2023-08-14T15:10:19-04:00 2022-09-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2021-10-01 631143638 ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS INC ESCA 2518098494 401 MEDICAL PARK DRIVE ATMORE AL 365023006 WES NALL CFO 2518098313 2023-08-08 true WES NALL 999009999 WILLIAM EDWARD PHILLIPS P00451499 2298837878 2023-08-14 2021 2023-04-26 12:10:37Z ATMORE COMMUNITY HOSPITAL STEPHEN FISCHER 26007036 false X WWW.ATMOREHEALTH.ORG X 1995 AL THE ORGANIZATION'S PRIMARY MISSION IS DEDICATED TO MEETING THE HEALTHCARE NEEDS IN ESCAMBIA COUNTY ALABAMA AND THE SURROUNDING COMMUNITIES. 9 9 436 19 0 7974173 7583130 18675678 18047960 6158 28771 148112 345609 26804121 26005470 356352 0 13986700 13761193 0 0 9308897 9520743 23295597 23638288 3508524 2367182 12708319 15405187 4716646 5046332 7991673 10358855 THE ORGANIZATION'S PRIMARY MISSION IS DEDICATED TO MEETING THE HEALTHCARE NEEDS IN ESCAMBIA COUNTY ALABAMA AND THE SURROUNDING COMMUNITIES. false false 21090318 356352 18240308 ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS DBA ATMORE COMMUNITY HOSPITAL (ACH) OPERATES ONE ACUTE CARE HOSPITAL IN THE ESCAMBIA COUNTY COMMUNITY. ACH ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN FISCAL YEAR 2022, THE HOSPITAL TREATED 1,148 INPATIENTS FOR A TOTAL OF 4,554 PATIENT DAYS. THE THREE RURAL HEALTH CLINICS SAW 34,501 PATIENT VISITS DURING THE FISCAL YEAR. 21090318 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false true 16 0 436 true false false false false false false false false false false false false X 9 9 false false false false true true true true true false false true true true true true true false false false X STEPHEN FISCHER 2518098313 1301 BELLEVILLE AVENUE BREWTON AL 364261306 WILLIAM S HARIGEL MD PHYSICIAN 40.00 X 342098 0 12877 SHELDON J HARIGEL MD PHYSICIAN 40.00 X 319952 0 18188 JONAH M MCINTYRE MD PHYSICIAN 40.00 X 292861 0 18188 LAYLA LUNDQUIST-SMITH MD PHYSICIAN 40.00 X 236697 0 18188 BRENT YODER CRNP 40.00 X 186664 0 18188 STEPHEN FISCHER CEO 25.00 26.00 X 169241 0 15248 JEFF BOOTH CEO (LEFT 8/ 25.00 26.00 X 161648 0 10664 WES NALL CFO 25.00 26.00 X 114485 0 6366 BRAD LOWERY ADMIN (4/202 40.00 X 116717 0 0 A G BO BRANTLEY BOARD MEMBER 1.00 2.00 X 0 0 0 SHARON DAVIDSON VICE CHAIR 1.00 2.00 X 0 0 0 KEITH HORTON BOARD MEMBER 1.00 2.00 X 0 0 0 JIM JOHNSON BOARD MEMBER 1.00 2.00 X 0 0 0 AL FONTO HOLLEY JR BOARD MEMBER 1.00 2.00 X 0 0 0 NANCY W LOWERY TREASURER 1.00 2.00 X X 0 0 0 DEBORAH ROWELL CHAIR 1.00 2.00 X X 0 0 0 TONY SANKS BOARD MEMBER 1.00 2.00 X 0 0 0 DELOIS WILSON BOARD MEMBER 1.00 2.00 X 0 0 0 1940363 117907 12 false true false EMCARE PHYSICIAN SERVICES 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 ER PHYSICIANS 771497 CERNER CORPORATION 2800 ROCK CREEK PKWY KANSAS CITY MO 64117 IT 695286 QUEST DIAGNOSTICS INC P O BOX 740736 ATLANTA GA 303740736 LAB SVCS 598614 HOSPITAL HOUSEKEEPING SYSTEM LLC P O BOX 734364 DALLAS TX 753734364 ENVIRONMENTAL 410357 HHS CULINARY & NUTRITION LLC PO BOX 734364 DALLAS TX 75373 FOOD SERVICE 342225 10 7583130 7583130 NET PROGRAM SERVICE REVENUE 621990 18047960 18047960 18047960 28771 28771 78942 78942 78942 78942 3250 1566 1684 MISCELLANEOUS REVENUES 722514 161842 161842 VENDING & CAFETERIA 621990 72635 72635 DISCOUNTS & REBATES 621990 17657 17657 12849 12849 264983 26005470 18240308 180348 X 356352 356352 11729495 10883834 845661 161788 143118 18670 1266053 1119950 146103 603857 534172 69685 175 175 170083 170083 3292339 3191574 100765 56603 46735 9868 1807492 1449789 357703 906765 498485 408280 770645 741669 28976 94807 91942 2865 30971 19406 11565 8739 8739 633740 609911 23829 271952 271952 MEDICAL SUPPLIES 943924 943924 REPAIRS & MAINTENANCE 350730 356065 -5335 MISCELLANEOUS 68898 62062 6836 DUES & SUBSCRIPTIONS 56987 28369 28618 55893 12961 42932 23638288 21090318 2547970 0 -115640 214891 4398085 2440856 3596925 3177098 501675 368123 298824 350434 21369586 18013044 3728258 3356542 256876 256849 43316 5240394 12708319 15405187 1394395 2270629 307865 159404 3014386 2616299 4716646 5046332 X 7991673 10358855 7991673 10358855 12708319 15405187 X 2367182 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2657 2657 false SCHEDULE C, PART II-B, LINE 1 THE ORGANIZATION PAYS MEMBERSHIP DUES TO NATIONAL AND STATE ORGANIZATIONS. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THOSE ORGANIZATIONS PARTICIPATE. 22052 22052 6297530 5443717 853813 51026 43587 7439 14998978 12525740 2473238 3356542 DUE FROM NEW MARKET TAX CREDIT FUND 5144800 OTHER RECEIVABLES 66788 THIRD PARTY SETTLEMENTS 28806 5240394 DUE RELATED PARTIES 1344886 OTHER LIABILITIES 769966 CARES ACT ADVANCE 501447 2616299 X SCHEDULE D, PAGE 3, PART X THE AUDITED FINANCIAL STATEMENTS WERE NOT ISSUED AT THE FILING DATE, BUT THIS IS A DRAFT OF THE DISCLOSURE THAT WILL BE INCLUDED ONCE THEY ARE ISSUED - THE AUTHORITY AND MCMILLAN ARE ORGANIZED UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AND CONSIDERED GOVERNMENTAL ENTITIES AND ARE EXEMPT FROM INCOME TAXES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN CONSIDERED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE FOUNDATION, ATMORE AND URGENT CARE ARE NOT-FOR-PROFIT CORPORATIONS THAT HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEY ARE REQUIRED TO FILE A FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY INCOME EARNED FROM NON-RELATED BUSINESS SERVICES IS SUBJECT TO TAXATION. THE FOUNDATION, ATMORE AND URGENT CARE APPLY 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, THEY ONLY RECOGNIZE 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 SEPTEMBER 30, 2022 AND 2021, OR FOR THE YEARS THEN ENDED. THE FOUNDATION, ATMORE AND URGENT CARE'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. true true X true X true X true true false true false 97362 97362 0.00410 2306319 2897349 2403681 2897349 97362 0.00410 5366729 4022645 1344084 0.05690 5366729 4022645 1344084 0.05690 7770410 6919994 1441446 0.06100 false 8278051 3426212 3793752 -367540 X true true 1 1 ATMORE COMMUNITY HOSPITAL 401 MEDICAL PARK DRIVE ATMORE AL 36502 WWW.ATMOREHEALTH.ORG H2704 X X X SWING BED, RHCS, PHYS OFC ATMORE COMMUNITY HOSPITAL 1 false false true X X X X X X X X X X 22 true false false true X WWW.ATMOREHEALTH.ORG X true 22 true WWW.ATMOREHEALTH.ORG false false true X 200.000000000000 350.000000000000 X X X true true X X X true X WWW.ATMOREHEALTH.ORG X WWW.ATMOREHEALTH.ORG X WWW.ATMOREHEALTH.ORG X X X X X X true X false X X X true X false false FACILITY 1, ATMORE COMMUNITY HOSPITAL - PART V, LINE 3E BASED ON THE INPUT FROM THE COMMUNITY AND FROM DATA ANALYSIS, THE HOSPITAL STEERING COMMITTEE FACILITATED A PLANNING PROCESS, WHEREBY THE CHNA STEERING COMMITTEE PRIORITIZED THE COMMUNITY HEALTH NEEDS TO BE ADDRESSED WITHIN THE NEXT THREE YEARS. THE FINAL PRIORITIZED NEEDS REFLECTED THOSE PRIORITIZED BY THE COMMUNITY MEMBERS. GOALS, OBJECTIVES, AND ACTIONS WERE DEVELOPED AND DOCUMENTED TO ADDRESS THE PRIORITY AREAS. THE TOP NEEDS AND GOALS PRIORITIZED BY THE CHNA STEERING COMMITTEE BASED WERE AS FOLLOWS: GOAL: EXPAND ACCESS TO CARE WITH NEW URGENT CARE FACILITY OBJECTIVE 1: EXPAND ACCESS WITH NEW URGENT CARE FACILITY. OBJECTIVE 2: EXPAND WITH NEW MODEL THAT WILL INVOLVE POARCH TO INCLUDE THEIR EMPLOYEES FOR THE WELLNESS PROGRAM. GOAL: GOAL: PROVIDE MORE COMMUNITY OPPORTUNITIES FOR DIABETIC EDUCATION. OBJECTIVE 1: EXPAND DIABETIC AWARENESS AND EDUCATION IN THE COMMUNITY. OBJECTIVE 2: RESUME DIABETIC AWARENESS LUNCH AND LEARN SESSIONS WITH ASSISTANCE OF PCI DIABETIC EDUCATOR. GOAL: ACHIEVE ELIGIBILITY THRESHOLD TO MEET 340B REQUIREMENTS OBJECTIVE 1: CONTINUE FOCUS ON ENSURING THAT SELF-PAY PATIENTS ARE ENROLLED IN MEDICAID, IF ELIGIBLE. OBJECTIVE 2: CONTINUE TO MONITOR COST REPORT ANNUALLY FOR ELIGIBILITY TO PARTICIPATE IN THE 340B PROGRAM FACILITY 1, ATMORE COMMUNITY HOSPITAL - PART V, LINE 5 COMMUNITY INPUT WAS SOLICITED THROUGH FOCUS GROUPS AND A COMMUNITY SURVEY. KEY COMMUNITY STAKEHOLDERS WERE ALSO INVOLVED IN REVIEWING AND INTERPRETING FINDINGS FROM THE CHNA AND DEVELOPING AN IMPLEMENTATION PLAN TO ADDRESS PRIORITIZED COMMUNITY NEEDS. THE COMMUNITY SURVEY AND FOCUS GROUP INTERVIEWS ASSESSED LOCAL HEALTH CARE ACCESS AND NEEDS OF THE PEOPLE RESIDING IN THE SERVICE AREA OF ATMORE COMMUNITY HOSPITAL. THE COMMUNITY SURVEY WAS DISSEMINATED TO RESIDENTS OF THE HOSPITALS PRIMARY SERVICE AREA VIA THE HOSPITALS SOCIAL MEDIA WEBPAGES AND EMAIL LISTSERVS, AS WELL AS THOSE OF LOCAL COMMUNITY PARTNERS. FOCUS GROUP PARTICIPANTS WERE ALL KEY COMMUNITY STAKEHOLDERS OF ESCAMBIA COUNTY. COLLECTIVELY, PERSPECTIVES OBTAINED FROM THE SURVEYS AND FOCUS GROUPS PROVIDED A HOLISTIC VIEW OF LIFE IN THE COMMUNITY AND THE HEALTH AND HEALTH CARE NEEDS OF THE RESIDENTS. THE ESCAMBIA COUNTY PUBLIC HEALTH DEPARTMENT PARTICIPATED IN THIS PROCESS. INFORMATION FROM THESE PRIMARY DATA COLLECTION EFFORTS WAS SUPPLEMENTED BY SECONDARY QUANTITATIVE DATA ON THE COMMUNITYS DEMOGRAPHIC AND ECONOMIC PROFILE, HEALTH CARE ACCESS, AND UTILIZATION. THESE DATA WERE OBTAINED FROM MULTIPLE PUBLICLY AVAILABLE SOURCES. FINDINGS FROM ALL THE ABOVE-DESCRIBED PRIMARY AND SECONDARY DATA COLLECTION EFFORTS INFORMED THE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS, AS WELL AS THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS THESE NEEDS. FACILITY 1, ATMORE COMMUNITY HOSPITAL - PART V, LINE 11 THE COMMUNITY SURVEY AND FOCUS GROUP INTERVIEWS ASSESSED LOCAL HEALTH CARE ACCESS AND NEEDS OF THE PEOPLE RESIDING IN THE SERVICE AREA OF ATMORE COMMUNITY HOSPITAL. THE COMMUNITY SURVEY WAS DISSEMINATED TO RESIDENTS OF THE HOSPITALS PRIMARY SERVICE AREA VIA THE HOSPITALS SOCIAL MEDIA WEBPAGES AND EMAIL LISTSERVS, AS WELL AS THOSE OF LOCAL COMMUNITY PARTNERS. FOCUS GROUP PARTICIPANTS WERE ALL KEY COMMUNITY STAKEHOLDERS OF ESCAMBIA COUNTY. COLLECTIVELY, PERSPECTIVES OBTAINED FROM THE SURVEYS AND FOCUS GROUPS PROVIDED A HOLISTIC VIEW OF LIFE IN THE COMMUNITY AND THE HEALTH AND HEALTH CARE NEEDS OF THE RESIDENTS. A REPRESENTATIVE OF THE ESCAMBIA COUNTY PUBLIC HEALTH DEPARTMENT PARTICIPATED IN THE PROCESS. SEVERAL CORE ISSUES WERE IDENTIFIED AS PROBLEMS, INCLUDING: HIGH LEVELS OF POVERTY. HIGH PREVALENCE OF UNHEALTHY BEHAVIORS (INCLUDING SMOKING, PHYSICAL INACTIVITY AND POOR NUTRITION LEADING TO OVERWEIGHT/OBESITY). LIMITED ACCESS TO HEALTH CARE INSURANCE AND TRANSPORTATION. MENTAL HEALTH, SUBSTANCE ABUSE, AND CHRONIC CONDITIONS WERE THE TOP CONDITIONS AFFECTING THE COMMUNITY. ADDRESSING THESE CORE ISSUES IS BEYOND THE FINANCIAL RESOURCES OF THE ORGANIZATION. 4 ACH FAMILY RHC 611 EAST LAUREL ST ATMORE AL 36502 RURAL HEALTH CLINIC ACH PRIMARY CARE 402 MEDICAL PARK DR ATMORE AL 36502 RURAL HEALTH CLINIC ATMORE URGENT CARE 5850 ALABAMA HWY 21 ATMORE AL 36502 RURAL HEALTH CLINIC ACH COMPLETE CARE 609 EAST LAUREL ST ATMORE AL 36502 PHYSICIANS OFFICE SCHEDULE H, PART I, LINE 7 THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". SEE ALSO THE DESCRIPTION FOR PART III, LINE 2. SCHEDULE H, PART III, LINE 2 AMOUNTS 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 4 THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS FOOTNOTE CAN BE FOUND ON PAGE 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 MEDICARE 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 9B FOR PATIENTS WHO ARE FINANCIALLY OR MEDICALLY INDIGENT (BASED UPON THE PATIENTS HOUSEHOLD INCOME AS DEFINED ANNUALLY BY THE U. S. DEPARTMENT OF HEALTH AND HUMAN SERVICES IN THE FEDERAL REGISTER AS THE FEDERAL POVERTY LEVEL (FPL GUIDELINES): A) PATIENTS ARE DEEMED FINANCIALLY INDIGENT IF THEIR INCOME IS BELOW 200% OF FPL. IF A PATIENT MAKES BETWEEN 200% AND 350% OF THE FPL, THEN THEY MAY ONLY RECEIVE A PARTIAL WRITE-OFF. B) PATIENTS MAY BE DEEMED MEDICALLY INDIGENT IF THEIR HOUSEHOLD MEDICAL EXPENSES EXCEED 25% OF THE ANNUAL HOUSEHOLD INCOME REGARDLESS OF INCOME LEVEL. FOR ANY PATIENT THAT QUALIFIES UNDER THE ORGANIZATIONS CHARITY CARE POLICY, THE PATIENT ACCOUNT IS WRITTEN OFF AS CHARITY CARE AND THE ORGANIZATION DOES NOT PURSUE ANY COLLECTIONS. SCHEDULE H, PART VI, LINE 2 THE ORGANIZATION CONDUCTS REGULAR NEEDS ASSESSMENT THROUGH FORMAL AND INFORMAL SURVEYS AND PROCESSES, INCLUDING COLLABORATIONS WITH PUBLIC AND COMMUNITY AGENCIES. THROUGH STRATEGIC PLANNING AND COMMUNITY INTERVIEWS, THE ORGANIZATION DEVELOPS PROGRAMS AND SERVICES THAT CONSIDER THE ECONOMIC IMPERATIVES OF THE REGION, THE EFFECT OF LEGISLATION AND THE INVOLVEMENT OF OTHER COMMUNITY-BASED ORGANIZATIONS AND PARTNERS. SCHEDULE H, PART VI, LINE 3 ALL EMPLOYEES WORKING IN THE SCHEDULING, PATIENT ACCESS, PATIENT FINANCIAL SERVICES AND EMERGENCY DEPARTMENT AREA HAVE BEEN TRAINED TO BE FULLY VERSED IN ALL FINANCIAL ASSISTANCE-RELATED POLICIES, HAVE ACCESS TO THE CHARITY CARE APPLICATION FORMS, AND ARE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE REPRESENTATIVES FOR NON-EMERGENCY PURPOSES. EVERY FILE FOR A PATIENT THAT HAS PRE-SCHEDULED AN OFFICE VISIT OR PROCEDURE IS REVIEWED BEFORE THE PATIENT ARRIVES AT THE HOSPITAL. A FINANCIAL COUNSELOR IS ASSIGNED TO THAT PATIENT IF IT IS DETERMINED THAT THE INDIVIDUAL MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ETC. ALSO, WHEN A PATIENT RECEIVES A BILL, THE ORGANIZATION INCLUDES PAPERWORK EXPLAINING THAT FINANCIAL ASSISTANCE IS AVAILABLE. SCHEDULE H, PART VI, LINE 4 ATMORE COMMUNITY HOSPITAL (ACH) IS LOCATED IN ATMORE, ALABAMA, IN ESCAMBIA COUNTY, ALABAMA. APPROXIMATELY 90 PERCENT OF THE PATIENTS ADMITTED TO ACH RESIDE IN ESCAMBIA COUNTY, ALABAMA. ACH IS LOCATED APPROXIMATELY 30 MILES FROM D.W. MCMILLAN MEMORIAL HOSPITAL. GEOGRAPHICALLY, ESCAMBIA COUNTY IS LOCATED IN SOUTH ALABAMA AND BORDERS BALDWIN, MONROE, CONECUH, AND COVINGTON COUNTIES IN ALABAMA AND THREE COUNTIES IN NORTH FLORIDA. THE COUNTY ENCOMPASSES 953 SQUARE MILES OF WHICH 99 PERCENT IS UNDEVELOPED LAND. THE POPULATION OF THE COUNTY IS ONLY 36,666. ALMOST 50 PERCENT OF THE POPULATION LIVES IN THE MUNICIPALITIES OF BREWTON, EAST BREWTON, AND ATMORE, WHERE BOTH HOSPITALS ARE LOCATED. APPROXIMATELY 18 PERCENT OF THE POPULATION IS AGED 65 AND OLDER AND ACCORDING TO THE CENTER FOR ECONOMIC BUSINESS AND RESEARCH AT THE UNIVERSITY OF ALABAMA, THAT NUMBER IS PROJECTED TO GROW SUBSTANTIALLY THROUGH 2040 WHILE THE OVERALL POPULATION IS EXPECTED TO DECREASE. THESE PATIENT DEMOGRAPHICS WILL REQUIRE ADDITIONAL RESOURCES AND HEALTHCARE FOR THIS GROUP AS STUDIES SHOW THE ELDERLY TYPICALLY HAVE MULTIPLE COMORBIDITIES AND SUBSEQUENTLY REQUIRE MORE SERVICES. THE MEDIAN AGE IN ESCAMBIA COUNTY IS 39.6 AND THE MEDIAN HOUSEHOLD INCOME IS 38,464. THE POVERTY RATE IS 18.3 PERCENT COMPARED TO THE NATIONAL AVERAGE OF 13.4 PERCENT AND FEMALES AGED 25-34 MAKE UP THE LARGEST DEMOGRAPHIC GROUP LIVING IN POVERTY. 29.9 PERCENT OF THE CHILDREN IN ESCAMBIA COUNTY ARE LIVING IN POVERTY COMPARED TO 25 PERCENT OF CHILDREN LIVING IN POVERTY THROUGHOUT ALABAMA. APPROXIMATELY 84.4 PERCENT OF THE POPULATION HAVE HEALTH COVERAGE WITH THE MAJORITY OF THAT COVERAGE FALLING UNDER EMPLOYEE PLANS (41%) AND 15.6 PERCENT OF THE POPULATION ARE UNINSURED. ACCORDING TO THE MOST RECENT DATA FROM THE ALABAMA DEPARTMENT OF LABOR, ESCAMBIA COUNTY'S UNEMPLOYMENT RATE WAS 4.2 PERCENT. SCHEDULE H, PART VI, LINE 5 ACH FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH IN THE COMMUNITY IN A VARIETY OF WAYS AS WELL AS THOSE ALREADY DESCRIBED IN SCHEDULE H. THE GOVERNING BODY IS PRIMARILY COMPRISED OF PERSONS WHO ARE NOT EMPLOYEES, CONTRACTORS (NOR FAMILY MEMBERS THEREOF), AND WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE HOSPITAL'S MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE REGION. FOR THOSE PHYSICIANS IN THE REGION WHO DO NOT HAVE PRIVILEGES, ACH PROVIDES A PROCESS FOR ADMITTING PATIENTS VIA THE HOSPITALISTS OR THROUGH OTHER PHYSICIANS. FUNDS RECEIVED FROM THE OPERATIONS OF THE HOSPITAL AND FACILITIES (AFTER OPERATING EXPENSES) ARE USED TO SUPPORT VARIOUS OUTREACH EFFORTS DESCRIBED IN SCHEDULE H; TO FURTHER IMPROVEMENT IN PATIENT CARE BY PROVIDING MEDICAL EDUCATION TO PATIENTS AND THE COMMUNITY, CONDUCTING RESEARCH, AND IMPLEMENTING TECHNOLOGY THAT NOT ONLY PROVIDES THE LATEST IN TREATMENT, BUT ALLOWS PATIENTS TO RECEIVE HIGH QUALITY CARE IN THEIR OWN COMMUNITY AND ALLOWS US TO CONTINUALLY IMPROVE PATIENT SAFETY BY IMPLEMENTING TECHNOLOGY THAT PREVENTS MEDICATION ERRORS, ETC. SCHEDULE H, PART VI, LINE 6 ESCAMBIA COUNTY HEALTH CARE AUTHORITY (AUTHORITY) IS A PUBLIC, NONPROFIT CORPORATION CREATED TO OPERATE, CONTROL AND MANAGE ALL MATTERS CONCERNING THE HEALTHCARE FUNCTIONS IN ESCAMBIA COUNTY, ALABAMA. THE AUTHORITY WAS ORIGINALLY CREATED UNDER ACT NO. 46 ENACTED AT THE 1949 REGULAR SESSION OF THE LEGISLATURE OF ALABAMA (CODIFIED AS DIVISION ONE OF ARTICLE FOUR OF CHAPTER 21 OF TITLE 22 OF THE CODE OF ALABAMA 1975), INCORPORATED AS THE ESCAMBIA COUNTY HOSPITAL BOARD UNDER A CERTIFICATE OF INCORPORATION FILED IN THE OFFICE OF THE JUDGE OF PROBATE OF ESCAMBIA COUNTY, ALABAMA, ON APRIL 4,1951, AND REINCORPORATED AS THE ESCAMBIA COUNTY HEALTH CARE AUTHORITY PURSUANT TO THE PROVISIONS OF ARTICLE 11 OF CHAPTER 21 OF TITLE 22 OF THE CODE OF ALABAMA 1975, AS AMENDED, PURSUANT TO A CERTIFICATE OF REINCORPORATION APPROVED AND FILED IN THE OFFICE OF THE JUDGE OF PROBATE OF ESCAMBIA COUNTY, ALABAMA ON MARCH 9, 1983. THE AUTHORITY OPERATES TWO HOSPITALS AND THEIR RELATED RURAL HEALTH CLINICS, D.W. MCMILLAN EMS, D.W. MCMILLAN HOME HEALTH EQUIPMENT, AND MANAGES THE AD VALOREM TAX REVENUES RECEIVED. THE AUTHORITY OWNS AND OPERATES D. W. MCMILLAN HOSPITAL (MCMILLAN), A 49- BED ACUTE CARE HOSPITAL, PROVIDING INPATIENT, OUTPATIENT, EMERGENCY AND RURAL HEALTH CLINIC SERVICES IN BREWTON, ALABAMA AND THE SURROUNDING AREAS. THE MEMBERS OF THE AUTHORITY'S BOARD ALSO SERVE AS MEMBERS OF MCMILLAN'S BOARD OF DIRECTORS; THEREFORE, MCMILLAN IS PRESENTED AS A BLENDED COMPONENT UNIT OF THE AUTHORITY. MCMILLAN HOSPITAL HEALTH CARE FOUNDATION OF BREWTON (FOUNDATION) IS A NOT- FOR-PROFIT 501(C)(3) CORPORATION ORGANIZED EXCLUSIVELY TO SERVE AS AN INSTRUMENT TO ASSIST, ADVANCE AND STRENGTHEN MCMILLAN IN ITS MINISTRY OF HEALING AND TO PROMOTE BROAD-BASED SUPPORT OF MCMILLAN. THE AUTHORITY ELECTS OR APPOINTS THE BOARD OF DIRECTORS OF THE FOUNDATION. UPON DISSOLUTION OF THE FOUNDATION, THE REMAINING NET ASSETS REVERT TO THE AUTHORITY. ACCORDINGLY, THE FOUNDATION IS PRESENTED AS A BLENDED COMPONENT UNIT OF THE AUTHORITY IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE AUTHORITY IS THE SOLE CORPORATE MEMBER OF ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC. WHICH IS A NON-PROFIT 501(C)(3) ORGANIZATION DOING BUSINESS AS ATMORE COMMUNITY HOSPITAL (ATMORE). ATMORE IS A 49-BED ACUTE CARE HOSPITAL PROVIDING INPATIENT, OUTPATIENT, EMERGENCY AND RURAL HEALTH CLINIC SERVICES IN ATMORE, ALABAMA AND THE SURROUNDING AREAS. THE MEMBERS OF THE AUTHORITY'S BOARD ALSO SERVE AS MEMBERS OF ATMORE'S BOARD OF DIRECTORS. THE AUTHORITY IS THE SOLE CORPORATE MEMBER OF ATMORE URGENT CARE, INC. (URGENT CARE). DURING FISCAL YEAR 2022, URGENT CARE WAS FORMED FOR THE PURPOSE OF OWNING AND CONSTRUCTING AN URGENT CARE FACILITY TO SERVE THE COMMUNITY OF ESCAMBIA COUNTY, ALABAMA. true ATMORE URGENT CARE INC 1301 BELLEVILLE AVENUE BREWTON AL 36426 873706582 501C3 356352 FINANCIAL ASSISTANCE 1 SCHEDULE I, PAGE 1, PART I, LINE 2 GRANTS ARE MADE ONLY TO TAX-EXEMPT RELATED PARTIES. THE GOVERNING BOARD OF THE GRANT RECIPIENT IS COMPRISED OF MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS. false false false false false false false false false WILLIAM S HARIGEL MD PHYSICIAN 249500 92598 12877 354975 SHELDON J HARIGEL MD PHYSICIAN 249500 70452 18188 338140 JONAH M MCINTYRE MD PHYSICIAN 292861 18188 311049 LAYLA LUNDQUIST-SMITH MD PHYSICIAN 222248 14449 18188 254885 BRENT YODER CRNP 114400 72264 18188 204852 STEPHEN FISCHER CEO 152094 17147 15248 184489 JEFF BOOTH CEO (LEFT 8/22) 119348 42300 10664 172312 SCHEDULE J, PAGE 1, PART I, LINE 3 NONE OF THE INDIVIDUAL BOARD MEMBERS OR OFFICERS ARE COMPENSATED BY THE FILING ORGANIZATION. THE FILING ORGANIZATION, INSTEAD, RELIES ON THE METHODS USED BY THE SOLE MEMBER, ECHCA, TO ESTABLISH COMPENSATION OF THE CEO AND EXECUTIVE OFFICERS. COMPENSATION DETERMINATION BY ECHCA INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT AND SURVEYS, WRITTEN EMPLOYMENT CONTRACT, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED. FORM 990, PAGE 6, PART VI, LINE 6 ESCAMBIA COUNTY HEALTH CARE AUTHORITY (ECHCA), AN ALABAMA NON-PROFIT ORGANIZATION, IS THE SOLE MEMBER OF ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC. DBA ATMORE COMMUNITY HOSPITAL (ACH). ECHCA HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF THE HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 7A ESCAMBIA COUNTY COMMISSION APPOINTS THE MEMBERS OF ECHCA'S BOARD OF DIRECTORS. PER ACH'S BYLAWS, ALL CURRENT DIRECTORS OF ECHCA, THE SOLE MEMBER, SERVE AS ACH'S BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 7B THE FOLLOWING ACTIONS SHALL REQUIRE ADVANCE APPROVAL BY THE ECHCA, THE SOLE MEMBER: - ELECTION OF THE BOARD OF DIRECTORS OF THE HOSPITAL, - REMOVAL OF A BOARD DIRECTOR, - ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE, - APPOINTMENT OR TERMINATION OF THE ADMINISTRATOR OF THE HOSPITAL AND ANY HEALTHCARE FACILITY OPERATED BY THE HOSPITAL, - ANY CONTRACT OR PURCHASE ORDER IN EXCESS OF 250,000, - INCURRANCE OF INDEBTEDNESS IN EXCESS OF 250,000, - ANNUAL CAPITAL AND OPERATING BUDGETS, - TRANSFER OF ANY ASSETS EXCEEDING 100,000 IN NET VALUE. FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM FROM FINANCIAL AND OTHER INFORMATION FURNISHED BY MANAGEMENT. MANAGEMENT REVIEWS THE RETURN AND MAKES IT AVAILABLE TO THE MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C BOARD MEMBERS AND OFFICERS COMPLETE AND SIGN A CONFLICT OF INTEREST QUESTIONNAIRE. OFFICERS AND KEY STAFF ALSO ARE REQUIRED TO SIGN AN ATTESTATION FORM CONFIRMING THAT THEY WILL DISCLOSE ANY CONFLICTS THAT VIOLATE THE SYSTEM'S POLICY. THE BOARD REVIEWS ALL CONFLICTS AND DETERMINE IF FURTHER ACTION NEEDS TO BE TAKEN. BOARD MEMBERS ARE RECUSED FROM ALL DISCUSSIONS AND VOTES ON ANY CONFLICTED MATTERS. FORM 990, PAGE 6, PART VI, LINE 19 THE HOSPITAL HAS ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE ANNUAL FINANCIAL STATEMENTS ON FILE IN THE ACCOUNTING AND ADMINISTRATION DEPARTMENTS. ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR 27,907 0 0 PROFESSIONAL FEES 1,739,899 3,294 0 PURCHASED SERVICES 1,379,984 97,471 0 CONSULTING FEES 43,784 0 0 TOTAL 3,191,574 100,765 0 FORM 990, PART XI, LINE 9 PRIOR YEAR AUDIT ADJUSTMENTS 0 ESCAMBIA CO HEALTH CARE AUTHORITY 1301 BELLEVILLE AVENUE BREWTON AL 364261306 630897255 TAX AUTHOR AL 501A 6 N/A false DW MCMILLAN MEMORIAL HOSPITAL 1301 BELLEVILLE AVENUE BREWTON AL 364261306 636000288 HOSPITAL AL 501A 6 ECHCA false ATMORE URGENT CARE INC 1301 BELLEVILLE AVENUE BREWTON AL 36426 873706582 PHYSICIAN AL 501C3 12A ECHCA false false false false false false false false false false false false false true false true true false false false