THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON (EIN 63-6000090)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201201369349306750
Schema version
2010v3.4
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)
Timestamp2012-05-15T15:23:39-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

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)
NameJ DAVID MCCORMACKName
TitlePRESIDENT/CEOTitle
Phone2562355255Phone
Date Signed2012-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1NORTHEAST ALABAMA REGIONAL MEDICAL CBusinessNameLine1
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 Receipts175331554GrossReceipts
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 Members11NbrIndependentVotingMembers
Total Nbr Employees1706TotalNbrEmployees
Total Nbr Volunteers210TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year21676ContributionsGrantsPriorYear
Contributions Grants Current Year85679ContributionsGrantsCurrentYear
Program Service Revenue Prior Year173657696ProgramServiceRevenuePriorYear
Program Service Revenue CY169922886ProgramServiceRevenueCY
Investment Income Prior Year5785856InvestmentIncomePriorYear
Investment Income Current Year2835769InvestmentIncomeCurrentYear
Other Revenue Prior Year267581OtherRevenuePriorYear
Other Revenue Current Year238172OtherRevenueCurrentYear
Total Revenue Prior Year179732809TotalRevenuePriorYear
Total Revenue Current Year173082506TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year101670GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY104708GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year69063966SalariesEtcPriorYear
Salaries Etc Current Year64520426SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year110138252OtherExpensePriorYear
Other Expenses Current Year109918048OtherExpensesCurrentYear
Total Expenses Prior Year179303888TotalExpensesPriorYear
Total Expenses Current Year174543182TotalExpensesCurrentYear
Revenues Less Expenses Prior Year428921RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1460676RevenuesLessExpensesCY
Total Assets BOY185902414TotalAssetsBOY
Total Assets EOY182436435TotalAssetsEOY
Total Liabilities BOY53678649TotalLiabilitiesBOY
Total Liabilities EOY51673345TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY132223765NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY130763090NetAssetsOrFundBalancesEOY
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
Expense164339073Expense
Grants61745Grants
Revenue169659495Revenue
DescriptionDURING THE YEAR ENDED JUNE 30, 2011, NORTHEAST ALABAMA REGIONAL MEDICAL CENTER HAD 13,200 ADULT AND PEDIATRIC INPATIENT ADMISSIONS, 1,301 NEWBORN ADMISSIONS AND SERVED PATIENTS THROUGH AMBULATORY CARE INCLUDING: 3,348 OBSERVATION PATIENTS, 44,465 EMERGENCY DEPARTMENT PATIENTS,61,466 REFERRED OUTPATIENTS, 3,312 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 Expense164339073TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Stmt1IndependentAuditFinancialStmt
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 With1096387NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1706NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
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 Members11NumberIndependentVotingMembers
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 Line1PO BOX 2208AddressLine1
CityANNISTONCity
StateALState
ZIP Code36202ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
THOMAS ANTHONY HUMPHRIES
CHAIRMAN1.00XX4400
GREGORY KERNION
VICE CHAIRMAN1.00XX4400
SANDRA FOX SUDDUTH
SECRETARY1.00XX5600
JOHN E BLUE II
PAST CHAIRMAN1.00X205200
EDDYER L BROWN
BOARD MEMBER1.00X24800
KOVEN L BROWN
BOARD MEMBER1.00X50000
JAMES S HIXON MD
CHIEF OF STAFF1.00X000
ROHIT G PATEL MD
VICE CHIEF OF STAFF1.00X1954400
LARRY K DEASON
BOARD MEMBER1.00X5600
ARTHUR F FITE III
BOARD MEMBER1.00X000
BILLY DON GRIZZARD
BOARD MEMBER1.00X000
TRUDY D HARDEGREE
BOARD MEMBER1.00X9000
MICHAEL W KIMBERLY DRPHMPHHCLD
BOARD MEMBER1.00X5600
STEVEN P LYNCH
BOARD MEMBER1.00X4400
SAMUEL H MONK II JD
BOARD MEMBER1.00X5600
JEFFERY A PARKER
BOARD MEMBER1.00X000
JAMES E ROBERTS
BOARD MEMBER1.00X4400
DAVID WESLEY SMITH MD
BOARD MEMBER1.00X3700
VAUGHN M STEWART II
BOARD MEMBER1.00X000
FRED WILSON
BOARD MEMBER1.00X4400
ELLEN BASS
BOARD MEMBER1.00X54800
J DAVID MCCORMACK
CEO40.00X287645010438
LOUIS BASS
CFO40.00X150591034234
JOSEPH WEAVER
COO40.00185759010438X
WILLIAM BOHANNON
PHYSICIAN40.00141582010390X
ROBERT B FREEMAN
PHYSICIAN40.00426189010558X
AYMAN ABDUL GHANI
PHYSICIAN40.00300219010360X
RONALD J VARCAK
MEDICAL DIRECTOR40.0020391104311X
KATHERINE D SUNDAY
REGISTERED PHARMACIST40.00133560010161X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1852919TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation100890TotalOtherCompensation
Number Individuals GT100 K27NumberIndividualsGT100K
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 SERVICES2675337
MORRISONS HEALTH CARE DIVISION
PO BOX 102289ATLANTAGA303682289MANAGEMENT OF FOOD SVC1315492
EMERGENCY ROOM SERVICES OF ANNISTON LLC
PO BOX 3477OXFORDAL36203ER PHYSICIAN SERVICES1105231
COASTAL EXTRACORPOREAL TECHNOLOGY INC
612 EAST BALDWIN ROADPANAMA CITYFL32405PERFUSION SERVICES550017
AMERICAN ENDOSCOPY SERVICES INC
8 CADILLAC DRIVE STE 200BRENTWOODTN37027REPROCESSING SURGICAL INSTRUMENTS464065
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Related Organizations29157RelatedOrganizations
All Other Contributions56522AllOtherContributions
Total Contributions85679TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
NET PATIENT SERVICE RE621400165784402165784402
MEDICAID DISP SHARE90009937369143736914
AFTERCARE REHAB SERVIC6241006024060240
DISCOUNTS9000993479634796
MEDICAL LIBRARY9000998175$8,175

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column298359TotalRevenueColumn
Related Or Exempt Function Income298359RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue169922886TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2646781TotalRevenueColumn
Exclusion$2,646,781ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column134546TotalRevenueColumn
Exclusion$134,546ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1697541Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2211870Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-514329Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-514329TotalRevenueColumn
Exclusion-$514,329ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other91620Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other37178Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other54442Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column54442TotalRevenueColumn
Exclusion$54,442ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
FOOD SERVICE & VENDING722210634654$634,654
OTHER INCOME90009978794$78,794
GIFT SHOP REVENUE45322039053$39,053
FieldValueIRS element (for citing)
Total Other Revenue752501TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column173082506TotalRevenueColumn
Related Or Exempt Function Income169914711RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,082,116ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total61745Total
Program Services61745ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total42963Total
Program Services42963ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1084611Total
Program Services357922ProgramServices
Management And General726689ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total311161Total
Program Services311161ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total50620671Total
Program Services46839848ProgramServices
Management And General3780823ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2938229Total
Program Services2470729ProgramServices
Management And General467500ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5578594Total
Program Services5164594ProgramServices
Management And General414000ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3987160Total
Program Services3691264ProgramServices
Management And General295896ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total211457Total
Management And General211457ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total10000Total
Management And General10000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total15192273Total
Program Services12845370ProgramServices
Management And General2346903ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total38100721Total
Program Services37668503ProgramServices
Management And General432218ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1565313Total
Program Services590943ProgramServices
Management And General974370ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2975079Total
Program Services2975079ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total9558Total
Program Services6563ProgramServices
Management And General2995ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total138256Total
Program Services90624ProgramServices
Management And General47632ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2011313Total
Program Services2011313ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12133303Total
Program Services12133303ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total972705Total
Program Services972705ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS3604067736040677
RECRUITMENT428051428051
OTHER EXPENSES1293426376765575

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total174543182Total
Program Services164339073ProgramServices
Management And General10204109ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6103166BOY
EOY2536906EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13694212BOY
EOY14709280EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1005035BOY
EOY1809919EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4985652BOY
EOY5305072EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1399498BOY
EOY2017474EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis248818142LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec168978479LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY83894688BOY
EOY79839663EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY71474480BOY
EOY74111909EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3345683BOY
EOY2106212EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY185902414BOY
EOY182436435EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12755043BOY
EOY13243544EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY38060000BOY
EOY36735000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2863606BOY
EOY1694801EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY53678649BOY
EOY51673345EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY132213565BOY
EOY130752930EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10200BOY
EOY10160EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY132223765BOY
EOY130763090EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY185902414BOY
EOY182436435EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1460676ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
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 Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$25,774OtherActivitiesAmount
Total Lobbying Expenditures IIB25774TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I: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 BODY. IN 2010, 24.42% OF DUES TO THE AHA ($7,451) AND 22.42% OF DUES PAID TO THE ALHA ($8,323) WAS ALLOCATED TO LOBBYING EFFORTS. IN ADDITION, THE ORGANIZATION PAID THE LAW FIRM OF BAKER DONELSON BEARMAN CALDWELL & BERKOWITZ, PC $10,000 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 Balance10200BeginningOfYearBalance
Investment Earnings Or Losses-40InvestmentEarningsOrLosses
End Of Year Balance10160EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Basis4015957OtherCostOrOtherBasis
Book Value4015957BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis84053315OtherCostOrOtherBasis
Depreciation58516840Depreciation
Book Value25536475BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4171132OtherCostOrOtherBasis
Depreciation2903889Depreciation
Book Value1267243BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis154495445OtherCostOrOtherBasis
Depreciation107557750Depreciation
Book Value46937695BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2082293OtherCostOrOtherBasis
Book Value2082293BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings79839663TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PROFESSIONAL LIABILITY SELF INSURANCE$1,559,801
WORKER'S COMPENSATION LIABILITY$135,000
FieldValueIRS element (for citing)
Total Of Amounts1694801TotalOfAmounts
Total Revenue173082506TotalRevenue
Total Expenses174543182TotalExpenses
Excess Or Deficit For Year-1460676ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-1460676ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt139883514TotRevenueEtcAuditedFinclStmt
Other Revenues2841685OtherRevenues
Revenue Not Rptd F9902841685RevenueNotRptdF990
Revenue Subtotal137041829RevenueSubtotal
Other Revenues Not Included36040677OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt36040677RevenueNotRptdOnFinStmt
Total Revenue Per Form990173082506TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt141147826TotExpensesEtcAuditedFinclStmt
Other Expenses Included2645321OtherExpensesIncluded
Expenses Not Rptd F9902645321ExpensesNotRptdF990
Expenses Subtotal138502505ExpensesSubtotal
Other Expenses Not Included36040677OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt36040677ExpensesNotRptdOnFinStmt
Total Expenses Per Form990174543182TotalExpensesPerForm990

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:INCOME TAXES- THE BOARD IS A POLICITAL SUBDIVISION AND THE AFFLIATE 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 FOR THE AFFILIATE. RHMC IS A FOR-PROFIT CORPORATION AND ACCOUNTS FOR DEFERRED INCOME TAXES BASED ON THE METHOD DESCRIBED IN FASB ACCOUNTING STANDANDS CODIFICATION ("ASB") 740, INCOME TAXES. ASC 740 USES 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 JUNE 30, 2011 AND 2010, A DEFERRED TAX LIABILITY HAS BEEN RECORDED IN THE AMOUNT OF $71,000 AND $83,000, RESPECTIVELY, RELATED PRIMARILY TO TIMING DIFFERENCES RELATED TO DEPRECIATION AND THE INVESTMENT IN THE SURGERY CENTER, LLC (SEE NOTE L), AND IS INCLUDED IN OTHER LONG-TERM LIABILITIES AND OTHER ASSETS ON THE COMBINED BALANCE SHEETS. AS OF JUNE 30, 2011 AND 2010, ALL OF THE NET OPERATING LOSS CARRYFORWARDS HAS BEEN UTILIZED. THE BOARD HAS EVALUATED THEIR TAX POSITIONS AND HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2011 AND 2010.
PART XII, LINE 2D - OTHER ADJUSTMENTS:REVENUES OF CONSOLIDATED ENTITIES 629,815. RENTAL EXPENSES NET W/ REVENUES 2,211,870.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBTS NET W/ REVENUES 36,040,677.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES OF CONSOLIDATED ENTITIES 433,451. RENTAL EXPENSES NET W/ REVENUES 2,211,870.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBTS NET W/ REVENUES 36,040,677.

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 Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7489216TotalCommunityBenefitExpense
Net Community Benefit Expense7489216NetCommunityBenefitExpense
Percent Of Total Expense0.05030PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense13869916TotalCommunityBenefitExpense
Direct Offsetting Revenue13773974DirectOffsettingRevenue
Net Community Benefit Expense95942NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense21359132TotalCommunityBenefitExpense
Direct Offsetting Revenue13773974DirectOffsettingRevenue
Net Community Benefit Expense7585158NetCommunityBenefitExpense
Percent Of Total Expense0.05090PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense42963TotalCommunityBenefitExpense
Net Community Benefit Expense42963NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense69938TotalCommunityBenefitExpense
Direct Offsetting Revenue20480DirectOffsettingRevenue
Net Community Benefit Expense49458NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense61745TotalCommunityBenefitExpense
Net Community Benefit Expense61745NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense174646TotalCommunityBenefitExpense
Direct Offsetting Revenue20480DirectOffsettingRevenue
Net Community Benefit Expense154166NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense21533778TotalCommunityBenefitExpense
Direct Offsetting Revenue13794454DirectOffsettingRevenue
Net Community Benefit Expense7739324NetCommunityBenefitExpense
Percent Of Total Expense0.05190PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense$7,387,687BadDebtExpenseAmount
Amount Reimbursed By Medicare52917832AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare51137353CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1780479MedicareSurplusOrShortfall

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 CENTEBusinessNameLine1

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 Line1NA FOR 2010BusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

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 (10 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 $25,676,768 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 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 VI, LINE 2: OUR ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF OUR COMMUNITY IN SEVERAL WAYS. WE UPDATE OUR MEDICAL STAFF DEVELOPMENT PLAN ANNUALLY. 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. WE ALSO ASSESS THE NEEDS OF OUR COMMUNITY WHENEVER WE CONSIDER PROVIDING A NEW SERVICE, OR WHEN WE EVALUATE EXPANDING EXISTING SERVICES THAT WE CURRENTLY PROVIDE. WE DEVELOP A PLAN BASED ON CALCULATIONS OF THE IMPACT THAT THE NEW OR EXPANDED SERVICE MAY HAVE ON OUR COMMUNITY.
PART VI, LINE 3: ALL PATIENT BILLS HAVE A STATEMENT EXPLAINING THAT CHARITY CARE IS AVAILABLE TO QUALIFYING INDIVIDUALS. CONTACT INFORMATION IS LISTED ALSO. SIGNS ARE POSTED IN ALL REGISTRATION AREAS AS WELL AS THE FACILITY'S WEBSITE REGARDING CHARITY CARE.
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 ARE SERVED FROM NEWBORNS TO THE ELDERLY. 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 6: 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.
ALREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1EAST ALABAMA EMERGENCY MEDICAL SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 700AddressLine1
CityLINCOLNCity
StateALState
ZIP Code35096ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient630707345EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant16500AmountOfCashGrant
Method Of ValuationCASHMethodOfValuation
Purpose Of GrantGENERAL ACTIVITY SPONSORSHIPPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (7 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
MEDICATION/MEDICAL SUPPLIES1163631
TRANSPORTATION2995325
FOOD183861
INFANT CAR SEATS135
AMBULANCE TRANSPORTS5865
IV THERAPY/HHC VISITS/MEDS1932076
MISCELLANEOUS3170

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 (7 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
2876450000000104380298083000
LOUIS BASS
15059100000237960104380184825000
JOSEPH WEAVER
1857590000000104380196197000
WILLIAM BOHANNON
1415820000000103900151972000
ROBERT B FREEMAN
4261890000000105580436747000
AYMAN ABDUL GHANI
3002190000000103600310579000
RONALD J VARCAK
1586910004522000043110208222000

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 (7 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
RACHEL CALDWELL
FAMILY MEMBER OF CORPORATE OFFICER51396COMPENSATION AS EMPLOYEE OF HOSPITAL0
ANNISTON ORTHOPAEDIC ASSOCIATES PA
OWNERSHIP SHARE BY FORMER BOARD MEMBER244490RENT PAID TO HOSPITAL FOR USE OF OFFICE SPACE0
JOHN FITE
FAMILY MEMBER OF BOARD MEMBER18064COMPENSATION AS EMPLOYEE OF HOSPITAL0
MELANIE GRIZZARD
FAMILY MEMBER OF BOARD MEMBER69086COMPENSATION AS EMPLOYEE OF HOSPITAL0
ADAM LYNCH
FAMILY MEMBER OF FORMER BOARD MEMBER20410COMPENSATION AS EMPLOYEE OF HOSPITAL0
BRIAN JENKINS
FAMILY MEMBER OF FORMER CORPORATE OFFICER116514COMPENSATION AS EMPLOYEE OF HOSPITAL0
BRIAN EUBANKS
FAMILY MEMBER OF FORMER CORPORATE OFFICER35691COMPENSATION AS EMPLOYEE OF HOSPITAL0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
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 12C
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 B, LINE 15A
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 18
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 VI, SECTION C, LINE 19
THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XII, LINE 2C:

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 OrgControlledOrg
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, IN/A0

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 Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1REGIONAL HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
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 Org0SaleOfAssetsToOtherOrg
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 Facilities0SharingOfFacilities
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 (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MEDICAL CENTER MEMORIAL FOUNDATION INC
B132303
REGIONAL HEALTH MANAGMENT CORPORATION
D

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