2019-11-15T14:29:42-06:00 2018-12-31 710540855 KING JACOBS GRESHAM & LORFING CPAS PA 1216 S ROGERS ST CLARKSVILLE AR 728309159 990 2018-01-01 710403278 JOHNSON REGIONAL MEDICAL CENTER JOHN 4797545454 PO BOX 738 CLARKSVILLE AR 72830 MICHAEL DORSEY CEO 4797545454 2019-11-15 true ADELE K JACOBS CPA P00527204 4797542478 2019-11-15 66.76.82.228 2019-11-15 14:29:42 CS P B842BE7851CBA5ED584B6368501F27DCA6A7902E D05B233E8E641DD660C75BA3D28223DFC814A89F 2018 2020-04-17 16:48:07Z MICHAEL DORSEY 39921845 false X WWW.JRMC.COM X 1996 AR INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO SURROUNDING RURAL COMMUNITY. 7 7 552 40 0 86820 96287 40357400 35958401 28860 50081 2690343 3817076 43163423 39921845 0 0 21795107 20478920 0 0 21974099 20411024 43769206 40889944 -605783 -968099 47968844 46152099 24765930 23917284 23202914 22234815 INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO SURROUNDING RURAL COMMUNITY. false false 36481475 35958401 INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WHICH INCLUDES CHARITABLE CARE FOR 2018 OF 522,320 BASED ON ESTIMATED COSTS. 36481475 true true false false false false false false false false true false false false true false true false false false false false false false false false true true false false true true false false true false false false false false false false false false false false false false false false false true 43 0 true 552 true false false false false false false false false false false false false X 7 7 false false false false false false false true true false false false true true true true false true true false X JOE JEANS 4797545454 PO BOX 738 CLARKSVILLE AR 72830 X PAT CURRAN DIRECTOR 1.00 X 0 0 0 RICKEY CASEY DIRECTOR 2.00 X 0 0 0 JANELL BURCH DIRECTOR 1.00 X 0 0 0 FREEMAN WISH DIRECTOR 1.00 X 0 0 0 JAY PATTERSON DIRECTOR 1.00 X 0 0 0 DARRELL WHEELER DIRECTOR 1.00 X 0 0 0 MATTHEW MCCORMICK DIRECTOR 1.00 X 0 0 0 ROLANDO CHENG PHYSICIAN 40.00 X 574301 0 19316 KATE GAZENKO PHYSICIAN 40.00 X 410072 0 18196 CHARLES BROWN PHYSICIAN 40.00 X 344130 0 2750 ROGER KENNEDY CRNA 40.00 X 233594 0 22369 ANDREW GAZENKO CRNA 40.00 X 204785 0 9368 MICHAEL DORSEY CEO 40.00 X 256614 0 15143 JOSEPH JEANS CFO 40.00 X 153565 0 14497 2177061 101639 18 true true false HORIZON MENTAL HEALTH MGMT PO BOX 840839 PO BOX 840839 DALLAS TX 75284 SENIOR CARE SER 1197901 PRIME PHYSICIANS LLC 5808 CALLAWAY LN 5808 CALLAWAY LN FORT SMITH AR 72916 HOSPITALIST SER 790107 CORESOURCE INC 62911 COLLECTION CENTER DR 62911 COLLECTION CENTER DR CHICAGO IL 606930629 INSURANCE PROC 404037 WEATHERBY LOCUMS PO BOX 972633 PO BOX 973633 DALLAS TX 753972366 LOCUM PHYSICIAN 249206 EAST ARKANAS EMERGENCY PO BOX 677979 PO BOX 677979 DALLAS TX 752677979 EMERGENCY SERVI 184828 10 96287 96287 GROSS PATIENT SERVICES REV 621990 81696952 81696952 CONTRACTUAL ADJUSTMENTS -45738551 -45738551 35958401 50081 50081 OTHER OPERATING REVENUE 4188727 4188727 NON-OPERATING REVENUE 50388 50388 LOSS ON REFUNDING OF BONDS -422039 -422039 3817076 39921845 39825558 X 17418624 15709275 1709349 94905 85595 9310 1780357 1593213 187144 1185034 1068782 116252 -48193 -48193 94888 94888 4962129 4432993 529136 27371 9796 17575 963585 949989 13596 134702 121019 13683 896520 896520 3354126 3354126 564138 564138 MEDICAL SUPPLIES 4367819 4367819 PROVISION FOR BAD DEBTS 2126619 2126619 REPAIR & MAINTENANCE 1015973 455933 560040 OTHER EXPENSES 999332 766265 233067 952015 875913 76102 40889944 36481475 4408469 0 10062225 11697839 1011009 989582 4288392 4362686 743223 832315 1536538 1421670 517561 450787 66108202 39711707 29429383 26396495 380513 725 47968844 46152099 3612877 3419820 20135000 20305000 1119937 821036 -101884 -628572 24765930 23917284 X 23202914 22234815 23202914 22234815 47968844 46152099 -968099 X true X true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 499069 499069 30960287 15209116 15751171 34648846 24502591 10146255 26396495 BOND DISCOUNT & ISSUANCE COSTS -628572 -628572 39921845 39921845 39921845 40889944 40889944 40889944 true true true X true X true true false false 625018 625018 0.01530 625018 625018 0.01530 7741698 4904913 2836785 0.06940 7741698 4904913 2836785 0.06940 8366716 4904913 3461803 0.08470 734 734 473 473 39004 39004 0.00100 40211 40211 0.00100 false 2126619 13434166 12871002 563164 X true true 1 1 JOHNSON REGIONAL MEDICAL CENTER 1100 POPLAR CLARKSVILLE AR 72830 X X X JOHNSON REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X X 16 true false false true X WWW.JRMC.COM true 16 true WWW.JRMC.COM false false true X 200.000000000000 201.000000000000 X false true X X X true X JRMC.COM X JRMC.COM X JRMC.COM X X X true X false true false false FACILITY 1, JOHNSON REGIONAL MEDICAL CENTER - PART V, LINE 5 INTERVIEWING KEY INFORMANTS (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 COMMUNITY'S HEALTH STATUS AND UNMET NEEDS. THESE INTERVIEWS 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. DIALOGUES WITH TWO KEY INTERVIEWEES WERE CONDUCTED IN DECEMBER 2016. INTERVIEWEES WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. INTERVIEWS WITH 288 KEY INFORMANTS WERE CONDUCTED IN JUNE AND JULY 2013, IN THE FORM OF 19 SEPARATE FOCUS GROUPS. INFORMANTS WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. A LIST OF ORGANIZATIONS THAT PARTICIAPATED IN KEY INFORMANT INTERVIEWS IS AS FOLLOWS: JOHNSON REGIONAL MEDICAL CENTER AUXILIARY CLARKSVILLE SCHOOL SYSTEM CLARKSVILLE CHAMBER OF COMMERCE CLARKSVILLE POLICE DEPARTMENT CLARKSVILLE LIONS CLUB ARKANSAS STATE POLICE VAN BUREN HEALTH AND REHAB JOHNSON COUNTY SHERIFFS DEPARTMENT HEALTHY CONNECTIONS INC CLARKSVILLE KIWANIS CLUB CLARKVILLE SENIOR CITIZENS CENTER JOHNSON REGIONAL MEDICAL CENTER EMPLOYEES OZARK ROTARY CLUB OARK COMMUNITY MEETING JOHNSON COUNTY RESOURCE ALLIANCE JOHNSON REGIONAL MEDICAL CENTER BOARD OF DIRECTORS JOHNSON COUNTY EXTENSION HOMEMAKERS CLUB CLARKSVILLE HOUSING AUTHORITY LAMAR HIGH SCHOOL CLARKSVILLE/JOHNSON COUNTY LEADERSHIP GROUP PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE IN ADDITION TO USING THE FEDERAL POVERTY GUIDELINES, JRMC ALSO USES THE ASSET TEST TO DETERMINE ELIGIBILITY OF FREE OR DISCOUNTED CARE. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION JRMC INCLUDED IN SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO HOSPITAL OWNED PHYSICIAN CLINICS, INPATIENT PSYCHIATRIC SERVICES, AND HOME HEALTH CARE SERVICES. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION A COST TO CHARGE RATIO FROM WORKSHEET 2 - RATIO OF PATIENT CARE COST-TO-CHARGES WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE PART I LINE 7 TABLE. PART II - COMMUNITY BUILDING ACTIVITIES THE HOSPITAL STAFF SUPPORT, PARTICIPATE, AND PROVIDE LEADERSHIP TO MANY DIFFERENT AND VARIED ORGANIZATIONS IN ITS SERVICE AREA OF SEVEN COUNTIES CONTAINING OVER 5,381 SQUARE MILES. THESE ORGANIZATIONS INCLUDE THE CHAMBER OF COMMERCE, COMMUNITY SERVICE CLUBS (ROTARY, LIONS, KIWANIS), ALL PUBLIC SCHOOLS, TWO UNIVERSITIES, THE BLOOD BANK, UNITED WAY FOR THREE COUNTIES, JOHNSON COUNTY RESOURCE ALLIANCE, FORRESTER DAVIS DEVELOPMENT CENTER, AND THE AMERICAN CANCER SOCIETY, TO NAME A FEW. SOME EXAMPLES OF THE ACTIVITIES AND PROJECTS INCLUDE COMMUNITY BUILDING PROJECTS FOR THE UNITED WAY, LOCAL BLOOD DRIVES, FLU SHOTS FOR PUBLIC SCHOOLS, AND GENERAL PUBLIC AT LARGE, HEALTH FAIRS FOR SENIOR CITIZENS, LOCAL NIGHT OUT SPONSORSHIP TO PROMOTE GOOD WORKING RELATIONSHIPS TO SUPPORT LAW ENFORCEMENT, AND MANY OTHER NUMEROUS PROJECTS. THE HOSPITAL PROVIDES STAFF, MEDICAL SUPPLIES, AND FOOD AS NECESSARY TO PROMOTE, MAINTAIN, AND/OR DEVELOP EACH PROJECT TO ITS FULLEST POTENTIAL. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBT PER THE AUDITED FINANCIAL STATEMENTS AT GROSS CHARGES. ACCOUNTS OVER 30 DAYS OLD ARE CONSIDERED PAST DUE. AN ACCOUNT THAT IS APPROXIMATELY 90 DAYS PAST DUE WITH NO PAYMENT ACTIVITY IS SENT TO AN OUTSIDE BILLING AND COLLECTION SERVICE WHO MAKE ADDITIONAL ATTEMPTS TO COLLECT PAST DUE AMOUNTS. AFTER THE OUTSIDE COLLECTION SERVICE ADVISES THAT THEY HAVE MADE ALL REASONABLE ATTEMPTS TO COLLECT A PAST DUE ACCOUNT, IT IS REVIEWED AGAIN BY THE HOSPITAL AND A DETERMINATION IS MADE WHETHER TO WRITE OFF THE ACCOUNT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION PATIENTS WHO CAN SHOW THAT PAYMENT OF THEIR HOSPITAL BILL WOULD BE AN UNBEARABLE HARDSHIP MAY APPLY FOR FINANCIAL ASSISTANCE TO PAY ALL OR PART OF THEIR BILL. APPLICANTS MUST COMPLETE THE REQUIRED FINANCIAL APPLICAITON AND MEET MINIMUM GUIDELINE REQUIREMENTS AS SET FORTH IN THE JRMC CHARITY CARE POLICY. APPLICANTS WILL BE RESPONSIBLE FOR OBTAINING THE INFORMATION NEEDED TO DETERMINE THEIR ELIGIBILTY AND PROVIDE VERIFICATION OF INCOME AS REQUIRED. PART VI, LINE 2 - NEEDS ASSESSMENT FOR OVER 5 DECADES, JOHNSON REGIONAL MEDICAL CENTER HAS STRIVED TO PROVIDE THE UPMOST COMMITMENT TO THE COMMUNITIES IT SERVES. THROUGH CAREFUL THOUGHT AND PLANNING, JRMC HAS EVOLVED TO OFFER A NUMBER OF SERVICES THAT AID WITH THE GROWING AND AGING POPULATION. THESE INCLUDE FLU CLINICS, SENIOR HEALTH FAIRS, FALL & BALANCE CLASSES, AR SAVES INITIATIVE, COMMUNITY HEALTH SCREENINGS, AND THE ELECTRONIC INTENSIVE CARE UNIT. STARTING IN 2012, JOHNSON REGIONAL MEDICAL CENTER BEGAN PHASE 2, ITS LONG ANTICIPATED PROJECT OF EXPANDING THE HOSPITAL. THIS EXPANSION ADDED A NEW WING THAT HOUSES 40 PRIVATE PATIENT ROOMS, AS WELL AS A COMPLETELY RENOVATED LABOR/DELIVERY/POSTPARTUM AND DELIVERY ROOMS (LDRP) WHICH ALLOW FOR A SINGLE ROOM TO ACCOMMODATE ALL THE NEW MOTHER'S NEEDS. THE EXPANSION WAS COMPLETED AUGUST 2014. THIS HAS BROUGHT THE HOSPITAL UP TO THE STANDARD OF CARE THAT IS PROVIDED BY LEADING HEALTHCARE PROVIDERS AND IS EXPECTED BY THE CURRENT PATIENT POPULATION. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 1. ANY PATIENT THAT INDICATES AN INABILITY TO PAY IS OFFERED A CHARITY CARE/INDIGENT CARE APPLICATION. 2. THE MEDICAL CENTER PLACES NOTICES IN ALL REGISTRATION AREAS THAT WE OFFER CHARITY CARE PROGRAMS AND DESCRIBES HOW TO OBTAIN MORE INFORMATION ABOUT FINANCIAL ASSISTANCE. 3. THE MEDICAL CENTER PLACES A NOTE ON STATEMENTS REGARDING HOW TO REQUEST INFORMATION ABOUT FINANCIAL ASSISTANCE. PART VI, LINE 4 - COMMUNITY INFORMATION A COMMUNITY IS DEFINED AS A GEOGRAPHIC AREA FROM WHICH A SIGNIFICANT NUMBER OF PATIENTS UTILIZING HOSPITAL SERVICES RESIDE. DISCHARGE ANALYSIS SHOWED THAT APPROXIMATELY 95% OF THE MEDICAL CENTER'S INPATIENT DISCHARGES ORIGINATE FROM JOHNSON, POPE, FRANKLIN, AND LOGAN COUNTIES. MEDICAL CENTER MANAGEMENT THEREFOR CHOSE TO DEFINE THE COMMUNITY AS THESE COUNTIES. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH JOHNSON REGIONAL MEDICAL CENTER HAS AN OPEN MEDICAL STAFF AND WELCOMES NEW PRACTITIONERS TO THE SERVICE AREA. JOHNSON REGIONAL ALSO ENSURES ACCESS TO BASIC PRIMARY CARE BY SUPPORTING THE RECRUITMENT OF PRIMARY CARE PHYSICIANS TO PRACTICE IN JOHNSON COUNTY. WE ALSO HAVE A BOARD OF DIRECTORS THAT REPRESENTS THE NEEDS OF THE COMMUNITY AND PURSUES THE BEST POSSIBLE CARE FOR OUR SERVICE AREA. EACH BOARD MEMBER IS A VOLUNTEER AND DONATES A CONSIDERABLE AMOUNT OF TIME AND ENERGY TO ASSURE A VIABLE, PROGRESSIVE, AND WELL-MANAGED HOSPITAL. JOHNSON REGIONAL MEDICAL CENTER ALSO PARTICIPATES WITH FIVE COLLEGES AND UNIVERSITIES TO TRAIN FUTURE HEALTHCARE WORKERS. WE HAVE AFFILIATION AGREEMENTS FOR NURSES, PHYSICAL THERAPISTS, PHARMACISTS, EMS STAFF, AND STUDENT ROTATIONS THROUGH VARIOUS ANCILLARY DEPARTMENTS. THIS REQUIRES A REAL DEDICATION OF TIME AND EFFORT BY OUR STAFF TO EDUCATE AND TRAIN FUTURE HEALTHCARE PROFESSIONALS. JOHNSON REGIONAL MEDICAL CENTER'S SUPPORT ALSO INCLUDES SUBSTANTIAL AMOUNTS OF CHARITY CARE OF OVER 1.1 MILLION AND BAD DEBT RECOGNIZED OF OVER 2.8 MILLION BASED ON GROSS CHARGES. COMBINED, THESE REPRESENT OVER 4% OF OUR GROSS PATIENT SERVICE REVENUE BEFORE CONTRACTUAL ALLOWANCE DEDUCTIONS. JRMC IS A 501(C) 3 NOT-FOR-PROFIT CORPORATION AND AS SUCH, NO ONE INDIVIDUALLY PROFITS THROUGH OWNERSHIP. DIVIDENDS ARE NOT EVER PAID. X false false false false false false false false false ROLANDO CHENG PHYSICIAN 545618 28683 2750 16566 593617 KATE GAZENKO PHYSICIAN 391389 18683 2750 15446 428268 CHARLES BROWN PHYSICIAN 296186 47944 2750 346880 ROGER KENNEDY CRNA 230546 3048 22369 255963 ANDREW GAZENKO CRNA 186123 18662 2058 7310 214153 MICHAEL DORSEY CEO 230774 25840 2612 12531 271757 JOSEPH JEANS CFO 129019 24546 1578 12919 168062 A 2015 TAX EXEMPT BONDS 716001704 2015-09-30 2120000 BUILDING ADDITIONS false true false B 2018 TAX EXEMPT BONDS 716001704 2018-05-22 18585000 CURRENT REFUNDING OF 2012A, 2012B, 2013 BONDS false true false A 2016 false false false false B 18140000 18585000 595741 2018 true false true true A false false false false false false false B false false false false false false false A false false false false false false false false false B false false false false false false false false false A false B false FORM 990, PAGE 1, PART I, LINE 6 JOHNSON REGIONAL MEDICAL CENTER BOARD OF DIRECTORS THE BOARD OF DIRECTORS CONSIST 7 OF VOLUNTEER MEMBERS. JOHNSON REGIONAL MEDICAL CENTER AUXILIARY THE AUXILIARYS PURPOSE SHALL BE TO PROMOTE AND SUPPORT JRMCS SERVICE TO THE COMMUNITY THROUGH: A. A GOOD PUBLIC RELATIONS PROGRAM. B. VOLUNTEER SERVICES TO JRMC, ITS PATIENTS, VISITORS, AND EMPLOYEES. C. FUNDRAISING ACTIVITIES WITH SAID FUNDS TO BE USED BY JRMC FOR NEEDED EQUIPMENT, SUPPLIES, SCHOLARSHIPS, AND/OR OTHER PURPOSES TO SUPPORT ITS CHARITABLE MISSION TO PROVIDE QUALITY PATIENT CARE FOR THE JOHNSON COUNTY COMMUNITY. D. MEMORIALS FOR DECEASED MEMBERS AND OTHERS. ACTIVE MEMBERS = 33 INACTIVE MEMBERS = 28 FORM 990, PAGE 6, PART VI, LINE 11B BECAUSE THE REGULARLY SCHEDULED MONTHLY BOARD MEETING TAKES PLACE AFTER THE DUE DATE OF THE TAX RETURN, THE FORM 990 WILL BE REVIEWED BY THE CEO AND CFO PRIOR TO FILING AND BY THE BOARD IN THE FIRST MONTHLY MEETING AFTER THE FILING DATE. FORM 990, PAGE 6, PART VI, LINE 12C ORGANIZATION COMPLIANCE OFFICER REPORTS AT LEAST ANNUALLY TO THE BOARD OF DIRECTORS AND REVIEWS THE CONFLICT OF INTEREST POLICY. DIRECTORS AND KEY EMPLOYEES ARE UPDATED REGARDING ANY CHANGES IN POLICY AND ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST BASED ON THE POLICY. FORM 990, PAGE 6, PART VI, LINE 15A CEO COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS AND IS COMPARED TO COMPENSATION OF COMPARABLE CEO POSITIONS ANNUALLY BY THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 15B OTHER OFFICERS AND KEY EMPLOYEES COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS AND IS COMPARED TO COMPENSATION OF COMPARABLE POSITIONS ANNUALLY BY THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN FEES 1,246,994 0 0 OTHER FEES 2,579,621 244,315 0 PURCHASED SERVICES 606,378 284,821 0 TOTAL 4,432,993 529,136 0