2012-05-15T15:23:39-05:00 2011-06-30 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2010-07-01 636000090 REGIONAL MEDICAL CENTER BOARD REGI 2562355255 PO BOX 2208 ANNISTON AL 36202 J DAVID MCCORMACK 2562355255 2012-05-15 1 AMY BIBBY 8282542254 2010 2016-02-24 21:20:13Z NORTHEAST ALABAMA REGIONAL MEDICAL C J DAVID MCCORMACK PO BOX 2208 ANNISTON AL 36202 175331554 0 X WWW.RMCCARES.ORG X 1974 AL TO PROVIDE PERSONALIZED HEALTHCARE TO CITIZENS OF NORTHEAST ALABAMA 15 11 1706 210 0 0 21676 85679 173657696 169922886 5785856 2835769 267581 238172 179732809 173082506 101670 104708 0 0 69063966 64520426 0 0 0 110138252 109918048 179303888 174543182 428921 -1460676 185902414 182436435 53678649 51673345 132223765 130763090 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 164339073 61745 169659495 DURING 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. 164339073 1 1 0 1 0 0 0 0 1 1 0 0 0 1 1 1 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 1 387 0 1 1706 1 0 0 0 0 0 0 0 0 0 0 X 15 11 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 PO BOX 2208 ANNISTON AL 36202 THOMAS ANTHONY HUMPHRIES 1.00 X X 44 0 0 GREGORY KERNION 1.00 X X 44 0 0 SANDRA FOX SUDDUTH 1.00 X X 56 0 0 JOHN E BLUE II 1.00 X 2052 0 0 EDDYER L BROWN 1.00 X 248 0 0 KOVEN L BROWN 1.00 X 500 0 0 JAMES S HIXON MD 1.00 X 0 0 0 ROHIT G PATEL MD 1.00 X 19544 0 0 LARRY K DEASON 1.00 X 56 0 0 ARTHUR F FITE III 1.00 X 0 0 0 BILLY DON GRIZZARD 1.00 X 0 0 0 TRUDY D HARDEGREE 1.00 X 90 0 0 MICHAEL W KIMBERLY DRPHMPHHCLD 1.00 X 56 0 0 STEVEN P LYNCH 1.00 X 44 0 0 SAMUEL H MONK II JD 1.00 X 56 0 0 JEFFERY A PARKER 1.00 X 0 0 0 JAMES E ROBERTS 1.00 X 44 0 0 DAVID WESLEY SMITH MD 1.00 X 37 0 0 VAUGHN M STEWART II 1.00 X 0 0 0 FRED WILSON 1.00 X 44 0 0 ELLEN BASS 1.00 X 548 0 0 J DAVID MCCORMACK 40.00 X 287645 0 10438 LOUIS BASS 40.00 X 150591 0 34234 JOSEPH WEAVER 40.00 X 185759 0 10438 WILLIAM BOHANNON 40.00 X 141582 0 10390 ROBERT B FREEMAN 40.00 X 426189 0 10558 AYMAN ABDUL GHANI 40.00 X 300219 0 10360 RONALD J VARCAK 40.00 X 203911 0 4311 KATHERINE D SUNDAY 40.00 X 133560 0 10161 1852919 0 100890 27 0 1 0 ANESTHESIA SOLUTIONS OF ANNISTON 2901 2ND AVENUE SUITE 270 BIRMINGHAM AL 35233 CRNA SERVICES 2675337 MORRISONS HEALTH CARE DIVISION PO BOX 102289 ATLANTA GA 303682289 MANAGEMENT OF FOOD SVC 1315492 EMERGENCY ROOM SERVICES OF ANNISTON LLC PO BOX 3477 OXFORD AL 36203 ER PHYSICIAN SERVICES 1105231 COASTAL EXTRACORPOREAL TECHNOLOGY INC 612 EAST BALDWIN ROAD PANAMA CITY FL 32405 PERFUSION SERVICES 550017 AMERICAN ENDOSCOPY SERVICES INC 8 CADILLAC DRIVE STE 200 BRENTWOOD TN 37027 REPROCESSING SURGICAL INSTRUMENTS 464065 24 29157 56522 85679 NET PATIENT SERVICE RE 621400 165784402 165784402 MEDICAID DISP SHARE 900099 3736914 3736914 AFTERCARE REHAB SERVIC 624100 60240 60240 DISCOUNTS 900099 34796 34796 MEDICAL LIBRARY 900099 8175 8175 298359 298359 169922886 2646781 2646781 134546 134546 1697541 2211870 -514329 -514329 -514329 91620 37178 54442 54442 54442 FOOD SERVICE & VENDING 722210 634654 634654 OTHER INCOME 900099 78794 78794 GIFT SHOP REVENUE 453220 39053 39053 752501 173082506 169914711 0 3082116 61745 61745 42963 42963 1084611 357922 726689 311161 311161 50620671 46839848 3780823 2938229 2470729 467500 5578594 5164594 414000 3987160 3691264 295896 211457 211457 10000 10000 15192273 12845370 2346903 38100721 37668503 432218 1565313 590943 974370 2975079 2975079 9558 6563 2995 138256 90624 47632 2011313 2011313 12133303 12133303 972705 972705 BAD DEBTS 36040677 36040677 RECRUITMENT 428051 428051 OTHER EXPENSES 129342 63767 65575 174543182 164339073 10204109 0 6103166 2536906 13694212 14709280 1005035 1809919 4985652 5305072 1399498 2017474 248818142 168978479 83894688 79839663 71474480 74111909 3345683 2106212 185902414 182436435 12755043 13243544 38060000 36735000 2863606 1694801 53678649 51673345 X 132213565 130752930 10200 10160 132223765 130763090 185902414 182436435 -1460676 0 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 25774 25774 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: 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 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. 10200 -40 10160 10212 -12 10200 10000 212 10212 1.00000 0 0 4015957 4015957 84053315 58516840 25536475 4171132 2903889 1267243 154495445 107557750 46937695 2082293 2082293 79839663 PROFESSIONAL LIABILITY SELF INSURANCE 1559801 WORKER'S COMPENSATION LIABILITY 135000 1694801 173082506 174543182 -1460676 0 -1460676 139883514 2841685 2841685 137041829 36040677 36040677 173082506 141147826 2645321 2645321 138502505 36040677 36040677 174543182 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. 1 1 1 X 1 X 1 1 0 1 1 7489216 7489216 0.05030 13869916 13773974 95942 0.00060 21359132 13773974 7585158 0.05090 42963 42963 0.00030 69938 20480 49458 0.00030 61745 61745 0.00040 174646 20480 154166 0.00100 21533778 13794454 7739324 0.05190 7387687 52917832 51137353 1780479 X 1 0 1 1 NORTHEAST ALABAMA REGIONAL MEDICAL CENTE

400 EAST 10TH STREET ANNISTON AL 36207

X X X NA FOR 2010 1 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 $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. 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 CASH GENERAL ACTIVITY SPONSORSHIP 1 MEDICATION/MEDICAL SUPPLIES 116 3631 TRANSPORTATION 299 5325 FOOD 183 861 INFANT CAR SEATS 1 35 AMBULANCE TRANSPORTS 5 865 IV THERAPY/HHC VISITS/MEDS 19 32076 MISCELLANEOUS 3 170 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 287645 0 0 0 0 0 0 0 10438 0 298083 0 0 0 LOUIS BASS 150591 0 0 0 0 0 23796 0 10438 0 184825 0 0 0 JOSEPH WEAVER 185759 0 0 0 0 0 0 0 10438 0 196197 0 0 0 WILLIAM BOHANNON 141582 0 0 0 0 0 0 0 10390 0 151972 0 0 0 ROBERT B FREEMAN 426189 0 0 0 0 0 0 0 10558 0 436747 0 0 0 AYMAN ABDUL GHANI 300219 0 0 0 0 0 0 0 10360 0 310579 0 0 0 RONALD J VARCAK 158691 0 0 0 45220 0 0 0 4311 0 208222 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 51396 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 ANNISTON ORTHOPAEDIC ASSOCIATES PA OWNERSHIP SHARE BY FORMER BOARD MEMBER 244490 RENT PAID TO HOSPITAL FOR USE OF OFFICE SPACE 0 JOHN FITE FAMILY MEMBER OF BOARD MEMBER 18064 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 MELANIE GRIZZARD FAMILY MEMBER OF BOARD MEMBER 69086 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 ADAM LYNCH FAMILY MEMBER OF FORMER BOARD MEMBER 20410 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 BRIAN JENKINS FAMILY MEMBER OF FORMER CORPORATE OFFICER 116514 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 BRIAN EUBANKS FAMILY MEMBER OF FORMER CORPORATE OFFICER 35691 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 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. 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 N/A 0 REGIONAL HEALTH MANAGEMENT CORPORATION PO BOX 2345 ANNISTON AL 36202 630819576 MANAGEMENT AL REGIONAL HEALTH SERVICES INC C 1 1 1 1 0 0 0 0 1 0 0 0 0 1 0 1 1 1 MEDICAL CENTER MEMORIAL FOUNDATION INC B 132303 REGIONAL HEALTH MANAGMENT CORPORATION D