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BAXTER COUNTY REGIONAL HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BAXTER COUNTY REGIONAL HOSPITAL INC (EIN 71-0561765)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202203189349305940
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)
Return2022-11-14T10:21:45-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

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 Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710561765EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAXTER COUNTY REGIONAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DEBRA HENRYInCareOfNm
Business Name ControlBAXTBusinessNameControlTxt
Phone8705081000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1624 HOSPITAL DRIVEAddressLine1Txt
CityMOUNTAIN HOMECityNm
State AbbreviationARStateAbbreviationCd
ZIP72653ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEBRA HENRYPersonNm
Person TitleCFOPersonTitleTxt
Phone8705081000PhoneNum
Signature2022-10-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDEBRAPersonFirstNm
Person LastHENRYPersonLastNm
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 TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1BAXTER REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRONDELL PETERSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1624 HOSPITAL DRIVEAddressLine1Txt
CityMOUNTAIN HOMECityNm
State AbbreviationARStateAbbreviationCd
ZIP72653ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$288,909,741GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BAXTERREGIONAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionBAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENT CARE FOR EVERY PATIENT, EVERY TIME.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2196TotalEmployeeCnt
Total Volunteers455TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$18,308,766PYContributionsGrantsAmt
CY Contributions Grants$11,112,776CYContributionsGrantsAmt
PY Program Service Revenue$240,535,513PYProgramServiceRevenueAmt
CY Program Service Revenue$266,695,810CYProgramServiceRevenueAmt
PY Investment Income$104,535PYInvestmentIncomeAmt
CY Investment Income$1,240,799CYInvestmentIncomeAmt
PY Other Revenue$1,315,443PYOtherRevenueAmt
CY Other Revenue$1,467,214CYOtherRevenueAmt
PY Total Revenue$260,264,257PYTotalRevenueAmt
CY Total Revenue$280,516,599CYTotalRevenueAmt
PY Grants And Similar Paid$63,785PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$106,118CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$119,683,839PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$133,913,914CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$123,345,570PYOtherExpensesAmt
CY Other Expenses$138,375,325CYOtherExpensesAmt
PY Total Expenses$243,093,194PYTotalExpensesAmt
CY Total Expenses$272,395,357CYTotalExpensesAmt
PY Revenues Less Expenses$17,171,063PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,121,242CYRevenuesLessExpensesAmt
Total Assets BOY$240,779,846TotalAssetsBOYAmt
Total Assets EOY$242,072,220TotalAssetsEOYAmt
Total Liabilities BOY$139,166,844TotalLiabilitiesBOYAmt
Total Liabilities EOY$129,156,968TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$101,613,002NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$112,915,252NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENT CARE FOR EVERY PATIENT, EVERY TIME. SEE SCHEDULE O FOR FULL MISSION STATEMENTMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$253,619,985ExpenseAmt
Grant$106,118GrantAmt
Revenue$266,695,810RevenueAmt
DescBAXTER REGIONAL MEDICAL CENTER OFFERS OVER THIRTY SPECIALIZED SERVICES TO THE COMMUNITIES SERVED IN THE TWIN LAKES AREA. SEE SCHEDULE O FOR 2021 SERVICESDesc
Total Program Service Expenses$253,619,985TotalProgramServiceExpensesAmt
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 ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
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 Document232IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2196EmployeeCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDEBRA HENRYPersonNm
Phone8705081000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1624 HOSITAL DRIVEAddressLine1Txt
CityMOUNTAIN HOMECityNm
State AbbreviationARStateAbbreviationCd
ZIP72653ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROSALYN BLAGG
DIRECTOR6.01.0Yes (X)$0$0$0
JERRY CUNNINGHAM
TREASURER6.01.0Yes (X)$0$0$0Yes (X)
SALLY GILBERT
DIRECTOR6.01.0Yes (X)$0$0$0
RANDY HOPPER
VICE CHAIRMAN6.01.0Yes (X)$0$0$0Yes (X)
JASON LINDSAY MD
DIRECTOR6.01.0Yes (X)$0$0$0
STEVE LUELF
DIRECTOR6.01.0Yes (X)$0$0$0
TED SANDERS
SECRETARY6.01.0Yes (X)$0$0$0Yes (X)
BRAD SCHULTZ MD
DIRECTOR6.01.0Yes (X)$0$0$0
PAUL WADE
DIRECTOR6.01.0Yes (X)$0$0$0
LANG ZIMMERMAN
CHAIRMAN6.01.0Yes (X)$0$0$0Yes (X)
D FOX - SEE SCH O
COO50.00.0$0$0$0Yes (X)
D HENRY - SEE SCH O
CFO50.01.0$0$0$0Yes (X)
R PETERSON - SEE SCH O
CEO50.01.0$0$0$0Yes (X)
S NACHTIGAL - SEE SCH O
CNO50.00.0$0$0$0Yes (X)
L LARRY - SEE SCH O
VP/DIRECTOR OF BUS DEVELOPMENT15.035.0$0$0$0Yes (X)
A GOCIO - SEE SCH O
PHYSICIAN60.00.0$0$0$0Yes (X)
B MATLE - SEE SCH O
PHYSICIAN60.00.0$0$0$0Yes (X)
L ELKINS - SEE SCH O
PHYSICIAN60.00.0$0$0$0Yes (X)
L BRADLEY - SEE SCH O
PHYSICIAN60.00.0$0$0$0Yes (X)
P TOBBIA - SEE SCH O
PHYSICIAN60.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K129IndivRcvdGreaterThan100KCnt
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
FIRST IN SERVICE HOSPITALIST PA
860 HWY 62 E STE 10MOUNTAIN HOMEAR72653HOSPITALIST$2,191,967
BAXTER EMERGENCY GROUP PLLC
425 COPPER CREEK CIRCLEMOUNTAIN HOMEAR72653ER PHYSICIANS$1,746,099
MEDEFIS CONSOLIDATED
PO BOX 5068NEW YORKNY100875068STAFFING$3,050,737
ECLINICAL WORKS
TWO TECHNOLOGY DRIVEWESTBOROUGHMA01581BILLING & SW SERVICE$1,261,780
NABHOLZ CONSTRUCTION CORP
PO BOX 2090CONWAYAR72033CONSTRUCTION$3,366,209
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K46CntrctRcvdGreaterThan100KCnt
Related Organizations$1,612,598RelatedOrganizationsAmt
Government Grants$9,500,178GovernmentGrantsAmt
Noncash Contributions$405,000NoncashContributionsAmt
Total Contributions$11,112,776TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GROSS PATIENT SERVICE REVENUE621400$265,108,854$265,108,854
340B REVENUE621400$1,119,587$1,119,587
REVENUE FROM OSM LLC621400$304,902$304,902
MEDICAL OFFICE BUILDING RENT531120$134,284$134,284
OTHER PROGRAM REVENUE621400$28,183$28,183
FieldValueIRS element (for citing)
Total Program Service Revenue$266,695,810TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,080,850TotalRevenueColumnAmt
Exclusion$1,080,850ExclusionAmt

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$326,284RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$258,683RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$67,601RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,601TotalRevenueColumnAmt
Exclusion$67,601ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,581,543SecuritiesAmt
Other$640,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,249,686SecuritiesAmt
Other$811,908OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$331,857SecuritiesAmt
Other-$171,908OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$159,949TotalRevenueColumnAmt
Exclusion$159,949ExclusionAmt
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$1,118,540GrossSalesOfInventoryAmt
Cost Of Goods Sold$1,072,865CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,675TotalRevenueColumnAmt
Exclusion$45,675ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA REVENUE722310$888,834$888,834
REIMBURSEMENTS & REBATES900099$287,937$287,937
VENDING MACHINE REVENUE454210$29,679$29,679

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$147,488TotalRevenueColumnAmt
Exclusion$147,488ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,353,938OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$280,516,599TotalRevenueColumnAmt
Related Or Exempt Func Income$266,695,810RelatedOrExemptFuncIncomeAmt
Exclusion$2,708,013ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$106,118TotalAmt
Program Services$106,118ProgramServicesAmt

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$2,148,531TotalAmt
Management And General$2,148,531ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$106,466,130TotalAmt
Program Services$97,532,917ProgramServicesAmt
Management And General$8,933,213ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,685,587TotalAmt
Program Services$2,460,248ProgramServicesAmt
Management And General$225,339ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,269,187TotalAmt
Program Services$13,988,001ProgramServicesAmt
Management And General$1,281,186ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,344,479TotalAmt
Program Services$6,728,229ProgramServicesAmt
Management And General$616,250ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$72,952TotalAmt
Program Services$66,831ProgramServicesAmt
Management And General$6,121ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$498,837TotalAmt
Program Services$456,981ProgramServicesAmt
Management And General$41,856ManagementAndGeneralAmt

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$27,299,163TotalAmt
Program Services$25,008,583ProgramServicesAmt
Management And General$2,290,580ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$403,482TotalAmt
Program Services$369,627ProgramServicesAmt
Management And General$33,855ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,987,536TotalAmt
Program Services$1,820,769ProgramServicesAmt
Management And General$166,767ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$393,319TotalAmt
Program Services$360,317ProgramServicesAmt
Management And General$33,002ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,670,692TotalAmt
Program Services$7,027,070ProgramServicesAmt
Management And General$643,622ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$794,092TotalAmt
Program Services$727,462ProgramServicesAmt
Management And General$66,630ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,887,158TotalAmt
Program Services$1,728,813ProgramServicesAmt
Management And General$158,345ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,426,085TotalAmt
Program Services$10,467,361ProgramServicesAmt
Management And General$958,724ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,452,151TotalAmt
Program Services$1,330,306ProgramServicesAmt
Management And General$121,845ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$39,117,312$39,117,312
PATIENT SUPPLIES & IMPLANTS$29,644,028$29,644,028
EQUIPMENT RENTAL & MAINTENANCE$8,818,955$8,078,986$739,969
PROVIDER ASSESSMENT FEE$3,220,492$3,220,492

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,689,071TotalAmt
Program Services$3,379,534ProgramServicesAmt
Management And General$309,537ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$272,395,357TotalAmt
Program Services$253,619,985ProgramServicesAmt
Management And General$18,775,372ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,960,985BOYAmt
EOY$381,516EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$78,353,300BOYAmt
EOY$44,293,018EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,287,974BOYAmt
EOY$23,732,242EOYAmt

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$9,181,636BOYAmt
EOY$10,487,533EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,667,637BOYAmt
EOY$1,781,256EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$245,816,321LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$172,564,734LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$66,764,437BOYAmt
EOY$73,251,587EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$60,563,877BOYAmt
EOY$88,145,068EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$240,779,846BOYAmt
EOY$242,072,220EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$44,414,186BOYAmt
EOY$58,508,003EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$7,891,434BOYAmt
EOY$12,417,137EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,170,455BOYAmt
EOY$35,171,419EOYAmt

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$47,690,769BOYAmt
EOY$23,019,504EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$40,905EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$139,166,844BOYAmt
EOY$129,156,968EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$101,605,495BOYAmt
EOY$112,915,252EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,507BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$101,613,002BOYAmt
EOY$112,915,252EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$240,779,846BOYAmt
EOY$242,072,220EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$8,121,242ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$6,358,397NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,177,389OtherChangesInNetAssetsAmt
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 OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$17,577GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$20,765OtherActivitiesAmt
Total Lobbying Expenditures$38,342TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE C, PART II-B, LINE 1FLOBBYING ACTIVITIES INCLUDE EFFORTS FOR THE RURAL HOSPITAL COALITION.
FORM 990, SCHEDULE C, PART II-B, LINE 1ILOBBYING ACTIVITIES INCLUDE DUES FOR THE ARKANSAS & AMERICAN HOSPITAL ASSOCIATION.

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$10,205,024BeginningYearBalanceAmt
Contributions$20,000ContributionsAmt
Investment Earnings Or Losses$1,194,352InvestmentEarningsOrLossesAmt
Grants Or Scholarships$322,286GrantsOrScholarshipsAmt
End Year Balance$11,097,090EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,955,642BeginningYearBalanceAmt
Contributions$78,354ContributionsAmt
Investment Earnings Or Losses$463,382InvestmentEarningsOrLossesAmt
Grants Or Scholarships$292,354GrantsOrScholarshipsAmt
End Year Balance$10,205,024EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,312,250BeginningYearBalanceAmt
Contributions$31,526ContributionsAmt
Investment Earnings Or Losses$1,113,262InvestmentEarningsOrLossesAmt
Grants Or Scholarships$501,396GrantsOrScholarshipsAmt
End Year Balance$9,955,642EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,340,818BeginningYearBalanceAmt
Contributions$20,000ContributionsAmt
Investment Earnings Or Losses-$497,536InvestmentEarningsOrLossesAmt
Grants Or Scholarships$551,032GrantsOrScholarshipsAmt
End Year Balance$9,312,250EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,934,206BeginningYearBalanceAmt
Investment Earnings Or Losses$845,821InvestmentEarningsOrLossesAmt
Grants Or Scholarships$439,209GrantsOrScholarshipsAmt
End Year Balance$10,340,818EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.02360BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.65960PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.31680TermEndowmentBalanceEOYPct
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$4,902,591OtherCostOrOtherBasisAmt
Book Value$4,902,591BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$86,037,220OtherCostOrOtherBasisAmt
Depreciation$57,035,292DepreciationAmt
Book Value$29,001,928BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$149,910,077OtherCostOrOtherBasisAmt
Depreciation$113,497,812DepreciationAmt
Book Value$36,412,265BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,966,433OtherCostOrOtherBasisAmt
Depreciation$2,031,630DepreciationAmt
Book Value$2,934,803BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$73,251,587TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
EQUITY INVESTEES$963,637
OTHER ASSETS$71,528
ASSETS LIMITED TO USE$78,249,498
OTHER RECEIVABLES$587,879
DUE FROM AFFILIATES$3,969,655
RIGHT OF USE ASSET$3,937,986
DUE FROM THIRD PARTY PAYORS$364,885
FieldValueIRS element (for citing)
Total Book Value Other Assets$88,145,068TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATEDesc
Amt$40,905Amt
FieldValueIRS element (for citing)
Total Liability$40,905TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$285,881,642TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$6,358,397NetUnrealizedGainsInvstAmt
Other Revenue$171,908OtherRevenueAmt
Revenue Not Reported$6,530,305RevenueNotReportedAmt
Revenue Subtotal$279,351,337RevenueSubtotalAmt
Other Revenues Not Included$1,165,262OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,165,262RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$280,516,599TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$271,447,678TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$171,908OtherExpensesIncludedAmt
Expenses Not Reported$171,908ExpensesNotReportedAmt
Expenses Subtotal$271,275,770ExpensesSubtotalAmt
Other Expenses Not Included$1,119,587OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,119,587ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$272,395,357TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4THE ENDOWMENT FUNDS WERE ESTABLISHED TO PROVIDE FINANCIAL SUPPORT TO THE ORGANIZATION AND THE FURTHERANCE OF ITS MISSION.
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 TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
FORM 990, SCHEDULE D, PART XI, LINE 2DLOSS ON SALE OF ASSETS $171,908
FORM 990, SCHEDULE D, PART XI, LINE 4BREVENUE INCLUDED IN EXPENSES PER AUDIT $1,119,587 AUXILIARY INCOME $45,675 ==================================================== TOTAL $1,165,262
FORM 990, SCHEDULE D, PART XII, LINE 2DLOSS ON SALE OF ASSETS $171,908
FORM 990, SCHEDULE D, PART XII, LINE 4BREVENUE INCLUDED IN EXPENSES PER AUDIT $1,119,587

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

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other138.FreeCareOtherPct
FieldValueIRS element (for citing)
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$1,476,786TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,476,786NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,797,796TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,128,761DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,669,035NetCommunityBenefitExpnsAmt
Total Expense0.02080TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,274,582TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,128,761DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,145,821NetCommunityBenefitExpnsAmt
Total Expense0.02620TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,793,688TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$757,406DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,036,282NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$783,018TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$783,018NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,870,171TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,539,031DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,331,140NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$49,176TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$180DirectOffsettingRevenueAmt
Net Community Benefit Expns$49,176NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,496,053TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,296,617DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,199,616NetCommunityBenefitExpnsAmt
Total Expense0.01180TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,770,635TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,425,378DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,345,437NetCommunityBenefitExpnsAmt
Total Expense0.03800TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,046TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,046NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$826,734TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$826,734NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$829,780TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$829,780NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$8,452,566BadDebtExpenseAmt
Reimbursed By Medicare$81,655,626ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$70,908,240CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$10,747,386MedicareSurplusOrShortfallAmt

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1BAXTER REGIONAL PHOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesHEALTHCARE ADMIN SERVICESPrimaryActivitiesTxt
Org Profit Or Ownership0.5OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.5PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAXTER COUNTY REGIONAL HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1624 HOSPITAL DRAddressLine1Txt
CityMOUNTAIN HOMECityNm
State AbbreviationARStateAbbreviationCd
ZIP726532954ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.BAXTERREGIONAL.ORGWebsiteAddressTxt
State LicenseAR3827StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BAXTER COUNTY REGIONAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
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 Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.BAXTERREGIONAL.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.BAXTERREGIONAL.ORGStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care138.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
Other CriteriaYes (X)OtherCriteriaInd
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 URLWWW.BAXTERREGIONAL.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.BAXTERREGIONAL.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.BAXTERREGIONAL.ORGFAPSummaryOnWebsiteURLTxt
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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, LINE 5BAXTER COUNTY REGIONAL HOSPITAL ENGAGED BKD, LLP TO CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. SPEAKING WITH KEY INTERVIEWEES (COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTEREST OF THE COMMUNITY WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH OR THOSE REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED OR MINORITY POPULATIONS WIT COMMUNITY) IS A TECHNIQUE EMPLOYED TO ASSESS PUBLIC PERCEPTIONS OF THE COUNTY'S HEALTH STATUS AND UNMET NEEDS. THESE INTERVIEWS ARE INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. KEY INTERVIEWEES INCLUDED THE COUNTY HEALTH DEPARTMENT DIRECTORS FROM EACH COUNTY IN THE MEDICAL CENTER'S COMMUNITY, AS WELL AS INDIVIDUALS WHO ARE KNOWLEDGEABLE ABOUT POPULATIONS WITHIN THE COMMUNITY WHOSE HEALTH AND QUALITY OF LIFE MAY NOT GOOD AS OTHERS, SUCH AS REPRESENTATIVES OF ORGANIZATIONS SERVING THE MEDICALLY INDIGENT, CHILDREN IN POVERTY OR THE ELDERLY. DIALOGUES WITH 14 KEY INTERVIEWEES WERE CONDUCTED IN OCTOBER 2019. INTERVIEWEES WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. ALL INTERVIEWS WERE CONDUCTED BY MEDICAL CENTER PERSONNEL USI STANDARD QUESTIONNAIRE. A COPY OF THE INTERVIEW INSTRUMENT IS INCLUDED IN THE APPENDIX. A SUMMARY OF THEIR OPINIONS IS REPORTED WITHOUT JUDGING THE TRUTHFULNESS OR ACCURACY OF THEIR REMARKS. COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY - BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY - OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES - DELINEATION OF THE MOST IMPORTANT HEALTH CARE ISSUES OR SERVICES DISCUSSED ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES INTERVIEW DATA WAS INITIALLY RECORDED IN NARRATIVE FORM. INTERVIEWEES WERE ASSURED THAT PERSONAL IDENTIFIERS SUCH AS NAME OR ORGANIZATIONAL AFFILIATIONS WOULD NOT BE CONNECTED IN ANY WAY TO THE INFORMATION PRESENTED THIS REPORT. THIS TECHNIQUE DOES NOT PROVIDE A QUANTITATIVE ANALYSIS OF THE LEADERS' OPINIONS, BUT REVEALS COMMUNITY INPUT FOR SOME OF THE FACTORS AFFECTING THE VIEWS AND SENTIMENTS ABOUT OVERALL HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11THE SIGNIFICANT NEEDS THE HOSPITAL IDENTIFIED ARE: 1) SUICIDE PREVENTION/ACCESS TO MENTAL HEALTH CARE 2) DRUG ABUSE PREVENTION 3) OBESITY 4) DIABETES 5) HEALTH & WELLNESS EDUCATION 6) ACCESS TO PRIMARY CARE PLEASE REFER TO THE IMPLEMENTATION STRATEGY FOR A MORE THOROUGH EXPLANATION OF THE ACTIONS THE HOSPITAL WILL TAKE TO ADDRESS THESE NEEDS. 1. SUICIDE PREVENTION/ACCESS TO MENTAL HEALTH CARE WILL BE ADDRESSED BY COLLABORATING WITH AREA SCHOOL DISTRICTS FOR CLASSROOM EDUCATION ABOUT MENTAL HEALTH INCLUDING GUEST SPEAKERS AND CONTINUED SUPPORT FOR PROJECT SEMICOLON, PROVIDING ACCESS TO MENTAL HEALTH SCREENING TOOLS FOR PEDIATRIC AND FAMILY PRACTICE PHYSICIANS, CREATE AND IMPLEMENT A SUICIDE PREVENTION MARKETING CAMPAIGN TARGETING VETERANS, CONDUCT A FINANCIAL PROFORMA TO EXPLORE THE POSSIBILITY OF CREATING A MENTAL HEALTH HOPE AND EDUCATION CENTER, CONTINUE TO EXPLORE GRANT FUNDING OPPORTUNITIES TO PROVIDE RESOURCES FOR MENTAL HEALTH. 2. DRUG ABUSE PREVENTION - BRMC WILL CONTINUE TO SUPPORT THE COMMUNITY DRUG TASK FORCE WITH A FOCUS ON PREVENTION, CONTINUE TO SUPPORT AND PROMOTE THE RESOURCES PROVIDED BY REGIONAL RECOVERY NETWORK, COLLABORATE WITH AREA SCHOOLS FOR COMMUNITY EDUCATION USING SIMULATIONS AND OVERDOSE-SPECIFIC TRAINING, APPLY FOR GRANTS TO HELP ASSIST AREA SCHOOLS WITH DRUG ABUSE EDUCATION, EXPLORE THE POSSIBILITY OF PROVIDING DRUG/ALCOHOL EDUCATION FOR LOCAL BUSINESS AND FACTORY EMPLOYEES, EXPLORE THE POSSIBILITY OF PROVIDING MENTAL HEALTH SUPPORT FOR EX-CONVICTS NEWLY RELEASED FROM JAIL OR NEWLY SOBER, HELP IMPLEMENT THE DRUG TAKE BACK PROGRAM IN PARTNERSHIP WITH THE DISABLED AMERICAN VETERANS. 3. OBESITY - BRMC WILL PROVIDE HEALTHIER FOOD OPTIONS AND REDUCE THE AMOUNT OF UNHEALTHY OPTIONS FOR PATIENTS AND EMPLOYEES IN THEIR FACILITY, CONTINUE HEALTH EATING EVENTS PROVIDED BY REPPELL DIABETES LEARNING CENTER, PROVIDE RECOGNITION FOR HEALTHY EATING AND WEIGHT LOSS FOR THEIR STAFF, COLLABORATE WITH AREA SCHOOLS TO REDUCE ADOLESCENT OBESITY THROUGH EDUCATION, PROVIDE OPPORTUNITIES FOR DIETARY SERVICES AND NURSING STAFF TO PARTICIPATE IN COMMUNITY SPEAKING EVENTS AND EDUCATION ABOUT OBESITY, CONTINUE TO WORK ALONGSIDE THE FOOD BANK OF NORTH CENTRAL ARKANSAS FOR COMMUNITY EDUCATION, WORK IN CONJUCTION WITH THE COMMUNITY TO EXPLORE THE DEVELOPMENT OF BIKE TRAILS FROM THE ASUMH CAMPUS TO THE BAXTER REGIONAL CAMPUS. 4. DIABETES - BRMC WILL CONTINUE TO PROVIDE COMMUNITY EDUCATION THROUGH REPPELL DIABETES LEARNING CENTER, CONTINUE TO PROVIDE DIABETIC TESTING AT THE BRMC SPONSORED HEALTH FAIR AND WILL BEGIN TO INCORPORATE THIS OPPORTUNITY AT OTHER COMMUNITY EVENTS, COLLABORATE WITH AREA SCHOOLS TO PROVIDE SCREENINGS FOR HIGH SCHOOL STUDENTS, CONTINUE OFFERING INSULIN PUMP EDUCATION TO THE COMMUNITY, PROVIDE OBESITY HEALTH CARE FOR DIABETES PATIENTS WITHOUT INSURANCE. 5. HEALTH & WELLNESS EDUCATION - BRMC WILL INCREASE THE OPPORTUNITIES FOR STAFF EDUCATION TO BE ABLE TO PROVIDE MORE RESOURCES FOR COMMUNITY EDUCATION, IMPLEMENT INTERNAL AND COMMUNITY EDUCATIONAL CAMPAIGNS ON STRESS MANAGEMENT AND MENTAL HEALTH, COLLABORATE WITH AREA SCHOOLS TO PROVIDE STUDENTS WITH HEALTH & WELLNESS EDUCATION, COLLABORATE WITH AREA CHURCHES TO PROVIDE HEALTH AND WELLNESS INFORMATION TO THE COMMUNITY. 6. ACCESS TO PRIMARY CARE - BRMC WILL MAINTAIN AN IN-HOUSE PHYSICIAN RECRUITER ON STAFF, CONTINUE TO PROVIDE MEDICAL SCHOLARSHIPS, SUPPORT ADDITIONAL MID-LEVEL PROVIDERS, EXPLORE ESTABLISHING MORE FAMILY CARE CLINICS, CONTINUE TO PURSUE MAGNET STATUS RECOGNITION. ADDITIONAL MID-LEVEL PROVIDERS, EXPLORE ESTABLISHING MORE FAMILY CARE CLINICS, CONTINUE TO PURSUE MAGNET STATUS RECOGNITION.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 13HBRMC WILL TAKE INTO ACCOUNT PROOF OF ANY OUT-OF-POCKET MEDICAL EXPENSES IN THE PAST 12 MONTHS. IF A PATIENT (1) STATES THAT HE OR SHE IS HOMELESS AT THE TIME CARE IS NEEDED OR (2) IS PHYSICALLY OR MENTALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS OR HER BEHALF, AND IF BRMC DOES NOT FIND ANY EVIDENCE TO THE CONTRARY THROUGH ITS OWN DILIGENCE, THAT PATIENT WILL BE CONSIDERED A QUALIFIED FINANCIAL ASSISTANCE RECIPIENT AND WILL NOT BE REQUIRED TO COMPLETE THE APPLICATION FOR SUCH FINANCIAL ASSISTANCE. PATIENTS WITH THOSE CIRCUMSTANCES WILL BE ELIGIBLE FOR CARE WITHOUT COST TO THE PATIENT.
FieldValueIRS element (for citing)
Facility30FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
BRMC CARDIAC DIAGNOSTIC TESTING CENTER
555 WEST 6THMOUNTAIN HOMEAR72653DIAGNOSTIC TESTING CENTER
BAXTER REGIONAL CARDIOVASCULAR CLINIC
907 BURNETT DRIVEMOUNTAIN HOMEAR72653CARDIOVASCULAR CLINIC
BRMC HOME HEALTH AGENCY
30 RYAN ROADCOTTERAR72626HOME HEALTH AGENCY
BRMC UROLOGY CLINIC
505 HOSPITAL DRIVEMOUNTAIN HOMEAR72653PHYSICIAN CLINIC
BRMC MEDICAL SPECIALIST
628 HOSPITAL DRIVE SUITE AMOUNTAIN HOMEAR72653PHYSICIAN CLINIC
BRMC PULMOLOGY CLINIC
628 HOSPITAL DRIVE SUITE 3AMOUNTAIN HOMEAR72653PHYSICIAN CLINIC
BRMC NEPHROLOGY CLINIC
230 HWY 5 N SUITE 20MOUNTAIN HOMEAR72653PHYSICIAN CLINIC
BRMC BONE AND JOINT CLINIC
639 BROADMOOR CIRCLEMOUNTAIN HOMEAR72653PHYSICIAN CLINIC
BRMC HEART & VASCULAR CLINIC
628 HOSPITAL DRIVE SUITE 1AMOUNTAIN HOMEAR72653PHYSICIAN CLINIC
BRMC GASTROENTEROLOGY
222 BUCHER DRIVEMOUNTAIN HOMEAR72653PHYSICIAN CLINIC
BAXTER REG COMPREHENSIVE WOMEN'S CLINIC
628 HOSPITAL DRIVE SUITE EMOUNTAIN HOMEAR72653PHYSICIAN CLINIC
AHRENS CLINIC
414 WEST OLD MAIN STREETYELLVILLEAR72687RURAL HEALTH CLINIC
BRMC CARDIOLOGY CLINIC
555 WEST 6THMOUNTAIN HOMEAR72653PHYSICIAN CLINIC
FAIRLAMB SENIOR HEALTH CLINIC
614 BROADMOOR DRIVEMOUNTAIN HOMEAR72653PHYSICIAN CLINIC
INTERVENTIONAL PAIN MANAGEMENT-HARRISON
825 NORTH MAIN STREET SUITE 6HARRISONAR72601PHYSICIAN CLINIC
BRMC FAMILY CLINIC ON MARKET
675 HIGHWAY 62 EASTMOUNTAIN HOMEAR72653PHYSICIAN CLINIC
BRMC NEUROSURGERY AND SPINE CLINIC
310 BUTTERCUP DRIVE SUITE AMOUNTAIN HOMEAR72653PHYSICIAN CLINIC
BAXTER REG PT CLINIC AT MTN VIEW
103 MOUNTAIN PLACE DRIVEMOUNTAIN VIEWAR72560OP PHYSICIAL THERAPY CLINIC
BAXTER REG PT CLINIC AT YELLVILLE
414 WEST OLD MAINYELLVILLEAR72687OP PHYSICIAL THERAPY CLINIC
BAXTER REG BEHAVIORAL HEALTH CLINIC
230 HWY 5 N SUITE 20MOUNTAIN HOMEAR72653PHYSICIAN CLINIC
BRMC MED PEDS CLINIC
10 MEDICAL PLAZAMOUNTAIN HOMEAR72653PHYSICIAN CLINIC
BRMC FAMILY CLINIC
899 BURNETT DRIVEMOUNTAIN HOMEAR72653PHYSICIAN CLINIC
BRMC INTERNAL MED & INFECTIOUS DISEASE
628 HOSPITAL DRIVE SUITE 3EMOUNTAIN HOMEAR72653PHYSICIAN CLINIC
BAXTER REG PT CLINIC AT HARDY
4196 HWY 62/412 SUITE BHARDYAR72542OP PHYSICIAL THERAPY
BAXTER REG PT CLINIC AT MELBOURNE
1019 E MAIN STREETMELBOURNEAR72556OP PHYSICAL THERAPY
BRMC OUTPATIENT SURGERY CENTER
761 BEARD DRIVEMOUNTAIN HOMEAR72653OUTPATIENT SURGERY CENTER
BAXTER REG CROSSROADS MEDICAL CLINIC
1420 HWY 62/65 SUITE 1PHARRISONAR72601PHYSICIAN CLINIC
BAXTER REG CARDIOLOGY CLINIC AT HARRISON
1420 HWY 62/65 SUITE 2HARRISONAR72601PHYSICIAN CLINIC
BAXTER REGIONAL FAMILY HEALTH CARE
350 MAIN STREET SUITE 4MAMMOTH SPRINGAR72554PHYSICIAN CLINIC
INTERVENTIONAL PAIN MANAGEMENT- MTN HOME
17 MEDICAL PLAZAMOUNTAIN HOMEAR72653PAIN MANAGEMENT

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE H, PART I, LINE 7THE CHARITY CARE AMOUNTS WERE DERIVED FROM THE COST TO CHARGE RATIO. THE MEDICAID AMOUNT WAS FROM AN INTERNAL COST ACCOUNTING SYSTEM, ADJUSTED FOR MEDICAID AND ASSESSMENTS IN 2021.
FORM 990, SCHEDULE H, PART II, LINES 1 - 10RECRUITING PHYSICIANS, BOTH SPECIALIZED AND FAMILY PRACTICE, TO OUR RURAL AREA IS CHALLENGING BUT NECESSARY SO THAT OUR HOSPITAL CAN BRING ALL THE NEEDED SERVICES TO THE COMMUNITIES WE SERVE. THE HOSPITAL SERVES A LOCAL AND STATE-WIDE ROLE FOR DISASTER PREPAREDNESS. THE HOSPITAL BRINGS INTO THE COMMUNITY EDUCATION OPPORTUNITIES FOR LEADERSHIP DEVELOPMENT.
FORM 990, SCHEDULE H, PART III, LINE 2THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO COLLECT ARE CONSIDERED 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 SCHEDULE H, PART III, SECTION A, LINE 2.
FORM 990, SCHEDULE H, PART III, LINE 3BRMC DOES NOT HAVE A METHODOLOGY TO ESTIMATE THE AMOUNT OF THOSE NOT QUALIFYING FOR FAP AND HAVE NOT INCLUDED ANY AMOUNTS AS COMMUNITY BENEFIT.
FORM 990, SCHEDULE H, PART III, LINE 4ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
FORM 990, SCHEDULE H, PART III, LINE 8THE MEDICARE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORT.
FORM 990, SCHEDULE H, PART III, LINE 9BWHEN BAD DEBT ACCOUNTS ARE REFERRED TO A COLLECTION AGENCY, THE AGENCY CAN PROVIDE DEBTORS WITH A BAXTER REGIONAL FINANCIAL ASSISTANCE APPLICATION FOR COMPLETION IF THE FOLLOWING CRITERIA APPLY: 1) THE PATIENT/DEBTOR HAS NOT ALREADY OBTAINED ASSISTANCE THROUGH THE HOSPITAL. 2) THE PATIENT/DEBTOR INDICATES A FINANCIAL NEED WITHIN 30 DAYS OF THE ACCOUNT BEING REFERRED TO THE COLLECTION AGENCY. IF THE PATIENT/DEBTOR DOES NOT COMMUNICATE WITH THE HOSPITAL OR COLLECTION AGENCY PRIOR TO THE END OF THE 30-DAY WINDOW, COLLECTION ACTIONS WILL PROCEED.
FORM 990, SCHEDULE H, PART VI, LINE 2SERVICE NEEDS ASSESSMENTS ARE DEVELOPED FROM COMMUNITY INPUT, INDIVIDUAL FUNDING, COMMUNITY SURVEYS, TALKING WITH COMMUNITY LEADERS AS WELL AS RESEARCH OF STATE AND NATIONAL TRENDS. PHYSICIAN NEEDS ASSESSMENTS ARE OBTAINED THROUGH ANALYSIS PROVIDED BY AN OUTSIDE COMPANY A LEAST BI-ANNUALLY.
FORM 990, SCHEDULE H, PART VI, LINE 3PATIENTS ARE GIVEN HANDOUTS REGARDING FINANCIAL ASSISTANCE AT ALL REGISTRATION AREAS UPON ADMISSION. ALL SELF PAY PATIENTS ARE SCREENED FOR MEDICAID ELIGIBILITY, CHARITY OR OTHER FINANCIAL ASSISTANCE RECOMMENDATIONS DURING THEIR STAY AND HAVE THE OPPORTUNITY TO TALK WITH FINANCIAL COUNSELORS. FINANCIAL ASSISTANCE AND CONTACT INFORMATION IS AVAILABLE ON ALL HOSPITAL STATEMENT MAILINGS AND ON THE HOSPITAL'S WEBSITE.
FORM 990, SCHEDULE H, PART VI, LINE 4BAXTER REGIONAL MEDICAL CENTER IS LOCATED IN THE HEART OF THE BEAUTIFUL OZARK MOUNTAINS IN NORTH-CENTRAL ARKANSAS. BAXTER REGIONAL AND ITS SUBSIDIARIES AND CLINICS PROVIDE CARE TO PATIENTS FROM TWO STATES AND 11 COUNTIES. OUR HEALTHCARE IS STATE-OF-THE-ART HEALTHCARE. BAXTER REGIONAL MEDICAL CENTER IS KNOWN THROUGHOUT THE REGION FOR OUR CENTERS OF EXCELLENCE: CANCER, CARDIAC, DIGESTIVE DISEASES, SURGERY, VASCULAR DISEASES AND WOMEN'S HEALTH. AT BAXTER REGIONAL MEDICAL CENTER, WE HAVE SET OUT TO CHANGE THE EXPERIENCE OF SURGERY WITH OUR INVESTMENT IN THE MOST ADVANCED TECHNOLOGY FOR MINIMALLY INVASIVE SURGERY, THE DA VINCI SURGICAL SYSTEM. THE BREAST IMAGING CENTER AT BAXTER REGIONAL MEDICAL CENTER IS HOME TO ARKANSASMISSOURI'S FIRST 3-D MAMMOGRAM. 3-D MAMMOGRAPHY IS ALSO AVAILABLE ON OUR MOBILE UNIT WHICH TRAVELS OUR SERVICE AREA PROVIDING MAMMOGRAMS FOR WOMEN WHO MIGHT NOT OTHERWISE RECEIVE ONE. FIRST OPENED IN 1963, BAXTER REGIONAL IS A 268 ALL PRIVATE BED CARE FACILITY WITH MORE THAN 100 PHYSICIANS ON STAFF.
FORM 990, SCHEDULE H, PART VI, LINE 5BAXTER REGIONAL WORKS TO RECRUIT PHYSICIANS INTO OUR RURAL AREA TO PROVIDE SPECIALTY AND FAMILY PRACTICE MEDICAL CARE. BAXTER REGIONAL MEDICAL CENTER ASSISTS IN PROVIDING COMMUNITY MEMBERS LEADERSHIP TRAINING CLASSES. BAXTER ALSO WORKS WITH AREA OFFICIALS FOR DISASTER PREPAREDNESS AND TRAINING. BAXTER REGIONAL MEDICAL CENTER PROVIDES HEALTH FAIRS, SCREENING AND EDUCATION EVENTS FOR THE COMMUNITY AND SURROUNDING AREAS.
FORM 990, SCHEDULE H, PART VI, LINE 6BAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENT CARE FOR EVERY PATIENT, EVERY TIME. BRMC STRIVES TO PROVIDE QUALITY CARE IN A RURAL COMMUNITY SETTING WITH PATIENT AND FAMILY FRIENDLY CUSTOMER SERVICE. THE HOSPITAL PROVIDES A VARIETY OF INPATIENT SERVICES INCLUDING SPECIALTY SERVICES SUCH AS CARDIOVASCULAR, OPEN HEART SURGERY, ONCOLOGY, PLASTIC SURGERY, ORTHOPEDICS, OBSTETRICS, GERI-PSY UNIT, ADULT BEHAVIORAL HEALTH AND AN INPATIENT REHABILITATION UNIT. OUTPATIENT SERVICES INCLUDE HOSPITAL BASED PHYSICIAN CLINICS, EMERGENCY, AMBULANCE SERVICES, HOME HEALTH SERVICES, CARDIAC REHABILITATION AND BREAST IMAGING CENTER. THE MISSION OF HOSPICE OF THE OZARKS IS TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN THE LAST PHASES OF AN INCURABLE ILLNESS AND THEIR FAMILY MEMBERS BY PROVIDING A HIGH LEVEL OF COMPREHENSIVE CARE. BAXTER REGIONAL HOSPITAL FOUNDATION RAISES MONEY TO KEEP THE COMMUNITY HEALTHY. THE FUNDRAISING EFFORTS OF THE FOUNDATION PROVIDE FINANCIAL SUPPORT FOR BAXTER REGIONAL MEDICAL CENTER. BAXTER REGIONAL HEALTH SYSTEM OPERATES FOR THE BENEFIT OF, PERFORM FUNCTIONS OF AND/OR CARRY OUT THE PURPOSE OF BAXTER REGIONAL MEDICAL CENTER AND OTHER HEALTH CARE ORGANIZATIONS LOCATED IN THE STATE OF ARKANSAS WHICH ARE HOSPITAL. BAXTER REGIONAL MEDICAL CENTER'S VISION IS TO BE THE REGIONAL MEDICAL CENTER OF EXCELLENCE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmt
NORTH CENTRAL ARKANSAS CHAMBER FOUNDATION
PO BOX 1244MOUNTAIN HOMEAR72654800889180501(C)(3)$35,000N/AN/AGENERAL SUPPORT
14TH JUDICIAL DISTRICT DRUG TASK FORCE
904 HWY 62 WMOUNTAIN HOMEAR72653115$0FMVNARCANSEE PART IV$9,573
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE I, PART I, LINE 2BAXTER REGIONAL MEDICAL CENTER'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES ENSURES THAT THE CONTRIBUTIONS AND SUPPORT FROM BRMC ARE APPROPRIATE AND CONSISTENT WITH THE HOSPITAL'S MISSION STATEMENT. DONATIONS FROM BRMC ARE INTENDED TO: DIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, PROMOTE DIRECT AWARENESS OF BRMC THROUGH ORGANIZATIONAL SPONSORSHIPS WHICH ARE CLEARLY RECOGNIZED OR PUBLICIZED BY THE SPONSORED ORGANIZATION, SUPPORT LONG TERM INTERESTS OF BRMC AS DETERMINED BY THE CEO AND BOARD OF DIRECTORS. ALL REQUESTS FOR CONTRIBUTIONS MUST BE SUBMITTED IN WRITING. ALL REQUESTS WILL BE SCREENED ON A WEEKLY BASIS BY THE DIRECTOR OF MARKETING. REQUESTS THAT MEET THE HOSPITAL'S CONTRIBUTION GUIDELINES WILL THEN BE CONSIDERED FOR FINAL APPROVAL.
SCHEDULE I, PART II, LINE 2, COLUMN HTHE PURPOSE OF THE NONCASH ASSISTANCE TO THE 14TH JUDICIAL DISTRICT DRUG TASK FORCE WAS TO PROVIDE NARCAN FOR COMMUNITY LAW ENFORCEMENT.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
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 PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

Base 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 OrgsCompReportPrior990RltdOrgsAmtTitleTitleTxt
DAVID FOX - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
DEBRA HENRY - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
RON PETERSON - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
SHANNON NACHTIGAL - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
LEONARD LARRY - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0VP/DIRECTOR OF BUS DEVELOPMENT
ALLAN GOCIO - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
BRIAN MATLE - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
LOUIS ELKINS - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
LUCAS BRADLEY - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
PATRICK TOBBIA - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1BAXTER COUNTY ARKANSASBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN716008786BondIssuerEIN
CUSIP071808JZ3CUSIPNum
Bond Issued2016-07-07BondIssuedDt
Issue Price$55,165,459IssuePriceAmt
PurposeHOSPITAL REVENUE REFUNDING FUNDSPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$16,105,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$55,508,018TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$712,103IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$49,421,684OtherSpentProceedsAmt
Unspent$5,198,985UnspentAmt
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE K, PART IITHE BOND YEAR END FOR THE SERIES 2016A&B BOND IS SEPTEMBER 1,2021.
FORM 990, SCHEDULE K, PART II, LINE 3TOTAL PROCEEDS OF ISSUE DO NOT MATCH THE ISSUE PRICE DUE TO EARNINGS INCLUDED.
FORM 990, SCHEDULE K, PART IV, LINE 2CTHE DATE OF THE LATEST REBATE COMPUTATION PERFORMED WAS SEPTEMBER 1, 2020.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
KRISTINE FOX
FAMILY MEMBER, DAVID FOX$85,623EMPLOYMENTfalse
KENT NACHTIGAL
FAMILY MEMBER, SHANNON NA$62,500EMPLOYMENTfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE L, PART IV, LINE 2, COLUMN BFormAndLineReferenceDesc
ExplanationFAMILY MEMBER, SHANNON NACHTIGALExplanationTxt

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp

Real Estate Other RealEstateOtherGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$405,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (true)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE M, PART I, LINE 6FormAndLineReferenceDesc
ExplanationCOLUMN B REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1BAXTER REGIONAL MEDICAL CENTER (BRMC) MISSION IS TO PROVIDE EXCELLENCE IN MEDICAL CARE FOR EVERY PATIENT, EVERY TIME. BAXTER REGIONAL STRIVES TO PROVIDE QUALITY CARE IN A RURAL COMMUNITY SETTING WITH PATIENT AND FAMILY FRIENDLY CUSTOMER SERVICE. OUR 268-BED SHORT-TERM ACUTE CARE FACILITY OFFERS A WIDE RANGE OF SERVICES AND SPECIALTIES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE INCLUDING CARDIOVASCULAR, OPEN HEART SURGERY, ONCOLOGY, ORTHOPEDICS, OBSTETRICS, ADULT AND GERIATRIC BEHAVIORAL HEALTH, AND AN INPATIENT REHABILITATION UNIT. OUTPATIENT SERVICES INCLUDE HOSPITAL BASED PHYSICIAN CLINICS, EMERGENCY AND AMBULANCE SERVICES, HOME HEALTH SERVICES, CARDIAC REHABILITATION AND IMAGING CENTER. PHYSICIANS, STAFF AND VOLUNTEERS SUPPORT OUR PILLARS OF EXCELLENCE THROUGH THEIR COMMITMENT TO QUALITY AND EXEMPLARY PATIENT CARE WHILE STAYING FINANCIALLY SOUND AND CONTINUALLY GROWING OUR SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. ANNUALLY, BAXTER REGIONAL REACHES BEYOND THE HOSPITAL WALLS TO HOST AN AREA HEALTH FAIR WHERE MEMBERS OF THE COMMUNITIES WE SERVE CAN GET FREE EDUCATION, LAB TESTS, SCREENINGS, BLOOD PRESSURE CHECKS AND NUTRITIONAL INFORMATION, WITH OVER 30 DEPARTMENTS FROM THE HOSPITAL REPRESENTED TO ENCOURAGE PREVENTIVE MEASURES RELATING TO AN INDIVIDUALS HEALTH.
FORM 990, PART III, LINE 4GENERAL STATISTICS 2021 ACUTE CARE: ACTUAL OPERATED BEDS 181 PATIENT DAYS 33,892 AVERAGE DAILY CENSUS 93 PERCENT OF OCCUPANCY 51.30% AVERAGE LENGTH OF STAY 3.6 DISCHARGES 9,530 GERI PSYCHIATRIC: OPERATED BEDS 19 PATIENT DAYS 2,891 AVERAGE DAILY CENSUS 8 PERCENT OF OCCUPANCY 41.70% AVERAGE LENGTH OF STAY 8.7 DISCHARGES 331 REHABILITATION: OPERATED BEDS 23 PATIENT DAYS 6,375 AVERAGE DAILY CENSUS 18 PERCENT OF OCCUPANCY 75.90% AVERAGE LENGTH OF STAY 15.20 DISCHARGES 419 NEWBORN: OPERATED BASSINETS 10 PATIENT DAYS 1,204 AVERAGE DAILY CENSUS 3 PERCENT OF OCCUPANCY 33.00% AVERAGE LENGTH OF STAY 1.70 DISCHARGES 699 MEDICARE - ACUTE CARE: DISCHARGES 5,454 % OF TOTAL DISCHARGES 57.20% PATIENT DAYS 22,919 % OF TOTAL PATIENT DAYS 67.60% AVERAGE LENGTH OF STAY 4.20 MEDICAID - ACUTE CARE: DISCHARGES 1,061 % OF TOTAL DISCHARGES 11.10% PATIENT DAYS 3,589 % OF TOTAL PATIENT DAYS 10.60% AVERAGE LENGTH OF STAY 3.40 OUTPATIENTS: 160,316 EMERGENCY ROOM VISITS 31,765 HOME HEALTH EPISODES 3,065 SURGERIES 8,155 ENDOSCOPY 4,419 CATH LAB 2,385 HEART SURGERIES 67 AMBULANCE TRIPS 15,060 CLINIC VISITS: 163,025 LAB TESTS 821,024 RADIOLOGY PROCEDURES 43,643 MRI PROCEDURES 4,799 CT SCANS 23,212 NUCLEAR MEDICINE PROCEDURES 1,399 ULTRASOUND PROCEDURES 10,727 MAMMOGRAPHY 10,901
FORM 990, PART VI, SECTION B, LINE 11BA SPECIAL BOARD MEETING IS HELD FOR BOARD REVIEW PRIOR TO FILING OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE GOVERNING BODY HAS A CONFLICT OF INTEREST/COMPENSATION COMMITTEE. ALL BOARD MEMBERS AND KEY EMPLOYEES REVIEW AND SIGN A CONFLICT OF INTEREST/DISCLOSURE STATEMENT ANNUALLY. ALL PHYSICIANS REVIEW AND SIGN A CONFLICT OF INTEREST/DISCLOSURE STATEMENT BIENNIALLY. THE CONFLICT OF INTEREST/COMPENSATION COMMITTEE REVIEWS DISCLOSED TRANSACTIONS.
FORM 990, PART VI, SECTION B, LINE 15A & 15BCOMPENSATION RECOMMENDATIONS WERE MADE BY INTEGRATED HEALTHCARE STRATEGIES IN A REPORT ISSUED IN 2017 AND UPDATED IN 2019. GALLAGHER BENEFIT SERVICES IS REVIEWING IN 2022. IN ADDITION, THE COMPENSATION COMMITTEE AND HUMAN RESOURCES DEPARTMENT REVIEWS AREA 990'S, AHA, AND OTHER MARKET DATA AS NEEDED. THE CEO AND OFFICER'S COMPENSATION ARE REVIEWED AND APPROVED BY THE BOARD COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
FORM 990, PART XI, LINE 9TRANFER TO AFFILIATES ($3,177,389)
FORM 990, PART VII, SECTION A & SCHEDULE J, PART IICOMPENSATION INFORMATION REQUIRED IN FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II IS PROVIDED IN A TABLE IDENTIFIED AS COMPENSATION ATTACHMENT AND ATTACHED TO THE TAX RETURN DOCUMENT FOLLOWING SCHEDULE R. THE TABLES WITHIN THE RETURN ARE POPULATED WITH ZERO BECAUSE OF THE ELECTRONIC FILING REQUIREMENT, AND THE CORRECT AMOUNTS ARE INCLUDED IN THE ATTACHMENT.
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:11736086
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:5437156
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT SERVICES TOTAL FEES:10125921

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
HOSPICE OF THE OZARKS
701 BURNETT DRMOUNTAIN HOMEAR72653710521323HOSPICEAR501 C (3)7BCRHYes (true)
HOSPITAL DEVELOPMENT FOUNDATION
624 HOSPITAL DRIVEMOUNTAIN HOMEAR72653581805265SUPPORTAR501 C (3)12ABRHSYes (true)
BAXTER REGIONAL HEALTH SYSTEM
624 HOSPITAL DRIVEMOUNTAIN HOMEAR72653300650211SUPPORTAR501 C (3)12ANAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
BRMC PAIN CENTER
624 HOSPITAL DRIVEMOUNTAIN HOMEAR72653463566904RENTAL R/EARNAN/Afalsefalse
BRMC CANCER DIAGNOSTIC CENTER
624 HOSPITAL DRIVEMOUNTAIN HOMEAR72653811992797RENTAL R/EARNAN/Afalsefalse
BAXTER REG OTPT SURGERY CENTER
624 HOSPITAL DRIVEMOUNTAIN HOMEAR72653843609774SURGERY CENTRARNAN/Afalsefalse
BAXTER REG OTPT SURGERY MGMT
624 HOSPITAL DRIVEMOUNTAIN HOMEAR72653850894608SURGERY MGMTARNAN/Afalsefalse
COAL DUST ENTERPRISES LLC
624 HOSPITAL DRIVEMOUNTAIN HOOMEAR72653462643350CLINIC RENTAL R/EARNAN/Afalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FRANCES F LAGERBORG TRUSTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1624 HOSPITAL DRIVEAddressLine1Txt
CityMOUNTAIN HOMECityNm
State AbbreviationARStateAbbreviationCd
ZIP72653ZIPCd
FieldValueIRS element (for citing)
EIN206995343EIN
Primary ActivitiesTRUSTPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeTRUSTEntityTypeTxt
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 OrgYes (true)LoansOrGuaranteesToOtherOrgInd
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 OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HOSPITAL DEVELOPMENT FOUNDATION
C$1,612,598FMV
BAXTER REGIONAL HEALTH SYSTEM
D$3,615,537FMV
BAXTER REGIONAL OUTPATIENT SURGERY CENTER LLC
D$4,491,506FMV
BRMC PAIN CENTER
K$363,821FMV
BRMC CANCER DIAGNOSTIC CENTER LLC
K$210,937FMV
HOSPITAL DEVELOPMENT FOUNDATION
K$164,777FMV
BAXTER REGIONAL OP SURGERY CENTER LLC
K$711,960FMV
COAL DUST ENTERPRISES LLC
K$97,410FMV
BAXTER REGIONAL HEALTH SYSTEM
K$58,716FMV
HOSPITAL DEVELOPMENT FOUNDATION
O$357,011FMV
BAXTER REGIONAL HEALTH SYSTEM
O$1,512,672FMV
HOSPICE OF THE OZARKS
Q$3,087,420FMV
HOSPITAL DEVELOPMENT FOUNDATION
Q$921,012FMV
BAXTER REGIONAL HEALTH SYSTEM
Q$10,849FMV