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FOR 27,988 ROUTINE INPATIENT DAYS. 5714353 CUMBERLAND MEDICAL CENTER PERFORMED 10,311 SURGICAL PROCEDURES 6008329 CUMBERLAND MEDICAL CENTER DISPENSED 1,069,233 PHARMACY DOSES. 69808985 ALL OTHER ROUTINE AND NECESSARY EXPENSES TO PROVIDE HEALTHCARE SERVICES IN A 182 BED ACUTE CARE HOSPITAL FACILITY PLUS A 20 BED SKILLED NURSING UNIT 69808985 91634094 true true false false false false false false false true true false false false false false false false false false true false false true true false false false false false false false false false false false false false false false true false false false false 80 0 true 1278 true false false false false false false false false false false false 10 8 false false false false false false false true true false false true true true true true true true true false TN X X LARRY MOORE CFO 9314849511 421 S MAIN ST CROSSVILLE TN 38555 EDWIN S ANDERSON 40.00 X X 250461 0 4237 REYNALDO OLAECHEA MD 40.00 X 178067 0 29952 BETH PETTY MD X 0 0 0 COSBY A STONE X 0 0 0 JW BROWN X X 0 0 0 JAMES BARNAWELL MD X 0 0 0 KENNETH BURNETT X 0 0 0 LARRY REED MD X 0 0 0 ROBERT COUCH X X 0 0 0 ROBERT HARRISON X 0 0 0 ROY HOWARD X 0 0 0 BARRY S WAGNER MD 40.00 X 275016 0 16232 KENNETH R STEPHENS 40.00 X 131863 0 35128 RONALD M CAIN 40.00 X 104122 0 18424 COLDON L WILSON 40.00 X 101876 0 12171 JINGER K LOGGINS 40.00 X 91119 0 4651 GNANARA J JOSEPH 40.00 X 376898 0 47110 MOHAMED HEIKAL MD 40.00 X 294385 0 20084 OSCAR E MENDEZ MD 40.00 X 291793 0 28663 SIVALINGAM KANAGASEGAR MD 40.00 X 274850 0 37738 ERNEST MAK MD 40.00 X 257791 0 28952 2628241 283342 27 false true false MOBILE TECH SVC 201 NORTH WHITE ATHENS TN 37303 MOBILE PET/CT 527000 SHELBY L HILL MD 59 MAGNOLIA LANE CROSSVILLE TN 38555 PHYSICIAN 354620 DR LOU MACMANUS DO 49 CLEVELAND STREET SUITE 310 CROSSVILLE TN 38555 PHYSICIAN 354367 JAMES BARNWELL MD 421 SOUTH MAIN STREET CROSSVILLE TN 38555 PATHOLOGY 277200 CAREFUSION SOLUTION LLC PYXIS PRODUCTS 1952 SOLUTIONS CENTER CHICAGO IL 60677 MEDICATION DISP 275908 9 48923 9310 58233 NET PATIENT SERVICE REVENUE 101663219 101663219 101663219 815466 815466 14537 165000 -150463 -150463 -150463 OTHER OPERATING REVENUE 532739 532739 532739 102919194 102045495 815466 927338 751144 176194 40276970 32624346 7652624 10586913 8575400 2011513 2930263 2373513 556750 76792 62201 14591 42280 42280 6878988 6878988 509097 509097 216045 216045 12646 12646 3878152 3141303 736849 84294 68961 15333 2721917 2721917 5696321 5696321 2812315 2812315 MEDICAL AND PATIENT SUPPL 12204249 12204249 BAD DEBT EXPENSE 9124020 9124020 OTHER 2379224 1927171 452053 PROFES & MGMT FEES 980793 794442 186351 OTHER SUPPLIES 792616 642019 150597 562613 455716 106897 103693846 91634094 12059752 0 12844614 11678958 13819857 16486124 17367091 15343671 174983 116768 1701646 1688983 797065 867056 136971420 59067920 80194421 77903500 512949 476105 2216182 2045062 129628808 126606227 7022822 6045335 47148465 45287631 3022313 4814404 57193600 56147370 X 72224779 70268152 210429 190705 72435208 70458857 129628808 126606227 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 2677519 2677519 83743879 22582171 61161708 48306092 35649540 12656552 2243930 836209 1407721 77903500 SWAP AGREEMENT LIABILITY 4079803 CMC CAPITAL LEASE LIABILITY 686889 CMC DUE TO PREMIER PURCHASING 32305 CMC MOB SECURITY DEPOSITS 15407 TN HOSPITAL EDUCATION GRANT 4814404 102919194 103693846 -774652 107802 -1289777 -1181975 -1956627 103026996 107802 107802 102919194 102919194 104983623 1289777 1289777 103693846 103693846 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 UNREALIZED LOSSES -1,289,777 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D UNREALIZED LOSSES 1,289,777 true true true X true X true true true false false 606105 606105 0.00580 12981619 8051741 4929878 0.04750 13587724 8051741 5535983 0.05340 144598 144598 0.00140 8553674 5484866 3068808 0.02960 9570 9570 0.00010 8707842 5484866 3222976 0.03110 22295566 13536607 8758959 0.08450 true 3474922 639385 38930178 39028500 -98322 X true true CST COMM HLTH LLC HEALTHCARE SERVICES/CARDIAC CATH 0.50000 CUMBERLAND MEDICAL CENTER INC

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THE MEDICAL CENTER MAINTAINS ALLOWANCES FOR DOUBTFUL ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM THE INABILITY OF ITS PATIENTS TO MAKE PAYMENTS. MANAGEMENT CONSIDERS THE FOLLOWING FACTORS WHEN DETERMING THE COLLECTIBILITY OF PATIENT ACCOUNTS: PAYOR CREDIT-WORTHINESS, PAST TRANSACTION HISTORY WITH THE PAYOR, CURRENT ECONOMIC INDUSTRY TRENDS, AND CHANGES IN PAYOR PAYMENT TERMS. IF THE FINANCIAL CONDITION OF THE MEDICAL CENTER'S PAYORS OR PATIENTS WERE TO DETERIORATE, ADVERSELY AFFECTING THEIR ABILITY TO MAKE PAYMENTS, ADDITIONAL ALLOWANCES WOULD BE REQUIRED. BASED ON MANAGEMENT'S ASSESSMENT, THE MEDICAL CENTER PROVIDES FOR ESTIMATED UNCOLLECTABLE AMOUNTS THROUGH A CHARGE TO EARNINGS AND A CREDIT TO AN ALLOWANCE. BALANCES THAT REMAIN OUTSTANDING AFTER THE MEDICAL CENTER HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. CUMBERLAND MEDICAL CENTER IS AN ACUTE CARE MEDICAL/SURGICAL FACILITY WHICH SERVES A LARGE TENNCARE AND MEDICARE POPULATION. WITH THIS DEMOGRAPHIC COMES THE REALIZATION OF LOW REIMBURSEMENT, BAD DEBT, AND MEDICARE SHORTFALLS. IN OUR AREA OF THE COUNTRY AND ESPECIALLY OUR AREA OF THE STATE, IT IS PART OF PROVIDING HEALTHCARE TO OUR PATIENTS. WE CONSIDER A LARGE PART OF WHAT WE MUST "WRITE-OFF" EACH YEAR AND THE MONEY THAT WE WILL NEVER SEE AS INCOME TO OUR BOTTOM LINE AS A BENEFIT THAT WE GIVE BACK TO OUR COMMUNITY. IT IS A SERVICE THAT WE ARE PROVIDING TO THOSE WHO CANNOT PROVIDE FOR THEMSELVES. OUR MISSION STATES THAT WE WILL MAKE AVAILABLE QUALITY HEALTH CARE ON A REGIONAL LEVEL TO THOSE IN NEED OF ITS SERVICE THROUGH DEDICATION, PROFESSIONALISM, AND FINANCIAL STABILITY. WHILE IT IS OUR FIDUCIARY RESPONSIBILITY TO MANAGE OUR FACILITY, IT IS OUR FIRST CONCERN TO CARE FOR THE PATIENT'S HEALTH AND WELL BEING. THE DIFFERENCE BETWEEN THOSE IN A COMMUNITY LIKE OURS WHEN ABSORBED BY THE HOSPITAL IS MOST DEFINITELY BENEFITTING THE COMMUNITY. X X X false false false true false true false false false EDWIN S ANDERSON 242674 7787 4237 254698 REYNALDO OLAECHEA MD 162413 12500 3154 12471 17481 208019 BARRY S WAGNER MD 275016 16232 291248 KENNETH R STEPHENS 130707 1156 18551 16577 166991 GNANARA J JOSEPH 224243 152344 311 33000 14110 424008 MOHAMED HEIKAL MD 197104 97281 20084 314469 OSCAR E MENDEZ MD 114276 173207 4310 11945 16718 320456 SIVALINGAM KANAGASEGAR MD 197874 76524 452 16500 21238 312588 ERNEST MAK MD 249916 7875 10924 18028 286743 COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION SCHEDULE J, PAGE 1, PART I, LINE 5A LISTED EMPLOYED PHYSICIANS RECEIVE AN INCENTIVE BONUS EQUAL TO A PERCENTAGE OF CASH COLLECTIONS FROM THEIR OWN PRACTICE GREATER THAN THE PHYSICIAN'S ANNUAL SALARY. COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION SCHEDULE J, PAGE 1, PART I, LINE 6A THE PRESIDENT/CEO AND OTHER OFFICERS RECEIVE AN INCENTIVE BONUS BASED ON VARIOUS CRITERIA, INCLUDING A COMPARISON OF ACTUAL NET EARNINGS TO BUDGETED NET EARNINGS. HEALTH EDUCATIONAL & HOUSING FACIL OF THE CITY OF CHATTANOOGA 521298872 162410CAO 2004-11-18 46000000 FUND CONSTRUCTION AN false false HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE CITY OF CROSSVILLE 581799575 2008-11-01 4200000 EQUIPMENT, FURNISHIN false false 42260000 747331 250809 36276661 2006 false false true true 3027631 4041205 2009 false false true true false false false false true true false false false false true true false true true REGIONS BANK 10.0 false false true false false false false false true ALL OTHER ACHIEVEMENTS DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D ALL OTHER ROUTINE AND NECESSARY EXPENSES TO PROVIDE HEALTHCARE SERVICES IN A 182 BED ACUTE CARE HOSPITAL FACILITY PLUS A 20 BED SKILLED NURSING UNIT ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11 MANAGEMENT AND THE BOARD OF DIRECTORS WILL REVIEW THE 990 BEFORE IT IS FILED. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C CUMBERLAND MEDICAL CENTER'S CONFLICT OF INTEREST STATEMENT IS DISCUSSED AND REVIEWED WITH POTENTIAL APPLICANTS FOR EMPLOYMENT DURING THE INTERVIEW PROCESS, WITH NEW EMPLOYEES DURING A NEW EMPLOYEE ORIENTATION AS WELL AS DURING DEPARTMENTAL ORIENTATION AND ANNUALLY FOR ALL EMPLOYEES DURING EACH EMPLOYEE'S ANNUAL PERFORMANCE REVIEW. IF NO CONFLICT OF INTEREST IS IDENTIFIED, IT IS NOTED ON THE CONFLICT OF INTEREST STATEMENT, SIGNED BY THE EMPLOYEE, AND PLACED IN THE EMPLOYEE'S FILE. IF A CONFLICT OF INTEREST IS IDENTIFIED, AFTER DISCUSSION AND REVIEW BY A CORPORATE OFFICER AND/OR OTHER ADDITIONAL INPUT AS NECESSARY, APPROPRIATE ACTION IS TAKEN UP TO AND INCLUDING TERMINATION OF EMPLOYMENT WITH CUMBERLAND MEDICAL CENTER OR THE OTHER EMPLOYER THAT IS CAUSING THE CONFLICT OF INTEREST. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE CEO REVIEW COMMITTEE AND THE EXECUTIVE COMPENSATION COMMITTEE REVIEW THE PERFORMANCE AND SALARY OF THE CEO ANNUALLY. THE COMMITTEES ARE APPOINTED ANNUALLY BY THE CHAIRMAN OF THE BOARD OF DIRECTORS. TENNESSEE HOSPITAL ASSOCIATION SALARY SURVEY INFORMATION IS PROVIDED FOR REVIEW. DUE TO BUDGET CONSTRAINTS, NO WAGE INCREASE WAS PROVIDED DURING THE YEAR. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE PRESIDENT/CEO REVIEWS THE PERFORMANCE AND SALARY OF THE OFFICERS. TENNESSEE HOSPITAL ASSOCIATION SALARY SURVEY INFORMATION IS PROVIDED FOR REVIEW. DUE TO BUDGET CONSTRAINTS, NO WAGE INCREASES FOR OFFICERS WERE PROVIDED DURING THE YEAR. 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