2022-09-20T15:16:41-04:00 2020-09-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2019-10-01 631143638 ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS INC ESCA 2518098494 401 MEDICAL PARK DRIVE ATMORE AL 365023006 STEPHEN FISCHER CFO, INTERIM CEO 2518098313 2022-08-01 true JACQUELINE G ATKINS P00861721 2298837878 2022-09-20 2019 2022-09-23 18:48:47Z X ATMORE COMMUNITY HOSPITAL STEPHEN FISCHER 401 MEDICAL PARK DRIVE ATMORE AL 365023006 19560724 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. 10 10 287 31 0 330455 4549829 25952346 14491041 6757 4232 687712 474812 26977270 19519914 0 0 12352720 11585688 0 0 15621366 9071460 27974086 20657148 -996816 -1137234 8546636 16896956 3512862 12413809 5033774 4483147 THE ORGANIZATION'S PRIMARY MISSION IS DEDICATED TO MEETING THE HEALTHCARE NEEDS IN ESCAMBIA COUNTY ALABAMA AND THE SURROUNDING COMMUNITIES. false false 18424235 14874765 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 2020, THE HOSPITAL TREATED 871 INPATIENTS FOR A TOTAL OF 5,165 PATIENT DAYS. THE THREE RURAL HEALTH CLINICS SAW 18,442 PATIENT VISITS DURING THE FISCAL YEAR. 18424235 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 4 0 287 true false false false false false false false false false false false false X 10 10 false true false false true true true true true false false false true true true true true false false false X STEPHEN FISCHER 2518098313 1301 BELLEVILLE AVENUE BREWTON AL 364261306 JONAH M MCINTYRE MD PHYSICIAN 40.00 X 299691 0 28632 SHELDON J HARIGEL MD PHYSICIAN 40.00 X 251949 0 28185 WILIAM S HARIGEL MD PHYSICIAN 40.00 X 238280 0 21362 CHRIS GRIFFIN CEO LEFT 6/2 25.00 26.00 X 111465 111465 15928 STEPHEN FISCHER CFO, INTERIM 25.00 26.00 X 77838 77838 0 BRITTANY H LEE PHARMACIST 40.00 X 137190 0 0 CATHY JIMMERSON STAFF 40.00 X 128753 0 7904 SUZANNE MCGILL ADMINISTRATO 40.00 X 91801 0 17307 A G BO BRANTLEY BOARD MEMBER 1.00 2.00 X 0 0 0 DEREK BROOKS BOARD MEMBER 1.00 2.00 X 0 0 0 SHARON DAVIDSON BOARD MEMBER 1.00 2.00 X 0 0 0 RUTH HARRELL VICE CHAIR 1.00 2.00 X X 0 0 0 KEITH HORTON 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 CHAIR 1.00 2.00 X X 0 0 0 DEBORAH ROWELL SECRETARY 1.00 2.00 X X 0 0 0 STEPHEN VANPELT BOARD MEMBER 1.00 2.00 X 0 0 0 DON WARD TREASURER 1.00 2.00 X X 0 0 0 1336967 189303 119318 7 false true true HOSPITAL HOUSEKEEPING SYSTEM LLC P O BOX 734364 DALLAS TX 753734364 DIETARY/FACILIT 1914074 ALLIANCE HEALTHCARE SERVICES INC P O BOX 96485 CHICAGO IL 60693 MEDICAL SVCS 209024 QUEST DIAGNOSTICS INC P OBOX 740736 ATLANTA GA 303740736 LAB SVCS 187572 SOUTHWEST ALABAMA ANESTHESIA GROUP L P O BOX 124 EXCEL AL 36439 ANESTHESIOLOGY 185040 4 3548701 1001128 4549829 NET PROGRAM SERVICE REVENUE 621990 14491041 14491041 14491041 4232 4232 104490 40810 63680 63680 63680 DISCOUNTS & REBATES 621990 357579 357579 VENDING & CAFETERIA 722514 27408 27408 MISCELLANEOUS REVENUES 621990 19486 19486 6659 6659 411132 19519914 14874765 95320 X 306375 306375 9509908 8990421 519487 1161727 1066698 95029 607678 557970 49708 36988 36988 18032 18032 2356 2356 4115339 3979781 135558 15486 4883 10603 1648894 1169399 479495 638139 400775 237364 602258 578951 23307 76486 76109 377 18629 10285 8344 20938 20938 642380 617520 24860 196715 196715 MEDICAL SUPPLIES 616628 616586 42 REPAIRS & MAINTENANCE 313727 309698 4029 MISCELLANEOUS 40705 7828 32877 DUES & SUBSCRIPTIONS 36603 33474 3129 31157 3857 27300 20657148 18424235 2232913 0 2312243 465820 9664640 2535539 2523818 362603 477102 100209 185754 20020701 16758970 2912622 3261731 137236 323420 180855 8546636 16896956 2332311 2058380 34466 2241383 1146085 8114046 3512862 12413809 X 5033774 4483147 5033774 4483147 8546636 16896956 -1137234 586607 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2835 2835 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 5077965 1219565 51026 37430 13596 13650093 11643575 2006518 3261731 CARES ACT ADVANCE 5708928 DUE RELATED PARTIES 1478988 OTHER LIABILITIES 882046 DUE TO THIRD PARTY PAYORS 44084 8114046 X SCHEDULE D, PAGE 3, PART X 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 AND ATMORE 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 AND ATMORE 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 OFEACH 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, 2020, OR FOR THE YEAR THEN ENDED. THE FOUNDATION AND ATMORE'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 true false true false 3091 3091 0.00010 1685794 3005926 1688885 3005926 3091 0.00010 3861722 2915836 945886 0.04580 3861722 2915836 945886 0.04580 5550607 5921762 948977 0.04590 true 13702599 3593096 3761683 -168587 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 ATMORE COMMUNITY HOSPITAL 1 false false true X X X X X X X X X X 19 true true false true X WWW.ATMOREHEALTH.ORG X true 19 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 THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS IDENTIFIED AND THE METHODOLOGY FOR PRIORITIZING EACH NEED IS DESCRIBED ON PAGES 12-14 OF THE 2019 CHNA. FACILITY 1, ATMORE COMMUNITY HOSPITAL - PART V, LINE 5 IN COMPLIANCE WITH THE REQUIREMENTS OF THE 2010 PATIENT PROTECTION AND AFFORDABLE CARE ACT (SECTION 501(R)), THE ESCAMBIA COUNTY HEALTHCARE AUTHORITY CONVENED A COLLABORATIVE TEAM FROM DW MCMILLAN, ATMORE, HAND ARENDALL HARRISON SALE, LLC, SBC CONSULTING, LLC, AND A BROAD, DIVERSE GROUP OF COMMUNITY LEADERS AND STAKEHOLDERS IN ESCAMBIA COUNTY TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE INITIAL MEETING OF THE ESCAMBIA COUNTY 2019 CHNA STAKEHOLDERS WAS HELD ON JUNE 13, 2019, WITH 25 MEMBERS PARTICIPATING. THE STAKEHOLDER COMMITTEE REVIEWED DATA PRESENTED BY THE FACILITATORS AND DISCUSSED THEIR THOUGHTS REGARDING LOCAL ISSUES OF HEALTH IN ESCAMBIA COUNTY. THE FACILITATORS PROVIDED A ROUND-TABLE DISCUSSION. STAKEHOLDERS INCLUDED REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, MINORITIES, AND THE LOW-INCOME AS WELL AS THOSE WITH PUBLIC HEALTH EXPERTISE, BUSINESS LEADERS, GOVERNMENT LEADERS, RELIGIOUS LEADERS, LAW ENFORCEMENT, AND EDUCATORS. FACILITY 1, ATMORE COMMUNITY HOSPITAL - PART V, LINE 6A IN CONFORMITY WITH THE PROVISIONS OF THE 2010 PATIENT PROTECTION AND AFFORDABLE CARE ACT, THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT IS A JOINT EFFORT BETWEEN DW MCMILLAN MEMORIAL HOSPITAL AND ATMORE COMMUNITY HOSPITAL. BOTH HOSPITALS ARE LOCATED WITHIN THE SAME SERVICE AREA AND PROVIDE A COMPREHENSIVE ARRAY OF SERVICES TO RESIDENTS IN THE SERVICE AREA. FACILITY 1, ATMORE COMMUNITY HOSPITAL - PART V, LINE 11 AFTER AN EXHAUSTIVE REVIEW OF THE STAKEHOLDERS IDENTIFIED ISSUES OF HEALTH AS WELL AS THE QUANTITATIVE DATA THAT WAS PROVIDED, THE STAKEHOLDER GROUP AND THE LEADERSHIP OF DW MCMILLAN AND ATMORE COMMUNITY HOSPITAL DETERMINED TWO ISSUES OF HEALTH SHOULD BE PRIORITIZED. THIS DECISION WAS BASED ON POTENTIAL EFFECTIVENESS, AVAILABLE RESOURCES, AND FINANCIAL FEASIBILITY. PLANS AND PROGRAMS CURRENTLY IN PLACE PROVIDING COMMUNITY BENEFIT WERE ALSO CONSIDERED. THE INTENT IS TO IMPROVE THE QUALITY OF LIFE FOR THE CITIZENS OF ESCAMBIA COUNTY. THE PRIORITIZED NEEDS ARE: - ACCESS TO CARE - RISK FACTORS THAT LEAD TO THE OVERALL POOR HEALTH IN THE COMMUNITY AND DISEASES SUCH AS DIABETES, HEART DISEASE, STROKE, AND CANCER. ALTHOUGH OTHER NEEDS WERE IDENTIFIED THROUGH THIS PROCESS, IT WAS DETERMINED THAT NEEDS NOT DEEMED PRIORITIES COULD BE ADDRESSED THROUGH OTHER RESOURCES OR ACTION PLANS TO ADDRESS THOSE NEEDS THAT WERE NOT FINANCIALLY FEASIBLE. DW MCMILLAN AND ATMORE COMMUNITY HOSPITAL ARE RURAL HOSPITALS WITH LIMITED CAPITAL RESOURCES AND ADDRESSING ALL THE IDENTIFIED NEEDS WOULD PLACE A HARDSHIP ON THE HOSPITALS. THE 2019 CHNA AND IMPLEMENTATION PLAN (ACTION PLAN IS FOUND ON PAGES 12-14 OF THE CHNA) CAN BE FOUND ON THE ORGANIZATION'S WEBSITE AT HTTPS://WWW.ATMOREHEALTH.ORG/GETPAGE.PHP?NAME=COMMUNITY&SUB=NEWSROOM 3 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 ACH MEDPLUS 406 MEDICAL PARK DR ATMORE AL 36502 RURAL HEALTH CLINIC SCHEDULE H, PART I, LINE 7G ACH OPERATES THREE RURAL HEALTH CLINICS WHICH PROVIDE ASSISTANCE TO FINANCIALLY AND MEDICALLY INDIGENT PATIENTS IN AN EFFORT TO REDUCE THEIR NEED FOR EMERGENCY AND INPATIENT HOSPITAL CARE. TOTAL COSTS OF OPERATING THESE THREE CLINICS ARE 945,886 FOR THE FISCAL YEAR 2020. 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 AUTHORITY PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON AN EVALUATION OF THE OVERALL COLLECTABILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE, THE ACCOUNTS ARE CHARGED AGAINST THE ALLOWANCE. 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 37,447. 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 37,077. THE POVERTY RATE IS 23.8 PERCENT COMPARED TO THE NATIONAL AVERAGE OF 13.4 PERCENT AND FEMALES AGED 25-34 MAKE UP THE LARGEST DEMOGRAPHIC GROUP LIVING IN POVERTY. THIRTY-ONE 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. MCMILLIAN 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. 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. false false false false false false false false false JONAH M MCINTYRE MD PHYSICIAN 213845 85691 155 8991 19641 328323 SHELDON J HARIGEL MD PHYSICIAN 229847 21949 153 7558 20627 280134 WILIAM S HARIGEL MD PHYSICIAN 229745 8280 255 7148 14214 259642 CHRIS GRIFFIN CEO LEFT 6/21 99894 99894 11571 11571 7964 7964 119429 119429 STEPHEN FISCHER CFO, INTERIM CEO 77838 77838 77838 77838 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. SCHEDULE J, PART III ESCAMBIA COUNTY HEALTH CARE AUTHORITY (ECHCA), SOLE MEMBER OF ACH (THE FILING ORGANIZATION) AND D.W. MCMILLAN MEMORIAL HOSPITAL, INC., ENTERED INTO A MANAGEMENT AGREEMENT WITH MEDCENTRIA, LLC, AN UNRELATED ORGANIZATION, TO PROVIDE AN INTERIM CFO. ECHCA COMPENSATED MEDCENTRIA 155,677 IN CALENDAR YEAR 2019 FOR CFO SERVICES PROVIDED BY STEPHEN FISCHER WHO DIVIDED HIS TIME EVENLY BETWEEN THE TWO HOSPITALS. FORM 990, PAGE 1, ITEM B AT THE DUE DATE OF THE ORIGINAL FILING, THE AUDIT WAS STILL IN PROGRESS AND THEREFORE ACCURATE FINANCIAL DATA WAS UNAVAILABLE. THE DELAYED COMPLETION OF THE AUDIT WAS DUE TO THE FOLLOWING EXTRAORDINARY CIRCUMSTANCES. - THE ORGANIZATION HAD A CHANGE IN ITS INTERNAL ACCOUNTING STAFF, CHIEF FINANCIAL OFFICER AND CONTRACT MANAGEMENT SERVICE. - THE ORGANIZATION ALSO CHANGED ITS PROFESSIONAL ACCOUNTING FIRM. - A FULL SOFTWARE SYSTEM CONVERSION DISRUPTED THE FLOW OF DATA AND REQUIRED MANAGEMENT AND THEIR STAFF TO SPEND MORE FOCUSED ATTENTION AND TIME TO ENSURING ACCURATE RECORDS WERE BEING KEPT. - IT WAS ALSO DURING THIS TIME THAT MANAGEMENT AND ACCOUNTING STAFF HAD TO DEVOTE A SIGNIFICANT AMOUNT OF TIME TO NAVIGATE AND PREPARE THE NECESSARY PAPERWORK ASSOCIATED WITH THE COVID REGULATIONS. CHANGES TO THE ORIGINAL RETURN EFFECT THE FINANCIAL DATA AND INFORMATION THROUGHOUT THE FORM 990 AND ITS ASSOCIATED SCHEDULES. FORM 990, PAGE 6, PART VI, LINE 3 ACH HAD AN AGREEMENT WITH MEDCENTRIA, LLC FOR MANAGEMENT SERVICES PROVIDED BY THE CFO STEPHEN FISCHER DURING CY 2019. 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 AN INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990. DUE TO VARIOUS EXTRAORDINARY CIRCUMSTANCES, INCLUDING PANDEMIC-RELATED PROJECTS, MANAGEMENT CHANGES, AND STAFF SHORTAGES, THE FORM 990 WILL NOT BE DISTRIBUTED TO CURRENT VOTING BOARD MEMBERS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. HOWEVER, MANAGEMENT WILL CONDUCT A CURSORY REVIEW PRIOR TO FILING. 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 HOSPITAL'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 727,061 0 0 PROFESSIONAL FEES 1,013,219 297 0 PURCHASED SERVICES 2,003,334 43,199 0 CONSULTING FEES 236,167 92,062 0 TOTAL 3,979,781 135,558 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 false false false false true false false false false false false false true false true true false false false