2011-11-15T12:37:57-08:00 2010-12-31 Hughes Welch & MilliganCPASLTD PO Box 2094 Batesville AR 725032094 990 2010-01-01 710410601 COMMUNITY MEDICAL CENTER OF IZARD COUNTY COMM 8702973739 PO BOX 438 CALICO ROCK AR 72519 PHILIP HUGHES 2011-11-15 TOMMY J MILLIGAN 8707935231 2010 2016-02-24 21:20:13Z 7698270 false false X www.cmcofic.org X 1991 AR HEALTH CARE PROVIDER 10 10 162 150 0 111704 372155 7103097 6451511 27439 106197 828621 768407 8070861 7698270 0 0 4569457 3828882 0 0 4624226 4339854 9193683 8168736 -1122822 -470466 6290079 5525096 5146398 4851881 1143681 673215 HEALTH CARE PROVIDER false false 6118078 THE HOSPITAL PROVIDES ACUTE HOSPITAL AND OUTPATIENT CARE TO RESIDENTS OF IZARD COUNTY AND SURROUNDING AREAS. 6118078 true true false false false false false false false false true false false true false false true false false false false false false false false false true true false false true false false false false false false true false false false false false false false false false true false false false false true 17 0 true 162 true false false false false false false false false false false false 0 false false false false false false false false false false false X 10 10 false false false false false false false true false false false false false false false false false true false false true false X PHILIP HUGHES 8702973739 PO BOX 438 CALICO ROCK AR 72519 SUSAN KEMP 0.00 X 0 0 0 ROBERT C LANE MD 0.00 X 39530 0 0 REED PERRYMAN 0.00 X 0 0 0 PHILIP HUGHES 0.00 X X 63367 0 0 PAUL MILLER 40.00 X 0 0 0 MONDALYN C McCORMACK 0.00 X X 0 0 0 MARK HERRINGTON 0.00 X 0 0 0 KIM SKIDMORE 40.00 X X 50501 0 0 KAREN CONRAD MOORE 40.00 X X 17827 0 0 GENNA NAVE 0.00 X 22392 0 0 DR MERLY GRASSE 0.00 X X X 179023 0 0 DANNY MOSER 0.00 X 0 0 0 COURT FABYAN MATHEY 0.00 X 0 0 0 CATHY FRANKS 40.00 X X 56163 0 0 CARL PITTS 0.00 X 0 0 0 ANGELA RICHMOND 0.00 X 57263 0 0 486066 1 true true false ANTHONY M GRASSE MD HC 70 BOX 136 CALICO ROCK AR 72519 MEDICAL DIRECTOR 179023 CORRECT CARE INC 17438 HARD HAT DRIVE COVINGTON LA 70435 ER PHYSICIANS 825505 2 372155 372155 PATIENT SERVICE REVENUE 6451511 6451511 6451511 106197 105886 311 0 0 581731 581731 581731 581731 0 0 0 0 VENDING MACHINES 2796 2796 OTHER MISC REVENUE 150520 150520 MEAL REVENUE 31307 31307 2053 2053 186676 7698270 7139128 186987 0 0 0 0 486066 486066 0 2709782 2458475 251307 23040 17741 5299 319527 246036 73491 290467 223660 66807 0 0 50954 50954 0 0 0 0 0 0 0 0 179677 22907 156770 16634 15069 1565 0 0 172874 172874 0 467386 467386 98726 98726 SUPPLIES & OTHER 942984 787534 155450 REPAIRS & MAINTENANCE 44629 44629 PURCHASED SERVICES 1363368 1322460 40908 PROPERTY TAXES 23055 23055 BAD DEBTS 979567 979567 0 8168736 6118078 2050658 0 2677 150298 0 0 1559439 1090325 0 0 0 105830 94859 44851 39571 8929895 5179177 4191535 3750718 0 0 0 0 385747 399325 6290079 5525096 1743709 1273389 490330 3402689 3088162 5146398 4851881 X 1143681 673215 1143681 673215 6290079 5525096 -470466 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 66556 66556 4419204 1284100 3135104 135368 87032 48336 4280251 3805430 474821 28516 2615 25901 3750718 THIRD-PARTY SETTLEMENT 328960 INVESTMENT IN CMC HH & HOSPICE 15763 ASSETS LIMITED TO USE 54602 399325 7698270 8168736 -470466 -470466 7698270 7698270 7698270 8168736 8168736 8168736 true true X true X true X false true false false false false 144990 144990 0.01770 397356 397356 0.04860 542346 542346 0.06630 542346 542346 0.06630 true 979567 3515181 3558235 -43054 X true true CMC HOME HLTH & HOSPICELLC HEALTHCARE 0.33000 1 0 COMMUNITY MED CTR OF IZARD CO

PO BOX 438 CALICO ROCK AR 72519

X X X X COMMUNITY MED CTR OF IZARD CO 1 false true true 115.0000 true 300.0000 true X X X X true true X false true X X X X true X true true Part V - Explanation of Number of Facility Type 1-HOSPITAL, 3-RURAL CLINICS Part VI - Explanation Of How Organization Furthers Its Exempt Purpose OPEN MEDICAL STAFF AND HEALTHCARE EDUCATON IN THE COMMUNITY Part VI - Community Information RURAL SETTING, PREDOMINANTLY AGRICULTURAL BASE, AVERAGE INCOME AT OR BELOW POVERTY GUIDELINES. PREDOMINANTLY CAUCASION, HIGH SCHOOL EDUCATED AND GERIATRIC IN NATURE. Part VI - Patient Education of Eligibility for Assistance INFORMS PATIENTS UPON ADMISSION AND POSTS NOTICES IN CONSPICUOUS AREAS Part VI - Needs Assessment UTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FROM DHS AS WELL AS REPORTS SHOWING PERCENT OF ACTIVITY OF COMMUNITY PAYOR SOURCE Number of Hospital Faciltiy - 0 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services NO SELF PAY DISCOUNT IN PLACE Number of Hospital Faciltiy - 0 Part V, Line 20 - Explanation of Eligible Assistance Patients Billed More Than Insurance Rates NO SELF PAY DISCOUNT IN PLACE Number of Hospital Faciltiy - 0 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance 15% DISCOUNT TO ACCOUNTS PAID IN FULL Number of Hospital Faciltiy - 0 Part V, Line 16e - Other Collection Actions by Facility or Third Party Engaged WRITTEN AND VERBAL COMMUNICATIONS WITH PATIENTS REGARDING ACCOUNT BALANCES Number of Hospital Faciltiy - 0 Part V, Line 11h - Other Factors Used in Determing Amounts Charged Patients REASONABLE LIVING EXPENSES Part III, Line 9b - Provisions On Collection Practices For Qualified Patients PATIENTS ARE INFORMED OF CHARITY CARE PROGRAM. Part III, Line 8 - Explanation Of Shortfall As Community Benefit THE FACILITY IS A CRITICAL ACCESS HOSPITAL AND ALL MEDICARE ALLOWABLE COSTS ARE REIMBURSED THROUGH THE COST REPORT PROCESS. Part III, Line 4 - Bad Debt Expense THE HOSPITAL HAS ESTABLISHED ALLOWANCES FOR BAD DEBTS AND FOR CONTRACTUAL ADJUSTMENTS ON MEDICARE-MEDICAID ACCOUNTS. false false false false false false false false false false GENNA NAVE 22392 22392 DR MERLY GRASSE 179023 179023 ANGELA RICHMOND 57263 57263 DR ANTHONY MERYL GRASSE GENERAL OPERATING EXPENSES X 590330 490330 false true true 490330 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available AVAILABLE UPON REQUEST FROM ADMINISTRATION Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process EXAMINED AND APPROVED BY BOARD. AVAILABLE FOR REVIEW UPON REQUEST. CMC HOME HEALTH AND HOSPICE LLC 420 WEST PINHOOK SUITE A LAFAYETTE LA 70503 262688869 HEALTHCARE LA N/A false false false false false false false false false false true false false false false false false false false false