WHITE RIVER HEALTH SYSTEM INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- WHITE RIVER HEALTH SYSTEM INC (EIN 71-0411459)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-13
- IRS object ID
- 202102259349302075
- Schema version
- 2019v5.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-13T11:58:45-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3667 | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 722033667 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710411459 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITE RIVER HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % SHAWNA IVES | InCareOfNm |
| Business Name Control | WHIT | BusinessNameControlTxt |
| Phone | 8706986520 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1710 HARRISON ST | AddressLine1Txt |
| City | BATESVILLE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72501 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHAWNA IVES | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8706986520 | PhoneNum |
| Signature | 2021-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMBER SHERRILL | PreparerPersonNm |
| PTIN | P00748683 | PTIN |
| Phone | 5013721040 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SHAWNA IVES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1710 HARRISON ST | AddressLine1Txt |
| City | BATESVILLE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $273,345,405 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WHITERIVERHEALTHSYSTEM.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | WRHS MISSION IS TO PROVIDE QUALITY HEALTHCARE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 2229 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $5,810 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $4,670 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,648,889 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,397,567 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $251,526,117 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $245,725,271 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,916,772 | PYInvestmentIncomeAmt |
| CY Investment Income | -$86,146 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,035,666 | PYOtherRevenueAmt |
| CY Other Revenue | $2,013,020 | CYOtherRevenueAmt |
| PY Total Revenue | $264,127,444 | PYTotalRevenueAmt |
| CY Total Revenue | $259,049,712 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $32,724 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $133,954,275 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $131,689,868 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $128,923,073 | PYOtherExpensesAmt |
| CY Other Expenses | $125,058,307 | CYOtherExpensesAmt |
| PY Total Expenses | $262,877,348 | PYTotalExpensesAmt |
| CY Total Expenses | $256,780,899 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,250,096 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,268,813 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $227,497,059 | TotalAssetsBOYAmt |
| Total Assets EOY | $282,000,747 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $77,151,821 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $127,887,452 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $150,345,238 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $154,113,295 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WRHS MISSION IS TO PROVIDE QUALITY HEALTHCARE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. WRHS VISION IS TO PROVIDE AN ENVIRONMENT WHERE PATIENTS CHOOSE TO RECEIVE CARE, EMPLOYEES DESIRE TO WORK, PHYSICIANS WANT TO PRACTICE, AND FAMILIES AND VISITORS FEEL WELCOME. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $200,001,517 | ExpenseAmt |
| Grant | $32,724 | GrantAmt |
| Revenue | $245,719,461 | RevenueAmt |
| Desc | WHITE RIVER HEALTH SYSTEM, INC. IS A MULTIDIMENSIONAL PROVIDER OF HEALTHCARE SERVICES PRIMARILY TO THE RESIDENTS OF NORTH CENTRAL ARKANSAS. THE NOT-FOR-PROFIT ORGANIZATION OPERATES TWO HOSPITALS; WHITE RIVER MEDICAL CENTER WHICH IS AN ACUTE CARE HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE TO THE RESIDENTS OF INDEPENDENCE COUNTY AND SURROUNDING AREAS AND STONE COUNTY MEDICAL CENTER WHICH IS A CRITICAL ACCESS HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF STONE COUNTY AND SURROUNDING AREAS. THE SYSTEM ALSO INCLUDES OUTPATIENT FACILITIES, PRIMARY CARE AND SPECIALTY PHYSICIAN OFFICES, MEDICAL OFFICE BUILDINGS, AND WHITE RIVER HEALTH SYSTEM FOUNDATION, INC., WHICH PROVIDES SUPPORT FOR FURTHERING THE PURPOSE AND PROMOTING THE ACTIVITIES OF THE SYSTEM. | Desc |
| Total Program Service Expenses | $200,001,517 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 164 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2229 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHAWNA IVES | PersonNm |
| Phone | 8702626100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1710 HARRISON ST | AddressLine1Txt |
| City | BATESVILLE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| JEFFERY ANGEL | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $924,121 | $0 | $11,385 | |||
| DYLAN CARPENTER | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $867,921 | $0 | $17,426 | |||
| JAMES DAVIS ALLEN | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $772,942 | $0 | $14,486 | |||
| MARGARET KUYKENDALL | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $721,373 | $0 | $8,462 | |||
| WESLEY GREER | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $659,818 | $0 | $16,295 | |||
| CHRIS STEEL | |||||||||
| EVP - CQO | 40.0 | 0.0 | $599,997 | $0 | $12,659 | Yes (X) | |||
| GARY BEBOW | |||||||||
| CEO THROUGH 12/31/2019 | 40.0 | 0.0 | $450,395 | $0 | $13,878 | Yes (X) | |||
| GARY PAXSON | |||||||||
| CEO | 40.0 | 0.0 | $394,002 | $0 | $17,409 | Yes (X) | |||
| GENE WINTERS | |||||||||
| CFO THROUGH 09/26/2019 | 40.0 | 0.0 | $230,707 | $0 | $5,679 | Yes (X) | |||
| TERRI BUNCH | |||||||||
| CNO | 40.0 | 0.0 | $211,009 | $0 | $9,150 | Yes (X) | |||
| TAMMY GAVIN | |||||||||
| EVP - CCO | 40.0 | 0.0 | $195,233 | $0 | $11,717 | Yes (X) | |||
| JOSEPH SMOTHERMAN | |||||||||
| EVP - CSO/COO SCMC | 40.0 | 0.0 | $189,860 | $0 | $14,614 | Yes (X) | |||
| ROBERT WRIGHT | |||||||||
| EVP - PCS | 40.0 | 0.0 | $170,296 | $0 | $6,088 | Yes (X) | |||
| JEFF REIFSTECK | |||||||||
| EVP - CIO | 40.0 | 0.0 | $159,942 | $0 | $12,414 | Yes (X) | |||
| LINDSEY CASTLEBERRY | |||||||||
| EVP - HR/LEGAL COUNCIL | 40.0 | 0.0 | $160,259 | $0 | $9,002 | Yes (X) | |||
| SHAWNA IVES | |||||||||
| CFO STARTING 09/29/2019 | 40.0 | 0.0 | $139,912 | $0 | $9,554 | Yes (X) | |||
| BORIS DOVER | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| STEVE CASE | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| LESLIE FRENSLEY | |||||||||
| SECRETARY | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| CHARLES SCHAAF | |||||||||
| TREASURER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| PHIL BALDWIN | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| PHILIP BRISSEY | |||||||||
| ASSISTANT SECRETARY | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| STEVE BRYANT | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| DEBBIE FRAZIER | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| DIANNE LAMBERTH | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| KEVIN ROSE | |||||||||
| CHAIRMAN | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| JEFF SHOWALTER | |||||||||
| VICE-CHAIRMAN | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| PAULA TERRELL | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| RANDY CROSS | |||||||||
| ASSISTANT TREASURER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| MERIDEN GLASGOW MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| JUDY BELCHER | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| JORDAN WEAVER | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,847,787 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $190,218 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 130 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NORTH ARKANSAS PAIN MANAGEMENT PA | |||||
| 30 DUNDEE COVE | BATESVILLE | AR | 72501 | PAIN MANAGEMENT SVCS | $3,526,704 |
| INDEPENDENCE EMERGENCY PHYSICIANS G | |||||
| 2417 SEA ISLAND | JONESBORO | AR | 72404 | ER SERVICES | $6,403,682 |
| BATESVILLE CARDIOLOGY PA | |||||
| 1695 HARRISON | BATESVILLE | AR | 72501 | CARDIOLOGY SERVICES | $541,015 |
| KHAN MEDICAL CORPORATION | |||||
| 1 SEZ ANNE COVE | LITTLE ROCK | AR | 72223 | MEDICAL CARE SVCS | $602,438 |
| AHSA | |||||
| PO BOX 670529 | DALLAS | TX | 75267 | NURSING CONTRACT LAB | $533,964 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 24 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $8,340 | FundraisingAmt |
| Related Organizations | $186,941 | RelatedOrganizationsAmt |
| Government Grants | $10,321,263 | GovernmentGrantsAmt |
| All Other Contributions | $881,023 | AllOtherContributionsAmt |
| Total Contributions | $11,397,567 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Program Service Revenue | 621110 | $235,184,116 | $235,184,116 | |
| PHARMACY 340B REVENUE | 621110 | $6,223,659 | $6,223,659 | |
| COVID DIRECT WORKER PAYMENTS | 622110 | $1,534,213 | $1,534,213 | |
| PREMIER HEALTHCARE ALLIANCE, L.P. K-1 INCOME | 621300 | $81,017 | $75,207 | $5,810 |
| MEDICAL OFFICE BUILDING RENT | 531120 | $53,750 | $53,750 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,648,516 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,648,516 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $245,725,271 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,015,521 | TotalRevenueColumnAmt |
| Exclusion | $1,015,521 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,072,019 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,072,019 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,072,019 | TotalRevenueColumnAmt |
| Exclusion | $1,072,019 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,304,371 | SecuritiesAmt |
| Other | $882,672 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,466,886 | SecuritiesAmt |
| Other | $821,824 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$1,162,515 | SecuritiesAmt |
| Other | $60,848 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,101,667 | TotalRevenueColumnAmt |
| Exclusion | -$1,101,667 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $2,660 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $8,340 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $6,983 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,323 | TotalRevenueColumnAmt |
| Exclusion | -$4,323 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| DIETARY REVENUE | 900099 | $1,074,520 | $1,074,520 |
| LOSS ON BOND REFUNDING | 900099 | -$211,321 | -$211,321 |
| INCOME FROM WRHS CIN, LLC | 900099 | $74,973 | $74,973 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,152 | TotalRevenueColumnAmt |
| Exclusion | $7,152 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $945,324 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $259,049,712 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $245,719,461 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,810 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,926,874 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,724 | TotalAmt |
| Program Services | $32,724 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,742,769 | TotalAmt |
| Management And General | $2,742,769 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,062,078 | TotalAmt |
| Program Services | $71,652,932 | ProgramServicesAmt |
| Management And General | $26,409,146 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,361,189 | TotalAmt |
| Program Services | $1,725,296 | ProgramServicesAmt |
| Management And General | $635,893 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,199,171 | TotalAmt |
| Program Services | $16,220,701 | ProgramServicesAmt |
| Management And General | $5,978,470 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,324,661 | TotalAmt |
| Program Services | $4,621,363 | ProgramServicesAmt |
| Management And General | $1,703,298 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,459 | TotalAmt |
| Program Services | $133,321 | ProgramServicesAmt |
| Management And General | $49,138 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,236 | TotalAmt |
| Program Services | $199,651 | ProgramServicesAmt |
| Management And General | $73,585 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,489,974 | TotalAmt |
| Program Services | $23,009,394 | ProgramServicesAmt |
| Management And General | $8,480,580 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,095 | TotalAmt |
| Program Services | $274,078 | ProgramServicesAmt |
| Management And General | $101,017 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,740,659 | TotalAmt |
| Program Services | $1,271,881 | ProgramServicesAmt |
| Management And General | $468,778 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,668,087 | TotalAmt |
| Program Services | $3,410,922 | ProgramServicesAmt |
| Management And General | $1,257,165 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,131 | TotalAmt |
| Program Services | $158,655 | ProgramServicesAmt |
| Management And General | $58,476 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $442,343 | TotalAmt |
| Program Services | $323,215 | ProgramServicesAmt |
| Management And General | $119,128 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,390,951 | TotalAmt |
| Program Services | $1,747,043 | ProgramServicesAmt |
| Management And General | $643,908 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,142,778 | TotalAmt |
| Program Services | $7,411,222 | ProgramServicesAmt |
| Management And General | $2,731,556 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,833,097 | TotalAmt |
| Program Services | $1,339,425 | ProgramServicesAmt |
| Management And General | $493,672 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS & MEDICAL SUPPLIES | $42,358,484 | $42,358,484 | |
| BAD DEBT EXPENSE | $10,998,912 | $10,998,912 | |
| REPAIRS & MAINTENANCE | $9,319,252 | $6,809,480 | $2,509,772 |
| TAXES, FEES & LICENSES | $3,604,069 | $2,633,455 | $970,614 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,021,780 | TotalAmt |
| Program Services | $3,669,363 | ProgramServicesAmt |
| Management And General | $1,352,417 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,780,899 | TotalAmt |
| Program Services | $200,001,517 | ProgramServicesAmt |
| Management And General | $56,779,382 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,852,369 | BOYAmt |
| EOY | $78,961,670 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,322,484 | BOYAmt |
| EOY | $30,212,845 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,343,360 | BOYAmt |
| EOY | $5,725,978 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,821,001 | BOYAmt |
| EOY | $2,405,573 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $274,626,930 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $171,961,585 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,853,440 | BOYAmt |
| EOY | $102,665,345 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,555,483 | BOYAmt |
| EOY | $37,484,991 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,133,683 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,748,922 | BOYAmt |
| EOY | $23,410,662 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,497,059 | BOYAmt |
| EOY | $282,000,747 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,972,036 | BOYAmt |
| EOY | $27,249,543 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $22,940,185 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,107,538 | BOYAmt |
| EOY | $33,487,916 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,072,247 | BOYAmt |
| EOY | $44,209,808 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,151,821 | BOYAmt |
| EOY | $127,887,452 | 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 | $150,345,238 | BOYAmt |
| EOY | $154,113,295 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,345,238 | BOYAmt |
| EOY | $154,113,295 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,497,059 | BOYAmt |
| EOY | $282,000,747 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,268,813 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,525,701 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$26,457 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $31,226 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $31,226 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1J | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT OF AMERICAN HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,797,668 | OtherCostOrOtherBasisAmt |
| Book Value | $3,797,668 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $150,044,699 | OtherCostOrOtherBasisAmt |
| Depreciation | $73,532,925 | DepreciationAmt |
| Book Value | $76,511,774 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,127,022 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,017,618 | DepreciationAmt |
| Book Value | $7,109,404 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $111,282,897 | OtherCostOrOtherBasisAmt |
| Depreciation | $96,411,042 | DepreciationAmt |
| Book Value | $14,871,855 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $374,644 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $374,644 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $102,665,345 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY RECEIVABLES | $10,764,036 |
| FUNDS HELD BY TRUSTEE | $1,630,250 |
| OTHER ASSETS | $1,752,732 |
| AMOUNTS DUE FROM THIRD PARTIES | $7,861,568 |
| INTERNALLY DESIGNATED FUNDS | $1,402,076 |
| INVESTMENT IN SUBSIDIARIES | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $23,410,662 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $249,427,494 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,525,701 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $6,983 | OtherRevenueAmt |
| Revenue Not Reported | $1,532,684 | RevenueNotReportedAmt |
| Revenue Subtotal | $247,894,810 | RevenueSubtotalAmt |
| Other Revenues Not Included | $11,154,902 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $11,154,902 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $259,049,712 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $245,691,992 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $6,983 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $6,983 | ExpensesNotReportedAmt |
| Expenses Subtotal | $245,685,009 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $11,095,890 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $11,095,890 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $256,780,899 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL INCOME TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| FORM 990, SCHEDULE D, PART XI, LINE 2D | FUNDRAISING EXPENSE $6,983 |
| FORM 990, SCHEDULE D, PART XI, LINE 4B | BAD DEBT EXPENSE $10,998,912 K-1 INCOME $81,017 WRHS CIN REVENUE $74,973 ================================== TOTAL $11,154,902 |
| FORM 990, SCHEDULE D, PART XII, LINE 2D | FUNDRAISING EXPENSE $6,983 |
| FORM 990, SCHEDULE D, PART XII, LINE 4B | BAD DEBT EXPENSE $10,998,912 WRHS CIN EXPENSES $96,978 ================================== TOTAL $11,095,890 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,314,996 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,314,996 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,770,823 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,303,309 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,467,514 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,085,819 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,303,309 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,782,510 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,992,922 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,860,251 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $132,671 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,444,546 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,812,119 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,632,427 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,437,468 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,672,370 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,765,098 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01130 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,523,287 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,975,679 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,547,608 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02270 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,998,911 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $603,840 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $65,098,402 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $63,146,084 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,952,318 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WHITE RIVER MEDICAL CENTER | |||||||||||
| 1 | 1710 HARRISON ST | BATESVILLE | AR | 72501 | WWW.WHITERIVERHEALTHSYSTEM.COM | 418 | Yes (X) | Yes (X) | Yes (X) | A | |
| STONE COUNTY MEDICAL CENTER | |||||||||||
| 2 | 2106 EAST MAIN STREET | MOUNTAIN VIEW | AR | 72560 | WWW.WHITERIVERHEALTHSYSTEM.COM | AR5036 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.WHITERIVERHEALTHSYSTEM.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.WHITERIVERHEALTHSYSTEM.COM | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.WHITERIVERHEALTHSYSTEM.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.WHITERIVERHEALTHSYSTEM.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.WHITERIVERHEALTHSYSTEM.C | 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 Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| 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 |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | THE WRHS CHNA UTILIZED THE FOLLOWING SOURCES TO DEVELOP THE PROCESS FOR THE CHNA AND TO GATHER THE NEEDED DATA: 1) COMMUNITY SURVEY MADE AVAILABLE ONLINE AND PROMOTED VIA EMAIL AND SOCIAL MEDIA, 2)THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) PUBLIC HEALTH IN ARKANSAS' COMMUNITIES SEARCH (PHACS), AND 3) PUBLIC DATA SOURCES. THE COMMUNITY SURVEY WAS EMAILED TO COMMUNITY STAKEHOLDERS WHO REPRESENT MEDICALLY UNDERSERVED RESIDENTS, MINORITY GROUPS, AND LOW-INCOME RESIDENTS IN THE SURVEY PROCESS. QUALITATIVE AND QUANTITATIVE HEALTH NEEDS DATA WERE COLLECTED FROM: 1) DIGITAL SURVEYS AND 2) UAMS PHACS DATA. |
| SCHEDULE H, PART V, SECTION B, LINE 6A | STONE COUNTY MEDICAL CENTER AND WHITE RIVER MEDICAL CENTER |
| SCHEDULE H, PART V, SECTION B, LINE 11 | AFTER COLLECTING AND ANALYZING THE DEMOGRAPHIC, QUALITATIVE AND QUANTITATIVE HEALTH RELATED DATA FROM UAMS PHACS, AS WELL AS DATA FROM THE SURVEYS CONDUCTED ONLINE. THE FOLLOWING CATEGORIES OF HEALTH NEEDS WERE IDENTIFIED: - IMPROVE ACCESS TO HEALTHCARE SERVICES - IMPROVE PREVENTIVE HEALTHCARE MANAGEMENT AND WELLNESS - IMPROVE CHRONIC DISEASE MANAGEMENT AND EDUCATION STRATEGIES AND ACTIONS STEPS BEING TAKEN TO ADDRESS THESE SIGNIFICANT NEEDS CAN BE FOUND IN THE ORGANIZATION'S IMPLEMENTATION STRATEGY ON THEIR WEBSITE. |
| SCHEDULE H, PART V, SECTION B, LINE 13B | IN THE FOLLOWING SITUATIONS (KNOWN AS PRESUMPTIVE FINANCIAL ASSISTANCE), A PATIENT IS DEEMED TO BE ELIGIBLE FOR 100% REDUCTION OF CHARGES: - IF PATIENT IS CURRENTLY ELIGIBLE FOR FULL MEDICAID BENEFITS, BUT WAS NOT ELIGIBLE ON A PRIOR DATE OF SERVICE. THE FACILITY WILL APPLY OUR FINANCIAL ASSISTANCE POLICY RETROACTIVELY FOR THE PREVIOUS THREE(3) MONTHS. - IF PATIENT STATES (S)HE IS HOMELESS AND WRHS, THROUGH OUR OWN DILIGENCE, DOES NOT FIND AND EVIDENCE OF THE CONTRARY. - IF PATIENT IS MENTALLY OR PHYSICALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS/HER BEHALF. - IF PATIENT IS CURRENTLY A RESIDENT OF A NURSING HOME FACILITY AND THE FACILITY IS ABLE TO PROVIDE ON A LETTERHEAD STATING PATIENT IS A RESIDENT ON A FIXED INCOME WITH A PROVIDED MEDICAID NUMBER. - IN THE EVENT OF A PATIENT'S DEATH, THE FAMILY OF THE DECEASED PATIENT WILL BE ELIGIBLE FOR OUR PRESUMPTIVE CHARITY DISCOUNT BY PRESENTING A COPY OF THE PATIENT'S DEATH CERTIFICATE. ONCE COLLECTION EFFORTS HAVE BEEN MET, THE REMAINING BALANCE WILL QUALIFY FOR PRESUMPTIVE CHARITY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 36 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (36 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| BATESVILLE FAMILY CARE | ||||
| 1215 Sidney Street Suite 300 | Batesville | AR | 72501 | FAMILY MEDICINE |
| CAVE CITY MEDICAL CLINIC | ||||
| 301 South Main Street | CAVE CITY | AR | 72521 | FAMILY MEDICINE |
| DRASCO MEDICAL CLINIC | ||||
| 60 Greers Ferry Road | Drasco | AR | 72530 | FAMILY MEDICINE |
| MELBOURNE MEDICAL CLINIC | ||||
| 1526 East Main Street | Melbourne | AR | 72556 | FAMILY MEDICINE |
| MIDWAY MEDICAL CLINIC SUITE A | ||||
| 195 Hospital Drive Suite A | Cherokee Village | AR | 72529 | FAMILY MEDICINE |
| MIDWAY MEDICAL CLINIC SUITE B | ||||
| 195 Hospital Drive | Cherokee Village | AR | 72529 | FAMILY MEDICINE |
| NEWPORT DIAGNOSTIC MEDICAL CLINIC | ||||
| 2200 Malcolm Avenue Suite B | NEWPORT | AR | 72112 | FAMILY MEDICINE |
| PLEASANT PLAINS MEDICAL CLINIC | ||||
| 6200 Batesville Boulevard | Pleasant Plains | AR | 72568 | FAMILY MEDICINE |
| STONE COUNTY FAMILY MEDICINE CLINIC | ||||
| 19797 AR Hwy 5 North | MOUNTAIN VIEW | AR | 72560 | FAMILY MEDICINE |
| STONE COUNTY PRIMARY CARE CLINIC | ||||
| 2202 East Main Street | MOUNTAIN VIEW | AR | 72560 | FAMILY MEDICINE |
| STRAWBERRY MEDICAL CLINIC | ||||
| 58 East River Drive | STRAWBERRY | AR | 72469 | FAMILY MEDICINE |
| SUGARLOAF MEDICAL CLINIC | ||||
| 521 Wilburn Road | HEBER SPRINGS | AR | 72543 | FAMILY MEDICINE |
| WRMC MEDICAL COMPLEX SOUTHSIDE | ||||
| 1217 Batesville Boulevard | BATESVILLE | AR | 72501 | FAMILY MEDICINE |
| BATESVILLE NEUROLOGY CLINIC | ||||
| 1699 Harrison Street Suite D | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| BATESVILLE ONCOLOGY CLINIC | ||||
| 1710 Harrison Street | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| BATESVILLE PULMONOLOGY CLINIC | ||||
| 1215 SIDNEY ST SUITE 201 | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| BATESVILLE PULMONOLOGY CLINIC HARRISON | ||||
| 1699 HARRISON ST SUITE D | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| CHILDREN'S CLINIC | ||||
| 1700 Harrison Street Suite N | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| DIAGNOSTIC CLINIC AT WRMC | ||||
| 3443 Harrison Street | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| WHITE RIVER ORTHOPAEDIC & SPORTS MED | ||||
| 2110 East Main Street | MOUNTAIN VIEW | AR | 72560 | SPECIALTY CLINIC |
| WOMEN'S CLINIC | ||||
| 1215 Sidney Street Suite 202 | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| WRHS BEHAVIORAL HEALTH CLINIC | ||||
| 2230 Harrison Street | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| WRMC BREAST CARE CENTER | ||||
| 525 Virginia Drive | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| WRMC CANCER CARE CENTER | ||||
| 525 Virginia Drive | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| WRMC CARDIOLOGY | ||||
| 16 Hospital Circle Suite A | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| WRMC ENT CLINIC | ||||
| 1500 Lawrence Street | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| WRMC INTERNAL MEDICINE CLINIC | ||||
| 3443 Harrison Street | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| WRMC MED COMPLEX CHEROKEE VILLAGE | ||||
| 195 Hospital Drive Suite C | CHEROKEE VILLAGE | AR | 72529 | SPECIALTY CLINIC |
| WRMC MEDICAL COMPLEX NEWPORT | ||||
| 2200 Malcolm Avenue | NEWPORT | AR | 72112 | SPECIALTY CLINIC |
| WRMC ORTHOPAEDIC & SPORTS MED CLINIC | ||||
| 501 Virginia Dr Suite C | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| WRMC PAIN MANAGEMENT CLINIC | ||||
| 1700 Harrison Street Suite T | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| WRMC RHEUMATOLOGY CLINIC | ||||
| 12 Hospital Circle SUITE A | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| WRMC SLEEP CENTER | ||||
| 1699 Harrison Street | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| WRMC SURGERY CLINIC | ||||
| 501 Virginia Drive Suite A | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| WRMC WOUND HEALING CENTER | ||||
| 1710 Harrison Street | BATESVILLE | AR | 72501 | SPECIALTY CLINIC |
| SCMC PAIN MANAGEMENT CLINIC | ||||
| 105 CASE COMMONS DRIVE | MOUNTAIN VIEW | AR | 72560 | SPECIALTY CLINIC |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | A PATIENT WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE IF THE PATIENT HAS LIMITED OR NO HEALTH INSURANCE OR APPLIES FOR BUT IS DEEMED INELIGIBLE FOR GOVERNMENT MEDICAL ASSISTANCE. IN ADDITION, A PATIENT MAY BE ELIGIBLE IN THE EVENT THE ORGANIZATION, IN ITS DISCRETION, DEEMS SUCH ELIGIBILITY APPROPRIATE UNDER A PATIENT'S UNIQUE CIRCUMSTANCES, INCLUDING POTENTIAL MEDICAL HARDSHIP. CONSIDERATION MAY BE GIVEN TO THE EXISTENCE OF SUBSTANTIAL MEDICAL DEBT AND ADDITIONAL DOCUMENTATION REGARDING ASSETS AND LIVING EXPENSES MAY BE REQUESTED. |
| SCHEDULE H, PART I, LINE 7, COLUMN F | BAD DEBT EXPENSE IN THE AMOUNT OF $10,998,911 IS INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (B) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. |
| SCHEDULE H, PART I, LINE 7 | THE AMOUNTS ON LINE 7A AND 7B WERE CALCULATED USING THE COST TO CHARGE RATIO. |
| SCHEDULE H, PART III, SECTION A, LINE 2 | BAD DEBT EXPENSE IS DESCRIBED IN THE FOOTNOTES TO THE FINANCIAL STATEMENTS AS AMOUNTS THAT ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. |
| SCHEDULE H, PART III, SECTION A, LINE 3 | MEDICARE BASED REASONABLE COST METHODOLOGY. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | BAD DEBT IS DESCRIBED IN THE ATTACHED AUDIT REPORT, UNDER NOTE 1, PATIENT ACCOUNTS RECEIVABLE. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | MEDICARE COST TO CHARGE RATIO |
| SCHEDULE H, PART III, SECTION C, LINE 9B | ACCOUNTS THAT HAVE BEEN PLACED WITH A THIRD-PARTY COLLECTION AGENCY ARE ELIGIBLE FOR BENEFITS PROVIDED REQUIRING THEY MEET APPROPRIATE SET GUIDELINES. IF APPROVED, THE ACCOUNT WILL REMAIN WITH THE COLLECTION AGENCY BUT WILL RECEIVE THE APPROVED FINANCIAL ASSISTANCE REDUCTION. ALL ACCOUNTS PLACE WITH A THIRD-PARTY COLLECTION AGENCY ARE ELIGIBLE FOR A 35% SETTLEMENT DISCOUNT, UPON REQUEST VIA PATIENT OR REPRESENTATIVE, IF PAID IN FULL. |
| SCHEDULE H, PART VI, LINE 2 | WRHS PROVIDES FREE PREVENTATIVE SCREENINGS TO THE COMMUNITY AND OTHER COMMUNITY OUTREACH PROGRAMS. |
| SCHEDULE H, PART VI, LINE 3 | THE ORGANIZATION WILL COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ITS PATIENTS AND THE GENERAL PUBLIC THROUGH MEASURES THAT INCLUDE PROVIDING OR POSTING COPIES OF THIS POLICY, SUMMARIES THEREOF (IF MORE CONDUCIVE TO PATIENT UNDERSTANDING), APPROPRIATE SIGNAGE AND/OR BROCHURES ON THE ORGANIZATION'S WEBSITE; IN THE PATIENT REGISTRATION AREAS; IN THE PATIENT FINANCIAL ADVOCACY DEPARTMENTS; IN OTHER WAITING AREAS THROUGHOUT THE ORGANIZATION'S PREMISES (AS MAY BE REASONABLY WORKABLE AND APPROPRIATE); IN PATIENT INFORMATIONAL BINDERS; AND IN BILLS AND STATEMENTS SENT TO PATIENTS. PERTINENT MATERIALS WILL BE PROVIDED IN ENGLISH AND SPANISH, WHICH ARE THE LANGUAGES APPROPRIATE TO THE COMMUNITIES SERVED BY THE ORGANIZATION. OTHER LANGUAGES WILL BE ADDED AS NECESSARY IN THE EVENT OF CHANGES TO THE ORGANIZATION'S PATIENT POPULATION. ALL SUCH MATERIALS WILL INCLUDE PERTINENT CONTACT TELEPHONE NUMBERS AND/OR E-MAIL ADDRESSES TO PERMIT PATIENTS APPROPRIATE RESOURCES FOR COMPLETION OF THE APPLICATION AND ANSWERS TO ANY OTHER QUESTIONS THEY MAY HAVE ABOUT THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM. |
| SCHEDULE H, PART VI, LINE 4 | WRHS IS A 501(C) (3) NONPROFIT, INTEGRATED HEALTH SYSTEM. THE ORGANIZATION INCLUDES: WRMC, AN ACUTE CARE HOSPITAL IN BATESVILLE; SCMC, A CRITICAL ACCESS HOSPITAL IN MOUNTAIN VIEW; A SATELLITE EMERGENCY DEPARTMENT IN CHEROKEE VILLAGE, RURAL HEALTH CLINICS (RHC), PRIMARY CARE AND SPECIALTY CLINICS, AND OUTPATIENT DIAGNOSTIC AND TREATMENT CENTERS THROUGHOUT NORTH CENTRAL ARKANSAS. WRHS EMPLOYS 64 PHYSICIANS, 43 MID-LEVEL PROVIDERS, AND 1,792 TOTAL EMPLOYEES. THE WRHS INTERNAL MEDICINE RESIDENCY ACHIEVED ACCREDITATION FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) AND IN 2018, ACHIEVED CONTINUED ACCREDITATION STATUS. THROUGH A COLLABORATIVE AGREEMENT WITH THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS), WHITE RIVER MEDICAL CENTER WILL SERVE AS A TRAINING SITE FOR UAMS FAMILY MEDICINE RESIDENTS WHO BEGAN TRAINING IN JULY 2019. WRHS'S SERVICE AREA INCLUDES SIX (6) COUNTIES (CLEBURNE, INDEPENDENCE, IZARD, JACKSON, SHARP, AND STONE) IN NORTH CENTRAL ARKANSAS. WRHS'S EXTENDED SERVICE AREA AN ADDITIONAL FOUR (4) COUNTIES. THE HEALTHCARE NEEDS OF THE EXTENDED SERVICE AREA ARE ADDRESSED BY THE CHNA OF AREA HEALTHCARE PROVIDERS. LOCATED IN THE OZARK MOUNTAINS, MOST OF THE 3,751 SQUARE MILES OF THE SIX COUNTIES OF THE SERVICE AREA ARE RURAL WITH SMALL CITIES SCATTERED AMONG THE MOUNTAINS AND VALLEYS OF THE REGION. SMALL TO MEDIUM INDUSTRIES ARE IN THE CITY CENTERS; HOWEVER, AGRICULTURE AND TOURISM ARE THE PRIMARY ECONOMIC ENGINES IN THE REGION. ON AVERAGE, THERE ARE 32 PEOPLE PER SQUARE MILE IN THE SERVICE AREA. |
| SCHEDULE H, PART VI, LINE 5 | WHITE RIVER HEALTH SYSTEM PRIORITIZED COMMUNITY INVOLVEMENT BY REACHING OUT TO OUR COMMUNITY TO SUPPORT COMMUNITY-BASED PROGRAMS THAT IMPROVE THE WELL-BEING OF THOSE WE SERVE. WE FOCUSED OUR EFFORTS ON EDUCATION, SCREENINGS, AND SPONSORSHIPS. AS WE LOOK TO THE FUTURE, WE WILL CONTINUE TO LOOK FOR WAYS TO SERVE OUR COMMUNITIES. IT IS OUR MISSION TO PROVIDE QUALITY HEALTHCARE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. PREVIOUSLY KNOWN AS RUN THE WAVE, WRMC HELD ITS ANNUAL 5K RUN/WALK. THE EVENT BROUGHT IN A RECORD 133 RUNNERS AND RAISED OVER $11,000 TO SUPPORT LOCAL SCHOOL FOOD PANTRIES. 133 PEOPLE MADE DONATIONS TO THE EVENT AS VIRTUAL PARTICIPANTS. IN FEBRUARY, EVERY BABY BORN AT WRMC RECEIVED A HAND-KNITTED RED HAT AS PART OF THE AMERICAN HEART ASSOCIATION'S (AHA) LITTLE HATS, BIG HEARTS CAMPAIGN. THE CAMPAIGN FUNCTIONS TO RAISE AWARENESS FOR HEART DISEASE AND PROMOTE HEART HEALTH. |
| SCHEDULE H, PART VI, LINE 6 | WHITE RIVER HEALTH SYSTEM, INC. ALONG WITH ITS SUBSIDIARIES (THE SYSTEM) IS A MULTIDIMENSIONAL PROVIDER OF HEALTHCARE SERVICES PRIMARILY TO THE RESIDENTS OF NORTH CENTRAL ARKANSAS. THE SYSTEM OPERATES TWO HOSPITALS: WHITE RIVER MEDICAL CENTER, WHICH IS AN ACUTE CARE HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE TO THE RESIDENTS OF INDEPENDENCE COUNTY AND SURROUNDING AREAS; AND STONE COUNTY MEDICAL CENTER, WHICH IS A CRITICAL ACCESS HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY SERVICES TO THE RESIDENTS OF STONE COUNTY AND SURROUNDING AREAS. THE SYSTEM ALSO INCLUDES OUTPATIENT FACILITIES, PRIMARY CARE AND SPECIALTY PHYSICIAN OFFICES, NORTH ARKANSAS CLINICS, INC., AND WHITE RIVER HEALTH SYSTEM FOUNDATION, INC. (THE FOUNDATION). NORTH ARKANSAS CLINICS, INC. IS A FOR-PROFIT WHOLLY OWNED SUBSIDIARY OF THE SYSTEM THAT HOLDS REAL ESTATE IN SUPPORT OF THE SYSTEM. THE SYSTEM IS THE SOLE MEMBER OF THE FOUNDATION WHOSE PURPOSE IS TO SOLICIT CONTRIBUTIONS FOR THE BENEFIT OF THE SYSTEM. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LYON COLLEGE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 HIGHLAND ROAD | AddressLine1Txt |
| City | BATESVILLE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 710246213 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $32,724 | CashGrantAmt |
| Purpose Of Grant | ATHLETIC TRAINER SALARY | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARY BEBOW | ||||||||||||||
| CEO THROUGH 12/31/2019 | $244,242 | $0 | $102,473 | $0 | $103,680 | $0 | $11,200 | $0 | $2,678 | $0 | $464,273 | $0 | $0 | $0 |
| GARY PAXSON | ||||||||||||||
| CEO | $350,002 | $0 | $25,000 | $0 | $19,000 | $0 | $10,200 | $0 | $7,209 | $0 | $411,411 | $0 | $0 | $0 |
| TAMMY GAVIN | ||||||||||||||
| EVP - CCO | $195,049 | $0 | $0 | $0 | $184 | $0 | $7,809 | $0 | $3,908 | $0 | $206,950 | $0 | $0 | $0 |
| JOSEPH SMOTHERMAN | ||||||||||||||
| EVP - CSO/COO SCMC | $179,530 | $0 | $10,000 | $0 | $330 | $0 | $7,594 | $0 | $7,020 | $0 | $204,474 | $0 | $0 | $0 |
| ROBERT WRIGHT | ||||||||||||||
| EVP - PCS | $170,136 | $0 | $0 | $0 | $160 | $0 | $2,987 | $0 | $3,101 | $0 | $176,384 | $0 | $0 | $0 |
| LINDSEY CASTLEBERRY | ||||||||||||||
| EVP - HR/LEGAL COUNCIL | $160,109 | $0 | $0 | $0 | $150 | $0 | $6,410 | $0 | $2,592 | $0 | $169,261 | $0 | $0 | $0 |
| JEFF REIFSTECK | ||||||||||||||
| EVP - CIO | $154,802 | $0 | $5,000 | $0 | $140 | $0 | $6,398 | $0 | $6,016 | $0 | $172,356 | $0 | $0 | $0 |
| JEFFERY ANGEL | ||||||||||||||
| PHYSICIAN | $500,011 | $0 | $404,699 | $0 | $19,411 | $0 | $6,936 | $0 | $4,449 | $0 | $935,506 | $0 | $0 | $0 |
| DYLAN CARPENTER | ||||||||||||||
| PHYSICIAN | $500,011 | $0 | $359,332 | $0 | $8,578 | $0 | $11,200 | $0 | $6,226 | $0 | $885,347 | $0 | $0 | $0 |
| JAMES DAVIS ALLEN | ||||||||||||||
| PHYSICIAN | $500,011 | $0 | $270,624 | $0 | $2,307 | $0 | $11,200 | $0 | $3,286 | $0 | $787,428 | $0 | $0 | $0 |
| MARGARET KUYKENDALL | ||||||||||||||
| PHYSICIAN | $521,581 | $0 | $138,968 | $0 | $60,824 | $0 | $0 | $0 | $8,462 | $0 | $729,835 | $0 | $0 | $0 |
| WESLEY GREER | ||||||||||||||
| PHYSICIAN | $559,166 | $0 | $60,708 | $0 | $39,944 | $0 | $7,476 | $0 | $8,819 | $0 | $676,113 | $0 | $0 | $0 |
| TERRI BUNCH | ||||||||||||||
| CNO | $201,009 | $0 | $10,000 | $0 | $0 | $0 | $8,040 | $0 | $1,110 | $0 | $220,159 | $0 | $0 | $0 |
| CHRIS STEEL | ||||||||||||||
| EVP - CQO | $599,997 | $0 | $0 | $0 | $0 | $0 | $8,431 | $0 | $4,228 | $0 | $612,656 | $0 | $0 | $0 |
| GENE WINTERS | ||||||||||||||
| CFO THROUGH 09/26/2019 | $172,207 | $0 | $0 | $0 | $58,500 | $0 | $0 | $0 | $5,679 | $0 | $236,386 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CITY OF MOUNTAINVIEW AR PUBLIC FACILITIES BOARD | ||||||||
| A | 352242231 | 624308BF8 | 2017-03-27 | $4,135,759 | REFUNDING REVENUE BONDS | false | false | false |
| CITY OF BATESVILLE AR PUBLIC FACILITIES BOARD | ||||||||
| B | 331078402 | 070668AJ7 | 2020-08-25 | $34,840,074 | HOSPITAL REV/REFUNDING BONDS | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,940,000 | $0 | $4,135,759 | $0 | $0 | $0 | $82,715 | $0 | $0 | $0 | $4,049,523 | $0 | 2017 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $34,840,074 | $1,630,250 | $0 | $0 | $571,717 | $0 | $0 | $0 | $32,638,107 | $0 | 2020 | Yes (true) | Yes (true) | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | false | false |
| B | false | false | false | false | 0 | false | false | false | false |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | Yes (true) | false | false | false | false | false | 0 | false | false |
| 0 | ||||||||||
| B | false | Yes (true) | false | false | false | false | false | 0 | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| NANCY BERNARD | |||
| SPOUSE OF FORMER BOARD MEMBER | $14,723 | COMPENSATION FOR SERVICES | false |
| VERONA BROWN-BEBOW | |||
| SPOUSE OF GARY BEBOW | $171,773 | COMPENSATION FOR SERVICES | false |
| MATTHEW GAVIN | |||
| SON OF TAMMY GAVIN | $90,351 | COMPENSATION FOR SERVICES | false |
| DOYLE COCKRILL | |||
| BROTHER OF TAMMY GAVIN | $53,203 | COMPENSATION FOR SERVICES | false |
| DOUG BERNARD | |||
| SON OF FORMER BOARD MEMBER | $554,993 | COMPENSATION FOR SERVICES | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE. IT IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUAL CONFLICT OF INTEREST POLICIES ARE SENT OUT TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES AND RESPONSES ARE RETURNED TO INDEPENDENT AUDITORS WHICH COMPILE A LIST OF CONFLICTS. THE CONFLICTS ARE PRESENTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS TO REVIEW. IF THERE IS A CONFLICT OF INTEREST, THE AFFECTED BOARD MEMBER DOES NOT VOTE. THE BOARD CHAIR WOULD ENSURE THAT THE POLICY IS ADHERED TO. |
| FORM 990, PART VI, SECTION B, LINE 15A | ANNUAL COMPENSATION REVIEWS ARE PERFORMED BY THE BOARD IN JANUARY. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE ANNUAL COMPENSATION REVIEWS ARE PERFORMED BY THE BOARD IN JANUARY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | INVESTMENT INCOME FROM K-1 ($81,017) WRHS CIN, LLC NET ASSETS $54,560 ------------------------------------------------ TOTAL OTHER CHANGES IN NET ASSETS ($26,457) |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:13250104 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:9311380 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTION FEES TOTAL FEES:3776566 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER FEES TOTAL FEES:2704631 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:1795175 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING FEES TOTAL FEES:652118 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITE RIVER HEALTH SYSTEM CIN LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1710 HARRISON ST | AddressLine1Txt |
| City | BATESVILLE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 465609311 | EIN |
| Primary Activities | SUPPORT WRHS | PrimaryActivitiesTxt |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Total Income | $74,973 | TotalIncomeAmt |
| End Of Year Assets | $32,555 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRHS | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITE RIVER HEALTH SYSTEM FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1710 HARRISON ST | AddressLine1Txt |
| City | BATESVILLE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710728911 | EIN |
| Primary Activities | SUPPORT WRHS | PrimaryActivitiesTxt |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 12A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRHS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH ARKANSAS CLINIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2116 | AddressLine1Txt |
| City | BATESVILLE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710210496 | EIN |
| Primary Activities | RENT SPACE | PrimaryActivitiesTxt |
| Legal Domicile State | AR | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRHS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Share Of Total Income | $355,276 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $2,608,217 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WHITE RIVER HEALTH SYSTEM FOUNDATION | ||
| C | $186,941 | FMV |
| NORTH ARKANSAS CLINIC | ||
| K | $236,760 | FMV |