2015-04-24T08:51:12-05:00 2014-12-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2014-01-01 710236932 CRITTENDEN HOSPITAL ASSOCIATION % A JAN THOMAS CRIT 5017351500 200 W TYLER Suite WEST MEMPHIS AR 72301 A JAN THOMAS BANKRUPTCY TRUSTEE 5013721040 2015-04-24 true AMBER SHERRILL P00748683 5013721040 2015-04-24 2014 2016-03-07 17:11:31Z A JAN THOMAS 200 W TYLER WEST MEMPHIS AR 72301 43909063 false X WWW.CRITTENDENREGIONAL.ORG X 1953 AR EXCELLENCE IN PATIENT CENTERED HEALTHCARE FOR THE MIDSOUTH FOR THE MIDSOUTH 13 12 541 12 0 1376164 188066 66198959 33657699 -31183 382294 960993 9681004 68504933 43909063 0 0 0 0 31361195 22290922 0 0 0 42027923 23918230 73389118 46209152 -4884185 -2300089 27920145 30423041 30403769 38243570 -2483624 -7820529 X PROVIDE INPATIENT, OUTPATIENT, EMERGENCY, RURAL HEALTH, AND PEDIATRIC CARE FOR THE RESIDENTS OF EAST CENTRAL AR AND SURROUNDING AREAS. false true 38272875 33657699 PROVIDE INPATIENT, OUTPATIENT, EMERGENCY, RURAL HEALTH, AND PEDIATRIC CARE FOR THE RESIDENTS OF EAST CENTRAL AR AND SURROUNDING AREAS. 38272875 true true false false false false false false false false true false false false true false false false false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 39 0 true 541 true false false false false false false false false false false X 13 12 false false false false false false false true true false false true true true true true true true true false AR X A JAN THOMAS 8707357700 200 W TYLER WEST MEMPHIS AR 72301 X JASON COLLARD TREASURER 1.0 0.0 X X 0 0 0 WILLIAM JOHNSON MEMBER 1.0 0.0 X 0 0 0 HERSHEL OWENS VICE CHAIRMAN 1.0 0.0 X X 0 0 0 DAVID RAINS JR CHAIRMAN 1.0 0.0 X X 0 0 0 LANNIE LANCASTER MEMBER 1.0 0.0 X 0 0 0 JULIO RUIZ MD MEMBER 1.0 0.0 X 0 0 0 SHERRY LONDON SECRETARY 1.0 0.0 X X 0 0 0 NESS SECHREST MEMBER 1.0 0.0 X 0 0 0 RANDY SULLIVAN MEMBER 1.0 0.0 X 0 0 0 LEVEN WILLIAMS MEMBER 1.0 0.0 X 0 0 0 GENE CASHMAN CEO 40.0 X X 0 0 0 CHARLES ELLIOTT MEMBER 1.0 0.0 X 0 0 0 KEITH INGRAM MEMBER 1.0 0.0 X 0 0 0 BRAD MCCORMICK CFO 40.0 0.0 X 86263 0 20673 DONNA LANIER VICE PRESIDENT 40.0 0.0 X 81002 0 7405 CHURCHILL AKHIGBE PHYSICIAN 40.0 0.0 X 335186 0 20673 NIZAR ISSA PHYSICIAN 40.0 0.0 X 338952 0 0 SONIA JOSEPH PHYSICIAN 40.0 0.0 X 200566 0 1712 SUSAN MOKHTARI PHYSICIAN 40.0 0.0 X 317363 0 21965 MICHAEL SCHMIDT PHYSICIAN 40.0 0.0 X 219230 0 0 1578562 0 72428 14 false true false SERVPRO OF FORT COLLINS 308 N LINK LANE FORT COLLINS CO 80524 BUILDING CONTRACTOR 2303745 WALLER LANSDEN DORTCH DAVID PO BOX 198966 NASHVILLE TN 37219 LEGAL CONSULTATION 413654 REHABCARE PO BOX 502096 ST LOUIS MO 63150 PHYSICAL THERAPY 377888 SUPERIOR ANESTHESIA PO BOX 541 WYNNE AR 72396 PHYSICIAN 309550 KANAKA VASUDEVAN MD PLLC 603 BIG LAKE DR MARION AR 72364 CRNA 119820 6 19873 10708 157485 188066 PATIENT SERVICE REVENUE 621990 33657699 33657699 33657699 12094 12094 0 0 87742 87742 0 87742 87742 370200 370200 370200 370200 0 0 0 INSURANCE CLAIM 900099 8490561 8490561 PHARMACY INCOME 900099 516336 516336 CAFETERIA SALES 900099 80448 80448 505917 505917 9593262 43909063 33657699 10063298 X 0 0 0 0 195343 195343 0 0 17001468 13499703 3501765 815670 647668 168002 3164210 2512483 651727 1114231 884735 229496 269094 213669 55425 407770 323782 83988 57067 45313 11754 0 0 0 5551968 4408439 1143529 53920 42814 11106 2561092 2033588 527504 0 0 1696563 1347125 349438 148658 118039 30619 0 4816 3824 992 488907 388208 100699 0 1614322 1281823 332499 832225 660813 171412 BAD DEBTS 5646477 5646477 SUPPLIES 2315974 2315974 REPAIRS & MAINTENANCE 1085075 861584 223491 DRUGS 468245 468245 716057 568569 147488 46209152 38272875 7936277 0 3247 3320499 1323606 723980 0 0 7527386 4474340 0 0 0 0 2891037 0 1043061 907249 787550 1886634 40189078 22169813 12456304 18019265 0 0 913227 0 0 0 0 0 974727 1091074 27920145 30423041 14039876 18405878 0 0 0 0 6365000 4960000 0 0 0 0 4461080 4552169 0 0 5537813 10325523 30403769 38243570 X -2521236 -7820529 37612 0 0 0 -2483624 -7820529 27920145 30423041 -2300089 -3036816 X X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 351346 351346 17791886 11479132 6312754 1293307 1005556 287751 13148668 9125186 4023482 7603871 559939 7043932 18019265 0 LIABILITY FOR PENSION BENEFITS 10325523 10325523 true true true X true X true true true false false 904616 904616 0.02230 6310989 4095469 2215520 0.05460 7215605 4095469 3120136 0.07690 285638 211702 73936 0.00180 381759 337839 43920 0.00110 667397 549541 117856 0.00290 7883002 4645010 3237992 0.07980 false 5646477 1693943 22559036 21995116 563920 X true true 1 1 CRITTENDEN REGIONAL HOSPITAL 200 WEST TYLER WEST MEMPHIS AR 72301 WWW.CRITTENDENREGIONAL.ORG AR3539 X X X X CRITTENDEN REGIONAL HOSPITAL 1 true false false true false true X 150. 250. X X X true true X X true X X true false X X true X false false FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE IN THE AMOUNT OF $5,646,477 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. FORM 990, SCHEDULE H, PART I, LINE 7 THE COST TO CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED ON LINE 7A. THE COST REPORT AND TRIAL BALANCE WERE USED FOR LINE 7B. FORM 990, SCHEDULE H, PART III, LINE 4 THE FOOTNOTE CONTAINING THE EXPLANATION FOR BAD DEBT EXPENSE CAN BE FOUND IN THE ATTACHED FINANCIAL STATEMENTS ON PAGE 8. FORM 990, SCHEDULE H, PART III, LINE 8 LINE 6 WAS CALCULATED USING MEDICARE COST REPORT. FORM 990, SCHEDULE H, PART III, LINE 9B IF AT ANY TIME DURING THE COLLECTION PROCESS, A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE, ALL COLLECTION EFFORTS CEASE. FORM 990, SCHEDULE H, PART VI, LINE 2 HOSPITAL ADMINISTRATION REVIEWS SERVICE AREA, PATIENT DISCHARGE DATA FROM ARKANSAS AND TENNESSEE SUMMARIZED BY MAJOR DIAGNOSTIC CATEGORY AND THEN MATCHES COMMUNITY NEEDS WITH CURRENT HOSPITAL SERVICE OFFERINGS. WE ALSO USE THIS DATA TO DETERMINE NEW SERVICE LINES THAT NEED DEVELOPING AND PHYSICIAN RECRUITING NEEDS. FORM 990, SCHEDULE H, PART VI, LINE 3 CRH CONTRACTS WITH AN ORGANIZATION THAT INTERVIEWS ALL INPATIENTS WITH NO HEALTH COVERAGE TO DETERMINE IF ANY PUBLIC ASSISTANCE IS AVAILABLE TO THEM. BASED ON THE INTERVIEWS, APPLICATIONS ARE FILED. IF NO PUBLIC ASSISTANCE IS AVAILABLE, FINANCIAL ASSISTANCE APPLICATIONS ARE FILED ACCORDING TO THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ONCE APPROPRIATE DOCUMENTATION IS RECEIVED SUPPORTING THE ASSISTANCE, THE HOSPITAL ADJUSTS THE CLAIMS ACCORDINGLY. FORM 990, SCHEDULE H, PART VI, LINE 4 CRITTENDEN HOSPITAL ASSOCIATION SERVES AN AREA IN NORTHEAST ARKANSAS THAT IS ECONOMICALLY IMPOVERSISHED. THE COUNTY'S UNEMPLOYMENT RATE HAS HOVERED HERE AND ABOVE THE 11% MARK THROUGHOUT 2014. CRITTENDEN HOSPITAL ASSOCIATION IS COMMITTED TO PROVIDING EXCELLENCE IN PATIENT CENTER HEALTHCARE FOR THIS COMMUNITY REGARDLESS OF PATIENTS' ABILITY TO PAY. FORM 990, SCHEDULE H, PART VI, LINE 5 THE HOSPITAL SPONSORS AN ASSORTMENT OF COMMUNITY HEALTH EDUCATION ACTIVITIES WITH ITS AFFILIATION WITH UAMS AND THE DELTA AREA HEALTH EDUCATION CENTER. AMONG THOSE ARE SENIOR HEALTH & EXERCISE, CHILDBIRTH EDUCATION, DIABETES EDUCATION, HEALTH COUNCIL, HYPERTENSION, AND CPR JUST TO NAME A FEW. THE HOSPITAL'S OBJECTIVES WITH THIS PROGRAM ARE AS FOLLOWS: RECRUITMENT AND RETENTION OF HEALTHCARE PROFESSIONALS, CONTINUING EDUCATION FOR THOSE PROFESSIONALS AND COMMUNITY HEALTH EDUCATION. X X X false false false false false false false false false CHURCHILL AKHIGBE PHYSICIAN 335186 0 0 0 0 0 0 0 20673 0 355859 0 0 0 NIZAR ISSA PHYSICIAN 338952 0 0 0 0 0 0 0 0 0 338952 0 0 0 SONIA JOSEPH PHYSICIAN 200566 0 0 0 0 0 0 0 1720 0 202286 0 0 0 SUSAN MOKHTARI PHYSICIAN 317363 0 0 0 0 0 0 0 21965 0 339328 0 0 0 MICHAEL SCHMIDT PHYSICIAN 219230 0 0 0 0 0 0 0 0 0 219230 0 0 0 A CRITTENDEN COUNTY AR 716008242 226748CF6 2007-12-28 8057129 REFUNDING BONDS ISSUED 4/1/2000 false false false A 2340000 0 8629594 282751 0 0 160000 0 0 0 0 0 2010 false true false true A false false false false 0 false false false true A false false false true false false 0 false 0 false true A true FORM 990, SCHEDULE K, PART I SCHEDULE K INFORMATION WAS COMPLETED ON THE BOND YEAR ENDING 12/1/2014. FORM 990, SCHEDULE K, PART IV, LINE 2C THE REBATE COMPUTATION WAS PERFORMED DECEMBER 1, 2012. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE REVIEWED BY THE ORGANIZATION'S TRUSTEE BEFORE FILING. THE FILED 990 WILL BE PRESENTED TO THE ENTIRE BOARD DURING A FUTURE BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF THE BOARD OF TRUSTEES TO REQUIRE THAT EACH OFFICER AND TRUSTEE, PRIOR TO TAKING THEIR POSITION ON THE BOARD AND THEREAFTER DURING EACH YEAR OF THEIR TENURE, SUBMIT IN WRITING TO THE BOARD A LIST OF ALL BUSINESS OR OTHER ORGANIZATIONS OF WHICH HE/SHE IS AN OFFICER, MEMBER, OWNER, OR EMPLOYEE OR FOR WHICH HE/SHE ACTS AS AN AGENT, WITH WHICH THE ORGANIZATION HAS, OR MAY REASONABLY IN THE FUTURE ENTER INTO A RELATIONSHIP OR TRANSACTION IN WHICH THE BOARD MEMBER OR OFFICER WOULD HAVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A&15B IN REVIEWING COMPENSATION OF TOP OFFICIALS, KEY EMPLOYEES, AND OFFICERS, MANAGEMENT DISCUSSES THE CANDIDATES BACKGROUND AND SALARY HISTORY. THEY ALSO REVIEW THE SALARIES OF INDIVIDUALS IN SIMILAR POSITIONS WITHIN THE ORGANIZATION AND IN THE MARKET, TO ARRIVE AT A STARTING POINT FOR SALARY NEGOTIATIONS. THE STARTING OFFER IS APPROVED BY THE BOARD'S EXECUTIVE COMMITTEE BEFORE PRESENTING IT TO THE CANDIDATE. ANY FURTHER NEGOTIATIONS OR COUNTER OFFERS ARE ALSO SUBJECT TO APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, DURING NORMAL BUSINESS HOURS. FORM 990, PART IV, LINE 12 & 20B THE ORGANIZATION ATTACHED ITS 2012 AUDIT REPORT, WHICH IS ITS MOST RECENT AUDIT REPORT TO THE RETURN. THE ORGANIZATION'S FINANCIAL STATEMENTS WERE NOT AUDITED BY AN INDEPENDENT ACCOUNTANT DURING 2013, DUE TO FINANCIAL DIFFICULTIES. THE ORGANIZATION FILED FOR BANKRUPTCY ON AUGUST 25, 2014, AND THE ORGANIZATION SHUT ITS DOORS SEPTEMBER 7, 2014. FORM 990, PART III, LINE 3 CRITTENDEN HOSPITAL ASSOCIATION FILED FOR BANKRUPTCY ON AUGUST 25, 2014. HOSPITAL OPERATIONS CEASED AND THE HOSPITAL CLOSED ON SEPTEMBER 7, 2014. CRITTENDEN HOSPITAL ASSOCIATION WILL CONTINUE EXISTENCE UNTIL ALL ACTIVITY IS COMPLETED. THESE ACTIVITIES INCLUDE, BUT ARE NOT LIMITED TO, PENSION DISSOLUTION, WORKERS COMPENSATION, AND THIRD-PARTY SETTLEMENTS SUCH AS MEDICARE AND MEDICAID, AND THE SALE OF ASSETS. AFTER ALL TRANSACTIONS ARE COMPLETE THE HOSPITAL WILL FILE A FINAL RETURN. FORM 990 PART IX LINE 11G DESCRIPTION:PT, OT, SP SERVICES TOTAL FEES:752130 FORM 990 PART IX LINE 11G DESCRIPTION:REHABILITATION SERVICES TOTAL FEES:666575 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL TOTAL FEES:618571 FORM 990 PART IX LINE 11G DESCRIPTION:HOSPITALIST TOTAL FEES:541513 FORM 990 PART IX LINE 11G DESCRIPTION:WORK CONSULTING TOTAL FEES:484673 FORM 990 PART IX LINE 11G DESCRIPTION:ANESTHESIA SERVICES TOTAL FEES:392455 FORM 990 PART IX LINE 11G DESCRIPTION:INTERNS/RESIDENTS TOTAL FEES:354179 FORM 990 PART IX LINE 11G DESCRIPTION:ONCALL SERVICES TOTAL FEES:321114 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTIONS TOTAL FEES:318994 FORM 990 PART IX LINE 11G DESCRIPTION:ER PHYSICIANS TOTAL FEES:311559 FORM 990 PART IX LINE 11G DESCRIPTION:SECURITY TOTAL FEES:173518 FORM 990 PART IX LINE 11G DESCRIPTION:FOOD SERVICE MANAGEMENT TOTAL FEES:167916 FORM 990 PART IX LINE 11G DESCRIPTION:RENAL DIALYSIS SERVICES TOTAL FEES:149872 FORM 990 PART IX LINE 11G DESCRIPTION:REFERENCE LAB WORK TOTAL FEES:112510 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:125033 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION SERVICES TOTAL FEES:61356 CRITTENDEN MEMORIAL HOSPITAL DEVELOPMENT 200 W TYLER AVE WEST MEMPHIS AR 72301 043740092 SUPPORT AR 501 (C) (3) 11A CHA true CRITTENDEN CARES INC 200 W TYLER AVE WEST MEMPHIS AR 72301 710676486 HEALTHCARE AR CHA C CORP -8130 432953 1.00000 true MID SOUTH CLINIC CORPORATION 200 W TYLER AVE WEST MEMPHIS AR 72301 204978773 HEALTHCARE AR CHA C CORP 0 0 1.00000 true false false true false false false false false false true false false false true true false true true true CRITTENDEN CARES INC S 560173 FMV