THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON (EIN 63-6000090)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201331359349302303
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T09:37:10-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN636000090EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1REGIONAL MEDICAL CENTER BOARDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlREGINameControl
Phone2562355255Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2208AddressLine1
CityANNISTONCity
StateALState
ZIP Code36202ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLOUIS A BASSName
TitleVP FINANCE/CFOTitle
Phone2562355255Phone
Date Signed2013-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
PTINP00445891PTIN
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1NORTHEAST ALABAMA REGIONAL MEDICAL CTRBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJ DAVID MCCORMACKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 2208AddressLine1
CityANNISTONCity
StateALState
ZIP Code36202ZIPCode
FieldValueIRS element (for citing)
Gross Receipts169581355GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RMCCARES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1974YearFormation
State Legal DomicileALStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE PERSONALIZED HEALTHCARE TO CITIZENS OF NORTHEAST ALABAMAActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1672TotalNbrEmployees
Total Nbr Volunteers220TotalNbrVolunteers
Total Gross UBI56087TotalGrossUBI
Net Unrelated Business Txbl Income23682NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year85679ContributionsGrantsPriorYear
Contributions Grants Current Year35681ContributionsGrantsCurrentYear
Program Service Revenue Prior Year169922886ProgramServiceRevenuePriorYear
Program Service Revenue CY164095203ProgramServiceRevenueCY
Investment Income Prior Year2835769InvestmentIncomePriorYear
Investment Income Current Year2870121InvestmentIncomeCurrentYear
Other Revenue Prior Year238172OtherRevenuePriorYear
Other Revenue Current Year192945OtherRevenueCurrentYear
Total Revenue Prior Year173082506TotalRevenuePriorYear
Total Revenue Current Year167193950TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year104708GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY266194GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year64520426SalariesEtcPriorYear
Salaries Etc Current Year68224069SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year109918048OtherExpensePriorYear
Other Expenses Current Year98127205OtherExpensesCurrentYear
Total Expenses Prior Year174543182TotalExpensesPriorYear
Total Expenses Current Year166617468TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1460676RevenuesLessExpensesPriorYear
Revenues Less Expenses CY576482RevenuesLessExpensesCY
Total Assets BOY182436435TotalAssetsBOY
Total Assets EOY185655664TotalAssetsEOY
Total Liabilities BOY51673345TotalLiabilitiesBOY
Total Liabilities EOY53216654TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY130763090NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY132439010NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE BOARD'S PRIMARY MISSION IS TO PROVIDE ADVANCED HEALTH CARE OF THE HIGHEST QUALITY, WITH COMPASSION AND INTEGRITY, TO EVERY PATIENT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense154914808Expense
Grants266194Grants
Revenue164039116Revenue
DescriptionDURING THE YEAR ENDED JUNE 30, 2012, NORTHEAST ALABAMA REGIONAL MEDICAL CENTER HAD 13,503 ADULT AND PEDIATRIC INPATIENT ADMISSIONS, 1,384 NEWBORN ADMISSIONS AND SERVED PATIENTS THROUGH AMBULATORY CARE INCLUDING: 3,554 OBSERVATION PATIENTS, 41,969 EMERGENCY DEPARTMENT PATIENTS, 57,173 REFERRED OUTPATIENTS, 3,641 SAME DAY SURGERY PATIENTS. THE MEDICAL CENTER IS ALSO INVOLVED IN EDUCATION, RESEARCH, AND COMMUNITY BENEFIT ACTIVITIES DESIGNATED TO PROVIDE HEALTH AND WELLNESS. REGIONAL MEDICAL CENTER HOLDS DESIGNATIONS FOR THE FOLLOWING: BLUE CROSS CENTER OF DISTINCTION FOR CARDIAC CARE; MEDICARE CENTER OF EXCELLENCE FOR BARIATRICS; ASCR GOLD STANDARD AWARD (ALABAMA STATEWIDE CANCER REGISTRY).REGIONAL MEDICAL CENTER IS PROUD TO BE CATEGORIZED AS A TIER 1 HOSPITAL BY BLUE CROSS AND BLUE SHIELD OF ALABAMA. HOSPITALS DESIGNATED AS TIER 1 ARE RECOGNIZED AS HAVING ATTAINED THE HIGHEST LEVEL OF COMPLIANCE ACROSS THE FOLLOWING AREAS: QUALITY AWARENESS, PATIENT SAFETY AWARENESS, FINANCIAL AWARENESS, AND PATIENT SATISFACTION.Description
Total Program Service Expense154914808TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096384NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1672NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SUSAN MARNEY DIRECTOR- ACCOUNTINGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2562355678TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 EAST TENTH STREETAddressLine1
CityANNISTONCity
StateALState
ZIP Code36202ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
THOMAS ANTHONY HUMPHRIES
CHAIRMAN1.00XX11900
GREGORY KERNION
VICE CHAIRMAN1.00XX000
SANDRA FOX SUDDUTH
SECRETARY1.00XX5000
JOHN E BLUE II
PAST CHAIRMAN1.00X107900
EDDYER L BROWN
BOARD MEMBER1.00X000
JAMES S HIXON MD
CHIEF OF STAFF1.00X000
ROHIT G PATEL MD
VICE CHIEF OF STAFF1.00X1805000
LARRY K DEASON
BOARD MEMBER1.00X000
ARTHUR F FITE III
BOARD MEMBER1.00X2600
BILLY DON GRIZZARD
BOARD MEMBER1.00X000
TRUDY D HARDEGREE
BOARD MEMBER1.00X000
MICHAEL W KIMBERLY DRPHMPHHCLD
BOARD MEMBER1.00X000
JEFFERY A PARKER
BOARD MEMBER1.00X000
JAMES E ROBERTS
BOARD MEMBER1.00X000
FRED WILSON
BOARD MEMBER1.00X5000
J DAVID MCCORMACK
CEO40.00X289066020781
LOUIS BASS
CFO40.00X158852035571
JOSEPH WEAVER
COO40.00189290016947X
ADAM PRUETT MD
PSYCHIATRIST40.0021045806194X
ROBERT B FREEMAN MD
PHYSICIAN40.0042108205363X
AYMAN ABDUL GHANI MD
PHYSICIAN40.00358911017097X
RONALD J VARCAK MD
MEDICAL DIRECTOR40.0020497805398X
DAVISSON EDMONDS MD
PHYSICIAN40.0021231807643X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2064329TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation114994TotalOtherCompensation
Number Individuals GT100 K29NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ANESTHESIA SOLUTIONS OF ANNISTON
2901 2ND AVENUE SUITE 270BIRMINGHAMAL35233CRNA SERVICES2510817
MORRISONS HEALTH CARE DIVISION
PO BOX 102289ATLANTAGA303682289MANAGEMENT OF FOOD SERVICE1520743
EMERGENCY ROOM SERVICES OF ANNISTON LLC
PO BOX 3477OXFORDAL36203ER PHYSICIAN SERVICES1153468
RAI CARE CENTERS OF ALABAMA LLC
1550 W MCEWEN DRIVE SUITE 500FRANKLINTN37067PATIENT KIDNEY ACUTE SERVICES510190
TRANSCEND SERVICES INC
PO BOX 740209 DEPT 40089ATLANTAGA30374MEDICAL TRANSCRIPTION SERIVCES459639
FieldValueIRS element (for citing)
Number Of Contractors GT100 K29NumberOfContractorsGT100K
Related Organizations2500RelatedOrganizations
Government Grants22940GovernmentGrants
All Other Contributions10241AllOtherContributions
Noncash Contributions12153NoncashContributions
Total Contributions35681TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE621400160084771160084771
MEDICAID DISP SHARE90009934954643495464
LONG TERM CARE HOSPITA621400376256376256
AFTERCARE REHAB SERVIC6241007000370003
OTHER PROGRAMS900099687091262256087
FieldValueIRS element (for citing)
Total Program Service Revenue164095203TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2804418TotalRevenueColumn
Exclusion$2,804,418ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1687737Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2336426Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-648689Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-648689TotalRevenueColumn
Exclusion-$648,689ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other116682Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other50979Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other65703Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column65703TotalRevenueColumn
Exclusion$65,703ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
FOOD SERVICE & VENDING722210681848$681,848
OTHER INCOME900099119058$119,058
GIFT SHOP REVENUE45322040728$40,728
FieldValueIRS element (for citing)
Total Other Revenue841634TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column167193950TotalRevenueColumn
Related Or Exempt Function Income164039116RelatedOrExemptFunctionIncome
Unrelated Business Revenue56087UnrelatedBusinessRevenue
Exclusion$3,063,066ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total21500Total
Program Services21500ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total244694Total
Program Services244694ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total720543Total
Program Services241382ProgramServices
Management And General479161ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total121810Total
Program Services121810ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total53098924Total
Program Services48995060ProgramServices
Management And General4103864ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3308719Total
Program Services3027680ProgramServices
Management And General281039ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6981421Total
Program Services6388426ProgramServices
Management And General592995ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3992652Total
Program Services3653520ProgramServices
Management And General339132ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total517Total
Management And General517ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total605278Total
Management And General605278ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total135767Total
Management And General135767ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total15419287Total
Program Services12803177ProgramServices
Management And General2616110ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1537472Total
Program Services736465ProgramServices
Management And General801007ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1843531Total
Program Services720034ProgramServices
Management And General1123497ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2735583Total
Program Services2735583ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total8827Total
Program Services7004ProgramServices
Management And General1823ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total183847Total
Program Services136979ProgramServices
Management And General46868ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1597862Total
Program Services1597862ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11983919Total
Program Services11983919ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1036444Total
Program Services1036444ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES3712760137127601
BAD DEBTS2193433321934333
FOOD SERVICE EXPENSES12547681254768
RECRUITMENT453132453132

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total269037Total
Program Services146567ProgramServices
Management And General122470ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total166617468Total
Program Services154914808ProgramServices
Management And General11702660ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2536906BOY
EOY354144EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY9315182EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14709280BOY
EOY14787536EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1809919BOY
EOY1547679EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5305072BOY
EOY5464696EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2017474BOY
EOY1859219EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis254283341LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec180446628LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY79839663BOY
EOY73836713EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY74111909BOY
EOY71565664EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2106212BOY
EOY6924831EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY182436435BOY
EOY185655664EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13243544BOY
EOY12473821EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY1770560EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY36735000BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY35769716EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1694801BOY
EOY3202557EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY51673345BOY
EOY53216654EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY130752930BOY
EOY132428910EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10160BOY
EOY10100EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY130763090BOY
EOY132439010EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY182436435BOY
EOY185655664EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses576482ReconcilationRevenueExpenses
Reconcilation Other Changes1099438ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$118,809DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$16,958OtherActivitiesAmount
Total Lobbying Expenditures IIB135767TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationA PORTION OF MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE ALABAMA HOSPITAL ASSOCIATION (ALHA) IS ALLOCATED TO LOBBYING ACTIVITIES PERFORMED FOR THE BENEFIT OF THOSE ORGANIZATIONS' MEMBER BODIES. IN 2011, 24.6% OF DUES TO THE AHA ($7,619) AND 23.08% OF DUES PAID TO THE ALHA ($9,339) WERE ALLOCATED TO LOBBYING EFFORTS. IN ADDITION, THE ORGANIZATION PAID THE LAW FIRM OF BAKER DONELSON BEARMAN CALDWELL & BERKOWITZ, PC $118,809 IN THE TAX YEAR FOR ASSISTANCE AS A PROFESSIONAL CONGRESSIONAL LOBBYIST.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance10160BeginningOfYearBalance
Investment Earnings Or Losses-60InvestmentEarningsOrLosses
End Of Year Balance10100EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10200BeginningOfYearBalance
Investment Earnings Or Losses-40InvestmentEarningsOrLosses
End Of Year Balance10160EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10212BeginningOfYearBalance
Investment Earnings Or Losses-12InvestmentEarningsOrLosses
End Of Year Balance10200EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10000BeginningOfYearBalance
Investment Earnings Or Losses212InvestmentEarningsOrLosses
End Of Year Balance10212EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4015958OtherCostOrOtherBasis
Book Value4015958BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis84470294OtherCostOrOtherBasis
Depreciation57360609Depreciation
Book Value27109685BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4180965OtherCostOrOtherBasis
Depreciation2921438Depreciation
Book Value1259527BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis159857448OtherCostOrOtherBasis
Depreciation120164581Depreciation
Book Value39692867BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1758676OtherCostOrOtherBasis
Book Value1758676BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings73836713TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
PROFESSIONAL LIABILITY SELF INSURANCE$1,121,173
WORKER'S COMPENSATION LIABILITY$81,000
ESTIMATED THIRD-PARTY SETTLEMENT LIABILITY$398,963
ACCRUED PENSION LIABILITY$84,619
INTEREST RATE SWAP LIABILITY$1,516,802
FieldValueIRS element (for citing)
Total Of Amounts3202557TotalOfAmounts
Total Revenue167193950TotalRevenue
Total Expenses166617468TotalExpenses
Excess Or Deficit For Year576482ExcessOrDeficitForYear
Net Unrealized GL On Investments1099438NetUnrealizedGLOnInvestments
Total Adjustments1099438TotalAdjustments
Excess Or Deficit Per FS1675920ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt151968373TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1099438NetUnrealizedGainsInvestments
Other Revenues5609318OtherRevenues
Revenue Not Rptd F9906708756RevenueNotRptdF990
Revenue Subtotal145259617RevenueSubtotal
Other Revenues Not Included21934333OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt21934333RevenueNotRptdOnFinStmt
Total Revenue Per Form990167193950TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt152052170TotExpensesEtcAuditedFinclStmt
Other Expenses Included7369035OtherExpensesIncluded
Expenses Not Rptd F9907369035ExpensesNotRptdF990
Expenses Subtotal144683135ExpensesSubtotal
Other Expenses Not Included21934333OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt21934333ExpensesNotRptdOnFinStmt
Total Expenses Per Form990166617468TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:TAXES ON INCOME- RMCB 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 FILING ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2012 AND 2011. FISCAL YEARS ENDED ON OR AFTER JUNE 30, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THE RELATED TAX RETURNS WERE FILED.
PART XII, LINE 2D - OTHER ADJUSTMENTS:REVENUES OF CONSOLIDATED ENTITIES 3,272,892. RENTAL EXPENSES NET W/ REVENUES 2,336,426.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBTS NET W/ REVENUES 21,934,333.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES OF CONSOLIDATED ENTITIES 5,032,609. RENTAL EXPENSES NET W/ REVENUES 2,336,426.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBTS NET W/ REVENUES 21,934,333.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6688579TotalCommunityBenefitExpense
Net Community Benefit Expense6688579NetCommunityBenefitExpense
Percent Of Total Expense0.04620PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense15038463TotalCommunityBenefitExpense
Direct Offsetting Revenue13834136DirectOffsettingRevenue
Net Community Benefit Expense1204327NetCommunityBenefitExpense
Percent Of Total Expense0.00830PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense21727042TotalCommunityBenefitExpense
Direct Offsetting Revenue13834136DirectOffsettingRevenue
Net Community Benefit Expense7892906NetCommunityBenefitExpense
Percent Of Total Expense0.05450PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense893821TotalCommunityBenefitExpense
Direct Offsetting Revenue405317DirectOffsettingRevenue
Net Community Benefit Expense488504NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense51454TotalCommunityBenefitExpense
Net Community Benefit Expense51454NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense64173TotalCommunityBenefitExpense
Net Community Benefit Expense64173NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1009448TotalCommunityBenefitExpense
Direct Offsetting Revenue405317DirectOffsettingRevenue
Net Community Benefit Expense604131NetCommunityBenefitExpense
Percent Of Total Expense0.00420PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense22736490TotalCommunityBenefitExpense
Direct Offsetting Revenue14239453DirectOffsettingRevenue
Net Community Benefit Expense8497037NetCommunityBenefitExpense
Percent Of Total Expense0.05870PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense$4,658,125BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare56595370AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare53828098CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2767272MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHEAST ALABAMA REGIONAL MEDICAL CTRBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1400 EAST 10TH STREETAddressLine1
CityANNISTONCity
StateALState
ZIP Code36207ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTHEAST ALABAMA REGIONAL MEDICAL CTRBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHEAST AL REGIONAL MED CENTER PSYCH UBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1400 EAST 10TH STREETAddressLine1
CityANNISTONCity
StateALState
ZIP Code36202ZIPCode
FieldValueIRS element (for citing)
Facility TypeINPATIENT PSYCH UNITFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: OUR ORGANIZATION PROVIDES A 30% DISCOUNT TO THE BILL FOR ALL SELF PAY (UNINSURED) PATIENTS. THIS ADJUSTMENT IS APPLIED TO THE BILL PRIOR TO STATEMENTS BEING MAILED TO THE PATIENT OR GUARANTOR. WE ALSO RETAIN ON A CONTRACTED BASIS VENDORS THAT ASSIST IN SCREENING PATIENTS FOR QUALIFICATION FOR FREE OR CHARITY CARE. THIS IS ACCOMPLISHED BY MEANS OF INTERVIEWS WITH THE PATIENT AS PART OF OUR NORMAL COLLECTION PROCESS.
PART I, L7 COL(F): FOR PURPOSES OF CALCULATING COMMUNITY BENEFIT AS A PERCENTAGE OF TOTAL EXPENSE IN LINE 7, COLUMN (F), A BAD DEBT EXPENSE OF $21,934,333 HAS BEEN ADJUSTED FROM TOTAL EXPENSES PRESENTED ON FORM 990, PART XI, LINE 25.
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: THERE ARE NO SPECIFIC PROVISIONS REGARDING COLLECTION OF CHARITY ACCOUNTS AS THESE ACCOUNTS ARE ADJUSTED TO A ZERO BALANCE. THEREFORE, NO COLLECTION EFFORTS TAKE PLACE ONCE THE INDIVIDUAL HAS QUALIFIED.
PART V, SECTION B, LINE 17E: THE FINANCIAL ASSISTANCE POLICY IS ALSO POSTED ON THE ORGANIZATION'S WEBSITE.NORTHEAST ALABAMA REGIONAL MEDICAL CTR
PART V, SECTION B, LINE 19D: THE ORGANIZATION CHARGES A % DISCOUNT OFF OF BILLED CHARGES BASED ON A SLIDING SCALE THAT IS TIED TO THE FEDERAL POVERTY GUIDELINES. THE ORGANIZATION PLANS TO MODIFY ITS EXISTING POLICY TO BETTER MEET THE REQUIREMENTS OF SECTION 501(R) AFTER IF HAS BEEN FINALIZED.NORTHEAST ALABAMA REGIONAL MEDICAL CTR
PART VI, LINE 2: OUR ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IN SEVERAL WAYS, WHICH INCLUDES AN ANNUAL UPDATE OF THE MEDICAL STAFF DEVELOPMENT PLAN. THERE ARE SEVERAL COMPONENTS TO THIS PLAN, INCLUDING THE OVERALL POPULATION WITHIN OUR SERVICE AREA, THE AGE OF OUR CURRENT MEDICAL STAFF, AND PROJECTED PHYSICIAN NEEDS USING CALCULATIONS PROVIDED BY THE AMERICAN MEDICAL ASSOCIATION'S PHYSICIAN CHARACTERISTICS AND DISTRIBUTION IN THE US.
PART VI, LINE 3: ALL PATIENT BILLS INCLUDE A STATEMENT EXPLAINING THAT CHARITY CARE IS AVAILABLE TO QUALIFYING INDIVIDUALS. CONTACT INFORMATION IS LISTED. THE ORGANIZATION HAS SIGNS POSTED IN ALL REGISTRATION AREAS AS WELL AS A SUMMARY AND CONTACT INFORMATION ON THE FACILITY'S WEBSITE REGARDING THE FINANCIAL ASSISTANCY POLICY.
PART VI, LINE 4: OUR SERVICE AREA IS COMPRISED OF APPROXIMATELY 200,000 PEOPLE RESIDING IN THE COUNTIES OF CALHOUN, CLEBURNE, CLAY, RANDOLPH AND TALLADEGA. ALL AGE GROUPS FROM NEWBORNS TO THE ELDERLY ARE SERVED. SERVICES INCLUDE MEDICAL/SURGICAL, INTENSIVE CARE, OBSTETRICS, PEDIATRICS, PSYCHIATRIC, CARDIOLOGY AND ONCOLOGY. ALL CITIZENS ARE SERVED REGARDLESS OF PAYER OR ABILITY TO PAY. WHILE RMC IS THE ONLY FULL SERVICE HOSPITAL IN THE SERVICE AREA, SMALLER HOSPITALS IN CALHOUN COUNTY INCLUDE STRINGFELLOW HOSPITAL AND JACKSONVILLE HOSPITAL. OTHER HOSPITALS IN OUR 5 COUNTY SERVICE AREA INCLUDE WEDOWEE HOSPITAL AND RANDOLPH MEDICAL CENTER IN RANDOLPH COUNTY, CLAY COUNTY HOSPITAL IN CLAY COUNTY, AND CITIZENS HOSPITAL AND COOSA VALLEY MEDICAL CENTER IN TALLADEGA COUNTY. CLEBURNE AND RANDOLPH COUNTIES ARE CONSIDERED FEDERALLY DESIGNATED MEDICALLY UNDERSERVED FOR PRIMARY CARE, AND ALL COUNTIES ARE CONSIDERED UNDERSERVED FOR SPECIALTY PHYSICIANS. THE AREA ALSO QUALIFIES AS UNDERSERVED FOR PSYCHIATRIC SERVICES BY THE NATIONAL HEALTH SERVICE CORPS.
PART VI, LINE 5: REGIONAL MEDICAL CENTER PROMOTES HEALTH WITHIN THE COMMUNITY WE SERVE IN A VARIETY OF WAYS. AS A NONPROFIT, WE PROVIDE SERVICES FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, AND WE SEE A VERY HIGH NUMBER OF UNINSURED, UNDERINSURED AND INDIGENT PATIENTS IN OUR EMERGENCY DEPARTMENT. WE ASSIST THE MEMBERS OF OUR MEDICAL STAFF IN RECRUITING NEW PHYSICIANS TO THE AREA. AS PART OF OUR ASSISTANCE PROGRAM, RECRUITED PHYSICIANS MUST AGREE TO SEE ALL PATIENTS, REGARDLESS OF INCOME LEVEL OR ABILITY TO PAY. RMC PROVIDES MANY COMMUNITY SERVICES IN THE FORM OF HEALTH EDUCATION, SCREENINGS AND SUPPORT GROUPS. OUR CANCER RESOURCE CENTER, PARISH NURSING PROGRAM, AND CONGREGATIONAL HEALTH OUTREACH ARE BUT A FEW OF OUR SERVICES TO OUR COMMUNITY THAT PROVIDE HIGHLY SKILLED STAFF TO PERFORM HEALTH SCREENINGS AND EDUCATION FREE OF CHARGE.A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE MEDICAL CENTER. THE ORGANIZATION OFFERS MEDICAL STAFF PRIVILEDGES TO ALL QUALIFIED LOCAL PHYSICIANS IN ALL HOSPITAL DEPARTMENTS.THE FACILTITY 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.
ALREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
EAST ALABAMA EMERGENCY MEDICAL SERVICES
PO BOX 700LINCOLNAL35096630707345501(C)(3)16500GENERAL ACTIVITY SPONSORSHIP
AMERICAN CANCER SOCIETY INC
PO BOX 1155ANNISTONAL36202131788491501(C)(3)5000GENERAL ACTIVITY SPONSORSHIP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (8 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
MEDICATION/MEDICAL SUPPLIES484960
TRANSPORTATION3686168
FOOD75307
LONG-TERM CARE133600
AMBULANCE TRANSPORTS6606
IV THERAPY/HHC VISITS/MEDS1837889
MISCELLANEOUS5293
SCHOLARSHIP LOANS/AWARDS FOR WORK COMMITMENT35160871

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE ORGANIZATION ADOPTED 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
J DAVID MCCORMACK
2890660000086720121090309847000
LOUIS BASS
15885200000243420112290194423000
JOSEPH WEAVER
1892900000056790112680206237000
ADAM PRUETT MD
210458000000061940216652000
ROBERT B FREEMAN MD
421082000000053630426445000
AYMAN ABDUL GHANI MD
3589110000010767063300376008000
RONALD J VARCAK MD
1676830103703625800053980210376000
DAVISSON EDMONDS MD
208568037500006407012360219961000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 1AReturnReference
ExplanationALL TRAVEL EXPENSES FOR SPOUSES AND COMPANIONS, AS WELL AS TEMPORARY HOUSING ALLOWANCES PER EMPLOYMENT AGREEMENTS ARE ADDED AS WAGES ON THE RECIPIENTS' FORM W-2 OR 1099-MISC.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
RACHEL CALDWELL
FAMILY MEMBER OF CORPORATE OFFICER43670COMPENSATION AS EMPLOYEE OF HOSPITAL0
JOHN FITE
FAMILY MEMBER OF BOARD MEMBER21031COMPENSATION AS EMPLOYEE OF HOSPITAL0
MELANIE GRIZZARD
FAMILY MEMBER OF BOARD MEMBER57109COMPENSATION AS EMPLOYEE OF HOSPITAL0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE 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, 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 7ATHE MEMBERS OF THE BOARD OF DIRECTORS SHALL BE THOSE DULY APPOINTED UNDER THE PROVISIONS OF ORDINANCE NO. 74-0-13 ADOPTED BY THE COUNCIL OF THE CITY OF ANNISTON, AL, ON MAY 7, 1974.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11THE 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 12CBOARD 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 15ATHE 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 18PHOTOCOPIES 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 19PHOTOCOPIES 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 XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 1,099,438.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MEDICAL CENTER MEMORIAL FOUNDATION INC
PO BOX 2208ANNISTONAL36202630981593EXEMPT ORG SUPPORTAL501(C)(3)LINE 7N/A0
REGIONAL HEALTH SERVICES INC
PO BOX 2208ANNISTONAL36202630721572EXEMPT ORG SUPPORTAL501(C)(3)LINE 11A, I0REGIONAL MEDICAL CENTER BOARD

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1REGIONAL HEALTH MANAGEMENT CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 2345AddressLine1
CityANNISTONCity
StateALState
ZIP Code36202ZIPCode
FieldValueIRS element (for citing)
EIN630819576EIN
Primary ActivityMANAGEMENTPrimaryActivity
Legal Domicile StateALLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org1SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1REGIONAL HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeATransactionType
Amount Involved32355AmountInvolved
Method Of Amt DeterminationCASH AND A/RMethodOfAmtDetermination

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