2012-05-11T12:39:51-05:00 2011-06-30 DRAFFIN & TUCKER LLP PO BOX 6 ALBANY GA 317020006 990 2010-07-01 631058174 CULLMAN REGIONAL MEDICAL CENTER CULL 2567372595 1912 ALABAMA HIGHWAY 157 CULLMAN AL 35058 NESHA DONALDSON 2567372595 2012-05-15 true JACQUELINE G ATKINS 2298837878 2012-05-11 2010 2016-02-24 21:20:13Z JIM WEIDNER CEO 1912 ALABAMA HIGHWAY 157 CULLMAN AL 35058 97680620 false X CRMCHOSPITAL.COM X 1939 AL CULLMAN REGIONAL MEDICAL CENTER, LICENSED FOR 145 BEDS, OPERATES A 115-BED GENERAL ACUTE CARE HOSPITAL FOR THE COMMUNITY OF CULLMAN, ALABAMA AND SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY. 14 13 1211 48 1186552 130673 203610 579857 112596381 89626904 6866090 1442951 4753706 5161858 124419787 96811570 38263 133680 0 49319562 50063985 0 0 69114619 48818232 118472444 99015897 5947343 -2204327 107982569 103646122 98817923 96478225 9164646 7167897 X CULLMAN REGIONAL MEDICAL CENTER, LICENSED FOR 145 BEDS, OPERATES A 115-BED GENERAL ACUTE CARE HOSPITAL FOR THE COMMUNITY OF CULLMAN, ALABAMA AND SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY. false false 83457420 133680 92308800 CRMC PROVIDES ACUTE CARE PATIENT SERVICES WHICH ARE RENDERED TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. CRMC USES CHARITY APPLICATIONS BASED UPON FEDERAL POVERTY GUIDELINES AND FAMILY SIZE TO DETERMINE ELIGIBILITY FOLLOWING SERVICES PROVIDED. CRMC PROVIDES CARE 24 HOURS PER DAY, SEVEN DAYS A WEEK AND HAS PROVIDED 28,739 INPATIENT DAYS CARE, 5% WERE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN; 42,619 EMERGENCY ROOM VISITS, 19% WERE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN; AND 105,543 OUTPATIENT VISITS, 30% NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN. THE TOTAL UNREIMBUSED COST OF MEDICAL SERVICES PROVIDED TO THOSE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN IS REPORTED ON SCHEDULE H. CRMC ALSO PROVIDES COMMUNITY EDUCATION AND WELLNESS ACTIVITIES TO THE COMMUNITY AND IS A MAJOR CONTRIBUTOR TO A LOCAL INDIGENT CLINIC SERVICING CULLMAN COUNTY. 83457420 true true false false 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 true false false false false false false false false false false false false false false false true false false false false true 196 0 true 1211 true true true false false false false false false false false false false false X 14 13 false true false false false true true true true false false true true true true true true true true false AL X NESHA DONALDSON 2567372598 1912 ALABAMA HWY 157 CULLMAN AL 35058 X JIM WEIDNER 40.00 X X 87535 0 13600 DAVID MCKOY 2.00 X X 0 0 0 TODD MCLEROY 2.00 X X 0 0 0 HOYT BROWNIE PRICE MD 2.00 X X 0 0 0 ALAN WOOD 2.00 X X 0 0 0 R CLYNE ADAMS DMD 2.00 X 0 0 0 STEVE GLASSCOCK 2.00 X 0 0 0 JAY MULLINS 2.00 X 0 0 0 DOUG DOGGETT 2.00 X 0 0 0 CLINT FREY 2.00 X 0 0 0 DEL BROCK 2.00 X 0 0 0 ROBIN HALL MD 2.00 X 0 0 0 STEPHEN DONALDSON 2.00 X 0 0 0 JOHN MORRIS MD 2.00 X 0 0 0 JETE EDMISSON 40.00 X 167200 0 16632 CHERYL BAILEY 40.00 X 123959 0 5157 SUSAN COPELAND 40.00 X 107350 0 8563 CHARNA BROWN 40.00 X 98686 0 14073 WILLIAM GUNTER 40.00 X 178589 0 16858 NORMAN BURKETT 40.00 X 176722 0 17169 LINDA LOVELADY 40.00 X 174789 0 16175 JEFFREY SMITH 40.00 X 168630 0 16850 THOMAS WOOSLEY 40.00 X 160977 0 14509 1444437 139586 19 false true true MEDASSETS P O BOX 405652 ATLANTA GA 303845652 BUS OFC SVCS 930377 CPSI 6600 WALL STREET MOBILE AL 36695 COMPUTER SVCS 617750 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 55480 LAB SVCS 403486 NORTHWEST ALABAMA LITHOTRIPSY 237 OXMOOR CIRCLE SUITE 108 BIRMINGHAM AL 35209 LITHOTRIPSY SVC 390225 MEDASSIST INC 6455 RELIABLE PARKWAY CHICAGO IL 60686 OUTSOURCING SVC 382599 20 421755 101447 56655 579857 PATIENT SERVICE REVENUES 623000 88440352 88440352 OUTREACH LAB SERVICES 621500 746855 746855 CPAP MEDICAL EQUIPMENT 621990 373707 373707 CONFERENCE CENTER 532000 52649 52649 SPORTS FIRST 713940 13341 13341 89626904 886350 886350 201286 360641 201286 360641 561927 360641 201286 1259632 703031 556601 556601 556601 286778 166019 120759 120759 MANAGEMENT FEES 722210 2782292 2782292 CAFETERIA/CATERING 561000 632842 632842 FITNESS CENTER 713940 459282 459282 604756 604756 4479172 96811570 92308800 1186552 2736361 133680 133680 805126 367230 437896 38644832 34754836 3889996 1586407 1453006 133401 6187810 5577073 610737 2839810 2559521 280289 3122767 2525710 597057 535841 35348 500493 112780 112780 93290 93290 7164238 6596367 567871 227801 5134 222667 22973231 20892058 2081173 23042 23042 6485716 4288355 2197361 403591 379003 24588 73671 26418 47253 33769 33769 4714670 3117340 1597330 377311 377311 REPAIRS AND MAINT 2122753 330904 1791849 DUES AND SUBSCRIPTIONS 131474 131474 TAXES AND LICENSE 130372 130372 MISCELLANEOUS 75040 42 74998 SPECIAL EVENTS 16875 15042 1833 99015897 83457420 15558477 0 93532 1233718 21017321 18022762 721807 808482 607151 543000 101579874 61629651 41954262 39950223 31782354 34853873 5900260 3001810 5905882 5232254 107982569 103646122 11428499 10527411 41849 35040 70756525 69052936 335870 279183 16255180 16583655 98817923 96478225 X 3552787 4793013 5611859 2374884 9164646 7167897 107982569 103646122 X -2204327 207578 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 2194053 2194053 44010046 18237191 25772855 3730084 3290434 439650 46897715 38121664 8776051 4747976 1980362 2767614 39950223 OTHER RECEIVABLES 3720217 UNAMORTIZED BOND ISSUE COSTS 1258878 OTHER CURRENT ASSETS 128254 COST REPORT SETTLEMENT 123086 ACCRUED INTEREST 1819 5232254 MINIMUM PENSION LIABILITY 13349020 ACCRUED INTEREST 1836388 INTERCOMPANY RECEIVABLE 1398247 16583655 LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)3 OF THE INTERNAL REVENUE CODE. THE HOSPITAL APPLIES 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, THE HOSPITAL ONLY RECOGNIZES 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 JUNE 30, 2011 AND 2010 OR FOR THE YEARS THEN ENDED. THE HOSPITAL'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2008-2010. true true true X false true true false true true 2192 2249088 2249088 0.02270 17084 8987874 5482774 3505100 0.03530 19276 11236962 5482774 5754188 0.05800 21 50928 372592 2000 370592 0.00370 1 3500 1275 1275 3 65 11398 11398 0.00010 25 54493 385265 2000 383265 0.00390 25 73769 11622227 5484774 6137453 0.06190 1 1 2470 2470 13 6443 74106 74106 0.00070 1 875 425 425 15 7319 77001 77001 0.00080 true 5757736 36698247 35574541 1123706 X true true HERITAGE DIAGNOSTICS IMAGING SERVICES 0.21000 0.79000 1 1 CULLMAN REGIONAL MEDICAL CENTER

1912 ALABAMA HIGHWAY 157 CULLMAN AL 35058

X X X HOSPICE, CLINICS & HOME HEALTH CULLMAN REGIONAL MEDICAL CENTER 1 1 HOSPICE OF CULLMAN COUNTY

402 4TH AVENUE NE CULLMAN AL 35055

HOSPICE OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE PART I LINE 3C FEDERAL POVERTY GUIDELINES 150 ARE USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE DISCOUNTED CARE WILL BE BASED ON MEDICARE REIMBURSEMENT EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN F THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990 PART IX LINE 25 FORM 990 PART IX LINE 25 99015897 ADD EXPENSES REPORTED IN PART VIII 166019 DENOMINATOR FOR COLUMN F 99181916 COSTING METHODOLOGY EXPLANATION PART I LINE 7 THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATIONS A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS 2008 SEE ALSO THE DESCRIPTION FOR PART III LINE 4 BAD DEBT EXPENSE EXPLANATION PART III LINE 4 COST IS DETERMINED USING THE HOSPITALS INTERNAL COST ACCOUNTING SYSTEM THIS SYSTEM ALLOCATES COSTS USING A STEP DOWN METHOD SIMILAR TO BUT MORE DETAILED THAN MEDICARES COST REPORTING METHODOLOGY OVERALL COST IS DEVELOPED AT THE CHARGE LEVEL BY PATIENT ACCOUNT AND THEN AGGREGATED TO CALCULATE COSTTOCHARGE RATIOS BY PAYOR CATEGORY THE RATIOS ARE APPLIED TO THE CHARGES TO ARRIVE AT COST PAYMENTS ARE THEN SUBTRACTED FROM THESE COSTS TO DETERMINE LOSSES ON PARTICULAR PAYOR GROUPS THE COSTING METHODOLOGY USED FOR THE SYSTEMS COMMUNITY BENEFIT IS CONSISTENT FOR ANY PAYOR GROUPINGS CHARITY BAD DEBT MEDICAID THE FOLLOWING IS AN EXCERPT FROM THE AUDITED FINANCIAL STATEMENTS THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE EVALUATION OF THE OVERALL COLLECTIBILITY OF THE ACCOUNTS RECEIVABLE AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE THE ACCOUNT IS CHARGED AGAINST THE ALLOWANCE MEDICARE EXPLANATION PART III LINE 8 THE HOSPITAL UTILIZES LYONS SOFTWARE FOR COST ACCOUNTING PURPOSES ALTHOUGH THE MEDICARE COST REPORT WAS USED TO GATHER INFORMATION RELATED TO MEDICARE CHARGES AND REIMBURSMENT MEDICARE COST WAS CALCULATED USING THE LYONS SOFTWARE COLLECTION PRACTICES EXPLANATION PART III LINE 9B THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE THEY ARE NOT REPORTED AS REVENUE NEEDS ASSESSMENT PART VI THE HOSPITAL PARTICIPATES IN THE CULLMAN COUNTY HEALTH COALITION THIS ORGANIZATION COMPRISED OF VARIOUS HEALTH CARE PROVIDERS AND COMMUNITY LEADERS ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY AND STRIVES TO PROVIDE RESOURCES THAT BEST MEET THOSE NEEDS PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI THE HOSPITAL HAS CLEARLY WRITTEN FINANCIAL AID POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION WEB SITE AND THROUGH THE BUSINESS OFFICE SIGNS ARE PROMINENTLY POSTED IN THE ER ABOUT THE AVAILABILITY OF FINANCIAL AID A REPRESENTATIVE IS ALSO AVAILABLE TO DISCUSS ELIGIBILITY TO GOVERNMENT PROGRAMS COMMUNITY INFORMATION PART VI THE HOSPITAL DRAWS PATIENTS PRINCIPALLY FROM CULLMAN COUNTY AND THE NEIGHBORING COUNTIES OF WALKER WINSTON MARSHALL MORGAN AND BLOUNT CRMC IS THE ONLY HOSPITAL IN ITS PRIMARY SERVICE AREA THE PRIMARY SERVICE AREA INCLUDES THE CITY OF CULLMAN POPULATION 15000 AND CULLMAN COUNTY POPULATION 81000 PER CAPITA INCOME FOR THIS AREA IS SLIGHTLY BELOW THE PER CAPITA INCOME FOR THE STATE OF ALABAMA CULLMAN IS SERVED BY I65 AND IS LOCATED BETWEEN HUNTSVILLE AND BIRMINGHAM HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI THE ORGANIZATION AND ITS VOLUNTEER BOARDS ARE COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS AS WELL AS PHYSICIAN MEMBERS THE EMERGENCY DEPARTMENT IS OPEN 24 HOURS PER DAY 7 DAYS PER WEEK AND IS OPEN TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY HOSPITAL EMPLOYEES IN CONJUNCTION WITH OUR LOCAL JUDGES HAVE DEVELOPED A TRAUMA PREVENTION PROGRAM THIS PROGRAM IS PROVIDED BY CRMC EMPLOYEES ON A VOLUNTARY BASIS OUR LOCAL JUDGES REFER TEENAGE DRIVING OFFENDERS TO THE PROGRAM TO TEACH THEM THE IMPORTANCE OF VEHICLE SAFETY WHILE THEY ARE HERE THEY ACTUALLY GET TO WITNESS THE VARIOUS STAGES OF A TRAUMA ACCIDENT FROM THE TIME THEY ARRIVE AT THE ER UNTIL THEY LEAVE THE HOSPITAL COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE PROVIDING AMBULANCE SUPPORT FOR VARIOUS COMMUNITY ACTIVITIES AND PROVIDING COMMUNITY SUPPORT GROUPS THESE SUPPORT GROUPS ALZHEIMERS BREAST CANCER ETC PROMOTE THE PHYSICAL AND MENTAL HEALTH OF THE COMMUNITY THAT WE SERVE CRMC PROVIDES WOMENS FIRST AND SENIOR CHOICE PROGRAMS THE WOMENS FIRST PROGRAM OFFERS SEMINARS AND EDUCATION ON HEALTH AND LIFESTYLE ISSUES SUCH AS STRESS MANAGEMENT PMS MENOPAUSE AND HEART DISEASE IT ALSO GIVES DISCOUNT ADMISSION TO WORKSHOPS AND HEALTH SCREENINGS SENIOR CHOICE PROVIDES SERVICES TO PROMOTE EMOTIONAL SOCIAL AND PHYSICAL WELL BEING FOR COMMUNITY MEMBERS WHO ARE 50 AND OVER THESE PROGRAMS CURRENTLY HAVE 8459 MEMBERS CRMC ALSO PROVIDES A COMMUNITY EDUCATION CENTER WHICH OFFERS MEETING ROOMS AND CATERING SERVICES FOR LOCAL BUSINESSES CHURCHES CIVIC ORGANIZATIONS AND EDUCATIONAL GROUPS ALL OF OUR AMBULANCES ARE EQUIPPED WITH 12 LEAD EKG TECHNOLOGY WHICH TRANSMITS THE INFORMATION DIRECTLY TO THE EMERGENCY ROOM PHYSICIAN ALLOWING THEM TO GET THE INFORMATION WHILE THE PATIENT IS IN TRANSIT THIS PROGRAM HAS REDUCED THE TIME FROM DOOR TO ANGIOPLASTY BY GETTING THE CARDIOLOGY TEAM IN PLACE BEFORE THE PATIENT ARRIVES true GOOD SAMARITAN CLINIC 401 ARNOLD ST NE CULLMAN AL 35055 200149215 3 133680 CURRENT OPERATIONS 1 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 THE HOSPITAL CONTINOUSLY EVALUATES COMMUNITY ORGANIZATIONS (AS IDENTIFIED IN PART II ABOVE) PROVIDING HEALTHCARE NEEDS TO THE MEDICALLY UNDERSERVED WHO ALSO ARE MOST LIKELY UNABLE TO PAY. THE HOSPITAL EVALUATES THE NEEDS ON AN INDIVIDUAL BASIS BASED ON DOCUMENTED REQEUSTS FOR SERVICES PROVIDED. X true true X X X X false false false false false false false false false JIM WEIDNER 87356 179 13600 101135 JETE EDMISSON 166866 334 16632 183832 WILLIAM GUNTER 178026 563 16858 195447 NORMAN BURKETT 176544 178 17169 193891 LINDA LOVELADY 174273 516 16175 190964 JEFFREY SMITH 168457 173 16850 185480 THOMAS WOOSLEY 160153 824 14509 175486 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A SOCIAL CLUB DUES A MEMBERSHIP TO THE LOCAL COUNTRY CLUB IS PROVIDED BY MEANS OF CONTRACTUAL AGREEMENT TO CERTAIN OFFICERS. AS THE MEMBERSHIP IS CONSIDERED TO PROMOTE AND FURTHER THE ORGANIZATION'S TAX EXEMPT MISSION AND IS INTENDED TO BE USED FOR BUSINESS PURPOSES ONLY, THE AMOUNT IS NOT INCLUDED IN TAXABLE WAGES. OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III AN UNRELATED ORGANIZATION, PITTS MANAGEMENT, PROVIDES THE FILING ORGANIZATION'S CEO, JIM WEIDNER, UNDER A MANAGEMENT CONTRACT, UNTIL AUGUST 31, 2010. EFFECTIVE SEPTEMBER 1, 2010, MR. WEIDNER BECAME AN EMPLOYEE OF THE ORGANIZATION. FEES CHARGED BY THE MANAGEMENT ENTITY FOR ADMINISTRATIVE MANAGEMENT SERVICES TOTALED APPROXIMATELY 170,000. HEALTHCARE AUTHORITY OF CULLMAN CTY 631149220 230186AMO 2009-12-03 68624416 DEFEASE 1993/2007 BONDS. false true false 1703589 68624416 61819381 1352854 5452182 2009 true false true true false false false false true true false false true MERRILL LYNCH 26.0 false false false false false FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A COMMUNITY EDUCATION AND WELLNESS ACTIVITIES TO THE COMMUNITY AND IS A MAJOR CONTRIBUTOR TO A LOCAL INDIGENT CLINIC SERVICING CULLMAN COUNTY. MANAGEMENT DELEGATED FORM 990, PAGE 6, PART VI, LINE 3 THE ORGANIZATION CONTRACTED WITH PITTS MANAGEMENT WHICH PROVIDES THE CEO FOR THE ENTITY UNTIL AUGUST 31, 2010. BEGINNING SEPTEMBER 1, 2010, THE CEO BECAME THE EMPLOYEE OF THE ORGANIZATION. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE HEALTH CARE AUTHORITY OF CULLMAN COUNTY APPOINTS THE VOTING MAJORITY OF THE ORGANIZATION'S BOARD AND CONTROLS THE OPERATIONS AS WELL. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B THE HEALTH CARE AUTHORITY OF CULLMAN COUNTY APPOINTS THE VOTING MAJORITY OF THE ORGANIZATION'S BOARD AND CONTROLS THE OPERATIONS OF THE ORGANIZATION. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B MANAGEMENT ASSISTS IN PREPARING SCHEDULES, REVIEWS THE ENTIRE DRAFT OF THE FORM 990 FOR CONTENT, AND RECOMMENDS CHANGES, IF ANY. PRIOR TO FILING, THE FINANCE COMMITTEE REVIEWS THE FORM. THE FINAL FORM, AS IT IS ULTIMATELY FILED WITH ALL SCHEDULES AND ATTACHMENTS, IS POSTED TO THE BOARD WEBSITE PRIOR TO FILING AND AN E-MAIL ALERTS EACH VOTING MEMBER OF ITS AVAILABILITY. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C ANNUALLY, BOARD MEMBERS MUST IDENTIFY ANY CONFLICT, MANAGEMENT MONITORS AND MAY SUGGEST ANY AREAS OF CONFLICT. THE BOARD CHAIRMAN REVIEWS ACTUAL AND PERCEIVED CONFLICTS OF INTEREST. IN THE EVENT OF A CONFLICT, THE MEMBER OR OFFICER WITH THE CONFLICT WILL DISMISS THEMSELVES FROM THE DISCUSSION AND ANY VOTES ON THE ISSUE. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A ANNUALLY THE BOARD (OR A COMMITTEE CHARGED WITH THE RESPONSIBILITY AND AUTHORITY TO DO SO ON BEHALF OF THE BOARD) REVIEWS THE COMPENSATION PACKAGE AND PROPOSED CONTRACT OF THE CEO. THE REVIEW IS CONDUCTED BY INDEPENDENT BOARD MEMBERS, IS BASED UPON REVIEW OF COMPARABILITY DATA PROVIDED BY OUTSIDE CONSULTANTS, AND IS DOCUMENTED IN THE RECORDS OF THE BOARD REFLECTING THE BASIS OF THE DETERMINATION BY THE THE BOARD (OR AUTHORIZED COMMITTEE). COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B ANNUALLY THE BOARD (OR A COMMITTEE CHARGED WITH THE RESPONSIBILITY AND AUTHORITY TO DO SO ON BEHALF OF THE BOARD) REVIEWS THE COMPENSATION PACKAGE OF THE CFO AND OTHER OFFICERS. THE REVIEW IS CONDUCTED BY INDEPENDENT BOARD MEMBERS, IS BASED UPON REVIEW OF COMPARABILITY DATA PROVIDED BY OUTSIDE CONSULTANTS, AND IS DOCUMENTED IN THE RECORDS OF THE BOARD REFLECTING THE BASIS OF THE DETERMINATION BY THE THE BOARD (OR AUTHORIZED COMMITTEE). GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO ANY MEMBER OF THE PUBLIC WHO MAKES THEIR REQUEST AT THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION. RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII AVERAGE WEEKLY HOURS DEVOTED TO RELATED ORGANIZATIONS CLINT FREY - 1 HOUR DEL BROCK - 1 HOUR JIM WEIDNER - 2 HOURS JETE EDMISSION - 2 HOURS OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 INCREASES: FOUNDATION IN UNRESTRICTED ASSETS OF AFFILIATE 253,556 UNREALIZED GAINS ON INVESTMENTS 2,743,079 CHANGE IN VALUE OF INTEREST RATE SWAP 590,151 DECREASES: CHANGE IN PLAN ASSETS AND PBO 227,202 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS OF AFFILIATE 3,152,006 NET INCREASE 207,578 CULLMAN REGIONAL MEDICAL CTR FNDN 1912 ALABAMA HIGHWAY 157 CULLMAN AL 35056 630727880 FOUNDATION AL 501C3 11C NA false HEALTHCARE AUTHORITY OF CULLMAN CO 1912 ALABAMA HIGHWAY 157 CULLMAN AL 35056 631149220 AUTHORITY AL 501C3 6 NA false false false true false false false false false false false false true true true false false false false