2023-07-13T10:21:48-05:00 2022-09-30 FORVIS LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2021-10-01 273970823 FIVE RIVERS MEDICAL CENTER INC % BENJAMIN BARYLSKE FIVE 8708926000 2801 MEDICAL CENTER DR POCAHONTAS AR 72455 BENJAMIN BARYLSKE CFO 8708926000 2023-06-30 true MATT NICHOLS 000000000 AMBER SHERRILL P00748683 5013721040 3 2021 2023-04-26 12:10:37Z ST BERNARDS FIVE RIVERS MEDICAL CTR CHRIS BARBER 225 EAST WASHINGTON JONESBORO AR 72401 21735844 false X WWW.STBERNARDS.INFO X 2010 AR FIVE RIVERS MEDICAL CENTER IS DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR COMMUNITY AS ITS PRIMARY CARE PROVIDER THROUGH A NETWORK OF QUALITY SERVICES. 4 3 291 9 0 0 7998917 3503339 19259423 18187014 11055 6655 45418 38836 27314813 21735844 90 896 0 0 13073169 13053637 0 0 0 8855176 10360874 21928435 23415407 5386378 -1679563 14611293 11773628 9071156 7924077 5540137 3849551 X FIVE RIVERS MEDICAL CENTER SHALL BE DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR COMMUNITY AS ITS PRIMARY CARE PROVIDER THROUGH A NETWORK OF QUALITY SERVICES. false false 19114188 896 18187014 THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN POCAHONTAS, ARKANSAS AND THE SURROUNDING AREA. IT ALSO OPERATES A HOME HEALTH AGENCY IN THE SAME GEOGRAPHIC REGION. THE HOME HEALTH DEPARTMENT AT FRMC HAD OVER 16,766 SKILLED NURSING, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY AN AIDE VISITS IN 2022. THE EMERGENCY DEPARTMENT AT FRMC TREATED OVER 8,363 PATIENTS IN 2022 AND IS A LEVEL 4 TRAUMA DESIGNATED ER. FRMC PROVIDES EXCELLENT ACUTE CARE THROUGH OUR HOSPITALIST PROGRAM. FRM ADMITTED OVER 598 PATIENTS IN 2022 FOR ACUTE CARE. THE GERIATRIC BEHAVIORAL UNIT TREATS PATIENTS 65 AND OVER WITH VARYING BEHAVIORAL DISORDERS AND ADMITTED OVER 225 PATIENTS IN THE BHU DURING 2022. 19114188 true true false true false false false false false false true false false false false false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 0 0 291 true false false false false false false false false false false false false X 4 3 false false false false true true true true true false false false true true true true true true true false AR X BENJAMIN BARYLSKE 8702074100 225 EAST WASHINGTON JONESBORO AR 72401 X CHRIS BARBER CHAIR, PRESIDENT AND SECRETARY 1.0 48.0 X X 0 804053 41949 MICKEY DEEL PHYSICIAN 40.0 0.0 X 357562 0 0 WILLIAM LEWIS PHYSICIAN 40.0 0.0 X 318098 0 0 MALETA TIPTON PHYSICIAL THERAPIST 40.0 0.0 X 137210 0 0 JANE KUZAS PHYSICIAN 40.0 0.0 X 135291 0 0 JEREMY CAPPS ADMINISTRATOR 1.0 40.0 X 0 117266 13573 LAURA PALMER RADIOLOGY TECH 40.0 0.0 X 121871 0 350 SARAH LOWTHARP CNO 16.67 23.33 X 37082 51896 18944 MATT NICHOLS CFO 40.0 0.0 X 89251 0 12260 GARY CHILDERS MEMBER 1.0 0.0 X 0 0 0 SISTER THERESE JOHNSON MEMBER 1.0 0.0 X 0 0 0 SISTER JOHANNA MARIE MELYNK MEMBER 1.0 0.0 X 0 0 0 1196365 973215 87076 10 false true false VAYA WORKFORCE SOLUTIONS LLC 5930 CORNERSTONE COURT W STE 300 SAN DEIGO CA 92121 TRAVEL NURSES 421253 GIBSON BROOKE MD 3515 BIG CREEK COVE JONESBORO AR 72404 HOSPITALIST 296845 VIZIENT INC PO BOX 842175 DALLAS TX 752842167 TRAVEL NURSES 189193 3 3402169 101170 3503339 PATIENT SERVICES 622110 18130243 18130243 340B PROGRAM REVENUE 622110 56771 56771 18187014 6655 6655 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CAFETERIA REVENUE 900099 37596 37596 ALL OTHER MISC REVENUE 1240 0 1240 1240 0 1240 38836 21735844 18187014 0 45491 X 896 896 0 0 0 145193 145193 0 11362817 9081646 2281171 0 729853 583329 146524 815774 652001 163773 934415 746824 187591 12146 9708 2438 73367 58638 14729 0 0 0 3037821 2427955 609866 0 20028 16007 4021 493544 394461 99083 593330 474215 119115 0 376201 300676 75525 174293 139302 34991 0 0 278275 222409 55866 0 808805 646431 162374 270445 216151 54294 MEDICAL SUPPLIES 2443484 2443484 EQUIPMENT RENTAL 212390 169751 42639 DIETARY EXPENSE 140118 111988 28130 LAB FEES 124117 124117 368095 294199 73896 23415407 19114188 4301219 0 490848 536796 3446518 1177656 0 0 2245949 1923164 0 0 0 0 0 0 361477 357703 73041 70836 8787633 1595155 7876375 7192478 0 0 0 0 0 0 0 0 117085 514995 14611293 11773628 1401762 1416813 0 0 774461 100000 0 0 0 0 0 0 6573228 6407264 0 0 321705 0 9071156 7924077 X 5540137 3849551 0 0 5540137 3849551 14611293 11773628 X -1679563 -11023 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2019 2019 false FORM 990, PART II-B, LINE 1I THE HOSPITAL IS A MEMBER OF THE ARKANSAS HOSPITAL ASSOCIATION. THE HOSPITAL PAID DUES OF $11,349 TO THE ASSOCIATION DURING 2022, 17.79% OF WHICH RELATED TO LOBBYING. 254633 254633 929499 145493 784006 1000165 528547 471618 6586523 909733 5676890 16713 11382 5331 7192478 21735844 21735844 21735844 23415407 23415407 23415407 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. true true X true X true X true true true false true true 201 190172 190172 0.00810 3336 2698560 2267505 431055 0.01840 3537 2888732 2267505 621227 0.02650 3550348 521214 3029134 0.12940 3550348 521214 3029134 0.12940 3537 6439080 2788719 3650361 0.15590 true 1041824 5517895 5800917 -283022 X true true 1 1 FIVE RIVERS MEDICAL CENTER 2801 MEDICAL CENTER DRIVE POCAHONTAS AR 72455 WWW.STBERNARDS.INFO AR4270 X X X HOME HEALTH FIVE RIVERS MEDICAL CENTER false false true X X X X X X X X X 21 true false false true X SEE PART V, SECTION C X true 21 false true false true X 100 300. X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true false false SCHEDULE H, PART V, SECTION B, LINE 5 SURVEYS TAKEN BY KEY INTERVIEWEES (COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTEREST OF THE COMMUNITY WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH) IS A TECHNIQUE EMPLOYED TO ASSESS PUBLIC PERCEPTIONS OF THE COUNTY'S HEALTH STATUS AND UNMET NEEDS. THESE SURVEYS ARE INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. KEY INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE KNOWLEDGEABLE ABOUT POPULATIONS WITHIN THE COMMUNITY WHOSE HEALTH AND QUALITY OF LIFE MAY NOT BE AS GOOD AS OTHERS, SUCH AS REPRESENTATIVES OF ORGANIZATIONS SERVING THE ETHNIC MINORITIES, OR THE ELDERLY. SCHEDULE H, PART V, SECTION B, LINE 7A WWW.STBERNARDS.INFO/CORPORATE/COMMUNITY-HEALTH-ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 11 THE NEEDS THAT WILL BE ADDRESSED IN THE MOST RECENT IMPLEMENTATION STRATEGY INCLUDE THE FOLLOWING: 1) HEALTH AND WELLNESS EDUCATION A. SBFR WILL CONTINUE TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY THROUGH EDUCATION AND WELLNESS ACTIVITIES. - SBFR WILL PARTNER WITH BRTC AND LOCAL CLINICS IN ANNUAL HEALTH FAIRS AND OUTREACH FOR KEY EMPLOYERS AND THE COMMUNITY. - TO INCREASE HEALTH AND WELLNESS EDUCATION TO THE COMMUNITY, THE MARKETING STAFF AT SBFR WILL INCREASE THE NUMBER OF TELEVISION AND SOCIAL MEDIA MESSAGES AIMED AT GENERAL PREVENTATIVE MEASURES, TYPICAL SCREENING TIMELINES, AND AVAILABLE RESOURCES. SBFR WILL DISPLAY TELEVISION MESSAGES IN EACH ROOM OF OUR RURAL HEALTH CLINIC AND WITHIN OUR WAITING AREAS OF THE HOSPITAL. B. PARTNER WITH KEY STAKEHOLDERS IN THE MARSHALLESE COMMUNITY TO PROMOTE HEALTH AND WELLNESS EDUCATION AND PROVIDE SUPPORT IN A CULTURALLY SENSITIVE WAY TO THIS HIGH RISK PATIENT POPULATION. - IMPLEMENT PARTNERHSIP WITH PECO TO PROVIDE HEALTH SERVICES AND EDUCATION TO THEIR MARSHALLESE EMPLOYEES THROUGH OUR RURUAL HEALTH CLINIC. - CONTINUE TO RECRUIT AND RETAIN MARSHALLESE EMPLOYEES AT BOTH THE RURAL HEALTH CLINIC AND MEDICAL CENTER TO HELP WITH CULTURAL SUPPORT OF THE MARSHALLESE COMMUNITY - ATTEND ANNUAL PACIFIC ISLANDER EVENT TO PROMOTE HEALTH AND WELLNESS INITIATIVES TO THE MARSHALLESE POPULATION. 2) OBESITY A. PARTICIPATE IN ANNUAL HEALTH AND FITNESS EXPO. - PROVIDE EDUCATIONAL MATERIAL TO OUTLINE A HEALTHY LIFESTYLE TO THE COMMUNITY. B. IMPLEMENT A "KNOW YOUR NUMBERS" CAMPAIGN WITHIN THE RURAL HEALTH CLINIC FOR OBESITY - PROVIDE NUTRITIONAL FOOD LISTS, RECIPES, AWARENESS, AND EXERCISE REGIMENS FOR PATIENTS IN THE "KNOW YOUR NUMBERS CAMPAIGN" C. IMPROVE AWARENESS OF OBESITY AND HEALTHY LIFESTYLE - THE MARKETING STAFF AT SBFR WILL INCREASE THE NUMBER OF TELEVISION AND SOCIAL MEDIA MESSAGES AIMED AT NUTRITIONAL HEALTH. TELEVISION MESSAGES WILL BE DISPLAYED IN EACH ROOM OF OUR RURAL HEALTH CLINIC, AND WITHIN OUR WAITING AREAS OF THE HOSPITAL. 3) DIABETES A.IMPLEMENT A "KNOW YOUR NUMBERS" CAMPAIGN WITHIN THE RURAL HEALTH CLINIC FOR DIABETIC PATIENTS - ADD AN APRN AND CARE MANAGER TO THE STAFF OF THE CLINIC. - BEGIN A MONTHLY QUALITY IMPROVEMENT PROGRAM THAT MONITORS PATIENT OUTCOMES BY DESIGNING AND ADJUSTING AN INDIVIDUAL CARE PLAN. - MONITOR PATIENT PROGRESS BY ALLOCATING RESPONSIBILITY TO THE CARE MANAGER TO CONTACT THE PROGRAM'S PATIENTS WEEKLY. B. IMPLEMENT TRACKING OF CARDIO PROTECTIVE ANTI-HYPOGLYCEMIC MEDICATION. - EDUCATE PROVIDERS IN THE SBFR HEALTH SYSTEM ON THE IMPORTANCE OF PRESCRIBING CARDIO PROTECTIVE ANTI- HYPOGLYCEMIC MEDICATIONS FOR DIABETES TREATMENT. - IDENTIFY AND TRACK PATIENTS AT DISCHARGE PLACED ON CARDIO PROTECTIVE ANTI- HYPOGLYCEMIC MEDICATIONS AND COORDINATE AN APPOINTMENT WITH THE PATIENTS PRIMARY CARE PHYSICIAN. C. EMPOWER THE PATIENTS TO BETTER MANAGE THEIR DISEASE TO AVOID THE COMPLICATIONS OF DIABETES AND ACHIEVE OPTIMAL HEALTH STATUS. - PROVIDED PRIMARY AND SKILLED CARE FOR HOMEBOUND PATIENTS IN THE COUNTIES WE SERVE. THIS INCLUDES EDUCATION REGARDING MANAGING MEDICATIONS, DIABETIC DIET, GENERAL HEALTH CARE, AND INCORPORATING SECONDARY DIAGNOSIS. D. EMPOWER PATIENTS FROM THE POPULATION OF RANDOLPH COUNTY TO INCREASE DIABETES MANAGEMENT TO AVOID COMPLICATIONS OF DIABETES AND ACHIEVE OPTIMAL HEALTH STATUS. - BEGIN MONTHLY DIABETIC EDUCATION SESSIONS WITH A CERTIFIED DIABETES EDUCATOR FROM THE POPULATION HEALTH. 4) CANCER A. IMPROVE ACCESS TO SCREENING FOR VARIOUS TYPES OF CANCER - HOST THE SBMC MOBILE MAMMOGRAPHY UNIT ON A WEEKLY BASIS TO PROVIDE ACCESS TO MAMMOGRAMS FOR RESIDENTS OF RANDOLPH COUNTY AND THE SURROUNDING AREA WHO MAY BE UNABLE TO TRAVEL FOR THIS SERVICE. - EACH YEAR THE STAFF AT ST. BERNARDS FIVE RIVERS PARTICIPATES IN THE RANDOLPH COUNTY RELAY FOR LIFE EVENT IN PARTNERSHIP WITH THE AMERICAN CANCER SOCIETY. THIS EVENT BRINGS RECOGNITION AND SUPPORT TO THE CHALLENGES FACED BY PEOPLE IMPACTED BY CANCER AND SUPPORTS ONGOING RESEARCH INTO CANCER TREATMENTS. - TO INCREASE AWARENESS AND THE PURPOSE OF SCREENINGS, THE MARKETING STAFF AT SBFR WILL INCREASE THE NUMBER OF TELEVISION AND SOCIAL MEDIA MESSAGES AIMED AT GENERAL PREVENTATIVE MEASURES, TYPICAL SCREENING TIMELINES, AND AVAILABLE RESOURCES. SBFR WILL DISPLAY TELEVISION MESSAGES IN EACH ROOM OF OUR RURAL HEALTH CLINIC AND WITHIN OUR WAITING AREAS OF THE HOSPITAL. B. IMPROVE LOCAL ACCESS TO CANCER MANAGEMENT MEDICATIONS - SBFR WILL INCREASE THE USE OF MEDICATIONS LOCALLY TO TREAT CANCER-RELATED SIDE EFFECTS. SCHEDULE H, PART V, LINE 16 A, B, & C www.stbernards.info/patients-visitors/financial-assistance 1 RURAL HEALTH CENTER 2018 HIGHWAY 67 POCAHONTAS AR 72455 RURAL HEALTH CENTER FORM 990, SCHEDULE H, PART I, LINE 7 THE AMOUNTS ON LINE 7A WERE CALCULATED USING THE COST TO CHARGE RATIO. FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2 THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO COLLECT ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND AS SUCH ARE RECORDED AS A DEDUCTION FROM GROSS PATIENT REVENUE. THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTI A, LINE 2. FORM 990, SCHEDULE H, PART III, SECTION A, LINE 3 UNLIKE CHARITY CARE, BAD DEBT ARISES IN SITUATIONS WHERE THE PATIENT HAS EITHER NOT REQUESTED FINANCIAL ASSISTANCE OR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE. IT IS DIFFICULT TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO COULD QUALIFY FOR CHARITY CARE DUE TO THE LIMITED NUMBER OF FINANCIAL APPLICATIONS COMPLETED BY PATIENTS. AN ESTIMATE OF 50% WAS CALCULATED AS THE BAD DEBT EXPENSE THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO ARE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. FORM 990, SCHEDULE H, PART III, LINE 4 SEE ATTACHED AUDIT REPORT FOOTNOTE #2. FORM 990, SCHEDULE H, PART III, LINE 8 THE AMOUNTS WERE PULLED FROM THE MOST RECENT AND AS FILED MEDICARE COST REPORT. THE ORGANIZATION FOLLOWS CHA COMMUNITY BENEFIT GUIDELINES AND DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FO NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNI THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS USING THE PERCENT OF OPERATING EXPENSE TO PATIENT REVENUE. FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B THE HOSPITAL WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION EFFORTS BEFORE MAKING AND DOCUMENTING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL MAY CONTRACT WITH EXTERNAL COLLECTION AGENCIES (AND TAKE OTHER ACTIONS AS NECESSARY) IN ORDER TO COLLECT ON DELINQUENT ACCOUNTS. PRIOR TO DOING SO, HOWEVER, THE HOSPITAL WILL TAKE THE FOLLOWING ACTIONS: 1) SEND A STATEMENT TO THE PATIENT AT THE PATIENT'S MOST CURRENT ADDRESS ON FILE. 2) NOTIFY THE PATIENT OF OUTSTANDING ACCOUNT(S) AND PROVIDING THE PATIENT WITH INFORMATION REGARDIN HOW TO APPLY FOR FINANCIAL ASSISTANCE. THIS INITIAL CONTACT WILL ALSO INCLUDE AN APPLICATION FOR FINANCIAL ASSISTANCE AS WELL AS CONTACT INFORMATION FOR HOSPITAL STAFF MEMBERS WHO CAN ANSWER PATIENT QUESTIONS AN PROVIDE FURTHER INFORMATION AS NEEDED. 3) SUCCESSIVE STATEMENTS ARE SENT AT A MINIMUM OF 21 DAYS, BUT NOT GREATER THAN 30 DAYS. AFTER 90 DAY PERIOD HAS LAPSED, A NOTIFICATION LETTER IS SENT STATING A DEADLINE THAT IS NO EARLIER THAN 30 DAYS AFTER THE DATE THAT THE WRITTEN NOTICE IS PROVIDED AT WHICH TIME THE ACCOUNT WILL BE ASSIGNED TO COLLECTION AGENCY AND REPORTED AS A NEGATIVE ITEM WITH A CREDIT BUREAU. AF 120 DAY NOTIFICATION PERIOD, FRMC BUSINESS OFFICE DIRECTOR OR ASSIGNED MANAGER WILL REVIEW ACCOUNTS TO ENSURE ALL REASONABLE EFFORTS TO DETERMINE FAP ELIGIBILITY HAVE BEEN MADE AND APPROVE ACCOUNTS PRIOR TO ASSIGNING TO A COLLECTION AGENCY. 4) FRMC WILL ACCEPT AND PROCESS FINANCIAL ASSISTANCE APPLICATIONS FROM AN INDIVIDUAL THAT HAS NOT PREVIOUSLY BEEN DETERMINED AS FAP ELIGIBLE FROM DAY 121 TO DAY 240 FROM FI POST-DISCHARGE STATMENT. 5) FRMC WILL ALSO MAKE A REASONABLE EFFORT TO ORALLY COMMUNICATE WITH THE PATIENT/GUARANTOR ABOUT ITS FAP AND HOW ASSISTANCE MAY BE OBTAINED BEFORE AN ACCOUNT IS TURNED OVER TO COLLECTIONS. FORM 990, SCHEDULE H, PART VI, LINE 2 FRMC COLLABORATES WITH OTHER LOCAL HEALTHCARE PROVIDERS TO ASSESS THE NEEDS OF THE COMMUNITY. FRMC ALSO PARTICIPATES IN ANNUAL HEALTH FAIRS TO GATHER FEEDBACK REGARDING HEALTH ISSUES. FORM 990, SCHEDULE H, PART VI, LINE 3 PATIENTS ARE ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL SENDS A STATEMENT TO THE PATIENT (AT THE PATIENT'S MOST CURRENT ADDRESS ON FILE), NOTIFYING THE PATIENT OF OUTSTANDING ACCOUNT(S) AND PROVIDES THE PATIENT WITH INFORMATION REGARDING HOW TO APPLY FOR FINANCIAL ASSISTANCE. THIS INITIAL CONTACT WILL ALSO INCLUDE AN APPLICATION FOR FINANCIAL ASSISTANCE. SUCH INFORMATION WILL ALSO INCLUDE CONTACT INFORMATION FOR HOSPITAL STAFF MEMBE WHO CAN ANSWER PATIENT QUESTIONS AND PROVIDE FURTHER INFORMATION AS NEEDED. THE GOAL OF THE HOSPITAL IS TO ESTABLISH A REASONABLE PAYMENT PLAN THAT THE PATIENT CAN MANAGE. IF THEY DO NOT QUALIFY FOR 100% FINANCIAL ASSISTANCE, ALL PAYMENT PLAN PROPOSALS WILL BE CONSIDERED. THE PATIENT WILL RECEIVE AT LEAST TWO ADDITIONAL LETTERS (AT NO LESS THAN 20 DAYS' INTERVALS) REQUESTING PAYMENT AND NOTIFYING THE PATIENT OF THE POTENTIAL AVAILABILITY OF FINANCIAL ASSISTANCE AND STAFF CONTACT INFORMATION AS DESCRIBED ABOVE. THE PATIENT WILL ALSO RECEIVE A PHONE CAL DURING THE PROCESS DURING WHICH THE PATIENT WILL BE ADVISED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. FORM 990, SCHEDULE H, PART VI, LINE 4 THE MEDICAL CENTER IS LOCATED IN POCAHONTAS, ARKANSAS, IN RANDOLPH COUNTY. POCAHONTAS IS APPROXIMATELY 40 MILES NORTH OF JONESBORO, ARKANSAS, THE CLOSEST METROPOLITAN AREA. THE COMMUNITY SERVED BY THE MEDICAL CENTER IS A PRIMARILY RURAL AREA IN NORTHEAST ARKANSAS. ACCORDING TO 2019 PROJECTIONS BASED ON THE MOST RECENT U.S. CENSUS BUREAU ESTIMATES, ABOUT 17,700 PEOPLE LIVE IN RANDOLPH COUNTY. ACCORDING TO THE U.S. CENSUS BUREAU, APPROXIMATELY 45% OF THE COMMUNITY'S POPULATION IS OVER AGE 45, WHICH IS HIGHER THAN IN ARKANSAS (42%) AND HIGHER THAN IN THE UNITED STATES (41%) AS A WHOLE. THIS AGE GROUP USES MORE HEALTH SERVICES THAN ANY OTHER, SO THE MEDICAL CENTER SHOULD PREPARE FOR INCREASED PATIENT VOLUME IN THE NEAR FUTURE. SOCIOECONOMICALLY, THE COMMUNITY SERVED BY THE MEDICAL CENTER IS SIMILAR TO MANY OTHER PARTS OF RURAL ARKANSAS. ABOUT 14% OF THE POPULATION AGE 25 AND OLDER HAS OBTAINED A BACHELOR'S DEGREE OR HIGHER, COMPARED TO ABOUT 32% OF THE U.S., WHILE ABOUT 17% OF THE POPULATION AGE 25 AND OLDER DOES NOT HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO ABOUT 12% IN THE COUNTRY AS A WHOLE. LOWER LEVELS OF EDUCATION HAVE BEEN LINKED TO NEGATIVE HEALTH OUTCOMES, SO THE EDUCATIONAL ATTAINMENT OF THE COMMUNITY IS RELEVANT TO THE CONSIDERATION OF THE HEALTH NEEDS OF THE COMMUNITY. THE INCOME LEVELS OF INDIVIDUALS WITHIN THE COMMUNITY ALSO HAVE A SIGNIFICANT EFFECT ON THEIR ABILITY TO ACCESS HEALTH SERVICES. THE MEDIAN HOUSEHOLD INCOME IN THE MEDICAL CENTER'S COMMUNITY IS $37,218, COMPARED TO $47,597 FOR THE STATE OF ARKANSAS AND $62,843 FOR THE UNITED STATES. FORM 990, SCHEDULE H, PART VI, LINE 5 FRMC MAINTAINS AN OPEN MEDICAL STAFF AND THE GOVERNING BODY IS MADE UP OF VOLUNTARY LOCAL COMMUNITY MEMBERS ALONG WITH PHYSICIANS. THE HOSPITAL CARES FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND PROACTIVELY SEEKS TO ENROLL ALL ELIGIBLE PATIENTS INTO APPROPRIATE PROGRAMS TO IMPROVE ACCESS TO CARE. FORM 990, SCHEDULE H, PART VI, LINE 6 SBHC SYSTEM FOCUSES ITS ENERGIES AND RESOURCES ON PARTNERSHIPS THAT HAVE THE GREATEST POTENTIAL FOR A POSITIVE IMPROVEMENT IN THE HEALTH AND QUALITY OF LIFE FOR INDIVIDUALS AND COMMUNITIES. AREAS WHERE CONSIDERABLE ACTIVITY IS EXPENDED INCLUDE: - COMMUNITY HEALTH EDUCATION, PREVENTION, EARLY DETECTION, AND INTERVENTION ACTIVITIES THAT WOULD REDUCE THE INCIDENCE AND SERIOUSNESS OF ILLNESS, THEREBY MINIMIZING THE NEED FOR PREVENTABLE AND EXPENSIVE MEDICAL INTERVENTIONS. - CHRONIC DISEASE MANAGEMENT ACTIVITIES, WHICH, WHEN DONE EFFECTIVELY, MINIMIZE THE NEED FOR MEDICAL INTERVENTIONS. - PROACTIVE HEALTH GRANT PROGRAMS THAT FUND COMMUNITY BASED HEALTH PROGRAMS AND INITIATIVES. - INCREASING ACCESS TO HEALTH COVERAGE FOR ELIGIBLE RESIDENTS IN PROGRAMS SUCH AS AR KIDS FIRST. - INCREASING ACCESS TO HEALTHCARE SERVICES FOR THOSE IN NEED REGARDLESS OF ABILITY TO PAY. - COLLABORATIVE PARTNERSHIPS THAT SUPPORT THE PURPOSE OF INCREASING INDIVIDUAL AND COMMUNITY CAPACITY TO ACHIEVE THE HEALTHY COMMUNITY VISION. - HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS. - DONATIONS OF FOOD, SURPLUS EQUIPMENT AND STAFF TIME TO ORGANIZATIONS ADDRESSING THE HEALTH NEEDS OF THE COMMUNITY. - PARTNERSHIPS WHICH MOTIVATE RESIDENTS TO GIVE BACK TO THEIR COMMUNITIES TO MOVE THE COMMUNITY CLOSER TO THE HEALTHY COMMUNITY VISION. false true false false false false false false false CHRIS BARBER CHAIR, PRESIDENT AND SECRETARY 0 754860 0 250 0 48943 0 26000 0 15949 0 846002 0 0 MICKEY DEEL PHYSICIAN 357174 0 250 0 138 0 0 0 0 0 357562 0 0 0 WILLIAM LEWIS PHYSICIAN 317710 0 250 0 138 0 0 0 0 0 318098 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 ST. BERNARDS HEALTHCARE, A RELATED ORGANIZATION, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD TO ESTABLISH COMPENSATION OF THE CEO. FORM 990, SCHEDULE J, PART I, LINE 4B CHRIS BARBER RECEIVED $19,500 IN CONTRIBUTIONS TO A 457(F) PLAN. FORM 990, SCHEDULE J, PART II, COLUMN D THE INCREASE IN ACTUARIAL VALUE OF THE DEFINED BENEFIT PENISON PLAN IS NOT CALCULATED ON AN INDIVIDUAL EMPLOYEE BASIS BUT RATHER ON THE EMPLOYEE GROUP TAKEN AS A WHOLE. THE INCREASE IN EACH INDIVIDUAL'S BALANCE WOULD HAVE TO BE ESTIMATED USING ASSUMPTIONS UNIQUE TO THAT INDIVIDUAL RATHER THAN THE PLAN AS A WHOLE. THIS INFORMATION IS NOT AVAILABLE AT THIS TIME. HOWEVER, WE BELIEVE THE INCREASE TO EACH INDIVIDUAL'S ACCOUNT WOULD NOT MATERIALLY CHANGE THE COMPENSATION REPORTED. WE WILL WORK WITH OUR ACTUARY TO DETERMINE THE ANNUAL INCREASE IN FUTURE PERIODS. FORM 990, PART V, LINE 1A FIVE RIVERS MEDICAL CENTER, INC. DOES NOT REPORT ANY 1099 FILINGS ON PART V, LINE 1A. ALL 1099S ARE FILED BY THE HOSPITAL SYSTEM'S COMMON PAYMASTER, ST. BERNARDS HEALTHCARE, INC. FORM 990, PART VI, SECTION A, LINE 6 ST BERNARDS HEALTHCARE - SOLE MEMBER FORM 990, PART VI, SECTION A, LINE 7A ST BERNARDS HEALTHCARE - SOLE MEMBER, APPOINTS ALL DIRECTORS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 7B ST. BERNARDS HEALTHCARE, SOLE MEMBER, APPROVES THE CREATION OF EACH COMMITTEE, APPOINTMENT OF MEMBERS TO THOSE COMMITTEES AND ALL AMENDMENTS TO THE BYLAWS ARE SUBJECT TO THE FINAL APPROVAL OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE FOLLOWING PERSONS OR GROUPS: CONTROLLER OF ST BERNARDS HEALTHCARE, INC, VICE PRESIDENT OF FINANCE OF ST BERNARDS HEALTHCARE, INC, REGIONAL CFO OF ST BERNARDS HEALTHCARE, INC, CFO OF FIVE RIVERS MEDICAL CENTER. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR SHALL, AT THEIR FIRST REGULAR BOARD MEETING OF THE CALENDAR YEAR, EXECUTE AND DELIVER TO THE SECRETARY, A CONFLICT OF INTEREST STATEMENT PURSUANT TO THE CORPORATION'S CONFLICT OF INTEREST POLICY. EACH DIRECTOR SHALL, AT ALL TIMES, COMPLY FULLY WITH THE PROVISIONS OF THE CORPORATION'S CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15A & 15B THE BOARD OF DIRECTORS SELECTS DIRECTORS TO SERVE ON THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES THE INITIAL SALARY AND ANY SUBSEQUENT SALARY ADJUSTMENTS OF ALL MANAGEMENT. THE COMPENSATION COMMITTEE OBTAINS AN INDEPENDENT SALARY SURVEY FROM A COMPENSATION CONSULTING FIRM ON AN EVERY OTHER YEAR BASIS FOR USE IN DETERMINING THE APPROPRIATE SALARY RANGES FOR MANAGEMENT. THE COMPENSATION COMMITTEE PRESENTS THE INFORMATION TO THE BOARD FOR APPROVAL. A COMPENSATION REVIEW WAS CONDUCTED BY GALLAGHER'S HUMAN RESOURCES AND COMPENSATION CONSULTING IN OCTOBER OF 2020 FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS ($11,023) FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:2231609 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIANS TOTAL FEES:33578 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:747947 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING TOTAL FEES:24687 ST BERNARDS HEALTHCARE INC 225 WASHINGTON JONESBORO AR 72401 710853900 HEALTHCARE AR 501(C)(3) 12A OBS false ST BERNARDS HOSPITAL INC 225 WASHINGTON JONESBORO AR 72401 710290019 HEALTHCARE AR 501(C)(3) 3 SBHCI true ST BERNARDS VILLAGE INC 225 EAST WASHINGTON JONESBORO AR 72401 710805203 HOUSING AR 501(C)(3) 10 SBHCI true ST BERNARDS COMMUNITY HOSPITAL CORP 310 SOUTH FALLS BLVD WYNNE AR 72396 710835247 HEALTHCARE AR 501(C)(3) 3 SBHCI true BENEDICTINE MANOR I 225 EAST WASHINGTON JONESBORO AR 72401 208030553 HOUSING AR 501(C)(3) 10 VILLAGE true BENEDICTINE MANOR II 225 EAST WASHINGTON JONESBORO AR 72401 208030603 HOUSING AR 501(C)(3) 10 VILLAGE true JONESBORO REAL ESTATE HOLDINGS INC 225 EAST WASHINGTON JONESBORO AR 72401 710835010 REAL ESTATE AR 501(C)(2) N/A SBHCI true TOTAL LIFE HEALTHCARE 700 EAST WASHINGTON JONESBORO AR 72401 260262745 HEALTHCARE AR 501(C)(3) 10 SHBCI true ST BERNARDS DEVELOPMENT FOUNDATION 400 EAST STREET JONESBORO AR 72401 710563245 SUPPORT AR 501(C)(3) 7 OBS false OLIVETAN BENEDICTINE SISTERS INC PO DRAWER 130 JONESBORO AR 72403 710654621 CONVENT AR 501(C)(3) N/A NA false MATTHEWS MEDICAL MILE 225 EAST WASHINGTON JONESBORO AR 72401 273865388 ADVERTISING AR 501(C)(3) 10 SBHCI true AUX TO ST BERNARDS MEDICAL CENTER 225 EAST WASHINGTON JONESBORO AR 72401 710493824 FUNDRAISING AR 501(C)(3) 12A SBHI true PET CENTER LLC PO BOX 13267 MAUMELLE AR 72118 710876911 P.E.T. SCANNING AR NA false false OUTPATNT SRGRY CTR 1100 E MATTHEWS JONESBORO AR 72401 743052826 HEALTHCARE AR NA false false PAIN CENTER LLC 505 E MATTHEWS SUITE 103 JONESBORO AR 72401 331048492 PAIN MANAGEMENT AR NA false false REGIONAL HEALTHCARE HOLDINGS INC PO BOX 9320 JONESBORO AR 72403 731650896 HOLDING COMPANY AR NA C CORPORATION true JONESBORO ANESTHESIA INC 221 HUGHES STE C JONESBORO AR 72401 020644209 ANESTHESIOLOGY AR NA C CORPORATION true HEART SURGERY ASSOCIATES PO BOX 9320 JONESBORO AR 72403 200120406 HEALTHCARE AR NA C CORPORATION true DOCTORS HEALTH GROUP PO BOX 9320 JONESBORO AR 72403 710788355 HEALTHCARE AR NA C CORPORATION true JONESBORO NEUROSURGERY CLINIC PO BOX 9320 JONESBORO AR 72403 205938180 NEUROSURGERY AR NA C CORPORATION true REGIONAL HEALTHCARE SERVICES PO BOX 9320 JONESBORO AR 72403 710780305 HEALTHCARE AR NA C CORPORATION true SURGICAL ASSOCIATES OF JONESBORO PO BOX 9320 JONESBORO AR 72403 263827817 HEALTHCARE AR NA C CORPORATION true HEALTHCARE MEDICAL GROUP INC PO BOX 9320 JONESBORO AR 72403 710792539 HEALTHCARE AR NA C CORPORATION true THE HEARTCARE CENTER 225 EAST JACKSON JONESBORO AR 72401 202061837 HEALTHCARE AR NA C CORPORATION true JONESBORO PLASTIC SURGERY 800 S MAIN STREET JONESBORO AR 72401 271450995 PLASTIC SURGERY AR NA C CORPORATION true OB-GYN ASSOC OF JONESBORO 800 S MAIN STREET JONESBORO AR 72401 272717909 OB-GYN AR NA C CORPORATION true CARDIOLOGY ASSOCIATES OF JONESBORO 800 S MAIN STREET JONESBORO AR 72401 273757274 CARDIOLOGY AR NA C CORPORATION true ST BERNARDS CLINICS INC 800 S MAIN STREET JONESBORO AR 72401 273722124 HEALTHCARE AR NA C CORPORATION true CANCER CARE ASSOCIATES INC 800 S MAIN STREET JONESBORO AR 72401 800864692 HEALTHCARE AR NA C CORPORATION true ST BERNARDS ORTHOPEDIC ASSOCIATES INC 800 S MAIN STREET JONESBORO AR 72401 462738617 HEALTHCARE AR NA C CORPORATION true ST BERNARDS UROLOGY ASSOCIATES INC 800 S MAIN STREET JONESBORO AR 72401 464039608 HEALTHCARE AR NA C CORPORATION true ST BERNARDS PHYSICIAN CLINICS INC 800 S MAIN STREET JONESBORO AR 72401 871439061 HEALTHCARE AR NA C CORPORATION true false false false false false false false false false false false false true true true true true false false