Attach to Form 990 or Form 990-EZ.
See separate instructions.| (i) Name of supported organization |
(ii) EIN |
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) |
(iv) Is the organization in col. (i) listed in your governing document? |
(v) Did you notify the organization in col. (i) of your support? |
(vi) Is the organization in col. (i) organized in the U.S.? |
(vii) Amount of support? |
|||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| (1)
DOCTOR'S HOSPITAL |
261739383 | 3 | Yes | Yes | Yes | 0 | |||
| Total | 0 | ||||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3.. | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public Support. Subtract line 5 from line 4. | ||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public Support (Subtract line 7c from line 6.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | ||||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | DOCTOR'S HOSPITAL AUXILIARY HAS THREE CLASSES OR MEMBERS - ACTIVE, ASSOCIATES AND LIFE MEMBER. MEMBERS IN GOOD STANDING HAVE THE RIGHT TO VOTE, PARTICIPATE IN MEETINGS AND TO HOLD OFFICE IN THE AUXILIARY. OFFICERS OF THE ORGANIZATION ARE ELECTED BY MAJORITY VOTE OF THE ACTIVE MEMBERS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | DOCTOR'S HOSPITAL AUXILIARY HAS THREE CLASSES OR MEMBERS - ACTIVE, ASSOCIATES AND LIFE MEMBER. MEMBERS IN GOOD STANDING HAVE THE RIGHT TO VOTE, PARTICIPATE IN MEETINGS AND TO HOLD OFFICE IN THE AUXILIARY. OFFICERS OF THE ORGANIZATION ARE ELECTED BY MAJORITY VOTE OF THE ACTIVE MEMBERS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | ALL ACTIONS OF THE EXECUTIVE COMMITTEE ARE SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS OF DOCTOR'S HOSPITAL INC., A RELATED 501(C)(3) ORGANIZATION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | INFORMATION FOR THE RETURN IS PROVIDED TO AN OUTSIDE CPA FIRM FOR PREPARATION. AFTER THE RETURN IS PREPARED, IT IS REVEIWED BY THE TREASURER OF DOCTOR'S HOSPITAL, INC. CURRENTLY A COPY OF THE FORM 990 IS NOT PROVIDED TO THE GOVERNING BODY PRIOR TO FILING. THE ORGANIZATION IS CURRENTLY REVIEWING THIS PROCESS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | IT IS THE POLICY OF DOCTOR'S HOSPITAL THAT EMPLOYEES AND AGENTS CANNOT PARTICIPATE IN ANY ACTIVITIES THAT CONFLICT WITH, OR APPEAR TO CONFLICT WITH, THEIR PROFESSIONAL RESPONSIBILITES TO THE ORGANIZATION. IT IS THE POLICY OF DOCTOR'S HOSPITAL TO PROVIDE MECHANISM BY WHICH EMPLOYEES, MEDICAL STAFF AND OTHER ASSOCIATES OF THE ORGANIZATION MAY REPORT SUSPECTED VIOLATION OF GOVERNMENT LAWS OR CORPORATE POLICIES WITHOUT FEAR OF RETALIATION OR TERMINATION OF EMPLOYMENT. EMPLOYEES AND AGENTS HAVE A RESPONSIBILITY TO REPORT SUSPECTED VIOLATIONS, PROVIDED THEY ARE REPORTING IN GOOD FAITH AND HAVE THE EVIDENCE TO SUPPORT THEIR SUSPICION. DOCTOR'S HOSPITAL ENCOURAGES THE DEVELOPMENT OF AN "OPEN DOOR" POLICY BY MANAGERS TO WELCOME COMMENTS, CONCERNS AND QUESTIONS FROM THEIR EMPLOYEES AND AGENTS. SUSPECTED CONFLICT OF INTEREST VIOLATIONS MAY BE REPORTED TO MANAGERS OR SUPERVISORS, VIOLATION MAY ALSO BE REPORTED TO THE CORPORATE COMPLIANCE OFFICER (BY PHONE, E-MAIL OR IN PERSON), BY COMPLETING A FORM, OR CONTACTING THE COMPLIANCE HELPLINE. IF AN INDIVIDUAL IS HESISTANT ABOUT USING ANY OF THESE REPORTING MECHANISMS, HE/SHE MAY CONTACT DOCTOR'S HOSPITAL CHIEF EXECUTIVE OFFICER. ALL REPORTS OF SUSPECTED VIOLATIONS ARE INVESTIGATED IN A PROMPT AND REASONABLE MANNER BY THE CORPORATE COMPLIANCE OFFICER OR, AS APPROPRIATE, BY A MEMBER OF THE CORPORATE COMPLIANCE COMITTEE. AN INHERENT AND IMPORTANT PART OF DOCTOR'S HOSPITAL'S CORPORATE COMPLIANCE PROGRAM INVOLVES MEASURING THE EFFECTIVENESS OF THE PROGRAM IN ADHERING TO SPECIFIC GOVERNMENTAL REGULATION, CORPORATE POLICIES AND BUSINESS ETHICAL STANDARDS. AT THE DESIGNATION OF MANAGEMENT, COMPLIANCE ACTIVITIES ARE REVIEWED. THE CORPORATE COMPLIANCE OFFICER ENSURES THAT THE RESULTS OF COMPLIANCE-RELATED AUDITS, HELPLINE ACTIVITY, EMPLOYEE COMPLIANCE ACTIVITIES AND OTHER COMPLIANCE ISSUES DEEMED RELEVANT ARE REPORTED ON A PERIODIC BASIS TO DOCTOR'S HOSPITAL'S CEO. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CONFLICT OF INTEREST POLICY, IN ADDITION TO OTHER CORPORATE AND GOVERNING POLICIES IS NOT MADE AVAILABLE TO THE PUBLIC. |
| Software ID: | |
| Software Version: |
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Affiliated Group Business Name:
COLUMBUS REGIONAL HEALTHCARE SYSTEM INC
Address. Either US or Foreign Type:
707 CENTER STREET
COLUMBUS, GA31901 EIN:
58-1719994
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
27,379
Total Lobbying Expenditures:
27,379
Other Exempt Purpose Expenditures:
27,913,836
Total Exempt Purpose Expenditures:
27,941,215
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
CRHS LONG TERM & HOME CARE INC
Address. Either US or Foreign Type:
707 CENTER STREET
COLUMBUS, GA31901 EIN:
58-1778572
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
6,741,731
Total Exempt Purpose Expenditures:
6,741,731
Lobbying Nontaxable Amount:
487,087
Grassroots Nontaxable Amount:
121,772
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
COLUMBUS AMBULATORY HEALTHCARE SERVICES
Address. Either US or Foreign Type:
707 CENTER STREET
COLUMBUS, GA31901 EIN:
58-1719867
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
17,119,228
Total Exempt Purpose Expenditures:
17,119,228
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
COLUMBUS SENIOR LIVING
Address. Either US or Foreign Type:
707 CENTER STREET
COLUMBUS, GA31901 EIN:
58-2628502
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
5,263,411
Total Exempt Purpose Expenditures:
5,263,411
Lobbying Nontaxable Amount:
413,171
Grassroots Nontaxable Amount:
103,293
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
MEDICAL CENTER AUXILIARY
Address. Either US or Foreign Type:
707 CENTER STREET
COLUMBUS, GA31901 EIN:
58-0917974
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
666,522
Total Exempt Purpose Expenditures:
666,522
Lobbying Nontaxable Amount:
124,978
Grassroots Nontaxable Amount:
31,245
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
DOCTOR'S HOSPITAL
Address. Either US or Foreign Type:
707 CENTER STREET
COLUMBUS, GA31901 EIN:
26-1739383
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
77,919,754
Total Exempt Purpose Expenditures:
77,919,754
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
MOB MANAGEMENT CORPORATION INC
Address. Either US or Foreign Type:
PO BOX 951
COLUMBUS, GA31902 EIN:
30-0001028
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
HUGHSTON HOSPITAL INC
Address. Either US or Foreign Type:
707 CENTER STREET
COLUMBUS, GA31901 EIN:
33-1216751
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
62,330,503
Total Exempt Purpose Expenditures:
62,330,503
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
THE MEDICAL CENTER INC
Address. Either US or Foreign Type:
710 CENTER STREET
COLUMBUS, GA31901 EIN:
58-1685139
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
318,347,042
Total Exempt Purpose Expenditures:
318,347,042
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
COLUMBUS REGIONAL MEDICAL FOUNDATION INC
Address. Either US or Foreign Type:
707 CENTER STREET
COLUMBUS, GA31901 EIN:
58-1501642
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
2,362,580
Total Exempt Purpose Expenditures:
2,362,580
Lobbying Nontaxable Amount:
268,129
Grassroots Nontaxable Amount:
67,032
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
DOCTOR'S HOSPITAL AUXILIARY
Address. Either US or Foreign Type:
616 19TH STREET
COLUMBUS, GA31901 EIN:
58-1295777
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
71,366
Total Exempt Purpose Expenditures:
71,366
Lobbying Nontaxable Amount:
14,273
Grassroots Nontaxable Amount:
3,568
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|