2014-02-13T07:31:09-06:00 2013-03-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2012-04-01 710787860 NORTH ARKANSAS REGIONAL MEDICAL CENTER % DEBRA HENRY NORT 8704145157 620 NORTH MAIN Suite HARRISON AR 72601 DEBRA HENRY 5013721040 2014-02-05 true AMBER SHERRILL 5013721040 2012 2015-11-30 17:44:51Z VINCE LEIST 620 NORTH MAIN HARRISON AR 72601 93692765 false X www.narmc.com X 1996 AR OUR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE AND RESOURCES WITH COMPASSION AND INTEGRITY 9 9 917 200 0 0 424406 536660 77669057 90044184 1016816 799284 418437 2205645 79528716 93585773 0 0 0 0 33220131 37541260 0 0 0 43152905 52250408 76373036 89791668 3155680 3794105 92333758 96905579 40325037 40611108 52008721 56294471 X WE ARE DEDICATED TO PROVIDING QUALITY SERVICES THAT ARE COMPREHENSIVE AND AFFORDABLE. WE EXPECT SERVICES TO BE DELIVERED COMPASSIONATELY, APPROPRIATELY, RESPONSIBLY, SAFELY AND EFFICIENTLY. true false 69098135 89664626 NARMC PROVIDED OVER 15,537 DAYS OF PATIENT CARE, WITH 53.55% BEING PROVIDED TO MEDICARE AND MEDICAID PATIENTS. IN CONNECTION WITH THE PROVIDING OF CARE, NARMC WROTE OFF $128,195,912 OF CHARGES IN THE FORM OF CONTRACTUALS AND CHARITY, EQUALING 58.63% OF TOTAL GROSS INCOME SERVING OVER 8,600 PERSONS. 315283 378483 NARMC IS A CO-SPONSOR OF NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION, INC. (A NOT-FOR-PROFIT CORPORATION). 130279 1075 THE LARGEST PROGRAM SERVICE FOR NARMC IS BEING A SUPPORTER OF THE MEDICAL MISSION CLINIC. NARMC PROVIDES FREE MEDICAL SERVICES THAT QUALIFY AS CHARITY CARE. 69543697 true true false true false false false false false false true true false false false false 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 35 0 true 917 true false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false AR X DEBRA HENRY 8704145157 620 NORTH MAIN HARRISON AR 72601 X X WESLEY HUDSON 1.0 1.0 X 0 0 0 DAN BOWERS 1.0 1.0 X 0 0 0 MIKE MCNUTT 1.0 1.0 X X 0 0 0 ANN MAIN 1.0 1.0 X X 0 0 0 FREDERICK S STROOPE 1.0 X X 0 0 0 DR CHARLES ADAIR 1.0 1.0 X X 0 0 0 DR SHARRON LESLIE 1.0 X 0 0 0 DR ALI ABDELAAL 1.0 X 0 0 0 MIKE NORTON 1.0 1.0 X 0 0 0 VINCENT LEIST 40.0 1.0 X 367432 0 23623 RICHARD MCBRYDE 40.0 1.0 X 199974 0 22820 DEBBIE L HENRY 40.0 1.0 X 168278 0 23366 DIANE ROBERTS 40.0 X 139243 0 10805 JAMES D WATERS 40.0 X 369293 0 22763 JAMES B JUSTICE 40.0 X 228426 0 19618 RONALD REESE 40.0 X 199260 0 12771 JOHN T LESLIE 40.0 X 186905 0 11481 JAMES LANCE SHEALY 40.0 X 194434 0 14873 HELEN GENEVA MURPHY 40.0 X 123006 0 0 2176251 0 162120 24 true true false AMN HEALTHCARE INC PO BOX 281939 ATLANTA GA 303841939 HEALTHCARE STAFFING 444643 THE RIGHT SOLUTIONS PO BOX 595 TONTITOWN AR 72770 HEALTHCARE STAFFING 411112 LOCKARD WILLIAMS PO BOX 1688 PASCAGOULA MS 39568 INSURANCE ADMIN 313860 NCO FINANCIAL SYSTEMS 24886 NETWORK PLACE CHICAGO IL 606731248 COLLECTION AGENCY 305896 BKD LLP 400 W CAPITOL SUITE 2500 LITTLE ROCK AR 72203 ACCOUNTING SERVICES 290762 15 414442 66993 55225 536660 PATIENT SERVICES 621110 90044184 90044184 90044184 898026 0 0 898026 0 0 26469 26469 0 26469 0 0 26469 8250 95611 11381 -95611 -3131 -98742 0 0 -98742 0 0 0 CAFETERIA SALES 722320 425746 425746 EDUCATION REVENUE 900099 42115 42115 LOSS ON EXTINGUISHMENT OF DEBT 900099 -93640 -93640 1804955 1804955 2179176 93585773 90044184 0 3004929 0 0 0 0 983168 0 983168 0 0 28877158 19639688 9237470 0 736480 500889 235591 0 4785760 3254851 1530909 0 2158694 1468153 690541 0 0 120678 82075 38603 0 406805 276673 130132 0 0 0 0 9967312 6778884 3188428 0 234715 159632 75083 0 1413941 961638 452303 0 0 0 1767739 1202260 565479 0 310983 211503 99480 0 0 48209 32787 15422 0 777925 529076 248849 0 0 4552946 3096511 1456435 0 642625 437057 205568 0 BAD DEBTS 16126770 16126770 0 0 MEDICAL SUPPLIES 7189019 7189019 0 0 DRUGS 3142391 3142391 0 0 PATIENT CHARGEABLES 2126821 2126821 0 0 3421529 2327019 1094510 89791668 69543697 20247971 0 657316 917031 0 0 0 0 12956975 16115550 0 0 0 0 1411608 1438748 1443216 1481475 533341 419276 100131038 55451960 45913677 44679078 0 0 28991245 31333203 0 0 0 0 426380 521218 92333758 96905579 6946052 10190835 0 0 0 0 29530000 28679770 0 0 0 0 3848985 1740503 0 0 0 0 40325037 40611108 X 52008721 56294471 0 0 0 0 52008721 56294471 92333758 96905579 3794105 491645 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 11232 11232 false false OTHER LOBBYING ACTIVITIES FORM 990, SCHEDULE C, PART II-B, LINE 1i 26.13% OF AHA MEMBERSHIP DUES ALLOCABLE TO LOBBYING: $11,232. 1676357 1676357 49911998 19200724 30711274 46821591 36251236 10570355 1721092 1721092 44679078 0 77953779 491645 3131 494776 77459003 16126770 16126770 93585773 73668029 3131 3131 73664898 16126770 16126770 89791668 EXPENSE INCLUDED IN REVENUES PER AUDIT, INCLUDED AS EXPENSE PER RETURN FORM 990, SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $16,126,770 EXPENSE INCLUDED IN REVENUES PER AUDIT, INCLUDED AS EXPENSE PER RETURN FORM 990, SCHEDULE D, PART XII, LINE 4B BAD DEBTS $16,126,770 REVENUES INCLUDED IN EXPENSE PER AUDIT, INCLUDED IN REVENUE PER RETURN FORM 990, SCHEDULE D, PART XI, LINE 2D LOSS ON SALE OF ASSETS $3,131 REVENUES INCLUDED IN EXPENSE PER AUDIT, INCLUDED IN REVENUE PER RETURN FORM 990, SCHEDULE D, PART XII, LINE 2D LOSS ON SALE OF ASSETS $3,131 FIN 48 DISCLOSURE FORM 990, SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. 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SINGLE PHYSICIAN FAMILY PRACTI BAD DEBT EXPENSE FORM 990, SCHEDULE H, PART III, SECTION A, LINE 4A THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERES, PATIENTS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. COLLECTION PRACTICES FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B ONCE A PATIENT IS KNOWN TO QUALIFY FOR CHARITY CARE, ALL COLLECTION EFFORTS CEASE. CHARGES FOR MEDICAL CARE FORM 990, SCHEDULE H, PART V, SECTION B, LINE 19 NORTH ARKANSAS REGIONAL MEDICAL CENTER USED AN AVERAGE OF MAJOR COMMERCIAL INSURANCE DISCOUNTS TO DETERMINE THE AMOUNT OF DISCOUNTS PROVIDED TO INDIVIDUALS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. NEEDS ASSESSMENT FORM 990, SCHEDULE H, PART VI NARMC ASSESSES THE HEALTH CARE NEED OF THE COMMUNITIES IT SERVES BY WORKING VERY CLOSELY WITH OTHER HEALTHCARE PROVIDERS AND EDUCATORS IN THE AREA AND PARTICIPATING IN THE SURVEY COMPLETED BY THE HOMETOWN HEALTH COALITION THROUGH THE BOONE COUNTY HEALTH UNIT. THIS DOCUMENT COMPILES DATA FROM SCHOOLS, PHYSICIANS, GOVERNMENT AGENCIES AND THE HOSPITAL TO DETERMINE WHERE OUR COMMUNITY CAN HELP FILL THE VOID IN MEDICAL CARE NEEDS FOR OUR CITIZENS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FORM 990, SCHEDULE H, PART VI WE BELIEVE THAT CHARITY CARE BEGINS WHEN A PERSON WALKS IN THE DOOR OF ANY NARMC FACILITY AND IS IDENTIFIED AS POSSIBLY BEING UNABLE TO PAY FOR MEDICALLY NECESSARY HOSPITAL SERVICES. OUR COMMITMENT IS TO IDENTIFY WAYS OF HELPING PATIENTS BEYOND THE PROVISION OF NEEDED MEDICAL CARE. NARMC'S PATIENT RESOURCES DEPARTMENT IS RESPONSIBLE FOR THE HANDLING OF THE NARMC CHARITY CARE PROGRAM IN CONJUNCTION WITH THE NARMC BUSINESS OFFICE. APPLICATIONS ARE TAKEN BY MAIL, PHONE, OR BY APPOINTMENT THROUGH THE PATIENT RESOURCES DEPARTMENT. ALL APPLICATIONS ARE REVIEWED BY THE PATIENT RESOURCES DEPARTMENT, THEN REFERRED TO A PATIENT ACCOUNTS REPRESENTATIVE FOR FINAL ACCOUNTING. ONCE ELIGIBILITY IS DETERMINED AND PAPERWORK/ACCOUNTING COMPLETED, ALL PAPERWORK IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW. ONCE A PATIENT'S ACCOUNTS HAVE REACHED LEGAL INTERVENTION, THEY ARE NOT ELIGIBLE FOR THE CHARITY CARE PROGRAM. A PATIENT IS IDENTIFIED AS POSSIBLY NEEDING CHARITY CARE WHEN: 1. PATIENT IS RECEIVING CARE THROUGH THE MEDICAL MISSION CLINIC. 2. PATIENT INDICATES AT THE TIME OF ADMISSION ASSESSMENT THAT HE/SHE IS CONCERNED ABOUT WHETHER OR NOT HE/SHE CAN PAY THE NARMC BILL. 3. PATIENT HAS NO INSURANCE OR PAYMENT SOURCE (INCLUDING MEDICARE AND MEDICAID). 4. PATIENT EXPRESSES AN INABILITY TO PAY FOR NEEDED PRESCRIPTIONS AT THE TIME OF DISCHARGE. 5. PATIENT EXPRESSES AN INABILITY TO PAY THE CO-PAY REQUIRED BY HIS/HER INSURANCE. ONCE A PATIENT IS IDENTIFIED AS POSSIBLY NEEDING CHARITY CARE, ONE OR MORE OF THE FOLLOWING IS IMPLEMENTED: 1. PATIENT IS SEEN IN THE MEDICAL MISSION CLINIC. 2. PATIENT IS SEEN OR CONTACTED BY NARMC'S MEDICAID WORKER, OR REFERRED TO THE APPROPRIATE GOVERNMENTAL AGENCY FOR ASSISTANCE. THE MEDICAID WORKER WILL ALSO PROVIDE THE PATIENT WITH INFORMATION ABOUT THE NARMC CHARITY CARE PROGRAM. 3. PATIENT IS SEEN BY OR REFERRED TO AN NARMC SOCIAL WORKER AND THE APPROPRIATE REFERRAL OR APPLICATION OF HELP IS MADE. OPTIONS FOR HELP THROUGH NARMC PATIENT RESOURCES DEPARTMENT INCLUDE, BUT ARE NOT LIMITED TO: A. HELP IN APPLYING FOR GOVERNMENTAL ASSISTANCE. B. APPLYING FOR AND DETERMINING ELIGIBILITY FOR THE NARMC CHARITY CARE PROGRAM, INCLUDING THOSE WITH MEDICAL CONDITIONS/NEEDS THAT HAVE EXHAUSTED THEIR FINANCIAL RESOURCES. C. HELP IN APPLYING FOR AND DETERMINING ELIGIBILITY TO PHARMACEUTICAL ASSISTANCE PROGRAMS. D. PROVIDING FUNDS TO FILL PRESCRIPTIONS UPON DISCHARGE FROM THE HOSPITAL. E. REFERRING PATIENT TO LOCAL CHARITABLE ORGANZATIONS FOR ASSISTANCE WITH OBTAINING PRESCRIPTIONS, HOUSING, CLOTHING, FOOD, TRANSPORTATION, ETC. IF FOR SOME REASON A PATIENT'S NEED FOR FINANCIAL ASSISTANCE IS NOT IDENTIFIED WHILE THE PATIENT IS RECEIVING INSERVICES AT NARMC, OPTIONS FOR HELP ARE ALSO PROVIDED TO THE PATIENTS IN THE FOLLOWING WAYS: 1. WHEN HE/SHE CONTACTS THE BUSINESS OFFICE ABOUT HIS/HER HOSPITAL BILL, INFORMATION ABOUT ASSISTANCE PROGRAMS WILL BE PROVIDED. 2. EVERY UNINSURED PATIENT IS SENT A LETTER AFTER HOSPITALIZATION EXPLAINING THEIR PAYMENT OPTIONS, I.E., PAYMENT IN FULL WITH APPLICABLE DISCOUNT, INTEREST-FREE PAYMENT PLAN, BANK LOAN PLAN, OR FINANCIAL ASSISTANCE IF APPLICABLE. 3. THE FOLLOWING INFORMATION APPEARS AT THE BOTTOM OF EACH MONTHLY STATEMENT TO INFORM PATIENTS OF HOW TO APPLY FOR HELP WITH AN NARMC BILL: IF YOU ARE UNABLE TO PAY YOUR HOSPITAL BILL AND WANT TO FIND OUT IF YOU QUALIFY FOR ASSISTANCE THROUGH THE NARMC CHARITY CARE PROGRAM, PLEASE CALL 870-414-5498 TO RECEIVE ELIGIBILITY REQUIREMENTS AND REQUEST A SUBSIDY APPLICATION. 4. EACH PATIENT RECEIVING HOSPITAL SERVICES, BOTH INPATIENT AND OUTPATIENT, WILL BE GIVEN FREQUENTLY ASKED QUESTIONS SHEET THAT WILL INCLUDE INFORMATION ABOUT ASSISTANCE WITH THEIR HOSPITAL BILL. THESE ARE AVAILABLE IN ENGLISH AND SPANISH. 5. COMMUNITY RESOURCE BOOKLETS ARE PROVIDED TO PATIENTS AND FAMILIES AS NEEDED. THESE BOOKLETS INCLUDE INFORMATION ABOUT HOW TO GET ASSISTANCE WITH MEDICAL BILLS. INFORMATION ABOUT AND APPLICATIONS FOR THE CHARITY CARE PROGRAM ARE AVAILABLE THROUGH THE NARMC BUSINESS OFFICE, MEDICAID OFFICE, CASE MANAGER, SOCIAL WORKERS, EMERGENCY DEPARTMENT, AND NURSING STAFF, AS WELL AS VARIOUS OUTSIDE AGENCIES, (I.E., AREA CONNECTIONS, BOONE COUNTY HOME HEALTH, NEWTON COUNTY HOME HEALTH, SEARCY COUNTY HOME HEALTH). THERE IS A DESIGNATED VOICE MAIL LINE WHERE PATIENTS CAN CALL TO RECEIVE ELIGIBILITY REQUIREMENTS, OR REQUEST INFORMATION FOR AN APPLICATION; THE PHONE NUMBER IS 870-414-5498. 1. APPLICATIONS WILL BE GIVEN DIRECTLY TO THE PATIENT OR MAILED UPON REQUEST. 2. APPLICATIONS AND REQUIRED DOCUMENTATION WILL BE REVIEWED BY THE NARMC PATIENT RESOURCES DEPARTMENT TO DETERMINE ELIGIBILITY OR BY THE PATIENT ACCOUNTS REPRESENTATIVE AS INDICATED IN THE SPECIFIC GUIDELINES FOR EACH CATEGORY. 3. ONCE FINAL ELIGIBILITY APPROVAL AND SIGN-OFF ARE COMPLETED, ALL APPLICATIONS ARE TURNED OVER TO THE BUSINESS OFFICE PATIENT ACCOUNTS REPRESENTATIVE TO COMPLETE ACCOUNTING AND PREPARE THE REPORT FOR THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. 4. APPLICATIONS FROM MEDICARE PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE FUNDS WILL BE SENT TO THE BUSINESS OFFICE MANAGER FOR MEDICARE BAD DEBT WRITE-OFF. PROMOTION OF COMMUNITY HEALTH FORM 990, SCHEDULE H, PART VI NARMC'S BOARD OF DIRECTORS CONSISTS OF COMMUNITY LEADERS WITH GOALS OF PROMOTING COMMUNITY HEALTH. THE HOSPITAL PROVIDES FOUR FREE HEALTH SCREENINGS PER YEAR AND PROVIDES HEALTH CHECKS AT SEVERAL COMMUNITY EVENTS, SUCH AS COMMUNITY HEALTH FAIRS, COUNTY FAIRS, RODEOS, LOCAL BUSINESSES, ETC. NARMC PARTNERS WITH AND FINANCIALLY SUPPORTS NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION, WHICH PROVIDES HEALTH EDUCATION TO THE GENERAL POPULATION OF THE COMMUNITY. EMERGENCY SERVICES ARE PROVIDED AT NUMEROUS COMMUNITY EVENTS WITH EITHER PHYSICIANS, PARAMEDICS, EMTS, NURSES, ETC. ADDITIONALLY NARMC IS VERY INVOLVED IN THE COMMUNITIES IT SERVES BY PROVIDING COMMUNITY HEALTH SUPPORT AND EDUCATION. THE HOSPITAL'S STAFF PARTICIPATES IN A VARIETY OF COMMUNITY SUPPORT ACTIVITIES INCLUDING, BUT NOT LIMITED TO, BUSINESS AFTER HOURS, WORLD'S LARGEST BABY FAIR, THE BUSINESS EXPO AND OZARK EXPO, KHOZ/NARMC HEALTH FAIR, THE KHOZ RADIO STATION MCDONALD'S BREAKFAST CLUB, TKO TELEVISION PROGRAM COMMUNITY CONNECTIONS, KHOZ RADIO STATION COMMUNITY CONTACT AND K26 TV'S 726 COMMUNITY INFORMATION PROGRAMS. THE RURAL HEALTH CLINICS AND RURAL AMBULANCE STATIONS HAVE REPRESENTATIVES ON THE LOCAL CHAMBER OF COMMERCE BOARD OF DIRECTORS, MEMBERS OF KIWANIS, ROTARY, LIONS, EVENING LIONS, FIRST RESPONDERS, VOLUNTEER FIRE DEPARTMENT, ETC. AFFILIATED HEALTH CARE SYSTEM FORM 990, SCHEDULE H, PART VI NORTH ARKANSAS MEDICAL SYSTEM IS A PUBLIC BENEFIT CORPORATION TO NORTH ARKANSAS REGIONAL MEDICAL CENTER. IT IS ORGANIZED TO OPERATE FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND/OR TO CARRY OUT THE PURPOSES OF THE HOSPITAL. NORTH ARKANSAS MEDICAL SERVICES IS A PUBLIC BENEFIT CORPORATION TO NORTH ARKANSAS REGIONAL MEDICAL CENTER. IT IS ORGANIZED TO OPERATE FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND/OR TO CARRY OUT THE PURPOSES OF THE HOSPITAL. NORTH ARKANSAS MEDICAL FOUNDATION'S MISSION IS TO ENCOURAGE PUBLIC SUPPORT FOR THE ACTIVITIES AND PURPOSE OF NORTH ARKANSAS REGIONAL MEDICAL CENTER. STATE FILING OF COMMUNITY BENEFIT REPORT FORM 990, SCHEDULE H, PART VI THE STATE OF ARKANSAS DOES NOT REQUIRE NONPROFIT HOSPITALS TO PROVIDE COMMUNITY BENEFITS REPORTS. OTHER HOSPITAL FACILITIES FORM 990, SCHEDULE H, SECTION C NARMC OWNS THREE RURAL HEALTH CLINICS. 1. NEWTON COUNTY FAMILY PRACTICE IN JASPER, AR, 2. CLAUDE PARRISH COMMUNITY HEALTH CLINIC IN LEAD HILL, AR, 3. MARSHALL FAMILY PRACTICE IN MARSHALL, AR. NARMC ALSO HAS THREE MANNED AMBULANCE SUBSTATIONS. THEY ARE LOCATED IN JASPER, DIAMOND CITY AND MARSHALL. THROUGH THESE RURAL HEALTH CLINICS AND AMBULANCE SUBSTATIONS WE CONTINUALLY MEET THE NEEDS OF THE COMMUNITIES WE SERVE IN THE RURAL AREAS. NARMC SUPPORTS AND STAFFS THE LOCAL HOSPICE HOUSE WHICH PROVIDES TERMINALLY ILL PATIENTS AND THEIR FAMILIES WITH AN ALTERNATIVE TO HOSPICE SERVICES IN THEIR HOMES. NARMC SUPPORTS THE MEDICAL CLINIC MISSION BY PROVIDING FREE HEALTH CARE SERVICES TO THE INDIGNET PATIENTS OF THE CLINIC. COST OF SERVICES IS INCLUDED IN THE CHARITY SUBSIDY INFORMATION. NARMC PARTNERS WITH NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION WHICH PROVIDES QUALITY CERTIFIED HEALTH CARE TRAINING FOR COMMUNITY NEEDS. TRAINING AND EDUCATION INCLUDES CLASSES FOR NURSE ASSISTANTS, HOME HEALTH AIDES, FIRST AIDE, CPR TRAINING AND CONTINUING HEALTH EDUCATION FOR HEALTHCARE PROFESSIONALS, AS WELL AS, COMMUNITY EDUCATION FOR HEALTHY LIVES, WEIGHT LOSS AND SMOKING CESSATION. COST TO CHARGE WORKSHEET FORM 990, SCHEDULE H, PART I, LN 7 THE COST TO CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED IN COMPLETING LINE 7A AND 7B. LINE 7E, 7F, 7G, AND 7I WERE CALCULATED USING ACTUAL COSTS MEDICARE FORM 990, SCHEDULE H, PART III, LINE 8 THE AMOUNT REPORTED ON LINE 6 WAS CALCULATED USING THE MEDICARE COST REPORT. THE SHORTFALL ON LINE 7 SHOULD BE CONSIDERED CHARITY CARE. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. BAD DEBT EXPENSE FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE IN THE AMOUNT OF $16,126,770 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. ADDRESSED NEEDS IDENTIFIED IN LATEST CHNA FORM 990, SCHEDULE H, PART V, LINE 7 NARMC ADDRESSED ALL SIGNIFICANT HEALTH NEEDS AS IDENTIFIED UNDER THE PROPOSED REGULATIONS AT THE TIME THE IMPLEMENTATION STRATEGY WAS PUT INTO PLACE. X true true X X X X true false false false false false false false false VINCENT LEIST 328150 0 25580 0 13702 0 8750 0 14873 0 391055 0 0 0 RICHARD MCBRYDE 194420 0 4462 0 1092 0 7037 0 15783 0 222794 0 0 0 DEBBIE L HENRY 163304 0 3882 0 1092 0 5993 0 17373 0 191644 0 0 0 JAMES D WATERS 368021 0 180 0 1092 0 7890 0 14873 0 392056 0 0 0 JAMES B JUSTICE 227154 0 180 0 1092 0 7995 0 11623 0 248044 0 0 0 RONALD REESE 119270 0 63447 0 16543 0 4619 0 8152 0 212031 0 0 0 HELEN GENEVA MURPHY 123006 0 0 0 0 0 0 0 0 0 123006 0 0 0 JOHN T LESLIE 176388 0 6271 0 4246 0 3576 0 7905 0 198386 0 0 0 JAMES LANCE SHEALY 193162 0 180 0 1092 0 0 0 14873 0 209307 0 0 0 DIANE ROBERTS 135748 0 3099 0 396 0 4751 0 6054 0 150048 0 0 0 HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES FORM 990, SCH J, PART I, LINE 1A VINCENT LEIST (CEO) $2,851.68 RICHARD MCBRYDE (COO) $635.00 DEBRA HENRY (CFO) $906.50 DIANE ROBERTS (CNO) $576.60 SEVERANCE PAYMENT FORM 990, SCHEDULE J, PART I, LINE 4A HELEN GENEVA MURHPY $123,006 A BOONE COUNTY AR 710386082 098646AS1 2006-03-16 25000000 HOSPITAL REVENUE CONSTRUCTION false false false B BOONE COUNTY AR 710386082 098646AT9 2010-11-16 5314921 HOSPITAL REVENUE REFUNDING BONDS false false false C BOONE COUNTY AR 710386082 098646BR2 2011-12-20 9959500 HOSPITAL REVENUE REFUNDING BONDS false false false D BOONE COUNTY AR 710386082 098646CC4 2013-03-01 9854770 HOSPITAL REVENUE REFUNDING BONDS false false false A 9790000 0 25000000 0 0 0 272406 377517 0 24360795 0 0 2008 false false true true B 575000 0 5335000 533500 0 5736028 46482 0 0 0 0 0 2010 true false true true C 340000 0 9965000 934391 0 8851667 49350 0 0 0 0 0 2011 true false true true D 0 0 9854770 1115000 0 0 184280 0 0 0 0 0 true false true true A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false false C false false false false 0.00000 0.00000 0.00000 false false false false D false false false false 0.00000 0.00000 0.00000 false false false false A false false false true true false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true BOND YEAR FORM 990, SCHEDULE K, PART I, A - D A - COMPLETED ON BOND YEAR OF 5/1/2012 B - COMPLETED ON BOND YEAR OF 5/1/2012 C - COMPLETED ON BOND YEAR OF 5/1/2012 D - COMPLETED ON BOND YEAR OF 3/1/2013 REBATE COMPUTATION DATE FORM 990, SCHEDULE K, PART IV, LINE 2C FOR BOND A, THE LAST REBATE COMPUTATION WAS PERFORMED FOR THE COMPUTATION PERIOD MARCH 16, 2006 THROUGH FEBRUARY 28, 2011. REVIEW OF FORM 990 FORM 990, PART VI, QUESTION 11B FORM 990 IS PROVIDED TO EACH BOARD DIRECTOR DURING THE BOARD COMMITTEE MEETINGS. MANAGEMENT REVIEWED EACH SECTION AND ALL SIGNIFICANT DISCLOSURES WITH THE BOARD OF DIRECTORS. CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C BOARD OF DIRECTORS COMPLETE A QUESTIONNAIRE EACH YEAR AND DISCLOSURES (IF ANY) ARE REVIEWED BY THE BOARD AND OFFICERS. KEY EMPLOYEES ARE REQUIRED TO REPORT ANY POTENTIAL CONFLICTS OF INTEREST TO THEIR SUPERVISOR AND TO HUMAN RESOURCES. COMPENSATION OF OFFICERS FORM 990, PART VI, LINE 15A & 15B HUMAN RESOURCES AND THE BOARD COMPARE THE CEO'S SALARY TO THE AHA SALARY DATABASE AND THEN SET THE SALARY BASED ON THEIR FINDINGS. SALARIES OF OTHER OFFICERS OR KEY EMPLOYEES ARE COMPARED TO AHA SALARY DATABASE BY HUMAN RESOURCES AND ARE REVIEWED AND APPROVED BY THE CEO. SALARIES OF OFFICERS AND KEY EMPLOYEES ARE ALSO REVIEWED BY THE BOARD. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, QUESTION 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE PROVIDED TO THE COUNTY ON A MONTHLY BASIS. SIGNIFICANT PROGRAM SERVICE CHANGE FORM 990, PART III, LINE 2 THE MEDICINE GROUP- DR. LESLIE PHYSICIAN PRACTICE- GENERAL & SPECIALTY SURGERY- DR. COBLE PHYSICIAN PRACTICE NORTH ARKANSAS MEDICAL FOUNDATION 620 NORTH MAIN HARRISON AR 72601 710787861 SUPPORT AR 501 (C) (3) 11a NARMC false NORTH ARKANSAS MEDICAL SYSTEM 620 NORTH MAIN HARRISON AR 72601 710787859 SUPPORT AR 501 (C) (3) 11a NA false NORTH ARKANSAS MEDICAL SERVICES 620 NORTH MAIN HARRISON AR 72601 710787858 SUPPORT AR 501 (C) (3) 11a NARMC false false false true false false false false false false false false false false false false false false false false