Community Benefit Insight - Tax-exempt hospital

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Cullman Regional Medical Center Inc

Cullman Regional

1912 Alabama Highway 157
Cullman, AL 35056

Bed count	115	Medicare provider number	010035	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 631058174

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

6.08%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 1,803,085 1.02 %
Medicaid as % of operating expenses	$ 7,605,858 4.31 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 151,653 0.09 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 1,070,508 0.61 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 96,968 0.05 %
Community building* as % of operating expenses	$ 313 0.00 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	1
Physical improvements and housing	0
Economic development	1
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 313 0.00 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 313 100 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 34,918,367 19.77 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 156268337 including grants of $ 3921004) (Revenue $ 165198430)
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 35,038 INPATIENT DAYS CARE, 7.54% WERE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN; 43,455 EMERGENCY ROOM VISITS, 18.43% WERE NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN; AND 102,805 OUTPATIENT VISITS, 7.62% NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PLAN. THE TOTAL UNREIMBURSED 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.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

FACILITY 1, CULLMAN REGIONAL MEDICAL CENTER - PART V, LINE 3E
THE PROCESS OF PRIORITIZING THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS DESCRIBED ON PAGES 87-95 OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH CAN BE FOUND ON THE ORGANIZATION'S WEBSITE.

FACILITY 1, CULLMAN REGIONAL MEDICAL CENTER - PART V, LINE 5
CULLMAN REGIONAL MEDICAL CENTER, INC. (CRMC) CONTRACTED WITH PROFESSIONAL RESEARCH, INC. TO ASSIST IN CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS REQUIRED BY INTERNAL REVENUE CODE. DURING THE CHNA PROCESS, CRMC SOLICITED AND TOOK INTO ACCOUNT INPUT RECEIVED FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF CULLMAN COUNTY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH THROUGH MULTIPLE METHODS. INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED WITH A BROAD RANGE OF COMMUNITY REPRESENTATIVES WHO REPRESENT THE BROAD INTERESTS OF CULLMAN COUNTY. MANY OF THE INTERVIEW AND FOCUS GROUP PARTICIPANTS HAVE SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH, AND REPRESENTED THE INTERESTS OF THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS OF CULLMAN COUNTY. IN TOTAL, 20 COMMUNITY REPRESENTATIVES PARTICIPATED IN AN ONLINE KEY INFORMANT SURVEY, INCLUDING A REPRESENTATIVE FROM THE CULLMAN COUNTY HEALTH DEPARTMENT, SOCIAL SERVICE PROVIDERS, COMMUNITY LEADERS, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS. THE PURPOSE OF THE INTERVIEWS WAS TO GAIN DIRECT INPUT FROM THESE INDIVIDUALS REGARDING IDENTIFYING AND PRIORITIZING HEALTH NEEDS, INCLUDING THE HEALTH ISSUES ASSOCIATED WITH THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AS WELL AS IDENTIFYING RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THOSE HEALTH NEEDS. IN ADDITION TO CONDUCTING INTERVIEWS, COMMUNITY INPUT WAS GARNERED FROM PARTICIPANTS IN A COMMUNITY ADVISORY COMMITTEE (CAC), AS WELL AS CRMCS CHNA ADVISORY COMMITTEE. THE CHNA ADVISORY COMMITTEE WAS RESPONSIBLE FOR OVERSEEING THE CHNA PROCESS, INCLUDING IDENTIFYING AND PRIORITIZING THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. SECONDARY DATA WAS COLLECTED FROM A VARIETY OF RESPECTED ORGANIZATIONS ON A BROAD ARRAY OF HEALTH INDICATORS AND OTHER INFORMATION, AND ANALYZED AND SUMMARIZED. THE TYPES OF DATA COLLECTED INCLUDED DEMOGRAPHIC, SOCIOECONOMIC, MORTALITY AND MORBIDITY, HEALTH STATUS INDICATORS, HEALTH BEHAVIORS, MATERNAL AND CHILD HEALTH, INSURANCE STATUS, AND GENERAL COMMUNITY/ENVIRONMENTAL INFORMATION.

FACILITY 1, CULLMAN REGIONAL MEDICAL CENTER - PART V, LINE 11
AS A RESULT OF THE 2022 CHNA, THE FOLLOWING CATEGORIES OF HEALTH NEEDS AND CONCERNS WERE IDENTIFIED AND PRIORITIZED. 1. MENTAL HEALTH 2. SUBSTANCE ABUSE 3. TOBACCO USE 4. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 5. HEART DISEASE & STROKE 6. POTENTIALLY DISABLING CONDITIONS 7. RESPIRATORY DISEASE 8. CANCER 9. INFANT HEALTH & FAMILY PLANNING 10. ACCESS TO HEALTHCARE SERVICES 11. ORAL HEALTH 12. INJURY & VIOLENCE ALL OF THE ABOVE PRIORITIES ARE DISCSSED FURTHER IN CRMC'S IMPLEMENTATION STRATEGY REPORT.

FACILITY 1, CULLMAN REGIONAL MEDICAL CENTER - PART V, LINE 16J
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.

Supplemental Information

Schedule H (Form 990) Part VI

SCHEDULE H, PART I, LINE 3C
FEDERAL POVERTY GUIDELINES (200%) ARE USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. DISCOUNTED CARE WILL BE BASED ON MEDICARE REIMBURSEMENT.

SCHEDULE H, PART I, LINE 7G
THE HOSPITAL SUPPORTS THE OPERATIONS OF THE GOOD SAMARITAN CLINIC, A FREE CLINIC IN CULLMAN, AL.

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"". THE HOSPITAL UTILIZES EPSI SOFTWARE FOR COST ACCOUNTING PURPOSES. 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 THE EVALUATION OF THE OVERALL COLLECTIBILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE, THE ACCOUNT IS 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
THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL AID POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL AID, THEY ARE NOT REPORTED AS REVENUE.

SCHEDULE H, PART VI, LINE 2
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. THE 2022 AND 2019 COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION PLANS ARE WIDELY PUBLICIZED ON THE HOSPITAL'S WEBSITE AT HTTPS://CULLMANREGIONAL.COM/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/

SCHEDULE H, PART VI, LINE 3
THE HOSPITAL HAS CLEARLY WRITTEN FINANCIAL AID POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION WEB SITE AND THROUGHOUT 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. AT ANY TIME DURING AN INITIAL FINANCIAL SCREENING AND CONTINUING COLLECTIONS PROCESS, PATIENTS WHO CLAIM TO LACK THE ABILITY TO PAY WILL BE OFFERED A FINANCIAL ASSESSMENT APPLICATION. A HOSPITAL REPRESENTATIVE WILL REVIEW AND EXPLAIN THE PROCESS. WE ASSIGN PATIENTS FINANCIAL COUNSELORS BY THE LAST NAME.

SCHEDULE H, PART VI, LINE 4
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 18,635, AND CULLMAN COUNTY, POPULATION 89,496. PER CAPITA INCOME FOR THIS AREA IS SLIGHTLY BELOW THE PER CAPITA INCOME FOR THE STATE OF ALABAMA. CULLMAN IS SERVED BY I-65, AND IS LOCATED BETWEEN HUNTSVILLE AND BIRMINGHAM.

SCHEDULE H, PART VI, LINE 5
THE ORGANIZATION AND ITS VOLUNTEER BOARDS ARE COMPOSED OF COMMUNITY MEMBERS W TH 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. CULLMAN REGIONAL PROVIDES FREE HEALTH SCREENINGS FOR THE COMMUNITY. THESE SCREENINGS ARE SET UP AT THE HOSPITAL AND AT VARIOUS LOCATIONS AROUND THE COUNTY. DURING FISCAL YEAR 2022, COVID PROTOCOLS PREVENTED THE FREE HEALTH SCREENINGS FROM TAKING PLACE. 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 (ALZHEIMER'S, BREAST CANCER, ETC) PROMOTE THE PHYSICAL AND MENTAL HEALTH OF THE COMMUNITY THAT WE SERVE. CULLMAN REGIONAL PROVIDES THE HEALTHY LIFE PROGRAM. THIS PROGRAM OFFERS SEMINARS AND EDUCATION ON HEALTH AND LIFESTYLE ISSUES AND ALSO OFFERS DISCOUNT ADMISSION TO WORKSHOPS AND HEALTH SCREENINGS. THIS PROGRAM CURRENTLY HAS APPROXIMATELY 7,000 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.

SCHEDULE H, PART VI, LINE 7
ALABAMA

SCHEDULE H, PART VI, LINE 6
THE HEALTH CARE AUTHORITY OF CULLMAN COUNTY (AUTHORITY) WAS REINCORPORATED ON NOVEMBER 15, 1984 UNDER THE ALABAMA HEALTH CARE AUTHORITY ACT OF 1982 PURSUANT TO THE PROVISION OF ACT NUMBER 82-418 AS A PUBLIC HOSPITAL CORPORATION. IT WAS CREATED BY THE BOARD OF COUNTY COMMISSIONERS OF CULLMAN COUNTY, ALABAMA, TO OPERATE, CONTROL, AND MANAGE ALL MATTERS CONCERNING THE COUNTY'S HEALTH CARE FUNCTIONS. THE BOARD OF COUNTY COMMISSIONERS APPOINTS THE BOARD OF DIRECTOR MEMBERS OF THE AUTHORITY, AND THE AUTHORITY, WITHIN THE DEFINITIONS OF THE HEALTH CARE AUTHORITY ACT, MAY ISSUE DEBT BUT IT CANNOT LEVY TAXES WITHOUT THE COUNTY'S APPROVAL. FOR THIS REASON, THE AUTHORITY IS CONSIDERED TO BE A COMPONENT UNIT OF CULLMAN COUNTY. CULLMAN REGIONAL MEDICAL CENTER (HOSPITAL), A BLENDED COMPONENT UNIT OF THE AUTHORITY, IS AN ALABAMA NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE TO OPERATE AS AN ACUTE CARE HOSPITAL. THE AUTHORITY APPOINTS THE VOTING MAJORITY OF THE HOSPITAL BOARD AND CONTROLS THE OPERATIONS OF THE HOSPITAL. THE AUTHORITY AND BAPTIST HEALTH SYSTEMS, INC. (BHS) ORGANIZED CULLMAN REGIONAL MEDICAL CENTER TO CONSTRUCT AND OPERATE A 115-BED GENERAL ACUTE CARE HOSPITAL IN CULLMAN, ALABAMA. THE AUTHORITY AND BHS WERE EQUAL MEMBERS IN THE HOSPITAL. ON DECEMBER 1, 2005, THE AUTHORITY PURCHASED BHS'S SHARE OF THE HOSPITAL AND IS NOW THE SOLE MEMBER. THE AUTHORITY ALSO OPERATES CULLMAN EMERGENCY MANAGEMENT SERVICES (CEMS), AN AMBULANCE SERVICE COVERING THE CULLMAN COUNTY AREA. CULLMAN REGIONAL MEDICAL CENTER FOUNDATION, INC. (FOUNDATION) IS A NONPROFIT CORPORATION WHICH WAS FORMED TO ASSIST, ADVANCE, AND STRENGTHEN CULLMAN REGIONAL MEDICAL CENTER, INC.(HOSPITAL) IN CULLMAN, ALABAMA, BY SUPPORTING THE HOSPITAL'S HEALTHCARE MISSION AND MEDICAL EDUCATION PROGRAMS. THE FOUNDATION SOLICITS AND ADMINISTERS CONTRIBUTIONS WHICH ARE USED TO ASSIST THE HOSPITAL WITH EXPANSION OF HOSPITAL FACILITIES, MEDICAL EQUIPMENT PURCHASES, CHARITY MEDICAL CARE AND NURSING, AND MEDICAL AND PARAMEDICAL EDUCATION.

Operating expenses	$ 176,582,087
Total amount spent on community benefits as % of operating expenses	$ 10,728,072 6.08 %