2017-11-13T09:43:56-06:00 2016-12-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2016-01-01 710561765 BAXTER COUNTY REGIONAL HOSPITAL INC % DEBRA HENRY BAXT 8705081000 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 DEBRA HENRY CFO 8705081000 2017-10-30 true AMBER SHERRILL P00748683 5013721040 167.68.126.162 71015520173175000005 2017-11-13 P 1528D3B04E878A45895BB88E74696FB0CD9C2BB8 1528D3B04E878A45895BB88E74696FB0CD9C2BB8 2016 2017-02-10 21:41:12Z BAXTER REGIONAL MEDICAL CENTER RONDELL PETERSON 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 214663363 false X WWW.BAXTERREGIONAL.ORG X 1963 AR BAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENT CARE FOR EVERY PATIENT, EVERY TIME. 11 9 1862 528 0 0 922386 1133712 171070316 183515009 1365333 1062814 1618203 1735950 174976238 187447485 2263 38702 0 0 87952737 93790082 0 0 0 88664229 92273224 176619229 186102008 -1642991 1345477 143071719 143415499 79159291 77843753 63912428 65571746 X BAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENT CARE FOR EVERY PATIENT, EVERY TIME. SEE SCHEDULE O FOR FULL MISSION STATEMENT. false false 168714628 38702 183515009 BAXTER REGIONAL MEDICAL CENTER OFFERS OVER THIRTY SPECIALIZED SERVICES TO THE COMMUNITIES SERVED IN THE TWIN LAKES AREA. SEE SCHEDULE O FOR 2016 SERVICES. 168714628 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 false false true true false false false false false false false false false true false false false false false true true true false false true 207 0 true 1862 true false false false false false false false false false false X 11 9 true false false false false false false true true false false true true true true true true true true true false X DEBRA HENRY 8705081000 624 HOSITAL DRIVE MOUNTAIN HOME AR 72653 X ROSALYN BLAGG SECRETARY 5.0 1.0 X X 0 0 0 JERRY DON CUNNINGHAM VICE-CHAIRMAN 5.0 1.0 X X 0 0 0 JACOB DICKINSON MD DIRECTOR 5.0 1.0 X 0 0 0 CLARK FLETCHER DIRECTOR 5.0 6.0 X 0 0 0 SALLY GILBERT CHAIRPERSON 5.0 1.0 X X 0 0 0 STEVE LUELF DIRECTOR 5.0 1.0 X 0 0 0 SAMMY SMITH TREASURER 5.0 1.0 X X 0 0 0 STEVEN SANDERS JR DIRECTOR 5.0 1.0 X 0 0 0 WILLIAM KING MD DIRECTOR 5.0 1.0 X 0 0 0 LANG ZIMMERMAN DIRECTOR 5.0 1.0 X 0 0 0 TED SANDERS DIRECTOR 5.0 1.0 X 0 0 0 RON PETERSON CEO 50.0 1.0 X 492157 0 27043 SHANNON NACHTIGAL CNO 50.0 1.0 X 184119 0 21714 RUDY DARLING COO 50.0 0.0 X 257013 0 20741 IVAN HOLLEMAN CFO 50.0 1.0 X 202201 0 17749 DEBRA HENRY CFO (STARTING JUNE/2016) 50.0 1.0 X 128873 0 6573 BARNEY LARRY VP/DIRECTOR OF BUSINESS DEVELO 15.0 35.0 X 266588 0 26652 JOHN EDAVETTAL PHYSICIAN 60.0 0.0 X 557966 0 15324 DANIEL DECKER PHYSICIAN 60.0 0.0 X 629668 0 14792 JASON LINDSAY PHYSICIAN 60.0 0.0 X 632314 0 21990 MERWIN MOORE PHYSICIAN 60.0 0.0 X 703377 0 14792 LEWIS ELKINS PHYSICIAN 60.0 0.0 X 750425 0 15036 4804701 0 202406 71 false true false CONEXUS SOLUTIONS PO BOX 334 TONTITOWN AR 72770 RN STAFFING 1424531 FIRST IN SERVICE HOSPITALIST PA 210 E 7TH STREET SUITE 2 MOUNTAIN HOME AR 72653 HOSPITALIST 1418892 BAXTER EMERGENCY GROUP PLLC 425 COPPER CREEK CIRCLE MOUNTAIN HOME AR 72653 ER PHYSICIANS 1372738 CERNER PO BOX 412702 KANSAS CITY MO 64141 BILLING SERVICES 967891 HEALOGICS WOUND CARE 5220 BELFORT ROAD SUITE 130 JACKSONVILLE FL 32256 WOUND CENTER MGMT 673326 39 X 904310 163780 65622 1133712 GROSS PATIENT SERVICE REVENUE 621400 183625327 183625327 JOINT VENTURE REVENUE 621110 -110318 -110318 183515009 1183219 0 0 1183219 0 0 425059 377167 47892 0 47892 0 0 47892 25776202 54308 25855023 95892 -78821 -41584 -120405 0 0 -120405 0 0 0 0 0 0 830463 887796 -57333 0 0 -57333 MEANINGFUL USE INCOME 900099 1110887 1110887 CAFETERIA REVENUE 900099 761291 761291 LOSS ON EXTINGUISHMENT OF DEBT 900099 -665164 -665164 538377 538377 1745391 187447485 183515009 0 2798764 38702 38702 0 0 0 1651423 1651423 0 71817312 63919238 7898074 0 1893837 1685563 208274 13224809 11770417 1454392 5202701 4630536 572165 0 58542 52104 6438 265624 236412 29212 0 0 0 12553529 11172961 1380568 314674 280068 34606 1291299 1149289 142010 177005 157539 19466 0 6362074 5662408 699666 840365 747946 92419 0 0 2152617 1915884 236733 0 9936222 8843491 1092731 928597 826475 102122 PATIENT SUPPLIES & IMPLANTS 17459859 17459859 MEDICAL SUPPLIES 17255631 17255631 EQUIPMENT RENTAL & MAINTENANCE 7432728 6615317 817411 BAD DEBT EXPENSE 6609089 6609089 8635369 7685699 949670 186102008 168714628 17387380 0 6016655 7899914 0 0 0 0 20790098 20522187 0 0 0 0 0 0 5982224 5903515 1175678 1023613 201026215 142682425 61774960 58343790 0 0 0 0 0 0 0 0 47332104 49722480 143071719 143415499 18920732 21881357 0 0 0 0 57406198 54080409 0 0 0 0 2832361 1881987 0 0 0 0 79159291 77843753 X 63717600 65376434 189828 190312 5000 5000 63912428 65571746 143071719 143415499 X 1345477 2611674 -2297833 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 17577 17577 false FORM 990, SCHEDULE C, PART II-B, LINE 1I LOBBYING ACTIVITIES INCLUDE EFFORTS FOR MEDICARE RECLASSIFICATIONS, RURAL REFERRAL CENTER COALITION, AND DUES FOR AMERICAN HOSPITAL ASSOCIATION. 9303007 0 977508 346309 0 0 9934206 10229628 0 -423237 503384 0 0 9303007 9702604 15440 646998 135414 0 0 10229628 8475499 10400 1595404 378699 0 0 9702604 8161496 10450 557693 254140 0 0 8475499 0.02160 0.73680 0.24160 false true true 4420275 4420275 70449167 44608917 25840250 123749816 96332513 27417303 2406957 1740995 665962 58343790 EQUITY INVESTEES 60009 OTHER ASSETS 23535 ASSETS LIMITED AS TO USE 46936337 OTHER RECEVIABLES 886928 DUE FROM AFFILIATES 1815671 BOND ISSUE COST 0 49722480 183548986 2611674 2611674 180937312 6510173 6510173 187447485 179534503 179534503 6567505 6567505 186102008 FORM 990, SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS WERE ESTABLISHED TO PROVIDE FINANCIAL SUPPORT TO THE ORGANIZATION AND THE FURTHERANCE OF ITS MISSION. 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 TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. FORM 990, SCHEDULE D, PART XI, LINE 4B AUXILIARY INCOME ($57,332.) LOSS ON SALE OF ASSETS ($41,584.) BAD DEBT EXPENSE $6,609,089. ========================================= TOTAL $6,510,173. FORM 990, SCHEDULE D, PART XII, LINE 4B LOSS ON SALE OF ASSETS ($41,584.) BAD DEBT EXPENSE $6,609,089. ========================================= TOTAL $6,567,505. true true X true X 138. true X true true true false true true 8065 1388383 0 1388383 0.00770 18192807 10772233 7420574 0.04130 8065 19581190 10772233 8808957 0.04900 1909 1930750 721437 1209313 0.00670 762133 0 762133 0.00420 6955197 5040420 1914777 0.01070 91331 450 90881 0.00050 1909 9739411 5762307 3977104 0.02210 9974 29320601 16534540 12786061 0.07110 14112 19550 -5438 0.00000 3136 0 3136 0.00000 749266 0 749266 0.00420 766514 19550 746964 0.00420 false 6609089 0 73034161 70681942 2352219 X true true RENAL CENTER OF MTN DIALYSIS SERVICES 0.37 0.12 BAXTER REGIONAL PHO HEALTHCARE ADMIN SERVICES 0.5 0.5 1 1 BAXTER COUNTY REGIONAL HOSPITAL INC 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 WWW.BAXTERREGIONAL.ORG AR3827 X X X BAXTER COUNTY REGIONAL HOSPITAL INC 1 false false true X X X X X X X X X 16 true false false true X WWW.BAXTERREGIONAL.ORG X true 17 true WWW.BAXTERREGIONAL.ORG false false true X 138. 200. X X X X X X true true X X X true X WWW.BAXTERREGIONAL.ORG X WWW.BAXTERREGIONAL.ORG X WWW.BAXTERREGIONAL.ORG X X X X X X true X false X X X X true X false false FORM 990, SCHEDULE H, PART V, LINE 5 BAXTER COUNTY REGIONAL HOSPITAL ENGAGED BKD, LLP TO CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. SPEAKING WITH KEY INTERVIEWEES (COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTEREST OF THE COMMUNITY WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH OR THOSE REPRESENTING LOW-INCOME, MEDICALLY UNDER SERVED OR MINORITY POPULATIONS WITHIN THE COMMUNITY) IS A TECHNIQUE EMPLOYED TO ASSESS PUBLIC PERCEPTIONS OF THE COUNTYS 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. KEY INTERVIEWEES INCLUDED THE COUNTY HEALTH DEPARTMENT DIRECTORS FROM EACH COUNTY IN THE MEDICAL CENTERS COMMUNITY, AS WELL AS 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 MEDICALLY INDIGENT, CHILDREN IN POVERTY, OR THE ELDERLY. DIALOGUES WITH FIVE KEY INTERVIEWEES WERE CONDUCTED IN AUGUST 2016. INTERVIEWEES WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH OR THEIR INVOLVEMENT WITH UNDER SERVED AND MINORITY POPULATIONS. ALL INTERVIEWS WERE CONDUCTED BY MEDICAL CENTER PERSONNEL USING A STANDARD QUESTIONNAIRE. A COPY OF THE INTERVIEW INSTRUMENT IS INCLUDED IN THE APPENDIX OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. A SUMMARY OF THEIR OPINIONS IS REPORTED WITHOUT JUDGING THE TRUTHFULNESS OR ACCURACY OF THEIR REMARKS. COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY - BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY - OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES - DELINEATION OF THE MOST IMPORTANT HEALTH CARE ISSUES OR SERVICES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES INTERVIEW DATA WAS INITIALLY RECORDED IN NARRATIVE FORM. INTERVIEWEES WERE ASSURED THAT PERSONAL IDENTIFIERS SUCH AS NAME OR ORGANIZATIONAL AFFILIATIONS WOULD NOT BE CONNECTED IN ANY WAY TO THE INFORMATION PRESENTED IN THIS REPORT. THIS TECHNIQUE DOES NOT PROVIDE A QUANTITATIVE ANALYSIS OF THE LEADERS OPINIONS, BUT REVEALS COMMUNITY INPUT FOR SOME OF THE FACTORS AFFECTING THE VIEWS AND SENTIMENTS ABOUT OVERALL HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY. BASED ON A REVIEW OF THE DATA GATHERED DURING THIS ASSESSMENT, INCLUDING LEADING CAUSES OF DEATH, RANKINGS OF HEALTH OUTCOMES AND FACTORS AS WELL AS SURVEYS AND INTERVIEWS, NUMEROUS HEALTH NEEDS WERE IDENTIFIED. THESE NEEDS WERE PRIORITIZED AND EVALUATED TO DETERMINE WHICH WERE SIGNIFICANT TO THE COMMUNITY. THE CRITERIA INCLUDED THE NUMBERS OF PERSONS AFFECTED, THE SERIOUSNESS OF THE ISSUE, WHETHER THE HEALTH NEED PARTICULARLY AFFECTED PERSONS LIVING IN POVERTY OR MEMBERS OF AN UNDER SERVED POPULATION, AND AVAILABILITY OF COMMUNITY RESOURCES TO ADDRESS THE NEED. AS A RESULT, THE FOLLOWING LIST OF SIGNIFICANT NEEDS WERE IDENTIFIED: 1. PHYSICIAN RECRUITMENT 2. OBESITY 3. DIABETES 4. TOBACCO USE 5. HEALTH EDUCATION THE HOSPITAL'S PURPOSE STATEMENT: TO PRESERVE BRMC AS A COMPREHENSIVE, INDEPENDENT, COMMUNITY-DRIVEN SYSTEM IN ORDER TO OPTIMIZE ACCESS TO QUALITY HEALTHCARE FOR PATIENTS IN THE COMMUNITIES WE SERVE. WE EMBRACE THE PURPOSE WHILE REMAINING AWARE OF OUR OPERATIONAL EXPENSES WHILE ADDRESSING OUR COMMUNITIES NEEDS. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 THE SIGNIFICANT NEEDS THE HOSPITAL IDENTIFIED ARE: 1) PHYSICIAN RECRUITMENT 2) OBESITY 3) DIABETES 4) TOBACCO USE 5) HEALTH EDUCATION PLEASE REFER TO THE IMPLEMENTATION STRATEGY FOR A MORE THOROUGH EXPLANATION OF THE ACTIONS THE HOSPITAL WILL TAKE TO ADDRESS THESE NEEDS. 1. PHYSICIAN RECRUITMENT WILL BE ADDRESSED THROUGH AN IN-HOUSE PHYSICIAN RECRUITER ON STAFF, CREATE AND IMPLEMENT A SOURCING STRATEGY FOR CANDIDATES IN SPECIALTIES IDENTIFIED IN THE CHNA, CONTINUE TO OFFER THE KERR MEDICAL STUDENT SCHOLARSHIP, AND ATTEND RECRUITMENT EVENTS. 2. OBESITY BRMC WILL OFFER FREE EXERCISE CLASSES, HEALTHY COOKING CLASSES, OUTREACH EVENTS FEATURING A REGISTERED DIETICIAN, PARTNER WITH ARE SCHOOLS AND YOUTH ORGANIZATIONS, AND FORM A COMMUNITY PARTNERSHIP WITH FOOD BANK OF NORTH CENTRAL ARKANSAS AND ARKANSAS STATE UNIVERSITY MOUNTAIN HOME. 3. DIABETES BRMC WILL PROVIDE EDUCATIONAL OPPORTUNITIES TO THE COMMUNITY ABOUT THE IMPORTANCE OF DIABETES AND SELF-MANAGEMENT, PROVIDE TESTING TO THOSE AT RISK FOR DIABETES WITHIN THE ACO, ADD FREE SCREENINGS AT THE ANNUAL COMMUNITY HEALTH FAIR, AND PROVIDE INDIVIDUALIZED SUPPORT GROUPS FOR DIFFERENT TYPES OF DIABETES. 4. TOBACCO USE FREE TOBACCO CESSATION CLASSES AND EDUCATION WILL BE PROVIDED WITHIN THE ACO SURVEY THAT ADMITS TO TOBACCO USE, PROVIDE EDUCATION ON LESSENING NICOTINE ADDICTION, EDUCATE HIGH SCHOOL STUDENTS ON THE DANGERS OF TOBACCO USE AND THE LONG-TERM EFFECTS, AND BRMC WILL OFFER FREE COMMUNITY OUTREACH AND EDUCATION TO AREA BUSINESSES ON THE DANGERS OF TOBACCO USE. 5. HEALTH EDUCATION BRMC WILL OFFER PROGRAMS THROUGH THE FOUR COMMUNITY HEALTH EDUCATION HOUSES, PROVIDE OUTREACH PROGRAMS TO MAKE HEALTH EDUCATION ACCESSIBLE TO OUTLYING RURAL AREAS, PROVIDE EMPLOYEE WELLNESS PROGRAMS, PARTNER WITH BAXTER COUNTY TO PROVIDE AN WELLNESS INITIATIVE, AND PARTNER WITH MOUNTAIN HOME HIGH SCHOOL TO PROVIDE MENTORS AND EDUCATIONAL PROGRAMS TO STUDENTS AND FACULTY. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 13H BRMC WILL TAKE INTO ACCOUNT PROOF OF ANY OUT-OF-POCKET MEDICAL EXPENSES IN THE PAST 12 MONTHS. IF A PATIENT (1) STATES THAT HE OR SHE IS HOMELESS AT THE TIME CARE IS NEEDED OR (2) IS PHYSICALLY OR MENTALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS OR HER BEHALF, AND IF BRMC DOES NOT FIND ANY EVIDENCE TO THE CONTRARY THROUGH ITS OWN DILIGENCE, THAT PATIENT WILL BE CONSIDERED A QUALIFIED FINANCIAL ASSISTANCE RECIPIENT AND WILL NOT BE REQUIRED TO COMPLETE THE APPLICATION FOR SUCH FINANCIAL ASSISTANCE. PATIENTS WITH THOSE CIRCUMSTANCES WILL BE ELIGIBLE FOR CARE WITHOUT COST TO THE PATIENT. 24 INTERVENTIONAL PAIN MANAGEMENT 525 BURNETT DRIVE MOUNTAIN HOME AR 72653 PAIN MANAGEMENT BRMC CARDIAC DIAGNOSTIC TESTING CENTER 555 WEST 6TH MOUNTAIN HOME AR 72653 DIAGNOSTIC TESTING CENTER BAXTER REGIONAL WOUND HEALING CENTER 907 BURNETT DRIVE MOUNTAIN HOME AR 72653 WOUND HEALING BRMC HOME HEALTH AGENCY BAXTER & MARION 30 RYAN ROAD COTTER AR 72626 HOME HEALTH AGENCY BRMC UROLOGY CLINIC 628 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC MEDICAL SPECIALIST 628 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC NEPHRROLOGYPULMOLOGY CLINIC 555 WEST 6TH MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC FAMILY CLINIC 17 MEDICAL PLAZA MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC BONE & JOINT CLINIC 639 BROADMOOR CIRCLE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC HEART SURGERY 628 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC GASTROENTEROLOGY & ADVANCED IMAGING 222 BUCHER DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BAXTER REG COMPREHENSIVE WOMEN'S CLINIC 628 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC AHRENS CLINIC 414 WEST OLD MAIN YELLVILLE AR 72687 RURAL HEALTH CLINIC BRMC CARDIOLOGY CLINIC 555 WEST 6TH MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC GYNECOLOGY CLINIC 444 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BAXTER REGIONAL RHEUMATOLOGY CLINIC 310 BUTTER CUP DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC FAIRLAMB SENIOR HEALTH CLINIC 614 BROADMOOR DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC BRMC CLINIC AT SALEM 106 HIGHWAY 62W SALEM AR 72576 HEALTH CLINIC THE CLINIC AT WAL-MART 65 NORTH WALMART DRIVE MOUNTAIN HOME AR 72653 HEALTH CLINIC BRMC CLINIC AT FLIPPIN 806 EAST MAIN STREET FLIPPIN AR 72634 HEALTH CLINIC BRMC PEDIATRIC CLINIC 230 HIGHWAY 5 NORTH SUITE 20 MOUNTAIN HOME AR 72653 PEDIATRIC CLINIC BRMC NEUROLOGY CLINIC 628 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 PHYSICIAN CLINIC YELLVILLE SUMMIT HEALTH CLINIC 1201 NORTH PANTHER AVENUE YELLVILLE AR 72687 HEALTH CLINIC INTERVENTIONAL PAIN MANAGEMENT -HARRISON 825 NORTH MAIN STREET HARRISON AR 72601 PHYSICIAN CLINIC FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE IN THE AMOUNT OF $6,609,089 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. FORM 990, SCHEDULE H, PART I, LINE 7 THE CHARITY CARE AMOUNTS WERE DERIVED FROM THE COST TO CHARGE RATIO. THE MEDICAID AMOUNT WAS FROM AN INTERNAL COST ACCOUNTING SYSTEM, ADJUSTED FOR MEDICAID AND ASSESSMENTS IN 2016. FORM 990, SCHEDULE H, PART II, LINES 1 - 10 RECRUITING PHYSICIANS, BOTH SPECIALIZED AND FAMILY PRACTICE, TO OUR RURAL AREA IS CHALLENGING BUT NECESSARY SO THAT OUR HOSPITAL CAN BRING ALL THE NEEDED SERVICES TO THE COMMUNITIES WE SERVE. THE HOSPITAL SERVES A LOCAL AND STATE WIDE ROLE FOR DISASTER PREPAREDNESS. THE HOSPITAL BRINGS INTO THE COMMUNITY EDUCATION OPPORTUNITIES FOR LEADERSHIP DEVELOPMENT. FORM 990, SCHEDULE H, PART III, LINE 3 BRMC DOES NOT HAVE A METHODOLOGY TO ESTIMATE THE AMOUNT OF THOSE NOT QUALIFYING FOR FAP AND HAVE NOT INCLUDED ANY AMOUNTS AS COMMUNITY BENEFIT. FORM 990, SCHEDULE H, PART III, LINE 4 ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FORM 990, SCHEDULE H, PART III, LINE 8 THE MEDICARE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORT. FORM 990, SCHEDULE H, PART III, LINE 9B WHEN BAD DEBT ACCOUNTS ARE REFERRED TO A COLLECTION AGENCY, THE AGENCY CAN PROVIDE DEBTORS WITH A BAXTER REGIONAL FINANCIAL ASSISTANCE APPLICATION FOR COMPLETION IF THE FOLLOWING CRITERIA APPLY: 1) THE PATIENT/DEBTOR HAS NOT ALREADY OBTAINED ASSISTANCE THROUGH THE HOSPITAL. 2) THE PATIENT/DEBTOR INDICATES A FINANCIAL NEED WITHIN 30 DAYS OF THE ACCOUNT BEING REFERRED TO THE COLLECTION AGENCY. IF THE PATIENT/DEBTOR DOES NOT COMMUNICATE WITH THE HOSPITAL OR COLLECTION AGENCY PRIOR TO THE END OF THE 30 DAY WINDOW, COLLECTION ACTIONS WILL PROCEED. FORM 990, SCHEDULE H, PART VI, LINE 2 SERVICE NEEDS ASSESSMENTS ARE DEVELOPED FROM COMMUNITY INPUT, INDIVIDUAL FUNDING, COMMUNITY SURVEYS, TALKING WITH COMMUNITY LEADERS AS WELL AS RESEARCH OF STATE AND NATIONAL TRENDS. PHYSICIAN NEEDS ASSESSMENTS ARE OBTAINED THROUGH ANALYSIS PROVIDED BY AN OUTSIDE COMPANY AT LEAST BI-ANNUALLY. FORM 990, SCHEDULE H, PART VI, LINE 3 PATIENTS ARE GIVEN HANDOUTS REGARDING FINANCIAL ASSISTANCE AT ALL REGISTRATION AREAS UPON ADMISSION. ALL SELF PAY PATIENTS ARE SCREENED FOR MEDICAID ELIGIBILITY, CHARITY OR OTHER FINANCIAL ASSISTANCE RECOMMENDATIONS DURING THEIR STAY AND HAVE THE OPPORTUNITY TO TALK WITH FINANCIAL COUNSELORS. FINANCIAL ASSISTANCE AND CONTACT INFORMATION IS AVAILABLE ON ALL HOSPITAL STATEMENT MAILINGS AND ON THE HOSPITAL'S WEBSITE. FORM 990, SCHEDULE H, PART VI, LINE 4 BAXTER REGIONAL MEDICAL CENTER IS LOCATED IN THE HEART OF THE BEAUTIFUL OZARK MOUNTAINS IN NORTH-CENTRAL ARKANSAS. BAXTER REGIONAL AND ITS SUBSIDIARIES AND CLINICS PROVIDE CARE TO PATIENTS FROM TWO STATES AND 14 COUNTIES. OUR HEALTHCARE IS STATE-OF-THE-ART HEALTHCARE. BAXTER REGIONAL MEDICAL CENTER IS KNOWN THROUGHOUT THE REGION FOR OUR CENTERS OF EXCELLENCE: CANCER, CARDIAC, DIGESTIVE DISEASES, SURGERY, VASCULAR DISEASES AND WOMEN'S HEALTH. AT BAXTER REGIONAL MEDICAL CENTER, WE HAVE SET OUT TO CHANGE THE EXPERIENCE OF SURGERY WITH OUR INVESTMENT IN THE MOST ADVANCED TECHNOLOGY FOR MINIMALLY INVASIVE SURGERY, THE DA VINCI SURGICAL SYSTEM. THE BREAST IMAGING CENTER AT BAXTER REGIONAL MEDICAL CENTER IS HOME TO ARKANSAS' & MISSOURI'S FIRST 3-D MAMMOGRAM. 3-D MAMMOGRAPHY IS ALSO AVAILABLE ON OUR MOBILE UNIT WHICH TRAVELS OUR SERVICE AREA PROVIDING MAMMOGRAMS FOR WOMEN WHO MIGHT NOT OTHERWISE RECEIVE ONE. FIRST OPENED IN 1963, BAXTER REGIONAL IS A 268 ALL PRIVATE BED CARE FACILITY WITH MORE THAN 100 PHYSICIANS ON STAFF. FORM 990, SCHEDULE H, PART VI, LINE 5 BAXTER REGIONAL WORKS TO RECRUIT PHYSICIANS INTO OUR RURAL AREA TO PROVIDE SPECIALTY AND FAMILY PRACTICE MEDICAL CARE. BAXTER REGIONAL MEDICAL CENTER ASSISTS IN PROVIDING COMMUNITY MEMBERS LEADERSHIP TRAINING CLASSES. BAXTER ALSO WORKS WITH AREA OFFICIALS FOR DISASTER PREPAREDNESS AND TRAINING. BAXTER REGIONAL MEDICAL CENTER PROVIDES HEALTH FAIRS, SCREENING AND EDUCATION EVENTS FOR THE COMMUNITY AND SURROUNDING AREAS. FORM 990, SCHEDULE H, PART VI, LINE 6 BAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENT CARE FOR EVERY PATIENT, EVERY TIME. BRMC STRIVES TO PROVIDE QUALITY CARE IN A RURAL COMMUNITY SETTING WITH PATIENT AND FAMILY FRIENDLY CUSTOMER SERVICE. THE HOSPITAL PROVIDES A VARIETY OF INPATIENT SERVICES INCLUDING SPECIALTY SERVICES SUCH AS CARDIOVASCULAR, OPEN HEART SURGERY, ONCOLOGY, PLASTIC SURGERY, ORTHOPEDICS, OBSTETRICS, GERI-PSY UNIT AND AN INPATIENT REHABILITATION UNIT. OUTPATIENT SERVICES INCLUDE HOSPITAL BASED PHYSICIAN CLINICS, EMERGENCY, AMBULANCE SERVICES, HOME HEALTH SERVICES, CARDIAC REHABILITATION AND BREAST IMAGING CENTER. THE MISSION OF HOSPICE OF THE OZARKS IS TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN THE LAST PHASES OF AN INCURABLE ILLNESS AND THEIR FAMILY MEMBERS BY PROVIDING A HIGH LEVEL OF COMPREHENSIVE CARE. BAXTER REGIONAL HOSPITAL FOUNDATION RAISES MONEY TO KEEP THE COMMUNITY HEALTHY. THE FUNDRAISING EFFORTS OF THE FOUNDATION PROVIDE FINANCIAL SUPPORT FOR BAXTER REGIONAL MEDICAL CENTER. BAXTER REGIONAL HEALTH SYSTEM OPERATES FOR THE BENEFIT OF,PERFORM FUNCTIONS OF AND/OR CARRY OUT THE PURPOSE OF BAXTER REGIONAL MEDICAL CENTER AND OTHER HEALTH CARE ORGANIZATIONS LOCATED IN THE STATE OF ARKANSAS WHICH ARE HOSPITAL. X X X X X X false false false false false false false false false RON PETERSON CEO 477139 0 10290 0 4728 0 10600 0 16443 0 519200 0 0 0 SHANNON NACHTIGAL CNO 173592 0 9055 0 1472 0 7421 0 14293 0 205833 0 0 0 RUDY DARLING COO 238563 0 9050 0 9400 0 10043 0 10698 0 277754 0 0 0 IVAN HOLLEMAN CFO 172881 0 6800 0 22520 0 8050 0 9699 0 219950 0 0 0 JOHN EDAVETTAL PHYSICIAN 368254 0 188470 0 1242 0 0 0 15324 0 573290 0 0 0 DANIEL DECKER PHYSICIAN 420457 0 208725 0 486 0 0 0 14792 0 644460 0 0 0 JASON LINDSAY PHYSICIAN 421133 0 210641 0 540 0 10600 0 11390 0 654304 0 0 0 MERWIN MOORE PHYSICIAN 645119 0 55936 0 2322 0 0 0 14792 0 718169 0 0 0 LEWIS ELKINS PHYSICIAN 644568 0 102810 0 3047 0 0 0 15036 0 765461 0 0 0 BARNEY LARRY VP/DIRECTOR OF BUSINESS DEVELO 233748 0 9100 0 23740 0 10403 0 16249 0 293240 0 0 0 A BAXTER COUNTY ARKANSAS 716008786 071808JZ3 2016-07-07 50035447 HOSPITAL REVENUE REFUNDING FUNDS false false false B BAXTER COUNTY ARKANSAS 716008786 071808JZ3 2016-07-07 5130012 HOSPITAL REVENUE REFUNDING FUNDS false false false A 52095000 0 50050159 4725130 0 0 647931 0 0 0 44674252 2845 true false true true B 275000 4855000 5135287 352925 0 4393193 64172 0 0 0 324786 211 false true false 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 0 false true B false true false false false false 0 false 0 false true A true B true FORM 990, SCHEDULE K, PART II, LINE 3 TOTAL PROCEEDS ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED ON PART I, COLUMN (E) BECAUSE OF INVESTMENT INCOME. FORM 990, SCHEDULE K, PART IV, LINE 2 BOND YEAR ENDS : SERIES 2016A 09/01/2016 SERIES 2016B 09/01/2016 WILLIAM R KING MD PA WILLIAM KING, MD - OWNER 572472 PHYSICIAN SERVICES false FORM 990, PART III, LINE 1 BAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENCE IN MEDICAL CARE FOR EVERY PATIENT, EVERY TIME. BRMC STRIVES TO PROVIDE QUALITY CARE IN A RURAL COMMUNITY SETTING WITH PATIENT AND FAMILY FRIENDLY CUSTOMER SERVICE. THE HOSPITAL PROVIDES A VARIETY OF INPATIENT SERVICES INCLUDING SPECIALTIES SUCH AS CARDIOVASCULAR, OPEN HEART SURGERY, ONCOLOGY, PLASTIC SURGERY, ORTHOPEDICS, OBSTETRICS, A GERI-PSY UNIT AND AN INPATIENT REHABILITATION UNIT. OUTPATIENT SERVICES INCLUDE HOSPITAL BASED PHYSICIAN CLINICS, EMERGENCY AND AMBULANCE SERVICES, HOME HEALTH SERVICES, CARDIAC REHABILITATION AND IMAGING CENTER. PHYSICIANS, STAFF, AND VOLUNTEERS SUPPORT OUR PILLARS OF EXCELLENCE THROUGH THEIR COMMITMENT TO QUALITY AND EXEMPLARY PATIENT CARE WHILE STAYING FINANCIALLY SOUND AND CONTINUALLY GROWING OUR SERVICES TO MEET THE NEEDS OF OUR COMMUNITIES. ANNUALLY, WE REACH BEYOND OUR HOSPITAL WALLS TO HOST A HEALTH FAIR FOR THE POPULATIONS THAT WE SERVE AND PROVIDE HEALTH RELATED EDUCATIONAL MATERIALS, FREE BLOOD PRESSURE CHECKS, SCREENINGS, NUTRITIONAL INFORMATION, WITH OVER 30 DEPARTMENTS FROM THE HOSPITAL REPRESENTED TO EDUCATE THE PUBLIC AND ENCOURAGE PREVENTIVE MEASURES RELATING TO AN INDIVIDUAL'S HEALTH. FORM 990, PART III, LINE 4 GENERAL STATISTICS 2016 ACUTE CARE: ACTUAL OPERATED BEDS 158 PATIENT DAYS 26,586 AVERAGE DAILY CENSUS 73 PERCENT OF OCCUPANCY 46.00% AVERAGE LENGTH OF STAY 3.40 DISCHARGES 7,771 GERI PSYCHIATRIC: OPERATED BEDS 19 PATIENT DAYS 3,562 AVERAGE DAILY CENSUS 10 PERCENT OF OCCUPANCY 51.20% AVERAGE LENGTH OF STAY 9.00 DISCHARGES 395 REHABILITATION: OPERATED BEDS 23 PATIENT DAYS 6,208 AVERAGE DAILY CENSUS 17 PERCENT OF OCCUPANCY 73.70% AVERAGE LENGTH OF STAY 15.20 DISCHARGES 408 NEWBORN: OPERATED BASSINETS 10 PATIENT DAYS 1,310 AVERAGE DAILY CENSUS 4 PERCENT OF OCCUPANCY 35.80% AVERAGE LENGTH OF STAY 1.90 DISCHARGES 706 MEDICARE - ACUTE CARE: DISCHARGES 5,175 % OF TOTAL DISCHARGES 66.60% PATIENT DAYS 19,681 % OF TOTAL PATIENT DAYS 74.00% AVERAGE LENGTH OF STAY 3.80 MEDICARE - ACUTE CARE: DISCHARGES 826 % OF TOTAL DISCHARGES 10.60% PATIENT DAYS 2,276 % OF TOTAL PATIENT DAYS 8.60% AVERAGE LENGTH OF STAY 2.80 OUTPATIENTS 118,652 EMERGENCY ROOM VISITS 30,036 HOME HEALTH EPISODES 2,587 SURGERIES 7,344 ENDOSCOPY 9,736 CATH LAB 2,017 HEART SURGERIES 130 AMBULANCE TRIPS 12,442 CLINIC VISITS 92,412 LAB TESTS 577,612 RADIOLOGY PROCEDURES 65,027 MRI PROCEDURES 4,191 CT SCANS 13,374 NUCLEAR MEDICINE PROCEDURES 1,676 ULTRASOUND PROCEDURES 9,860 MAMMOGRAPHY 12,458 FORM 990 PART VI, SECTION A, LINE 2 STEPHEN LUELF HAS A BUSINESS RELATIONSHIP WITH SAMANTHA SMITH, SALLY GILBERT, AND TED SANDERS. FORM 990, PART VI, SECTION B, LINE 11B A SPECIAL BOARD MEETING IS HELD FOR BOARD REVIEW PRIOR TO FILING OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE GOVERNING BODY HAS A CONFLICT OF INTEREST/COMPENSATION COMMITTEE. ALL BOARD MEMBERS AND KEY EMPLOYEES REVIEW AND SIGN A CONFLICT OF INTEREST/DISCLOSURE STATEMENT ANNUALLY. ALL PHYSICIANS REVIEW AND SIGN A CONFLICT OF INTEREST/DISCLOSURE STATEMENT BIENNIALLY. THE CONFLICT OF INTEREST/COMPENSATION COMMITTEE REVIEWS DISCLOSED TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION RECOMMENDATIONS WERE MADE BY INTEGRATED HEALTHCARE STRATEGIES IN A REPORT ISSUED IN 2015. IN ADDITION THE COMPENSATION COMMITTEE AND HUMAN RESOURCES DEPARTMENT REVIEWS AREA 990'S, AHA, AND OTHER MARKET DATA AS NEEDED. THE CEO AND OFFICER'S COMPENSATION ARE REVIEWED AND APPROVED BY THE BOARD COMMITTEE. FORM 990, PART VI, SECTION B, LINE 16B THE WRITTEN JOINT VENTURE POLICY WAS CREATED DURING 2016 AND APPROVED IN JANUARY 2017 BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9 TRANSFER TO AFFILIATES ($2,297,833) HOSPICE OF THE OZARKS 701 BURNETT DRIVE MOUNTAIN HOME AR 72653 710521323 HOSPICE AR 501 (C) (3) 7 BCRH true HOSPITAL DEVELOPMENT FOUNDATION INC 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 581805265 SUPPORT AR 501 (C) (3) 12A BRHS true BAXTER REGIONAL HEALTH SYSTEM 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 300650211 SUPPORT AR 501 (C) (3) 12A NA false BRMC PAIN CENTER 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 463566904 RENTAL R/E AR NA N/A false false BRMC CANCER DIAGNOSTIC CENTER 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 811992797 RENTAL R/E AR NA N/A false false FRANCES F LAGERBORG TRUST 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 206995343 TRUST AR NA TRUST true BRHS CLINICALLY INTEGRATED NETWORK 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 472967601 ACO AR NA CORPORATION true false false true false false false false false false false true false false false true false true false false HOSPITAL DEVELOPMENT FOUNDATION C 904310 FMV HOSPITAL DEVELOPMENT FOUNDATION K 75980 FMV HOSPITAL DEVELOPMENT FOUNDATION O 272919 FMV HOSPITAL DEVELOPMENT FOUNDATION Q 724393 FMV HOSPICE OF THE OZARKS Q 3616079 FMV