2021-11-12T14:21:57-06:00 2020-12-31 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2020-01-01 630385130 RUSSELL HOSPITAL CORPORATION RUSS 2053297100 PO BOX 939 ALEXANDER CITY AL 35011 J MATTHEW FISHER CFO 2053297100 2021-11-10 1 J MATTHEW FISHER 999009999 MEGAN RANDOLPH P00989558 2059794100 2021-11-10 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JIM PEACE PO BOX 939 ALEXANDER CITY AL 35011 85271183 0 X WWW.RUSSELLCARES.COM X 1923 AL RUSSELL HOSPITAL CORPORATION D/B/A RUSSELL MEDICAL CENTER OPERATES AN ACUTE CARE GENERAL HOSPITAL IN ALEXANDER CITY, AL INCLUDING A MEDICAL PARK FAMILY CARE (MPFC) IN DADEVILLE, AL, HEALTH PARTNERS OF GOODWATER (HPG) IN GOODWATER, AL, PHYSICIAN MULTI-SPECIALTY GROUP (PMSG) IN ALEXANDER CITY, AL, AND RUSSELL MEDICAL URGENT CARE IN ALEXANDER CITY, AL. OUR MISSION IS SIMPLE: BEING THE BEST BECAUSE WE CARE. 13 11 771 81 0 0 15067 9490204 69769835 73176594 501683 367246 2259194 1106484 72545779 84140528 0 0 0 0 32473366 36734674 0 0 0 42447261 45420544 74920627 82155218 -2374848 1985310 92592835 185250249 80552248 169223622 12040587 16026627 X RUSSELL MEDICAL IS A PROGRESSIVE, NOT-FOR-PROFIT, ACUTE CARE FACILITY SERVING THE NEEDS OF EAST CENTRAL ALABAMA. RUSSELL MEDICAL AND ITS PHYSICIANS ARE COMMITTED TO PROVIDING THE HIGHEST STANDARDS OF PATIENT CARE AND CUSTOMER SERVICE. OUR MISSION IS SIMPLE: BEING THE BEST BECAUSE WE CARE. 0 0 2082229 27891587 THE EMERGENCY DEPARTMENT SPECIALIZES IN EMERGENCY MEDICINE PROVIDING CARE TWENTY-FOUR HOURS PER DAY TREATING EMERGENT AND NON-EMERGENT PATIENTS RANGING IN A BROAD SPECTRUM OF ILLNESSES AND INJURIES. IN 2020, THE EMERGENCY DEPARTMENT PROVIDED CARE FOR 1,450 INPATIENTS AND 16,708 OUTPATIENTS TOTALING 18,158 IN PATIENT VOLUME. 3804564 27678743 THE HEART CATHERERIZATION DEPARTMENT OFFERS A WIDE RANGE OF OPTIONS FOR ALL PATIENTS IN NEED OF VASCULAR SERVICES AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. IN 2020, THE DEPARTMENT PROVIDED 107 INPATIENT AND 853 OUTPATIENT PROCEDURES TOTALING 960 PROCEDURES. 2644770 18802771 THE LABORATORY DEPARTMENT PROVIDES A FULL SERVICE MEDICAL LABORATORY FOR HOSPITAL INPATIENTS, OUTPATIENTS, EMERGENCY PATIENTS AND CLINIC PATIENTS AVAILABLE 24 HOURS A DAY 7 DAYS A WEEK. IN 2020, THE DEPARTMENT COMPLETED 50,854 INPATIENT TESTS AND 195,811 OUTPATIENT TESTS TOTALING 246,665 TESTS COMPLETED. 73623655 73623655 82155218 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 392 0 1 771 1 0 0 0 0 0 0 0 0 1 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X LEETA MCGILL 2563297170 3316 HIGHWAY 280 ALEXANDER CITY AL 35010 X HUGH NEIGHBORS III VICE CHAIRMAN 5.00 5.00 X 0 0 0 RANDY HAYNES SECRETARY/TREASURER 5.00 5.00 X 0 0 0 LOTHER E PEACE III PRESIDENT/CEO 40.00 5.00 X X 333632 0 140237 JAMES W BROWN JR DIRECTOR (EMERITUS) 5.00 5.00 X 61791 0 5066 BEN RUSSELL DIRECTOR 5.00 5.00 X 0 0 0 RALPH FROSHIN DIRECTOR 5.00 5.00 X 0 0 0 THOMAS RADNEY DIRECTOR 5.00 5.00 X 0 0 0 ARNOLD TAURO MD DIRECTOR 5.00 5.00 X 0 0 0 KAREN MOCKLER MD DIRECTOR 40.00 5.00 X 391066 0 49809 DIMO POPOV MD DIRECTOR 5.00 5.00 X 0 0 367 SUSAN BURROW DIRECTOR 5.00 5.00 X 0 0 0 STEVE FOREHAND DIRECTOR 5.00 5.00 X 0 0 0 WILL FERNIANY DIRECTOR 5.00 5.00 X 0 0 0 DON LILLY DIRECTOR 5.00 5.00 X 0 0 0 J MATTHEW FISHER CFO 40.00 5.00 X 212427 0 69927 SARAH BETH GETTYS VP PATIENT SERVICES 40.00 5.00 X 231953 0 71163 MICHELLE GOLDHAGEN MD CHIEF MEDICAL OFFICER 40.00 0.00 X 745078 0 226 BRIAN DIX MD PHYSICIAN 40.00 0.00 X 667262 0 71776 MARY EMILY SHEFFIELD MD PHYSICIAN 40.00 0.00 X 513114 0 88973 JOHN N ELGIN MD DIRECTOR - PATHOLOGY 40.00 0.00 X 413382 0 12439 ALEX MINTER MD PHYSICIAN 40.00 0.00 X 481488 0 84584 ADRIAN CARGILL MD PHYSICIAN 40.00 0.00 X 400219 0 15689 4451412 0 610256 41 0 1 0 MCKESSON CORPORATION 1220 SENTAC DRIVE CARROLLTON TX 75006 MEDICAL SUPPLIES 8881036 CENTRAL ALABAMA CANCER CARE LLC PO BOX 939 ALEXANDER CITY AL 350110939 CANCER TREATMENT 2660173 CARDINAL HEALTH PO BOX 730112 DALLAS TX 753730040 MEDICAL SUPPLIES 1479827 ANESTHESIA SERVICES OF BIRMINGHAM PC 2151 OLD ROCKY RIDGE ROAD STE 106 BIRMINGHAM AL 35216 ANESTHESIA SERVICES 1155303 MEDLINE INDUSTRIES INC DEPT CH 14400 PALATINE IL 600554400 MEDICAL SUPPLIES 1011551 30 9481297 8907 9490204 PATIENT REVENUE 900099 73176594 73176594 73176594 365546 365546 1040632 1130655 -90023 -90023 -90023 1700 0 1700 1700 1700 MISCELLANEOUS INCOME 900099 392238 392238 CAFETERIA INCOME 900099 356957 356957 PURCHASE DISCOUNTS 900099 139575 139575 307737 307737 1196507 84140528 74373101 0 277223 1093330 1093330 27631440 27631440 752259 752259 5232893 5232893 2024752 2024752 482585 482585 187682 187682 5114709 5114709 184517 184517 34286 34286 1422002 1422002 3549182 3549182 721288 721288 SUPPLIES 18826826 18826826 PURCHASED SERVICES 5339007 5339007 PROVISION FOR BAD DEBTS 4996786 4996786 MAINTENANCE AND REPAIRS 2127622 2127622 2434052 2434052 82155218 82155218 0 0 435611 3639807 2271299 9116182 35540000 42652197 2688080 2830585 636269 669887 109869827 76289214 35926339 33580613 13414420 19556819 331558 242397 1349259 72961762 92592835 185250249 14332261 14024654 34740602 33578094 31479385 121620874 80552248 169223622 X 12040587 16026627 12040587 16026627 92592835 185250249 X 1985310 1029869 970861 X X 0 1 X 1 0 X 3181389 3181389 64124362 39461473 24662889 81565 81565 0 42482511 36746176 5736335 33580613 ASSETS HELD BY TRUSTEE 3209415 F INVESTMENT IN COASTAL INSURANCE 360930 C COMMON STOCK 9783841 F MUTUAL FUNDS 1923508 F OTHER - LIMITED PARTNERSHIP 53250 F UNIT INVESTMENT TRUSTS 154180 F ALTERNATIVE INVESTMENTS 3872372 F CORPORATE OBLIGATIONS 199323 F 19556819 FINANCING COSTS 652873 457(B) PENSION ASSET 287384 INSURANCE POLICY CSV 430000 DEFERRED CHARGES 30000 UNAMORTIZED BOND PREMIUM 71561505 72961762 MISCELLANEOUS LIABILITIES 21440788 DUE TO CONTRACTUAL AGENCIES 9306056 OTHER LIABILITIES 84565512 OTHER LIABILITIES - DEFERRED COMPENSATION 2174769 UNEARNED REVENUE - CARES ACT FUNDS 4133749 121620874 X 81304266 1029869 1130655 2160524 79143742 4996786 4996786 84140528 78289087 1130655 1130655 77158432 4996786 4996786 82155218 PART X, LINE 2: THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). THE HOSPITAL HAS EVALUATED ITS TAX POSITIONS AS REQUIRED UNDER THE RELEVANT ACCOUNTING STANDARDS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT IT WOULD BE UNABLE TO SUBSTANTIATE UPON EXAMINATION. RETURNS HAVE BEEN FILED FOR ALL YEARS THROUGH DECEMBER 31, 2019. TAX RETURNS FOR 2017 AND SUBSEQUENT YEARS ARE SUBJECT TO AUDIT BY TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES SHOWN AS AN OFFSET TO REVENUE 1,130,655. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE SHOWN AS AN OFFSET TO REVENUE ON AFS 4,996,786. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES SHOWN AS AN OFFSET TO REVENUE 1,130,655. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE SHOWN AS AN OFFSET TO REVENUE ON AFS 4,996,786. 1 1 1 X 350.000000000000 1 X 1 1 0 1 1 4296395 0 4296395 0.05570 10894123 12029380 0 0.00000 15190518 12029380 4296395 0.05570 24102 2375 21727 0.00030 24102 2375 21727 0.00030 15214620 12031755 4318122 0.05600 1 8400 0 8400 0.00010 1 8400 8400 0.00010 1 4996786 2498394 18260844 13796185 4464659 X 1 1 1 1 RUSSELL MEDICAL CENTER PO BOX 939 ALEXANDER CITY AL 350110939 20419 X X X RUSSELL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X WWW.RUSSELLCARES.COM X 1 19 1 WWW.RUSSELLCARES.COM 0 1 X 350.000000000000 350.000000000000 X X X X X X 1 1 X X X X 1 X WWW.RUSSELLCARES.COM X X X X 1 X 0 X 1 0 0 RUSSELL MEDICAL CENTER PART V, SECTION B, LINE 5: IN CONDUCTING THE CHNA, THE HOSPITAL CONSULTED WITH A BROAD RANGE OF PEOPLE REPRESENTING THE HEALTH INTERESTS OF RESIDENTS OF ALEXANDER CITY AND TALLAPOOSA COUNTY INCLUDING: EXECUTIVE DIRECTOR, LOCAL UNITED WAY; ADMINISTRATOR, LOCAL NURSING HOME; NURSE MANAGER - TALLAPOOSA COUNTY HEALTH DEPARTMENT. THE CONTRIBUTORS ALSO INCLUDED LEADERSHIP AND CLINICAL EMPLOYEES OF RUSSELL MEDICAL AND MEMBERS OF THE MEDICAL STAFF OF THE HOSPITAL. RUSSELL MEDICAL CENTER PART V, SECTION B, LINE 11: RUSSELL MEDICAL CENTER ENGAGED LEGACY CONSULTING TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019 AND ADOPTED A COMPREHENSIVE IMPLEMENTATION STRATEGY FOR YEARS 2020-2022. THE FOLLOWING IS A SUMMARY OF ACTIVITIES CONDUCTED IN 2019: 1. NEED FOR PARTNERSHIPS TO DEVELOP A "SLIDING SCALE" CLINIC FOR INDIVIDUALS WITH LIMITED RESOURCES REQUIRING NON-URGENT, ON GOING OR FOLLOW-UP PHYSICIAN CARE.2. NEED FOR PARTNERSHIPS TO EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES IN THE COMMUNITY.3. NEED FOR PARTNERSHIPS TO INCREASE ACCESS TO MEDICAL TRANSPORTATION SERVICES FOR INDIVIDUALS WITH LIMITED RESOURCES.4. NEED FOR PARTNERSHIPS TO ENHANCE DIABETES, HYPERTENSION AND HEART DISEASE EDUCATION AND MANAGEMENT RESOURCES TO INCREASE PATIENT UNDERSTANDING OF THEIR DISEASE PROCESS AND MANAGEMENT TOOLS.5. NEED FOR PARTNERSHIPS TO REDUCE THE PREVALENCE OF OBESITY AND OVERWEIGHT IN THE COMMUNITY.6. NEED FOR PARTNERSHIPS TO ENHANCE THE PROMOTION OF HEALTHY NUTRITION, LIFESTYLE AND EXERCISE IN THE COMMUNITY. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,996,786. PART III, LINE 3: IF PATIENTS PROPERLY COMPLETED APPLICATION FORMS, TAXPAYER ESTIMATES AT LEAST 50% WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. PART III, LINE 4: ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITE-OFF PERCENTAGES AND REVIEW OF LARGE BALANCE SELF PAY ACCOUNTS, AND CONTRACTUAL ALLOWANCES ARE ESTIMATED BASED ON THE TERMS OF THIRD-PARTY INSURED CONTRACTS. DOUBTFUL ACCOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE AFTER ADEQUATE COLLECTION EFFORT IS EXHAUSTED AND RECORDED AS RECOVERIES OF BAD DEBTS IF SUBSEQUENTLY COLLECTED. COST DETERMINED BY USING OVERALL COST TO CHARGE RATIO. PART III, LINE 9B: RUSSELL MEDICAL CENTER 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 THE ORGANZIATION'S CHARITY CARE POLICY IN SEVERAL DIFFERENT WAYS. EACH PATIENT BILL HAS A PRINTED STATEMENT ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND WHO THE PATIENT SHOULD CONTACT. THIS SAME PRINTED STATEMENT IS DISPLAYED IN ALL REGISTRATION AND ADMISSION AREAS THROUGHOUT RUSSELL MEDICAL CENTER, THE PROFESSIONAL OFFICE BUILDING AND THE CANCER CENTER. PATIENTS WHO PRESENT TO AN ADMISSIONS CLERK AS SELF PAY OR UNDER-INSURED ARE DIRECTED TO THE BUSINESS OFFICE FOR FINANCIAL COUNSELING. PATIENTS ARE OFFERED A CHARITY APPLICATION PACKET WHICH INSTRUCTS THEM ON THE REQUIREMENTS FOR COMPLETING THE APPLICATION PROCESS. IT IS ULTIMATELY THE PATIENT'S RESPONSIBILITY TO RETURN THE DOCUMENTATION TO THE BUSINESS OFFICE FOR ELIGIBILITY DETERMINATION. WHEN THE APPLICATION IS RETURNED, THE FINANCIAL COUNSELOR CHECKS FOR COMPLETENESS. IF DETERMINATION IS MADE THAT NO OTHER ASSISTANCE IS AVAILABLE, THE APPLICATION IS RETURNED TO THE PATIENT ACCOUNTS SUPERVISOR. THE CURRENT FEDERAL POVERTY GUIDELINES ARE FOLLOWED TO DETERMINE THE AMOUNT OF CHARITY, IF ANY, THE PATIENT IS ELIGIBLE FOR. ACCOUNTS THAT TOTAL $5,000.00 AND LESS ARE SENT TO THE BUSINESS OFFICE DIRECTOR FOR APPROVAL AND ACCOUNTS GREATER THAN $5,000.00 ARE SENT TO THE CFO FOR APPROVAL. AFTER 1 YEAR OF THE INTITIAL APPLICATION, PATIENTS MUST PROVIDE ADDITIONAL DOCUMENTATION FOR ANY NEW ACCOUNTS. PART VI, LINE 2: HEALTH FAIRS, COMMUNITY EDUCATION PROGRAMS AND A VARIETY OF HEALTH SCREENINGS ARE PROVIDED THROUGHOUT THE YEAR, AND SHORT HEALTH QUESTIONNAIRES AND INTERVIEWS ARE SECURED THROUGH THESE EVENTS. IN ADDITION, A MARKET ANALYSIS TEAM WAS DEVELOPED AS PART OF THE HOSPITAL'S STRATEGIC PLAN TO RESEARCH, ANALYZE AND TREND THE DEMOGRAPHICS AND HEALTH STATUS OF OUR PRIMARY AND SECONDARY SERVICE AREA THROUGH VARIOUS DATA BASES INCLUDING REAL TIME MEDICAL DATA. THE HOSPITAL ALSO CONSIDERS INFORMATION PROVIDED BY LOCAL PEDIATRICIANS, PRIMARY CARE PHYSICIANS, INDUSTRY HR DIRECTORS AND THE TALLAPOOSA COUNTY PUBLIC HEALTH DEPARTMENT. PART VI, LINE 3: RUSSELL MEDICAL CENTER 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 THE ORGANZIATION'S CHARITY CARE POLICY IN SEVERAL DIFFERENT WAYS. EACH PATIENT BILL HAS A PRINTED STATEMENT ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND WHO THE PATIENT SHOULD CONTACT. THIS SAME PRINTED STATEMENT IS DISPLAYED IN ALL REGISTRATION AND ADMISSION AREAS THROUGHOUT RUSSELL MEDICAL CENTER, THE PROFESSIONAL OFFICE BUILDING AND THE CANCER CENTER. PATIENTS WHO PRESENT TO AN ADMISSIONS CLERK AS SELF PAY OR UNDER-INSURED ARE DIRECTED TO THE BUSINESS OFFICE FOR FINANCIAL COUNSELING. PATIENTS ARE OFFERED A CHARITY APPLICATION PACKET WHICH INSTRUCTS THEM ON THE REQUIREMENTS FOR COMPLETING THE APPLICATION PROCESS. IT IS ULTIMATELY THE PATIENT'S RESPONSIBILITY TO RETURN THE DOCUMENTATION TO THE BUSINESS OFFICE FOR ELIGIBILITY DETERMINATION. WHEN THE APPLICATION IS RETURNED, THE FINANCIAL COUNSELOR CHECKS FOR COMPLETENESS. IF DETERMINATION IS MADE THAT NO OTHER ASSISTANCE IS AVAILABLE, THE APPLICATION IS RETURNED TO THE PATIENT ACCOUNTS SUPERVISOR. THE CURRENT FEDERAL POVERTY GUIDELINES ARE FOLLOWED TO DETERMINE THE AMOUNT OF CHARITY, IF ANY, THE PATIENT IS ELIGIBLE FOR. ACCOUNTS THAT TOTAL $5,000.00 AND LESS ARE SENT TO THE BUSINESS OFFICE DIRECTOR FOR APPROVAL AND ACCOUNTS GREATER THAN $5,000.00 ARE SENT TO THE CFO FOR APPROVAL. AFTER 1 YEAR OF THE INITIAL APPLICATION, PATIENTS MUST PROVIDE ADDITIONAL DOCUMENTATION FOR ANY NEW ACCOUNTS. PART VI, LINE 4: RUSSELL MEDICAL CENTER'S SERVICE AREAS ARE DETERMINED BY PATIENT ORIGIN PATTERNS. THE PRIMARY SERVICE AREA IS DEFINED BY THE NATURAL GEOGRAPHIC BOUNDARY POSTED BY LAKE MARTIN, WHICH DIVIDES TALLAPOSSA COUNTY INTO A NORTHWEST SECTOR (INCLUDING ALEXANDER CITY) AND A SOUTHEAST SECTOR (INCLUDING DADEVILLE). THE PRIMARY SERVICE AREA CONSISTS OF ALEXANDER CITY, DADEVILLE, GOODWATER, KELLYTON AND JACKSON'S GAP. THE SECONDARY SERVICE AREA CONSISTS OF DAVISTON, EQUALITY, ROCKFORD AND CAMP HILL. OTHER AREAS NOT CONSIDERED PRIMARY OR SECONDARY BUT SUPPLYING RUSSELL MEDICAL CENTER WITH A FAIRLY SIGNIFICANT NUMBER OF PATIENTS (IN TOTAL) INCLUDE ASHLAND, LINEVILLE, ECLECTIC, WADLEY, TALLASSEE AND SYLACAUGA.DEMOGRAPHIC DATA INCLUDING RACE, GENDER AND AGE IS CAPTURED THROUGH THE REGISTRATION PROCESS. FOR 2020, CAUCASIAN, AFRICAN AMERICAN, HISPANIC AND OTHER RACES ACCOUNTED FOR 70.43%, 28.06%, 0.59% AND 0.92% RESPECTIVELY, OF THE PATIENTS SERVED WHILE 4.73%, 56.13% AND 39.14% WERE AGES 0-13, 14-65 AND 66+ YEARS, RESPECTIVELY. ECONOMIC DEMOGRAPHIC DATA IS NOT SPECIFICALLY CAPTURED; HOWEVER BASED ON THE LATEST MARKET SHARE DATA THE MEDICAL CENTER PROVIDED SERVICES TO 12.0% OF MEDICAID AND 6.00% OF SELF PAY PATIENTS IN TALLAPOOSA COUNTY AND 11.0% OF MEDICAID AND 6.0% OF SELF PAY PATIENTS IN COOSA COUNTY. PART VI, LINE 5: RUSSELL MEDICAL CENTER IS THE PRIMARY SOURCE OF ACUTE CARE IN OUR SERVICE AREA. THE HOSPITAL OPERATES AN OPEN MEDICAL STAFF AND ACTIVELY RECRUITS PHYSICIAN SPECIALTIES BASED ON NEED IN OUR COMMUNITY. THE HOSPITAL HAS A BOARD OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS AND MEDICAL STAFF TO ENSURE WE ARE CONNECTED TO COMMUNITY NEEDS WITH THE HIGHEST QUALITY OF SERVICE. RUSSELL MEDICAL CENTER ANNUALLY PREPARES A COMMUNITY BENEFIT REPORT OUTLINING OUR NUMEROUS ACTIVITES AS WELL AS DOCUMENTS OUR FINANCIAL BENEFITS TO OUR LOCAL AREA. PART VI, LINE 6: ALL ORGANIZATIONS AFFILIATED WITH RUSSELL HOSPITAL CORPORATION ARE ORGANIZED FOR THE PURPOSE OF ENSURING THE HIGHEST QUALITY OF HEALTHCARE IN OUR SERVICE AREA. X X 1 1 X X X X 0 0 0 0 0 0 0 0 0 LOTHER E PEACE III PRESIDENT/CEO 332132 0 1500 0 0 0 126840 0 16961 0 477433 0 0 0 KAREN MOCKLER MD DIRECTOR 258028 0 0 0 133038 0 43719 0 12947 0 447732 0 0 0 J MATTHEW FISHER CFO 210927 0 1500 0 0 0 52400 0 17976 0 282803 0 0 0 SARAH BETH GETTYS VP PATIENT SERVICES 230453 0 1500 0 0 0 54593 0 20134 0 306680 0 0 0 MICHELLE GOLDHAGEN MD CHIEF MEDICAL OFFICER 745078 0 0 0 0 0 0 0 226 0 745304 0 0 0 BRIAN DIX MD PHYSICIAN 346969 0 266235 0 54058 0 56074 0 16512 0 739848 0 0 0 MARY EMILY SHEFFIELD MD PHYSICIAN 445061 0 0 0 68053 0 73284 0 16229 0 602627 0 0 0 JOHN N ELGIN MD DIRECTOR - PATHOLOGY 413382 0 0 0 0 0 0 0 16003 0 429385 0 0 0 ALEX MINTER MD PHYSICIAN 414714 0 0 0 66774 0 68895 0 16499 0 566882 0 0 0 ADRIAN CARGILL MD PHYSICIAN 400219 0 0 0 0 0 0 0 16229 0 416448 0 0 0 THOMAS RADNEY BOARD MEMBER/ATTORNEY AT RADNEY, RADNEY & JACKSON, LLC 18000 LEGAL SERVICES 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW AND IS AN AGENDA ITEM AT A REGULARLY SCHEDULED BOARD MEETING OPEN FOR ANY DISCUSSION BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL QUESTIONNAIRES COMPLETED DURING EMPLOYEE ORIENTATION ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER. IF CONCERNS ARE IDENTIFIED, HOSPITAL ADMINISTRATION IS CONSULTED. EMPLOYEES ARE ALSO REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT WITH THE ORGANIZATION. HOSPITAL BOARD MEMBERS ARE REQUIRED TO COMPLETE A DISCLOSURE FORM ANNUALLY. THEY ARE ASKED TO RECUSE THEMSELVES FROM ALL VOTES WHERE A CONFLICT MAY EXIST. THE BOARD, ALONG WITH HOSPITAL ADMINISTRATION, IS RESPONSIBLE FOR THE MONITORING OF EVENTS WHICH MAY GIVE RISE TO POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 RUSSELL MEDICAL CENTER DETERMINES APPROPRIATE COMPENSATION FOR OFFICERS AND OTHER KEY EMPLOYEES THROUGH THE USE OF AN INDEPENDENT CONSULTING GROUP WITH RESULTS AND RECOMMENDATIONS FORWARDED TO GOVERNING BOARD. FORM 990, PART VI, SECTION C, LINE 19 AS A GENERAL RULE, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VIII, LINE 1E: THE HOSPITAL RECEIVED $13,615,046 FROM FUNDS ESTABLISHED UNDER THE CARES ACT IN THE FORM OF GRANTS THAT, AS LONG AS CERTAIN TERMS AND CONDITIONS ARE MET BY THE HOSPITAL, SOME OR ALL OF THE FUNDS RECEIVED ARE NOT REQUIRED TO BE REPAID BY THE HOSPITAL. THE HOSPITAL HAS RECOGNIZED $9,481,297 OF THE RELIEF FUNDS, WHICH ARE PRESENTED AS A SEPARATE LINE ITEM WITHIN OPERATING REVENUES, TO OFFSET THE ADDITIONAL EXPENSES AND LOST REVENUES INCURRED THROUGH DECEMBER 31, 2020. AS OF DECEMBER 31, 2020, $4,133,749 HAS BEEN RECORDED AS UNEARNED REVENUE IN THE ACCOMPANYING BALANCE SHEET. THE AMOUNT OF THE FUNDS THAT THE HOSPITAL ULTIMATELY WILL BE ENTITLED TO KEEP IS UNCERTAIN AT THIS TIME AND IS DEPENDENT ON ADDITIONAL GUIDANCE TO BE RECEIVED FROM THE FEDERAL GOVERNMENT INCLUDING REQUIRED REPORTING OF THE FINANCIAL IMPACT OF THE PANDEMIC ON THE HOSPITAL. THE CARES ACT INCLUDES OTHER ASPECTS WHICH COULD PROVIDE ADDITIONAL FUNDS TO THE HOSPITAL IN THE FUTURE. HOWEVER, AS OF THE DATE OF THIS REPORT, THE AMOUNT OF ANY SUCH FUTURE FUNDS TO BE RECEIVED, OR THE EFFECTIVENESS OF THE AMOUNTS ALREADY RECEIVED OR TO BE RECEIVED IN OFFSETTING THE FINANCIAL BURDEN INCURRED BY THE HOSPITAL RELATED TO THE CORONAVIRUS PANDEMIC IS UNCERTAIN. FORM 990, PART XI, LINE 9: MINIMUM PENSION LIABILITY 1,022,549. NONCONTROLLING INTEREST IN CENTRAL ALABAMA CANCER CARE, LLC -51,688. FORM 990, PART XII, LINE 2C: THE ORGANIZATION MADE NO CHANGES TO ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. MEDICAL PARK HEALTHCARE CENTER INC PO BOX 939 ALEXANDER CITY AL 35011 630987400 MANAGEMENT OF HEALTHCARE FACILITIES AL 501(C)(3) LINE 12A, I RUSSELL HOSPITAL CORPORATION 1 RUSSELL HOSPITAL FOUNDATION PO BOX 939 ALEXANDER CITY AL 35011 630987401 FUNDRAISING ACTIVITIES AL 501(C)(3) 7 MEDICAL PARK HEALTHCARE CENTER INC 0 CENTRAL ALABAMA CANCER CARE LLC PO BOX 939 ALEXANDER CITY AL 35011 453656764 CANCER TREATMENT AL RUSSELL HOSPITAL CORPORATION RELATED 6397017 25572894 0 1 0.51000 MEDICAL PARK DEVELOPMENT INC PO BOX 939 ALEXANDER CITY AL 35011 630987345 RENTAL REAL ESTATE AL MEDICAL PARK HEALTHCARE CENTER INC C 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0