COLUMBUS AMBULATORY HEALTHCARE SERVICES INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- COLUMBUS AMBULATORY HEALTHCARE SERVICES INC (EIN 58-1719867)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-13
- IRS object ID
- 201501339349304930
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule O
- Schedule R
- Affiliated Group Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T15:48:01-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1747 | AddressLine1 |
| City | CHARLESTON | City |
| State | WV | State |
| ZIP Code | 253261747 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581719867 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS AMBULATORY HEALTHCARE SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COLU | BusinessNameControlTxt |
| Phone | 7066606103 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 CENTER STREET | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31901 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALLEN BUTCHER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7066606303 | PhoneNum |
| Signature | 2015-04-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUSAN S DULL | PreparerPersonNm |
| PTIN | P00233523 | PTIN |
| Phone | 3043430168 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | M SCOTT HILL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 CENTER STREET | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,952,780 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | COLUMBUSREGIONAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE THE HEALTH AND HEALING OF OUR PATIENTS THROUGH THE PROVISION OF PHYSICIAN SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 285 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $170,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $89,250 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,697,607 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,863,530 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $16,867,607 | PYTotalRevenueAmt |
| CY Total Revenue | $14,952,780 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $400 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $400 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,605,338 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,157,106 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,370,012 | PYOtherExpensesAmt |
| CY Other Expenses | $6,501,174 | CYOtherExpensesAmt |
| PY Total Expenses | $29,975,750 | PYTotalExpensesAmt |
| CY Total Expenses | $20,658,680 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$13,108,143 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,705,900 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | -$4,928,323 | TotalAssetsBOYAmt |
| Total Assets EOY | -$17,457,361 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,146,654 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,574,138 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$14,074,977 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$19,031,499 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. IS TO PROMOTE THE HEALTH AND HEALING OF OUR PATIENTS THROUGH THE PROVISION OF PHYSICIAN SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,494,579 | ExpenseAmt |
| Grant | $400 | GrantAmt |
| Revenue | $14,863,530 | RevenueAmt |
| Desc | COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC., IS A NOT-FOR-PROFIT COMPANY SERVING COLUMBUS AND SURROUNDING COUNTIES. IN KEEPING WITH ITS TAX-EXEMPT MISSION, 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 THE MEDICAL CENTER, INC. (A TAX-EXEMPT AFFILIATE) HAS WITH THE COLUMBUS CONSOLIDATED GOVERNMENT.SEVERAL OBJECTIVES ARE ACCOMPLISHED THROUGH THE PROVISION BY COLUMBUS AMBULATORY HEALTHCARE SERVICES OF THESE NON-CRITICAL SERVICES:- THE BURDEN ON THE MEDICAL CENTER'S EMERGENCY DEPARTMENT IS RELIEVED AS THAT SERVICE IS USED LESS OFTEN AS A PRIMARY SOURCE OF CARE. THIS ENABLES EMERGENCY SERVICE PERSONNEL TO CONCENTRATE ON TRUE EMERGENCIES.- THE OVERALL HEALTH CARE COST OF THE COMMUNITY IS REDUCED, SINCE IT IS LESS COSTLY TO TREAT A NON-CRITICAL PATIENT THROUGH AMBULATORY SERVICES THAN AN EMERGENCY SERVICE, WHICH IS STAFFED AND MAINTAINED TO RESPOND TO LIFE-THREATENING CONDITIONS.- INDIGENT PATIENTS RECEIVED WHAT COULD BE THEIR ONLY SOURCE OF AFFORDABLE, AVAILABLE CARE THROUGH MULTIPLE SPECIALTY CLINICS AND THE SERVICES OF VISITING SPECIALISTS.- ACCESS TO A MULTITUDE OF SERVICES IS INCREASED FOR INDIGENT AND LOW-INCOME PATIENTS AS CLINIC STAFF NETWORK WITH SUPPORT GROUPS, CHARITABLE ORGANIZATIONS AND SOCIAL SERVICE AGENCIES IN THE AREA.INDIGENT CARE PROGRAMCOLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. AND THE MEDICAL CENTER, INC. - ALSO AN AFFILIATE OF THE COLUMBUS REGIONAL HEALTHCARE SYSTEM - PROVIDE OUTPATIENT AND INPATIENT SERVICES TO THE CITY'S INDIGENT THROUGH A CONTRACTUAL AGREEMENT WITH THE COLUMBUS CONSOLIDATED GOVERNMENT. THE OBJECTIVE OF THIS INDIGENT CARE PROGRAM IS TO PROVIDE COMPREHENSIVE HEALTH CARE FOR COLUMBUS RESIDENTS WHO ARE NOT COVERED UNDER A PRIVATE OR GOVERNMENTAL INSURANCE PLAN. INDIVIDUALS MEETING RESIDENCY AND INCOME REQUIREMENTS HAVE ACCESS TO A PRIMARY CARE CLINIC AND VARIOUS SPECIALTY CLINICS STAFFED BY QUALIFIED PHYSICIANS AND OTHER HEALTH CARE PERSONNEL. THE CLINICS PROVIDE DIAGNOSIS AND TREATMENT AND HEALTH EDUCATION.IF INPATIENT ADMISSION IS REQUIRED, PATIENTS RECEIVE CARE AT THE MEDICAL CENTER, WHERE THEY HAVE ACCESS TO A FULL RANGE OF DIAGNOSTIC AND TREATMENT SERVICES. IN ADDITION TO ENSURING CARE FOR THE CITY'S INDIGENT POPULATION, THE AGREEMENT WITH THE COLUMBUS CONSOLIDATED GOVERNMENT ALSO PROVIDES FOR ACUTE INPATIENT CARE AND CERTAIN OUTPATIENT CARE FOR THE COMMUNITY'S PRISON POPULATION.DURING FISCAL YEAR 2014, 2,941 FAMILIES, OR 3,025 INDIVIDUALS, WERE ENROLLED IN THE INDIGENT CARE PROGRAM. DURING THE SAME PERIOD, THERE WERE 29,189 OUTPATIENT VISITS AND 232 INPATIENT ADMISSIONS FOR QUALIFIED RESIDENTS AND PRISONERS. ADDITIONALLY 117,775 PRESCRIPTIONS FOR INDIGENT CARE PROGRAM ENROLLEES WERE FILLED IN THE AMBULATORY CARE PHARMACY.IN FISCAL YEAR 2014, TOTAL CHARGES TO PROVIDE INPATIENT AND OUTPATIENT SERVICES THROUGH THE INDIGENT CARE PROGRAM WERE $27,419,440. TOTAL PAYMENTS FROM THE CONSOLIDATED GOVERNMENT TO THE MEDICAL CENTER, INC. FOR INDIGENT HEALTH CARE SERVICES PROVIDED BY ALL AFFILIATES WERE $13,389,689, LEAVING A DEFICIT OF $14,029,751.OUTPATIENT CLINICSTHE MAJORITY OF SERVICES PROVIDED UNDER THE INDIGENT CARE PROGRAM ARE THROUGH THE OUTPATIENT CLINIC OF COLUMBUS AMBULATORY HEALTHCARE SERVICES. INDIGENT PATIENTS ALSO ARE ELIGIBLE FOR OUTPATIENT, DIAGNOSTIC AND THERAPEUTIC SERVICES OFFERED THROUGH THE MEDICAL CENTER.THE MEDICINE CLINIC OF COLUMBUS AMBULATORY HEALTHCARE SERVICES IS THE PRIMARY CONTACT POINT FOR PATIENTS AND THE "GATE-KEEPER" FOR REFERRAL TO THE SPECIALTY CLINICS. HERE, PATIENTS RECEIVE INITIAL ASSESSMENTS, TREATMENT AND REFERRAL AS APPROPRIATE. PATIENT EDUCATION AND REFERRALS TO SOCIAL SERVICE AGENCIES AND SUPPORT GROUPS AS NEEDED ALSO ARE PROVIDED THROUGH THIS CLINIC.OUTPATIENT CLINIC UTILIZATION FOR QUALIFIED RESIDENTS DURING FISCAL YEAR 2014 IS SUMMARIZED IN THE TABLE BELOW: CLINIC VOLUME EYE 1,034 CARDIOLOGY 203 COLOSCOPE/TUMOR/GYNECOLOGY 23 GYNECOLOGY 834 MEDICINE 12,064 NEUROLOGY 105 PODIATRY 152 SURGERY 402 NEPHROLOGY 163 GASTROENTEROLOGY ADULT 220 PULMONARY 58 COUMADIN 393 LABORATORY AND INJECTIONS 5,282 PHARMACOTHERAPY 1,235 TOTAL CLINIC VISITS 22,168FAMILY PRACTICE CENTERTHE FAMILY PRACTICE CENTER, ALSO OFFERED THROUGH COLUMBUS AMBULATORY HEALTHCARE SERVICES AND THE MEDICAL CENTER, INC. PROVIDES A VARIETY OF HEALTH AND MEDICAL SERVICES TO FAMILIES OF THE REGION, REGARDLESS OF THEIR ABILITY TO PAY. SERVICES OFFERED THROUGH THE FAMILY PRACTICE CENTER INCLUDE FAMILY MEDICINE, OCCUPATIONAL MEDICINE, GERIATRIC SERVICES, PRENATAL AND PEDIATRIC SERVICES, OBSTETRICS, X-RAY AND LABORATORY SERVICES, COUNSELING AND TRAVEL IMMUNIZATIONS.THE FAMILY PRACTICE CENTER IS OPERATED BY THE FACULTY OF THE FAMILY PRACTICE RESIDENCY PROGRAM, WHICH WAS ESTABLISHED BY THE MEDICAL CENTER IN 1972 TO TRAIN PRIMARY CARE PHYSICIANS TO SERVE PRIMARILY IN RURAL AND OTHER MEDICALLY UNDERSERVED AREAS. THE CENTER SERVES AS A TRAINING SITE FOR PROGRAM RESIDENTS. | Desc |
| Total Program Service Expenses | $17,494,579 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 61 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 285 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLEN BUTCHER CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7066606303 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 CENTER STREET | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31901 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| EUGENE DEMONET CHAIRMAN | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MAX BRABSON JR | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATHRYN CHEEK MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| CECIL CHEVES | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL W GORUM MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| R SCOTT HANNAY MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JULIUS H HUNTER JR | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| TODD JARRELL MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOEY LOUDERMILK | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| LILIANA MCDANIEL | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILIAM ROUNDTREE MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| CAROLE RUTLAND PHD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| WARREN STEELE II | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| HENRY W SWIFT JR | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES A STARK | |||||||||
| PRESIDENT & CEO; RSGND 6/12/14 | 2.00 | $0 | $785,221 | $212,481 | 40.00 | Yes (X) | |||
| M SCOTT HILL | |||||||||
| PRESIDENT & CEO; APPTD 6/12/14 | 2.00 | $0 | $503,116 | $87,012 | 40.00 | Yes (X) | |||
| ROLAND L THACKER | |||||||||
| SR. VP & CFO; TRMD 10/31/13 | 2.00 | $0 | $599,420 | $130,567 | 40.00 | Yes (X) | |||
| ALLEN R BUTCHER | |||||||||
| SR. VP & CFO; HIRED 3/12/14 | 2.00 | $0 | $0 | $0 | 40.00 | Yes (X) | |||
| KAREN SMITH | |||||||||
| CORPORATE SECRETARY | 2.00 | $0 | $70,597 | $17,883 | 40.00 | Yes (X) | |||
| WILLIAM BROUWER | |||||||||
| PRESIDENT/CEO CRHS PHYSICIAN GROUP | 40.00 | $215,565 | $0 | $18,859 | Yes (X) | ||||
| ANDREW PIPPAS | |||||||||
| MEDICAL DIRECTOR & PHYSICIAN - ONCOLOGIST | 40.00 | $1,523,829 | $0 | $133,428 | Yes (X) | ||||
| PETER JIANG | |||||||||
| PHYSICIAN - ONCOLOGIST | 40.00 | $1,108,880 | $0 | $31,075 | Yes (X) | ||||
| ROBERT JACOBSON | |||||||||
| PHYSICIAN | 40.00 | $501,544 | $0 | $17,871 | Yes (X) | ||||
| SURESH NUKALA | |||||||||
| PHYSICIAN - ONCOLOGIST | 40.00 | $472,704 | $0 | $22,825 | Yes (X) | ||||
| DEMETRICE HILL | |||||||||
| PHYSICIAN | 40.00 | $467,864 | $0 | $26,724 | Yes (X) | ||||
| KENDALL HANDY | |||||||||
| CHIEF OF SERVICE | 1.00 | $1,469 | $322,155 | $31,071 | 39.00 | Yes (X) | |||
| LANCE B DUKE | |||||||||
| EXEC VP & COO; TRMD 4/9/12 | 2.00 | $0 | $459,891 | $125,696 | 40.00 | Yes (X) | |||
| DONALD ELDER | |||||||||
| SR. VP; TRMD 1/1/13 | 2.00 | $0 | $262,491 | $122,223 | 40.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,291,855 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,002,891 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $977,715 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 42 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| INPHYNET CONTRACTING SERVICES | |||||
| PO BOX 634850 | CINCINNATI | OH | 452634850 | ER PHYSICIANS | $471,350 |
| HEALTH MANAGEMENT RESOURCES | |||||
| 9211 FOREST HILL AVE SUITE 101 | RICHMOND | VA | 23235 | WEIGHT MGMT PROGRAM PROVIDER | $330,760 |
| VINCENT NICOLAIS MD | |||||
| 5110 MIDLAND TRACE | MIDLAND | GA | 31820 | PHYSICIAN | $267,108 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | PHYSICIAN STAFFING | $217,856 |
| PAUL CARTWRIGHT MD | |||||
| 7201 STANDING BOY ROAD | COLUMBUS | GA | 31904 | PHYSICIAN | $150,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $89,250 | GovernmentGrantsAmt |
| Total Contributions | $89,250 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621990 | $14,113,642 | $14,113,642 |
| ADMINISTRATIVE FEES REIMBURSEMENT | 561000 | $429,692 | $429,692 |
| MISCELLANEOUS | 621990 | $320,196 | $320,196 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,863,530 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,952,780 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,863,530 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400 | TotalAmt |
| Program Services | $400 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,291,855 | TotalAmt |
| Program Services | $4,291,855 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,829,683 | TotalAmt |
| Program Services | $7,111,307 | ProgramServicesAmt |
| Management And General | $718,376 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,407,543 | TotalAmt |
| Program Services | $1,280,200 | ProgramServicesAmt |
| Management And General | $127,343 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $628,025 | TotalAmt |
| Program Services | $579,462 | ProgramServicesAmt |
| Management And General | $48,563 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $811,857 | TotalAmt |
| Management And General | $811,857 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,420 | TotalAmt |
| Management And General | $33,420 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,008,544 | TotalAmt |
| Program Services | $986,375 | ProgramServicesAmt |
| Management And General | $22,169 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,906 | TotalAmt |
| Program Services | $247,499 | ProgramServicesAmt |
| Management And General | $407 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,958 | TotalAmt |
| Program Services | $396,820 | ProgramServicesAmt |
| Management And General | $6,138 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96 | TotalAmt |
| Management And General | $96 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,073,431 | TotalAmt |
| Program Services | $1,073,431 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,658 | TotalAmt |
| Program Services | $75,379 | ProgramServicesAmt |
| Management And General | $15,279 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,094 | TotalAmt |
| Program Services | $10,894 | ProgramServicesAmt |
| Management And General | $5,200 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,740 | TotalAmt |
| Management And General | $23,740 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,141 | TotalAmt |
| Management And General | $290,141 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $789,070 | TotalAmt |
| Management And General | $789,070 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $691,372 | $691,372 | |
| SUPPLIES | $475,843 | $475,843 | |
| RECRUITMENT | $255,004 | $255,004 | |
| NON-CAPITALIZED EQUIPME | $168,624 | $165,220 | $3,404 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,416 | TotalAmt |
| Program Services | $108,522 | ProgramServicesAmt |
| Management And General | $13,894 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,658,680 | TotalAmt |
| Program Services | $17,494,579 | ProgramServicesAmt |
| Management And General | $3,164,101 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$21,290,074 | BOYAmt |
| EOY | -$19,857,172 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,764,383 | BOYAmt |
| EOY | $387,274 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,607 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,039 | BOYAmt |
| EOY | $166,619 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,632,801 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,803,898 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,907,410 | BOYAmt |
| EOY | $1,828,903 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,500,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,312 | BOYAmt |
| EOY | $17,015 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,928,323 | BOYAmt |
| EOY | -$17,457,361 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,015,427 | BOYAmt |
| EOY | $1,540,504 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,131,227 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $33,634 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,146,654 | BOYAmt |
| EOY | $1,574,138 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$14,074,977 | BOYAmt |
| EOY | -$19,031,499 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$14,074,977 | BOYAmt |
| EOY | -$19,031,499 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,928,323 | BOYAmt |
| EOY | -$17,457,361 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$5,705,900 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $749,378 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $14,315 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $14,315 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $531,698,600 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $531,712,915 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $27,379 | CurrentYearMinus3Amt |
| Current Year Minus2 | $32,330 | CurrentYearMinus2Amt |
| Current Year Minus1 | $32,191 | CurrentYearMinus1Amt |
| Current Year | $14,315 | CurrentYearAmt |
| Total | $106,215 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $127,885 | OtherCostOrOtherBasisAmt |
| Depreciation | $84,237 | DepreciationAmt |
| Book Value | $43,648 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $298,485 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,863 | DepreciationAmt |
| Book Value | $286,622 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,118,955 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,707,798 | DepreciationAmt |
| Book Value | $1,411,157 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $87,476 | OtherCostOrOtherBasisAmt |
| Book Value | $87,476 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,828,903 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM AFFILIATES | Desc |
| Book Value | $17,015 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $17,015 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTIES | Desc |
| Amt | $33,634 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $33,634 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE COLUMBUS REGIONAL HEALTH 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, 2014, MANAGEMENT DOES NOT BELIEVE THE COLUMBUS REGIONAL HEALTH SYSTEM HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE UNDER ASC 740. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES A STARK | ||||||||||||||
| PRESIDENT & CEO; RSGND 6/12/14 | $0 | $676,805 | $0 | $102,000 | $0 | $6,416 | $0 | $191,573 | $0 | $20,908 | $0 | $997,702 | $0 | $0 |
| M SCOTT HILL | ||||||||||||||
| PRESIDENT & CEO; APPTD 6/12/14 | $0 | $460,727 | $0 | $37,500 | $0 | $4,889 | $0 | $67,069 | $0 | $19,943 | $0 | $590,128 | $0 | $0 |
| ROLAND L THACKER | ||||||||||||||
| SR. VP & CFO; TRMD 10/31/13 | $0 | $350,110 | $0 | $35,200 | $0 | $214,110 | $0 | $113,778 | $0 | $16,789 | $0 | $729,987 | $0 | $141,218 |
| WILLIAM BROUWER | ||||||||||||||
| PRESIDENT/CEO CRHS PHYSICIAN GROUP | $199,076 | $0 | $10,000 | $0 | $6,489 | $0 | $3,341 | $0 | $15,518 | $0 | $234,424 | $0 | $0 | $0 |
| ANDREW PIPPAS | ||||||||||||||
| MEDICAL DIRECTOR & PHYSICIAN - ONCOL | $1,412,033 | $0 | $109,777 | $0 | $2,019 | $0 | $115,446 | $0 | $17,982 | $0 | $1,657,257 | $0 | $0 | $0 |
| PETER JIANG | ||||||||||||||
| PHYSICIAN - ONCOLOGIST | $862,985 | $0 | $244,359 | $0 | $1,536 | $0 | $15,714 | $0 | $15,361 | $0 | $1,139,955 | $0 | $0 | $0 |
| ROBERT JACOBSON | ||||||||||||||
| PHYSICIAN | $496,108 | $0 | $0 | $0 | $5,436 | $0 | $4,407 | $0 | $13,464 | $0 | $519,415 | $0 | $0 | $0 |
| SURESH NUKALA | ||||||||||||||
| PHYSICIAN - ONCOLOGIST | $445,814 | $0 | $0 | $0 | $26,890 | $0 | $7,766 | $0 | $15,059 | $0 | $495,529 | $0 | $0 | $0 |
| DEMETRICE HILL | ||||||||||||||
| PHYSICIAN | $466,454 | $0 | $0 | $0 | $1,410 | $0 | $8,327 | $0 | $18,397 | $0 | $494,588 | $0 | $0 | $0 |
| KENDALL HANDY | ||||||||||||||
| CHIEF OF SERVICE | $1,469 | $319,875 | $0 | $0 | $0 | $2,280 | $0 | $12,420 | $77 | $18,574 | $1,546 | $353,149 | $0 | $0 |
| LANCE B DUKE | ||||||||||||||
| EXEC VP & COO; TRMD 4/9/12 | $0 | $184,262 | $0 | $0 | $0 | $275,629 | $0 | $118,731 | $0 | $6,965 | $0 | $585,587 | $0 | $191,268 |
| DONALD ELDER | ||||||||||||||
| SR. VP; TRMD 1/1/13 | $0 | $210,055 | $0 | $0 | $0 | $52,436 | $0 | $108,987 | $0 | $13,236 | $0 | $384,714 | $0 | $50,000 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN: CHARLES STARK $182,200 LANCE DUKE $ 92,400 ROLAND THACKER $ 79,800 SCOTT HILL $ 62,100 DONALD ELDER $ 50,000 PAYOUT FROM 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN (INCLUDED IN REPORTABLE COMPENSATION): DONALD ELDER $ 50,000 ROLAND THACKER $141,218 LANCE DUKE $191,268 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS OF COLUMBUS AMBULATORY HEALTHCARE SERVICES, 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 COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. DETERMINES THE ISSUES THAT ARE BROUGHT UP FOR DISCUSSION AND MOST ITEMS CAN BE APPROVED ALONG WITH THE EXECUTIVE TEAM OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION. CAPITAL EXPENDITURES IN EXCESS OF $500,000 MUST BE APPROVED BY THE COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. |
| FORM 990, PART VI, SECTION B, LINE 11 | INFORMATION FOR FORM 990 WAS PROVIDED TO AN INDEPENDENT CPA FIRM FOR PREPARATION OF THE RETURN. AFTER THE RETURN WAS PREPARED IT WAS REVIEWED BY THE CFO OF THE ORGANIZATION. THE BOARD IS PROVIDED WITH A THOROUGH AND CONDENSED OVERVIEW OF INFORMATION ON THE FORM 990 AT THE BOARD MEETING BY THE CFO OF THE ORGANIZATION ASSISTED BY THE INDEPENDENT CPA PRIOR TO FILING THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. 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 REGIONALS 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, ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO AFFILIATES 749,378. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| COLUMBUS RADIATION ONCOLOGY TREATMENT LLC | |||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 273019214 | ONCOLOGY | GA | $14,772 | $5,590,999 | COLUMBUS AMBULATORY HEALTHCARE SERVICES INC |
| MAC LUMPKIN-SOUTH COLUMBUS URGENT CARE | |||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 273464725 | URGENT CARE | GA | $632,141 | $0 | COLUMBUS AMBULATORY HEALTHCARE SERVICES INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581719994 | HEALTH SYSTEM MANAGEMENT | GA | 501(C)(3) | LINE 11B, II | N/A | 0 | |
| COLUMBUS REGIONAL MEDICAL FOUNDATION INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581501642 | FUNDRAISING | GA | 501(C)(3) | LINE 7 | Yes (1) | COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |
| DOCTOR'S HOSPITAL INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 261739383 | ACUTE CARE HOSPITAL | GA | 501(C)(3) | LINE 3 | Yes (1) | COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |
| HUGHSTON HOSPITAL INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 331216751 | ORTHOPEDIC HOSPITAL | GA | 501(C)(3) | LINE 3 | Yes (1) | COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |
| COLUMBUS REGIONAL AUXILIARY (FRA MEDICAL CENTER AUXILIARY) | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 580917974 | HOSPITAL AUXILIARY | GA | 501(C)(3) | LINE 11C, III-FI | N/A | 0 | |
| CRHS LONG TERM AND HOME CARE INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581719867 | NURSING HOME | GA | 501(C)(3) | LINE 3 | Yes (1) | COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |
| COLUMBUS REGIONAL SENIOR LIVING INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 582628502 | CONTINUING CARE RETIREMENT COMMUNITY | GA | 501(C)(3) | LINE 11C, III-FI | Yes (1) | COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |
| THE MEDICAL CENTER INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581685139 | ACUTE CARE HOSPITAL | GA | 501(C)(3) | LINE 3 | Yes (1) | COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS DIAGNOSTIC IMAGING CTR LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 116 INTRACOASTAL POINTE DR 300 | AddressLine1 |
| City | JUPITER | City |
| State | FL | State |
| ZIP Code | 33477 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262291768 | EIN |
| Primary Activities | DIAGNOSTIC IMAGING | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| COLUMBUS HEALTH SERVICES INC | |||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581640939 | RETAIL PHARMACIES | GA | N/A | C | 0 |
| COLUMBUS HEALTHCARE RESOURCES INC | |||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581717754 | PROPERTY MANAGEMENT | GA | N/A | C | 0 |
| WOMEN'S MEDICAL SERVICES INC | |||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581695456 | MANAGEMENT SERVICES | GA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedScheduleGrp (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Electing OrganizationElectingOrganizationInd | Total Grassroots LobbyTotalGrassrootsLobbyAmt | Total Direct LobbyTotalDirectLobbyAmt | Total Lobby ExpenditureTotalLobbyExpenditureAmt | Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt | Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt | Lobby NontxLobbyNontxAmt | Grassroots NontxGrassrootsNontxAmt | Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt | Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt | Share Excess Lobby ExpendShareExcessLobbyExpendAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581719994 | Yes (X) | $0 | $14,315 | $14,315 | $39,976,479 | $39,990,794 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| THE MEDICAL CENTER INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581685139 | $0 | $0 | $0 | $354,626,607 | $354,626,607 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| CRHS LONG TERM & HOME CARE INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581778572 | $0 | $0 | $0 | $359,871 | $359,871 | $71,974 | $17,994 | $0 | $0 | $0 | |
| COLUMBUS AMBULATORY HEALTHCARE SERVICES | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581719867 | $0 | $0 | $0 | $18,559,752 | $18,559,752 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| COLUMBUS REGIONAL MEDICAL FOUNDATION INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581501642 | $0 | $0 | $0 | $1,307,972 | $1,307,972 | $205,797 | $51,449 | $0 | $0 | $0 | |
| COLUMBUS REGIONAL SENIOR LIVING | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 582628502 | $0 | $0 | $0 | $5,688,354 | $5,688,354 | $434,418 | $108,605 | $0 | $0 | $0 | |
| DOCTOR'S HOSPITAL INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 261739383 | $0 | $0 | $0 | $46,125,202 | $46,125,202 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| HUGHSTON HOSPITAL INC | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 331216751 | $0 | $0 | $0 | $64,290,590 | $64,290,590 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| COLUMBUS REGIONAL AUXILIARY | |||||||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 580917974 | $0 | $0 | $0 | $723,773 | $723,773 | $133,566 | $33,392 | $0 | $0 | $0 | |