2021-08-13T11:58:45-05:00 2020-09-30 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2019-10-01 710411459 WHITE RIVER HEALTH SYSTEM INC % SHAWNA IVES WHIT 8706986520 1710 HARRISON ST BATESVILLE AR 72501 SHAWNA IVES CFO 8706986520 2021-08-11 true AMBER SHERRILL P00748683 5013721040 2019 2022-09-23 18:48:47Z SHAWNA IVES 1710 HARRISON ST BATESVILLE AR 72501 273345405 false X WWW.WHITERIVERHEALTHSYSTEM.COM X 1976 AR WRHS MISSION IS TO PROVIDE QUALITY HEALTHCARE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. 16 14 2229 100 5810 4670 1648889 11397567 251526117 245725271 1916772 -86146 9035666 2013020 264127444 259049712 0 32724 0 0 133954275 131689868 0 0 0 128923073 125058307 262877348 256780899 1250096 2268813 227497059 282000747 77151821 127887452 150345238 154113295 X WRHS MISSION IS TO PROVIDE QUALITY HEALTHCARE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. WRHS VISION IS TO PROVIDE AN ENVIRONMENT WHERE PATIENTS CHOOSE TO RECEIVE CARE, EMPLOYEES DESIRE TO WORK, PHYSICIANS WANT TO PRACTICE, AND FAMILIES AND VISITORS FEEL WELCOME. false false 200001517 32724 245719461 WHITE RIVER HEALTH SYSTEM, INC. IS A MULTIDIMENSIONAL PROVIDER OF HEALTHCARE SERVICES PRIMARILY TO THE RESIDENTS OF NORTH CENTRAL ARKANSAS. THE NOT-FOR-PROFIT ORGANIZATION OPERATES TWO HOSPITALS; WHITE RIVER MEDICAL CENTER WHICH IS AN ACUTE CARE HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE TO THE RESIDENTS OF INDEPENDENCE COUNTY AND SURROUNDING AREAS AND STONE COUNTY MEDICAL CENTER WHICH IS A CRITICAL ACCESS HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF STONE COUNTY AND SURROUNDING AREAS. THE SYSTEM ALSO INCLUDES OUTPATIENT FACILITIES, PRIMARY CARE AND SPECIALTY PHYSICIAN OFFICES, MEDICAL OFFICE BUILDINGS, AND WHITE RIVER HEALTH SYSTEM FOUNDATION, INC., WHICH PROVIDES SUPPORT FOR FURTHERING THE PURPOSE AND PROMOTING THE ACTIVITIES OF THE SYSTEM. 200001517 true true false true false false false false false false true false false true false false false true false false false false false false false false true true true false true true false false false false false false false false true false false false false false true true true true false false true 164 0 true 2229 true true true false false false false false false false false false false false X 16 14 false false false false false false false true true false false true true true true true true true true true true X SHAWNA IVES 8702626100 1710 HARRISON ST BATESVILLE AR 72501 X JEFFERY ANGEL PHYSICIAN 40.0 0.0 X 924121 0 11385 DYLAN CARPENTER PHYSICIAN 40.0 0.0 X 867921 0 17426 JAMES DAVIS ALLEN PHYSICIAN 40.0 0.0 X 772942 0 14486 MARGARET KUYKENDALL PHYSICIAN 40.0 0.0 X 721373 0 8462 WESLEY GREER PHYSICIAN 40.0 0.0 X 659818 0 16295 CHRIS STEEL EVP - CQO 40.0 0.0 X 599997 0 12659 GARY BEBOW CEO THROUGH 12/31/2019 40.0 0.0 X 450395 0 13878 GARY PAXSON CEO 40.0 0.0 X 394002 0 17409 GENE WINTERS CFO THROUGH 09/26/2019 40.0 0.0 X 230707 0 5679 TERRI BUNCH CNO 40.0 0.0 X 211009 0 9150 TAMMY GAVIN EVP - CCO 40.0 0.0 X 195233 0 11717 JOSEPH SMOTHERMAN EVP - CSO/COO SCMC 40.0 0.0 X 189860 0 14614 ROBERT WRIGHT EVP - PCS 40.0 0.0 X 170296 0 6088 JEFF REIFSTECK EVP - CIO 40.0 0.0 X 159942 0 12414 LINDSEY CASTLEBERRY EVP - HR/LEGAL COUNCIL 40.0 0.0 X 160259 0 9002 SHAWNA IVES CFO STARTING 09/29/2019 40.0 0.0 X 139912 0 9554 BORIS DOVER DIRECTOR 1.0 0.0 X 0 0 0 STEVE CASE DIRECTOR 1.0 0.0 X 0 0 0 LESLIE FRENSLEY SECRETARY 1.0 0.0 X X 0 0 0 CHARLES SCHAAF TREASURER 1.0 0.0 X X 0 0 0 PHIL BALDWIN DIRECTOR 1.0 0.0 X 0 0 0 PHILIP BRISSEY ASSISTANT SECRETARY 1.0 0.0 X 0 0 0 STEVE BRYANT DIRECTOR 1.0 0.0 X 0 0 0 DEBBIE FRAZIER DIRECTOR 1.0 0.0 X 0 0 0 DIANNE LAMBERTH DIRECTOR 1.0 0.0 X 0 0 0 KEVIN ROSE CHAIRMAN 1.0 0.0 X X 0 0 0 JEFF SHOWALTER VICE-CHAIRMAN 1.0 0.0 X X 0 0 0 PAULA TERRELL DIRECTOR 1.0 0.0 X 0 0 0 RANDY CROSS ASSISTANT TREASURER 1.0 0.0 X X 0 0 0 MERIDEN GLASGOW MD DIRECTOR 1.0 0.0 X 0 0 0 JUDY BELCHER DIRECTOR 1.0 0.0 X 0 0 0 JORDAN WEAVER DIRECTOR 1.0 0.0 X 0 0 0 6847787 0 190218 130 false true false NORTH ARKANSAS PAIN MANAGEMENT PA 30 DUNDEE COVE BATESVILLE AR 72501 PAIN MANAGEMENT SVCS 3526704 INDEPENDENCE EMERGENCY PHYSICIANS G 2417 SEA ISLAND JONESBORO AR 72404 ER SERVICES 6403682 BATESVILLE CARDIOLOGY PA 1695 HARRISON BATESVILLE AR 72501 CARDIOLOGY SERVICES 541015 KHAN MEDICAL CORPORATION 1 SEZ ANNE COVE LITTLE ROCK AR 72223 MEDICAL CARE SVCS 602438 AHSA PO BOX 670529 DALLAS TX 75267 NURSING CONTRACT LAB 533964 24 8340 186941 10321263 881023 11397567 Program Service Revenue 621110 235184116 235184116 PHARMACY 340B REVENUE 621110 6223659 6223659 COVID DIRECT WORKER PAYMENTS 622110 1534213 1534213 PREMIER HEALTHCARE ALLIANCE, L.P. K-1 INCOME 621300 81017 75207 5810 MEDICAL OFFICE BUILDING RENT 531120 53750 53750 2648516 2648516 245725271 1015521 1015521 0 0 1072019 1072019 0 1072019 1072019 12304371 882672 13466886 821824 -1162515 60848 -1101667 -1101667 2660 8340 6983 -4323 -4323 0 0 0 0 0 0 DIETARY REVENUE 900099 1074520 1074520 LOSS ON BOND REFUNDING 900099 -211321 -211321 INCOME FROM WRHS CIN, LLC 900099 74973 74973 7152 7152 945324 259049712 245719461 5810 1926874 32724 32724 0 0 0 2742769 2742769 0 98062078 71652932 26409146 2361189 1725296 635893 22199171 16220701 5978470 6324661 4621363 1703298 0 182459 133321 49138 273236 199651 73585 0 0 0 0 31489974 23009394 8480580 375095 274078 101017 1740659 1271881 468778 0 0 4668087 3410922 1257165 217131 158655 58476 0 442343 323215 119128 2390951 1747043 643908 0 10142778 7411222 2731556 1833097 1339425 493672 DRUGS & MEDICAL SUPPLIES 42358484 42358484 BAD DEBT EXPENSE 10998912 10998912 REPAIRS & MAINTENANCE 9319252 6809480 2509772 TAXES, FEES & LICENSES 3604069 2633455 970614 5021780 3669363 1352417 256780899 200001517 56779382 0 7852369 78961670 0 0 0 0 37322484 30212845 0 0 0 0 0 0 5343360 5725978 2821001 2405573 274626930 171961585 108853440 102665345 37555483 37484991 0 0 0 1133683 0 0 27748922 23410662 227497059 282000747 24972036 27249543 0 0 0 22940185 36107538 33487916 0 0 0 0 16072247 44209808 0 0 0 0 77151821 127887452 X 150345238 154113295 0 0 150345238 154113295 227497059 282000747 X 2268813 1525701 -26457 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 31226 31226 false SCHEDULE C, PART II-B, LINE 1J THE AMOUNT OF AMERICAN HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING. 3797668 3797668 150044699 73532925 76511774 9127022 2017618 7109404 111282897 96411042 14871855 374644 0 374644 102665345 INTERCOMPANY RECEIVABLES 10764036 FUNDS HELD BY TRUSTEE 1630250 OTHER ASSETS 1752732 AMOUNTS DUE FROM THIRD PARTIES 7861568 INTERNALLY DESIGNATED FUNDS 1402076 INVESTMENT IN SUBSIDIARIES 0 23410662 249427494 1525701 6983 1532684 247894810 11154902 11154902 259049712 245691992 6983 6983 245685009 11095890 11095890 256780899 FORM 990, 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 INCOME TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. FORM 990, SCHEDULE D, PART XI, LINE 2D FUNDRAISING EXPENSE $6,983 FORM 990, SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $10,998,912 K-1 INCOME $81,017 WRHS CIN REVENUE $74,973 ================================== TOTAL $11,154,902 FORM 990, SCHEDULE D, PART XII, LINE 2D FUNDRAISING EXPENSE $6,983 FORM 990, SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $10,998,912 WRHS CIN EXPENSES $96,978 ================================== TOTAL $11,095,890 true true X true X true X true true true false false 1314996 0 1314996 0.00540 22770823 21303309 1467514 0.00600 24085819 21303309 2782510 0.01140 1992922 1860251 132671 0.00050 5444546 2812119 2632427 0.01080 7437468 4672370 2765098 0.01130 31523287 25975679 5547608 0.02270 true 10998911 603840 65098402 63146084 1952318 X true true 2 1 WHITE RIVER MEDICAL CENTER 1710 HARRISON ST BATESVILLE AR 72501 WWW.WHITERIVERHEALTHSYSTEM.COM 418 X X X A 2 STONE COUNTY MEDICAL CENTER 2106 EAST MAIN STREET MOUNTAIN VIEW AR 72560 WWW.WHITERIVERHEALTHSYSTEM.COM AR5036 X X X X A A false false true X X X X X X X X X 18 true true false true X WWW.WHITERIVERHEALTHSYSTEM.COM X true 18 true WWW.WHITERIVERHEALTHSYSTEM.COM false true X 100 300. X X X X X X true true X X X true X WWW.WHITERIVERHEALTHSYSTEM.COM X WWW.WHITERIVERHEALTHSYSTEM.COM X WWW.WHITERIVERHEALTHSYSTEM.C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 THE WRHS CHNA UTILIZED THE FOLLOWING SOURCES TO DEVELOP THE PROCESS FOR THE CHNA AND TO GATHER THE NEEDED DATA: 1) COMMUNITY SURVEY MADE AVAILABLE ONLINE AND PROMOTED VIA EMAIL AND SOCIAL MEDIA, 2)THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) PUBLIC HEALTH IN ARKANSAS' COMMUNITIES SEARCH (PHACS), AND 3) PUBLIC DATA SOURCES. THE COMMUNITY SURVEY WAS EMAILED TO COMMUNITY STAKEHOLDERS WHO REPRESENT MEDICALLY UNDERSERVED RESIDENTS, MINORITY GROUPS, AND LOW-INCOME RESIDENTS IN THE SURVEY PROCESS. QUALITATIVE AND QUANTITATIVE HEALTH NEEDS DATA WERE COLLECTED FROM: 1) DIGITAL SURVEYS AND 2) UAMS PHACS DATA. SCHEDULE H, PART V, SECTION B, LINE 6A STONE COUNTY MEDICAL CENTER AND WHITE RIVER MEDICAL CENTER SCHEDULE H, PART V, SECTION B, LINE 11 AFTER COLLECTING AND ANALYZING THE DEMOGRAPHIC, QUALITATIVE AND QUANTITATIVE HEALTH RELATED DATA FROM UAMS PHACS, AS WELL AS DATA FROM THE SURVEYS CONDUCTED ONLINE. THE FOLLOWING CATEGORIES OF HEALTH NEEDS WERE IDENTIFIED: - IMPROVE ACCESS TO HEALTHCARE SERVICES - IMPROVE PREVENTIVE HEALTHCARE MANAGEMENT AND WELLNESS - IMPROVE CHRONIC DISEASE MANAGEMENT AND EDUCATION STRATEGIES AND ACTIONS STEPS BEING TAKEN TO ADDRESS THESE SIGNIFICANT NEEDS CAN BE FOUND IN THE ORGANIZATION'S IMPLEMENTATION STRATEGY ON THEIR WEBSITE. SCHEDULE H, PART V, SECTION B, LINE 13B IN THE FOLLOWING SITUATIONS (KNOWN AS PRESUMPTIVE FINANCIAL ASSISTANCE), A PATIENT IS DEEMED TO BE ELIGIBLE FOR 100% REDUCTION OF CHARGES: - IF PATIENT IS CURRENTLY ELIGIBLE FOR FULL MEDICAID BENEFITS, BUT WAS NOT ELIGIBLE ON A PRIOR DATE OF SERVICE. THE FACILITY WILL APPLY OUR FINANCIAL ASSISTANCE POLICY RETROACTIVELY FOR THE PREVIOUS THREE(3) MONTHS. - IF PATIENT STATES (S)HE IS HOMELESS AND WRHS, THROUGH OUR OWN DILIGENCE, DOES NOT FIND AND EVIDENCE OF THE CONTRARY. - IF PATIENT IS MENTALLY OR PHYSICALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS/HER BEHALF. - IF PATIENT IS CURRENTLY A RESIDENT OF A NURSING HOME FACILITY AND THE FACILITY IS ABLE TO PROVIDE ON A LETTERHEAD STATING PATIENT IS A RESIDENT ON A FIXED INCOME WITH A PROVIDED MEDICAID NUMBER. - IN THE EVENT OF A PATIENT'S DEATH, THE FAMILY OF THE DECEASED PATIENT WILL BE ELIGIBLE FOR OUR PRESUMPTIVE CHARITY DISCOUNT BY PRESENTING A COPY OF THE PATIENT'S DEATH CERTIFICATE. ONCE COLLECTION EFFORTS HAVE BEEN MET, THE REMAINING BALANCE WILL QUALIFY FOR PRESUMPTIVE CHARITY. 36 BATESVILLE FAMILY CARE 1215 Sidney Street Suite 300 Batesville AR 72501 FAMILY MEDICINE CAVE CITY MEDICAL CLINIC 301 South Main Street CAVE CITY AR 72521 FAMILY MEDICINE DRASCO MEDICAL CLINIC 60 Greers Ferry Road Drasco AR 72530 FAMILY MEDICINE MELBOURNE MEDICAL CLINIC 1526 East Main Street Melbourne AR 72556 FAMILY MEDICINE MIDWAY MEDICAL CLINIC SUITE A 195 Hospital Drive Suite A Cherokee Village AR 72529 FAMILY MEDICINE MIDWAY MEDICAL CLINIC SUITE B 195 Hospital Drive Cherokee Village AR 72529 FAMILY MEDICINE NEWPORT DIAGNOSTIC MEDICAL CLINIC 2200 Malcolm Avenue Suite B NEWPORT AR 72112 FAMILY MEDICINE PLEASANT PLAINS MEDICAL CLINIC 6200 Batesville Boulevard Pleasant Plains AR 72568 FAMILY MEDICINE STONE COUNTY FAMILY MEDICINE CLINIC 19797 AR Hwy 5 North MOUNTAIN VIEW AR 72560 FAMILY MEDICINE STONE COUNTY PRIMARY CARE CLINIC 2202 East Main Street MOUNTAIN VIEW AR 72560 FAMILY MEDICINE STRAWBERRY MEDICAL CLINIC 58 East River Drive STRAWBERRY AR 72469 FAMILY MEDICINE SUGARLOAF MEDICAL CLINIC 521 Wilburn Road HEBER SPRINGS AR 72543 FAMILY MEDICINE WRMC MEDICAL COMPLEX SOUTHSIDE 1217 Batesville Boulevard BATESVILLE AR 72501 FAMILY MEDICINE BATESVILLE NEUROLOGY CLINIC 1699 Harrison Street Suite D BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE ONCOLOGY CLINIC 1710 Harrison Street BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE PULMONOLOGY CLINIC 1215 SIDNEY ST SUITE 201 BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE PULMONOLOGY CLINIC HARRISON 1699 HARRISON ST SUITE D BATESVILLE AR 72501 SPECIALTY CLINIC CHILDREN'S CLINIC 1700 Harrison Street Suite N BATESVILLE AR 72501 SPECIALTY CLINIC DIAGNOSTIC CLINIC AT WRMC 3443 Harrison Street BATESVILLE AR 72501 SPECIALTY CLINIC WHITE RIVER ORTHOPAEDIC & SPORTS MED 2110 East Main Street MOUNTAIN VIEW AR 72560 SPECIALTY CLINIC WOMEN'S CLINIC 1215 Sidney Street Suite 202 BATESVILLE AR 72501 SPECIALTY CLINIC WRHS BEHAVIORAL HEALTH CLINIC 2230 Harrison Street BATESVILLE AR 72501 SPECIALTY CLINIC WRMC BREAST CARE CENTER 525 Virginia Drive BATESVILLE AR 72501 SPECIALTY CLINIC WRMC CANCER CARE CENTER 525 Virginia Drive BATESVILLE AR 72501 SPECIALTY CLINIC WRMC CARDIOLOGY 16 Hospital Circle Suite A BATESVILLE AR 72501 SPECIALTY CLINIC WRMC ENT CLINIC 1500 Lawrence Street BATESVILLE AR 72501 SPECIALTY CLINIC WRMC INTERNAL MEDICINE CLINIC 3443 Harrison Street BATESVILLE AR 72501 SPECIALTY CLINIC WRMC MED COMPLEX CHEROKEE VILLAGE 195 Hospital Drive Suite C CHEROKEE VILLAGE AR 72529 SPECIALTY CLINIC WRMC MEDICAL COMPLEX NEWPORT 2200 Malcolm Avenue NEWPORT AR 72112 SPECIALTY CLINIC WRMC ORTHOPAEDIC & SPORTS MED CLINIC 501 Virginia Dr Suite C BATESVILLE AR 72501 SPECIALTY CLINIC WRMC PAIN MANAGEMENT CLINIC 1700 Harrison Street Suite T BATESVILLE AR 72501 SPECIALTY CLINIC WRMC RHEUMATOLOGY CLINIC 12 Hospital Circle SUITE A BATESVILLE AR 72501 SPECIALTY CLINIC WRMC SLEEP CENTER 1699 Harrison Street BATESVILLE AR 72501 SPECIALTY CLINIC WRMC SURGERY CLINIC 501 Virginia Drive Suite A BATESVILLE AR 72501 SPECIALTY CLINIC WRMC WOUND HEALING CENTER 1710 Harrison Street BATESVILLE AR 72501 SPECIALTY CLINIC SCMC PAIN MANAGEMENT CLINIC 105 CASE COMMONS DRIVE MOUNTAIN VIEW AR 72560 SPECIALTY CLINIC SCHEDULE H, PART I, LINE 3C A PATIENT WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE IF THE PATIENT HAS LIMITED OR NO HEALTH INSURANCE OR APPLIES FOR BUT IS DEEMED INELIGIBLE FOR GOVERNMENT MEDICAL ASSISTANCE. IN ADDITION, A PATIENT MAY BE ELIGIBLE IN THE EVENT THE ORGANIZATION, IN ITS DISCRETION, DEEMS SUCH ELIGIBILITY APPROPRIATE UNDER A PATIENT'S UNIQUE CIRCUMSTANCES, INCLUDING POTENTIAL MEDICAL HARDSHIP. CONSIDERATION MAY BE GIVEN TO THE EXISTENCE OF SUBSTANTIAL MEDICAL DEBT AND ADDITIONAL DOCUMENTATION REGARDING ASSETS AND LIVING EXPENSES MAY BE REQUESTED. SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE IN THE AMOUNT OF $10,998,911 IS INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (B) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. SCHEDULE H, PART I, LINE 7 THE AMOUNTS ON LINE 7A AND 7B WERE CALCULATED USING THE COST TO CHARGE RATIO. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE IS DESCRIBED IN THE FOOTNOTES TO THE FINANCIAL STATEMENTS AS AMOUNTS THAT ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. SCHEDULE H, PART III, SECTION A, LINE 3 MEDICARE BASED REASONABLE COST METHODOLOGY. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT IS DESCRIBED IN THE ATTACHED AUDIT REPORT, UNDER NOTE 1, PATIENT ACCOUNTS RECEIVABLE. SCHEDULE H, PART III, SECTION B, LINE 8 MEDICARE COST TO CHARGE RATIO SCHEDULE H, PART III, SECTION C, LINE 9B ACCOUNTS THAT HAVE BEEN PLACED WITH A THIRD-PARTY COLLECTION AGENCY ARE ELIGIBLE FOR BENEFITS PROVIDED REQUIRING THEY MEET APPROPRIATE SET GUIDELINES. IF APPROVED, THE ACCOUNT WILL REMAIN WITH THE COLLECTION AGENCY BUT WILL RECEIVE THE APPROVED FINANCIAL ASSISTANCE REDUCTION. ALL ACCOUNTS PLACE WITH A THIRD-PARTY COLLECTION AGENCY ARE ELIGIBLE FOR A 35% SETTLEMENT DISCOUNT, UPON REQUEST VIA PATIENT OR REPRESENTATIVE, IF PAID IN FULL. SCHEDULE H, PART VI, LINE 2 WRHS PROVIDES FREE PREVENTATIVE SCREENINGS TO THE COMMUNITY AND OTHER COMMUNITY OUTREACH PROGRAMS. SCHEDULE H, PART VI, LINE 3 THE ORGANIZATION WILL COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ITS PATIENTS AND THE GENERAL PUBLIC THROUGH MEASURES THAT INCLUDE PROVIDING OR POSTING COPIES OF THIS POLICY, SUMMARIES THEREOF (IF MORE CONDUCIVE TO PATIENT UNDERSTANDING), APPROPRIATE SIGNAGE AND/OR BROCHURES ON THE ORGANIZATION'S WEBSITE; IN THE PATIENT REGISTRATION AREAS; IN THE PATIENT FINANCIAL ADVOCACY DEPARTMENTS; IN OTHER WAITING AREAS THROUGHOUT THE ORGANIZATION'S PREMISES (AS MAY BE REASONABLY WORKABLE AND APPROPRIATE); IN PATIENT INFORMATIONAL BINDERS; AND IN BILLS AND STATEMENTS SENT TO PATIENTS. PERTINENT MATERIALS WILL BE PROVIDED IN ENGLISH AND SPANISH, WHICH ARE THE LANGUAGES APPROPRIATE TO THE COMMUNITIES SERVED BY THE ORGANIZATION. OTHER LANGUAGES WILL BE ADDED AS NECESSARY IN THE EVENT OF CHANGES TO THE ORGANIZATION'S PATIENT POPULATION. ALL SUCH MATERIALS WILL INCLUDE PERTINENT CONTACT TELEPHONE NUMBERS AND/OR E-MAIL ADDRESSES TO PERMIT PATIENTS APPROPRIATE RESOURCES FOR COMPLETION OF THE APPLICATION AND ANSWERS TO ANY OTHER QUESTIONS THEY MAY HAVE ABOUT THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM. SCHEDULE H, PART VI, LINE 4 WRHS IS A 501(C) (3) NONPROFIT, INTEGRATED HEALTH SYSTEM. THE ORGANIZATION INCLUDES: WRMC, AN ACUTE CARE HOSPITAL IN BATESVILLE; SCMC, A CRITICAL ACCESS HOSPITAL IN MOUNTAIN VIEW; A SATELLITE EMERGENCY DEPARTMENT IN CHEROKEE VILLAGE, RURAL HEALTH CLINICS (RHC), PRIMARY CARE AND SPECIALTY CLINICS, AND OUTPATIENT DIAGNOSTIC AND TREATMENT CENTERS THROUGHOUT NORTH CENTRAL ARKANSAS. WRHS EMPLOYS 64 PHYSICIANS, 43 MID-LEVEL PROVIDERS, AND 1,792 TOTAL EMPLOYEES. THE WRHS INTERNAL MEDICINE RESIDENCY ACHIEVED ACCREDITATION FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) AND IN 2018, ACHIEVED CONTINUED ACCREDITATION STATUS. THROUGH A COLLABORATIVE AGREEMENT WITH THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS), WHITE RIVER MEDICAL CENTER WILL SERVE AS A TRAINING SITE FOR UAMS FAMILY MEDICINE RESIDENTS WHO BEGAN TRAINING IN JULY 2019. WRHS'S SERVICE AREA INCLUDES SIX (6) COUNTIES (CLEBURNE, INDEPENDENCE, IZARD, JACKSON, SHARP, AND STONE) IN NORTH CENTRAL ARKANSAS. WRHS'S EXTENDED SERVICE AREA AN ADDITIONAL FOUR (4) COUNTIES. THE HEALTHCARE NEEDS OF THE EXTENDED SERVICE AREA ARE ADDRESSED BY THE CHNA OF AREA HEALTHCARE PROVIDERS. LOCATED IN THE OZARK MOUNTAINS, MOST OF THE 3,751 SQUARE MILES OF THE SIX COUNTIES OF THE SERVICE AREA ARE RURAL WITH SMALL CITIES SCATTERED AMONG THE MOUNTAINS AND VALLEYS OF THE REGION. SMALL TO MEDIUM INDUSTRIES ARE IN THE CITY CENTERS; HOWEVER, AGRICULTURE AND TOURISM ARE THE PRIMARY ECONOMIC ENGINES IN THE REGION. ON AVERAGE, THERE ARE 32 PEOPLE PER SQUARE MILE IN THE SERVICE AREA. SCHEDULE H, PART VI, LINE 5 WHITE RIVER HEALTH SYSTEM PRIORITIZED COMMUNITY INVOLVEMENT BY REACHING OUT TO OUR COMMUNITY TO SUPPORT COMMUNITY-BASED PROGRAMS THAT IMPROVE THE WELL-BEING OF THOSE WE SERVE. WE FOCUSED OUR EFFORTS ON EDUCATION, SCREENINGS, AND SPONSORSHIPS. AS WE LOOK TO THE FUTURE, WE WILL CONTINUE TO LOOK FOR WAYS TO SERVE OUR COMMUNITIES. IT IS OUR MISSION TO PROVIDE QUALITY HEALTHCARE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. PREVIOUSLY KNOWN AS RUN THE WAVE, WRMC HELD ITS ANNUAL 5K RUN/WALK. THE EVENT BROUGHT IN A RECORD 133 RUNNERS AND RAISED OVER $11,000 TO SUPPORT LOCAL SCHOOL FOOD PANTRIES. 133 PEOPLE MADE DONATIONS TO THE EVENT AS VIRTUAL PARTICIPANTS. IN FEBRUARY, EVERY BABY BORN AT WRMC RECEIVED A HAND-KNITTED RED HAT AS PART OF THE AMERICAN HEART ASSOCIATION'S (AHA) LITTLE HATS, BIG HEARTS CAMPAIGN. THE CAMPAIGN FUNCTIONS TO RAISE AWARENESS FOR HEART DISEASE AND PROMOTE HEART HEALTH. SCHEDULE H, PART VI, LINE 6 WHITE RIVER HEALTH SYSTEM, INC. ALONG WITH ITS SUBSIDIARIES (THE SYSTEM) IS A MULTIDIMENSIONAL PROVIDER OF HEALTHCARE SERVICES PRIMARILY TO THE RESIDENTS OF NORTH CENTRAL ARKANSAS. THE SYSTEM OPERATES TWO HOSPITALS: WHITE RIVER MEDICAL CENTER, WHICH IS AN ACUTE CARE HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE TO THE RESIDENTS OF INDEPENDENCE COUNTY AND SURROUNDING AREAS; AND STONE COUNTY MEDICAL CENTER, WHICH IS A CRITICAL ACCESS HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY SERVICES TO THE RESIDENTS OF STONE COUNTY AND SURROUNDING AREAS. THE SYSTEM ALSO INCLUDES OUTPATIENT FACILITIES, PRIMARY CARE AND SPECIALTY PHYSICIAN OFFICES, NORTH ARKANSAS CLINICS, INC., AND WHITE RIVER HEALTH SYSTEM FOUNDATION, INC. (THE FOUNDATION). NORTH ARKANSAS CLINICS, INC. IS A FOR-PROFIT WHOLLY OWNED SUBSIDIARY OF THE SYSTEM THAT HOLDS REAL ESTATE IN SUPPORT OF THE SYSTEM. THE SYSTEM IS THE SOLE MEMBER OF THE FOUNDATION WHOSE PURPOSE IS TO SOLICIT CONTRIBUTIONS FOR THE BENEFIT OF THE SYSTEM. false LYON COLLEGE 2300 HIGHLAND ROAD BATESVILLE AR 72501 710246213 501(C)(3) 32724 ATHLETIC TRAINER SALARY 1 X X false false false false false false false false false GARY BEBOW CEO THROUGH 12/31/2019 244242 0 102473 0 103680 0 11200 0 2678 0 464273 0 0 0 GARY PAXSON CEO 350002 0 25000 0 19000 0 10200 0 7209 0 411411 0 0 0 TAMMY GAVIN EVP - CCO 195049 0 0 0 184 0 7809 0 3908 0 206950 0 0 0 JOSEPH SMOTHERMAN EVP - CSO/COO SCMC 179530 0 10000 0 330 0 7594 0 7020 0 204474 0 0 0 ROBERT WRIGHT EVP - PCS 170136 0 0 0 160 0 2987 0 3101 0 176384 0 0 0 LINDSEY CASTLEBERRY EVP - HR/LEGAL COUNCIL 160109 0 0 0 150 0 6410 0 2592 0 169261 0 0 0 JEFF REIFSTECK EVP - CIO 154802 0 5000 0 140 0 6398 0 6016 0 172356 0 0 0 JEFFERY ANGEL PHYSICIAN 500011 0 404699 0 19411 0 6936 0 4449 0 935506 0 0 0 DYLAN CARPENTER PHYSICIAN 500011 0 359332 0 8578 0 11200 0 6226 0 885347 0 0 0 JAMES DAVIS ALLEN PHYSICIAN 500011 0 270624 0 2307 0 11200 0 3286 0 787428 0 0 0 MARGARET KUYKENDALL PHYSICIAN 521581 0 138968 0 60824 0 0 0 8462 0 729835 0 0 0 WESLEY GREER PHYSICIAN 559166 0 60708 0 39944 0 7476 0 8819 0 676113 0 0 0 TERRI BUNCH CNO 201009 0 10000 0 0 0 8040 0 1110 0 220159 0 0 0 CHRIS STEEL EVP - CQO 599997 0 0 0 0 0 8431 0 4228 0 612656 0 0 0 GENE WINTERS CFO THROUGH 09/26/2019 172207 0 0 0 58500 0 0 0 5679 0 236386 0 0 0 A CITY OF MOUNTAINVIEW AR PUBLIC FACILITIES BOARD 352242231 624308BF8 2017-03-27 4135759 REFUNDING REVENUE BONDS false false false B CITY OF BATESVILLE AR PUBLIC FACILITIES BOARD 331078402 070668AJ7 2020-08-25 34840074 HOSPITAL REV/REFUNDING BONDS false false false A 1940000 0 4135759 0 0 0 82715 0 0 0 4049523 0 2017 true false true true B 0 0 34840074 1630250 0 0 571717 0 0 0 32638107 0 2020 true true true true A false false false false 0 false false false false B false false false false 0 false false false false A false true false false false false 0 false 0 false false B false true false false false false 0 false 0 false false A false B false NANCY BERNARD SPOUSE OF FORMER BOARD MEMBER 14723 COMPENSATION FOR SERVICES false VERONA BROWN-BEBOW SPOUSE OF GARY BEBOW 171773 COMPENSATION FOR SERVICES false MATTHEW GAVIN SON OF TAMMY GAVIN 90351 COMPENSATION FOR SERVICES false DOYLE COCKRILL BROTHER OF TAMMY GAVIN 53203 COMPENSATION FOR SERVICES false DOUG BERNARD SON OF FORMER BOARD MEMBER 554993 COMPENSATION FOR SERVICES false FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE. IT IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL CONFLICT OF INTEREST POLICIES ARE SENT OUT TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES AND RESPONSES ARE RETURNED TO INDEPENDENT AUDITORS WHICH COMPILE A LIST OF CONFLICTS. THE CONFLICTS ARE PRESENTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS TO REVIEW. IF THERE IS A CONFLICT OF INTEREST, THE AFFECTED BOARD MEMBER DOES NOT VOTE. THE BOARD CHAIR WOULD ENSURE THAT THE POLICY IS ADHERED TO. FORM 990, PART VI, SECTION B, LINE 15A ANNUAL COMPENSATION REVIEWS ARE PERFORMED BY THE BOARD IN JANUARY. FORM 990, PART VI, SECTION B, LINE 15B THE ANNUAL COMPENSATION REVIEWS ARE PERFORMED BY THE BOARD IN JANUARY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 INVESTMENT INCOME FROM K-1 ($81,017) WRHS CIN, LLC NET ASSETS $54,560 ------------------------------------------------ TOTAL OTHER CHANGES IN NET ASSETS ($26,457) FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:13250104 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:9311380 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:3776566 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:2704631 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:1795175 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:652118 WHITE RIVER HEALTH SYSTEM CIN LLC 1710 HARRISON ST BATESVILLE AR 72501 465609311 SUPPORT WRHS AR 74973 32555 WRHS WHITE RIVER HEALTH SYSTEM FOUNDATION 1710 HARRISON ST BATESVILLE AR 72501 710728911 SUPPORT WRHS AR 501(C)(3) 12A WRHS true NORTH ARKANSAS CLINIC PO BOX 2116 BATESVILLE AR 72503 710210496 RENT SPACE AR WRHS C CORP 355276 2608217 1.00000 true false false true false false false false false false false true false false false false false false false false WHITE RIVER HEALTH SYSTEM FOUNDATION C 186941 FMV NORTH ARKANSAS CLINIC K 236760 FMV