BAPTIST HEALTH EXTENDED CARE HOSPITAL-LITTLE ROCK INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- BAPTIST HEALTH EXTENDED CARE HOSPITAL-LITTLE ROCK INC (EIN 26-1286647)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-13
- IRS object ID
- 202503179349308995
- Schema version
- 2024v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-13T15:08:32+00:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 3667 | AddressLine1Txt |
| City | Little Rock | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 722033667 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261286647 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baptist Health Extended Care Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAPT | BusinessNameControlTxt |
| Phone | 5012022000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9601 Baptist Health Drive | AddressLine1Txt |
| City | Little Rock | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72205 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Steven Rose | PersonNm |
| Person Title | VP of Finance & Acct | PersonTitleTxt |
| Phone | 5012022233 | PhoneNum |
| Signature | 2025-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amber Sherrill | PreparerPersonNm |
| PTIN | P00748683 | PTIN |
| Phone | 5013721040 | PhoneNum |
| Preparation | 2025-11-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Steven Rose | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9601 Baptist Health Drive | AddressLine1Txt |
| City | Little Rock | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,699,792 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.baptist-health.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE LONG TERM ACUTE CARE TO PATIENTS IN LITTLE ROCK, AR. THIS FACILITY PROVIDES A BENEFIT TO A NUMBER OF LOCAL HOSPITALS, PHYSICIANS AND THE COMMUNITY AS A WHOLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 136 | TotalEmployeeCnt |
| Total Volunteers | 3 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,674,119 | PYContributionsGrantsAmt |
| CY Contributions Grants | $112 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,508,213 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,699,680 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $14,182,332 | PYTotalRevenueAmt |
| CY Total Revenue | $14,699,792 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,091,159 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,664,970 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,437,534 | PYOtherExpensesAmt |
| CY Other Expenses | $5,759,145 | CYOtherExpensesAmt |
| PY Total Expenses | $12,528,693 | PYTotalExpensesAmt |
| CY Total Expenses | $13,424,115 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,653,639 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,275,677 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,375,044 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,058,704 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $784,157 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,192,140 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,590,887 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,866,564 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE LONG TERM ACUTE CARE TO PATIENTS IN LITTLE ROCK, ARKANSAS. THIS FACILITY PROVIDES A BENEFIT TO A NUMBER OF LOCAL HOSPITALS, PHYSICIANS AND THE COMMUNITY AS A WHOLE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $12,225,087 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $14,699,680 | RevenueAmt |
| Desc | BAPTIST HEALTH EXTENDED CARE HOSPITALS PROVIDES ACCESS TO LONG-TERM ACUTE CARE TO INDIVIDUALS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS ESSENTIAL TO BAPTIST HEALTH EXTENDED CARE HOSPITALS FOR THE CONTINUED OPERATION, FINANCIAL STABILITY, AND ABILITY TO PROVIDE NEEDED NEW SERVICES AND TECHNOLOGY, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE HEALTH CARE AND ESSENTIAL MEDICAL SERVICES. FURTHER, OUR MISSION IS TO SERVE THIS COMMUNITY WITH RESPECT TO PROVIDING LONG-TERM ACUTE CARE SERVICES. THEREFORE, IN KEEPING WITH BAPTIST HEALTH EXTENDED CARE HOPSITALS' COMMITMENT TO SERVE THE RESIDENTS OF ITS COMMUNITY, WE PROVIDE: - FREE AND SUBSIDIZED CARE TO THOSE WHO CANNOT PAY; AND - CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT REIMBURSEMENT BELOW OUR REGULAR RATES PAID BY OTHER THIRD PARTIES. SUCH SERVICES AND PROGRAMS ARE PROVIDED WHERE THE NEED AND/OR INDIVIDUAL'S INABILITY TO PAY CO-EXISTS. THESE ACTIVITIES INCLUDE SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER SERVED, AND MEDICAL CARE FOR THE UNINSURED. BAPTIST HEALTH EXTENDED CARE HOSPITALS SERVED 233 INPATIENTS AND 3 OUTPATIENTS DURING 2024. | Desc |
| Total Program Service Expenses | $12,225,087 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 136 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Steven Rose | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5012022233 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9601 Baptist Health Drive | AddressLine1Txt |
| City | Little Rock | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72205 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ANGELA KULI | |||||||||
| CHAIR | 0.2 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GREG CRAIN | |||||||||
| BOARD MEMBER | 0.2 | 40.0 | Yes (X) | $0 | $1,139,178 | $43,963 | |||
| MIKE PERKINS | |||||||||
| BOARD MEMBER | 0.2 | 40.0 | Yes (X) | $0 | $710,056 | $36,734 | |||
| STAN KELLAR MD | |||||||||
| BOARD MEMBER | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| WILLIE HOWARD | |||||||||
| BOARD MEMBER | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| GREG STUBBLEFIELD | |||||||||
| VP & ADMINISTRATOR | 40.0 | 0.0 | $0 | $401,264 | $38,631 | Yes (X) | |||
| JENNIFER HILTON | |||||||||
| RN TRAVEL TEAM | 40.0 | 0.0 | $175,541 | $0 | $10,460 | Yes (X) | |||
| NARTASHIA BAUGH | |||||||||
| RN TRAVEL TEAM | 40.0 | 0.0 | $216,582 | $0 | $15,523 | Yes (X) | |||
| NATASHA MINNIE | |||||||||
| RN TRAVEL TEAM | 40.0 | 0.0 | $148,683 | $0 | $9,354 | Yes (X) | |||
| SHANDA FERGUSON | |||||||||
| DIRECTOR PHARMACY | 40.0 | 0.0 | $205,923 | $0 | $26,993 | Yes (X) | |||
| SHEURIKA MCKEEVER | |||||||||
| DIRECTOR NURSING | 40.0 | 0.0 | $148,570 | $0 | $17,608 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $895,299 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,250,498 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $199,266 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROLINK HEALTHCARE LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4600 MONTGOMERY RD | AddressLine1Txt |
| Address Line2 | STE 300 | AddressLine2Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45212 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | STAFFING SERVICES | ServicesDesc |
| Compensation | $216,526 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $112 | GovernmentGrantsAmt |
| Total Contributions | $112 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $14,699,680 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,699,680 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,699,680 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,699,792 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,699,680 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,454,619 | TotalAmt |
| Program Services | $5,750,334 | ProgramServicesAmt |
| Management And General | $704,285 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $326,968 | TotalAmt |
| Program Services | $291,291 | ProgramServicesAmt |
| Management And General | $35,677 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $421,386 | TotalAmt |
| Program Services | $375,407 | ProgramServicesAmt |
| Management And General | $45,979 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $461,997 | TotalAmt |
| Program Services | $411,587 | ProgramServicesAmt |
| Management And General | $50,410 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $479,279 | TotalAmt |
| Program Services | $426,983 | ProgramServicesAmt |
| Management And General | $52,296 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $930 | TotalAmt |
| Program Services | $829 | ProgramServicesAmt |
| Management And General | $101 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,920 | TotalAmt |
| Program Services | $140,689 | ProgramServicesAmt |
| Management And General | $17,231 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,368 | TotalAmt |
| Program Services | $35,963 | ProgramServicesAmt |
| Management And General | $4,405 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $653,436 | TotalAmt |
| Program Services | $582,137 | ProgramServicesAmt |
| Management And General | $71,299 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,181 | TotalAmt |
| Program Services | $9,070 | ProgramServicesAmt |
| Management And General | $1,111 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,798 | TotalAmt |
| Program Services | $3,384 | ProgramServicesAmt |
| Management And General | $414 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,101 | TotalAmt |
| Program Services | $104,324 | ProgramServicesAmt |
| Management And General | $12,777 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,189 | TotalAmt |
| Program Services | $53,622 | ProgramServicesAmt |
| Management And General | $6,567 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HOME OFFICE EXPENSES | $1,698,231 | $1,512,931 | $185,300 |
| MEDICAL SUPPLIES AND EXPENSE | $1,229,459 | $1,229,459 | |
| PATIENT CHARGES | $1,205,824 | $1,205,824 | |
| MAINTENANCE AND REPAIRS | $45,361 | $40,412 | $4,949 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,068 | TotalAmt |
| Program Services | $50,841 | ProgramServicesAmt |
| Management And General | $6,227 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,424,115 | TotalAmt |
| Program Services | $12,225,087 | ProgramServicesAmt |
| Management And General | $1,199,028 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,786,354 | BOYAmt |
| EOY | $4,432,230 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,105,501 | BOYAmt |
| EOY | $4,265,283 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,940 | BOYAmt |
| EOY | $34,044 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,640,341 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,313,194 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $444,249 | BOYAmt |
| EOY | $327,147 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,375,044 | BOYAmt |
| EOY | $9,058,704 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $784,157 | BOYAmt |
| EOY | $1,192,140 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $784,157 | BOYAmt |
| EOY | $1,192,140 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,590,887 | BOYAmt |
| EOY | $7,866,564 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,590,887 | BOYAmt |
| EOY | $7,866,564 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,375,044 | BOYAmt |
| EOY | $9,058,704 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,275,677 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $138,804 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,388 | DepreciationAmt |
| Book Value | $106,416 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $97,850 | OtherCostOrOtherBasisAmt |
| Depreciation | $97,850 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,403,687 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,182,956 | DepreciationAmt |
| Book Value | $220,731 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $327,147 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $14,699,792 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $14,699,792 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $14,699,792 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,424,115 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,424,115 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,424,115 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 43 | PersonsServedCnt |
| Total Community Benefit Expns | $110,424 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $110,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00823 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $149,505 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,450 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $98,055 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 43 | PersonsServedCnt |
| Total Community Benefit Expns | $259,929 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,450 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $208,479 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01553 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 43 | PersonsServedCnt |
| Total Community Benefit Expns | $259,929 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,450 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $208,479 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01553 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,147,243 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,055,691 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $91,552 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST HEALTH EXTENDED CARE HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9601 BAPTIST HEALTH DRIVE 10TH FLOO | AddressLine1Txt |
| Address Line2 | R | AddressLine2Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BAPTIST-HEALTH.COM | WebsiteAddressTxt |
| State License | AR5295 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | LONG TERM ACUTE CARE | OtherDesc |
| Facility Reporting Group | A | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.baptist-health.com/community-health-needs-assessment | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.baptist-health.com/community-health-needs-assessment | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.baptist-health.com/billing-insurance-financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.baptist-health.com/billing-insurance-financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.baptist-health.com/billing-insurance-financial-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility A, 1 | Facility A, 1 - REPORTING GROUP A. BAPTIST HEALTH ENGAGED THE ARKANSAS CENTER FOR HEALTH IMPROVEMENT (ACHI) TO CONDUCT THE QUANTITATIVE DATA COLLECTION AND ANALYSIS FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. BAPTIST HEALTH PROVIDED ACHI WITH THE COUNTIES SERVED FOR EACH OF ITS 11 HOSPITAL FACILITIES IN THE STATE, I.E., THE HOSPITAL COMMUNITIES, INCLUDING BAPTIST EXTENDED HEALTH CARE. TO ASSESS THE HEALTH-RELATED NEEDS OF EACH HOSPITAL'S COMMUNITY, ACHI GATHERED, SYNTHESIZED AND ANALYZED DATA FOR 98 HEALTH INDICATORS AND DEMOGRAPHIC MEASUREMENTS FROM SEVERAL DATA RESOURCES, INCLUDING: - AFMC - ARKANSAS ALL-PAYER CLAIMS DATABASE (APCD) - AMERICAN COMMUNITY SURVEY (ACS) - ARKANSAS CENTER FOR HEALTH IMPROVEMENT (ACHI) - ARKANSAS DEPARTMENT OF HEALTH (ADH) - ARKANSAS HEALTH DATA INITIATIVE (HDI) - ARKANSAS PREVENTION NEEDS ASSESSMENT SURVEY (APNA) - BEHAVIORAL RISK FACTORS SURVEILLANCE SYSTEM (BRFSS) - COUNTY HEALTH RANKINGS - NATIONAL CENTER FOR HEALTH STATISTICS (NCHS) - NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES (NIMHD) HDPULSE: AN ECOSYSTEM OF MINORITY HEALTH AND HEALTH DISPARITIES RESOURCES - SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE) - SPARKMAP |
| Schedule H, Part V, Section B, Line 6a Facility A, 1 | Facility A, 1 - REPORTING GROUP A. BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA, BAPTIST HEALTH MEDICAL CENTER - HEBER SPRINGS, BAPTIST HEALTH MEDICAL CENTER - LITTLE ROCK, BAPTIST HEALTH MEDICAL CENTER - NORTH LITTLE ROCK, BAPTIST HEALTH REHABILITATION INSTITUTE - LITTLE ROCK, BAPTIST HEALTH EXTENDED CARE HOSPITAL, BAPTIST HEALTH MEDICAL CENTER - STUTTGART, BAPTIST HEALTH MEDICAL CENTER - CONWAY, BAPTIST HEALTH MEDICAL CENTER - HOT SPRING COUNTY, BAPTIST HEALTH - FORT SMITH, AND BAPTIST HEALTH - VAN BUREN. |
| Schedule H, Part V, Section B, Line 11 Facility A, 1 | Facility A, 1 - REPORTING GROUP A. ARKANSAS IS A STATE WITH MANY HEALTH NEEDS, RANKING 48TH OF 50 IN OVERALL HEALTH STATUS. IT IS ALSO A STATE WITH A HIGHER PROPORTION OF UNDERSERVED AND UNINSURED INDIVIDUALS. RECOGNIZING THAT ALTHOUGH ALL OF THE IDENTIFIED NEEDS ARE IMPORTANT, ALL OF THEM CANNOT BE PURSUED BY BAPTIST HEALTH. AFTER ESTABLISHING CRITERIA BASED ON THE BAPTIST HEALTH MISSION, AS WELL AS BAPTIST HEALTH'S CLINICAL STRENGTHS, RESOURCES, AND INFRASTRUCTURE TO MAINTAIN PROGRAMS, EACH OF THE IDENTIFIED NEEDS FROM THE FOCUS GROUPS AND DATA COLLECTION WAS REVIEWED AND PRIORITIZED. BAPTIST HEALTH DOES BELIEVE THE FOCUS AREAS SELECTED WILL INDIRECTLY HAVE A POSITIVE IMPACT ON MANY OF THE OTHER ITEMS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. A PRIORITIZATION SESSION WAS HELD FOR EACH HOSPITAL TO CHOOSE PRIORITIES. A THREE-ROUND, MULTI-VOTING TECHNIQUE WAS UTILIZED TO MAKE FINAL SELECTIONS. A. ACCESS TO HEALTHCARE SERVICES OBJECTIVE: INCREASE ACCESS TO QUALITY HEALTH CARE THROUGH EDUCATION AND COMMUNITY RESOURCES. STRATEGY: IMPROVE HEALTH OUTCOMES THROUGH PATIENT EDUCATION AND PARTNERSHIPS WITH PATIENTS AND FAMILIES. ACTION STEPS: 1. PARTNER WITH COMMUNITY OUTREACH TO PROVIDE EDUCATION AND INFORMATION ON FALL PREVENTION AT SOUTHWEST AND DUNBAR COMMUNITY CENTERS 2. PARTNER WITH COMMUNITY OUTREACH TO DEVELOP AND PROMOTE INFORMATION SAFETY IN THE HOME FOR COMMUNITY EVENTS AND WELLNESS CENTERS 3. OFFER MEDICATION SAFETY CLASSES AT BAPTIST HEALTH DIABETES AND STROKE SUPPORT GROUPS 4. IMPLEMENT A COMMUNITY CLASS ON HEART FAILURE FOR PATIENTS AND COMMUNITY MEMBERS PERFORMANCE METRICS: 1. TRACK AND REPORT THE NUMBER OF INDIVIDUALS PARTICIPATING IN FALL PREVENTION CLASSES 2. TRACK AND REPORT THE NUMBER OF HOME SAFETY MATERIALS DISTRIBUTED IN THE COMMUNITY 3. TRACK AND REPORT THE NUMBER OF INDIVIDUALS PARTICIPATING IN MEDICATION SAFETY CLASSES 4. NUMBER OF SUPPORT GROUP PRESENTATIONS AND INDIVIDUALS ATTENDING WILL BE TRACKED AND REPORTED B. MENTAL HEALTH OBJECTIVE: INCREASE AWARENESS AND SUPPORT OF PATIENTS, CAREGIVERS AND COMMUNITY MEMBERS DEALING WITH MENTAL HEALTH CONCERNS. STRATEGY: REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH THROUGH EDUCATION AND TREATMENT. ACTION STEPS: 1. CONTINUE TO UTILIZE THE SUICIDE SCREENING TOOLS ON ALL PATIENTS DISCHARGED 2. EDUCATE PATIENTS AND CARE-GIVERS ON THE 24-HOUR BEHAVIORAL HEALTH-LINE AVAILABLE TO STAFF AND PATIENTS 3. PROVIDE EDUCATIONAL MATERIALS FOR PATIENTS AND CARE-GIVERS ON STRESS MANAGEMENT, DEPRESSION, SELF-CARE DURING MENTAL HEALTH AWARENESS MONTH 4. OFFER MENTAL HEALTH ACTIVITIES THAT PROMOTE SELF-CARE, RELAXATION, AND MINDFULNESS INCLUDING INFORMATION ON YOGA, JOURNALING, SPENDING TIME IN NATURE, ART THERAPY, AND MUSIC THERAPY AT COMMUNITY AND RECRUITMENT EVENTS PERFORMANCE METRICS: 1. NUMBER OF SUICIDE REFERRALS WILL BE TRACKED AND REPORTED 2. NUMBER OF INDIVIDUALS REACHED DURING MENTAL HEALTH AWARENESS MONTH WILL BE TRACKED AND REPORTED 3. NUMBER OF INDIVIDUALS PROVIDED MENTAL HEALTH ACTIVITIES WILL BE TRACKED AND REPORTED C. NUTRITION & FOOD SECURITY OBJECTIVE: INITIATE EVIDENCE BASED NUTRITION SECURITY STRATEGIES TO ADDRESS DIABETES, CHRONIC HEART DISEASE, HYPERTENSION, AND OTHER DIET-RELATED CHRONIC CONDITIONS. STRATEGY: INCREASE ACCESS TO NUTRITION EDUCATION AND INFORMATION AMONG COMMUNITY MEMBERS, CAREGIVERS, FAMILIES, AND STAFF. ACTION STEPS: 1. UTILIZE THE EPIC SYSTEM TO SCREENING FOR FOOD INSECURITY FOR INPATIENTS VISITS 2. PARTNER WITH COMMUNITY OUTREACH'S FOODRX PROGRAM TO PROVIDE HEALTHY SNACKS AND READY-MADE FOOD FOR PATIENT CAREGIVERS AND FAMILIES WHO ARE FOOD INSECURE 3. PROVIDE EDUCATION ON THE RELATIONSHIP BETWEEN NUTRITION AND PRESSURE SORES TO CAREGIVERS 4. PROVIDE EDUCATION TO FAMILIES AND CAREGIVERS NUTRITIONAL NEEDS BASED ON ORAL PROBLEMS, HEIGHT AND WEIGHT CHANGE, NUTRITION PROBLEMS (ALTERED TASTE, HUNGER, UNEATEN MEALS), APPROACHES TO NUTRITIONAL CARE (NUTRITION SUPPORT, MECHANICALLY ALTERED FOOD, THERAPEUTIC DIETS), AND FOOD INTAKE 5. PARTNER WITH COMMUNITY OUTREACH TO PROVIDE PRESENTATIONS TO COMMUNITY WELLNESS CENTERS ON RELATIONSHIPS BETWEEN FOOD AND CHRONIC DISEASE MANAGEMENT PERFORMANCE METRICS: 1. NUMBER OF PARTICIPANTS SCREENED FOR FOOD INSECURITY 2. NUMBER OF INDIVIDUALS SERVED BY THE FOODRX PROGRAM WILL BE TRACKED AND REPORTED 3. NUMBER OF EDUCATIONAL ENCOUNTERS WILL BE TRACKED AND REPORTED 4. NUMBER OF PRESENTATIONS IN THE COMMUNITY OUTREACH SENIOR WELLNESS CENTERS WILL BE TRACKED AND REPORTED |
| Schedule H, Part V, Section B, Line 20 Facility A, 1 | Facility A, 1 - REPORTING GROUP A. THE HOSPITAL HAS SOFTWARE WHICH USES PUBLICLY AVAILABLE DEMOGRAPHIC INFORMATION TO DETERMINE PRESUMPTIVE ELIGIBILITY FOR PATIENTS WHO DO NOT RESPOND TO OFFERS OF FINANCIAL ASSISTANCE. THE HOSPITAL ALSO VERBALLY CONTACTS THE PATIENT TO INFORM THEM OF FINANCIAL ASSISTANCE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part VI, Line 7 | THERE ARE NO STATES IN WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT. |
| Schedule H, Part I, Line 3c | SEE SCH H, PART V, LINES 13 THROUGH 16 FOR ADDITIONAL INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY. |
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | Baptist Health |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | BAPTIST HEALTH EXTENDED CARE HOSPITAL USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE ORGANIZATION ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE ORGANIZATION 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 ORGANIZATION'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE ORGANIZATION 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 ORGANIZATION EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. PATIENTS WHO MEET THE ORGANIZATION'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SUCH AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | PLEASE SEE ATTACHED AUDIT REPORT NOTE 2. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE AMOUNTS WERE PULLED FROM THE MOST RECENT "AS FILED" MEDICARE COST REPORT. THE HOSPITAL FOLLOWS CHA COMMUNITY BENEFIT GUIDELINES AND DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | EVERY UNINSURED PATIENT IS SEEN BY A FINANCIAL COUNSELOR WHO EDUCATES THE PATIENT AND FAMILY MEMBERS ABOUT OUR FINANCIAL ASSISTANCE POLICY, ASSISTS IN COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION WHEN APPROPRIATE, AND PROVIDES ASSISTANCE IN DETERMINING ELIGIBILITY UNDER FEDERAL, STATE, OR LOCAL PROGRAMS SUCH AS MEDICAID. CHARITY CARE AND OTHER FINANCIAL ASSISTANCE IS PROVIDED WHEN ELIGIBLE AND COLLECTION EFFORTS CEASE ONCE ELIGIBILITY IS DETERMINED. |
| Schedule H, Part V, Section B, Line 16a FAP website | A - BAPTIST HEALTH EXTENDED CARE HOSPITAL: Line 16a URL: https://www.baptist-health.com/billing-insurance-financial-assistance; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | A - BAPTIST HEALTH EXTENDED CARE HOSPITAL: Line 16b URL: https://www.baptist-health.com/billing-insurance-financial-assistance; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | A - BAPTIST HEALTH EXTENDED CARE HOSPITAL: Line 16c URL: https://www.baptist-health.com/billing-insurance-financial-assistance; |
| Schedule H, Part VI, Line 2 Needs assessment | THROUGH THE UTILIZATION AND ANALYSIS OF THIRD PARTY INFORMATION AVAILABLE TO US THROUGH NUMEROUS SOURCES. SOME EXAMPLES INCLUDE: ARKANSAS CENTER FOR HEALTH IMPROVEMENT (ACHI), ARKANSAS DEPARTMENT OF HEALTH, BUREAU OF LABOR STATISTICS, CENTERS FOR MEDICARE AND MEDICAID SERVICES, COUNTY HEALTH RANKINGS, AND SEVERAL OTHERS. WE ALSO UTILIZE QUANTITATIVE (SURVEYS) AND QUALITATIVE RESEARCH (FOCUS GROUPS) CONDUCTED ON A PERIODIC OR ON AN AS NEEDED BASIS. WE ALSO UTILIZE INPUT FROM NUMEROUS COMMUNITY ADVISORY GROUPS, COMMUNITY OUTREACH ACTIVITIES AND ASSESSMENTS, PHYSICIAN INPUT, EMPLOYEE INPUT, AND ANALYSIS OF HISTORICAL INTERNAL DATA. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | EVERY UNINSURED PATIENT IS SEEN BY A FINANCIAL COUNSELOR WHO EDUCATES THE PATIENT AND FAMILY MEMBERS ABOUT OUR FINANCIAL ASSISTANCE POLICY, ASSISTS IN COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION WHEN APPROPRIATE, AND PROVIDES ASSISTANCE IN DETERMINING ELIGIBILITY UNDER FEDERAL, STATE, OR LOCAL PROGRAMS SUCH AS MEDICAID. CHARITY CARE AND OTHER FINANCIAL ASSISTANCE IS PROVIDED WHEN ELIGIBLE AND COLLECTION EFFORTS CEASE ONCE ELIGIBILITY IS DETERMINED. THE FINANCIAL ASSISTANCE POLICY (FAP), FAP PLAIN LANAGUAGE, AND FAP APPLICATION ARE AVAILABLE ON THE WEBSITE AND UPON REQUEST, FREE OF CHARGE. NOTICES OF AVAILABILITY ARE DISPLAYED THROUGHOUT THE HOSPITAL FACILITY. PATIENTS ARE NOTIFIED UPON ADMISSION, PRIOR TO DISCHARGE, AND NOTIFIED OF THE FAP IN COMMUNICATIONS REGARDING BILLS. |
| Schedule H, Part VI, Line 4 Community information | IN THE UNITED HEALTH GROUP STATE HEALTH RANKING FOR 2024, ARKANSAS HOLDS THE 48TH WORST RANKING THROUGHOUT THE U.S. POPULATION FOR GENERAL HEALTH OF ITS POPULATION. ACCORDING TO THE MOST RECENT STATE FINDINGS, ARKANSAS HAS A HIGH PREVALENCE OF CIGARETTE SMOKING AND HIGH PERCENTAGE OF HOUSEHOLD FOOD INSECURITY. THE STATE FACES MANY OTHER CHALLENGES INLCUDING A HIGH PREVALENCE OF OBESITY AT 40.0% OF THE POPULATION, PREMATURE DEATH RATE (YEARS LOST BEFORE AGE 75) PER 100,000 POPULATION AT 11,504 COMPARED TO 8,522 U.S. RATE AND 13.9% OF THE POPULATION AVOIDING CARE DUE TO COST. APPROXIMATELY 8.9% OF ARKANSAS' COMMUNITY WAS RECORDED AS UNINSURED. ACCORDING TO THE LATEST NATIONAL VITAL STATISTICS REPORTS (2023) ARKANSAS HAS A HIGHER THAN AVERAGE RATE OF DEATH (PER 100,000 POPULATION) FROM DISEASES OF THE HEART (AR RATE 275.2/U.S. RATE 203.3) AND CEREBROVASCULAR-ALZHEIMER'S DISEASE (AR RATE 49.3/U.S. RATE 34.0). AS A PERCENTAGE OF THE STATE'S POPULATION, MORE PEOPLE IN ARKANSAS THAN THOSE IN THE GENERAL U.S. POPULATION HAVE HIGH BLOOD PRESSURE, SMOKE CIGARETTES AND ARE COMPLETELY PHYSICALLY INACTIVE. ACCORDING TO THE LATEST DATA FROM THE UNITED STATES CENSUS, ARKANSAS HAS A 16.0% POVERTY RATE (3.6% HIGHER THAN THE NATIONAL AVERAGE). THE STATE'S MEDIAN HOUSEHOLD INCOME IS $58,773 ($19,765 BELOW THE NATIONAL AVERAGE). IN THE PAST YEAR, THE PERCENTAGE OF ARKANSAS CHILDREN IN POVERTY EXPERIENCED A DECREASE FROM 21.9% TO 21.4% FOR PERSONS UNDER THE AGE OF 18. THE LITTLE ROCK MARKET IS SERVED BY THREE MAJOR MEDICAL CENTERS INCLUDING BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK, CHI ST. VINCENT INFIRMARY AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES; TWO COMMUNITY HOSPITALS INCLUDING BAPTIST HEALTH MEDICAL CENTER-NORTH LITTLE ROCK AND CHI ST. VINCENT NORTH. FIVE NICHE OR SPECIALTY HOSPITALS INCLUDING ARKANSAS CHILDREN'S HOSPITAL, ARKANSAS HEART HOSPITAL, ARKANSAS SURGICAL HOSPITAL, CHI ST. VINCENT REHABILITATION HOSPITAL IN PARTNERSHIP WITH ENCOMPASS HEALTH AND BAPTIST HEALTH REHABILITATION INSTITUTE; SEVEN PSYCHIATRIC OR DRUG REHABILITATION FACILITIES; THREE LONG TERM ACUTE CARE HOSPITALS AND TWO VETERANS HOSPITALS. THERE ARE A TOTAL OF 5,595 LICENSED BEDS IN THE LITTLE ROCK MARKET AND THIS INCLUDES 4,753 ACUTE INPATIENT BEDS (505 OF WHICH ARE PART OF THE CENTRAL ARKANSAS VA SYSTEM), 304 REHABILITATION BEDS, 722 PSYCHIATRIC BEDS, 24 INPATIENT HOSPICE BEDS, AND 96 LONG-TERM CARE BEDS. WHILE BAPTIST HEALTH SERVES PATIENTS FROM ALL 75 COUNTIES IN ARKANSAS, APPROXIMATELY 80-85% OF OUR CENTRAL MARKET INPATIENT DISCHARGES ORIGINATE IN THE 20 COUNTY REGION IN CENTRAL ARKANSAS AND IMMEDIATE SURROUNDING AREA. ACCORDING TO 2024 DATA FROM THE ARKANSAS HOSPITAL ASSOCIATION HIDI DATABASE, BAPTIST HEALTH PROVIDES 19.0% OF STATE-WIDE INPATIENT DISCHARGES EXCLUDING NORMAL NEWBORNS. IN THE 20-COUNTY REGION IN CENTRAL ARKANSAS, BAPTIST HEALTH CENTRAL HAD A MARKET SHARE OF 32% IN 2024. IN THE 20-COUNTY CENTRAL PRIMARY MARKET OF CENTRAL ARKANSAS, 66.7% OF THE POPULATION IS WHITE, 20.8% IS BLACK, 6.8% IS HISPANIC OR LATINO (NOT ADDED INTO TOTAL CAN BE DUPLICATES), 1.6% ARE ASIAN AND PACIFIC ISLANDERS, 0.6% ARE AMERICAN INDIAN/ALASKAN NATIVE AND 10.3% ARE OF OTHER RACIAL DESCENT. THOSE DEMOGRAPHIC PERCENTAGES MIRROR OUR PATIENT PERCENTAGES. |
| Schedule H, Part VI, Line 5 Promotion of community health | BAPTIST HEALTH EXTENDED CARE HOSPITAL PROVIDES LONG TERM ACUTE CARE SERVICES FOR PATIENTS COMING FROM ALL HOSPITAL SYSTEMS IN THE CENTRAL ARKANSAS AREA. IT MAINTAINS A BOARD THAT INCLUDES INDEPENDENT MEMBERS OF THE LOCAL COMMUNITY AND AN OPEN MEDICAL STAFF. IT PROVIDES CARE FOR ALL PATIENTS WITHOUT REGARD TO ABILITY TO PAY. THIS IS A NECESSARY PART OF A FULL CONTINUUM OF CARE FOR PATIENTS WITH CHRONIC OR SLOW RECOVERY HEALTH ISSUES REQUIRING HOSPITALIZATION AVERAGING 25 DAYS OR LONGER. |
| Schedule H, Part VI, Line 6 Affiliated health care system | BAPTIST HEALTH EXISTS TO PROVIDE QUALITY PATIENT CENTERED SERVICES TO THE CITIZENS OF ARKANSAS WITH CHRISTIAN COMPASSION AND PERSONAL CONCERN CONSISTENT WITH OUR CHARITABLE PURPOSES. BAPTIST HEALTH OFFERS FURTHER EXPANSION OF HEALTH SERVICES FOR ALL ARKANSANS THROUGH ITS RELATIONSHIP WITH ITS AFFILIATED ORGANIZATIONS. BAPTIST HEALTH EXTENDED CARE HOSPITAL IS LOCATED ON THE CAMPUS OF BAPTIST HEALTH MEDICAL CENTER - LITTLE ROCK AND PROVIDES LONG TERM ACUTE CARE SERVICES FOR PATIENTS COMING FROM THE GENERAL ACUTE CARE SETTING AT VARIOUS BAPTIST HEALTH FACILITIES. BAPTIST HEALTH HOSPITALS DBA BAPTIST HEALTH MEDICAL CENTER - STUTTGART IS AN INTEGRAL PART OF THE BAPTIST HEALTH FAMILY OF HOSPITALS PROVIDING CARE TO PATIENTS. THE STUTTGART FACILITY PROVIDES A SIGNIFICANT LINK TO MEETING HEALTH CARE NEEDS IN EAST CENTRAL ARKANSAS (PRIMARILY ARKANSAS, MONROE, AND PRAIRIE COUNTIES) THROUGH ITS ACUTE CARE AND PHYSICIAN SERVICES, AND THEN FOR TERTIARY LEVEL HOSPITAL NEEDS THE PATIENTS CAN BE TRANSFERRED TO BAPTIST HEALTH FACILITIES IN LITTLE ROCK AND NORTH LITTLE ROCK. ARKANSAS HEALTH GROUP PROVIDES PHYSICIAN CLINIC SERVICES TO PATIENTS IN RURAL AND URBAN COMMUNITIES IN MORE THAN 76 LOCATIONS WITH MORE THAN 272 PHYSICIANS AND 207 ADVANCED PRACTICE CLINICIANS THROUGHOUT CENTRAL ARKANSAS. BAPTIST HEALTH SERVICES PROVIDES PHYSICIAN CLINIC SERVICES TO PATIENTS IN RURAL AND URBAN COMMUNITIES IN MORE THAN 31 LOCATIONS WITH MORE THAN 73 PHYSICIANS AND 24 ADVANCED PRACTICE CLINICIANS THROUGHOUT WESTERN ARKANSAS AND EASTERN OKLAHOMA. PARKWAY HEALTH CENTER PROVIDES LONG-TERM CARE SKILLED NURSING SERVICES TO RESIDENTS OF PULASKI COUNTY, ARKANSAS. PARKWAY VILLAGE PROVIDES ASSISTED LIVING AND INDEPENDENT LIVING COMMUNITIES IN CENTRAL ARKANSAS FOR THE ELDERLY IN WHICH MEDICAL CARE, CULTURAL, AND RECREATIONAL BENEFITS ARE EXTENDED TO RESIDENTS IN ADDITION TO HOUSING AND SHELTER. THE VILLAGE ALSO INCLUDES AN ASSISTED LIVING CENTER DESIGNED SPECIFICALLY FOR ALZHEIMER'S PATIENTS. BAPTIST HEALTH MEDICAL CENTER - HOT SPRING COUNTY IS AN INTEGRAL PART OF THE BAPTIST HEALTH FAMILY OF HOSPITALS AND PROVIDES NECESSARY CARE FOR HOT SPRING COUNTY AND PARTS OF GRANT AND GARLAND COUNTIES. CONWAY COMMUNITY SERVICES DBA BAPTIST HEALTH MEDICAL CENTER - CONWAY PROVIDES HEALTH SERVICES TO FAULKNER COUNTY AND SURROUNDING AREAS. BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA PROVIDES HEALTH SERVICES TO PARTS OF SOUTHWEST ARKANSAS. BAPTIST HEALTH MEDICAL CENTER - HEBER SPRINGS PROVIDES HEALTH SERVICES TO CLEBURNE COUNTY AND THE IMMEDIATE SURROUNDING AREA. BAPTIST HEALTH - FORT SMITH AND BAPTIST HEALTH - VAN BUREN ARE COLLECTIVELY KNOWN AS BAPTIST HEALTH REGIONAL HOSPITALS AND PROVIDE HEALTH SERVICES TO THE WESTERN REGION OF ARKANSAS AND THE EASTERN REGION OF OKLAHOMA. BAPTIST HEALTH MEDICAL CENTER - DREW COUNTY PROVIDES HEALTH SERVICES TO DREW COUNTY AND THE IMMEDIATE SURROUNDING AREA. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GREG CRAIN | ||||||||||||||
| BOARD MEMBER | $0 | $672,625 | $0 | $325,576 | $0 | $140,977 | $0 | $24,150 | $0 | $19,813 | $0 | $1,183,141 | $0 | $0 |
| MIKE PERKINS | ||||||||||||||
| BOARD MEMBER | $0 | $442,323 | $0 | $219,837 | $0 | $47,896 | $0 | $24,150 | $0 | $12,584 | $0 | $746,790 | $0 | $0 |
| GREG STUBBLEFIELD | ||||||||||||||
| VP & ADMINISTRATOR | $0 | $267,946 | $0 | $90,827 | $0 | $42,491 | $0 | $23,275 | $0 | $15,356 | $0 | $439,895 | $0 | $0 |
| NARTASHIA BAUGH | ||||||||||||||
| RN TRAVEL TEAM | $215,582 | $0 | $1,000 | $0 | $0 | $0 | $11,061 | $0 | $4,462 | $0 | $232,105 | $0 | $0 | $0 |
| SHANDA FERGUSON | ||||||||||||||
| DIRECTOR PHARMACY | $167,853 | $0 | $35,102 | $0 | $2,968 | $0 | $14,090 | $0 | $12,903 | $0 | $232,916 | $0 | $0 | $0 |
| JENNIFER HILTON | ||||||||||||||
| RN TRAVEL TEAM | $174,541 | $0 | $1,000 | $0 | $0 | $0 | $10,460 | $0 | $0 | $0 | $186,001 | $0 | $0 | $0 |
| SHEURIKA MCKEEVER | ||||||||||||||
| DIRECTOR NURSING | $121,871 | $0 | $25,118 | $0 | $1,581 | $0 | $5,275 | $0 | $12,333 | $0 | $166,178 | $0 | $0 | $0 |
| NATASHA MINNIE | ||||||||||||||
| RN TRAVEL TEAM | $148,683 | $0 | $0 | $0 | $0 | $0 | $4,892 | $0 | $4,462 | $0 | $158,037 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | FormAndLineReferenceDesc |
| Explanation | BAPTIST HEALTH, A RELATED ORGANIZATION, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL OF THE BOARD TO ESTABLISH COMPENSATION OF THE CEO. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15 A&B | THE EXECUTIVE COMMITTEE OF THE BAPTIST HEALTH SYSTEM BOARD APPOINTS DIRECTORS TO THE ADMINISTRATIVE COMPENSATION COMMITTEE. THE ADMINISTRATIVE COMPENSATION COMMITTEE APPROVES THE INITIAL SALARY AND ANY SUBSEQUENT SALARY ADJUSTMENTS FOR THE PRESIDENT/CEO FOR BAPTIST HEALTH. THE CHIEF HUMAN RESOURCES OFFICER PRESENTS THE COMPENSATION PHILOSOPHY, AN OVERVIEW OF MARKET DATA RESULTS, AND A SUMMARY OF BENEFITS TO THE ADMINISTRATIVE COMPENSATION COMMITTEE OF THE BOARD. AN INDEPENDENT REVIEW OF THE EXECUTIVE'S SALARY RANGES WILL BE PERFORMED AT A MINIMUM OF EVERY THREE YEARS UNLESS EXTENUATING CIRCUMSTANCES ARISE. THE DIRECTOR AND ABOVE, EXECUTIVE DIRECTORS OR KEY EMPLOYEES WILL HAVE AN ANNUAL REVIEW OF SALARY RANGES AT A MINIMUM OF EVERY THREE YEARS FOR USE IN DETERMINING THE APPROPRIATE SALARY RANGE AND PAY FOR THE LEADERSHIP TEAM. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE ORGANIZATION IS A NONPROFIT CORPORATION AND HAS A SINGLE MEMBER, BAPTIST HEALTH. THE ORGANIZATION HAS NO SHAREHOLDERS AND DOES NOT PAY DIVIDENDS OR OTHERWISE DISTRIBUTE PROFITS OR EXCESS REVENUES. THE MEMBER HAS CERTAIN RESERVED POWERS DESCRIBED IN LINE 7B. THE MEMBER HAS THE RIGHT TO ELECT A MINORITY OF THE GOVERNING BOARD WITH THE GOVERNING BOARD ELECTING THE OTHER DIRECTORS. THE MEMBERS CAN AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE ORGANIZATION. THE MEMBER CANNOT RECEIVE ANY SHARE OF THE ORGANIZATIONS PROFITS OR ASSETS AT ANY TIME. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE ORGANIZATION IS A NONPROFIT CORPORATION AND HAS ONE CLASS OF MEMBERS CONSISTING OF BAPTIST HEALTH. THE MEMBER HAS THE POWER TO ELECT AND REMOVE A MINORITY OF THE DIRECTORS ON THE GOVERNING BOARD. THE GOVERNING BOARD ELECTS A MAJORITY OF THE DIRECTORS. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE GOVERNING BOARD MAY RECOMMEND, BUT SHALL NOT, WITHOUT THE EXPRESS WRITTEN CONSENT OF THE SOLE CORPORATE MEMBER, HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS: (1) ANY FUNDAMENTAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE HOSPITAL; (2) THE INCURRENCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OR LEASE OF REAL ESTATE, AND CAPITAL LEASES, IN EXCESS OF ONE MILLION DOLLARS ($1,000,000), MEASURED IN AN ANNUAL AGGREGATE; (3) ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY; (4) THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL; (5) POLICIES PERTAINING TO CHARITY CARE; (6) ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $250,000; (7) ANY CAPITAL EXPENDITURES WHICH IN THE AGGREGATE EXCEED $250,000 ANNUALLY; (8) APPOINTMENT AND REMOVAL OF SOLE CORPORATE MEMBER DIRECTORS; (9) THE DEFENSE, SETTLEMENT OR RESOLUTION OF ANY DISPUTE INVOLVING THE HOSPITAL IN WHICH THE AMOUNT IN CONTROVERSY IS IN EXCESS OF $250,000; (10) THE DEFENSE, SETTLEMENT OR RESOLUTION OF ANY REGULATORY CHALLENGES TO THE LEGAL STRUCTURE OF THE HOSPITAL, ALLEGED OVERPAYMENTS FROM ANY GOVERNMENTAL AGENCY OR ANY ALLEGATIONS FROM A GOVERNMENTAL AGENCY OF FRAUD AND ABUSE. SUCH A RECOMMENDATION OR OTHER ACTION SHALL NOT BE A REQUIREMENT FOR ACTION BY THE HOSPITAL EXCEPT AS OTHERWISE REQUIRED BY APPLICABLE LAW. NOTWITHSTANDING ANYTHING ELSE CONTAINED HEREIN, THE APPROVAL OF THE SOLE CORPORATE MEMBER SHALL NOT BE REQUIRED IN CONNECTION WITH THE MATTERS SETFORTH IN THE BYLAWS. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | FORM 990 IS REVIEWED BY BAPTIST HEALTH'S VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER. |
| Form 990, Part VI, Line 12c Conflict of interest policy | DIRECTORS AND ABOVE ANNUALLY COMPLETE A QUESTIONNAIRE. THE CHIEF HUMAN RESOURCES OFFICER INVESTIGATES ANY POTENTIAL CONFLICTS AND TAKES APPROPRIATE ACTION DEPENDING ON THE NATURE OF THE CONFLICT. THE BOARD MEMBERS ARE REQUIRED TO ANNUALLY SUBMIT A WRITTEN STATEMENT AND ANSWER A QUESTIONNAIRE. A SUBCOMMITTEE OF THE BOARD REVIEWS ANY CONFLICTS AND REPORTS THOSE TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE DETERMINES THE APPROPRIATE ACTION DEPENDING ON THE NATURE OF THE CONFLICT. IF AN ISSUE WERE TO ARISE IN WHICH A POTENTIAL CONFLICT EXISTED, THE PERSON WITH THE POTENTIAL CONFLICT WOULD BE EXCUSED AND WOULD NOT VOTE ON THE TOPIC AT HAND. |
| Form 990, Part VI, Line 19 Required documents available to the public | COPIES OF THE ORGANIZATION'S POLICIES AND GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Baptist Health Foundation | |||||||||||
| 9601 Baptist Health Drive | Little Rock | AR | 72205 | 237169407 | Support | AR | 501(c)(3) | 7 | Baptist Health | Yes (true) | |
| Parkway Health Center Inc | |||||||||||
| 14324 Chenal Parkway | Little Rock | AR | 72211 | 710675933 | LTC Nursing | AR | 501(c)(3) | Baptist Health | Yes (true) | ||
| Parkway Village Inc | |||||||||||
| 14300 Chenal Parkway | Little Rock | AR | 72211 | 710574341 | Retirement | AR | 501(c)(3) | 10 | Baptist Health | Yes (true) | |
| Arkansas Health Group | |||||||||||
| 11001 Executive Center Dr Ste 200 | Little Rock | AR | 72211 | 710781138 | Healthcare | AR | 501(c)(3) | 10 | Baptist Health | Yes (true) | |
| Baptist Health Hospitals | |||||||||||
| 9601 Baptist Health Drive | Little Rock | AR | 72205 | 611570855 | Medical Center | AR | 501(c)(3) | 3 | Baptist Health | Yes (true) | |
| Twin Rivers Medical Center | |||||||||||
| 3050 Twin Rivers Dr | Arkadelphia | AR | 71923 | 710541647 | Medical Center | AR | 501(c)(3) | 3 | Baptist Health | Yes (true) | |
| Baptist Health | |||||||||||
| 9601 Baptist Health Drive | Little Rock | AR | 72205 | 710236856 | Medical Center | AR | 501(c)(3) | 3 | NA | false | |
| Conway Community Services | |||||||||||
| 9601 Baptist Health Drive | Little Rock | AR | 72205 | 461629800 | Medical Center | AR | 501(c)(3) | 3 | Baptist Health | Yes (true) | |
| Complete Health With PACE | |||||||||||
| 9601 Baptist Health Drive | Little Rock | AR | 72205 | 472101351 | Healthcare | AR | 501(c)(3) | 10 | Baptist Health | Yes (true) | |
| Baptist Health Regional Hospitals | |||||||||||
| 9601 Baptist Health Drive | Little Rock | AR | 72205 | 825426152 | Medical Center | AR | 501(c)(3) | 3 | Baptist Health | Yes (true) | |
| Baptist Health Services | |||||||||||
| 9601 Baptist Health Drive | Little Rock | AR | 72205 | 825433043 | Healthcare | AR | 501(c)(3) | 10 | Baptist Health | Yes (true) | |
| Maumelle Family Practice | |||||||||||
| 11001 EXECUTIVE CENTER DRIVE | LITTLE ROCK | AR | 72211 | 710824329 | MEDICAL CARE | AR | 501(c)(3) | 10 | Baptist Health | Yes (true) | SUITE 200 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| Ortho Arkansas Surgery Center LLC | ||||||||||
| 10301 Kanis Road | Little Rock | AR | 72205 | 710818555 | Orthopedic | AR | NA | false | false | |
| Autumn Road LLC | ||||||||||
| PO Box 3730 | Little Rock | AR | 72203 | 710786625 | Real Estate | AR | NA | false | false | |
| American Data Network LLC | ||||||||||
| 10809 Executive Center Drive | Little Rock | AR | 72211 | 710849746 | Data Services | AR | NA | false | false | Suite 300 |
| Springhill Surgery Center LLC | ||||||||||
| 3401 Springhill Drive | North Little Rock | AR | 72117 | 621712554 | Surgery | AR | NA | false | false | Suite 155 |
| Two Financial Centre Holding Company LLC | ||||||||||
| 9601 Baptist Health Drive | Little Rock | AR | 72205 | 814970489 | Real Estate | AR | NA | false | false | |
| Baptist Health Center for Clinical Research | ||||||||||
| 9601 Baptist Health Drive | Little Rock | AR | 72205 | 455503799 | Clinical Research | AR | NA | false | false | |
| MAUMELLE FAMILY PRACTICE | ||||||||||
| 11001 EXECUTIVE CENTER DRIVE | LITTLE ROCK | AR | 72211 | 710824329 | MEDICAL CARE | AR | NA | false | false | SUITE 200 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Multi Management Services Inc | |||||||||
| 9601 Baptist Health Drive | Little Rock | AR | 72205 | 710599194 | Management Service | AR | NA | C Corporation | Yes (true) |
| Baptist Medcare Inc | |||||||||
| 9601 Baptist Health Drive | Little Rock | AR | 72205 | 710678160 | Medical Care | AR | NA | C Corporation | Yes (true) |
| Hotel Properties Inc | |||||||||
| 9601 Baptist Health Drive | Little Rock | AR | 72205 | 710599198 | Hotel | AR | NA | C Corporation | Yes (true) |
| Westside Properties Inc | |||||||||
| 9601 Baptist Health Drive | Little Rock | AR | 72205 | 710532013 | Real Estate | AR | NA | C Corporation | Yes (true) |
| Baptist Medical Systems HMO Inc | |||||||||
| 9601 Baptist Health Drive | Little Rock | AR | 72205 | 710622925 | Healthcare Service | AR | NA | C Corporation | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |