FURP.ORG / PUBLIC DATA EXPLORER

OUACHITA COUNTY MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OUACHITA COUNTY MEDICAL CENTER (EIN 71-0766341)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-06-05
IRS object ID
201411569349300741
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-06-05T15:47:23-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code722033667ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710766341EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OUACHITA COUNTY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% ROBERT J ANDERSInCareOfName
Name ControlOUACNameControl
Phone8708361200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 797AddressLine1
Address Line2SuiteAddressLine2
CityCAMDENCity
StateARState
ZIP Code717010797ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePEGGY ABBOTTName
TitlePRESIDENT/CEOTitle
Phone5013721040Phone
Date Signed2014-06-03DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMBER SHERRILLName
Phone5013721040Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPEGGY ABBOTTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 797AddressLine1
CityCAMDENCity
StateARState
ZIP Code717010797ZIPCode
FieldValueIRS element (for citing)
Gross Receipts34322371GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.OUACHITAMEDCENTER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionOUACHITA COUNTY MEDICAL CENTER AND ITS CLINICS PROVIDE STATE-OF-THE- ART MEDICAL CARE TO RESIDENTS OF OUACHITA COUNTY, ARKANSAS, AND THE SURROUNDING AREA.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees611TotalNbrEmployees
Total Nbr Volunteers81TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year94326ContributionsGrantsPriorYear
Contributions Grants Current Year302281ContributionsGrantsCurrentYear
Program Service Revenue Prior Year38294883ProgramServiceRevenuePriorYear
Program Service Revenue CY31770565ProgramServiceRevenueCY
Investment Income Prior Year49702InvestmentIncomePriorYear
Investment Income Current Year40601InvestmentIncomeCurrentYear
Other Revenue Prior Year2881503OtherRevenuePriorYear
Other Revenue Current Year2208301OtherRevenueCurrentYear
Total Revenue Prior Year41320414TotalRevenuePriorYear
Total Revenue Current Year34321748TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18260499SalariesEtcPriorYear
Salaries Etc Current Year18697433SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year22618770OtherExpensePriorYear
Other Expenses Current Year19469552OtherExpensesCurrentYear
Total Expenses Prior Year40879269TotalExpensesPriorYear
Total Expenses Current Year38166985TotalExpensesCurrentYear
Revenues Less Expenses Prior Year441145RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3845237RevenuesLessExpensesCY
Total Assets BOY28070422TotalAssetsBOY
Total Assets EOY24832851TotalAssetsEOY
Total Liabilities BOY10210751TotalLiabilitiesBOY
Total Liabilities EOY11210510TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17859671NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13622341NetAssetsOrFundBalancesEOY
Mission DescriptionOUACHITA COUNTY MEDICAL CENTER AND ITS CLINICS PROVIDE STATE-OF-THE- ART MEDICAL CARE TO RESIDENTS OF OUACHITA COUNTY, ARKANSAS, AND THE SURROUNDING AREA.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense32072739Expense
Revenue31770565Revenue
DescriptionTO PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF OUACHITA COUNTY AND THE SURROUNDING AREAS.Description
Total Program Service Expense32072739TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109625NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees611NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonROBERT J ANDERSNamePerson
Telephone Number8708361387TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1638 CALIFORNIA AVENUEAddressLine1
CityCAMDENCity
StateARState
ZIP Code71701ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
LAWRENCE ROBERSON
VICE CHAIRMAN1.01.0XX000
DR JERRY KENDALL
MEMBER1.01.0X000
DR CORBET LAMKIN
CHAIRMAN1.01.0XX000
DAVID MAHAFFEY
MEMBER1.01.0X000
BOBBY BASS
MEMBER1.01.0X000
ELAINE BERG
MEMBER1.01.0X000
DR REGINALD COOPER
MEMBER1.01.0X000
JAMES D CICERO
CEO/PRESIDENT-10/1/12-12/31/1240.01.0X15623505379
ROBERT J ANDERS
CFO/TREASURER40.01.0X9759203396
PEGGY ABBOTT
CEO/PRESIDENT- 1/1/13-9/30/1340.01.0X10452504521
TERRY FEYEN
PHARMACIST40.013861101245X
LAURA HULL
PHARMACIST40.012873101841X
FieldValueIRS element (for citing)
Total Reportable Comp From Org625694TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation16382TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensationAddress Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCode
EMERGENCY PHYSICIANS ASSOC
ER PHYSICIAN1162939
FREDERICK HAYWARD PERKINS JR DO INC
PHYSICIAN326000
BKD LLP
ACCOUNTING167166400 W CAPITOL AVENUELITTLE ROCKAR72203
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants237992GovernmentGrants
All Other Contributions64289AllOtherContributions
Total Contributions302281TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code621400BusinessCode
Total Revenue Column31770565TotalRevenueColumn
Related Or Exempt Function Income31770565RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue31770565TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column37696TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$37,696ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real44920Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real623Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real44297Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column44297TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$44,297ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other2905Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other2905Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2905TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,905ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
EHR INCENTIVES9000991029082$1,029,082
CAFETERIA721000393148$393,148
HOME DELIVERY624100193971$193,971

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column547803TotalRevenueColumn
Exclusion$547,803ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2164004TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column34321748TotalRevenueColumn
Related Or Exempt Function Income31770565RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,248,902ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total379116Total
Management And General379116ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15217432Total
Program Services12602908ProgramServices
Management And General2614524ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total389016Total
Program Services322179ProgramServices
Management And General66837ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1574382Total
Program Services1303886ProgramServices
Management And General270496ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1137487Total
Program Services942054ProgramServices
Management And General195433ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total41290Total
Program Services34196ProgramServices
Management And General7094ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total58773Total
Program Services48675ProgramServices
Management And General10098ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4614757Total
Program Services3821890ProgramServices
Management And General792867ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total53286Total
Program Services44131ProgramServices
Management And General9155ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total471000Total
Program Services390077ProgramServices
Management And General80923ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total596017Total
Program Services493615ProgramServices
Management And General102402ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total316825Total
Program Services262391ProgramServices
Management And General54434ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total340210Total
Program Services281758ProgramServices
Management And General58452ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1470090Total
Program Services1217512ProgramServices
Management And General252578ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total245564Total
Program Services203373ProgramServices
Management And General42191ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT EXPENSE4523852452385200
SUPPLIES365563030275526280780
REPAIRS & MAINTENANCE129482810723622224660
ASSESSMENT TAX56044746415696291

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1226983Total
Program Services1016172ProgramServices
Management And General210811ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total38166985Total
Program Services32072739ProgramServices
Management And General6094246ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY771750BOY
EOY341655EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4252497BOY
EOY3850936EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7513865BOY
EOY5595531EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY92940BOY
EOY231969EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1050254BOY
EOY1008262EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY126887BOY
EOY8602EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis44942793LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec32096218LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13389110BOY
EOY12846575EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY873119BOY
EOY873795EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY75526EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY28070422BOY
EOY24832851EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2147507BOY
EOY3058327EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4975000BOY
EOY4602710EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1924031BOY
EOY2199680EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1164213BOY
EOY1349793EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10210751BOY
EOY11210510EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17859671BOY
EOY13622341EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17859671BOY
EOY13622341EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28070422BOY
EOY24832851EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3845237ReconcilationRevenueExpenses
Reconcilation Other Changes-392093ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$6,071OtherActivitiesAmount
Total Lobbying Expenditures IIB6071TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceFORM 990, PART II-B, LINE IReturnReference
ExplanationPERCENTAGE OF ARKANSAS HOSPITAL ASSOCIATION ($2,444) AND AMERICAN HOSPITAL ASSOCIATION ($3,627) DUES SPENT ON LOBBYING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis582906OtherCostOrOtherBasis
Book Value582906BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18843766OtherCostOrOtherBasis
Depreciation10937743Depreciation
Book Value7906023BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis25083037OtherCostOrOtherBasis
Depreciation21158475Depreciation
Book Value3924562BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis433084OtherCostOrOtherBasis
Book Value433084BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12846575TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED AMOUNT DUE 3RD PARTY$376,706
ASSET RETIREMENT OBLIGATIONS$973,087
FieldValueIRS element (for citing)
Total Of Amounts1349793TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt29798519TotRevenueEtcAuditedFinclStmt
Other Revenues623OtherRevenues
Revenue Not Rptd F990623RevenueNotRptdF990
Revenue Subtotal29797896RevenueSubtotal
Other Revenues Not Included4523852OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt4523852RevenueNotRptdOnFinStmt
Total Revenue Per Form99034321748TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt33643756TotExpensesEtcAuditedFinclStmt
Other Expenses Included623OtherExpensesIncluded
Expenses Not Rptd F990623ExpensesNotRptdF990
Expenses Subtotal33643133ExpensesSubtotal
Other Expenses Not Included4523852OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt4523852ExpensesNotRptdOnFinStmt
Total Expenses Per Form99038166985TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPENSE INCLUDED IN EXPENSE PER AUDIT,INCLUDED IN THE REVENUE PER RETURNFORM 990, SCHEDULE D, PART XI, LINE 2DRENTAL EXPENSE $623
EXPENSE INCLUDED IN EXPENSE PER AUDIT,INCLUDED IN THE REVENUE PER RETURNFORM 990, SCHEDULE D, PART XII, LINE 2DRENTAL EXPENSE $623
EXPENSE INCLUDED IN REVENUE PER AUDIT, INCLUDED AS EXPENSE PER RETURNFORM 990, SCHEDULE D, PART XI, LINE 4BBAD DEBT EXPENSE $4,523,852
EXPENSE INCLUDED IN REVENUE PER AUDIT, INCLUDED AS EXPENSE PER RETURNFORM 990, SCHEDULE D, PART XII, LINE 4BBAD DEBT EXPENSE $4,523,852
FIN 48 DISCLOSUREFORM 990, SCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage140.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage290.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense309381TotalCommunityBenefitExpense
Net Community Benefit Expense309381NetCommunityBenefitExpense
Percent Of Total Expense0.00810PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense309381TotalCommunityBenefitExpense
Net Community Benefit Expense309381NetCommunityBenefitExpense
Percent Of Total Expense0.00810PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense108000TotalCommunityBenefitExpense
Net Community Benefit Expense108000NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2683974TotalCommunityBenefitExpense
Direct Offsetting Revenue1109062DirectOffsettingRevenue
Net Community Benefit Expense1574912NetCommunityBenefitExpense
Percent Of Total Expense0.04130PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2791974TotalCommunityBenefitExpense
Direct Offsetting Revenue1109062DirectOffsettingRevenue
Net Community Benefit Expense1682912NetCommunityBenefitExpense
Percent Of Total Expense0.04410PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3101355TotalCommunityBenefitExpense
Direct Offsetting Revenue1109062DirectOffsettingRevenue
Net Community Benefit Expense1992293NetCommunityBenefitExpense
Percent Of Total Expense0.05220PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$4,523,852BadDebtExpenseAmount
Amount Attributable To2676496AmountAttributableTo
Amount Reimbursed By Medicare10012657AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare12755950CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2743293MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1OUACHITA COUNTY MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1638 CALIFORNIA AVEAddressLine1
CityCAMDENCity
StateARState
ZIP Code71701ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1OUACHITA COUNTY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent140.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent290.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COSTING METHODOLOGYFORM 990, SCH H, PART III, LINE 4AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS USING MEDICARE'S REASONABLE COST METHODOLOGY INCLUDING ALLOCATION OF OVERHEAD COSTS.
MEDICARE'S REASONABLE COST METHODOLOGYFORM 990, SCH H, PART I, LINE 7MEDICARE'S REASONABLE COST METHODOLOGY INCLUDING ALLOCATION OF OVERHEAD COSTS, AS CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE THE AMOUNTS ON LINE 7.
BAD DEBT EXPENSEFORM 990, SCH H, PART I, LINE 7, COLUMN FBAD DEBT EXPENSE IN THE AMOUNT OF $4,523,852 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.
BAD DEBT EXPENSEFORM 990, SCH H, PART III, LINE 4ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY 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 EXITS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACOCUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERINCE, 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) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
COMMUNITY BENEFITFORM 990, SCH H, PART III, LINE 8THE AMOUNT REPORTED ON LINE 6 WAS CALCULATED USING THE ORGANIZATION'S MEDICARE COST REPORT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT.
COLLECTION POLICYFORM 990, SCH H, PART III, LINE 9BWHEN BALANCE DUE CANNOT BE PAID AT THE TIME OF SERVICE OR WHEN THE BALANCE BECOMES DUE AFTER SERVICE AND THE PATIENT IS UNABLE TO MAKE FULL PAYMENT, PERIODIC, PARTIAL PAYMENTS MAY BE APPROVED IN ACCORDANCE WITH CREDIT AND COLLECTION PROCEDURES, AS AUTHORIZED BY CFP. ACCOUNTS WHICH CANNOT BE COLLECT AFTER NORMAL IN-HOUSE COLLECTION PROCEDURES MAY BE REFERRED TO A COLLECTION AGENCY OR ATTORNEY FOR FURTHER ACTION, IN ACCORDANCE WITH ESTABLISHED GUIDELINES. IF SATISFACTORY PAYMENT ARRANGEMENT CANNOT BE MADE OR SHOULD ANY INDIVIDUAL BE DETERMINED CHARITY OR INDIGENT, THE CEO OR DESIGNEE SHALL BE NOTIFIED.
NEEDS ASSESSMENTFORM 990, SCH H, PART VI, LINE 2THE ORGANIZATION USES THE STATE HEALTH DEPARTMENT'S ASSESSMENT OF THE COMMUNITY'S HEALTH.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFORM 990, SCH H, PART VI, LINE 3WHILE AT THE MEDICAL CENTER, THE PATIENTS ARE GIVEN FORMS TO COMPLETE AT REGISTRATION FOR FINANCIAL ASSISTANCE. A FINANCIAL COUNSELOR MEETS WITH THE PATIENT IN THE ROOM TO DISCUSS FURTHER. SIGNS ARE ALSO POSTED INFORMING PATIENTS.
COMMUNITY INFORMATIONFORM 990, SCH H, PART VI, LINE 4THE ORGANIZATION IS IN A RURAL MEDICALLY UNDERSERVED AREA WITH A LARGE WELFARE AND MEDICARE POPULATION.
ACCOUNT COLLECTION POLICYFORM 990, SCHEDULE H, PART V, LINE 14BUSINESS OFFICE POLICY STATES THAT AS SOON AS A BALANCE ON AN ACCOUNT IS DETERMINED TO BE SELF PAY THE GUARANTOR WILL BE SENT A STATEMENT AND FOLLOW UP CALLS IF NEEDED WILL BE MADE. IT WILL BE DETERMIED IF THE GUARANTOR QUALIFIES FOR ANY FINANCIAL ASSISTANCE. IF GUARANTOR DOES NOT QUALIFY FOR AID THEY ARE ADVISED AND PAYMENT ARRANGEMENTS ARE MADE. IF THE AGREEMENT IS NOT KEPT, THE ACOCOUNT WILL BE TURNED OVER TO BAD DEBTS AND THE ACCOUNT WILL BE SENT TO AN OUTSIDE COLLECTION AGENCY. IN CASES THAT ARE DUE TO AUTO ACCIDENT, WE DO FOLLOW UP AND FILE LIENS.
MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALSFORM 990, SCHEDULE H, PART VI, LINE 19THE BASE FOR DETERMINING THE AMOUNT OF DISCOUNT IS THE USE OF THE FGP. IF A PERSON OR FAMILY PROVIDES DATA TO SUPPORT AN INCOME OF 140% OF THE FPG OR LESS THEY WOULD QUALIFY FOR A 100% DISCOUNT. THE AMOUNT OF DISCOUNT WILL STEP DOWN BASED UPON REPORTED INCOME AS FOLLOWS: UP TO 175% OF FPG = 80% DISCOUNT 210% OF FPG = 60% DISCOUNT 250% OF FPG = 40% DISCOUNT 290% OF FPG = 20% DISCOUNT INCOME ABOVE 290% OF FPG QUALIFIES FOR NO DISCOUNT. OTHER FACTORS USED IN DETERMINING CHARITY ASSISTANCE ARE: ASSETS AND LIABILITIES, MEDICAL CONDITION OF PATIENTS, POTENTIAL FOR LONG TERM MEDICAL CARE, OTHER FORM OF REIMBURSEMENT, INSURANCE, SOCIAL PROGRAMS AND OTHER FINANCIAL RESOURSES.
CHNA - PERSONS REPRESENTING COMMUNITYFORM 990, SCHEDULE H, PART V, SECTION B, LINE 3LOCAL EXPERT ADVISORS WERE LOCAL INDIVIDUALS SELECTED TO CONFORM TO THE INPUT REQUIRED BY THE FEDERAL GUIDELINES AND REGULATIONS. THERE WERE 15 LOCAL EXPERT ADVISORS. THE LOCAL EXPERTS PARTICIPATED IN A STRUCTURED COMMUNICATION TECHNIQUE CALLED A DELPHI METHOD, ORGINALLY DEVELOPED AS A SYSTEMATIC, INTERACTIVE FORECASTING METHOD THAT RELIES ON A PANEL OF EXPERTS. THE PROCESS HELPS TO IDENTIFY THE MOST PRESSING, HIGHEST PRIORITY, COMMUNITY NEEDS.
CHNA - NEEDS NOT ADDRESSEDFORM 990, SCHEDULE H, PART V, SECTION B, LINE 7OUACHITA COUNTY MEDICAL CENTER USED THE PRIORITY RANKING OF AREA HEALTH NEEDS BY THE LOCAL EXPERT ADVISORS TO ORGANIZE THE SEARCH FOR LOCALLY AVAILABLE RESOURCES AS WELL AS THE RESPONSE TO THE NEEDS BY OUACHITA COUNTY MEDICAL CENTER. A HOSPITAL FACILITY MAY DETERMINE WHETHER A HEALTH NEED IS SIGNIFICANT BASED ON ALL OF THE FACTS AND CIRCUMSTANCES PRESENT IN THE COMMUNITY IT SERVES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJAMES D CICERONamePerson
TitleCEO/PRESIDENT-10/1/12-12/31/12Title
Base Compensation Filing Org144631BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org11604OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org1950DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org3429NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org161614TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1OUACHITA COUNTY PUBLIC FACILITIES BOARDBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN716016182IssuerEIN
CUSIP Number689811BW6CUSIPNumber
Date Issued2003-05-22DateIssued
Issue Price7539664IssuePrice
Description Of PurposeHEALTHCARE REVENUE BONDSDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired2960000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds7873368TotalProceeds
Amount In Reserve Fund613469AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds209365IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures7050534CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2005YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YetfalseRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuetrueNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqstrueWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
TAX EXEMPT BOND YEARFORM 990, SCHEDULE K, PART VITHE ORGANIZATION USED THE BOND YEAR-END OF 05/01/2013 FOR DETERMINING THE AMOUNTS TO REPORT ON SCHEDULE K, PART II.
ARBITRAGE CALCULATIONFORM 990, SCHEDULE K, PART IVTHE LAST ARBITRAGE CALCULATION DATE IS 05/01/2013.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY ROBERT J. ANDERS, THE CFO OF THE ORGANIZATION, PRIOR TO FILING.
CONFLICT OF INTEREST POLICY MONITORING PROCESSFORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUIRES ALL OFFICERS AND DIRECTORS TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY.
COMPENSATION REVIEW PROCESSFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE ORGANIZATION'S COMPENSATION DETERMINATION PROCESS INCLUDES REVIEW AND APPROVAL BY THE INDEPENDENT BOARD OF DIRECTORS. THE ORGANIZATION'S LATEST REVIEW WAS CONDUCTED DURING 2012.
AVAILABILITY OF GOVERNING DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9TRANSFERS TO AFFILIATES $(392,093)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
OUACHITA VALLEY HEALTH SYSTEM
PO BOX 797CAMDENAR71701710766340HEALTHCAREAR501 (C) (3)11ANAfalse
OUACHITA COUNTY MEDICAL FOUNDATION
PO BOX 797CAMDENAR71701710766342FOUNDATIONAR501 (C) (3)11AOVHSfalse
OUACHITA COUNTY MEDICAL SERVICES
PO BOX 797CAMDENAR71701710766343HEALTHCAREAR501 (C) (3)11AOVHSfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg