2026-02-06T15:40:43+00:00 2025-03-31 440160260 Forvis Mazars LLP PO Box 3667 Little Rock AR 722033667 990 2024-04-01 710787860 North Arkansas Regional Medical Center NORT 8704145157 620 NORTH MAIN HARRISON AR 72601 SAMMIE CRIBBS ROBERSON CEO 8704145157 2026-02-06 true true Amber Sherrill P00748683 5013721040 2026-02-06 2024 2025-03-06 01:10:19Z SAMMIE CRIBBS ROBERSON 620 NORTH MAIN HARRISON AR 72601 119666190 false X WWW.NARMC.COM X 1996 AR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE AND RESOURCES WITH COMPASSION AND INTEGRITY. 9 7 968 60 0 2409685 2564386 95585592 104885660 2715348 1552662 138473 26375 100849098 109029083 0 375 0 0 56598338 57405974 0 0 0 51676949 52916612 108275287 110322961 -7426189 -1293878 76164985 76312887 28013892 30311440 48151093 46001447 WE ARE DEDICATED TO PROVIDING QUALITY SERVICES THAT ARE COMPREHENSIVE AND AFFORDABLE. WE EXPECT SERVICES TO BE DELIVERED COMPASSIONATELY, APPROPRIATELY, RESPONSIBLY, SAFELY AND EFFICIENTLY. false false 82792746 0 103335405 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. 1066905 0 1550255 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. 83859651 true true false true false false false false false false true true false false false false false true false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true true true false false true 151 0 true 968 true false false false false false false false false false false false false X 9 7 false false false false true true false true true false false false true true true true true true true true false false X ANDREA SMITH 8704145157 620 NORTH MAIN STREET HARRISON AR 72601 DAVID O'NEAL BOARD MEMBER 1.0 5.0 X 0 0 0 DR BRENT ROSSON BOARD MEMBER/PHYSICIAN 40.0 3.0 X 971302 0 45826 DR ROSS E HALSTED BOARD MEMBER/PHYSICIAN 40.0 3.0 X 566874 0 33016 DR STEPHEN BEELER BOARD MEMBER 1.0 5.0 X 0 0 0 KEN MILBURN BOARD MEMBER 1.0 5.0 X 0 0 0 KIRK CAMPBELL BOARD MEMBER 1.0 5.0 X 0 0 0 LARRY PHILLIPS BOARD MEMBER 1.0 5.0 X 0 0 0 RYAN CAUGHRON BOARD MEMBER 1.0 5.0 X 0 0 0 SHERRY BILLINGS BOARD MEMBER 1.0 5.0 X 0 0 0 ANDREA N SMITH CFO 40.0 5.0 X 151427 0 20792 DONNA K BOEHM CNO 40.0 0 X 159207 0 13917 JOSHUA C BRIGHT COO 40.0 1.0 X 225291 0 30188 SAMMIE R ROBERSON CEO 40.0 5.0 X 433579 0 35399 DR ALI F ABDELAAL PHYSICIAN 40.0 0 X 813489 0 0 DR ANDREW L COBLE PHYSICIAN 40.0 0 X 452709 0 39539 DR JOSEPH S GRAVES PHYSICIAN 40.0 0 X 441871 0 33614 DR NICOLE F CATON PHYSICIAN 40.0 0 X 527756 0 32611 DR RICHARD B CHITSEY PHYSICIAN 40.0 0 X 1166531 0 36971 5910036 0 321873 71 false true false 360 DEGREE MEDICINE LLC 800 HWY 248 SUITE 2E BRANSON MO 65616 ER PROFESSIONAL SERVICES 4650699 QUALIVIS LLC PO BOX 123847 DALLAS TX 75312 NURSE STAFFING 2415642 BILLING SPECIALISTS INC 1223 COMMERCE DRIVE STE 1-2 MOUNTAIN HOME AR 72653 MEDICAL BILLING 808863 VITALITY PLUS UROLOGY 140 ARKANSAS HIGHWAY 201 MOUNTAIN HOME AR 72653 UROLOGIST 804874 GE HEALTHCARE PO BOX 96483 CHICAGO IL 60693 MACHINERY SERVICE 737871 16 130395 2336446 97545 2564386 PATIENT SERVICES 621110 97239585 97239585 PHARMACY REVENUE 621110 5068756 5068756 OTHER OPERATING INCOME 621110 1946499 1946499 FOODS & NUTRITION SERVICES 621110 348461 348461 MEDICAL OFFICE & RADIATION BUILDING 621110 282359 282359 0 0 0 0 104885660 780316 780316 0 0 11398453 11000 10637107 0 761346 11000 772346 772346 EDUCATION REVENUE 900099 24099 24099 PURCHASE DISCOUNTS 900099 2276 2276 0 0 0 0 26375 109029083 104885660 0 1579037 X 375 375 0 0 2673520 2673520 51600 37551 14049 45633666 33209448 12424218 1303651 948719 354932 4557233 3316481 1240752 3186304 2318801 867503 140193 102024 38169 338887 246622 92265 19916233 14493841 5422392 0 246327 179262 67065 3031227 2205945 825282 2626911 1911708 715203 246695 179530 67165 452969 329644 123325 3020676 2198267 822409 1219611 887560 332051 MEDICAL SUPPLIES 10436315 10436315 DRUGS 8350769 8350769 PROVIDER ASSESSMENT TAX 1483016 1483016 FOOD 483280 351702 131578 923503 672071 251432 0 110322961 83859651 26463310 0 0 0 904654 2027948 0 0 15155927 16928929 0 0 0 0 240834 144584 2649500 2433256 1749220 1039143 117410667 89336569 29650436 28074098 0 0 24787281 22082259 213000 213000 0 0 814133 3369670 76164985 76312887 10684874 12087526 0 0 0 0 16250017 15466191 0 0 0 0 1079001 2757723 0 0 0 0 28013892 30311440 X 48151093 46001447 0 0 0 0 0 0 0 0 48151093 46001447 76164985 76312887 X -1293878 -822664 -33104 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 14530 14530 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 0 456116 456116 0 53585190 33283705 20301485 0 0 0 0 0 61616095 55324495 6291600 0 1753266 728369 1024897 28074098 Closely-held equity interests Financial derivatives Internally Designated 18982333 F Held by Trustee 3099926 F 22082259 108195419 -822664 0 -822664 109018083 11000 11000 109029083 110311961 0 0 110311961 11000 11000 110322961 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 true true X true X 138 true X 580186 580186 0.00526 12154300 9210875 2943425 0.02667 0 0.0 0 0 12734486 9210875 3523611 0.03192 4487 4487 0.00004 1361830 1361830 0.01234 12159424 8151165 4008259 0.03632 0 0 0 0.0 0 0 0 0.0 0 0 13525741 8151165 5374576 0.04869 0 0 26260227 17362040 8898187 0.08062 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 20546861 17054820 3492041 X true true NORTH AR REGIONAL PHO MANAGEMENT 0.005 0.0 0.005 1 1 NORTH ARKANSAS MEDICAL SYSTEM 620 NORTH MAIN STREET HARRISON AR 72601 WWW.NARMC.COM AR4480 X X X 1 RURAL HEALTH CLINIC, 3 EMS SUBSTATIONS, 11 CLINICS, 2 HOME HEALTH/HOSPICE, 2 SPECIALTY CENTERS NORTH ARKANSAS MEDICAL SYSTEM 1 false false true X X X X X X X X X 24 true false false true X https://www.narmc.com/patients-visitors/community-health-assessment X true 24 true https://www.narmc.com/patients-visitors/community-health-assessment false true X 138.0 200.0 X X X X X true true X X X X true X https://www.narmc.com/bill-pay/financial-assistance X https://www.narmc.com/bill-pay/financial-assistance X https://www.narmc.com/bill-pay/financial-assistance X X X X X X true X false X X X X true X false false 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. 18 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 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. X true true X X X X X false false false false false false false true false DR BRENT ROSSON BOARD MEMBER/PHYSICIAN 951302 0 20000 0 0 0 21230 0 24596 0 1017128 0 0 0 DR ROSS E HALSTED BOARD MEMBER/PHYSICIAN 537375 0 8000 0 21499 0 8420 0 24596 0 599890 0 0 0 SAMMIE R ROBERSON CEO 379579 0 36000 0 18000 0 13429 0 21970 0 468978 0 0 0 JOSHUA C BRIGHT COO 215614 0 9677 0 0 0 8218 0 21970 0 255479 0 0 0 ANDREA N SMITH CFO 146922 0 4505 0 0 0 4646 0 16146 0 172219 0 0 0 DONNA K BOEHM CNO 153940 0 5267 0 0 0 5727 0 8190 0 173124 0 0 0 DR RICHARD B CHITSEY PHYSICIAN 1124031 0 20000 0 22500 0 12375 0 24596 0 1203502 0 0 0 DR ALI F ABDELAAL PHYSICIAN 813489 0 0 0 0 0 0 0 0 0 813489 0 0 0 DR NICOLE F CATON PHYSICIAN 519756 0 8000 0 0 0 13853 0 18758 0 560367 0 0 0 DR ANDREW L COBLE PHYSICIAN 442709 0 10000 0 0 0 15044 0 24495 0 492248 0 0 0 DR JOSEPH S GRAVES PHYSICIAN 413371 0 6000 0 22500 0 9018 0 24596 0 475485 0 0 0 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 A BOONE COUNTY AR 710386082 098646CNO 2021-12-30 9877759 HOSPITAL REVENUE REFUNDING BONDS false false false B BOONE COUNTY AR 710386082 098646CT7 2022-01-18 7543066 HOSPITAL REVENUE REFUNDING BONDS false false false A 285000 9877759 971000 187534 8719225 true false true true B 1370000 7543066 754000 146338 6642728 true false true true A false false false false false false 0 0 0.0 false false 0 false true B false false false false false false 0 0 0.0 false false 0 false true A false true false false false false 0 false false false 0 false false true B false true false false false false 0 false false false 0 false false true A true B true 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 KIM ROSSON SEE SUPPLEMENTAL INFO 51600 W-2 WAGES false Schedule L, Part IV, Column (b) FORM 990, SCHEDULE L, PART IV, LINE 1 COLUMN B FAMILY OF THOMAS B. ROSSON JR 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; NORTH ARKANSAS MEDICAL FOUNDATION 620 NORTH MAIN STREET HARRISON AR 72601 710787861 SUPPORT AR 501(c)(3) Type I NAMS true NORTH ARKANSAS MEDICAL SYSTEM 620 NORTH MAIN STREET HARRISON AR 72601 710787859 SUPPORT AR 501(c)(3) Type I NA true NORTH ARKANSAS MEDICAL SERVICES 620 NORTH MAIN STREET HARRISON AR 72601 710787858 SUPPORT AR 501(c)(3) Type I NAMS true MARMC AMBULANCE DIVISION ONE INC 620 NORTH MAIN STREET HARRISON AR 72601 822720963 SUPPORT AR 501(c)(3) Type I NAMS true NARMC AMBULANCE DIVISION TWO INC 620 NORTH MAIN STREET HARRISON AR 72601 822727645 SUPPORT AR 501(c)(3) Type I NAMS true false false true false false false false false false false true false false false true false false true true NORTH ARKANSAS MEDICAL FOUNDATION C 130395 FMV NORTH ARKANSAS MEDICAL SERVICES K 945341 FMV