2017-11-15T13:12:56-06:00 2016-12-31 990 2016-01-01 710664687 Washington Regional Medical Center % ACCOUNTING DEPARTMENT WASH 4794631168 3215 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 DAN ECKELS SR VP & CFO 4794636026 2017-11-15 98.172.14.97 71124320173195000000 2017-11-15 P CEB563A16917ED4AD740F14606570ED2E9C54042 D1C295BF3204F23CF447C808C7564237C00439C5 2016 2017-02-10 21:41:12Z WILLIAM L BRADLEY SAME AS ABOVE FAYETTEVILLE AR 72703 288571082 false X WWW.WREGIONAL.COM X 1988 AR WASHINGTON REGIONAL IS COMMITTED TO IMPROVING THE HEALTH OF PEOPLE IN COMMUNITIES WE SERVE THROUGH COMPASSIONATE, HIGH QUALITY CARE,PREVENTION AND WELLNESS EDUCATION. 9 8 3272 85 1484875 1171627 1005869 254776898 283660414 4013560 2774645 932179 1130154 260894264 288571082 4518847 5053145 0 0 94583787 105783991 0 0 475092 110679276 127733818 209781910 238570954 51112354 50000128 378987892 433553337 149029955 165534297 229957937 268019040 X WASHINGTON REGIONAL IS COMMITTED TO IMPROVING THE HEALTH OF PEOPLE IN COMMUNITIES WE SERVE THROUGH COMPASSIONATE, HIGH QUALITY CARE, PREVENTION AND WELLNESS EDUCATION. false false 130993340 214686519 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. 42825514 30259621 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. 9404921 19258273 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. 8745357 9692336 HOME HEALTH AND HOSPICE 6401604 1304762 COMMUNITY BENEFITS AND OTHER 15146961 10997098 198370736 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false false true false false false false true true true true false false false 55 0 3272 true true true false false false false false false false false false false false false X 9 8 false false false false true true true true true false false true true true true true true true true true true X ACCOUNTING DEPARTMENT 4794631154 3215 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 Greg W Lee Chair 0.0 0.0 X 0 0 0 Timothy T Helder Past Chairman 0.0 0.0 X 0 0 0 Elaine Longer Vice Chair 0.0 0.0 X 0 0 0 M Gareth Eck MD Secretary 0.0 0.0 X 0 0 0 Dorothy J Hanby Director 0.0 0.0 X 0 0 0 Charles Robinson PhD Director 0.0 0.0 X 0 0 0 Woodson W Bassett III Esquire Director 0.0 0.0 X 0 0 0 Anthony N Hui MD Director 0.0 0.0 X 0 0 0 Randal Hightower MD Director 0.0 0.0 X 0 0 0 William L Bradley President/CEO 40.0 0.0 X 688026 0 116085 Mark A Bever Exec VP/Admin 40.0 0.0 X 388044 0 61675 Thomas J Olmstead SR VP/Gen Counsel 40.0 0.0 X 385204 0 68460 Daniel R Eckels SR VP/CFO 40.0 0.0 X 367471 0 60572 Larry Shackelford SVP, Outreach Services 40.0 0.0 X 359389 0 61697 David G Ratcliff MD Chief Medical Officer 26.0 14.0 X 272874 146932 75835 Rebecca D Magee SR VP/CIO 40.0 0.0 X 249875 0 36928 Beverly Winney Chief Nurse Officer 40.0 0.0 X 254095 0 14845 Stanley C Bradley Physician 40.0 0.0 X 238828 0 27509 James A Newton Jr Physician 32.0 8.0 X 150444 81008 29886 Mike W Horn Pharmacist 40.0 0.0 X 198921 0 17609 Zina G Maxwell Pharmacist 40.0 0.0 X 198614 0 19139 Ramona McLean Director of Pharmacy 40.0 0.0 X 193499 0 24836 3945284 227940 615076 78 false true false PREMIER ANESTHESIA GROUP 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 ANESTHESIA SERVICES 1493421 LIQUIDAGENTS HEALTHCARE PO BOX 202056 DALLAS TX 753202056 NURSING SERVICE 1306720 AMEDISTAF LLC PO BOX 595 TONTITOWN AR 72770 MEDICAL STAFFING 1300987 NWA PATHLOGY ASSOC 390 E LONGVIEW FAYETTEVILLE AR 72703 PATHLOGY 995027 AUREUS NURSING PO BOX 3037 OMAHA NE 681030037 MEDICAL STAFFING 776870 20 381185 624684 1005869 PATIENT SERVICE REVENUE 900099 271409358 271409358 REFERENCE LAB 611430 1428878 1428878 EXERCISE CENTER 713940 579543 579543 CAFETERIA SALES 111000 1518159 1518159 SPRINGWOODS CONTRACT FEE 541900 8724476 8485620 55997 182859 283660414 2750075 2750075 0 0 1130154 1130154 0 1130154 24570 24570 24570 0 0 0 0 0 0 0 0 0 0 288571082 283224596 1484875 1701018 5053145 5053145 0 0 0 3945284 3945284 0 83833378 72386019 11109657 337702 2529779 2087225 432930 9624 9199634 7568467 1595793 35374 6275916 5414379 836776 24761 368213 137500 230713 65088 65088 401038 400638 400 0 0 160260 160260 15516480 14732626 783854 726088 31556 688710 5822 2928502 784635 2141715 2152 7481648 4065598 3416050 0 2835382 2288443 544577 2362 468649 350055 109873 8721 0 160776 104023 53230 3523 3186949 3186949 0 14052091 11822313 2229358 420 1047788 18453 1029335 MEDICAL SUPPLIES 58827367 58664158 163172 37 PURCHASED SERVICES 8640924 5481589 3135279 24056 REPAIRS AND MAINTENANCE 4839405 3179615 1659790 NON CAPITAL EQUIPMENT 3315233 2955014 356335 3884 2711937 1245923 1449760 16254 238570954 198370736 39725126 475092 95240 28012 31133538 36793898 0 0 36958168 40133352 0 0 0 0 0 0 4001673 4689981 2653607 3462061 354961261 160826529 143211413 194134732 103025119 112076322 1121716 884424 0 0 0 0 56787418 41350555 378987892 433553337 29138091 45039856 0 0 0 0 115422515 111292458 0 0 0 0 432513 6934622 0 0 4036836 2267361 149029955 165534297 X 229414243 268018039 543694 1001 0 0 229957937 268019040 378987892 433553337 X 50000128 6233394 -18172419 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 13317 13317 false Lobbying activity The organization is a member of, and pays dues to the American Hospital Association and the Arkansas Hospital Association. For the year ended 2016, the dues were $33,741 and $66,585 respectively. 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X true true X X X true X WWW.WREGIONAL.COM X WWW.WREGIONAL.COM X WWW.WREGIONAL.COM X X X X X true X false X X X true X false false 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. 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, true NWA Free Health Center 1100 N WOOLSEY AVE Fayetteville AR 72701 581691790 501(c)(3) 8169 Cost MEDICAL SUPPLIES Community Needs Washington County HIV clinic 3270 N Wimberly Dr Fayetteville AR 72703 716003197 78500 COST LABOR AND BENEFITS Community Needs Arkansas Department of Health 4815 W Markham Slot 57 Little Rock AR 72703 716007358 67577 Cost Community Needs Arkansas Dept of Human Services PO Box 1437 Little Rock AR 72203 710847443 27082 Cost Community Needs NWA Community College Foundation (Nursing program) 1 College Drive Bentonville AR 72712 710697377 501(c)(3) 50000 Cost Nursing School Donation University of Arkansas - College of Nursing 300 UNIVERSITY HOUSE FAYETTEVILLE AR 72701 716003252 170(b)(1)(A)(v) 100000 Cost Nursing School Donation JOHN BROWN UNIVERSITY - Nursing Program 2000 W UNIVERSITY ST SILOAM SPRINGS AR 72761 710239576 501(C)(3) 15000 COST NURSING SCHOOL DONATION NTI FOUNDATION 709 S OLD MISSOURI RD SPRINGDALE AR 72764 15000 MEDICAL TRAINING RMHC OF ARKOMA 1333 ARAPAHO AVE STR C SPRINGDALE AR 72764 100000 COMMUNITY NEED AR HOSPITAL EDUCATION AND RESEARCH 419 NATURAL RESOURCES DR LITTLE ROCK AR 72205 501(C)(3) 19709 COMMUNITY NEEDS CENTRAL EMS 645 S SCHOOL FAYETTEVILLE AR 72701 27491 COMMUNITY NEEDS DIALYSIS CENTER OF NWA 107 E MONTE PAINTER DR FAYETTEVILLE AR 72703 84268 COMMUNITY NEEDS FAYETTEVILLE HEALTH & REHAB 3100 OLD MISSOUR RD FAYETTEVILLE AR 72701 30736 COMMUNITY NEEDS SCH I PART III 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. X X X X X false true false false false false false false false William L Bradley President/CEO 469066 132086 86874 94899 21186 804111 75821 Mark A Bever Exec VP/Admin 286711 72597 28736 39788 21887 449719 29637 Thomas J Olmstead SR VP/Gen Counsel 278718 67270 39216 51684 16776 453664 41185 Daniel R Eckels SR VP/CFO 270203 64213 33055 46026 14546 428043 35334 Larry Shackelford SVP, Outreach Services 263889 62712 32788 43927 17770 421086 33307 David G Ratcliff MD Chief Medical Officer 192838 103836 48828 26292 31208 16804 41656 22430 7637 4112 322167 173474 32468 17483 Rebecca D Magee SR VP/CIO 205169 44706 16232 20696 286803 Beverly Winney Chief Nurse Officer 189198 62065 2832 9557 5288 268940 Stanley C Bradley Physician 213333 25495 10001 17508 266337 James A Newton Jr Physician 139750 75250 10694 5758 7768 4183 11658 6277 169870 91468 Mike W Horn Pharmacist 154156 3003 41762 6993 10616 216530 Zina G Maxwell Pharmacist 156645 3084 38885 8009 11130 217753 Ramona McLean Director of Pharmacy 183178 10321 9000 15836 218335 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. A ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109FAQ1 2015-01-15 115741408 AR DEVELOPMENT FINANCE AUTHORITY false false false A 0 0 115752257 0 0 0 859876 0 0 25085249 84881532 4925600 2016 true false true true A 0 A false true false false 0 0 A Anthony N Hui MD Director 995027 Pathology Services false SCH L PART IV 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. 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. WR REHABILITATION SERVICES 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 261611632 REHAB PARTNER AR 3705224 15098874 WRMC WR OCCUPATIONAL HEALTH SERVICES LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 454435675 OCCUP HEALTH AR 346 WRMC WASHINGTON REGIONAL MEDICAL SYSTEM 3215 N NORTHHILS BLVD FAYETTEVILLE AR 72703 710664686 PHYS CLINIC AR 501(C)3 12b WRMC true WASHINGTON REGIONAL MEDICAL SERVICES 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710664683 MEDICAL R/E AR 501(C)3 12c WRMC true WASHINGTON REGIONAL MEDICORP 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710707450 PACE AR 501(C)3 10 WRMC true WASHINGTON REGIONAL FOUNDATION 3215 N NORTHHILLS FAYETTEVILLE AR 72703 710664685 FUNDRAISING AR 501(C)3 12c WRMC true EUREKA REGIONAL HEALTH 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710769450 MEDICAL R/E AR 501(C)3 3 WRMC true DIALYSIS CENTER OF NORTHWEST ARKANSAS 107 E MONTE PAINTER DR FAYETTEVILLE AR 72703 432074310 RENAL DIALYSI AR Wash Reg Med Ct RELATED 2464901 2594716 false true 0.60000 NORTH HILLS SURGERY CENTER 3271 N WIMBERLY DR FAYETTEVILLE AR 72703 710807771 AMB SURG CTR AR Wash Reg Med Ct RELATED 684589 331904 false true 0.51000 HEALTH PARTNERS 54 W SUNBRIDGE DR FAYETTEVILLE AR 72703 710764667 PHO AR NA C 11114 252671 0.50000 true true true false false false false false true false true false false false true false false true Washington Regional Medical System L 388858 COST Washington Regional Services K 271315 COST Washington Regional Medical System J 334512 FMV Washington Regional Medical System B 25000000 COST Washington Regional Medical Foundation C 1739817 COST Washington Regional Medical System P 5125622 COST