2023-08-15T11:13:08-05:00 2022-09-30 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2021-10-01 636000090 THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON HEAL 2562355255 PO BOX 2208 ANNISTON AL 36207 LOUIS A BASS CEO 2562355255 2023-08-15 1 LOUIS BASS 636000090 AMY BIBBY P00445891 8282542254 2023-08-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z NORTHEAST ALABAMA REGIONAL MEDICAL CENTER LOUIS A BASS PO BOX 2208 ANNISTON AL 36207 267576345 0 X WWW.RMCCARES.ORG X 1974 AL TO PROVIDE PERSONALIZED HEALTHCARE TO CITIZENS OF NORTHEAST ALABAMA 15 13 2304 122 272062 87263 16455233 4878633 255859745 256489943 104989 -1836635 5639422 5163309 278059389 264695250 205157 237430 0 0 107466546 110984166 0 0 0 155995633 158752665 263667336 269974261 14392053 -5279011 209308574 209687933 98994306 103509447 110314268 106178486 X THE BOARD'S MISSION IS PROVIDING STATE OF THE ART HEALTH CARE WITH INTEGRITY, TO THE PEOPLE WE SERVE. 0 0 248770857 237430 256217881 DURING THE YEAR, THE AUTHORITY SERVED AS A INPATIENT FACILITY FOR BOTH ADULT AND PEDIATRIC ADMISSIONS, 2,008 NEWBORN ADMISSIONS AND SERVED PATIENTS THROUGH AMBULATORY CARE INCLUDING: 2,612 OBSERVATION PATIENTS, 52,245 EMERGENCY DEPARTMENT PATIENTS, 6,037 SAME DAY SURGERY PATIENTS, 126,661 OTHER OUTPATIENT VISITS.THE AUTHORITY IS ALSO INVOLVED IN EDUCATION, RESEARCH, AND COMMUNITY BENEFIT ACTIVITIES DESIGNATED TO PROVIDE HEALTH AND WELLNESS. THE AUTHORITY HOLDS DESIGNATIONS FOR THE FOLLOWING: "BABY-FRIENDLY" HOSPITAL DESIGNATION FROM THE WORLD HEALTH ORGANIZATION (WHO); ALABAMA STATEWIDE CANCER REGISTRY (ASCR) GOLD STANDARD AWARD; BLUE CROSS/BLUE SHIELD BLUE DISTINCTION PLUS DESIGNATION FOR MATERNITY CARE SERVICES; BLUE CROSS/BLUE SHIELD BLUE DISTINCTION DESIGNATION FOR BARIATRIC CARE; BARIATRIC CENTER OF EXCELLENCE FROM THE AMERICAN COLLEGE OF SURGEONS MBSAQIP PROGRAM; ORTHOPEDIC PROGRAM RECOGNIZED BY BCBS OF ALABAMA AS A BLUE DISTINCTION CENTER FOR KNEE AND HIP REPLACEMENT; ACHIEVEMENT AWARD BY THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS (ACS); AND JOINT COMMISSION ACCREDITATION. 248770857 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 321 0 1 2304 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 X X KIMBERLY CAMPBELL AVP FINANCE 2562355041 400 EAST TENTH STREET ANNISTON AL 36207 JAY JENKINS CHAIRMAN 1.00 X X 0 0 0 BILL WILLIAMS VICE-CHAIRMAN 1.00 X X 0 0 0 BUD OWSLEY SECRETARY 1.00 X X 0 0 0 RAUL MAGADIA MD CHIEF OF STAFF 1.00 X X 0 0 0 LOUIS DIVALENTIN MD VICE-CHIEF OF STAFF 1.00 X X 0 0 0 ANTHONY HUMPHRIES BOARD MEMBER 1.00 X 0 0 0 DICK PRITCHETT BOARD MEMBER 1.00 X 0 0 0 ELLEN BASS BOARD MEMBER 1.00 X 0 0 0 FRED WILSON BOARD MEMBER 1.00 X 0 0 0 GEORGE CRAWFORD MD BOARD MEMBER 1.00 X 0 0 0 KOVEN L BROWN BOARD MEMBER 1.00 X 0 0 0 LINDA JENKINS BOARD MEMBER 1.00 X 0 0 0 MARCUS DUNN BOARD MEMBER 1.00 X 0 0 0 ROB SVENSEN BOARD MEMBER 1.00 X 0 0 0 SANDRA SUDDUTH BOARD MEMBER 1.00 X 0 0 0 LOUIS BASS CHIEF EXECUTIVE OFFICER 40.00 1.00 X 473108 0 21534 JOE WEAVER CHIEF OPERATING OFFICER 40.00 X 298582 0 20673 MARK NORTH CHIEF FINANCIAL OFFICER 40.00 X 251652 0 34535 ALMENA FREE CHIEF MEDICAL OFFICER 40.00 X 345700 0 35898 ELAINE DAVIS CHIEF NURSING OFFICER 40.00 X 240422 0 18714 JAMES JOHNSON AVP OPERATIONS 40.00 X 211106 0 33013 JOHN NWOGU MD PHYSICIAN 40.00 X 1263364 0 16281 MOHAMED JASSER MD PHYSICIAN 40.00 X 802306 0 36660 TERRY PHILLIS MD PHYSICIAN 40.00 X 890214 0 36660 BARRY BILLINGS MD PHYSICIAN 40.00 X 888777 0 36660 LOUIS DIVALENTIN MD PHYSICIAN 40.00 X 610841 0 21708 6276072 0 312336 92 0 1 0 ANESTHESIA ASSOCIATES PA PO BOX 8305 GADSDEN AL 359058305 ANESTHESIA SERVICES 4730568 QUEST DIAGNOSTICS INC PO BOX 740736 ATLANTA GA 303740736 LAB SERVICES 4223373 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 606731246 SOFTWARE AND SUPPORT 1776989 AMERICAN PHYSICIAN PARTNERS LLC 5121 MARYLAND WAY SUITE 300 BRENTWOOD TN 37027 ER PHYSICIANS 1052030 PATIENTMATTERS LLC PO BOX 675282 DETROIT MI 482675282 COLLECTIONS AND PATIENT SUPPORT 918456 40 23769 4808615 46249 4878633 NET PATIENT SERVICE 621400 244883732 244883732 MEDICAID DISP SHARE 900099 10811949 10811949 PHARMACY REVENUE 446110 489415 489415 OTHER PROGRAMS 900099 276907 4845 272062 AFTERCARE REHAB SERVIC 624100 27940 27940 256489943 888897 888897 2352054 0 2352054 2352054 2352054 155563 2881095 0 -2881095 155563 -2725532 -2725532 OTHER INCOME 900099 2206728 2206728 FOOD SERVICE & VENDING 900099 604527 604527 2811255 264695250 256217881 272062 3326674 X 237430 237430 1984937 1984937 153734 153734 91028140 84262796 6765344 1585010 1469914 115096 10173603 9434843 738760 6058742 5618784 439958 352478 352478 8190 8190 29924789 24112722 5812067 22926813 21970721 956092 3778758 1371535 2407223 7043467 6349197 694270 14456 10086 4370 70843 67784 3059 2736936 2736936 9013524 9013524 2104557 2069373 35184 MEDICAL SUPPLIES 42310142 42310142 BAD DEBT 35184045 35184045 FOOD SERVICE EXPENSES 2105636 2105636 OTHER EXPENSES 1065878 291655 774223 112153 112153 269974261 248770857 21203404 0 4942483 2747901 21877072 8283079 25074589 30718870 570340 469780 6438703 6785833 3640747 3338169 315359574 275466082 53646032 39893492 31859607 44620595 13010148 13010148 4256207 3995318 43992646 55824748 209308574 209687933 22506683 25589597 8750 4443128 65183074 62145473 11295799 11331249 98994306 103509447 X 110304168 106168436 10100 10050 110314268 106178486 209308574 209687933 -5279011 1143229 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 18837 18837 0 PART II-B, LINE 1: A PORTION OF MEMBERSHIP DUES PAID TO THE ALABAMA HOSPITAL ASSOCIATION (ALAHA) IS ALLOCATED TO LOBBYING ACTIVITIES PERFORMED FOR THE BENEFIT OF THE ORGANIZATIONS MEMBER BODY. 10100 -50 10050 10100 10100 10100 10100 10025 75 10100 10065 -40 10025 1.00000 0 0 6807282 6807282 92386821 80003212 12383609 16451 16451 0 210476211 191589697 18886514 5672809 3856722 1816087 39893492 INVESTMENT IN STRINGFELLOW MEM HOSP 13010148 C 13010148 DEBT ISSUANCE COST 10050 INTEREST RATE SWAP DEFERRED CHARGE -743682 DUE FROM AFFILIATES 40827111 THIRD PARTY SETTLEMENTS 3821557 RIGHT OF USE ASSET 11909712 55824748 INTERCOMPANY PAYABLES 11240035 OTHER PAYABLES 91214 11331249 X PART V, LINE 4: THE KNOX ENDOWMENT WAS ESTABLISHED IN THE 1940'S BY THE KNOX FAMILY TO PROVIDE MATERNITY CARE FOR INDIGENT HOSPITAL PATIENTS. INVESTMENT EARNINGS ON THE FUND ARE PUT TOWARDS INDIGENT MATERNITY PATIENTS ANNUALLY. THE HOSPITAL HAS DISCRETION TO USE THE FUNDS FOR MEDICAL EXPENSES BESIDES MATERNITY CARE IF NECESSARY. PART X, LINE 2: THE AUTHORITY IS A POLITICAL SUBDIVISION AND THE AFFILIATE IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; THEREFORE, NO PROVISION HAS BEEN RECORDED FOR INCOME TAXES FOR THESE ENTITIES. REGIONAL HEALTH MANAGEMENT CORPORATION ("RHMC") IS A WHOLLY-OWNED SUBSIDIARY OF THE AFFILIATE. RHMC IS A FOR-PROFIT CORPORATION AND ACCOUNTS FOR DEFERRED INCOME TAXES USING THE ASSET AND LIABILITY METHOD TO ESTABLISH DEFERRED TAX ASSETS AND LIABILITIES FOR THE TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF RHMC'S ASSETS AND LIABILITIES AT ENACTED TAX RATES EXPECTED TO BE IN EFFECT WHEN SUCH AMOUNTS ARE REALIZED OR SETTLED. AS OF SEPTEMBER 30, 2022, RHMC HAD NET OPERATING LOSS CARRY FORWARDS OF APPROXIMATELY $20.1 MILLION. THE AUTHORITY HAS EVALUATED THEIR TAX POSITIONS AND HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2022. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 7560980 7560980 0.03220 37623182 37221726 401456 0.00170 45184162 37221726 7962436 0.03390 745777 745777 0.00320 21257756 11684417 9573339 0.04080 124141 124141 0.00050 22127674 11684417 10443257 0.04450 67311836 48906143 18405693 0.07840 8796 8796 0.00000 115805 115805 0.00050 124601 124601 0.00050 1 35309288 4671419 41112822 46808582 -5695760 X 1 1 2 1 NORTHEAST ALABAMA REGIONAL MEDICAL CTR 400 EAST 10TH STREET ANNISTON AL 36207 X X X A 2 STRINGFELLOW MEMORIAL HOSPITAL 301 E 18TH ST ANNISTON AL 36207 X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 20 1 1 0 1 X RMCCARES.ORG/COMMUNITY-REPORTS/ X 1 20 1 RMCCARES.ORG/COMMUNITY-REPORTS/ 0 1 X 250.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X WWW.RMCCARES.ORG X WWW.RMCCARES.ORG X WWW.RMCCARES.ORG X X X X X X 1 X 0 X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: NORTHEAST ALABAMA REGIONAL MEDICAL CTR, - FACILITY 2: STRINGFELLOW MEMORIAL HOSPITAL GROUP A-FACILITY 1 -- NORTHEAST ALABAMA REGIONAL MEDICAL CTR PART V, SECTION B, LINE 5: THE AUTHORITY'S CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THE INTERVIEW PROCESS TOOK INTO ACCOUNT INPUT FROM PERSONS, BASED ON RECOMMENDATIONS FROM THE HOSPITAL'S MANAGEMENT TEAM, WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL INCLUDING HOSPITAL MANAGEMENT, HOSPITAL BOARD, HOSPITAL MEDICAL STAFF / COMMUNITY PHYSICIANS, LOCAL AGENCIES AND PROVIDERS, AND COMMUNITY LEADERS. COLLECTIVELY, THE COMMUNITY MEMBERS SURVEYED REPRESENT HUNDREDS OF YEARS OF LIVING EXPERIENCE IN THE PRIMARY SERVICE AREA OF THE HOSPITAL AND THEREFORE PROVIDE HIGH PROBABILITY THAT RESPONDENTS KNOW AND UNDERSTAND THE COMMUNITY DYNAMICS AND ISSUES OF THE PRIMARY SERVICE AREA. GROUP A-FACILITY 1 -- NORTHEAST ALABAMA REGIONAL MEDICAL CTR PART V, SECTION B, LINE 6A: NORTHEAST ALABAMA REGIONAL MEDICAL CENTER AND STRINGFELLOW MEMORIAL HOSPITAL. GROUP A-FACILITY 1 -- NORTHEAST ALABAMA REGIONAL MEDICAL CTR PART V, SECTION B, LINE 11: THE ORGANIZATION PRIORITIZED THE HEALTH NEEDS ADDRESSED BASED ON FIVE CONSIDERATIONS: 1) CONSISTENCY WITH THE ORGANIZATION'S MISSION, 2) QUALITY CONSIDERATIONS, 3)GOVERNANCE AND ORGANIZATION STRUCTURE ISSUES, 4)FINANCIAL OPERATIONS IMPACTS, 5)AND RISK. GROUP A-FACILITY 2 -- STRINGFELLOW MEMORIAL HOSPITAL PART V, SECTION B, LINE 2: THE HOSPITAL FACILITY WAS ACQUIRED ON MAY 1, 2017. 1 1 - NORTHEAST AL REGIONAL MED CENTER PSYCH U 400 EAST 10TH STREET ANNISTON AL 36202 INPATIENT PSYCH UNIT PART I, LINE 3C: THE FINANCIAL ASSISTANCE POLICY PROVIDES A FULL TO PARTIAL WRITE-OFF BASED UPON THE INCOME LEVEL COMPARED TO THE FEDERAL POVERTY GUIDELINES. PART I, LINE 7G: THE ORGANIZATION PROVIDES CERTAIN SERVICES TO THE COMMUNITY AT A LOSS TO ENSURE THAT THESE SERVICES ARE AVAILABLE. THESE SERVICES INCLUDE: EMERGENCY DEPARTMENTS, OP CHEMOTHERAPY AND INPATIENT PSYCH. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 35,184,045. PART III, LINE 2: ACTUAL BAD DEBTS WRITTEN OFF OF $35,309,288 PART III, LINE 3: THE ORGANIZATION ESTIMATES THAT APPROXIMATELY 13% OF ITS BAD DEBT WOULD QUALIFY AS CHARITY CARE. WHICH IS THE ORGANIZATIONS COST FOR THE BAD DEBT BASED ON ITS COST TO CHARGE RATIO. PART III, LINE 4: BAD DEBT EXPENSE AT COST WAS CALCULATED BY MULTIPLYING TOTAL BAD DEBT EXPENSE BY THE HOSPITAL'S COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS BY DIVIDING TOTAL OPERATING COSTS INTO TOTAL CHARGES. PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE WAS DERIVED FROM THE MEDICARE COST REPORT. PART III, LINE 9B: THE FINANCIAL ASSISTANCE POLICY STATES:THE ORGANIZATION WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE IT MAKES A REASONABLE EFFORT TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. COLLECTION ACTIVITY WILL PROCEED BASED UPON A SEPARATE COLLECTION POLICY. PART VI, LINE 2: OUR ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF OUR COMMUNITY IN SEVERAL WAYS, WHICH INCLUDES THE COMPLETION OF A COMMUNITY HEALTH NEEDS ASSESEMENT ONCE EVERY THREE YEARS (WITH THE MOST RECENT ASSESSMENT COMPLETED IN DECEMBER 2020), AND THE COMPLETION OF AN ANNUAL UPDATE OF OUR MEDICAL STAFF DEVELOPMENT PLAN. THERE ARE SEVERAL COMPONENTS TO THIS PLAN, INCLUDING THE OVERALL POPULATION WITHIN OUR SERVICE AREA, THE AGE OF THE CURRENT MEMBERS OF OUR MEDICAL STAFF, AND PROJECTED PHYSICIAN NEEDS USING CALCULATIONS PROVIDED BY THE AMERICAN MEDICAL ASSOCIATION'S PHYSICIAN CHARACTERISTICS AND DISTRIBUTION IN THE U.S. PART VI, LINE 3: ALL PATIENT BILLS INCLUDE A STATEMENT THAT CHARITY CARE IS AVAILABLE TO QUALIFYING INDIVIDUALS, ALONG WITH INFORMATION ON HOW TO CONTACT PERSONNEL AT THE HOSPITAL IF THE PATIENT IS INTERESTED IN DETERMINING IF THEY QUALIFY FOR FINANCIAL ASSISTANCE. SIGNS ARE ALSO POSTED IN ALL REGISTRATION AREAS, AND INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY IS ALSO PROVIDED ON THE HOSPITAL'S WEBSITE. PART VI, LINE 4: OUR PRIMARY SERVICE AREA IS COMPRISED OF THREE COUNTIES WITH A TOTAL POPULATION OF 157,418. FORTY-ONE PERCENT (41%) OF THIS POPULATION IS COMPRISED OF LOW-INCOME INDIVIDUALS (INCOMES EQUAL TO OUR LESS THAN 200% OF THE FEDERAL POVERTY LEVEL) PART VI, LINE 5: THE AUTHORITY HAS ATTEMPTED TO PROVIDE OUTREACH AND EXTEND ITS SERVICE OFFERINGS INTO RURAL COMMUNITIES. OUR TOTAL GEOGRAPHIC AREA IS EXPANSIVE AND IN MANY PARTS PATIENTS HAVE LIMITED ACCESS TO HEALTHCARE OTHER THAN THE SERVICES PROVIDED BY THE AUTHORITY.THE AUTHORITY UTILIZES SURPLUS FUNDS PRIMARILY TO PURCHASE NEW AND REPLACEMENT MEDICAL EQUIPMENT, AND TO PERFORM NEEDED RENOVATIONS ON ITS PLANT. OTHER USES OF SURPLUS FUNDS MIGHT INVOLVE FUNDING EDUCATIONAL OPPORTUNITIES FOR CLINICAL STAFF AND WHEN ALLOWED, MEMBERS OF ITS MEDICAL STAFF. PART VI, LINE 6: THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. 1 CITY OF ANNISTON INC 1128 GURNEE AVE ANNISTON AL 36201 636001182 5300 0 2022 SPONSOR ANNISTON MUSEUM ENDOWMENT CORP POBOX 1033 ANNISTON AL 36202 630911513 40000 0 OPERATIONAL SUPPORT FAIRFAX GARDEN MEDIA LLC 168 HUNTINGTON TRACE ANNISTON AL 36207 852982187 8000 0 2022 SPONSORSHIP FOUNDATION RMC POBOX 2208 ANNISTON AL 36202 630981593 7000 0 EVENT SUPPORT OXFORD PERFORMING ARTS CENTER POBOX 3383 OXFORD AL 36203 636001337 11475 0 OPERATIONAL SUPPORT 4 1 PART I, LINE 2: THE ORGANIZATION HAS WRITTEN GUIDELINES FOR ORGANIZATIONS TO APPLY FOR COMMUNITY CONTRIBUTIONS (GRANTS). A DETAILED APPLICATION MUST BE COMPLETED AND APPROVED BY THE REVIEW COMMITTEE OF THE BOARD. A COPY OF THE APPLICATION IS AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINSITRATIVE OFFICE. X X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 JOHN NWOGU MD PHYSICIAN 700000 0 522957 0 40407 0 0 0 16281 0 1279645 0 0 0 TERRY PHILLIS MD PHYSICIAN 700000 0 190114 0 100 0 8550 0 28110 0 926874 0 0 0 BARRY BILLINGS MD PHYSICIAN 700000 0 188669 0 108 0 8550 0 28110 0 925437 0 0 0 MOHAMED JASSER MD PHYSICIAN 500000 0 263026 0 39280 0 8550 0 28110 0 838966 0 0 0 LOUIS DIVALENTIN MD PHYSICIAN 260000 0 541 0 350300 0 0 0 21708 0 632549 0 0 0 LOUIS BASS CHIEF EXECUTIVE OFFICER 410000 0 61500 0 1608 0 8550 0 12984 0 494642 0 0 0 ALMENA FREE CHIEF MEDICAL OFFICER 270000 0 40500 0 35200 0 7788 0 28110 0 381598 0 0 0 JOE WEAVER CHIEF OPERATING OFFICER 258239 0 38736 0 1607 0 7689 0 12984 0 319255 0 0 0 MARK NORTH CHIEF FINANCIAL OFFICER 218457 0 32306 0 889 0 6425 0 28110 0 286187 0 0 0 ELAINE DAVIS CHIEF NURSING OFFICER 206357 0 29954 0 4111 0 5730 0 12984 0 259136 0 0 0 JAMES JOHNSON AVP OPERATIONS 184374 0 25125 0 1607 0 4903 0 28110 0 244119 0 0 0 PART I, LINE 1A SPOUSAL TRAVEL COSTS ARE INCLUDED IN THE 1099 FOR BOARD MEMBERS AND W-2S FOR ANY IMPACTED EMPLOYEES. SOCIAL CLUB DUES ARE PAID FOR SELECT EXECUTIVES IN ORDER TO CONDUCT HOSPITAL BUSINESS. RACHEL CALDWELL FAMILY MEMBER OF CORPORATE OFFICER 37711 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 WENDI OWSLEY FAMILY MEMBER OF BOARD MEMBER 57901 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 ASHLEY BASS MARTIN FAMILY MEMBER OF BOARD MEMBER 58122 COMPENSATION AS EMPLOYEE OF HOSPITAL 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS COMPRISED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, THE SECRETARY OF THE BOARD, THE FINANCE COMMITTEE CHAIRPERSON, THE HUMAN RESOURCES COMMITTEE CHAIRPERSON, THE PHYSICAL FACILITIES AND PROPERTIES COMMITTEE CHAIRPERSON, THE COMPLIANCE COMMITTEE CHAIRPERSON, THE CHIEF OF THE MEDICAL STAFF, THE QUALITY COMMITTEE CHAIRPERSON, AND ONE AT-LARGE BOARD MEMBER. WHEN THE BOARD IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE ALL OF THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE CORPORATION, EXCEPT AS SUCH AUTHORITY IS LIMITED OR RESERVED BY STATUTE OR IN THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO SECTIONS 6-14 OF THAT CERTAIN CERTIFICATE OF REINCORPORATION OF THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON AS RECORDED ON SEPTEMBER 8, 2016 WITH THE CALHOUN COUNTY JUDGE PROBATE AND IN ACCORDANCE WITH CODE OF ALABAMA SECTION 22-21-310 ET SEQ. (1975). FORM 990, PART VI, SECTION A, LINE 7B THE BOARD IS RESTRICTED FROM THE SALE OR DISPOSAL OF ANY PART OF THE REAL ESTATE USED IN CONNECTION WITH THE OPERATION OF THE MEDICAL CENTER OR THE TRANSFER OF THE OPERATION AND MANAGEMENT OF THE MEDICAL CENTER WITHOUT THE CONSENT OF THE GOVERNING BODY OF THE CITY OF ANNISTON, AL. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION STAFF PREPARE AND COMPILE ALL SUPPORTING INFORMATION WHICH IS REVIEWED INTERNALLY BY MANAGEMENT. AFTER REVIEW, THE INFORMATION IS FORWARDED FOR PROFESSIONAL COMPLETION OF THE 990. AFTER COMPLETION, THE 990 IS REVIEWED BY MANAGEMENT AND THE BOARD OF DIRECTORS BEFORE PRESENTATION TO THE BOARD. AFTER BOARD APROVAL, THE REPORT IS SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO DISCLOSE ON AN ANNUAL BASIS ANY POTENTIAL CONFLICTS OF INTEREST PER THE ORGANIZATION'S OFFICIAL WRITTEN POLICY. A DISINTERESTED PARTY IS ASSIGNED TO INVESTIGATE ANY CONFLICTS THAT ARISE, AND AFFECTED BOARD MEMBERS ARE ADVISED OF THE PARTY'S DECISION. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION IS DETERMINED BY CONDUCTING SALARY SURVEYS FROM INDIVIDUAL HOSPITALS AS WELL AS UTILIZING SALARY INFORMATION AVAILABLE FROM INDEPENDENT SOURCES (STATE HOSPITAL ASSOCIATIONS, INDEPENDENT COMPENSATION CONSULTANTS, PERIODOCALS, ETC.). THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OVERSEES THE PROCESS AND DETERMINES THE COMPENSATION FOR THE CEO AFTER REVIEW AND CONSIDERATION OF THE ABOVE MENTIONED INFORMATION. THE CEO IS THE FINAL AUTHORITY FOR DETERMINING COMPENSATION FOR OTHER EMPLOYEES IN THE FACILITY. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 7,343,860. MANAGEMENT AND GENERAL EXPENSES 1,466,704. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,810,564. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 3,848,281. MANAGEMENT AND GENERAL EXPENSES 571,136. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,419,417. CONTRACT MAINTENANCE: PROGRAM SERVICE EXPENSES 3,006,579. MANAGEMENT AND GENERAL EXPENSES 500,226. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,506,805. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 9,914,002. MANAGEMENT AND GENERAL EXPENSES 3,274,001. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,188,003. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MEDICAL CENTER MEMORIAL FOUNDATION INC PO BOX 2208 ANNISTON AL 36202 630981593 EXEMPT ORG SUPPORT AL 501(C)(3) LINE 7 N/A 0 REGIONAL HEALTH SERVICES INC PO BOX 2208 ANNISTON AL 36202 630721572 EXEMPT ORG SUPPORT AL 501(C)(3) LINE 12B, II HEALTHCARE AUTHORITY OF THE CITY OF ANNISTON 1 REGIONAL HEALTH MANAGEMENT CORPORATION PO BOX 2345 ANNISTON AL 36202 630819576 MANAGEMENT AL N/A C 0 0 1 1 1 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 REGIONAL HEALTH MANAGEMENT CORPORATION D 341818 FMV REGIONAL HEALTH MANAGEMENT CORPORATION J 214423 FMV REGIONAL HEALTH MANAGEMENT CORPORATION K -106371 FMV REGIONAL HEALTH MANAGEMENT CORPORATION O 217050 FMV REGIONAL HEALTH MANAGEMENT CORPORATION R 65178 FMV