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THESE INTERVIEWS ARE INTENDED TO ASCERTAIN OPINIONS AMONH INDIVIDUALS LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. 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 FACILITY 1, JOHNSON REGIONAL MEDICAL CENTER - PART V, LINE 22D JRMC CHARGES ALL PATIENTS THE SAME AMOUNT. THE "UNINSURED" RECEIVE 40% DISCOUNT OFF TOTAL CHARGES USING THE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATE TO CALCULATE THE 40%. ALL BALANCES AFTER ALL DISCOUNTS REGARDLESS IF PATIENT IS INSURED, UNDERINSURED, OR UNINSURED ARE ELIGIBLE TO APPLY FOR HEALTHCARE ASSISTANCE. ALL PATIENTS, EXCLUDING UNINSURED WHO RECEIVE 40% DISCOUNT,EMPLOYEES AND MEDICAL STAFF, ARE OFFERED 20% EARLY PAY DISCOUNT IF BALANCES ARE PAID WITHIN 30 DAYS. ALL EMPLOYEES AND MEDICAL STAFF AND IMMEDIATE FAMILIES LIVING AT HOME ARE GIVEN A 50% DISCOUNT OFF BALANCE OWED AFTER INSURANCE PAYMENTS. THEY ARE NOT OFFERED THE ADDTIONIAL 20% EARLY PAY DISCOUNT. 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 2.1 MILLION AND BAD DEBT RECOGNIZED OF ALMOST 3.1 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 191258 10000 395 4500 4877 211030 DARREN FREEMAN PHYSICIAN 316927 2756 199 7006 326888 STEPHEN MCELMURRY SURGEON 269421 3165 21143 12109 305838 BRIAN OGG SURGEON 245957 389 4530 250876 CECIL SUTTERFIELD CRNA 219161 3165 38437 11418 272181 CHARLES BROWN SURGEON 178067 3993 40500 13388 235948 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 2015-09-30 2120000 false false false A 2014 false false true true B true false true true C 2013 false false true true D 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 75242 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 1,152,942 0 0 OTHER FEES 2,469,052 25,814 0 PURCHASED SERVICES 574,505 0 0