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BRADLEY COUNTY MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BRADLEY COUNTY MEDICAL CENTER (EIN 71-0797499)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-03-20
IRS object ID
201420799349300717
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-03-20T11:50:18-07:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Hughes Welch & MilliganCPASLTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2094AddressLine1
CityBatesvilleCity
StateARState
ZIP Code725032094ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710797499EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BRADLEY COUNTY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBRADNameControl
Phone8702263731Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1404 SOUTH BRADLEYAddressLine1
CityWARRENCity
StateARState
ZIP Code71671ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRANDON GORMANName
TitleCFOTitle
Date Signed2014-03-20DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM T COUCHName
PTINP00183609PTIN
Phone8707935231Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts23359052GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitehttp://bradleycountymedicalcenter.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE RESIDENTS OF BRADLEY AND SURROUNDING COUNTIESActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees283TotalNbrEmployees
Total Nbr Volunteers21TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year12091ContributionsGrantsPriorYear
Contributions Grants Current Year31865ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18078059ProgramServiceRevenuePriorYear
Program Service Revenue CY20190303ProgramServiceRevenueCY
Investment Income Prior Year46592InvestmentIncomePriorYear
Investment Income Current Year30467InvestmentIncomeCurrentYear
Other Revenue Prior Year1326933OtherRevenuePriorYear
Other Revenue Current Year3106417OtherRevenueCurrentYear
Total Revenue Prior Year19463675TotalRevenuePriorYear
Total Revenue Current Year23359052TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9809025SalariesEtcPriorYear
Salaries Etc Current Year10306120SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9162378OtherExpensePriorYear
Other Expenses Current Year12668445OtherExpensesCurrentYear
Total Expenses Prior Year18971403TotalExpensesPriorYear
Total Expenses Current Year22974565TotalExpensesCurrentYear
Revenues Less Expenses Prior Year492272RevenuesLessExpensesPriorYear
Revenues Less Expenses CY384487RevenuesLessExpensesCY
Total Assets BOY18056214TotalAssetsBOY
Total Assets EOY18365454TotalAssetsEOY
Total Liabilities BOY1617537TotalLiabilitiesBOY
Total Liabilities EOY1542290TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16438677NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16823164NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE RESIDENTS OF BRADLEY AND SURROUNDING COUNTIESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense14566040Expense
DescriptionBRADLEY COUNTY MEDICAL CENTER IS AN ACUTE CARE WHICH PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE AND HOME HEALTH SERVICES TO RESIDENTS OF SOUTH CENTRAL ARKANSAS.Description
Total Program Service Expense14566040TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees283NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBRANDON GORMANNamePerson
Telephone Number8702263731TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1404 SOUTH BRADLEYAddressLine1
CityWARRENCity
StateARState
ZIP Code71671ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
KEITH NEELY
BOARD MEMBER1.000.00X000
JOE DON GREENWOOD
BOARD MEMBER1.000.00X000
KENNETH MCDOUGALD
Treasurer1.000.00X000X
FREDDIE MOBLEY
Chairman1.000.00X000X
JOE HANK WHARTON
BOARD MEMBER1.000.00X000
GINGY CUTHBERTSON
Secretary1.000.00X000X
LATHAN HAIRSTON
Vice CHAIRMAN1.000.00X000X
RUSTY ROWELL
BOARD MEMBER1.000.00X000
JAN GORMAN
CRNA40.000.0018645600X
J GARETT GATES
CCRNA40.000.0016722600X
TAMMY HENSLEY
DIR-HOME HEALTH40.000.0016913200X
GARY HARRINGTON
PHYSICIAN40.000.0040000500X
KARA WORLEY MD
PHYSICIAN40.000.0032500000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1247819TotalReportableCompFromOrg
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ALETHA CONLEY MD
1918 RIDGEWOOD DRIVEEL DORADOAR71730PHYSICIAN215000
KRISTI KROONA
11 SLIDAW HILL LANEBELLA VISTAAR72715CRNA145355
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions31865AllOtherContributions
Total Contributions31865TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Total Revenue Column20190303TotalRevenueColumn
Related Or Exempt Function Income20190303RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue20190303TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column30467TotalRevenueColumn
Exclusion$30,467ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real200708Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real200708Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column200708TotalRevenueColumn
Exclusion$200,708ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SALES TAX REVENUE25942752594275
MEAL SALES4373443734
EMR REVENUE199193199193

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column68507TotalRevenueColumn
Related Or Exempt Function Income68507RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2905709TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23359052TotalRevenueColumn
Related Or Exempt Function Income23096012RelatedOrExemptFunctionIncome
Exclusion$231,175ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8684638Total
Program Services6585008ProgramServices
Management And General2099630ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total131730Total
Management And General131730ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total877473Total
Management And General877473ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total612279Total
Management And General612279ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total68340Total
Management And General68340ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total20802Total
Program Services4083ProgramServices
Management And General16719ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total399548Total
Program Services40153ProgramServices
Management And General359395ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total203753Total
Program Services203753ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total83375Total
Program Services63054ProgramServices
Management And General20321ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total9714Total
Management And General9714ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1128325Total
Management And General1128325ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REPAIRS AND MAINT797622409119388503
BAD DEBT EXPENSE20705642070564
SUPPLIES31674972437461730036
PURCHASED SERVICES426050123985881861913

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total458404Total
Program Services354257ProgramServices
Management And General104147ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total22974565Total
Program Services14566040ProgramServices
Management And General8408525ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1331600BOY
EOY1182383EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3771444BOY
EOY3540131EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5367731BOY
EOY4101759EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY511333BOY
EOY588531EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY91336BOY
EOY114934EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26759390LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17921674LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6982770BOY
EOY8837716EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18056214BOY
EOY18365454EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1437982BOY
EOY1495078EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY179555BOY
EOY47208EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY4EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1617537BOY
EOY1542290EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16438677BOY
EOY16823164EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16438677BOY
EOY16823164EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18056214BOY
EOY18365454EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses384487ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis276852OtherCostOrOtherBasis
Book Value276852BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12678982OtherCostOrOtherBasis
Depreciation6842907Depreciation
Book Value5836075BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis60212OtherCostOrOtherBasis
Depreciation59927Depreciation
Book Value285BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13743344OtherCostOrOtherBasis
Depreciation11018840Depreciation
Book Value2724504BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8837716TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRoundingDescription
Amount$4Amount
FieldValueIRS element (for citing)
Total Of Amounts4TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt21288488TotRevenueEtcAuditedFinclStmt
Revenue Subtotal21288488RevenueSubtotal
Other Revenues Not Included2070564OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2070564RevenueNotRptdOnFinStmt
Total Revenue Per Form99023359052TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20904001TotExpensesEtcAuditedFinclStmt
Expenses Subtotal20904001ExpensesSubtotal
Other Expenses Not Included2070564OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2070564ExpensesNotRptdOnFinStmt
Total Expenses Per Form99022974565TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SPROVISION FOR BAD DEBTS $2070564
Part XI, Line 4bPart XI, Line 4b: Other revenue amounts included on 990 but not included in F/SPROVISION FOR BAD DEBT $2070564
Part XPart X : FIN48 FootnoteTHE HOSPITAL HAS EVALUATED ITS TAX POSITION TAKEN IN ACCORDANCE WITH ASC 740-10 AND HAS DETERMINED THAT THAT IS NO IMPACT ON THE TAX EXEMPT STATUS, FINANCIAL POSITION, OR RESULTS OF OPERATIONS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense432276TotalCommunityBenefitExpense
Net Community Benefit Expense432276NetCommunityBenefitExpense
Percent Of Total Expense0.01880PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense432276TotalCommunityBenefitExpense
Net Community Benefit Expense432276NetCommunityBenefitExpense
Percent Of Total Expense0.01880PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense432276TotalCommunityBenefitExpense
Net Community Benefit Expense432276NetCommunityBenefitExpense
Percent Of Total Expense0.01880PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,070,564BadDebtExpenseAmount
Amount Attributable To1414171AmountAttributableTo
Amount Reimbursed By Medicare8622314AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare8281438CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall340876MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1BRADLEY COUNTY MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1404 SOUTH BRADLEY STREETAddressLine1
CityWARRENCity
StateARState
ZIP Code71671ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BRADLEY COUNTY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted13NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
File Form4720 Report Excise TaxfalseFileForm4720ReportExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection ActivitiestrueCollectionActivities
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part V - Explanation of Number of Facility TypeRURAL HOSPITAL WITH A HOME HEALTH AGENCY AND CLINIC
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeBRADLEY COUNTY MEDICAL CENTER PROVIDES GENERAL MEDICAL AND SURGICAL CARE FOR INPATIENT, OUTPATIENT, AND EMERGENCEY ROOM PATIENTS, AND PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. BCMC SUPPORTS COMMUNITY GROUPS WITH VOLUNTEERS AND DONATIONS FROM THE HOSPITAL. BCMC ALSO SERVES AS A FACILTIY FOR VARIOUS HEALTH AND WELLNESS SUPPORT GROUPS.
Part VI - Community InformationRURAL SETTING, PREDOMINANTLY AGRICULATURAL BASE. AVERAGE INCOME AT OR BELOW FEDERAL POVERTY GUIDELINES.
Part VI - Patient Education of Eligibility for AssistanceINFORMS PATIENTS UPON ADMISSION AND POSTS NOTICES IN CONSPICUOUS AREAS
Part VI - Needs AssessmentUTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FROM DHS AS WELL AS REPORTS SHOWING PERCENT OF ACTIVITY OF COMMUNITY BY PAYOR SOURCE
Part V, Line 18e - Other Actions Took Before Any Collection ActionsCOLLECTIONS DEPARTMENT MAKES REGULAR SCHEDULED PHONE CALLS AND INFORMS PATIENTS THAT BCMC WILL WORK WITH THE PATIENT AND INFORMS THEM ABOUT THE HOSPITAL'S CAHRITY CARE PROGRAMNumber of Hospital Faciltiy - 1
Part V, Line 3 - Account Input from Person Who Represent the CommunityCONSULTED WITH THE GREATER DELTA ALLIANCE FOR HEALTHNumber of Hospital Faciltiy - 1
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsPATIENTS ARE INFORMED OF THE CHARITY CARE PROGRAM

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
TAMMY HENSLEY
DIR-HOME HEALTH169132169132
KARA WORLEY MD
PHYSICIAN325000325000
JAN GORMAN
CRNA186456186456
J GARETT GATES
CCRNA167226167226
GARY HARRINGTON
PHYSICIAN400005400005

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableDOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesANNUAL INCREASES IN COMPENSATION ARE DETERMINED BY GOVERNING BOARD BASED ON PERFORMANCE EVALUATIONS
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementCOMPENSATION IS DISCUSSED AND VOTED ON BY THE BOARD OF DIRECTORS IN AN EXECUTIVE SESSION
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD MEMBERS AND EMPLOYESS ARE EXPECTED TO REPORT CONFLICTS OF INTEREST WHEN THEY ARISE TO MANAGEMENT AND OTHER MEMBERS OF THE BOARD.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessFORM 990 REVIEWED PRIOR TO E-FILING. PROVIDED TO BOARD MEMBERS UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BRADLEY COUNTY MEDICAL SERVICES
404 SOUTH MEDICAL SERVICESWARRENAR71671710797501SUPPORT BRADLEY COUNTY MEDICAL CENTERAR501C3BRADLEY COUNTY MEDICAL CENTERfalse
BRADLEY COUNTY MEDICAL FOUNDATION
404 SOUTH BRADLEYWARRENAR71671710797502SUPPORT BRADLEY COUNTY MEDICAL CENTERAR501C3BRADLEY COUNTY MEDICAL CENTERfalse
BRADLEY MEDICAL SYSTEM
404 SOUTH BRADLEYWARRENAR71671710797500TO OPERATE FOR THE BENEFIT OF BRADLEY COUNTY MEDICAL CENTERAR501C3BRADLEY COUNTY MEDICAL CENTERfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg