NORTH ARKANSAS REGIONAL MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: NORTH ARKANSAS REGIONAL MEDICAL CENTER (EIN 71-0787860)
Tax period: 2024-04-01 to 2025-03-31
Filed: 2026-02-06
IRS object ID: 202630379349300038
Schema version: 2024v5.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-02-06T15:40:43+00:00	ReturnTs
Tax Period End	2025-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 3667	AddressLine1Txt
City	Little Rock	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	722033667	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	710787860	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	North Arkansas Regional Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	8704145157	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	620 NORTH MAIN	AddressLine1Txt
City	HARRISON	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SAMMIE CRIBBS ROBERSON	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	8704145157	PhoneNum
Signature	2026-02-06	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amber Sherrill	PreparerPersonNm
PTIN	P00748683	PTIN
Phone	5013721040	PhoneNum
Preparation	2026-02-06	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAMMIE CRIBBS ROBERSON	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	620 NORTH MAIN	AddressLine1Txt
City	HARRISON	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$119,666,190	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NARMC.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	FormationYr
Legal Domicile State	AR	LegalDomicileStateCd
Activity Or Mission	MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE AND RESOURCES WITH COMPASSION AND INTEGRITY.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	968	TotalEmployeeCnt
Total Volunteers	60	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$2,409,685	PYContributionsGrantsAmt
CY Contributions Grants	$2,564,386	CYContributionsGrantsAmt
PY Program Service Revenue	$95,585,592	PYProgramServiceRevenueAmt
CY Program Service Revenue	$104,885,660	CYProgramServiceRevenueAmt
PY Investment Income	$2,715,348	PYInvestmentIncomeAmt
CY Investment Income	$1,552,662	CYInvestmentIncomeAmt
PY Other Revenue	$138,473	PYOtherRevenueAmt
CY Other Revenue	$26,375	CYOtherRevenueAmt
PY Total Revenue	$100,849,098	PYTotalRevenueAmt
CY Total Revenue	$109,029,083	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$375	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$56,598,338	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$57,405,974	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$51,676,949	PYOtherExpensesAmt
CY Other Expenses	$52,916,612	CYOtherExpensesAmt
PY Total Expenses	$108,275,287	PYTotalExpensesAmt
CY Total Expenses	$110,322,961	CYTotalExpensesAmt
PY Revenues Less Expenses	-$7,426,189	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,293,878	CYRevenuesLessExpensesAmt
Total Assets BOY	$76,164,985	TotalAssetsBOYAmt
Total Assets EOY	$76,312,887	TotalAssetsEOYAmt
Total Liabilities BOY	$28,013,892	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$30,311,440	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$48,151,093	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$46,001,447	NetAssetsOrFundBalancesEOYAmt
Mission	WE ARE DEDICATED TO PROVIDING QUALITY SERVICES THAT ARE COMPREHENSIVE AND AFFORDABLE. WE EXPECT SERVICES TO BE DELIVERED COMPASSIONATELY, APPROPRIATELY, RESPONSIBLY, SAFELY AND EFFICIENTLY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$82,792,746	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$103,335,405	RevenueAmt
Desc	NARMC PROVIDED OVER 7,929 DAYS OF PATIENT CARE WITH 60.28% BEING PROVIDED TO MEDICARE AND MEDICAID PATIENTS. IN CONNECTION WITH THE PROVIDING OF CARE, NARMC WROTE OFF $239,759,658 OF CHARGES IN THE FORM OF CONTRACTUALS AND CHARITY EQUALING 71.1% OF TOTAL GROSS INCOME.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,066,905	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,550,255	RevenueAmt
Desc	HOSPICE OF THE HILLS MISSION IS TO PROVIDE A SPECIAL KIND OF CARE DESIGNED TO PROVIDE SENSITIVITY AND SUPPORT FOR PEOPLE IN THE FINAL PHASE OF A TERMINAL ILLNESS. WE SEEK TO ENABLE PATIENTS TO CARRY ON AN ALERT, PAIN-FREE LIFE AND TO MANAGE OTHER SYMPTOMS SO THAT THEIR LAST DAYS MAY BE SPENT WITH DIGNITY AND QUALITY. WE VIEW THE FAMILY, NOT JUST THE PATIENT AS THE UNIT OF CARE.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$83,859,651	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	151	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	968	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ANDREA SMITH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8704145157	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	620 NORTH MAIN STREET	AddressLine1Txt
City	HARRISON	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72601	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID O'NEAL
BOARD MEMBER	1.0	5.0	Yes (X)	$0	$0	$0
DR BRENT ROSSON
BOARD MEMBER/PHYSICIAN	40.0	3.0	Yes (X)	$971,302	$0	$45,826
DR ROSS E HALSTED
BOARD MEMBER/PHYSICIAN	40.0	3.0	Yes (X)	$566,874	$0	$33,016
DR STEPHEN BEELER
BOARD MEMBER	1.0	5.0	Yes (X)	$0	$0	$0
KEN MILBURN
BOARD MEMBER	1.0	5.0	Yes (X)	$0	$0	$0
KIRK CAMPBELL
BOARD MEMBER	1.0	5.0	Yes (X)	$0	$0	$0
LARRY PHILLIPS
BOARD MEMBER	1.0	5.0	Yes (X)	$0	$0	$0
RYAN CAUGHRON
BOARD MEMBER	1.0	5.0	Yes (X)	$0	$0	$0
SHERRY BILLINGS
BOARD MEMBER	1.0	5.0	Yes (X)	$0	$0	$0
ANDREA N SMITH
CFO	40.0	5.0		$151,427	$0	$20,792	Yes (X)
DONNA K BOEHM
CNO	40.0	0		$159,207	$0	$13,917	Yes (X)
JOSHUA C BRIGHT
COO	40.0	1.0		$225,291	$0	$30,188	Yes (X)
SAMMIE R ROBERSON
CEO	40.0	5.0		$433,579	$0	$35,399	Yes (X)
DR ALI F ABDELAAL
PHYSICIAN	40.0	0		$813,489	$0	$0		Yes (X)
DR ANDREW L COBLE
PHYSICIAN	40.0	0		$452,709	$0	$39,539		Yes (X)
DR JOSEPH S GRAVES
PHYSICIAN	40.0	0		$441,871	$0	$33,614		Yes (X)
DR NICOLE F CATON
PHYSICIAN	40.0	0		$527,756	$0	$32,611		Yes (X)
DR RICHARD B CHITSEY
PHYSICIAN	40.0	0		$1,166,531	$0	$36,971		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,910,036	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$321,873	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	71	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
360 DEGREE MEDICINE LLC
800 HWY 248 SUITE 2E	BRANSON	MO	65616	ER PROFESSIONAL SERVICES	$4,650,699
QUALIVIS LLC
PO BOX 123847	DALLAS	TX	75312	NURSE STAFFING	$2,415,642
BILLING SPECIALISTS INC
1223 COMMERCE DRIVE	MOUNTAIN HOME	AR	72653	MEDICAL BILLING	$808,863	STE 1-2
VITALITY PLUS UROLOGY
140 ARKANSAS HIGHWAY 201	MOUNTAIN HOME	AR	72653	UROLOGIST	$804,874
GE HEALTHCARE
PO BOX 96483	CHICAGO	IL	60693	MACHINERY SERVICE	$737,871

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Related Organizations	$130,395	RelatedOrganizationsAmt
Government Grants	$2,336,446	GovernmentGrantsAmt
All Other Contributions	$97,545	AllOtherContributionsAmt
Total Contributions	$2,564,386	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	621110	$97,239,585	$97,239,585
PHARMACY REVENUE	621110	$5,068,756	$5,068,756
OTHER OPERATING INCOME	621110	$1,946,499	$1,946,499
FOODS & NUTRITION SERVICES	621110	$348,461	$348,461
MEDICAL OFFICE & RADIATION BUILDING	621110	$282,359	$282,359

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$104,885,660	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$780,316	TotalRevenueColumnAmt
Exclusion	$780,316	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$11,398,453	SecuritiesAmt
Other	$11,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$10,637,107	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$761,346	SecuritiesAmt
Other	$11,000	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$772,346	TotalRevenueColumnAmt
Exclusion	$772,346	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EDUCATION REVENUE	900099	$24,099	$24,099
PURCHASE DISCOUNTS	900099	$2,276	$2,276

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$26,375	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$109,029,083	TotalRevenueColumnAmt
Related Or Exempt Func Income	$104,885,660	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,579,037	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$375	TotalAmt
Program Services	$375	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,673,520	TotalAmt
Management And General	$2,673,520	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$51,600	TotalAmt
Program Services	$37,551	ProgramServicesAmt
Management And General	$14,049	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$45,633,666	TotalAmt
Program Services	$33,209,448	ProgramServicesAmt
Management And General	$12,424,218	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,303,651	TotalAmt
Program Services	$948,719	ProgramServicesAmt
Management And General	$354,932	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,557,233	TotalAmt
Program Services	$3,316,481	ProgramServicesAmt
Management And General	$1,240,752	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,186,304	TotalAmt
Program Services	$2,318,801	ProgramServicesAmt
Management And General	$867,503	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$140,193	TotalAmt
Program Services	$102,024	ProgramServicesAmt
Management And General	$38,169	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$338,887	TotalAmt
Program Services	$246,622	ProgramServicesAmt
Management And General	$92,265	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,916,233	TotalAmt
Program Services	$14,493,841	ProgramServicesAmt
Management And General	$5,422,392	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$246,327	TotalAmt
Program Services	$179,262	ProgramServicesAmt
Management And General	$67,065	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,031,227	TotalAmt
Program Services	$2,205,945	ProgramServicesAmt
Management And General	$825,282	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,626,911	TotalAmt
Program Services	$1,911,708	ProgramServicesAmt
Management And General	$715,203	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$246,695	TotalAmt
Program Services	$179,530	ProgramServicesAmt
Management And General	$67,165	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$452,969	TotalAmt
Program Services	$329,644	ProgramServicesAmt
Management And General	$123,325	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,020,676	TotalAmt
Program Services	$2,198,267	ProgramServicesAmt
Management And General	$822,409	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,219,611	TotalAmt
Program Services	$887,560	ProgramServicesAmt
Management And General	$332,051	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$10,436,315	$10,436,315
DRUGS	$8,350,769	$8,350,769
PROVIDER ASSESSMENT TAX	$1,483,016	$1,483,016
FOOD	$483,280	$351,702	$131,578

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$923,503	TotalAmt
Program Services	$672,071	ProgramServicesAmt
Management And General	$251,432	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$110,322,961	TotalAmt
Program Services	$83,859,651	ProgramServicesAmt
Management And General	$26,463,310	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$904,654	BOYAmt
EOY	$2,027,948	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,155,927	BOYAmt
EOY	$16,928,929	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$240,834	BOYAmt
EOY	$144,584	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,649,500	BOYAmt
EOY	$2,433,256	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,749,220	BOYAmt
EOY	$1,039,143	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$117,410,667	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$89,336,569	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$29,650,436	BOYAmt
EOY	$28,074,098	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$24,787,281	BOYAmt
EOY	$22,082,259	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$213,000	BOYAmt
EOY	$213,000	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$814,133	BOYAmt
EOY	$3,369,670	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$76,164,985	BOYAmt
EOY	$76,312,887	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,684,874	BOYAmt
EOY	$12,087,526	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,250,017	BOYAmt
EOY	$15,466,191	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,079,001	BOYAmt
EOY	$2,757,723	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,013,892	BOYAmt
EOY	$30,311,440	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$48,151,093	BOYAmt
EOY	$46,001,447	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$48,151,093	BOYAmt
EOY	$46,001,447	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$76,164,985	BOYAmt
EOY	$76,312,887	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,293,878	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$822,664	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$33,104	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$14,530	OtherActivitiesAmt
Total Lobbying Expenditures	$14,530	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE ARKANSAS HOSPITAL ASSOCIATION. FOR THE YEAR ENDED 2025, THE DUES WERE $23,297 AND $37,237 RESPECTIVELY. APPROXIMATELY 32% OF THE AMERICAN HOSPITAL ASSOCIATION DUES AND APPROXIMATELY 19% OF THE ARKANSAS HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$456,116	OtherCostOrOtherBasisAmt
Book Value	$456,116	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$53,585,190	OtherCostOrOtherBasisAmt
Depreciation	$33,283,705	DepreciationAmt
Book Value	$20,301,485	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$61,616,095	OtherCostOrOtherBasisAmt
Depreciation	$55,324,495	DepreciationAmt
Book Value	$6,291,600	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,753,266	OtherCostOrOtherBasisAmt
Depreciation	$728,369	DepreciationAmt
Book Value	$1,024,897	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$28,074,098	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Closely-held equity interests
Financial derivatives
Internally Designated	$18,982,333	F
Held by Trustee	$3,099,926	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$22,082,259	TotalBookValueSecuritiesAmt
Total Rev Etc Audited Fincl Stmt	$108,195,419	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$822,664	NetUnrealizedGainsInvstAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	-$822,664	RevenueNotReportedAmt
Revenue Subtotal	$109,018,083	RevenueSubtotalAmt
Other Revenues Not Included	$11,000	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$11,000	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$109,029,083	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$110,311,961	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$110,311,961	ExpensesSubtotalAmt
Other Expenses Not Included	$11,000	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$11,000	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$110,322,961	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	LOSS ON DISPOSAL - 11000
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	LOSS ON DISPOSAL - 11000

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	138	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$580,186	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$580,186	NetCommunityBenefitExpnsAmt
Total Expense	0.00526	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,154,300	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,210,875	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,943,425	NetCommunityBenefitExpnsAmt
Total Expense	0.02667	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$12,734,486	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,210,875	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,523,611	NetCommunityBenefitExpnsAmt
Total Expense	0.03192	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,487	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,487	NetCommunityBenefitExpnsAmt
Total Expense	0.00004	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,361,830	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,361,830	NetCommunityBenefitExpnsAmt
Total Expense	0.01234	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,159,424	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,151,165	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,008,259	NetCommunityBenefitExpnsAmt
Total Expense	0.03632	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,525,741	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,151,165	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,374,576	NetCommunityBenefitExpnsAmt
Total Expense	0.04869	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$26,260,227	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,362,040	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,898,187	NetCommunityBenefitExpnsAmt
Total Expense	0.08062	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$20,546,861	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$17,054,820	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,492,041	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH AR REGIONAL PHO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	MANAGEMENT	PrimaryActivitiesTxt
Org Profit Or Ownership	0.005	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.005	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH ARKANSAS MEDICAL SYSTEM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	620 NORTH MAIN STREET	AddressLine1Txt
City	HARRISON	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.NARMC.COM	WebsiteAddressTxt
State License	AR4480	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	1 RURAL HEALTH CLINIC, 3 EMS SUBSTATIONS, 11 CLINICS, 2 HOME HEALTH/HOSPICE, 2 SPECIALTY CENTERS	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH ARKANSAS MEDICAL SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.narmc.com/patients-visitors/community-health-assessment	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.narmc.com/patients-visitors/community-health-assessment	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	138.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.narmc.com/bill-pay/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.narmc.com/bill-pay/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.narmc.com/bill-pay/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	The significant health needs were identified through the Community Health Needs Assessment and prioritized based on community input, prevalence, severity, and the organization's ability to address the needs.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - NORTH ARKANSAS REGIONAL MEDICAL CENTER. Dialogues with six key interviewees were conducted in February and March 2025. Interviewees were determined based on their specialized knowledge or expertise in public health or their involvement with underserved and minority populations. Interviews were conducted via telephone, or the interviewee answered the interview questions via email; whichever was more convenient for the interviewee. All interviews were conducted by Forvis Mazars personnel using a standard questionnaire. A copy of the interview instrument is included in the appendix. A summary of their opinions is reported without judging the truthfulness or accuracy of their remarks. Community leaders provided comments on the following issues: * Health and quality of life for residents of the primary community * Barriers to improving health and quality of life for residents of the primary community * Opinions regarding the important health issues that affect community residents and the types of services that are important for addressing these issues * Delineation of the most important healthcare issues or services discussed and actions necessary for addressing those issues Interview data was initially recorded in narrative form. Interviewees were assured that personal identifiers such as name or organizational affiliations would not be connected in any way to the information presented in this report. This technique does not provide a quantitative analysis of the leaders' opinions, but reveals community input for some of the factors affecting the views and sentiments about overall health and quality of life within the community.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NORTH ARKANSAS REGIONAL MEDICAL CENTER. The hospital developed an implementation strategy to address the significant needs identified in the 2025 CHNA. 1. Access to Quality Healthcare Services - We acknowledge the continued need for improved access to primary care, dental, mental health, and specialty care. Efforts are ongoing to enhance the recruitment and retention of healthcare providers, particularly in underserved and rural areas. We are also working to expand access to specialty care through partnerships with regional providers and telehealth initiatives that connect patients with specialists regardless of location. 2. Substance Abuse - Focus on Prevention and Community Partnerships Substance abuse continues to be a serious concern affecting overall health and quality of life in our community. While the scope of services in a rural community may be limited, we are actively exploring opportunities and partnerships with organizations across our region and state to support substance abuse recovery. Our focus is on strengthening prevention through community education, early intervention, and increasing awareness of available treatment options. We are committed to collaborating with schools, public health agencies, and behavioral health partners to expand access to resources and promote a healthier future for all residents. 3. Mental Health - Education, Awareness, and Resource Connection Mental health remains a vital area of focus, and we recognize the importance of supporting individuals and families facing mental health challenges. Our goal is to enhance community awareness, reduce stigma, and help individuals connect with available mental health resources through education and outreach. By working with local and state partners, we aim to improve access to information and promote a community culture that supports mental and emotional well-being. 4. Health Literacy and Service Awareness - We understand that navigating healthcare services can be challenging. We are developing community-focused educational programs to improve health literacy and awareness of available services. These initiatives will be delivered through interactive opportunities, printed materials, and digital platforms, with an emphasis on reaching underserved populations. 5. Chronic Disease and Wellness Barriers - Chronic conditions such as obesity, hypertension, and heart disease are deeply connected to limited access to care and health education. In response, we are promoting access to wellness care, preventive screenings, and community resources to help support needs identified in our community. 6. Transportation and Access Challenges - Lack of public transportation continues to be a barrier to care, especially in rural areas. We are exploring partnerships with local agencies to expand transportation assistance programs, including shuttle services and ride-sharing initiatives for medical appointments. 7. Support for Vulnerable Populations - We recognize the unique challenges faced by residents in rural areas, low-income households, and the elderly. Our approach includes expanding access to health services, enhancing outreach throughout the community, and improving digital connectivity for telehealth solutions to meet the needs of our community. Some needs cannot be fully addressed due to limited resources, workforce shortages, and scope-of-service constraints; in these cases, the hospital supports community partners who are better positioned to lead these efforts.

Field	Value	IRS element (for citing)
Facility	18	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
NEWTON COUNTY FAMILY PRACTICE CLINIC
502 WEST COURT PO BOX 445	JASPER	AR	72641	RURAL HEALTH CLINIC
NARMC EMS NEWTON COUNTY SUBSTATION
HWY 7 SOUTH	JASPER	AR	72641	EMS RURAL SUB-STATION
NARMC EMS DIAMOND CITY SUBSTATION
311 GREENWOOD ST	DIAMOND CITY	AR	72630	EMS RURAL SUB-STATION
NARMC MEDICINE GROUP
715 W SHERMAN STE J	HARRISON	AR	72601	SINGLE PHYSICIAN FAMILY
NARMC FAMILY MEDICINE CLINIC
724 N SPRING STREET	HARRISON	AR	72601	FAMILY MEDICINE
NARMC GENERAL AND SPECIALTY SURGERY
1401 Hwy 65 N Suite 220	HARRISON	AR	72601	GENERAL AND SPECIALTY SURGERY
NARMC FAMILY DOCTOR'S CLINIC
520 N SPRING STREET	HARRISON	AR	72601	FAMILY MEDICINE
NARMC INTERNAL MEDICINE
724 N SPRING STREET	HARRISON	AR	72601	FAMILY MEDICINE
NARMC HOME HEALTH AND HOSPICE
501 E SHERMAN	HARRISON	AR	72601	HOME HEALTH AND HOSPICE
NARMC EMS HARRISON SUBSTATION
303 HWY 65 BYPASS	HARRISON	AR	72601	EMS RURAL SUB-STATION
HOSPICE OF THE HILLS
501 E SHERMAN	HARRISON	AR	72601	HOME HEALTH AND HOSPICE
WOMEN'S HEALTH AND FAMILY CENTER
520 N PINE	HARRISON	AR	72601	FAMILY PRACTICE/OBSTETRICS AND WOMEN'S HEALTH
CLAUDE PARISH CANCER CENTER
620 N MAIN STREET	HARRISON	AR	72601	ONCOLOGY
THE PHYSICIANS CLINIC OF BERRYVILLE
408 E ORCHARD	BERRYVILLE	AR	72616	FAMILY MEDICINE
NARMC PEDIATRICS
1401 Hwy 65 N Suite 110	HARRISON	AR	72601	PEDIATRIC CLINIC
NARMC CARDIOLOGY CLINIC
620 N MAIN STREET	HARRISON	AR	72601	CARDIOLOGY CLINIC
NARMC THE MED URGENT CARE
1401 Hwy 65 N Suite 100	Harrison	AR	72601	FAMILY MEDICINE URGENT CARE
NARMC Primary and Obstetrical Care
1401 Hwy 65 N	Harrison	AR	72601	FAMILY PRACTICE/OBSTETRICS

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 7	THE STATE OF ARKANSAS DOES NOT REQUIRE NONPROFIT HOSPITALS TO PROVIDE COMMUNITY BENEFIT REPORTS.
Schedule H, Part III, Line 2 & LINE 3	GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE SYSTEM ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE SYSTEM ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS AND IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. CONSISTENT WITH THE SYSTEM'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE SYSTEM HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES, SUCH AS CO-PAYS AND DEDUCTIBLES. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE SYSTEM EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS.
Schedule H, Part I, Line 7g Subsidized Health Services	SUBSIDIZED HEALTH SERVICES INCLUDES COMMUNITY BENEFIT EXPENSE OF $1,150,261 FROM PHYSICIAN CLINICS.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST TO CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED IN COMPLETING LINE 7A AND 7B. LINE 7E, 7F, 7G AND 7I WERE CALCULATED USING ACTUAL COSTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	PLEASE SEE ATTACHED AUDIT REPORT NOTE 1.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE AMOUNT REPORTED ON LINE 6 WAS CALCULATED USING THE MEDICARE COST REPORT
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IN THE CASE OF EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, A PATIENT WHO IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE PROGRAM WILL NOT BE CHARGED MORE THAN AMOUNTS GENERALLY BILLED FOR INDIVIDUALS WHO HAVE INSURANCE COVERAGE. IF NARMC DETERMINES A PATIENT TO BE FAP ELIGIBLE, THEY WILL PROVIDE THE PATIENT WITH A BILLING STATEMENT SHOWING THE AMOUNT OWED AND HOW NARMC DETERMINED THE AMOUNT OWED AS A FAP PATIENT IS DETERMINED TO OWE AS A FAP ELIGIBLE PATIENT AND WILL REFRAIN FROM EXTRAORDINARY COLLECTION ACTIONS (ECAS)
Schedule H, Part V, Section B, Line 16a FAP website	- NORTH ARKANSAS MEDICAL SYSTEM: Line 16a URL: https://www.narmc.com/bill-pay/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- NORTH ARKANSAS MEDICAL SYSTEM: Line 16b URL: https://www.narmc.com/bill-pay/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- NORTH ARKANSAS MEDICAL SYSTEM: Line 16c URL: https://www.narmc.com/bill-pay/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	NARMC ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY WORKING VERY CLOSELY WITH OTHER HEALTHCARE PROVIDERS AND EDUCATORS IN THE AREA AND PARTICIPATING IN THE SURVEY COMPLETED BY THE HOMETOWN HEALTH COALITION THROUGH THE BOONE COUNTY HEALTH UNIT. THIS DOCUMENT COMPILES DATA FROM SCHOOLS, PHYSICIANS, GOVERNMENT AGENCIES AND THE HOSPITAL TO DETERMINE WHERE OUR COMMUNITY CAN HELP FILL THE VOID IN MEDICAL CARE NEEDS FOR OUR CITIZENS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	A PATIENT IS IDENTIFIED AS POSSIBLY NEEDING FINANCIAL ASSISTANCE WHEN THE PATIENT REGISTERS AS A SELF-PAY PATIENT OR HAS A SELF-PAY BALANCE AFTER INSURANCE ON THEIR ACCOUNT. SELF-PAY ACCOUNTS ARE REVIEWED BY THE PATIENT FINANCIALS SERVICES DEPARTMENT. ALL QUALIFYING SELF-PAY ACCOUNTS RECEIVE A DISCOUNT BASED ON THE REIMBURSEMENT PERCENTAGES RECEIVED FROM MEDICARE AND ALL PRIVATE HEALTH INSURANCES PAYING CLAIMS TO THE HOSPITAL BASED UPON THE LOOK BACK PERIOD. CURRENTLY THE SELF PAY DISCOUNT IS 38% OF GROSS CHARGES FOR CLINIC SERVICES AND 66% FOR HOSPITAL SERVICES. ONCE THE PATIENT IS IDENTIFIED AS POSSIBLY NEEDING FINANCIAL ASSISTANCE, THE PATIENT IS SEEN OR CONTACTED BY NARMC'S PATIENT FINANCIAL SERVICES DEPARTMENT TO DETERMINE ELIGIBILITY AND APPLY FOR NARMC'S FINANCIAL ASSISTANCE PROGRAM INCLUDING THOSE WITH MEDICAL CONDITIONS/NEEDS THAT HAVE EXHAUSTED THEIR FINANCIAL RESOURCES, HELP IN APPLYING FOR GOVERNMENTAL ASSISTANCE, HELP IN DETERMINING ELIGIBILITY, APPLY FOR PHARMACEUTICAL ASSISTANCE PROGRAMS OR ANY OTHER PUBLIC ASSISTANCE. PATIENT ELIGIBILITY IS BASED ON A NET HOUSEHOLD INCOME OF 0% TO 138% OF THE FEDERAL POVERTY GUIDELINES IN ORDER TO BE ELIGIBLE FOR AN ASSISTANCE DISCOUNT OF 100%. PATIENT ELIGIBILITY IS BASED ON A NET HOUSEHOLD INCOME OF 138% TO 200% OF FEDERAL POVERTY GUIDELINES IN ORDER TO BE ELIGIBLE FOR A FINANCIAL ASSISTANCE DISCOUNT OF 50%. NARMC TAKES THE FOLLOWING MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE PROGRAM TO THE COMMUNITY AND PATIENTS IN THE FOLLOWING WAYS: 1) POST THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND A SUMMARY OF THE POLICY ON THE NARMC WEBSITE AT WWW.NARMC.COM. 2) PROVIDE PAPER COPIES OF THE POLICY, APPLICATION AND SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM UPON REQUEST IN THE PATIENT ACCESS AND PATIENT FINANCIAL SERVICES OFFICES. 3)POST NOTICES ABOUT THE FINANCIAL ASSISTANCE PROGRAM IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS AND PATIENT FINANCIALS SERVICES OFFICES. 4) DISTRIBUTE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM AND OFFER A FINANCIAL ASSISTANCE APPLICATION TO PATIENTS AT THE TIME OF REGISTRATION OR BEFORE DISCHARGE FROM THE HOSPITAL. 5) INFORM PATIENT ABOUT THE FINANCIAL ASSISTANCE PROGRAM IN PERSON OR DURING CUSTOMER SERVICE INTERACTIONS. 6) PROVIDE A SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM IN THE PATIENT'S MONTHLY BILLING STATEMENT. PATIENTS WILL RECEIVE THEIR FIRST STATEMENT WITHIN 15 DAYS FROM COMPUTATION OF THE FINAL BILL. NARMC WILL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WITH ALL BILLING STATEMENTS (MINIUMUM OF THREE STATEMENTS) AND WITH ANY OTHER WRITTEN COMMUNICATIONS REGARDING THE BILL THAT IS PROVIDED TO THE PATIENTS. NARMC SHALL INFORM THE PATIENT ABOUT THE FINANCIAL ASSISTANCE POLICY IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE. NARMC WILL PROVIDE THE PATIENT WITH AT LEAST ONE WRITTEN NOTICE THAT INFORMS THAT PATIENT ABOUT EXTRAORDINARY COLLECTIONS ACTIONS THAT MAY BE TAKEN IF THE FINANCIAL ASSISTANCE APPLICATION IS NOT SUBMITTED OR THE AMOUNT IS NOT PAID IN FULL BY THE DATE SPECIFIED IN THE NOTICE. NARMC SHALL NOT UNDERTAKE EXTRAORDINARY COLLECTION ACTIONS IN LESS THAN 120 DAYS FROM THE DATE OF THE FIRST STATEMENTS. PATIENTS MAY REQUEST FINANCIAL ASSISTANCE UP TO 240 DAYS FROM THE DATE OF THE PATIENT'S FIRST STATEMENT. IF THE PATIENT SUBMITS AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION AFTER 120 DAYS FROM THE FIRST STATEMENT DATE, NARMC SHALL SUSPEND ALL EXTRAORDINARY COLLECTION ACTIONS AND PROVIDE THE PATIENT WITH A WRITTEN NOTICE DESCRIBING THE ADDITIONAL INFORMATION/DOCUMENTATION THAT IS REQUIRED TO COMPLETE THE APPLICATIONS. IF THE PATIENT FAILS TO PROVIDE THE ADDITIONAL INFORMATION REQUESTED BY DATE SPECIFIED IN THE WRITTEN NOTICE, NARMC MAY PROCEED WITH EXTRAORDINARY COLLECTION ACTIONS. COMPLETED FINANCIAL ASSISTANCE APPLICATIONS SUBMITTED WITHIN THE 240 DAY PERIOD SHALL BE REVIEWED BY NARMC. A DETERMINATION SHALL BE MADE AND DOCUMENTED AS TO WHETHER THE PATIENT IS ELIGIBLE AND WRITTEN NOTIFICATION SHALL BE SENT TO THE PATIENT DESCRIBING THE ELIGIBILITY AND BASIS FOR THE DETERMINATION. IF NARMC DETERMINES THE PATIENT TO BE ELIGIBLE, THEY WILL PROVIDE THE PATIENT WITH A BILLING STATEMENT SHOWING THE AMOUNT OWED AND HOW NARMC DETERMINED THE AMOUNT OWED AS A FINANCIAL ASSISTANCE PROGRAM ELIGIBLE PATIENT, REFUND ANY AMOUNTS PAID IN EXCESS OF THE AMOUNT THE PATIENT IS DETERMINED TO OWE AS A FINANCIAL ASSISTANCE PROGRAM PATIENT, AND TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTIONS TAKEN AGAINST THE INDIVIDUAL INCLUDING VACATE JUDGEMENTS, LIFT ANY LIENS OR LEVY AND REMOVE FROM THAT PATIENT'S CREDIT REPORT ANY INFORMATION THAT WAS REPORTED TO A CONSUMER REPORTING AGENCY OR CREDIT BUREAU. NARMC SHALL REFRAIN FROM EXTRAORDINARY COLLECTION ACTIONS UNTIL IT HAS MADE REASONABLE EFFORTS TO DETERMINE FINANCIAL ASSISTANCE PROGRAM ELIGIBILITY, SUSPEND ANY EXTRAORDINARY COLLECTION ACTIONS IF THE PATIENT SUBMITS A FINANCIAL ASSISTANCE PROGRAM APPLICATION UNTIL NARMC DETERMINES FINANCIAL ASSISTANCE PROGRAM ELIGIBILITY. IF THE PATIENT IS ELIGIBLE FOR THE FINANCIAL ASSISTANCE PROGRAM, NARMC WILL ENSURE THE PATIENT DOES NOT PAY MORE THAN THE PATIENT IS REQUIRED TO PAY UNDER THE FINANCIAL ASSISTANCE PROGRAM.
Schedule H, Part VI, Line 4 Community information	THE MEDICAL CENTER IS LOCATED IN HARRISON, ARKANSAS (BOONE COUNTY). HARRISON IS APPROXIMATELY AN HOUR AND A HALF EAST OF FAYETTEVILLE, ARKANSAS AND AN HOUR SOUTH OF SPRINGFIELD, MISSOURI (THE CLOSEST METROPOLITAN AREAS). ONE DIVIDED HIGHWAY SERVES THE AREA FROM THE NORTH. MANAGEMENT HAS IDENTIFIED THE COMMUNITY TO INCLUDE ALL OF BOONE AND NEWTON COUNTIES AS WELL AS SIGNIFICANT PORTIONS OF CARROLL, MARION AND SEARCY COUNTIES AND A SMALL PORTION OF POPE COUNTY. BASED ON THE 2023-2024 US CENSUS BUREAU ESTIMATES, ABOUT 100,059 PEOPLE LIVE IN THE FIVE COUNTIES INCLUDED IN THE COMMUNITY. THE MEDICAL CENTER IS LOCATED IN HARRISON, ARKANSAS, WHICH IS THE LARGEST TOWN IN THE COMMUNITY WITH A POPULATION OF APPROXIMATELY 13,069 PEOPLE. THE POPULATION OF THE COMMUNITY IS ABOUT 90% WHITE, MAKING IT MUCH MORE RACIALLY HOMOGENOUS THAT EITHER THE STATE OF ARKANSAS OR THE UNITED STATES AS A WHOLE. MOST OF THE REMAINING POPULATION IS HISPANIC OR LATINO WITH APPROXIMATELY ONE-THIRD OF THIS GROUP HAVING LIMITED ENGLISH PROFICIENCY. ACCORDING TO THE US CENSUS BUREAU, ABOUT 24% OF THE COMMUNITY'S POPULATION IS OVER AGE 65, WHICH IS MUCH HIGHER THAN THE STATE OF ARKANSAS (17%) OR THE UNITED STATES (17%) AS A WHOLE. ADDITIONALLY, THE PERCENTAGE OF THE COMMUNITY POPULATION OVER AGE 65 IS EXPECTED TO CONTINUE INCREASING OVER THE NEXT FIVE YEARS. THIS AGE GROUP USES MORE HEALTH SERVICES THAN ANY OTHER SO THE MEDICAL CENTER SHOULD PREPARE FOR INCREASED PATIENT VOLUME IN THE NEAR FUTURE. THE AVERAGE HOUSEHOLD INCOME IN THE MEDICAL CENTER'S COMMUNITY IS $52,275 COMPARED TO $56,335 FOR THE STATE OF ARKANSAS AND $75,149 FOR THE UNITED STATES. LOWER THAN AVERAGE HOUSEHOLD INCOME SUGGESTS THAT MANY MEMBERS OF THE COMMUNITY MAY HAVE DIFFICULTY OBTAINING HEALTH CARE, ESPECIALLY PREVENTATIVE CARE.
Schedule H, Part VI, Line 5 Promotion of community health	NARMC FURTHERS ITS EXEMPT PURPOSE BY IMPROVING COMMUNITY HEALTH THROUGH ACCESSIBLE, HIGH-QUALITY CARE AND HEALTH EDUCATION. THE SYSTEM MAINTAINS AN OPEN MEDICAL STAFF AND IS GOVERNED BY A VOLUNTEER BOARD COMPOSED PRIMARILY OF COMMUNITY LEADERS WHO PROVIDE OVERSIGHT ALIGNED WITH COMMUNITY NEEDS. THE SYSTEM PROVIDES SIGNIFICANT COMMUNITY BENEFIT, INCLUDING CHARITY CARE, SUBSIDIZED SERVICES, UNREIMBURSED GOVERNMENT PROGRAM COSTS, AND COMMUNITY HEALTH EDUCATION. ANY EXCESS REVENUES ARE REINVESTED TO SUPPORT CAPITAL IMPROVEMENTS, SERVICE EXPANSION, PROVIDER RECRUITMENT, TECHNOLOGY, AND PATIENT CARE. THE SYSTEM CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS AND IMPLEMENTS INITIATIVES ADDRESSING PRIORITY AREAS SUCH AS ACCESS TO CARE, CHRONIC DISEASE PREVENTION, BEHAVIORAL HEALTH, INJURY PREVENTION, AND HEALTH LITERACY. COMMUNITY HEALTH PROMOTION ACTIVITIES INCLUDE THE ANNUAL MASH (MEDICAL APPLICATIONS OF SCIENCE FOR HEALTH) PROGRAM, STUDENT SHADOWING AND CLINICAL ROTATION OPPORTUNITIES, HEALTH CAREER ORIENTATION FOR LOCAL SCHOOLS, AMERICAN HEART ASSOCIATION TRAINING, STOP THE BLEED AND STROKE AWARENESS EDUCATION, MATERNAL AND CHILD HEALTH PROGRAMS, FALL-PREVENTION AND AGING-RELATED EDUCATION, AND GRIEF SUPPORT SERVICES THROUGH HOSPICE. THE SYSTEM COLLABORATES WITH LOCAL SCHOOLS, PUBLIC HEALTH AGENCIES, FIRST RESPONDERS, EMERGENCY MANAGEMENT, AND COMMUNITY ORGANIZATIONS TO DELIVER HEALTH EDUCATION, OUTREACH, DISASTER PREPAREDNESS ACTIVITIES, AND WELLNESS EVENTS THROUGHOUT THE SERVICE AREA.
Schedule H, Part VI, Line 6 Affiliated health care system	NORTH ARKANSAS MEDICAL SYSTEM IS A PUBLIC BENEFIT CORPORATION TO NORTH ARKANSAS REGIONAL MEDICAL CENTER. IT IS ORGANIZED TO OPERATE FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND/OR TO CARRY OUT THE PURPOSES OF THE HOSPITAL. NORTH ARKANSAS MEDICAL SERVICES IS A PUBLIC BENEFIT CORPORATION TO PROMOTE PURPOSES OF THE HOSPITAL. NORTH ARKANSAS MEDICAL FOUNDATION'S MISSION IS TO ENCOURAGE PUBLIC SUPPORT FOR THE ACTIVITIES AND PURPOSE OF NORTH ARKANSAS REGIONAL MEDICAL CENTER.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR BRENT ROSSON
BOARD MEMBER/PHYSICIAN	$951,302	$0	$20,000	$0	$0	$0	$21,230	$0	$24,596	$0	$1,017,128	$0	$0	$0
DR ROSS E HALSTED
BOARD MEMBER/PHYSICIAN	$537,375	$0	$8,000	$0	$21,499	$0	$8,420	$0	$24,596	$0	$599,890	$0	$0	$0
SAMMIE R ROBERSON
CEO	$379,579	$0	$36,000	$0	$18,000	$0	$13,429	$0	$21,970	$0	$468,978	$0	$0	$0
JOSHUA C BRIGHT
COO	$215,614	$0	$9,677	$0	$0	$0	$8,218	$0	$21,970	$0	$255,479	$0	$0	$0
ANDREA N SMITH
CFO	$146,922	$0	$4,505	$0	$0	$0	$4,646	$0	$16,146	$0	$172,219	$0	$0	$0
DONNA K BOEHM
CNO	$153,940	$0	$5,267	$0	$0	$0	$5,727	$0	$8,190	$0	$173,124	$0	$0	$0
DR RICHARD B CHITSEY
PHYSICIAN	$1,124,031	$0	$20,000	$0	$22,500	$0	$12,375	$0	$24,596	$0	$1,203,502	$0	$0	$0
DR ALI F ABDELAAL
PHYSICIAN	$813,489	$0	$0	$0	$0	$0	$0	$0	$0	$0	$813,489	$0	$0	$0
DR NICOLE F CATON
PHYSICIAN	$519,756	$0	$8,000	$0	$0	$0	$13,853	$0	$18,758	$0	$560,367	$0	$0	$0
DR ANDREW L COBLE
PHYSICIAN	$442,709	$0	$10,000	$0	$0	$0	$15,044	$0	$24,495	$0	$492,248	$0	$0	$0
DR JOSEPH S GRAVES
PHYSICIAN	$413,371	$0	$6,000	$0	$22,500	$0	$9,018	$0	$24,596	$0	$475,485	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	NARMC PAYS A COUNTRY CLUB MEMBERSHIP FOR SAMMIE CRIBBS ROBERSON, WHICH IS ONLY USED FOR BUSINESS PURPOSES. ANY PERSONAL EXPENSES ARE PAID BY SAMMIE CRIBBS ROBERSON DIRECTLY. NARMC ALSO PAYS ROTARY DUES FOR SAMMIE CRIBBS ROBERSON. THE AMOUNTS ARE NOT INCLUDED IN HER WAGES, AS THEY ARE FOR BUSINESS PURPOSES.
Schedule J, Part I, Line 7 Non-fixed payments	THE FOLLOWING INDIVIDUALS RECEIVED NONFIXED PAYMENTS, APPROVED BY NARMC'S BOARD OF DIRECTORS, BASED ON MEETING: QUALITY, GROWTH AND FINANCIAL METRICS: SAMMIE CRIBBS ROBERSON - $36,000 JOSHUA C BRIGHT - $9,677 DONNA K BOEHM - $5,267 ANDREA SMITH - $4,505

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
BOONE COUNTY AR
A	710386082	098646CNO	2021-12-30	$9,877,759	HOSPITAL REVENUE REFUNDING BONDS	false	false	false
BOONE COUNTY AR
B	710386082	098646CT7	2022-01-18	$7,543,066	HOSPITAL REVENUE REFUNDING BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$285,000	$9,877,759	$971,000	$187,534	$8,719,225	Yes (true)	false	Yes (true)	Yes (true)
B	$1,370,000	$7,543,066	$754,000	$146,338	$6,642,728	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	0	0	0.0	false	false	0	false	Yes (true)
B	false	false	false	false	false	false	0	0	0.0	false	false	0	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	false	0	false	false	false	0	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	0	false	false	false	0	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) BOONE COUNTY, AR	HOSPITAL REVENUE REFUNDING BONDS
Schedule K, Part I, Column (f) BOONE COUNTY, AR	HOSPITAL REVENUE REFUNDING BONDS

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KIM ROSSON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SEE SUPPLEMENTAL INFO	RelationshipDescriptionTxt
Transaction	$51,600	TransactionAmt
Transaction	W-2 WAGES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV, Column (b) FORM 990, SCHEDULE L, PART IV, LINE 1 COLUMN B	FormAndLineReferenceDesc
Explanation	FAMILY OF THOMAS B. ROSSON JR	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6 7A & 7B	NORTH ARKANSAS MEDICAL SYSTEM IS THE SOLE MEMBER OF NORTH ARKANSAS REGIONAL MEDICAL. THE MEMBER RESERVES POWER OVER THE FOLLOWING ACTS: - ELECT, APPOINT, OR REMOVE DIRECTORS TO FILL VACANCIES OF THE BOARD OF DIRECTORS OR ANY OF ITS COMMITTEES. - WAIVE ANY NOTICE, WHETHER REQUIRED BY STATUTE, THE ARTICLES OF INCORPORATION, OR THESE BYLAWS, BEFORE OR AFTER THE DATE AND TIME STATED IN THE NOTICE.
Form 990, Part VI, Line 11b Review of form 990 by governing body	FORM 990 IS PROVIDED TO EACH BOARD DIRECTOR DURING THE BOARD COMMITTEE MEETINGS. MANAGEMENT REVIEWED EACH SECTION AND ALL SIGNIFICANT DISCLOSURES WITH THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 12c Conflict of interest policy	IT IS THE POLICY OF THE BOARD OF DIRECTORS THAT THE EXISTENCE OF ANY CONFLICT BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT SHALL BE THE CONTINUING RESPONSIBILITY OF DIRECTORS, OFFICERS, MEDICAL STAFF OFFICERS, MANAGEMENT EMPLOYEES, AND CONTRACTED/EMPLOYED PHYSICIANS TO SCRUTINIZE THEIR TRANSACTIONS FOR POTENTIAL CONFLICTS AND TO MAKE SUCH DISCLOSURES. DISCLOSURES SHALL BE MADE TO THE PRESIDENT OF THE HOSPITAL, AND SHALL BRING THESE MATTERS TO THE ATTENTION TO THE BOARD OF DIRECTORS AND EXECUTIVE COMMITTEE. THE BOARD OF DIRECTORS SHALL THEN DETERMINE WHETHER A CONFLICT EXISTS OR, IN THE PRESENCE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE AS TO THE CORPORATION, AND, AFTER SO DETERMINING AFFIRMATIVELY, THE DIRECTORS MAY AUTHORIZE THE TRANSACTION IN THE BEST INTERESTS OF THE CORPORATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	Compensation for the top management official, CEO, is established by the board's executive committee, which is composed of independent directors. The committee reviews compensation surveys, comparable hospital data, and peer benchmarks. The review and approval are documented in the meeting minutes. The process was last conducted in 2025.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	Compensation for the COO, CFO and CNO are reviewed and determined by the CEO. These reviews consider the individual's performance, tenure, and experience in the role, along with annual cost-of-living. The most recent review for these positions were completed in 2025.
Form 990, Part VI, Line 19 Required documents available to the public	PROVIDED UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	- Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PROFESSIONAL FEES - Total Expense: 6659554, Program Service Expense: 4846425, Management and General Expenses: 1813129, Fundraising Expenses: 0; PURCHASED SERVICES - Total Expense: 7475977, Program Service Expense: 5440568, Management and General Expenses: 2035409, Fundraising Expenses: 0; SERVICE AGREEMENTS - Total Expense: 3119518, Program Service Expense: 2270198, Management and General Expenses: 849320, Fundraising Expenses: 0; CONTRACT LABOR - Total Expense: 2661184, Program Service Expense: 1936650, Management and General Expenses: 724534, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO AFFILIATE - -33104; Total - -33104;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
NORTH ARKANSAS MEDICAL FOUNDATION
620 NORTH MAIN STREET	HARRISON	AR	72601	710787861	SUPPORT	AR	501(c)(3)	Type I	NAMS	Yes (true)
NORTH ARKANSAS MEDICAL SYSTEM
620 NORTH MAIN STREET	HARRISON	AR	72601	710787859	SUPPORT	AR	501(c)(3)	Type I	NA	Yes (true)
NORTH ARKANSAS MEDICAL SERVICES
620 NORTH MAIN STREET	HARRISON	AR	72601	710787858	SUPPORT	AR	501(c)(3)	Type I	NAMS	Yes (true)
MARMC AMBULANCE DIVISION ONE INC
620 NORTH MAIN STREET	HARRISON	AR	72601	822720963	SUPPORT	AR	501(c)(3)	Type I	NAMS	Yes (true)
NARMC AMBULANCE DIVISION TWO INC
620 NORTH MAIN STREET	HARRISON	AR	72601	822727645	SUPPORT	AR	501(c)(3)	Type I	NAMS	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTH ARKANSAS MEDICAL FOUNDATION
C	$130,395	FMV
NORTH ARKANSAS MEDICAL SERVICES
K	$945,341	FMV