COLUMBUS COMMUNITY HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- COLUMBUS COMMUNITY HOSPITAL (EIN 74-1394418)
- Tax period
- 2011-05-01 to 2012-04-30
- Filed
- 2013-02-28
- IRS object ID
- 201310599349300316
- Schema version
- 2011v1.5
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-02-28T11:26:03-06:00 | Timestamp |
| Tax Period End Date | 2012-04-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752570395 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DURBIN & COMPANY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2950 50TH STREET | AddressLine1 |
| City | LUBBOCK | City |
| State | TX | State |
| ZIP Code | 79413 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-05-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 741394418 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COLU | NameControl |
| Phone | 9797322371 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 865 | AddressLine1 |
| City | COLUMBUS | City |
| State | TX | State |
| ZIP Code | 78934 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROB THOMAS CPA | Name |
| Title | CEO/ ADMINISTRATOR | Title |
| Phone | 9797322371 | Phone |
| Date Signed | 2013-02-28 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JONATHAN PHILLIPS | Name |
| PTIN | P01605460 | PTIN |
| Phone | 8067911591 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROB THOMAS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 865 | AddressLine1 |
| City | COLUMBUS | City |
| State | TX | State |
| ZIP Code | 78934 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 46598420 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COLUMBUSCH.COM | WebSite |
| Type Of Organization Other | X | TypeOfOrganizationOther |
| Year Formation | 1950 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | IT IS OUR GOAL TO PROVIDE ACCESSIBLE, QUALITY, COST-EFFECTIVE HEALTHCARE TO OUR COMMUNITY. WE ARE RESOLVED TO FOSTER A SAFE AND POSITIVE ENVIROMENT OF ENCOURAGEMENT, GROWTH, CHALLENGE AND CONTINUOUS IMPROVEMENT. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 221 | TotalNbrEmployees |
| Total Nbr Volunteers | 50 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 392196 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 752437 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 41217949 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 44865264 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 105229 | InvestmentIncomePriorYear |
| Investment Income Current Year | 121455 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 146146 | OtherRevenuePriorYear |
| Other Revenue Current Year | 859264 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 41861520 | TotalRevenuePriorYear |
| Total Revenue Current Year | 46598420 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 9073176 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9248659 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 31635445 | OtherExpensePriorYear |
| Other Expenses Current Year | 35958070 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 40708621 | TotalExpensesPriorYear |
| Total Expenses Current Year | 45206729 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1152899 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1391691 | RevenuesLessExpensesCY |
| Total Assets BOY | 41085970 | TotalAssetsBOY |
| Total Assets EOY | 43955452 | TotalAssetsEOY |
| Total Liabilities BOY | 4611403 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 6089194 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 36474567 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 37866258 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO FOSTER A WELLNESS STATE FOR OUR COMMUNITY THROUGH EDUCATION, SUPPORT AND COOPERATION WITH OTHER HEALTH CARE ORGANIZATIONS.TO EMPOWER OUR STAFF TO BE PART OF A COHESIVE PROFESSIONAL DEDICATED INTERDISCIPLINARY TEAM.TO ASSESS THE NEEDS OF OUR COMMUNITY AND PROVIDE APPROPRIATE SERVICES FOR OUR CHANGING HEALTH CARE ENVIRONMENT.TO PROMOTE COLLABORATIVE RELATIONSHIPS WITH OTHER PROVIDERS TO FACILITATE A CONTINUUM OF CARE WITH SHARED SERVICES.TO ESTABLISH AND MAINTAIN AN ECONOMICALLY STABLE FACILITY THROUGH COMMUNITY SUPPORT AND FUNDING WHILE MEETING OUR CHARITABLE GOALS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 43917981 | Expense |
| Revenue | 45845983 | Revenue |
| Description | COLUMBUS COMMUNITY HOSPITAL IS A 40 BED ACUTE CARE FACILITY OFFERING COMPREHENSIVE HEALTH CARE. THE HOSPITAL HAD 3,847 ACUTE DAYS WITH TOTAL NURSERY DAYS OF 352. THERE WERE 207 BIRTHS AT COLUMBUS HOSPITAL DURING THE FISCAL YEAR. THERE WERE 5,733 ER VISITS WITH 2,378 SUGERIES. LAB PROCEDURES AVERAGED 7,962 PER MONTH AND RADIOLOGY PROCEDURES AVERAGING 1,550. | Description |
| Total Program Service Expense | 43917981 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 47 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 221 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | TX | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9797322371 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 SHULT DRIVE | AddressLine1 |
| City | COLUMBUS | City |
| State | TX | State |
| ZIP Code | 78934 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (12 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JAY JOHANNES | |||||||
| CHAIRMAN OF THE BOARD | 1.00 | X | 0 | 0 | 0 | ||
| PAT GILLESPIE | |||||||
| VICE-CHAIRMAN OF THE BOARD | 1.00 | X | 0 | 0 | 0 | ||
| TY PRAUSE | |||||||
| OFFICER | 1.00 | X | 0 | 0 | 0 | ||
| MODINA MANGINI | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| RON RHODES | |||||||
| OFFICER | 1.00 | X | 0 | 0 | 0 | ||
| JERRY HALUSKA | |||||||
| OFFICER | 1.00 | X | 0 | 0 | 0 | ||
| RIANA JAMISON | |||||||
| OFFICER | 1.00 | X | 0 | 0 | 0 | ||
| PATTY SIMMONS | |||||||
| OFFICER | 1.00 | X | 0 | 0 | 0 | ||
| TRAVIS WEGENHOFT | |||||||
| OFFICER | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT F THOMAS | |||||||
| CEO | 50.00 | 152915 | 0 | 0 | X | ||
| REGINA WICKE | |||||||
| CFO | 50.00 | 100431 | 0 | 0 | X | ||
| JENO HARGROVE | |||||||
| DON | 50.00 | 110093 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 363439 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DRYMALLA CONSTRUCTION COMPANY | |||||
| PO BOX 698 | COLUMBUS | TX | 78934 | CONSTRUCTION | 1767468 |
| SDS PHYSICAL THERAPY | |||||
| PO BOX 335 | COLUMBUS | TX | 78934 | PHYSICAL THERAPY | 881809 |
| HEALTHCARE SERVICES GROUP INC | |||||
| 3220 TILLMAN DR STE 300 | BENSALEM | PA | 19020 | HOUSEKEEPING/DIETARY | 529538 |
| TROY MILLICAN | |||||
| 1158 ABEL RD | NEW ULM | TX | 78950 | PHYSICIAN | 412453 |
| STRUCTURE (X) | |||||
| PO BOX 953 | LAKE CHARLES | LA | 70602 | COMPUTER SERVICES | 406355 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 26 | NumberOfContractorsGT100K |
| Related Organizations | 593000 | RelatedOrganizations |
| All Other Contributions | 159437 | AllOtherContributions |
| Total Contributions | 752437 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAL SERVICES | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 44865264 | TotalRevenueColumn |
| Related Or Exempt Function Income | 44865264 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 44865264 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 121455 | TotalRevenueColumn |
| Related Or Exempt Function Income | 121455 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| EHR INCENTIVE | 621990 | 560481 | 560481 |
| CAFETERIA INCOME | 621990 | 89076 | 89076 |
| CLINIC RENT | 621990 | 44365 | 44365 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 165342 | TotalRevenueColumn |
| Related Or Exempt Function Income | 165342 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 859264 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 46598420 | TotalRevenueColumn |
| Related Or Exempt Function Income | 45845983 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 350251 | Total |
| Program Services | 105972 | ProgramServices |
| Management And General | 244279 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7269411 | Total |
| Program Services | 6802922 | ProgramServices |
| Management And General | 466489 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164074 | Total |
| Program Services | 149153 | ProgramServices |
| Management And General | 14921 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1444547 | Total |
| Program Services | 1309414 | ProgramServices |
| Management And General | 135133 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20376 | Total |
| Program Services | 18475 | ProgramServices |
| Management And General | 1901 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9400 | Total |
| Management And General | 9400 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17374 | Total |
| Management And General | 17374 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3384908 | Total |
| Program Services | 3349732 | ProgramServices |
| Management And General | 35176 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166864 | Total |
| Management And General | 166864 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 167511 | Total |
| Program Services | 167511 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 799436 | Total |
| Program Services | 799436 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89046 | Total |
| Program Services | 89046 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTUAL ALLOWANCES | 18316754 | 18316754 | |
| OTHER OPERATING EXPENSE | 4637166 | 4441189 | 195977 |
| BAD DEBT EXPENSE | 3494474 | 3494474 | |
| PAYMENTS TO PHYSICIANS | 1241133 | 1241133 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3634004 | Total |
| Program Services | 3632770 | ProgramServices |
| Management And General | 1234 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45206729 | Total |
| Program Services | 43917981 | ProgramServices |
| Management And General | 1288748 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1884832 | BOY |
| EOY | 1984696 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3373410 | BOY |
| EOY | 2988754 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3402475 | BOY |
| EOY | 5011072 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94599 | BOY |
| EOY | 416599 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 572706 | BOY |
| EOY | 642868 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69856 | BOY |
| EOY | 102279 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 19862257 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7905541 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9950533 | BOY |
| EOY | 11956716 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 194000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21737559 | BOY |
| EOY | 20658468 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41085970 | BOY |
| EOY | 43955452 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 960245 | BOY |
| EOY | 1254013 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3651158 | BOY |
| EOY | 4754595 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 80586 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4611403 | BOY |
| EOY | 6089194 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36474567 | BOY |
| EOY | 37866258 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36474567 | BOY |
| EOY | 37866258 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41085970 | BOY |
| EOY | 43955452 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 1391691 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 443314 | OtherCostOrOtherBasis |
| Book Value | 443314 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9458296 | OtherCostOrOtherBasis |
| Book Value | 9458296 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 233452 | OtherCostOrOtherBasis |
| Depreciation | 113867 | Depreciation |
| Book Value | 119585 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7148633 | OtherCostOrOtherBasis |
| Depreciation | 2619377 | Depreciation |
| Book Value | 4529256 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2578562 | OtherCostOrOtherBasis |
| Depreciation | 5172297 | Depreciation |
| Book Value | -2593735 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11956716 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTEREST IN NET ASSETS OF COLUMBUS COMMNITY HOSPITAL FOUNDATION | Description |
| Book Value | 20658468 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 20658468 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PAYABLES, HOSPITALIZATION PLAN DEDUCT | $19,369 |
| PAYABLES, UNCLAIMED CHECKS | -$1,523 |
| PAYABLES, ACCRUED INTERST PAYABLE | $8,375 |
| PHYSICIAN GUARANTEE LIABILITY | $54,365 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 80586 | TotalOfAmounts |
| Total Revenue | 46598420 | TotalRevenue |
| Total Expenses | 45206729 | TotalExpenses |
| Excess Or Deficit For Year | 1391691 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 1391691 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 46598420 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 46598420 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 46598420 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 45206729 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 45206729 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 45206729 | TotalExpensesPerForm990 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1664210 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 256661 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1407549 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06380 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 717329 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 717329 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2381539 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 973990 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1407549 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06380 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1566577 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1566577 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07100 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1566577 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1566577 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07100 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3948116 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 973990 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2974126 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13480 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,664,210 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 7407329 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 19897422 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -12490093 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS COMMUNITY HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 865 | AddressLine1 |
| City | COLUMBUS | City |
| State | TX | State |
| ZIP Code | 78934 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 10 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| On Request | X | OnRequest |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 500.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| FOUR OAKS MEDICAL CLINIC | ||||
| 109 SHULT DRIVE | COLUMBUS | TX | 78934 | OUTPATIENT CLINIC |
| COLUMBUS MEDICAL CLINIC | ||||
| 2122 HWY 71 S | COLUMBUS | TX | 78934 | OUTPATIENT CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART III, LINE 8: THE HOSPITAL CONTINUES TO PROVIDE SERVICES TO THE COMMUNITY DESPITE THE SHORTFALL FROM SUBSIDIZED PROGRAMS SUCH AS MEDICARE AND MEDICAID. | |
| PART III, LINE 9B: THE DEBT COLLECTION POLICY PROVIDES A PROVISION THAT EXCLUDES THOSE WHO QUALIFY FOR CHARITY FROM EVER BEING A PART OF THE BAD DEBT. | |
| PART V, SECTION B, LINE 3: BOARD MEMBERS, COMMUNITY LEADERS ARE ALL ASKED HOW THE HOSPITAL CAN EITHER EXPAND OR IMPLEMENT NEW SERVICES TO BETTER SERVE THE COMMUNITY. | COLUMBUS COMMUNITY HOSPITAL |
| PART VI, LINE 2: THE COMMUNITY'S NEEDS ARE ASSESSED THROUGH FORMAL AND INFORMAL FEEDBACK. REAL-TIME FEEDBACK ON THE COMMUNITY'S NEEDS IS SECURED THROUGH INVOLVEMENT AND REPRESENTATION OF THE BOARD OF DIRECTORS. | |
| PART VI, LINE 3: THE HOSPITAL POSTS A SUMMARY OF ITS CHARITY CARE POLICY IN ADMISSION AREAS, EMERGENCY ROOMS, AND OTHER AREAS WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE HOSPITALS CONDITION OF ADMISSION CONSENT INFORMS THE PATIENTS THAT THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR CHARITY CARE AND THEY MAY REQUEST INFORMATION ABOUT THESE PROGRAMS. A SUMMARY OF THE FINANCIALS ASSISTANCE PROGRAM IS PROVIDED TO THE PATIENT DURING THE INTAKE AND DISCHARGE PROCESSES. PATIENTS ARE INFORMED, WHERE APPLICABLE, OF AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID, AND ASSISTS THE PATIENTS WITH THE QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. | |
| PART VI, LINE 4: AS OF THE CENSUS OF 2000, THERE WERE 3,916 PEOPLE, 1,497 HOUSEHOLDS, AND 946 FAMILIES RESIDING IN THE CITY. THE POPULATION DENSITY WAS 1,387.5 PEOPLE PER SQUARE MILE. THE RACIAL MAKEUP OF THE CITY WAS 66.55% WHITE, 19.94% AFRICAN AMERICAN, 0.36% NATIVE AMERICAN, 0.33% ASIAN, 0.03% PACIFIC ISLANDER, 10.52% FROM OTHER RACES, AND 2.27% FROM TWO OR MORE RACES. HISPANIC OR LATINO OF ANY RACE WERE 17.62% OF THE POPULATION.THERE WERE 1,497 HOUSEHOLDS OUT OF WHICH 28.4% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 45.8% WERE MARRIED COUPLES LIVING TOGETHER, 14.0% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT, AND 36.8% WERE NON-FAMILIES. 33.0% OF ALL HOUSEHOLDS WERE MADE UP OF INDIVIDUALS AND 19.6% HAD SOMEONE LIVING ALONE WHO WAS 65 YEARS OF AGE OR OLDER. THE AVERAGE HOUSEHOLD SIZE WAS 2.40 AND THE AVERAGE FAMILY SIZE WAS 3.04.IN THE CITY THE POPULATION WAS SPREAD OUT WITH 23.4% UNDER THE AGE OF 18, 8.2% FROM 18 TO 24, 24.2% FROM 25 TO 44, 19.6% FROM 45 TO 64, AND 24.5% WHO WERE 65 YEARS OF AGE OR OLDER. THE MEDIAN AGE WAS 40 YEARS. FOR EVERY 100 FEMALES THERE WERE 88.2 MALES. FOR EVERY 100 FEMALES AGE 18 AND OVER, THERE WERE 84.2 MALES.THE MEDIAN INCOME FOR A HOUSEHOLD IN THE CITY WAS $29,175, AND THE MEDIAN INCOME FOR A FAMILY WAS $40,197. MALES HAD A MEDIAN INCOME OF $30,104 VERSUS $19,077 FOR FEMALES. THE PER CAPITA INCOME FOR THE CITY WAS $15,822. ABOUT 15.5% OF FAMILIES AND 20.5% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 32.7% OF THOSE UNDER AGE 18 AND 16.1% OF THOSE AGE 65 OR OVER. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | EMPLOYEE SCHOLARSHIP PROGRAM | TypeOfGrant |
| Number Of Recipients | 1 | NumberOfRecipients |
| Amount Of Cash Grant | 11192 | AmountOfCashGrant |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROBERT F THOMAS | NamePerson |
| Base Compensation Filing Org | 147611 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 5304 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 152915 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 3 | ReturnReference |
| Explanation | ANNUAL PERFORMANCE-BASED MERIT INCREASE COUPLED WITH REVIEW OF SALARY SURVEY DATA FOR LIKE-SIZED HOSPITALS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 RETURN IS REVIEWED AND APPROVED BY MANAGEMENT. IT IS THEN PRESENTED TO THE BOARD AFTER FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD IS REQUIRED TO FILL OUT A CONFLICT OF INTEREST FORM ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15A | ANNUAL PERFORMANCE-BASED MERIT INCREASE COUPLED WITH REVIEW OF SALARY SURVEY DATA FOR LIKE-SIZED HOSPITALS. |
| FORM 990, PART VI, SECTION C, LINE 19 | NO GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS OR FINANCIALS STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS COMMUNITY HOSPITAL FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 SHULT DRIVE | AddressLine1 |
| City | COLUMBUS | City |
| State | TX | State |
| ZIP Code | 78934 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742464333 | EIN |
| Primary Activities | TO FURTHER HEALTHCARE SERVICES IN THE COLUMBUS COMMUNITY | PrimaryActivities |
| Legal Domicile State | TX | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | PF | PublicCharityStatus |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS COMMUNITY HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 593000 | AmountInvolved |
| Method Of Amt Determination | CASH | MethodOfAmtDetermination |