2020-02-17T08:43:05-06:00 2019-03-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2018-04-01 710787860 NORTH ARKANSAS REGIONAL MEDICAL CENTER % KEN PANNELL NORT 8704145157 620 NORTH MAIN HARRISON AR 72601 KEN PANNELL VP FINANCE/CFO 8704144549 2020-01-28 true AMBER SHERRILL P00748683 5013721040 167.68.126.162 71015520200485000002 2020-02-17 P 8B484ADD3177755575C2D061B48861D965F12CF4 CC61051F674196C1A7C00C4FC8A1F1691B9B2D69 2018 2020-11-06 18:47:13Z VINCE LEIST 620 NORTH MAIN HARRISON AR 72601 118576626 false X WWW.NARMC.COM X 1996 AR OUR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE AND RESOURCES WITH COMPASSION AND INTEGRITY. 9 7 1109 212 0 135833 246373 102278503 96736592 1394286 1297120 2650677 2300095 106459299 100580180 0 0 0 0 51875718 54677867 0 0 0 52237255 57445311 104112973 112123178 2346326 -11542998 98787879 87482353 31213582 30900812 67574297 56581541 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 82405539 0 96528310 NARMC PROVIDED OVER 11,066 DAYS OF PATIENT CARE WITH 61.17% BEING PROVIDED TO MEDICARE AND MEDICAID PATIENTS. IN CONNECTION WITH THE PROVIDING OF CARE, NARMC WROTE OFF $180,226,795 OF CHARGES IN THE FORM OF CONTRACTUALS AND CHARITY EQUALING 66.7% OF TOTAL GROSS INCOME. 715858 0 64501 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. 424347 0 143781 NARMC IS A CO-SPONSOR OF NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION, INC. (A NOT-FOR-PROFIT CORPORATION). 83545744 true true false true false false false false false false true true false false false 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 false true false false false false false true true true false false true 92 0 true 1109 true false false false false false false false false false false false false X 9 7 true false false false false false false true true false false true true true true true true true true false AR X KEN PANNELL 8704145157 620 NORTH MAIN STREET HARRISON AR 72601 X DAN BOWERS CHAIRMAN 1.0 1.0 X X 0 0 0 DR TOM LANGSTON BOARD MEMBER 40.0 1.0 X 190492 0 23278 DR JOANNE HOLLIMAN BOARD MEMBER 40.0 1.0 X 230056 0 24548 MIKE MCNUTT VICE CHAIRMAN 1.0 1.0 X X 0 0 0 MIKE NORTON BOARD MEMBER 1.0 1.0 X 0 0 0 ANN MAIN TREASURER 1.0 1.0 X X 0 0 0 BRAD CRAWFORD SECRETARY 1.0 1.0 X X 0 0 0 MATT MILLER BOARD MEMBER 1.0 1.0 X 0 0 0 SHERRI BILLINGS BOARD MEMBER 1.0 1.0 X 0 0 0 VINCE LEIST PRESIDENT/CEO 40.0 1.0 X 481365 0 27814 SAMMIE CRIBBS COO/CNO 40.0 1.0 X 247994 0 16305 DEANA THOMAS VP FINANCE/CFO 40.0 1.0 X 222886 0 25497 RICHARD BLAKE CHITSEY PHYSICIAN 40.0 0.0 X 743733 0 22109 ALI F ABDELAAL PHYSICIAN 40.0 0.0 X 555184 0 27814 THOMAS B ROSSON JR PHYSICIAN 40.0 0.0 X 501009 0 26662 FRANK A DESANDRE ANESTHESIOLOGIST 40.0 0.0 X 425838 0 18539 JAMES D LANGSTON PHYSICIAN 40.0 0.0 X 405580 0 25674 4004137 0 238240 49 false true false 360 DEGREE MEDICINE LLC 108 SUNNY LANE BRANSON WEST MO 65737 PHYSICIAN ER SERVICE 4008262 AUX ARCS HOSPITALISTS LLC 207 HOGAN DRIVE HARRISON AR 72601 PHYSICIAN SERVICE 1176026 BKD LLP 400 WEST CAPITAL SUITE 2500 LITTLE ROCK AR 722033667 ACCOUNTING/AUDIT 823821 AYA HEALTHCARE PO BOX 123519 DALLAS TX 753123519 CONTRACT LABOR 501875 AEGIS THERAPIES PO BOX 8103 FORT SMITH AR 72902 CONTRACT LABOR 495931 30 246252 121 246373 PATIENT SERVICES 621110 96691644 96691644 MEDICAL OFFICE BUILDING & RADIATION BUILDING 621110 44948 44948 96736592 787387 787387 0 0 0 0 0 18506179 17996446 509733 509733 509733 0 0 0 0 0 0 0 0 0 PHARMACY REVENUE 900099 1391360 1391360 FOODS & NUTRITION SERVICES 900099 474442 474442 EDUCATION REVENUE 900099 18381 18381 415912 415912 2300095 100580180 96736592 3597215 X 0 0 0 0 1406339 1406339 0 39956763 27422400 12534363 1034680 710103 324577 9553539 6556611 2996928 2726546 1871234 855312 0 130520 89576 40944 273080 187415 85665 0 0 0 19079114 13094031 5985083 0 91219 62604 28615 2694635 1849333 845302 0 0 1727105 1185315 541790 373862 256582 117280 0 0 958287 657674 300613 0 3092817 2122606 970211 1019621 699768 319853 BAD DEBT EXPENSE 9016721 9016721 DRUGS 7716299 7716299 MEDICAL SUPPLIES 6288119 6288119 PROVIDER ASSESSMENT TAX 1080292 1080292 3903620 2679061 1224559 112123178 83545744 28577434 0 0 160678 0 0 0 0 15203976 11470142 0 0 0 0 399041 517829 1624221 1516516 842425 695460 106438122 72480867 36255070 33957255 0 0 43980975 38759973 121250 160000 0 0 360921 244500 98787879 87482353 9091679 10218963 0 0 0 0 21988390 20647505 0 0 0 0 133513 34344 0 0 0 0 31213582 30900812 X 67574297 56581541 0 0 0 0 67574297 56581541 98787879 87482353 -11542998 550242 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 18057 18057 false false FORM 990, SCHEDULE C, PART II-B, LINE 1I 32% OF AHA MEMBERSHIP DUES ALLOCABLE TO LOBBYING: $18,057. 393814 393814 52710798 26310844 26399954 52031388 45389973 6641415 1302122 780050 522072 33957255 INTERNALLY DESIGNATED 34477275 F HELD BY TRUSTEE 4078698 F WORKERS COMPENSATION 204000 F 38759973 92113701 550242 550242 91563459 9016721 9016721 100580180 103106457 103106457 9016721 9016721 112123178 FORM 990, SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. FORM 990, SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $9,016,721 FORM 990, SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $9,016,721 true true X true X 138. true X true true true false true true 666344 666344 0.00650 11294639 8488555 2806084 0.02720 11960983 8488555 3472428 0.03370 30902 30902 0.00030 570837 570837 0.00550 13029504 7819117 5210387 0.05050 18750 18750 0.00020 13649993 7819117 5830876 0.05650 25610976 16307672 9303304 0.09020 66648 66648 0.00070 66648 66648 0.00070 true 9016721 3354019 21780419 25711957 -3931538 X true true NORTH AR REGIONAL PH MANAGEMENT 0.5 0.5 NORTH AR PARTNER HEA HEALTHCARE TRAINING & EDUCATI 0.5 0.5 1 1 NORTH ARKANSAS MEDICAL SYSTEM 620 NORTH MAIN STREET HARRISON AR 72601 WWW.NARMC.COM AR3203 X X X 3 RURAL HEALTH CLINI 4 EMS SUBSTATIONS 12 CLINICS NORTH ARKANSAS MEDICAL SYSTEM 1 false false true X X X X X X X X X 18 true false false true X WWW.NARMC.COM X true 19 true WWW.NARMC.COM false true X 138. 200. X X X X X X true true X X X X true X WWW.NARMC.COM X WWW.NARMC.COM X WWW.NARMC.COM 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 DIALOGUES WITH 7 KEY INTERVIEWEES WERE CONDUCTED IN FEBRUARY AND MARCH 2019. 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. 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. THE OPINIONS OF THE INTERVIEWEES REVEALS COMMUNITY INPUT FOR SOME FACTORS AFFECTING THE VIEWS AND SENTIMENTS ABOUT OVERALL HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY. SCHEDULE H, PART V, SECTION B, LINE 11 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. -UNINSURED ADULTS: RESULTS OF THE INTERVIEWS SHOW THAT CIVILIANS ARE STILL STRUGGLING WITH UNINSURED PATIENTS. NARMC HAS BEEN DESIGNATED A CERTIFIED APPLICATION COUNSELOR ORGANIZATION IN ORDER TO ASSIST THE UNINSURED AND UNDERINSURED IN THE APPLICATION FOR COVERAGE UNDER THE AFFORDABLE CARE ACT. -RECRUITMENT OF ADDITIONAL PHYSICIANS AND PRACTITIONERS: THERE ARE HIGH PRIORITY NEEDS FOR SEVERAL AREAS IN THE HOSPITAL. THE MEDICAL CENTER HAS EMPLOYED A PHYSICIAN RECRUITER TO HELP BRING MORE DOCTORS TO THE COMMUNITY. -MENTAL HEALTH: THE HOSPITAL HAS OPENED AN INPATIENT GERIATRIC BEHAVIORAL HEALTH SERVICE THAT EMPLOYS A FULL TIME PSYCHIATRIST. THE OUTPATIENT SERVICES BEGAN DURING 2016 -RURAL OUTREACH: THE HOSPITAL WILL CONTINUE TO OFFER APPOINTMENTS FOR SPECIALTY PHYSICIANS AT RURAL HEALTH CLINICS. -ELDER CARE: THE HOSPITAL WILL ESTABLISH AND CONTINUE TO SEARCH NEW SERVICES TO MEET THE NEEDS OF SENIORS SUCH AS PALLIATIVE CARE, COMMUNITY PARAMEDIC AND AVAILABILITY OF DURABLE MEDICAL EQUIPMENT. -HEALTH CARE ACCOMODATIONS FOR NON-ENGLISH SPEAKERS: THE HOSPITAL WILL CONTINUE TO IMPROVE AND USE THE LIFELINKS INTERPRETING SERVICE. -HEALTH EDUCATION: THE HOSPITAL WILL CONTINUE TO HOST COMMUNITY HEALTH SCREENINGS AND SUPPORT GROUPS. HEALTH EDUCATION IS VERY IMPORTANT AND THE HOSPITAL'S INVOLVEMENT IN COMMUNITY EVENTS WILL HELP REACH THE COMMUNITY. HEALTH SCREENINGS AND EDUCATIONAL EVENTS SUCH AS BUSINESS EXPO AND HEALTH FAIR, LOOK GOOD, FEEL BETTER CANCER SUPPORT, GRIEF SUPPORT GROUPS AMONG OTHERS WILL HELP PROMOTE HEALTH EDUCATION. 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. 19 NEWTON COUNTY FAMILY PRACTICE CLINIC 502 WEST COURT PO BOX 445 JASPER AR 72641 RURAL HEALTH CLINIC CLAUDE PARRISH COMMUNITY HEALTH CLINIC 131 EAST HIGHWAY 14 PO BOX 366 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 PRACTICE 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 SURGERY CENTER NARMC 520 N PINE HARRISON AR 72601 FAMILY PRACTICE/OBSTETRICS AND WOMEN'S HEALTH CLAUDE PARRISH CANCER CENTER 620 N MAIN STREET HARRISON AR 72601 ONCOLOGY INTERVENTIONAL PAIN MANAGEMENT CENTER 620 N MAIN STREET HARRISON AR 72601 PAIN MANAGEMENT THE PHYSICIANS CLINIC OF BERRYVILLE 408 E ORCHARD BERRYVILLE AR 72616 FAMILY MEDICINE FORM 990, SCHEDULE H, PART I, LINE 7 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. FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE IN THE AMOUNT OF $9,016,721 IS INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN A ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. FORM 990, SCHEDULE H, PART III, SECTION A, LINES 2, 3 & 4 THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE CAN BE FOUND IN THE ATTACHED AUDIT REPORT IN SUPPLEMENTARY NOTE 1, UNDER PATIENT ACCOUNTS RECEIVABLE. FORM 990, SCHEDULE H, PART III, LINE 8 THE AMOUNT REPORTED ON LINE 6 WAS CALCULATED USING THE MEDICARE COST REPORT. FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B 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 ELIGIBLE PATIENT, REFUND ANY AMOUNTS PAID IN EXCESS OF THE AMOUNT THE PATIENT IS DETERMINED TO OWE AS A FAP ELIGIBLE PATIENT AND WILL REFRAIN FROM EXTRAORDINARY COLLECTION ACTIONS (ECAS). FORM 990, SCHEDULE H, PART V, SECTION A, LINE 1, OTHER 2 HOME HEALTH/HOSPICE 2 SPECIALTY CENTERS FORM 990, SCHEDULE H, PART VI, LINE 2 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. FORM 990, SCHEDULE H, PART VI, LINE 3 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 A FINANCIAL 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. FORM 990, SCHEDULE H, PART VI, LINE 4 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 US CENSUS BUREAU ESTIMATES, ABOUT 101,000 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 22% OF THE COMMUNITY'S POPULATION IS OVER AGE 65, WHICH IS MUCH HIGHER THAN THE STATE OF ARKANSAS (16%) OR THE UNITED STATES (15%) 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 $50,912 COMPARED TO $61,330 FOR THE STATE OF ARKANSAS AND $81,283 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. FORM 990, SCHEDULE H, PART VI, LINE 5 NARMCS 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 HOSPITALS STAFF PARTICIPATES IN A VARIETY OF COMMUNITY SUPPORT ACTIVITIES INCLUDING, BUT NOT LIMITED TO, BUSINESS AFTER HOURS, WORLDS LARGEST BABY FAIR, THE BUSINESS EXPO AND OZARK EXPO, KHOZ/NARMC HEALTH FAIR, THE KHOZ RADIO STATION MCDONALDS BREAKFAST CLUB, TKO TELEVISION PROGRAM COMMUNITY CONNECTIONS, KHOZ RADIO STATION COMMUNITY CONTACT AND K26 TVS 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. FORM 990, SCHEDULE H, PART VI, LINE 6 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. FORM 990, SCHEDULE H, PART VI, LINE 7 THE STATE OF ARKANSAS DOES NOT REQUIRE NONPROFIT HOSPITALS TO PROVIDE COMMUNITY BENEFIT REPORTS. X true true X X X X X false false false false false false false false false DR TOM LANGSTON BOARD MEMBER 162096 0 27155 0 1241 0 6166 0 17112 0 213770 0 0 0 DR JOANNE HOLLIMAN BOARD MEMBER 165606 0 64086 0 364 0 6009 0 18539 0 254604 0 0 0 VINCE LEIST PRESIDENT/CEO 390522 0 70363 0 20480 0 9275 0 18539 0 509179 0 0 0 SAMMIE CRIBBS COO/CNO 231561 0 16163 0 270 0 6730 0 9575 0 264299 0 0 0 DEANA THOMAS VP FINANCE/CFO 206273 0 16163 0 450 0 6958 0 18539 0 248383 0 0 0 RICHARD BLAKE CHITSEY PHYSICIAN 723105 0 20150 0 478 0 9275 0 12834 0 765842 0 0 0 ALI F ABDELAAL PHYSICIAN 332388 0 220816 0 1980 0 9275 0 18539 0 582998 0 0 0 THOMAS B ROSSON JR PHYSICIAN 264782 0 236227 0 0 0 8123 0 18539 0 527671 0 0 0 FRANK A DESANDRE ANESTHESIOLOGIST 424998 0 150 0 690 0 0 0 18539 0 444377 0 0 0 JAMES D LANGSTON PHYSICIAN 301351 0 102727 0 1502 0 9275 0 16399 0 431254 0 0 0 SCHEDULE J, PART I, LINE 1A NARMC PAYS A COUNTRY CLUB MEMBERSHIP FOR VINCENT LEIST, WHICH IS ONLY USED FOR BUSINESS PURPOSES. ANY PERSONAL EXPENSES ARE PAID BY VINCENT LEIST DIRECTLY. NARMC ALSO PAYS ROTARY DUES FOR VINCENT LEIST. THE AMOUNTS ARE NOT INCLUDED IN HIS WAGES, AS THEY ARE FOR BUSINESS PURPOSES. A BOONE COUNTY AR 710386082 098646BB7 2010-11-16 5317921 HOSPITAL REVENUE REFUNDING BONDS false false false B BOONE COUNTY AR 710386082 098646BR2 2011-12-20 9959500 HOSPITAL REVENUE REFUNDING BONDS false false false C BOONE COUNTY AR 710386082 098646CC4 2013-03-01 9854770 HOSPITAL REVENUE REFUNDING BONDS false false false D BOONE COUNTY AR 710386082 098646AS1 2006-03-16 25000000 HOSPITAL REVENUE CONSTRUCTION false false false A 4630000 0 5319797 533500 0 0 107135 0 0 0 5736028 0 2010 true false true true B 4355000 0 9968186 934391 0 0 169598 0 0 0 9175000 0 2011 true false true true C 0 0 9879977 994000 0 0 184280 0 0 0 9790000 0 2013 true false true true D 20300000 0 26427218 0 0 0 272406 377517 0 0 25777295 0 2008 false false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true C false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true D false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false false false true false false 0 false 0 false true D false false false true true false 0 false 0 false true A true B true C true D true FORM 990, SCHEDULE K, PART II, LINE 3 TOTAL PROCEEDS OF ISSUE DO NOT EQUAL ISSUE PRICE DUE TO INCLUDED INVESTMENT EARNINGS. FORM 990, SCHEDULE K, PART IV, LINE 2C FOR BOND SERIES 2006, THE LAST REBATE COMPUTATION DATE WAS 02/28/2016. FOR BOND SERIES 2010, THE LAST REBATE COMPUTATION DATE WAS 05/01/2015. FOR BOND SERIES 2011, THE LAST REBATE COMPUTATION DATE WAS 05/01/2016. FOR BOND SERIES 2013, THE LAST REBATE COMPUTATION DATE WAS 05/01/2018. FORM 990, SCHEDULE K, PART IV, LINE 2C A - COMPLETED ON BOND YEAR OF 5/1/2018 B - COMPLETED ON BOND YEAR OF 5/1/2018 C - COMPLETED ON BOND YEAR OF 5/1/2018 D - COMPLETED ON BOND YEAR OF 2/28/2019 HARRISON PROFESSIONAL BUILDING CORP BOD TOM LANGSTON - OWNER 77803 RENTAL OF PROPERTY false FORM 990, PART VI, SECTION A, LINE 2 DR TOM LANGSTON AND DR JAMES LANGSTON HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B 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, SECTION B, LINE 12C THE BOARD OF DIRECTORS COMPLETE 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, SECTION B, LINES 15A & 15B THE LAST REVIEW COMPLETED IN NOVEMBER 2019 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, SECTION C, LINE 19 PROVIDED UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:6858507 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:5633090 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:4331490 FORM 990 PART IX LINE 11G DESCRIPTION:SERVICE AGREEMENTS TOTAL FEES:2256027 NORTH ARKANSAS MEDICAL FOUNDATION 620 NORTH MAIN STREET HARRISON AR 72601 710787861 SUPPORT AR 501(C)(3) 12A NAMS true NORTH ARKANSAS MEDICAL SYSTEM 620 NORTH MAIN STREET HARRISON AR 72601 710787859 SUPPORT AR 501(C)(3) 12A NA false NORTH ARKANSAS MEDICAL SERVICES 620 NORTH MAIN STREET HARRISON AR 72601 710787858 SUPPORT AR 501(C)(3) 12A NAMS true NARMC AMBULANCE DIVISION ONE INC 620 NORTH MAIN STREET HARRISON AR 72601 822720963 SUPPORT AR 501(C)(3) 12A NAMS true NARMC AMBULANCE DIVISION TWO INC 620 NORTH MAIN STREET HARRISON AR 72601 822727645 SUPPORT AR 501(C)(3) 12A NAMS true false false false false false false false false false false true false true false true false false false false NORTH ARKANSAS MEDICAL SERVICES K 273502 FMV NORTH ARKANSAS MEDICAL FOUNDATION M 114485 FMV