2020-08-12T13:41:20-05:00 2019-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2018-10-01 636000090 THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON HEAL 2562355255 PO BOX 2208 ANNISTON AL 36202 LOUIS A BASS CEO 2562355255 2020-08-12 1 AMY BIBBY P00445891 8282542254 2020-08-12 149.20.196.83 2020-08-12 13:38:41 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 48FB394F9AA065459641371F168D9F2AFFFBB473 2018 2020-09-23 17:36:50Z NORTHEAST ALABAMA REGIONAL MEDICAL CENTER LOUIS A BASS PO BOX 2208 ANNISTON AL 36202 266710942 0 X WWW.RMCCARES.ORG X 1974 AL TO PROVIDE PERSONALIZED HEALTHCARE TO CITIZENS OF NORTHEAST ALABAMA 15 12 2630 257 281473 145958 241715 233864 262871581 258358298 1921322 1285284 5335512 6833496 270370130 266710942 197602 204027 0 0 108818816 98592325 0 0 0 178881480 163156033 287897898 261952385 -17527768 4758557 213490439 195350082 119801576 97015595 93688863 98334487 X THE BOARD'S MISSION IS PROVIDING STATE OF THE ART HEALTH CARE WITH INTEGRITY, TO THE PEOPLE WE SERVE. 0 0 242987981 204027 258076825 DURING THE YEAR, THE AUTHORITY HAD 14,390 ADULT AND PEDIATRIC INPATIENT ADMISSIONS, 2,086 NEWBORN ADMISSIONS AND SERVED PATIENTS THROUGH AMBULATORY CARE INCLUDING: 4,000 OBSERVATION PATIENTS, 65,418 EMERGENCY DEPARTMENT PATIENTS, 6,987 SAME DAY SURGERY PATIENTS, 611,497 OTHER OUTPATIENT VISITS.THE AUTHORITY IS ALSO INVOLVED IN EDUCATION, RESEARCH, AND COMMUNITY BENEFIT ACTIVITIES DESIGNATED TO PROVIDE HEALTH AND WELLNESS. THE AUTHORITY HOLDS DESIGNATIONS FOR THE FOLLOWING: IS THE FIRST HOSPITAL IN THE STATE OF ALABAMA TO RECEIVE THE "BABY-FRIENDLY" DESIGNATION FROM THE WORLD HEALTH ORGANIZATION (WHO) ; ALABAMA STATEWIDE CANCER REGISTRY (ASCR) GOLD STANDARD AWARD; OUTSTANDING ACHIEVEMENT AWARD BY THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS (ACS); THE BLUE DISTINCTION DESIGNATION FOR MATERNITY CARE SERVICES AND JOINT COMMISSION ACCREDIDATION. 242987981 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 401 0 1 2630 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 X X KIMBERLY CAMPBELL AVP FINANCE 2562355041 400 EAST TENTH STREET ANNISTON AL 36202 JAMES E ROBERTS CHAIRMAN 1.00 1.00 X X 0 0 0 JIMMIE THOMPSON III VICE CHAIRMAN 1.00 X X 0 0 0 W E WILLIAMS SECRETARY 1.00 X X 0 0 0 LOUIS DIVALENTIN MD BOARD MEMBER 1.00 1.00 X 0 0 0 BILLY DON GRIZZARD BOARD MEMBER 1.00 X 0 0 0 ARTHUR F FITE III BOARD MEMBER 1.00 1.00 X 0 0 0 SANDRA FOX SUDDUTH BOARD MEMBER 1.00 1.00 X 0 0 0 MARCUS DUNN BOARD MEMBER 1.00 X 0 0 0 GEORGE CRAWFORD MD BOARD MEMBER 1.00 X 0 0 0 JAY JENKINS BOARD MEMBER 1.00 X 0 0 0 ELLEN BASS BOARD MEMBER 1.00 X 0 0 0 PAULA WATKINS BOARD MEMBER 1.00 X 0 0 0 BUD OWSLEY BOARD MEMBER 1.00 X 0 0 0 LINDA JENKINS BOARD MEMBER 1.00 X 0 0 0 ALMENA FREE BOARD MEMBER 1.00 X 0 0 0 DICK PRITCHETT BOARD MEMBER 1.00 X 0 0 0 ROB SVENSEN OD BOARD MEMBER 1.00 X 0 0 0 LOUIS BASS CEO 40.00 1.00 X 404577 0 31191 MARK NORTH CFO 40.00 X 209462 0 29318 JOSEPH WEAVER COO 40.00 X 249578 0 30612 BARRY J BILLINGS MD PHYSICIAN 40.00 X 617760 0 31191 MOHAMED JASSER MD PHYSICIAN 40.00 X 605408 0 31191 TERRY PHILLIS JR MD PHYSICIAN 40.00 X 675303 0 31191 SHARMAN SANDERS MD PHYSICIAN 40.00 X 441516 0 15260 JESSICA VINCENT MD PHYSICIAN 40.00 X 430400 0 8100 3634004 0 208054 47 0 1 0 QUEST DIAGNOSTICS PO BOX 740736 ATLANTA GA 30374 LAB SERVICES 3832421 EPIX ANESTHESIA OF ALABAMA LLC BUILDING 100 STE 330 ROSWELL GA 30076 ANESTHESIA SERVICES 2706424 ANESTHESIA ASSOCIATES PA PO BOX 8305 GADSEN AL 35905 ANESTHESIA SERVICES 2225801 ROBINS AND MORTON GROUP 400 SHADES CREEK PARKWAY BIRMINGHAM AL 35209 CONSTRUCTION 1442972 AMERICAN PHYSICIAN PARTNERS LLC 5121 MARYLAND WAY STE 300 BRENTWOOD TN 37027 ER PHYSICIANS 1416746 33 48208 185656 233864 NET PATIENT SERVICE 621400 253717342 253717342 MEDICAID DISP SHARE 900099 3368963 3368963 PHARMACY REVENUE 900099 931653 931653 OTHER PROGRAMS 900099 290195 8722 281473 AFTERCARE REHAB SERVICES 624100 50145 50145 258358298 817999 817999 2545849 0 2545849 2545849 2545849 466432 853 0 0 466432 853 467285 467285 46338 0 46338 46338 OTHER INCOME 900099 3418399 3418399 FOOD SERVICE & VENDING 722210 767081 767081 GIFT SHOP REVENUE 453220 55829 55829 4241309 266710942 258076825 281473 8118780 X 204027 204027 954738 954738 175159 175159 80377659 74640616 5737043 1407865 1292279 115586 9911494 9185233 726261 5765410 5292069 473341 227742 227742 32598 32598 27919801 21191043 6728758 5890378 4762470 1127908 3184301 1179531 2004770 6867500 6456043 411457 16303 8833 7470 118360 104125 14235 3139366 3139366 10808488 10808488 1654214 1654214 BAD DEBT 54539301 54539301 MEDICAL SUPPLIES 45866301 45866301 FOOD SERVICE EXPENSES 1864749 1864749 OTHER EXPENSES 778710 624134 154576 247921 247921 261952385 242987981 18964404 0 1735407 2116757 5317575 3855651 25689437 23226685 1569209 1262696 6734678 6395009 2593352 2865211 318884396 255207962 70886609 63676434 31188104 27635217 22016417 22016417 4616302 4431814 41143349 37868191 213490439 195350082 27538615 17712911 268708 254872 80267188 71827318 11727065 7220494 119801576 97015595 X 93678838 98324387 10025 10100 93688863 98334487 213490439 195350082 X 4758557 -112933 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10371 10371 0 PART II-B, LINE 1: A PORTION OF MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE ALABAMA HOSPITAL ASSOCIATION (ALAHA) IS ALLOCATED TO LOBBYING ACTIVITIES PERFORMED FOR THE BENEFIT OF THOSE ORGANIZATIONS' MEMBER BODIES. IN 2019, 16.28% OF DUES PAID TO THE ALAHA ($5,540) WERE ALLOCATED TO LOBBYING EFFORTS. 10025 75 10100 10065 -40 10025 10040 20 10060 10040 10040 10040 10040 1.00000 0 0 6811831 6811831 103360686 74768221 28592465 615219 107621 507598 202417403 176686935 25730468 5679257 3645185 2034072 63676434 INVESTMENT IN QHG OF JACKSONVILLE 9006269 C INVESTMENT IN STRINGFELLOW MEM HOSP 13010148 C 22016417 DEBT ISSUANCE COST 10100 INTEREST RATE SWAP DEFERRED CHARGE 1428471 DUE FROM AFFILIATES 34735260 THIRD PARTY SETTLEMENTS 1506713 UNAMORTIZED LOSS ON REFUNDINGS 187647 37868191 INTERCOMPANY PAYABLES 7220494 7220494 X PART V, LINE 4: THE KNOX ENDOWMENT WAS ESTABLISHED IN THE 1940'S BY THE KNOX FAMILY TO PROVIDE MATERNITY CARE FOR INDIGENT HOSPITAL PATIENTS. INVESTMENT EARNINGS ON THE FUND ARE PUT TOWARDS INDIGENT MATERNITY PATIENTS ANNUALLY. THE HOSPITAL HAS DISCRETION TO USE THE FUNDS FOR MEDICAL EXPENSES BESIDES MATERNITY CARE IF NECESSARY. PART X, LINE 2: THE AUTHORITY IS A POLITICAL SUBDIVISION AND THE AFFILIATE IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; THEREFORE, NO PROVISION HAS BEEN RECORDED FOR INCOME TAXES FOR THESE ENTITIES. REGIONAL HEALTH MANAGEMENT CORPORATION ("RHMC") IS A WHOLLY-OWNED SUBSIDIARY OF THE AFFILIATE. RHMC IS A FOR-PROFIT CORPORATION AND ACCOUNTS FOR DEFERRED INCOME TAXES USING THE ASSET AND LIABILITY METHOD TO ESTABLISH DEFERRED TAX ASSETS AND LIABILITIES FOR THE TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASES AND THE TAX BASES OF RHMC'S ASSETS AND LIABILITIES AT ENACTED TAX RATES EXPECTED TO BE IN EFFECT WHEN SUCH AMOUNTS ARE REALIZED OR SETTLED. AS OF SEPTEMBER 30, 2019, RHMC HAD NET OPERATING LOSS CARRY FORWARDS OF APPROXIMATELY $18,706,000. THE AUTHORITY HAS EVALUATED THEIR TAX POSITIONS AND HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2019. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 9386629 9386629 0.04530 19922076 33012369 0 0.00000 29308705 33012369 9386629 0.04530 1854614 1854614 0.00890 17661430 10628461 7032969 0.03390 34706 34706 0.00020 19550750 10628461 8922289 0.04300 48859455 43640830 18308918 0.08830 1 54539301 5410299 51040034 62227452 -11187418 X 1 1 2 1 NORTHEAST ALABAMA REGIONAL MEDICAL CTR 400 EAST 10TH STREET ANNISTON AL 36207 X X X A 2 STRINGFELLOW MEMORIAL HOSPITAL 301 E 18TH ST ANNISTON AL 36207 X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 17 1 1 0 1 X RMCCARES.ORG/COMMUNITY-REPORTS/ X 1 17 1 RMCCARES.ORG/COMMUNITY-REPORTS/ 0 1 X 250.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X WWW.RMCCARES.ORG X WWW.RMCCARES.ORG X WWW.RMCCARES.ORG X X X X X X 1 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: NORTHEAST ALABAMA REGIONAL MEDICAL CTR, - FACILITY 2: STRINGFELLOW MEMORIAL HOSPITAL GROUP A-FACILITY 1 -- NORTHEAST ALABAMA REGIONAL MEDICAL CTR PART V, SECTION B, LINE 5: THE AUTHORITY'S CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THE INTERVIEW PROCESS TOOK INTO ACCOUNT INPUT FROM PERSONS, BASED ON RECOMMENDATIONS FROM THE HOSPITAL'S MANAGEMENT TEAM, WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL INCLUDING HOSPITAL MANAGEMENT, HOSPITAL BOARD, HOSPITAL MEDICAL STAFF / COMMUNITY PHYSICIANS, LOCAL AGENCIES AND PROVIDERS, AND COMMUNITY LEADERS. COLLECTIVELY, THE COMMUNITY MEMBERS SURVEYED REPRESENT HUNDREDS OF YEARS OF LIVING EXPERIENCE IN THE PRIMARY SERVICE AREA OF THE HOSPITAL AND THEREFORE PROVIDE HIGH PROBABILITY THAT RESPONDENTS KNOW AND UNDERSTAND THE COMMUNITY DYNAMICS AND ISSUES OF THE PRIMARY SERVICE AREA. GROUP A-FACILITY 1 -- NORTHEAST ALABAMA REGIONAL MEDICAL CTR PART V, SECTION B, LINE 6A: NORTHEAST ALABAMA REGIONAL MEDICAL CENTER AND STRINGFELLOW MEMORIAL HOSPITAL. GROUP A-FACILITY 1 -- NORTHEAST ALABAMA REGIONAL MEDICAL CTR PART V, SECTION B, LINE 11: THE ORGANIZATION PRIORITIZED THE HEALTH NEEDS ADDRESSED BASED ON FIVE CONSIDERATIONS: 1) CONSISTENCY WITH THE ORGANIZATION'S MISSION, 2) QUALITY CONSIDERATIONS, 3)GOVERNANCE AND ORGANIZATION STRUCTURE ISSUES, 4)FINANCIAL OPERATIONS IMPACTS, 5)AND RISK. GROUP A-FACILITY 2 -- STRINGFELLOW MEMORIAL HOSPITAL PART V, SECTION B, LINE 2: THE HOSPITAL FACILITY WAS ACQUIRED ON MAY 1, 2017. 2 1 - NORTHEAST AL REGIONAL MED CENTER PSYCH U 400 EAST 10TH STREET ANNISTON AL 36202 INPATIENT PSYCH UNIT 2 - RMC JACKSONSVILLE PSYCH UNIT 1701 PELHAM RD S JACKSONVILLE AL 36265 INPATIENT PSYCH UNIT PART I, LINE 3C: THE FINANCIAL ASSISTANCE POLICY PROVIDES A FULL TO PARTIAL WRITE-OFF BASED UPON THE INCOME LEVEL COMPARED TO THE FEDERAL POVERTY GUIDELINES. 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 $ 54,539,301. PART III, LINE 2: ACTUAL BAD DEBTS WRITTEN OFF OF 54,539,301 PART III, LINE 3: THE ORGANIZATION ESTIMATES THAT APPROXIMATELY 10% OF ITS BAD DEBT WOULD QUALIFY AS CHARITY CARE. WHICH IS THE ORGANIZATIONS COST FOR THE BAD DEBT BASED ON ITS COST TO CHARGE RATIO. PART III, LINE 4: BAD DEBT EXPENSE AT COST WAS CALCULATED BY MULTIPLYING TOTAL BAD DEBT EXPENSE BY THE HOSPITAL'S COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS BY DIVIDING TOTAL OPERATING COSTS INTO TOTAL CHARGES. PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE WAS DERIVED FROM THE MEDICARE COST REPORT. PART III, LINE 9B: THE FINANCIAL ASSISTANCE POLICY STATES:THE ORGANIZATION WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE IT MAKES A REASONABLE EFFORT TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. COLLECTION ACTIVITY WILL PROCEED BASED UPON A SEPARATE COLLECTION POLICY. PART VI, LINE 2: OUR ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF OUR COMMUNITY IN SEVERAL WAYS, WHICH INCLUDES THE COMPLETION OF A COMMUNITY HEALTH NEEDS ASSESEMENT ONCE EVERY THREE YEARS (WITH THE MOST RECENT ASSESSMENT COMPLETED IN DECEMBER 2017), AND THE COMPLETION OF AN ANNUAL UPDATE OF OUR MEDICAL STAFF DEVELOPMENT PLAN. THERE ARE SEVERAL COMPONENTS TO THIS PLAN, INCLUDING THE OVERALL POPULATION WITHIN OUR SERVICE AREA, THE AGE OF THE CURRENT MEMBERS OF OUR MEDICAL STAFF, AND PROJECTED PHYSICIAN NEEDS USING CALCULATIONS PROVIDED BY THE AMERICAN MEDICAL ASSOCIATION'S PHYSICIAN CHARACTERISTICS AND DISTRIBUTION IN THE U.S. PART VI, LINE 3: ALL PATIENT BILLS INCLUDE A STATEMENT THAT CHARITY CARE IS AVAILABLE TO QUALIFYING INDIVIDUALS, ALONG WITH INFORMATION ON HOW TO CONTACT PERSONNEL AT THE HOSPITAL IF THE PATIENT IS INTERESTED IN DETERMINING IF THEY QUALIFY FOR FINANCIAL ASSISTANCE. SIGNS ARE ALSO POSTED IN ALL REGISTRATION AREAS, AND INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY IS ALSO PROVIDED ON THE HOSPITAL'S WEBSITE. PART VI, LINE 4: OUR PRIMARY SERVICE AREA IS COMPRISED OF THREE COUNTIES WITH A TOTAL POPULATION OF 155,000. FORTY THREE PERCENT (43%) OF THIS POPULATION IS COMPRISED OF LOW-INCOME INDIVIDUALS (INCOMES EQUAL TO OUR LESS THAN 200% OF THE FEDERAL POVERTY LEVEL) PART VI, LINE 5: THE AUTHORITY HAS ATTEMPTED TO PROVIDE OUTREACH AND EXTEND ITS SERVICE OFFERINGS INTO RURAL COMMUNITIES. OUR TOTAL GEOGRAPHIC AREA IS EXPANSIVE AND IN MANY PARTS PATIENTS HAVE LIMITED ACCESS TO HEALTHCARE OTHER THAN THE SERVICES PROVIDED BY THE AUTHORITY.THE AUTHORITY UTILIZES SURPLUS FUNDS PRIMARILY TO PURCHASE NEW AND REPLACEMENT MEDICAL EQUIPMENT, AND TO PERFORM NEEDED RENOVATIONS ON ITS PLANT. OTHER USES OF SURPLUS FUNDS MIGHT INVOLVE FUNDING EDUCATIONAL OPPORTUNITIES FOR CLINICAL STAFF AND WHEN ALLOWED, MEMBERS OF ITS MEDICAL STAFF. PART VI, LINE 6: THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7, REPORTS FILED WITH STATES AL 1 MEDICAL CENTER MEMORIAL FOUNDATION INC 400 EAST 10TH ST ANNISTON AL 36207 630981593 501(C)(3) 7500 90374 SALARY COST GARDEN JUBILEE SPONSOR CITY OF OXFORD P O BOX 3383 OXFORD AL 36203 636001337 GOV 14119 CONCERT SPONSORSHIP KNOX CONCERT SERIES INC PO BOX 2501 ANNISTON AL 36202 501(C)(3) 7810 CULTURAL DEVELOPMENT OXFORD PERFORMING ARTS CENTER PO BOX 3383 OXFORD AL 36203 636001337 501(C)(3) 20000 CULTURAL DEVELOPMENT 4 PART I, LINE 2: THE ORGANIZATION HAS WRITTEN GUIDELINES FOR ORGANIZATIONS TO APPLY FOR COMMUNITY CONTRIBUTIONS (GRANTS). A DETAILED APPLICATION MUST BE COMPLETED AND APPROVED BY THE REVIEW COMMITTEE OF THE BOARD. A COPY OF THE APPLICATION IS AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINSITRATIVE OFFICE. X X 0 1 X X X X X 0 0 0 0 0 0 0 0 0 LOUIS BASS CEO 401500 0 3077 0 0 0 8100 0 23091 0 435768 0 0 0 MARK NORTH CFO 207877 0 1585 0 0 0 6227 0 23091 0 238780 0 0 0 JOSEPH WEAVER COO 249578 0 0 0 0 0 7521 0 23091 0 280190 0 0 0 BARRY J BILLINGS MD PHYSICIAN 565000 0 52760 0 0 0 8100 0 23091 0 648951 0 0 0 MOHAMED JASSER MD PHYSICIAN 533100 0 72308 0 0 0 8100 0 23091 0 636599 0 0 0 TERRY PHILLIS JR MD PHYSICIAN 600000 0 75303 0 0 0 8100 0 23091 0 706494 0 0 0 SHARMAN SANDERS MD PHYSICIAN 245250 0 196266 0 0 0 7290 0 7970 0 456776 0 0 0 JESSICA VINCENT MD PHYSICIAN 245250 0 185150 0 0 0 8100 0 0 0 438500 0 0 0 PART I, LINE 1A SPOUSAL TRAVEL COSTS ARE INCLUDED IN THE 1099 FOR BOARD MEMBERS AND W-2S FOR ANY IMPACTED EMPLOYEES. SOCIAL CLUB DUES ARE PAID FOR SELECT EXECUTIVES IN ORDER TO CONDUCT HOSPITAL BUSINESS. RACHEL CALDWELL FAMILY MEMBER OF CORPORATE OFFICER 42699 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 MELANIE GRIZZARD FAMILY MEMBER OF BOARD MEMBER 61055 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 LAUREN BASS FAMILY MEMBER OF BOARD MEMBER 16985 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 WENDI OWSLEY FAMILY MEMBER OF BOARD MEMBER 54420 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS COMPRISED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, THE SECRETARY OF THE BOARD, THE FINANCE COMMITTEE CHAIRPERSON, THE HUMAN RESOURCES COMMITTEE CHAIRPERSON, THE PHYSICAL FACILITIES AND PROPERTIES COMMITTEE CHAIRPERSON, THE COMPLIANCE COMMITTEE CHAIRPERSON, THE CHIEF OF THE MEDICAL STAFF, THE QUALITY COMMITTEE CHAIRPERSON, AND ONE AT-LARGE BOARD MEMBER. WHEN THE BOARD IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE ALL OF THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE CORPORATION, EXCEPT AS SUCH AUTHORITY IS LIMITED OR RESERVED BY STATUTE OR IN THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO SECTIONS 6-14 OF THAT CERTAIN CERTIFICATE OF REINCORPORATION OF THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON AS RECORDED ON SEPTEMBER 8, 2016 WITH THE CALHOUN COUNTY JUDGE PROBATE AND IN ACCORDANCE WITH CODE OF ALABAMA SECTION 22-21-310 ET SEQ. (1975). FORM 990, PART VI, SECTION A, LINE 7B THE BOARD IS RESTRICTED FROM THE SALE OR DISPOSAL OF ANY PART OF THE REAL ESTATE USED IN CONNECTION WITH THE OPERATION OF THE MEDICAL CENTER OR THE TRANSFER OF THE OPERATION AND MANAGEMENT OF THE MEDICAL CENTER WITHOUT THE CONSENT OF THE GOVERNING BODY OF THE CITY OF ANNISTON, AL. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND INFORMATION PROVIDED BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS REVIEWED INTERNALLY BY MANAGEMENT, AND FORWARDED TO THE MEMBERS OF THE BOARD OF DIRECTORS. AFTER THE RETURN WAS REVIEWED BY THE BOARD MEMBERS, IT WAS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO DISCLOSE ON AN ANNUAL BASIS ANY POTENTIAL CONFLICTS OF INTEREST PER THE ORGANIZATION'S OFFICIAL WRITTEN POLICY. A DISINTERESTED PARTY IS ASSIGNED TO INVESTIGATE ANY CONFLICTS THAT ARISE, AND AFFECTED BOARD MEMBERS ARE ADVISED OF THE PARTY'S DECISION. FORM 990, PART VI, SECTION B, LINE 15A THE CEO COMPENSATION PACKAGES ARE DETERMINED BY CONDUCTING SALARY SURVEYS FROM INDIVIDUAL HOSPITALS AS WELL AS UTILIZING SALARY INFORMATION AVAILABLE FROM INDEPENDENT SOURCES SUCH AS STATE HOSPITAL ASSOCIATIONS, INDEPENDENT COMPENSATION CONSULTANTS, AND PERIODICALS. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OVERSEES THE PROCESS AND DETERMINES THE COMPENSATION FOR THE CEO AFTER REVIEW AND CONSIDERATION OF ALL RELEVANT INFORMATION. THE CEO APPROVES COMPENSATION PACKAGES FOR ALL OTHER APPLICABLE EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,414,314. MANAGEMENT AND GENERAL EXPENSES 1,206,555. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,620,869. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 2,947,907. MANAGEMENT AND GENERAL EXPENSES 2,114,797. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,062,704. CONTRACT MAINTENANCE: PROGRAM SERVICE EXPENSES 3,091,741. MANAGEMENT AND GENERAL EXPENSES 528,034. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,619,775. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 12,737,081. MANAGEMENT AND GENERAL EXPENSES 2,879,372. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,616,453. FORM 990, PART XI, LINE 9: TRANSFER OF EQUITY TO AFFILIATE -112,933. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MEDICAL CENTER MEMORIAL FOUNDATION INC PO BOX 2208 ANNISTON AL 36202 630981593 EXEMPT ORG SUPPORT AL 501(C)(3) LINE 7 N/A 0 REGIONAL HEALTH SERVICES INC PO BOX 2208 ANNISTON AL 36202 630721572 EXEMPT ORG SUPPORT AL 501(C)(3) LINE 12B, II HEALTHCARE AUTHORITY OF THE CITY OF ANNISTON 1 REGIONAL HEALTH MANAGEMENT CORPORATION PO BOX 2345 ANNISTON AL 36202 630819576 MANAGEMENT AL N/A C 0 1 1 1 1 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1