2025-02-13T10:41:19+00:00 2024-03-31 440160260 Forvis Mazars LLP PO Box 3667 Little Rock AR 722033667 990 2023-04-01 710787860 North Arkansas Regional Medical Center NORT 8704145157 620 NORTH MAIN HARRISON AR 72601 SAMMIE CRIBBS ROBERSON CEO 8704145157 2025-02-13 true true Amber Sherrill P00748683 5013721040 2025-02-17 2023 2025-03-06 01:10:19Z SAMMIE CRIBBS ROBERSON 620 NORTH MAIN HARRISON AR 72601 130481990 false X WWW.NARMC.COM X 1996 AR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE AND RESOURCES WITH COMPASSION AND INTEGRITY. 9 7 1008 60 0 0 534819 2409685 90863353 95585592 1528599 2715348 23709 138473 92950480 100849098 0 0 0 0 51988406 56598338 0 0 0 49683208 51676949 101671614 108275287 -8721134 -7426189 84739595 76164985 28370048 28013892 56369547 48151093 WE ARE DEDICATED TO PROVIDING QUALITY SERVICES THAT ARE COMPREHENSIVE AND AFFORDABLE. WE EXPECT SERVICES TO BE DELIVERED COMPASSIONATELY, APPROPRIATELY, RESPONSIBLY, SAFELY AND EFFICIENTLY. false false 83719020 0 94338953 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. 940922 0 1246639 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. 84659942 true false false true false false false false false true true false false true false false true false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true true true false false true 148 0 true 1008 true false false false false false false false false false false false false X 9 7 false false false false false false false true true false false true true true true true true true true false AR X ANDREA SMITH 8704145157 620 NORTH MAIN STREET HARRISON AR 72601 DAVID O'NEAL TREASURER SINCE 01/01/2024 1.0 5.0 X X 0 0 0 DR STEPHEN BEELER CHAIRMAN SINCE 01/01/2024 1.0 5.0 X X 0 0 0 KEN MILBURN SECRETARY SINCE 01/01/2024 1.0 5.0 X X 0 0 0 KIRK CAMPBELL VICE CHAIR SINCE 01/01/2024 1.0 5.0 X X 0 0 0 DAN BOWERS BOARD MEMBER/CHAIRMAN THROUGH 12/31/2023 1.0 5.0 X 0 0 0 DR BRENT ROSSON BOARD MEMBER 40.0 4.0 X 893193 0 43243 DR ROSS E HALSTED BOARD MEMBER 40.0 4.0 X 507165 0 32638 LARRY PHILLIPS BOARD MEMBER 1.0 5.0 X 0 0 0 SHERRY BILLINGS BOARD MEMBER 1.0 5.0 X 0 0 0 ANDREA SMITH CFO SINCE 02/01/2024 40.0 5.0 X 110818 0 6068 DONNA K BOEHM CNO 40.0 0.0 X 157840 0 12392 JOSHUA C BRIGHT COO 40.0 1.0 X 230739 0 30467 KENNETH D PANNELL CFO THROUGH 01/31/2024 40.0 5.0 X 251383 0 33823 SAMMIE CRIBBS ROBERSON CEO 40.0 5.0 X 409622 0 35238 DR ALI F ABDELAAL PHYSICIAN 40.0 0.0 X 830610 0 0 DR ANDREW L COBLE PHYSICIAN 40.0 0.0 X 437900 0 37226 DR JAMES D LANGSTON PHYSICIAN 40.0 0.0 X 424209 0 23101 DR NICOLE F CATON PHYSICIAN 40.0 0.0 X 475600 0 58503 DR RICHARD B CHITSEY INTERNIST 40.0 0.0 X 1082530 0 36262 5811609 0 348961 79 false true false QUALIVIS LLC PO BOX 123847 DALLAS TX 75312 NURSE STAFFING 3941800 BILLING SPECIALISTS INC 1223 COMMERCE DRIVE STE 1-2 MOUNTAIN HOME AR 72653 MEDICAL BILLING 662283 GE HEALTHCARE PO BOX 96483 CHICAGO IL 60693 MACHINERY SERVICE 589704 VITALITY PLUS UROLOGY 140 ARKANSAS HIGHWAY 201 MOUNTAIN HOME AR 72653 UROLOGIST 483112 FORVIS MAZARS 111 CENTER ST STE 1600 LITTLE ROCK AR 72201 ACCOUNTING SERVICES 347651 14 0 0 0 0 2317244 92441 0 2409685 PATIENT SERVICES 621110 93159633 93159633 0 0 OTHER OPERATING INCOME 621110 1160475 1160475 0 0 PHARMACY REVENUE 621110 839137 839137 0 0 FOODS & NUTRITION SERVICES 621110 367646 367646 0 0 MEDICAL OFFICE & RADIATION BUILDING 621110 58701 58701 0 0 0 0 0 0 95585592 626842 0 0 626842 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31721398 0 29632892 0 2088506 0 2088506 0 0 2088506 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 INSURANCE PROCEEDS 900099 113287 0 0 113287 EDUCATION REVENUE 900099 24809 0 0 24809 PURCHASE DISCOUNTS 900099 377 0 0 377 0 0 0 0 138473 100849098 95585592 0 2853821 X 0 0 0 0 0 0 0 0 2656428 0 2656428 0 0 0 0 0 45533492 34522882 11010610 0 1244514 943574 300940 0 3931786 2981027 950759 0 3232118 2450548 781570 0 0 0 0 0 157831 119665 38166 0 309329 234529 74800 0 0 0 0 0 0 0 0 0 0 0 19082726 14468267 4614459 0 212646 161225 51421 0 3195360 2422679 772681 0 0 0 0 0 0 0 0 0 2572860 1950708 622152 0 297834 225814 72020 0 0 0 0 0 0 0 0 0 457711 347030 110681 0 0 0 0 0 3092878 2344979 747899 0 1199152 909181 289971 0 MEDICAL SUPPLIES 9657552 9657552 0 0 DRUGS 7981878 7981878 0 0 PROVIDER ASSESSMENT TAX 1305513 1305513 0 0 FOOD EXPENSES 520616 394724 125892 0 1633063 1238167 394896 0 108275287 84659942 23615345 0 0 0 419027 904654 0 0 13953410 15155927 0 0 0 0 148606 240834 2761779 2649500 896685 1749220 116007369 86356933 30943492 29650436 0 0 33207548 24787281 213000 213000 0 0 2196048 814133 84739595 76164985 9899936 10684874 0 0 0 0 17003842 16250017 0 0 0 0 1466270 1079001 0 0 0 0 28370048 28013892 X 56369547 48151093 0 0 0 0 0 0 0 0 56369547 48151093 84739595 76164985 X -7426189 -674361 0 0 0 -117904 X false true X true true true X false false false false false false false false true 14506 14506 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 0 456116 456116 0 53559212 32103745 21455467 0 0 0 0 0 61040032 53542135 7497897 0 952009 711053 240956 29650436 INTERNALLY DESIGNATED 22022974 F HELD BY TRUSTEE 2764307 F 24787281 100174737 -674361 0 0 0 -674361 100849098 0 0 0 100849098 108275287 0 0 0 0 0 108275287 0 0 0 108275287 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 TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X 138 true X true true true false true true 0 0 761053 0 761053 0.0070 0 0 13059124 8912154 4146970 0.0383 0 0 0 0 0 0.0 0 0 13820177 8912154 4908023 0.0453 0 0 42870 0 42870 0.0004 0 0 999820 0 999820 0.0092 0 0 13077035 8834143 4242892 0.0392 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 14119725 8834143 5285582 0.0488 0 0 27939902 17746297 10193605 0.0941 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 20814542 17272239 3542303 X true true 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 1 1 NORTH ARKANSAS MEDICAL SYSTEM 620 NORTH MAIN STREET HARRISON AR 72601 WWW.NARMC.COM AR4480 X X X 3 RURAL HEALTH CLINICS, 4 EMS SUBSTATIONS, 12 CLINICS, 2 HOME HEALTH/HOSPICE, 2 SPECIALTY CENTERS NORTH ARKANSAS MEDICAL SYSTEM 1 false false true X X X X X X X X X 21 true false false true X WWW.NARMC.COM/COMMUNITY-HEALTH-ASSESSMENT X true 21 true WWW.NARMC.COM/COMMUNITY-HEALTH-ASSESSMENT false true X 138.0 200.0 X X X X X true true X X X X true X WWW.NARMC.COM/COPY-OF-CARECREDIT-PAYMENT X WWW.NARMC.COM/COPY-OF-CARECREDIT-PAYMENT X WWW.NARMC.COM/COPY-OF-CARECREDIT-PAYMENT X X X X X X true X false X X X X true X false false 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. 23 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 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. X true true X X X X X false false false false false false false true false DR BRENT ROSSON BOARD MEMBER 883193 0 10000 0 0 0 19593 0 23650 0 936436 0 0 0 DR ROSS E HALSTED BOARD MEMBER 483185 0 5000 0 18980 0 8042 0 24596 0 539803 0 0 0 SAMMIE CRIBBS ROBERSON CEO 383689 0 25933 0 0 0 13167 0 22071 0 444860 0 0 0 JOSHUA C BRIGHT COO 212943 0 17796 0 0 0 8396 0 22071 0 261206 0 0 0 DONNA K BOEHM CNO 153513 0 4327 0 0 0 4202 0 8190 0 170232 0 0 0 KENNETH D PANNELL CFO THROUGH 01/31/2024 223439 0 5444 0 22500 0 9227 0 24596 0 285206 0 0 0 DR RICHARD B CHITSEY INTERNIST 1050030 0 10000 0 22500 0 12612 0 23650 0 1118792 0 0 0 DR ALI F ABDELAAL PHYSICIAN 830610 0 0 0 0 0 0 0 0 0 830610 0 0 0 DR NICOLE F CATON PHYSICIAN 471600 0 4000 0 0 0 16152 0 42351 0 534103 0 0 0 DR ANDREW L COBLE PHYSICIAN 432900 0 5000 0 0 0 15155 0 22071 0 475126 0 0 0 DR JAMES D LANGSTON PHYSICIAN 396709 0 5000 0 22500 0 14911 0 8190 0 447310 0 0 0 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 A BOONE COUNTY AR 710386082 098646CNO 2021-12-30 9877759 HOSPITAL REVENUE REFUNDING BONDS false false false B BOONE COUNTY AR 710386082 098646CT7 2022-01-18 7543066 HOSPITAL REVENUE REFUNDING BONDS false false false A 155000 9877759 971000 187534 8719225 true false true true B 705000 7543066 754000 146338 6642728 true false true true A false false false false 0.0 false false true B false false false false 0.0 false false true A false true false false false false false false true B false true false false false false false false true A true B true KIM ROSSON SEE SUPPLEMENTAL INFO 86267 W-2 WAGES false Schedule L, Part IV, Column (b) FORM 990, SCHEDULE L, PART IV, LINE 1 COLUMN B FAMILY OF THOMAS B. ROSSON JR 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; NORTH ARKANSAS MEDICAL FOUNDATION 620 NORTH MAIN STREET HARRISON AR 72601 710787861 SUPPORT AR 501(c)(3) Type I NAMS true NORTH ARKANSAS MEDICAL SYSTEM 620 NORTH MAIN STREET HARRISON AR 72601 710787859 SUPPORT AR 501(c)(3) Type I NA true NORTH ARKANSAS MEDICAL SERVICES 620 NORTH MAIN STREET HARRISON AR 72601 710787858 SUPPORT AR 501(c)(3) Type I NAMS true MARMC AMBULANCE DIVISION ONE INCE 620 NORTH MAIN STREET HARRISON AR 72601 822720963 SUPPORT AR 501(c)(3) Type I NAMS true NARMC AMBULANCE DIVISION TWO INC 620 NORTH MAIN STREET HARRISON AR 72601 822727645 SUPPORT AR 501(c)(3) Type I NAMS true false false false false false false false false false false true false false false true false false true false NORTH ARKANSAS MEDICAL SERVICES K 651102 FMV NORTH ARKANSAS MEDICAL FOUNDATION R 117904 FMV