THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON (EIN 63-6000090)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-14
IRS object ID
201140459349300004
Schema version
2009v1.7
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)
Timestamp2011-02-14T08:02:00-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES PLLCBusinessNameLine1

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 Date2009-07-01TaxPeriodBeginDate

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 Signed2011-02-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmy BibbyName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts182063143GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Members15NbrIndependentVotingMembers
Total Nbr Employees1717TotalNbrEmployees
Total Nbr Volunteers225TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year41671ContributionsGrantsPriorYear
Contributions Grants Current Year21676ContributionsGrantsCurrentYear
Program Service Revenue Prior Year175110898ProgramServiceRevenuePriorYear
Program Service Revenue CY173657696ProgramServiceRevenueCY
Investment Income Prior Year5221697InvestmentIncomePriorYear
Investment Income Current Year5785856InvestmentIncomeCurrentYear
Other Revenue Prior Year537025OtherRevenuePriorYear
Other Revenue Current Year267581OtherRevenueCurrentYear
Total Revenue Prior Year180911291TotalRevenuePriorYear
Total Revenue Current Year179732809TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year38805GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY101670GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year69605917SalariesEtcPriorYear
Salaries Etc Current Year69063966SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year109643299OtherExpensePriorYear
Other Expenses Current Year110138252OtherExpensesCurrentYear
Total Expenses Prior Year179288021TotalExpensesPriorYear
Total Expenses Current Year179303888TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1623270RevenuesLessExpensesPriorYear
Revenues Less Expenses CY428921RevenuesLessExpensesCY
Total Assets BOY184310545TotalAssetsBOY
Total Assets EOY185902414TotalAssetsEOY
Total Liabilities BOY52515882TotalLiabilitiesBOY
Total Liabilities EOY53678649TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY131794663NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY132223765NetAssetsOrFundBalancesEOY
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
Expense168549203Expense
Revenue173836553Revenue
DescriptionDURING THE YEAR ENDED JUNE 30, 2010, NORTHEAST ALABAMA REGIONAL MEDICAL CENTER HAD 13,653 ADULT AND PEDIATRIC INPATIENT ADMISSIONS, 1,373 BABIES DELIVERED, AND SERVED PATIENTS THROUGH AMBULATORY CARE INCLUDING: 3,637 INPATIENT SURGERIES PERFORMED, 217 OPEN HEART SURGERIES PERFORMED, 11,991 OUTPATIENT SURGERIES PERFORMED 49,949 EMERGENCY DEPARTMENT PATIENTS, 50,879 REFERRED OUTPATIENTS, AND 8,317 CARDIOVASCULAR PROCEDURES. THE MEDICAL CENTER IS ALSO INVOLVED IN EDUCATION, RESEARCH, AND COMMUNITY BENEFIT ACTIVITIES DESIGNED TO PROVIDE HEALTH AND WELLNESS.REGIONAL MEDICAL CENTER'S CANCER PROGRAM ACHIEVED ACCREDITATION WITH COMMENDATION IN 2010 FROM THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS (ACOS). THIS ACCREDITATION IS AWARDED EVERY THREE YEARS FOLLOWING AN INTENSIVE ONSITE EVALUATION BY A PHYSICIAN SURVEYOR, AND IS BASED ON A COMMENDATION LEVEL OF COMPLIANCE WITH ONE OR MORE STANDARDS THAT REPRESENT THE FULL SCOPE OF THE CANCER PROGRAM (CANCER COMMITTEE LEADERSHIP, CANCER DATA MANAGEMENT, CLINICAL SERVICES, RESEARCH, COMMUNITY OUTREACH, AND QUALITY IMPROVEMENT). 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 Expense168549203TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
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 Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096303NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1717NumberOfEmployees
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
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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- ACCOUNTING SERVICESBusinessNameLine1
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 (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JOHN E BLUE II
CHAIRMAN1.00XX8700
TRUDY D HARDEGREE
VICE CHAIRMAN1.00XX17100
THOMAS ANTHONY HUMPHRIES
SECRETARY1.00XX000
ELLEN JOHNSON BASS
BOARD MEMBER (UNTIL 5/101.00X000
EDDYER L BROWN
BOARD MEMBER1.00X19400
KOVEN L BROWN
BOARD MEMBER1.00X000
GORDON T HARDY MD
CHIEF OF STAFF (UNTIL 101.00X80000
JAMES S HIXON MD
CHIEF OF STAFF1.00X000
LARRY K DEASON
BOARD MEMBER1.00X7400
GREGORY KERNION
BOARD MEMBER1.00X000
STEVEN PAUL LYNCH DMD
BOARD MEMBER1.00X7400
SAMUEL H MONK II
BOARD MEMBER1.00X000
VAUGHN M STEWART II
BOARD MEMBER1.00X000
SANDRA FOX SUDDUTH
BOARD MEMBER1.00X000
FRED WILSON
BOARD MEMBER1.00X6400
MICHAEL W KIMBERLY PHD
BOARD MEMBER1.00X000
DAVID WESLEY SMITH MD
VICE CHIEF OF STAFF1.00X000
J DAVID MCCORMACK
CEO40.00X295044017987
LOUIS BASS
CFO40.00X158018035553
JUDITH GOULD
VP OF MARKETING40.00170937090932X
RONALD J VARCAK DO
MEDICAL DIRECTOR40.0020083303904X
THOMAS C MCGOWAN III
PHARM. OPS. SUPERVISOR40.0013873409966X
KATHERINE D SUNDAY
REGISTERED PHARMACIST40.0013170808964X
JOHNNIE H EAST
REGISTERED PHARMACIST40.0012580101160X
AYMAN ABDUL-GHANI
CARDIOVASCULAR SURGEON40.0017382808707X
ALLEN FLETCHER
FORMER CEO1.0056069000X
WJ TUTWILER JR
FORMER VP OF SUPPORT SER1.0011901700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2076074TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation177173TotalOtherCompensation
Number Individuals GT100 K25NumberIndividualsGT100K
Formers Listed1FormersListed
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 SERVICES3207859
COASTAL EXTRACORPOREAL TECHNOLOGY INC
612 EAST BALDWIN ROADPANAMA CITYFL32405PERFUSION SERVICES647829
TRANSCRIPTIONS SOLUTIONS INC
PO BOX 62391HOUSTONTX77205MEDICAL TRANSCRIPTION SERVICES506042
EMERGENCY ROOM SERVICES OF ANNISTON LLC
PO BOX 3477OXFORDAL36203ER PHYSICIAN SERVICES505038
AMERICAN ENDOSCOPY SERVICES INC
8 CADILLAC DRIVE STE 200BRENTWOODTN37027REPROCESSING SURGICAL INSTRUMENTS444220
FieldValueIRS element (for citing)
Number Of Contractors GT100 K29NumberOfContractorsGT100K
All Other Contributions21676AllOtherContributions
Total Contributions21676TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE RE621400169473380169473380
MEDICAID DISP SHARE90009939755193975519
OTHER OPERATING REVENU9000998446884468
AFTERCARE REHAB SERVIC6241007674576745
DISCOUNTS9000993773437734

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column9850TotalRevenueColumn
Exclusion$9,850ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue173657696TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5544005TotalRevenueColumn
Exclusion$5,544,005ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1657507Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2304800Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-647293Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-647293TotalRevenueColumn
Exclusion-$647,293ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other267385Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other25534Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other241851Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column241851TotalRevenueColumn
Exclusion$241,851ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
FOOD SERVICE & VENDING722210765760139976$625,784
GIFT SHOP REVENUE45322050738$50,738
LAUNDRY SERVICES9000994873148731

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column49645TotalRevenueColumn
Exclusion$49,645ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue914874TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column179732809TotalRevenueColumn
Related Or Exempt Function Income173836553RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,874,580ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total73952Total
Program Services73952ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total27718Total
Program Services27718ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1305170Total
Program Services430706ProgramServices
Management And General874464ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total164205Total
Program Services149427ProgramServices
Management And General14778ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total51476170Total
Program Services47538052ProgramServices
Management And General3938118ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4195312Total
Program Services3817734ProgramServices
Management And General377578ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7915538Total
Program Services7203140ProgramServices
Management And General712398ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4007571Total
Program Services3646890ProgramServices
Management And General360681ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total351651Total
Management And General351651ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total13300844Total
Program Services11601968ProgramServices
Management And General1698876ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total39889749Total
Program Services39441957ProgramServices
Management And General447792ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1665316Total
Program Services614163ProgramServices
Management And General1051153ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3225445Total
Program Services3225445ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total8987Total
Program Services5739ProgramServices
Management And General3248ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total141952Total
Program Services106705ProgramServices
Management And General35247ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2072476Total
Program Services2072476ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11574071Total
Program Services11574071ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2901458Total
Program Services2901458ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS3404926634049266
RECRUITMENT668766668766
OTHER EXPENSES28827168336219935

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total179303888Total
Program Services168549203ProgramServices
Management And General10754685ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6880998BOY
EOY6103166EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11575339BOY
EOY13694212EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1270341BOY
EOY1005035EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4438625BOY
EOY4985652EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2140803BOY
EOY1399498EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis241099680LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec157204992LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY84230928BOY
EOY83894688EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY69441075BOY
EOY71474480EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4332436BOY
EOY3345683EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY184310545BOY
EOY185902414EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12203197BOY
EOY12755043EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY39320000BOY
EOY38060000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY992685BOY
EOY2863606EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY52515882BOY
EOY53678649EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY131794663BOY
EOY132213565EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY10200EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY131794663BOY
EOY132223765EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY184310545BOY
EOY185902414EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$15,990OtherActivitiesAmount
Total Lobbying Expenditures IIB15990TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities: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 2009, 23.76% OF DUES TO THE AHA ($7,143) AND 24.07% OF DUES PAID TO THE ALHA ($8,847) WAS ALLOCATED TO LOBBYING EFFORTS.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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 Basis83696234OtherCostOrOtherBasis
Depreciation51802123Depreciation
Book Value31894111BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4160303OtherCostOrOtherBasis
Depreciation2640995Depreciation
Book Value1519308BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis149043445OtherCostOrOtherBasis
Depreciation102761874Depreciation
Book Value46281571BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis183741OtherCostOrOtherBasis
Book Value183741BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings83894688TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PROFESSIONAL LIABILITY SELF INSURANCE$2,751,606
WORKER'S COMPENSATION LIABILITY$112,000
FieldValueIRS element (for citing)
Total Of Amounts2863606TotalOfAmounts
Total Revenue179732809TotalRevenue
Total Expenses179303888TotalExpenses
Excess Or Deficit For Year428921ExcessOrDeficitForYear
Prior Period Adjustments181PriorPeriodAdjustments
Total Adjustments181TotalAdjustments
Excess Or Deficit Per FS429102ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt148835066TotRevenueEtcAuditedFinclStmt
Other Revenues3151523OtherRevenues
Revenue Not Rptd F9903151523RevenueNotRptdF990
Revenue Subtotal145683543RevenueSubtotal
Other Revenues Not Included34049266OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt34049266RevenueNotRptdOnFinStmt
Total Revenue Per Form990179732809TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt148052452TotExpensesEtcAuditedFinclStmt
Other Expenses Included2797830OtherExpensesIncluded
Expenses Not Rptd F9902797830ExpensesNotRptdF990
Expenses Subtotal145254622ExpensesSubtotal
Other Expenses Not Included34049266OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt34049266ExpensesNotRptdOnFinStmt
Total Expenses Per Form990179303888TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds: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.
Part XII, Line 2d - Other Adjustments:REVENUES OF CONSOLIDATED ENTITIES: 846723. RENTAL EXPENSES NET W/ REVENUES: 2304800.
Part XII, Line 4b - Other Adjustments:BAD DEBTS NET W/ REVENUES: 34049266.
Part XIII, Line 2d - Other Adjustments:EXPENSES OF CONSOLIDATED ENTITIES: 493030. RENTAL EXPENSES NET W/ REVENUES: 2304800.
Part XIII, Line 4b - Other Adjustments:BAD DEBTS NET W/ REVENUES: 34049266.

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6489950TotalCommunityBenefitExpense
Net Community Benefit Expense6489950NetCommunityBenefitExpense
Percent Of Total Expense0.04470PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense15765791TotalCommunityBenefitExpense
Direct Offsetting Revenue12229827DirectOffsettingRevenue
Net Community Benefit Expense3535964NetCommunityBenefitExpense
Percent Of Total Expense0.02430PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense22255741TotalCommunityBenefitExpense
Direct Offsetting Revenue12229827DirectOffsettingRevenue
Net Community Benefit Expense10025914NetCommunityBenefitExpense
Percent Of Total Expense0.06900PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense59626TotalCommunityBenefitExpense
Net Community Benefit Expense59626NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6387072TotalCommunityBenefitExpense
Direct Offsetting Revenue5961486DirectOffsettingRevenue
Net Community Benefit Expense425586NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense88027TotalCommunityBenefitExpense
Net Community Benefit Expense88027NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6534725TotalCommunityBenefitExpense
Direct Offsetting Revenue5961486DirectOffsettingRevenue
Net Community Benefit Expense573239NetCommunityBenefitExpense
Percent Of Total Expense0.00390PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense28790466TotalCommunityBenefitExpense
Direct Offsetting Revenue18191313DirectOffsettingRevenue
Net Community Benefit Expense10599153NetCommunityBenefitExpense
Percent Of Total Expense0.07290PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Persons Served48PersonsServed
Total Community Building Expense3730TotalCommunityBuildingExpense
Net Community Building Expense3730NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Persons Served1285PersonsServed
Total Community Building Expense17453TotalCommunityBuildingExpense
Direct Offsetting Revenue2061DirectOffsettingRevenue
Net Community Building Expense15392NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served1333PersonsServed
Total Community Building Expense21183TotalCommunityBuildingExpense
Direct Offsetting Revenue2061DirectOffsettingRevenue
Net Community Building Expense19122NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense$7,327,922BadDebtExpenseAmount
Amount Reimbursed By Medicare55622408AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare56759244CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1136836MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

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 VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnotePart 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.BadDebtFootnote
Debt Collection PolicyPart 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.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: Our organization assesses the health care needs of our community in several ways. During the past year we conducted an in-depth community needs assessment to provide us with valuable information as we prepared to open the Federally Qualified "Community" Health Center on our campus. We also 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.NeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart 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 ServiceCorps.CommunityInformation
Other InformationPart 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 have recently formed a partnership with a local Federally Qualified Health Clinic (FQHC) to locate a satellite clinic on the RMC campus to serve the uninsured, underinsured and indigent population, ensuring they receive ongoing medical care in the most appropriate setting. 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.OtherInformation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrant
CALHOUN COUNTY CHAMBER OF COMMERCE
PO BOX 1087ANNISTONAL36202630039375501(C)(6)12000CASHGENERAL ACTIVITY SPONSORSHIP
EAST ALABAMA EMERGENCY MEDICAL SERVICES
PO BOX 700LINCOLNAL35096630707345501(C)(3)15000CASHGENERAL ACTIVITY SPONSORSHIP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (7 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
MEDICATION/MEDICAL SUPPLIES14120029
TRANSPORTATION2924954
FOOD94511
INFANT CAR SEATS3105
BURIAL1355
PAYMENTS TO MEDICAL PROVIDERS31042
MISCELLANEOUS11722

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 Payment1SeverancePayment
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
2031010860030594008061099260313031000
LOUIS BASS
15037200076460199790155740193571000
JUDITH GOULD
129697000412400760040149280261869000
RONALD J VARCAK DO
1553980004543500039040204737000
AYMAN ABDUL-GHANI
173828000000521503492173828870700
ALLEN FLETCHER
000056069000000560690000
WJ TUTWILER JR
000011901700000119017000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aALL 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.
Part I, Line 4aALLEN FLETCHER AND WILLIAM J. TUTWILER, JR RECEIVED SEVERANCE PAYMENTS DURING THE YEAR OF $560,690 AND $119,017 RESPECTIVELY.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
RACHEL CALDWELL
FAMILY MEMBER OF CORPORATE OFFICER48599COMPENSATION AS EMPLOYEE OF HOSPITAL0
ANNISTON ORTHOPAEDIC ASSOCIATES PA
OWNERSHIP SHARE BY BOARD MEMBER GORDON HARDY, MD195740RENT PAID TO HOSPITAL FOR USE OF OFFICE SPACE0
BRIAN JENKINS
FAMILY MEMBER OF FORMER KEY EMPLOYEE115606COMPENSATION AS EMPLOYEE OF HOSPITAL0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 7aTHE MEMBERS OF THE BOARD OF DIRECTORS SHALL BE THOSE DULY APPOINTED UNDER THE PROVISIONS OF ORDINANCE NO. 74-0-13 ADOPTED BY THE COUNCIL OF THE CITY OF ANNISTON, AL, ON MAY 7, 1974.
Form 990, Part VI, Section A, line 7bTHE BOARD IS RESTRICTED FROM THE SALE OR DISPOSAL OF ANY PART OF THE REAL ESTATE USED IN CONNECTION WITH THE OPERATION OF THE MEDICAL CENTER OR THE TRANSFER OF THE OPERATION AND MANAGEMENT OF THE MEDICAL CENTER WITHOUT THE CONSENT OF THE GOVERNING BODY OF THE CITY OF ANNISTON, AL.
Form 990, Part VI, Section B, line 11THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND INFORMATION PROVIDED BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS REVIEWED INTERNALLY BY MANAGEMENT, AND FORWARDED TO THE MEMBERS OF THE BOARD OF DIRECTORS. AFTER THE RETURN WAS REVIEWED BY THE BOARD MEMBERS, IT WAS FILED WITH THE IRS.
Form 990, Part VI, Section B, line 12cBOARD MEMBERS ARE REQUIRED TO DISCLOSE ON AN ANNUAL BASIS ANY POTENTIAL CONFLICTS OF INTEREST PER THE ORGANIZATION'S OFFICIAL WRITTEN POLICY. A DISINTERESTED PARTY IS ASSIGNED TO INVESTIGATE ANY CONFLICTS THAT ARISE, AND AFFECTED BOARD MEMBERS ARE ADVISED OF THE PARTY'S DECISION.
Form 990, Part VI, Section B, line 15aTHE CEO COMPENSATION PACKAGES ARE DETERMINED BY CONDUCTING SALARY SURVEYS FROM INDIVIDUAL HOSPITALS AS WELL AS UTILIZING SALARY INFORMATION AVAILABLE FROM INDEPENDENT SOURCES SUCH AS STATE HOSPITAL ASSOCIATIONS, INDEPENDENT COMPENSATION CONSULTANTS, AND PERIODICALS. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OVERSEES THE PROCESS AND DETERMINES THE COMPENSATION FOR THE CEO AFTER REVIEW AND CONSIDERATION OF ALL RELEVANT INFORMATION. THE CEO APPROVES COMPENSATION PACKAGES FOR ALL OTHER APPLICABLE EMPLOYEES.
Form 990, Part VI, Section C, line 18PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
Form 990, Part VI, Section C, line 19PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.

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 NADirectControllingEntityNA
MEDICAL CENTER MEMORIAL FOUNDATION INC
PO BOX 2208ANNISTONAL36202630981593EXEMPT ORG SUPPORTAL501(c)(3)Line 7N/A
REGIONAL HEALTH SERVICES INC
PO BOX 2208ANNISTONAL36202630721572EXEMPT ORG SUPPORTAL501(c)(3)Line 11a, IN/A

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 Org0GiftGrantOrCapContrToOtherOrg
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 Orgs0RentalOfFacilitiesToOtherOrgs
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 Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MEDICAL CENTER MEMORIAL FOUNDATION INC
A1200
REGIONAL HEALTH MANAGMENT CORPORATION
D653142

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