COLUMBUS SPECIALTY HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- COLUMBUS SPECIALTY HOSPITAL INC (EIN 61-1428443)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201103199349307485
- Schema version
- 2010v3.4
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T15:02:35-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PERSHING YOAKLEY & ASSOCIATES P C | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE CHEROKEE MILLS 2220 SUTHERLAND | AddressLine1 |
| City | KNOXVILLE | City |
| State | TN | State |
| ZIP Code | 379192363 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611428443 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS SPECIALTY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COLU | NameControl |
| Phone | 7063216708 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 710 CENTER STREET 9TH FLOOR | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31901 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GREG THOMSEN | Name |
| Title | CEO | Title |
| Phone | 7063216712 | Phone |
| Date Signed | 2011-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8656730844 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GREG THOMSEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 710 CENTER STREET 9TH FLOOR | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12280315 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COLUMBUSSPECIALTYHOSPITAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2003 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | COLUMBUS SPECIALTY HOSPITAL, INC. IS A 30 BED LONG-TERM ACUTE CARE HOSPITAL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 149 | TotalNbrEmployees |
| Total Nbr Volunteers | 6 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 11274150 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12273092 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2584 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4938 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5825 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2285 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 11282559 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12280315 | 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 | 5268237 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5986527 | 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 | 5144501 | OtherExpensePriorYear |
| Other Expenses Current Year | 5474331 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10412738 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11460858 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 869821 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 819457 | RevenuesLessExpensesCY |
| Total Assets BOY | 4409436 | TotalAssetsBOY |
| Total Assets EOY | 6507770 | TotalAssetsEOY |
| Total Liabilities BOY | 660731 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1939608 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3748705 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4568162 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | COLUMBUS SPECIALTY HOSPITAL, INC. IS A 30 BED LONG-TERM ACUTE CARE HOSPITAL, WHICH PROVIDES SPECIALIZED EXTENDED ACUTE CARE SERVICES TO PATIENTS NEEDING 25 OR MORE DAYS OF HOSPITALIZATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 8520704 | Expense |
| Revenue | 12275377 | Revenue |
| Description | COLUMBUS SPECIALTY HOSPITAL PROVIDES ACUTE CARE TO LONG-TERM PATIENTS THAT REQUIRE SPECIAL NEEDS. SERVICES ARE PROVIDED BY A DIVERSE TEAM OF HEALTH CARE PROFESSIONALS, AS DISCUSSED IN DETAIL BELOW. FOR 2010, IT PROVIDED $212,134 OF FREE CHARITY CARE AND BAD DEBT, $66,589 OF CONTRIBUTIONS TO GEORGIA MEDICAID AND $3,600 OF SUPPORT FOR CANCER SOCIETY. IT ALSO PROVIDED A TOTAL OF 8,583 DAYS OF CARE. COLUMBUS SPECIALTY HOSPITAL CLINICAL PROGRAMS ARE SERVED BY AN INTERDISCIPLINARY TEAM OF HIGHLY TRAINED STAFF AND PHYSICIANS. THE TEAM CONTINUOUSLY MONITORS GOALS, TRACKS CLINICAL OUTCOMES AND REMAINS CURRENT ON THE BEST CLINICAL PRACTICES TO INCORPORATE INTO EACH PROGRAM. THE INTERDISCIPLINARY TEAM MEETS WEEKLY TO RE-EVALUATE CARE AND SET NEW GOALS INTENDED TO CHALLENGE EACH PATIENT FOR A HIGHER LEVEL OF RECOVERY. FAMILIES AND PATIENTS ARE AN INTEGRAL PART OF THE TEAM AND ARE ENCOURAGED TO REMAIN ACTIVELY INVOLVED IN THE PATIENT'S TREATMENT PLAN. OUR GOAL IS TO RETURN EACH PATIENT TO HIS OR HER OPTIMAL LEVEL OF FUNCTIONING AND HEALTH. COLUMBUS SPECIALTY HOSPITAL OFFERS THE FOLLOWING SERVICES:PHYSICAL THERAPY OCCUPATIONAL THERAPY CASE MANAGEMENT SPEECH THERAPY VENTILATOR WEANING CENTRAL LINE MANAGEMENT - PICC LINES ANTIBIOTIC THERAPY TELEMETRY ACLS TRAINED RN'S/RESPIRATORY THERAPY STAFF NUTRITIONAL ASSESSMENT AND SUPPORT MEDICALLY COMPLEX AND WOUND CARE PROGRAMS:THE MEDICALLY COMPLEX AND WOUND CARE PROGRAMS ARE DESIGNED TO PROVIDE A COMPREHENSIVE AND INTERDISCIPLINARY APPROACH OF CARE FOR PATIENTS WHO HAVE SUSTAINED A RECENT ONSET OF ILLNESS OR INJURY THAT REQUIRES AN EXTENDED PERIOD OF LONG-TERM ACUTE CARE SERVICES. WE WANT TO HELP EACH PATIENT REACH HIS OR HER OPTIMAL LEVEL OF HEALTH AND INDEPENDENCE BY THE MOST EFFICIENT CARE POSSIBLE. MEDICALLY COMPLEX CONDITIONS INCLUDE MULTI-SYSTEM ORGAN FAILURE, NEUROVASCULAR DISEASE, CARDIAC RELATED DISORDERS, CARDIAC MONITORING, NEUROMUSCULAR CARE, CHEST TRAUMA, MRSA/VRE, POST OP COMPLICATIONS, PRE AND POST OP TRANSPLANT CARE, CVA, CERTAIN CANCER-RELATED CARE, BRAIN AND SPINAL CORD INJURY, IV THERAPIES/TPN, CENTRAL LINE MANAGEMENT, PHARMACOLOGICAL MANAGEMENT, AND LOW TOLERANCE REHABILITATION. WOUND CARE SERVICES INCLUDE COMPLEX WOUND CARE, WOUND CARE MANAGEMENT, PAIN MANAGEMENT, PATIENT AND FAMILY TRAINING AND EDUCATION, AND OXYGENATION MONITORING.RESPIRATORY PROGRAM:THE GOAL OF THE RESPIRATORY PROGRAM IS TO HELP EACH PATIENT PROGRESS TO HIS OR HER OPTIMAL LEVEL OF HEALTH AND INDEPENDENCE BY THE MOST EFFICIENT CARE POSSIBLE. THIS PROGRAM INCLUDES THE LATEST CARE IN TRACHEOTOMY, DECANNULATION, VENTILATOR WEANING AND MANAGEMENT AS WELL AS GENERAL RESPIRATORY CARE. WE TREAT THE FOLLOWING:RESPIRATORY FAILURE COPD PNEUMONIA/ARDS CHEST TRAUMA TRACHEOSTOMY AND RESPIRATORY NEEDS MULTIPLE SYSTEM ORGAN FAILURE NEUROMUSCULAR DISEASE INTERSTITIAL PULMONARY FIBROSIS KYPHOSCOLIOSIS CANCER SARCOIDOSIS CYSTIC FIBROSIS OCCUPATIONAL/ENVIRONMENTAL LUNG PRE & POST-OP LUNG REDUCTION/TRANSPLANT PATIENTS IN THIS PROGRAM ARE FOLLOWED BY A TEAM OF CONSULTING PHYSICIANS AND THE MEDICAL DIRECTOR IS A BOARD CERTIFIED PULMONOLOGIST. RN'S ARE ACLS CERTIFIED AND A CLINICAL SPECIALIST IS ALSO AVAILABLE FOR CONSULTATION. IN ADDITION THE TREATMENT TEAM INCLUDES PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS AND SPEECH THERAPISTS, CASE MANAGERS, PHARMACISTS AND A DIETICIAN.OUR GOAL IS TO HELP EACH PATIENT PROGRESS TO HIS OR HER OPTIMAL LEVEL OF INDEPENDENCE BY THE MOST EFFICIENT MEANS POSSIBLE. | Description |
| Total Program Service Expense | 8520704 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| 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 | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | 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 | 0 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | 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 | 0 | 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 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 149 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | 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 | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREG THOMSEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7063216712 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 710 CENTER STREET 9TH FLOOR | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31901 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (9 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 |
|---|---|---|---|---|---|---|---|
| ROBERT JONES | |||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| JEAN HARTIN | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| JAMES WHEELER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JACKSON CROWDER MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JOHN SIMS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| GREG THOMSEN | |||||||
| CEO | 40.00 | 152259 | 0 | 43022 | X | ||
| WILLIAM ECKSTEIN | |||||||
| CFO | 40.00 | 136599 | 0 | 31533 | X | ||
| VIVIAN LEE | |||||||
| COO | 40.00 | 145367 | 0 | 31421 | X | ||
| MARY SMITH | |||||||
| CHARGE NURSE | 61.00 | 113548 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 547773 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 105976 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | 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 |
|---|---|---|---|---|---|
| COLUMBUS REGIONAL HEALTHCARE | |||||
| 707 CENTER STREET | COLUMBUS | GA | 31908 | FACILITY RENTAL | 3475365 |
| COLUMBUS BANK AND TRUST | |||||
| PO BOX 120 | COLUMBUS | GA | 31902 | LOANS | 217068 |
| MORRISON'S HEALTH CARE INC | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | DIETARY SERVICES | 186808 |
| HUMAN PERFORMANCEREHAB | |||||
| PO BOX 8068 | COLUMBUS | GA | 31908 | PHYSICAL THERAPY SERVICES | 132968 |
| FIRST INSURANCE FUNDING | |||||
| 450 SKOKIE BOULEVARD SUITE 1000 | NORTHBROOK | IL | 60062 | INSURANCE SERVICES | 100047 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROGRAM SERVICE REVENU | Description |
| Business Code | 623990 | BusinessCode |
| Total Revenue Column | 12273092 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12273092 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12273092 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4938 | TotalRevenueColumn |
| Exclusion | $4,938 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAL RECORDS | Description |
| Business Code | 621300 | BusinessCode |
| Total Revenue Column | 2285 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2285 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2285 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12280315 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12275377 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $4,938 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 540201 | Total |
| Program Services | 367337 | ProgramServices |
| Management And General | 172864 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4145964 | Total |
| Program Services | 2823343 | ProgramServices |
| Management And General | 1322621 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127523 | Total |
| Program Services | 86827 | ProgramServices |
| Management And General | 40696 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 836238 | Total |
| Program Services | 568642 | ProgramServices |
| Management And General | 267596 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 336601 | Total |
| Program Services | 228888 | ProgramServices |
| Management And General | 107713 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 266 | Total |
| Management And General | 266 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42635 | Total |
| Management And General | 42635 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11728 | Total |
| Management And General | 11728 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41113 | Total |
| Management And General | 41113 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88495 | Total |
| Management And General | 88495 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27263 | Total |
| Program Services | 1748 | ProgramServices |
| Management And General | 25515 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8437 | Total |
| Program Services | 2888 | ProgramServices |
| Management And General | 5549 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21332 | Total |
| Management And General | 21332 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71772 | Total |
| Management And General | 71772 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114717 | Total |
| Management And General | 114717 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PURCHASED SERVICES | 3643761 | 3643761 | |
| BUILDING LEASE | 499743 | 499743 | |
| OTHER EXPENSES | 330622 | 224823 | 105799 |
| PATIENT SUPPLIES | 326157 | 326157 | |
| EQUIPMENT RENTAL | 246290 | 246290 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11460858 | Total |
| Program Services | 8520704 | ProgramServices |
| Management And General | 2940154 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1378967 | BOY |
| EOY | 1573489 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2623229 | BOY |
| EOY | 3850346 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25844 | BOY |
| EOY | 46695 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74682 | BOY |
| EOY | 79421 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1188287 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 242892 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 283807 | BOY |
| EOY | 945395 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22907 | BOY |
| EOY | 12424 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4409436 | BOY |
| EOY | 6507770 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 559294 | BOY |
| EOY | 973419 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101437 | BOY |
| EOY | 966189 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 660731 | BOY |
| EOY | 1939608 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3748705 | BOY |
| EOY | 4568162 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3748705 | BOY |
| EOY | 4568162 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4409436 | BOY |
| EOY | 6507770 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 819457 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| 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 | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1188287 | OtherCostOrOtherBasis |
| Depreciation | 242892 | Depreciation |
| Book Value | 945395 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 945395 | TotalOfBookValueLandBuildings |
| Total Revenue | 12280315 | TotalRevenue |
| Total Expenses | 11460858 | TotalExpenses |
| Excess Or Deficit For Year | 819457 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 819457 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 12280315 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 12280315 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12280315 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 11460858 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 11460858 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 11460858 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE HOSPITAL IS AN NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE AND APPLICABLE PROVISIONS OF GEORGIA STATUTES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2010. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6348 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6348 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22870 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 22870 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29218 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 29218 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29218 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 29218 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $82,486 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 6740094 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 6488129 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 251965 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 0 | WrittenDebtCollectionPolicy |
| 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 SPECIALTY HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 710 CENTER STREET 9TH FLOOR | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Other | LTACH | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS SPECIALTY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Provided On Admission | X | ProvidedOnAdmission |
| 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 |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 0 | NondiscrimEmergencyCarePolicy |
| No Emergency Care | X | NoEmergencyCare |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7: COST IS DERIVED FROM THE ACTUAL EXPENSE DATA ACCUMULATED WITHIN THE COLUMBUS SPECIALTY HOSPITAL GENERAL LEDGER WHICH ADDRESSES ALL PATIENT SEGMENTS (PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, AND SELF-PAY). COLUMBUS SPECIALTY HOSPITAL ALLOCATES THOSE EXPENSES BASED ON A COST TO CHARGE RATIO. | ||
| PART I, L7 COL(F): BAD DEBT EXPENSE INCLUDES PATIENTS WHO DO NOT PAY AND DO NOT APPLY FOR CHARITY CARE. BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 25, COLUMN (A) IS $82,486. THE FULL AMOUNT OF $82,486 IS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN COLUMN (F), ON PART I, LINE 7. | ||
| PART II: THE HOSPITAL IS ABLE TO PROVIDE LONG-TERM CARE FOR THE RESIDENTS OF THE COMMUNITY REQUIRING HOSPITAL STAYS EXCEEDING 25 DAYS. WITHOUT SUCH CARE, MEMBERS OF THE COMMUNITY MAY NOT RECEIVE THE SPECIALIZED LONG-TERM CARE REQUIRED. | ||
| PART III, LINE 4: NET PATIENT SERVICE REVENUE IS REPORTED ON THE ACCRUAL BASIS IN THE PERIOD IN WHICH SERVICES ARE PROVIDED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN THE FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF BOTH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS. THE HOSPITAL RECORDS AN ESTIMATED RESERVE FOR UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE BASED UPON PRIOR COLLECTION HISTORY FOR GROUPS OF RECEIVABLES, KNOWN COLLECTION RISKS AND OTHER ENVIRONMENTAL FACTORS, INCLUDING THE AGE OF THE RECEIVABLES. THE HOSPITAL'S POLICY DOES NOT REQUIRE COLLATERAL OR OTHER SECURITY FOR PATIENT ACCOUNTS RECEIVABLE.COLUMBUS SPECIALTY HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS PATIENT SERVICE REVENUE. | ||
| PART III, LINE 8: THE MEDICARE ALLOWABLE COST REPORTED IN THE MEDICARE COST REPORT, AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6, IS DERIVED FROM THE ACTUAL EXPENSES DATA FROM THE GENERAL LEDGER. COLUMBUS SPECIALTY HOSPITAL ALLOCATES THOSE EXPENSES TO PATIENTS BASED ON A COST TO CHARGE RATIO. | ||
| PART III, LINE 9B: THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. | ||
| PART V, SECTION B, LINE 19D: COLUMBUS SPECIALTY HOSPITAL PROVIDES ACUTE CARE TO LONG-TERM PATIENTS THAT REQUIRE SPECIAL NEEDS. IT DOES NOT PROVIDE EMERGENCY CARE SERVICES. | COLUMBUS SPECIALTY HOSPITAL | |
| PART VI, LINE 2: COLUMBUS SPECIALTY HOSPITAL PROVIDES ACUTE CARE TREATMENT TO LONG-TERM PATIENTS REQUIRING SPECIAL NEEDS. BECAUSE ITS SERVICES ARE SPECIFIC TO LONG-TERM CARE AND ITS FACILITY CONTAINS ONLY 30 BEDS, IT DOES NOT FORMALLY ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES AS THE ORGANIZATION'S SOLE MISSION IS TO PROVIDE SPECIALIZED EXTENDED ACUTE CARE SERVICES TO PATIENTS NEEDING 25 OR MORE DAYS OF HOSPITALIZATION. | ||
| PART VI, LINE 3: TO COMMUNICATE THE ORGANIZATION'S FINANCIAL POLICY TO THE PATIENT, INFORMATION IS MADE AVAILABLE AT ALL POINTS OF REGISTRATION (INTAKE AND DISCHARGE) AND FINANCIAL COUNSELORS ARE AVAILABLE TO DISCUSS SPECIFIC CASES. THE ORGANIZATION ALSO OFFERS A SCREENING FORM TO DETERMINE PROGRAM ELIGIBILITY. ONCE ELIGIBILITY IS DETERMINED, A FINANCIAL COUNSELOR WILL REQUEST VERIFICATIONS NECESSARY TO APPROVE THE PATIENT FOR SPECIFIED PROGRAMS AND/OR TO DETERMINE IF SERVICES QUALIFY UNDER THE WRITTEN CHARITY CARE POLICY. | ||
| PART VI, LINE 4: COLUMBUS SPECIALTY HOSPITAL SERVES THE COMMUNITY OF COLUMBUS, GEORGIA AND SURROUNDING AREAS IN SOUTHWEST GEORGIA AND SOUTHEAST ALABAMA. THE HOSPITAL PROVIDES VERY SPECIALIZED ACUTE CARE FOR PATIENTS NEEDING 25 OR MORE DAYS OF HOSPITALIZATION THAT MAY NOT BE OFFERED AT OTHER FACILITIES WITHIN THE AREA. | ||
| PART VI, LINE 6: PLEASE REFER TO THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS AS PROVIDED IN SCHEDULE O FOR FURTHER DOCUMENTATION HOW COLUMBUS SPECIALTY HOSPITAL IS SERVING ITS PATIENTS. | ||
| GA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| 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 (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GREG THOMSEN | |||||||||||||
| 152259 | 0 | 0 | 0 | 0 | 0 | 22000 | 0 | 21022 | 0 | 195281 | 0 | 0 | 0 |
| WILLIAM ECKSTEIN | |||||||||||||
| 136599 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 31533 | 0 | 168132 | 0 | 0 | 0 |
| VIVIAN LEE | |||||||||||||
| 145367 | 0 | 0 | 0 | 0 | 0 | 10400 | 0 | 21021 | 0 | 176788 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FINAL FORM 990, AS ULTIMATELY FILED WITH THE IRS, WAS NOT PROVIDED TO EACH VOTING MEMBER OF THE GOVERNING BODY OF THE ORGANIZATION, IN PAPER OR ELECTRONIC FORM, PRIOR TO ITS FILING WITH THE IRS. NO POLICY REQUIRING THIS ACTION HAS BEEN IMPLEMENTED AT THIS TIME. | |
| THE CONFLICT OF INTEREST POLICY, IN ADDITION TO OTHER GOVERNING POLICIES, IS AVAILABLE ON THE ORGANIZATION WEBSITE. ALL CORPORATE FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION B, LINE 12C | |
| AN INDEPENDENT MARKET SURVEY IS COMPLETED TO ASSIST IN DETERMINING APPROPRIATE COMPENSATION FOR THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES. A RECOMMENDATION BASED UPON THE SURVEY IS SUBMITTED TO THE BOARD OF DIRECTORS FOR APPROVAL. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING EMPLOYEES TO SIGN A CODE OF CONDUCT AGREEMENT WHEN HIRED AND UPON POLICY REVIEW. THE ORGANIZATION'S COMPLIANCE HOTLINE IS POSTED ON THE ORGANIZATION WEBSITE AND WITHIN ADMITTING PACKETS FOR HOSPITAL PATIENTS AND THEIR FAMILIES. | FORM 990, PART VI, SECTION C, LINE 19 | |
| COLUMBUS SPECIALTY HOSPITAL HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. | FORM 990, PART XI, LINE 2C: OVERSIGHT OF AUDIT |