2013-05-15T09:37:10-05:00 2012-06-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2011-07-01 636000090 REGIONAL MEDICAL CENTER BOARD REGI 2562355255 PO BOX 2208 ANNISTON AL 36202 LOUIS A BASS 2562355255 2013-05-15 1 AMY BIBBY P00445891 8282542254 2011 2016-02-24 21:20:13Z NORTHEAST ALABAMA REGIONAL MEDICAL CTR J DAVID MCCORMACK PO BOX 2208 ANNISTON AL 36202 169581355 0 X WWW.RMCCARES.ORG X 1974 AL TO PROVIDE PERSONALIZED HEALTHCARE TO CITIZENS OF NORTHEAST ALABAMA 15 12 1672 220 56087 23682 85679 35681 169922886 164095203 2835769 2870121 238172 192945 173082506 167193950 104708 266194 0 0 64520426 68224069 0 0 0 109918048 98127205 174543182 166617468 -1460676 576482 182436435 185655664 51673345 53216654 130763090 132439010 X THE BOARD'S PRIMARY MISSION IS TO PROVIDE ADVANCED HEALTH CARE OF THE HIGHEST QUALITY, WITH COMPASSION AND INTEGRITY, TO EVERY PATIENT. 0 0 154914808 266194 164039116 DURING 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. 154914808 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 384 0 1 1672 1 1 1 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 SUSAN MARNEY DIRECTOR- ACCOUNTING 2562355678 400 EAST TENTH STREET ANNISTON AL 36202 THOMAS ANTHONY HUMPHRIES 1.00 X X 119 0 0 GREGORY KERNION 1.00 X X 0 0 0 SANDRA FOX SUDDUTH 1.00 X X 50 0 0 JOHN E BLUE II 1.00 X 1079 0 0 EDDYER L BROWN 1.00 X 0 0 0 JAMES S HIXON MD 1.00 X 0 0 0 ROHIT G PATEL MD 1.00 X 18050 0 0 LARRY K DEASON 1.00 X 0 0 0 ARTHUR F FITE III 1.00 X 26 0 0 BILLY DON GRIZZARD 1.00 X 0 0 0 TRUDY D HARDEGREE 1.00 X 0 0 0 MICHAEL W KIMBERLY DRPHMPHHCLD 1.00 X 0 0 0 JEFFERY A PARKER 1.00 X 0 0 0 JAMES E ROBERTS 1.00 X 0 0 0 FRED WILSON 1.00 X 50 0 0 J DAVID MCCORMACK 40.00 X 289066 0 20781 LOUIS BASS 40.00 X 158852 0 35571 JOSEPH WEAVER 40.00 X 189290 0 16947 ADAM PRUETT MD 40.00 X 210458 0 6194 ROBERT B FREEMAN MD 40.00 X 421082 0 5363 AYMAN ABDUL GHANI MD 40.00 X 358911 0 17097 RONALD J VARCAK MD 40.00 X 204978 0 5398 DAVISSON EDMONDS MD 40.00 X 212318 0 7643 2064329 0 114994 29 0 1 0 ANESTHESIA SOLUTIONS OF ANNISTON 2901 2ND AVENUE SUITE 270 BIRMINGHAM AL 35233 CRNA SERVICES 2510817 MORRISONS HEALTH CARE DIVISION PO BOX 102289 ATLANTA GA 303682289 MANAGEMENT OF FOOD SERVICE 1520743 EMERGENCY ROOM SERVICES OF ANNISTON LLC PO BOX 3477 OXFORD AL 36203 ER PHYSICIAN SERVICES 1153468 RAI CARE CENTERS OF ALABAMA LLC 1550 W MCEWEN DRIVE SUITE 500 FRANKLIN TN 37067 PATIENT KIDNEY ACUTE SERVICES 510190 TRANSCEND SERVICES INC PO BOX 740209 DEPT 40089 ATLANTA GA 30374 MEDICAL TRANSCRIPTION SERIVCES 459639 29 2500 22940 10241 12153 35681 NET PATIENT SERVICE 621400 160084771 160084771 MEDICAID DISP SHARE 900099 3495464 3495464 LONG TERM CARE HOSPITA 621400 376256 376256 AFTERCARE REHAB SERVIC 624100 70003 70003 OTHER PROGRAMS 900099 68709 12622 56087 164095203 2804418 2804418 1687737 2336426 -648689 -648689 -648689 116682 50979 65703 65703 65703 FOOD SERVICE & VENDING 722210 681848 681848 OTHER INCOME 900099 119058 119058 GIFT SHOP REVENUE 453220 40728 40728 841634 167193950 164039116 56087 3063066 21500 21500 244694 244694 720543 241382 479161 121810 121810 53098924 48995060 4103864 3308719 3027680 281039 6981421 6388426 592995 3992652 3653520 339132 517 517 605278 605278 135767 135767 15419287 12803177 2616110 1537472 736465 801007 1843531 720034 1123497 2735583 2735583 8827 7004 1823 183847 136979 46868 1597862 1597862 11983919 11983919 1036444 1036444 MEDICAL SUPPLIES 37127601 37127601 BAD DEBTS 21934333 21934333 FOOD SERVICE EXPENSES 1254768 1254768 RECRUITMENT 453132 453132 269037 146567 122470 166617468 154914808 11702660 0 2536906 354144 9315182 14709280 14787536 1809919 1547679 5305072 5464696 2017474 1859219 254283341 180446628 79839663 73836713 74111909 71565664 2106212 6924831 182436435 185655664 13243544 12473821 1770560 36735000 35769716 1694801 3202557 51673345 53216654 X 130752930 132428910 10160 10100 130763090 132439010 182436435 185655664 X 576482 1099438 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 118809 0 1 16958 135767 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: A 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. 10160 -60 10100 10200 -40 10160 10212 -12 10200 10000 212 10212 1.00000 0 0 4015958 4015958 84470294 57360609 27109685 4180965 2921438 1259527 159857448 120164581 39692867 1758676 1758676 73836713 PROFESSIONAL LIABILITY SELF INSURANCE 1121173 WORKER'S COMPENSATION LIABILITY 81000 ESTIMATED THIRD-PARTY SETTLEMENT LIABILITY 398963 ACCRUED PENSION LIABILITY 84619 INTEREST RATE SWAP LIABILITY 1516802 3202557 167193950 166617468 576482 1099438 1099438 1675920 151968373 1099438 5609318 6708756 145259617 21934333 21934333 167193950 152052170 7369035 7369035 144683135 21934333 21934333 166617468 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. 1 1 1 X 1 X 1 1 1 0 1 1 6688579 6688579 0.04620 15038463 13834136 1204327 0.00830 21727042 13834136 7892906 0.05450 893821 405317 488504 0.00340 51454 51454 0.00040 64173 64173 0.00040 1009448 405317 604131 0.00420 22736490 14239453 8497037 0.05870 4658125 0 56595370 53828098 2767272 X 1 0 1 1 NORTHEAST ALABAMA REGIONAL MEDICAL CTR

400 EAST 10TH STREET ANNISTON AL 36207

X X X NORTHEAST ALABAMA REGIONAL MEDICAL CTR 1 1 1 200.000000000000 1 400.000000000000 1 X X X X X 1 1 X X X X X 1 0 1 X 0 0 1 NORTHEAST AL REGIONAL MED CENTER PSYCH U

400 EAST 10TH STREET ANNISTON AL 36202

INPATIENT PSYCH UNIT 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. NORTHEAST ALABAMA REGIONAL MEDICAL CTR 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. 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. REPORTS FILED WITH STATES PART VI, LINE 7 AL 1 EAST ALABAMA EMERGENCY MEDICAL SERVICES PO BOX 700 LINCOLN AL 35096 630707345 501(C)(3) 16500 GENERAL ACTIVITY SPONSORSHIP AMERICAN CANCER SOCIETY INC PO BOX 1155 ANNISTON AL 36202 131788491 501(C)(3) 5000 GENERAL ACTIVITY SPONSORSHIP 2 0 MEDICATION/MEDICAL SUPPLIES 48 4960 TRANSPORTATION 368 6168 FOOD 75 307 LONG-TERM CARE 1 33600 AMBULANCE TRANSPORTS 6 606 IV THERAPY/HHC VISITS/MEDS 18 37889 MISCELLANEOUS 5 293 SCHOLARSHIP LOANS/AWARDS FOR WORK COMMITMENT 35 160871 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE 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. X X X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 J DAVID MCCORMACK 289066 0 0 0 0 0 8672 0 12109 0 309847 0 0 0 LOUIS BASS 158852 0 0 0 0 0 24342 0 11229 0 194423 0 0 0 JOSEPH WEAVER 189290 0 0 0 0 0 5679 0 11268 0 206237 0 0 0 ADAM PRUETT MD 210458 0 0 0 0 0 0 0 6194 0 216652 0 0 0 ROBERT B FREEMAN MD 421082 0 0 0 0 0 0 0 5363 0 426445 0 0 0 AYMAN ABDUL GHANI MD 358911 0 0 0 0 0 10767 0 6330 0 376008 0 0 0 RONALD J VARCAK MD 167683 0 1037 0 36258 0 0 0 5398 0 210376 0 0 0 DAVISSON EDMONDS MD 208568 0 3750 0 0 0 6407 0 1236 0 219961 0 0 0 PART I, LINE 1A ALL 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. RACHEL CALDWELL FAMILY MEMBER OF CORPORATE OFFICER 43670 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 JOHN FITE FAMILY MEMBER OF BOARD MEMBER 21031 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 MELANIE GRIZZARD FAMILY MEMBER OF BOARD MEMBER 57109 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, 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 THE 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 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 11 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,099,438. 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 11A, I REGIONAL MEDICAL CENTER BOARD 0 REGIONAL HEALTH MANAGEMENT CORPORATION PO BOX 2345 ANNISTON AL 36202 630819576 MANAGEMENT AL N/A C 1 1 1 1 0 1 0 0 1 0 0 0 1 1 0 1 1 1 REGIONAL HEALTH SERVICES A 32355 CASH AND A/R