2015-04-15T09:25:44-05:00 2014-06-30 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2013-07-01 710772959 SALINE COUNTY MEDICAL CENTER % CARLA ROBERTSON SALI 5017766015 1 MEDICAL PARK DRIVE Suite BENTON AR 72015 CARLA ROBERTSON CFO 5013721040 2015-04-06 true AMBER SHERRILL P00748683 5013721040 2015-04-15 2013 2016-02-25 16:41:14Z SALINE MEMORIAL HOSPITAL BOB TRAUTMAN 1 MEDICAL PARK DRIVE BENTON AR 72015 85613822 false X www.salinememorial.org X 1995 AR SALINE MEMORIAL HOSPITAL PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. 8 7 1211 7 0 407360 277513 93226066 81807898 142857 208429 3381123 3269010 97157406 85562850 0 0 0 0 46779343 39573725 0 0 0 48048469 42952661 94827812 82526386 2329594 3036464 57505253 55205771 22874928 20523903 34630325 34681868 X SALINE MEMORIAL HOSPITAL PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. FOR DETAILS, SEE SCH. O. false false 61080894 81807898 PROVIDING HEALTHCARE SERVICES AND OTHER ACTIVITIES IN ACCORDANCE WITH OUR MISSION STATEMENT. IN ADDITION TO HEALTH SERVICES, THE HOSPITAL PROVIDED MULTIPLE HEALTH EDUCATION PROGRAMS, HEALTH SCREENINGS, SPONSORED MANY COMMUNITY ACTIVITIES, PROVIDED FREE TRANSPORTATION TO SEVERAL PATIENTS, AND PROVIDED AN AMBULANCE AND CREW FOR SCHOOL SPORTING EVENTS. 61080894 true true false false false false false false false false true false false false false true false true 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 false false false true 79 0 true 1211 true false false false false false false false false false false X 8 7 false false false false true true false true true false false true true true true false true true true false X CARLA ROBERTSON 5017766370 1 MEDICAL PARK DRIVE BENTON AR 72015 X MIKE MCCAULEY DIRECTOR 1.0 X 0 0 0 LANCE PENFIELD CHAIRMAN 1.0 X X 0 0 0 EDDIE BLACK SECRETARY 1.0 X X 0 0 0 CHRIS HOLMES TREASURER 1.0 X X 0 0 0 BEN MATHEWS DIRECTOR 1.0 X 0 0 0 JOHN MENARD DIRECTOR 1.0 X 0 10600 0 MEREDITH WINELAND VICE CHAIRMAN 1.0 X X 0 0 0 STEPHANIE DUKE DIRECTOR 1.0 X 0 0 0 BOB TRAUTMAN CEO 40.0 1.0 X 233356 0 16506 DEBBIE BURROW DON 40.0 1.0 X 138021 0 11739 CARLA ROBERTSON CFO 40.0 1.0 X 167297 0 13130 KACIE TAYLOR PHARMACY MANAGER 40.0 X 121867 0 19843 SUE JACKSON SURGERY DIRECTOR 40.0 X 133855 0 6693 ANDY DICK IT DIRECTOR 40.0 X 111500 0 18893 ANNE HARDEN HOSPICE/HOME HEALTH MANAGER 40.0 X 102301 0 9953 1008197 10600 96757 7 false true false ENVIRONMENTAL SERVICES 382 ARKRIDGE ROAD HOT SPRINGS AR 71913 HOUSEKEEPING 1348307 COUNSELING CLINIC 307 E SEVIER BENTON AR 72019 COUNSELING 665310 REHABCARE PO BOX 502096 ST LOUIS MO 63150 REHAB 559630 KLEEN LINENS 225 MALVERN AVE HOT SPRINGS AR 71901 CLEANING SERVICE 170856 MEDICAL TRANSCRIPTION SERVICES PO BOX 22177 HOT SPRINGS AR 71903 TRANSCRIPTION SRVS 124088 6 32984 239529 5000 277513 PATIENT REVENUE 621110 81888762 81888762 MEDICAL OFFICE BUILDING LEASE 532000 -80864 -80864 81807898 253225 253225 0 0 0 0 0 6176 50972 -44796 -44796 -44796 0 0 0 MEANINGFUL USE INCOME 900099 1497646 1497646 CAFETERIA INCOME 900099 987563 987563 PHARMACY INCOME 900099 241422 241422 542379 542379 3269010 85562850 81807898 3477439 0 0 0 0 584174 584174 0 0 32233912 22961720 9272192 688800 490664 198136 3666831 2612055 1054776 2400008 1709638 690370 0 195147 139012 56135 75622 53869 21753 0 0 0 7520509 5357210 2163299 396939 282758 114181 2856926 2035122 821804 0 0 3050800 2173227 877573 402997 287074 115923 0 24 17 7 390335 278054 112281 0 3675872 2618495 1057377 1028983 732993 295990 BAD DEBTS 9419784 9419784 MEDICAL & SURGICAL SUPPLIES 10368659 7386080 2982579 MEALS & PATIENT NOURISHMENT 1182963 842680 340283 PROVIDER ASSESSMENT TAX 1088515 775400 313115 1298586 925042 373544 82526386 61080894 21445492 0 451352 182584 5234701 4756675 0 0 9492331 9642855 0 0 0 0 0 0 1331803 1261170 705222 680238 90093937 60841517 26474213 29252420 12302504 8733867 0 0 0 0 0 0 1513127 695962 57505253 55205771 6440151 5820621 0 0 2071528 2269567 7874135 7856485 0 0 0 0 5283327 4414275 1205787 162955 0 0 22874928 20523903 X 34630325 34681868 0 0 0 0 34630325 34681868 57505253 55205771 X 3036464 252006 -3236927 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1407303 1407303 48983762 30679926 18303836 531323 120901 410422 37220484 28844945 8375539 1951065 1195745 755320 29252420 0 0 X 76395072 252006 252006 76143066 9419784 9419784 85562850 73106602 73106602 9419784 9419784 82526386 FORM 990, SCHEDULE D, PART X, LINE 2 THE SYSTEM, MEDICAL CENTER, SERVICES AND THE FOUNDATION HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILIAR PROVISION OF STATE LAW. AS SUCH, THEY ARE REQUIRED TO FILE IRS FORM 990 ON AN ANNUAL BASIS. THESE ENTITIES ARE NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR INCOME TAX RETURNS FILED FOR YEARS BEFORE 2011. THE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. FORM 990, SCH D, PART XI, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS $9,419,784 FORM 990, SCH D, PART XII, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS $9,419,784 true true true X 120. true X true true true false true true 2596763 2596763 0.03550 9558700 4266086 5292614 0.07240 12155463 4266086 7889377 0.10790 80530 80530 0.00110 34500 34500 0.00050 115030 115030 0.00160 12270493 4266086 8004407 0.10950 1000 1000 7000 7000 0.00010 525 525 350 350 5000 5000 0.00010 13875 13875 0.00020 false 9419784 972122 31253668 29547167 1706501 X true true 1 1 SALINE COUNTY MEDICAL CENTER 1 MEDICAL PARK DRIVE BENTON AR 72015 www.salinememorial.org 3045 X X X SALINE COUNTY MEDICAL CENTER 1 true X X X X X X X X X 12 true false true X www.salinememorial.org X X X X X X X X X true false true true 120. true 400. true X X X X true true X X X true false X X X true X false false FORM 990, SCHEDULE H, PART V, LINE 3 IN 2012 DURING OUR CHNA PROCESS, 33 COMMUNITY MEMBERS WERE INDIVIDUALLY INTERVIEWED BY A THIRD PARTY GROUP. THOSE INTERVIEWED WERE A CROSS SECTION OF COMMUNITY: GOVERNMENT OFFICIALS, NOT FOR PROFITS, BUSINESS OWNERS AND HEALTH DEPARTMENT PROFESSIONALS. WE ALSO USED CATALYST HEALTH RESEARCH TO SURVEY OVER 400 RANDOM CITIZENS IN THE COUNTY. WE ASKED ABOUT THEIR HEALTH NEEDS AND WHAT GAPS THEY WOULD LIKE TO SEE FILLED. WE ALSO SURVEYED OUR PHYSICIANS AND EMPLOYEES ASKING SIMILIAR QUESTIONS. 2 SALINE MEMORIAL BRYANT COMPLEX 23157 INTERSTATE 305 BRYANT AR 72022 HOSPICE HOUSE BRYANT MEDICAL CLINIC 319 BRYANT AVE 1 BRYANT AR 72022 INTERNAL MED CLINIC FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE IN THE AMOUNT OF $9,419,784 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 AS CALCULATED USING WORKSHEET 2 WAS USED TO DETERMINE THE COSTS ON LINE 7. FORM 990, SCHEDULE H, PART III, LINES 4A & 4B ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACOCUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE COPAYMENTS ON ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXITS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY REPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS DECREASED FROM 86% OF SELF-PAY ACCOUNT RECEIVABLE AT JUNE 30,2013, TO 84% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2014. IN ADDITION, THE SYSTEM'S SELF-PAY WRITE-OFFS DECREASED APPROXIMATELY $1.9 MILLION FROM APPROXIMATELY $12.9 MIILION FOR THE YEAR ENDED JUNE 30,2013, TO APPROXIMATELY $11 MILLIAN FOR THE YEAR ENDED JUNE 30, 2014. THE SYSTEM HAS NOT SIGNIFICANTLY CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING THE FISCAL YEAR 2014 OR 2013. THE SYSTEM DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYERS, MEDICARE OR MEDICAID, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYERS. FORM 990, SCHEDULE H, PART III, LINE 8 LINE 6 WAS CALCULATED USING THE MEDICARE COST REPORT. FORM 990, SCHEDULE H, PART III, LINE 9B DURING THE COLLECTION PROCESS, IF PATIENT IS DETERMINED TO BE ELIGIBLE FOR 100% CHARITY, ALL COLLECTION AND LEGAL ACTIVITIES ARE CEASED. IF PARTIAL CHARITY IS GRANTED, REMAINING PATIENT BALANCE WILL BE COLLECTED ON IN THE SAME MANNER AS ALL OTHER ACCOUNTS. OUR COLLECTION PRACTICES ARE APPLIED EQUALLY TO ALL PATIENTS REGARDLESS OF PAYER TYPE OR WHETHER OR NOT THEY RECEIVE CHARITY CARE. FORM 990, SCHEDULE H, PART VI, LINE 2 EVERY TWO YEARS, WE CONDUCT A COMMUNITY RESEARCH STUDY THAT INCLUDES A NEEDS ASSESSMENT AND ANALYSIS. WE USE THE FEEDBACK TO HELP GUIDE OUR EFFORTS IN DEVELOPING AND ENHANCING NEW SERVICES. WE ALSO WORK WITH COMMUNITY ORGANIZATIONS SUCH AS OUR LOCAL HEALTH DEPARTMENT AND THE HOMETOWN HEALTH COALITION TO ADDRESS PUBLIC HEALTH NEEDS SUCH AS IMMUNIZATION EFFORTS, EDUCATION, ETC. FORM 990, SCHEDULE H, PART VI, LINE 3 WHEN A PATIENT COMES TO PRE-REGISTER FOR A PROCEDURE OR APPOINTMENT, THEY ALSO MEET WITH A FINANCIAL ADVISOR WHO DISCUSSES THEIR PAYMENT OPTIONS. IF A PATIENT DOES NOT HAVE INSURANCE AND NEEDS ASSISTANCE, WE THEN ASK FOR PROOF OF INCOME, ETC. AFTER WE GET THIS INFORMATION, IT'S EVALUATED TO DETERMINE AT WHAT PERCENT THE PATIENT IS ELIGIBLE FOR CHARITY CARE. FORM 990, SCHEDULE H, PART VI, LINE 4 OUR GOAL IS TO SERVE SALINE COUNTY WHICH CONSISTS OF A CENSUS OF OVER 100,000. WE CURRENTLY PULL MOST OF OUR PATIENTS FROM THE CITY OF BENTON. DUE TO THE RECENT ECONOMIC CONDITIONS, WE SERVE AN EVERGROWING NUMBER OF UNINSURED AND UNDERSERVED PATIENTS. OUR ORGANIZATION SITS BETWEEN TWO LARGER CITIES LOCATED ABOUT 25-30 MILES TO THE EAST AND TO THE WEST OF US. THOSE CITIES BOTH HAVE LARGE HEALTHCARE PROVIDERS. HOWEVER, OUR GOAL IS TO KEEP PATIENTS IN OUR COMMUNITY AND MAKE QUALITY HEALTHCARE CONVENIENT. WITH LARGER HOSPITALS ON BOTH SIDES, IT'S DIFFICULT TO OVERCOME THE PERCEPTION THAT "BIGGER IS BETTER". FORM 990, SCHEDULE H, PART VI, LINE 5 WE PARTICIPATE IN MULTIPLE HEALTH FAIRS AND EVENTS THROUGHOUT THE YEAR AND PROVIDE FREE HEALTH SCREENINGS TO THE PUBLIC. WE ALSO OFFER FREE SEMINARS ON HEALTH RELATED TOPICS AND INVITE THE PUBLIC TO ATTEND AND MEET OUR SPECIALISTS. WE OFFER FREE DIABETES CLASSES AND WE ALSO HOST CERTAIN SUPPORT GROUPS INSIDE THE HOSPITAL. WE OFFER FREE PROSTATE SCREENINGS EVERY SEPTEMBER AND HEART RELATED SCREENINGS AND EDUCATION EVERY FEBRUARY DURING NATIONAL HEART MONTH. FORM 990, SCHEDULE H, PART VI, LINE 6 SALINE MEMORIAL OPERATES UNDER A GOVERNING BOARD OF DIRECTORS MADE UP OF COMMUNITY MEMBERS. THEY MEET AT LEAST ONCE A MONTH TO REVIEW FINANCES, QUALITY MEASURES AND OTHER RELEVANT BUSINESS. WE PROMOTE HEALTH IN OUR COMMUNITY IN A VARIETY OF WAYS THAT INCLUDE: OFFERING FREE PRENATAL CLASSES FOR ALL NEW MOTHERS DELIVERING AT SMH NO MATTER IF THEY'RE INSURED OR NOT. WE OFFER SMOKING CESSATION TO OUR CO-WORKERS AND THE COMMUNITY. WE PRINT A COMMUNITY REPORT EACH SUMMER TO EDUCATE THE COMMUNITY ABOUT HEALTH SERVICES AND UPCOMNG EVENTS. WE OFFER FREE FLU SHOTS TO OUR CO-WORKERS AND VOLUNTEERS. X X X X false false false false false false false false false BOB TRAUTMAN CEO 203592 0 26913 0 2851 0 11668 0 4838 0 249862 0 0 0 CARLA ROBERTSON CFO 165842 0 0 0 1455 0 8292 0 4838 0 180427 0 0 0 A SALINE COUNTY ARKANSAS 716000760 794900EZ9 2013-03-08 7939626 REV REFUNDING BONDS-IMPROVEMENTS false false false A 25000 0 7946058 667516 0 3502103 144692 0 0 4085789 0 0 false true false false A false false false false 0 false false false false A false true false false false false 0 false 0 false false A false FORM 990, SCHEDULE K, PART I, LINE C CALCULATED AT BOND YEAR END 09/01/2014 FORM 990, SCHEDULE K, PART II, LINE 3 TOTAL PROCEEDS OF ISSUE IS DIFFERENT BECAUSE OF THE INVESTMENT INCOME. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART III, LINE 1 SALINE MEMORIAL HOSPITAL PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN KEEPING WITH ITS MISSION, IT PROVIDES FREE AND SUBSIDIZED CARE TO THOSE WHO CANNOT PAY (CHARITY CARE) AND TO THOSE COVERED UNDER GOVERNMENT PROGRAMS (MEDICARE AND MEDICAID) AT REIMBURSEMENT RATES BELOW THOSE PAID BY OTHER THIRD PARTY PAYORS. IN ADDITION TO HEALTH SERVICES, THE HOSPITAL PROVIDED MULTIPLE HEALTH EDUCATION PROGRAMS, HEALTH SCREENINGS, SPONSORED MANY COMMUNITY ACTIVITIES, PROVIDED FREE TRANSPORTATION TO SEVERAL PATIENTS, AND PROVIDED AN AMBULANCE AND CREW FOR SCHOOL SPORTING EVENTS. FORM 990, PART VI, SECTION B, LINE 11B THE CFO & CONTROLLER REVIEW THE 990 AND PROVIDE A COPY TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINES 15A & 15B THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION FOR THE CEO AND OTHER OFFICERS USING COMPARABILITY DATA. FORM 990, PART VI, SECTION B, LINE 12C EACH JULY ALL OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY THE CEO, COMPLIANCE OFFICER AND DIRECTOR OF HUMAN RESOURCES. A REPORT IS TO BE MADE AT THE SEPTEMBER BOARD OF DIRECTORS MEETING WITH A RECOMMENDED ACTION TO RESOLVE ALL DISCLOSED CONFLICT OF INTEREST. IN ADDITION, THE ENTITY'S COMPLIANCE PROGRAM REQUIRES IMMEDIATE DISCLOSURE UPON THE DISCOVERY OF A CONFLICT OF INTEREST. FORM 990, PART XI, LINE 9 TRANSFER TO AFFILIATES $(3,236,927) FORM 990, PART VI, LINES 6 & 7A THE ONLY MEMBER OF SALINE COUNTY MEDICAL CENTER SHALL BE SALINE COUNTY MEDICAL SYSTEM, AN ARKANSAS CORPORATION, ORGANIZED UNDER THE PROVISIONS OF THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993. DIRECTORS OF SALINE COUNTY MEDICAL CENTER SHALL BE ELECTED BY PLURALITY VOTE AT THE ANNUAL MEETING OF THE MEMBERS. 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