2026-03-16T10:25:03-05:00 2025-04-30 351178661 BLUE & CO LLC 2821 W SEVENTH ST STE 270 FORT WORTH TX 76107 990 2024-05-01 741394418 COLUMBUS COMMUNITY HOSPITAL COLU 9797322371 110 SHULT DRIVE COLUMBUS TX 78934 GREG PRITCHETT CFO 9797322371 2026-03-16 1 0 TOMMY DAVIS P03007276 8067911591 2026-03-16 2024 2025-03-06 01:10:19Z JAMES VANEK 110 SHULT DRIVE COLUMBUS TX 78934 41394818 0 X WWW.COLUMBUSCH.COM X 1950 TX IT IS OUR GOAL TO PROVIDE ACCESSIBLE, QUALITY, COST-EFFECTIVE HEALTHCARE TO OUR COMMUNITY. WE ARE RESOLVED TO FOSTER A SAFE AND POSITIVE ENVIROMENT OF ENCOURAGEMENT, GROWTH, CHALLENGE AND CONTINUOUS IMPROVEMENT. 9 9 0 0 0 0 1940625 2198558 37852684 37826932 -1108646 40379 376416 1328949 39061079 41394818 0 0 0 0 12964757 13409848 0 0 0 27275616 28424162 40240373 41834010 -1179294 -439192 84626331 25404064 14155429 14939106 70470902 10464958 X TO FOSTER A WELLNESS STATE FOR OUR COMMUNITY THROUGH EDUCATION, SUPPORT AND COOPERATION WITH OTHER HEALTH CARE ORGANIZATIONS.TO EMPOWER OUR STAFF TO BE PART OF A COHESIVE PROFESSIONAL DEDICATED INTERDISCIPLINARY TEAM.TO ASSESS THE NEEDS OF OUR COMMUNITY AND PROVIDE APPROPRIATE SERVICES FOR OUR CHANGING HEALTH CARE ENVIRONMENT.TO PROMOTE COLLABORATIVE RELATIONSHIPS WITH OTHER PROVIDERS TO FACILITATE A CONTINUUM OF CARE WITH SHARED SERVICES.TO ESTABLISH AND MAINTAIN AN ECONOMICALLY STABLE FACILITY THROUGH COMMUNITY SUPPORT AND FUNDING WHILE MEETING OUR CHARITABLE GOALS. 0 0 37795541 39196260 COLUMBUS COMMUNITY HOSPITAL IS A 50 BED ACUTE CARE FACILITY OFFERING COMPREHENSIVE HEALTH CARE. COLUMBUS COMMUNITY HOSPITAL IS COMMITTED TO CREATING A CULTURE THAT TREATS YOU AND YOUR FAMILY LIKE OUR OWN. NOT ONLY DO WE OFFER COMPASSIONATE CARE WITHIN THE WALLS OF OUR FACILITY, BUT WE ALSO HOST A VARIETY OF PROGRAMS, HEALTH SCREENINGS AND EVENTS GEARED TOWARD IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. 37795541 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X THE ORGANIZATION 9797322371 110 SHULT DRIVE COLUMBUS TX 78934 DREW LYNCH PRESIDENT 1.00 X 0 0 0 RONALD DIVIN TRUSTEE 1.00 X 0 0 0 CHUCK RANKIN SECRETARY 1.00 X 0 0 0 MODINA MANGINI TRUSTEE 1.00 X 0 0 0 MARY JEAN STURGES TRUSTEE 1.00 X 0 0 0 GARY LAVERGNE TRUSTEE 1.00 X 0 0 0 DUSTIN HELMCAPT TRUSTEE 1.00 X 0 0 0 VANCE ELLIOTT TRUSTEE 1.00 X 0 0 0 PAT GILLESPIE VICE PRESIDENT 1.00 X 0 0 0 JAMES VANEK CEO 50.00 X 265416 0 0 GREG PRITCHETT CFO 50.00 X 193077 0 0 KRISTY NELSON DON 50.00 X 159926 0 0 NICOLE CHES MID LEVEL 40.00 X 156202 0 0 CYNTHIA SMITH RN 40.00 X 159679 0 0 ANGELA LEWIS RN 40.00 X 131344 0 0 HEATHER CHANDLER OB MANAGER 40.00 X 130979 0 0 1196623 0 0 7 0 1 0 SDS PHYSICAL THERAPY LP 109 SHULT DR SUITE 206 COLUMBUS TX 78934 PT SERVICES 4787215 DISCOVERY MEDICAL NETWORK 1500 BROADWAY SUITE 1000 LUBBOCK TX 79401 PHYSICIAN SERVICES 2428196 MORRIS & DICKSON CO LTD 10301 HWY 1 SOUTH SHREVEPORT LA 71115 PHARMACEUTICALS 1753987 TEXAS WOMENS CARE PLLC PO BOX 280 COLUMBUS TX 78934 OB GYN SERVICES 1107499 HEALTHCARE SERVICES GROUP PO BOX 829688 PHILADELPHIA PA 19182 DIETARY 1103327 5 1645613 552945 2198558 NET PATIENT REVENUE 621990 37826932 37826932 37826932 20825 20825 168475 0 168475 168475 168475 19554 0 19554 19554 19554 UC INCOME 621990 888443 888443 MANAGEMENT FEE REVENUE 621990 144020 144020 CAFETERIA INC 621990 125544 125544 2467 2467 1160474 41394818 39196260 0 0 X 1196623 1076961 119662 9587256 8628530 958726 2606860 2346174 260686 19109 17198 1911 19036543 17132889 1903654 319648 287683 31965 1449313 1449313 225081 202573 22508 MEDICAL SUPPLIES 3714243 3342819 371424 OTHER OPERATING EXPENSE 1336683 1203015 133668 REPAIRS AND MAINTENANCE 1083183 974865 108318 TELEPHONE AND UTILITIES 648191 583372 64819 611277 550149 61128 41834010 37795541 4038469 0 1605284 603942 1050614 1025781 5108099 7398944 907733 937079 25877 126987 12883527 6361696 6903056 6521831 1331622 1177030 67694046 7612470 84626331 25404064 3142609 4585205 604754 750769 3068266 3068265 7339800 6534867 14155429 14939106 X 70470902 10464958 70470902 10464958 84626331 25404064 -439192 1588566 -61155318 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5479916 1749071 3730845 7347233 4612625 2734608 56378 56378 6521831 DUE FROM CSSM 6597529 DUE FROM MEDICARE/MEDICAID 568031 OTHER RECEIVABLE 446910 7612470 DUE TO CSSM 6534867 6534867 X PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL EVALUATES AND ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES (FORMERLY FASB INTERPRETATION 48 (FIN 48) ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THIS STANDARD REQUIRES CERTAIN DISCLOSURES ABOUT UNCERTAIN INCOME TAX POSITIONS. THE HOSPITAL EVALUATES ANY UNCERTAIN TAX POSITIONS USING THE PROVISIONS OF ASC 450, CONTINGENCIES. AS A RESULT, MANAGEMENT DOES NOT BELIEVE THAT ANY UNCERTAIN TAX POSITIONS CURRENTLY EXIST AND NO LOSS CONTINGENCY HAS BEEN RECOGNIZED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL HAS FILED ALL APPLICABLE TAX RETURNS. PART XI, LINE 4B - OTHER ADJUSTMENTS: VALUE OF DONATED ITEMS FOR FUNDRAISER AUCTION FUNDRAISING EXPNESES RENTAL EXPENSES PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES RENTAL EXPENSES PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 3180108 68602 3111506 0.07400 4687328 698243 3989085 0.09540 25838653 19199484 6639169 0.15870 33706089 19966329 13739760 0.32810 33706089 19966329 13739760 0.32810 1 781059 390041 X 1 1 1 1 COLUMBUS COMMUNITY HOSPITAL 110 SHULT DRIVE COLUMBUS TX 78934 WWW.COLUMBUSCH.COM 000014 X X X COLUMBUS COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X 24 1 0 0 1 X HTTPS://COLUMBUSCH.COM/ X 1 24 1 HTTPS://COLUMBUSCH.COM/ 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X 1 X HTTPS://COLUMBUSCH.COM/ X HTTPS://COLUMBUSCH.COM/ X X 1 X 1 X 1 0 0 COLUMBUS COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: BOARD MEMBERS, COMMUNITY LEADERS ARE ALL ASKED HOW THE HOSPITAL CAN EITHER EXPAND OR IMPLEMENT NEW SERVICES TO BETTER SERVE THE COMMUNITY. 2 1 - FOUR OAKS MEDICAL CLINIC 109 SHULT DRIVE COLUMBUS TX 78934 OUTPATIENT CLINIC 2 - COLUMBUS MEDICAL CLINIC 2122 HWY 71 S COLUMBUS TX 78934 OUTPATIENT CLINIC PART III, LINE 2: RATIO OF COST TO CHARGES PART III, LINE 3: RATIO OF COST TO CHARGES PART III, LINE 4: THE ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE IS MAINTAINED AT A LEVEL WHICH, IN MANAGEMENT'S JUDGMENT, IS ADEQUATE TO ABSORB PATIENT ACCOUNT BALANCE WRITE-OFFS INHERENT IN THE BILLING PROCESS. THE AMOUNT OF THE ALLOWANCE IS BASED ON MANAGEMENT'S EVALUATION OF THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, INCLUDING THE NATURE OF THE ACCOUNTS, CREDIT CONCENTRATIONS, HISTORICAL WRITE-OFF TRENDS, SPECIFIC IMPAIRED ACCOUNTS, AND ECONOMIC CONDITIONS. ALLOWANCES FOR UNCOLLECTIBLES AND CONTRACTUALS ARE GENERALLY DETERMINED BY APPLYING HISTORICAL PERCENTAGES TO FINANCIAL CLASSES WITHIN ACCOUNTS RECEIVABLE. THE ALLOWANCES ARE INCREASED BY A PROVISION FOR BAD DEBT EXPENSES AND CONTRACTUAL ADJUSTMENTS, AND REDUCED BY WRITE-OFFS, NET OF RECOVERIES.THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, CHARITY CARE IS EXCLUDED FROM NET PATIENT REVENUE. PART III, LINE 8: THE HOSPITAL CONTINUES TO PROVIDE SERVICES TO THE COMMUNITY. THE AMOUNTS CALCULATED ABOVE ARE REPRESENTED USING THE COST TO CHARGE RATIO CALCULATED THROUGH THE HOSPITAL'S COST REPORT. PART III, LINE 9B: THE DEBT COLLECTION POLICY PROVIDES A PROVISION THAT EXCLUDES THOSE WHO QUALIFY FOR CHARITY FROM EVER BEING A PART OF THE BAD DEBT. PART VI, LINE 2: THE COMMUNITY'S NEEDS ARE ASSESSED THROUGH FORMAL AND INFORMAL FEEDBACK. REAL-TIME FEEDBACK ON THE COMMUNITY'S NEEDS IS SECURED THROUGH INVOLVEMENT AND REPRESENTATION OF THE BOARD OF DIRECTORS. PART VI, LINE 3: THE HOSPITAL POSTS A SUMMARY OF ITS CHARITY CARE POLICY IN ADMISSION AREAS, EMERGENCY ROOMS, AND OTHER AREAS WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE HOSPITALS CONDITION OF ADMISSION CONSENT INFORMS THE PATIENTS THAT THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR CHARITY CARE AND THEY MAY REQUEST INFORMATION ABOUT THESE PROGRAMS. A SUMMARY OF THE FINANCIALS ASSISTANCE PROGRAM IS PROVIDED TO THE PATIENT DURING THE INTAKE AND DISCHARGE PROCESSES. PATIENTS ARE INFORMED, WHERE APPLICABLE, OF AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID, AND ASSISTS THE PATIENTS WITH THE QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. 0 0 0 0 0 0 0 0 0 JAMES VANEK CEO 265416 0 0 0 0 0 0 0 0 0 265416 0 0 0 GREG PRITCHETT CFO 193077 0 0 0 0 0 0 0 0 0 193077 0 0 0 KRISTY NELSON DON 159926 0 0 0 0 0 0 0 0 0 159926 0 0 0 CYNTHIA SMITH RN 159679 0 0 0 0 0 0 0 0 0 159679 0 0 0 NICOLE CHES MID LEVEL 156202 0 0 0 0 0 0 0 0 0 156202 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 RETURN IS REVIEWED AND APPROVED BY MANAGEMENT. IT IS THEN PRESENTED TO THE BOARD AFTER FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THE BOARD OF DIRECTORS TO FILL OUT A CONFLICT OF INTEREST FORM ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15A ANNUAL PERFORMANCE-BASED MERIT INCREASE COUPLED WITH REVIEW OF SALARY SURVEY DATA FOR LIKE-SIZED HOSPITALS. FORM 990, PART VI, SECTION C, LINE 19 EXCEPT AS PROVIDED FOR IN THE ORGANIZATION'S FORM 1023 AND FORM 990S, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 17,132,889. MANAGEMENT AND GENERAL EXPENSES 1,903,654. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,036,543. COLUMBUS COMMUNITY HOSPITAL FOUNDATION 110 SHULT DRIVE COLUMBUS TX 78934 742464333 TO FURTHER HEALTHCARE SERVICES IN THE COLUMBUS COMMUNITY TX 501(C)(3) 0 COLUMBUS HEALTHCARE SYSTEM 110 SHULT DRIVE COLUMBUS TX 78934 844571353 TX 501(C)(3) 0 COLUMBUS HEALTHCARE SYSTEM REALTY 110 SHULT DRIVE COLUMBUS TX 78934 873290898 TX 501(C)(2) 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 COLUMBUS COMMUNITY HOSPITAL FOUNDATION C CASH COLUMBUS HEALTHCARE SYSTEM C CASH COLUMBUS HEALTHCARE SYSTEM REALTY R CASH