Civic Intelligence

Cullman Regional Medical Center Inc

EIN 63-1058174 • 501(c)3 • Cullman, AL

Profile

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 a patient's ability to pay.

1912 Alabama Highway 157Cullman, AL 35058-0609

crmchospital.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

75th percentile

0.62x

Higher debt load relative to assets than 75% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

67th percentile

0.75x

Higher debt load relative to revenue than 67% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

29th percentile

-0.9%

Higher net margin than 29% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

75th percentile

$837,621

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

20th percentile

-1.1%

Faster asset growth than 20% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

43rd percentile

5.9%

Faster revenue growth than 43% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Down

$233,677,380

Down $2,624,645 (-1.1%) from 2023

Liabilities

Down

$144,193,010

Down $3,392,165 (-2.3%) from 2023

Net Assets

Up

$89,484,370

Up $767,520 (+0.9%) from 2023

Revenue

Up

$191,125,032

Up $10,630,817 (+5.9%) from 2023

Expenses

Up

$192,912,297

Up $15,599,713 (+8.8%) from 2023

Net Income

Down

-$1,787,265

Down $4,968,896 (-156%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0Assets 2011: $103,646,122Liabilities 2011: $96,478,225Net Assets 2011: $7,167,8972011Assets 2012: $98,326,482Liabilities 2012: $97,809,827Net Assets 2012: $516,6552012Assets 2013: $100,396,208Liabilities 2013: $86,250,051Net Assets 2013: $14,146,1572013Assets 2014: $104,627,424Liabilities 2014: $85,951,042Net Assets 2014: $18,676,3822014Assets 2015: $112,551,392Liabilities 2015: $94,437,206Net Assets 2015: $18,114,1862015Assets 2016: $124,637,035Liabilities 2016: $95,265,672Net Assets 2016: $29,371,3632016Assets 2017: $133,449,055Liabilities 2017: $90,165,586Net Assets 2017: $43,283,4692017Assets 2018: $138,154,457Liabilities 2018: $83,624,465Net Assets 2018: $54,529,9922018Assets 2019: $136,943,813Liabilities 2019: $71,227,271Net Assets 2019: $65,716,5422019Assets 2020: $178,891,532Liabilities 2020: $106,508,393Net Assets 2020: $72,383,1392020Assets 2021: $187,038,262Liabilities 2021: $103,096,036Net Assets 2021: $83,942,2262021Assets 2022: $226,017,337Liabilities 2022: $141,365,003Net Assets 2022: $84,652,3342022Assets 2023: $236,302,025Liabilities 2023: $147,585,175Net Assets 2023: $88,716,8502023Assets 2024: $233,677,380Liabilities 2024: $144,193,010Net Assets 2024: $89,484,3702024

Highlighted filing

2024

Assets$233,677,380
Liabilities$144,193,010
Net Assets$89,484,370

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200M$150M$100M$50M$0-$50MRevenue 2011: $96,811,570Expenses 2011: $99,015,897Net Income 2011: -$2,204,3272011Expenses 2012: $96,101,5642012Expenses 2013: $93,534,5002013Revenue 2014: $100,194,542Expenses 2014: $96,124,986Net Income 2014: $4,069,5562014Revenue 2015: $102,952,138Expenses 2015: $95,940,252Net Income 2015: $7,011,8862015Revenue 2016: $113,112,423Expenses 2016: $100,803,931Net Income 2016: $12,308,4922016Revenue 2017: $121,444,840Expenses 2017: $105,589,219Net Income 2017: $15,855,6212017Revenue 2018: $121,143,011Expenses 2018: $109,950,801Net Income 2018: $11,192,2102018Revenue 2019: $129,530,714Expenses 2019: $119,730,873Net Income 2019: $9,799,8412019Revenue 2020: $137,784,557Expenses 2020: $131,734,411Net Income 2020: $6,050,1462020Revenue 2021: $165,872,359Expenses 2021: $157,997,107Net Income 2021: $7,875,2522021Revenue 2022: $184,887,968Expenses 2022: $176,582,087Net Income 2022: $8,305,8812022Revenue 2023: $180,494,215Expenses 2023: $177,312,584Net Income 2023: $3,181,6312023Revenue 2024: $191,125,032Expenses 2024: $192,912,297Net Income 2024: -$1,787,2652024

Highlighted filing

2024

Revenue$191,125,032
Expenses$192,912,297
Net Income-$1,787,265

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$234$144$89.5$191$193$1.79
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$236$148$88.7$180$177$3.18
2022Detailed filing. Detailed filing data is available for this year.$226$141$84.7$185$177$8.31
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$187$103$83.9$166$158$7.88
2020Detailed filing. Detailed filing data is available for this year.$179$107$72.4$138$132$6.05
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$137$71.2$65.7$130$120$9.80
2018Detailed filing. Detailed filing data is available for this year.$138$83.6$54.5$121$110$11.2
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$133$90.2$43.3$121$106$15.9
2016Detailed filing. Detailed filing data is available for this year.$125$95.3$29.4$113$101$12.3
2015Detailed filing. Detailed filing data is available for this year.$113$94.4$18.1$103$95.9$7.01
2014Detailed filing. Detailed filing data is available for this year.$105$86.0$18.7$100$96.1$4.07
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$100$86.3$14.1$93.5
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$98.3$97.8$0.52$96.1
2011Summary only. Only limited summary data is available for this year.$104$96.5$7.17$96.8$99.0$2.20
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
May 5, 2023
Return Version
2021v4.0
Gross Receipts
$184,935,669
Mission and Program Overview

Mission

Cullman regional medical center, licensed for 145 beds, operates a 145-bed general acute care hospital for the community of cullman, alabama and surrounding areas regardless of a patient's ability to pay.

Cullman regional medical center, licensed for 150 beds, operates a 150-bed general acute care hospital for the community of cullman, alabama and surrounding areas regardless of a patient's ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$77,811,482$101,682,051▲ $23,870,569
Investments in Publicly Traded Securities$65,654,143$54,401,720▼ $11,252,423
Cash and Non-Interest-Bearing Accounts$18,661,220$21,884,945▲ $3,223,725
Intangible Assets-$20,239,288-
Accounts Receivable$14,045,603$16,904,502▲ $2,858,899
Prepaid Expenses and Deferred Charges$1,841,423$2,133,488▲ $292,065
Inventories for Sale or Use$1,594,858$1,892,053▲ $297,195
Investments Other Securities$2,033,972$1,847,490▼ $186,482
Total Assets$187,038,262$226,017,337▲ $38,979,075
Other Assets Total$5,395,561$5,031,800▼ $363,761
Liabilities
Mortgage Notes Payable Secured by Investment Property$61,289,033$75,646,122▲ $14,357,089
Other Liabilities$26,702,497$48,528,167▲ $21,825,670
Accounts Payable and Accrued Expenses$15,099,506$17,190,714▲ $2,091,208
Tax Exempt Bond Liabilities$5,000--
Total Liabilities$103,096,036$141,365,003▲ $38,268,967
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$83,942,226$84,652,334▲ $710,108
Total Net Assets Fund Balance$83,942,226$84,652,334▲ $710,108
Total Liabilities and Net Assets / Fund Balance$187,038,262$226,017,337▲ $38,979,075

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$52,471,640$38,712,974$91,184,614
Equipment$21,691,754$55,684,313$77,376,067
Other Land Buildings$21,986,641-$21,986,641
Leasehold Improvements$2,021,816$6,972,561$8,994,377
Land$3,510,200-$3,510,200
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
James ClementsCEO/memberFT$520,835$397,488$918,323
Phillip Kravetz MdPhysicianFT$719,208$58,962$778,170
Stephen Gould MdSurgeonFT$700,514$25,874$725,827
Michael Miller MdSurgeonFT$560,283$50,156$590,601
Brad Moody MdSurgeonFT$551,906$22,572$582,618
Thomas Dukovac MdUrologistFT$547,993$30,655$570,565
William Smith MdChief MedicaFT$334,080$29,307$363,387
William Smith MdChief Medical Ofcr-$269,588$73,541$363,387
Nesha DonaldsonCOOFT$272,270$107,487$359,499
Charna BrownCNOFT$188,058$42,687$251,087

Board Members and Trustees

NameTitle
Tim CulpepperChairman
Perry KnightVice Chair
Beth AndersonImmediate Pa
Ben Gomez MdMember
Ginger HogelandMember
Mark BussmanMember
Roger HumphreyMember
Tyler RodenMember
Sara BakerSecretary
Dennis RichardTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Radar Healthcare ProvidersAnesthesiologyPO BOX 1708, Watkinsville, GA 30677$689,391
Design Innovations LLCInterior Design100 CENTERVIEW DRIVE, Birmingham, AL 35216$497,141
Evergreen Linen SolutionsLaundry ServicePO BOX 1448, Oneonta, AL 35121-0017$487,283
Johns Custom Cabinents LLCConstruction2210 NILES ROAD, Boaz, AL 35957$428,922
Brasfield & Gorrie LLCConstructionPO BOX 11407, Birmingham, AL 35246-0351$398,914
Revenue and Support

Revenue Composition

Contributions and Grants
$9,081,928
Program Service Revenue
$165,198,430
Investment Income
$2,942,661
Other Revenue
$7,664,949
All Other Contributions
$791
Change in Net Assets
$8,305,881
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$98,109,449
Other Expenses$74,551,634
Grants and Similar Amounts Paid$3,921,004
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$72,522,036$6,113,539-$78,635,575
Fees for Services Other$10,830,710$2,232,559-$13,063,269
Depreciation Depletion$11,324,368$889,144-$12,213,512
Other Employee Benefits$9,183,427$972,984-$10,156,411
Office Expenses$6,630,963$1,385,386-$8,016,349
Payroll Taxes$4,628,413$490,380-$5,118,793
Occupancy$4,250,388$333,723-$4,584,111
Grants to Domestic Orgs$3,921,004--$3,921,004
Pension Plan Contributions$2,312,456$245,005-$2,557,461
Insurance$1,728,106--$1,728,106
Current Officers, Directors, Trustees, and Key Employees-$1,641,209-$1,641,209
Fees for Services Management$729,002$622,158-$1,351,160
Advertising$11,961$1,099,798-$1,111,759
Interest-$675,354-$675,354
Travel$603,747$62,543-$666,290
Fees for Services Legal-$373,466-$373,466
Conferences and Meetings$66,231$234,347-$300,578
Other Expenses$201,586$-35,371-$166,215
Fees for Service Investment Mgmnt Fees-$141,488-$141,488
Fees for Services Accounting-$131,724-$131,724
All Other Expenses$12,396$78,945-$91,341
Information Technology-$5,074-$5,074
Total Functional Expenses$156,268,337$20,313,750$0$176,582,087
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Good Samaritan ClinicCullman, AL3Current Operations$82,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability$21,662,794
Intercompany Liability$10,762,921
Minimum Pension Liability$5,110,204
Cost Report Settlements$4,006,306
Advance Payments$3,970,186
Deferred Pension Expense$2,120,339
Accrued Interest$895,417
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

The health care authority of cullman county (authority)is the sole member of cullman regional medical center inc.

Form 990, Page 6, Part VI, Line 7A

The authority appoints the voting majority of the organization's board and controls the operations as well.

Form 990, Page 6, Part VI, Line 7B

The authority appoints the voting majority of the organization's board and controls the operations of the organization.

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 cfo, and accounting department review the form. The final form, as it is ultimately filed with all schedules and attachments, is made available to the board members prior to filing with the irs.

Form 990, Page 6, Part VI, Line 12C

Annually, board members, officers, and departmental directors must identify any conflict, management monitors and may suggest any areas of conflict. The board chairman or administration 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.

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 a comparative analysis, and is documented in the records of the board reflecting the basis of the determination by the the board (or authorized committee).

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.

Filing and Contact Details

Filer

Filer Name
Cullman Regional Medical Center Inc
EIN
63-1058174
Phone
2567372598
Address
1912 ALABAMA HIGHWAY 157, CULLMAN, AL 35058-0609

Signing Officer

Name
Nesha Donaldson
Title
COO
Phone
2567372595
Signed
2023-05-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James Clements
Formed
1939
Legal Domicile
Al
Voting Board Members
11
Independent Board Members
10
Employees
1,883
Volunteers
14

Preparer

Firm
Draffin & Tucker Llp
Address
PO BOX 71309, ALBANY, GA 31708-1309
Preparer
William Edward Phillips
Phone
2298837878
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4A

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.

Form 990, Part XI, Line 9

Change in temporary restricted assets of affiliate 176,126 change in unrestricted assets of affiliate -362,608 total -186,482 in june 2017, the gasb issued statement no. 87, leases (gasb 87). Gasb 87 establishes standards of accounting and financial reporting by lessees and lessors and establishes a single model for lease accounting based on the foundational principle that leases are financings of the right to use an underlying asset. Gasb 87 will require a lessee to recognize a lease liability and an intangible right-to-use lease asset at the commencement of the lease term, with certain exceptions, and will require a lessor to recognize a lease receivable and a deferred inflow of resources at the commencement of the lease term, with certain exceptions. Gasb 87 is effective for fiscal years beginning after june 15, 2021, with gasb 95 deferral. The authority adopted gasb 87 on july 1, 2021 and retroactively implemented the statement effective july 1, 2020. As lessee, the adoption of this statement resulted in an increase in lease obligations of approximately 24,301,000 and 23,455,000 and related right-to-use lease assets of approximately 24,301,000 and 22,635,000 as of july 1, 2020 and 2021, respectively. As lessor, the adoption of this statement resulted in an increase in lease receivable of approximately 1,001,000 and 958,000 and related deferred inflows of resources of approximately 1,001,000 and 957,000 as of july 1, 2020 and 2021, respectively. The adoption of the standard also resulted in a reduction in beginning net position of 869,556 for the fiscal year ended june 30, 2022.

Financial Statement Notes

Schedule D, Page 3, Part X

The authority is a governmental entity and is exempt from income taxes. Accordingly, no provision for income taxes has been considered in the accompanying financial statements. 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 is required to file a form 990 with the internal revenue service. Any income earned from non-related business services is subject to taxation. 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, 2022 and 2021 or for the years then ended. The hospital's tax returns are subject to possible examination by the taxing authorities. For federal income tax purposes, the tax returns essentially remain open for possible examination for a period of three years after the respective filing deadlines of those returns.

Raw XML AppendixShowing 400 of 950 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0CRMC 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.
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