BRADLEY COUNTY MEDICAL CENTER: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- BRADLEY COUNTY MEDICAL CENTER (EIN 71-0797499)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-10
- IRS object ID
- 202232229349302103
- Schema version
- 2020v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-10T15:08:49-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 EAST FRONT STREET 301 | AddressLine1Txt |
| City | MISSOULA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710797499 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADLEY COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRAD | BusinessNameControlTxt |
| Phone | 8702263731 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 404 SOUTH BRADLEY | AddressLine1Txt |
| City | WARREN | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71671 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LESLIE HUITT | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8702263731 | PhoneNum |
| Signature | 2022-08-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LESLIE | PersonFirstNm |
| Person Last | HUITT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SAM BRUNSON CPA | PreparerPersonNm |
| PTIN | P01696998 | PTIN |
| Phone | 4067281800 | PhoneNum |
| Preparation | 2022-08-08 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LESLIE HUITT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 404 SOUTH BRADLEY | AddressLine1Txt |
| City | WARREN | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71671 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $29,868,548 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | BRADLEYCOUNTYMEDICALCENTER.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE RESIDENTS OF BRADLEY & SURROUNDING COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 305 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,390,096 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,902,255 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,364,209 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $24,074,595 | CYProgramServiceRevenueAmt |
| PY Investment Income | $103,882 | PYInvestmentIncomeAmt |
| CY Investment Income | $37,644 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,354,188 | PYOtherRevenueAmt |
| CY Other Revenue | $854,054 | CYOtherRevenueAmt |
| PY Total Revenue | $28,212,375 | PYTotalRevenueAmt |
| CY Total Revenue | $29,868,548 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,147,564 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,172,638 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,295,157 | PYOtherExpensesAmt |
| CY Other Expenses | $14,699,615 | CYOtherExpensesAmt |
| PY Total Expenses | $25,442,721 | PYTotalExpensesAmt |
| CY Total Expenses | $25,872,253 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,769,654 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,996,295 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,777,890 | TotalAssetsBOYAmt |
| Total Assets EOY | $25,755,409 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,578,018 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,559,242 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,199,872 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,196,167 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE RESIDENTS OF BRADLEY AND SURROUNDING COUNTIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $19,567,051 | ExpenseAmt |
| Revenue | $24,705,065 | RevenueAmt |
| Desc | BRADLEY COUNTY MEDICAL CENTER IS AN ACUTE CARE FACILITY WHICH PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE, AND HOME HEALTH SERVICES TO RESIDENTS OF SOUTH CENTRAL ARKANSAS. | Desc |
| Total Program Service Expenses | $19,567,051 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 305 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LESLIE HUITT | PersonNm |
| Phone | 8702263731 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 404 SOUTH BRADLEY | AddressLine1Txt |
| City | WARREN | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71671 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| FREDDIE MOBLEY | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOE DON GREENWOOD | |||||||
| VICE CHAIR/TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KRISTI MCDUFF | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOE HANK WHARTON MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| EARNEST E CALLUM | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KENNETH MCDOUGALD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KEITH NEELY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LATHAN HAIRSTON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVE HENSON | |||||||
| OUTGOING CEO | 40.00 | Yes (X) | $144,624 | $0 | $11,328 | ||
| SUSAN DANIEL | |||||||
| OUTGOING CFO | 40.00 | Yes (X) | $15,895 | $0 | $859 | ||
| LESLIE HUITT | |||||||
| CFO/INTERIM CEO | 40.00 | Yes (X) | $46,998 | $0 | $5,148 | ||
| LEE LESSENBERRY | |||||||
| PHYSICIAN | 40.00 | $107,480 | $0 | $6,971 | Yes (X) | ||
| BRADLEY BIGGERS | |||||||
| PHYSICIAN | 40.00 | $297,351 | $0 | $19,883 | Yes (X) | ||
| TAMMY HENSLEY | |||||||
| HOME HEALTH DIRECTOR | 40.00 | $142,212 | $0 | $5,837 | Yes (X) | ||
| HALEY WAGNON | |||||||
| PHARMACIST | 40.00 | $117,953 | $0 | $16,687 | Yes (X) | ||
| KRISTEN DENT | |||||||
| PHYSICIAN | 40.00 | $329,580 | $0 | $18,278 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,202,093 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $84,991 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALTHEA T CONLEY MD | |||||
| 1918 RIDGEWOOD DRIVE | EL DORADO | AR | 71730 | PHYSICIAN | $260,135 |
| GATES ANESTHESIA LLC | |||||
| 214 BRADLEY 20 | WARREN | AR | 71671 | ANESTHESIA | $200,500 |
| JAN GORMAN | |||||
| 1308 OLD MONTICELLO ROAD | WARREN | AR | 71671 | ANESTHESIA | $200,500 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | STAFFING | $191,269 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,037,924 | GovernmentGrantsAmt |
| All Other Contributions | $864,331 | AllOtherContributionsAmt |
| Total Contributions | $4,902,255 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $24,074,595 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,074,595 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $24,074,595 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,644 | TotalRevenueColumnAmt |
| Exclusion | $37,644 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $223,584 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $223,584 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $223,584 | TotalRevenueColumnAmt |
| Exclusion | $223,584 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SALES TAX REVENUE | 900099 | $523,246 | $523,246 |
| OTHER REVENUE | 900099 | $55,966 | $55,966 |
| COUNTY TAX MILLAGE | 900099 | $51,258 | $51,258 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $630,470 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,868,548 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,705,065 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $261,228 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,997 | TotalAmt |
| Program Services | $228,098 | ProgramServicesAmt |
| Management And General | $47,899 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,037,872 | TotalAmt |
| Program Services | $7,536,609 | ProgramServicesAmt |
| Management And General | $1,501,263 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,651 | TotalAmt |
| Program Services | $136,836 | ProgramServicesAmt |
| Management And General | $46,815 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,010,904 | TotalAmt |
| Program Services | $753,211 | ProgramServicesAmt |
| Management And General | $257,693 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $664,214 | TotalAmt |
| Program Services | $494,897 | ProgramServicesAmt |
| Management And General | $169,317 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,700 | TotalAmt |
| Management And General | $1,700 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,602 | TotalAmt |
| Management And General | $75,602 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,418,261 | TotalAmt |
| Program Services | $4,366,852 | ProgramServicesAmt |
| Management And General | $2,051,409 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,615 | TotalAmt |
| Program Services | $18,722 | ProgramServicesAmt |
| Management And General | $29,893 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,694 | TotalAmt |
| Management And General | $10,694 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,571 | TotalAmt |
| Program Services | $44,204 | ProgramServicesAmt |
| Management And General | $306,367 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,288 | TotalAmt |
| Program Services | $149,296 | ProgramServicesAmt |
| Management And General | $13,992 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,107,515 | TotalAmt |
| Program Services | $620,208 | ProgramServicesAmt |
| Management And General | $487,307 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,311 | TotalAmt |
| Management And General | $233,311 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $2,164,963 | $2,164,963 | |
| SUPPLIES | $1,933,756 | $1,424,994 | $508,762 |
| REPAIRS & MAINTENANCE | $666,670 | $358,755 | $307,915 |
| DRUG EXPENSE | $631,973 | $631,973 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $892,696 | TotalAmt |
| Program Services | $637,433 | ProgramServicesAmt |
| Management And General | $255,263 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,872,253 | TotalAmt |
| Program Services | $19,567,051 | ProgramServicesAmt |
| Management And General | $6,305,202 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,725,513 | BOYAmt |
| EOY | $4,499,686 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,070,020 | BOYAmt |
| EOY | $6,590,595 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,222,788 | BOYAmt |
| EOY | $6,220,586 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $659,241 | BOYAmt |
| EOY | $700,270 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,528 | BOYAmt |
| EOY | $160,668 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,563,899 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,980,295 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,968,800 | BOYAmt |
| EOY | $7,583,604 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,777,890 | BOYAmt |
| EOY | $25,755,409 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,540,094 | BOYAmt |
| EOY | $1,459,242 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,037,924 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,578,018 | BOYAmt |
| EOY | $1,559,242 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,169,886 | BOYAmt |
| EOY | $23,836,091 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,986 | BOYAmt |
| EOY | $360,076 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,199,872 | BOYAmt |
| EOY | $24,196,167 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,777,890 | BOYAmt |
| EOY | $25,755,409 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,996,295 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $456,507 | OtherCostOrOtherBasisAmt |
| Book Value | $456,507 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,663,575 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,236,493 | DepreciationAmt |
| Book Value | $4,427,082 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,456,367 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,205,913 | DepreciationAmt |
| Book Value | $2,250,454 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $987,450 | OtherCostOrOtherBasisAmt |
| Depreciation | $537,889 | DepreciationAmt |
| Book Value | $449,561 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,583,604 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $27,556,190 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $27,556,190 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,312,358 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,312,358 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $29,868,548 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $23,559,895 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $23,559,895 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,312,358 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,312,358 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $25,872,253 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HOSPITAL IS RECOGNIZED AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, WHEREBY ONLY UNRELATED BUSINESS INCOME IS TAXABLE. THE HOSPITAL HAS EVALUATED ITS TAX POSITIONS TAKEN IN ACCORDANCE WITH ASC 740-10 AND HAS DETERMINED THAT THERE IS NO IMPACT ON THE TAX EXEMPT STATUS, FINANCIAL POSITION, OR RESULTS OF OPERATIONS FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020. THE HOSPITAL'S FEDERAL RETURN COULD BE SUBJECT TO EXAMINATION BY FEDERAL TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER FILED. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 2,164,963. CHARITY CARE 147,395. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 2,164,963. CHARITY CARE 147,395. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,669 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $69,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,401,410 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,176,213 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $225,197 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00870 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,471,079 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,176,213 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $294,866 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,471,079 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,176,213 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $294,866 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,164,963 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $445,982 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,847,939 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,274,340 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $573,599 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADLEY COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 404 SOUTH BRADLEY | AddressLine1Txt |
| City | WARREN | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71671 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BRADLEYCOUNTYMEDICALCENTER.COM | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | RURAL HOSPITAL W/ HOME HEALTH AGENCY | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADLEY COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BRADLEYCOUNTYMEDICALCENTER.COM/GETPAGE.PHP?NAME=COMMUNITY_HEALTH_NEEDS_ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.BRADLEYCOUNTYMEDICALCENTER.COM/GETPAGE.PHP?NAME=COMMUNITY_HEALTH_NEEDS_ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.BRADLEYCOUNTYMEDICALCENTER.COM/GETPAGE.PHP?NAME=FINASSIST | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.BRADLEYCOUNTYMEDICALCENTER.COM/GETPAGE.PHP?NAME=FINASSIST | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.BRADLEYCOUNTYMEDICALCENTER.COM/GETPAGE.PHP?NAME=FINASSIST | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Selling Debt | Yes (X) | PermitSellingDebtInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Engaged Selling Debt | Yes (X) | EngagedSellingDebtInd |
| Engaged Legal Judicial Process | Yes (X) | EngagedLegalJudicialProcessInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BRADLEY COUNTY MEDICAL CENTER | PART V, SECTION B, LINE 5: CONSULTED WITH THE ARKANSAS RURAL HEALTH PARTNERSHIP. |
| BRADLEY COUNTY MEDICAL CENTER | PART V, SECTION B, LINE 11: GOAL I. INCREASE MENTAL AND BEHAVIORAL HEALTH SERVICES IN THE SERVICE AREA; SPECIFICALLY TARGETING DRUG ABUSEOBJECTIVE 1. CONTINUE TO COLLABORATE WITH PARTNERS TO INCREASE THE NUMBER OF BEHAVIORAL HEALTH TREATMENT FACILITIESACTIVITIES:A. CONTINUE TO PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S MENTAL/BEHAVIORAL HEALTH TASK FORCEB. PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S NEW OPIOID COMMUNITY RESPONSE PLANNING PROJECT TO INCREASE LONG TERM CARE FACILITIES FOR BEHAVIORAL HEALTH PATIENTSOBJECTIVE 2. EXPAND MENTAL AND BEHAVIORAL HEALTH SERVICES AND PROGRAMS IN THE SERVICE AREA THROUGH COLLABORATIONACTIVITIES:A. CONTINUE TO PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S MENTAL/BEHAVIORAL HEALTH TASK FORCEB. PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S NEW OPIOID COMMUNITY RESPONSE PLANNING PROJECT TO INCREASE LONG TERM CARE FACILITIES FOR BEHAVIORAL HEALTH PATIENTSC. PROVIDE MENTAL HEALTH FIRST AID TO LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONSD. CONTINUE TO EXPAND COMMUNITY EDUCATION ON DRUG ABUSE THROUGH MARKETING EFFORTSE. CONTINUE TO ENCOURAGE LOCAL PHYSICIANS TO ASSIST WITH MEDICATION ASSISTANCE TREATMENT (MAT) SERVICESOBJECTIVE 3. PROVIDE TRANSPORTATION FOR BEHAVIORAL AND MENTAL HEALTH PATIENTS NEEDING IN-PATIENT PLACEMENTACTIVITIES:A. CONTINUE TO PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S MENTAL/BEHAVIORAL HEALTH TASK FORCEB. PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S NEW OPIOID COMMUNITY RESPONSE PLANNING PROJECT TO INCREASE LONG TERM CARE FACILITIES FOR BEHAVIORAL HEALTH PATIENTSC. INCREASE AWARENESS OF TRANSPORTATION SERVICES IN THE COMMUNITY THROUGH COMMUNICATION EFFORTSOBJECTIVE 4. PROVIDE THERAPY AND COUNSELING SUPPORT SERVICES THROUGH TELEHEALTHACTIVITIES: A. CONTINUE TO WORK WITH ARHP PARTNERS TO EXPAND TELEHEALTH SERVICES FOR MENTAL AND BEHAVIORAL HEALTH IN THE EMERGENCY DEPARTMENTB. CONTINUE TO WORK WITH ARHP PARTNERS TO EXPAND TELEHEALTH SERVICES FOR MENTAL AND BEHAVIORAL HEALTH IN LOCAL HEALTH CLINICSC. CONTINUE TO PARTNER WITH MAINLINE HEALTH SYSTEMS TO INCREASE BEHAVIORAL HEALTH RESOURCES VIA TELEHEALTHGOAL II. INCREASE COMMUNITY AND HEALTH RESOURCES FOR SENIOR POPULATIONOBJECTIVE 1. INCREASE AWARENESS OF SENIOR POVERTY AND LACK OF RESOURCES IN THE COUNTYACTIVITIES:A. PROVIDE MORE RESOURCES TO EDUCATE THE PUBLIC ON THE PREVALENCE OF SENIOR POVERTY IN THE COMMUNITY AND REGIONB. INCREASE EFFORTS TO ADDRESS SENIOR POVERTY AND THE LACK OF RESOURCES THROUGH CONVERSATIONS WITH LOCAL AND STATE GOVERNMENT OFFICIALS AND STAKEHOLDERSOBJECTIVE 2. PROVIDE ADDITIONAL RESOURCES TO SENIOR POPULATIONACTIVITIES:A. PROVIDE EDUCATION AND OUTREACH TO ASSIST ELDERLY WITH IDENTIFYING RESOURCES AND ASSISTING WITH CARE PLANSB. WORK WITH FOOD PANTRY AND FARMERS MARKET TO PROVIDE MORE FOOD RESOURCES FOR ELDERLYC. PROVIDE COMMUNITY CARE TEAMS THROUGH POTENTIAL PARTNERSHIP WITH ARHP PARTNERSD. HIRE HOSPITAL STAFF OR ARHP STAFF TO ASSIST WITH CHARITY CARE PAPERWORKE. WORK WITH ARHP TO INCREASE ORGANIZATIONAL EFFORTS TO INCREASE RESOURCES FOR SENIOR POPULATIONGOAL III. INCREASE ACCESS TO PATIENT AND COMMUNITY ASSISTANCE PROGRAMSOBJECTIVE 1. PROMOTE AVAILABLE PATIENT AND COMMUNITY ASSISTANCE PROGRAMS THROUGHOUT THE COMMUNITYACTIVITIES:A. INCREASE EFFORTS TO REACH PATIENTS NEEDING ASSISTANCE IN THE HOSPITAL AND CLINICSB. PROVIDE COMMUNITY OUTREACH AND PROMOTION OF PROGRAM (CHURCHES, EVENTS, SALONS, PARENT NIGHTS AT SCHOOLS)C. INCREASE MARKETING OF AVAILABLE HOSPITAL RESOURCES THROUGHOUT THE COUNTY; SPECIFICALLY IN OUTLYING COMMUNITIESD. PROVIDE BILLBOARDS AND MARKETING OF ASSISTANCE SERVICESE. HOST LUNCH AND LEARNS THROUGHOUT THE COMMUNITY PROMOTING ASSISTANCE PROGRAMSOBJECTIVE 2. INCREASE THE NUMBER OF PATIENT AND COMMUNITY ASSISTANCE PROGRAMS THROUGHOUT THE COMMUNITYACTIVITIES:A. INCREASE EFFORTS TO TRAIN MORE STAFF AND COMMUNITY MEMBERS TO ASSIST WITH ENROLLMENT SERVICES FOR ASSISTANCE PROGRAMSB. WORK WITH ARHP PARTNERS TO INCREASE THE CAPACITY OF STAFF TO ASSIST WITH ASSISTANCE PROGRAMS IN THE LOCAL COMMUNITIESC. WORK WITH ARHP PARTNERS TO INCREASE AVAILABLE COMMUNITY ASSISTANCE PROGRAMS IN THE COMMUNITYD. WORK WITH ARHP TO TRAIN COMMUNITY ORGANIZATION MEMBERS TO ASSIST WITH ENROLLMENT PROGRAMS |
| BRADLEY COUNTY MEDICAL CENTER | PART V, SECTION B, LINE 20E: COLLECTIONS DEPARTMENT MAKES REGULAR SCHEDULED PHONE CALLS AND INFORMS PATIENTS THAT BCMC WILL WORK WITH THE PATIENT AND INFORMS THEM ABOUT THE HOSPITAL'S CHARITY CARE PROGRAM. |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | A COST-TO-CHARGE RATIO WAS USED. |
| PART III, LINE 2: | THE PERCENTAGE OF ACCOUNTS RECEIVABLE METHOD IS USED FOR ESTIMATING AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND AN ASSOCIATED EXPENSE FOR BAD DEBTS. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF TO THE ALLOWANCE ACCOUNT AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES SURROUNDING THE ACCOUNT. THIS IS DONE ON A MONTHLY BASIS. |
| PART III, LINE 3: | THE MOST RECENT FEDERAL POVERTY LEVEL FOR BRADLEY COUNTY IS 20.6%. SINCE CHARITY CARE IS BASED ON THE FEDERAL POVERTY LEVEL, WE ESTIMATE THAT 20.6% WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. |
| PART III, LINE 4: | THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE BEGINS ON PAGE 7 OF THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 9B: | PATIENTS WHO ARE CONSIDERED INDIGENT AUTOMATICALLY QUALIFY FOR CHARITY CARE. |
| PART VI, LINE 2: | UTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FROM DHS AS WELL AS REPORTS SHOWING PERCENT OF ACTIVITY OF COMMUNITY BY PAYOR SOURCE. |
| PART VI, LINE 3: | NOTICES WILL BE POSTED IN KEY AREAS, FINANCIAL ASSISTANCE POLICY AND APPLICATION WILL BE AVAILABLE ON WEBSITE, WRITTEN INFORMATION REGARDING FAP WILL BE PROVIDED TO ANY PATIENT WHO REQUEST, AND FRONT LINE STAFF WILL BE ABLE TO ANSWER QUESTIONS. COLLECTION'S PERSONNEL ARE ALSO TRAINED TO BE ABLE TO PROMOTE THE FINANCIAL ASSISTANCE POLICY. |
| PART VI, LINE 4: | RURAL SETTING, PREDOMINANTLY AGRICULTURAL AND FORESTRY BASED. AVERAGE INCOME AT OR BELOW FEDERAL POVERTY GUIDELINES. |
| PART VI, LINE 5: | BRADLEY COUNTY MEDICAL CENTER PROVIDES GENERAL MEDICAL AND SURGICAL CARE FOR INPATIENT, OUTPATIENT, AND EMERGENCY ROOM PATIENTS, AND PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. BCMC SUPPORTS COMMUNITY GROUPS WITH VOLUNTEERS AND DONATIONS FROM THE HOSPITAL. BCMC ALSO SERVES AS A FACILITY FOR VARIOUS HEALTH AND WELLNESS SUPPORT GROUPS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KRISTEN DENT | ||||||||||||||
| PHYSICIAN | $298,580 | $0 | $31,000 | $0 | $0 | $0 | $11,400 | $0 | $6,878 | $0 | $347,858 | $0 | $0 | $0 |
| BRADLEY BIGGERS | ||||||||||||||
| PHYSICIAN | $243,351 | $0 | $1,000 | $0 | $53,000 | $0 | $10,727 | $0 | $9,156 | $0 | $317,234 | $0 | $0 | $0 |
| STEVE HENSON | ||||||||||||||
| OUTGOING CEO | $143,624 | $0 | $1,000 | $0 | $0 | $0 | $4,450 | $0 | $6,878 | $0 | $155,952 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS REVIEWED BY THE CEO AND CFO PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO REPORT CONFLICTS OF INTEREST WHEN THEY ARISE TO MANAGEMENT AND OTHER MEMBERS OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15 | CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT - COMPENSATION IS DISCUSSED AND VOTED ON BY THE BOARD OF DIRECTORS IN AN EXECUTIVE SESSION. OTHER OFFICERS AND KEY EMPLOYEES - ANNUAL INCREASES IN COMPENSATION ARE DETERMINED BY GOVERNING BOARD BASED ON PERFORMANCE EVALUATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,175,219. MANAGEMENT AND GENERAL EXPENSES 2,001,009. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,176,228. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,180,467. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,180,467. CONSULTING: PROGRAM SERVICE EXPENSES 11,166. MANAGEMENT AND GENERAL EXPENSES 50,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,566. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| BRADLEY MEDICAL SYSTEM | |||||||||
| 404 SOUTH BRADLEY | WARREN | AR | 71671 | 710797500 | TO OPERATE FOR THE BENEFIT OF BRADLEY COUNTY MEDICAL CENTER | AR | 501(C)(3) | LINE 12A, I | 0 |
| BRADLEY MEDICAL SERVICES | |||||||||
| 404 SOUTH BRADLEY | WARREN | AR | 71671 | 710797501 | TO OPERATE FOR THE BENEFIT OF BRADLEY COUNTY MEDICAL CENTER | AR | 501(C)(3) | LINE 12A, I | 0 |
| BRADLEY MEDICAL FOUNDATION | |||||||||
| 404 SOUTH BRADLEY | WARREN | AR | 71671 | 710797502 | TO OPERATE FOR THE BENEFIT OF BRADLEY COUNTY MEDICAL CENTER | AR | 501(C)(3) | LINE 12A, I | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |