2020-03-31T14:02:54-05:00 2018-12-31 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2018-01-01 320453405 NORTHWEST MEDICAL CENTER INC NORT 2054877726 1530 US HIGHWAY 43 WINFIELD AL 35594 GLENDA REYES CHIEF FINANCIAL OFFICER 2054877726 2020-03-24 1 MEGAN RANDOLPH P00989558 2059794100 2020-03-24 104.189.21.202 2020-03-24 10:40:38 CD P EBCDC8FD939D725F61EA68C2F7BDAAAA34E87A32 E9D442F84C484E9AE6A46A8120721FB4FE0048EF 2018 2020-09-23 17:36:50Z X GLENDA REYES 1530 US HIGHWAY 43 WINFIELD AL 35594 26711015 0 X WWW.NORTHWESTMEDCENTER.NET X 2014 AL NORTHWEST MEDICAL CENTER, INC., SEEKS TO IDENTIFY AND SERVE THE PRIMARY HEALTHCARE NEEDS OF INPATIENTS, OUTPATIENTS, SURGICAL, AND ER PATIENTS IN A RURAL ENVIRONMENT. 9 9 286 10 0 0 0 0 26655919 26071347 -3712711 0 584660 310202 23527868 26381549 0 0 0 0 12245669 12826894 0 0 0 17575429 17904596 29821098 30731490 -6293230 -4349941 11496221 7739443 25106636 9655947 -13610415 -1916504 NORTHWEST MEDICAL CENTER, INC., SEEKS TO IDENTIFY AND SERVE THE PRIMARY HEALTHCARE NEEDS OF INPATIENTS, OUTPATIENTS, SURGICAL, AND ER PATIENTS IN A RURAL ENVIRONMENT. 0 0 26146950 26297463 NORTHWEST MEDICAL CENTER, INC., SEEKS TO IDENTIFY AND SERVE THE PRIMARY HEALTHCARE NEEDS OF INPATIENTS, OUTPATIENTS, SURGICAL, AND ER PATIENTS IN A RURAL ENVIRONMENT. 26146950 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 59 0 1 286 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X GLENDA REYES 2054877726 1530 US HWY 43 WINFIELD AL 35594 JIM DICKINSON CHAIRMAN 0.00 0.00 X X 0 0 0 RUSSELL CAROTHERS VICE-CHAIRMAN 0.00 0.00 X X 0 0 0 BILL ATKINSON BOARD MEMBER 0.00 0.00 X 0 0 0 JAMES R MOSS MD BOARD MEMBER 0.00 0.00 X 0 0 0 GERALD HUGHES BOARD MEMBER 0.00 0.00 X 0 0 0 RAYMOND SPANN JR BOARD MEMBER 0.00 0.00 X 0 0 0 RANDY PRICE BOARD MEMBER 0.00 0.00 X 0 0 0 DIANA JUNKIN BOARD MEMBER 0.00 0.00 X 0 0 0 DAVID CORBETT MD CHIEF OF STAFF/BOARD MEMBER 0.00 0.00 X 0 0 0 MICHAEL ARNO CEO 40.00 0.00 X 0 227011 24612 GLENDA REYES CFO 40.00 0.00 X 0 119524 17076 JOSEPH WALKER MD PHYSICIAN 40.00 0.00 X 0 541799 42562 MARTIN HAJJAR MD PHYSICIAN 40.00 0.00 X 0 457263 52064 JERILL THOMAS MD PHYSICIAN 40.00 0.00 X 0 362864 26221 DEREK CANNON MD PHYSICIAN 40.00 0.00 X 0 362540 2868 MUHAMMAD HUSAIN MD PHYSICIAN 40.00 0.00 X 0 315787 38688 0 2386788 204091 12 0 1 0 HARRIS MEDICAL HOSPITALIST 1180 SATELLITE BLVD SUWANEE GA 30024 ER PHYSICIAN AND HOSPITALIST SERVICES 757980 NORTHWEST ANESTHESIA INC 160 ROCKWELL STREET WINFIELD AL 35594 ANESTHESIOLOGIST SERVICES 555200 DIVERSIFIED CLINICAL SERVICES PO BOX 28525 NETWORK PLACE CHICAGO IL 60673 WOUND CARE SERVICES 462159 GE HEALTHCARE PO BOX 96483 CHICAGO IL 60693 BIOMEDICAL SERVICES 454518 WESTERN HEALTHCARE LLC PO BOX 203152 DALLAS TX 75320 ER COVERAGE 270902 9 PATIENT SERVICE FEES 624100 26071347 26071347 26071347 413552 329466 84086 84086 84086 WELLNESS CENTER 900099 114401 114401 CAFETERIA & VENDING 900099 77506 77506 MISCELLANEOUS 900099 34209 34209 226116 26381549 26297463 0 84086 10822146 10118040 704106 2004748 1955311 49437 223739 223119 620 98074 97802 272 24801 24732 69 248536 247842 694 12934 12934 60947 38055 22892 1502394 938080 564314 2105292 2038868 66424 64733 40419 24314 22473 14032 8441 367584 367584 548736 548736 448385 53478 394907 BAD DEBT EXPENSE 4618699 4618699 0 CONTRACT SERVICES 3136937 3019824 117113 DRUGS & MEDICAL SUPPLIE 2372312 2372312 0 TAXES & ASSESSMENTS 1493340 0 1493340 554680 346337 208343 30731490 26146950 4584540 0 310043 418348 2105636 2177756 645181 472727 195385 249063 4679661 260647 6988462 4419014 1135000 0 116514 2535 11496221 7739443 3907643 2369124 11501933 150887 9697060 7135936 25106636 9655947 X -13610415 -1916504 -13610415 -1916504 11496221 7739443 -4349941 16043852 0 X X 0 1 X 1 0 X 215375 215375 3340477 79432 3261045 983809 181215 802594 140000 140000 4419014 INTERCOMPANY PAYABLES 6994532 OTHER CURRENT LIABILITIES 141404 7135936 1 1 X 1 X 1 X 1 0 0 32303 32303 0.00110 3119489 959287 2160202 0.07030 3151792 959287 2192505 0.07140 5070 5070 0.00020 25125 25125 0.00080 30195 30195 0.00100 3181987 959287 2222700 0.07240 1 10176350 193665 13889622 13111803 777819 X 1 1 1 1 NORTHWEST MEDICAL CENTER INC 1530 US HIGHWAY 43 WINFIELD AL 35594 X X X NORTHWEST MEDICAL CENTER INC 1 1 0 1 X X X X X X X X X 16 1 0 0 1 X WWW.NORTHWESTMEDCENTER.NET X 1 16 1 WWW.NORTHWESTMEDCENTER.NET 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X X 1 X WWW.NORTHWESTMEDCENTER.NET X WWW.NORTHWESTMEDCENTER.NET X WWW.NORTHWESTMEDCENTER.NET X X X X 1 X 0 X X X X X 1 X 0 0 NORTHWEST MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: THE GOAL OF COMPLETING THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS TO SOLICIT INPUT FROM RESIDENTS THAT REPRESENTS THE DIVERSE VIEWS OF THE COMMUNITY AND TO PROMOTE THE BROAD INTERESTS OF THOSE SERVED BY THE HOSPITAL. THIS INPUT WAS USED TO ULTIMATELY IDENTIFY THE TOP HEALTH ISSUES FACING THE COMMUNITY AND THEN DEVELOP THE HOSPITAL'S IMPLEMENTATION STRATEGY TO ADDRESS ITS FINDINGS.NORTHWEST MEDICAL CENTER DETERMINED PUBLIC PERCEPTION ABOUT THE VARIOUS NEEDS OF THE COMMUNITY PRIMARILY THROUGH AN ONLINE SURVEY, WHICH WAS MADE AVAILABLE TO MEMBERS OF THE COMMUNITY AND SOUGHT INPUT REGARDING DEMOGRAPHICS AND HEALTH STATUS. IN ORDER TO SEEK INPUT FROM MEDICALLY UNDERSERVED, CHRONICALLY ILL, AND LOW-INCOME INDIVIDUALS, AND TO ENSURE INPUT FROM THE OVERALL POPULATION, THE SURVEY WAS ADVERTISED BY SEVERAL DIFFERENT COMMUNITY PARTNERS WHO ALSO HELPED TO DISTRIBUTE IT THROUGH THEIR EMAIL LIST SERVICES. ADDITIONALLY, THE SURVEY WAS AVAILABLE TO THE PUBLIC FOR A FIVE-WEEK PERIOD VIA A LINK ON THE HOSPITAL'S MAIN WEBSITE. NORTHWEST MEDICAL CENTER, INC. PART V, SECTION B, LINE 20E: THE HOSPITAL: PROVIDES PATIENTS WITH WRITTEN NOTICE OF IMPENDING ECAS (EXTRAORDINARY COLLECTION ACTIONS) AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AT LEAST 30 DAYS BEFORE INITATING THOSE ECAS; MAKES A REASONABLE EFFORT TO ORALLY NOTIFY INDIVIDUALS ABOUT THE FAP AND FAP APPLICATION PROCESS; AND PROCESSES INCOMPLETE AND COMPLETE FAP APPLICATIONS. 1 1 - NWMC-WINFIELD PHYSICIANS LLC 1530 US HIGHWAY 43 WINFIELD AL 35594 FAMILY MEDICINE PHYSICIAN FACILITY PART I, LN 7 COL(F): ACCOUNTS ARE EVALUATED FOR COLLECTABILITY ON A MONTHLY BASIS USING AGEDPAYOR ACCOUNT CLASSIFICATIONS AND HISTORICAL COLLECTION EXPERIENCE. PART III, LINE 2: ACCOUNTS ARE EVALUATED FOR COLLECTABILITY ON A MONTHLY BASIS USING AGEDPAYOR ACCOUNT CLASSIFICATIONS AND HISTORICAL COLLECTION EXPERIENCE. PART III, LINE 3: ACCOUNTS ARE EVALUATED FOR COLLECTABILITY ON A MONTHLY BASIS USING AGEDPAYOR ACCOUNT CLASSIFICATIONS AND HISTORICAL COLLECTION EXPERIENCE. EFFECTIVE MAY 10, 2018, THE HOSPITAL SUSPENDED THE USE OF CHARITY CARE WRITE-OFFS DUE TO A CHANGE IN OWNERSHIP. THE POLICY WAS REENACTED EARLY 2019. PART III, LINE 4: ACCOUNTS ARE EVALUATED FOR COLLECTABILITY ON A MONTHLY BASIS USING AGEDPAYOR ACCOUNT CLASSIFICATIONS AND HISTORICAL COLLECTION EXPERIENCE. PART III, LINE 8: AS A NON-PROFIT ORGANIZATION, THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF INSURANCE COVERAGE (OR LACK THEREOF) OR THE PATIENT'S ABILITY TO PAY. AMOUNTS REPORTED ARE BASED ON THE MEDICARE COST REPORT, WHICH IS PREPARED USING THE AUDITED TRIAL BALANCE AND IN ACCORDANCE WITH ALL APPLICABLE RULES AND REGULATIONS. EFFECTIVE MAY 10, 2018, THE HOSPITAL SUSPENDED THE USE OF CHARITY CARE WRITE-OFFS DUE TO A CHANGE IN OWNERSHIP. THE POLICY WAS REENACTED EARLY 2019. PART III, LINE 9B: NORTHWEST MEDICAL CENTER OFFERS FINANCIAL ASSISTANCE TO PATIENTS AND GUARANTORS PURSUANT TO ITS FINANCIAL ASSISTANCE POLICY, WHICH IS BASED ON THE CURRENT FEDERAL POVERTY GUIDELINES (FPG). THOSE APPROVED FOR FINANCIAL ASSISTANCE ARE ELIGIBLE FOR DISCOUNTS APPLIED TO BALANCES OWED AFTER INSURANCE, AS WELL AS SELF-PAY BALANCES REMAINING AFTER THE UNINSURED DISCOUNT IS APPLIED. IF THE PATIENT'S FAMILY INCOME IS BETWEEN 0%-200% OF THE FEDERAL POVERTY GUIDELINES, A 100% DISCOUNT (CHARITY CARE) IS PROVIDED. IF THE PATIENT'S FAMILY INCOME IS BETWEEN 201%-250% OF THE FEDERAL POVERTY GUIDELINES, A 60% DISCOUNT (FINANCIAL ASSISTANCE) IS PROVIDED. IF THE PATIENT'S FAMILY INCOME IS BETWEEN 251%-300% OF THE FEDERAL POVERTY GUIDELINES, A 40% DISCOUNT (FINANCIAL ASSISTANCE) IS PROVIDED. THE FINANCIAL ASSISTANCE POLICY IS PUBLICIZED IN PATIENT REGISTRATION AREAS, BILLING STATEMENTS, AND ON THE HOSPITAL'S WEBSITE. PATIENTS NOT ELIGIBLE FOR CHARITY CARE OR WHO HAVE A BALANCE OWED AFTER THE APPLICATION OF CHARITY CARE OR UNINSURED DISCOUNT ARE SENT STATEMENTS AND/OR COLLECTION LETTERS AT LEAST EVERY 30 DAYS UNTIL THE BALANCE OWED IS PAID OR LONGER-TERM PAYMENT ARRANGEMENTS ARE MADE. ACCOUNTS THAT DO NOT HAVE SUFFICIENT PAYMENT ARRANGEMENTS ESTABLISHED ARE ELIGIBLE FOR OUTSIDE COLLECTIONS. ALL PATIENTS ARE NOTIFIED OF POSSIBLE COLLECTION ASSIGNMENT AT LEAST 30 DAYS BEFORE AN ASSIGNMENT IS MADE. IF A PATENT REQUESTS FINANCIAL ASSISTANCE AFTER STATEMENTS ARE SENT, THE ACCOUNT IS PLACED ON HOLD UNTIL A DETERMINATION OF ELIGIBILITY IS MADE. EFFECTIVE MAY 10, 2018, THE HOSPITAL SUSPENDED THE USE OF CHARITY CARE WRITE-OFFS DUE TO A CHANGE IN OWNERSHIP. THE POLICY WAS REENACTED EARLY 2019. PART VI, LINE 2: THE HOSPITAL PERFORMS OUTREACH SERVICES AND PROVIDES HEALTH EDUCATION OPPORTUNITIES FOR THE COMMUNITY. FEEDBACK FROM THESE EFFORTS ALONG WITH THE EVALUATION OF THE PATIENTS SERVED ARE CONSIDERED IN ASSESSING THE COMMUNITY'S HEALTH CARE NEEDS. PART VI, LINE 3: INPATIENT SELF-PAY PATIENTS ARE SCREENED BY FINANCIAL COUNSELORS DURING THEIR STAY UPON APPLICATION BY THE PATIENT OR GUARANTOR. OUTPATIENT SERVICES ARE ALSO ELIGIBLE FOR FINANCIAL ASSISTANCE OR CHARITY UPON APPLICATION BY THE PATIENT OR GUARANTOR. SIGNAGE AT ALL REGISTRATION AREAS, MONTHLY STATEMENTS, AND THE WEBSITE REFERENCE PHONE NUMBERS TO CALLFOR FINANCIAL ASSISTANCE. PART VI, LINE 4: NORTHWEST MEDICAL CENTER PRIMARILY SERVES RESIDENTS OF WINFIELD, AL, INCLUDING THE COUNTIES OF MARION AND FAYETTE. THIS IS A RURAL COMMUNITY WITH A POPULATION BELOW 5,000 AND APPROXIMATELY 14% OF THE POPULATION FALLS BELOW THE POVERTY LINE. THE POPULATION IS PREDOMINANTLY CAUCASIAN (92%, AS OF THE MOST RECENT CENSUS). PART VI, LINE 5: THE HOSPITAL HAS A COMMUNITY BOARD OF VOLUNTEER DIRECTORS AND IS SERVED BY AN OPEN MEDICAL STAFF. THE FACILITY IS ALSO SUPPORTED BY LOCAL VOLUNTEERS. THE HOSPITAL ACTIVELY RECRUITS PRIMARY CARE PHYSICIANS AND SPECIALISTS TO MEET MEDICAL NEEDS IN THE COMMUNITY. IN ADDITION, THE HOSPITAL PERFORMS OUTREACH SERVICES AND PROVIDES HEALTH EDUCATION OPPORTUNITIES FOR THE COMMUNITY. PART VI, LINE 6: FORMERLY, NWMC WAS PART OF CURAE HEALTH. EFFECTIVE MAY 10, 2018, NWMC BECAME AFFILIATED WITH THE HCA OF WINFIELD, AL, AND SERVES THE RESIDENTS OF WINFIELD, AL, INCLUDING THE COUNTIES OF MARION AND FAYETTE. PART VI, LINE 7, REPORTS FILED WITH STATES AL 0 0 0 0 0 0 0 0 0 MICHAEL ARNO CEO 0 227011 0 0 0 0 0 11965 0 12647 0 251623 0 0 JOSEPH WALKER MD PHYSICIAN 0 541799 0 0 0 0 0 24808 0 17754 0 584361 0 0 MARTIN HAJJAR MD PHYSICIAN 0 457263 0 0 0 0 0 28451 0 23613 0 509327 0 0 JERILL THOMAS MD PHYSICIAN 0 362864 0 0 0 0 0 4496 0 21725 0 389085 0 0 DEREK CANNON MD PHYSICIAN 0 362540 0 0 0 0 0 2868 0 0 0 365408 0 0 MUHAMMAD HUSAIN MD PHYSICIAN 0 315787 0 0 0 0 0 23118 0 15570 0 354475 0 0 FORM 990, PART VI, SECTION A, LINE 3 NORTHWEST MEDICAL CENTER, INC. ENGAGES A MANAGEMENT COMPANY TO PROVIDE A FULL RANGE OF DAY-TO-DAY OPERATIONAL AND ADMINISTRATIVE SENIOR LEVEL MANAGEMENT SERVICES, INCLUDING THE APPOINTMENT OF MANAGEMENT PERSONNEL AT EACH OF THE HOSPITALS AND OTHER HEALTHCARE FACILITIES AND BUSINESS OF NORTHWEST MEDICAL CENTER, INC. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION DID NOT CONDUCT A FORMAL REVIEW OF FORM 990 FOR CALENDAR YEAR 2018. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS DISCUSSED IN PERSON WITH EACH POTENTIAL BOARD MEMBER. WHEN MANAGEMENT BECOMES AWARE OF A POTENTIAL CONFLICT, IT IS DISCUSSED IN DEPTH WITH UPPER MANAGEMENT AND THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD VOTED ON ALL COMPENSATION AS PART OF THEIR ANNUAL BUDGET PROCESS, WHICH INCLUDES A REVIEW OF ALL POTENTIAL RAISES AND COMPARISON OF COMPARABLE COMPENSATION DATA. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTATION PROVIDED UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. NWMC-WINFIELD PHYSICIANS LLC 7530 US HIGHWAY 43 WINFIELD AL 35594 472498379 PROVIDE HEALTH CARE SERVICES AL 2630728 473318 NORTHWEST MEDICAL CENTER INC HEALTHCARE AUTHORITY OF WINFIELD AL 7530 US HIGHWAY 43 WINFIELD AL 35594 824749088 HOSPITAL OWNERSHIP AL HCA N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0