2017-11-15T10:53:12-06:00 2016-12-31 710540855 KING JACOBS GRESHAM & LORFING CPAS PA 1216 S ROGERS ST CLARKSVILLE AR 728309159 990 2016-01-01 710403278 JOHNSON REGIONAL MEDICAL CENTER JOHN 4797545454 PO BOX 738 CLARKSVILLE AR 72830 MICHAEL DORSEY CEO 4797545454 2017-11-15 true ADELE K JACOBS CPA P00527204 4797542478 2017-11-15 B842BE7851CBA5ED584B6368501F27DCA6A7902E B842BE7851CBA5ED584B6368501F27DCA6A7902E 2016 2017-02-10 21:41:12Z MICHAEL DORSEY 44848033 false X WWW.JRMC.COM X 1996 AR INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO SURROUNDING RURAL COMMUNITY. 7 7 585 80 0 112502 79848 35076884 40692028 41493 25715 3182639 4050442 38413518 44848033 0 0 17737556 21909185 0 0 20651210 23483465 38388766 45392650 24752 -544617 49479354 48311753 25126040 24503056 24353314 23808697 INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO SURROUNDING RURAL COMMUNITY. false false 39521742 40692028 INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WHICH INCLUDES CHARITABLE CARE FOR 2016 OF 516,141 BASED ON ESTIMATED COSTS. 39521742 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 true true true false false false false false false false false false true 55 0 true 585 true 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 PAT CURRAN DIRECTOR 1.00 X 0 0 0 RICKEY CASEY DIRECTOR 1.00 X 0 0 0 JANELL BURCH DIRECTOR 1.00 X 0 0 0 FREEMAN WISH DIRECTOR 1.00 X 0 0 0 RON COLLINS DIRECTOR 1.00 X 0 0 0 KRIS MULDOON DIRECTOR 1.00 X 0 0 0 CHRIS ALLEN DIRECTOR 1.00 X 0 0 0 ALBERT PILKINGTON CEO 45.00 X 263598 0 6390 EDWARD ANDERSON CFO 45.00 X 126529 0 18993 PITTMAN MOORE PHYSICIAN 50.00 X 625064 0 11678 ROBERT KESTER PHYSICIAN 50.00 X 430025 0 6482 STEPHEN MCELMURRY PHYSICIAN X 344182 0 14798 KATE GAZENKO PHYSICIAN 50.00 X 335320 0 11527 BRIAN OGG PHYSICIAN 50.00 X 308152 0 6482 2432870 76350 7 false true false HORIZON MENTAL HEALTH MGMT PO BOX 840839 PO BOX 840839 DALLAS TX 75284 SENIOR CARE SER 1151907 DELTA LOCUM TENENS PO BOX 202940 PO BOX 202940 DALLAS TX 753202940 RECRUITMENT AGE 469321 MRI SOLUTIONS LLC 136 ARKOTA SHORES DR 136 ARKOTA SHORES DR HOT SPRINGS AR 71913 MRI SERVICES 360000 LENSING BROTHERS INC PO BOX 73 PO BOX 73 SUBICACO AR 72865 FLOORING CONTRA 219502 GOLDFISH PARTNERS 6865 WINDCREST DR SUITE 300 6865 WINDCREST DRIVE SUITE 300 PLANO TX 75024 RECRUITMENT AGE 215603 8 79848 79848 GROSS PATIENT SERVICES REV 621990 91533411 91533411 CONTRACTUAL ADJUSTMENTS -50841383 -50841383 40692028 25715 25715 OTHER OPERATING REVENUE 4016184 4016184 NON-OPERATING REVENUE 34258 34258 4050442 44848033 44768185 X 18847296 16958134 1889162 69242 62318 6924 1742471 1568224 174247 1250176 1125158 125018 280996 280996 174735 174735 5399698 4675832 723866 89460 56020 33440 905651 892990 12661 131380 112417 18963 1009780 1009780 3015347 3015347 553127 553127 MEDICAL SUPPLIES 4738893 4738893 PROVISION FOR BAD DEBTS 3016847 3016847 OTHER EXPENSES 1429485 717683 711802 REPAIR & MAINTENANCE 1260356 768836 491520 1477710 1259916 217794 45392650 39521742 5870908 0 8292375 8846880 1000198 998548 5904902 5729701 762483 794712 1652022 1698971 416033 364957 62629578 33151581 31034420 29477997 416921 399987 49479354 48311753 4101445 3898353 21000000 20600000 134626 110661 -110031 -105958 25126040 24503056 X 24353314 23808697 24353314 23808697 49479354 48311753 -544617 X true X true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 499069 499069 30645914 13046091 17599823 31484595 20105490 11379105 29477997 BOND DISCOUNT -105958 -105958 44848033 44848033 44848033 45392650 45392650 45392650 true true true X true X true true false false 579323 579323 0.01280 7298569 6079159 1219410 0.02690 7877892 6079159 1798733 0.03960 10399267 7935234 2464033 0.05430 10399267 7935234 2464033 0.05430 18277159 14014393 4262766 0.09390 3477 3477 0.00010 13242 13242 0.00030 40198 40198 0.00090 56917 56917 0.00130 false 2894184 13142742 13314527 -171785 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 false true false 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 TECHNIQUIE 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 OPIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. DIALOGUES WITH TWO KEY INTERVIEWEES WERE CONDUCTED IN DECEMBER 2016. INTERVIEWEES WERE DETERMINED BASED ONTHEIR 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 1 JRMC HOME HEALTH 401 ROGERS ST CLARKSVILLE AR 72830 HOME HEALTH SERVICES 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 PROJECTS TOO NUMEROUS TO MENTION. 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 FOR THEM 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 1.0 MILLION AND BAD DEBT RECOGNIZED OF ALMOST 2.9 MILLION BASED ON GROSS CHARGES. COMBINED, THESE REPRESENT OVER 8% 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 ALBERT PILKINGTON CEO 203298 54000 6300 6390 269988 PITTMAN MOORE PHYSICIAN 573857 50217 990 11678 636742 ROBERT KESTER PHYSICIAN 408902 2317 18806 6482 436507 STEPHEN MCELMURRY PHYSICIAN 320557 217 23408 2937 11861 358980 KATE GAZENKO PHYSICIAN 317103 217 18000 11527 346847 BRIAN OGG PHYSICIAN 308127 25 6482 314634 A 2013 TAX EXEMPT BONDS 716001704 478378CP5 2013-01-09 9870000 HOSPITAL BUILDING ADDITION false true false B 2012A TAX EXEMPT BONDS 716001704 478378BV3 2012-10-23 6870000 REFUND 2004 BONDS false true false C 2012B TAX EXEMPT BONDS 716001704 478378BV3 2012-10-23 3130000 BUILDING ADDITIONS false true false D 2015 TAX EXEMPT BONDS 716001704 2015-09-30 2120000 BUILDING ADDITIONS false true false A 2014 false false true true B true false true true C 2013 false false true true D 2016 false false false false A false false false false false false false B false false false false false false false C false false false false false false false D 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 C false false false false false false false false false D false false false false false false false false false A false B false C false D false AMANDA OVERBEY PT DIRECTOR FAMILY 11090 EMPLOYEE COMPENSATIO false 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 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, CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN FEES 1,828,657 0 0 OTHER FEES 2,508,422 339,905 0 PURCHASED SERVICES 338,753 383,961 0 TOTAL 4,675,832 723,866 0