FURP.ORG / PUBLIC DATA EXPLORER

NORTH ARKANSAS REGIONAL MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTH ARKANSAS REGIONAL MEDICAL CENTER (EIN 71-0787860)
Tax period
2011-04-01 to 2012-03-31
Filed
2013-02-13
IRS object ID
201310449349300216
Schema version
2011v1.5
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)
Timestamp2013-02-13T14:22:17-06:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

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 Date2011-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710787860EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTH ARKANSAS REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DEBRA HENRYInCareOfName
Name ControlNORTNameControl
Phone8704145157Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1620 NORTH MAINAddressLine1
CityHARRISONCity
StateARState
ZIP Code72601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBRA HENRYName
TitleCFOTitle
Date Signed2013-02-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMBER SHERRILLName
Phone5013721040Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonVINCE LEISTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1620 NORTH MAINAddressLine1
CityHARRISONCity
StateARState
ZIP Code72601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts79528716GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.narmc.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionWE STRIVE TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. WE ARE DEDICATED TO PROVIDING QUALITY SERVICES THAT ARE COMPREHENSIVE AND AFFORDABLE.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees870TotalNbrEmployees
Total Nbr Volunteers198TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year453850ContributionsGrantsPriorYear
Contributions Grants Current Year424406ContributionsGrantsCurrentYear
Program Service Revenue Prior Year70450761ProgramServiceRevenuePriorYear
Program Service Revenue CY77669057ProgramServiceRevenueCY
Investment Income Prior Year448562InvestmentIncomePriorYear
Investment Income Current Year1016816InvestmentIncomeCurrentYear
Other Revenue Prior Year372732OtherRevenuePriorYear
Other Revenue Current Year418437OtherRevenueCurrentYear
Total Revenue Prior Year71725905TotalRevenuePriorYear
Total Revenue Current Year79528716TotalRevenueCurrentYear
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 Year30818875SalariesEtcPriorYear
Salaries Etc Current Year33220131SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year38878544OtherExpensePriorYear
Other Expenses Current Year43152905OtherExpensesCurrentYear
Total Expenses Prior Year69697419TotalExpensesPriorYear
Total Expenses Current Year76373036TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2028486RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3155680RevenuesLessExpensesCY
Total Assets BOY86894537TotalAssetsBOY
Total Assets EOY92333758TotalAssetsEOY
Total Liabilities BOY38080455TotalLiabilitiesBOY
Total Liabilities EOY40325037TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY48814082NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY52008721NetAssetsOrFundBalancesEOY
Mission DescriptionWE STRIVE TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. WE ARE DEDICATED TO PROVIDING QUALITY SERVICES THAT ARE COMPREHENSIVE AND AFFORDABLE. WE EXPECT SERVICES TO BE DELIVERED COMPASSIONATELY, APPROPRIATELY, RESPONSIBLY, SAFELY, AND EFFICIENTLY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense59014182Expense
Revenue77669057Revenue
DescriptionNARMC PROVIDED OVER 16,320 DAYS OF PATIENT CARE, WITH 54.92% BEING PROVIDED TO MEDICARE AND MEDICAID PATIENTS. IN CONNECTION WITH THE PROVIDING OF CARE, NARMC WROTE OFF $111,206,732 OF CHARGES IN THE FORM OF CONTRACTUALS AND CHARITY, EQUALING 58.88% OF TOTAL GROSS INCOME. OTHER PROGRAM SERVICES INCLUDE CERVICAL CANCER SCREENING,THE NORTHWEST ARKANSAS DISTRICT FAIR, COLON CANCER SCREENING, WORLD'S LARGEST BABY FAIR, PROSTATE CANCER SCREENINGS, THE BUSINESS EXPO, CRAWDAD DAYS AND HARVEST HOMECOMING, TOUR DE HILLS, AND SKIN CANCER SCREENINGS, SERVING 100; 1,500; 800; 1,100; 950; 2,500; 800; 500; 150; AND 250 PERSONS, RESPECTIVELY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense70355Expense
DescriptionNARMC IS A CO-SPONSOR OF NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION, INC. (A NOT-FOR-PROFIT CORPORATION).Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense71285Expense
DescriptionTHE LARGEST PROGRAM SERVICE FOR NARMC IS BEING A SUPPORTER OF THE MEDICAL MISSION CLINIC. NARMC PROVIDES FREE MEDICAL SERVICES THAT QUALIFY AS CHARITY CARE.Description
FieldValueIRS element (for citing)
Total Program Service Expense59155822TotalProgramServiceExpense
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 SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees870NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 PersonDEBRA HENRYNamePerson
Telephone Number8704145157TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1620 NORTH MAINAddressLine1
CityHARRISONCity
StateARState
ZIP Code72601ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
WESLEY HUDSON
BOARD MEMBER1.0X000
DAN BOWERS
BOARD CHAIRMAN1.0X000
MIKE MCNUTT
BOARD VICE CHAIRMAN1.0X000
ANN MAIN
BOARD TREASURER1.0X000
FREDERICK S STROOPE
BOARD MEMBER1.0X000
DR CHARLES ADAIR
SECRETARY1.0X000
DR SHARRON LESLIE
BOARD MEMBER1.0X000
DR ALI ABDELAAL
BOARD MEMBER1.0X000
MIKE NORTON
BOARD MEMBER1.0X000
VINCENT LEIST
CEO40.016804805288X
RICHARD MCBRYDE
COO40.020299707547X
DEBBIE L HENRY
CFO40.0158729010491X
HELEN GENEVA MURPHY
CNO40.015251909414X
DIANE ROBERTS
CNO40.011060808800X
JAMES D WATERS
ANESTHESIOLOGIST40.0366793012308X
JAMES B JUSTICE
PHYSICIAN40.0204626011691X
GARRY M MELTON
CRNA40.018321605442X
LUANA MATHIS
CRNA40.017867808479X
ERIC WOODS
CRNA40.0177172010119X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1903386TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation89579TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
NCO FINANCIAL SYSTEMS
COLLECTIONS372568
LOCKARD WILLIAMS INS
INSURANCE ADMIN283434
MEDITECH
SOFTWARE249756
BKD LLP
ACCOUNTING SERVICES199794
WHITE RIVER LITHOTRIPSY LLC
LITHOTRIPSY SERVICES262000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
Related Organizations343961RelatedOrganizations
All Other Contributions80445AllOtherContributions
Total Contributions424406TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Business Code621110BusinessCode
Total Revenue Column77669057TotalRevenueColumn
Related Or Exempt Function Income77669057RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue77669057TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column817657TotalRevenueColumn
Exclusion$817,657ExclusionAmount

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)
Real25465Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real25465Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column25465TotalRevenueColumn
Exclusion$25,465ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities201973Securities
Other-2814Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities201973Securities
Other-2814Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column199159TotalRevenueColumn
Exclusion$199,159ExclusionAmount

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
LOSS ON EXTINGUISHMENT OF DEBT900099-93074-$93,074
CAFETERIA SALES722210368428$368,428
EDUCATION REVENUE90009914276$14,276

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column103342TotalRevenueColumn
Exclusion$103,342ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue392972TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column79528716TotalRevenueColumn
Related Or Exempt Function Income77669057RelatedOrExemptFunctionIncome
Exclusion$1,435,253ExclusionAmount

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)
Total912364Total
Program Services0ProgramServices
Management And General912364ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total26593588Total
Program Services17934716ProgramServices
Management And General8658872ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total646421Total
Program Services435946ProgramServices
Management And General210475ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3137159Total
Program Services2115700ProgramServices
Management And General1021459ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1930599Total
Program Services1301996ProgramServices
Management And General628603ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total107309Total
Program Services72369ProgramServices
Management And General34940ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total270529Total
Program Services182445ProgramServices
Management And General88084ManagementAndGeneral
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)
Total7069046Total
Program Services5659479ProgramServices
Management And General1409567ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total192787Total
Program Services130016ProgramServices
Management And General62771ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1260023Total
Program Services849760ProgramServices
Management And General410263ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1097123Total
Program Services739900ProgramServices
Management And General357223ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total175217Total
Program Services118166ProgramServices
Management And General57051ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total51280Total
Program Services34583ProgramServices
Management And General16697ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total741339Total
Program Services499959ProgramServices
Management And General241380ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5162268Total
Program Services3481434ProgramServices
Management And General1680834ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total590740Total
Program Services398395ProgramServices
Management And General192345ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PATIENT CHARGEABLES22853072230242550650
BAD DEBTS125452581254525800
DRUGS2662949266294900
MEDICAL SUPPLIES4905764490576400

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4035966Total
Program Services2856745ProgramServices
Management And General1179221ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total76373036Total
Program Services59155822ProgramServices
Management And General17217214ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1371355BOY
EOY657316EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12238610BOY
EOY12956975EOY

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)
BOY1199556BOY
EOY1411608EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1273854BOY
EOY1443216EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY674045BOY
EOY533341EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis98871873LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec52958196LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY48472463BOY
EOY45913677EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY21287290BOY
EOY28991245EOY

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)
BOY377364BOY
EOY426380EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY86894537BOY
EOY92333758EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5997732BOY
EOY6946052EOY

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)
BOY29465000BOY
EOY29530000EOY

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)
BOY2617723BOY
EOY3848985EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY38080455BOY
EOY40325037EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY48814082BOY
EOY52008721EOY

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)
BOY48814082BOY
EOY52008721EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY86894537BOY
EOY92333758EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3155680ReconcilationRevenueExpenses
Reconcilation Other Changes38959ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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$11,128OtherActivitiesAmount
Total Lobbying Expenditures IIB11128TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceFORM 990, SCHEDULE C, PART II-B, LINE 1iReturnReference
Explanation26.13% OF AHA MEMBERSHIP DUES ALLOCABLE TO LOBBYING: $11,128.Explanation

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis793814OtherCostOrOtherBasis
Book Value793814BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis50564467OtherCostOrOtherBasis
Depreciation17811946Depreciation
Book Value32752521BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis46476925OtherCostOrOtherBasis
Depreciation34501066Depreciation
Book Value11975859BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1036667OtherCostOrOtherBasis
Depreciation645184Depreciation
Book Value391483BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings45913677TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests
Total Of Book Value Securities0TotalOfBookValueSecurities
Total Revenue79528716TotalRevenue
Total Expenses76373036TotalExpenses
Excess Or Deficit For Year3155680ExcessOrDeficitForYear
Net Unrealized GL On Investments38959NetUnrealizedGLOnInvestments
Total Adjustments38959TotalAdjustments
Excess Or Deficit Per FS3194639ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt67025231TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments38959NetUnrealizedGainsInvestments
Other Revenues2814OtherRevenues
Revenue Not Rptd F99041773RevenueNotRptdF990
Revenue Subtotal66983458RevenueSubtotal
Other Revenues Not Included12545258OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt12545258RevenueNotRptdOnFinStmt
Total Revenue Per Form99079528716TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt63830592TotExpensesEtcAuditedFinclStmt
Other Expenses Included2814OtherExpensesIncluded
Expenses Not Rptd F9902814ExpensesNotRptdF990
Expenses Subtotal63827778ExpensesSubtotal
Other Expenses Not Included12545258OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt12545258ExpensesNotRptdOnFinStmt
Total Expenses Per Form99076373036TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER REVENUE INCLUDED ON BOOKS BUT NOT ON RETURNFORM 990, SCHEDULE D, PART VII, LINE 4BBAD DEBTS $12,545,258
OTHER EXPENSES INCLUDED ON RETURN BUT NOT ON BOOKSFORM 990, SCHEDULE D, PART VIII, LINE 4BBAD DEBTS $12,545,258
OTHER EXPENSES INCLUDED ON BOOKS BUT NOT ON RETURNFORM 990, SCHEDULE D, PART VIII, LINE 2DLOSS ON SALE OF ASSETS $2,814
OTHER REVENUE INCLUDED ON RETURN BUT NOT ON BOOKSFORM 990, SCHEDULE D, PART VII, LINE 2DLOSS ON SALE OF ASSETS $2,814
FIN 48 FOOTNOTEFORM 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
Policy Tailored To Ind HospitalsXPolicyTailoredToIndHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1870185TotalCommunityBenefitExpense
Net Community Benefit Expense1870185NetCommunityBenefitExpense
Percent Of Total Expense0.02930PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense8853667TotalCommunityBenefitExpense
Direct Offsetting Revenue5266377DirectOffsettingRevenue
Net Community Benefit Expense3587290NetCommunityBenefitExpense
Percent Of Total Expense0.05620PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense10723852TotalCommunityBenefitExpense
Direct Offsetting Revenue5266377DirectOffsettingRevenue
Net Community Benefit Expense5457475NetCommunityBenefitExpense
Percent Of Total Expense0.08550PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense164531TotalCommunityBenefitExpense
Net Community Benefit Expense164531NetCommunityBenefitExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense22061TotalCommunityBenefitExpense
Net Community Benefit Expense22061NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense10567990TotalCommunityBenefitExpense
Direct Offsetting Revenue8072879DirectOffsettingRevenue
Net Community Benefit Expense2495111NetCommunityBenefitExpense
Percent Of Total Expense0.00650PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense5202TotalCommunityBenefitExpense
Net Community Benefit Expense5202NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10759784TotalCommunityBenefitExpense
Direct Offsetting Revenue8072879DirectOffsettingRevenue
Net Community Benefit Expense2686905NetCommunityBenefitExpense
Percent Of Total Expense0.00950PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense21483636TotalCommunityBenefitExpense
Direct Offsetting Revenue13339256DirectOffsettingRevenue
Net Community Benefit Expense8144380NetCommunityBenefitExpense
Percent Of Total Expense0.09500PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense262936TotalCommunityBuildingExpense
Net Community Building Expense262936NetCommunityBuildingExpense
Percent Of Total Expense0.00410PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense262936TotalCommunityBuildingExpense
Net Community Building Expense262936NetCommunityBuildingExpense
Percent Of Total Expense0.00410PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$12,545,258BadDebtExpenseAmount
Amount Attributable To4516293AmountAttributableTo
Amount Reimbursed By Medicare21217549AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare19965472CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1252077MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
NORTH AR REG PHO
MANAGEMENT0.500000.50000
NORTH AR PRT HLTH ED
HEALTH CARE TRAINING0.50000
FieldValueIRS element (for citing)
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 Line1NORTH ARKANSAS MEDICAL SYSTEMBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1620 NORTH MAINAddressLine1
CityHARRISONCity
StateARState
ZIP Code72601ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
Other3 RURAL HEALTH CLINICS, 3 EMS SUB- STATIONS, 1 CLINICOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTH ARKANSAS MEDICAL SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
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 V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities7NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
NEWTON COUNTY FAMILY PRACTICE CLINIC
502 WEST COURT PO BOX 445JASPERAR72641RURAL HEALTH CLINIC
CLAUDE PARRISH COMMUNITY HEALTH CLINIC
131 EAST HIGHWAY 14 PO BOX 366LEAD HILLAR72644RURAL HEALTH CLINIC
MARSHALL FAMILY PRACTICE CLINIC
211 AIRPORT ROAD PO BOX 1266MARSHALLAR72650RURAL HEALTH CLINIC
NEWTON COUNTY SUBSTATION
HWY 7 SOUTHJASPERAAR72641EMS RURAL SUB-STATION
SEARCY COUNTY SUBSTATION
302 HWY 65 NMARSHALLAR72650EMS RURAL SUB-STATION
DIAMOND CITY SUBSTATION
311 GREENWOOD STDIAMOND CITYAR72630EMS RURAL SUB-STATION
DR REESE PRACTICE
114 E CRANDELL AVENUEHARRISONAR72601SINGLE PHYSICIAN FAMILY PRACTI

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BAD DEBT EXPENSEFORM 990, SCHEDULE H, PART III, SECTION A, LINE 4ATHE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERES, PATIENTS AND OTHERS. 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.
COLLECTION PRACTICESFORM 990, SCHEDULE H, PART III, SECTION C, LINE 9BONCE A PATIENT IS KNOWN TO QUALIFY FOR CHARITY CARE, ALL COLLECTION EFFORTS CEASE.
BILLING AND COLLECTIONSFORM 990, SCH H, PART V, SECTION B, LINE 17SCH H, PART V, SECTION B, LINE 17 WAS ANSWERED TO INDICATE THE EFFORTS THE HOSPITAL FACILITY MADE BEFORE INITIATING ANY OF THE ACTIONS LISTED IN LINE 16
CHARGES FOR MEDICAL CAREFORM 990, SCH H, PART V, SECTION B, LINE 19NORTH ARKANSAS REGIONAL MEDICAL CENTER USED AN AVERAGE OF MAJOR COMMERCIAL INSURANCE DISCOUNTS TO DETERMINE THE AMOUNT OF DISCOUNTS PROVIDED TO INDIVIDUALS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
NEEDS ASSESSMENTFORM 990, SCH H, PART VINARMC ASSESSES THE HEALTH CARE NEED OF THE COMMUNITIES IT SERVES BY WORKING VERY CLOSELY WITH OTHER HEALTHCARE PROVIDERS AND EDUCATORS IN THE AREA AND PARTICIPATING IN THE SURVEY COMPLETED BY THE HOMETOWN HEALTH COALITION THROUGH THE BOONE COUNTY HEALTH UNIT. THIS DOCUMENT COMPILES DATA FROM SCHOOLS, PHYSICIANS, GOVERNMENT AGENCIES AND THE HOSPITAL TO DETERMINE WHERE OUR COMMUNITY CAN HELP FILL THE VOID IN MEDICAL CARE NEEDS FOR OUR CITIZENS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFORM 990, SCH H, PART VIWE 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 MEDICAID WORKER, OR REFERRED TO THE APPROPRIATE GOVERNMENTAL AGENCY FOR ASSISTANCE. THE MEDICAID WORKER 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 870-414-5498 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, MEDICAID OFFICE, 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; THE PHONE NUMBER IS 870-414-5498. 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.
COMMUNITY INFORMATIONFORM 990, SCH H, PART VITHE COMMUNITY NARMC SERVES CONSISTS OF, BUT IS NOT LIMITED TO, A FIVE COUNTY AREA. BOONE, NEWTON, MARION, SEARCY, AND CARROLL COUNTIES. THE TOTAL POPULATION OF THESE 5 COUNTIES IN 2010, PER THE U.S. CENSUS BUREAU, WAS 97,527. THE AVERAGE EARNINGS PER MEDIAN HOUSEHOLD FOR THESE 5 COUNTIES WAS $34,215 IN 2010 COMPARED TO A STATE AVERAGE OF $39,267 AND A NATIONAL AVERAGE OF $51,914. MANY OF THE CITIZENS IN THESE COUNTIES TRAVEL LONG DISTANCES TO WORK DAILY. THEIR HEALTHCARE NEEDS ARE TYPICALLY UNDERSERVED THROUGH LITTLE OR NO MEDICAL INSURANCE COVERAGE.
PROMOTION OF COMMUNITY HEALTHFORM 990, SCH H, PART VINARMC'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.
AFFILIATED HEALTH CARE SYSTEMFORM 990, SCH H, PART VINORTH 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.
STATE FILING OF COMMUNITY BENEFIT REPORTFORM 990, SCH H, PART VINORTH ARKANSAS REGIONAL MEDICAL CENTER DID NOT FILE A COMMUNITY BENEFIT REPORT WITH ANY STATES. A COMMUNITY BENEFIT REPORT IS CURRENTLY BEING CONDUCTED AND WILL BE FILED FOR THE FACILITY'S 2013 FISCAL YEAR.
OTHER HOSPITAL FACILITIESFORM 990, SCH H, SECTION CNARMC 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.
COST TO CHARGE WORKSHEETFORM 990, SCH H, PART I, LN 7THE 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
SUBSIDIZED HEALTH SERVICESFORM 990, SCH H, PART I, LINE 7GTHREE PHYSICIAN CLINICS ARE INCLUDED IN SUBSIDIZED SERVICES. THEY REPRESENT A TOTAL NET COMMUNITY BENEFIT EXPENSE OF $242,011.64. ALSO INCLUDED IS THE HOSPICE HOUSE, $135,403.06 AND HOME HEALTH SERVICES, $37,234.45.
MEDICAREFORM 990, SCH H, PART III, LINE 8THE AMOUNT REPORTED ON LINE 6 WAS CALCULATED USING THE MEDICARE COST REPORT. FOR THE YEAR ENDED 9/30/12, THERE IS NO SHORTFALL ON LINE 7.
ACTIONS TAKEN BEFORE INITIATING COLLECTION ACTIONSFORM 990, SCH H, PART V, SECTION B, LINE 17LINE 17 WAS ANSWERED BY CHECKING ALL ACTIONS THE HOSPITAL FACILITY TOOK BEFORE INITIATING ANY OF THE COLLECTION ACTIONS LISTED IN LINE 16.
BAD DEBT EXPENSEFORM 990, SCH H, PART I, LINE 7, COLUMN FBAD DEBT EXPENSE IN THE AMOUNT OF $12,545,258 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
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 (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
VINCENT LEIST
167048010000002688026000173336000
RICHARD MCBRYDE
194878081190002347052000210544000
DEBBIE L HENRY
151610071190005291052000169220000
JAMES D WATERS
36661301800007108052000379101000
JAMES B JUSTICE
20414604800006491052000216317000
GARRY M MELTON
1830360180000242052000188658000
HELEN GENEVA MURPHY
145520069990004214052000161933000
LUANA MATHIS
173678050000003279052000187157000
ERIC WOODS
17699201800004919052000187291000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
HEALTH OR SOCIAL CLUB DUES OR INITIATION FEESFORM 990, SCH J, PART I, LINE 1AVINCENT LEIST (CEO) $2,002.31, RICHARD MCBRYDE (COO) $596.25, DEBRA HENRY (CFO) $852.75, DIANE ROBERTS (CNO) $125.55 AND GENEVA MURPHY (CNO) $284.20
SEVERANCE OR CHANGE OF CONTROL PAYMENTFORM 990, SCH J, PART I, LINE 4AHELEN GENEVA MURPHY $149,522.44

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
BOONE COUNTY AR
710386082098646AS12006-03-1625000000HOSPITAL REVENUE CONSTRUCITONfalsefalsefalse
BOONE COUNTY AR
710386082098646AT92010-11-165314921HOSPITAL REVENUE REFUNDING BONDSfalsefalsefalse
BOONE COUNTY AR
710386082098646BR22011-12-209959500HOSPITAL REVENUE REFUNDING BONDSfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
10510000026420340000272406377517024360795002008falsefalsetruetrue
260000053350005335000573602846482000002010falsetruetruetrue
0099650009343910885166749350000002011falsetruetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsetruefalsefalse0falsefalse
0
falsefalsefalsefalse0falsefalse
0
falsefalsefalsefalse0falsefalse

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierBOND YEARIdentifier
Return ReferenceFORM 990, SCHEDULE K, PART I, A - CReturnReference
ExplanationA - COMPLETED ON BOND YEAR OF 5/1/2011 B - COMPLETED ON BOND YEAR OF 5/1/2011 C - COMPLETED ON BOND YEAR OF 5/1/2012Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVIEW OF FORM 990FORM 990, PART VI, QUESTION 11BFORM 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.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, LINE 12CBOARD 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.
COMPENSATION OF OFFICERSFORM 990, PART VI, LINE 15A & 15BHUMAN 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.
AVAILABILITY OF DOCUMENTSFORM 990, PART VI, QUESTION 19THE ORGANIZATION'S FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE PROVIDED TO THE COUNTY ON A MONTHLY BASIS.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5UNREALIZED GAIN $38,959

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
NORTH ARKANSAS MEDICAL FOUNDATION
620 NORTH MAINHARRISONAR72601710787861SUPPORTAR501(c)(3)11aNARMEDSYSfalse
NORTH ARKANSAS MEDICAL SYSTEM
620 NORTH MAINHARRISONAR72601710787859SUPPORTAR501(C)(3)11aNAfalse
NORTH ARKANSAS MEDICAL SERVICES
620 NORTH MAINHARRISONAR72601710787858SUPPORTAR501(C)(3)11aNARMEDSYSfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1NORTH ARKANSAS REGIONAL PHOBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1620 NORTH MAINAddressLine1
CityHARRISONCity
StateARState
ZIP Code72601ZIPCode
FieldValueIRS element (for citing)
EIN710815322EIN
Primary ActivityMANAGEMENTPrimaryActivity
Legal Domicile StateARLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income1179ShareOfTotalIncome
Share Of EOY Assets1255ShareOfEOYAssets
Percentage Ownership0.50000PercentageOwnership
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 OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
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 OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg