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BRADLEY COUNTY MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BRADLEY COUNTY MEDICAL CENTER (EIN 71-0797499)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-14
IRS object ID
201202279349302855
Schema version
2010v3.2
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)
Timestamp2012-08-14T11:50:32-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

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 Date2010-10-01TaxPeriodBeginDate

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)
NameHAROLD MITCHELLName
TitleCEOTitle
Date Signed2012-08-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM T COUCHName
Phone8707935231Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts19817590GrossReceipts
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 Employees274TotalNbrEmployees
Total Nbr Volunteers21TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year81454ContributionsGrantsPriorYear
Contributions Grants Current Year44880ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18723063ProgramServiceRevenuePriorYear
Program Service Revenue CY19399368ProgramServiceRevenueCY
Investment Income Prior Year60096InvestmentIncomePriorYear
Investment Income Current Year50017InvestmentIncomeCurrentYear
Other Revenue Prior Year295263OtherRevenuePriorYear
Other Revenue Current Year323325OtherRevenueCurrentYear
Total Revenue Prior Year19159876TotalRevenuePriorYear
Total Revenue Current Year19817590TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9254015SalariesEtcPriorYear
Salaries Etc Current Year9406450SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8236043OtherExpensePriorYear
Other Expenses Current Year9047362OtherExpensesCurrentYear
Total Expenses Prior Year17490058TotalExpensesPriorYear
Total Expenses Current Year18453812TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1669818RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1363778RevenuesLessExpensesCY
Total Assets BOY18232393TotalAssetsBOY
Total Assets EOY17831451TotalAssetsEOY
Total Liabilities BOY3649866TotalLiabilitiesBOY
Total Liabilities EOY1885046TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14582527NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15946405NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE RESIDENTS OF BRADLEY AND SURROUNDING COUNTIESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10410558Expense
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 Expense10410558TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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 LiabilitiesfalseReportOtherLiabilities
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 With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees274NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
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 PersonHAROLD MITCHELLNamePerson
Telephone Number8702263731TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeOfficerOfficerKey EmployeeKeyEmployee
WR ROWELL
BOARD MEMBER1.00X000
TERRI GRIMES
DIR-PHYSICAL THER40.0011238300X
TAMMY HENSLEY
DIR-HOME HEALTH40.0015643100X
LATHAN HAIRSTON
Vice CHAIRMAN1.00X000X
KENNETH MCDOUGALD
Treasurer1.00X000X
KEITH NEELY
BOARD MEMBER1.00X000
JOE HANK WHARTON MD
BOARD MEMBER1.00X000
JOE DON GREENWOOD
BOARD MEMBER1.00X000
JAN GORMAN
CRNA40.0016405300X
JAMES W MARSH MD
BOARD MEMBER1.00X000
HAROLD MITCHELL
CEO40.0012789300X
GINGY CUTHBERTSON
Secretary1.00X000X
FREDDIE MOBLEY
Chairman1.00X000X
DAVID KILCREASE
PHYSICAL THERAPIST40.0010162600X
BRANDON GORMAN
Controller40.004925500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org711641TotalReportableCompFromOrg
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonMICHELLE WEAVER MDNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1219 E CENTRALAddressLine1
CityWARRENCity
StateARState
ZIP Code71671ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPHYSICIANDescriptionOfServices
Compensation163680Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations30030RelatedOrganizations
Government Grants14850GovernmentGrants
Total Contributions44880TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Total Revenue Column19399368TotalRevenueColumn
Related Or Exempt Function Income19399368RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue19399368TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column50017TotalRevenueColumn
Exclusion$50,017ExclusionAmount

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)
Real170242Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real170242Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column170242TotalRevenueColumn
Exclusion$170,242ExclusionAmount

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
PHY THER CONTRACT5981259812
MEAL SALES3633836338
COUNTY TAX MILLAGE4259442594

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column14339TotalRevenueColumn
Related Or Exempt Function Income14339RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue153083TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19817590TotalRevenueColumn
Related Or Exempt Function Income19552451RelatedOrExemptFunctionIncome
Exclusion$220,259ExclusionAmount

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)
Total177148Total
Management And General177148ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7713158Total
Program Services5989379ProgramServices
Management And General1723779ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total120419Total
Management And General120419ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total794998Total
Management And General794998ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total600727Total
Management And General600727ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32749Total
Management And General32749ManagementAndGeneral

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)
Total20876Total
Program Services440ProgramServices
Management And General20436ManagementAndGeneral

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)
Total378921Total
Program Services36096ProgramServices
Management And General342825ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total213150Total
Program Services213150ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total49567Total
Program Services30132ProgramServices
Management And General19435ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total88886Total
Management And General88886ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1081811Total
Management And General1081811ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES30087632219331789432
REPAIRS AND MAINT809794530960278834
PURCHASED SERVICES304775911867291861030
EQUIP RENTAL OR LEASE24661119352253089
DUES & SUBSCRIPTIONS39275862830647

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total29200Total
Program Services2191ProgramServices
Management And General27009ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18453812Total
Program Services10410558ProgramServices
Management And General8043254ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2745754BOY
EOY1266607EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2854284BOY
EOY4533520EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4934665BOY
EOY4444114EOY

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)
BOY548865BOY
EOY591851EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY58260BOY
EOY80038EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22609247LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15693926LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7090565BOY
EOY6915321EOY

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)
BOY18232393BOY
EOY17831451EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1428319BOY
EOY1184523EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2221547BOY
EOY700523EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3649866BOY
EOY1885046EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14582527BOY
EOY15946405EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14582527BOY
EOY15946405EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18232393BOY
EOY17831451EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1363778ReconcilationRevenueExpenses
Reconcilation Other Changes100ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

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 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 Basis10472314OtherCostOrOtherBasis
Depreciation6299189Depreciation
Book Value4173125BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis60212OtherCostOrOtherBasis
Depreciation56974Depreciation
Book Value3238BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11799869OtherCostOrOtherBasis
Depreciation9337763Depreciation
Book Value2462106BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6915321TotalOfBookValueLandBuildings
Total Revenue19817590TotalRevenue
Total Expenses18453812TotalExpenses
Excess Or Deficit For Year1363778ExcessOrDeficitForYear
Other$100OtherAmount
Total Adjustments100TotalAdjustments
Excess Or Deficit Per FS1363878ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19817590TotRevenueEtcAuditedFinclStmt
Revenue Subtotal19817590RevenueSubtotal
Total Revenue Per Form99019817590TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18453812TotExpensesEtcAuditedFinclStmt
Expenses Subtotal18453812ExpensesSubtotal
Total Expenses Per Form99018453812TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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.
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesGAIN ON DISPOSAL OF ASSETS $100

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 Expense300995TotalCommunityBenefitExpense
Net Community Benefit Expense300995NetCommunityBenefitExpense
Percent Of Total Expense0.01630PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense300995TotalCommunityBenefitExpense
Net Community Benefit Expense300995NetCommunityBenefitExpense
Percent Of Total Expense0.01630PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense300995TotalCommunityBenefitExpense
Net Community Benefit Expense300995NetCommunityBenefitExpense
Percent Of Total Expense0.01630PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$754,212BadDebtExpenseAmount
Amount Reimbursed By Medicare6735345AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare8118536CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1383191MedicareSurplusOrShortfall

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 Number0FacilityNumber

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 ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent225.0000FPGDiscountPercent
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 NonpaymentfalseActionsOnNonpayment
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 Type1-RURAL HOSPITAL, 1-HOME HEALTH AGENCY, 1-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. PREDOMINANTLY CAUCASIAN, HIGH SCHOOL EDUCATED AND GERIATRIC IN NATURE.
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 17e - 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 CHARITY PROGRAMNumber of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsPATIENTS ARE INFORMED OF THE CHARITY CARE PROGRAM
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)225% OF FPG

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 (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
TAMMY HENSLEY
156431156431
JAN GORMAN
164053164053

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 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 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 11Form 990, Part VI, Line 11: 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
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