2015-02-12T16:14:22-06:00 2014-03-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2013-04-01 710787860 NORTH ARKANSAS REGIONAL MEDICAL CENTER % DEBRA HENRY NORT 8704145157 620 NORTH MAIN Suite HARRISON AR 72601 DEBRA HENRY CFO 5013721040 2015-02-12 true AMBER SHERRILL P00748683 5013721040 2015-02-12 2013 2016-03-07 17:11:31Z VINCE LEIST 620 NORTH MAIN HARRISON AR 72601 116118659 false X www.narmc.com X 1996 AR OUR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE AND RESOURCES WITH COMPASSION AND INTEGRITY. 9 7 977 200 0 0 536660 495660 90044184 91232015 799284 2037862 2205645 1996681 93585773 95762218 0 0 0 0 37541260 40173692 0 0 0 52250408 54295944 89791668 94469636 3794105 1292582 96905579 92981505 40611108 36966223 56294471 56015282 WE ARE DEDICATED TO PROVIDING QUALITY SERVICES THAT ARE COMPREHENSIVE AND AFFORDABLE. WE EXPECT SERVICES TO BE DELIVERED COMPASSIONATELY, APPROPRIATELY, RESPONSIBLY, SAFELY AND EFFICIENTLY. false false 73389655 90837663 NARMC PROVIDED OVER 15,496 DAYS OF PATIENT CARE, WITH 52.11% BEING PROVIDED TO MEDICARE AND MEDICAID PATIENTS. IN CONNECTION WITH THE PROVIDING OF CARE, NARMC WROTE OFF $136,346,241 OF CHARGES IN THE FORM OF CONTRACTUALS AND CHARITY, EQUALING 59.91% OF TOTAL GROSS INCOME SERVING OVER 8,600 PERSON. 341405 394352 NARMC IS A CO-SPONSOR OF NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION, INC. 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THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B ONCE A PATIENT IS KNOWN TO QUALIFY FOR CHARITY CARE, ALL COLLECTION EFFORTS CEASE. FORM 990, SCHEDULE H, PART VI, LINE 2 NARMC ASSESSES THE HEALTH CARE NEED OF THE COMMUNITIES IT SERVES BY WORKING CLOSELY WITH OTHER HEALTHCARE PROVIDERS AND EDUCATORS THROUGH NARMC'S COMMUNITY HEALTH NEEDS ASSSESSMENT. THIS DOCUMENT COMPILES DATA FROM SCHOOLS, PYHSICIANS, GOVERNMENT AGENCIES AND THE HOSPITAL TO DETERMINE WHERE OUR COMMUNITY CARE HELP FILL THE VOID IN MEDICAL CARE NEEDS FOR OUR CITIZENS. FORM 990, SCHEDULE H, PART VI, LINE 3 WE BELIEVE THAT CHARITY CARE BEGINS WHEN A PERSON WALKS IN THE DOOR OF ANY NARMC FACILITY AND IS IDENTIFIED AS POSSIBLY BEING UNABLE TO PAY FOR MEDICALLY NECESSARY HOSPITAL SERVICES. OUR COMMITMENT IS TO IDENTIFY WAYS OF HELPING PATIENTS BEYOND THE PROVISION OF NEEDED MEDICAL CARE. NARMC'S PATIENT RESOURCES DEPARTMENT IS RESPONSIBLE FOR THE HANDLING OF THE NARMC CHARITY CARE PROGRAM IN CONJUNCTION WITH THE NARMC BUSINESS OFFICE. APPLICATIONS ARE TAKEN BY MAIL, PHONE, OR BY APPOINTMENT THROUGH THE PATIENT RESOURCES DEPARTMENT. ALL APPLICATIONS ARE REVIEWED BY THE PATIENT RESOURCES DEPARTMENT, THEN REFERRED TO A PATIENT ACCOUNTS REPRESENTATIVE FOR FINAL ACCOUNTING. ONCE ELIGIBILITY IS DETERMINED AND PAPERWORK/ACCOUNTING COMPLETED, ALL PAPERWORK IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW. ONCE A PATIENT'S ACCOUNTS HAVE REACHED LEGAL INTERVENTION, THEY ARE NOT ELIGIBLE FOR THE CHARITY CARE PROGRAM. A PATIENT IS IDENTIFIED AS POSSIBLY NEEDING CHARITY CARE WHEN: 1. PATIENT IS RECEIVING CARE THROUGH THE MEDICAL MISSION CLINIC. 2. PATIENT INDICATES AT THE TIME OF ADMISSION ASSESSMENT THAT HE/SHE IS CONCERNED ABOUT WHETHER OR NOT HE/SHE CAN PAY THE NARMC BILL. 3. PATIENT HAS NO INSURANCE OR PAYMENT SOURCE (INCLUDING MEDICARE AND MEDICAID). 4. PATIENT EXPRESSES AN INABILITY TO PAY FOR NEEDED PRESCRIPTIONS AT THE TIME OF DISCHARGE. 5. PATIENT EXPRESSES AN INABILITY TO PAY THE CO-PAY REQUIRED BY HIS/HER INSURANCE. ONCE A PATIENT IS IDENTIFIED AS POSSIBLY NEEDING CHARITY CARE, ONE OR MORE OF THE FOLLOWING IS IMPLEMENTED: 1. PATIENT IS SEEN IN THE MEDICAL MISSION CLINIC. 2. PATIENT IS SEEN OR CONTACTED BY NARMC'S PUBLIC BENEFITS ASSISTANCE GROUP, OR REFERRED TO THE APPROPRIATE GOVERNMENTAL AGENCY FOR ASSISTANCE. THE PUBLIC BENEFITS ASSISTANCE GROUP WILL ALSO PROVIDE THE PATIENT WITH INFORMATION ABOUT THE NARMC CHARITY CARE PROGRAM. 3. PATIENT IS SEEN BY OR REFERRED TO AN NARMC SOCIAL WORKER AND THE APPROPRIATE REFERRAL OR APPLICATION OF HELP IS MADE. OPTIONS FOR HELP THROUGH NARMC PATIENT RESOURCES DEPARTMENT INCLUDE, BUT ARE NOT LIMITED TO: A. HELP IN APPLYING FOR GOVERNMENTAL ASSISTANCE. B. APPLYING FOR AND DETERMINING ELIGIBILITY FOR THE NARMC CHARITY CARE PROGRAM, INCLUDING THOSE WITH MEDICAL CONDITIONS/NEEDS THAT HAVE EXHAUSTED THEIR FINANCIAL RESOURCES. C. HELP IN APPLYING FOR AND DETERMINING ELIGIBILITY TO PHARMACEUTICAL ASSISTANCE PROGRAMS. D. PROVIDING FUNDS TO FILL PRESCRIPTIONS UPON DISCHARGE FROM THE HOSPITAL. E. REFERRING PATIENT TO LOCAL CHARITABLE ORGANZATIONS FOR ASSISTANCE WITH OBTAINING PRESCRIPTIONS, HOUSING, CLOTHING, FOOD, TRANSPORTATION, ETC. IF FOR SOME REASON A PATIENT'S NEED FOR FINANCIAL ASSISTANCE IS NOT IDENTIFIED WHILE THE PATIENT IS RECEIVING INSERVICES AT NARMC, OPTIONS FOR HELP ARE ALSO PROVIDED TO THE PATIENTS IN THE FOLLOWING WAYS: 1. WHEN HE/SHE CONTACTS THE BUSINESS OFFICE ABOUT HIS/HER HOSPITAL BILL, INFORMATION ABOUT ASSISTANCE PROGRAMS WILL BE PROVIDED. 2. EVERY UNINSURED PATIENT IS SENT A LETTER AFTER HOSPITALIZATION EXPLAINING THEIR PAYMENT OPTIONS, I.E., PAYMENT IN FULL WITH APPLICABLE DISCOUNT, INTEREST-FREE PAYMENT PLAN, BANK LOAN PLAN, OR FINANCIAL ASSISTANCE IF APPLICABLE. 3. THE FOLLOWING INFORMATION APPEARS AT THE BOTTOM OF EACH MONTHLY STATEMENT TO INFORM PATIENTS OF HOW TO APPLY FOR HELP WITH AN NARMC BILL: IF YOU ARE UNABLE TO PAY YOUR HOSPITAL BILL AND WANT TO FIND OUT IF YOU QUALIFY FOR ASSISTANCE THROUGH THE NARMC CHARITY CARE PROGRAM, PLEASE CALL TO RECEIVE ELIGIBILITY REQUIREMENTS AND REQUEST A SUBSIDY APPLICATION. 4. EACH PATIENT RECEIVING HOSPITAL SERVICES, BOTH INPATIENT AND OUTPATIENT, WILL BE GIVEN FREQUENTLY ASKED QUESTIONS SHEET THAT WILL INCLUDE INFORMATION ABOUT ASSISTANCE WITH THEIR HOSPITAL BILL. THESE ARE AVAILABLE IN ENGLISH AND SPANISH. 5. COMMUNITY RESOURCE BOOKLETS ARE PROVIDED TO PATIENTS AND FAMILIES AS NEEDED. THESE BOOKLETS INCLUDE INFORMATION ABOUT HOW TO GET ASSISTANCE WITH MEDICAL BILLS. INFORMATION ABOUT AND APPLICATIONS FOR THE CHARITY CARE PROGRAM ARE AVAILABLE THROUGH THE NARMC BUSINESS OFFICE, PUBLIC BENEFITS ASSISTANCE GROUP, WWW.NARMC.COM, CASE MANAGER, SOCIAL WORKERS, EMERGENCY DEPARTMENT, AND NURSING STAFF, AS WELL AS VARIOUS OUTSIDE AGENCIES, (I.E., AREA CONNECTIONS, BOONE COUNTY HOME HEALTH, NEWTON COUNTY HOME HEALTH, SEARCY COUNTY HOME HEALTH). THERE IS A DESIGNATED VOICE MAIL LINE WHERE PATIENTS CAN CALL TO RECEIVE ELIGIBILITY REQUIREMENTS, OR REQUEST INFORMATION FOR AN APPLICATION. 1. APPLICATIONS WILL BE GIVEN DIRECTLY TO THE PATIENT OR MAILED UPON REQUEST. 2. APPLICATIONS AND REQUIRED DOCUMENTATION WILL BE REVIEWED BY THE NARMC PATIENT RESOURCES DEPARTMENT TO DETERMINE ELIGIBILITY OR BY THE PATIENT ACCOUNTS REPRESENTATIVE AS INDICATED IN THE SPECIFIC GUIDELINES FOR EACH CATEGORY. 3. ONCE FINAL ELIGIBILITY APPROVAL AND SIGN-OFF ARE COMPLETED, ALL APPLICATIONS ARE TURNED OVER TO THE BUSINESS OFFICE PATIENT ACCOUNTS REPRESENTATIVE TO COMPLETE ACCOUNTING AND PREPARE THE REPORT FOR THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. 4. APPLICATIONS FROM MEDICARE PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE FUNDS WILL BE SENT TO THE BUSINESS OFFICE MANAGER FOR MEDICARE BAD DEBT WRITE-OFF. WRITE-OFF. FORM 990, SCHEDULE H, PART VI, LINE 5 NARMC'S BOARD OF DIRECTORS CONSISTS OF COMMUNITY LEADERS WITH GOALS OF PROMOTING COMMUNITY HEALTH. THE HOSPITAL PROVIDES FOUR FREE HEALTH SCREENINGS PER YEAR AND PROVIDES HEALTH CHECKS AT SEVERAL COMMUNITY EVENTS, SUCH AS COMMUNITY HEALTH FAIRS, COUNTY FAIRS, RODEOS, LOCAL BUSINESSES, ETC. NARMC PARTNERS WITH AND FINANCIALLY SUPPORTS NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION, WHICH PROVIDES HEALTH EDUCATION TO THE GENERAL POPULATION OF THE COMMUNITY. EMERGENCY SERVICES ARE PROVIDED AT NUMEROUS COMMUNITY EVENTS WITH EITHER PHYSICIANS, PARAMEDICS, EMTS, NURSES, ETC. ADDITIONALLY NARMC IS VERY INVOLVED IN THE COMMUNITIES IT SERVES BY PROVIDING COMMUNITY HEALTH SUPPORT AND EDUCATION. THE HOSPITAL'S STAFF PARTICIPATES IN A VARIETY OF COMMUNITY SUPPORT ACTIVITIES INCLUDING, BUT NOT LIMITED TO, BUSINESS AFTER HOURS, WORLD'S LARGEST BABY FAIR, THE BUSINESS EXPO AND OZARK EXPO, KHOZ/NARMC HEALTH FAIR, THE KHOZ RADIO STATION MCDONALD'S BREAKFAST CLUB, TKO TELEVISION PROGRAM COMMUNITY CONNECTIONS, KHOZ RADIO STATION COMMUNITY CONTACT AND K26 TV'S 726 COMMUNITY INFORMATION PROGRAMS. THE RURAL HEALTH CLINICS AND RURAL AMBULANCE STATIONS HAVE REPRESENTATIVES ON THE LOCAL CHAMBER OF COMMERCE BOARD OF DIRECTORS, MEMBERS OF KIWANIS, ROTARY, LIONS, EVENING LIONS, FIRST RESPONDERS, VOLUNTEER FIRE DEPARTMENT, ETC. FORM 990, SCHEDULE H, PART VI, LINE 6 NORTH ARKANSAS MEDICAL SYSTEM IS A PUBLIC BENEFIT CORPORATION TO NORTH ARKANSAS REGIONAL MEDICAL CENTER. IT IS ORGANIZED TO OPERATE FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND/OR TO CARRY OUT THE PURPOSES OF THE HOSPITAL. NORTH ARKANSAS MEDICAL SERVICES IS A PUBLIC BENEFIT CORPORATION TO NORTH ARKANSAS REGIONAL MEDICAL CENTER. IT IS ORGANIZED TO OPERATE FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND/OR TO CARRY OUT THE PURPOSES OF THE HOSPITAL. NORTH ARKANSAS MEDICAL FOUNDATION'S MISSION IS TO ENCOURAGE PUBLIC SUPPORT FOR THE ACTIVITIES AND PURPOSE OF NORTH ARKANSAS REGIONAL MEDICAL CENTER. FORM 990, SCHEDULE H, PART VI, LINE 7 THE STATE OF ARKANSAS DOES NOT REQUIRE NONPROFIT HOSPITALS TO PROVIDE COMMUNITY BENEFITS REPORTS. FORM 990, SCHEDULE H, SECTION C NARMC OWNS THREE RURAL HEALTH CLINICS. 1. NEWTON COUNTY FAMILY PRACTICE IN JASPER, AR, 2. CLAUDE PARRISH COMMUNITY HEALTH CLINIC IN LEAD HILL, AR, 3. MARSHALL FAMILY PRACTICE IN MARSHALL, AR. NARMC ALSO HAS THREE MANNED AMBULANCE SUBSTATIONS. THEY ARE LOCATED IN JASPER, DIAMOND CITY AND MARSHALL. THROUGH THESE RURAL HEALTH CLINICS AND AMBULANCE SUBSTATIONS WE CONTINUALLY MEET THE NEEDS OF THE COMMUNITIES WE SERVE IN THE RURAL AREAS. NARMC SUPPORTS AND STAFFS THE LOCAL HOSPICE HOUSE WHICH PROVIDES TERMINALLY ILL PATIENTS AND THEIR FAMILIES WITH AN ALTERNATIVE TO HOSPICE SERVICES IN THEIR HOMES. NARMC SUPPORTS THE MEDICAL CLINIC MISSION BY PROVIDING FREE HEALTH CARE SERVICES TO THE INDIGNET PATIENTS OF THE CLINIC. COST OF SERVICES IS INCLUDED IN THE CHARITY SUBSIDY INFORMATION. NARMC PARTNERS WITH NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION WHICH PROVIDES QUALITY CERTIFIED HEALTH CARE TRAINING FOR COMMUNITY NEEDS. TRAINING AND EDUCATION INCLUDES CLASSES FOR NURSE ASSISTANTS, HOME HEALTH AIDES, FIRST AIDE, CPR TRAINING AND CONTINUING HEALTH EDUCATION FOR HEALTHCARE PROFESSIONALS, AS WELL AS, COMMUNITY EDUCATION FOR HEALTHY LIVES, WEIGHT LOSS AND SMOKING CESSATION. FORM 990, SCHEDULE H, PART I, LINE 7 THE COST TO CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED IN COMPLETING LINE 7A AND 7B. LINE 7E, 7F, 7G, AND 7I WERE CALCULATED USING ACTUAL COSTS FORM 990, SCHEDULE H, PART III, LINE 8 THE AMOUNT REPORTED ON LINE 6 WAS CALCULATED USING THE MEDICARE COST REPORT. THERE WAS NO SHORTFALL FOR THE CURRENT TAX YEAR. FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE IN THE AMOUNT OF $17,687,997 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 VI, LINE 4 THE MEDICAL CENTER IS LOCATED IN HARRISON, ARKANSAS; IN BOONE COUNTY. HARRISON IS APPROXIMATELY AN HOUR AND A HALF EAST OF FAYETTEVILLE, ARKANSAS AND AN HOUR SOUTH OF SPRINGFIELD, MISSOURI, THE CLOSEST METROPOLITAN AREAS. ONE DIVIDED HIGHWAY SERVES THE AREA FROM THE NORTH. BASED ON THE PATIENT ORIGIN OF ACUTE CARE INPATIENT DISCHARGES AND OUTPATIENT VISITS FROM APRIL 1, 2011, THROUGH MARCH 31, 2012; MANAGEMENT HAS IDENTIFIED THE COMMUNITY TO INCLUDE ALL OF BOONE AND NEWTON COUNTIES, SIGNIFICANT PORTIONS OF CARROLL, MARION, AND SEARCY COUNTIES AND A SMALL PORTION OF POPE COUNTY. THE OVERALL POPULATION IS PROJECTED TO INCREASE OVER THE FIVE-YEAR PERIOD OF 2012 TO 2017, FROM 80,599 TO 83,713, OR 3.9%. HOWEVER, THE AGE CATEGORY THAT UTILIZES HEALTH CARE SERVICES THE MOST, 65 YEARS AND OVER, IS PROJECTED TO INCREASE FROM 14,540 TO 16,627, OR 14.4%. THE RATIO OF MALES TO FEMALES IN THE TOTAL COMMUNITY IS PROJECTED TO REMAIN APPROXIMATELY THE SAME OVER THE FIVE-YEAR PERIOD. IN TOTAL, THE POPULATION BREAKDOWN FOR THE COMMUNITY IS SIMILAR TO THE STATE OF ARKANSAS WITH HISPANIC RESIDENTS COMPRISING LESS THAN 10% OF THE TOTAL. HOWEVER, A REVIEW OF THE SPECIFIC ZIP CODE AREAS DOES SHOW A RELATIVELY LARGE PERCENTAGE OF HISPANIC RESIDENTS IN THE BERRYVILLE AND GREEN FOREST ZIP CODES. ADDITIONALLY, THE HISPANIC POPULATION IS PROJECTED TO GROW NEARLY 18%, FROM 2012 TO 2017, AS COMPARED TO THE 3.7% GROWTH IN NON-HISPANIC POPULATION. IN 2010, A FAMILY OF TWO ADULTS AND TWO CHILDREN WAS CONSIDERED POOR IF THEIR ANNUAL HOUSEHOLD INCOME FELL BELOW $22,050 AND ARKANSAS IS CONSISTENTLY RANKED ONE OF THE POOREST STATES IN THE COUNTRY. POVERTY RATES FOR NEWTON AND SEARCY COUNTIES RANK UNFAVORABLY WHEN COMPARED TO THE STATE AVERAGES. ALL COUNTIES COMPARE UNFAVORABLY TO NATIONAL POVERTY RATES AND MEDIAN INCOME. X true true X X X X false false false false false false false false false VINCENT LEIST CEO 339434 0 28718 0 14970 0 8925 0 13786 0 405833 0 0 0 RICHARD MCBRYDE COO 198766 0 500 0 2220 0 7097 0 14891 0 223474 0 0 0 DEBRA L HENRY CFO 182570 0 500 0 2220 0 6576 0 15936 0 207802 0 0 0 JAMES D WATERS ANESTHESIOLOGIST 364594 0 100 0 2220 0 8339 0 15036 0 390289 0 0 0 JAMES B JUSTICE PHYSICIAN 221185 0 3920 0 2220 0 7956 0 13786 0 249067 0 0 0 SARA LYNNE ROGERS ANESTHESIOLOGY 326051 0 25050 0 2220 0 8925 0 6097 0 368343 0 0 0 ANDREW COBLE PHYSICIAN 327786 0 100 0 2220 0 8925 0 13786 0 352817 0 0 0 JOHN T LESLIE PHYSICIAN 312709 0 8464 0 19720 0 8925 0 13786 0 363604 0 0 0 DIANE ROBERTS CNO 143496 0 500 0 2220 0 4387 0 6057 0 156660 0 0 0 FORM 990, SCH J, PART I, LINE 1A VINCENT LEIST (CEO) $2,822 RICHARD MCBRYDE (COO) $255 DEBRA HENRY (CFO) $419 DIANE ROBERTS (CNO) $540 A BOONE COUNTY AR 710386082 098646AS1 2006-03-16 25000000 HOSPITAL REVENUE CONSTRUCTION false false false B BOONE COUNTY AR 710386082 098646AT9 2010-11-16 5314921 HOSPITAL REVENUE REFUNDING BONDS false false false C BOONE COUNTY AR 710386082 098646BR2 2011-12-20 9959500 HOSPITAL REVENUE REFUNDING BONDS false false false D BOONE COUNTY AR 710386082 098646CC4 2013-03-01 9854770 HOSPITAL REVENUE REFUNDING BONDS false false false A 20300000 0 26424628 0 0 0 272406 377517 0 24350077 0 0 2008 false false true true B 1425000 0 5335000 533500 0 5736028 107135 0 0 0 0 0 2010 true false true true C 975000 0 9965000 934391 0 9175000 169598 0 0 0 0 0 2011 true false true true D 0 0 9854872 994000 0 9790000 184280 0 0 0 0 0 2013 true false true true A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false false C false false false false 0.00000 0.00000 0.00000 false false false false D false false false false 0.00000 0.00000 0.00000 false false false false A false false false true false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true FORM 990, SCHEDULE K, PART I, A - D A - COMPLETED ON BOND YEAR OF 2/28/2014 B - COMPLETED ON BOND YEAR OF 5/1/2013 C - COMPLETED ON BOND YEAR OF 5/1/2013 D - COMPLETED ON BOND YEAR OF 5/1/2014 FORM 990, SCHEDULE K, PART IV, LINE 2C FOR BOND SERIES 2006, THE LAST REBATE COMPUTATION DATE WAS 02/28/2011. MCNUTT FAMILY LLP LLC BOD MIKE MCNUTT-OWNER 65728 RENTAL OF PROPERTY false HARRISON PROFESSIONAL BUILDING CORP BOD TOM LANGSTON-OWNER 84876 RENTAL OF PROPERTY false FORM 990, PART VI, QUESTION 11B FORM 990 IS PROVIDED TO EACH BOARD DIRECTOR DURING THE BOARD COMMITTEE MEETINGS. MANAGEMENT REVIEWED EACH SECTION AND ALL SIGNIFICANT DISCLOSURES WITH THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 12C BOARD OF DIRECTORS COMPLETE A QUESTIONNAIRE EACH YEAR AND DISCLOSURES (IF ANY) ARE REVIEWED BY THE BOARD AND OFFICERS. KEY EMPLOYEES ARE REQUIRED TO REPORT ANY POTENTIAL CONFLICTS OF INTEREST TO THEIR SUPERVISOR AND TO HUMAN RESOURCES. FORM 990, PART VI, LINE 15A & 15B HUMAN RESOURCES AND THE BOARD COMPARE THE CEO'S SALARY TO THE AHA SALARY DATABASE AND THEN SET THE SALARY BASED ON THEIR FINDINGS. SALARIES OF OTHER OFFICERS OR KEY EMPLOYEES ARE COMPARED TO AHA SALARY DATABASE BY HUMAN RESOURCES AND ARE REVIEWED AND APPROVED BY THE CEO. SALARIES OF OFFICERS AND KEY EMPLOYEES ARE ALSO REVIEWED BY THE BOARD. FORM 990, PART VI, QUESTION 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE PROVIDED TO THE COUNTY ON A MONTHLY BASIS. FORM 990, PART XI, LINE 9 TRANSFER TO AFFILIATES $(400,000) NORTH ARKANSAS MEDICAL FOUNDATION 620 NORTH MAIN HARRISON AR 72601 710787861 SUPPORT AR 501 (C) (3) 11a NAMS false NORTH ARKANSAS MEDICAL SYSTEM 620 NORTH MAIN HARRISON AR 72601 710787859 SUPPORT AR 501 (C) (3) 11a NA false NORTH ARKANSAS MEDICAL SERVICES 620 NORTH MAIN HARRISON AR 72601 710787858 SUPPORT AR 501 (C) (3) 11a NAMS false false true true false false false false false false false false false false false false false false false false