Community Benefit Insight - Tax-exempt hospital

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Doctor's Hospital Inc

Doctors Specialty Hospital

616 19th Street
Columbus, GA 31901

Bed count	219	Medicare provider number	110186	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 261739383

Display data for year:

Community Benefit Spending- 2013
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

-0.34%

Spending by Community Benefit Category- 2013
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2013

Additional data

Community Benefit Expenditures: 2013

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 304,125 0.62 %
Medicaid as % of operating expenses	$ -502,921 -1.03 %
Costs of other means-tested government programs as % of operating expenses	$ 14,284 0.03 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 20,000 0.04 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2013

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 4,071,767 8.36 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:

Reported to credit agency	Not available
Filed lawsuit	Not available
Placed liens on residence	Not available
Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court)	Not available

Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2013

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES
Did the tax-exempt hospital execute the implementation strategy?	YES
Did the tax-exempt hospital participate in the development of a community-wide plan?	YES

Supplemental Information: 2013

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 30913922 including grants of $ 20000) (Revenue $ 34389789)
DOCTOR'S HOSPITAL IS A 219-BED GENERAL ACUTE CARE FACILITY THAT HAS SERVED THE REGION SINCE 1975. THE HOSPITAL IS KNOWN THROUGHOUT THE COMMUNITY FOR ITS QUALITY CARE AND CUSTOMER SERVICE. SERVICES INCLUDE MEDICAL AND SURGICAL SERVICES, IMAGING, A SLEEP DISORDERS CENTER AND TELEMETRY. THIS COMPREHENSIVE NETWORK OF SERVICES TOUCHES THE LIVES OF MOST OF THE CHILDREN AND ADULTS IN THIS REGION. DOCTOR'S HOSPITAL PLACES A PRIORITY ON EACH PATIENT ENCOUNTER AND LISTENS TO THE NEEDS OF THE COMMUNITY AND PROVIDES HIGH QUALITY SERVICE TO CONTINUALLY MEET THOSE NEEDS.IN ADDITION TO PROVIDING EXCEPTIONAL CLINICAL CARE AND CUSTOMER SERVICE, THE EMPLOYEES AT DOCTOR'S HOSPITAL ARE ENGAGED IN COMMUNITY ACTIVITIES AND SUPPORT THE EFFORTS OF THE AMERICAN CANCER SOCIETY AMONG OTHER CHARITABLE CAUSES.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

DOCTOR'S HOSPITAL, INC
PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT CONSISTED OF QUANTITATIVE AND QUALITATIVE DATA. QUALITATIVE DATA WAS COLLECTED THROUGH INPUT FROM KEY REPRESENTATIVES IN THE COMMUNITY CONSISTING OF PHYSICIANS, OTHER HEALTH PROFESSIONALS, COMMUNITY LEADERS, BUSINESS LEADERS, FAITH-BASED MEMBERS AND SCHOOL DISTRICT REPRESENTATIVES. FOCUS GROUPS PROVIDED THE FORUM FOR THIS DATA COLLECTION AND WERE ARRANGED IN ADVANCE TO PROMOTE ACTIVE PARTICIPATION. OPPORTUNITIES FOR COLLECTIVE AS WELL AS INDIVIDUAL INPUT WERE PROVIDED AND USED IN THE OVERALL ASSESSMENT REPORT.IN ADDITION TO FOCUS GROUPS, A VARIETY OF EXISTING (SECONDARY) DATA SOURCES WAS CONSULTED TO COMPLEMENT THE RESEARCH QUALITY OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT. DATA FOR MUSCOGEE COUNTY WAS OBTAINED FROM THE FOLLOWING SOURCES: CENTERS FOR DISEASE CONTROL & PREVENTION, GEORGIA DEPARTMENT OF PUBLIC HEALTH, GEORGIA BUREAU OF INVESTIGATION, NATIONAL CENTER FOR HEALTH STATISTICS, U.S. CENSUS BUREAU, U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND THE U.S. DEPARTMENT OF JUSTICE, FEDERAL BUREAU OF INVESTIGATION.

DOCTOR'S HOSPITAL, INC
PART V, SECTION B, LINE 4: THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR DOCTOR'S HOSPITAL, INC. WAS CONDUCTED WITH THREE OTHER AREA HOSPITALS. TWO OF THOSE FACILITIES, THE MEDICAL CENTER, INC. AND HUGHSTON HOSPITAL, INC. ARE AFFILIATES OF DOCTOR'S HOSPITAL, INC. ALSO PARTICIPATING IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS ST. FRANCIS HOSPITAL WHICH ALSO SERVES MUSCOGEE COUNTY AND THE SURROUNDING AREA.

DOCTOR'S HOSPITAL, INC
PART V, SECTION B, LINE 7: CRHS HAS SELECTED NINE (9) OF THE IDENTIFIED FOURTEEN (14) PRIORITY AREAS UPON WHICH TO FOCUS ITS EFFORTS AND HAS SPLIT THOSE NINE (9) AMONGST ITS THREE HOSPITALS FOR PRIMARY RESPONSIBILITY TO IMPLEMENT THE ACTION PLANS ACCORDINGLY, RECOGNIZING THAT COORDINATION AMONGST ITS HOSPITALS AND SHARING OF RESOURCES WILL BE REQUIRED TO SUPREMELY EFFECTIVE: DOCTORS HOSPITAL SHALL PRIMARILY COORDINATE STRATEGIES TO ADDRESS THE CHALLENGES OF INJURY AND VIOLENCE PREVALENCE, SEXUALLY TRANSMITTED DISEASES (STDS), AND KIDNEY DISEASE.THE ENTIRE RESPONSE CAN BE ACCESSED AT:HTTP://WWW.COLUMBUSREGIONAL.COM/MEDIA/FILE/COMMUNITYHEALTHRESPONSE/2013_COMMUNITY_HEALTH_RESPONSE_PLAN-DOCTORSHOSPITAL.PDF

DOCTOR'S HOSPITAL, INC
PART V, SECTION B, LINE 20D: THE AMOUNTS GENERALLY BILLED (AGB) FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE CALCULATED BASED ON MEDICARE FEE FOR SERVICE. THE FACILITY CALCULATES THE CHARGE FOR SERVICE DIVIDED BY THE SUM OF ASSOCIATED GROSS CHARGES RELATED TO THOSE CLAIMS. IF A PATIENT DOES NOT QUALIFY FOR ANY OF THE EXTENSIVE FINANCIAL ASSISTANCE AVAILABLE AND IS UNINSURED, A DISCOUNT OF 30% BILLED CHARGES IS AVAILABLE.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 7:
THE AMOUNTS ON LINE 7, COLUMN C WERE CALCULATED USING THE COST TO CHARGE RATIO FROM THE ORGANIZATION'S FISCAL YEAR 2013 FILED MEDICAID COST REPORT AND IS A COMPOSITE OF GEORGIA AND ALABAMA TRADITIONAL MEDICAID AND ALABAMA TRADITIONAL MEDICAID AND GEORGIA MANAGED CARE MEDICAID COST TO CHARGE RATIOS.

PART I, LN 7 COL(F):
BAD DEBT EXPENSE IN THE AMOUNT OF $4,071,767 WAS SUBTRACTED FROM FORM 990, PART IX, LINE 25 FOR PURPOSES OF COMPUTING THE PERCENTAGE IN THIS COLUMN.

PART II, COMMUNITY BUILDING ACTIVITIES:
N/A

PART III, LINE 4:
THE AMOUNT OF BAD DEBT EXPENSE AT COST WAS CALCULATED USING THE COST TO CHARGE RATIO FROM THE ORGANIZATION'S FISCAL YEAR 2014 FILED MEDICAID COST REPORT AND IS A COMPOSITE OF GEORGIA AND ALABAMA TRADITIONAL MEDICAID AND GEORGIA MANAGED CARE MEDICAID COST TO CHARGE RATIOS. THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE REGARDING BAD DEBT EXPENSE. BAD DEBT EXPENSE REPORTED ON THE INCOME STATEMENT IS CALCULATED ON HISTORICAL WRITE OFS AND THE PERCENTAGE OF GROSS CHARGES. ONCE GROSS CHARGES FOR SELF-PAY PATIENTS ARE CALCULATED FOR THE MONTH THEN THE HISTORICAL PERCENTAGE IS APPLIED TO THE CHARGES AND REPORTED ON THE FINANCIAL STATEMENT.

PART III, LINE 8:
THE DOCTOR'S HOSPITAL, INC. BELIEVES THAT ALL OF THE MEDICARE SHORTFALL REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. MEMBERS OF THE MEDICARE COMMUNITY ARE PROVIDED THE SAME CARE AND TREATMENT AS ALL OTHER PATIENTS OF THIS FACILITY. BECAUSE OF LOW PAYMENT RATES OF THE MEDICARE PROGRAM, LOSSES RELATED TO SERVING THIS IMPORTANT POPULATION OF OUR COMMUNITY INDICATE THAT DOCTOR'S HOSPITAL, INC. IS DEDICATED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS REGARDLESS OF REIMBURSEMENT. THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 WAS THE MEDICARE COST REPORT.

PART III, LINE 9B:
IT IS THE POLICY OF DOCTOR'S HOSPITAL, INC. TO PROVIDE QUALITY MEDICAL CARE TO ALL PATIENTS. THOSE PATIENTS REQUIRING FINANCIAL ASSISTANCE ARE TREATED IN THIS FACILITY AND ARE TREATED EQUALLY REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS THAT HAVE QUALIFIED FOR FINANCIAL ASSISTANCE ARE CATEGORIZED INTO GROUPS IN ORDER TO CAPTURE THEIR DISPOSITION FOR THE STATE OF GEORGIA INDIGENCY GUIDELINES.

PART VI, LINE 2:
THE FORMAL NEEDS ASSESSMENT WAS CONDUCTED BY THE INDEPENDENT RESEARCH FIRM, PROFESSIONAL RESEARCH CONSULTANTS, INC. THE HEALTH STATUS, BEHAVIORS AND NEEDS OF THE RESIDENTS OF MUSCOGEE COUNTY, GEORGIA WERE DETERMINED USING A SYSTEMATIC, DATA-DRIVEN APPROACH. THE COMMUNITY NEEDS ASSESSMENT PROVIDED INFORMATION TO ALLOW COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. TO: IDENTIFY NEEDS THAT IF ADDRESSED COULD LEAD TO IMPROVED HEALTH STATUS, INCREASE LIFE SPANS AND ELEVATE OVERALL QUALITY OF LIFE; REDUCE HEALTH DISPARITIES; AND INCREASE ACCESSIBILITY TO PREVENTATIVE SERVICES FOR ALL RESIDENTS IN THE SERVICE AREA. THE PRIMARY DATA FROM PROFESSIONAL RESEARCH CONSULTANTS IS REFLECTIVE OF A POPULATION-BASED TELEPHONE SURVEY WITH RANDOM SAMPLING OF RESIDENTS IN THE COMMUNITY SEGMENTED BY VARYING ZIP CODES FOR EASE OF GEOGRAPHICAL IDENTIFICATION. THE TELEPHONE SURVEYS INCLUDED LANDLINE SUPPLEMENTED BY CELL PHONE NUMBERS AND FINDINGS WERE GENERALIZED TO INDIVIDUALS VERSUS HOUSEHOLDS. IN ORDER TO QUANTIFY INDIVIDUAL EXPERIENCES AND BEHAVIORS, PROFESSIONAL RESEARCH CONSULTANTS USED THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM WHICH ALLOWED FOR RANDOMIZED SAMPLING WITHIN THE HOUSEHOLD. BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM IS A NATIONAL TELEPHONE HEALTH SURVEY SYSTEM ESTABLISHED BY THE CENTER FOR DISEASE CONTROL. THE SYSTEM ADDRESSES SUCH ISSUES AS MEDICAL CONDITIONS, ACCESS TO CARE AND INJURY CONTROL. THE INFORMATION FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM WAS COMBINED WITH THE PROFESSIONAL RESEARCH CONSULTANTS CUSTOMIZED COMMUNITY HEALTH SURVEY FINDINGS REFLECTIVE OF GENERAL HEALTH STATUS, PRIMARY CARE, ACCESS TO HEALTHCARE SERVICES, USE OF ALCOHOL AND TOBACCO, DISEASE SCREENING, NUTRITION AND PHYSICAL FITNESS, AMONG OTHERS TO COMPLETE THEIR PRIMARY RESEARCH.THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED FOURTEEN PRIORITY COMMUNITY NEEDS. COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. HAS SELECTED NINE OF THE IDENTIFIED PRIORITY AREAS TO FOCUS ITS EFFORTS. THOSE NINE WILL BE DIVIDED BETWEEN HUGHSTON HOSPITAL, INC., THE MEDICAL CENTER, INC. AND DOCTOR'S HOSPITAL, INC., THE THREE AFFILIATE HOSPITALS IN THE COLUMBUS REGIONAL HEALTHCARE SYSTEM.THE REMAINING FIVE PRIORITY AREAS WILL HAVE MORE LIMITED FOCUS BY THE COLUMBUS REGIONAL HEALTHCARE SYSTEM BUT WILL BE ADDRESSED BY THE SYSTEM IN MANY MEANINGFUL WAYS. COLUMBUS REGIONAL HEALTHCARE SYSTEM WILL PLAY A LEADERSHIP ROLE IN HELPING TO COORDINATE CARE AND SERVICES SO AS TO CONSERVE THE LIMITED FISCAL RESOURCES OF THE STATE AND FEDERAL GOVERNMENTS, WHILE REDUCING DUPLICATION OF SERVICES AND WHILE ALSO BEING A PRIMARY PROVIDER OF SERVICES AS FEASIBLE.WITH THE COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. DEVELOPED A THREE YEAR PLAN TO ADDRESS THE NINE PRIORITY AREAS. THE PLAN RELIES ON SPECIFIC, MEASURABLE, ACHIEVABLE, REALISTIC AND TIME SPECIFIC ACTION STEPS. THIS APPROACH WILL SUPPORT THE PROCESS OF ONGOING EVALUATION THROUGH EASIER IDENTIFICATION OF AREAS THAT NEED MODIFICATION AND CAN REASONABLY BE EXPECTED TO BE IMPACTED BY THE EFFORTS OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC.

PART VI, LINE 3:
THE ORGANIZATION HAS POSTED SIGNS IN ALL PATIENT ACCESS AREAS INFORMING THE PATIENTS OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS. WRITTEN INFORMATION IS ALSO PROVIDED TO ALL PATIENTS AT THE POINT OF REGISTRATION. IN ADDITION, ALL STATEMENTS SENT TO PATIENTS CONTAIN A MESSAGE ABOUT WHO TO CALL IF FINANCIAL ASSISTANCE IS NEEDED.

PART VI, LINE 4:
DOCTOR'S HOSPITAL, INC., LOCATED IN COLUMBUS, GEORGIA, IS A NOT-FOR-PROFIT 219-BED FULL SERVICE FACILITY OFFERING A FULL LINE OF MEDICAL AND SURGICAL SERVICES. COLUMBUS IS LOCATED APPROXIMATELY 100 MILES SOUTHWEST OF ATLANTA AND IS THE THIRD LARGEST CITY IN THE STATE OF GEORGIA AND THE 116TH LARGEST CITY IN THE UNITED STATES. THE CITY COVERS A TOTAL OF 220.8 SQUARE MILES WHICH INCLUDES 4.7 MILES OF WATER AND 216.1 MILES OF LAND. COLUMBUS IS LOCATED APPROXIMATELY ONE MILE FROM THE ALABAMA/GEORGIA BOUNDARY AND SERVES 2 COUNTIES IN ALABAMA. IN 2012, THE COLUMBUS, GEORGIA METROPOLITAN AREA HAD AN ESTIMATED POPULATION OF 198,413. THE WEST GEORGIA HEALTH DISTRICT IS LOCATED IN COLUMBUS AND SERVES A 15 COUNTY AREA IN GEORGIA WHICH INCLUDES TWO OF GEORGIA'S POOREST COUNTIES.COLUMBUS, GEORGIA IS LOCATED IN MUSCOGEE COUNTY WHICH IS COMPRISED OF 48.7% MALE AND 51.3% FEMALE POPULATION. THE ETHNIC MIX OF THE POPULATION IS 43.0% WHITE, 46.1% BLACK, 7.3% HISPANIC, AND 3.6% OTHER. APPROXIMATELY 2.6% ARE PERSONS OF MIXED RACE. PERSONS UNDER THE AGE OF 5 ACCOUNT FOR 7.6% OF THE POPULATION WHILE PERSONS UNDER AGE 18 ACCOUNT FOR 25.4% AND PERSONS OVER THE AGE OF 65 ACCOUNT FOR 11.5%. THERE ARE APPROXIMATLEY 2.45 PERSONS PER HOUSEHOLD. MEDIAN INCOME FOR THIS AREA IS $41,088. THE TOTAL OF 18.8% OF THE POPULATION IN THIS AREA IS BELOW THE POVERTY LEVEL.

PART VI, LINE 5:
DOCTOR'S HOSPITAL IS A NOT-FOR-PROFIT 219-BED GENERAL ACUTE CARE FACILITY THAT HAS SERVED THE REGION SINCE 1975. THE HOSPITAL IS KNOWN THROUGHOUT THE COMMUNITY FOR ITS QUALITY OF CARE AND CUSTOMER SERVICE. SERVICES INCLUDE MEDICAL AND SURGICAL SERVICES, IMAGING, A SLEEP DISORDERS CENTER AND SPECIALTY UNITS FOR GYNECOLOGY, OBSTETRICS, POST-SURGICAL, REHABILITATIVE AND TELEMETRY/CRITICAL CARE UNIT. THIS COMPREHENSIVE NETWORK OF SERVICES TOUCHES THE LIVES OF MOST OF THE CHILDREN AND ADULTS IN THIS REGION. DOCTOR'S HOSPITAL PLACES A PRIORITY ON EACH PATIENT ENCOUNTER AND LISTENS TO THE NEEDS OF THE COMMUNITY AND PROVIDES HIGH QUALITY SERVICE TO CONTINUALLY MEET THOSE NEEDS.DOCTOR'S HOSPITAL, INC. BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY LEADERS DEDICATED TO PROVIDING QUALITY HEALTHCARE FOR OUR COMMUNITY. IN GENERAL, OUR VOLUNTEER BOARD MEMBERS ARE PERSONS WHO RESIDE IN OUR PRIMARY SERVICE AREA AND NEITHER THEY (NOR THEIR FAMILY MEMBERS) ARE EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION.MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS AS DETERMINED THROUGH A DETAILED CREDENTIALING PROCESS. DOCTOR'S HOSPITAL, INC. HAS OVER 200 AFFILIATED PHYSICIANS WITH 100 PHYSICIANS IN THE ACTIVE OR ACTIVE PROFESSIONAL CATEGORIES PROVIDING HEALTHCARE SERVICE AT DOCTOR'S HOSPITAL, INC.THE ORGANIZATION REINVESTS ALL PROFITS BACK INTO PHYSICIAN AND STAFF TRAINING, AND FACILITIES AND EQUIPMENT TO CONTINUALLY IMPROVE PATIENT CARE. IN CONTRAST TO INVESTOR-OWNED HOSPITALS, NO PART OF NET EARNINGS DIRECTLY OR INDIRECTLY BENEFITS ANY PRIVATE SHAREHOLDERS OR INDIVIDUALS.

PART VI, LINE 6:
DOCTOR'S HOSPITAL, INC. IS PART OF THE COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. THIS SYSTEM WAS ORGANIZED TO PLAN, DEVELOP AND COORDINATE THE ACTIVITIES OF AN INTEGRATED HEALTH NETWORK SERVING WEST GEORGIA AND EAST ALABAMA. ITS RESPONSIBILITIES INCLUDE STRATEGIC PLANNING, PROJECT DEVELOPMENT, RESOURCE ALLOCATION, PROPERTY MANAGEMENT, DEVELOPMENT OF PHYSICIAN PRACTICES, MARKETING AND COMMUNICATION AND COMMUNITY HEALTH EDUCATION. AS A PART OF THIS SYSTEM, DOCTOR'S HOSPITAL, INC. MAKES QUALITY HEALTH CARE SERVICES AVAILABLE TO EVERYONE IN ITS SERVICE AREA, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE SERVICES PROVIDED INCLUDE ACUTE, PRIMARY AND PREVENTIVE CARE, MEDICAL EDUCATION, CLINICAL TRAINING AND COMMUNITY EDUCATION. ALL AFFILIATES IN THIS SYSTEM PLACE A HIGH PRIORITY ON EXCEEDING THE EXPECTATIONS OF EACH PATIENT, VISITOR AND CUSTOMER.AFFILIATES OF DOCTOR'S HOSPITAL, INC. IN THE COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. INCLUDE:1) COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. - A NOT-FOR-PROFIT COMPANY SERVING COLUMBUS AND SURROUNDING COUNTIES. COLUMBUS AMBULATORY HEALTHCARE SERVICES PROVIDES A WIDE VARIETY OF PRIMARY AND SPECIALTY PHYSICIAN SERVICES TO ALL PATIENTS REQUESTING SUCH SERVICES REGARDLESS OF ABILITY TO PAY. MANY OF THESE PATIENTS ARE CLASSIFIED AS INDIGENT RESIDENTS OF MUSCOGEE COUNTY, AND AS SUCH ARE COVERED THROUGH A CONTRACTUAL AGREEMENT WITH THE COLUMBUS CONSOLIDATED GOVERNMENT.2) COLUMBUS REGIONAL MEDICAL FOUNDATION, INC. - A NOT-FOR-PROFIT FOUNDATION ESTABLISHED IN 1983 TO ENDOW AND PROMOTE THE MEDICAL CHARITABLE AND EDUCATIONAL SERVICES OF THE MEDICAL CENTER, INC. PRIMARY FUNCTIONS OF THE FOUNDATION INCLUDE FUND-RAISING TO SUPPORT THE JOHN B. AMOS CANCER CENTER AT THE MEDICAL CENTER, INC. AND THE CHILDREN'S MIRACLE NETWORK, TO SUPPORT CLINICAL EDUCATION THROUGH STUDENT SCHOLARSHIPS AND FELLOWSHIPS, AND TO PROVIDE FUNDING FOR THE MEDICAL CENTER TO PURCHASE HEALTH, MEDICAL AND RELATED EQUIPMENT TO BENEFIT PATIENTS AND ENHANCE SERVICES TO THE COMMUNITY.3) THE MEDICAL CENTER, INC. - A NOT-FOR-PROFIT 413-BED LICENSED ACUTE CARE HOSPITAL LOCATED IN COLUMBUS, GEORGIA. IN KEEPING WITH ITS TAX EXEMPT MISSION, THE MEDICAL CENTER MAKES QUALITY HEALTH CARE SERVICES AVAILABLE TO EVERYONE IN ITS SERVICE AREA, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE SERVICES PROVIDED INCLUDED ACUTE, PRIMARY AND PREVENTIVE CARE, MEDICAL EDUCATION, CLINICAL TRANING AND COMMUNITY EDUCATION.4) HUGHSTON HOSPITAL, INC. - A NOT-FOR-PROFIT ORGANIZATION PROVIDING ORTHOPEDIC AND REHABILITATIVE CARE. SERVICES ARE FOCUSED EXCLUSIVELY ON ORTHOPEDIC RELATED NEEDS. HUGHSTON HOSPITAL WAS THE NATION'S FIRST HOSPITAL DESIGNATED TO TREAT PATIENTS WITH MUSCULOSKELETAL INJURIES OR DISORDERS. TODAY, THE 100-BED, PRIVATE ROOM, ACUTE CARE HOSPITAL IS NATIONALLY RECOGNIZED FOR DELIVERING OUTSTANDING CLINICAL QUALITY AND THE HIGHEST LEVELS OF CUSTOMER SERVICE. SERVICES ARE DELIVERED THROUGH HIGHLY SPECIALIZED TEAMS OF PROFESSIONALS USING THE LATEST TECHNOLOGY AND RESEARCH TO CARE FOR PEOPLE OF EVERY AGE AND ABILITY AND EVERY LEVEL OF MUSCULOSKELETAL INJURY OR DISORDER.5) COLUMBUS REGIONAL SENIOR LIVING, INC. - A NOT-FOR-PROFIT CONTINUING CARE RETIREMENT COMMUNITY NAMED SPRING HARBOR AT GREEN ISLAND. SPRING HARBOR PROVIDES CONTINUING CARE LIVING FOR INDEPENDENT OLDER ADULTS WITH COMPREHENSIVE HEALTH AND MEDICAL SERVICES AVAILABLE, INCLUDING ASSISTED LIVING, ALZHEIMER'S DISEASE CARE AND LONG-TERM NURSING CARE. THIS COMMUNITY IS DESIGNED FOR PEOPLE 62 OR OLDER. INDEPENDENT LIVING UNITS INCLUDE TWO AND THREE-BEDROOM APARTMENTS AND GARDEN HOMES. ALL UNITS ARE EQUIPPED WITH CALL SYSTEMS TO SUMMON HELP IF A HEALTH OR MEDICAL PROBLEM ARISES. 6) COLUMBUS REGIONAL AUXILIARY (FORMERLY THE MEDICAL CENTER AUXILIARY) - A NOT-FOR-PROFIT ORGANIZATION PROVIDING A WIDE VARIETY OF VALUABLE SERVICES TO THE MEDICAL CENTER, DOCTOR'S HOSPITAL AND HUGHSTON HOSPITAL. THE AUXILIARY WAS ESTABLISHED IN 1963. MEMBERS VOLUNTEER IN DIFFERENT DEPARTMENTS THROUGHOUT THE ORGANIZATION TO PROVIDE ASSISTANCE TO PATIENTS AND THEIR FAMILIES AND EMPLOYEES. MEMBERS ALSO ASSIST WITH VARIOUS COMMUNITY ACTIVITIES ON BEHALF OF THE THREE AFFILIATE HOSPITALS. ON APRIL 1, 2013, THE MEDICAL CENTER AUXILIARY AND DOCTOR'S HOSPITAL AUXILIARY MERGED TO FORM COLUMBUS REGIONAL AUXILIARY.7) CRHS LONG TERM AND HOME CARE, INC. - A NOT-FOR-PROFIT ORGANIZATION FORMED TO PROVIDE SKILLED NURSING FACILITIES FOR RESIDENTS OF MUSCOGEE COUNTY. CRHS LONG TERM AND HOME CARE, INC. SOLD ITS FACILITY TO THE HOSPITAL AUTHORITY IN MARCH 2012.

PART VI, LINE 7, REPORTS FILED WITH STATES
GA

Operating expenses	$ 48,699,591
Total amount spent on community benefits as % of operating expenses	$ -164,512 -0.34 %