2023-05-12T08:31:10-04:00 2022-06-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2021-07-01 631058174 CULLMAN REGIONAL MEDICAL CENTER INC CULL 2567372598 1912 ALABAMA HIGHWAY 157 CULLMAN AL 350580609 NESHA DONALDSON COO 2567372595 2023-05-05 true NESHA DONALDSON 999009999 WILLIAM EDWARD PHILLIPS P00451499 2298837878 2023-05-11 2021 2023-04-26 12:10:37Z JAMES CLEMENTS 1912 ALABAMA HIGHWAY 157 CULLMAN AL 350580609 184935669 false X CULLMANREGIONAL.COM X 1939 AL CULLMAN REGIONAL MEDICAL CENTER, LICENSED FOR 150 BEDS, OPERATES A 150-BED GENERAL ACUTE CARE HOSPITAL FOR THE COMMUNITY OF CULLMAN, ALABAMA AND SURROUNDING AREAS REGARDLESS OF A PATIENT'S ABILITY TO PAY. 11 10 1883 14 1666995 638678 4063314 9081928 153392559 165198430 2003569 2942661 6412917 7664949 165872359 184887968 3173290 3921004 0 88681399 98109449 0 0 66142418 74551634 157997107 176582087 7875252 8305881 187038262 226017337 103096036 141365003 83942226 84652334 X CULLMAN REGIONAL MEDICAL CENTER, LICENSED FOR 150 BEDS, OPERATES A 150-BED GENERAL ACUTE CARE HOSPITAL FOR THE COMMUNITY OF CULLMAN, ALABAMA AND SURROUNDING AREAS REGARDLESS OF A PATIENT'S ABILITY TO PAY. false false 156268337 3921004 165198430 CRMC PROVIDES ACUTE CARE PATIENT SERVICES WHICH ARE RENDERED TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. CRMC USES CHARITY APPLICATIONS BASED UPON FEDERAL POVERTY GUIDELINES AND FAMILY SIZE TO DETERMINE ELIGIBILITY FOLLOWING SERVICES PROVIDED. CRMC PROVIDES CARE 24 HOURS PER DAY, SEVEN DAYS A WEEK AND HAS PROVIDED 35,038 INPATIENT DAYS CARE, 7.54% WERE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN; 43,455 EMERGENCY ROOM VISITS, 18.43% WERE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN; AND 102,805 OUTPATIENT VISITS, 7.62% NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN. THE TOTAL UNREIMBURSED COST OF MEDICAL SERVICES PROVIDED TO THOSE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN IS REPORTED ON SCHEDULE H. CRMC ALSO PROVIDES COMMUNITY EDUCATION AND WELLNESS ACTIVITIES TO THE COMMUNITY AND IS A MAJOR CONTRIBUTOR TO A LOCAL INDIGENT CLINIC SERVICING CULLMAN COUNTY. 156268337 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false true 333 0 1883 true true true false false false false false false false false false false false X 11 10 false false false false true true true true true false false false true true true true true true false true true X JADA HAGA 2567372598 1912 ALABAMA HWY 157 CULLMAN AL 350580609 JAMES CLEMENTS CEO/MEMBER 41.00 1.00 X X 884924 0 33399 PHILLIP KRAVETZ MD PHYSICIAN 40.00 X 744771 0 33399 STEPHEN GOULD MD SURGEON 40.00 X 716077 0 9750 MICHAEL MILLER MD SURGEON 40.00 X 580846 0 9755 BRAD MOODY MD SURGEON 40.00 X 552469 0 30149 THOMAS DUKOVAC MD UROLOGIST 40.00 X 548556 0 22009 WILLIAM SMITH MD CHIEF MEDICA 40.00 X 334080 0 29307 NESHA DONALDSON COO 40.00 1.00 X 350129 0 9370 CHARNA BROWN CNO 40.00 X 227544 0 23543 BETH ANDERSON IMMEDIATE PA 1.00 X X 0 0 0 SARA BAKER SECRETARY 1.00 X 0 0 0 MARK BUSSMAN MEMBER 1.00 X 0 0 0 TIM CULPEPPER CHAIRMAN 1.00 X X 0 0 0 GINGER HOGELAND MEMBER 1.00 X 0 0 0 ROGER HUMPHREY MEMBER 1.00 X 0 0 0 PERRY KNIGHT VICE CHAIR 1.00 X X 0 0 0 BEN GOMEZ MD MEMBER 1.00 X 0 0 0 DENNIS RICHARD TREASURER 1.00 X X 0 0 0 TYLER RODEN MEMBER 1.00 X 0 0 0 4939396 200681 110 false true false RADAR HEALTHCARE PROVIDERS PO BOX 1708 WATKINSVILLE GA 30677 ANESTHESIOLOGY 689391 DESIGN INNOVATIONS LLC 100 CENTERVIEW DRIVE BIRMINGHAM AL 35216 INTERIOR DESIGN 497141 EVERGREEN LINEN SOLUTIONS PO BOX 1448 ONEONTA AL 351210017 LAUNDRY SERVICE 487283 JOHNS CUSTOM CABINENTS LLC 2210 NILES ROAD BOAZ AL 35957 CONSTRUCTION 428922 BRASFIELD & GORRIE LLC PO BOX 11407 BIRMINGHAM AL 352460351 CONSTRUCTION 398914 33 237578 8843559 791 9081928 PATIENT SERVICE REVENUES 623000 163531435 163531435 CPAP MEDICAL EQUIPMENT 621990 1086766 1086766 OUTREACH LAB SERVICES 621500 564510 564510 SPORTS MEDICINE 713940 15719 15719 165198430 2946164 2946164 4056 256785 4056 256785 260841 256785 4056 44198 47701 -3503 -3503 -3503 EMS MANAGEMENT FEES 621910 3944292 3944292 EMPLOYEE PHARMACY 621990 2349063 2349063 CAFETERIA/CATERING 722210 842711 842711 268042 217316 50726 7404108 184887968 167946325 1666995 6192720 3921004 3921004 1641209 1641209 78635575 72522036 6113539 2557461 2312456 245005 10156411 9183427 972984 5118793 4628413 490380 1351160 729002 622158 373466 373466 131724 131724 141488 141488 13063269 10830710 2232559 1111759 11961 1099798 8016349 6630963 1385386 5074 5074 4584111 4250388 333723 666290 603747 62543 300578 66231 234347 675354 675354 12213512 11324368 889144 1728106 1728106 MEDICAL SUPPLIES 24247178 24247178 REPAIRS & MAINTENANCE 5232051 3018656 2213395 TAXES AND LICENSE 452609 45709 406900 MISCELLANEOUS 166215 201586 -35371 91341 12396 78945 176582087 156268337 20313750 0 18661220 21884945 14045603 16904502 1594858 1892053 1841423 2133488 203051899 101369848 77811482 101682051 65654143 54401720 2033972 1847490 20239288 5395561 5031800 187038262 226017337 15099506 17190714 5000 61289033 75646122 26702497 48528167 103096036 141365003 X 83942226 84652334 83942226 84652334 187038262 226017337 X 8305881 -6539735 -869556 -186482 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5010 5010 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL BELONGS TO NATIONAL AND STATE INDUSTRY ASSOCIATIONS AND, AS PART OF THEIR ANNUAL DUES, PAYS A SMALL PERCENTAGE TO SUPPORT THE LOBBYING EFFORTS BY THESE ASSOCIATIONS. 3510200 3510200 91184614 38712974 52471640 8994377 6972561 2021816 77376067 55684313 21691754 21986641 21986641 101682051 LEASE LIABILITY 21662794 INTERCOMPANY LIABILITY 10762921 MINIMUM PENSION LIABILITY 5110204 COST REPORT SETTLEMENTS 4006306 ADVANCE PAYMENTS 3970186 DEFERRED PENSION EXPENSE 2120339 ACCRUED INTEREST 895417 48528167 X SCHEDULE D, PAGE 3, PART X THE AUTHORITY IS A GOVERNMENTAL ENTITY AND IS EXEMPT FROM INCOME TAXES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN CONSIDERED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL IS REQUIRED TO FILE A FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY INCOME EARNED FROM NON-RELATED BUSINESS SERVICES IS SUBJECT TO TAXATION. THE HOSPITAL APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE HOSPITAL ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2022 AND 2021 OR FOR THE YEARS THEN ENDED. THE HOSPITAL'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. true true X true X true X true true false true true 1803085 1803085 0.01020 13934954 6329096 7605858 0.04310 15738039 6329096 9408943 0.05330 1070508 1070508 0.00610 151653 151653 0.00090 96968 96968 0.00050 1319129 1319129 0.00750 17057168 6329096 10728072 0.06080 1 313 313 1 313 313 false 34918367 36963373 31885679 5077694 X true true SURGERY CENTER OF CU SURGERY CENTER 0.51000 0.49000 1 1 CULLMAN REGIONAL MEDICAL CENTER 1912 ALABAMA HIGHWAY 157 CULLMAN AL 350580609 CULLMANREGIONAL.COM H2201 X X X HOSPICE, CLINICS & HOME HEALTH CULLMAN REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X X X 22 true false false true X CULLMANREGIONAL.COM X true 22 true HTTPS://CULLMANREGIONAL.COM/COMMUNITY/ false false true X 200.000000000000 350.000000000000 X X true true X X X X true X HTTP://WWW.CULLMANREGIONAL.COM X HTTP://WWW.CULLMANREGIONAL.COM X HTTP://WWW.CULLMANREGIONAL.COM X X X X X X X true X false X X X X true X false false FACILITY 1, CULLMAN REGIONAL MEDICAL CENTER - PART V, LINE 3E THE PROCESS OF PRIORITIZING THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS DESCRIBED ON PAGES 87-95 OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH CAN BE FOUND ON THE ORGANIZATION'S WEBSITE. FACILITY 1, CULLMAN REGIONAL MEDICAL CENTER - PART V, LINE 5 CULLMAN REGIONAL MEDICAL CENTER, INC. (CRMC) CONTRACTED WITH PROFESSIONAL RESEARCH, INC. TO ASSIST IN CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS REQUIRED BY INTERNAL REVENUE CODE. DURING THE CHNA PROCESS, CRMC SOLICITED AND TOOK INTO ACCOUNT INPUT RECEIVED FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF CULLMAN COUNTY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH THROUGH MULTIPLE METHODS. INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED WITH A BROAD RANGE OF COMMUNITY REPRESENTATIVES WHO REPRESENT THE BROAD INTERESTS OF CULLMAN COUNTY. MANY OF THE INTERVIEW AND FOCUS GROUP PARTICIPANTS HAVE SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH, AND REPRESENTED THE INTERESTS OF THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS OF CULLMAN COUNTY. IN TOTAL, 20 COMMUNITY REPRESENTATIVES PARTICIPATED IN AN ONLINE KEY INFORMANT SURVEY, INCLUDING A REPRESENTATIVE FROM THE CULLMAN COUNTY HEALTH DEPARTMENT, SOCIAL SERVICE PROVIDERS, COMMUNITY LEADERS, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS. THE PURPOSE OF THE INTERVIEWS WAS TO GAIN DIRECT INPUT FROM THESE INDIVIDUALS REGARDING IDENTIFYING AND PRIORITIZING HEALTH NEEDS, INCLUDING THE HEALTH ISSUES ASSOCIATED WITH THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AS WELL AS IDENTIFYING RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THOSE HEALTH NEEDS. IN ADDITION TO CONDUCTING INTERVIEWS, COMMUNITY INPUT WAS GARNERED FROM PARTICIPANTS IN A COMMUNITY ADVISORY COMMITTEE (CAC), AS WELL AS CRMCS CHNA ADVISORY COMMITTEE. THE CHNA ADVISORY COMMITTEE WAS RESPONSIBLE FOR OVERSEEING THE CHNA PROCESS, INCLUDING IDENTIFYING AND PRIORITIZING THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. SECONDARY DATA WAS COLLECTED FROM A VARIETY OF RESPECTED ORGANIZATIONS ON A BROAD ARRAY OF HEALTH INDICATORS AND OTHER INFORMATION, AND ANALYZED AND SUMMARIZED. THE TYPES OF DATA COLLECTED INCLUDED DEMOGRAPHIC, SOCIOECONOMIC, MORTALITY AND MORBIDITY, HEALTH STATUS INDICATORS, HEALTH BEHAVIORS, MATERNAL AND CHILD HEALTH, INSURANCE STATUS, AND GENERAL COMMUNITY/ENVIRONMENTAL INFORMATION. FACILITY 1, CULLMAN REGIONAL MEDICAL CENTER - PART V, LINE 11 AS A RESULT OF THE 2022 CHNA, THE FOLLOWING CATEGORIES OF HEALTH NEEDS AND CONCERNS WERE IDENTIFIED AND PRIORITIZED. 1. MENTAL HEALTH 2. SUBSTANCE ABUSE 3. TOBACCO USE 4. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 5. HEART DISEASE & STROKE 6. POTENTIALLY DISABLING CONDITIONS 7. RESPIRATORY DISEASE 8. CANCER 9. INFANT HEALTH & FAMILY PLANNING 10. ACCESS TO HEALTHCARE SERVICES 11. ORAL HEALTH 12. INJURY & VIOLENCE ALL OF THE ABOVE PRIORITIES ARE DISCSSED FURTHER IN CRMC'S IMPLEMENTATION STRATEGY REPORT. FACILITY 1, CULLMAN REGIONAL MEDICAL CENTER - PART V, LINE 16J THE HOSPITAL HAS CLEARLY WRITTEN FINANCIAL AID POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION WEB SITE AND THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED IN THE ER ABOUT THE AVAILABILITY OF FINANCIAL AID. A REPRESENTATIVE IS ALSO AVAILABLE TO DISCUSS ELIGIBILITY TO GOVERNMENT PROGRAMS. 1 HOSPICE OF CULLMAN COUNTY 1912 ALABAMA HIGHWAY 157 CULLMAN AL 350580609 HOSPICE SCHEDULE H, PART I, LINE 3C FEDERAL POVERTY GUIDELINES (200%) ARE USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. DISCOUNTED CARE WILL BE BASED ON MEDICARE REIMBURSEMENT. SCHEDULE H, PART I, LINE 7G THE HOSPITAL SUPPORTS THE OPERATIONS OF THE GOOD SAMARITAN CLINIC, A FREE CLINIC IN CULLMAN, AL. SCHEDULE H, PART I, LINE 7 THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". THE HOSPITAL UTILIZES EPSI SOFTWARE FOR COST ACCOUNTING PURPOSES. SEE ALSO THE DESCRIPTION FOR PART III, LINE 2. SCHEDULE H, PART III, LINE 2 AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 4 THE AUTHORITY PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE EVALUATION OF THE OVERALL COLLECTIBILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE, THE ACCOUNT IS CHARGED AGAINST THE ALLOWANCE. SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. SCHEDULE H, PART III, LINE 9B THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL AID POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL AID, THEY ARE NOT REPORTED AS REVENUE. SCHEDULE H, PART VI, LINE 2 THE HOSPITAL PARTICIPATES IN THE CULLMAN COUNTY HEALTH COALITION. THIS ORGANIZATION, COMPRISED OF VARIOUS HEALTH CARE PROVIDERS AND COMMUNITY LEADERS, ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY AND STRIVES TO PROVIDE RESOURCES THAT BEST MEET THOSE NEEDS. THE 2022 AND 2019 COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION PLANS ARE WIDELY PUBLICIZED ON THE HOSPITAL'S WEBSITE AT HTTPS://CULLMANREGIONAL.COM/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ SCHEDULE H, PART VI, LINE 3 THE HOSPITAL HAS CLEARLY WRITTEN FINANCIAL AID POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION WEB SITE AND THROUGHOUT THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED IN THE ER ABOUT THE AVAILABILITY OF FINANCIAL AID. A REPRESENTATIVE IS ALSO AVAILABLE TO DISCUSS ELIGIBILITY TO GOVERNMENT PROGRAMS. AT ANY TIME DURING AN INITIAL FINANCIAL SCREENING AND CONTINUING COLLECTIONS PROCESS, PATIENTS WHO CLAIM TO LACK THE ABILITY TO PAY WILL BE OFFERED A FINANCIAL ASSESSMENT APPLICATION. A HOSPITAL REPRESENTATIVE WILL REVIEW AND EXPLAIN THE PROCESS. WE ASSIGN PATIENTS FINANCIAL COUNSELORS BY THE LAST NAME. SCHEDULE H, PART VI, LINE 4 THE HOSPITAL DRAWS PATIENTS PRINCIPALLY FROM CULLMAN COUNTY AND THE NEIGHBORING COUNTIES OF WALKER, WINSTON, MARSHALL, MORGAN, AND BLOUNT. CRMC IS THE ONLY HOSPITAL IN ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA INCLUDES THE CITY OF CULLMAN, POPULATION 18,635, AND CULLMAN COUNTY, POPULATION 89,496. PER CAPITA INCOME FOR THIS AREA IS SLIGHTLY BELOW THE PER CAPITA INCOME FOR THE STATE OF ALABAMA. CULLMAN IS SERVED BY I-65, AND IS LOCATED BETWEEN HUNTSVILLE AND BIRMINGHAM. SCHEDULE H, PART VI, LINE 5 THE ORGANIZATION AND ITS VOLUNTEER BOARDS ARE COMPOSED OF COMMUNITY MEMBERS W TH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS, AS WELL AS PHYSICIAN MEMBERS. THE EMERGENCY DEPARTMENT IS OPEN 24 HOURS PER DAY, 7 DAYS PER WEEK, AND IS OPEN TO ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY. CULLMAN REGIONAL PROVIDES FREE HEALTH SCREENINGS FOR THE COMMUNITY. THESE SCREENINGS ARE SET UP AT THE HOSPITAL AND AT VARIOUS LOCATIONS AROUND THE COUNTY. DURING FISCAL YEAR 2022, COVID PROTOCOLS PREVENTED THE FREE HEALTH SCREENINGS FROM TAKING PLACE. HOSPITAL EMPLOYEES, IN CONJUNCTION WITH OUR LOCAL JUDGES, HAVE DEVELOPED A TRAUMA PREVENTION PROGRAM. THIS PROGRAM IS PROVIDED BY CRMC EMPLOYEES ON A VOLUNTARY BASIS. OUR LOCAL JUDGES REFER TEENAGE DRIVING OFFENDERS TO THE PROGRAM TO TEACH THEM THE IMPORTANCE OF VEHICLE SAFETY. WHILE THEY ARE HERE, THEY ACTUALLY GET TO WITNESS THE VARIOUS STAGES OF A TRAUMA ACCIDENT, FROM THE TIME THEY ARRIVE AT THE ER, UNTIL THEY LEAVE THE HOSPITAL. COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE PROVIDING AMBULANCE SUPPORT FOR VARIOUS COMMUNITY ACTIVITIES AND PROVIDING COMMUNITY SUPPORT GROUPS. THESE SUPPORT GROUPS (ALZHEIMER'S, BREAST CANCER, ETC) PROMOTE THE PHYSICAL AND MENTAL HEALTH OF THE COMMUNITY THAT WE SERVE. CULLMAN REGIONAL PROVIDES THE HEALTHY LIFE PROGRAM. THIS PROGRAM OFFERS SEMINARS AND EDUCATION ON HEALTH AND LIFESTYLE ISSUES AND ALSO OFFERS DISCOUNT ADMISSION TO WORKSHOPS AND HEALTH SCREENINGS. THIS PROGRAM CURRENTLY HAS APPROXIMATELY 7,000 MEMBERS. CRMC ALSO PROVIDES A COMMUNITY EDUCATION CENTER WHICH OFFERS MEETING ROOMS AND CATERING SERVICES FOR LOCAL BUSINESSES, CHURCHES, CIVIC ORGANIZATIONS AND EDUCATIONAL GROUPS. ALL OF OUR AMBULANCES ARE EQUIPPED WITH 12 LEAD EKG TECHNOLOGY, WHICH TRANSMITS THE INFORMATION DIRECTLY TO THE EMERGENCY ROOM PHYSICIAN, ALLOWING THEM TO GET THE INFORMATION WHILE THE PATIENT IS IN TRANSIT. THIS PROGRAM HAS REDUCED THE TIME FROM DOOR TO ANGIOPLASTY, BY GETTING THE CARDIOLOGY TEAM IN PLACE BEFORE THE PATIENT ARRIVES. SCHEDULE H, PART VI, LINE 6 THE HEALTH CARE AUTHORITY OF CULLMAN COUNTY (AUTHORITY) WAS REINCORPORATED ON NOVEMBER 15, 1984 UNDER THE ALABAMA HEALTH CARE AUTHORITY ACT OF 1982 PURSUANT TO THE PROVISION OF ACT NUMBER 82-418 AS A PUBLIC HOSPITAL CORPORATION. IT WAS CREATED BY THE BOARD OF COUNTY COMMISSIONERS OF CULLMAN COUNTY, ALABAMA, TO OPERATE, CONTROL, AND MANAGE ALL MATTERS CONCERNING THE COUNTY'S HEALTH CARE FUNCTIONS. THE BOARD OF COUNTY COMMISSIONERS APPOINTS THE BOARD OF DIRECTOR MEMBERS OF THE AUTHORITY, AND THE AUTHORITY, WITHIN THE DEFINITIONS OF THE HEALTH CARE AUTHORITY ACT, MAY ISSUE DEBT BUT IT CANNOT LEVY TAXES WITHOUT THE COUNTY'S APPROVAL. FOR THIS REASON, THE AUTHORITY IS CONSIDERED TO BE A COMPONENT UNIT OF CULLMAN COUNTY. CULLMAN REGIONAL MEDICAL CENTER (HOSPITAL), A BLENDED COMPONENT UNIT OF THE AUTHORITY, IS AN ALABAMA NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE TO OPERATE AS AN ACUTE CARE HOSPITAL. THE AUTHORITY APPOINTS THE VOTING MAJORITY OF THE HOSPITAL BOARD AND CONTROLS THE OPERATIONS OF THE HOSPITAL. THE AUTHORITY AND BAPTIST HEALTH SYSTEMS, INC. (BHS) ORGANIZED CULLMAN REGIONAL MEDICAL CENTER TO CONSTRUCT AND OPERATE A 115-BED GENERAL ACUTE CARE HOSPITAL IN CULLMAN, ALABAMA. THE AUTHORITY AND BHS WERE EQUAL MEMBERS IN THE HOSPITAL. ON DECEMBER 1, 2005, THE AUTHORITY PURCHASED BHS'S SHARE OF THE HOSPITAL AND IS NOW THE SOLE MEMBER. THE AUTHORITY ALSO OPERATES CULLMAN EMERGENCY MANAGEMENT SERVICES (CEMS), AN AMBULANCE SERVICE COVERING THE CULLMAN COUNTY AREA. CULLMAN REGIONAL MEDICAL CENTER FOUNDATION, INC. (FOUNDATION) IS A NONPROFIT CORPORATION WHICH WAS FORMED TO ASSIST, ADVANCE, AND STRENGTHEN CULLMAN REGIONAL MEDICAL CENTER, INC.(HOSPITAL) IN CULLMAN, ALABAMA, BY SUPPORTING THE HOSPITAL'S HEALTHCARE MISSION AND MEDICAL EDUCATION PROGRAMS. THE FOUNDATION SOLICITS AND ADMINISTERS CONTRIBUTIONS WHICH ARE USED TO ASSIST THE HOSPITAL WITH EXPANSION OF HOSPITAL FACILITIES, MEDICAL EQUIPMENT PURCHASES, CHARITY MEDICAL CARE AND NURSING, AND MEDICAL AND PARAMEDICAL EDUCATION. SCHEDULE H, PART VI, LINE 7 ALABAMA true GOOD SAMARITAN CLINIC 401 ARNOLD ST NE CULLMAN AL 35055 200149215 3 82000 3839004 FMV MED SVCS CURRENT OPERATIONS 1 SCHEDULE I, PAGE 1, PART I, LINE 2 THE HOSPITAL CONTINUOUSLY EVALUATES COMMUNITY ORGANIZATIONS (AS IDENTIFIED IN PART II ABOVE) PROVIDING HEALTHCARE NEEDS TO THE MEDICALLY UNDERSERVED WHO ALSO ARE MOST LIKELY UNABLE TO PAY. THE HOSPITAL EVALUATES THE NEEDS ON AN INDIVIDUAL BASIS BASED ON DOCUMENTED REQUESTS FOR SERVICES PROVIDED. X true true X X X X false false false false false false false false false JAMES CLEMENTS CEO/MEMBER 520835 364089 13000 20399 918323 PHILLIP KRAVETZ MD PHYSICIAN 719208 25563 13000 20399 778170 STEPHEN GOULD MD SURGEON 700514 15563 9750 725827 MICHAEL MILLER MD SURGEON 560283 20563 9194 561 590601 BRAD MOODY MD SURGEON 551906 563 9750 20399 582618 THOMAS DUKOVAC MD UROLOGIST 547993 563 9750 12259 570565 WILLIAM SMITH MD CHIEF MEDICAL OFCR 269588 64492 8965 20342 363387 NESHA DONALDSON COO 272270 77859 9286 84 359499 CHARNA BROWN CNO 188058 39486 3201 20342 251087 SCHEDULE J, PAGE 1, PART I, LINE 1A THE ORGANIZATION PROVIDES A MEMBERSHIP TO THE LOCAL COUNTRY CLUB FOR THE CEO. ANY AMOUNTS NOT DOCUMENTED AS BUSINESS RELATED ARE INCLUDED IN THE RECIPIENT'S TAXABLE INCOME AND REPORTED ON THE FORM W-2. SCHEDULE J, PART III BONUS/INCENTIVES CERTAIN EXECUTIVE OFFICERS AND DEPARTMENT DIRECTORS ARE ELIGIBLE FOR BONUS/INCENTIVE PAYMENTS. THESE PAYMENTS ARE RELIANT ON VARIOUS ORGANIZATIONAL AND PERSONAL GOALS ESTABLISHED BY THE GOVERNING BODY. WHETHER A BONUS/INCENTIVE PAYMENT IS AWARDED IS DEPENDENT UPON THE NET PROFIT OF THE ORGANIZATION. FORM 990, PAGE 2, PART III, LINE 4A CRMC PROVIDES ACUTE CARE PATIENT SERVICES WHICH ARE RENDERED TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. CRMC USES CHARITY APPLICATIONS BASED UPON FEDERAL POVERTY GUIDELINES AND FAMILY SIZE TO DETERMINE ELIGIBILITY FOLLOWING SERVICES PROVIDED. CRMC PROVIDES CARE 24 HOURS PER DAY, SEVEN DAYS A WEEK AND HAS PROVIDED 35,038 INPATIENT DAYS CARE, 7.54% WERE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN; 43,455 EMERGENCY ROOM VISITS, 18.43% WERE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN; AND 102,805 OUTPATIENT VISITS, 7.62% NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN. THE TOTAL UNREIMBURSED COST OF MEDICAL SERVICES PROVIDED TO THOSE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN IS REPORTED ON SCHEDULE H. CRMC ALSO PROVIDES COMMUNITY EDUCATION AND WELLNESS ACTIVITIES TO THE COMMUNITY AND IS A MAJOR CONTRIBUTOR TO A LOCAL INDIGENT CLINIC SERVICING CULLMAN COUNTY. FORM 990, PAGE 6, PART VI, LINE 6 THE HEALTH CARE AUTHORITY OF CULLMAN COUNTY (AUTHORITY)IS THE SOLE MEMBER OF CULLMAN REGIONAL MEDICAL CENTER INC. FORM 990, PAGE 6, PART VI, LINE 7A THE AUTHORITY APPOINTS THE VOTING MAJORITY OF THE ORGANIZATION'S BOARD AND CONTROLS THE OPERATIONS AS WELL. FORM 990, PAGE 6, PART VI, LINE 7B THE AUTHORITY APPOINTS THE VOTING MAJORITY OF THE ORGANIZATION'S BOARD AND CONTROLS THE OPERATIONS OF THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 11B MANAGEMENT ASSISTS IN PREPARING SCHEDULES, REVIEWS THE ENTIRE DRAFT OF THE FORM 990 FOR CONTENT, AND RECOMMENDS CHANGES, IF ANY. PRIOR TO FILING, THE CFO, AND ACCOUNTING DEPARTMENT REVIEW THE FORM. THE FINAL FORM, AS IT IS ULTIMATELY FILED WITH ALL SCHEDULES AND ATTACHMENTS, IS MADE AVAILABLE TO THE BOARD MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C ANNUALLY, BOARD MEMBERS, OFFICERS, AND DEPARTMENTAL DIRECTORS MUST IDENTIFY ANY CONFLICT, MANAGEMENT MONITORS AND MAY SUGGEST ANY AREAS OF CONFLICT. THE BOARD CHAIRMAN OR ADMINISTRATION REVIEWS ACTUAL AND PERCEIVED CONFLICTS OF INTEREST. IN THE EVENT OF A CONFLICT, THE MEMBER OR OFFICER WITH THE CONFLICT WILL DISMISS THEMSELVES FROM THE DISCUSSION AND ANY VOTES ON THE ISSUE. FORM 990, PAGE 6, PART VI, LINE 15A ANNUALLY THE BOARD (OR A COMMITTEE CHARGED WITH THE RESPONSIBILITY AND AUTHORITY TO DO SO ON BEHALF OF THE BOARD) REVIEWS THE COMPENSATION PACKAGE AND PROPOSED CONTRACT OF THE CEO. THE REVIEW IS CONDUCTED BY INDEPENDENT BOARD MEMBERS, IS BASED UPON A COMPARATIVE ANALYSIS, AND IS DOCUMENTED IN THE RECORDS OF THE BOARD REFLECTING THE BASIS OF THE DETERMINATION BY THE THE BOARD (OR AUTHORIZED COMMITTEE). FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO ANY MEMBER OF THE PUBLIC WHO MAKES THEIR REQUEST AT THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION. FORM 990, PART XI, LINE 9 CHANGE IN TEMPORARY RESTRICTED ASSETS OF AFFILIATE 176,126 CHANGE IN UNRESTRICTED ASSETS OF AFFILIATE -362,608 TOTAL -186,482 IN JUNE 2017, THE GASB ISSUED STATEMENT NO. 87, LEASES (GASB 87). GASB 87 ESTABLISHES STANDARDS OF ACCOUNTING AND FINANCIAL REPORTING BY LESSEES AND LESSORS AND ESTABLISHES A SINGLE MODEL FOR LEASE ACCOUNTING BASED ON THE FOUNDATIONAL PRINCIPLE THAT LEASES ARE FINANCINGS OF THE RIGHT TO USE AN UNDERLYING ASSET. GASB 87 WILL REQUIRE A LESSEE TO RECOGNIZE A LEASE LIABILITY AND AN INTANGIBLE RIGHT-TO-USE LEASE ASSET AT THE COMMENCEMENT OF THE LEASE TERM, WITH CERTAIN EXCEPTIONS, AND WILL REQUIRE A LESSOR TO RECOGNIZE A LEASE RECEIVABLE AND A DEFERRED INFLOW OF RESOURCES AT THE COMMENCEMENT OF THE LEASE TERM, WITH CERTAIN EXCEPTIONS. GASB 87 IS EFFECTIVE FOR FISCAL YEARS BEGINNING AFTER JUNE 15, 2021, WITH GASB 95 DEFERRAL. THE AUTHORITY ADOPTED GASB 87 ON JULY 1, 2021 AND RETROACTIVELY IMPLEMENTED THE STATEMENT EFFECTIVE JULY 1, 2020. AS LESSEE, THE ADOPTION OF THIS STATEMENT RESULTED IN AN INCREASE IN LEASE OBLIGATIONS OF APPROXIMATELY 24,301,000 AND 23,455,000 AND RELATED RIGHT-TO-USE LEASE ASSETS OF APPROXIMATELY 24,301,000 AND 22,635,000 AS OF JULY 1, 2020 AND 2021, RESPECTIVELY. AS LESSOR, THE ADOPTION OF THIS STATEMENT RESULTED IN AN INCREASE IN LEASE RECEIVABLE OF APPROXIMATELY 1,001,000 AND 958,000 AND RELATED DEFERRED INFLOWS OF RESOURCES OF APPROXIMATELY 1,001,000 AND 957,000 AS OF JULY 1, 2020 AND 2021, RESPECTIVELY. THE ADOPTION OF THE STANDARD ALSO RESULTED IN A REDUCTION IN BEGINNING NET POSITION OF 869,556 FOR THE FISCAL YEAR ENDED JUNE 30, 2022. CULLMAN REGIONAL MEDICAL CTR FNDN 1912 ALABAMA HIGHWAY 157 CULLMAN AL 350580609 630727880 FOUNDATION AL 501C3 7 NA false HEALTH CARE AUTHORITY OF CULLMAN CO 1912 ALABAMA HIGHWAY 157 CULLMAN AL 350580609 631149220 AUTHORITY AL 501C1 6 NA false SURGERY CENTER OF CULLMAN LLC 1912 ALABAMA HIGHWAY 157 CULLMAN AL 35058 203489003 SURG CTR AL CRMC RELATED 402190 1623144 false false 0.51000 false false true true true false false false false false false false true true true false false false false