TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) MAX BRABSON JR...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(2) KATHRYN CHEEK MD...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(3) CECIL CHEVES...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(4) TODD JARRELL MD...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(5) JOEY LOUDERMILK...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(6) LILIANA MCDANIEL...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(7) WILLIAM ROUNDTREE MD...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(8) CAROLE RUTLAND PHD...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(9) WARREN STEELE II...................................................................... CHAIRMAN	2.00 .................	X	X	0	0	0
(10) M SCOTT HILL...................................................................... PRESIDENT & CEO	2.00 ................. 40.00	X	X	0	704,762	138,490
(11) WILL WHITE...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(12) SHANE DARRAH MD...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(13) JUDGE JOHN ALLEN...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(14) JOHN DALE HESTER...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(15) JACK PEZOLD...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(16) ALLEN R BUTCHER...................................................................... SR. VP & CFO	40.00 ................. 2.00		X	0	458,599	88,639
(17) RYAN CHANDLER...................................................................... CEO - THE MEDICAL CENTER	40.00 .................		X	400,304	0	84,827

(A) Name and business address	(B) Description of services	(C) Compensation
HSS SYSTEMS LLC 6640 CAROTHERS PKWY FRANKLIN,TN37067	REVENUE CYCLE SERVICES	6,967,674
THE ROBINS & MORTON GROUP 400 SHADES CREEK PKWY 100 BIRMINGHAM,AL35209	CONTRACTING	3,546,874
KING & SPALDING PO BOX 116133 ATLANTA,GA30368	LEGAL SERVICES	2,474,112
WELLS FARGO EQUIPMENT FINANCE 35 TECHNOLOGY PKWY S NORCROSS,GA30092	FINANCING SERVICES	2,106,348
SOUTHERN PHYSICIAN MEDICINE SERVICES 710 CENTER ST COLUMBUS,GA31901	PHYSICIAN SERVICES	1,900,000
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 35

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

THE MEDICAL CENTER INC

Employer identification number

58-1685139

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

THE MEDICAL CENTER INC

Employer identification number

58-1685139

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization THE MEDICAL CENTER INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization THE MEDICAL CENTER INC		Employer identification number 58-1685139

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization THE MEDICAL CENTER INC			Employer identification number 58-1685139
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

THE MEDICAL CENTER INC

Employer identification number

58-1685139

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures). Click to see attachment

B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................	9,680	25,509
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................	9,680	25,509
d	Other exempt purpose expenditures .........................................................................................	379,655,541	516,649,160
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................	379,665,221	516,674,669
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................	250,000	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................	0	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................	0	0
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................		Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	32,191	14,315	26,833	25,509	98,848

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-A	THIS REPORTING IS A RESULT OF DUES PAID TO GEORGIA HOSPITAL ASSOCIATION AND ALABAMA HOSPITAL ASSOCIATION, WHO PERFORMED THESE ACTIVITIES ON BEHALF OF ALL THEIR MEMBERS.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

THE MEDICAL CENTER INC

Employer identification number

58-1685139

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	613,831	613,831	613,831	613,831	613,831
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	613,831	613,831	613,831	613,831	613,831

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	16,509,138		16,509,138
b	Buildings	177,498,540	73,254,138	104,244,402
c	Leasehold improvements	267,545	636,073	-368,528
d	Equipment ...	191,564,647	151,338,238	40,226,409
e	Other ...	3,679,530	331,351	3,348,179
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				163,959,600

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) INTERCOMPANY RECEIVABLES				84,038,666
(2) UNAMORTIZED BOND ISSUE COSTS				6,314,820
(3) GUARANTEED INCOME				921,477
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				91,274,963

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
PROFESSIONAL LIABILITY	10,261,625
SETTLEMENT LOSS LIABILITY	15,133,318
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	25,394,943
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

OPERATIONS OF THE MEDICAL CENTER - TO BE USED FOR THE PEDIATRIC INTENSIVIST AND PET.

PART X, LINE 2:

THE SYSTEM IS PRIMARILY COMPRISED OF ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. WITH RESPECT TO ANY INCOME GENERATED BY FOR-PROFIT SUBSIDIARIES OR UNRELATED BUSINESS INCOME, THE SYSTEM RECORDS INCOME TAXES USING THE LIABILITY METHOD UNDER WHICH THE DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR TO BE SETTLED. THE SYSTEM HAS EVALUATED ITS TAX POSITIONS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2016 AND 2015. FISCAL YEARS ENDED ON OR AFTER JUNE 30, 2013 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

THE MEDICAL CENTER INC

Employer identification number

58-1685139

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 12500.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 18500.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	1,111,552	79,250	1,032,302	0.270 %
b	Medicaid (from Worksheet 3, column a) . . . . .	39,051,845	52,430,166	-13,378,321	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	1,218,060	13,436,963	-12,218,903	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	41,381,457	65,946,379	-24,564,922	0.270 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	673,642	259,160	414,482	0.110 %
f	Health professions education (from Worksheet 5) . . .	7,189,835	1,466,650	5,723,185	1.510 %
g	Subsidized health services (from Worksheet 6) . . . .	0	0
h	Research (from Worksheet 7) .	285,731	141,458	144,273	0.040 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	8,149,208	1,867,268	6,281,940	1.660 %
k	Total. Add lines 7d and 7j .	49,530,665	67,813,647	-18,282,982	1.930 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

65,625,964

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

12,671,298

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

66,027,481

Enter Medicare allowable costs of care relating to payments on line 5.....

63,158,943

Subtract line 6 from line 5. This is the surplus (or shortfall)........

2,868,538

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Other (Describe)
1	THE MEDICAL CENTER INC 710 CENTER STREET COLUMBUS,GA31901 WWW.COLUMBUSREGIONAL.COM	X	X	X	X	NURSING HOME

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	THE MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://COLUMBUSREGIONAL.COM/ABOUT-US/COMMUNITY-OUTREACH/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://COLUMBUSREGIONAL.COM/ABOUT-US/COMMUNITY-OUTREACH/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	THE MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 125.000000000000% and FPG family income limit for eligibility for discounted care of 185.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTPS://COLUMBUSREGIONAL.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/

The FAP application form was widely available on a website (list url):

HTTPS://COLUMBUSREGIONAL.COM/MEDIA/1487/FINANCIAL-ASSISTANCE-APPLICATION.PD

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://COLUMBUSREGIONAL.COM/MEDIA/1489/CRH-PLAIN-LANGUAGE-SUMMARY.PDF

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	THE MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
THE MEDICAL CENTER, INC.	PART V, SECTION B, LINE 5: TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY COLUMBUS REGIONAL HEALTHCARE SYSTEM AND COLUMBUS SPECIALTY HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 104 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED BELOW: NUMBER INVITED NUMBER PARTICIPATING COMMUNITY/BUSINESS LEADER 96 41OTHER HEALTH PROVIDER 46 23PHYSICIAN 17 8PUBLIC HEALTH REPRESENTATIVE 7 5SOCIAL SERVICES PROVIDER 52 27
THE MEDICAL CENTER, INC.	PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FOR COLUMBUS REGIONAL HEALTHCARE SYSTEM, FEIN 58-1719994, WHICH INCLUDES THE MEDICAL CENTER,INC. AND HUGHSTON HOSPITAL, INC., FEIN 33-1216751.
THE MEDICAL CENTER, INC.	PART V, SECTION B, LINE 11: 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: THE MEDICAL CENTER SHALL PRIMARILY COORDINATE STRATEGIES TO DEAL WITH DIABETES, LUNG CANCER,AND STROKETHE ENTIRE RESPONSE CAN BE ACCESSED AT:HTTPS://COLUMBUSREGIONAL.COM/MEDIA/1589/2016-2019-CHNA-ACTION-PLANS.PDF
THE MEDICAL CENTER, INC.	PART V, SECTION B, LINE 13B: THE MEDICAL CENTER, INC. ALSO CONSIDERS PATIENTS WITH INCOME LOW ENOUGH THAT THEY ARE NOT REQUIRED TO FILE AN INCOME TAX RETURN.
THE MEDICAL CENTER, INC.	PART V, SECTION B, LINE 13H: IN CALCULATING AMOUNTS CHARGED TO FINANCIAL ASSISTANCE POLICY ELIGIBLE PATIENTS, THE MEDICAL CENTER, INC. ALSO CONSIDERS THE RESIDENCY OF APPLICANTS TO DETERMINE FOR WHICH FINANCIAL ASSISTANCE PROGRAM THE PATIENT MAY QUALIFY.
THE MEDICAL CENTER, INC.	PART V, SECTION B, LINE 22D: FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, A DISCOUNT OF 30-40% BILLED CHARGES IS AVAILABLE. NO PATIENT IS EXPECTED TO PAY MORE THAN COMMERCIAL PAYER'S BEST DISCOUNT.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address		Type of Facility (describe)
1	1 - COLUMBUS DIAGNOSTIC IMAGING CTR LLC 116 INTRACOASTAL POINTE DR 300 JUPITER,FL33477	DIAGNOSTIC IMAGING
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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 2015 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 $65,625,964 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 2:	AN ESTIMATE OF THE AMOUNT OF THE PATIENT'S PORTION OF ACCOUNTS RECEIVABLE THAT WILL NOT BE COLLECTED IS ESTABLISHED AT THE END OF EVERY MONTH BASED ON HISTORICAL COLLECTIONS RATIOS FOR EACH 30 DAY AGED GROUPING. THE BAD DEBT EXPENSE IS THE CUMULATIVE VALUE OF THIS MONTHLY ADJUSTMENTS FOR THE FY.
PART III, LINE 3:	MANY PATIENTS REFUSE TO PROVIDE THE HOUSEHOLD INCOME INFORMATION, PROOF OF RESIDENCY AND OTHER REQUIREMENTS OF OUR POLICY THAT WOULD QUALIFY THEM AS INDIGENT OR DESERVING OF A DISCOUNT. WE ESTIMATE THIS TO BE 2/3 OF THE UNINSURED GROSS CHARGES WRITTEN OFF AND HAVE VALUED IT AT OUR CURRENT YEAR'S COST TO CHARGE RATIO.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF BOTH AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND AN ESTIMATED ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS. THE CONTRACTUAL ALLOWANCE REPRESENTS THE DIFFERENCE BETWEEN ESTABLISHED BILLING RATES AND ESTIMATED REIMBURSEMENT FROM MEDICARE, MEDICAID, AND OTHER THIRD-PARTY PAYMENT PROGRAMS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTIMATED BASED UPON THE AGE OF THE PATIENT ACCOUNT, PRIOR EXPERIENCE AND ANY UNUSUAL CIRCUMSTANCES WHICH MAY AFFECT THE COLLECTABILITY OF RECEIVABLES, INCLUDING MANAGEMENT'S ASSUMPTIONS AND JUDGMENTS ABOUT CONDITIONS IT EXPECTS TO EXIST AND COURSES OF ACTION IT EXPECTS TO TAKE.
PART III, LINE 8:	THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 WAS THE MEDICARE COST REPORT. THE COSTS ARE ALLOCATED TO THE VARIOUS DEPARTMENTS USING A STEP DOWN APPROACH AND REMOVING ANY COSTS THAT ARE NOT ALLOWABLE UNDER MEDICARE RULES.
PART III, LINE 9B:	IT IS THE POLICY OF THE MEDICAL CENTER, 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.UNINSURED PATIENTS AUTOMATICALLY QUALIFY FOR FINANCIAL ASSISTANCE IF INCOME LEVELS ARE AT OR BELOW 185% OF LATEST PUBLISHED FEDERAL POVERTY GUIDELINES. PATIENT CHARGES ARE DISCOUNTED 100% IF PATIENT AND/OR GUARANTOR'S ANNUAL INCOME IS AT OR BELOW 125% OF LATEST PUBLISHED FEDERAL POVERTY GUIDELINES.PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THESE INCOME GUIDELINES, BUT WHOSE HOSPITAL CHARGES EXCEED 50% OF THEIR ANNUAL INCOME, AND IT IS NOT REASONABLE TO EXPECT TO RECEIVE REIMBURSEMENT WITHOUT EXCESSIVE HARDSHIP DUE TO THE VERY LARGE BALANCE OF DEBT MAY BE CLASSIFIED AS COLUMBUS REGIONAL CHARITY (CATASTROPHIC).ONCE CLASSIFIED IN ONE OF THESE THREE GROUPS, THE ORGANIZATION DOES NOT SEEK TO COLLECT ANY AMOUNTS WRITTEN OFF UNDER THIS POLICY FROM SUCH PATIENTS.ALL PATIENTS REQUIRING FINANCIAL ASSISTANCE ARE ASKED TO COMPLETE AN APPLICATION PROVIDING DEMOGRAPHIC INFORMATION, UNINSURED STATUS AND INCOME.UNINSURED PATIENTS NOT MEETING FINANCIAL ASSISTANCE CRITERIA AUTOMATICALLY RECEIVE A PERCENTAGE DISCOUNT FROM GROSS CHARGES EQUIVALENT TO A CALCULATED AVERAGE CONTRACT DISCOUNT.
PART VI, LINE 2:	IN ADDITION TO THE CHNAS REPORTED IN PART V, SECTION B THE MEDICAL CENTER ALSO HAS THE THREE FOLLOWING PROGRAMS:PARTNERS IN EDUCATIONTHE MEDICAL CENTER PARTNERS WITH CLUBVIEW ELEMENTARY SCHOOL IN THE PARTNERS IN EDUCATION PROGRAM OF THE GREATER COLUMBUS CHAMBER OF COMMERCE. MANAGEMENT AND EMPLOYEES SUPPORT A VARIETY OF ACTIVITIES DURING THE SCHOOL YEAR, INCLUDING A MONTHLY AMAZING AMBASSADORS RECOGNITION BREAKFAST, A MONTHLY WONDERFUL WEDNESDAY EDUCATION PROGRAM, AND PARTICIPATION IN CAREER DAY. STUDENTS FROM THE SCHOOLS PERFORM AT VARIOUS COLUMBUS REGIONAL HEALTH ACTIVITIES SUCH AS THE ANNUAL TREE OF LIGHT CELEBRATION AT THE MEDICAL CENTER.HEALTH MOBILE UNITTHE MOBILE UNIT OFFERS SERVICES AND HEALTH EDUCATION PROGRAMS TO RESPOND TO NEEDS AND IMPROVE THE HEALTH OF THE CHATTAHOOCHEE VALLEY AREA. THE 40-FOOT VEHICLE, WHICH SERVES AS A MOBILE CLINIC, CONSISTS OF A WAITING AREA, WELL-EQUIPPED EXAM ROOMS AND A LAB. THE UNIT TEAM CONSISTS OF AN RN (MOBILE UNIT COORDINATOR), PHYSICIANS AND A PHARMACIST. THROUGH HEALTH SCREENINGS, HEALTH AND WELLNESS EDUCATION AND RESOURCES, THE UNIT IS ABLE TO HELP IDENTIFY AND TARGET HEALTH RISKS. EARLY DETECTION OF POTENTIAL AND EXISTING MEDICAL CONDITIONS ALLOWS FOR MORE EFFECTIVE TREATMENT AND SUPPORTS OVERALL HEALTH. THE UNIT SERVES A MULTITUDE OF ORGANIZATIONS (I.E. HEALTH DEPARTMENTS, CIVIC ORGANIZATIONS, SCHOOL SYSTEMS AND CHURCHES). THE UNIT PROVIDES AN OPPORTUNITY FOR THOSE IT SERVES TO TAKE PREVENTIVE MEASURES, ENSURING THEIR HEALTH AND WELL-BEING. THESE TYPES OF LIFE-CHANGING DIAGNOSES ARE MADE POSSIBLE BECAUSE OF THE MOBILE UNIT'S WORK IN THE COMMUNITY.SOURCESOURCE PROVIDES IN-HOME HEALTH AND MEDICAL SERVICES FOR THE AGED AND DISABLED ON MEDICAID, AND HELPS THEM REMAIN IN THEIR HOMES FOR AS LONG AS POSSIBLE, AVOIDING OR DELAYING COSTLY LONG-TERM PLACEMENT IN NURSING FACILITIES. SOURCE STANDS FOR SERVICE OPTIONS USING RESOURCES IN COMMUNITY ENVIRONMENTS.THE GOALS OF THE PROGRAM ARE:-TO REDUCE THE NEED FOR LONG-TERM PLACEMENT WHILE INCREASING OPTIONS IN THE COMMUNITY-TO ELIMINATE FRAGMENTED CARE AND ENHANCE WELLNESS-TO ENCOURAGE COST-EFFECTIVE USE OF STATE MEDICAID RESOURCES
PART VI, LINE 3:	IN ADDITION TO THE WEBSITES ALREADY PROVIDED 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:	THE STUDY AREA FOR THE SURVEY EFFORT IS DEFINED AS THE PRIMARY RESIDENTIAL ZIP CODES COMPRISING MUSCOGEE COUNTY, GEORGIA INCLUDING, 31804, 31808, 31820, 31829, 31901, 31903, 31904, 31906, 31907, AND 31909.COLUMBUS, GEORGIA IS LOCATED IN MUSCOGEE COUNTY WHICH IS COMPRISED OF 46.4% MALE AND 53.6% FEMALE. IN LOOKING AT RACE INDEPENDENT OF ETHNICITY (HISPANIC OR LATINO ORIGIN), 46.5% OF RESIDENTS ARE WHITE AND 45.1% ARE BLACK. A TOTAL OF 6.8% RESIDENTS ARE HISPANIC OR LATINO. 25.3% OF THE POPULATION ARE INFANTS, CHILDREN OR ADOLESCENTS (AGE 0-17); ANOTHER 63.2% ARE AGE 18 TO 64, WHILE 11.6% ARE AGE 65 AND OLDER.THERE ARE APPROXIMATELY 43.1%, AN ESTIMATED 78,668 INDIVIDUALS, UNDER THE 200% FEDERAL POVERTY LEVEL.
PART VI, LINE 5:	THE MEDICAL CENTER, INC., IS A NOT-FOR-PROFIT, 583-LICENSED BED, ACUTE-CARE HOSPITAL. 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 INCLUDE ACUTE, PRIMARY AND PREVENTIVE CARE, MEDICAL EDUCATION, CLINICAL TRAINING AND COMMUNITY EDUCATION.THE MEDICAL CENTER PROVIDES ACUTE, PREVENTIVE AND LONG-TERM CARE THROUGH REHABILITATION HOSPITAL OF PHENIX CITY OWNED BY THE MEDICAL CENTER TO RESIDENTS OF MUSCOGEE COUNTY AND THE SURROUNDING 29 COUNTIES THAT MAKE UP THE MEDICAL CENTER'S EXTENDED SERVICE AREA. THE MEDICAL CENTER PROVIDES A WIDE ARRAY OF DIAGNOSTIC AND TREATMENT SERVICES, MANY OF WHICH ARE UNAVAILABLE AT OTHER LOCATIONS IN THE REGION. THESE SERVICES INCLUDE:-A REGIONAL TRAUMA CENTER FOR THE 13-COUNTY EMERGENCY SERVICE REGION 7.-THE AREA'S ONLY LEVEL III OBSTETRICAL SERVICES AND HIGH-RISK NURSERY. THE MEDICAL CENTER'S REGIONAL PERINATAL REFERRAL CENTER COVERS 21 COUNTIES IN GEORGIA. IT ALSO SERVES TWO COUNTIES IN ALABAMA.-THE REGION'S ONLY 24-HOUR, FULL-SERVICE INPATIENT PHARMACY AND ANESTHESIA SERVICES.-A DEDICATED PEDIATRIC UNIT AND THE REGION'S ONLY PEDIATRIC INTENSIVE CARE UNIT AND PEDIATRIC EMERGENCY ROOM.-THE JOHN B. AMOS CANCER CENTER, THE REGION'S LEADING PROVIDER OF CANCER SERVICES. THE JOHN B. AMOS CANCER CENTER OPENED IN 2005. IT IS A FREESTANDING FACILITY OF APPROXIMATELY 50,000 SQUARE FEET OFFERING ADVANCED DIAGNOSTIC AND TREATMENT CAPABILITIES, PATIENT AND FAMILY SERVICES, AN ONCOLOGY PHARMACY, AND COMMUNITY EDUCATION PROGRAMS.REALIZING THAT HEALTH CARE IS EDUCATION IN PROGRESS, THE MEDICAL CENTER PROVIDES EVERY OPPORTUNITY FOR HEALTH PROFESSIONALS TO STAY CURRENT IN THEIR FIELDS OF EXPERTISE. AREA PHYSICIANS EARN AMERICAN MEDICAL ASSOCIATION CATEGORY I CME CREDITS THROUGH SEMINARS SPONSORED BY THE MEDICAL EDUCATION DEPARTMENT. LOCAL, REGIONAL AND NATIONAL MEDICAL EXPERTS TEACH CONFERENCES AND GRAND ROUNDS IN AREAS SUCH AS MEDICINE, SURGERY, OBSTETRICS, PEDIATRICS AND FAMILY MEDICINE. IN ADDITION, NURSE EDUCATORS DELIVER PROFESSIONAL TRAINING TO HEALTH CARE PROVIDERS THROUGHOUT THE MEDICAL CENTER'S 21-COUNTY PERINATAL REFERRAL REGION.THE MEDICAL CENTER SERVES ALSO AS A REGIONAL CLINICAL SITE THROUGH AFFILIATIONS WITH AREA NURSING PROGRAMS, AS WELL AS WITH PROGRAMS IN RESPIRATORY THERAPY, RADIOLOGIC TECHNOLOGY, MEDICAL TECHNOLOGY AND PHARMACY. NURSING FELLOWSHIPS ARE OFFERED IN PERINATOLOGY, CRITICAL CARE, PEDIATRICS AND MEDICAL/SURGICAL CARE. THE COLUMBUS REGIONAL MEDICAL FOUNDATION, AN AFFILIATE, PROVIDES SUPPORT THROUGH SCHOLARSHIPS FOR CONTINUING EDUCATION. THE SIMON SCHWOB MEDICAL LIBRARY AT THE MEDICAL CENTER SUPPORTS THESE EDUCATIONAL EFFORTS.THE MEDICAL CENTER'S CONTRIBUTION TO THE COMMUNITY GOES FAR BEYOND DIAGNOSIS AND TREATMENT OF ILLNESS. IT IS A MAJOR SOURCE OF COMMUNITY HEALTH EDUCATION. PROGRAM TOPICS INCLUDED PRENATAL AND CHILDBIRTH EDUCATION; CHILD HEALTH AND SAFETY; NUTRITION; DISEASE DETECTION, PREVENTION AND MANAGEMENT; AND SUPPORT GROUPS FOR THOSE EXPERIENCING ILLNESS. MANY COMMUNITY EDUCATION PROGRAMS ARE OFFERED IN THE COLUMBUS REGIONAL CONFERENCE CENTER LOCATED AT THE MEDICAL CENTER.THE MEDICAL CENTER, 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 HOSPITALS ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS AS DETERMINED THROUGH A DETAILED CREDENTIALING PROCESS. THE MEDICAL CENTER, INC. HAS OVER 200 AFFILIATED PHYSICIANS WITH 100 PHYSICIANS IN THE ACTIVE OR ACTIVE PROVISIONAL CATEGORIES PROVIDING HEALTHCARE SERVICE AT THE MEDICAL CENTER, 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.A FULL-TIME EMERGENCY DEPARTMENT IS OPERATED AT THE MEDICAL CENTER, INC. NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT REGARDLESS OF THEIR ABILITY TO PAY.
PART VI, LINE 6:	THE MEDICAL CENTER, 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. THE SYSTEM'S 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, THE MEDICAL CENTER, 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 THE MEDICAL CENTER, 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.4) HUGHSTON HOSPITAL, INC. - A NOT-FOR-PROFIT ORGANIZATION PROVIDING GENERAL ACUTE CARE AS WELL AS ORTHOPEDIC AND REHABILITATIVE CARE. THE 100-BED, PRIVATE ROOM HOSPITAL IS NATIONALLY RECOGNIZED FOR DELIVERING OUTSTANDING CLINICAL QUALITY AND THE HIGHEST LEVELS OF CUSTOMER SERVICE. THE HOSPITAL PROVIDES A FULL RANGE OF SERVICES FOR KNEE AND HIP JOINT REPLACEMENT, SPINE TREATMENT AND SURGERY, HAND AND UPPER EXTREMITY, ADVANCED RECONSTRUCTIVE AND TRAUMA SURGERY, AND PHYSICAL REHABILITATION SERVICES. THE EXEMPT STATUS PROVIDES RESOURCES FOR THE ADDITION OF MORE COMPREHENSIVE SERVICES TO THE COMMUNITY WE SERVE. WE ARE UTILIZING THOSE RESOURCES TO HELP FUND THE PLANNING AND IMPLEMENTATION OF OUR ADDING EMERGENCY SERVICES TO NORTHSIDE MEDICAL CENTER.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 - A NOT-FOR-PROFIT ASSOCIATION PROVIDING A WIDE VARIETY OF VALUABLE SERVICES TO THE MEDICAL CENTER AND HUGHSTON HOSPITAL, INC. 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. 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

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
THE MEDICAL CENTER INC

Employer identification number
58-1685139

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) AMERICAN CANCER SOCIETY
PO BOX 1382 SUPPORT PROGRAMS OF THE
THE
COLUMBUS,GA31902

13-1788491

501(C)(3)

15,813

SUPPORT PROGRAMS OF THE AMERICAN CANCER SOCIETY

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

THE MEDICAL CENTER, INC. AND ITS AFFILIATES ACKNOWLEDGE THEIR RESPONSIBILITY AS GOOD CORPORATE CITIZENS TO SUPPORT WORTHWHILE ACTIVITIES, SERVICES AND EFFORTS IN THE COMMUNITY, STATE AND NATION. TO EFFECTIVELY CARRY OUT THAT RESPONSIBILITY AND ENSURE ITS RESOURCES FOR THIS PURPOSE ARE USED IN WAYS WHICH ARE OF LASTING VALUE AND IMPORTANCE, CERTAIN PROCEDURES HAVE BEEN ESTABLISHED TO APPROPRIATELY ALLOCATE CORPORATE RESOURCES TO OUTSIDE AGENCIES, ORGANIZATIONS AND EFFORTS. ALL REQUESTS FOR CHARITABLE CONTRIBUTIONS MUST BE SENT IN WRITING OR THROUGH E-MAIL TO THE COLUMBUS REGIONAL HEALTHCARE SYSTEM DIRECTOR FOR STRATEGY, MARKETING AND PUBLIC RELATIONS. REQUESTS MUST BE RECEIVED AT LEAST 45 DAYS BEFORE THE EVENT OR NEED IN ORDER TO BE CONSIDERED. REQUESTS ARE REVIEWED WITH SENIOR LEADERSHIP AND IN CONSULTATION WITH THE CHIEF COMPLIANCE OFFICER TO ENSURE THAT CHARITABLE CONTRIBUTIONS COMPLY WITH THE CORPORATE COMPLIANCE PROGRAM. THE TOTAL AMOUNTS OF FUNDS SET ASIDE FOR PURPOSES OF DONATION OR CONTRIBUTION TO OUTSIDE AGENCIES IS ESTABLISHED DURING THE CORPORATE BUDGET PROCESS AND THE AMOUNT MAY VARY FROM YEAR TO YEAR.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

THE MEDICAL CENTER INC

Employer identification number

58-1685139

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1M SCOTT HILLPRESIDENT & CEO	(i) (ii)	0 ------------- 701,852	0 ------------- 300	0 ------------- 2,610	0 ------------- 117,441	0 ------------- 21,049	0 ------------- 843,252	0 ------------- 0
2ALLEN R BUTCHERSR. VP & CFO	(i) (ii)	0 ------------- 455,726	0 ------------- 300	0 ------------- 2,573	0 ------------- 70,620	0 ------------- 18,019	0 ------------- 547,238	0 ------------- 0
3RYAN CHANDLERCEO - THE MEDICAL CENTER	(i) (ii)	380,745 ------------- 0	300 ------------- 0	19,259 ------------- 0	66,125 ------------- 0	18,702 ------------- 0	485,131 ------------- 0	18,000 ------------- 0
4DOUGLAS COLBURNVP, OPERATIONS	(i) (ii)	302,102 ------------- 0	300 ------------- 0	1,417 ------------- 0	35,551 ------------- 0	19,527 ------------- 0	358,897 ------------- 0	0 ------------- 0
5WILLIAM TUSTINVP, ONCOLOGY SERVICES	(i) (ii)	154,393 ------------- 0	300 ------------- 0	14,137 ------------- 0	22,324 ------------- 0	17,825 ------------- 0	208,979 ------------- 0	13,889 ------------- 0
6KENDALL HANDYCHIEF OF SERVICE	(i) (ii)	297,502 ------------- 0	250 ------------- 0	20,136 ------------- 0	11,996 ------------- 0	15,603 ------------- 0	345,487 ------------- 0	18,000 ------------- 0
7ANDREW PIPPASMEDICAL DIRECTOR, JBACC	(i) (ii)	1,394,043 ------------- 0	250 ------------- 0	15,362 ------------- 0	55,916 ------------- 0	20,192 ------------- 0	1,485,763 ------------- 0	11,750 ------------- 0
8PETER JIANGPHYSICIAN, ONCOLOGY	(i) (ii)	1,175,533 ------------- 0	250 ------------- 0	1,932 ------------- 0	47,109 ------------- 0	16,919 ------------- 0	1,241,743 ------------- 0	0 ------------- 0
9SURESH MUKALAPHYSICIAN, ONCOLOGY	(i) (ii)	588,267 ------------- 0	250 ------------- 0	1,127 ------------- 0	23,586 ------------- 0	16,919 ------------- 0	630,149 ------------- 0	0 ------------- 0
10SAJID AHMEDMEDICAL DIRECTOR, JBACC	(i) (ii)	445,336 ------------- 0	250 ------------- 0	4,958 ------------- 0	18,022 ------------- 0	18,019 ------------- 0	486,585 ------------- 0	0 ------------- 0
11BONNIE FRANCOVP, CHIEF NURSING OFFICER	(i) (ii)	131,924 ------------- 0	0 ------------- 0	2,423 ------------- 0	5,374 ------------- 0	4,476 ------------- 0	144,197 ------------- 0	0 ------------- 0
12W MARK TWILLAVP, CHIEF OPERATING OFFICE	(i) (ii)	113,920 ------------- 0	0 ------------- 0	755 ------------- 0	4,587 ------------- 0	3,683 ------------- 0	122,945 ------------- 0	0 ------------- 0
13REGINA BLOUNTVP, CNO - TRMD 5/22/15	(i) (ii)	128,329 ------------- 0	0 ------------- 0	85 ------------- 0	5,137 ------------- 0	10,130 ------------- 0	143,681 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINES 4A-B

THE COLUMBUS REGIONAL HEALTHCARE SYSTEM MAINTAINS A SERP PLAN THAT VESTS EVERY 3 YEARS FOR ITS PARTICIPATING OFFICERS. THE LAST VESTING OCCURRED ON 6/30/2014; THE NEXT VESTING DATE WILL OCCUR ON 6/30/2017. EMPLOYER CONTRIBUTIONS TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN: SCOTT HILL $ 89,250 ALLEN BUTCHER $ 52,276 RYAN CHANDLER $ 50,833 DOUGLAS COLBURN $ 23,398 WILLIAM TUSTIN $ 16,126 PAYOUT FROM 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN (INCLUDED IN REPORTABLE COMPENSATION): RYAN CHANDLER $18,000 WILLIAM TUSTIN $13,889 KENDALL HANDY $18,000 ANDREW PIPPAS $11,750 SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM THE MEDICAL CENTER INC: BONNIE FRANCO THROUGH 7/2/15 $134,347 W. MARK TWILLA THROUGH 7/2/15 $114,675 REGINA BLOUNT THROUGH 5/21/16 $128,414

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

THE MEDICAL CENTER INC

Employer identification number

58-1685139

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS OF THE MEDICAL CENTER, INC. IS APPOINTED BY THE BOARD OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11	INFORMATION FOR FORM 990 WAS PROVIDED TO AN INDEPENDENT CPA FIRM FOR PREPARATION OF THE RETURN. AFTER THE RETURN WAS PREPARED, IT WAS REVIEWED BY THE CFO OF THE ORGANIZATION. THE FORM 990 IS PROVIDED TO AND REVIEWED WITH THE FINANCE COMMITTEE. THE BOARD IS PROVIDED A THOROUGH AND CONDENSED OVERVIEW OF INFORMATION ON THE FORM 990 AT A BOARD MEETING BY THE CFO OF THE ORGANIZATION ASSISTED BY THE INDEPENDENT CPA PRIOR TO FILING OF THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12C	THE MEDICAL CENTER, INC. AND ITS AFFILIATES ARE ACCOUNTABLE TO GOVERNMENTAL AUTHORITIES AS WELL AS TO MEMBERS OF THE PUBLIC FOR BOTH THE INTEGRITY OF ITS ACTIONS AS WELL AS PERCEPTIONS AS RELATED TO THOSE ACTIONS. CONSEQUENTLY, THERE EXISTS BETWEEN COLUMBUS REGIONAL AND THE PUBLIC THE FIDUCIARY RESPONSIBILITY WHICH CARRIES WITH IT A BROAD AND UNBENDING DUTY OF LOYALTY AND FIDELITY. COLUMBUS REGIONAL AGENTS (I.E., BOARD MEMBERS, MANAGEMENT, EMPLOYEES, CONTRACTED PARTIES AND CREDENTIALED STAFF) HAVE THE RESPONSIBILITY OF ADMINISTERING THE AFFAIRS OF THE ORGANIZATION HONESTLY AND PRUDENTLY, AND OF EXERCISING THE BEST CARE, SKILL AND JUDGMENT FOR THE SOLE BENEFIT OF COLUMBUS REGIONAL. THOSE AGENTS SHALL EXERCISE THE UTMOST GOOD FAITH IN ALL TRANSACTIONS INVOLVED IN THEIR DUTIES AND SHALL NOT USE THEIR POSITIONS WITH COLUMBUS REGIONAL OR KNOWLEDGE GAINED FOR THEIR PERSONAL BENEFIT IN ANY MANNER. THE INTEREST OF THE ORGANIZATION MUST BE THE FIRST PRIORITY IN ALL RELATED DECISIONS AND ACTIONS. THIS POLICY IS ALSO DIRECTED TOWARD ANYONE WHO HAS PROPRIETARY INFORMATION CONCERNING COLUMBUS REGIONAL. IT IS THE POLICY OF COLUMBUS REGIONAL HEALTHCARE SYSTEM AND ITS AFFILIATES, IN CONNECTION WITH ANY ACTION OR POSSIBLE CONFLICT OF INTEREST, ASSOCIATED AGENTS MUST ANNUALLY DISCLOSE THE EXISTENCE OF A FINANCIAL OR OTHERWISE BENEFICIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE CHIEF COMPLIANCE OFFICER ASSOCIATED WITH THE PROPOSED CONFLICTING TRANSACTION OR AGREEMENT. A CONFLICT OF INTEREST MAY ARISE IN THE RELATIONSHIPS WITH COLUMBUS REGIONAL AGENTS WITH PERSONS AND FIRMS SUPPLYING GOODS AND SERVICES TO THE ORGANIZATION; PERSONS AND FIRMS FROM WHOM THE COMPANY LEASES PROPERTY AND EQUIPMENT; PERSONS AND FIRMS WITH WHOM COLUMBUS REGIONAL IS DEALING OR PLANNING TO DEAL IN CONNECTION WITH THE GIFT, PURCHASE OR SALE OF REAL ESTATE, SECURITIES OR OTHER PROPERTY; COMPETING OR AFFINITY ORGANIZATIONS; DONORS, MEMBERS OR OTHERS SUPPORTING THE ORGANIZATION; AGENCIES, ORGANIZATIONS AND ASSOCIATIONS WHICH AFFECT THE OPERATIONS OF THE COMPANY; AND FAMILY MEMBERS, FRIENDS AND OTHER EMPLOYEES. CONFLICTS OF INTEREST MAY ARISE IN A NUMBER OF DIFFERENT CIRCUMSTANCES AND TRANSACTIONS. IT IS ASSUMED THAT COLUMBUS REGIONAL AGENTS WILL RECOGNIZE SUCH AREAS AND RELATION BY ANALOGY. TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: THE CONFLICT OF INTEREST IS FULLY DISCLOSED; THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS FOR PURCHASING OR RELATED DECISIONS; AND THE CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH OTHERS AS APPROPRIATE, HAS DETERMINED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. ALL DISCLOSURES MUST BE MADE TO THE CHIEF COMPLIANCE OFFICER (OR IF SHE/HE IS THE ONE WITH THE CONFLICT, THEN THE BOARD CHAIR) WHO WILL BRING THE MATTER TO THE ATTENTION OF THE BOARD AS NECESSARY. THE CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH OTHERS AS APPROPRIATE, SHALL DETERMINE WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR AND REASONABLE TO COLUMBUS REGIONAL. THE DECISION OF THE CHIEF COMPLIANCE OFFICER AND/OR BOARD ON THESE MATTERS WILL REST IN THEIR SOLE DISCRETION, AND THEIR CONCERN MUST BE FOR THE WELFARE OF COLUMBUS REGIONAL IN THE ADVANCEMENT OF ITS PURPOSE. EACH MEMBER OF MANAGEMENT AND EMPLOYEES WITH DELEGATED POWERS WHO CAN INFLUENCE THE ACTIONS OF COLUMBUS REGIONAL SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY AND COMPLETED THE DISCLOSURE STATEMENT; HAS READ AND UNDERSTANDS THE POLICY; AND HAS AGREED TO COMPLY WITH THE POLICY. IN ADDITION, SHOULD A POTENTIAL CONFLICT OF INTEREST OCCUR DURING THE YEAR BUT PRIOR TO THE ANNUAL DISCLOSURE, THE INDIVIDUAL IS OBLIGATED TO CONTACT THE COMPLIANCE OFFICER AND UPDATE THEIR DISCLOSURE STATEMENT IN A TIMELY MANNER. IF THE CHIEF COMPLIANCE OFFICER HAS REASONABLE CAUSE TO BELIEVE A COLUMBUS REGIONAL AGENT HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, HE/SHE SHALL INFORM THAT INDIVIDUAL OF THE BASIS OF SUCH BELIEF AND AFFORD HIM/HER THE OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE INDIVIDUAL'S RESPONSE AND AFTER FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE CHIEF COMPLIANCE OFFICER DETERMINES THE INDIVIDUAL HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, HE/SHE SHALL FORWARD THE INFORMATION TO THE HUMAN RESOURCES DEPARTMENT AND/OR THE BOARD OF DIRECTORS TO TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.
FORM 990, PART VI, SECTION B, LINE 15	THE MEDICAL CENTER TAKES VERY SERIOUSLY THE RESPONSIBILITY TO APPROPRIATELY AND EFFECTIVELY MANAGE THE EXECUTIVE COMPENSATION AND BENEFITS PROGRAM FOR ITS KEY EXECUTIVES. SETTING THE COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, APPROVING THE COMPENSATION OF OTHER SENIOR EXECUTIVES, AND OVERSEEING THE EXECUTIVE COMPENSATION PROGRAM AS A WHOLE, ARE THE RESPONSIBILITIES OF THE COMPENSATION COMMITTEE OF THE BOARD. TO ASSIST THE COMMITTEE, THE BOARD HAS ENGAGED THE SERVICES OF A NATIONALLY RECOGNIZED EXECUTIVE COMPENSATION CONSULTING FIRM. COLUMBUS REGIONAL'S EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO ATTRACT AND RETAIN HIGHLY QUALIFIED EXECUTIVES TO FULFILL COLUMBUS REGIONAL'S MISSION OF PROMOTING THE HEALTH AND HEALING OF PATIENTS. COLUMBUS REGIONALS PEER GROUP CONSISTS OF NON-PROFIT HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY FROM ACROSS THE NATION. BASE SALARIES OF EXECUTIVES ARE POSITIONED AT SPECIFIC PERCENTILE TARGETS OF COLUMBUS REGIONAL'S PEER GROUP. CURRENT STUDIES INDICATE THAT OUR BASE SALARIES ARE AT TARGETED LEVELS. COLUMBUS REGIONAL STRIVES TO PROVIDE ALL EXECUTIVES WITH RETIREMENT BENEFITS THAT ARE EQUIVALENT FOR ALL EMPLOYEES. RETIREMENT CONTRIBUTIONS ARE BASED ON A CLEARLY STATED INCOME REPLACEMENT TARGET AS DETERMINED BY RETIREMENT PLAN CONSULTANTS THE GOAL OF COLUMBUS REGIONAL IS TO PROVIDE MARKET COMPETITIVE COMPENSATION AND BENEFIT PROGRAMS FOR ALL EMPLOYEES AT ALL LEVELS OF THE ORGANIZATION.
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.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 33,802,606. MANAGEMENT AND GENERAL EXPENSES 4,521,483. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,324,089.
FORM 990, PART XI, LINE 9:	CHANGE IN TRANSFER TO AFFILIATES 164,172. INTERCOMPANY TRANSFER 1,825. TAX INCOME ADJUSTMENT FOR JOINT VENTURES 421,803.
PART XII, LINE 2C	NO CHANGE FROM PRIOR YEAR

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

THE MEDICAL CENTER INC

Employer identification number

58-1685139

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) REGIONAL ORTHOPEDICS LLC 707 CENTER STREET COLUMBUS,GA31901 58-2578658	PHYSICIANS	GA	0	0	COLUMBUS REGIONAL HEALTHCARE SYSTEM
(2) REGIONAL ONCOLOGY LLC 707 CENTER STREET COLUMBUS,GA31901 58-2578648	ONCOLOGY BILLING	GA	0	0	THE MEDICAL CENTER INC
(3) COLUMBUS RADIATION ONCOLOGY TREATMENT CENTER LLC 707 CENTER STREET COLUMBUS,GA31901 27-3019214	ONCOLOGY	GA	0	0	COLUMBUS AMBULATORY HEALTHCARE SERVICES INC

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)COLUMBUS REGIONAL HEALTHCARE SYSTEM INC 707 CENTER STREET COLUMBUS,GA31901 58-1719994	HEALTH SYSTEM MANAGEMENT	GA	501(C)(3)	LINE 11B, II	N/A		No
(2)COLUMBUS AMBULATORY HEALTHCARE SERVICES INC 707 CENTER STREET COLUMBUS,GA31901 58-1719867	AMBULATORY CARE	GA	501(C)(3)	LINE 3	COLUMBUS REGIONAL HEALTHCARE SYSTEM INC	Yes
(3)COLUMBUS REGIONAL MEDICAL FOUNDATION INC 707 CENTER STREET COLUMBUS,GA31901 58-1501642	FUNDRAISING	GA	501(C)(3)	LINE 7	COLUMBUS REGIONAL HEALTHCARE SYSTEM INC	Yes
(4)HUGHSTON HOSPITAL INC 707 CENTER STREET COLUMBUS,GA31901 33-1216751	ACUTE CARE HOSPITAL	GA	501(C)(3)	LINE 3	COLUMBUS REGIONAL HEALTHCARE SYSTEM INC	Yes
(5)COLUMBUS REGIONAL AUXILIARY 707 CENTER STREET COLUMBUS,GA31901 58-0917974	HOSPITAL AUXILIARY	GA	501(C)(3)	LINE 11C, III-FI	N/A		No
(6)CRHS LONG TERM AND HOME CARE INC 707 CENTER STREET COLUMBUS,GA31901 58-1719867	NURSING HOME	GA	501(C)(3)	LINE 3	COLUMBUS REGIONAL HEALTHCARE SYSTEM INC	Yes
(7)COLUMBUS REGIONAL SENIOR LIVING INC 707 CENTER STREET COLUMBUS,GA31901 58-2628502	CONTINUING CARE RETIREMENT COMMUNITY & ASSISTED LIVING	GA	501(C)(3)	LINE 11C, III-FI	COLUMBUS REGIONAL HEALTHCARE SYSTEM INC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) COLUMBUS DIAGNOSTIC IMAGING CTR LLC 116 INTRACOASTAL POINTE DR 300 JUPITER,FL33477 26-2291768	DIAGNOSTIC IMAGING	FL	THE MEDICAL CENTER INC	RELATED	602,392	2,670,061		No			No	49.500 %
(2) COLUMBUS REGIONAL RESEARCH INSTITUTE LLC 5210 ARMOUR ROAD SUITE 300 COLUMBUS,GA31904 38-3907670	RESEARCH MANAGEMENT	GA	N/A
(3) REHABILITATION HOSPITAL OF PHENIX CITY LLC 3660 GRANDVIEW PARKWAY SUITE 200 BIRMINGHAM,AL35243 63-1280233	REHABILITATION HOSPITAL	AL	THE MEDICAL CENTER INC	RELATED	4,056,686	8,460,192		No			No	50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) COLUMBUS HEALTH SERVICES INC 707 CENTER STREET COLUMBUS,GA31901 58-1640939	RETAIL PHARMACIES	GA	N/A	C				No
(2) COLUMBUS HEALTHCARE RESOURCES INC 707 CENTER STREET COLUMBUS,GA31901 58-1717754	PROPERTY MANAGEMENT	GA	N/A	C				No
(3) WOMEN'S MEDICAL SERVICES INC 707 CENTER STREET COLUMBUS,GA31901 58-1695456	MANAGEMENT SERVICES	GA	N/A	C				No

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved
(1) COLUMBUS REGIONAL HEALTHCARE SYSTEM INC	M	595,356

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation
PART III	COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC IS THE PARENT OF THE MEDICAL CENTER, COLUMBUS HEALTHCARE RESOURCES AND AFFILIATES. THE MEDICAL CENTER OWNS 49% OF REHABILITATION HOSPITAL OF PHENIX CITY, LLC AND COLUMBUS HEALTHCARE RESOURCES OWNS 1%. TOGETHER AND UNDER COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. THE MEDICAL CENTER EFFECTIVELY HAS CONTROL OVER REHABILITATION HOSPITAL OF PHENIX CITY, LLC.

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROMOTE THE HEALTH AND HEALING OF OUR PATIENTS AND TO COORDINATE DELIVERY OF CLINICAL CARE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	2,534
6	Total number of volunteers (estimate if necessary) .............	6	14
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	467,221
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	7,611,114	972,737
9	Program service revenue (Part VIII, line 2g) .........	366,098,537	407,290,713
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	13,067,739	1,979,959
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,282,556	1,106,845
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	390,059,946	411,350,254
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	15,000	20,208
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	140,749,138	125,288,773
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	277,558,172	254,356,240
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	418,322,310	379,665,221
19	Revenue less expenses. Subtract line 18 from line 12.......	-28,262,364	31,685,033
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	430,367,973	437,278,820
21	Total liabilities (Part X, line 26).............	275,535,031	252,443,899
22	Net assets or fund balances. Subtract line 21 from line 20.....	154,832,942	184,834,921

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 291,353,277 including grants of $ 20,208 ) (Revenue $ 352,212,682 )
	THE MEDICAL CENTER, INC. IS A 583-LICENSED BED TERTIARY CARE "SAFETY NET" HOSPITAL PROVIDING A WIDE ARRAY OF SERVICES TO MEET THE HEALTH AND MEDICAL NEEDS OF A DIVERSE REGION. THE MEDICAL CENTER IS ALSO HOME TO THE JOHN B. AMOS CANCER CENTER, A COMPREHENSIVE MULTI-DISCIPLINARY CANCER CENTER.ONE OF THE TOP BIRTH CENTERS AND ONE OF SIX REGIONAL PERINATAL CENTERS IN THE STATE, THE MEDICAL CENTER OFFERS THE REGION'S ONLY ADVANCED (LEVEL 3) MATERNITY SERVICES, NEONATAL INTENSIVE CARE UNIT AND PEDIATRIC INTENSIVE CARE UNIT. AS A REGIONAL PERINATAL REFERRAL CENTER, THE MEDICAL CENTER SERVES 21 COUNTIES IN GEORGIA AND TWO IN EAST ALABAMA.THE HOSPITAL ALSO PROVIDES THE REGION'S ONLY DEDICATED TRAUMA CENTER - A LEVEL 2 FACILITY SERVING THE 13 COUNTIES OF GEORGIA REGION 7. THE MEDICAL CENTER IS HOME TO THE FAMILY PRACTICE RESIDENCY PROGRAM WHICH HAS PROVIDED ADVANCED TRAINING TO PHYSICIANS SINCE 1972. IN ADDITION, THE MEDICAL CENTER HAS AN AFFILIATION AGREEMENT WITH MERCER UNIVERSITY SCHOOL OF MEDICINE IN MACON, GEORGIA, TO PROVIDE COLUMBUS-BASED TRAINING TO THIRD AND FOURTH YEAR MEDICAL STUDENTS.

4b	(Code: ) (Expenses $ 36,532,238 including grants of $ ) (Revenue $ 352,212,682 )
	THE JOHN B. AMOS CANCER CENTER, THE REGION'S LEADING PROVIDER OF CANCER SERVICES, IS PART OF THE MEDICAL CENTER, INC. THE CENTER IS ACCREDITED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS - THE ONLY CANCER CENTER WITH THIS DISTINCTION IN THE 14-COUNTY SERVICE AREA. THE CENTER OFFERS A FULL RANGE OF CANCER TREATMENT SERVICES, A WIDE ARRAY OF CANCER SUPPORT SERVICES FOR PATIENTS AND FAMILIES AND ACCESS TO CLINICAL RESEARCH TRIALS FOR A VARIETY OF CANCERS. SERVICES INCLUDE MEDICAL AND RADIATION ONCOLOGY, RADIATION THERAPY, OUTPATIENT CHEMOTHERAPY, NUTRITION SERVICES, PHARMACY, AND LAB PATIENT NAVIGATION SUPPORT GROUPS AND PASTORAL CARE.IN KEEPING WITH ITS TAX-EXEMPT MISSION, THE MEDICAL CENTER MAKES HEALTH AND MEDICAL SERVICES AVAILABLE TO EVERYONE IN THE SERVICE AREA, REGARDLESS OF THEIR ABILITY TO PAY. MANY OF THESE PATIENTS ARE CLASSIFIED AS INDIGENT RESIDENTS OF MUSCOGEE COUNTY, AND AS SUCH ARE COVERED UNDER A CONTRACTUAL AGREEMENT WITH THE COLUMBUS CONSOLIDATED GOVERNMENT.AS A SAFETY NET HOSPITAL, THE MEDICAL CENTER PROVIDES A VARIETY OF ESSENTIAL SERVICES, INCLUDING EMERGENCY AND TRAUMA SERVICES FOR CHILDREN AND ADULTS, ADVANCED MATERNITY SERVICES AND A NEONATAL INTENSIVE CARE UNIT, AND A DEDICATED CHILDREN'S HOSPITAL WITH A PEDIATRIC INTENSIVE CARE UNIT. ON JUNE 12, 2013, THE MEDICAL CENTER OPENED A PEDIATRIC EMERGENCY DEPARTMENT. THIS IS THE AREAS FIRST AND ONLY EMERGENCY DEPARTMENT DESIGNED AND STAFFED EXCLUSIVELY TO CARE FOR CHILDREN UP TO AGE 19. THIS NEW DEPARTMENT OFFERS A SEPARATE ENTRANCE AND A STAFF SPECIALLY TRAINED TO TREAT THE UNIQUE NEEDS OF CHILDREN.IN FISCAL YEAR 2015, THE MEDICAL CENTER HAD 16,502 INPATIENT ADMISSIONS, 197,447 OUTPATIENT VISITS, 93,117 EMERGENCY VISITS, 326 NEONATAL INTENSIVE CARE ADMISSIONS, 157 PEDIATRIC INTENSIVE CARE ADMISSIONS AND 3,139 DELIVERIES.EMPLOYEES OF THE MEDICAL CENTER ARE ENGAGED IN COMMUNITY ACTIVITIES AND SUPPORT ACTIVITIES OF THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, THE JUVENILE DIABETES FOUNDATION AND OTHER CHARITABLE CAUSES.DISPROPORTIONATE SHARE HOSPITALTHE MEDICAL CENTER, A DESIGNATED MEDICAID DISPROPORTIONATE SHARE HOSPITAL, PARTICIPATES IN THE INDIGENT CARE TRUST FUND VOLUNTARY CONTRIBUTION PROGRAM CREATED BY THE STATE LEGISLATURE. THE GOAL OF THE INDIGENT CARE TRUST FUND IS TO IMPROVE ACCESS TO HEALTH CARE FOR THE INDIGENT BY EXPANDING MEDICAID ELIGIBILITY, FUNDING INDIGENT CARE AND SUPPORTING PRIMARY HEALTH CARE. PROCEEDS FROM THE PARTICIPATION IN THIS PROGRAM ARE TRANSFERRED TO COLUMBUS REGIONAL HEALTHCARE SYSTEM FOR DESIGNATION AND USE AS THE COMMUNITY HEALTH DEVELOPMENT FUND. THE FUND'S PURPOSE IS TO IDENTIFY AREAS OF NEED IN THE COUNTIES TARGETED AS THE SERVICE AREA AND TO DEVELOP PROGRAMS THAT ADDRESS THESE NEEDS AND REDUCE ACCESS BARRIERS TO HEALTH CARE.FAMILY PRACTICE CENTERTHE FAMILY PRACTICE CENTER IS A SERVICE OF THE MEDICAL CENTER, INC. AND AFFILIATE, COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. IT PROVIDES A VARIETY OF HEALTH AND MEDICAL SERVICES TO FAMILIES OF THE REGION, REGARDLESS OF ABILITY TO PAY. SERVICES INCLUDE FAMILY MEDICINE, GERIATRICS, PRENATAL AND PEDIATRIC SERVICES, IMAGING AND LABORATORY SERVICES. THE FAMILY PRACTICE CENTER IS OPERATED BY THE FACULTY OF THE FAMILY PRACTICE RESIDENCY PROGRAM, WHICH WAS ESTABLISHED BY THE MEDICAL CENTER IN 1972 TO TRAIN PRIMARY CARE PHYSICIANS TO SERVE PRIMARILY IN RURAL AND OTHER MEDICALLY UNDERSERVED AREAS. THE CENTER SERVES AS A TRAINING SITE FOR RESIDENTS IN THE PROGRAM.FAMILY PRACTICE RESIDENCY PROGRAMTHE MEDICAL CENTER WAS THE FIRST HOSPITAL IN GEORGIA TO ESTABLISH A FAMILY PRACTICE RESIDENCY PROGRAM TO TRAIN PHYSICIANS IN FAMILY PRACTICE. THE PROGRAM IS LICENSED TO TRAIN FORTY RESIDENTS AND IS FULLY ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. THE PRIMARY PURPOSE OF THE PROGRAM IS TO TRAIN PHYSICIANS TO SERVE IN RURAL AND OTHER UNDERSERVED AREAS.INDIGENT CAREINDIGENT PATIENTS RECEIVE WHAT COULD BE THEIR ONLY SOURCE OF AFFORDABLE, AVAILABLE CARE THROUGH A PRIMARY CARE CLINIC, MULTIPLE SPECIALTY CLINICS AND THE SERVICES OF VISITING SPECIALISTS IN THE OUTPATIENT CLINICS. THIS HELPS REDUCE THE BURDEN OF HEALTH CARE COSTS BY PROVIDING AN ALTERNATIVE TO USING THE MORE COSTLY, HIGHLY SPECIALIZED EMERGENCY DEPARTMENT FOR NON-EMERGENT CARE. ACCESS TO A MULTITUDE OF SERVICES IS INCREASED FOR INDIGENT AND LOW-INCOME PATIENTS AS CLINIC STAFF NETWORK WITH SUPPORT GROUPS, CHARITABLE ORGANIZATIONS AND SOCIAL SERVICE AGENCIES IN THE AREA.THE MEDICAL CENTER, INC. PROVIDES OUTPATIENT AND INPATIENT SERVICES TO THE CITY'S INDIGENT THROUGH A CONTRACTUAL AGREEMENT WITH THE COLUMBUS CONSOLIDATED GOVERNMENT. THE OBJECTIVE OF THIS INDIGENT CARE PROGRAM IS TO PROVIDE COMPREHENSIVE HEALTH CARE FOR COLUMBUS RESIDENTS WHO ARE NOT COVERED UNDER A PRIVATE OR GOVERNMENTAL INSURANCE PLAN. INDIVIDUALS MEETING RESIDENCY AND INCOME REQUIREMENTS HAVE ACCESS TO A PRIMARY CARE CLINIC AND VARIOUS SPECIALTY CLINICS STAFFED BY QUALIFIED PHYSICIANS AND OTHER HEALTH CARE PERSONNEL. THE CLINICS PROVIDE DIAGNOSTIC SERVICES, PREVENTATIVE CARE AND MEDICAL TREATMENT, AND HEALTH EDUCATION.IF INPATIENT ADMISSION IS REQUIRED, PATIENTS RECEIVE CARE AT THE MEDICAL CENTER, WHERE THEY HAVE ACCESS TO A FULL RANGE OF DIAGNOSTIC AND TREATMENT SERVICES. IN ADDITION TO ENSURING CARE FOR THE CITY'S INDIGENT RESIDENTS, THE MEDICAL CENTER PROVIDES INPATIENT CARE AND CERTAIN OUTPATIENT SERVICES TO THE COMMUNITY'S PRISON POPULATION.DURING FISCAL YEAR 2015, TOTAL CHARGES TO PROVIDE INPATIENT AND OUTPATIENT SERVICES THROUGH THE INDIGENT CARE PROGRAM WERE $27,419,440. TOTAL PAYMENTS FROM THE COLUMBUS CONSOLIDATED GOVERNMENT WERE $13,389,689, LEAVING A DEFICIT OF $14,029,751.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses327,885,515

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) KAREN SMITH........................................................................ CORPORATE SECRETARY	40.00 .......................2.00	X			0	72,806	13,922
(19) DOUGLAS COLBURN........................................................................ VP, OPERATIONS	5.00 .......................40.00	X			303,819	0	55,078
(20) WILLIAM TUSTIN........................................................................ VP, ONCOLOGY SERVICES	40.00 .......................	X			168,830	0	40,149
(21) KENDALL HANDY........................................................................ CHIEF OF SERVICE	40.00 .......................		X		317,888	0	27,599
(22) ANDREW PIPPAS........................................................................ MEDICAL DIRECTOR, JBACC	20.00 .......................20.00		X		1,409,655	0	76,108
(23) PETER JIANG........................................................................ PHYSICIAN, ONCOLOGY	40.00 .......................		X		1,177,715	0	64,028
(24) SURESH MUKALA........................................................................ PHYSICIAN, ONCOLOGY	40.00 .......................		X		589,644	0	40,505
(25) SAJID AHMED........................................................................ MEDICAL DIRECTOR, JBACC	40.00 .......................		X		450,544	0	36,041
(26) BONNIE FRANCO........................................................................ VP, CHIEF NURSING OFFICER	40.00 .......................			X	134,347	0	9,850
(27) W MARK TWILLA........................................................................ VP, CHIEF OPERATING OFFICE	40.00 .......................			X	114,675	0	8,270
(28) REGINA BLOUNT........................................................................ VP, CNO - TRMD 5/22/15	40.00 .......................			X	128,414	0	15,267

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	5,195,835	1,236,167	698,773

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	972,737
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		972,737

		Business Code
2a	PATIENT REVENUE	621400	378,886,809	378,886,809
b	IND CARE INCOME	900099	17,822,311	17,822,311
c	JOINT VENTURE REVENUE	900099	3,713,533	3,713,533
d	RESIDENT CAPITATION PROGRAM	624100	2,082,445	2,082,445
e	INTENSIVE AND MATERNAL HEALTH	624100	1,866,555	1,866,555
f	All other program service revenue.			2,919,060	2,451,839	467,221
g Total.Add lines 2a–2f.....			407,290,713

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			1,889,959			1,889,959
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,106,845
b	Less: rental expenses		0
c	Rental income or (loss)		1,106,845
d	Net rental income or (loss)......			1,106,845	1,106,845
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	807,935
b	Less: cost or other basis and sales expenses	717,935
c	Gain or (loss)	90,000
d	Net gain or (loss).....			90,000	90,000
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			411,350,254	408,020,337	467,221	1,889,959

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	20,208	20,208
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	872,953	872,953
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	96,982,168	92,103,834	4,878,334
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,431,596	3,299,317	132,279
9	Other employee benefits .......	17,077,304	16,401,896	675,408
10	Payroll taxes ...........	6,924,752	6,625,953	298,799
11	Fees for services (non-employees):
a	Management ......	29,197,121	14,446	29,182,675
b	Legal .........	298,118	148,117	150,001
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	38,324,089	33,802,606	4,521,483
12	Advertising and promotion ....	543,198	851	542,347
13	Office expenses .......	5,677,813	5,352,042	325,771
14	Information technology ......	6,600,151	140,747	6,459,404
15	Royalties ..
16	Occupancy ...........	7,568,848	3,665,937	3,902,911
17	Travel ............	189,609	149,460	40,149
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	136,020	133,822	2,198
20	Interest ...........	11,534,412	11,534,412
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	19,252,778	19,252,778
23	Insurance ...	1,633,091	1,633,091
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	BAD DEBT	65,625,964	65,625,964
b	SUPPLIES	60,671,037	60,411,123	259,914
c	PROVIDER TAX	4,029,943	4,029,943
d	LEASED MEDICAL EQUIPMEN	712,496	712,496
e	All other expenses	2,361,552	1,953,519	408,033
25	Total functional expenses. Add lines 1 through 24e	379,665,221	327,885,515	51,779,706	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			1,826,694	1
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			668,148	3	435,564
4	Accounts receivable, net .............			59,295,842	4	59,677,786
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			6,276,969	8	5,832,902
9	Prepaid expenses and deferred charges ......			2,633,420	9	1,881,199
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	389,519,400
b	Less: accumulated depreciation	10b	225,559,800	177,330,313	10c	163,959,600
11	Investments—publicly traded securities .			114,041,918	11	103,086,553
12	Investments—other securities. See Part IV, line 11 .....			11,046,969	12
13	Investments—program-related. See Part IV, line 11 ..				13	11,130,253
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			57,247,700	15	91,274,963
16	Total assets. Add lines 1 through 15 (must equal line 34)...			430,367,973	16	437,278,820

17	Accounts payable and accrued expenses .....	50,978,872	17	38,463,577
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	180,084,639	20	178,726,464
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	14,973,644	23	9,858,915
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	29,497,876	25	25,394,943
26	Total liabilities. Add lines 17 through 25..	275,535,031	26	252,443,899

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	154,145,353	27	184,834,921
28	Temporarily restricted net assets ...........	687,589	28	0
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	154,832,942	33	184,834,921
34	Total liabilities and net assets/fund balances ........	430,367,973	34	437,278,820