STRATEGY STUDIO / PUBLIC DATA EXPLORER

CULLMAN REGIONAL MEDICAL CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CULLMAN REGIONAL MEDICAL CENTER INC (EIN 63-1058174)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-12
IRS object ID
202301329349300345
Schema version
2021v4.0
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)
Return2023-05-12T08:31:10-04:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580914992PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DRAFFIN & TUCKER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1Txt
CityALBANYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP317081309ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN631058174EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CULLMAN REGIONAL MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCULLBusinessNameControlTxt
Phone2567372598PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11912 ALABAMA HIGHWAY 157AddressLine1Txt
CityCULLMANCityNm
State AbbreviationALStateAbbreviationCd
ZIP350580609ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNESHA DONALDSONPersonNm
Person TitleCOOPersonTitleTxt
Phone2567372595PhoneNum
Signature2023-05-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstNESHAPersonFirstNm
Person LastDONALDSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWILLIAM EDWARD PHILLIPSPreparerPersonNm
PTINP00451499PTIN
Phone2298837878PhoneNum
Preparation2023-05-11PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES CLEMENTSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11912 ALABAMA HIGHWAY 157AddressLine1Txt
CityCULLMANCityNm
State AbbreviationALStateAbbreviationCd
ZIP350580609ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$184,935,669GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCULLMANREGIONAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1939FormationYr
Legal Domicile StateALLegalDomicileStateCd
Activity Or MissionCULLMAN REGIONAL MEDICAL CENTER, LICENSED FOR 150 BEDS, OPERATES A 150-BED GENERAL ACUTE CARE HOSPITAL FOR THE COMMUNITY OF CULLMAN, ALABAMA AND SURROUNDING AREAS REGARDLESS OF A PATIENT'S ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1883TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$1,666,995TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$638,678NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,063,314PYContributionsGrantsAmt
CY Contributions Grants$9,081,928CYContributionsGrantsAmt
PY Program Service Revenue$153,392,559PYProgramServiceRevenueAmt
CY Program Service Revenue$165,198,430CYProgramServiceRevenueAmt
PY Investment Income$2,003,569PYInvestmentIncomeAmt
CY Investment Income$2,942,661CYInvestmentIncomeAmt
PY Other Revenue$6,412,917PYOtherRevenueAmt
CY Other Revenue$7,664,949CYOtherRevenueAmt
PY Total Revenue$165,872,359PYTotalRevenueAmt
CY Total Revenue$184,887,968CYTotalRevenueAmt
PY Grants And Similar Paid$3,173,290PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,921,004CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$88,681,399PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$98,109,449CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$66,142,418PYOtherExpensesAmt
CY Other Expenses$74,551,634CYOtherExpensesAmt
PY Total Expenses$157,997,107PYTotalExpensesAmt
CY Total Expenses$176,582,087CYTotalExpensesAmt
PY Revenues Less Expenses$7,875,252PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,305,881CYRevenuesLessExpensesAmt
Total Assets BOY$187,038,262TotalAssetsBOYAmt
Total Assets EOY$226,017,337TotalAssetsEOYAmt
Total Liabilities BOY$103,096,036TotalLiabilitiesBOYAmt
Total Liabilities EOY$141,365,003TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$83,942,226NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$84,652,334NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCULLMAN REGIONAL MEDICAL CENTER, LICENSED FOR 150 BEDS, OPERATES A 150-BED GENERAL ACUTE CARE HOSPITAL FOR THE COMMUNITY OF CULLMAN, ALABAMA AND SURROUNDING AREAS REGARDLESS OF A PATIENT'S ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$156,268,337ExpenseAmt
Grant$3,921,004GrantAmt
Revenue$165,198,430RevenueAmt
DescCRMC PROVIDES ACUTE CARE PATIENT SERVICES WHICH ARE RENDERED TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. CRMC USES CHARITY APPLICATIONS BASED UPON FEDERAL POVERTY GUIDELINES AND FAMILY SIZE TO DETERMINE ELIGIBILITY FOLLOWING SERVICES PROVIDED. CRMC PROVIDES CARE 24 HOURS PER DAY, SEVEN DAYS A WEEK AND HAS PROVIDED 35,038 INPATIENT DAYS CARE, 7.54% WERE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN; 43,455 EMERGENCY ROOM VISITS, 18.43% WERE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN; AND 102,805 OUTPATIENT VISITS, 7.62% NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN. THE TOTAL UNREIMBURSED COST OF MEDICAL SERVICES PROVIDED TO THOSE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN IS REPORTED ON SCHEDULE H. CRMC ALSO PROVIDES COMMUNITY EDUCATION AND WELLNESS ACTIVITIES TO THE COMMUNITY AND IS A MAJOR CONTRIBUTOR TO A LOCAL INDIGENT CLINIC SERVICING CULLMAN COUNTY.Desc
Total Program Service Expenses$156,268,337TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document333IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1883EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJADA HAGAPersonNm
Phone2567372598PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11912 ALABAMA HWY 157AddressLine1Txt
CityCULLMANCityNm
State AbbreviationALStateAbbreviationCd
ZIP350580609ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JAMES CLEMENTS
CEO/MEMBER41.001.00Yes (X)Yes (X)$884,924$0$33,399
PHILLIP KRAVETZ MD
PHYSICIAN40.00$744,771$0$33,399Yes (X)
STEPHEN GOULD MD
SURGEON40.00$716,077$0$9,750Yes (X)
MICHAEL MILLER MD
SURGEON40.00$580,846$0$9,755Yes (X)
BRAD MOODY MD
SURGEON40.00$552,469$0$30,149Yes (X)
THOMAS DUKOVAC MD
UROLOGIST40.00$548,556$0$22,009Yes (X)
WILLIAM SMITH MD
CHIEF MEDICA40.00Yes (X)$334,080$0$29,307
NESHA DONALDSON
COO40.001.00Yes (X)$350,129$0$9,370
CHARNA BROWN
CNO40.00Yes (X)$227,544$0$23,543
BETH ANDERSON
IMMEDIATE PA1.00Yes (X)Yes (X)$0$0$0
SARA BAKER
SECRETARY1.00Yes (X)$0$0$0
MARK BUSSMAN
MEMBER1.00Yes (X)$0$0$0
TIM CULPEPPER
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
GINGER HOGELAND
MEMBER1.00Yes (X)$0$0$0
ROGER HUMPHREY
MEMBER1.00Yes (X)$0$0$0
PERRY KNIGHT
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
BEN GOMEZ MD
MEMBER1.00Yes (X)$0$0$0
DENNIS RICHARD
TREASURER1.00Yes (X)Yes (X)$0$0$0
TYLER RODEN
MEMBER1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,939,396TotalReportableCompFromOrgAmt
Total Other Compensation$200,681TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K110IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RADAR HEALTHCARE PROVIDERS
PO BOX 1708WATKINSVILLEGA30677ANESTHESIOLOGY$689,391
DESIGN INNOVATIONS LLC
100 CENTERVIEW DRIVEBIRMINGHAMAL35216INTERIOR DESIGN$497,141
EVERGREEN LINEN SOLUTIONS
PO BOX 1448ONEONTAAL351210017LAUNDRY SERVICE$487,283
JOHNS CUSTOM CABINENTS LLC
2210 NILES ROADBOAZAL35957CONSTRUCTION$428,922
BRASFIELD & GORRIE LLC
PO BOX 11407BIRMINGHAMAL352460351CONSTRUCTION$398,914
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K33CntrctRcvdGreaterThan100KCnt
Related Organizations$237,578RelatedOrganizationsAmt
Government Grants$8,843,559GovernmentGrantsAmt
All Other Contributions$791AllOtherContributionsAmt
Total Contributions$9,081,928TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUES623000$163,531,435$163,531,435
CPAP MEDICAL EQUIPMENT621990$1,086,766$1,086,766
OUTREACH LAB SERVICES621500$564,510$564,510
SPORTS MEDICINE713940$15,719$15,719
FieldValueIRS element (for citing)
Total Program Service Revenue$165,198,430TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,946,164TotalRevenueColumnAmt
Exclusion$2,946,164ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,056RealAmt
Personal$256,785PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,056RealAmt
Personal$256,785PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$260,841TotalRevenueColumnAmt
Related Or Exempt Func Income$256,785RelatedOrExemptFuncIncomeAmt
Exclusion$4,056ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$44,198OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$47,701OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$3,503OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,503TotalRevenueColumnAmt
Related Or Exempt Func Income-$3,503RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
EMS MANAGEMENT FEES621910$3,944,292$3,944,292
EMPLOYEE PHARMACY621990$2,349,063$2,349,063
CAFETERIA/CATERING722210$842,711$842,711

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$268,042TotalRevenueColumnAmt
Related Or Exempt Func Income$217,316RelatedOrExemptFuncIncomeAmt
Exclusion$50,726ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,404,108OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$184,887,968TotalRevenueColumnAmt
Related Or Exempt Func Income$167,946,325RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,666,995UnrelatedBusinessRevenueAmt
Exclusion$6,192,720ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,921,004TotalAmt
Program Services$3,921,004ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,641,209TotalAmt
Management And General$1,641,209ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$78,635,575TotalAmt
Program Services$72,522,036ProgramServicesAmt
Management And General$6,113,539ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,557,461TotalAmt
Program Services$2,312,456ProgramServicesAmt
Management And General$245,005ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,156,411TotalAmt
Program Services$9,183,427ProgramServicesAmt
Management And General$972,984ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,118,793TotalAmt
Program Services$4,628,413ProgramServicesAmt
Management And General$490,380ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,351,160TotalAmt
Program Services$729,002ProgramServicesAmt
Management And General$622,158ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$373,466TotalAmt
Management And General$373,466ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$131,724TotalAmt
Management And General$131,724ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$141,488TotalAmt
Management And General$141,488ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,063,269TotalAmt
Program Services$10,830,710ProgramServicesAmt
Management And General$2,232,559ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,111,759TotalAmt
Program Services$11,961ProgramServicesAmt
Management And General$1,099,798ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,016,349TotalAmt
Program Services$6,630,963ProgramServicesAmt
Management And General$1,385,386ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,074TotalAmt
Management And General$5,074ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,584,111TotalAmt
Program Services$4,250,388ProgramServicesAmt
Management And General$333,723ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$666,290TotalAmt
Program Services$603,747ProgramServicesAmt
Management And General$62,543ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$300,578TotalAmt
Program Services$66,231ProgramServicesAmt
Management And General$234,347ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$675,354TotalAmt
Management And General$675,354ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,213,512TotalAmt
Program Services$11,324,368ProgramServicesAmt
Management And General$889,144ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,728,106TotalAmt
Program Services$1,728,106ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$24,247,178$24,247,178
REPAIRS & MAINTENANCE$5,232,051$3,018,656$2,213,395
TAXES AND LICENSE$452,609$45,709$406,900
MISCELLANEOUS$166,215$201,586-$35,371

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$91,341TotalAmt
Program Services$12,396ProgramServicesAmt
Management And General$78,945ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$176,582,087TotalAmt
Program Services$156,268,337ProgramServicesAmt
Management And General$20,313,750ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$18,661,220BOYAmt
EOY$21,884,945EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,045,603BOYAmt
EOY$16,904,502EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,594,858BOYAmt
EOY$1,892,053EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,841,423BOYAmt
EOY$2,133,488EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$203,051,899LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$101,369,848LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$77,811,482BOYAmt
EOY$101,682,051EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$65,654,143BOYAmt
EOY$54,401,720EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,033,972BOYAmt
EOY$1,847,490EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$20,239,288EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,395,561BOYAmt
EOY$5,031,800EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$187,038,262BOYAmt
EOY$226,017,337EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$15,099,506BOYAmt
EOY$17,190,714EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,000BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$61,289,033BOYAmt
EOY$75,646,122EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,702,497BOYAmt
EOY$48,528,167EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$103,096,036BOYAmt
EOY$141,365,003EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$83,942,226BOYAmt
EOY$84,652,334EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$83,942,226BOYAmt
EOY$84,652,334EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$187,038,262BOYAmt
EOY$226,017,337EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$8,305,881ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$6,539,735NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$869,556PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$186,482OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$5,010OtherActivitiesAmt
Total Lobbying Expenditures$5,010TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationTHE HOSPITAL BELONGS TO NATIONAL AND STATE INDUSTRY ASSOCIATIONS AND, AS PART OF THEIR ANNUAL DUES, PAYS A SMALL PERCENTAGE TO SUPPORT THE LOBBYING EFFORTS BY THESE ASSOCIATIONS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,510,200OtherCostOrOtherBasisAmt
Book Value$3,510,200BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$91,184,614OtherCostOrOtherBasisAmt
Depreciation$38,712,974DepreciationAmt
Book Value$52,471,640BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,994,377OtherCostOrOtherBasisAmt
Depreciation$6,972,561DepreciationAmt
Book Value$2,021,816BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,376,067OtherCostOrOtherBasisAmt
Depreciation$55,684,313DepreciationAmt
Book Value$21,691,754BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,986,641OtherCostOrOtherBasisAmt
Book Value$21,986,641BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$101,682,051TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
LEASE LIABILITY$21,662,794
INTERCOMPANY LIABILITY$10,762,921
MINIMUM PENSION LIABILITY$5,110,204
COST REPORT SETTLEMENTS$4,006,306
ADVANCE PAYMENTS$3,970,186
DEFERRED PENSION EXPENSE$2,120,339
ACCRUED INTEREST$895,417
FieldValueIRS element (for citing)
Total Liability$48,528,167TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE AUTHORITY IS A GOVERNMENTAL ENTITY AND IS EXEMPT FROM INCOME TAXES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN CONSIDERED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL IS REQUIRED TO FILE A FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY INCOME EARNED FROM NON-RELATED BUSINESS SERVICES IS SUBJECT TO TAXATION. THE HOSPITAL APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE HOSPITAL ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2022 AND 2021 OR FOR THE YEARS THEN ENDED. THE HOSPITAL'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,803,085TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,803,085NetCommunityBenefitExpnsAmt
Total Expense0.01020TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,934,954TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,329,096DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,605,858NetCommunityBenefitExpnsAmt
Total Expense0.04310TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,738,039TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,329,096DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,408,943NetCommunityBenefitExpnsAmt
Total Expense0.05330TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,070,508TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,070,508NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$151,653TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$151,653NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$96,968TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$96,968NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,319,129TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,319,129NetCommunityBenefitExpnsAmt
Total Expense0.00750TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,057,168TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,329,096DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,728,072NetCommunityBenefitExpnsAmt
Total Expense0.06080TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served1PersonsServedCnt
Total Community Benefit Expns$313TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$313NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served1PersonsServedCnt
Total Community Benefit Expns$313TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$313NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$34,918,367BadDebtExpenseAmt
Reimbursed By Medicare$36,963,373ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$31,885,679CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$5,077,694MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1SURGERY CENTER OF CUBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesSURGERY CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.51000OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.49000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CULLMAN REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11912 ALABAMA HIGHWAY 157AddressLine1Txt
CityCULLMANCityNm
State AbbreviationALStateAbbreviationCd
ZIP350580609ZIPCd
FieldValueIRS element (for citing)
Website AddressCULLMANREGIONAL.COMWebsiteAddressTxt
State LicenseH2201StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherHOSPICE, CLINICS & HOME HEALTHOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CULLMAN REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLCULLMANREGIONAL.COMOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://CULLMANREGIONAL.COM/COMMUNITY/StrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTP://WWW.CULLMANREGIONAL.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTP://WWW.CULLMANREGIONAL.COMFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTP://WWW.CULLMANREGIONAL.COMFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, CULLMAN REGIONAL MEDICAL CENTER - PART V, LINE 3ETHE PROCESS OF PRIORITIZING THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS DESCRIBED ON PAGES 87-95 OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH CAN BE FOUND ON THE ORGANIZATION'S WEBSITE.
FACILITY 1, CULLMAN REGIONAL MEDICAL CENTER - PART V, LINE 5CULLMAN REGIONAL MEDICAL CENTER, INC. (CRMC) CONTRACTED WITH PROFESSIONAL RESEARCH, INC. TO ASSIST IN CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS REQUIRED BY INTERNAL REVENUE CODE. DURING THE CHNA PROCESS, CRMC SOLICITED AND TOOK INTO ACCOUNT INPUT RECEIVED FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF CULLMAN COUNTY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH THROUGH MULTIPLE METHODS. INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED WITH A BROAD RANGE OF COMMUNITY REPRESENTATIVES WHO REPRESENT THE BROAD INTERESTS OF CULLMAN COUNTY. MANY OF THE INTERVIEW AND FOCUS GROUP PARTICIPANTS HAVE SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH, AND REPRESENTED THE INTERESTS OF THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS OF CULLMAN COUNTY. IN TOTAL, 20 COMMUNITY REPRESENTATIVES PARTICIPATED IN AN ONLINE KEY INFORMANT SURVEY, INCLUDING A REPRESENTATIVE FROM THE CULLMAN COUNTY HEALTH DEPARTMENT, SOCIAL SERVICE PROVIDERS, COMMUNITY LEADERS, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS. THE PURPOSE OF THE INTERVIEWS WAS TO GAIN DIRECT INPUT FROM THESE INDIVIDUALS REGARDING IDENTIFYING AND PRIORITIZING HEALTH NEEDS, INCLUDING THE HEALTH ISSUES ASSOCIATED WITH THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AS WELL AS IDENTIFYING RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THOSE HEALTH NEEDS. IN ADDITION TO CONDUCTING INTERVIEWS, COMMUNITY INPUT WAS GARNERED FROM PARTICIPANTS IN A COMMUNITY ADVISORY COMMITTEE (CAC), AS WELL AS CRMCS CHNA ADVISORY COMMITTEE. THE CHNA ADVISORY COMMITTEE WAS RESPONSIBLE FOR OVERSEEING THE CHNA PROCESS, INCLUDING IDENTIFYING AND PRIORITIZING THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. SECONDARY DATA WAS COLLECTED FROM A VARIETY OF RESPECTED ORGANIZATIONS ON A BROAD ARRAY OF HEALTH INDICATORS AND OTHER INFORMATION, AND ANALYZED AND SUMMARIZED. THE TYPES OF DATA COLLECTED INCLUDED DEMOGRAPHIC, SOCIOECONOMIC, MORTALITY AND MORBIDITY, HEALTH STATUS INDICATORS, HEALTH BEHAVIORS, MATERNAL AND CHILD HEALTH, INSURANCE STATUS, AND GENERAL COMMUNITY/ENVIRONMENTAL INFORMATION.
FACILITY 1, CULLMAN REGIONAL MEDICAL CENTER - PART V, LINE 11AS A RESULT OF THE 2022 CHNA, THE FOLLOWING CATEGORIES OF HEALTH NEEDS AND CONCERNS WERE IDENTIFIED AND PRIORITIZED. 1. MENTAL HEALTH 2. SUBSTANCE ABUSE 3. TOBACCO USE 4. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 5. HEART DISEASE & STROKE 6. POTENTIALLY DISABLING CONDITIONS 7. RESPIRATORY DISEASE 8. CANCER 9. INFANT HEALTH & FAMILY PLANNING 10. ACCESS TO HEALTHCARE SERVICES 11. ORAL HEALTH 12. INJURY & VIOLENCE ALL OF THE ABOVE PRIORITIES ARE DISCSSED FURTHER IN CRMC'S IMPLEMENTATION STRATEGY REPORT.
FACILITY 1, CULLMAN REGIONAL MEDICAL CENTER - PART V, LINE 16JTHE HOSPITAL HAS CLEARLY WRITTEN FINANCIAL AID POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION WEB SITE AND THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED IN THE ER ABOUT THE AVAILABILITY OF FINANCIAL AID. A REPRESENTATIVE IS ALSO AVAILABLE TO DISCUSS ELIGIBILITY TO GOVERNMENT PROGRAMS.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF CULLMAN COUNTYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11912 ALABAMA HIGHWAY 157AddressLine1Txt
CityCULLMANCityNm
State AbbreviationALStateAbbreviationCd
ZIP350580609ZIPCd
FieldValueIRS element (for citing)
FacilityHOSPICEFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CFEDERAL POVERTY GUIDELINES (200%) ARE USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. DISCOUNTED CARE WILL BE BASED ON MEDICARE REIMBURSEMENT.
SCHEDULE H, PART I, LINE 7GTHE HOSPITAL SUPPORTS THE OPERATIONS OF THE GOOD SAMARITAN CLINIC, A FREE CLINIC IN CULLMAN, AL.
SCHEDULE H, PART I, LINE 7THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". THE HOSPITAL UTILIZES EPSI SOFTWARE FOR COST ACCOUNTING PURPOSES. SEE ALSO THE DESCRIPTION FOR PART III, LINE 2.
SCHEDULE H, PART III, LINE 2AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE.
SCHEDULE H, PART III, LINE 4THE AUTHORITY PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE EVALUATION OF THE OVERALL COLLECTIBILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE, THE ACCOUNT IS CHARGED AGAINST THE ALLOWANCE.
SCHEDULE H, PART III, LINE 8MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.
SCHEDULE H, PART III, LINE 9BTHE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL AID POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL AID, THEY ARE NOT REPORTED AS REVENUE.
SCHEDULE H, PART VI, LINE 2THE HOSPITAL PARTICIPATES IN THE CULLMAN COUNTY HEALTH COALITION. THIS ORGANIZATION, COMPRISED OF VARIOUS HEALTH CARE PROVIDERS AND COMMUNITY LEADERS, ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY AND STRIVES TO PROVIDE RESOURCES THAT BEST MEET THOSE NEEDS. THE 2022 AND 2019 COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION PLANS ARE WIDELY PUBLICIZED ON THE HOSPITAL'S WEBSITE AT HTTPS://CULLMANREGIONAL.COM/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/
SCHEDULE H, PART VI, LINE 3THE HOSPITAL HAS CLEARLY WRITTEN FINANCIAL AID POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION WEB SITE AND THROUGHOUT THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED IN THE ER ABOUT THE AVAILABILITY OF FINANCIAL AID. A REPRESENTATIVE IS ALSO AVAILABLE TO DISCUSS ELIGIBILITY TO GOVERNMENT PROGRAMS. AT ANY TIME DURING AN INITIAL FINANCIAL SCREENING AND CONTINUING COLLECTIONS PROCESS, PATIENTS WHO CLAIM TO LACK THE ABILITY TO PAY WILL BE OFFERED A FINANCIAL ASSESSMENT APPLICATION. A HOSPITAL REPRESENTATIVE WILL REVIEW AND EXPLAIN THE PROCESS. WE ASSIGN PATIENTS FINANCIAL COUNSELORS BY THE LAST NAME.
SCHEDULE H, PART VI, LINE 4THE HOSPITAL DRAWS PATIENTS PRINCIPALLY FROM CULLMAN COUNTY AND THE NEIGHBORING COUNTIES OF WALKER, WINSTON, MARSHALL, MORGAN, AND BLOUNT. CRMC IS THE ONLY HOSPITAL IN ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA INCLUDES THE CITY OF CULLMAN, POPULATION 18,635, AND CULLMAN COUNTY, POPULATION 89,496. PER CAPITA INCOME FOR THIS AREA IS SLIGHTLY BELOW THE PER CAPITA INCOME FOR THE STATE OF ALABAMA. CULLMAN IS SERVED BY I-65, AND IS LOCATED BETWEEN HUNTSVILLE AND BIRMINGHAM.
SCHEDULE H, PART VI, LINE 5THE ORGANIZATION AND ITS VOLUNTEER BOARDS ARE COMPOSED OF COMMUNITY MEMBERS W TH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS, AS WELL AS PHYSICIAN MEMBERS. THE EMERGENCY DEPARTMENT IS OPEN 24 HOURS PER DAY, 7 DAYS PER WEEK, AND IS OPEN TO ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY. CULLMAN REGIONAL PROVIDES FREE HEALTH SCREENINGS FOR THE COMMUNITY. THESE SCREENINGS ARE SET UP AT THE HOSPITAL AND AT VARIOUS LOCATIONS AROUND THE COUNTY. DURING FISCAL YEAR 2022, COVID PROTOCOLS PREVENTED THE FREE HEALTH SCREENINGS FROM TAKING PLACE. HOSPITAL EMPLOYEES, IN CONJUNCTION WITH OUR LOCAL JUDGES, HAVE DEVELOPED A TRAUMA PREVENTION PROGRAM. THIS PROGRAM IS PROVIDED BY CRMC EMPLOYEES ON A VOLUNTARY BASIS. OUR LOCAL JUDGES REFER TEENAGE DRIVING OFFENDERS TO THE PROGRAM TO TEACH THEM THE IMPORTANCE OF VEHICLE SAFETY. WHILE THEY ARE HERE, THEY ACTUALLY GET TO WITNESS THE VARIOUS STAGES OF A TRAUMA ACCIDENT, FROM THE TIME THEY ARRIVE AT THE ER, UNTIL THEY LEAVE THE HOSPITAL. COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE PROVIDING AMBULANCE SUPPORT FOR VARIOUS COMMUNITY ACTIVITIES AND PROVIDING COMMUNITY SUPPORT GROUPS. THESE SUPPORT GROUPS (ALZHEIMER'S, BREAST CANCER, ETC) PROMOTE THE PHYSICAL AND MENTAL HEALTH OF THE COMMUNITY THAT WE SERVE. CULLMAN REGIONAL PROVIDES THE HEALTHY LIFE PROGRAM. THIS PROGRAM OFFERS SEMINARS AND EDUCATION ON HEALTH AND LIFESTYLE ISSUES AND ALSO OFFERS DISCOUNT ADMISSION TO WORKSHOPS AND HEALTH SCREENINGS. THIS PROGRAM CURRENTLY HAS APPROXIMATELY 7,000 MEMBERS. CRMC ALSO PROVIDES A COMMUNITY EDUCATION CENTER WHICH OFFERS MEETING ROOMS AND CATERING SERVICES FOR LOCAL BUSINESSES, CHURCHES, CIVIC ORGANIZATIONS AND EDUCATIONAL GROUPS. ALL OF OUR AMBULANCES ARE EQUIPPED WITH 12 LEAD EKG TECHNOLOGY, WHICH TRANSMITS THE INFORMATION DIRECTLY TO THE EMERGENCY ROOM PHYSICIAN, ALLOWING THEM TO GET THE INFORMATION WHILE THE PATIENT IS IN TRANSIT. THIS PROGRAM HAS REDUCED THE TIME FROM DOOR TO ANGIOPLASTY, BY GETTING THE CARDIOLOGY TEAM IN PLACE BEFORE THE PATIENT ARRIVES.
SCHEDULE H, PART VI, LINE 6THE HEALTH CARE AUTHORITY OF CULLMAN COUNTY (AUTHORITY) WAS REINCORPORATED ON NOVEMBER 15, 1984 UNDER THE ALABAMA HEALTH CARE AUTHORITY ACT OF 1982 PURSUANT TO THE PROVISION OF ACT NUMBER 82-418 AS A PUBLIC HOSPITAL CORPORATION. IT WAS CREATED BY THE BOARD OF COUNTY COMMISSIONERS OF CULLMAN COUNTY, ALABAMA, TO OPERATE, CONTROL, AND MANAGE ALL MATTERS CONCERNING THE COUNTY'S HEALTH CARE FUNCTIONS. THE BOARD OF COUNTY COMMISSIONERS APPOINTS THE BOARD OF DIRECTOR MEMBERS OF THE AUTHORITY, AND THE AUTHORITY, WITHIN THE DEFINITIONS OF THE HEALTH CARE AUTHORITY ACT, MAY ISSUE DEBT BUT IT CANNOT LEVY TAXES WITHOUT THE COUNTY'S APPROVAL. FOR THIS REASON, THE AUTHORITY IS CONSIDERED TO BE A COMPONENT UNIT OF CULLMAN COUNTY. CULLMAN REGIONAL MEDICAL CENTER (HOSPITAL), A BLENDED COMPONENT UNIT OF THE AUTHORITY, IS AN ALABAMA NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE TO OPERATE AS AN ACUTE CARE HOSPITAL. THE AUTHORITY APPOINTS THE VOTING MAJORITY OF THE HOSPITAL BOARD AND CONTROLS THE OPERATIONS OF THE HOSPITAL. THE AUTHORITY AND BAPTIST HEALTH SYSTEMS, INC. (BHS) ORGANIZED CULLMAN REGIONAL MEDICAL CENTER TO CONSTRUCT AND OPERATE A 115-BED GENERAL ACUTE CARE HOSPITAL IN CULLMAN, ALABAMA. THE AUTHORITY AND BHS WERE EQUAL MEMBERS IN THE HOSPITAL. ON DECEMBER 1, 2005, THE AUTHORITY PURCHASED BHS'S SHARE OF THE HOSPITAL AND IS NOW THE SOLE MEMBER. THE AUTHORITY ALSO OPERATES CULLMAN EMERGENCY MANAGEMENT SERVICES (CEMS), AN AMBULANCE SERVICE COVERING THE CULLMAN COUNTY AREA. CULLMAN REGIONAL MEDICAL CENTER FOUNDATION, INC. (FOUNDATION) IS A NONPROFIT CORPORATION WHICH WAS FORMED TO ASSIST, ADVANCE, AND STRENGTHEN CULLMAN REGIONAL MEDICAL CENTER, INC.(HOSPITAL) IN CULLMAN, ALABAMA, BY SUPPORTING THE HOSPITAL'S HEALTHCARE MISSION AND MEDICAL EDUCATION PROGRAMS. THE FOUNDATION SOLICITS AND ADMINISTERS CONTRIBUTIONS WHICH ARE USED TO ASSIST THE HOSPITAL WITH EXPANSION OF HOSPITAL FACILITIES, MEDICAL EQUIPMENT PURCHASES, CHARITY MEDICAL CARE AND NURSING, AND MEDICAL AND PARAMEDICAL EDUCATION.
SCHEDULE H, PART VI, LINE 7ALABAMA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1GOOD SAMARITAN CLINICBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 ARNOLD ST NEAddressLine1Txt
CityCULLMANCityNm
State AbbreviationALStateAbbreviationCd
ZIP35055ZIPCd
FieldValueIRS element (for citing)
Recipient EIN200149215RecipientEIN
IRC Section3IRCSectionDesc
Cash Grant$82,000CashGrantAmt
Non Cash Assistance$3,839,004NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceMED SVCSNonCashAssistanceDesc
Purpose Of GrantCURRENT OPERATIONSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationTHE HOSPITAL CONTINUOUSLY EVALUATES COMMUNITY ORGANIZATIONS (AS IDENTIFIED IN PART II ABOVE) PROVIDING HEALTHCARE NEEDS TO THE MEDICALLY UNDERSERVED WHO ALSO ARE MOST LIKELY UNABLE TO PAY. THE HOSPITAL EVALUATES THE NEEDS ON AN INDIVIDUAL BASIS BASED ON DOCUMENTED REQUESTS FOR SERVICES PROVIDED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
JAMES CLEMENTS
CEO/MEMBER$520,835$364,089$13,000$20,399$918,323
PHILLIP KRAVETZ MD
PHYSICIAN$719,208$25,563$13,000$20,399$778,170
STEPHEN GOULD MD
SURGEON$700,514$15,563$9,750$725,827
MICHAEL MILLER MD
SURGEON$560,283$20,563$9,194$561$590,601
BRAD MOODY MD
SURGEON$551,906$563$9,750$20,399$582,618
THOMAS DUKOVAC MD
UROLOGIST$547,993$563$9,750$12,259$570,565
WILLIAM SMITH MD
CHIEF MEDICAL OFCR$269,588$64,492$8,965$20,342$363,387
NESHA DONALDSON
COO$272,270$77,859$9,286$84$359,499
CHARNA BROWN
CNO$188,058$39,486$3,201$20,342$251,087

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1ATHE ORGANIZATION PROVIDES A MEMBERSHIP TO THE LOCAL COUNTRY CLUB FOR THE CEO. ANY AMOUNTS NOT DOCUMENTED AS BUSINESS RELATED ARE INCLUDED IN THE RECIPIENT'S TAXABLE INCOME AND REPORTED ON THE FORM W-2.
SCHEDULE J, PART IIIBONUS/INCENTIVES CERTAIN EXECUTIVE OFFICERS AND DEPARTMENT DIRECTORS ARE ELIGIBLE FOR BONUS/INCENTIVE PAYMENTS. THESE PAYMENTS ARE RELIANT ON VARIOUS ORGANIZATIONAL AND PERSONAL GOALS ESTABLISHED BY THE GOVERNING BODY. WHETHER A BONUS/INCENTIVE PAYMENT IS AWARDED IS DEPENDENT UPON THE NET PROFIT OF THE ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4ACRMC PROVIDES ACUTE CARE PATIENT SERVICES WHICH ARE RENDERED TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. CRMC USES CHARITY APPLICATIONS BASED UPON FEDERAL POVERTY GUIDELINES AND FAMILY SIZE TO DETERMINE ELIGIBILITY FOLLOWING SERVICES PROVIDED. CRMC PROVIDES CARE 24 HOURS PER DAY, SEVEN DAYS A WEEK AND HAS PROVIDED 35,038 INPATIENT DAYS CARE, 7.54% WERE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN; 43,455 EMERGENCY ROOM VISITS, 18.43% WERE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN; AND 102,805 OUTPATIENT VISITS, 7.62% NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN. THE TOTAL UNREIMBURSED COST OF MEDICAL SERVICES PROVIDED TO THOSE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN IS REPORTED ON SCHEDULE H. CRMC ALSO PROVIDES COMMUNITY EDUCATION AND WELLNESS ACTIVITIES TO THE COMMUNITY AND IS A MAJOR CONTRIBUTOR TO A LOCAL INDIGENT CLINIC SERVICING CULLMAN COUNTY.
FORM 990, PAGE 6, PART VI, LINE 6THE HEALTH CARE AUTHORITY OF CULLMAN COUNTY (AUTHORITY)IS THE SOLE MEMBER OF CULLMAN REGIONAL MEDICAL CENTER INC.
FORM 990, PAGE 6, PART VI, LINE 7ATHE AUTHORITY APPOINTS THE VOTING MAJORITY OF THE ORGANIZATION'S BOARD AND CONTROLS THE OPERATIONS AS WELL.
FORM 990, PAGE 6, PART VI, LINE 7BTHE AUTHORITY APPOINTS THE VOTING MAJORITY OF THE ORGANIZATION'S BOARD AND CONTROLS THE OPERATIONS OF THE ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 11BMANAGEMENT ASSISTS IN PREPARING SCHEDULES, REVIEWS THE ENTIRE DRAFT OF THE FORM 990 FOR CONTENT, AND RECOMMENDS CHANGES, IF ANY. PRIOR TO FILING, THE CFO, AND ACCOUNTING DEPARTMENT REVIEW THE FORM. THE FINAL FORM, AS IT IS ULTIMATELY FILED WITH ALL SCHEDULES AND ATTACHMENTS, IS MADE AVAILABLE TO THE BOARD MEMBERS PRIOR TO FILING WITH THE IRS.
FORM 990, PAGE 6, PART VI, LINE 12CANNUALLY, BOARD MEMBERS, OFFICERS, AND DEPARTMENTAL DIRECTORS MUST IDENTIFY ANY CONFLICT, MANAGEMENT MONITORS AND MAY SUGGEST ANY AREAS OF CONFLICT. THE BOARD CHAIRMAN OR ADMINISTRATION REVIEWS ACTUAL AND PERCEIVED CONFLICTS OF INTEREST. IN THE EVENT OF A CONFLICT, THE MEMBER OR OFFICER WITH THE CONFLICT WILL DISMISS THEMSELVES FROM THE DISCUSSION AND ANY VOTES ON THE ISSUE.
FORM 990, PAGE 6, PART VI, LINE 15AANNUALLY THE BOARD (OR A COMMITTEE CHARGED WITH THE RESPONSIBILITY AND AUTHORITY TO DO SO ON BEHALF OF THE BOARD) REVIEWS THE COMPENSATION PACKAGE AND PROPOSED CONTRACT OF THE CEO. THE REVIEW IS CONDUCTED BY INDEPENDENT BOARD MEMBERS, IS BASED UPON A COMPARATIVE ANALYSIS, AND IS DOCUMENTED IN THE RECORDS OF THE BOARD REFLECTING THE BASIS OF THE DETERMINATION BY THE THE BOARD (OR AUTHORIZED COMMITTEE).
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO ANY MEMBER OF THE PUBLIC WHO MAKES THEIR REQUEST AT THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION.
FORM 990, PART XI, LINE 9CHANGE IN TEMPORARY RESTRICTED ASSETS OF AFFILIATE 176,126 CHANGE IN UNRESTRICTED ASSETS OF AFFILIATE -362,608 TOTAL -186,482 IN JUNE 2017, THE GASB ISSUED STATEMENT NO. 87, LEASES (GASB 87). GASB 87 ESTABLISHES STANDARDS OF ACCOUNTING AND FINANCIAL REPORTING BY LESSEES AND LESSORS AND ESTABLISHES A SINGLE MODEL FOR LEASE ACCOUNTING BASED ON THE FOUNDATIONAL PRINCIPLE THAT LEASES ARE FINANCINGS OF THE RIGHT TO USE AN UNDERLYING ASSET. GASB 87 WILL REQUIRE A LESSEE TO RECOGNIZE A LEASE LIABILITY AND AN INTANGIBLE RIGHT-TO-USE LEASE ASSET AT THE COMMENCEMENT OF THE LEASE TERM, WITH CERTAIN EXCEPTIONS, AND WILL REQUIRE A LESSOR TO RECOGNIZE A LEASE RECEIVABLE AND A DEFERRED INFLOW OF RESOURCES AT THE COMMENCEMENT OF THE LEASE TERM, WITH CERTAIN EXCEPTIONS. GASB 87 IS EFFECTIVE FOR FISCAL YEARS BEGINNING AFTER JUNE 15, 2021, WITH GASB 95 DEFERRAL. THE AUTHORITY ADOPTED GASB 87 ON JULY 1, 2021 AND RETROACTIVELY IMPLEMENTED THE STATEMENT EFFECTIVE JULY 1, 2020. AS LESSEE, THE ADOPTION OF THIS STATEMENT RESULTED IN AN INCREASE IN LEASE OBLIGATIONS OF APPROXIMATELY 24,301,000 AND 23,455,000 AND RELATED RIGHT-TO-USE LEASE ASSETS OF APPROXIMATELY 24,301,000 AND 22,635,000 AS OF JULY 1, 2020 AND 2021, RESPECTIVELY. AS LESSOR, THE ADOPTION OF THIS STATEMENT RESULTED IN AN INCREASE IN LEASE RECEIVABLE OF APPROXIMATELY 1,001,000 AND 958,000 AND RELATED DEFERRED INFLOWS OF RESOURCES OF APPROXIMATELY 1,001,000 AND 957,000 AS OF JULY 1, 2020 AND 2021, RESPECTIVELY. THE ADOPTION OF THE STANDARD ALSO RESULTED IN A REDUCTION IN BEGINNING NET POSITION OF 869,556 FOR THE FISCAL YEAR ENDED JUNE 30, 2022.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CULLMAN REGIONAL MEDICAL CTR FNDN
1912 ALABAMA HIGHWAY 157CULLMANAL350580609630727880FOUNDATIONAL501C37NAfalse
HEALTH CARE AUTHORITY OF CULLMAN CO
1912 ALABAMA HIGHWAY 157CULLMANAL350580609631149220AUTHORITYAL501C16NAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SURGERY CENTER OF CULLMAN LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11912 ALABAMA HIGHWAY 157AddressLine1Txt
CityCULLMANCityNm
State AbbreviationALStateAbbreviationCd
ZIP35058ZIPCd
FieldValueIRS element (for citing)
EIN203489003EIN
Primary ActivitiesSURG CTRPrimaryActivitiesTxt
Legal Domicile StateALLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CRMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$402,190ShareOfTotalIncomeAmt
Share Of EOY Assets$1,623,144ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.51000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd