2023-11-13T07:46:11-05:00 2022-12-31 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2022-01-01 630987401 RUSSELL HOSPITAL FOUNDATION INC RUSS 2563297100 POST OFFICE BOX 939 ALEXANDER CITY AL 35011 JAMES M FISHER DIRECTOR/HOSP CFO 2563297100 2023-11-07 true MATT FISHER 999009999 false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2023-11-10 2022 2023-04-26 12:10:37Z LOTHER E PEACE III PO BOX 939 ALEXANDER CITY AL 35011 783931 false X X 1988 AL PROVIDE SUPPORT TO RUSSELL HOSPITAL CORPORATION, A RELATED 501(C)(3) ORGANIZATION. 10 4 0 0 649361 742156 0 79777 41775 -54272 -82822 674866 701109 40396 45501 0 75736 97462 0 0 251033 354201 367165 497164 307701 203945 2085974 2317623 15000 42704 2070974 2274919 PROVIDE SUPPORT TO RUSSELL HOSPITAL CORPORATION, A RELATED 501(C)(3) ORGANIZATION. false false 497164 45501 TO PROMOTE THE NURSING SCHOLARSHIP PROGRAM FOR THE BENEFIT OF RUSSELL HOSPITAL CORPORATION. 497164 true true false false false false false false false false true false false false true true false true false false false false false false true false false false true true false false false false false false false false false false false false false true false false false true 0 0 false 0 false false false false false true true false false false false false false X 10 4 false false false false false false false true true false false true false false false false false false X LEETA MCGILL 2563297170 3316 HIGHWAY 280 ALEXANDER CITY AL 35010 LOTHER E PEACE III DIRECTOR/HOS 5.00 40.00 X X 0 434254 11526 JAMES M FISHER DIRECTOR/HOS 5.00 40.00 X X 0 276838 16293 PAULA DAVENPORT DIRECTOR 5.00 40.00 X 0 174669 11526 SUSAN FOY DIRECTOR 5.00 40.00 X 0 122947 7812 TAMMY JACKSON EXECUTIVE DI 5.00 40.00 X X 0 88216 7812 CHRIS BODINE DIRECTOR 5.00 X 0 0 0 DR ROBERT EDWARDS DIRECTOR 5.00 X 0 0 0 SHERRY HENDERSON DIRECTOR 5.00 X 0 0 0 BARRY INGRAM DIRECTOR 5.00 X 0 0 0 HUGH NEIGHBORS DIRECTOR 5.00 X 0 0 0 1096924 54969 false true false 360156 382000 742156 41775 41775 360156 82822 -82822 -36310 701109 5465 45501 45501 89868 89868 719 719 6875 6875 1989 1989 135 135 ADMINISTRATIVE AND GENERA 352077 352077 497164 497164 0 0 X 591428 454639 1382325 1811206 80000 50000 4017 2239 1914 1778 30307 2085974 2317623 15000 42704 15000 42704 X 1917987 1914484 152987 360435 2070974 2274919 2085974 2317623 203945 X false true X true false X 542091 567469 421232 649361 742156 2922309 542091 567469 421232 649361 742156 2922309 904572 2017737 73858 21654 32713 79777 41775 249777 13303 12000 12000 12000 49303 3221389 0.62640 X PART II, LINE 10 49,303 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4017 2239 1778 1778 DUE TO/FROM RELATED PARTY 42704 42704 X SCHEDULE D, PAGE 3, PART X 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, 2021. TAX RETURNS FOR 2019 AND SUBSEQUENT ARE SUBJECT TO AUDIT BY TAXING AUTHORITIES. SCHEDULE D, PAGE 4, PART XIII MPHC AND ITS AFFILIATES ARE TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS ORGANIZATIONS DESCRIBED IN SECTION 501(C) (3). MPHC'S SUBSIDIARY, MEDICAL PARK DEVELOPMENT, INC., IS A FOR-PROFIT TAXABLE ENTITY. MPHC 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, 2021. TAX RETURNS FOR 2019 AND SUBSEQUENT ARE SUBJECT TO AUDIT BY TAXING AUTHORITIES. CORKS & CANVAS 229585 229585 36310 GOLF TOURNAMENT 84725 84725 43980 2 40846 40846 2532 355156 355156 82822 82822 -82822 true TUITION 15 27501 SCHOLARSHIP 18 18000 SCHEDULE I, PAGE 1, PART I, LINE 2 GRANTS ARE MADE ONLY TO OR FOR THE BENEFIT OF RUSSELL HOSPITAL CORPORATION. false false false false false false false false false LOTHER E PEACE III DIRECTOR/HOSP CEO 359399 74855 11526 445780 JAMES M FISHER DIRECTOR/HOSP CFO 229098 47740 16293 293131 PAULA DAVENPORT DIRECTOR 174669 11526 186195 SCHEDULE J, PAGE 1, PART I, LINE 3 NONE OF THE INDIVIDUAL BOARD MEMBERS OR OFFICERS ARE COMPENSATED BY THE FILING ORGANIZATION. THE FILING ORGANIZATION, INSTEAD, RELIES ON THE METHODS USED BY THE SUPPORTED ORGANIZATION, RUSSELL HOSPITAL CORPORATION, INC., TO ESTABLISH COMPENSATION. COMPENSATION DETERMINATION BY RHC INCLUDES COMPENSATION SURVEYS AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED. FORM 990, PART VI FORM 990, PART VI, SECTION B, LINE 11B: THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW AND IS AN AGENDA ITEM AT A REGULARLY SCHEDULED BOARD MEETING OPEN FOR DISCUSSION BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C: ALL QUESTIONNAIRES COMPLETED DURING EMPLOYEE ORIENTATION ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER OF RUSSELL HOSPITAL CORPORATION. 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 WIHT HOSPITAL ADMINISTRATION, IS RESPONSIBLE FOR THE MONITORING OF EVENTS WHICH MAY GIVE RISE TO POTENTIAL CONFLICT. 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 2020, CAUCASIAN, AFRICAN AMERICAN, HISPANIC AND OTHER RACES ACCOUNTED FOR 70.43%, 28.06%, 0.59% AND 0.92% RESPECTIVELY, OF THE PATIENTS SERVED WHILE 4.73%, 56.13% AND 39.14% WERE AGES 0-13, 14-65 RUSSELL HOSPITAL CORPORATION 63-0385130 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 12.0% OF MEDICAID AND 6.00% OF SELF PAY PATIENTS IN TALLAPOOSA COUNTY AND 11.0% OF MEDICAID AND 6.0% OF SELF PAY 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. FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW AND IS AN AGENDA ITEM AT A REGULARLY SCHEDULED BOARD MEETING WITH OPEN DISCUSSION PRIOR TO FILING WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 19 THE FOUNDAITON DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART X MPHC AND ITS AFFILIATES ARE TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3). MPHC'S SUBSIDIARY, MEDICAL PARK DEVELOPMENT, INC., IS A FOR-PROFIT TAXABLE ENTITY. MPHC 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 PART X, LINE 2: RUSSELL HOSPITAL FOUNDATION, INC. 63-0987401 THROUGH DECEMBER 31, 2020. TAX RETURNS FOR 2018 THROUGH 2020, ARE SUBJECT TO AUDIT BY TAXING AUTHORITIES. RUSSELL MEDICAL PARK HEALTHCARE CEN PO BOX 939 ALEXANDER CITY AL 35011 630987400 MGMT AL 501C3 12A RUSSELL HO false RUSSELL HOSPITAL CORPORATION PO BOX 939 ALEXANDER CITY AL 35011 630385130 HOSPITAL AL 501C3 3 N/A false MEDICAL PARK DEVELOPMENT PO BOX 939 ALEXANDER CITY AL 35011 630987345 RENTAL RE AL N/A C CORP false false true false false false false false false false false false false false true true true false false false