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WHITE COUNTY MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WHITE COUNTY MEDICAL CENTER (EIN 71-0772737)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-11
IRS object ID
201422239349300852
Schema version
2012v2.3
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)
Timestamp2014-08-11T09:34:02-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code722033667ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710772737EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WHITE COUNTY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% STUART HILLInCareOfName
Name ControlWHITNameControl
Phone5012686121Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13214 EAST RACE AVENUEAddressLine1
Address Line2SuiteAddressLine2
CitySEARCYCity
StateARState
ZIP Code72143ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTUART HILLName
TitleVICE PRESIDENT/TREASURERTitle
Phone5013721040Phone
Date Signed2014-07-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMBER SHERRILLName
Phone5013721040Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRAYMOND MONTGOMERY IINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13214 EAST RACE AVENUEAddressLine1
CitySEARCYCity
StateARState
ZIP Code72143ZIPCode
FieldValueIRS element (for citing)
Gross Receipts247770188GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WCMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION MAINTAINED A HOSPITAL IN SEARCY, AR TO BENEFIT THE SURROUNDING AREA. THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR FINANCIAL STATUS.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees2100TotalNbrEmployees
Total Nbr Volunteers157TotalNbrVolunteers
Total Gross UBI3376TotalGrossUBI
Net Unrelated Business Txbl Income-8446NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1040314ContributionsGrantsPriorYear
Contributions Grants Current Year90000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year210284443ProgramServiceRevenuePriorYear
Program Service Revenue CY224641434ProgramServiceRevenueCY
Investment Income Prior Year309608InvestmentIncomePriorYear
Investment Income Current Year1033978InvestmentIncomeCurrentYear
Other Revenue Prior Year8077392OtherRevenuePriorYear
Other Revenue Current Year4554169OtherRevenueCurrentYear
Total Revenue Prior Year219711757TotalRevenuePriorYear
Total Revenue Current Year230319581TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year86078139SalariesEtcPriorYear
Salaries Etc Current Year76549894SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year114178432OtherExpensePriorYear
Other Expenses Current Year121367223OtherExpensesCurrentYear
Total Expenses Prior Year200256571TotalExpensesPriorYear
Total Expenses Current Year197917117TotalExpensesCurrentYear
Revenues Less Expenses Prior Year19455186RevenuesLessExpensesPriorYear
Revenues Less Expenses CY32402464RevenuesLessExpensesCY
Total Assets BOY205606638TotalAssetsBOY
Total Assets EOY222788504TotalAssetsEOY
Total Liabilities BOY34671710TotalLiabilitiesBOY
Total Liabilities EOY34523632TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY170934928NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY188264872NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE QUALITY OF HEALTH AND WELL-BEING FOR THE COMMUNITIES WE SERVE THROUGH COMPASSIONATE CARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense142152503Expense
Revenue224641434Revenue
DescriptionTHE ORGANIZATION MAINTAINED A HOSPITAL IN SEARCY, ARKANSAS TO BENEFIT THE SURROUNDING AREA. THE HOSPITAL PROVIDES CARE TO PATIENTS MEETING CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHARGES EXCLUDED FROM REVENUE UNDER THE MEDICAL CENTER'S CHARITY CARE POLICY WERE $11,628,845 AND $10,711,874 FOR FISCAL YEAR END 2013 AND 2012, RESPECTIVELY.Description
Total Program Service Expense142152503TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
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 BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccounttrueEscrowAccount
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 EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109677NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2100NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
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 VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSTUART HILLNamePerson
Telephone Number5013801001TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13214 EAST RACE AVENUEAddressLine1
CitySEARCYCity
StateARState
ZIP Code72143ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
KEITH FEATHER
VICE CHAIRMAN1.01.0XX000
MARVIN DELK
DIRECTOR1.01.0X000
EUGENE MCKAY
DIRECTOR1.01.0X000
MITCHELL HAMILTON
CHAIRMAN1.01.0XX000
JIM WILSON
SECRETARY1.01.0XX000
LEAH MILLER
DIRECTOR1.01.0X000
CLEVE TREAT
DIRECTOR1.01.0X000
RAYMOND MONTGOMERY
PRESIDENT/CEO40.0X417494030878
STUART HILL
VICE PRESIDENT/TREASURER40.0X234359031609
LADONNA JOHNSTON
VICE PRESIDENT PATIENT SERVICE40.0X190864025830
SCOTTY PARKER
ASST VP ANCILLARY SERVICES40.0131888016635X
ROBERT HUFF
CLINIC ADMINISTRATOR40.0146017011379X
EMMANUEL TANCINCO MD
HOSPITALIST40.0220283024614X
WILLIAM THORPE MD
HOSPITALIST40.023276304251X
MICHAEL HOWELL
CLINIC ADMINISTRATOR40.016782809531X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1741496TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation154727TotalOtherCompensation
Number Individuals GT100 K27NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WHITE COUNTY ER PHYSICIANS LLC
1446 MISSLE BASE RDJUDSONIAAR72081ER PHYSICIANS7191749
ANESTHESIA AND PAIN MGMT ASSOC INC
119 W MARKET AVESEARCYAR72143ANESTHESIOLOGY767000
SERVICE PROFESSIONALS INC
1924 FENDLEY DRN LITTLE ROCKAR72114MGMT SVCS & SUPPLIES761244
SIGNET HEALTH CORPORATION
504 SEVILLE RD STE 201DENTONTX76205MANAGEMENT SERVICES676435
QUEST DIAGNOSTICS
3 GIRALDA FARMSMADISONNJ07940LABORATORY TESTING440389
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
Related Organizations90000RelatedOrganizations
Total Contributions90000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column224641434TotalRevenueColumn
Related Or Exempt Function Income224641434RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue224641434TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column289474TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$289,474ExclusionAmount

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)
Real655498Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real908008Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-252510Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-252510TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$252,510ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities9775573Securities
Other7511530Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities9121693Securities
Other7420906Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities653880Securities
Other90624Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column744504TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$744,504ExclusionAmount

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)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
EHR9000992888451$2,888,451
CAFETERIA/CATERING REVENUE7223201187189$1,183,8133376
CHILD CARE REVENUE624410223976$223,976

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column507063TotalRevenueColumn
Exclusion$507,063ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4806679TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column230319581TotalRevenueColumn
Related Or Exempt Function Income224641434RelatedOrExemptFunctionIncome
Unrelated Business Revenue3376UnrelatedBusinessRevenue
Exclusion$5,584,771ExclusionAmount

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)
Total853771Total
Management And General853771ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total59407890Total
Program Services34220380ProgramServices
Management And General25187510ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2332975Total
Program Services1343850ProgramServices
Management And General989125ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9539221Total
Program Services5494822ProgramServices
Management And General4044399ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4416037Total
Program Services2543744ProgramServices
Management And General1872293ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3771245Total
Program Services2172328ProgramServices
Management And General1598917ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total180610Total
Program Services104036ProgramServices
Management And General76574ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total180402Total
Program Services103916ProgramServices
Management And General76486ManagementAndGeneral
Fundraising0Fundraising

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)
Total13576296Total
Program Services7820274ProgramServices
Management And General5756022ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total713429Total
Program Services410952ProgramServices
Management And General302477ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5951113Total
Program Services3427985ProgramServices
Management And General2523128ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8877487Total
Program Services5113647ProgramServices
Management And General3763840ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total293123Total
Program Services168846ProgramServices
Management And General124277ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total564594Total
Program Services325220ProgramServices
Management And General239374ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9011841Total
Program Services5191038ProgramServices
Management And General3820803ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1152630Total
Program Services663943ProgramServices
Management And General488687ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT EXPENSE466682814666828100
MEDICAL SUPPLIES164546231645462300
PHARMACY4426356442635600
REPAIRS & MAINTENANCE3859317222306016362570

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5685876Total
Program Services3275202ProgramServices
Management And General2410674ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total197917117Total
Program Services142152503ProgramServices
Management And General55764614ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY45731889BOY
EOY55480486EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY35673637BOY
EOY40798072EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18319679BOY
EOY21717662EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY7000000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4160863BOY
EOY4330836EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1118983BOY
EOY3452648EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis170517315LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec100756434LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY79475307BOY
EOY69760881EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY16560475BOY
EOY18238970EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4565805BOY
EOY2008949EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY205606638BOY
EOY222788504EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11843659BOY
EOY14882855EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY1025826EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY14318451BOY
EOY13197875EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3306095BOY
EOY1886305EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5203505BOY
EOY3530771EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY34671710BOY
EOY34523632EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY170934928BOY
EOY188264872EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY170934928BOY
EOY188264872EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY205606638BOY
EOY222788504EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses32402464ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1312633ReconciliationUnrealizedInvest
Reconcilation Other Changes-16385153ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$15,575OtherActivitiesAmount
Total Lobbying Expenditures IIB15575TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE C, PART II-B, LINE 1iIdentifier
Return ReferenceDESCRIPTION OF OTHER ACTIVITIESReturnReference
ExplanationPORTION OF AMERICAN HOSPITAL ASSOCIATION AND ARKANSAS HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING - $15,575Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3214941OtherCostOrOtherBasis
Book Value3214941BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis96342784OtherCostOrOtherBasis
Depreciation45810101Depreciation
Book Value50532683BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis493971OtherCostOrOtherBasis
Depreciation310634Depreciation
Book Value183337BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis67672232OtherCostOrOtherBasis
Depreciation53612705Depreciation
Book Value14059527BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2793387OtherCostOrOtherBasis
Depreciation1022994Depreciation
Book Value1770393BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings69760881TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEST THIRD-PARTY PAYER SETTLEMENTDescription
Amount$3,530,771Amount
FieldValueIRS element (for citing)
Total Of Amounts3530771TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt185871941TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1312633NetUnrealizedGainsInvestments
Other Revenues908008OtherRevenues
Revenue Not Rptd F9902220641RevenueNotRptdF990
Revenue Subtotal183651300RevenueSubtotal
Other Revenues Not Included46668281OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt46668281RevenueNotRptdOnFinStmt
Total Revenue Per Form990230319581TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt168541997TotExpensesEtcAuditedFinclStmt
Other Expenses Included17293161OtherExpensesIncluded
Expenses Not Rptd F99017293161ExpensesNotRptdF990
Expenses Subtotal151248836ExpensesSubtotal
Other Expenses Not Included46668281OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt46668281ExpensesNotRptdOnFinStmt
Total Expenses Per Form990197917117TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48 DISCLOSUREFORM 990, SCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
EXPENSE INCLUDED IN REVENUE PER AUDIT, INCLUDED IN EXPENSE PER RETURNFORM 990, SCHEDULE D, PART XI, LINE 4BBAD DEBT EXPENSE $46,668,281
EXPENSE INCLUDED IN REVENUE PER AUDIT, INCLUDED IN EXPENSE PER RETURNFORM 990, SCHEDULE D, PART XII, LINE 4BBAD DEBT EXPENSE $46,668,281
EXPENSES INCLUDED IN EXPENSE PER AUDIT, INCLUDED IN REVENUE PER RETURNFORM 990, SCHEDULE D, PART XII, LINE 2DTRANSFER TO AFFILIATES $16,385,153 RENT EXPENSES 908,008 =========== $17,293,161
EXPENSES INCLUDED IN EXPENSE PER AUDIT, INCLUDED IN REVENUE PER RETURNFORM 990, SCHEDULE D, PART XI, LINE 2DRENT EXPENSES $908,008

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3174853TotalCommunityBenefitExpense
Net Community Benefit Expense3174853NetCommunityBenefitExpense
Percent Of Total Expense0.01910PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense26026814TotalCommunityBenefitExpense
Direct Offsetting Revenue20330100DirectOffsettingRevenue
Net Community Benefit Expense5696715NetCommunityBenefitExpense
Percent Of Total Expense0.03320PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense726569TotalCommunityBenefitExpense
Direct Offsetting Revenue434271DirectOffsettingRevenue
Net Community Benefit Expense292298NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense29928236TotalCommunityBenefitExpense
Direct Offsetting Revenue20764371DirectOffsettingRevenue
Net Community Benefit Expense9163866NetCommunityBenefitExpense
Percent Of Total Expense0.05400PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense404357TotalCommunityBenefitExpense
Direct Offsetting Revenue85794DirectOffsettingRevenue
Net Community Benefit Expense318563NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense172967TotalCommunityBenefitExpense
Direct Offsetting Revenue103780DirectOffsettingRevenue
Net Community Benefit Expense69187NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense31514894TotalCommunityBenefitExpense
Direct Offsetting Revenue22064367DirectOffsettingRevenue
Net Community Benefit Expense7730999NetCommunityBenefitExpense
Percent Of Total Expense0.04640PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense47802TotalCommunityBenefitExpense
Net Community Benefit Expense47802NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense97416TotalCommunityBenefitExpense
Net Community Benefit Expense97416NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense32237436TotalCommunityBenefitExpense
Direct Offsetting Revenue22253941DirectOffsettingRevenue
Net Community Benefit Expense8263967NetCommunityBenefitExpense
Percent Of Total Expense0.04960PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense62165672TotalCommunityBenefitExpense
Direct Offsetting Revenue43018312DirectOffsettingRevenue
Net Community Benefit Expense17427833NetCommunityBenefitExpense
Percent Of Total Expense0.10360PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense1375TotalCommunityBuildingExpense
Net Community Building Expense1375NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense45991TotalCommunityBuildingExpense
Net Community Building Expense45991NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense205923TotalCommunityBuildingExpense
Net Community Building Expense205923NetCommunityBuildingExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense253289TotalCommunityBuildingExpense
Net Community Building Expense253289NetCommunityBuildingExpense
Percent Of Total Expense0.00150PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$46,668,281BadDebtExpenseAmount
Amount Attributable To3773364AmountAttributableTo
Amount Reimbursed By Medicare62070578AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare54134212CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall7936366MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
WHITE COUNTY MEDICAL CENTER
13215 EAST RACE AVENUESEARCYAR72143XXX
WHITE COUNTY MEDICAL CENTER-SOUTH
21200 SOUTH MAINSEARCYAR72143XREHABILITATION, ADULT & GERIATRIC PSYCHIATRICS

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WHITE 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
OtherXOther
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities8NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
WCMC WEST CLINIC
2505 WEST BEEBE CAPPS EXPRESSWAYSEARCYAR72143OUTPATIENT MRI & CT PT DME
WCMC SURGERY CENTER
710 MARION STREET SUITE 101SEARCYAR72143OUTPATIENT SURGERY WOUND CARE
FAMILY PRACTICE ASSOCIATES
3130 EAST RACE SUITE 100SEARCYAR72143FAMILY PRACTICE CLINIC
SEARCY MEDICAL CENTER
2900 HAWKINSSEARCYAR72143MULTI-SPECIALTY CLINIC
WHITE COUNTY ONCOLOGY
415 ROGERS DRSEARCYAR72143ONCOLOGY CLINIC
ORTHO AND SPINE CENTER
710 MARION STREETSEARCYAR72143ORTHOPEDIC AND SPINE CLINIC
WHITE COUNTY MEDICAL CENTER CARDIOLOGY
711 SANTA FE DRIVESEARCYAR72143CARDIOLOGY CLINIC
WESTSIDE FAMILY MEDICAL CLINIC
103 WOODLANE DRIVESEARCYAR72143FAMILY PRACTICE CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BAD DEBT EXPENSEFORM 990, SCHEDULE H, PART III, LINE 4ATHE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, 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.
COSTING METHODOLOGYFORM 990, SCHEDULE H, PART III, LINE 2AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. LINE 3 WAS DETERMINED BY APPLYING A WEIGHTED AVERAGE POVERTY LEVEL FOR THE TOP SEVEN COUNTIES COMPRISING WCMCS PATIENT CENSUS FOR THE FISCAL YEAR.
COSTING METHODOLOGYFORM 990, SCHEDULE H, PART III, LINE 8THE MEDICARE COST REPORT FOR FYE 2013 WAS UTILIZED TO DETERMINE THE AMOUNT FOR LINE 6.
ACTIONS BEFORE INITIATING COLLECTION ACTIONSFORM 990, SCHEDULE H, PART V, LINE 18COLLECTION ACTIONS TAKEN BEYOND THE MINIMUM LEGALLY REQUIRED TO ENSURE ALL PATIENTS ARE TREATED EQUALLY ARE BASED ON A PROPENSITY TO PAY ANALYSIS PERFORMED BY A CONTRACTED THIRD PARTY.
AMOUNTS BILLED TO INDIVIDUALS WITHOUT INSURANCE COVERING EMERGENCY CAREFORM 990, SCHEDULE H, PART V, LINE 20THE MEDICAL CENTER UTILIZED THE AVERAGE OF THE THREE LARGEST INSURERS AS DETERMINED BY GROSS REVENUE.
NEEDS ASSESSMENTFORM 990, SCHEDULE H, PART VI, LINE 2THE HEALTHCARE NEEDS OF THE COMMUNITY ARE PREPARED BY THE MARKETING AND PUBLIC RELATIONS DEPARTMENT AND REPORTED EVERY TWO YEARS AS PART OF THE HOSPITAL STRATEGIC PLAN.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFORM 990, SCHEDULE H, PART VI, LINE 3HOSPITAL HAS A SOCIAL WORKER THAT VISITS AND WORKS WITH EACH PATIENT OR PATIENT'S FAMILY REGARDING ANY NEEDS THE PATIENT MAY HAVE, FINANCIAL OR OTHERWISE. SIGNS AND INFORMATIONAL BROCHURES ARE POSTED AND MADE AVAILABLE TO EDUCATE PATIENTS OF FINANCIAL ASSISTANCE PROGRAMS. FINANCIAL COUNSELORS VISIT PATIENTS TO ASSIST IN REGISTERING FOR FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS. ADDITIONALLY, A FINANCIAL ASSISTANCE COMPANY IS CONTRACTED TO ASSIST PATIENTS FIND AND REGISTER FOR MEDICAL ASSISTANCE BOTH PRIVATE AND PUBLIC.
COMMUNITY INFORMATIONFORM 990, SCHEDULE H, PART VI, LINE 4THE PRIMARY COMMUNITY SERVICED IS APPROXIMATELY A SIX COUNTY AREA SURROUNDING WHITE COUNTY, ARKANSAS. THE SOCIO ECONOMIC MAKEUP OF THE COMMUNITY IS MIXED, WITH STRATUM FROM INDIGENT TO THOSE HAVING NO APPARENT FINANCIAL NEEDS. THE PAYER MIX OF THE HOSPITAL IS 24% COMMERCIAL, 3% SELF PAY, 58% MEDICARE, AND 15% MEDICAID.
PROMOTION OF COMMUNITY HEALTHFORM 990, SCHEDULE H, PART VI, LINE 5THE HOSPITAL PARTICIPATES IN MANY COMMUNITY ACTIVITIES AND EDUCATION PROGRAMS TO PROVIDE GENERAL HEALTH EDUCATION AND SCREENINGS FOR RESIDENTS WITHIN THE COMMUNITY. THESE ACTIVITIES INCLUDE THE ANNUAL DAY OF CARING AND COUNTY FAIR. THE HOSPITAL IS FOCUSED ON PROVIDING FOR THE NEEDS OF THE COMMUNITY THROUGH EXPANDING SERVICES AND TEAMING WITH OTHER AREA PROVIDERS TO PROVIDE NECESSARY RESOURCES. THE HOSPITAL MAKES ITSELF AND RESOURCES AVAILABLE NOT ONLY TO THE IMMEDIATE MEDICAL COMMUNITY (WHITE COUNTY AND SURROUNDING AREA), BUT ALSO TO THE NEEDS OF OTHER HEALTHCARE PROVIDERS IN THE ENTIRE STATE. THE HOSPITAL PROVIDES MEDICAL SCREENINGS AND EDUCATION TO REGIONAL BUSINESSES AND SCHOOLS THROUGH THE HEALTHWORKS DEPARTMENT, HEALTH FAIRS, PATIENT-COMMUNITY-EMPLOYEE HEALTH EDUCATION, ATHLETIC TRAINERS TO LOCAL SCHOOLS, AND VARIOUS TRAINING PROGRAMS. THE HOSPITAL IS ALSO ACTIVELY EXPANDING AND EVALUATING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS TO ENSURE COMMUNITY DIALOG AND INPUT ARE RECEIVED.
AFFILIATED HEALTH CARE SYSTEM ROLESFORM 990, SCHEDULE H, PART VI, LINE 6THE HOSPITAL AND ITS AFFILIATED ORGANIZATIONS ARE COMMITTED TO PROVIDING HIGH QUALITY, PERSONALIZED CARE TO THEIR IMMEDIATE SERVICE AREA (WHITE COUNTY AND SURROUNDING AREAS) AND THE ENTIRE STATE. THE HOSPITAL IS LEAD BY A VOLUNTEER INDEPENDENT GOVERNING BODY CONSISTING OF RESIDENTS OF THE ORGANIZATION'S SERVICE AREA WHO ARE NEITHER EMPLOYEES OR DIRECT INDEPENDENT CONTRACTORS. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL REQUESTING QUALIFIED PHYSICIANS WITHIN THE SERVICE AREA FOR ALL NECESSARY DEPARTMENTS. THE ORGANIZATION IS COMMITTED TO ENSURING CONTINUED FUNDING IS AVAILABLE FOR ALL NECESSARY SERVICES, ADVANCED EQUIPMENT, QUALITY SUPPLIES, COMPETENT CARING TEAM MEMBERS, AND CONTINUED OPERATIONAL FLEXIBILITY FOR FUTURE UNCERTAINTY.
BAD DEBTFORM 990, SCHEDULE H, PART I, LINE 7FBAD DEBT EXPENSE IN THE AMOUNT OF $46,668,281 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.
COSTING METHODOLOGYFORM 990, SCHEDULE H, PART I, LINE 7THE COST TO CHARGE RATIO AS CALCULATED USING WORKSHEET 2 WAS USED TO DETERMINE THE COSTS ON LINE 7.
CHNA-OTHERFORM 990, SCHEDULE H, PART V, SECTION B, LINE 1JIMPLEMENTATION PLAN
CHNA- PERSONS REPRESENTING COMMUNITYFORM 990, SCHEDULE H, PART V, SECTION B, LINE 3THE FACILITY HELD "TOWNHALL" MEETINGS IN THE VARIOUS COMMUNITIES. THE INVITEES CONSISTED OF COUNTY HEALTH DEPARTMENTS, COUNTY SHERIFFS, COUNTY JUDGES, CITY MAYORS, MINISTERIAL LEADERS FROM LOCAL CHURCHES OF VARYING DENOMINATIONS, COUNTY DEPARTMENTS OF HUMAN SERVICES, SCHOOL DISTRICT ADMINISTRATORS AND NURSING STAFF, LOCAL BUSINESS LEADERS, CHAMBER OF COMMERCE REPRESENTATIVES, AND OTHER MEDICAL COMMUNITY REPRESENTATIVES. THOSE INVITED WERE ENCOURAGED TO PROVIDE FEEDBACK ON THE HEALTH NEEDS IN THEIR RESPECTIVE COMMUNITIES EVEN IF UNABLE TO ATTEND THE EVENTS.
CHNA- OTHER HOSPITAL FACILITIESFORM 990, SCHEDULE H, PART V, SECTION B, LINE 4ADVANCED CARE HOSPITAL OF WHITE COUNTY
CHNA- NEEDS NOT ADDRESSEDFORM 990, SCHEDULE H, PART V, SECTION B, LINE 7THE ORGANIZATION HAS PRIORITIZED KEY NEEDS WHICH IT BELIEVES ARE OF GREATEST SIGNIFICANCE WITHIN THE SURROUNDING COMMUNITY AND WHICH THE ORGANIZATIONS RESOURCES, BOTH FINANCIAL AND SERVICES, ARE BEST SUITED TO ADDRESS AND MOST LIKELY TO HAVE THE GREATEST IMPACT ON IMPROVING THE HEALTH AND WELLBEING OF THE COMMUNITY AS A WHOLE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RAYMOND MONTGOMERY
PRESIDENT/CEO36150604878807200024500063780448372000
STUART HILL
VICE PRESIDENT/TREASURER21213602222300026981046280265968000
LADONNA JOHNSTON
VICE PRESIDENT PATIENT SERVICE17339401747000019069067610216694000
ROBERT HUFF
CLINIC ADMINISTRATOR138492075250006751046280157396000
EMMANUEL TANCINCO MD
HOSPITALIST2202830000019903047110244897000
WILLIAM THORPE MD
HOSPITALIST2077630250000000042510237014000
MICHAEL HOWELL
CLINIC ADMINISTRATOR1433910244370005500040310177359000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BENEFITS PROVIDEDSCH J, PART I, LINE 1AALL MEMBERS OF THE EXECUTIVE TEAM HAVE ACCESS TO THE ORGANIZATION'S SOCIAL CLUB MEMBERSHIP. NO PART OF THE MEMBERSHIP IS TREATED AS TAXABLE COMPENSATION BECAUSE ALL USE IS CONSIDERED BUSINESS USE. PERSONAL EXPENSES ARE PAID BY THE OFFICERS TO THE CLUB.
NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTSSCH J, PART I, LINE 4BTHE ORGANIZATION HAS A 457 PLAN. THE FOLLOWING IS A LIST OF THE PERSONS PARTICIPATING IN THE PLAN YEAR : RAYMOND MONTGOMERY, STUART HILL, LADONNA JOHNSTON, ROBERT HUFF, MIKE HOWELL, EMMANUEL TANCINCO, AND WILLIAM THORPE. ROBERT HUFF, MIKE HOWELL, EMMANUEL TANCINCO, AND WILLIAM THORPE ALL PARTICIPATED IN THE PLAN WITH PERSONAL CONTRIBUTIONS. RAYMOND MONTGOMERY, STUART HILL, AND LADONNA JOHNSTON DID NOT CONTRIBUTE PERSONAL FUNDS.
COMPENSATION CONTINGENT ON NET EARNINGSSCH J, PART I, LINE 6ATHE INCENTIVE PAY CALCULATION IS BASED ON THREE COMPONENTS: QUALITY, PATIENT SATISFACTION, AND FINANCE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
WHITE COUNTY ARKANSAS
A716012741963653AK62005-12-299582500RETIRE PROJECT LOANfalsefalsefalse
WHITE COUNTY ARKANSAS
B716012741963653AR12006-02-1510000000PURCHASE FACILITY & RENOVATIONfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A62200000988969295000000190000000002006truefalsetruetrue
B12500001028048767494800181600000002007truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsetruetruefalse0.000000.000000.00000falsefalsefalsetrue
Bfalsefalsetruetruefalse0.000000.000000.00000falsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsefalsefalsetruefalsefalsefalse0falsetrue
0
Bfalsefalsefalsetruefalsefalsefalse0falsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierREBATE COMPUTATIONIdentifier
Return ReferenceFROM 990, SCHEDULE K, PART IV, LINE 2CReturnReference
ExplanationTHE LAST REBATE COMPUTATION DATE FOR THE 2005 SERIES BONDS WAS 12/1/2010. THE LAST REBATE COMPUTATION DATE FOR THE 2006 SERIES BONDS WAS 02/01/2011.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DELEGATION OF CONTROL OVER MANAGEMENT DUTIESFORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS USED UNRELATED MANAGEMENT ORGANIZATIONS TO DIRECT THE OPERATIONS OF THEIR ADULT PSYCHIATRIC AND GERIATRIC PSYCHIATRIC UNITS AS WELL AS ENGINEERING AND ENVIRONMENTAL SERVICES.
APPROVAL OF MEMBERSFORM 990, PART VI, SECTION A, LINE 7BTHE VOTE OF THE BOARD OF DIRECTORS DETERMINES THE SELECTION OF NEW BOARD MEMBERS. THE SELECTION IS SUBJECT TO THE APPROVAL OF THE WHITE COUNTY QUORUM COURT.
CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENTFORM 990, PART VI, SECTION B, LINE 12CANNUAL CONFLICT OF INTEREST POLICIES ARE REVIEWED BY EACH OFFICER AND DIRECTOR. THE OFFICERS AND DIRECTORS THEN SIGN AN ATTESTATION DOCUMENT INDICATING THE EXISTENCE OF ANY CONFLICT OR LACK THEREOF.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE ORGANIZATION'S CEO PRESENTS FORM 990'S OF OTHER ORGANIZATIONS AND COMPENSATION SURVEYS OR STUDIES TO THE ENTIRE BOARD OF DIRECTORS FOR THEIR ANALYSIS AND COMPENSATION DECISIONS. FOR ALL REMAINING TOP MANAGEMENT OFFICIALS, OFFICERS, AND KEY EMPLOYEES, HUMAN RESOURCES REVIEWS COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF WAGES/SALARIES ON AN ANNUAL BASIS.
AVAILABILITY OF DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC WITHIN THE ADMINISTRATIVE OFFICE UPON A VALID PURPOSE AND REQUEST.
SELECTION AND OVERSIGHT OF INDEPENDENT ACCOUNTANTFORM 990, PART XII, LINES 2B AND 2CTHE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED ON A CONSOLIDATED BASIS BY AN INDEPENDENT ACCOUNTANT. THE GOVERNING BODY AS A WHOLE ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT.
REVIEW OF FORM 990FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE EXECUTIVE TEAM OF THE HOSPITAL AS WELL AS THE INTERNAL AUDIT DEPARTMENT. THE BOARD OF DIRECTORS IS PROVIDED COPIES OF THE 990 PRIOR TO FILING.
CORPORATION MEMBERSFORM 990, PART VI, SECTION A, LINE 6THE MEMBERS OF THE CORPORATION SHALL CONSIST OF THOSE PERSONS WHO SERVE AS DIRECTORS OF THE CORPORATION.
ELECTION OF GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 7ADIRECTORS SHALL BE ELECTED BY PLURALITY VOTE AT THE ANNUAL MEETING OF THE BOARD OF DIRECTORS. AT EACH SUCH ELECTION FOR DIRECTORS, EVERY MEMBER ENTITLED TO VOTE AT SUCH ELECTION SHALL HAVE THE RIGHT TO CAST ONE VOTE FOR AS MANY PERSONS AS THERE ARE DIRECTORS TO BE ELECTED AND FOR WHOSE ELECTION HE OR SHE HAS A RIGHT TO VOTE. THE NOMINATION OF A NEW BOARD MEMBER IS SUBMITTED TO THE COUNTY QUORUM COURT FOR APPROVAL.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9TRANSFER TO AFFILIATES $(16,385,153)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
WHITE COUNTY MEDICAL FOUNDATION
3214 EAST RACESEARCYAR72143621697734FUNDRAISINGAR501 (C) (3)11AWCMCtrue
ADVANCED CARE HOSPITAL OF WHITE COUNTY
1200 SOUTH MAINSEARCYAR72143208459270LT ACUTE CAREAR501 (C) (3)3WCMCtrue
WHITE COUNTY PHYSICIAN GROUP
3214 EAST RACESEARCYAR72143275303218SUPPORTAR501 (C) (3)11AWCMCtrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
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 OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ADVANCED CARE HOSPITAL OF WHITE COUNTY
A276000FMV
WHITE COUNTY MEDICAL FOUNDATION
C90000FMV
ADVANCED CARE HOSPITAL OF WHITE COUNTY
L1169148FMV
WHITE COUNTY PHYSICIAN GROUP
P5924588FMV