2017-06-29T16:30:22-05:00 2016-09-30 710623618 Welch Couch & Company PO Box 2094 Batesville AR 72503 990 2015-10-01 710797499 BRADLEY COUNTY MEDICAL CENTER BRAD 8702263731 404 SOUTH BRADLEY ST WARREN AR 71671 BRANDON GORMAN CFO 8702263731 2017-06-29 1 WILLIAM T COUCH P00183609 8707935231 2015 2021-01-29 14:40:06Z BRANDON GORMAN 404 SOUTH BRADLEY WARREN AR 71671 22221082 0 X WWW.BRADLEYCOUNTYMEDICALCENTER.COM X 1996 AR TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE RESIDENTS OF BRADLEY AND SURROUNDING COUNTIES. 8 8 307 0 0 0 98016 51748 20571595 21471136 -57980 70682 898650 627516 21510281 22221082 0 0 0 0 10798503 10286852 0 0 0 10285258 10106890 21083761 20393742 426520 1827340 18678054 19779101 2840346 1490219 15837708 18288882 TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE RESIDENTS OF BRADLEY AND SURROUNDING COUNTIES. 0 0 14032481 BRADLEY COUNTY MEDICAL CENTER IS AN ACUTE CARE FACILITY WHICH PROVIDES INPATIENT, OUTPATIENTS, EMERGENCY CARE AND HOME HEALTH SERVICES TO RESIDENTS OF SOUTH CENTRAL ARKANSAS. 14032481 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 7 0 307 1 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X BRANDON GORMAN 8702263731 404 SOUTH BRADLEY ST WARREN AR 71671 FREDDIE MOBLEY CHAIRMAN 1.00 X X 0 0 0 JOE DON GREENWOOD VICE CHAIR/TREASURER 1.00 X X 0 0 0 RUSTY ROWELL SECRETARY 1.00 X X 0 0 0 JOE HANK WHARTON MD BOARD MEMBER 1.00 X 0 0 0 EARNEST CALLUM BOARD MEMBER 1.00 X 0 0 0 KENNETH MCDOUGALD BOARD MEMBER 1.00 X 0 0 0 KRISTI CLANTON BOARD MEMBER 1.00 X 0 0 0 KEITH NEELY BOARD MEMBER 1.00 X 0 0 0 REX JONES CEO 40.00 X 168301 0 0 BRANDON GORMAN CFO 40.00 X 79726 0 0 TIFFANY HOLLAND CNO 40.00 X 64315 0 0 GARY HARRINGTON PHYSICIAN 40.00 X 338462 0 0 KARA WORLEY MD PHYSICIAN 40.00 X 218078 0 0 TAMMY HENSLEY DIRECTOR OF HOME HEALTH 40.00 X 164546 0 0 HALEY WAGNON PHARMACIST 40.00 X 124467 0 0 J GATES CRNA 40.00 X 105000 0 0 1262895 0 0 6 0 1 0 ALTHEA CONLEY MD 1918 RIDGEWOOD DR EL DORADO AR 71730 PHYSICIAN 215000 1 51748 51748 PATIENT SERVICE REVENUE 21471136 21471136 21471136 30916 30916 192385 0 192385 192385 192385 39766 0 39766 39766 39766 ELECTRONIC HEALTH RECORDS 207033 207033 SALES TAX REVENUE 126312 126312 COUNTY TAX MILLAGE 46925 46925 54861 54861 435131 22221082 21946033 0 223301 1262895 950553 312342 7371366 5402735 1968631 164843 121984 42859 875948 648201 227747 611800 452732 159068 31925 31925 32167 2928 29239 481717 59667 422050 195690 195690 4193 4193 1006455 1006455 314767 314767 PURCHASED SERVICES 4351921 3492718 859203 SUPPLIES & OTHER 2497057 2097328 399729 REPAIRS & MAINTENANCE 845818 560888 284930 ASSESSMENT FEE 264295 264295 80885 47057 33828 20393742 14032481 6361261 0 2005267 2169310 3859167 4504753 4524878 5558109 494515 544816 204846 161735 22803786 15963408 7589381 6840378 18678054 19779101 1581340 1380044 168000 110175 1091006 0 2840346 1490219 X 15837708 18288882 15837708 18288882 18678054 19779101 1827340 623834 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 278851 278851 10664661 6022064 4642597 27153 24153 3000 11833121 9917191 1915930 6840378 X 22221082 0 22221082 0 22221082 20393742 0 20393742 0 20393742 Part X, Line 2: THE HOSPITAL HAS EVALUTATED ITS TAX POSITION IN ACCORDANCE WITH ASC 740-10 AND HAS DETERMINED THAT THERE IS NO IMPACT ON THE TAX EXEMPT STATUS, FINANCIAL POSITION, OR RESULTS OF OPERATIONS. 1 1 1 X 1 X 1 0 0 324006 324006 0.01590 324006 324006 0.01590 324006 324006 0.01590 1 1045156 513424 9064681 8102690 961991 X 1 1 1 1 BRADLEY COUNTY MEDICAL CENTER 404 SOUTH BRADLEY WARREN AR 71671 WWW.BRADLEYCOUNTYMEDICALCENTER.COM X X X BRADLEY COUNTY MEDICAL CENTER 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X WWW.BRADLEYCOUNTYMEDICALCENTER.COM X 1 15 1 WWW.BRADLEYCOUNTYMEDICALCENTER.COM 0 0 1 X 200.000000000000 200.000000000000 1 1 X X X 1 X WWW.BRADLEYCOUNTYMEDICALCENTER.COM X WWW.BRADLEYCOUNTYMEDICALCENTER.COM X WWW.BRADLEYCOUNTYMEDICALCENTER.COM X X X X 1 X X X 1 X X X X X X X X 0 0 0 BRADLEY COUNTY MEDICAL CENTER Part V, Section B, Line 5: UTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FROM DHS AS WELL AS REPORTS SHOWING PERCENT OF ACTIVITY OF COMMUNITY BY PAYOR SOURCE. BRADLEY COUNTY MEDICAL CENTER Part V, Section B, Line 20e: RURAL HOSPITAL WITH A HOME HEALTH AGENCY Part III, Line 2: ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUALLY CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES SURROUNDING THE ACCOUNT. Part III, Line 9b: ONCE THE APPPLICATION FOR FINANCIAL ASSISTANCE IS RECEIVED, REGARDLESS OF COMPLETENESS, ALL FURTHER COLLECTION ACTIVITY WILL BE STOPPED PENDING A DECISION FROM THE FINANCIAL ASSISTANCE TEAM ON ASSISTANCE ELIGIBILITY, 0 0 0 0 0 0 0 0 0 REX JONES CEO 168301 0 0 0 0 0 0 0 0 0 168301 0 0 0 GARY HARRINGTON PHYSICIAN 338462 0 0 0 0 0 0 0 0 0 338462 0 0 0 KARA WORLEY MD PHYSICIAN 218078 0 0 0 0 0 0 0 0 0 218078 0 0 0 TAMMY HENSLEY DIRECTOR OF HOME HEALTH 164546 0 0 0 0 0 0 0 0 0 164546 0 0 0 Form 990, Part VI, Section B, line 11 FORM 990 REVIEWED PRIOR TO E-FILING. PROVIDING TO BOARD MEMBERS UPON REQUEST. Form 990, Part VI, Section B, line 12c BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO REPORT CONFLICTS OF INTEREST WHEN THEY ARISE TO MANAGEMENT AND OTHER MEMBERS OF THE BOARD. Form 990, Part VI, Section B, line 15 COMPENSATION IS DISCUSSED AND VOTED ON BY THE BOARD OF DIRECTORS IN AN EXECUTIVE SESSION. Form 990, Part VI, Section C, line 19 DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. BRADLEY MEDICAL SYSTEM 404 SOUTH BRADLEY WARREN AR 71671 710797500 TO OPERATE FOR THE BENEFIT OF BRADLEY COUNTY MEDICAL CENTER AR 501(C)(3) 170 (B)(1)(A)(iii) BRADLEY COUNTY MEDICAL CENTER 0 BRADLEY COUNTY MEDICAL FOUNDATION 404 SOUTH BRADLEY WARREN AR 71671 710797502 SUPPORT BRADLEY COUNTY MEDICAL CENTER AR 501(C)(3) 170 (B)(1)(A)(iii) BRADLEY COUNTY MEDICAL CENTER 0 BRADLEY COUNTY MEDICAL SERVICES 404 SOUTH BRADLEY WARREN AR 71671 710797501 SUPPORT BRADLEY COUNTY MEDICAL CENTER AR 501(C)(3) 170 (B)(1)(A)(iii) BRADLEY COUNTY MEDICAL CENTER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0