2019-11-13T13:03:57-06:00 2018-12-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2018-01-01 710561765 BAXTER COUNTY REGIONAL HOSPITAL INC % DEBRA HENRY BAXT 8705081000 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 DEBRA HENRY CFO 8705081000 2019-11-13 true AMBER SHERRILL P00748683 5013721040 167.68.126.162 71015520193175000009 2019-11-13 P CC61051F674196C1A7C00C4FC8A1F1691B9B2D69 CC61051F674196C1A7C00C4FC8A1F1691B9B2D69 2018 2020-03-31 21:24:44Z BAXTER REGIONAL MEDICAL CENTER RONDELL PETERSON 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 274291399 false X WWW.BAXTERREGIONAL.ORG X 1963 AR BAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENT CARE FOR EVERY PATIENT, EVERY TIME. 11 8 2046 500 0 736787 2104595 200992918 231140352 2382338 3913987 2478596 1671202 206590639 238830136 59030 98644 0 0 98680442 110462663 0 0 0 103172813 119001009 201912285 229562316 4678354 9267820 149770166 153982407 77831183 81602656 71938983 72379751 X BAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENT CARE FOR EVERY PATIENT, EVERY TIME. SEE SCHEDULE O FOR FULL MISSION STATEMENT. false false 214906270 98644 231140352 BAXTER REGIONAL MEDICAL CENTER OFFERS OVER THIRTY SPECIALIZED SERVICES TO THE COMMUNITIES SERVED IN THE TWIN LAKES AREA. SEE SCHEDULE O FOR 2018 SERVICES. 214906270 true true false true false false false false false true true false false true false false false true false false false false false false false false true true true false true true false false false false false false false true false false false false false false false true true true false false true 245 0 true 2046 true false false false false false false false false false false false false X 11 8 true false false false false false false true true false false true true true true true true true true true true AR X DEBRA HENRY 8705081000 624 HOSITAL DRIVE MOUNTAIN HOME AR 72653 X ROSALYN BLAGG DIRECTOR 5.0 1.0 X 0 0 0 JERRY DON CUNNINGHAM CHAIRMAN 5.0 1.0 X X 0 0 0 SALLY GILBERT DIRECTOR 5.0 1.0 X 0 0 0 STEVE LUELF DIRECTOR 5.0 1.0 X 0 0 0 STEVEN SANDERS JR VICE CHAIRMAN 5.0 6.0 X X 0 0 0 LANG ZIMMERMAN TREASURER 5.0 1.0 X X 0 0 0 TED SANDERS DIRECTOR 5.0 1.0 X 0 0 0 DR DANIEL GOODWIN SECRETARY 5.0 1.0 X X 106000 0 0 PAUL WADE DIRECTOR 5.0 1.0 X 0 0 0 RANDY HOPPER DIRECTOR 5.0 1.0 X 0 0 0 BRAD SCHULZ DIRECTOR 5.0 1.0 X 0 0 0 RON PETERSON CEO 50.0 1.0 X 600613 0 27511 SHANNON NACHTIGAL CNO 50.0 0.0 X 220796 0 22131 DEBRA HENRY CFO 50.0 1.0 X 298833 0 29162 DAVID FOX COO 50.0 0.0 X 271742 0 27963 LEONARD LARRY VP/DIRECTOR OF BUS DEVELOPMENT 15.0 35.0 X 289127 0 32062 LUCAS BRADLEY PHYSICIAN 60.0 0.0 X 1445949 0 27091 PATRICK TOBBIA PHYSICIAN 60.0 0.0 X 1298995 0 11815 LOUIS ELKINS PHYSICIAN 60.0 0.0 X 944174 0 18841 STEPHEN LATTANZI PHYSICIAN 60.0 0.0 X 731676 0 18555 MERWIN MOORE PHYSICIAN 60.0 0.0 X 695006 0 18555 6902911 0 233686 81 false true false FIRST IN SERVICE HOSPITALIST PA 210 E 7TH STREET SUITE 2 MOUNTAIN HOME AR 72653 HOSPITALIST 2047781 BAXTER EMERGENCY GROUP PLLC 860 HWY 62 E STE 9 MOUNTAIN HOME AR 72653 ER PHYSICIANS 1477311 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 BILLING & RHO SERV. 1463358 MEDEFIS CONSOLIDATED PO BOX 5068 NEW YORK NY 100875068 STAFFING 1063109 HEALOGICS WOUND CARE HYPERBARIC S 28525 NETWORK PLACE CHICAGO IL 60673 WOUND & HYPERBARIC 648387 54 2104595 2104595 GROSS PATIENT SERVICE REVENUE 621400 231140352 231140352 231140352 1349580 1349580 0 0 433892 292195 141697 0 141697 141697 36337914 20136 33730421 63222 2607493 -43086 2564407 2564407 0 0 0 0 0 0 1331291 1375425 -44134 -44134 CAFETERIA REVENUE 900099 938809 938809 DISCOUNTS & REBATES 900099 30696 30696 VENDING MACHINE REVENUE 900099 16598 16598 587536 587536 1573639 238830136 231140352 5585189 98644 98644 0 0 0 1925940 1925940 0 85034376 78487546 6546830 2151176 1985556 165620 14980368 13827024 1153344 6370803 5880312 490491 0 70596 65161 5435 314355 290153 24202 0 0 0 15311861 14132994 1178867 0 516510 476744 39766 1231459 1136648 94811 400145 369338 30807 0 5922082 5466139 455943 1073687 991023 82664 0 0 1567725 1447025 120700 0 8994787 8302275 692512 1231969 1137119 94850 MEDICAL SUPPLIES 26857193 26857193 PATIENT SUPPLIES & IMPLANTS 25727407 25727407 BAD DEBT EXPENSE 9606464 9606464 EQUIPMENT RENTAL & MAINTENANCE 7999977 7384056 615921 12174792 11237449 937343 229562316 214906270 14656046 0 9136954 19037888 0 0 0 0 22585524 20484360 0 0 0 0 0 0 6998805 7966406 1161881 1804171 210445655 152740210 55558310 57705445 0 0 0 0 0 0 0 0 54328692 46984137 149770166 153982407 24128621 28186966 0 0 0 0 50503930 46836600 0 0 0 0 3198632 6579090 0 0 0 0 77831183 81602656 X 71743181 72182987 190802 191764 5000 5000 71938983 72379751 149770166 153982407 X 9267820 -6887496 -1939556 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 19984 19984 false FORM 990, SCHEDULE C, PART II-B, LINE 1I LOBBYING ACTIVITIES INCLUDE DUES FOR AMERICAN HOSPITAL ASSOCIATION. 10340818 20000 -497536 551032 9312250 9934206 845821 439209 10340818 9303007 0 977508 346309 0 0 9934206 10229628 0 -423237 503384 0 0 9303007 9702604 15440 646998 135414 0 0 10229628 0.01830 0.78600 0.19570 false true true 4188646 4188646 74834519 49230834 25603685 128335498 101748176 26587322 3086992 1761200 1325792 57705445 EQUITY INVESTEES 93000 OTHER ASSETS 29515 ASSETS LIMITED TO USE 45155280 OTHER RECEIVABLES 261148 DUE FROM AFFILIATES 1445194 46984137 222423396 -6887496 -6887496 229310892 9519244 9519244 238830136 219998938 219998938 9563378 9563378 229562316 SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS WERE ESTABLISHED TO PROVIDE FINANCIAL SUPPORT TO THE ORGANIZATION AND THE FURTHERANCE OF ITS MISSION. 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 $9,606,464 AUXILIARY INCOME ($44,134) LOSS ON SALE OF ASSETS ($43,086) ========================================= TOTAL $9,519,244 FORM 990, SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $9,606,464 LOSS ON SALE OF ASSETS ($43,086) ========================================= TOTAL $9,563,378 true true X true X 138. true X true true false false 1021730 1021730 0.00460 19258123 13476337 5781786 0.02630 20279853 13476337 6803516 0.03090 2162219 759261 1402958 0.00640 769530 769530 0.00350 12266927 10088204 2178723 0.00990 107439 107439 0.00050 15306115 10847465 4458650 0.02030 35585968 24323802 11262166 0.05120 12813 0.00010 2180 0.00000 982052 0.00450 997045 0.00460 true 9606464 93064305 86501272 6563033 X true true BAXTER REGIONAL PHO HEALTHCARE ADMIN SERVICES 0.5 0.5 1 1 BAXTER COUNTY REGIONAL HOSPITAL INC 624 HOSITAL DRIVE MOUNTAIN HOME AR 72653 WWW.BAXTERREGIONAL.ORG AR3827 X X X BAXTER COUNTY REGIONAL HOSPITAL INC 1 false false true X X X X X X X X X 16 true false false true X WWW.BAXTERREGIONAL.ORG X true 17 true WWW.BAXTERREGIONAL.ORG false true X 138. 200. X X X X X X true true X X X true X WWW.BAXTERREGIONAL.ORG X WWW.BAXTERREGIONAL.ORG X WWW.BAXTERREGIONAL.ORG X X X X X X true X false X X X X true X false false FORM 990, SCHEDULE H, PART V, LINE 5 BAXTER COUNTY REGIONAL HOSPITAL ENGAGED BKD, LLP TO CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. SPEAKING WITH KEY INTERVIEWEES (COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTEREST OF THE COMMUNITY WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH OR THOSE REPRESENTING LOW-INCOME, MEDICALLY UNDER SERVED OR MINORITY POPULATIONS WITHIN THE COMMUNITY) IS A TECHNIQUE EMPLOYED TO ASSESS PUBLIC PERCEPTIONS OF THE COUNTYS HEALTH STATUS AND UNMET NEEDS. THESE INTERVIEWS ARE INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. KEY INTERVIEWEES INCLUDED THE COUNTY HEALTH DEPARTMENT DIRECTORS FROM EACH COUNTY IN THE MEDICAL CENTERS COMMUNITY, AS WELL AS INDIVIDUALS WHO ARE KNOWLEDGEABLE ABOUT POPULATIONS WITHIN THE COMMUNITY WHOSE HEALTH AND QUALITY OF LIFE MAY NOT BE AS GOOD AS OTHERS, SUCH AS REPRESENTATIVES OF ORGANIZATIONS SERVING THE MEDICALLY INDIGENT, CHILDREN IN POVERTY, OR THE ELDERLY. DIALOGUES WITH FIVE KEY INTERVIEWEES WERE CONDUCTED IN AUGUST 2016. INTERVIEWEES WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH OR THEIR INVOLVEMENT WITH UNDER SERVED AND MINORITY POPULATIONS. ALL INTERVIEWS WERE CONDUCTED BY MEDICAL CENTER PERSONNEL USING A STANDARD QUESTIONNAIRE. A COPY OF THE INTERVIEW INSTRUMENT IS INCLUDED IN THE APPENDIX OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. A SUMMARY OF THEIR OPINIONS IS REPORTED WITHOUT JUDGING THE TRUTHFULNESS OR ACCURACY OF THEIR REMARKS. COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY - BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY - OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES - DELINEATION OF THE MOST IMPORTANT HEALTH CARE ISSUES OR SERVICES DISCUSSED 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 ORGANIZATIONAL AFFILIATIONS WOULD NOT BE CONNECTED IN ANY WAY TO THE INFORMATION PRESENTED IN THIS REPORT. THIS TECHNIQUE DOES NOT PROVIDE A QUANTITATIVE ANALYSIS OF THE LEADERS OPINIONS, BUT REVEALS COMMUNITY INPUT FOR SOME OF THE FACTORS AFFECTING THE VIEWS AND SENTIMENTS ABOUT OVERALL HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY. BASED ON A REVIEW OF THE DATA GATHERED DURING THIS ASSESSMENT, INCLUDING LEADING CAUSES OF DEATH, RANKINGS OF HEALTH OUTCOMES AND FACTORS AS WELL AS SURVEYS AND INTERVIEWS, NUMEROUS HEALTH NEEDS WERE IDENTIFIED. 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 UNDER SERVED POPULATION, AND AVAILABILITY OF COMMUNITY RESOURCES TO ADDRESS THE NEED. AS A RESULT, THE FOLLOWING LIST OF SIGNIFICANT NEEDS WERE IDENTIFIED: 1. PHYSICIAN RECRUITMENT 2. OBESITY 3. DIABETES 4. TOBACCO USE 5. HEALTH EDUCATION THE HOSPITAL'S PURPOSE STATEMENT: TO PRESERVE BRMC AS A COMPREHENSIVE, INDEPENDENT, COMMUNITY-DRIVEN SYSTEM IN ORDER TO OPTIMIZE ACCESS TO QUALITY HEALTHCARE FOR PATIENTS IN THE COMMUNITIES WE SERVE. WE EMBRACE THE PURPOSE WHILE REMAINING AWARE OF OUR OPERATIONAL EXPENSES WHILE ADDRESSING OUR COMMUNITIES NEEDS. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 THE SIGNIFICANT NEEDS THE HOSPITAL IDENTIFIED ARE: 1) PHYSICIAN RECRUITMENT 2) OBESITY 3) DIABETES 4) TOBACCO USE 5) HEALTH EDUCATION PLEASE REFER TO THE IMPLEMENTATION STRATEGY FOR A MORE THOROUGH EXPLANATION OF THE ACTIONS THE HOSPITAL WILL TAKE TO ADDRESS THESE NEEDS. 1. PHYSICIAN RECRUITMENT WILL BE ADDRESSED THROUGH AN IN-HOUSE PHYSICIAN RECRUITER ON STAFF, CREATE AND IMPLEMENT A SOURCING STRATEGY FOR CANDIDATES IN SPECIALTIES IDENTIFIED IN THE CHNA, CONTINUE TO OFFER THE KERR MEDICAL STUDENT SCHOLARSHIP, AND ATTEND RECRUITMENT EVENTS. 2. OBESITY - BRMC WILL OFFER FREE EXERCISE CLASSES, HEALTHY COOKING CLASSES, OUTREACH EVENTS FEATURING A REGISTERED DIETICIAN, PARTNER WITH AREA SCHOOLS AND YOUTH ORGANIZATIONS, AND FORM A COMMUNITY PARTNERSHIP WITH FOOD BANK OF NORTH CENTRAL ARKANSAS AND ARKANSAS STATE UNIVERSITY - MOUNTAIN HOME. 3. DIABETES - BRMC WILL PROVIDE EDUCATIONAL OPPORTUNITIES TO THE COMMUNITY ABOUT THE IMPORTANCE OF DIABETES AND SELF-MANAGEMENT, PROVIDE TESTING TO THOSE AT RISK FOR DIABETES WITHIN THE ACO, ADD FREE SCREENINGS AT THE ANNUAL COMMUNITY HEALTH FAIR, AND PROVIDE INDIVIDUALIZED SUPPORT GROUPS FOR DIFFERENT TYPES OF DIABETES. 4. TOBACCO USE - FREE TOBACCO CESSATION CLASSES AND EDUCATION WILL BE PROVIDED WITHIN THE ACO SURVEY THAT ADMITS TO TOBACCO USE, PROVIDE EDUCATION ON LESSENING NICOTINE ADDICTION, AND BRMC WILL OFFER FREE COMMUNITY OUTREACH AND EDUCATION TO AREA BUSINESSES ON THE DANGERS OF TOBACCO USE. 5. HEALTH EDUCATION - BRMC WILL OFFER PROGRAMS THROUGH THE FOUR COMMUNITY HEALTH EDUCATION HOUSES, PROVIDE OUTREACH PROGRAMS TO MAKE HEALTH EDUCATION ACCESSIBLE TO OUTLYING RURAL AREAS, PROVIDE EMPLOYEE WELLNESS PROGRAMS, PARTNER WITH BAXTER COUNTY TO PROVIDE AN WELLNESS INITIATIVE, AND PARTNER WITH MOUNTAIN HOME HIGH SCHOOL TO PROVIDE MENTORS AND EDUCATIONAL PROGRAMS TO STUDENTS AND FACULTY. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 13H BRMC WILL TAKE INTO ACCOUNT PROOF OF ANY OUT-OF-POCKET MEDICAL EXPENSES IN THE PAST 12 MONTHS. IF A PATIENT (1) STATES THAT HE OR SHE IS HOMELESS AT THE TIME CARE IS NEEDED OR (2) IS PHYSICALLY OR MENTALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS OR HER BEHALF, AND IF BRMC DOES NOT FIND ANY EVIDENCE TO THE CONTRARY THROUGH ITS OWN DILIGENCE, THAT PATIENT WILL BE CONSIDERED A QUALIFIED FINANCIAL ASSISTANCE RECIPIENT AND WILL NOT BE REQUIRED TO COMPLETE THE APPLICATION FOR SUCH FINANCIAL ASSISTANCE. PATIENTS WITH THOSE CIRCUMSTANCES WILL BE ELIGIBLE FOR CARE WITHOUT COST TO THE PATIENT. 20 INTERVENTIONAL PAIN MANAGEMENT 525 BURNETT DRIVE MOUNTAIN HOME AR 72653 PAIN MANAGEMENT BRMC CARDIAC DIAGNOSTIC TESTING CENTER 555 WEST 6TH MOUNTAIN HOME AR 72653 DIAGNOSTIC TESTING CENTER BAXTER REGIONAL WOUND HEALING CENTER 907 BURNETT DRIVE MOUNTAIN HOME AR 72653 WOUND HEALING BRMC HOME HEALTH AGENCY BAXTER & MARION 30 RYAN ROAD COTTER AR 72626 HOME HEALTH AGENCY BRMC UROLOGY CLINIC 628 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC MEDICAL SPECIALIST 628 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC NEPHRROLOGYPULMOLOGY CLINIC 555 WEST 6TH MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC FAMILY CLINIC 17 MEDICAL PLAZA MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC BONE AND JOINT CLINIC 639 BROADMOOR CIRCLE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC HEART SURGERY 628 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC GASTROENTEROLOGY & ADVANCED IMAGING 222 BUCHER DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BAXTER REG COMPREHENSIVE WOMEN'S CLINIC 628 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC AHRENS CLINIC 414 WEST OLD MAIN YELLVILLE AR 72687 RURAL HEALTH CLINIC BRMC CARDIOLOGY CLINIC 555 WEST 6TH MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BAXTER REGIONAL RHEUMATOLOGY CLINIC 310 BUTTER CUP DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC FAIRLAMB SENIOR HEALTH CLINIC 614 BROADMOOR DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC YELLVILLE SUMMIT HEALTH CLINIC 1201 NORTH PANTHER AVENUE YELLVILLE AR 72687 HEALTH CLINIC INTERVENTIONAL PAIN MANAGEMENT-HARRISON 825 NORTH MAIN STREET HARRISON AR 72601 PHYSICIAN CLINIC BRMC FAMILY CLINIC ON MARKET 675 HIGHWAY 62 EAST MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC NEUROSURGERY AND SPINE CLINIC 310 BUTTERCUP DRIVE SUITE A MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE IN THE AMOUNT OF $9,606,464 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 I, LINE 7 THE CHARITY CARE AMOUNTS WERE DERIVED FROM THE COST TO CHARGE RATIO. THE MEDICAID AMOUNT WAS FROM AN INTERNAL COST ACCOUNTING SYSTEM, ADJUSTED FOR MEDICAID AND ASSESSMENTS IN 2018. FORM 990, SCHEDULE H, PART II, LINES 1 10 RECRUITING PHYSICIANS, BOTH SPECIALIZED AND FAMILY PRACTICE, TO OUR RURAL AREA IS CHALLENGING BUT NECESSARY SO THAT OUR HOSPITAL CAN BRING ALL THE NEEDED SERVICES TO THE COMMUNITIES WE SERVE. THE HOSPITAL SERVES A LOCAL AND STATE WIDE ROLE FOR DISASTER PREPAREDNESS. THE HOSPITAL BRINGS INTO THE COMMUNITY EDUCATION OPPORTUNITIES FOR LEADERSHIP DEVELOPMENT. FORM 990, SCHEDULE H, PART III, LINE 3 BRMC DOES NOT HAVE A METHODOLOGY TO ESTIMATE THE AMOUNT OF THOSE NOT QUALIFYING FOR FAP AND HAVE NOT INCLUDED ANY AMOUNTS AS COMMUNITY BENEFIT. FORM 990, SCHEDULE H, PART III, LINE 4 ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FORM 990, SCHEDULE H, PART III, LINE 8 THE MEDICARE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORT. FORM 990, SCHEDULE H, PART III, LINE 9B WHEN BAD DEBT ACCOUNTS ARE REFERRED TO A COLLECTION AGENCY, THE AGENCY CAN PROVIDE DEBTORS WITH A BAXTER REGIONAL FINANCIAL ASSISTANCE APPLICATION FOR COMPLETION IF THE FOLLOWING CRITERIA APPLY: 1) THE PATIENT/DEBTOR HAS NOT ALREADY OBTAINED ASSISTANCE THROUGH THE HOSPITAL. 2) THE PATIENT/DEBTOR INDICATES A FINANCIAL NEED WITHIN 30 DAYS OF THE ACCOUNT BEING REFERRED TO THE COLLECTION AGENCY. IF THE PATIENT/DEBTOR DOES NOT COMMUNICATE WITH THE HOSPITAL OR COLLECTION AGENCY PRIOR TO THE END OF THE 30 DAY WINDOW, COLLECTION ACTIONS WILL PROCEED. FORM 990, SCHEDULE H, PART VI, LINE 2 SERVICE NEEDS ASSESSMENTS ARE DEVELOPED FROM COMMUNITY INPUT, INDIVIDUAL FUNDING, COMMUNITY SURVEYS, TALKING WITH COMMUNITY LEADERS AS WELL AS RESEARCH OF STATE AND NATIONAL TRENDS. PHYSICIAN NEEDS ASSESSMENTS ARE OBTAINED THROUGH ANALYSIS PROVIDED BY AN OUTSIDE COMPANY AT LEAST BI-ANNUALLY. FORM 990, SCHEDULE H, PART VI, LINE 3 PATIENTS ARE GIVEN HANDOUTS REGARDING FINANCIAL ASSISTANCE AT ALL REGISTRATION AREAS UPON ADMISSION. ALL SELF PAY PATIENTS ARE SCREENED FOR MEDICAID ELIGIBILITY, CHARITY OR OTHER FINANCIAL ASSISTANCE RECOMMENDATIONS DURING THEIR STAY AND HAVE THE OPPORTUNITY TO TALK WITH FINANCIAL COUNSELORS. FINANCIAL ASSISTANCE AND CONTACT INFORMATION IS AVAILABLE ON ALL HOSPITAL STATEMENT MAILINGS AND ON THE HOSPITAL'S WEBSITE. FORM 990, SCHEDULE H, PART VI, LINE 4 BAXTER REGIONAL MEDICAL CENTER IS LOCATED IN THE HEART OF THE BEAUTIFUL OZARK MOUNTAINS IN NORTH-CENTRAL ARKANSAS. BAXTER REGIONAL AND ITS SUBSIDIARIES AND CLINICS PROVIDE CARE TO PATIENTS FROM TWO STATES AND 11 COUNTIES. OUR HEALTHCARE IS STATE-OF-THE-ART HEALTHCARE. BAXTER REGIONAL MEDICAL CENTER IS KNOWN THROUGHOUT THE REGION FOR OUR CENTERS OF EXCELLENCE: CANCER, CARDIAC, DIGESTIVE DISEASES, SURGERY, VASCULAR DISEASES AND WOMEN'S HEALTH. AT BAXTER REGIONAL MEDICAL CENTER, WE HAVE SET OUT TO CHANGE THE EXPERIENCE OF SURGERY WITH OUR INVESTMENT IN THE MOST ADVANCED TECHNOLOGY FOR MINIMALLY INVASIVE SURGERY, THE DA VINCI SURGICAL SYSTEM. THE BREAST IMAGING CENTER AT BAXTER REGIONAL MEDICAL CENTER IS HOME TO ARKANSASMISSOURI'S FIRST 3-D MAMMOGRAM. 3-D MAMMOGRAPHY IS ALSO AVAILABLE ON OUR MOBILE UNIT WHICH TRAVELS OUR SERVICE AREA PROVIDING MAMMOGRAMS FOR WOMEN WHO MIGHT NOT OTHERWISE RECEIVE ONE. FIRST OPENED IN 1963, BAXTER REGIONAL IS A 268 ALL PRIVATE BED CARE FACILITY WITH MORE THAN 100 PHYSICIANS ON STAFF. FORM 990, SCHEDULE H, PART VI, LINE 5 BAXTER REGIONAL WORKS TO RECRUIT PHYSICIANS INTO OUR RURAL AREA TO PROVIDE SPECIALTY AND FAMILY PRACTICE MEDICAL CARE. BAXTER REGIONAL MEDICAL CENTER ASSISTS IN PROVIDING COMMUNITY MEMBERS LEADERSHIP TRAINING CLASSES. BAXTER ALSO WORKS WITH AREA OFFICIALS FOR DISASTER PREPAREDNESS AND TRAINING. BAXTER REGIONAL MEDICAL CENTER PROVIDES HEALTH FAIRS, SCREENING AND EDUCATION EVENTS FOR THE COMMUNITY AND SURROUNDING AREAS. FORM 990, SCHEDULE H, PART VI, LINE 6 BAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENT CARE FOR EVERY PATIENT, EVERY TIME. BRMC STRIVES TO PROVIDE QUALITY CARE IN A RURAL COMMUNITY SETTING WITH PATIENT AND FAMILY FRIENDLY CUSTOMER SERVICE. THE HOSPITAL PROVIDES A VARIETY OF INPATIENT SERVICES INCLUDING SPECIALTY SERVICES SUCH AS CARDIOVASCULAR, OPEN HEART SURGERY, ONCOLOGY, PLASTIC SURGERY, ORTHOPEDICS, OBSTETRICS, GERI-PSY UNIT, ADULT BEHAVIORAL HEALTH AND AN INPATIENT REHABILITATION UNIT. OUTPATIENT SERVICES INCLUDE HOSPITAL BASED PHYSICIAN CLINICS, EMERGENCY, AMBULANCE SERVICES, HOME HEALTH SERVICES, CARDIAC REHABILITATION AND BREAST IMAGING CENTER. THE MISSION OF HOSPICE OF THE OZARKS IS TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN THE LAST PHASES OF AN INCURABLE ILLNESS AND THEIR FAMILY MEMBERS BY PROVIDING A HIGH LEVEL OF COMPREHENSIVE CARE. BAXTER REGIONAL HOSPITAL FOUNDATION RAISES MONEY TO KEEP THE COMMUNITY HEALTHY. THE FUNDRAISING EFFORTS OF THE FOUNDATION PROVIDE FINANCIAL SUPPORT FOR BAXTER REGIONAL MEDICAL CENTER. BAXTER REGIONAL HEALTH SYSTEM OPERATES FOR THE BENEFIT OF,PERFORM FUNCTIONS OF AND/OR CARRY OUT THE PURPOSE OF BAXTER REGIONAL MEDICAL CENTER AND OTHER HEALTH CARE ORGANIZATIONS LOCATED IN THE STATE OF ARKANSAS WHICH ARE HOSPITAL. BAXTER REGIONAL MEDICAL CENTER'S VISION IS TO BE THE REGIONAL MEDICAL CENTER OF EXCELLENCE. true INFORMED CHOICES WOMEN'S CNTR OF THE OZARKS 312 EAST 3RD STREET MOUNTAIN HOME AR 72653 204760276 501(C)(3) 5400 N/A N/A GENERAL SUPPORT FOOD BANK OF NORTH CENTRAL ARKANSAS PO BOX 128 14215 HIGHWAY 5 S MOUNTAIN HOME AR 72658 581881897 501(C)(3) 8009 N/A N/A GENERAL SUPPORT MOUNTAIN HOME ARKANSAS AREA CHAMBER OF COMMERCE PO BOX 488 MOUNTAIN HOME AR 72654 710224217 501(C)(6) 10727 N/A N/A GENERAL SUPPORT NORTH CENTRAL ARKANSAS CHAMBER FOUNDATION PO BOX 1244 MOUNTAIN HOME AR 72654 800889180 501(C)(3) 35000 N/A N/A GENERAL SUPPORT 3 1 FORM 990, SCHEDULE I, PART I, LINE 2 Contributions are awarded to charitable organization based on the Hospital's contribution policy. Contributions are awarded to support the Hospital's mission and must improve the health of the community, promote direct awareness of the Hospital, or support long term interest of the Hospital. X true true X X X X X X false false false false false false false false false RON PETERSON CEO 531485 0 65000 0 4128 0 11000 0 16511 0 628124 0 0 0 SHANNON NACHTIGAL CNO 201190 0 19431 0 175 0 8893 0 13238 0 242927 0 0 0 DEBRA HENRY CFO 273340 0 23185 0 2308 0 8250 0 20912 0 327995 0 0 0 DAVID FOX COO 248155 0 21302 0 2285 0 6447 0 21516 0 299705 0 0 0 LUCAS BRADLEY PHYSICIAN 694695 0 750758 0 496 0 8250 0 18841 0 1473040 0 0 0 PATRICK TOBBIA PHYSICIAN 631038 0 667525 0 432 0 8250 0 3565 0 1310810 0 0 0 LOUIS ELKINS PHYSICIAN 659686 0 280894 0 3594 0 0 0 18841 0 963015 0 0 0 STEPHEN LATTANZI PHYSICIAN 565379 0 163975 0 2322 0 0 0 18555 0 750231 0 0 0 MERWIN MOORE PHYSICIAN 646442 0 45000 0 3564 0 0 0 18555 0 713561 0 0 0 LEONARD LARRY VP/DIRECTOR OF BUS DEVELOPMENT 255173 0 22694 0 11260 0 10439 0 21623 0 321189 0 0 0 SCHEDULE J, PART I, LINE 1A TED SANDERS, PROVIDED TRAVEL FOR COMPANION, THE BENEFIT WAS TREATED AS TAXABLE. A BAXTER COUNTY ARKANSAS 716008786 071808JZ3 2016-07-07 50035447 HOSPITAL REVENUE REFUNDING FUNDS false false false B BAXTER COUNTY ARKANSAS 716008786 071808JZ3 2016-07-07 5130012 HOSPITAL REVENUE REFUNDING FUNDS false false false A 57635000 0 50035447 4833135 0 0 647931 0 0 0 44674252 0 true false true true B 5555000 0 5130012 360992 0 5017688 64172 0 0 0 734558 0 false true false true A false false false false 0 false false false true B false false false false 0 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true FORM 990, SCHEDULE K, PART IV, LINE 2 BOND YEAR ENDS : SERIES 2016A 09/01/2018 SERIES 2016B 09/01/2018 DANIEL GOODWIN BOARD MEMBER 106000 PHYSICIAN SERVICES false FORM 990, PART III, LINE 1 BAXTER REGIONAL MEDICAL CENTER (BRMC) MISSION IS TO PROVIDE EXCELLENCE IN MEDICAL CARE FOR EVERY PATIENT, EVERY TIME. BAXTER REGIONAL STRIVES TO PROVIDE QUALITY CARE IN A RURAL COMMUNITY SETTING WITH PATIENT AND FAMILY FRIENDLY CUSTOMER SERVICE. OUR 268-BED SHORT-TERM ACUTE CARE FACILITY OFFERS A WIDE RANGE OF SERVICES AND SPECIALTIES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE INCLUDING CARDIOVASCULAR, OPEN HEART SURGERY, ONCOLOGY, ORTHOPEDICS, OBSTETRICS, ADULT AND GERIATRIC BEHAVIORAL HEALTH, AND AN INPATIENT REHABILITATION UNIT. OUTPATIENT SERVICES INCLUDE HOSPITAL BASED PHYSICIAN CLINICS, EMERGENCY AND AMBULANCE SERVICES, HOME HEALTH SERVICES, CARDIAC REHABILITATION AND IMAGING CENTER. PHYSICIANS, STAFF AND VOLUNTEERS SUPPORT OUR PILLARS OF EXCELLENCE THROUGH THEIR COMMITMENT TO QUALITY AND EXEMPLARY PATIENT CARE WHILE STAYING FINANCIAL SOUND AND CONTINUALLY GROWING OUR SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. ANNUALLY, BAXTER REGIONAL REACHES BEYOND THE HOSPITAL WALLS TO HOST AN AREA HEALTH FAIR WHERE MEMBERS OF THE COMMUNITIES WE SERVE CAN GET FREE EDUCATION, LAB TESTS, SCREENINGS, BLOOD PRESSURE CHECKS AND NUTRITIONAL INFORMATION, WITH OVER 30 DEPARTMENTS FROM THE HOSPITAL REPRESENTED TO ENCOURAGE PREVENTIVE MEASURES RELATING TO AN INDIVIDUALS HEALTH. FORM 990, PART III, LINE 4 GENERAL STATISTICS 2018 ACUTE CARE: ACTUAL OPERATED BEDS 182 PATIENT DAYS 31,546 AVERAGE DAILY CENSUS 86 PERCENT OF OCCUPANCY 47.50% AVERAGE LENGTH OF STAY 3.40 DISCHARGES 9,167 GERI PSYCHIATRIC: OPERATED BEDS 19 PATIENT DAYS 3,544 AVERAGE DAILY CENSUS 10 PERCENT OF OCCUPANCY 51.10% AVERAGE LENGTH OF STAY 8.80 DISCHARGES 404 REHABILITATION: OPERATED BEDS 23 PATIENT DAYS 5,708 AVERAGE DAILY CENSUS 16 PERCENT OF OCCUPANCY 68.00% AVERAGE LENGTH OF STAY 14.40 DISCHARGES 396 NEWBORN: OPERATED BASSINETS 10 PATIENT DAYS 1,211 AVERAGE DAILY CENSUS 3 PERCENT OF OCCUPANCY 33.20% AVERAGE LENGTH OF STAY 1.80 DISCHARGES 674 MEDICARE - ACUTE CARE: DISCHARGES 6,046 % OF TOTAL DISCHARGES 66.00% PATIENT DAYS 22,810 % OF TOTAL PATIENT DAYS 72.30% AVERAGE LENGTH OF STAY 3.80 MEDICAID - ACUTE CARE: DISCHARGES 998 % OF TOTAL DISCHARGES 10.90% PATIENT DAYS 3,234 % OF TOTAL PATIENT DAYS 10.30% AVERAGE LENGTH OF STAY 3.20 OUTPATIENTS: 128,669 EMERGENCY ROOM VISITS 31,164 HOME HEALTH EPISODES 2,528 SURGERIES 8,014 ENDOSCOPY 5,384 CATH LAB 2,992 HEART SURGERIES 138 AMBULANCE TRIPS 13,903 CLINIC VISITS: 104,015 LAB TESTS 665,999 RADIOLOGY PROCEDURES 43,338 MRI PROCEDURES 4,385 CT SCANS 16,156 NUCLEAR MEDICINE PROCEDURES 1,542 ULTRASOUND PROCEDURES 9,259 MAMMOGRAPHY 11,862 FORM 990, PART VI, SECTION A, LINE 2 STEPHEN LUELF HAS A BUSINESS RELATIONSHIP WITH SALLY GILBERT AND TED SANDERS FORM 990, PART VI, SECTION B, LINE 11B A SPECIAL BOARD MEETING IS HELD FOR BOARD REVIEW PRIOR TO FILING OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE GOVERNING BODY HAS A CONFLICT OF INTEREST/COMPENSATION COMMITTEE. ALL BOARD MEMBERS AND KEY EMPLOYEES REVIEW AND SIGN A CONFLICT OF INTEREST/DISCLOSURE STATEMENT ANNUALLY. ALL PHYSICIANS REVIEW AND SIGN A CONFLICT OF INTEREST/DISCLOSURE STATEMENT BIENNIALLY. THE CONFLICT OF INTEREST/COMPENSATION COMMITTEE REVIEWS DISCLOSED TRANSACTIONS. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION RECOMMENDATIONS WERE MADE BY INTEGRATED HEALTHCARE STRATEGIES IN A REPORT ISSUED IN 2017. IN ADDITION THE COMPENSATION COMMITTEE AND HUMAN RESOURCES DEPARTMENT REVIEWS AREA 990'S, AHA, AND OTHER MARKET DATA AS NEEDED. THE CEO AND OFFICER'S COMPENSATION ARE REVIEWED AND APPROVED BY THE BOARD COMMITTEE. FORM 990, PART VI, SECTION B, LINE 16B THE WRITTEN JOINT VENTURE POLICY WAS CREATED DURING 2016 AND APPROVED IN JANUARY 2017 BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9 TRANSFER TO AFFILIATES ($1,939,556) HOSPICE OF THE OZARKS 701 BURNETT DR MOUNTAIN HOME AR 72653 710521323 HOSPICE AR 501 C (3) 7 BCRH true HOSPITAL DEVELOMENT FOUNDATON INC 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 581805265 SUPPORT AR 501 C (3) 12A BRHS true BAXTER REGIONAL HEALTH SYSTEM 624 HOSITAL DRIVE MOUNTAIN HOME AR 72653 300650211 SUPPORT AR 501 C (3) 12A NA false BRMC PAIN CENTER 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 463566904 RENTAL R/E AR NA N/A false false BRMC CANCER DIAGNOSTIC CENTER 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 811992797 RENTAL R/E AR NA N/A false false FRANCES F LAGERBORG TRUST 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 206995343 TRUST AR NA TRUST true false false true false false false false false false false true false false false true false true true false HOSPITAL DEVELOPMENT FOUNDATION C 2104595 FMV BRMC CANCER DIAGNOSTIC CENTER K 214082 FMV BRMC PAIN CENTER K 404820 FMV HOSPITAL DEVELOPMENT FOUNDATION K 69356 FMV HOSPITAL DEVELOPMENT FOUNDATION O 295548 FMV HOSPITAL DEVELOPMENT FOUNDATION Q 1133272 FMV HOSPICE OF THE OZARKS Q 2446869 FMV