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WHITE RIVER HEALTH SYSTEM INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
WHITE RIVER HEALTH SYSTEM INC (EIN 71-0411459)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-07-25
IRS object ID
202302069349301100
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-07-25T11:48:13-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP722033667ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710411459EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WHITE RIVER HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% SHAWNA IVESInCareOfNm
Business Name ControlWHITBusinessNameControlTxt
Phone8706986520PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11710 HARRISON STAddressLine1Txt
CityBATESVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP72501ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHAWNA IVESPersonNm
Person TitleCFOPersonTitleTxt
Phone8706986520PhoneNum
Signature2023-07-20SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGARYPersonFirstNm
Person LastPAXSONPersonLastNm
FieldValueIRS element (for citing)
SSN000000000SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMBER SHERRILLPreparerPersonNm
PTINP00748683PTIN
Phone5013721040PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHAWNA IVESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11710 HARRISON STAddressLine1Txt
CityBATESVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP72501ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$293,609,005GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWHITERIVERHEALTH.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionWRHS MISSION IS TO PROVIDE QUALITY HEALTHCARE AND IMPROVE THE HEALTH OF OUR COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee2209TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$28,290,048PYContributionsGrantsAmt
CY Contributions Grants$13,100,331CYContributionsGrantsAmt
PY Program Service Revenue$266,667,945PYProgramServiceRevenueAmt
CY Program Service Revenue$275,463,982CYProgramServiceRevenueAmt
PY Investment Income$3,333,855PYInvestmentIncomeAmt
CY Investment Income$1,434,446CYInvestmentIncomeAmt
PY Other Revenue$1,393,637PYOtherRevenueAmt
CY Other Revenue$1,658,341CYOtherRevenueAmt
PY Total Revenue$299,685,485PYTotalRevenueAmt
CY Total Revenue$291,657,100CYTotalRevenueAmt
PY Grants And Similar Paid$29,458PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$27,475CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$139,252,824PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$153,974,516CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$124,737,381PYOtherExpensesAmt
CY Other Expenses$141,316,308CYOtherExpensesAmt
PY Total Expenses$264,019,663PYTotalExpensesAmt
CY Total Expenses$295,318,299CYTotalExpensesAmt
PY Revenues Less Expenses$35,665,822PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,661,199CYRevenuesLessExpensesAmt
Total Assets BOY$290,135,358TotalAssetsBOYAmt
Total Assets EOY$249,893,967TotalAssetsEOYAmt
Total Liabilities BOY$99,475,684TotalLiabilitiesBOYAmt
Total Liabilities EOY$67,771,985TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$190,659,674NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$182,121,982NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWRHS MISSION IS TO PROVIDE QUALITY HEALTHCARE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. WRHS VISION IS TO PROVIDE AN ENVIRONMENT WHERE PATIENTS CHOOSE TO RECEIVE CARE, EMPLOYEES DESIRE TO WORK, PHYSICIANS WANT TO PRACTICE, AND FAMILIES AND VISITORS FEEL WELCOME.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$240,524,057ExpenseAmt
Grant$27,475GrantAmt
Revenue$275,463,982RevenueAmt
DescWHITE RIVER HEALTH SYSTEM, INC. IS A MULTIDIMENSIONAL PROVIDER OF HEALTHCARE SERVICES PRIMARILY TO THE RESIDENTS OF NORTH CENTRAL ARKANSAS. THE NOT-FOR-PROFIT ORGANIZATION OPERATES TWO HOSPITALS; WHITE RIVER MEDICAL CENTER WHICH IS AN ACUTE CARE HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE TO THE RESIDENT OF INDEPENDENCE COUNTY AND SURROUNDING AREAS AND STONE COUNTY MEDICAL CENTER WHICH IS A CRITICAL ACCESS HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR THE RESIDENT OF STONE COUNTY AND SURROUNDING AREAS. THE SYSTEM ALSO INCLUDES OUTPATIENT FACILITIES, PRIMARY CARE AND SPECIALTY PHYSICIAN OFFICES, MEDICAL OFFICE BUILDINGS, AND WHITE RIVER HEALTH SYSTEM FOUNDATION, INC., WHICH PROVIDES SUPPORT FOR FURTHERING THE PURPOS AND PROMOTING THE ACTIVITIES OF THE SYSTEM.Desc
Total Program Service Expenses$240,524,057TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document144IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2209EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSHAWNA IVESPersonNm
Phone8702626100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11710 HARRISON STAddressLine1Txt
CityBATESVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP72501ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DYLAN CARPENTER
PHYSICIAN40.00.0Yes (X)$880,411$0$18,305
JEFFERY ANGEL
OP CHIEF MEDICAL OFFICER40.00.0$787,533$0$15,676Yes (X)
WESLEY GREER
PHYSICIAN40.00.0Yes (X)$775,501$0$18,463
CHARLES VARELA
PHYSICIAN40.00.0Yes (X)$769,290$0$3,926
HUNTER BROWN
PHYSICIAN40.00.0Yes (X)$752,338$0$15,816
RAMAN DESIKAN
PHYSICIAN40.00.0Yes (X)$651,000$0$16,930
GARY PAXSON
PRESIDENT - CEO40.00.0$510,117$0$20,671Yes (X)
TAMMY GAVIN
FORMER EVP - CCO40.00.0$429,808$0$9,158Yes (X)
LINDSEY CASTLEBERRY
EVP- HR/LEGAL COUNCIL40.00.0$259,210$0$17,345Yes (X)
JOSEPH SMOTHERMAN
EVP - CSO/COO40.00.0$249,273$0$17,881Yes (X)
SHAWNA IVES
CFO40.00.0$241,192$0$13,040Yes (X)
ROBERT WRIGHT
VP PHYSICIAN SERVICES40.00.0$232,208$0$12,381Yes (X)
JEFF REIFSTECK
VP CHIEF INFORMATION OFFICER40.00.0$208,589$0$15,682Yes (X)
CHRIS STEEL
IP CHIEF MEDICAL OFFICER40.00.0$191,125$0$0Yes (X)
JENNIFER SANDAGE
CHIEF NURSING OFFICER40.00.0$159,947$0$13,891Yes (X)
KATHY THOMAS
EVP-SCMC40.00.0$134,465$0$6,566Yes (X)
JEFF SHOWALTER
SECRETARY1.00.0$0$0$0Yes (X)Yes (X)
KEVIN ROSE
CHAIRMAN1.00.0$0$0$0Yes (X)Yes (X)
PAULA TERRELL
DIRECTOR1.00.0$0$0$0Yes (X)
PHILIP BRISSEY
SECRETARY1.00.0$0$0$0Yes (X)Yes (X)
RANDY CROSS
VICE CHAIRMAN1.00.0$0$0$0Yes (X)Yes (X)
STEVE BRYANT
DIRECTOR1.00.0$0$0$0Yes (X)
STEVE CASE
DIRECTOR1.00.0$0$0$0Yes (X)
TYLER FOWLKES
TREASURER/SCMC ADVISORY CHAIR1.00.0$0$0$0Yes (X)Yes (X)
TINA WHEELIS
DIRECTOR1.00.0$0$0$0Yes (X)
RICK ELUMBAUGH
DIRECTOR1.00.0$0$0$0Yes (X)
ROBERT MCINTIRE
DIRECTOR1.00.0$0$0$0Yes (X)
DEBBIE FRAZIER
DIRECTOR1.00.0$0$0$0Yes (X)
DIANE LAMBERTH
DIRECTOR1.00.0$0$0$0Yes (X)
JORDAN WEAVER
DIRECTOR1.00.0$0$0$0Yes (X)
LESLIE FRENSLEY
DIRECTOR1.00.0$0$0$0Yes (X)
CHARLES SCHAFF
DIRECTOR1.00.0$0$0$0Yes (X)
MERIDEN GLASGOW
DIRECTOR1.00.0$0$0$0Yes (X)
JUDY BELCHER
DIRECTOR1.00.0$0$0$0Yes (X)
BORIS DOVER
DIRECTOR1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,232,007TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$215,731TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K185IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NORTH ARKANSAS PAIN MANAGEMENT PA
1710 HARRISON ST SUITE TBATESVILLEAR72501PAIN MANAGEMENT SVCS$3,619,197
INDEPENDENCE EMERGENCY PHYSICIANS G
2417 SEA ISLANDJONESBOROAR72404ER SERVICES$7,203,614
BATESVILLE CARDIOLOGY PA
29 PLANTATION PARK RD SUITE 804BLUFFTONSC29910CARDIOLOGY SERVICES$827,976
KHAN MEDICAL CORPORATION
1 SEZ ANNE COVELITTLE ROCKAR72223MEDICAL CARE SVCS$630,000
AHSA
PO BOX 670529DALLASTX75267NURSING CONTRACT LAB$3,778,661
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K26CntrctRcvdGreaterThan100KCnt
Related Organizations$150,569RelatedOrganizationsAmt
Government Grants$12,371,974GovernmentGrantsAmt
All Other Contributions$577,788AllOtherContributionsAmt
Total Contributions$13,100,331TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$266,221,252$266,221,252
PHARMACY 340B REVENUE531120$6,531,566$6,531,566
INCENTIVE REVENUE622110$1,537,679$1,537,679
MEDICAL OFFICE BUILDING RENT622110$955,370$955,370
OTHER PROGRAM SERVICE REVENUE621110$218,115$218,115
FieldValueIRS element (for citing)
Total Program Service Revenue$275,463,982TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,263,195TotalRevenueColumnAmt
Exclusion$1,263,195ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$143,657RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$143,657RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$143,657TotalRevenueColumnAmt
Exclusion$143,657ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,122,156SecuritiesAmt
Other$1,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,950,253SecuritiesAmt
Other$1,652OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$171,903SecuritiesAmt
Other-$652OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$171,251TotalRevenueColumnAmt
Exclusion$171,251ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Dietary & Food Revenue900099$1,512,316$1,512,316
MISCELLANEOUS REVENUE900099$2,368$2,368$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,368TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,368ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,514,684OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$291,657,100TotalRevenueColumnAmt
Related Or Exempt Func Income$275,463,982RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,092,787ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$27,475TotalAmt
Program Services$27,475ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,369,778TotalAmt
Management And General$3,369,778ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$120,756,907TotalAmt
Program Services$94,682,987ProgramServicesAmt
Management And General$26,073,920ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,517,952TotalAmt
Program Services$1,974,274ProgramServicesAmt
Management And General$543,678ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,312,629TotalAmt
Program Services$15,142,632ProgramServicesAmt
Management And General$4,169,997ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,017,250TotalAmt
Program Services$6,286,159ProgramServicesAmt
Management And General$1,731,091ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$136TotalAmt
Program Services$107ProgramServicesAmt
Management And General$29ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$11,464TotalAmt
Program Services$8,989ProgramServicesAmt
Management And General$2,475ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$302,029TotalAmt
Program Services$236,815ProgramServicesAmt
Management And General$65,214ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$45,949,836TotalAmt
Program Services$36,028,314ProgramServicesAmt
Management And General$9,921,522ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$526,133TotalAmt
Program Services$412,530ProgramServicesAmt
Management And General$113,603ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,689,574TotalAmt
Program Services$1,324,760ProgramServicesAmt
Management And General$364,814ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,175,215TotalAmt
Program Services$4,057,779ProgramServicesAmt
Management And General$1,117,436ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$257,441TotalAmt
Program Services$201,854ProgramServicesAmt
Management And General$55,587ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$503,628TotalAmt
Program Services$394,884ProgramServicesAmt
Management And General$108,744ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,318,664TotalAmt
Program Services$1,033,937ProgramServicesAmt
Management And General$284,727ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,961,325TotalAmt
Program Services$8,594,548ProgramServicesAmt
Management And General$2,366,777ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,739,317TotalAmt
Program Services$1,363,762ProgramServicesAmt
Management And General$375,555ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS & MEDICAL SUPPLIES$53,757,417$53,757,417
REPAIRS & MAINTENANCE$9,887,586$7,752,651$2,134,935
TAXES, FEES & LICENSES$3,489,569$2,736,099$753,470
FOOD$2,325,196$1,823,138$502,058

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,421,778TotalAmt
Program Services$2,682,946ProgramServicesAmt
Management And General$738,832ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$295,318,299TotalAmt
Program Services$240,524,057ProgramServicesAmt
Management And General$54,794,242ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$30,784,353BOYAmt
EOY$7,085,466EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$45,080,718BOYAmt
EOY$30,533,956EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$32,087,772BOYAmt
EOY$34,589,719EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,889,103BOYAmt
EOY$6,286,163EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,631,736BOYAmt
EOY$2,260,429EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$294,641,382LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$192,652,476LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$103,285,108BOYAmt
EOY$101,988,906EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$39,887,348BOYAmt
EOY$35,820,238EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,236,946BOYAmt
EOY$1,414,938EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$29,252,274BOYAmt
EOY$29,914,152EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$290,135,358BOYAmt
EOY$249,893,967EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$27,657,712BOYAmt
EOY$23,686,080EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$23,940,393BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,227,970BOYAmt
EOY$26,634,243EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,869,611BOYAmt
EOY$9,897,537EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,779,998BOYAmt
EOY$7,554,125EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$99,475,684BOYAmt
EOY$67,771,985EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$190,659,674BOYAmt
EOY$182,121,982EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$190,659,674BOYAmt
EOY$182,121,982EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$290,135,358BOYAmt
EOY$249,893,967EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$3,661,199ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,876,493NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$16,191OtherActivitiesAmt
Total Lobbying Expenditures$16,191TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationTHE AMOUNT OF AMERICAN HOSPITAL ASSOCIATION AND ARKANSAS HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$106,554BeginningYearBalanceAmt
Contributions$35,445ContributionsAmt
Investment Earnings Or Losses-$28,662InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$113,337EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$93,709BeginningYearBalanceAmt
Contributions$8,000ContributionsAmt
Investment Earnings Or Losses$4,845InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$106,554EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$71,583BeginningYearBalanceAmt
Contributions$20,000ContributionsAmt
Investment Earnings Or Losses$2,126InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$93,709EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$76,856BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses-$5,273InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$71,583EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$72,585BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$4,271InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$76,856EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.61590PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.38410TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,797,668OtherCostOrOtherBasisAmt
Book Value$3,797,668BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$154,726,536OtherCostOrOtherBasisAmt
Depreciation$83,175,477DepreciationAmt
Book Value$71,551,059BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,253,307OtherCostOrOtherBasisAmt
Depreciation$2,297,449DepreciationAmt
Book Value$6,955,858BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$120,771,089OtherCostOrOtherBasisAmt
Depreciation$103,429,231DepreciationAmt
Book Value$17,341,858BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,092,782OtherCostOrOtherBasisAmt
Depreciation$3,750,319DepreciationAmt
Book Value$2,342,463BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$101,988,906TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLES$8,341,845
FUNDS HELD BY TRUSTEE$2,973,635
OTHER ASSETS$2,988,545
AMOUNTS DUE FROM THIRD PARTIES$7,203,574
INTERNALLY DESIGNATED FUNDS$1,402,481
ROU ASSET$7,004,072
FieldValueIRS element (for citing)
Total Book Value Other Assets$29,914,152TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescROU- LIABILITYDesc
Amt$7,554,125Amt
FieldValueIRS element (for citing)
Total Liability$7,554,125TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$286,780,607TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$4,876,493NetUnrealizedGainsInvstAmt
Revenue Not Reported-$4,876,493RevenueNotReportedAmt
Revenue Subtotal$291,657,100RevenueSubtotalAmt
Total Revenue Per Form990$291,657,100TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$295,317,665TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$295,317,665ExpensesSubtotalAmt
Other Expenses Not Included$634OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$634ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$295,318,299TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL INCOME TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
FORM 990, SCHEDULE D, PART XII, LINE 4BWRHS CIN EXPENSES $634

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,516,002TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,516,002NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,402,236TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,547,063DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,855,173NetCommunityBenefitExpnsAmt
Total Expense0.00970TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,918,238TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,547,063DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,371,175NetCommunityBenefitExpnsAmt
Total Expense0.01480TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,379,580TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,251,488DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,128,092NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,297,483TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,464,368DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,833,115NetCommunityBenefitExpnsAmt
Total Expense0.00960TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,677,063TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,715,856DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,961,207NetCommunityBenefitExpnsAmt
Total Expense0.01340TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,595,301TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,262,919DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,332,382NetCommunityBenefitExpnsAmt
Total Expense0.02820TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$11,402,862BadDebtExpenseAmt
Reimbursed By Medicare$77,385,239ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$75,865,839CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,519,400MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdCritical Access HospitalCriticalAccessHospitalInd
WHITE RIVER MEDICAL CENTER
11710 HARRISON STBATESVILLEAR72501WWW.WHITERIVERHEALTHSYSTEM.COM418Yes (X)Yes (X)Yes (X)A
STONE COUNTY MEDICAL CENTER
22106 EAST MAIN STREETMOUNTAIN VIEWAR72560WWW.WHITERIVERHEALTHSYSTEM.COMAR5036Yes (X)Yes (X)Yes (X)AYes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5THE WRHS CHNA UTILIZED THE FOLLOWING SOURCES TO DEVELOP THE PROCESS FOR THE CHNA AND TO GATHER THE NEEDED DATA: 1) COMMUNITY SURVEY MADE AVAILABLE ONLINE AND PROMOTED VIA EMAIL AND SOCIAL MEDIA 2) COUNTY LEVEL CENSUS DATA 3) 2021 COUNTY HEALTH RANKINGS FROM THE BUILDING A CULTURE OF HEALTH REPORT BY THE ROBERT WOOD JOHNSON FOUNDATION THE CHNA TEAM EMAILED SURVEY LINKS TO COMMUNITY STAKEHOLDERS, ORGANIZATIONS WHO REPRESENT MEDICALLY UNDERSERVED RESIDENTS, MINORITY GROUPS AND LOW-INCOME RESIDENTS, AND WHITE RIVER HEALTH BOARD OF DIRECTORS, PHYSICIANS AND EMPLOYEES.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6AWHITE RIVER MEDICAL CENTER AND STONE COUNTY MEDICAL CENTER
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A & 10Awhiteriverhealth.org/corporate-compliance#communityhealth
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11AFTER COLLECTING AND ANALYZING THE DEMOGRAPHIC, QUALITATIVE AND QUANTITATIVE HEALTH RELATED DATA FROM COUNTY HEALTH RANKINGS AND ONLINE SURVEY DATA; THE FOLLOWING CATEGORIES OF HEALTH NEEDS WERE IDENTIFIED: 1. ADDRESS BARRIERS TO HEALTHCARE HIGH COST OF OFFICE VISIT: - EDUCATE THE PUBLIC ABOUT WELLNESS SERVICES OFFERED BY INSURANCE PLANS WITH LOW OR NO CO-PAY AND DEDUCTIBLE. EDUCATE THE PUBLIC ABOUT SLIDING FEE SCHEDULE SERVICES, AND ENSURE ELIGIBLE PATIENTS ARE ENROLLED IN THE APPROPRIATE ASSISTANCE PROGRAMS. - WORK COLLABORATIVELY WITH INSURERS TO PROMOTE INCENTIVES TO PATIENTS FOR UTILIZATION OF WELLNESS BENEFITS AND SCREENINGS TO IMPROVE HEALTH, AND COST EFFECTIVELY MANAGE CHRONIC CONDITIONS - PROMOTE WRH FINANCIAL ASSISTANCE PROGRAMS THROUGH PUBLIC EDUCATION TO ENSURE QUALIFIED PATIENTS RECEIVE ASSISTANCE - WRH FOUNDATION RIBBONS OF HOPE AND PATIENT ASSISTANCE FUND PROVIDE DIRECT TO PATIENT FINANCIAL ASSISTANCE TO QUALIFIED PATIENTS FOR EXPENSES RELATED TO MEDICAL CARE NOT COVERED BY HEALTH INSURANCE HIGH COST OF MEDICATIONS: - ENCOURAGE PROVIDERS TO LOOK FOR AND USE LOW-COST GENERIC DRUGS WHEN APPROPRIATE. - EDUCATE CLINIC STAFF AND PATIENTS IN THE PROCESSES TO TAKE ADVANTAGE OF DRUG MANUFACTURER PROGRAMS FOR PATIENT WHO CANNOT AFFORD MEDICATIONS. - UTILIZE CLINICAL PHARMACISTS TO CONDUCT MEDICATION RECONCILIATION FOR PATIENTS TO ENSURE MEDICATIONS ARE APPROPRIATELY PRESCRIBED TO PATIENTS WHO ARE TREATED BY MORE THAN ONE PROVIDER AND USE MEDICATION TO MANAGE MULTIPLE CHRONIC HEALTH CONDITIONS ACCESS TO PRIMARY CARE PROVIDER: - WORK WITH LOCAL SCHOOL DISTRICTS TO OFFERS SERVICES OF APRN PROVIDERS VIA TELEMEDICINE DURING SCHOOL HOURS. - CONTINUE TO SUPPORT GRADUATE MEDICAL EDUCATION PROGRAMS IN INTERNAL MEDICINE AND FAMILY MEDICINE. - PROVIDE CLINICAL TRAINING OPPORTUNITIES FOR CANDIDATES OF MASTER'S IN NURSING PROGRAMS. - CONTINUE TO EVALUATE SERVICE AREA COMMUNITY FOR NEED AND POTENTIAL PRIMARY CARE CLINICS; EVALUATE MARKETS FOR RURAL HEALTH CLINICS. - REOPENED NEWARK MEDICAL CLINIC IN 2021 2. ADDRESS MENTAL HEALTH NEEDS SURVEY RESPONDENTS REPORT MENTAL HEALTH DECLINED DURING PANDEMIC: - UTILIZE LICENSED CLINICAL SOCIAL WORKERS IN WRH PRIMARY CARE CLINICS FOR DEPRESSION AND ANXIETY SCREENINGS AND CONFIDENTIAL COUNSELING AS NEEDED TO PATIENTS. - RECRUIT AND TRAIN MENTAL HEALTH ADVOCATES AS A RESOURCE FOR ORGANIZATION EMPLOYEE STRUGGLING WITH WORK AND FAMILY STRESS. - ACTIVELY RECRUIT PSYCHIATRISTS AND MENTAL HEALTH PROFESSIONALS. - PROVIDE CLINICAL TRAINING OPPORTUNITIES TO PSYCHIATRY RESIDENTS. 3. ADDRESS PHYSICAL HEALTH NEEDS SURVEY RESPONDENTS REPORT PHYSICAL HEALTH DECLINED DURING PANDEMIC: - COLLABORATE WITH BATESVILLE COMMUNITY AND AQUATICS CENTER TO SUPPORT AND SPONSOR EVENTS AND PROGRAMS PROMOTING PHYSICAL ACTIVITY. - WRH CARE COORDINATORS IDENTIFY GAPS, EDUCATE, AND SUPPORT PATIENTS INCLUDING FACILITATING REFERRALS TO SPECIALISTS AND DIAGNOSTIC PROCEDURES AS NEEDED. - UTILIZE SOCIAL MEDIA TO INCREASE AWARENESS OF AND ENCOURAGE HEALTH LIFESTYLE CHOICES AND PHYSICAL ACTIVITY. - USING FUNDING FROM A HEALTH AND HUMAN SERVICES ADMINISTRATION GRANT, IMPLEMENT A PROGRAM OF SCREENINGS, DIAGNOSTIC TESTS, TREATMENT, AND FOLLOW-UP CARE TO ADDRESS CANCER, DIABETES, MENTAL HEALTH, AND VACCINATIONS FOR MEDICALLY UNDERSERVED RESIDENTS IN THE WRH SERVICE AREA. INCIDENTS OF OBESITY/NEED FOR WEIGHT MANAGEMENT: - WRH COMMUNITY ENGAGEMENT DIVISION DEVELOPS AND SUPPORTS HEALTHY LIVING AND PHYSICAL ACTIVITY THROUGH EVENTS IN CLEBURNE, INDEPENDENCE, SHARP, AND STONE COUNTIES MATERNAL/INFANT MORTALITY: - UTILIZE THE SERVICES OF MATERNITY NURSE NAVIGATOR TO PROVIDE EDUCATION, SUPPORT, CARE COORDINATION, AND REFERRALS TO SPECIAL SERVICES AS NEEDED. CANCER RELATED ILLNESSES: - UTILIZE THE SERVICES OF ONCOLOGY NURSE NAVIGATOR TO PROVIDE CARE COORDINATION, EDUCATION, AND SUPPORT TO PATIENTS DURING CANCER TREATMENT. THE ONCOLOGY NURSE NAVIGATOR ALSO OFFERS SUPPORT AND CARE COORDINATOR FOR CANCER SURVIVORS AND THEIR FAMILIES. -UPGRADE DIAGNOSTIC IMAGING USED IN CANCER DETECTION AND EXPAND CANCER TREATMENT SERVICES. REDUCE NUMBER OF PREVENTABLE HOSPITALIZATIONS: - HEALTH COACHES REINFORCE HEALTH EDUCATION AND WORK WITH PRIMARY CARE TEAMS TO CONNECT PATIENTS WITH COMMUNITY AND HEALTHCARE RESOURCES TO PREVENT UNINTENDED HOSPITAL READMISSIONS. 4. ADDRESS SUBSTANCE ABUSE TREATMENT NEEDS ACUTE SUBSTANCE ABUSE: - VOLUNTARY INPATIENT DETOXIFICATION SERVICES AT WHITE RIVER MEDICAL CENTER. - WRH EMERGENCY DEPARTMENTS PARTICIPATION IN THE ARKANSAS NALOXHOME INITIATIVE. SUBSTANCE ABUSE TREATMENT AND PREVENTION: - OFFER MEDICATION ASSISTED SUBSTANCE ABUSE TREATMENT BY SUBOXONE CERTIFIED PROVIDERS AT WRH BEHAVIORAL HEALTH AND AT WRH FAMILY CARE. - UTILIZE CARE COORDINATOR FOR SCREENINGS RELATED TO SUBSTANCE ABUSE AND TO FACILITATE REFERRALS FOR THE APPROPRIATE HEALTHCARE SERVICES TO TREAT UNDERLYING HEALTH CONDITION LEADING TO SUBSTANCE ABUSE. - EXPAND THE USE OF INTERVENTIONAL PAIN MANAGEMENT PROCEDURES TO LESSEN USE OF ORAL NARCOTIC MEDICATIONS TO TREAT CHRONIC PAIN. - USE PRE-OPERATIVE SCREENING, TESTING, AND EDUCATION TO EVALUATE PATIENTS SURGICAL PAIN MANAGEMENT NEEDS AND UTILIZE PAIN MANAGEMENT STRATEGIES THAT MINIMIZE THE NEED FOR NARCOTIC MEDICATIONS TO MANAGE POST OPERATIVE PAIN. 5. ADDRESS HEALTH EDUCATION NEEDS UNDERSTANDING CHRONIC CONDITIONS: - DEVELOP SOCIAL MEDIA STRATEGY OF REGULAR POSTS SHARED FROM NATIONAL INSTITUTES OF HEALTH AND OTHER HEALTHCARE ORGANIZATIONS ABOUT MANAGING CHRONIC ILLNESS. - FEATURE WRH PHYSICIANS IN VIDEOS RELATED TO MANAGING CHRONIC HEALTH CONDITIONS AND EVERYDAY HEALTH. VIDEOS ARE PUBLISHED ON SOCIAL MEDIA AND WRH WEBSITE. - CLINIC CARE COORDINATORS, PRIMARY CARE PROVIDERS, AND INPATIENT CASE MANAGERS PROVIDE CHRONIC CONDITION HEALTH EDUCATION IN-PERSON, BY PHONE, AND TELEMEDICINE AS NEEDED. - LYON COLLEGE PRE-PROFESSIONAL STUDENTS ASSIGNED BY WRH HEALTH COACH PROGRAM REINFORCE CLINICAL EDUCATION AND HELP CONNECT PATIENTS TO SERVICES THAT ASSIST PATIENT WITH MANAGING CHRONIC CONDITIONS. UNDERSTANDING TREATMENT PLANS: - CLINIC CARE COORDINATORS AND WRH PROVIDERS UTILIZE TOOLS LIKE MOTIVATIONAL INTERVIEWING TO IMPROVE METHODS OF COMMUNICATION TO ENSURE A PATIENT'S UNDERSTANDING OF THEIR TREATMENT PLANS. - CLINIC CARE COORDINATORS AND NURSING TEAM MEMBERS FOLLOW UP WITH PATIENTS POST VISITS TO FURTHER DISCUSS TREATMENT PLANS AND ANSWER PATIENT QUESTIONS UNDERSTANDING MEDICATIONS: - WRH PROVIDERS UTILIZE EDUCATIONAL TOOLS TO SHARE WITH PATIENT INFORMATION REGARDING MEDICATION MANAGEMENT. - WRH PHARMACISTS AND COMMUNITY PHARMACISTS WORK TOGETHER TO MEET PATIENTS MEDICATION NEEDS AS APPLICABLE. - PRIMARY CARE CLINICS OFFER 24/7 ACCESS TO A NURSE ON CALL TO ASSIST WITH AFTER-HOURS QUESTIONS.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 13bIN THE FOLLOWING SITUATIONS (KNOWN AS PRESUMPTIVE FINANCIAL ASSISTANCE), A PATIENT IS DEEMED TO BE ELIGIBLE FOR 100% REDUCTION OF CHARGES: - IF PATIENT IS CURRENTLY ELIGIBLE FOR FULL MEDICAID BENEFITS, BUT WAS NOT ELIBIBLE ON A PRIOR DATE OF SERVICE. THE FACILITY WILL APPLY OUR FINANCIAL ASSISTANCE POLICY RETROACTIVELY FOR THE PREVIOUS THREE(3) MONTHS. - IF PATIENT STATES (S)HE IS HOMELESS AND WRHS, THROUGH OUR OWN DILIGENCE, DOES NOT FIND EVIDENCE OF THE CONTRARY. - IF PATIENT IS MENTALLY OR PHYSICALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS/HER BEHALF. - IF PATIENT IS CURRENTLY A RESIDENT OF A NURSING HOME FACILITY AND THE FACILITY IS ABLE TO PROVIDE ON A LETTERHEAD STATING PATIENT IS A RESIDENT ON A FIXED INCOME WITH A PROVIDED MEDICAID NUMBER. - IN THE EVENT OF A PATIENT'S DEATH, THE FAMILY OF THE DECEASED PATIENT WILL BE ELIGIBLE FOR OUR PRESUMPTIVE CHARITY DISCOUNT BY PRESENTING A COPY OF THE PATIENT'S DEATH CERTIFICATE. ONCE COLLECTION EFFORTS HAVE BEEN MET, THE REMAINING BALANCE WILL QUALIFY FOR PRESUMPTIVE CHARITY.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, & 16Chttps://whiteriverhealth.org/pay-my-bill#financeassistance
FieldValueIRS element (for citing)
Facility40FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
BATESVILLE FAMILY CARE
1215 SIDNEY STREET SUITE 300BATESVILLEAR72501FAMILY MEDICINE
CAVE CITY FAMILY CARE
301 SOUTH MAIN STREETCAVE CITYAR72521FAMILY MEDICINE
DRASCO FAMILY CARE
60 GREERS FERRY ROADDRASCOAR72530FAMILY MEDICINE
HARRISON STREET INTERNAL MEDICINE
3443 HARRISON STREETBATESVILLEAR72501FAMILY MEDICINE
MELBOURNE FAMILY AND SPECIALTY CARE
1526 EAST MAIN STREETMELBOURNEAR72556FAMILY MEDICINE
MIDWAY MEDICAL CLINIC SUITE A
195 HOSPITAL DRIVECHEROKEE VILLAGEAR72529FAMILY MEDICINE
MIDWAY MEDICAL CLINIC SUITE B
195 HOSPITAL DRIVECHEROKEE VILLAGEAR72529FAMILY MEDICINE
NEWARK MEDICAL CLINIC
501 VINE STREETNEWARKAR72562FAMILY MEDICINE
NEWPORT FAMILY AND SPECIALTY CARE
2200 MALCOLM AVENUE SUITE BNEWPORTAR72112FAMILY MEDICINE
PLEASANT PLAINS FAMILY CARE
6200 BATESVILLE BOULEVARDPLEASANT PLAINSAR72568FAMILY MEDICINE
SOUTHSIDE FAMILY CARE
1217 BATESVILLE BOULEVARDBATESVILLEAR72501FAMILY MEDICINE
STONE COUNTY FAMILY AND SPECIALTY CARE
105 CASE COMMONS DRIVEMOUNTAIN VIEWAR72560FAMILY MEDICINE
STONE COUNTY FAMILY CARE
2202 EAST MAIN STREETMOUNTAIN VIEWAR72560FAMILY MEDICINE
STRAWBERRY FAMILY CARE
58 EAST RIVER DRIVESTRAWBERRYAR72469FAMILY MEDICINE
SUGARLOAF FAMILY CARE
521 WILBURN ROADHEBER SPRINGSAR72543FAMILY MEDICINE
WRMC FAMILY PRACTICE CLINIC
409 VIRGINIA DRIVEBATESVILLEAR72501FAMILY MEDICINE
BATESVILLE BEHAVIORAL HEALTH
2230 HARRISON STREETBATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE BREAST CANCER
525 VIRGINIA DRIVEBATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE CANCER CENTER
525 VIRGINIA DRIVEBATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE CARDIOLOGY
1699 HARRISON STREET SUITE DBATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE ENT
1700 HARRISON STREET SUITE HBATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE INTERNAL MEDICINE
3443 HARRISON STREETBATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE NEUROLOGY
1699 HARRISON ST SUITE DBATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE ONCOLOGY
1710 HARRISON STREETBATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE ORTHOPAEDICS AND SPORTS MED
501 VIRGINIA DR SUITE CBATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE PAIN MANAGEMENT
1700 HARRISON STREET SUITE TBATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE PEDIATRICS
1700 HARRISON STREET SUITE NBATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE PULMONOLOGY
1215 SIDNEY STREETBATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE RHEUMATOLOGY
12 HOSPITAL CIRCLEBATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE SLEEP CENTER
1699 HARRISON STREETBATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE SURGICAL CLINIC
501 VIRGINIA DRIVE SUITE ABATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE WOMEN'S CLINIC
1215 SIDNEY STREET SUITE 202BATESVILLEAR72501SPECIALTY CLINIC
BATESVILLE WOUND CARE
1701 HARRISON STREETBATESVILLEAR72501SPECIALTY CLINIC
CHEROKEE VILLAGE SPECIALTY CARE
195 HOSPITAL DRIVE SUITE CCHEROKEE VILLAGEAR72529SPECIALTY CLINIC
HARRISON STREET INTERNAL MEDICINE
3443 HARRISON STREETBATESVILLEAR72501SPECIALTY CLINIC
MTN VIEW ORTHOHAND SURGERY AND SPORT M
2110 EAST MAIN STREETMOUNTAIN VIEWAR72560SPECIALTY CLINIC
MOUNTAIN VIEW PAIN MANAGEMENT
105 CASE COMMONS DRIVEMOUNTIAN VIEWAR72560SPECIALTY CLINIC
NEWPORT FAMILY AND SPECIALTY CARE
2200 MALCOLM AVENUENEWPORTAR72112SPECIALTY CLINIC
WHITE RIVER CARDIOLOGY CLINIC
3443 HARRISON STREETBATESVILLEAR72501SPECIALTY CLINIC
CHEROKEE VILLAGE EMERGENCY ROOM
195 HOSPITAL DRIVE SUITE CCHEROKEE VILLAGEAR72529SPECIALTY CLINIC

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE H, PART I, LINE 3CA PATIENT WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE IF THE PATIENT HAS LIMITED OR NO HEALTH INSURANCE OR APPLIES FOR BUT IS DEEMED INELIGIBLE FOR GOVERNMENT MEDICAL ASSISTANCE. IN ADDITION, A PATIENT MAY BE ELIGIBLE IN THE EVENT THE ORGANIZATION, IN ITS DISCRETION, DEEMS SUCH ELIGIBILITY APPROPRIATE UNDER A PATIENT'S UNIQUE CIRCUMSTANCES, INCLUDING POTENTIAL MEDICAL HARDSHIP. CONSIDERATION MAY BE GIVEN TO THE EXISTENCE OF SUBSTANTIAL MEDICAL DEBT AND ADDITIONAL DOCUMENTATION REGARDING ASSETS AND LIVING EXPENSES MAY BE REQUESTED.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. THE ESTIMATED AMOUNTS DUE FROM PAITENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO COLLECT ARE CONSIDRED IMPLICIT PRICE CONCESSIONS AND AS SUCH ARE RECORDED AS A DEDUCTION FROM GROSS PATIENT REVENUE. THE HOSPITAL INTERNALLY TRACTS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEUDLE H, PART III, SECTION A, LINE 2.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 3MEDICARE BASED REASONABLE COST METHODOLOGY.
FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8MEDICARE COST TO CHARGE RATIO.
FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9BACCOUNTS THAT HAVE BEEN PLACED WITH A THIRD-PARTY COLLECTION AGENCY ARE ELIGIBLE FOR BENEFITS PROVIDED REQUIRING THEY MEET APPROPRIATE SET GUIDELINES. IF APPROVED, THE ACCOUNT WILL REMAIN WITH THE COLLECTION AGENCY BUT WILL RECEIVE THE APPROVED FINANCIAL ASSISTANCE REDUCTION. ALL ACCOUNTS PLACE WITH A THIRD-PARTY COLLECTION AGENCY ARE ELIGIBLE FOR A 35% SETTLEMENT DISCOUNT, UPON REQUEST VIA PATIENT OR REPRESENTATIVE, IF PAID IN FULL.
FORM 990, SCHEDULE H, PART VI, LINE 2WRHS PROVIDES FREE PREVENTATIVE SCREENINGS TO THE COMMUNITY AND OTHER COMMUNITY OUTREACH PROGRAMS.
FORM 990, SCHEDULE H, PART VI, LINE 3THE ORGANIZATION WILL COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ITS PATIENTS AND THE GENERAL PUBLIC THROUGH MEASURES THAT INCLUDE PROVIDING OR POSTING COPIES OF THIS POLICY, SUMMARIES THEREOF (IF MORE CONDUCIVE TO PATIENT UNDERSTANDING), APPROPRIATE SIGNAGE AND/OR BROCHURES ON THE ORGANIZATION'S WEBSITE; IN THE PATIENT REGISTRATION AREAS; IN THE PATIENT FINANCIAL ADVOCACY DEPARTMENTS; IN OTHER WAITING AREAS THROUGHOUT THE ORGANIZATION'S PREMISES (AS MAY BE REASONABLY WORKABLE AND APPROPRIATE); IN PATIENT INFORMATIONAL BINDERS; AND IN BILLS AND STATEMENTS SENT TO PATIENTS. PERTINENT MATERIALS WILL BE PROVIDED IN ENGLISH AND SPANISH, WHICH ARE THE LANGUAGES APPROPRIATE TO THE COMMUNITIES SERVED BY THE ORGANIZATION. OTHER LANGUAGES WILL BE ADDED AS NECESSARY IN THE EVENT OF CHANGES TO THE ORGANIZATION'S PATIENT POPULATION. ALL SUCH MATERIALS WILL INCLUDE PERTINENT CONTACT TELEPHONE NUMBERS AND/OR E-MAIL ADDRESSES TO PERMIT PATIENTS APPROPRIATE RESOURCES FOR COMPLETION OF THE APPLICATION AND ANSWERS TO ANY OTHER QUESTIONS THEY MAY HAVE ABOUT THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM.
FORM 990, SCHEDULE H, PART VI, LINE 4WRHS IS A 501(C) (3) NONPROFIT, INTEGRATED HEALTH SYSTEM. THE ORGANIZATION INCLUDES: WRMC, AN ACUTE CARE HOSPITAL IN BATESVILLE; SCMC, A CRITICAL ACCESS HOSPITAL IN MOUNTAIN VIEW; A SATELLITE EMERGENCY DEPARTMENT IN CHEROKEE VILLAGE, RURAL HEALTH CLINICS (RHC), PRIMARY CARE AND SPECIALTY CLINICS, AND OUTPATIENT DIAGNOSTIC AND TREATMENT CENTERS THROUGHOUT NORTH CENTRAL ARKANSAS. WRHS EMPLOYS 62 PHYSICIANS, 51 MID-LEVEL PROVIDERS, AND 1,840 TOTAL EMPLOYEES. THE WRHS INTERNAL MEDICINE RESIDENCY ACHIEVED ACCREDITATION FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) AND IN 2018, ACHIEVED CONTINUED ACCREDITATION STATUS. THROUGH A COLLABORATIVE AGREEMENT WITH THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS), WHITE RIVER MEDICAL CENTER WILL SERVE AS A TRAINING SITE FOR UAMS FAMILY MEDICINE RESIDENTS. WRHS'S SERVICE AREA INCLUDES SIX (6) COUNTIES (CLEBURNE, INDEPENDENCE, IZARD, JACKSON, SHARP, AND STONE) IN NORTH CENTRAL ARKANSAS. WRHS'S EXTENDED SERVICE AREA AN ADDITIONAL FOUR (4) COUNTIES. THE HEALTHCARE NEEDS OF THE EXTENDED SERVICE AREA ARE ADDRESSED BY THE CHNA OF AREA HEALTHCARE PROVIDERS. LOCATED IN THE OZARK MOUNTAINS, MOST OF THE 3,751 SQUARE MILES OF THE SIX COUNTIES OF THE SERVICE AREA ARE RURAL WITH SMALL CITIES SCATTERED AMONG THE MOUNTAINS AND VALLEYS OF THE REGION. SMALL TO MEDIUM INDUSTRIES ARE IN THE CITY CENTERS; HOWEVER, AGRICULTURE AND TOURISM ARE THE PRIMARY ECONOMIC ENGINES IN THE REGION. ON AVERAGE, THERE ARE 32 PEOPLE PER SQUARE MILE IN THE SERVICE AREA. WITHIN THE SERVICE AREA 90% OF THE POPULATION IS WHITE, 3% IS AFRICAN AMERICAN, LESS THAN 1% IS ASIAN, 4% IS HISPANIC, AND 2% IS OTHER. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $39,124 AND 20% OF THE POPULATION IS LIVING BELOW THE POVERTY LEVEL.
FORM 990, SCHEDULE H, PART VI, LINE 5WHITE RIVER HEALTH SYSTEM PRIORITIZED COMMUNITY INVOLVEMENT BY REACHING OUT TO OUR COMMUNITY TO SUPPORT COMMUNITY-BASED PROGRAMS THAT IMPROVE THE WELL-BEING OF THOSE WE SERVE. WE FOCUSED OUR EFFORTS ON EDUCATION, SCREENINGS, AND SPONSORSHIPS. AS WE LOOK TO THE FUTURE, WE WILL CONTINUE TO LOOK FOR WAYS TO SERVE OUR COMMUNITIES. IT IS OUR MISSION TO PROVIDE QUALITY HEALTHCARE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. PREVIOUSLY KNOWN AS RUN THE WAVE, WRMC HELD ITS ANNUAL 5K RUN/WALK. THE EVENT BROUGHT IN A RECORD 133 RUNNERS AND RAISED OVER $11,000 TO SUPPORT LOCAL SCHOOL FOOD PANTRIES. 133 PEOPLE MADE DONATIONS TO THE EVENT AS VIRTUAL PARTICIPANTS. IN FEBRUARY, EVERY BABY BORN AT WRMC RECEIVED A HAND-KNITTED RED HAT AS PART OF THE AMERICAN HEART ASSOCIATION'S (AHA) LITTLE HATS, BIG HEARTS CAMPAIGN. THE CAMPAIGN FUNCTIONS TO RAISE AWARENESS FOR HEART DISEASE AND PROMOTE HEART HEALTH.
FORM 990, SCHEDULE H, PART VI, LINE 6WHITE RIVER HEALTH SYSTEM, INC. ALONG WITH ITS SUBSIDIARIES (THE SYSTEM) IS A MULTIDIMENSIONAL PROVIDER OF HEALTHCARE SERVICES PRIMARILY TO THE RESIDENTS OF NORTH CENTRAL ARKANSAS. THE SYSTEM OPERATES TWO HOSPITALS: WHITE RIVER MEDICAL CENTER, WHICH IS AN ACUTE CARE HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE TO THE RESIDENTS OF INDEPENDENCE COUNTY AND SURROUNDING AREAS; AND STONE COUNTY MEDICAL CENTER, WHICH IS A CRITICAL ACCESS HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY SERVICES TO THE RESIDENTS OF STONE COUNTY AND SURROUNDING AREAS. THE SYSTEM ALSO INCLUDES OUTPATIENT FACILITIES, PRIMARY CARE AND SPECIALTY PHYSICIAN OFFICES, NORTH ARKANSAS CLINICS, INC., AND WHITE RIVER HEALTH SYSTEM FOUNDATION, INC. (THE FOUNDATION). NORTH ARKANSAS CLINICS, INC. IS A FOR-PROFIT WHOLLY OWNED SUBSIDIARY OF THE SYSTEM THAT HOLDS REAL ESTATE IN SUPPORT OF THE SYSTEM. THE SYSTEM IS THE SOLE MEMBER OF THE FOUNDATION WHOSE PURPOSE IS TO SOLICIT CONTRIBUTIONS FOR THE BENEFIT OF THE SYSTEM.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1LYON COLLEGEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 HIGHLAND ROADAddressLine1Txt
CityBATESVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP72501ZIPCd
FieldValueIRS element (for citing)
Recipient EIN710246213RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$27,475CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method UsednoneValuationMethodUsedDesc
Non Cash AssistancenoneNonCashAssistanceDesc
Purpose Of GrantATHLETIC TRAINER SALARYPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GARY PAXSON
PRESIDENT - CEO$433,917$0$76,200$0$0$0$11,600$0$9,071$0$530,788$0$0$0
JEFF REIFSTECK
VP CHIEF INFORMATION OFFICER$182,389$0$26,200$0$0$0$8,203$0$7,479$0$224,271$0$0$0
JOSEPH SMOTHERMAN
EVP - CSO/COO$208,073$0$41,200$0$0$0$9,971$0$7,910$0$267,154$0$0$0
LINDSEY CASTLEBERRY
EVP- HR/LEGAL COUNCIL$215,010$0$44,200$0$0$0$9,989$0$7,356$0$276,555$0$0$0
ROBERT WRIGHT
VP PHYSICIAN SERVICES$196,008$0$36,200$0$0$0$9,288$0$3,093$0$244,589$0$0$0
SHAWNA IVES
CFO$199,992$0$41,200$0$0$0$9,648$0$3,392$0$254,232$0$0$0
CHRIS STEEL
IP CHIEF MEDICAL OFFICER$191,125$0$0$0$0$0$0$0$0$0$191,125$0$0$0
JENNIFER SANDAGE
CHIEF NURSING OFFICER$150,997$0$8,950$0$0$0$6,181$0$7,710$0$173,838$0$0$0
TAMMY GAVIN
FORMER EVP - CCO$110,808$0$44,000$0$275,000$0$6,192$0$2,966$0$438,966$0$0$0
RAMAN DESIKAN
PHYSICIAN$650,000$0$1,000$0$0$0$11,400$0$5,530$0$667,930$0$0$0
WESLEY GREER
PHYSICIAN$589,745$0$185,756$0$0$0$7,759$0$10,704$0$793,964$0$0$0
DYLAN CARPENTER
PHYSICIAN$510,246$0$370,165$0$0$0$11,400$0$6,905$0$898,716$0$0$0
JEFFERY ANGEL
OP CHIEF MEDICAL OFFICER$541,343$0$246,190$0$0$0$10,164$0$5,512$0$803,209$0$0$0
CHARLES VARELA
PHYSICIAN$545,234$0$224,056$0$0$0$0$0$3,926$0$773,216$0$0$0
HUNTER BROWN
PHYSICIAN$550,649$0$154,889$0$46,800$0$9,602$0$6,214$0$768,154$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE J, PART I, LINE 7FormAndLineReferenceDesc
ExplanationBONUSES TO OFFICERS ARE BASED ON MATRIXES AND A POLICY THAT IS APPROVED BY THE BOARD OF DIRECTORS.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF MOUNTAINVIEW AR PUBLIC FACILITIES BOARD
A352242231624308BF82017-03-27$4,135,759HOSPITAL REV/REFUNDING BONDSfalsefalsefalse
CITY OF BATESVILLE AR PUBLIC FACILITIES BOARD
B331078402070668AJ72020-08-25$34,840,074HOSPITAL REV/REFUNDING BONDSfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$3,150,000$0$4,135,759$0$0$0$82,715$0$0$0$4,053,044$0Yes (true)falseYes (true)Yes (true)
B$4,225,000$0$34,840,074$0$0$0$571,717$0$0$0$34,268,357$0Yes (true)Yes (true)Yes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0falsefalsefalsefalse
Bfalsefalsefalsefalse0falsefalsefalsefalse

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falsefalse
0
BfalseYes (true)falsefalsefalsefalsefalse0falsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
MATTHEW GAVIN
SON OF TAMMY GAVIN$64,517COMPENSATION FOR SERVICESfalse
DOYLE COCKRILL
BROTHER OF TAMMY GAVIN$91,236COMPENSATION FOR SERVICESfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE. IT IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL CONFLICT OF INTEREST POLICIES ARE SENT OUT TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES AND RESPONSES ARE RETURNED TO INDEPENDENT AUDITORS WHICH COMPILE A LIST OF CONFLICTS. THE CONFLICTS ARE PRESENTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS TO REVIEW. IF THERE IS A CONFLICT OF INTEREST, THE AFFECTED BOARD MEMBER DOES NOT VOTE. THE BOARD CHAIR WOULD ENSURE THAT THE POLICY IS ADHERED TO.
FORM 990, PART VI, SECTION B, LINE 15A & 15BTHE ANNUAL COMPENSATION REVIEWS ARE PERFORMED BY THE BOARD IN JANUARY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:15064524
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:8894459
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION FEES TOTAL FEES:3695738
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER FEES TOTAL FEES:993513
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT LABOR TOTAL FEES:14866917
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING FEES TOTAL FEES:1123406
FORM 990 PART IX LINE 11GDESCRIPTION:LAB FEES TOTAL FEES:1311279

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1WHITE RIVER HEALTH SYSTEM CIN LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11710 HARRISON STAddressLine1Txt
CityBATESVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP72501ZIPCd
FieldValueIRS element (for citing)
EIN465609311EIN
Primary ActivitiesSUPPORT WRHSPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$78,986EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WRHSBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1WHITE RIVER HEALTH SYSTEM FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11710 HARRISON STAddressLine1Txt
CityBATESVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP72501ZIPCd
FieldValueIRS element (for citing)
EIN710728911EIN
Primary ActivitiesSUPPORT WRHSPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status12APublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WRHSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NORTH ARKANSAS CLINICBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2116AddressLine1Txt
CityBATESVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP72503ZIPCd
FieldValueIRS element (for citing)
EIN710210496EIN
Primary ActivitiesRENT SPACEPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WRHSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Share Of Total Income$356,911ShareOfTotalIncomeAmt
Share Of EOY Assets$2,303,540ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WHITE RIVER HEALTH SYSTEM FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$150,569InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt