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RUSSELL HOSPITAL CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
RUSSELL HOSPITAL CORPORATION (EIN 63-0385130)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201333189349301243
Schema version
2012v2.1
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)
Timestamp2013-11-14T09:01:23-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN454084437EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WARREN AVERETT LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12500 ACTON ROADAddressLine1
CityBIRMINGHAMCity
StateALState
ZIP Code35243ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN630385130EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RUSSELL HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRUSSNameControl
Phone2053297100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 939AddressLine1
CityALEXANDER CITYCity
StateALState
ZIP Code35011ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJIM PEACEName
TitleCEOTitle
Phone2053297100Phone
Date Signed2013-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJC ROUSEName
PTINP00081132PTIN
Phone2059794100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJIM PEACENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 939AddressLine1
CityALEXANDER CITYCity
StateALState
ZIP Code35011ZIPCode
FieldValueIRS element (for citing)
Gross Receipts72880033GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RUSSELLMEDCENTER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1923YearFormation
State Legal DomicileALStateLegalDomicile
Activity Or Mission DescriptionRUSSELL HOSPITAL CORPORATION D/B/A RUSSELL MEDICAL CENTER OPERATES AN ACUTE CARE GENERAL HOSPITAL IN ALEXANDER CITY, AL INCLUDING AN URGENT CARE CENTER (MPFC) IN DADEVILLE, AL. OUR MISSION IS TO BE THE REGIONAL HEALTHCARE PROVIDER OF CHOICE. WE ARE COMMITTED TO QUALITY, TEAMWORK, PROFESSIONALISM AND PERSONALIZED CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees687TotalNbrEmployees
Total Nbr Volunteers105TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year48010ContributionsGrantsPriorYear
Contributions Grants Current Year39420ContributionsGrantsCurrentYear
Program Service Revenue Prior Year66048856ProgramServiceRevenuePriorYear
Program Service Revenue CY68544794ProgramServiceRevenueCY
Investment Income Prior Year567731InvestmentIncomePriorYear
Investment Income Current Year607596InvestmentIncomeCurrentYear
Other Revenue Prior Year1988363OtherRevenuePriorYear
Other Revenue Current Year3112981OtherRevenueCurrentYear
Total Revenue Prior Year68652960TotalRevenuePriorYear
Total Revenue Current Year72304791TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year29065207SalariesEtcPriorYear
Salaries Etc Current Year30047972SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year40908869OtherExpensePriorYear
Other Expenses Current Year42740185OtherExpensesCurrentYear
Total Expenses Prior Year69974076TotalExpensesPriorYear
Total Expenses Current Year72788157TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1321116RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-483366RevenuesLessExpensesCY
Total Assets BOY83769755TotalAssetsBOY
Total Assets EOY86678886TotalAssetsEOY
Total Liabilities BOY56810961TotalLiabilitiesBOY
Total Liabilities EOY58857648TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY26958794NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY27821238NetAssetsOrFundBalancesEOY
Mission DescriptionRUSSELL MEDICAL CENTER AND ITS PHYSICIANS ARE COMMITTED TO PROVIDING THE HIGHEST STANDARDS OF PATIENT CARE AND CUSTOMER SERVICE. OUR MISSION IS SIMPLE...BEING THE BEST BECAUSE WE CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4572138Expense
Revenue5393555Revenue
DescriptionTHE CANCER CENTER AT RUSSELL MEDICAL CENTER OFFERS A MULTI-DISCIPLINARY CARE TEAM THAT INCLUDES A MEDICAL ONCOLOGIST, RADIATION ONCOLOGISTS, DOSIMETRIST PYSICIST AND A SKILLED TEAM OF SUPPORT STAFF. OUR CONTINUUM OF CARE PROCESS ENCOMPASSES THE ENTIRE CANCER EXPERIENCE INCLUDING TWO CANCER SUPPORT GROUPS ON SITE AND FOR REFERRAL. ON SITE SUPPORT GROUPS INCLUDE "LOOK GOOD...FEEL BETTER", WHICH IS DESIGNED FOR WOMEN PATIENTS AND THE "T.O.U.C.H." (TODAY OUR UNDERSTANDING OF CANCER IS HOPE), WHICH IS FOR PATIENTS IN ACTIVE TREATMENT AND REMISSION. THEY MEET TO TALK, LISTEN AND LEARN FROM OTHERS WHO HAVE BEEN THROUGH THE SAME EXPERIENCE. THE CANCER CENTER SERVED ABOUT 10,970 PATIENTS IN 2012.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3771938Expense
Revenue15708407Revenue
DescriptionRUSSELL MEDICAL CENTER PROVIDES TWENTY-FOUR HOUR/SEVEN DAYS A WEEK EMERGENCY SERVICES TO THE COMMUNITY WITH 24,239 VISITS IN 2012. IN 2008, THE ORGANIZATION COMPLETED A TWO MILLION DOLLAR RENOVATION PROJECT TO THE EMERGENCY DEPARTMENT WHICH EXPANDED EXAM ROOM CAPACITY AND IMPROVED OVERALL SERVICE TO OUR PATIENT POPULATION.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1444928Expense
Revenue4222817Revenue
DescriptionRUSSELL MEDICAL CENTER PARTICIPATES IN THE GIFT OF LIFE MATERNITY CARE PROGRAM ADMINISTERED THROUGH THE ALABAMA MEDICAID AGENCY. THE PROGRAM PROVIDES SERVICES TO WOMEN AND INFANTS WHO QUALIFY FOR SERVICES PURSUANT TO TITLE XIX OF THE SOCIAL SECURITY ACT. TOTAL PATIENT DAYS FOR ALL PAYORS IN 2012 WERE 3,963.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense62999153Expense
Revenue46157069Revenue
FieldValueIRS element (for citing)
Total Of Other Program Service Exp62999153TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev46157069TotalOfOtherProgramServiceRev
Total Program Service Expense72788157TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096114NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees687NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPAUL OSWALDNamePerson
Telephone Number2563297170TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 939AddressLine1
CityALEXANDER CITYCity
StateALState
ZIP Code35011ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JAMES D NABORS
CHAIRMAN5.00X000
HUGH NEIGHBORS III
VICE CHAIRMAN5.00X000
SCOTT HOWELL
SECRETARY/TREASURER5.00X000
JIM PEACE
CEO40.00X371356024096X
RALPH FROSHIN
DIRECTOR5.00X000
BEN RUSSELL
DIRECTOR5.00X000
JAMES W BROWN JR
DIRECTOR5.00X000
THOMAS RADNEY
DIRECTOR5.00X000
EDWARD HILL MD
DIRECTOR5.00X000
TONY MCLEOD MD
DIRECTOR5.00X000
MICHELE GOLDHAGEN MD
DIRECTOR5.00X000
TIM THORNTON
CFO40.00263235010548X
SARAH BETH GETTYS
VP PATIENT SERVICES40.0025533304955X
KERI K BROWN MD
PULMONOLOGIST40.0033885702400X
JOHN ELGIN MD
DIRECTOR - PATHOLOGY40.0041101900X
WILLIAM MOORE MD
GYN PHYSICIAN40.0024029502728X
MARY EMILY SHEFFIELD MD
MEDICAL ONCOLOGIST40.0037483106000X
RORY CLAWSER MD
OB/GYN PHYSICIAN40.0024554301180X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2500469TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation51907TotalOtherCompensation
Number Individuals GT100 K35NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PARAGON CONTRACTING SERVICES
PO BOX 634850CINCINNATIOH45263ER PHYSICIAN COVERAGE2202066
DIVERSIFIED CLINICAL SERVICES INC
PO BOX 636981CINCINNATIOH45263WOUND CARE SERVICES565652
COMPHEALTH
PO BOX 972651DALLASTX75397HOSPITALIST SERVICES501597
LAB CORP OF AMERICA
PO BOX 12140BURLINGTONNC27216LAB SERVICES451911
THE LINCOLN NATIONAL LIFE INSURANCE COMP
PO BOX 55407BIRMINGHAMAL35255INSURANCE SERVICES285728
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
All Other Contributions39420AllOtherContributions
Total Contributions39420TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column68544794TotalRevenueColumn
Related Or Exempt Function Income68544794RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue68544794TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column596013TotalRevenueColumn
Exclusion$596,013ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column19984TotalRevenueColumn
Exclusion$19,984ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real741668Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real565741Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real175927Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column175927TotalRevenueColumn
Exclusion$175,927ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1100Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other9501Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-8401Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-8401TotalRevenueColumn
Exclusion-$8,401ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS INCOME90009921595362159536
CAFETERIA INCOME900099504624504624
DRUG SALES900099194537194537

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column78357TotalRevenueColumn
Related Or Exempt Function Income78357RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2937054TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column72304791TotalRevenueColumn
Related Or Exempt Function Income71481848RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$783,523ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total889924Total
Program Services889924ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total22692526Total
Program Services22692526ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1471474Total
Program Services1471474ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3291028Total
Program Services3291028ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1703020Total
Program Services1703020ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total104097Total
Program Services104097ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total125983Total
Program Services125983ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total41752Total
Program Services41752ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3948704Total
Program Services3948704ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total140800Total
Program Services140800ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total42700Total
Program Services42700ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total2113516Total
Program Services2113516ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4449246Total
Program Services4449246ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total637899Total
Program Services637899ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
SUPPLIES1430736814307368
PROVISION FOR BAD DEBTS90773489077348
PURCHASED SERVICES31772733177273
MAINTENANCE AND REPAIRS17764931776493

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2797006Total
Program Services2797006ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total72788157Total
Program Services72788157ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6272545BOY
EOY7947587EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3796987BOY
EOY4018010EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8781991BOY
EOY10684226EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2488263BOY
EOY2552347EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY269231BOY
EOY465174EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis99151315LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec56828979LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY43360466BOY
EOY42322336EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY15165231BOY
EOY16091967EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3635041BOY
EOY2597239EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY83769755BOY
EOY86678886EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14042310BOY
EOY15524251EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY40407572BOY
EOY38832750EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2361079BOY
EOY4500647EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY56810961BOY
EOY58857648EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY26958794BOY
EOY27821238EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26958794BOY
EOY27821238EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY83769755BOY
EOY86678886EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-483366ReconcilationRevenueExpenses
Reconciliation Unrealized Invest920684ReconciliationUnrealizedInvest
Reconcilation Other Changes425126ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1811667OtherCostOrOtherBasis
Book Value1811667BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis56738024OtherCostOrOtherBasis
Depreciation25091652Depreciation
Book Value31646372BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis81565OtherCostOrOtherBasis
Depreciation81565Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis40419319OtherCostOrOtherBasis
Depreciation31655762Depreciation
Book Value8763557BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis100740OtherCostOrOtherBasis
Book Value100740BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings42322336TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
ASSETS HELD BY TRUSTEE5691091F
INVESTMENT IN COASTAL INSURANCE360930C
COMMON STOCK8539946F
UNSECURED DEBENTURES1500000F
FieldValueIRS element (for citing)
Total Of Book Value Securities16091967TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
UNAMORTIZED BOND PREMIUM$311,044
MISCELLANEOUS LIABILITIES$3,096,105
DUE TO CONTRACTUAL AGENCIES$973,883
OTHER LIABILITIES$119,615
FieldValueIRS element (for citing)
Total Of Amounts4500647TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt64334004TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments920684NetUnrealizedGainsInvestments
Other Revenues-8488976OtherRevenues
Revenue Not Rptd F990-7568292RevenueNotRptdF990
Revenue Subtotal71902296RevenueSubtotal
Other Revenues Not Included402495OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt402495RevenueNotRptdOnFinStmt
Total Revenue Per Form99072304791TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt63874055TotExpensesEtcAuditedFinclStmt
Other Expenses Included-8511607OtherExpensesIncluded
Expenses Not Rptd F990-8511607ExpensesNotRptdF990
Expenses Subtotal72385662ExpensesSubtotal
Other Expenses Not Included402495OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt402495ExpensesNotRptdOnFinStmt
Total Expenses Per Form99072788157TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). THE HOSPITAL HAS EVALUATED ITS TAX POSITIONS AS REQUIRED UNDER THE RELEVANT ACCOUNTING STANDARDS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT IT WOULD BE UNABLE TO SUBSTANTIATE UPON EXAMINATION. RETURNS HAVE BEEN FILED FOR ALL YEARS THROUGH DECEMBER 31, 2011. TAX RETURNS FOR 2009 THROUGH 2011 ARE SUBJECT TO AUDIT BY TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:MINIMUM PENSION LIABILITY 22,631. RENTAL EXPENSES SHOWN AS AN OFFSET TO REVENUE 565,741. PROVISION FOR BAD DEBT EXPENSE SHOWN AS AN OFFSET TO REVENUE ON FINANCIALS -9,077,348.
PART XI, LINE 4B - OTHER ADJUSTMENTS:MINORITY INTEREST SHOWN AS AN OFFSET TO EXPENSES 402,495.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES SHOWN AS AN OFFSET TO REVENUE 565,741. PROVISION FOR BAD DEBT EXPENSE SHOWN AS AN OFFSET TO REVENUE ON FINANCIALS -9,077,348.
PART XII, LINE 4B - OTHER ADJUSTMENTS:MINORITY INTEREST SHOWN AS AN OFFSET TO EXPENSES 402,495.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense702000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense702000NetCommunityBenefitExpense
Percent Of Total Expense0.01100PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10931171TotalCommunityBenefitExpense
Direct Offsetting Revenue8670345DirectOffsettingRevenue
Net Community Benefit Expense2260826NetCommunityBenefitExpense
Percent Of Total Expense0.03550PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense11633171TotalCommunityBenefitExpense
Direct Offsetting Revenue8670345DirectOffsettingRevenue
Net Community Benefit Expense2962826NetCommunityBenefitExpense
Percent Of Total Expense0.04650PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense235244TotalCommunityBenefitExpense
Direct Offsetting Revenue16959DirectOffsettingRevenue
Net Community Benefit Expense218285NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense235244TotalCommunityBenefitExpense
Direct Offsetting Revenue16959DirectOffsettingRevenue
Net Community Benefit Expense218285NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense11868415TotalCommunityBenefitExpense
Direct Offsetting Revenue8687304DirectOffsettingRevenue
Net Community Benefit Expense3181111NetCommunityBenefitExpense
Percent Of Total Expense0.04990PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$3,030,099BadDebtExpenseAmount
Amount Attributable To1515050AmountAttributableTo
Amount Reimbursed By Medicare25214528AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare24141769CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1072759MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1RUSSELL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1PO BOX 939AddressLine1
CityALEXANDER CITYCity
StateALState
ZIP Code35011ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1RUSSELL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent500.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Uninsured DiscountXUninsuredDiscount
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

ExplanationExplanationIdentifierIdentifier
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 $ 9077348.
PART III, LINE 4: ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITE-OFF PERCENTAGES AND REVIEW OF LARGE BALANCE SELF PAY ACCOUNTS, AND CONTRACTUAL ALLOWANCES ARE ESTIMATED BASED ON THE TERMS OF THIRD-PARTY INSURED CONTRACTS. DOUBTFUL ACCOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE AFTER ADEQUATE COLLECTION EFFORT IS EXHAUSTED AND RECORDED AS RECOVERIES OF BAD DEBTS IF SUBSEQUENTLY COLLECTED. COST DETERMINED BY USING OVERALL COST TO CHARGE RATIO.
PART III, LINE 9B: RUSSELL MEDICAL CENTER INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR THE ORGANZIATION'S CHARITY CARE POLICY IN SEVERAL DIFFERENT WAYS. EACH PATIENT BILL HAS A PRINTED STATEMENT ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND WHO THE PATIENT SHOULD CONTACT. THIS SAME PRINTED STATEMENT IS DISPLAYED IN ALL REGISTRATION AND ADMISSION AREAS THROUGHOUT RUSSELL MEDICAL CENTER, THE PROFESSIONAL OFFICE BUILDING AND THE CANCER CENTER. PATIENTS WHO PRESENT TO AN ADMISSIONS CLERK AS SELF PAY OR UNDER-INSURED ARE DIRECTED TO THE BUSINESS OFFICE FOR FINANCIAL COUNSELING. PATIENTS ARE OFFERED A CHARITY APPLICATION PACKET WHICH INSTRUCTS THEM ON THE REQUIREMENTS FOR COMPLETING THE APPLICATION PROCESS. IT IS ULTIMATELY THE PATIENT'S RESPONSIBILITY TO RETURN THE DOCUMENTATION TO THE BUSINESS OFFICE FOR ELIGIBILITY DETERMINATION. WHEN THE APPLICATION IS RETURNED, THE FINANCIAL COUNSELOR CHECKS FOR COMPLETENESS AND FORWARDS THIS TO THE SOCIAL WORKER. THE APPLICANT IS THEN SCREENED FOR ANY ADDITIONAL ASSISTANCE. IF IT IS DETERMINED THE PATIENT MAY BE ELIGIBLE FOR MEDICAID, THE SOCIAL WORKER CONTACTS THE PATIENT TO ASSIST IN THIS PROCESS. IF DETERMINATION IS MADE THAT NO OTHER ASSISTANCE IS AVAILABLE, THE APPLICATION IS RETURNED TO THE PATIENT ACCOUNTS SUPERVISOR. THE CURRENT FEDERAL POVERTY GUIDELINES ARE FOLLOWED TO DETERMINE THE AMOUNT OF CHARITY, IF ANY, THE PATIENT IS ELIGIBLE FOR. ACCOUNTS THAT TOTAL $5,000.00 AND LESS ARE SENT TO THE BUSINESS OFFICE DIRECTOR FOR APPROVAL AND ACCOUNTS GREATER THAN $5,000.00 ARE SENT TO THE CFO FOR APPROVAL. AFTER 3 MONTHS OF THE INTITIAL APPLICATION, PATIENTS MUST PROVIDE ADDITIONAL DOCUMENTATION FOR ANY NEW ACCOUNTS.
PART V, SECTION B, LINE 20D: HOSPITAL CHARGES ARE DISCOUNTED 65%.RUSSELL MEDICAL CENTER
PART VI, LINE 2: RUSSELL MEDICAL CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE IN A VARIETY OF WAYS. A PUBLIC PERCEPTION STUDY IS CONDUCTED BY A NATIONAL RESEARCH FIRM TO ASCERTAIN THE PERCEPTION AND UTILIZATION OF SERVICES PROVIDED BY RUSSELL MEDICAL CENTER AND OTHER HOSPITALS IN A 100 MILE RADIUS. THE LAST STUDY WAS CONDUCTED IN FY 2009. THIS, COMBINED WITH INPATIENT AND OUTPATIENT DRG DATA, HELPS VERIFY THE TOP DISEASE CATEGORIES OF OUR PATIENT POPULATION. HEALTH FAIRS, COMMUNITY EDUCATION PROGRAMS AND A VARIETY OF HEALTH SCREENINGS ARE PROVIDED THROUGHOUT THE YEAR, AND SHORT HEALTH QUESTIONNAIRES AND INTERVIEWS ARE SECURED THROUGH THESE EVENTS. IN ADDITION, A MARKET ANALYSIS TEAM WAS DEVELOPED AS PART OF THE HOSPITAL'S STRATEGIC PLAN TO RESEARCH, ANALYZE AND TREND THE DEMOGRAPHICS AND HEALTH STATUS OF OUR PRIMARY AND SECONDARY SERVICE AREA THROUGH VARIOUS DATA BASES INCLUDING REAL TIME MEDICAL DATA. THE HOSPITAL ALSO CONSIDERS INFORMATION PROVIDED BY LOCAL PEDIATRICIANS, PRIMARY CARE PHYSICIANS, INDUSTRY HR DIRECTORS AND THE TALLAPOOSA COUNTY PUBLIC HEALTH DEPARTMENT. RUSSELL MEDICAL CENTER HAS CONDUCTED COMMUNITY NEEDS ASSESSMENTS IN THE PAST. THE NEXT SCHEDULED COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT IS SCHEDULED FOR 3RD QUARTER 2013.
PART VI, LINE 3: RUSSELL MEDICAL CENTER INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR THE ORGANZIATION'S CHARITY CARE POLICY IN SEVERAL DIFFERENT WAYS. EACH PATIENT BILL HAS A PRINTED STATEMENT ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND WHO THE PATIENT SHOULD CONTACT. THIS SAME PRINTED STATEMENT IS DISPLAYED IN ALL REGISTRATION AND ADMISSION AREAS THROUGHOUT RUSSELL MEDICAL CENTER, THE PROFESSIONAL OFFICE BUILDING AND THE CANCER CENTER. PATIENTS WHO PRESENT TO AN ADMISSIONS CLERK AS SELF PAY OR UNDER-INSURED ARE DIRECTED TO THE BUSINESS OFFICE FOR FINANCIAL COUNSELING. PATIENTS ARE OFFERED A CHARITY APPLICATION PACKET WHICH INSTRUCTS THEM ON THE REQUIREMENTS FOR COMPLETING THE APPLICATION PROCESS. IT IS ULTIMATELY THE PATIENT'S RESPONSIBILITY TO RETURN THE DOCUMENTATION TO THE BUSINESS OFFICE FOR ELIGIBILITY DETERMINATION. WHEN THE APPLICATION IS RETURNED, THE FINANCIAL COUNSELOR CHECKS FOR COMPLETENESS AND FORWARDS THIS TO THE SOCIAL WORKER. THE APPLICANT IS THEN SCREENED FOR ANY ADDITIONAL ASSISTANCE. IF IT IS DETERMINED THE PATIENT MAY BE ELIGIBLE FOR MEDICAID, THE SOCIAL WORKER CONTACTS THE PATIENT TO ASSIST IN THIS PROCESS. IF DETERMINATION IS MADE THAT NO OTHER ASSISTANCE IS AVAILABLE, THE APPLICATION IS RETURNED TO THE PATIENT ACCOUNTS SUPERVISOR. THE CURRENT FEDERAL POVERTY GUIDELINES ARE FOLLOWED TO DETERMINE THE AMOUNT OF CHARITY, IF ANY, THE PATIENT IS ELIGIBLE FOR. ACCOUNTS THAT TOTAL $5,000.00 AND LESS ARE SENT TO THE BUSINESS OFFICE DIRECTOR FOR APPROVAL AND ACCOUNTS GREATER THAN $5,000.00 ARE SENT TO THE CFO FOR APPROVAL. AFTER 3 MONTHS OF THE INTITIAL APPLICATION, PATIENTS MUST PROVIDE ADDITIONAL DOCUMENTATION FOR ANY NEW ACCOUNTS.
PART VI, LINE 4: RUSSELL MEDICAL CENTER'S SERVICE AREAS ARE DETERMINED BY PATIENT ORIGIN PATTERNS. THE PRIMARY SERVICE AREA IS DEFINED BY THE NATURAL GEOGRAPHIC BOUNDARY POSTED BY LAKE MARTIN, WHICH DIVIDES TALLAPOSSA COUNTY INTO A NORTHWEST SECTOR (INCLUDING ALEXANDER CITY) AND A SOUTHEAST SECTOR (INCLUDING DADEVILLE). THE PRIMARY SERVICE AREA CONSISTS OF ALEXANDER CITY, DADEVILLE, GOODWATER, KELLYTON AND JACKSON'S GAP. THE SECONDARY SERVICE AREA CONSISTS OF DAVISTON, EQUALITY, ROCKFORD AND CAMP HILL. OTHER AREAS NOT CONSIDERED PRIMARY OR SECONDARY BUT SUPPLYING RUSSELL MEDICAL CENTER WITH A FAIRLY SIGNIFICANT NUMBER OF PATIENTS (IN TOTAL) INCLUDE ASHLAND, LINEVILLE, ECLECTIC, WADLEY, TALLASSEE AND SYLACAUGA.DEMOGRAPHIC DATA INCLUDING RACE, GENDER AND AGE IS CAPTURED THROUGH THE REGISTRATION PROCESS. FOR 2012, CAUCASIAN, AFRICAN AMERICAN, HISPANIC AND OTHER RACES ACCOUNTED FOR 68%, 30%, LESS THAN 1% AND LESS THAN 1% RESPECTIVELY, OF THE PATIENTS SERVED WHILE 8%, 61% AND 31% WERE AGES 0-13, 14-65 AND 66+ YEARS, RESPECTIVELY. ECONOMIC DEMOGRAPHIC DATA IS NOT SPECIFICALLY CAPTURED; HOWEVER BASED ON THE LATEST MARKET SHARE DATA THE MEDICAL CENTER PROVIDED SERVICES TO 49% OF MEDICAID AND 29% OF UNINSURED/CHARITY PATIENTS IN TALLAPOOSA COUNTY AND 46% OF MEDICAID AND 23% OF UNINSURED/CHARITY PATIENTS IN COOSA COUNTY.
PART VI, LINE 5: RUSSELL MEDICAL CENTER IS THE PRIMARY SOURCE OF ACUTE CARE IN OUR SERVICE AREA. THE HOSPITAL OPERATES AN OPEN MEDICAL STAFF AND ACTIVELY RECRUITS PHYSICIAN SPECIALTIES BASED ON NEED IN OUR COMMUNITY. THE HOSPITAL HAS A BOARD OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS AND MEDICAL STAFF TO ENSURE WE ARE CONNECTED TO COMMUNITY NEEDS WITH THE HIGHEST QUALITY OF SERVICE. RUSSELL MEDICAL CENTER ANNUALLY PREPARES A COMMUNITY BENEFIT REPORT OUTLINING OUR NUMEROUS ACTIVITES AS WELL AS DOCUMENTS OUR FINANCIAL BENEFITS TO OUR LOCAL AREA.
PART VI, LINE 6: ALL ORGANIZATIONS AFFILIATED WITH RUSSELL HOSPITAL CORPORATION ARE ORGANIZED FOR THE PURPOSE OF ENSURING THE HIGHEST QUALITY OF HEALTHCARE IN OUR SERVICE AREA.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JIM PEACE
CEO29265607870000060000180960395452000
TIM THORNTON
CFO2068350564000006000045480273783000
SARAH BETH GETTYS
VP PATIENT SERVICES199413055920000404509100260288000
KERI K BROWN MD
PULMONOLOGIST338857000002400000341257000
JOHN ELGIN MD
DIRECTOR - PATHOLOGY411019000000000411019000
WILLIAM MOORE MD
GYN PHYSICIAN240295000000027280243023000
MARY EMILY SHEFFIELD MD
MEDICAL ONCOLOGIST374831000006000000380831000
RORY CLAWSER MD
OB/GYN PHYSICIAN245543000000011800246723000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
THE SPECIAL CARE FACILITIES FINANCING AUTHORITY OF THE CITY OF ALEX CITY
A631165091014545CE52006-05-1038792980REFINANCE OUTSTANDING BONDS & CAPITAL LEASE OBLIGATIONS & PAY COST OF ISSUE110
THE SPECIAL CARE FACILITIES FINANCING AUTHORITY OF THE CITY OF ALEX CITY
B6311650912011-10-275000000EQUIPMENT PURCHASE010

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A387929802943105579882960366920080111
B5000000500000020130000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.000000.000000.00000000
B00000.000000.000000.00000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDue
A100000
B000000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW AND IS AN AGENDA ITEM AT A REGULARLY SCHEDULED BOARD MEETING OPEN FOR ANY DISCUSSION BEFORE THE RETURN IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CALL QUESTIONNAIRES COMPLETED DURING EMPLOYEE ORIENTATION ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER. IF CONCERNS ARE IDENTIFIED, HOSPITAL ADMINISTRATION IS CONSULTED. EMPLOYEES ARE ALSO REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT WITH THE ORGANIZATION. HOSPITAL BOARD MEMBERS ARE REQUIRED TO COMPLETE A DISCLOSURE FORM ANNUALLY. THEY ARE ASKED TO RECUSE THEMSELVES FROM ALL VOTES WHERE A CONFLICT MAY EXIST. THE BOARD, ALONG WITH HOSPITAL ADMINISTRATION, IS RESPONSIBLE FOR THE MONITORING OF EVENTS WHICH MAY GIVE RISE TO POTENTIAL CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15RUSSELL MEDICAL CENTER DETERMINES APPROPRIATE COMPENSATION FOR OFFICERS AND OTHER KEY EMPLOYEES THROUGH THE USE OF AN INDEPENDENT CONSULTING GROUP WITH RESULTS AND RECOMMENDATIONS FORWARDED TO GOVERNING BOARD.
FORM 990, PART VI, SECTION C, LINE 19AS A GENERAL RULE, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:MINIMUM PENSION LIABILITY 22,631. NONCONTROLLING INTEREST IN CENTRAL ALABAMA CANCER CARE, LLC 402,495.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2C:THE ORGANIZATION MADE NO CHANGES TO ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MEDICAL PARK HEALTHCARE CENTER INC
PO BOX 939ALEXANDER CITYAL35011630987400MANAGEMENT OF HEALTHCARE FACILITIESAL501(C)(3)11ARUSSELL HOSPITAL CORPORATION1
RUSSELL HOSPITAL FOUNDATION
PO BOX 939ALEXANDER CITYAL35011630987401FUNDRAISING ACTIVITIESAL501(C)(3)11CMEDICAL PARK HEALTHCARE CENTER INC0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CENTRAL ALABAMA CANCER CARE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 939AddressLine1
CityALEXANDER CITYCity
StateALState
ZIP Code35011ZIPCode
FieldValueIRS element (for citing)
EIN453656764EIN
Primary ActivityCANCER TREATMENTPrimaryActivity
Legal Domicile StateALLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1RUSSELL HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income2868968ShareOfTotalIncome
Share Of EOY Assets1372939ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership0.51000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MEDICAL PARK DEVELOPMENT INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 939AddressLine1
CityALEXANDER CITYCity
StateALState
ZIP Code35011ZIPCode
FieldValueIRS element (for citing)
EIN630987345EIN
Primary ActivityRENTAL REAL ESTATEPrimaryActivity
Legal Domicile StateALLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL PARK HEALTHCARE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
RUSSELL HOSPITAL FOUNDATION INC
D37298FMV
MEDICAL PARK DEVELOPMENT INC
D4057FMV