2013-11-18T07:01:20-08:00 2012-12-31 Hughes Welch & MilliganCPASLTD PO Box 2094 Batesville AR 725032094 990 2012-01-01 710410601 COMMUNITY MEDICAL CENTER OF IZARD COUNTY COMM 8702973739 PO BOX 438 CALICO ROCK AR 72519 KIM SKIDMORE 2013-11-18 true WILLIAM T COUCH P00183609 8707935231 2012 2016-03-07 17:11:31Z 7461796 false false X www.cmcofic.org X 1991 AR CMCIC TAKES RESPONSIBILITY FOR THE HEALTH AND MEDICAL CARE OF THE PEOPLE IN COMMUNITIES OF THEIR SERVICE AREA, PROVIDING EFFICIENT, QUALITY MEDICAL AND SURGICAL CARE WITH CHRISTIAN COMPASSION, DIGNITY AND UNDERSTANDING 10 10 162 40 0 587454 71872 6960757 6959337 47274 99740 470722 330847 8066207 7461796 0 0 4094132 3759378 0 0 3948522 4594125 8042654 8353503 23553 -891707 5346756 5520879 4649988 5715818 696768 -194939 CMCIC TAKES RESPONSIBILITY FOR THE HEALTH AND MEDICAL CARE OF THE PEOPLE IN COMMUNITIES OF THEIR SERVICE AREA, PROVIDING EFFICIENT, QUALITY MEDICAL AND SURGICAL CARE WITH CHRISTIAN COMPASSION, DIGNITY AND UNDERSTANDING false false 6155242 THE HOSPITAL PROVIDES ACUTE HOSPITAL AND OUTPATIENT CARE TO RESIDENTS OF IZARD COUNTY AND SURROUNDING AREAS. 6155242 true false false false false false false false false false true false false false false true true false false false false false false false false false true true false false false false false false false false false false false false false false false false false false false true false false false false true 17 0 true 162 true false false false false false false false false 0 false false false false false false false false false false X 10 10 false false false false false false false true false false false true true true false true true false false true false X KIM SKIDMORE 8702973739 PO BOX 438 CALICO ROCK AR 72519 REED PERRYMAN 1.00 0.00 X 0 0 0 PAUL MILLER 1.00 0.00 X 0 0 0 COURT FABYAN MATHEY 1.00 0.00 X 0 0 0 DANNY MOSER 1.00 0.00 X 0 0 0 SUSAN KEMP 1.00 0.00 X 0 0 0 JAY KNIGHT 1.00 0.00 X 0 0 0 ROBERT C LANE MD 1.00 0.00 X 34570 0 0 DR MERLY GRASSE 1.00 0.00 X 0 0 0 PHILIP HUGHES 40.00 0.00 X 3314 0 0 CATHY FRANKS 40.00 0.00 X 57195 0 0 KIM SKIDMORE 40.00 0.00 X 53388 0 0 KAREN CONRAD MOORE 40.00 0.00 X 17982 0 0 KIMBERLY WATSON 40.00 0.00 X 0 0 0 166449 0 false false false HEALTH LAW FIRM 2800 CANTRELL ROAD SUITE 200 LITTLE ROCK AR 72202 LEGAL COUNCIL 118955 CORRECT CARE INC 17438 HARD HAT DRIVE COVINGON LA 70435 ER PHYSICANIANS 840000 2 71872 71872 PATIENT SERVICE REVENUE 6959337 6959337 6959337 99180 99180 0 0 87806 87806 87806 87806 560 560 560 560 0 0 0 OTHER MISC REVENUE 203019 203019 MEDICAL RECORDS 1721 1721 MEAL REVENUE 37008 37008 1293 1293 243041 7461796 6959337 430587 0 0 0 0 166449 166449 0 3044544 2478979 565565 18094 13932 4162 289796 223143 66653 240495 185181 55314 0 0 63285 63285 0 0 0 0 0 0 0 0 176387 17341 159046 22041 20418 1623 0 0 270630 270630 0 311241 311241 135162 135162 REPAIRS & MAINTENANCE 78955 78955 SUPPLIES & OTHER 998819 672842 325977 BAD DEBTS 1080780 1080780 PURCHASED SERVICES 1454340 1072430 381910 2485 2485 8353503 6155242 2198261 0 158038 54118 0 0 1480895 1308986 0 0 0 107314 107212 32471 50651 9741958 5855565 3445347 3886393 0 0 0 0 122691 113519 5346756 5520879 1450124 1249388 3199864 4466430 4649988 5715818 X 696768 -194939 696768 -194939 5346756 5520879 -891707 X false true X true false X 66556 66556 4486499 1643259 2843240 135368 108860 26508 4303019 4099406 203613 750516 4040 746476 3886393 X 6381016 6381016 1080780 1080780 7461796 7272723 7272723 1080780 1080780 8353503 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S BAD DEBT EXPENSE $1080780 Part XI, Line 4b Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S BAD DEBT EXPENSE $1080780 Part X Part X : FIN48 Footnote The Medical Center has evaluated its tax positions taken in accordance with Fin 48 and has determined that there is no impact on the Medical Center's tax exempt status, financial position or results of operations for the year ended December 31,2011 and 2010. true true X true X true X 110.000000000 true true false false false false 148286 148286 0.01780 148286 148286 0.01780 148286 148286 0.01780 true 1080780 761596 3608278 3582192 26086 X true true CMC HOME HLTH & HOSPICELLC HEALTHCARE 0.33000 1 1 COMMUNITY MED CTR OF IZARD CO

PO BOX 438 CALICO ROCK AR 72519

X X X X false true true 100.0000 true 110.0000 true X X X X X X true true X X X X true X true X X X X X true X false false Part VI - Additional Information CMCIC HOSTS VARIOUS HEALTH FAIRS THROUGHOUT THE YEAR TO HELP PROMOTE COMMUNITY AWARENESS Part V - Explanation of Number of Facility Type 1-HOSPITAL WITH 3-RURAL CLINICS UNDER THEIR OWNERSHIP Part VI - Explanation Of How Organization Furthers Its Exempt Purpose OPEN MEDICAL STAFF AND HEALTHCARE EDUCATON IN THE COMMUNITY Part VI - Community Information RURAL SETTING, PREDOMINANTLY AGRICULTURAL BASE, AVERAGE INCOME AT OR BELOW POVERTY GUIDELINES. PREDOMINANTLY CAUCASION, HIGH SCHOOL EDUCATED AND GERIATRIC IN NATURE. Part VI - Patient Education of Eligibility for Assistance INFORMS PATIENTS UPON ADMISSION AND POSTS NOTICES IN CONSPICUOUS AREAS Part VI - Needs Assessment UTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FROM DHS AS WELL AS REPORTS SHOWING PERCENT OF ACTIVITY OF COMMUNITY PAYOR SOURCE Number of Hospital Faciltiy - 1 Part V, Line 20d - Other Billing Determination of Individuals Without Insurance 15% discount for bill paid in full Part III, Line 9b - Provisions On Collection Practices For Qualified Patients PATIENTS ARE INFORMED OF CHARITY CARE PROGRAM. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available AVAILABLE UPON REQUEST FROM ADMINISTRATION Form 990, Part VI, Line 11b Form 990, Part VI, Line 11b: Form 990 Review Process EXAMINED AND APPROVED BY BOARD. AVAILABLE FOR REVIEW UPON REQUEST. CMC HOME HEALTH AND HOSPICE LLC 420 WEST PINHOOK SUITE A LAFAYETTE LA 70503 262688869 HEALTHCARE LA N/A false false false false false false false false false false false false false false false false false false false false false