2025-08-29T07:42:13-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 630721572 REGIONAL HEALTH SERVICES INC REGI 2562355050 PO BOX 2208 ANNISTON AL 36202 LOUIS BASS CEO 2562355050 2025-08-29 1 1 AMY BIBBY P00445891 8282542254 2025-08-29 2022 2025-03-06 01:10:19Z X KEITH PARROT PO BOX 2208 ANNISTON AL 36202 7 0 X WWW.RMCCARES.ORG X 1976 AL SUPPORT OF THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON 7 7 0 0 0 0 0 0 0 0 0 0 0 7 0 7 0 0 0 0 0 0 0 0 0 31433 19127 31433 19127 -31433 -19120 3818803 3799705 2695841 2695841 1122962 1103864 TO SUPPORT THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON 0 0 THE ORGANIZATION SUPPORTS THE THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X KIMBERLY CAMPBELL 2562355041 400 EAST 10TH STREET ANNISTON AL 36207 SANDRA SUDDUTH BOARD MEMBER 1.00 1.00 X 0 0 0 BUD OWSLEY BOARD MEMBER 1.00 1.00 X 0 0 0 GORDON HARDY MD BOARD MEMBER 1.00 1.00 X 0 0 0 BLAINE BATEMAN DO BOARD MEMBER 1.00 1.00 X 0 0 0 JAY JENKINS BOARD MEMBER 1.00 1.00 X 0 0 0 ROB SVENSON OD BOARD MEMBER 1.00 1.00 X 0 0 0 ELLEN BASS BOARD MEMBER 1.00 1.00 X 0 0 0 LOUIS BASS CEO 1.00 50.00 X 0 414942 67927 0 414942 67927 0 0 1 0 0 MISCELLANEOUS INCOME 900099 7 7 7 7 0 0 7 19127 19127 19127 0 19127 0 1780 1756 2354786 470068 1903814 1884718 1000 1000 1912209 1912231 3818803 3799705 2695841 2695841 2695841 2695841 X 1122962 1103864 1122962 1103864 3818803 3799705 -19120 22 0 X X 0 1 X 1 0 X X 1 THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON 636000090 3 1 0 19127 1 0 19127 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 122033 122033 2170212 456901 1713311 2533 533 2000 60008 12634 47374 1884718 DUE FROM REGIONAL HEALTH MANAGEMENT CORP. 1912231 1912231 DUE TO THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON 2695841 2695841 X PART X, LINE 2: THE AUTHORITY IS A POLITICAL SUBDIVISION AND THE AFFILIATE IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; THEREFORE, NO PROVISION HAS BEEN RECORDED FOR INCOME TAXES FOR THESE ENTITIES. REGIONAL HEALTH MANAGEMENT CORPORATION ("RHMC") IS A WHOLLY-OWNED SUBSIDIARY OF THE AFFILIATE. RHMC IS A FOR-PROFIT CORPORATION AND ACCOUNTS FOR DEFERRED INCOME TAXES USING THE ASSET AND LIABILITY METHOD TO ESTABLISH DEFERRED TAX ASSETS AND LIABILITIES FOR THE TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF RHMC'S ASSETS AND LIABILITIES AT ENACTED TAX RATES EXPECTED TO BE IN EFFECT WHEN SUCH AMOUNTS ARE REALIZED OR SETTLED. AS OF SEPTEMBER 30, 2021, RHMC HAD NET OPERATING LOSS CARRY FORWARDS OF APPROXIMATELY $23.2 MILLION. THE AUTHORITY HAS EVALUATED THEIR TAX POSITIONS AND HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2023. 0 0 0 0 0 0 0 0 0 LOUIS BASS CEO 0 407800 0 0 0 7142 0 54000 0 13927 0 482869 0 0 FORM 990, REASON FOR AMENDMENT THE FORM 990 HAS BEEN AMENDED TO CORRECT COMPENSATION REPORTING. IN PART VII, AN INCORRECT PERIOD WAS USED IN CALCULATING THE REPORTABLE COMPENSATION. THE FORM HAS BEEN AMENDED REPORT THE CORRECT COMPENSATION AMOUNTS. FORM 990, PART VI, SECTION A, LINE 6 THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE RIGHT TO DIRECTLY APPOINT FIVE OF THE EIGHT MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND INFORMATION PROVIDED BY MANAGEMENT. UPON COMPLETION OF THE RETURN, IT IS FIRST REVIEWED BY MANAGEMENT, THEN PROVIDED BY CERTIFIED MAIL TO ALL VOTING BOARD MEMBERS IN ADVANCE OF THE DATE THE RETURN IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVISED AND UPDATED ANNUALLY, AND EACH BOARD MEMBER IS REQUIRED TO SIGN AN ACKNOWLEDGEMENT OF THE POLICY EACH YEAR. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DID NOT COMPENSATE ANY OFFICERS. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON PO BOX 2208 ANNISTON AL 36202 636000090 HEALTHCARE AL 501(C)(3) LINE 3 N/A 0 MEDICAL CENTER MEMORIAL FOUNDATION INC PO BOX 2208 ANNISTON AL 36202 630981593 EXEMPT ORG SUPPORT AL 501(C)(3) LINE 7 THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON 0 REGIONAL HEALTH MANAGEMENT CORPORATION PO BOX 2345 ANNISTON AL 36202 630819576 MANAGEMENT AL REGIONAL HEALTH SERVICES INC C 9857364 9474567 1.00000 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1