMBUS GA 31901 581719994 HEALTH SYSTEM MANAGEMENT GA 501(C)(3) LINE 3 0 COLUMBUS REGIONAL SENIOR LIVING INC 707 CENTER STREET COLUMBUS GA 31901 582628502 MANAGEMENT OF RETIREMENT COMMUNITY GA 501(C)(3) LINE 3 COLUMBUS REGIONAL HEALTHCARE SYSTEM INC 0 THE MEDICAL CENTER INC 707 CENTER STREET COLUMBUS GA 31901 581685139 ACUTE CARE HOSPITAL/NURSING HOME GA 501(C)(3) LINE 3 COLUMBUS REGIONAL HEALTHCARE SYSTEM INC 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 THE MEDICAL CENTER INC J 22543 FAIR MARKET VALUE COLUMBUS REGIONAL SENIOR LIVING INC M 158000 FAIR MARKET VALUE COLUMBUS REGIONAL HEALTHCARE SYSTEM INC P 542232 FAIR MARKET VALUE THE MEDICAL CENTER INC D 15432576 FAIR MARKET VALUE