WASHINGTON REGIONAL MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: WASHINGTON REGIONAL MEDICAL CENTER (EIN 71-0664687)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-15
IRS object ID: 201743199349309654
Schema version: 2016v3.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-15T13:12:56-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	710664687	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% ACCOUNTING DEPARTMENT	InCareOfNm
Business Name Control	WASH	BusinessNameControlTxt
Phone	4794631168	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3215 N NORTH HILLS BLVD	AddressLine1Txt
City	FAYETTEVILLE	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72703	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAN ECKELS	PersonNm
Person Title	SR VP & CFO	PersonTitleTxt
Phone	4794636026	PhoneNum
Signature	2017-11-15	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	98.172.14.97	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	71124320173195000000	FederalOriginalSubmissionId
Federal Original Submission Id	2017-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	CEB563A16917ED4AD740F14606570ED2E9C54042	AtSubmissionCreationDeviceId
At Submission Filing Device Id	D1C295BF3204F23CF447C808C7564237C00439C5	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	WILLIAM L BRADLEY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	SAME AS ABOVE	AddressLine1Txt
City	FAYETTEVILLE	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72703	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$288,571,082	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WREGIONAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1988	FormationYr
Legal Domicile State	AR	LegalDomicileStateCd
Activity Or Mission	WASHINGTON REGIONAL IS COMMITTED TO IMPROVING THE HEALTH OF PEOPLE IN COMMUNITIES WE SERVE THROUGH COMPASSIONATE, HIGH QUALITY CARE,PREVENTION AND WELLNESS EDUCATION.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	3272	TotalEmployeeCnt
Total Volunteers	85	TotalVolunteersCnt
Total Gross UBI	$1,484,875	TotalGrossUBIAmt
PY Contributions Grants	$1,171,627	PYContributionsGrantsAmt
CY Contributions Grants	$1,005,869	CYContributionsGrantsAmt
PY Program Service Revenue	$254,776,898	PYProgramServiceRevenueAmt
CY Program Service Revenue	$283,660,414	CYProgramServiceRevenueAmt
PY Investment Income	$4,013,560	PYInvestmentIncomeAmt
CY Investment Income	$2,774,645	CYInvestmentIncomeAmt
PY Other Revenue	$932,179	PYOtherRevenueAmt
CY Other Revenue	$1,130,154	CYOtherRevenueAmt
PY Total Revenue	$260,894,264	PYTotalRevenueAmt
CY Total Revenue	$288,571,082	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,518,847	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,053,145	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$94,583,787	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$105,783,991	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$475,092	CYTotalFundraisingExpenseAmt
PY Other Expenses	$110,679,276	PYOtherExpensesAmt
CY Other Expenses	$127,733,818	CYOtherExpensesAmt
PY Total Expenses	$209,781,910	PYTotalExpensesAmt
CY Total Expenses	$238,570,954	CYTotalExpensesAmt
PY Revenues Less Expenses	$51,112,354	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$50,000,128	CYRevenuesLessExpensesAmt
Total Assets BOY	$378,987,892	TotalAssetsBOYAmt
Total Assets EOY	$433,553,337	TotalAssetsEOYAmt
Total Liabilities BOY	$149,029,955	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$165,534,297	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$229,957,937	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$268,019,040	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WASHINGTON REGIONAL IS COMMITTED TO IMPROVING THE HEALTH OF PEOPLE IN COMMUNITIES WE SERVE THROUGH COMPASSIONATE, HIGH QUALITY CARE, PREVENTION AND WELLNESS EDUCATION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$130,993,340	ExpenseAmt
Revenue	$214,686,519	RevenueAmt
Desc	Ancillary Support Services: Services offered in 2016 by Washington Regional Medical Center included surgery, recovery, labor and delivery, central supply, IV therapy, laboratory, radiology and special imaging, pharmacy, respiratory therapy, physical therapy, and occupational therapy. A number of these services were available as outpatient services. Washington Regional Medical Center also offered pulmonary rehabilitation and diabetic education programs, a sleep disorders center, a wound care clinic, and outpatient cardiac rehabilitation. Washington Regional's surgery service performed 8,561 inpatient and outpatient surgeries. The central services department provided 1,890,417 supply items to patients being treated. Laboratory tests performed totaled 753,332. Radiology diagnostic procedures that included items such as X-rays, CT scans, ultrasound, cardiac catheterization, and nuclear images totaled 127,291 procedures. Washington Regional also performed 5,168 magnetic resonance imaging scans. The pharmacy sold patients 2,963,258 items, and respiratory therapy performed tests and treatments totaling 615,923 relative values. The wound care center performed 13,803 treatments. Pastoral care, case management, and volunteer services were offered at no cost to patients. Our chaplains, who worked closely with local ministers, served as liaisons between patients and their faith groups to provide spiritual and emotional support when needed. Case management helped patients and families locate community resources, home care, and financial assistance when needed after leaving the hospital.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$42,825,514	ExpenseAmt
Revenue	$30,259,621	RevenueAmt
Desc	General Inpatient Services: Washington Regional Medical Center is committed to providing a wide range of services to meet the general healthcare needs of its service population. General inpatient services in 2016 included internal medicine, geriatric health, obstetrics and gynecology, pediatrics, cardiology, cardiovascular surgery, intensive care, coronary intensive care, oncology, and orthopedics. Also included in general inpatient services are nursing services, nursing education, admissions services, medical records, quality assurance, case coordination, and central scheduling. In 2016 Washington Regional opened a five-story, 130,000-square-foot Women and Infants Center. In addition to private rooms for gynecology patients and pediatrics patients, the Women and Infants Center also offers 13 triage stations, 17 Labor & Delivery rooms, four operating rooms, 28 private mother-baby rooms, a 34-bed neonatal intensive care unit and a dedicated pharmacy. The NICU includes private patient rooms that let parents stay with their baby; some of these rooms are specially equipped for twins and multiples. The NICU floor also features the Angel Eye camera system as well as a Milk Lab staffed by technologists specially trained in infant nutrition. A Ronald McDonald House on the top floor of the Women and Infants Center provides a special place for families to find the support and comfort they need, just steps away from their hospitalized child or newborn. Washington Regionals second helipad is located on the center rooftop, providing efficient access for medical helicopters. Washington Regional continued to provide "intensivists" - physicians who specialize in caring for critically ill patients in the Medical Center's critical care unit. Staffed by physicians from our Pulmonology team, these highly trained and experienced medical specialists coordinated the care provided by nurses, respiratory therapists and others as needed by the patient. They provided continuous clinical assessment and addressed even the most subtle changes in clinical conditions. At Washington Regional, hospitalists, physicians who specialize in caring for hospitalized patients, were on site to provide ongoing and immediate care. In 2016 Washington Regional provided 18 hospitalists to our community. They worked as partners with our physicians and nursing staff to provide the highest standard of care during a patient's hospital stay. They were able to modify treatment or follow up on a test result on the spot, instead of waiting until the next day. This hands-on approach has been shown to not only help prevent medical complications, but also reduce hospital stays and lower costs. Washington Regional Medical Center maintained its Advanced Certification for Primary Stroke Centers. The Centers for Disease Control and Prevention reports a higher incidence of survival and recovery for stroke patients receiving care at primary stroke centers compared to those treated in hospitals without this type of specialized care. And, as part of its participation in a nationwide clinical trial, in 2016 Washington Regional became the first in Northwest Arkansas to implant the Barostim Neo device in a patient with heart failure. The study is designed to determine whether the device can help patients live longer, reduce hospital stays, and improve quality of life. Overall, Washington Regional had 15,000 acute admissions in 2016 and provided 60,653 days of inpatient acute care. (This included 11,231 intensive care days and cardiac critical care days.) The average length of an inpatient hospital stay in 2016 was 4.04 days. There were 1,512 babies born at Washington Regional in 2016, and 4,081 days of nursery care provided.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$9,404,921	ExpenseAmt
Revenue	$19,258,273	RevenueAmt
Desc	Emergency Services: Washington Regional's emergency physicians and staff, backed by the resources of more than 458 physicians on the medical staff, provided medical services to 56,839 patients in 2016. Washington Regionals emergency department provided services regardless of patients' ability to pay. Washington Regional continued its partnership with Arkansas SAVES (Stroke Assistance through Virtual Emergency Support) to provide lifesaving emergency care for stroke patients. The program uses a high-tech video communications system that enables WRMC emergency physicians and stroke neurologists from the University of Arkansas for Medical Sciences to administer lifesaving treatments 24 hours a day. Also, as an accredited Chest Pain Center, Washington Regional ensured that patients who arrive at the hospital with chest pain or other heart attack symptoms receive the rapid treatment necessary during the critical window of time when the integrity of the heart muscle can be preserved. Washington Regional has been an accredited Chest Pain Center with Primary PCI since 2010, but in 2016 Washington Regional became the first hospital in Arkansas to received full accreditation from the Society of Cardiovascular Patient Care as a Chest Pain Center with Primary PCI and Resuscitation. Physicians and staff also provided a public service by responding to news media requests for community health information such as accident prevention, emergency management and avoiding weather-related illnesses. The emergency department is capable of providing care for as many as 70,000 patient visits annually with its 41 treatment rooms and in 2016 maintained Level 2 Trauma Center designation from the Arkansas Department of Health. As the area's only Level 2 Trauma Center, Washington Regional provides the highest level of emergency care in the Northwest Arkansas region.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmt	RevenueRevenueAmt	DescDesc
$8,745,357	$9,692,336	HOME HEALTH AND HOSPICE
$6,401,604	$1,304,762	COMMUNITY BENEFITS AND OTHER

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$15,146,961	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$10,997,098	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$198,370,736	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	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	false	ScheduleORequiredInd
IRP Document	55	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	3272	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	8	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
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ACCOUNTING DEPARTMENT	PersonNm
Phone	4794631154	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3215 N NORTH HILLS BLVD	AddressLine1Txt
City	FAYETTEVILLE	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72703	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Greg W Lee
Chair	0.0	0.0	Yes (X)	$0	$0	$0
Timothy T Helder
Past Chairman	0.0	0.0	Yes (X)	$0	$0	$0
Elaine Longer
Vice Chair	0.0	0.0	Yes (X)	$0	$0	$0
M Gareth Eck MD
Secretary	0.0	0.0	Yes (X)	$0	$0	$0
Dorothy J Hanby
Director	0.0	0.0	Yes (X)	$0	$0	$0
Charles Robinson PhD
Director	0.0	0.0	Yes (X)	$0	$0	$0
Woodson W Bassett III Esquire
Director	0.0	0.0	Yes (X)	$0	$0	$0
Anthony N Hui MD
Director	0.0	0.0	Yes (X)	$0	$0	$0
Randal Hightower MD
Director	0.0	0.0	Yes (X)	$0	$0	$0
William L Bradley
President/CEO	40.0	0.0		$688,026	$0	$116,085	Yes (X)
Mark A Bever
Exec VP/Admin	40.0	0.0		$388,044	$0	$61,675	Yes (X)
Thomas J Olmstead
SR VP/Gen Counsel	40.0	0.0		$385,204	$0	$68,460	Yes (X)
Daniel R Eckels
SR VP/CFO	40.0	0.0		$367,471	$0	$60,572	Yes (X)
Larry Shackelford
SVP, Outreach Services	40.0	0.0		$359,389	$0	$61,697	Yes (X)
David G Ratcliff MD
Chief Medical Officer	26.0	14.0		$272,874	$146,932	$75,835	Yes (X)
Rebecca D Magee
SR VP/CIO	40.0	0.0		$249,875	$0	$36,928		Yes (X)
Beverly Winney
Chief Nurse Officer	40.0	0.0		$254,095	$0	$14,845		Yes (X)
Stanley C Bradley
Physician	40.0	0.0		$238,828	$0	$27,509			Yes (X)
James A Newton Jr
Physician	32.0	8.0		$150,444	$81,008	$29,886			Yes (X)
Mike W Horn
Pharmacist	40.0	0.0		$198,921	$0	$17,609			Yes (X)
Zina G Maxwell
Pharmacist	40.0	0.0		$198,614	$0	$19,139			Yes (X)
Ramona McLean
Director of Pharmacy	40.0	0.0		$193,499	$0	$24,836			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,945,284	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$227,940	TotReportableCompRltdOrgAmt
Total Other Compensation	$615,076	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	78	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PREMIER ANESTHESIA GROUP
2655 NORTHWINDS PARKWAY	ALPHARETTA	GA	30009	ANESTHESIA SERVICES	$1,493,421
LIQUIDAGENTS HEALTHCARE
PO BOX 202056	DALLAS	TX	753202056	NURSING SERVICE	$1,306,720
AMEDISTAF LLC
PO BOX 595	TONTITOWN	AR	72770	MEDICAL STAFFING	$1,300,987
NWA PATHLOGY ASSOC
390 E LONGVIEW	FAYETTEVILLE	AR	72703	PATHLOGY	$995,027
AUREUS NURSING
PO BOX 3037	OMAHA	NE	681030037	MEDICAL STAFFING	$776,870

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
Related Organizations	$381,185	RelatedOrganizationsAmt
All Other Contributions	$624,684	AllOtherContributionsAmt
Total Contributions	$1,005,869	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICE REVENUE	900099	$271,409,358	$271,409,358
REFERENCE LAB	611430	$1,428,878		$1,428,878
EXERCISE CENTER	713940	$579,543	$579,543
CAFETERIA SALES	111000	$1,518,159			$1,518,159
SPRINGWOODS CONTRACT FEE	541900

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,724,476	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,485,620	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$55,997	UnrelatedBusinessRevenueAmt
Exclusion	$182,859	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$283,660,414	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,750,075	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,750,075	RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,130,154	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,130,154	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,130,154	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$24,570	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$24,570	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,570	TotalRevenueColumnAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$288,571,082	TotalRevenueColumnAmt
Related Or Exempt Func Income	$283,224,596	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,484,875	UnrelatedBusinessRevenueAmt
Exclusion	$1,701,018	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,053,145	TotalAmt
Program Services	$5,053,145	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,945,284	TotalAmt
Management And General	$3,945,284	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$83,833,378	TotalAmt
Program Services	$72,386,019	ProgramServicesAmt
Management And General	$11,109,657	ManagementAndGeneralAmt
Fundraising	$337,702	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,529,779	TotalAmt
Program Services	$2,087,225	ProgramServicesAmt
Management And General	$432,930	ManagementAndGeneralAmt
Fundraising	$9,624	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,199,634	TotalAmt
Program Services	$7,568,467	ProgramServicesAmt
Management And General	$1,595,793	ManagementAndGeneralAmt
Fundraising	$35,374	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,275,916	TotalAmt
Program Services	$5,414,379	ProgramServicesAmt
Management And General	$836,776	ManagementAndGeneralAmt
Fundraising	$24,761	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$368,213	TotalAmt
Program Services	$137,500	ProgramServicesAmt
Management And General	$230,713	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$65,088	TotalAmt
Management And General	$65,088	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$401,038	TotalAmt
Management And General	$400,638	ManagementAndGeneralAmt
Fundraising	$400	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$160,260	TotalAmt
Management And General	$160,260	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,516,480	TotalAmt
Program Services	$14,732,626	ProgramServicesAmt
Management And General	$783,854	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$726,088	TotalAmt
Program Services	$31,556	ProgramServicesAmt
Management And General	$688,710	ManagementAndGeneralAmt
Fundraising	$5,822	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,928,502	TotalAmt
Program Services	$784,635	ProgramServicesAmt
Management And General	$2,141,715	ManagementAndGeneralAmt
Fundraising	$2,152	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,481,648	TotalAmt
Program Services	$4,065,598	ProgramServicesAmt
Management And General	$3,416,050	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,835,382	TotalAmt
Program Services	$2,288,443	ProgramServicesAmt
Management And General	$544,577	ManagementAndGeneralAmt
Fundraising	$2,362	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$468,649	TotalAmt
Program Services	$350,055	ProgramServicesAmt
Management And General	$109,873	ManagementAndGeneralAmt
Fundraising	$8,721	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$160,776	TotalAmt
Program Services	$104,023	ProgramServicesAmt
Management And General	$53,230	ManagementAndGeneralAmt
Fundraising	$3,523	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,186,949	TotalAmt
Management And General	$3,186,949	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,052,091	TotalAmt
Program Services	$11,822,313	ProgramServicesAmt
Management And General	$2,229,358	ManagementAndGeneralAmt
Fundraising	$420	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,047,788	TotalAmt
Program Services	$18,453	ProgramServicesAmt
Management And General	$1,029,335	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$58,827,367	$58,664,158	$163,172	$37
PURCHASED SERVICES	$8,640,924	$5,481,589	$3,135,279	$24,056
REPAIRS AND MAINTENANCE	$4,839,405	$3,179,615	$1,659,790
NON CAPITAL EQUIPMENT	$3,315,233	$2,955,014	$356,335	$3,884

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,711,937	TotalAmt
Program Services	$1,245,923	ProgramServicesAmt
Management And General	$1,449,760	ManagementAndGeneralAmt
Fundraising	$16,254	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$238,570,954	TotalAmt
Program Services	$198,370,736	ProgramServicesAmt
Management And General	$39,725,126	ManagementAndGeneralAmt
Fundraising	$475,092	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$95,240	BOYAmt
EOY	$28,012	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$31,133,538	BOYAmt
EOY	$36,793,898	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	$36,958,168	BOYAmt
EOY	$40,133,352	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	$4,001,673	BOYAmt
EOY	$4,689,981	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,653,607	BOYAmt
EOY	$3,462,061	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$354,961,261	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$160,826,529	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$143,211,413	BOYAmt
EOY	$194,134,732	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$103,025,119	BOYAmt
EOY	$112,076,322	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,121,716	BOYAmt
EOY	$884,424	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$56,787,418	BOYAmt
EOY	$41,350,555	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$378,987,892	BOYAmt
EOY	$433,553,337	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$29,138,091	BOYAmt
EOY	$45,039,856	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	$115,422,515	BOYAmt
EOY	$111,292,458	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	$432,513	BOYAmt
EOY	$6,934,622	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	$4,036,836	BOYAmt
EOY	$2,267,361	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$149,029,955	BOYAmt
EOY	$165,534,297	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$229,414,243	BOYAmt
EOY	$268,018,039	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$543,694	BOYAmt
EOY	$1,001	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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	$229,957,937	BOYAmt
EOY	$268,019,040	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$378,987,892	BOYAmt
EOY	$433,553,337	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$50,000,128	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,233,394	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$18,172,419	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$13,317	OtherActivitiesAmt
Total Lobbying Expenditures	$13,317	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Lobbying activity	FormAndLineReferenceDesc
Explanation	The organization is a member of, and pays dues to the American Hospital Association and the Arkansas Hospital Association. For the year ended 2016, the dues were $33,741 and $66,585 respectively. Approximately 20% of the Arkansas Hospital Association dues were attributable to lobbying activities performed by these organizations.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,793,436	BeginningYearBalanceAmt
Contributions	$22,934	ContributionsAmt
Investment Earnings Or Losses	$114,342	InvestmentEarningsOrLossesAmt
Other Expenditures	-$26,750	OtherExpendituresAmt
End Year Balance	$1,957,462	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,025,002	BeginningYearBalanceAmt
Contributions	$1,979	ContributionsAmt
Investment Earnings Or Losses	-$23,792	InvestmentEarningsOrLossesAmt
Other Expenditures	$209,753	OtherExpendituresAmt
End Year Balance	$1,793,436	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,354,169	BeginningYearBalanceAmt
Contributions	$786,722	ContributionsAmt
Investment Earnings Or Losses	$35,743	InvestmentEarningsOrLossesAmt
Other Expenditures	$151,632	OtherExpendituresAmt
End Year Balance	$2,025,002	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,402,443	BeginningYearBalanceAmt
Contributions	$85,092	ContributionsAmt
Investment Earnings Or Losses	$17,078	InvestmentEarningsOrLossesAmt
Other Expenditures	$150,444	OtherExpendituresAmt
End Year Balance	$1,354,169	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,296,403	BeginningYearBalanceAmt
Contributions	$298,119	ContributionsAmt
Investment Earnings Or Losses	$11,843	InvestmentEarningsOrLossesAmt
Other Expenditures	$203,922	OtherExpendituresAmt
End Year Balance	$1,402,443	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.25000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.66000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.09000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,280,288	OtherCostOrOtherBasisAmt
Book Value	$1,280,288	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$184,672,163	OtherCostOrOtherBasisAmt
Depreciation	$58,600,747	DepreciationAmt
Book Value	$126,071,416	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,832,063	OtherCostOrOtherBasisAmt
Depreciation	$2,414,820	DepreciationAmt
Book Value	$417,243	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$146,019,032	OtherCostOrOtherBasisAmt
Depreciation	$92,936,814	DepreciationAmt
Book Value	$53,082,218	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,334,999	OtherCostOrOtherBasisAmt
Depreciation	$5,051,432	DepreciationAmt
Book Value	$13,283,567	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$194,134,732	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
PREPAID BOND FUNDING	$9,582,496
ACCRUED INTEREST	$274,368
DEFERRED ORGANIZATIONAL COSTS	$1,484,681
BENEFICIAL INTEREST IN WR FDN	$508,271
EQUITY INVESTMENTS	$27,678,427
DUE FROM AFFILIATES	$1,426,720
OTHER	$395,592

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$41,350,555	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO THIRD PARTY	Desc
Amt	$2,267,361	Amt

Field	Value	IRS element (for citing)
Total Liability	$2,267,361	TotalLiabilityAmt

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
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	6969	PersonsServedCnt
Total Community Benefit Expns	$1,484,625	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,530	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,472,094	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	17320	PersonsServedCnt
Total Community Benefit Expns	$24,843,054	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,721,492	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,121,562	NetCommunityBenefitExpnsAmt
Total Expense	0.02980	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	24289	PersonsServedCnt
Total Community Benefit Expns	$26,327,679	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,734,022	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,593,656	NetCommunityBenefitExpnsAmt
Total Expense	0.03590	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$552,373	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,840	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$537,533	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$180,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$180,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$8,715,574	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,386,521	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,329,053	NetCommunityBenefitExpnsAmt
Total Expense	0.01810	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$179,886	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,219	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$128,667	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$280,228	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$280,228	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$9,908,061	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,452,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,455,481	NetCommunityBenefitExpnsAmt
Total Expense	0.02240	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	24289	PersonsServedCnt
Total Community Benefit Expns	$36,235,740	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,186,602	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,049,137	NetCommunityBenefitExpnsAmt
Total Expense	0.05830	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$24,450,655	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,445,065	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$91,722,263	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$80,709,423	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$11,012,840	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
North Hills Surgery
Ambulatory surgery center	0.51	0.49
Dialysis Center of N
Dialysis services	0.6	0.2

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WASHINGTON REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3215 N NORTH HILLS BLVD	AddressLine1Txt
City	FAYETTEVILLE	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72703	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WREGIONAL.COM	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	WASHINGTON REGIONAL MEDICAL CENTER	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	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.WREGIONAL.COM	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.WREGIONAL.COM	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	10000.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	25000.	FPGFamilyIncmLmtDscntCarePct
Other Criteria	Yes (X)	OtherCriteriaInd
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	WWW.WREGIONAL.COM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.WREGIONAL.COM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.WREGIONAL.COM	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
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
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 11	THREE SIGNIFICANT COMMUNITY HEALTH NEED PRIORITIES IDENTIFIED AND ADDRESSED: 1. ACCESS TO PRIMARY CARE WASHINGTON REGIONAL CONTINUED TO ACTIVELY RECRUIT PHYSICIANS AND ADVANCED PRACTICE PROVIDERS WHO SPECIALIZE IN PRIMARY CARE. WASHINGTON REGIONAL CONTINUED TO PROVIDE FINANCIAL SUPPORT TO COMMUNITY HEALTH SERVICES SUCH AS THE WASHINGTON COUNTY DEPARTMENT OF HEALTH AND WELCOME HEALTH, A FREE HEALTH CENTER THAT PROVIDES PRIMARY CARE. WASHINGTON REGIONAL PROVIDED SUPPORT TO ITS NINE PRIMARY CARE CLINICS THAT APPLIED AND WERE ACCEPTED TO BE AMONG 2,900 PRIMARY CARE PRACTICES NATIONWIDE TO PARTICIPATE IN COMPREHENSIVE PRIMARY CARE PLUS, A PARTNERSHIP DESIGNED TO PROVIDE PATIENTS WITH IMPROVED ACCESS TO QUALITY HEALTHCARE AT LOWER COSTS. WASHINGTON REGIONAL, THROUGH ITS FAITH IN ACTION PROGRAM, CONTINUED TO PROVIDE VOLUNTEER-BASED FREE SERVICES TO HOMEBOUND OLDER ADULTS, INCLUDING ASSISTANCE IN ARRANGING TRANSPORTATION TO CLINIC APPOINTMENTS. WASHINGTON REGIONAL, RECOGNIZING THAT AREA RESIDENTS OFTEN REQUIRE PRIMARY CARE WITH LOCATIONS AND EXTENDED HOURS THAT ARE CONVENIENT FOR BUSY LIFESTYLES, CONTINUED TO OPERATE URGENT CARE CLINICS DESIGNED TO MEET THOSE NEEDS. WASHINGTON REGIONAL OPENED IN 2016 A WOMEN AND INFANTS CENTER, WHICH PROVIDES A CONVENIENT LOCATIONS FOR THE PATIENTS OF NORTHWEST ARKANSAS TWO LEADING OB/GYN CLINICS, WHERE MANY WOMEN RECEIVE THEIR PRIMARY CARE. 2. STROKE CARE WASHINGTON REGIONAL MAINTAINED ITS STATUS AS A CERTIFIED PRIMARY STROKE CENTER AS DESIGNATED BY THE JOINT COMMISSIONS GOLD SEAL OF APPROVAL AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATIONS HEART-CHECK MARK FOR ADVANCED CERTIFICATION FOR PRIMARY STROKE CENTERS. WASHINGTON REGIONAL CONTINUED TO ACTIVELY RECRUIT STROKE CARE SPECIALISTS, SIGNING A STROKE NEUROLOGIST TO BEGIN IN 2017. WASHINGTON REGIONAL CONTINUED TO PARTICIPATE IN THE ARKANSAS SAVES PROGRAM (STROKE ASSISTANCE THROUGH VIRTUAL EMERGENCY SERVICES), A PARTNERSHIP BETWEEN WASHINGTON REGIONAL, UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES FOR DISTANCE HEALTH, DEPARTMENT OF HEALTH AND DEPARTMENT OF HUMAN SERVICES. WASHINGTON REGIONAL SET A MAY 2017 DATE TO PRESENT A STROKE SURVIVORS CELEBRATION OFFERING ENCOURAGEMENT, EDUCATION AND REHABILITATION TIPS. WASHINGTON REGIONAL, IN PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION, CONTINUED ITS FINANCIAL SUPPORT FOR THE AHA HEALTH INITIATIVE KNOW AS CHECK.CHANGE.CONTROL., A BLOOD-PRESSURE MANAGEMENT PROGRAM THAT HELPS PEOPLE TAKE OWNERSHIP OF THEIR CEREBROVASCULAR AND CARDIOVASCULAR HEALTH. WASHINGTON REGIONAL CONTINUED TO PROVIDE INFORMATION ABOUT CEREBROVASCULAR DISEASE AND STROKE AT HEALTH FAIRS AND COMMUNITY EVENTS SUCH AS DAY OF DANCE AND GIRLS NIGHT OUT, ON TV WITH YOUR HEALTH MORNING-NEWS SEGMENTS AND THROUGH PUBLICATIONS DISTRIBUTED TO THE COMMUNITY, SUCH AS THE YOUR HEALTH ONLINE NEWSLETTER AND THE LOCAL NEWSPAPERS MONTHLY HEALTH PUBLICATION. 3. WELLNESS AND HEALTH EDUCATION WASHINGTON REGIONAL CONTINUED TO SUPPORT A NEW EXECUTIVE-LEVEL POSITION THAT WAS CREATED TO LEAD POPULATION HEALTH INITIATIVES ACROSS THE SPECTRUM OF CARE FOR PATIENTS IN THE WASHINGTON REGIONAL MEDICAL SYSTEM. WASHINGTON REGIONAL, THROUGH ITS PARTNERSHIP WITH THE UNIVERSITY OF ARKANSAS COLLEGE OF EDUCATION AND HEALTH PROFESSIONS AND THE UA SCHOOL OF NURSING, CONTINUED ITS CARE PARTNERS PROGRAM, WHICH TRAINS PRE-PROFESSIONAL STUDENTS TO ACT AS HEALTH COACHES FOR PATIENTS WHO ARE AT RISK FOR MEDICAL COMPLICATIONS OUTSIDE THE HOSPITAL, PROVIDING IMPORTANT ONE-ON-ONE HEALTH EDUCATION. WASHINGTON REGIONAL CONTINUED TO OFFER THE WELLNESS ACTIVITIES AND CLASSES OF THE WASHINGTON REGIONAL CENTER FOR EXERCISE TO EMPLOYEES AND THE COMMUNITY. WASHINGTON REGIONAL CONTINUED TO BE A MODEL FOR THE COMMUNITY AND OTHER AREA EMPLOYERS BY SUPPORTING AN EMPLOYEE WELLNESS PROGRAM FEATURING HEALTH INSURANCE DISCOUNTS FOR PARTICIPATING EMPLOYEES AND AN EMPLOYEE-LED WELLNESS COMMITTEE. WASHINGTON REGIONAL CONTINUED TO PROVIDE COMMUNITY CLASSES SUCH AS BREASTFEEDING SUPPORT, DADDY BOOT CAMP, SIBLING CLASS AND INFANT CPR. WASHINGTON REGIONAL, THROUGH ITS EDUCATION DEPARTMENT, CONTINUED TO PROVIDE INSTRUCTION ON LIFESAVING SKILLS SUCH AS CPR TO THE COMMUNITY. WASHINGTON REGIONAL CONTINUED TO OFFER THE SERVICES OF ITS MOBILE DENTAL CLINIC, WHICH SINCE 2014 HAS BEEN DRIVEN MORE THAN 18,000 MILES TO DELIVER FREE DENTAL SERVICES AND PREVENTIVE EDUCATION TO 2,500+ INDIVIDUALS. WASHINGTON REGIONAL CONTINUED TO PROVIDE HEALTH EDUCATION AND WELLNESS TIPS AT HEALTH FAIRS AND COMMUNITY EVENTS SUCH AS DAY OF DANCE, GIRLS NIGHT OUT AND WORLDS LARGEST BABY SHOWER, ON TV WITH YOUR HEALTH MORNING-NEWS SEGMENTS AND THROUGH PUBLICATIONS DISTRIBUTED TO THE COMMUNITY, SUCH AS THE YOUR HEALTH ONLINE NEWSLETTER AND THE LOCAL NEWSPAPERS MONTHLY HEALTH PUBLICATION. Lastly, there were no significant health needs that were not being addressed.
PART V, SECTION B, LINE 5	INTERVIEWS WITH KEY INFORMANTS WERE CONDUCTED IN JUNE 2016. INFORMANTS WERE SELECTED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. ALL INTERVIEWS WERE CONDUCTED BY THE ENGAGED ACCOUNTING AND ADVISORY FIRMS PERSONNEL USING A STANDARD QUESTIONNAIRE. A SUMMARY OF THEIR OPINIONS IS REPORTED WITHOUT JUDGING THE ACCURACY OF THEIR REMARKS. COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: 1) HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY, 2) BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY, 3) OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES, AND 4) DELINEATION OF THE MOST IMPORTANT HEALTHCARE ISSUES OR SERVICES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES. THE FOLLOWING INDIVIDUALS PARTICPATED IN THE KEY INFORMANT INTERVIEW PROCESS: -COUNTY SHERIFF, WHO IS ALSO A BOARD MEMBER -COUNTY HEALTH DEPARTMENT ADMINISTRATOR -DIRECTOR OF AREA AGENCY ON AGING -OUTREACH REPRESENTATIVE FROM LOCAL HOMELESS CENTER -EMERGENCY DEPARTMENT PHYSICIAN -AREA PUBLIC SCHOOL SUPERINTENDENT -CEO OF PHYSICAL REHABILITATION CENTER -DIRECTOR OF PACIFIC ISLANDER HEALTH (A LARGE LOCAL POPULATION) -DIRECTOR OF DEVELOPMENT AT FREE HEALTH CENTER
PART V, SECTION B, LINE 13 H	When determining discounted care, the organization considers multiple factors such as gross income, family size, and net pay in relation to reported expenses.

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6	The organization prepares a community benefit report annually and presents the report to the Washington County, Arkansas Quorum Court. The report is also posted on the organization's website.
PART I, LINE 7G	The organization reports subsidized health services for certain clinics. The subsidy reported is equal to the amount of operating loss less the provision for uncollectible accounts. The clinics for which the organization subsidizes meet certain criteria as set forth by the IRS including: services for seniors, neonatal services, women's services and psychiatric services.
PART III, LINES 2,3,4	On the basis of historical experience, a significant portion of the organization's uninsured patients will be unable or unwilling to pay for the services provided. Thus, the organization records a provision for uncollectible accounts related to uninsured patients in the period the services are provided. This provision for uncollectible accounts is presented on the statement of operations as a component of net patient revenue. The cost of bad debt is estimated using a cost to charge ratio. The amount of bad debt attributable to patients eligible for charity is estimated to be 10%, or a relatively small number. Patients have many chances to learn about financial assistance, and the assumption is made that qualifying patients will act upon the receipt of such information. The organization follows the VHA/Catholic Health Association's guide for planning and reporting community benefits. As such, the organization does not report bad debt from the treatment of patients as a community benefit. See footnote 1, page 11, in the audited financial statements which describes bad debt.
PART III, LINE 8	THE ORGANIZATION FOLLOW THE VHA/CATHOLIC HEALTH ASSOCIATION'S GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS. aS SUCH, THE ORGANIZATION DOES NOT REPORT SHORTFALLS FROM THE TREATMENT OF MEDICARE PATIENTS AS A COMMUNITY BENEFIT. THE INFORMATION ON THE PROFITABILITY OF MEDICARE WAS DERIVED FROM THE 2016 MEDICARE COST REPORT AS REQUIRED IN THE FORM 990 INSTRUCTIONS. OTHER EXPENSE ITEMS CONSIDERED NON-ALLOWABLE BY MEDICARE BUT ARE TRUE COST ITEMS SUCH AS COMMUNITY BENEFIT SUBSIDIES AND TRAUMA CALL COVERAGE AMOUNT TO ANOTHER $5.1 MILLION OF ACTUAL COSTS. iN CONSIDERATION OF THESE ADDITIONAL COSTS, THE SURPLUS FROM MEDICARE MAY BE ROUGHLY $6 MILLION. AS A COMPARISON, THE INTERNAL COST ACCOUNTING SYSTEM CALCULATES A SURPLUS FROM TREATMENT OF MEDICARE PATIENTS OF $6.2 MILLION IN 2016.
PART III, LINE 9B	The organization's collection (bad debt) policy specifically addresses that collection agencies are required to analyze the patient's ability to pay. In the event that charity is identified, collection efforts are suspended and the account is written off to charity on a timely basis.
PART VI, LINE 2	The organization assesses needs in a variety of ways. With respect to practitioner recruitment for development of new health care services, the organization may perform internal assessments of the need for such providers and/or services or engage external consultants to assess those needs. Additionally, the organization is advised of community needs by its community-based board of directors, medical staff, local government and local nonprofit organizations. The organization also identifies the need for new services or shortcomings in existing community health resources by analyzing utilization patterns in its service offerings, I.e. patients presenting to the emergency room for services no longer provided elsewhere. The Pat Walker Center for Seniors is an example where the organization has responded to the needs of the aging patient population. This patient population became underserved when other local providers elected to discontinue or limit services to patients with Medicare.
PART VI, LINE 3	DURING PRE-REGISTRATION AND REGISTRATION, STAFF IDENTIFY PATIENT FINANCIAL NEEDS DURING DISCUSSIONS OF SOURCE OR PAYMENT. wHEN A PATIENT STATES AN INABILITY TO PAY, ORGANIZATION PERSONNEL SCREEN FOR FINANCIAL ASSISTANCE ELIGIBILITY BY ASKING FOR INCOME AND FAMILY SIZE. PATIENTS THAT STAFF BELIEVE MAY QUALITY FOR FINANCIAL ASSISTANCE ARE REFERRED TO FINANCIAL COUNSELORS TO DISUCSS FINANCIAL ASSISTANCE AVAILABLE, INFORMATION NEEDED AND THE DECISION PROCESS. DURING THE ACCOUNTS RECEIVABLE PRE-COLLECTION PROCESS, CORRESPONDENCE LETTERS FROM THE ORGANIZATION CLEARLY STATE THAT PATIENTS WHO BELIEVE THAT THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE PROGRAM SHOULD CALL FOR THIS SPECIFIC HELP. PHONE DISCUSSIONS DURING THE A/R pre-collection phase and the bad debt collection phase screen for those who may qualify for benefits under the financial assistance policy. These efforts are evidenced by instances of fiancial assistance provided to accounts that were either in the pre-collection or bad debt collections phases when the financial assistance determination was made. The organization also attempts to identify health care coverage under federal and state programs and facilitates patients' enrollment in such programs. Funding of these efforts cost $136,000 in 2016.
PART VI, LINE 4	The organization serves as a regional referral center for northwest Arkansas, western Oklahoma and southwest Missouri. WRMC's service area includes Washington, Benton, Madison, Carroll and Boone counties. In 2016, the estimated population according to the US Census Bureau for each of these five counties was as follows: Washington, 228,049; Benton, 258,291; Madison, 16,072; Carroll, 27,646; and Boone, 37,304. The median household income in 2016 for each of these counties was as follows: Washington, $43,524; Benton, $56,239; Madison, $37,691; Carroll, $36,897 and Boone, $39,251. The percentage of persons below the poverty level range from 10.8% in Benton County to 18.8% in Madison County. White persons made up the greatest percentage of the population for each of the counties. Persons of Hispanic or Latino origin were the second highest ranging from 2.4% in Boone County to 16.4% in Washington and Benton Counties. Over 76% of our inpatient admissions were from Washington and Benton counties. Inpatient admissions from other counties in our secondary service area totaled 13%, with the remaining percentage coming from neighboring Oklahoma and Missouri as well as other counties in Arkansas and across the nation. Washington and Benton county residents represented 88% of our outpatient cases. Of the total admissions in 2016, approximately 15% were uninsured or Medicaid recipients.
PART VI, LINE 5	The organization provides community support through being a major participant in disaster readiness, public health emergency activities and community disease surveillance. From an environmental perspective, the organization segregates and properly disposes of hazardous clinical waste in order to safeguard community natural resources. Part of the organization's mission is to improve the health of the citizens in the communities we serve. The organization maintains walking trails around the campus, connected these trails to the city's walking trails and contributed land to the city to add to its walking trails. The organization continually assesses the need for various types of physicians and recruits as appropriate. In 2016, Washington Regional welcomed 40 new physicians to the medical staff. With skills and expertise that complement existing practices and serve a demonstrated need in the community, these new physicians represent a wide range of medical specialties: Emergency Medicine, Family Practice, Internal Medicine, Endocrinology, Pulmonology, Rheumatology, Gastroenterology, Anesthesiology, General Surgery, OB/GYN, Neurology, Neurosurgery, Endovascular Neurosurgery, Hospitalist and Neonatology. Included in the 2016 community benefit totals are amounts for which the organization provided financial support to local nursing education programs. Total support for these programs in 2016 was $180,000.
PART VI, LINE 6	WASHINGTON REGIONAL MEDICAL CENTER IS A MEMBER OF WASHINGTON REGIONAL MEDICAL SYSTEM WHICH IS ALSO THE PARENT OF SEVERAL OTHER ORGANIZATIONS THAT PROMOTE THE HEALTH OF THE COMMUNITY. EACH ORGANIZATION IS LISTED BELOW. WASHINGTON REGIONAL MEDICAL SYSTEM (PARENT)PROVIDES PLANNING AND COORDINATION OF THE DELIVERY OF HEALTH CARE SERVICES. IT OPERATES PHYSICIAN CLINICS WITH MULTIPLE SPECIALTIES WITH IN THE CLINIC SETTING, PROVIDES COMMUNITY EDUCATION AND SEMINARS RELATING TO SENIOR HEALTH, NEONATAL CARE, WOMEN'S HEALTH AND MEN'S HEALTH. WASHINGTON REGIONAL MEDICAL CENTER (THE ORGANIZATION)IS THE LARGEST PROVIDER OF ACUTE CARE IN NORTHWEST ARKANSAS. IT CONDUCTS AND PARTICIPATES IN COMMUNITY HEALTH FAIRS, HOSTS COMMUNITY BLOOD DRIVES, AND HOSTS EDUCATION SEMINARS FOR HEALTH CARE PROVIDERS IN THE REGION. IT ALLOCATES SURPLUS THROUGH THE PROVISION OF COMMUNITY BENEFITS INCLUDING BUT NOT LIMITED TO CHARITY CARE TO APPROXIMATELY 7,000 BENEFICARIES AT A COST OF $1.5 MILLION: APPROXIMATELY 17,OOO MEDICAID BENEFICIARIES RECEIVING CARE AT A NET LOSS OF $7 MILLION; COMMUNITY HEALTH SERVICES(INCLUDING MEDICAID ELIGIBILITY SERVICES, HIV CLINICS, PRENATAL CLINICS AND FREE HEALTH CLINICS) AT A COST OF $500,000; DIRECT SUPPORT TO HEALTH PROFESSIONS EDUCATION OF $180,000; SUBSIDED HEALTH SERVICES FOR CERTAIN CLINICS AT A COST OF $3.8 MILLION; MEDICAL RESEARCH AND OTHER CASH DONATIONS AT A COST OF $938,000. EUREKA REGIONAL HEALTH (SIBLING ORGANIZATION) PROVIDES MEDICAL FACILITIES IN CARROLL COUNTY FOR A PHYSICIAN CLINIC. WASHINGTON REGIONAL MEDICAL FOUNDATION(SIBLING ORGANIZATION) PROVIDES FUND RAISING ACTIVITIES THAT SUPPORT THE ORGANIZATIONS MISSION OF IMPROVING THE HEALTH OF THE CITIZENS IN THE COMMUNITIES IT SERVES. IT INVOLVES THE COMMUNITY THROUGH BOARD MEMBERSHIP AND VOLUNTEER PARTICIPATION. WASHINGTON REGIONAL MEDICAL SERVICES THE ORGANIZATION OWNS REAL ESTATE AND DEVELOPS AND MANAGES HEALTHCARE FACILITIES ANS SERVICES THAT SUPPORT THE MISSION OF WASHINGTON REGIONAL MEDICAL CENTER. IN ADDITION TO ITS SIBLING ORGANIZATIONS, THE ORGANIZATION HAS THREE JOINT VENTURES AND ONE WHOLLY-OWNED SUBSIDIARY. WASHINGTON REGIONAL MREHABILITATION SERIVCES, LLC (100% OWNED SUBSIDARY) HOLDS A 50% OWNERSHIP IN THE LOCAL HEALTHSOUTH REHAB HOSPITAL WHICH ENSURES ACCESS TO QUALITY REHAB SERVICES FOR PATIENTS REGARDLESS OF ABILITY TO PAY. DIALYSIS CENTERS OF NORTHWEST ARKANSAS (60% OWNED JOINT VENTURE) PROVIDES CHRONIC DIALYSIS SERVICES TO PATIENTS WITH RENAL FAILURE. NORTH HILLS SURGERY CNETER (51% OWNED JOINT VENTURE) PROVIDES OUTPATIENT SURGICAL SERVICES, HEALTH PARTNERS (50% OWNED JOINT VENTURE) COORDINATES CONTRACTING BETWEEN PROVIDERS, INSURERS AND EMPLOYUERS TO FACILITATE ACCESS TO CARE TO THE COMMUNITY,

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt
NWA Free Health Center
1100 N WOOLSEY AVE	Fayetteville	AR	72701	581691790	501(c)(3)	$8,169	Cost	MEDICAL SUPPLIES	Community Needs
Washington County HIV clinic
3270 N Wimberly Dr	Fayetteville	AR	72703	716003197			COST	LABOR AND BENEFITS	Community Needs	$78,500
Arkansas Department of Health
4815 W Markham Slot 57	Little Rock	AR	72703	716007358			Cost		Community Needs	$67,577
Arkansas Dept of Human Services
PO Box 1437	Little Rock	AR	72203	710847443			Cost		Community Needs	$27,082
NWA Community College Foundation (Nursing program)
1 College Drive	Bentonville	AR	72712	710697377	501(c)(3)		Cost		Nursing School Donation	$50,000
University of Arkansas - College of Nursing
300 UNIVERSITY HOUSE	FAYETTEVILLE	AR	72701	716003252	170(b)(1)(A)(v)		Cost		Nursing School Donation	$100,000
JOHN BROWN UNIVERSITY - Nursing Program
2000 W UNIVERSITY ST	SILOAM SPRINGS	AR	72761	710239576	501(C)(3)		COST		NURSING SCHOOL DONATION	$15,000
NTI FOUNDATION
709 S OLD MISSOURI RD	SPRINGDALE	AR	72764						MEDICAL TRAINING	$15,000
RMHC OF ARKOMA
1333 ARAPAHO AVE STR C	SPRINGDALE	AR	72764						COMMUNITY NEED	$100,000
AR HOSPITAL EDUCATION AND RESEARCH
419 NATURAL RESOURCES DR	LITTLE ROCK	AR	72205		501(C)(3)				COMMUNITY NEEDS	$19,709
CENTRAL EMS
645 S SCHOOL	FAYETTEVILLE	AR	72701						COMMUNITY NEEDS	$27,491
DIALYSIS CENTER OF NWA
107 E MONTE PAINTER DR	FAYETTEVILLE	AR	72703						COMMUNITY NEEDS	$84,268
FAYETTEVILLE HEALTH & REHAB
3100 OLD MISSOUR RD	FAYETTEVILLE	AR	72701						COMMUNITY NEEDS	$30,736

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH I PART III	FormAndLineReferenceDesc
Explanation	GRANTS ARE GENERALLY FOR REIMBURSEMENT OF PREVIOUSLY MADE CAPITAL OR OPERATIONAL EXPENDTURES GUARANTEEING THE GRANTS ARE USED AS INTENDED. IN OTHER CASES GRANTS ARE GIVEN BY WRMC FOR GENERAL SUPPORT, THEREFORE, MONITORING OF THE USE OF GRANT FUNDS IS NOT NECESSARY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	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 (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
William L Bradley
President/CEO	$469,066	$132,086	$86,874	$94,899	$21,186	$804,111	$75,821
Mark A Bever
Exec VP/Admin	$286,711	$72,597	$28,736	$39,788	$21,887	$449,719	$29,637
Thomas J Olmstead
SR VP/Gen Counsel	$278,718	$67,270	$39,216	$51,684	$16,776	$453,664	$41,185
Daniel R Eckels
SR VP/CFO	$270,203	$64,213	$33,055	$46,026	$14,546	$428,043	$35,334
Larry Shackelford
SVP, Outreach Services	$263,889	$62,712	$32,788	$43,927	$17,770	$421,086	$33,307
David G Ratcliff MD
Chief Medical Officer	$192,838	$48,828	$31,208	$41,656	$7,637	$322,167	$32,468	$103,836	$26,292	$16,804	$22,430	$4,112	$173,474	$17,483
Rebecca D Magee
SR VP/CIO	$205,169	$44,706		$16,232	$20,696	$286,803
Beverly Winney
Chief Nurse Officer	$189,198	$62,065	$2,832	$9,557	$5,288	$268,940
Stanley C Bradley
Physician	$213,333	$25,495		$10,001	$17,508	$266,337
James A Newton Jr
Physician	$139,750	$10,694		$7,768	$11,658	$169,870		$75,250	$5,758		$4,183	$6,277	$91,468
Mike W Horn
Pharmacist	$154,156	$3,003	$41,762	$6,993	$10,616	$216,530
Zina G Maxwell
Pharmacist	$156,645	$3,084	$38,885	$8,009	$11,130	$217,753
Ramona McLean
Director of Pharmacy	$183,178	$10,321		$9,000	$15,836	$218,335

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 3

The Board of Directors of a Related Organization (Washington Regional Medical System) has a standing Compensation Committee comprised of independent members of the Board of Directors of the Related Organization that regularly review the performance of the members of senior management of the Organization, engage independent compensation consultant, tax and legal advisors to ascertain and opine as to the reasonableness of total compensation paid to members of senior management, as determined on the basis of compensation surveys prepared by such advisors, and who determine the total compensation paid members of senior management of the Organization in conformance with the rebuttable presumption requirements of Section 4958 of the Internal Revenue Code.

SCHEDULE J, PART I, 4B

BILL BRADLEY RECEIVED 75840 FROM PARTICIPATION IN A 457(F) PLAN. MARK BEVER RECEIVED 30289 FROM PARTICIPATION IN A 457(F) PLAN. TOM OLMSTEAD RECEIVED 43897 FROM PARTICIPATION IN A 457(F) PLAN. LARRY SHACKELFORD RECEIVED 36454 FROM PARTICIPATION IN A 457(F) PLAN. DAVID RATCLIFF RECEIVED 51087 FROM PARTICIPATION IN A 457(F) PLAN. DAN ECKELS RECEIVED 37524 FROM PARTICIPATION IN A 457(F) PLAN. BEVERLY WINNEY RECEIVED 23348 FROM PARTICIPATION IN A 457(F) PLAN.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	ARKANSAS DEVELOPMENT FINANCE AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	710503641	BondIssuerEIN
CUSIP	04109FAQ1	CUSIPNum
Bond Issued	2015-01-15	BondIssuedDt
Issue Price	$115,741,408	IssuePriceAmt
Purpose	AR DEVELOPMENT FINANCE AUTHORITY	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$115,752,257	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$859,876	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$25,085,249	CapitalExpendituresAmt
Other Spent Proceeds	$84,881,532	OtherSpentProceedsAmt
Unspent	$4,925,600	UnspentAmt
Substantial Completion	2016	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Private Bus Use By Others	0	PrivateBusUseByOthersPct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Anthony N Hui MD	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Director	RelationshipDescriptionTxt
Transaction	$995,027	TransactionAmt
Transaction	Pathology Services	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L PART IV	FormAndLineReferenceDesc
Explanation	Anthony Hui is a Director of the Organization and serves as the President of NorthWest Arkansas Pathology Associates, P.A. The Organization purchases pathology services from NorthWest Arkansas Pathology Associates, P.A.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	At a duly called meeting of the Organization's Audit and Finance Committee, which is comprised of the Organization's board of directors, held in November 2017, copies of the proposed Form 990 filing prepared on behalf of the Organization were presented and reviewed with the board membership by the Organization's Chief Financial Officer and General Counsel.
FORM 990, PART VI, SECTION B, LINE 12 C	The terms of the Conflict of Interest Policy are incorporated within the Bylaws of the Organization, and are reviewed annually with the Board of Directors. All Directors are required to sign an acknowledgment that they have reviewed the policy and are aware of its terms. The policy is reviewed in detail at the time of new board member orientation. As potential conflicts arise, those conflicts are addressed pursuant to the policy.
FORM 990, PART VI, SECTION B, LINE 15B	The Board of Directors of a Related Organization (Washington Regional Medical System) has a standing Compensation Committee comprised of independent members of the Board of Directors of the Related Organization that regularly reviews the performance of the members of senior management of the Organization, engages independent compensation consultants, tax and legal advisors to ascertain and opine as to the reasonableness of total compensation paid to members of senior management, as determined on the basis of compensation surveys prepared by such advisors, and who determine the total compensation paid members of senior management of the Organization in conformance with the rebuttable presumption requirements of Section 4958 of the Internal Revenue Code.
FORM 990, PART VI, SECTION C, LINE 19	The Organization's Form 990 filing, governing documents, conflict of interest policy, and certain financial statements are available to the public upon written request.
FORM 990, PART VI, SECTION A, LINE 7A	THE ORGANIZATION HAS A MEMBER WHO IS AUTHORIZED TO ELECT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY AS PERMITTED UNDER THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS A MEMBER AS PERMITTED UNDER THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993.
FORM 990, PART VI, SECTION A, LINE 7B	THE MEMBER OF THE ORGANIZATION HAS THE RIGHT TO APPROVE CERTAIN ACTIONS OF THE ORGANIZATION'S GOVERNING BODY AS ARE RESERVED TO THE MEMBER UNDER THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993.
FORM 990, PART XI, LINE 9	Contributions from WRM Foundation for acquisition of property and equipment 1,654,949 Change in beneficial interest in net assets of WRM foundation for property acquisitions 415,325 Transfers to affiliates (19,700,000)
FORM 990, PART VII, SECTION A, COLUMN B	DAVID RATCLIFF, MD SPENDS APPROXIMATELY 14 HOURS A WEEK WORKING FOR RELATED ORGANIZATION WASHINGTION REGIONAL MEDICAL SYSTEM AT THE PAT WALKER SENIOR CENTER SEEING MEDICARE PATIENTS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
WR REHABILITATION SERVICES
3215 N NORTHHILLS BLVD	FAYETTEVILLE	AR	72703	261611632	REHAB PARTNER	AR	$3,705,224	$15,098,874	WRMC
WR OCCUPATIONAL HEALTH SERVICES LLC
3215 N NORTHHILLS BLVD	FAYETTEVILLE	AR	72703	454435675	OCCUP HEALTH	AR		$346	WRMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WASHINGTON REGIONAL MEDICAL SYSTEM
3215 N NORTHHILS BLVD	FAYETTEVILLE	AR	72703	710664686	PHYS CLINIC	AR	501(C)3	12b	WRMC	Yes (true)
WASHINGTON REGIONAL MEDICAL SERVICES
3215 N NORTHHILLS BLVD	FAYETTEVILLE	AR	72703	710664683	MEDICAL R/E	AR	501(C)3	12c	WRMC	Yes (true)
WASHINGTON REGIONAL MEDICORP
3215 N NORTHHILLS BLVD	FAYETTEVILLE	AR	72703	710707450	PACE	AR	501(C)3	10	WRMC	Yes (true)
WASHINGTON REGIONAL FOUNDATION
3215 N NORTHHILLS	FAYETTEVILLE	AR	72703	710664685	FUNDRAISING	AR	501(C)3	12c	WRMC	Yes (true)
EUREKA REGIONAL HEALTH
3215 N NORTHHILLS BLVD	FAYETTEVILLE	AR	72703	710769450	MEDICAL R/E	AR	501(C)3	3	WRMC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
DIALYSIS CENTER OF NORTHWEST ARKANSAS
107 E MONTE PAINTER DR	FAYETTEVILLE	AR	72703	432074310	RENAL DIALYSI	AR	Wash Reg Med Ct	RELATED	$2,464,901	$2,594,716	false	Yes (true)	0.60000
NORTH HILLS SURGERY CENTER
3271 N WIMBERLY DR	FAYETTEVILLE	AR	72703	710807771	AMB SURG CTR	AR	Wash Reg Med Ct	RELATED	$684,589	$331,904	false	Yes (true)	0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH PARTNERS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	54 W SUNBRIDGE DR	AddressLine1Txt
City	FAYETTEVILLE	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72703	ZIPCd

Field	Value	IRS element (for citing)
EIN	710764667	EIN
Primary Activities	PHO	PrimaryActivitiesTxt
Legal Domicile State	AR	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$11,114	ShareOfTotalIncomeAmt
Share Of EOY Assets	$252,671	ShareOfEOYAssetsAmt
Ownership	0.50000	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	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	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Washington Regional Medical System
L	$388,858	COST
Washington Regional Services
K	$271,315	COST
Washington Regional Medical System
J	$334,512	FMV
Washington Regional Medical System
B	$25,000,000	COST
Washington Regional Medical Foundation
C	$1,739,817	COST
Washington Regional Medical System
P	$5,125,622	COST