2019-11-15T08:52:46-06:00 2018-12-31 990 2018-01-01 710664687 Washington Regional Medical Center % ACCOUNTING DEPARTMENT WASH 4794631168 3215 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 DAN ECKELS SR VP & CFO 4794636026 2019-11-15 98.172.14.97 71566620193195000000 2019-11-15 P 6A277AF897A0A30F8E16A66CCCD8364042EC5546 2006EDE034F7FDCB0DF78D1372275034D206ACA7 2018 2020-04-17 16:48:07Z LARRY SHACKLEFORD SAME AS ABOVE FAYETTEVILLE AR 72703 329789170 false X WWW.WREGIONAL.COM X 1988 AR WASHINGTON REGIONAL IS COMMITTED TO IMPROVING THE HEALTH OF PEOPLE IN COMMUNITIES WE SERVE THROUGH COMPASSIONATE, HIGH QUALITY CARE,PREVENTION AND WELLNESS EDUCATION. 9 8 3787 75 1853242 540909 901764 307171954 322838672 3453580 4775423 1186015 1273311 312352458 329789170 5405976 6004708 0 0 121309027 129555590 0 0 560564 140289555 148087984 267004558 283648282 45347900 46140888 464685270 453005071 190594635 187916284 274090635 265088787 X WASHINGTON REGIONAL IS COMMITTED TO IMPROVING THE HEALTH OF PEOPLE IN COMMUNITIES WE SERVE THROUGH COMPASSIONATE, HIGH QUALITY CARE, PREVENTION AND WELLNESS EDUCATION. false false 231991794 0 313722765 Ancillary Support Services: Services offered in 2018 by Washington Regional Medical Center included surgery, recovery, labor and delivery, central supply, IV therapy, laboratory, radiology and special imaging, pharmacy, respiratory therapy, physical therapy, speech therapy and occupational therapy. A number of these services were available as outpatient services. Washington Regional Medical Center also offered diabetes education programs, a sleep disorders center, a balance disorders center, a wound care clinic, and outpatient cardiopulmonary rehabilitation. Washington Regional's surgery service performed 10,110 inpatient and outpatient surgeries. The central services department provided over 2 million supply items to patients being treated. Laboratory tests performed totaled 877,079. Imaging procedures that included items such as X-rays, CT scans, ultrasound, cardiac catheterization, and nuclear images totaled 131,340 procedures. Washington Regional also performed 5,989 magnetic resonance imaging scans. The pharmacy distributed 3,166,540 items for patients, and respiratory therapy performed tests and treatments totaling 659,537 relative values. The wound care center performed 13,114 treatments. Pastoral care, case management, palliative/supportive care, and volunteer services were offered at no cost to patients. Our chaplains, who worked closely with local ministers, served as liaisons between patients and their faith groups to provide spiritual and emotional support when needed. Case management helped patients and families locate community resources, home care, and financial assistance when needed after leaving the hospital. The palliative/supportive care team helped patients with complex health conditions to understand and manage their treatment options. Volunteer services provided assistance to patients and visitors throughout the hospital, most notably at the information desk and in waiting areas. General Inpatient Services: Washington Regional Medical Center is committed to providing a wide range of services to meet the general healthcare needs of its service population. General inpatient services in 2018 included internal medicine, geriatric health, obstetrics and gynecology, neonatal intensive care, cardiology, cardiovascular surgery, intensive care, coronary intensive care, stroke care, neurosurgery, oncology, and orthopedics. Also included in general inpatient services are nursing services, nursing education, admissions services, medical records, quality assurance, case coordination, and central scheduling. Washington Regional's Women and Infants Center continued to serve area families with 17 labor and delivery rooms, 28 private mother-baby rooms, a 34-bed neonatal intensive care unit and a dedicated pharmacy. Families benefited from the Angel Eye camera system as well as a Milk Lab staffed by technologists specially trained in infant nutrition. In 2018 Washington Regional provided the community with the area's first Neuro Intensive Care Unit to best serve patients who are recovering from stroke, spinal cord injury, brain injury or neurological illness. With 20 patient beds, the Neuro ICU features advanced neurological tools such as continuous electroencephalography, dimmable lights, ceiling-mounted lifts for repositioning patients, bedside monitors and a nurse call system that helps to identify patients with certain risk factors. Plus, in 2018 Washington Regional added two more neurosurgeons as well as an interventional neuroradiologist. The interventional neuroradiologist - the only one in the region - offered minimally invasive options for diagnosing and treating conditions of the brain, neck and spine. Washington Regional continued to provide "intensivists" - physicians who specialize in caring for patients in the critical care unit. These highly trained and experienced medical specialists coordinated the care provided by nurses, respiratory therapists and others as needed by the patient and provided continuous clinical assessment. In 2018 Washington Regional also provided 17 hospitalists, physicians who specialize in caring for hospitalized patients, to our community. They worked as partners with our physicians and nursing staff to provide the highest standard of care during a patient's hospital stay. This hands-on approach has been shown to not only help prevent medical complications, but also to reduce hospital stays and to lower costs. Washington Regional Medical Center maintained its Advanced Certification for Primary Stroke Centers in 2018. The Centers for Disease Control and Prevention reports a higher incidence of survival and recovery for stroke patients receiving care at primary stroke centers compared to those treated in hospitals without this type of specialized care. Overall, Washington Regional had 16,367 acute admissions in 2018 and provided 62,953 days of inpatient acute care. This included 9,568 intensive care days and cardiac critical care days. The average length of an inpatient hospital stay in 2018 was 3.85 days. There were 2,534 babies born at Washington Regional in 2018. Emergency Services: Washington Regional's emergency physicians and staff, backed by the resources of more than 484 physicians on the medical staff, provided medical services to 57,640 patients in 2018. Washington Regional's emergency department provided services regardless of patients' ability to pay. Plus, Washington Regional continued to provide 24/7 coverage by a fellowship-trained stroke care provider in the emergency department. Also, as an accredited Chest Pain Center, in 2018 Washington Regional ensured that patients who arrive at the hospital with chest pain or other heart attack symptoms receive the rapid treatment necessary during the critical window of time when the integrity of the heart muscle can be preserved. Washington Regional maintained full accreditation from the Society of Cardiovascular Patient Care as a Chest Pain Center with Primary PCI and Resuscitation. Physicians and staff also provided a public service by responding to news media requests for community health information such as accident prevention, emergency management and avoiding weather-related illnesses. The emergency department is capable of providing care for as many as 70,000 patient visits annually with its 37 treatment rooms. As the area's leading Trauma Center, Washington Regional provided the highest level of emergency care in the Northwest Arkansas region. NA NA 231991794 true true false true false false false false false true 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 false true false false false false true true true true false false false 92 0 3787 true true true false false false false false false false false false false false false false false X 9 8 false false false false true true true true true false false true true true true true true true true true true X ACCOUNTING DEPARTMENT 4794631154 3215 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 Woodson W Bassett III Esquire Chair 0.0 0.0 X 0 0 0 Charles Robinson PhD Vice Chair 0.0 0.0 X 0 0 0 Elaine Longer Secretary 0.0 0.0 X 0 0 0 Greg W Lee Director 0.0 0.0 X 0 0 0 Timothy T Helder DIRECTOR 0.0 0.0 X 0 0 0 M Gareth Eck MD DIRECTOR 0.0 0.0 X 0 0 0 Dorothy J Hanby DIRECTOR 0.0 0.0 X 0 0 0 Anthony N Hui MD DIRECTOR 0.0 0.0 X 0 0 0 Sam L Turner MD DIRECTOR/PAST CHIEF OF STAFF 0.0 0.0 X 0 0 0 Larry Shackelford PRESIDENT AND CEO 40.0 0.0 X 505607 0 119236 Mark A Bever EXEC VP & ADMINISTRATOR 40.0 0.0 X 386656 0 68224 Thomas J Olmstead SVP & GENERAL COUNSEL 40.0 0.0 X 399304 0 80252 Daniel R Eckels SVP & CFO 40.0 0.0 X 370059 0 72759 David G Ratcliff MD CHIEF MEDICAL OFFICER 30.0 10.0 X 318500 106166 84226 Rob Bomstad SVP OUTREACH 40.0 0.0 X 274524 0 71475 Rebecca D Magee SVP & CIO 40.0 0.0 X 299135 0 58054 Meredith Green SVP & CNO 40.0 0.0 X 186468 0 44995 Eric Goodspeed MD Physician 10.0 30.0 X 68574 206713 27644 James Newton MD Physician 32.0 8.0 X 195714 48928 27590 Stanley Bradley MD Physician 40.0 0.0 X 235374 0 20621 Eunice Wood VP Revenue Cycle 40.0 0.0 X 182662 0 18923 James J Daly Director 40.0 0.0 X 181543 0 20893 Bill Bradley PRESIDENT AND CEO 0.0 0.0 X X 137221 0 0 3741341 361807 714892 84 true true false PREMIER ANESTHESIA GROUP 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 ANESTHESIA SERVICES 3325421 AMEDISTAF LLC PO BOX 595 TONTITOWN AR 72770 MEDICAL STAFFING 1928310 MEDICAL ASSOC OF NWA 3383 N MANA COURT FAYETTEVILLE AZ 72703 INTENSIVIST 1444605 NWA PATHOLOGY 390 E LONGVIEW FAYETTEVILLE AR 72703 PATHLOGY 1194741 LIQUIDAGENTS HEALTHCARE LLC PO BOX 202056 DALLAS TX 75320 MEDICAL STAFFING 840656 5 374992 526772 901764 PATIENT SERVICE REVENUE 900099 307429954 307429954 REFERENCE LAB 611430 3548318 1752963 1795355 EXERCISE CENTER 713940 610363 610363 CAFETERIA SALES 111000 1889053 1889053 BC MC ADVANTAGE 812300 9360984 9303097 57887 322838672 4773354 4773354 0 0 1273311 0 1273311 0 1273311 2069 2069 2069 0 0 0 0 0 0 0 0 0 0 329789170 325758784 1853242 6004708 6004708 0 0 0 3741341 3741341 0 104257229 90183814 13684890 388525 3973777 3326588 633074 14115 9667804 8071853 1561287 34664 7915439 6646350 1240376 28713 0 164855 164855 415777 415777 0 0 95689 95689 15049691 14745715 303976 357889 11745 334262 11882 3569006 748849 2817091 3066 8306865 4691458 3615407 0 3579506 2669515 908465 1526 542064 381575 154482 6007 0 283355 89373 192362 1620 4133105 4133105 0 17193720 15611122 1560291 22307 1118439 17659 1100780 MEDICAL SUPPLIES 66619453 66358491 260962 PURCHASED SERVICES 9535571 6092441 3409801 33329 REPAIRS AND MAINTENANCE 5589973 2536564 3053409 NON CAPITAL EQUIPMENT 2805887 2604538 198539 2810 8727139 1199436 7515703 12000 283648282 231991794 51095924 560564 X 58934 70775 27315009 23349092 0 0 46546587 41422326 0 0 0 0 0 0 4277610 5495213 3840210 3587445 382362591 172602755 184141062 209759836 132833239 120994451 742532 1663857 0 0 0 0 64930087 46662076 464685270 453005071 31691408 38943502 0 0 0 0 139561115 136033113 0 0 0 0 14266783 12939669 3216504 0 1858825 0 190594635 187916284 X 274091636 265088787 -1001 0 0 0 274090635 265088787 464685270 453005071 X 46140888 -12511322 -42631414 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 26335 26335 false Lobbying activity The organization is a member of, and pays dues to the American Hospital Association and the Arkansas Hospital Association. 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X true true X X X true X WWW.WREGIONAL.COM X WWW.WREGIONAL.COM X WWW.WREGIONAL.COM X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 11 1. Access to primary care Additional primary care providers are needed in the community, particularly in more remote geographic areas. Washington Regional will coordinate closely with primary care providers to promote excellence throughout the entire continuum of care. Washington Regional continued to improve the availability of primary care and to increase community members' access to primary care providers. Washington Regional added 23 new primary care physicians and advanced practice providers to support expansion of healthcare in our region. A new executive-level physician executive position that provides ongoing support to clinic physicians was also added. Washington Regional opened three primary care clinics in rural locations where there is a great need for care. In 2017, Washington Regional opened the William L. Bradley Medical Plaza to offer convenient access to primary care and other medical services in Fayetteville. Located across the street from the medical center, the Plaza offers a family medicine clinic, an internal medicine clinic and an urgent care location, as well as many specialty clinics. The Women & Infants Center opened in 2016. Included in the center are two of the region's leading OB/GYN clinics, where many women receive their primary care. Recognizing that area residents often require primary care with locations and extended hours that are convenient for busy lifestyles, Washington Regional introduced a new Urgent Care locations in Johnson. Washington Regional continues to offer financial support to community health services such as the Washington County Health Department and Welcome Health, a free health center that provides primary care. Washington Regional through its Faith in Action program, continued to provide volunteer based free services to homebound older adults, including assistance in arranging transportation to primary care appointments. Washington Regional provided support to its nine primary care clinics that participated in comprehensive primary care plus (CPC+), a partnership designed to provide patients with improved access to quality healthcare at lower costs. Washington Regional continued to make information about primary care clinics and clinic locations available on the website, at health fairs and community events, such as Day of Dance, Girls' Night Out, on television with the Your Health segment and through publications distributed to the community such as the Health for Life senior newsletter and the local newspaper's monthly health education section. Primary care teams transformed care delivery by offering individualized care management to high-risk patients, education about patients' disease processes, and additional support to help patients manage their complex care. Additionally, we worked with specialists in the region to improve patient transition of care and followed up with patients after an emergency room visit or hospital admission to ensure continuity of care after discharge. Behavioral health services were incorporated into primary care practices to allow specialists to provide brief interventions to assist patients with every day stress, depression, anxiety and grief. 2. Stroke Care Program While Washington Regional's stroke care program has already had a significant positive impact on the health of the community, Washington Regional intends to build on those gains by elevating the capabilities of this program. Washington Regional continued to provide education, diagnosis, treatment, and rehabilitation for cerebrovascular disease and stroke. During this time: Washington Regional introduced interventional neuroradiology to Northwest Arkansas. Our two new interventional neuroradiologists diagnose and treat cerebrovascular disorders, which are disorders of the brain, head, neck, and spine - through minimally-invasive procedures performed using imaging guidance in the blood vessels. The new specialty also brought treatments for life threatening conditions such as stroke and aneurysms. Washington Regional opened Northwest Arkansas' first neurosurgical intensive care unit in 2018. The 20-bed unit serves patients who are recovering from surgery due to a spinal cord injury, brain injury, neurological illnesses and stroke. Washington Regional added four providers to the stroke team, including one vascular neurologist, one interventional neuroradiologist and three stroke advanced practice providers. Construction was completed on a second neuro interventional radiology suite - these suites are dedicated for only minimally-invasive, closed procedures. Washington Regional provided care for more than 2,857 stroke patients, 743 of whom had been transferred from other area hospitals. Washington Regional offered 24/7 coverage in the Emergency Department by fellowship-trained stroke care providers. Washington Regional maintained its designation as a Primary Stroke Center, earning The Joint Commission's Gold Seal of Approval and the American Heart Association/American Stroke Association's Heart-Check mark for Advanced Certification for Primary Stroke Centers. Annual continuing medical education was offered by the Washington Regional Stroke Team for area health care providers. Washington Regional partnered with the American Heart Association to participate in the production of a community stroke education video and provided early-childhood education about healthy lifestyle choices through story-time activities at local public school libraries, schools and childcare centers. Washington Regional continued to provide information about cerebrovascular disease and stroke on the website, at health fairs and community events such as the baseball-themed Strike Out for Stroke event at Arvest Ballpark, Day of Dance, Girls' Night Out and a community education event at the Botanical Gardens of the Ozarks, through televised Your Health medical information segments, and through publications such as Your Health publication and the Health for Life senior newsletter. 3. Wellness and Health Education Washington Regional will continue to strengthen its population health initiative to promote well-being in the community through education and other wellness activities. Washington Regional continued to promote well-being in the community through education and other wellness activities from 2016-2018. Accomplishments include: Washington Regional continued to support an executive-level position that led population health initiatives across the spectrum of care for patients receiving care in the Washington Regional system. Washington Regional, through its partnership with the University of Arkansas College of Education & Health Professions and the UA School of Nursing, continued its Care Partners Program. Care Partners trains pre-professional students to act as health coaches for patients who are at risk for medical complications outside the hospital, providing important one-on-one health education. Washington Regional Center for Exercise continued to offer wellness activities and classes to employees and community members. Washington Regional continued to be a model for the community and other area employers by supporting an employee wellness program, featuring health insurance discounts for participating employees and an employee-led wellness committee. The Women and Infants Center at Washington Regional provided community education on topics such as childbirth, infant safety and CPR and breastfeeding. Washington Regional's Education Department continued to provide the community with American Heart Association classes including CPR/AED training, first aid and life support. Under the guidance of Washington Regional endocrinologists, comprehensive diabetes management classes and support groups were offered to the community. These classes and groups were designed for people with type 1 diabetes, type 2 diabetes, gestational diabetes, pre-diabetes, metabolic syndrome and reactive hypoglycemia. Washington Regional continued to offer the services of its free Mobile Dental Clinic to more than 7,100 underserved individuals throughout Northwest Arkansas. Through the Washington Regional Cancer Support Home, health education, screenings, support groups, counseling, overnight lodging, wigs and prosthetics were offered to cancer patients. The services were available at no cost and were available to all cancer patients, not just those seeking care at Washington Regional. Washington Regional continued to provide education and wellness tips on the website, at health fairs and community events such as Day of Dance, Girls' Night Out and World's Largest Baby Shower, on the morning television Your Health segment and through publications distributed to the community such as the Health for Life senior newsletter and the local newspaper's Your Health publication. Because population health data takes time to become publicly available, it is difficult to quantitatively assess the impact of actions taken by Washington Regional in resp PART V, SECTION B, LINE 5 INTERVIEWS WITH KEY INFORMANTS WERE CONDUCTED IN JUNE 2016. INFORMANTS WERE SELECTED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. ALL INTERVIEWS WERE CONDUCTED BY THE ENGAGED ACCOUNTING AND ADVISORY FIRM'S PERSONNEL USING A STANDARD QUESTIONNAIRE. A SUMMARY OF THEIR OPINIONS IS REPORTED WITHOUT JUDGING THE ACCURACY OF THEIR REMARKS. COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: 1) HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY, 2) BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY, 3) OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES, AND 4) DELINEATION OF THE MOST IMPORTANT HEALTHCARE ISSUES OR SERVICES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES. THE FOLLOWING INDIVIDUALS PARTICPATED IN THE KEY INFORMANT INTERVIEW PROCESS: -COUNTY SHERIFF, WHO IS ALSO A BOARD MEMBER -COUNTY HEALTH DEPARTMENT ADMINISTRATOR-DIRECTOR OF AREA AGENCY ON AGING-OUTREACH REPRESENTATIVE FROM LOCAL HOMELESS CENTER -EMERGENCY DEPARTMENT PHYSICIAN-AREA PUBLIC SCHOOL SUPERINTENDENT-CEO OF PHYSICAL REHABILITATION CENTER-DIRECTOR OF PACIFIC ISLANDER HEALTH (A LARGE LOCAL POPULATION)-DIRECTOR OF DEVELOPMENT AT FREE HEALTH CENTER PART V, SECTION B, LINE 13 H When determining discounted care, the organization considers multiple factors such as gross income, family size, and net pay in relation to reported expenses. PART I, LINE 6 The organization prepares a community benefit report annually and presents the report to the Washington County, Arkansas Quorum Court. The report is also posted on the organization's website. PART I, LINE 7G The organization reports subsidized health services for certain clinics. The subsidy reported is equal to the amount of operating loss less the provision for uncollectible accounts. The clinics for which the organization subsidizes meet certain criteria as set forth by the IRS including: services for seniors, neonatal services, women's services and psychiatric services. PART III, LINES 2,3,4 On the basis of historical experience, a significant portion of the organization's uninsured patients will be unable or unwilling to pay for the services provided. Thus, the organization records a provision for uncollectible accounts related to uninsured patients in the period the services are provided. This provision for uncollectible accounts is presented on the statement of operations as a component of net patient revenue. The cost of bad debt is estimated using a cost to charge ratio. The amount of bad debt attributable to patients eligible for charity is estimated to be 10%, or a relatively small number. Patients have many chances to learn about financial assistance, and the assumption is made that qualifying patients will act upon the receipt of such information. The organization follows the VHA/Catholic Health Association's guide for planning and reporting community benefits. As such, the organization does not report bad debt from the treatment of patients as a community benefit. See footnote 1, page 11, in the audited financial statements which describes bad debt. PART III, LINE 8 THE ORGANIZATION FOLLOWS THE VHA/CATHOLIC HEALTH ASSOCIATION'S GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS. AS SUCH, THE ORGANIZATION DOES NOT REPORT SHORTFALLS FROM THE TREATMENT OF MEDICARE PATIENTS AS A COMMUNITY BENEFIT. THE INFORMATION ON THE PROFITABILITY OF MEDICARE WAS DERIVED FROM THE 2018 MEDICARE COST REPORT AS REQUIRED IN THE FORM 990 INSTRUCTIONS. PART III, LINE 9B The organization's collection (bad debt) policy specifically addresses that collection agencies are required to analyze the patient's ability to pay. In the event that charity is identified, collection efforts are suspended and the account is written off to charity on a timely basis. PART VI, LINE 2 The organization assesses needs in a variety of ways. With respect to practitioner recruitment for development of new health care services, the organization may perform internal assessments of the need for such providers and/or services or engage external consultants to assess those needs. Additionally, the organization is advised of community needs by its community-based board of directors, medical staff, local government and local nonprofit organizations. The organization also identifies the need for new services or shortcomings in existing community health resources by analyzing utilization patterns in its service offerings, I.e. patients presenting to the emergency room for services no longer provided elsewhere. The Pat Walker Center for Seniors is an example where the organization has responded to the needs of the aging patient population. This patient population became underserved when other local providers elected to discontinue or limit services to patients with Medicare. PART VI, LINE 3 DURING PRE-REGISTRATION AND REGISTRATION, STAFF IDENTIFY PATIENT FINANCIAL NEEDS DURING DISCUSSIONS OF SOURCE OR PAYMENT. wHEN A PATIENT STATES AN INABILITY TO PAY, ORGANIZATION PERSONNEL SCREEN FOR FINANCIAL ASSISTANCE ELIGIBILITY BY ASKING FOR INCOME AND FAMILY SIZE. PATIENTS THAT STAFF BELIEVE MAY QUALITY FOR FINANCIAL ASSISTANCE ARE REFERRED TO FINANCIAL COUNSELORS TO DISUCSS FINANCIAL ASSISTANCE AVAILABLE, INFORMATION NEEDED AND THE DECISION PROCESS. DURING THE ACCOUNTS RECEIVABLE PRE-COLLECTION PROCESS, CORRESPONDENCE LETTERS FROM THE ORGANIZATION CLEARLY STATE THAT PATIENTS WHO BELIEVE THAT THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE PROGRAM SHOULD CALL FOR THIS SPECIFIC HELP. PHONE DISCUSSIONS DURING THE A/R pre-collection phase and the bad debt collection phase screen for those who may qualify for benefits under the financial assistance policy. These efforts are evidenced by instances of fiancial assistance provided to accounts that were either in the pre-collection or bad debt collections phases when the financial assistance determination was made. The organization also attempts to identify health care coverage under federal and state programs and facilitates patients' enrollment in such programs. Funding of these efforts cost $124,000 in 2018. PART VI, LINE 4 The organization serves as a regional referral center for northwest Arkansas, western Oklahoma and southwest Missouri. WRMC's service area includes Washington, Benton, Madison, Carroll and Boone counties. In 2018, the estimated population according to the US Census Bureau for each of these five counties was as follows: Washington, 236,961; Benton, 272,608; Madison, 16,481; Carroll, 28,223; and Boone, 37,480. The median household income in 2018 for each of these counties was as follows: Washington, $47,452; Benton, $61,271; Madison, $42,894; Carroll, $39,686 and Boone, $40,727. The percentage of persons below the poverty level range from 9.1% in Benton County to 17.0% in Madison County. White persons made up the greatest percentage of the population for each of the counties. Persons of Hispanic or Latino origin were the second highest ranging from 2.6% in Boone County to 17.1% in Washington and Benton Counties. Over 77% of our inpatient admissions were from Washington and Benton counties. Inpatient admissions from other counties in our secondary service area totaled 12%, with the remaining percentage coming from neighboring Oklahoma and Missouri as well as other counties in Arkansas and across the nation. Washington and Benton county residents represented 82% of our outpatient cases. Of the total admissions in 2017, approximately 23% were uninsured or Medicaid recipients. PART VI, LINE 5 The organization provides community support through being a major participant in disaster readiness, public health emergency activities and community disease surveillance. From an environmental perspective, the organization segregates and properly disposes of hazardous clinical waste in order to safeguard community natural resources. Part of the organization's mission is to improve the health of the citizens in the communities we serve. The organization maintains walking trails around the campus, connected these trails to the city's walking trails and contributed land to the city to add to its walking trails. The organization continually assesses the need for various types of physicians and recruits as appropriate. In 2018, Washington Regional welcomed 49 new physicians to the medical staff. With skills and expertise that complement existing practices and serve a demonstrated need in the community, these new physicians represent a wide range of medical specialties: Emergency Medicine, Family Practice, Internal Medicine, Endocrinology, Pulmonology, Rheumatology, Gastroenterology, Anesthesiology, General Surgery, OB/GYN, Neurology, Neurosurgery, Endovascular Neurosurgery, Hospitalist and Neonatology. Included in the 2018 community benefit totals are amounts for which the organization provided financial support to local nursing education programs. Total support for these programs in 2018 was $$70,000. PART VI, LINE 6 WASHINGTON REGIONAL MEDICAL CENTER IS A MEMBER OF WASHINGTON REGIONAL MEDICAL SYSTEM WHICH IS ALSO THE PARENT OF SEVERAL OTHER ORGANIZATIONS THAT PROMOTE THE HEALTH OF THE COMMUNITY. EACH ORGANIZATION IS LISTED BELOW. WASHINGTON REGIONAL MEDICAL SYSTEM (PARENT)PROVIDES PLANNING AND COORDINATION OF THE DELIVERY OF HEALTH CARE SERVICES. IT OPERATES PHYSICIAN CLINICS WITH MULTIPLE SPECIALTIES WITH IN THE CLINIC SETTING, PROVIDES COMMUNITY EDUCATION AND SEMINARS RELATING TO SENIOR HEALTH, NEONATAL CARE, WOMEN'S HEALTH AND MEN'S HEALTH. WASHINGTON REGIONAL MEDICAL CENTER (THE ORGANIZATION)IS THE LARGEST PROVIDER OF ACUTE CARE IN NORTHWEST ARKANSAS. IT CONDUCTS AND PARTICIPATES IN COMMUNITY HEALTH FAIRS, HOSTS COMMUNITY BLOOD DRIVES, AND HOSTS EDUCATION SEMINARS FOR HEALTH CARE PROVIDERS IN THE REGION. IT ALLOCATES SURPLUS THROUGH THE PROVISION OF COMMUNITY BENEFITS INCLUDING BUT NOT LIMITED TO CHARITY CARE TO APPROXIMATELY 13,000 BENEFICARIES AT A COST OF $5.6 MILLION: APPROXIMATELY 18,OOO MEDICAID BENEFICIARIES RECEIVING CARE AT A NET LOSS OF $8.5 MILLION; COMMUNITY HEALTH SERVICES(INCLUDING MEDICAID ELIGIBILITY SERVICES, HIV CLINICS, PRENATAL CLINICS AND FREE HEALTH CLINICS) AT A COST OF $500,000; DIRECT SUPPORT TO HEALTH PROFESSIONS EDUCATION OF $70,000; SUBSIDED HEALTH SERVICES FOR CERTAIN CLINICS AT A COST OF $6.4 MILLION; MEDICAL RESEARCH AND OTHER CASH DONATIONS AT A COST OF $200,000. EUREKA REGIONAL HEALTH (SIBLING ORGANIZATION) PROVIDES MEDICAL FACILITIES IN CARROLL COUNTY FOR A PHYSICIAN CLINIC. WASHINGTON REGIONAL MEDICAL FOUNDATION(SIBLING ORGANIZATION) PROVIDES FUND RAISING ACTIVITIES THAT SUPPORT THE ORGANIZATIONS MISSION OF IMPROVING THE HEALTH OF THE CITIZENS IN THE COMMUNITIES IT SERVES. IT INVOLVES THE COMMUNITY THROUGH BOARD MEMBERSHIP AND VOLUNTEER PARTICIPATION. WASHINGTON REGIONAL MEDICAL SERVICES THE ORGANIZATION OWNS REAL ESTATE AND DEVELOPS AND MANAGES HEALTHCARE FACILITIES AND SERVICES THAT SUPPORT THE MISSION OF WASHINGTON REGIONAL MEDICAL CENTER. IN ADDITION TO ITS SIBLING ORGANIZATIONS, THE ORGANIZATION HAS JOINT VENTURES AND ONE WHOLLY-OWNED SUBSIDIARY. WASHINGTON REGIONAL REHABILITATION SERVICES, LLC (100% OWNED SUBSIDARY) HOLDS A 50% OWNERSHIP IN THE LOCAL HEALTHSOUTH REHAB HOSPITAL WHICH ENSURES ACCESS TO QUALITY REHAB SERVICES FOR PATIENTS REGARDLESS OF ABILITY TO PAY. DIALYSIS CENTERS OF NORTHWEST ARKANSAS (60% OWNED JOINT VENTURE) PROVIDES CHRONIC DIALYSIS SERVICES TO PATIENTS WITH RENAL FAILURE. NORTH HILLS SURGERY CNETER (51% OWNED JOINT VENTURE) PROVIDES OUTPATIENT SURGICAL SERVICES, HEALTH PARTNERS (50% OWNED JOINT VENTURE) COORDINATES CONTRACTING BETWEEN PROVIDERS, INSURERS AND EMPLOYERS TO FACILITATE ACCESS TO CARE TO THE COMMUNITY. LASTLY, THE ORGANIZATION OWNS 57.5% OF NWA PACE MANAGEMENT, LLC, AN ENTITY FOCUSED ON CARING FOR MEDICARE AND MEDICAID DUALLY ELIGIBLE PARTICIPANTS. true Welcome Health 1100 N WOOLSEY AVE Fayetteville AR 72701 581691790 501(c)(3) 28500 5058 Cost MEDICAL SUPPLIES Community Needs Washington County HIV clinic 3270 N Wimberly Dr Fayetteville AR 72703 716007358 78500 51516 COST LABOR AND BENEFITS Community Needs Arkansas Department of Health 4815 W Markham Slot 57 Little Rock AR 72703 716007358 57059 Cost Community Needs University of Arkansas - College of Nursing 300 UNIVERSITY HOUSE FAYETTEVILLE AR 72701 716003252 170(b)(1)(A)(v) 50000 Cost Nursing School Donation JOHN BROWN UNIVERSITY - Nursing Program 2000 W UNIVERSITY ST SILOAM SPRINGS AR 72761 710239576 501(C)(3) 20000 COST NURSING SCHOOL DONATION DIALYSIS CENTER OF NWA 107 E MONTE PAINTER DR FAYETTEVILLE AR 72703 432074310 7238 COST COMMUNITY NEEDS AHEART 19294 COST COMMUNITY NEEDS WRM SYSTEM 3215 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 710664686 501(C)(3) 5134388 COST COMMUNITY NEEDS UNITED WAY OF NORTHWEST ARKANSAS 100 PARKWOOD LOWELL AR 72745 710305700 501(C)(3) 15000 COST COMMUNITY NEEDS CENTRAL EMS 645 S SCHOOL FAYETTEVILLE AR 72701 501(C)(3) 58632 COST COMMUNITY NEEDS 5 5 SCH I PART III GRANTS ARE GENERALLY FOR REIMBURSEMENT OF PREVIOUSLY MADE CAPITAL OR OPERATYONAL EXPENDTURES GUARANTEEING THE GRANTS ARE USED AS INTENDED. IN OTHER CASES GRANTS ARE GIVEN BY WRMC FOR GENERAL SUPPORT, THEREFORE, MONITORING OF THE USE OF GRANT FUNDS IS NOT NECESSARY. X X X X X false true false false false false false false false Larry Shackelford PRESIDENT AND CEO 402795 102812 100866 18370 624843 34307 Bill Bradley PRESIDENT AND CEO 0 6343 130878 137221 Mark A Bever EXEC VP & ADMINISTRATOR 301598 85058 48964 19260 454880 30294 Thomas J Olmstead SVP & GENERAL COUNSEL 295588 95483 8233 59716 20536 479556 41797 Daniel R Eckels SVP & CFO 287286 82773 56576 16183 442818 35986 David G Ratcliff MD CHIEF MEDICAL OFFICER 234058 78019 84442 28147 51640 17213 11530 3843 381670 127222 40479 13493 Rob Bomstad SVP OUTREACH 242051 32473 56419 15056 345999 Rebecca D Magee SVP & CIO 236785 58108 4242 37207 20847 357189 11616 Meredith Green SVP & CNO 176223 10245 30629 14366 231463 Eric Goodspeed MD Physician 58077 175071 10497 31642 3425 10325 3461 10433 75460 227471 James Newton MD Physician 184000 46000 11714 2928 10000 2500 12072 3018 217786 54446 Stanley Bradley MD Physician 215000 20374 11781 8840 255995 Eunice Wood VP Revenue Cycle 160432 19557 2673 9207 9716 201585 James J Daly Director 173433 7549 561 9049 11844 202436 SCHEDULE J, PART I, LINE 3 The Board of Directors of a Related Organization (Washington Regional Medical System) has a standing Compensation Committee comprised of independent members of the Board of Directors of the Related Organization that regularly review the performance of the members of senior management of the Organization, engage independent compensation consultant, tax and legal advisors to ascertain and opine as to the reasonableness of total compensation paid to members of senior management, as determined on the basis of compensation surveys prepared by such advisors, and who determine the total compensation paid members of senior management of the Organization in conformance with the rebuttable presumption requirements of Section 4958 of the Internal Revenue Code. SCHEDULE J, PART I, 4B LARRY SHACKELFORD RECEIVED 45,063 FROM PARTICIPATION IN A 457(F) PLAN MARK BEVER RECEIVED 30,313 FROM PARTICIPATION IN A 457(F) PLAN. TOM OLMSTEAD RECEIVED 41,823 FROM PARTICIPATION IN A 457(F) PLAN. DAN ECKELS RECEIVED 36,009 FROM PARTICIPATION IN A 457(F) PLAN. DAVID RATCLIFF RECEIVED 59,922 FROM PARTICIPATION IN A 457(F) PLAN. REBECCA MAGEE RECEIVED 3,901 FROM PARTICIPATION IN A 457(F) PLAN. A ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109FAQ1 2015-01-15 115741408 AR DEVELOPMENT FINANCE AUTHORITY false false false B ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109FBY3 2017-12-28 31995852 AR DEVELOPMENT FINANCE AUTHORITY false false false A 8690000 0 115752257 0 0 0 859876 0 0 30010849 84881532 0 2016 true false true true B 0 0 31995852 0 0 0 343110 0 0 0 14865379 16787363 2019 false false true true A false false false false 0 false false false true B false false false false 0 false false false true A false true false false false false 0 false false false 0 false true B false true false false false false 0 false false false 0 false true A true B true Anthony N Hui MD DIRECTOR 1194741 Pathology Services false SCH L PART IV Anthony Hui is a Director of the Organization and serves as the President of NorthWest Arkansas Pathology Associates, P.A. The Organization purchases pathology services from NorthWest Arkansas Pathology Associates, P.A. FORM 990, PART VI, SECTION B, LINE 11B At a duly called meeting of the Organization's Audit and Finance Committee, which is comprised of the Organization's board of directors, held in November 2019, copies of the proposed Form 990 filing prepared on behalf of the Organization were presented and reviewed with the board membership by the Organization's Chief Financial Officer and General Counsel. FORM 990, PART VI, SECTION B, LINE 12 C The terms of the Conflict of Interest Policy are incorporated within the Bylaws of the Organization, and are reviewed annually with the Board of Directors. All Directors are required to sign an acknowledgment that they have reviewed the policy and are aware of its terms. The policy is reviewed in detail at the time of new board member orientation. As potential conflicts arise, those conflicts are addressed pursuant to the policy. FORM 990, PART VI, SECTION B, LINE 15B The Board of Directors of a Related Organization (Washington Regional Medical System) has a standing Compensation Committee comprised of independent members of the Board of Directors of the Related Organization that regularly reviews the performance of the members of senior management of the Organization, engages independent compensation consultants, tax and legal advisors to ascertain and opine as to the reasonableness of total compensation paid to members of senior management, as determined on the basis of compensation surveys prepared by such advisors, and who determine the total compensation paid members of senior management of the Organization in conformance with the rebuttable presumption requirements of Section 4958 of the Internal Revenue Code. FORM 990, PART VI, SECTION C, LINE 19 The Organization's Form 990 filing, governing documents, conflict of interest policy, and certain financial statements are available to the public upon written request. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS A MEMBER WHO IS AUTHORIZED TO ELECT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY AS PERMITTED UNDER THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A MEMBER AS PERMITTED UNDER THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER OF THE ORGANIZATION HAS THE RIGHT TO APPROVE CERTAIN ACTIONS OF THE ORGANIZATION'S GOVERNING BODY AS ARE RESERVED TO THE MEMBER UNDER THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993. FORM 990, PART XI, LINE 9 Contributions from WRM Foundation for acquisition of property and equipment -43,244 Change in beneficial interest in net assets of WRM foundation for property acquisitions -154,347 Transfers to affiliates -42,433,823. FORM 990, PART VII, SECTION A, COLUMN B DAVID RATCLIFF, MD SPENDS APPROXIMATELY 10 HOURS A WEEK WORKING FOR RELATED ORGANIZATION WASHINGTION REGIONAL MEDICAL SYSTEM AT THE WASHINGTON REGIONAL PLAZA INTERNAL MEDICINE CLINIC. WR REHABILITATION SERVICES 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 261611632 REHAB PARTNER AR 3641022 13803602 WRMC WR OCCUPATIONAL HEALTH SERVICES LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 454435675 OCCUP HEALTH AR 0 346 WRMC WASHINGTON REGIONAL MEDICAL SYSTEM 3215 N NORTHHILS BLVD FAYETTEVILLE AR 72703 710664686 PHYS CLINIC AR 501(C)3 12b WRMC true WASHINGTON REGIONAL MEDICAL SERVICES 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710664683 MEDICAL R/E AR 501(C)3 12c WRMC true WASHINGTON REGIONAL MEDICORP 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710707450 PACE AR 501(C)3 10 WRMC true WASHINGTON REGIONAL FOUNDATION 3215 N NORTHHILLS FAYETTEVILLE AR 72703 710664685 FUNDRAISING AR 501(C)3 12c WRMC true EUREKA REGIONAL HEALTH 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710769450 MEDICAL R/E AR 501(C)3 3 WRMC true DIALYSIS CENTER OF NORTHWEST ARKANSAS 107 E MONTE PAINTER DR FAYETTEVILLE AR 72703 432074310 RENAL DIALYSI AR Wash Reg Med Ct RELATED 2040395 3294665 false true 0.60000 NORTH HILLS SURGERY CENTER 3271 N WIMBERLY DR FAYETTEVILLE AR 72703 710807771 AMB SURG CTR AR Wash Reg Med Ct RELATED 478240 -10714 false true 0.51180 NWA PACE MANAGEMENT LLC 3215 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 812071226 SENIOR CARE AR WASH REG MED CT RELATED -559338 633386 false true 0.57500 HEALTH PARTNERS 54 W SUNBRIDGE DR FAYETTEVILLE AR 72703 710764667 PHO AR NA C -9598 350971 0.50000 true true true false false false false false false true false true false false false true false false true Washington Regional Medical System L 1591656 COST Washington Regional Services K 270078 COST Washington Regional Medical System J 750012 FMV Washington Regional Medical System B 40000000 COST Washington Regional Medical Foundation C 839330 COST Washington Regional Medical System P 7125618 COST