NORTH ARKANSAS REGIONAL MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: NORTH ARKANSAS REGIONAL MEDICAL CENTER (EIN 71-0787860)
Tax period: 2023-04-01 to 2024-03-31
Filed: 2025-02-13
IRS object ID: 202510449349300741
Schema version: 2023v6.0
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 C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-02-13T10:41:19+00:00	ReturnTs
Tax Period End	2024-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars 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	2023-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	710787860	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	North Arkansas Regional Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	8704145157	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	620 NORTH MAIN	AddressLine1Txt
City	HARRISON	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SAMMIE CRIBBS ROBERSON	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	8704145157	PhoneNum
Signature	2025-02-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amber Sherrill	PreparerPersonNm
PTIN	P00748683	PTIN
Phone	5013721040	PhoneNum
Preparation	2025-02-17	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAMMIE CRIBBS ROBERSON	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	620 NORTH MAIN	AddressLine1Txt
City	HARRISON	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$130,481,990	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NARMC.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	FormationYr
Legal Domicile State	AR	LegalDomicileStateCd
Activity Or Mission	MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE AND RESOURCES WITH COMPASSION AND INTEGRITY.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	1008	TotalEmployeeCnt
Total Volunteers	60	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$534,819	PYContributionsGrantsAmt
CY Contributions Grants	$2,409,685	CYContributionsGrantsAmt
PY Program Service Revenue	$90,863,353	PYProgramServiceRevenueAmt
CY Program Service Revenue	$95,585,592	CYProgramServiceRevenueAmt
PY Investment Income	$1,528,599	PYInvestmentIncomeAmt
CY Investment Income	$2,715,348	CYInvestmentIncomeAmt
PY Other Revenue	$23,709	PYOtherRevenueAmt
CY Other Revenue	$138,473	CYOtherRevenueAmt
PY Total Revenue	$92,950,480	PYTotalRevenueAmt
CY Total Revenue	$100,849,098	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$51,988,406	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$56,598,338	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$49,683,208	PYOtherExpensesAmt
CY Other Expenses	$51,676,949	CYOtherExpensesAmt
PY Total Expenses	$101,671,614	PYTotalExpensesAmt
CY Total Expenses	$108,275,287	CYTotalExpensesAmt
PY Revenues Less Expenses	-$8,721,134	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$7,426,189	CYRevenuesLessExpensesAmt
Total Assets BOY	$84,739,595	TotalAssetsBOYAmt
Total Assets EOY	$76,164,985	TotalAssetsEOYAmt
Total Liabilities BOY	$28,370,048	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$28,013,892	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$56,369,547	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$48,151,093	NetAssetsOrFundBalancesEOYAmt
Mission	WE ARE DEDICATED TO PROVIDING QUALITY SERVICES THAT ARE COMPREHENSIVE AND AFFORDABLE. WE EXPECT SERVICES TO BE DELIVERED COMPASSIONATELY, APPROPRIATELY, RESPONSIBLY, SAFELY AND EFFICIENTLY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$83,719,020	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$94,338,953	RevenueAmt
Desc	NARMC PROVIDED OVER 9,879 DAYS OF PATIENT CARE WITH 49.01% BEING PROVIDED TO MEDICARE AND MEDICAID PATIENTS. IN CONNECTION WITH THE PROVIDING OF CARE, NARMC WROTE OFF $236,457,777 OF CHARGES IN THE FORM OF CONTRACTUALS AND CHARITY EQUALING 71.7% OF TOTAL GROSS INCOME.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$940,922	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,246,639	RevenueAmt
Desc	HOSPICE OF THE HILLS MISSION IS TO PROVIDE A SPECIAL KIND OF CARE DESIGNED TO PROVIDE SENSITIVITY AND SUPPORT FOR PEOPLE IN THE FINAL PHASE OF A TERMINAL ILLNESS. WE SEEK TO ENABLE PATIENTS TO CARRY ON AN ALERT, PAIN-FREE LIFE AND TO MANAGE OTHER SYMPTOMS SO THAT THEIR LAST DAYS MAY BE SPENT WITH DIGNITY AND QUALITY. WE VIEW THE FAMILY, NOT JUST THE PATIENT AS THE UNIT OF CARE.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$84,659,942	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
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	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	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	false	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	false	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	148	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1008	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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	9	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	AR	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ANDREA SMITH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8704145157	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	620 NORTH MAIN STREET	AddressLine1Txt
City	HARRISON	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72601	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID O'NEAL
TREASURER SINCE 01/01/2024	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
DR STEPHEN BEELER
CHAIRMAN SINCE 01/01/2024	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
KEN MILBURN
SECRETARY SINCE 01/01/2024	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
KIRK CAMPBELL
VICE CHAIR SINCE 01/01/2024	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
DAN BOWERS
BOARD MEMBER/CHAIRMAN THROUGH 12/31/2023	1.0	5.0	Yes (X)		$0	$0	$0
DR BRENT ROSSON
BOARD MEMBER	40.0	4.0	Yes (X)		$893,193	$0	$43,243
DR ROSS E HALSTED
BOARD MEMBER	40.0	4.0	Yes (X)		$507,165	$0	$32,638
LARRY PHILLIPS
BOARD MEMBER	1.0	5.0	Yes (X)		$0	$0	$0
SHERRY BILLINGS
BOARD MEMBER	1.0	5.0	Yes (X)		$0	$0	$0
ANDREA SMITH
CFO SINCE 02/01/2024	40.0	5.0		Yes (X)	$110,818	$0	$6,068
DONNA K BOEHM
CNO	40.0	0.0		Yes (X)	$157,840	$0	$12,392
JOSHUA C BRIGHT
COO	40.0	1.0		Yes (X)	$230,739	$0	$30,467
KENNETH D PANNELL
CFO THROUGH 01/31/2024	40.0	5.0		Yes (X)	$251,383	$0	$33,823
SAMMIE CRIBBS ROBERSON
CEO	40.0	5.0		Yes (X)	$409,622	$0	$35,238
DR ALI F ABDELAAL
PHYSICIAN	40.0	0.0			$830,610	$0	$0	Yes (X)
DR ANDREW L COBLE
PHYSICIAN	40.0	0.0			$437,900	$0	$37,226	Yes (X)
DR JAMES D LANGSTON
PHYSICIAN	40.0	0.0			$424,209	$0	$23,101	Yes (X)
DR NICOLE F CATON
PHYSICIAN	40.0	0.0			$475,600	$0	$58,503	Yes (X)
DR RICHARD B CHITSEY
INTERNIST	40.0	0.0			$1,082,530	$0	$36,262	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,811,609	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$348,961	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	79	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt
QUALIVIS LLC
PO BOX 123847	DALLAS	TX	75312	NURSE STAFFING	$3,941,800
BILLING SPECIALISTS INC
1223 COMMERCE DRIVE	MOUNTAIN HOME	AR	72653	MEDICAL BILLING	$662,283	STE 1-2
GE HEALTHCARE
PO BOX 96483	CHICAGO	IL	60693	MACHINERY SERVICE	$589,704
VITALITY PLUS UROLOGY
140 ARKANSAS HIGHWAY 201	MOUNTAIN HOME	AR	72653	UROLOGIST	$483,112
FORVIS MAZARS
111 CENTER ST	LITTLE ROCK	AR	72201	ACCOUNTING SERVICES	$347,651	STE 1600

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$2,317,244	GovernmentGrantsAmt
All Other Contributions	$92,441	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$2,409,685	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICES	621110	$93,159,633	$93,159,633	$0	$0
OTHER OPERATING INCOME	621110	$1,160,475	$1,160,475	$0	$0
PHARMACY REVENUE	621110	$839,137	$839,137	$0	$0
FOODS & NUTRITION SERVICES	621110	$367,646	$367,646	$0	$0
MEDICAL OFFICE & RADIATION BUILDING	621110	$58,701	$58,701	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$95,585,592	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$626,842	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$626,842	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$31,721,398	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$29,632,892	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,088,506	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,088,506	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,088,506	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	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
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

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
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
INSURANCE PROCEEDS	900099	$113,287	$0	$0	$113,287
EDUCATION REVENUE	900099	$24,809	$0	$0	$24,809
PURCHASE DISCOUNTS	900099	$377	$0	$0	$377

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$138,473	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$100,849,098	TotalRevenueColumnAmt
Related Or Exempt Func Income	$95,585,592	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,853,821	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,656,428	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,656,428	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$45,533,492	TotalAmt
Program Services	$34,522,882	ProgramServicesAmt
Management And General	$11,010,610	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,244,514	TotalAmt
Program Services	$943,574	ProgramServicesAmt
Management And General	$300,940	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,931,786	TotalAmt
Program Services	$2,981,027	ProgramServicesAmt
Management And General	$950,759	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,232,118	TotalAmt
Program Services	$2,450,548	ProgramServicesAmt
Management And General	$781,570	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$157,831	TotalAmt
Program Services	$119,665	ProgramServicesAmt
Management And General	$38,166	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$309,329	TotalAmt
Program Services	$234,529	ProgramServicesAmt
Management And General	$74,800	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,082,726	TotalAmt
Program Services	$14,468,267	ProgramServicesAmt
Management And General	$4,614,459	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$212,646	TotalAmt
Program Services	$161,225	ProgramServicesAmt
Management And General	$51,421	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,195,360	TotalAmt
Program Services	$2,422,679	ProgramServicesAmt
Management And General	$772,681	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,572,860	TotalAmt
Program Services	$1,950,708	ProgramServicesAmt
Management And General	$622,152	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$297,834	TotalAmt
Program Services	$225,814	ProgramServicesAmt
Management And General	$72,020	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$457,711	TotalAmt
Program Services	$347,030	ProgramServicesAmt
Management And General	$110,681	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,092,878	TotalAmt
Program Services	$2,344,979	ProgramServicesAmt
Management And General	$747,899	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,199,152	TotalAmt
Program Services	$909,181	ProgramServicesAmt
Management And General	$289,971	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$9,657,552	$9,657,552	$0	$0
DRUGS	$7,981,878	$7,981,878	$0	$0
PROVIDER ASSESSMENT TAX	$1,305,513	$1,305,513	$0	$0
FOOD EXPENSES	$520,616	$394,724	$125,892	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,633,063	TotalAmt
Program Services	$1,238,167	ProgramServicesAmt
Management And General	$394,896	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$108,275,287	TotalAmt
Program Services	$84,659,942	ProgramServicesAmt
Management And General	$23,615,345	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$419,027	BOYAmt
EOY	$904,654	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	$13,953,410	BOYAmt
EOY	$15,155,927	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	$148,606	BOYAmt
EOY	$240,834	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,761,779	BOYAmt
EOY	$2,649,500	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$896,685	BOYAmt
EOY	$1,749,220	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$116,007,369	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$86,356,933	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$30,943,492	BOYAmt
EOY	$29,650,436	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$33,207,548	BOYAmt
EOY	$24,787,281	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$213,000	BOYAmt
EOY	$213,000	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	$2,196,048	BOYAmt
EOY	$814,133	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$84,739,595	BOYAmt
EOY	$76,164,985	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,899,936	BOYAmt
EOY	$10,684,874	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	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,003,842	BOYAmt
EOY	$16,250,017	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	$1,466,270	BOYAmt
EOY	$1,079,001	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	$28,370,048	BOYAmt
EOY	$28,013,892	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	$56,369,547	BOYAmt
EOY	$48,151,093	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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	$56,369,547	BOYAmt
EOY	$48,151,093	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$84,739,595	BOYAmt
EOY	$76,164,985	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$7,426,189	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$674,361	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$117,904	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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
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	$14,506	OtherActivitiesAmt
Total Lobbying Expenditures	$14,506	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 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE ARKANSAS HOSPITAL ASSOCIATION. FOR THE YEAR ENDED 2024, THE DUES WERE $22,618 AND $36,342 RESPECTIVELY. APPROXIMATELY 20% OF THE ARKANSAS HOSPITAL ASSOCIATION DUES AND APPROXIMATELY 32% OF THE AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$456,116	OtherCostOrOtherBasisAmt
Book Value	$456,116	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$53,559,212	OtherCostOrOtherBasisAmt
Depreciation	$32,103,745	DepreciationAmt
Book Value	$21,455,467	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$61,040,032	OtherCostOrOtherBasisAmt
Depreciation	$53,542,135	DepreciationAmt
Book Value	$7,497,897	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$952,009	OtherCostOrOtherBasisAmt
Depreciation	$711,053	DepreciationAmt
Book Value	$240,956	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$29,650,436	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INTERNALLY DESIGNATED	$22,022,974	F
HELD BY TRUSTEE	$2,764,307	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$24,787,281	TotalBookValueSecuritiesAmt
Total Rev Etc Audited Fincl Stmt	$100,174,737	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$674,361	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	-$674,361	RevenueNotReportedAmt
Revenue Subtotal	$100,849,098	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$100,849,098	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$108,275,287	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$108,275,287	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$108,275,287	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2	FormAndLineReferenceDesc
Explanation	MANAGEMENT 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.	ExplanationTxt

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	138	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
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	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$761,053	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$761,053	NetCommunityBenefitExpnsAmt
Total Expense	0.0070	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,059,124	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,912,154	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,146,970	NetCommunityBenefitExpnsAmt
Total Expense	0.0383	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,820,177	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,912,154	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,908,023	NetCommunityBenefitExpnsAmt
Total Expense	0.0453	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$42,870	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,870	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$999,820	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$999,820	NetCommunityBenefitExpnsAmt
Total Expense	0.0092	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,077,035	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,834,143	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,242,892	NetCommunityBenefitExpnsAmt
Total Expense	0.0392	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$14,119,725	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,834,143	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,285,582	NetCommunityBenefitExpnsAmt
Total Expense	0.0488	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$27,939,902	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,746,297	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,193,605	NetCommunityBenefitExpnsAmt
Total Expense	0.0941	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$20,814,542	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$17,272,239	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,542,303	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
NORTH AR REGIONAL PHO
MANAGEMENT	0.005	0.0	0.005
NORTH AR PARTNERSHIP FOR HEALTH EDUCATION INC
HEALTHCARE TRAINING & EDUCATION	0.005	0.0	0.005

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH ARKANSAS MEDICAL SYSTEM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	620 NORTH MAIN STREET	AddressLine1Txt
City	HARRISON	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.NARMC.COM	WebsiteAddressTxt
State License	AR4480	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	3 RURAL HEALTH CLINICS, 4 EMS SUBSTATIONS, 12 CLINICS, 2 HOME HEALTH/HOSPICE, 2 SPECIALTY CENTERS	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH ARKANSAS MEDICAL SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	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.NARMC.COM/COMMUNITY-HEALTH-ASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.NARMC.COM/COMMUNITY-HEALTH-ASSESSMENT	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	138.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.0	FPGFamilyIncmLmtDscntCarePct
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.NARMC.COM/COPY-OF-CARECREDIT-PAYMENT	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.NARMC.COM/COPY-OF-CARECREDIT-PAYMENT	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.NARMC.COM/COPY-OF-CARECREDIT-PAYMENT	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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule H, Part V, Section B, Line 5 Facility , 1

Facility , 1 - . DIALOGUES WITH 8 KEY INTERVIEWEES WERE CONDUCTED IN FEBRUARY AND MARCH 2022. INTERVIEWEES WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. INTERVIEWS WERE CONDUCTED VIA TELEPHONE, OR THE INTERVIEWEE ANSWERED THE INTERVIEW QUESTIONS VIA EMAIL; WHICHEVER WAS MORE CONVENIENT FOR THE INTERVIEWEE. ALL INTERVIEWS WERE CONDUCTED BY FORVIS PERSONNEL USING A STANDARD QUESTIONNAIRE. COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: 1) HEALTH AND QUALITY OF LIFE FOR RESIDENTS IN THE PRIMARY COMMUNITY, 2) BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY, 3) OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES, AND 4) DELINEATION OF THE MOST IMPORTANT HEALTH CARE ISSUES OR SERVICES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES. INTERVIEW DATA WAS INITIALLY RECORDED IN NARRATIVE FORM. INTERVIEWEES WERE ASSURED THAT PERSONAL IDENTIFIERS SUCH AS NAME OR ORGAINZATIONAL AFFILIATIONS WOULD NOT BE CONNECTED IN ANY WAY TO THE INFORMATION PRESENTED IN THIS REPORT. THIS TECHNIQUE DOES NOT PROVIDE A QUANTITIATIVE ANALYSIS OF THE LEADERS' OPINIONS BUT REVEALS FOR SOME OF THE FACTORS AFFECTING THE VIEWS AND SENTIMENTS ABOUT OVERALL HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY.

Schedule H, Part V, Section B, Line 11 Facility , 1

Facility , 1 - . NARMC OWNS THREE RURAL HEALTH CLINICS: NEWTON COUNTY FAMILY PRACTICE (JASPER, AR), CLAUDE PARRISH COMMUNITY HEALTH CLINIC (LEAD HILL, AR) AND MARSHALL FAMILY PRACTICE (MARSHALL, AR). NARMC ALSO HAS FOUR MANNED AMBULANCE SUBSTATIONS LOCATED IN HARRISON, JASPER, DIAMOND CITY AND MARSHALL. THROUGH THESE RURAL HEALTH CLINICS AND AMBULANCE SUBSTATIONS, WE CONTINUALLY MEET THE NEEDS OF THE COMMUNITIES WE SERVE IN THE RURAL AREAS. NARMC SUPPORTS AND STAFFS THE LOCAL HOSPICE HOUSE, WHICH PROVIDES TERMINALLY ILL PATIENTS AND THEIR FAMILIES WITH AN ALTERNATIVE TO HOSPICE SERVICES IN THEIR HOMES. COST OF SERVICES IS INCLUDED IN THE CHARITY SUBSIDY INFORMATION. NARMC PARTNERS WITH NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION, WHICH PROVIDES QUALITY, CERTIFIED HEALTH CARE TRAINING FOR COMMUNITY NEEDS. TRAINING AND EDUCATION INCLUDES CLASSES FOR NURSE ASSISTANTS, HOME HEALTH AIDES, FIRST AID, CPR TRAINING AND CONTINUING HEALTH EDUCATION FOR HEALTHCARE PROFESSIONALS, AS WELL AS, COMMUNITY EDUCATION FOR HEALTH LIVES, WEIGHT LOSS AND SMOKING CESSATION. THESE NEEDS WERE PRIORITIZED AND EVALUATED TO DETERMINE WHICH WERE SIGNIFICANT TO THE COMMUNITY. THE CRITERIA INCLUDED THE NUMBERS OF PERSONS AFFECTED, THE SERIOUSNESS OF THE ISSUE, WHETHER THE HEALTH NEED PARTICULARLY AFFECTED PERSONS LIVING IN POVERTY OR MEMBERS OF AN UNDERSERVED POPULATION AND AVAILABILITY OF COMMUNITY RESOURCES TO ADDRESS THE NEED. - RECRUITMENT OF ADDITIONAL PHYSICIANS & PRACTITIONERS: NARM WILL ACTIVELY RECRUIT PROVIDERS TO PRIMARY CARE PRACTITIONERS IN RURAL PARTS OF THE COMMUNITY, INCLUDING: PEDIATRIC CARE, MID-LEVEL PROVIDERS TOSUPPORT EXISTING PHYSICIAN PRACTICES AND CHRONIC CARE MANAGEMENT, EXPANSION OF FAMLIY PRACTICE AND OBSTETRICAL SERVICES, AND OPENING OF MEDICAL CARE PLAZA WITH ACCESS TO SPECIALTY SERVICES FOR COMPREHENSIVE CARE. NARMC WILL CONTINUE TO EXPAND INFRASTRUCTURE TO SUPPORT HEALTHCARE SERVICES. - MENTAL HEALTH: NARMC WILL EXPAND BEHAVIORAL HEALTH SERVICES AND RESOURCES WITHIN THE COMMUNITY. NAMRC WILL PARTNER WITH COMMUNITY OUTREACH PROGRAMS TO EXPAND SERVICES AND AWARENESS OF BEHAVIORAL HEALTH NEEDS AND SUPPORT EDUCATIONAL PROGRAMS FOR FIRST RESPONDERS AND HEALTH CARE WORKERS. - RURAL OUTREACH: NARMC WILL OFFER APPOINTMENTS WITH SPECIALISTS, SUCH AS PHYSICAL THERAPY, PEDIATRICS AND WOMEN'S HEALTH IN RURAL CLINICS. NARMC WILL SUPPORT PRIMARY CARE IN RURAL SETTINGS WITH ACCESS TO SPECIALTY CARE BY OFFERING ADVANCE TESTING IN RURAL AREAS, EXPANDING URGENT AND AFTER HOURS CARE IN RURAL AREAS AND PARTNERING WITH ORGANZIATIONS TO PROVIDE HIGHER LEVEL OF IMMEDIATE NEED SPECIALTY CARE. - COVID-19 EDUCATION AND OUTREACH: NARMC WILL PARTNER WITH LOCAL AND STATE HEALTH OFFICES TO PROVIDE VACCINATIONS, EXPAND EDUCATION OF COVID-19 VIRUS TREATMENT OPTIONS AND VACCINATION SAFETY, COLLABORATE WITH LOCAL INDUSTRY TO SUPPORT WELLNESS THROUGH COVID-19 PREVENTION STRATEGIES, IDENTIFY AND SUPPORT AT RISK POPULATIONS WITH PREVENTION OF COVID-19 AND VIRAL SPREAD. - HEALTH & WELLNESS EDUCATION: NARMC WILL PROMOTE HEALTH SCREENINGS AND SUPPORT GROUPS TO AID THE COMMUNITY. NARMC WILL PROVIDE EDUCATIONAL OPPORTUNITIES FOR NUTRITIONAL AWARENESS RELATED TO SPECIFIC CONDITIONS. THE HOSPITAL WILL CONTINUE COMMUNITY EDUCATION FOR STROKE AWARENESS AND WILL CONTINUE THE COMMUNITY TRAUMA OUTREACH PROGRAM AND INJURY PREVENTION CLASSES. NARMC PROVIDES AN EDUCATION PROGRAM ON CAR SEAT SAFETY FOR NEWBORNS. NARMC WILL COMBINE EFFORTS WITH THE LOCAL HEALTH DEPARTMENT FOR VACCINATION CLINICS. NARMC HAS FOUNDED THE BOONE COUNTY DIABETES COLLABORATIVE ALONG WITH THE AREA AGENCY ON AGING NORTHWEST ARKANSAS, COMMUNITY HEALTH RESOURCE CENTER, HARRISON CHAMBER OF COMMERCE, BOONE COUNTY HEALTH DEPARTMENT AND NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION. THE MISSION OF THE COLLABORATIVE IS TO PROVIDE HEALTH CARE PROVIDERS, COMMUNITY LEADERS AND PATIENTS FREE DIABETES EDUCATION. THE COLLABORATIVE PARTICIPANTS WORK IN CONJUNCTION TO IDENTIFY PATIENTS WHO NEED HELP IN MANAGING DIABETES. NARMC PROVIDES ONE-ON-ONE EDUCATION WITH A CLINICAL PHARMACIST AND/OR DIETICIAN FOR PATIENTS AS WELL AS QUARTERLY GROUP EDUCATION. NARMC HAS FOUNDED THE COMMUNITY PARAMEDIC PROGRAM IN AN EFFORT TO REDUCE RE-ADMISSION RATES OF THE HOSPITAL AND TO PROMOTE/FACILITATE APPROPRIATE UTILIZATION OF PRIMARY CARE PROVIDERS, THE EMERGENCY DEPARTMENT AND EMS. THE MISSION OF THE PROGRAM IS TO IDENTIFY AT-RISK PATIENTS THROUGH PERSONAL INTERACTION AND EDUCATE THEM ON NAVIGATING THE HEALTHCARE SYSTEM IN ORDER TO BETTER UTILIZE RESOURCES TO THE MUTUAL BENEFIT OF THE PATIENT AND THE HEALTHCARE PROVIDER.

Field	Value	IRS element (for citing)
Facility	23	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
NEWTON COUNTY FAMILY PRACTICE CLINIC
502 WEST COURT PO BOX 445	JASPER	AR	72641	RURAL HEALTH CLINIC
CLAUDE PARISH COMMUNITY HEALTH CLINIC
131 EAST HIGHWAY 14 PO BOX 336	LEAD HILL	AR	72644	RURAL HEALTH CLINIC
MARSHALL FAMILY PRACTICE CLINIC
211 AIRPORT ROAD PO BOX 1266	MARSHALL	AR	72650	RURAL HEALTH CLINIC
NARMC EMS NEWTON COUNTY SUBSTATION
HWY 7 SOUTH	JASPER	AR	72641	EMS RURAL SUB-STATION
NARMC EMS SEARCY COUNTY SUBSTATION
834 AIRPORT ROAD	MARSHALL	AR	72650	EMS RURAL SUB-STATION
NARMC EMS DIAMOND CITY SUBSTATION
311 GREENWOOD ST	DIAMOND CITY	AR	72630	EMS RURAL SUB-STATION
NARMC MEDICINE GROUP
715 W SHERMAN STE J	HARRISON	AR	72601	SINGLE PHYSICIAN FAMILY
NARMC FAMILY MEDICINE CLINIC
724 N SPRING STREET	HARRISON	AR	72601	FAMILY MEDICINE
NARMC MEDIQUICK
724 N SPRING STREET	HARRISON	AR	72601	FAMILY MEDICINE
NARMC GENERAL AND SPECIALTY SURGERY
604 N SPRING ST	HARRISON	AR	72601	GENERAL AND SPECIALTY SURGERY
NARMC FAMILY DOCTOR'S CLINIC
520 N SPRING STREET	HARRISON	AR	72601	FAMILY MEDICINE
NARMC INTERNAL MEDICINE
724 N SPRING STREET	HARRISON	AR	72601	FAMILY MEDICINE
NARMC HOME HEALTH AND HOSPICE
501 E SHERMAN	HARRISON	AR	72601	HOME HEALTH AND HOSPICE
NARMC EMS HARRISON SUBSTATION
303 HWY 65 BYPASS	HARRISON	AR	72601	EMS RURAL SUB-STATION
HOSPICE OF THE HILLS
501 E SHERMAN	HARRISON	AR	72601	HOME HEALTH AND HOSPICE
WOMEN'S HEALTH AND FAMILY CENTER
520 N PINE	HARRISON	AR	72601	FAMILY PRACTICE/OBSTETRICS AND WOMEN'S HEALTH
CLAUDE PARISH CANCER CENTER
620 N MAIN STREET	HARRISON	AR	72601	ONCOLOGY
INTERVENTIONAL PAIN MANAGEMENT CENTER
620 N MAIN STREET	HARRISON	AR	72601	PAIN MANAGEMNT
THE PHYSICIANS CLINIC OF BERRYVILLE
408 E ORCHARD	BERRYVILLE	AR	72616	FAMILY MEDICINE
EUREKA SPRINGS CLINIC
4052 EAST VAN BUREN SUITE A	EUREKA SPRINGS	AR	72632	FAMILY PRACTICE
NARMC PEDIATRICS
106 E CRANDALL AVE SUITE A	HARRISON	AR	72601	PEDIATRIC CLINIC
NARMC CARDIOLOGY CLINIC
620 N MAIN STREET	HARRISON	AR	72601	CARDIOLOGY CLINIC
NARMC THEMED URGENT CARE
4318 HWY 65 SOUTH	BELLEFONTE	AR	72601	FAMILY MEDICINE URGENT CARE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 7	THE STATE OF ARKANSAS DOES NOT REQUIRE NONPROFIT HOSPITALS TO PROVIDE COMMUNITY BENEFIT REPORTS.
Schedule H, Part III, Line 2 & LINE 3	GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE SYSTEM ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE SYSTEM ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS AND IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. CONSISTENT WITH THE SYSTEM'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE SYSTEM HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES, SUCH AS CO-PAYS AND DEDUCTIBLES. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE SYSTEM EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS.
Schedule H, Part I, Line 7g Subsidized Health Services	SUBSIDIZED HEALTH SERVICES INCLUDES COMMUNITY BENEFIT EXPENSE OF $1,376,385 FROM PHYSICIAN CLINICS.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST TO CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED IN COMPLETING LINE 7A AND 7B. LINE 7E, 7F, 7G AND 7I WERE CALCULATED USING ACTUAL COSTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	PLEASE SEE ATTACHED AUDIT REPORT NOTE 1.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE AMOUNT REPORTED ON LINE 6 WAS CALCULATED USING THE MEDICARE COST REPORT
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IN THE CASE OF EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, A PATIENT WHO IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE PROGRAM WILL NOT BE CHARGED MORE THAN AMOUNTS GENERALLY BILLED FOR INDIVIDUALS WHO HAVE INSURANCE COVERAGE. IF NARMC DETERMINES A PATIENT TO BE FAP ELIGIBLE, THEY WILL PROVIDE THE PATIENT WITH A BILLING STATEMENT SHOWING THE AMOUNT OWED AND HOW NARMC DETERMINED THE AMOUNT OWED AS A FAP PATIENT IS DETERMINED TO OWE AS A FAP ELIGIBLE PATIENT AND WILL REFRAIN FROM EXTRAORDINARY COLLECTION ACTIONS (ECAS)
Schedule H, Part V, Section B, Line 16a FAP website	- NORTH ARKANSAS MEDICAL SYSTEM: Line 16a URL: WWW.NARMC.COM/COPY-OF-CARECREDIT-PAYMENT;
Schedule H, Part V, Section B, Line 16b FAP Application website	- NORTH ARKANSAS MEDICAL SYSTEM: Line 16b URL: WWW.NARMC.COM/COPY-OF-CARECREDIT-PAYMENT;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- NORTH ARKANSAS MEDICAL SYSTEM: Line 16c URL: WWW.NARMC.COM/COPY-OF-CARECREDIT-PAYMENT;
Schedule H, Part VI, Line 2 Needs assessment	NARMC ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY WORKING VERY CLOSELY WITH OTHER HEALTHCARE PROVIDERS AND EDUCATORS IN THE AREA AND PARTICIPATING IN THE SURVEY COMPLETED BY THE HOMETOWN HEALTH COALITION THROUGH THE BOONE COUNTY HEALTH UNIT. THIS DOCUMENT COMPILES DATA FROM SCHOOLS, PHYSICIANS, GOVERNMENT AGENCIES AND THE HOSPITAL TO DETERMINE WHERE OUR COMMUNITY CAN HELP FILL THE VOID IN MEDICAL CARE NEEDS FOR OUR CITIZENS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	A PATIENT IS IDENTIFIED AS POSSIBLY NEEDING FINANCIAL ASSISTANCE WHEN THE PATIENT REGISTERS AS A SELF-PAY PATIENT OR HAS A SELF-PAY BALANCE AFTER INSURANCE ON THEIR ACCOUNT. SELF-PAY ACCOUNTS ARE REVIEWED BY THE PATIENT FINANCIALS SERVICES DEPARTMENT. ALL QUALIFYING SELF-PAY ACCOUNTS RECEIVE A DISCOUNT BASED ON THE REIMBURSEMENT PERCENTAGES RECEIVED FROM MEDICARE AND ALL PRIVATE HEALTH INSURANCES PAYING CLAIMS TO THE HOSPITAL BASED UPON THE LOOK BACK PERIOD. CURRENTLY THE SELF PAY DISCOUNT IS 45% OF GROSS CHARGES. ONCE THE PATIENT IS IDENTIFIED AS POSSIBLY NEEDING FINANCIAL ASSISTANCE, THE PATIENT IS SEEN OR CONTACTED BY NARMC'S PATIENT FINANCIAL SERVICES DEPARTMENT TO DETERMINE ELIGIBILITY AND APPLY FOR NARMC'S FINANCIAL ASSISTANCE PROGRAM INCLUDING THOSE WITH MEDICAL CONDITIONS/NEEDS THAT HAVE EXHAUSTED THEIR FINANCIAL RESOURCES, HELP IN APPLYING FOR GOVERNMENTAL ASSISTANCE, HELP IN DETERMINING ELIGIBILITY, APPLY FOR PHARMACEUTICAL ASSISTANCE PROGRAMS OR ANY OTHER PUBLIC ASSISTANCE. PATIENT ELIGIBILITY IS BASED ON A NET HOUSEHOLD INCOME OF 0% TO 138% OF THE FEDERAL POVERTY GUIDELINES IN ORDER TO BE ELIGIBLE FOR AN ASSISTANCE DISCOUNT OF 100%. PATIENT ELIGIBILITY IS BASED ON A NET HOUSEHOLD INCOME OF 138% TO 200% OF FEDERAL POVERTY GUIDELINES IN ORDER TO BE ELIGIBLE FOR A FINANCIAL ASSISTANCE DISCOUNT OF 50%. NARMC TAKES THE FOLLOWING MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE PROGRAM TO THE COMMUNITY AND PATIENTS IN THE FOLLOWING WAYS: 1) POST THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND A SUMMARY OF THE POLICY ON THE NARMC WEBSITE AT WWW.NARMC.COM. 2) PROVIDE PAPER COPIES OF THE POLICY, APPLICATION AND SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM UPON REQUEST IN THE PATIENT ACCESS AND PATIENT FINANCIAL SERVICES OFFICES. 3)POST NOTICES ABOUT THE FINANCIAL ASSISTANCE PROGRAM IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS AND PATIENT FINANCIALS SERVICES OFFICES. 4) DISTRIBUTE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM AND OFFER A FINANCIAL ASSISTANCE APPLICATION TO PATIENTS AT THE TIME OF REGISTRATION OR BEFORE DISCHARGE FROM THE HOSPITAL. 5) INFORM PATIENT ABOUT THE FINANCIAL ASSISTANCE PROGRAM IN PERSON OR DURING CUSTOMER SERVICE INTERACTIONS. 6) PROVIDE A SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM IN THE PATIENT'S MONTHLY BILLING STATEMENT. PATIENTS WILL RECEIVE THEIR FIRST STATEMENT WITHIN 15 DAYS FROM COMPUTATION OF THE FINAL BILL. NARMC WILL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WITH ALL BILLING STATEMENTS (MINIUMUM OF THREE STATEMENTS) AND WITH ANY OTHER WRITTEN COMMUNICATIONS REGARDING THE BILL THAT IS PROVIDED TO THE PATIENTS. NARMC SHALL INFORM THE PATIENT ABOUT THE FINANCIAL ASSISTANCE POLICY IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE. NARMC WILL PROVIDE THE PATIENT WITH AT LEAST ONE WRITTEN NOTICE THAT INFORMS THAT PATIENT ABOUT EXTRAORDINARY COLLECTIONS ACTIONS THAT MAY BE TAKEN IF THE FINANCIAL ASSISTANCE APPLICATION IS NOT SUBMITTED OR THE AMOUNT IS NOT PAID IN FULL BY THE DATE SPECIFIED IN THE NOTICE. NARMC SHALL NOT UNDERTAKE EXTRAORDINARY COLLECTION ACTIONS IN LESS THAN 120 DAYS FROM THE DATE OF THE FIRST STATEMENTS. PATIENTS MAY REQUEST FINANCIAL ASSISTANCE UP TO 240 DAYS FROM THE DATE OF THE PATIENT'S FIRST STATEMENT. IF THE PATIENT SUBMITS AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION AFTER 120 DAYS FROM THE FIRST STATEMENT DATE, NARMC SHALL SUSPEND ALL EXTRAORDINARY COLLECTION ACTIONS AND PROVIDE THE PATIENT WITH A WRITTEN NOTICE DESCRIBING THE ADDITIONAL INFORMATION/DOCUMENTATION THAT IS REQUIRED TO COMPLETE THE APPLICATIONS. IF THE PATIENT FAILS TO PROVIDE THE ADDITIONAL INFORMATION REQUESTED BY DATE SPECIFIED IN THE WRITTEN NOTICE, NARMC MAY PROCEED WITH EXTRAORDINARY COLLECTION ACTIONS. COMPLETED FINANCIAL ASSISTANCE APPLICATIONS SUBMITTED WITHIN THE 240 DAY PERIOD SHALL BE REVIEWED BY NARMC. A DETERMINATION SHALL BE MADE AND DOCUMENTED AS TO WHETHER THE PATIENT IS ELIGIBLE AND WRITTEN NOTIFICATION SHALL BE SENT TO THE PATIENT DESCRIBING THE ELIGIBILITY AND BASIS FOR THE DETERMINATION. IF NARMC DETERMINES THE PATIENT TO BE ELIGIBLE, THEY WILL PROVIDE THE PATIENT WITH A BILLING STATEMENT SHOWING THE AMOUNT OWED AND HOW NARMC DETERMINED THE AMOUNT OWED AS A FINANCIAL ASSISTANCE PROGRAM ELIGIBLE PATIENT, REFUND ANY AMOUNTS PAID IN EXCESS OF THE AMOUNT THE PATIENT IS DETERMINED TO OWE AS A FINANCIAL ASSISTANCE PROGRAM PATIENT, AND TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTIONS TAKEN AGAINST THE INDIVIDUAL INCLUDING VACATE JUDGEMENTS, LIFT ANY LIENS OR LEVY AND REMOVE FROM THAT PATIENT'S CREDIT REPORT ANY INFORMATION THAT WAS REPORTED TO A CONSUMER REPORTING AGENCY OR CREDIT BUREAU. NARMC SHALL REFRAIN FROM EXTRAORDINARY COLLECTION ACTIONS UNTIL IT HAS MADE REASONABLE EFFORTS TO DETERMINE FINANCIAL ASSISTANCE PROGRAM ELIGIBILITY, SUSPEND ANY EXTRAORDINARY COLLECTION ACTIONS IF THE PATIENT SUBMITS A FINANCIAL ASSISTANCE PROGRAM APPLICATION UNTIL NARMC DETERMINES FINANCIAL ASSISTANCE PROGRAM ELIGIBILITY. IF THE PATIENT IS ELIGIBLE FOR THE FINANCIAL ASSISTANCE PROGRAM, NARMC WILL ENSURE THE PATIENT DOES NOT PAY MORE THAN THE PATIENT IS REQUIRED TO PAY UNDER THE FINANCIAL ASSISTANCE PROGRAM.
Schedule H, Part VI, Line 4 Community information	THE MEDICAL CENTER IS LOCATED IN HARRISON, ARKANSAS (BOONE COUNTY). HARRISON IS APPROXIMATELY AN HOUR AND A HALF EAST OF FAYETTEVILLE, ARKANSAS AND AN HOUR SOUTH OF SPRINGFIELD, MISSOURI (THE CLOSEST METROPOLITAN AREAS). ONE DIVIDED HIGHWAY SERVES THE AREA FROM THE NORTH. MANAGEMENT HAS IDENTIFIED THE COMMUNITY TO INCLUDE ALL OF BOONE AND NEWTON COUNTIES AS WELL AS SIGNIFICANT PORTIONS OF CARROLL, MARION AND SEARCY COUNTIES AND A SMALL PORTION OF POPE COUNTY. BASED ON THE 2015-19 US CENSUS BUREAU ESTIMATES, ABOUT 97,000 PEOPLE LIVE IN THE FIVE COUNTIES INCLUDED IN THE COMMUNITY. THE MEDICAL CENTER IS LOCATED IN HARRISON, ARKANSAS, WHICH IS THE LARGEST TOWN IN THE COMMUNITY WITH A POPULATION OF APPROXIMATELY 13,000 PEOPLE. THE POPULATION OF THE COMMUNITY IS ABOUT 95% WHITE, MAKING IT MUCH MORE RACIALLY HOMOGENOUS THAT EITHER THE STATE OF ARKANSAS OR THE UNITED STATES AS A WHOLE. MOST OF THE REMAINING POPULATION IS HISPANIC OR LATINO WITH APPROXIMATELY ONE-THIRD OF THIS GROUP HAVING LIMITED ENGLISH PROFICIENCY. ACCORDING TO THE US CENSUS BUREAU, ABOUT 23% OF THE COMMUNITY'S POPULATION IS OVER AGE 65, WHICH IS MUCH HIGHER THAN THE STATE OF ARKANSAS (17%) OR THE UNITED STATES (16%) AS A WHOLE. ADDITIONALLY, THE PERCENTAGE OF THE COMMUNITY POPULATION OVER AGE 65 IS EXPECTED TO CONTINUE INCREASING OVER THE NEXT TWO YEARS. THIS AGE GROUP USES MORE HEALTH SERVICES THAN ANY OTHER SO THE MEDICAL CENTER SHOULD PREPARE FOR INCREASED PATIENT VOLUME IN THE NEAR FUTURE. THE AVERAGE HOUSEHOLD INCOME IN THE MEDICAL CENTER'S COMMUNITY IS $56,915 COMPARED TO $66,557 FOR THE STATE OF ARKANSAS AND $88,607 FOR THE UNITED STATES. LOWER THAN AVERAGE HOUSEHOLD INCOME SUGGESTS THAT MANY MEMBERS OF THE COMMUNITY MAY HAVE DIFFICULTY OBTAINING HEALTH CARE, ESPECIALLY PREVENTATIVE CARE.
Schedule H, Part VI, Line 5 Promotion of community health	NARMC'S BOARD OF DIRECTORS CONSISTS OF COMMUNITY LEADERS WITH GOALS OF PROMOTING COMMUNITY HEALTH. THE HOSPITAL PROVIDES FOUR FREE HEALTH SCREENINGS PER YEAR AND PROVIDES HEALTH CHECKS AT SEVERAL COMMUNITY EVENTS SUCH AS COMMUNITY HEALTH FAIRS, COUNTY FAIRS, RODEOS, LOCAL BUSINESSES, ETC. NARMC PARTNERS WITH AND FINANCIALLY SUPPORTS NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION, WHICH PROVIDES HEALTH EDUCATION TO THE GENERAL POPULATION OF THE COMMUNITY. EMERGENCY SERVICES ARE PROVIDED AT NUMEROUS COMMUNITY EVENTS WITH EITHER PHYSICIANS, PARAMEDICS, EMTS, NURSES, ETC. ADDITIONALLY, NARMC IS VERY INVOLVED IN THE COMMUNITIES IT SERVES BY PROVIDING COMMUNITY HEALTH SUPPORT AND EDUCATION. THE HOSPITAL'S STAFF PARTICIPATES IN A VARIETY OF COMMUNITY SUPPORT ACTIVITIES INCLUDING, BUT NOT LIMITED TO, BUSINESS AFTER HOURS, WORLD'S LARGEST BABY FAIR, THE BUSINESS EXPO AND OZARK EXPO, KHOZ/NARMC HEALTH FAIR, THE KHOZ RADIO STATION MCDONALD'S BREAKFAST CLUB, TKO TELEVISION PROGRAM COMMUNITY CONNECTIONS, KHOZ RADIO STATION COMMUNITY CONTACT AND K26 TV'S 726 COMMUNITY INFORMATION PROGRAMS. THE RURAL HEALTH CLINICS AND RURAL AMBULANCE STATIONS HAVE REPRESENTATIVES ON THE LOCAL CHAMBER OF COMMERCE BOARD OF DIRECTORS, MEMBERS OF KIWANIS, ROTARY, LIONS, EVENING LIONS, FIRST RESPONDERS, VOLUNTEER FIRE DEPARTMENT, ETC. NARMC HAS FOUNDED THE BOONE COUNTY DIABETES COLLABORATIVE ALONG WITH THE AREA AGENCY ON AGING NORTHWEST ARKANSAS, COMMUNITY HEALTH RESOURCE CENTER, HARRISON CHAMBER OF COMMERCE, BOONE COUNTY HEALTH DEPARTMENT AND NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION. THE MISSION OF THE COLLABORATIVE IS TO PROVIDE HEALTH CARE PROVIDERS, COMMUNITY LEADERS AND PATIENTS FREE DIABETES EDUCATION. THE COLLABORATIVE PARTICIPANTS WORK IN CONJUNCTION TO IDENTIFY PATIENTS WHO NEED HELP IN MANAGING DIABETES. NARMC PROVIDES ONE-ON-ONE EDUCATION WITH A CLINICAL PHARMACIST AND/OR DIETICIAN FOR PATIENTS AS WELL AS QUARTERLY SUPPORT GROUP EDUCATION.
Schedule H, Part VI, Line 6 Affiliated health care system	NORTH ARKANSAS MEDICAL SYSTEM IS A PUBLIC BENEFIT CORPORATION TO NORTH ARKANSAS REGIONAL MEDICAL CENTER. IT IS ORGANIZED TO OPERATE FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND/OR TO CARRY OUT THE PURPOSES OF THE HOSPITAL. NORTH ARKANSAS MEDICAL SERVICES IS A PUBLIC BENEFIT CORPORATION TO PROMOTE PURPOSES OF THE HOSPITAL. NORTH ARKANSAS MEDICAL FOUNDATION'S MISSION IS TO ENCOURAGE PUBLIC SUPPORT FOR THE ACTIVITIES AND PURPOSE OF NORTH ARKANSAS REGIONAL MEDICAL CENTER.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
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	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
DR BRENT ROSSON
BOARD MEMBER	$883,193	$0	$10,000	$0	$0	$0	$19,593	$0	$23,650	$0	$936,436	$0	$0	$0
DR ROSS E HALSTED
BOARD MEMBER	$483,185	$0	$5,000	$0	$18,980	$0	$8,042	$0	$24,596	$0	$539,803	$0	$0	$0
SAMMIE CRIBBS ROBERSON
CEO	$383,689	$0	$25,933	$0	$0	$0	$13,167	$0	$22,071	$0	$444,860	$0	$0	$0
JOSHUA C BRIGHT
COO	$212,943	$0	$17,796	$0	$0	$0	$8,396	$0	$22,071	$0	$261,206	$0	$0	$0
DONNA K BOEHM
CNO	$153,513	$0	$4,327	$0	$0	$0	$4,202	$0	$8,190	$0	$170,232	$0	$0	$0
KENNETH D PANNELL
CFO THROUGH 01/31/2024	$223,439	$0	$5,444	$0	$22,500	$0	$9,227	$0	$24,596	$0	$285,206	$0	$0	$0
DR RICHARD B CHITSEY
INTERNIST	$1,050,030	$0	$10,000	$0	$22,500	$0	$12,612	$0	$23,650	$0	$1,118,792	$0	$0	$0
DR ALI F ABDELAAL
PHYSICIAN	$830,610	$0	$0	$0	$0	$0	$0	$0	$0	$0	$830,610	$0	$0	$0
DR NICOLE F CATON
PHYSICIAN	$471,600	$0	$4,000	$0	$0	$0	$16,152	$0	$42,351	$0	$534,103	$0	$0	$0
DR ANDREW L COBLE
PHYSICIAN	$432,900	$0	$5,000	$0	$0	$0	$15,155	$0	$22,071	$0	$475,126	$0	$0	$0
DR JAMES D LANGSTON
PHYSICIAN	$396,709	$0	$5,000	$0	$22,500	$0	$14,911	$0	$8,190	$0	$447,310	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	NARMC PAYS A COUNTRY CLUB MEMBERSHIP FOR SAMMIE CRIBBS ROBERSON, WHICH IS ONLY USED FOR BUSINESS PURPOSES. ANY PERSONAL EXPENSES ARE PAID BY SAMMIE CRIBBS ROBERSON DIRECTLY. NARMC ALSO PAYS ROTARY DUES FOR SAMMIE CRIBBS ROBERSON. THE AMOUNTS ARE NOT INCLUDED IN HER WAGES, AS THEY ARE FOR BUSINESS PURPOSES.
Schedule J, Part I, Line 7 Non-fixed payments	THE FOLLOWING INDIVIDUALS RECEIVED NONFIXED PAYMENTS, APPROVED BY NARMC'S BOARD OF DIRECTORS, BASED ON MEETING: QUALITY, GROWTH AND FINANCIAL METRICS: SAMMIE CRIBBS ROBERSON - $25,933 JOSHUA C BRIGHT - $17,796 DONNA K BOEHM - $4,327 KENNETH D PANNELL - $5,444 ANDREA SMITH - $3,360

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
BOONE COUNTY AR
A	710386082	098646CNO	2021-12-30	$9,877,759	HOSPITAL REVENUE REFUNDING BONDS	false	false	false
BOONE COUNTY AR
B	710386082	098646CT7	2022-01-18	$7,543,066	HOSPITAL REVENUE REFUNDING BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$155,000	$9,877,759	$971,000	$187,534	$8,719,225	Yes (true)	false	Yes (true)	Yes (true)
B	$705,000	$7,543,066	$754,000	$146,338	$6,642,728	Yes (true)	false	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	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.0	false	false	Yes (true)
B	false	false	false	false	0.0	false	false	Yes (true)

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	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KIM ROSSON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SEE SUPPLEMENTAL INFO	RelationshipDescriptionTxt
Transaction	$86,267	TransactionAmt
Transaction	W-2 WAGES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV, Column (b) FORM 990, SCHEDULE L, PART IV, LINE 1 COLUMN B	FormAndLineReferenceDesc
Explanation	FAMILY OF THOMAS B. ROSSON JR	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6 7A & 7B	NORTH ARKANSAS MEDICAL SYSTEM IS THE SOLE MEMBER OF NORTH ARKANSAS REGIONAL MEDICAL. THE MEMBER RESERVES POWER OVER THE FOLLOWING ACTS: - ELECT, APPOINT, OR REMOVE DIRECTORS TO FILL VACANCIES OF THE BOARD OF DIRECTORS OR ANY OF ITS COMMITTEES. - WAIVE ANY NOTICE, WHETHER REQUIRED BY STATUTE, THE ARTICLES OF INCORPORATION, OR THESE BYLAWS, BEFORE OR AFTER THE DATE AND TIME STATED IN THE NOTICE.
Form 990, Part VI, Line 15 A&B	THE LAST REVIEW COMPLETED IN MARCH 2023 BY THE VICE PRESIDENT OF HUMAN RESOURCES AT NARMC. OTHER OFFICERS OR KEY EMPLOYEES ARE COMPARED TO AHA SALARY DATABASE BY HUMAN RESOURCES AND ARE REVIEWED AND APPROVED BY THE CEO. SALARIES OF OFFICERS AND KEY EMPLOYEES ARE ALSO REVIEWED BY THE BOARD.
Form 990, Part VI, Line 11b Review of form 990 by governing body	FORM 990 IS PROVIDED TO EACH BOARD DIRECTOR DURING THE BOARD COMMITTEE MEETINGS. MANAGEMENT REVIEWED EACH SECTION AND ALL SIGNIFICANT DISCLOSURES WITH THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE BOARD OF DIRECTORS COMPLETES A QUESTIONNAIRE EACH YEAR AND DISCLOSURES (IF ANY) ARE REVIEWED BY THE BOARD AND OFFICERS. KEY EMPLOYEES ARE REQUIRED TO REPORT ANY POTENTIAL CONFLICTS OF INTEREST TO THEIR SUPERVISORS AND TO HUMAN RESOURCES.
Form 990, Part VI, Line 19 Required documents available to the public	PROVIDED UPON REQUEST.
Form 990, Part IX, Line 11g Other Fees	PURCHASED SERVICES - Total Expense: 5851010, Program Service Expense: 4436157, Management and General Expenses: 1414853, Fundraising Expenses: 0; PROFESSIONAL FEES - Total Expense: 5800746, Program Service Expense: 4398048, Management and General Expenses: 1402698, Fundraising Expenses: 0; CONTRACT LABOR - Total Expense: 5022833, Program Service Expense: 3808245, Management and General Expenses: 1214588, Fundraising Expenses: 0; SERVICE AGREEMENTS - Total Expense: 2408137, Program Service Expense: 1825817, Management and General Expenses: 582320, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO AFFILIATE - -117904;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
NORTH ARKANSAS MEDICAL FOUNDATION
620 NORTH MAIN STREET	HARRISON	AR	72601	710787861	SUPPORT	AR	501(c)(3)	Type I	NAMS	Yes (true)
NORTH ARKANSAS MEDICAL SYSTEM
620 NORTH MAIN STREET	HARRISON	AR	72601	710787859	SUPPORT	AR	501(c)(3)	Type I	NA	Yes (true)
NORTH ARKANSAS MEDICAL SERVICES
620 NORTH MAIN STREET	HARRISON	AR	72601	710787858	SUPPORT	AR	501(c)(3)	Type I	NAMS	Yes (true)
MARMC AMBULANCE DIVISION ONE INCE
620 NORTH MAIN STREET	HARRISON	AR	72601	822720963	SUPPORT	AR	501(c)(3)	Type I	NAMS	Yes (true)
NARMC AMBULANCE DIVISION TWO INC
620 NORTH MAIN STREET	HARRISON	AR	72601	822727645	SUPPORT	AR	501(c)(3)	Type I	NAMS	Yes (true)

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	false	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	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTH ARKANSAS MEDICAL SERVICES
K	$651,102	FMV
NORTH ARKANSAS MEDICAL FOUNDATION
R	$117,904	FMV