2023-07-25T11:48:13-05:00 2022-09-30 FORVIS LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2021-10-01 710411459 WHITE RIVER HEALTH SYSTEM INC % SHAWNA IVES WHIT 8706986520 1710 HARRISON ST BATESVILLE AR 72501 SHAWNA IVES CFO 8706986520 2023-07-20 true GARY PAXSON 000000000 AMBER SHERRILL P00748683 5013721040 2 2021 2023-04-26 12:10:37Z SHAWNA IVES 1710 HARRISON ST BATESVILLE AR 72501 293609005 false X WHITERIVERHEALTH.ORG/ X 1976 AR WRHS MISSION IS TO PROVIDE QUALITY HEALTHCARE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. 13 13 2209 100 0 0 28290048 13100331 266667945 275463982 3333855 1434446 1393637 1658341 299685485 291657100 29458 27475 0 0 139252824 153974516 0 0 0 124737381 141316308 264019663 295318299 35665822 -3661199 290135358 249893967 99475684 67771985 190659674 182121982 X WRHS 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. false false 240524057 27475 275463982 WHITE 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. 240524057 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false true false false false false false true true true true false false true 144 0 true 2209 true false false false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true true true X SHAWNA IVES 8702626100 1710 HARRISON ST BATESVILLE AR 72501 X DYLAN CARPENTER PHYSICIAN 40.0 0.0 X 880411 0 18305 JEFFERY ANGEL OP CHIEF MEDICAL OFFICER 40.0 0.0 X 787533 0 15676 WESLEY GREER PHYSICIAN 40.0 0.0 X 775501 0 18463 CHARLES VARELA PHYSICIAN 40.0 0.0 X 769290 0 3926 HUNTER BROWN PHYSICIAN 40.0 0.0 X 752338 0 15816 RAMAN DESIKAN PHYSICIAN 40.0 0.0 X 651000 0 16930 GARY PAXSON PRESIDENT - CEO 40.0 0.0 X 510117 0 20671 TAMMY GAVIN FORMER EVP - CCO 40.0 0.0 X 429808 0 9158 LINDSEY CASTLEBERRY EVP- HR/LEGAL COUNCIL 40.0 0.0 X 259210 0 17345 JOSEPH SMOTHERMAN EVP - CSO/COO 40.0 0.0 X 249273 0 17881 SHAWNA IVES CFO 40.0 0.0 X 241192 0 13040 ROBERT WRIGHT VP PHYSICIAN SERVICES 40.0 0.0 X 232208 0 12381 JEFF REIFSTECK VP CHIEF INFORMATION OFFICER 40.0 0.0 X 208589 0 15682 CHRIS STEEL IP CHIEF MEDICAL OFFICER 40.0 0.0 X 191125 0 0 JENNIFER SANDAGE CHIEF NURSING OFFICER 40.0 0.0 X 159947 0 13891 KATHY THOMAS EVP-SCMC 40.0 0.0 X 134465 0 6566 JEFF SHOWALTER SECRETARY 1.0 0.0 X X 0 0 0 KEVIN ROSE CHAIRMAN 1.0 0.0 X X 0 0 0 PAULA TERRELL DIRECTOR 1.0 0.0 X 0 0 0 PHILIP BRISSEY SECRETARY 1.0 0.0 X X 0 0 0 RANDY CROSS VICE CHAIRMAN 1.0 0.0 X X 0 0 0 STEVE BRYANT DIRECTOR 1.0 0.0 X 0 0 0 STEVE CASE DIRECTOR 1.0 0.0 X 0 0 0 TYLER FOWLKES TREASURER/SCMC ADVISORY CHAIR 1.0 0.0 X X 0 0 0 TINA WHEELIS DIRECTOR 1.0 0.0 X 0 0 0 RICK ELUMBAUGH DIRECTOR 1.0 0.0 X 0 0 0 ROBERT MCINTIRE DIRECTOR 1.0 0.0 X 0 0 0 DEBBIE FRAZIER DIRECTOR 1.0 0.0 X 0 0 0 DIANE LAMBERTH DIRECTOR 1.0 0.0 X 0 0 0 JORDAN WEAVER DIRECTOR 1.0 0.0 X 0 0 0 LESLIE FRENSLEY DIRECTOR 1.0 0.0 X 0 0 0 CHARLES SCHAFF DIRECTOR 1.0 0.0 X 0 0 0 MERIDEN GLASGOW DIRECTOR 1.0 0.0 X 0 0 0 JUDY BELCHER DIRECTOR 1.0 0.0 X 0 0 0 BORIS DOVER DIRECTOR 1.0 0.0 X 0 0 0 7232007 0 215731 185 false true false NORTH ARKANSAS PAIN MANAGEMENT PA 1710 HARRISON ST SUITE T BATESVILLE AR 72501 PAIN MANAGEMENT SVCS 3619197 INDEPENDENCE EMERGENCY PHYSICIANS G 2417 SEA ISLAND JONESBORO AR 72404 ER SERVICES 7203614 BATESVILLE CARDIOLOGY PA 29 PLANTATION PARK RD SUITE 804 BLUFFTON SC 29910 CARDIOLOGY SERVICES 827976 KHAN MEDICAL CORPORATION 1 SEZ ANNE COVE LITTLE ROCK AR 72223 MEDICAL CARE SVCS 630000 AHSA PO BOX 670529 DALLAS TX 75267 NURSING CONTRACT LAB 3778661 26 150569 12371974 577788 13100331 PATIENT SERVICE REVENUE 621110 266221252 266221252 PHARMACY 340B REVENUE 531120 6531566 6531566 INCENTIVE REVENUE 622110 1537679 1537679 MEDICAL OFFICE BUILDING RENT 622110 955370 955370 OTHER PROGRAM SERVICE REVENUE 621110 218115 218115 275463982 1263195 1263195 0 0 143657 143657 0 143657 143657 2122156 1000 1950253 1652 171903 -652 171251 171251 0 0 0 0 0 0 0 0 0 Dietary & Food Revenue 900099 1512316 1512316 MISCELLANEOUS REVENUE 900099 2368 0 2368 2368 0 2368 1514684 291657100 275463982 0 3092787 X 27475 27475 0 0 0 3369778 3369778 0 120756907 94682987 26073920 2517952 1974274 543678 19312629 15142632 4169997 8017250 6286159 1731091 136 107 29 11464 8989 2475 302029 236815 65214 0 0 0 45949836 36028314 9921522 0 526133 412530 113603 1689574 1324760 364814 0 0 5175215 4057779 1117436 257441 201854 55587 0 503628 394884 108744 1318664 1033937 284727 0 10961325 8594548 2366777 1739317 1363762 375555 DRUGS & MEDICAL SUPPLIES 53757417 53757417 REPAIRS & MAINTENANCE 9887586 7752651 2134935 TAXES, FEES & LICENSES 3489569 2736099 753470 FOOD 2325196 1823138 502058 3421778 2682946 738832 295318299 240524057 54794242 0 X 30784353 7085466 45080718 30533956 0 0 32087772 34589719 0 0 0 0 0 0 5889103 6286163 2631736 2260429 294641382 192652476 103285108 101988906 39887348 35820238 0 0 1236946 1414938 0 0 29252274 29914152 290135358 249893967 27657712 23686080 0 0 23940393 0 30227970 26634243 0 0 0 0 9869611 9897537 0 0 7779998 7554125 99475684 67771985 X 190659674 182121982 0 0 190659674 182121982 290135358 249893967 -3661199 -4876493 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 16191 16191 false SCHEDULE C, PART II-B, LINE 1I THE AMOUNT OF AMERICAN HOSPITAL ASSOCIATION AND ARKANSAS HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING. 106554 35445 -28662 0 0 0 113337 93709 8000 4845 0 0 0 106554 71583 20000 2126 0 0 0 93709 76856 0 -5273 0 0 0 71583 72585 0 4271 0 0 0 76856 0.00000 0.61590 0.38410 false true true 3797668 3797668 154726536 83175477 71551059 9253307 2297449 6955858 120771089 103429231 17341858 6092782 3750319 2342463 101988906 INTERCOMPANY RECEIVABLES 8341845 FUNDS HELD BY TRUSTEE 2973635 OTHER ASSETS 2988545 AMOUNTS DUE FROM THIRD PARTIES 7203574 INTERNALLY DESIGNATED FUNDS 1402481 ROU ASSET 7004072 29914152 0 ROU- LIABILITY 7554125 7554125 286780607 -4876493 -4876493 291657100 291657100 295317665 295317665 634 634 295318299 FORM 990, SCHEDULE D, PART X, LINE 2 MANAGEMENT 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 4B WRHS CIN EXPENSES $634 true true X true X true X true true false true true 1516002 1516002 0.00510 25402236 22547063 2855173 0.00970 26918238 22547063 4371175 0.01480 4379580 3251488 1128092 0.00380 6297483 3464368 2833115 0.00960 10677063 6715856 3961207 0.01340 37595301 29262919 8332382 0.02820 true 11402862 77385239 75865839 1519400 X true true 2 1 WHITE RIVER MEDICAL CENTER 1710 HARRISON ST BATESVILLE AR 72501 WWW.WHITERIVERHEALTHSYSTEM.COM 418 X X X A 2 STONE COUNTY MEDICAL CENTER 2106 EAST MAIN STREET MOUNTAIN VIEW AR 72560 WWW.WHITERIVERHEALTHSYSTEM.COM AR5036 X X X X A A false false true X X X X X X X X X 21 true true false true X SEE PART V, SECTION C true 21 true SEE PART V, SECTION C false true X 150. 300. X X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 THE 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 6A WHITE RIVER MEDICAL CENTER AND STONE COUNTY MEDICAL CENTER FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A & 10A whiteriverhealth.org/corporate-compliance#communityhealth FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 AFTER 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 13b IN 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, & 16C https://whiteriverhealth.org/pay-my-bill#financeassistance 40 BATESVILLE FAMILY CARE 1215 SIDNEY STREET SUITE 300 BATESVILLE AR 72501 FAMILY MEDICINE CAVE CITY FAMILY CARE 301 SOUTH MAIN STREET CAVE CITY AR 72521 FAMILY MEDICINE DRASCO FAMILY CARE 60 GREERS FERRY ROAD DRASCO AR 72530 FAMILY MEDICINE HARRISON STREET INTERNAL MEDICINE 3443 HARRISON STREET BATESVILLE AR 72501 FAMILY MEDICINE MELBOURNE FAMILY AND SPECIALTY CARE 1526 EAST MAIN STREET MELBOURNE AR 72556 FAMILY MEDICINE MIDWAY MEDICAL CLINIC SUITE A 195 HOSPITAL DRIVE CHEROKEE VILLAGE AR 72529 FAMILY MEDICINE MIDWAY MEDICAL CLINIC SUITE B 195 HOSPITAL DRIVE CHEROKEE VILLAGE AR 72529 FAMILY MEDICINE NEWARK MEDICAL CLINIC 501 VINE STREET NEWARK AR 72562 FAMILY MEDICINE NEWPORT FAMILY AND SPECIALTY CARE 2200 MALCOLM AVENUE SUITE B NEWPORT AR 72112 FAMILY MEDICINE PLEASANT PLAINS FAMILY CARE 6200 BATESVILLE BOULEVARD PLEASANT PLAINS AR 72568 FAMILY MEDICINE SOUTHSIDE FAMILY CARE 1217 BATESVILLE BOULEVARD BATESVILLE AR 72501 FAMILY MEDICINE STONE COUNTY FAMILY AND SPECIALTY CARE 105 CASE COMMONS DRIVE MOUNTAIN VIEW AR 72560 FAMILY MEDICINE STONE COUNTY FAMILY CARE 2202 EAST MAIN STREET MOUNTAIN VIEW AR 72560 FAMILY MEDICINE STRAWBERRY FAMILY CARE 58 EAST RIVER DRIVE STRAWBERRY AR 72469 FAMILY MEDICINE SUGARLOAF FAMILY CARE 521 WILBURN ROAD HEBER SPRINGS AR 72543 FAMILY MEDICINE WRMC FAMILY PRACTICE CLINIC 409 VIRGINIA DRIVE BATESVILLE AR 72501 FAMILY MEDICINE BATESVILLE BEHAVIORAL HEALTH 2230 HARRISON STREET BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE BREAST CANCER 525 VIRGINIA DRIVE BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE CANCER CENTER 525 VIRGINIA DRIVE BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE CARDIOLOGY 1699 HARRISON STREET SUITE D BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE ENT 1700 HARRISON STREET SUITE H BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE INTERNAL MEDICINE 3443 HARRISON STREET BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE NEUROLOGY 1699 HARRISON ST SUITE D BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE ONCOLOGY 1710 HARRISON STREET BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE ORTHOPAEDICS AND SPORTS MED 501 VIRGINIA DR SUITE C BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE PAIN MANAGEMENT 1700 HARRISON STREET SUITE T BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE PEDIATRICS 1700 HARRISON STREET SUITE N BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE PULMONOLOGY 1215 SIDNEY STREET BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE RHEUMATOLOGY 12 HOSPITAL CIRCLE BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE SLEEP CENTER 1699 HARRISON STREET BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE SURGICAL CLINIC 501 VIRGINIA DRIVE SUITE A BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE WOMEN'S CLINIC 1215 SIDNEY STREET SUITE 202 BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE WOUND CARE 1701 HARRISON STREET BATESVILLE AR 72501 SPECIALTY CLINIC CHEROKEE VILLAGE SPECIALTY CARE 195 HOSPITAL DRIVE SUITE C CHEROKEE VILLAGE AR 72529 SPECIALTY CLINIC HARRISON STREET INTERNAL MEDICINE 3443 HARRISON STREET BATESVILLE AR 72501 SPECIALTY CLINIC MTN VIEW ORTHOHAND SURGERY AND SPORT M 2110 EAST MAIN STREET MOUNTAIN VIEW AR 72560 SPECIALTY CLINIC MOUNTAIN VIEW PAIN MANAGEMENT 105 CASE COMMONS DRIVE MOUNTIAN VIEW AR 72560 SPECIALTY CLINIC NEWPORT FAMILY AND SPECIALTY CARE 2200 MALCOLM AVENUE NEWPORT AR 72112 SPECIALTY CLINIC WHITE RIVER CARDIOLOGY CLINIC 3443 HARRISON STREET BATESVILLE AR 72501 SPECIALTY CLINIC CHEROKEE VILLAGE EMERGENCY ROOM 195 HOSPITAL DRIVE SUITE C CHEROKEE VILLAGE AR 72529 SPECIALTY CLINIC FORM 990, SCHEDULE H, PART I, LINE 3C A 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 2 THE 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 3 MEDICARE BASED REASONABLE COST METHODOLOGY. FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8 MEDICARE COST TO CHARGE RATIO. FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B ACCOUNTS 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 2 WRHS PROVIDES FREE PREVENTATIVE SCREENINGS TO THE COMMUNITY AND OTHER COMMUNITY OUTREACH PROGRAMS. FORM 990, SCHEDULE H, PART VI, LINE 3 THE 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 4 WRHS 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 5 WHITE 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 6 WHITE 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. false LYON COLLEGE 2300 HIGHLAND ROAD BATESVILLE AR 72501 710246213 501(C)(3) 27475 0 none none ATHLETIC TRAINER SALARY 1 0 X X false false false false false false false true false GARY PAXSON PRESIDENT - CEO 433917 0 76200 0 0 0 11600 0 9071 0 530788 0 0 0 JEFF REIFSTECK VP CHIEF INFORMATION OFFICER 182389 0 26200 0 0 0 8203 0 7479 0 224271 0 0 0 JOSEPH SMOTHERMAN EVP - CSO/COO 208073 0 41200 0 0 0 9971 0 7910 0 267154 0 0 0 LINDSEY CASTLEBERRY EVP- HR/LEGAL COUNCIL 215010 0 44200 0 0 0 9989 0 7356 0 276555 0 0 0 ROBERT WRIGHT VP PHYSICIAN SERVICES 196008 0 36200 0 0 0 9288 0 3093 0 244589 0 0 0 SHAWNA IVES CFO 199992 0 41200 0 0 0 9648 0 3392 0 254232 0 0 0 CHRIS STEEL IP CHIEF MEDICAL OFFICER 191125 0 0 0 0 0 0 0 0 0 191125 0 0 0 JENNIFER SANDAGE CHIEF NURSING OFFICER 150997 0 8950 0 0 0 6181 0 7710 0 173838 0 0 0 TAMMY GAVIN FORMER EVP - CCO 110808 0 44000 0 275000 0 6192 0 2966 0 438966 0 0 0 RAMAN DESIKAN PHYSICIAN 650000 0 1000 0 0 0 11400 0 5530 0 667930 0 0 0 WESLEY GREER PHYSICIAN 589745 0 185756 0 0 0 7759 0 10704 0 793964 0 0 0 DYLAN CARPENTER PHYSICIAN 510246 0 370165 0 0 0 11400 0 6905 0 898716 0 0 0 JEFFERY ANGEL OP CHIEF MEDICAL OFFICER 541343 0 246190 0 0 0 10164 0 5512 0 803209 0 0 0 CHARLES VARELA PHYSICIAN 545234 0 224056 0 0 0 0 0 3926 0 773216 0 0 0 HUNTER BROWN PHYSICIAN 550649 0 154889 0 46800 0 9602 0 6214 0 768154 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 7 BONUSES TO OFFICERS ARE BASED ON MATRIXES AND A POLICY THAT IS APPROVED BY THE BOARD OF DIRECTORS. A CITY OF MOUNTAINVIEW AR PUBLIC FACILITIES BOARD 352242231 624308BF8 2017-03-27 4135759 HOSPITAL REV/REFUNDING BONDS false false false B CITY OF BATESVILLE AR PUBLIC FACILITIES BOARD 331078402 070668AJ7 2020-08-25 34840074 HOSPITAL REV/REFUNDING BONDS false false false A 3150000 0 4135759 0 0 0 82715 0 0 0 4053044 0 true false true true B 4225000 0 34840074 0 0 0 571717 0 0 0 34268357 0 true true true true A false false false false 0 false false false false B false false false false 0 false false false false A false false false true false false 0 false 0 false false B false true false false false false 0 false 0 false false A false B false MATTHEW GAVIN SON OF TAMMY GAVIN 64517 COMPENSATION FOR SERVICES false DOYLE COCKRILL BROTHER OF TAMMY GAVIN 91236 COMPENSATION FOR SERVICES false FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C ANNUAL 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 & 15B THE ANNUAL COMPENSATION REVIEWS ARE PERFORMED BY THE BOARD IN JANUARY. FORM 990, PART VI, SECTION C, LINE 19 THE 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 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:15064524 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:8894459 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:3695738 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:993513 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:14866917 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:1123406 FORM 990 PART IX LINE 11G DESCRIPTION:LAB FEES TOTAL FEES:1311279 WHITE RIVER HEALTH SYSTEM CIN LLC 1710 HARRISON ST BATESVILLE AR 72501 465609311 SUPPORT WRHS AR 0 78986 WRHS WHITE RIVER HEALTH SYSTEM FOUNDATION 1710 HARRISON ST BATESVILLE AR 72501 710728911 SUPPORT WRHS AR 501(C)(3) 12A WRHS true NORTH ARKANSAS CLINIC PO BOX 2116 BATESVILLE AR 72503 710210496 RENT SPACE AR WRHS C CORP 356911 2303540 1.00000 true false false true false false false false false false false false false true true true false false false false WHITE RIVER HEALTH SYSTEM FOUNDATION C 150569 FMV