2013-02-13T14:22:17-06:00 2012-03-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2011-04-01 710787860 NORTH ARKANSAS REGIONAL MEDICAL CENTER % DEBRA HENRY NORT 8704145157 620 NORTH MAIN HARRISON AR 72601 DEBRA HENRY 2013-02-13 true AMBER SHERRILL 5013721040 2011 2016-02-25 16:41:14Z VINCE LEIST 620 NORTH MAIN HARRISON AR 72601 79528716 false X www.narmc.com X 1996 AR WE 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. 9 9 870 198 0 0 453850 424406 70450761 77669057 448562 1016816 372732 418437 71725905 79528716 0 0 0 0 30818875 33220131 0 0 0 38878544 43152905 69697419 76373036 2028486 3155680 86894537 92333758 38080455 40325037 48814082 52008721 WE 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. false false 59014182 77669057 NARMC 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. 70355 NARMC IS A CO-SPONSOR OF NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION, INC. (A NOT-FOR-PROFIT CORPORATION). 71285 THE LARGEST PROGRAM SERVICE FOR NARMC IS BEING A SUPPORTER OF THE MEDICAL MISSION CLINIC. NARMC PROVIDES FREE MEDICAL SERVICES THAT QUALIFY AS CHARITY CARE. 59155822 true true false true false false false false false false true true false false false false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false false true 46 0 true 870 true false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false AR X DEBRA HENRY 8704145157 620 NORTH MAIN HARRISON AR 72601 X WESLEY HUDSON 1.0 X 0 0 0 DAN BOWERS 1.0 X 0 0 0 MIKE MCNUTT 1.0 X 0 0 0 ANN MAIN 1.0 X 0 0 0 FREDERICK S STROOPE 1.0 X 0 0 0 DR CHARLES ADAIR 1.0 X 0 0 0 DR SHARRON LESLIE 1.0 X 0 0 0 DR ALI ABDELAAL 1.0 X 0 0 0 MIKE NORTON 1.0 X 0 0 0 VINCENT LEIST 40.0 X 168048 0 5288 RICHARD MCBRYDE 40.0 X 202997 0 7547 DEBBIE L HENRY 40.0 X 158729 0 10491 HELEN GENEVA MURPHY 40.0 X 152519 0 9414 DIANE ROBERTS 40.0 X 110608 0 8800 JAMES D WATERS 40.0 X 366793 0 12308 JAMES B JUSTICE 40.0 X 204626 0 11691 GARRY M MELTON 40.0 X 183216 0 5442 LUANA MATHIS 40.0 X 178678 0 8479 ERIC WOODS 40.0 X 177172 0 10119 1903386 0 89579 16 false true false NCO FINANCIAL SYSTEMS COLLECTIONS 372568 LOCKARD WILLIAMS INS INSURANCE ADMIN 283434 MEDITECH SOFTWARE 249756 BKD LLP ACCOUNTING SERVICES 199794 WHITE RIVER LITHOTRIPSY LLC LITHOTRIPSY SERVICES 262000 17 343961 80445 424406 PATIENT SERVICES 621110 77669057 77669057 77669057 817657 817657 0 0 25465 25465 25465 25465 201973 -2814 201973 -2814 199159 199159 0 0 0 LOSS ON EXTINGUISHMENT OF DEBT 900099 -93074 -93074 CAFETERIA SALES 722210 368428 368428 EDUCATION REVENUE 900099 14276 14276 103342 103342 392972 79528716 77669057 1435253 0 0 0 0 912364 0 912364 0 0 26593588 17934716 8658872 0 646421 435946 210475 0 3137159 2115700 1021459 0 1930599 1301996 628603 0 0 107309 72369 34940 0 270529 182445 88084 0 0 0 0 7069046 5659479 1409567 0 192787 130016 62771 0 1260023 849760 410263 0 0 0 1097123 739900 357223 0 175217 118166 57051 0 0 51280 34583 16697 0 741339 499959 241380 0 0 5162268 3481434 1680834 0 590740 398395 192345 0 PATIENT CHARGEABLES 2285307 2230242 55065 0 BAD DEBTS 12545258 12545258 0 0 DRUGS 2662949 2662949 0 0 MEDICAL SUPPLIES 4905764 4905764 0 0 4035966 2856745 1179221 76373036 59155822 17217214 0 1371355 657316 0 0 0 0 12238610 12956975 0 0 0 0 1199556 1411608 1273854 1443216 674045 533341 98871873 52958196 48472463 45913677 0 0 21287290 28991245 0 0 0 0 377364 426380 86894537 92333758 5997732 6946052 0 0 0 0 29465000 29530000 0 0 0 0 2617723 3848985 0 0 0 0 38080455 40325037 X 48814082 52008721 0 0 0 0 48814082 52008721 86894537 92333758 X 3155680 38959 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 11128 11128 false false OTHER LOBBYING ACTIVITIES FORM 990, SCHEDULE C, PART II-B, LINE 1i 26.13% OF AHA MEMBERSHIP DUES ALLOCABLE TO LOBBYING: $11,128. 0 793814 793814 0 50564467 17811946 32752521 0 46476925 34501066 11975859 0 1036667 645184 391483 45913677 0 79528716 76373036 3155680 38959 38959 3194639 67025231 38959 2814 41773 66983458 12545258 12545258 79528716 63830592 2814 2814 63827778 12545258 12545258 76373036 OTHER REVENUE INCLUDED ON BOOKS BUT NOT ON RETURN FORM 990, SCHEDULE D, PART VII, LINE 4B BAD DEBTS $12,545,258 OTHER EXPENSES INCLUDED ON RETURN BUT NOT ON BOOKS FORM 990, SCHEDULE D, PART VIII, LINE 4B BAD DEBTS $12,545,258 OTHER EXPENSES INCLUDED ON BOOKS BUT NOT ON RETURN FORM 990, SCHEDULE D, PART VIII, LINE 2D LOSS ON SALE OF ASSETS $2,814 OTHER REVENUE INCLUDED ON RETURN BUT NOT ON BOOKS FORM 990, SCHEDULE D, PART VII, LINE 2D LOSS ON SALE OF ASSETS $2,814 FIN 48 FOOTNOTE FORM 990, SCHEDULE D, PART X, LINE 2 MANAGEMENT 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. true true X true X true X true true false false 1870185 1870185 0.02930 8853667 5266377 3587290 0.05620 10723852 5266377 5457475 0.08550 164531 164531 0.00260 22061 22061 0.00030 10567990 8072879 2495111 0.00650 5202 5202 0.00010 10759784 8072879 2686905 0.00950 21483636 13339256 8144380 0.09500 262936 262936 0.00410 262936 262936 0.00410 true 12545258 4516293 21217549 19965472 1252077 X true false NORTH AR REG PHO MANAGEMENT 0.50000 0.50000 NORTH AR PRT HLTH ED HEALTH CARE TRAINING 0.50000 1 1 NORTH ARKANSAS MEDICAL SYSTEM

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SINGLE PHYSICIAN FAMILY PRACTI BAD DEBT EXPENSE FORM 990, SCHEDULE H, PART III, SECTION A, LINE 4A THE 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 PRACTICES FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B ONCE A PATIENT IS KNOWN TO QUALIFY FOR CHARITY CARE, ALL COLLECTION EFFORTS CEASE. BILLING AND COLLECTIONS FORM 990, SCH H, PART V, SECTION B, LINE 17 SCH 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 CARE FORM 990, SCH H, PART V, SECTION B, LINE 19 NORTH 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 ASSESSMENT FORM 990, SCH H, PART VI NARMC 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 ASSISTANCE FORM 990, SCH H, PART VI WE BELIEVE THAT CHARITY CARE BEGINS WHEN A PERSON WALKS IN THE DOOR OF ANY NARMC FACILITY AND IS IDENTIFIED AS POSSIBLY BEING UNABLE TO PAY FOR MEDICALLY NECESSARY HOSPITAL SERVICES. OUR COMMITMENT IS TO IDENTIFY WAYS OF HELPING PATIENTS BEYOND THE PROVISION OF NEEDED MEDICAL CARE. NARMC'S PATIENT RESOURCES DEPARTMENT IS RESPONSIBLE FOR THE HANDLING OF THE NARMC CHARITY CARE PROGRAM IN CONJUNCTION WITH THE NARMC BUSINESS OFFICE. APPLICATIONS ARE TAKEN BY MAIL, PHONE, OR BY APPOINTMENT THROUGH THE PATIENT RESOURCES DEPARTMENT. ALL APPLICATIONS ARE REVIEWED BY THE PATIENT RESOURCES DEPARTMENT, THEN REFERRED TO A PATIENT ACCOUNTS REPRESENTATIVE FOR FINAL ACCOUNTING. ONCE ELIGIBILITY IS DETERMINED AND PAPERWORK/ACCOUNTING COMPLETED, ALL PAPERWORK IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW. ONCE A PATIENT'S ACCOUNTS HAVE REACHED LEGAL INTERVENTION, THEY ARE NOT ELIGIBLE FOR THE CHARITY CARE PROGRAM. A PATIENT IS IDENTIFIED AS POSSIBLY NEEDING CHARITY CARE WHEN: 1. PATIENT IS RECEIVING CARE THROUGH THE MEDICAL MISSION CLINIC. 2. PATIENT INDICATES AT THE TIME OF ADMISSION ASSESSMENT THAT HE/SHE IS CONCERNED ABOUT WHETHER OR NOT HE/SHE CAN PAY THE NARMC BILL. 3. PATIENT HAS NO INSURANCE OR PAYMENT SOURCE (INCLUDING MEDICARE AND MEDICAID). 4. PATIENT EXPRESSES AN INABILITY TO PAY FOR NEEDED PRESCRIPTIONS AT THE TIME OF DISCHARGE. 5. PATIENT EXPRESSES AN INABILITY TO PAY THE CO-PAY REQUIRED BY HIS/HER INSURANCE. ONCE A PATIENT IS IDENTIFIED AS POSSIBLY NEEDING CHARITY CARE, ONE OR MORE OF THE FOLLOWING IS IMPLEMENTED: 1. PATIENT IS SEEN IN THE MEDICAL MISSION CLINIC. 2. PATIENT IS SEEN OR CONTACTED BY NARMC'S 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 INFORMATION FORM 990, SCH H, PART VI THE 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 HEALTH FORM 990, SCH H, PART VI NARMC'S BOARD OF DIRECTORS CONSISTS OF COMMUNITY LEADERS WITH GOALS OF PROMOTING COMMUNITY HEALTH. THE HOSPITAL PROVIDES FOUR FREE HEALTH SCREENINGS PER YEAR AND PROVIDES HEALTH CHECKS AT SEVERAL COMMUNITY EVENTS, SUCH AS COMMUNITY HEALTH FAIRS, COUNTY FAIRS, RODEOS, LOCAL BUSINESSES, ETC. NARMC PARTNERS WITH AND FINANCIALLY SUPPORTS NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION, WHICH PROVIDES HEALTH EDUCATION TO THE GENERAL POPULATION OF THE COMMUNITY. EMERGENCY SERVICES ARE PROVIDED AT NUMEROUS COMMUNITY EVENTS WITH EITHER PHYSICIANS, PARAMEDICS, EMTS, NURSES, ETC. ADDITIONALLY NARMC IS VERY INVOLVED IN THE COMMUNITIES IT SERVES BY PROVIDING COMMUNITY HEALTH SUPPORT AND EDUCATION. THE HOSPITAL'S STAFF PARTICIPATES IN A VARIETY OF COMMUNITY SUPPORT ACTIVITIES INCLUDING, BUT NOT LIMITED TO, BUSINESS AFTER HOURS, WORLD'S LARGEST BABY FAIR, THE BUSINESS EXPO AND OZARK EXPO, KHOZ/NARMC HEALTH FAIR, THE KHOZ RADIO STATION MCDONALD'S BREAKFAST CLUB, TKO TELEVISION PROGRAM COMMUNITY CONNECTIONS, KHOZ RADIO STATION COMMUNITY CONTACT AND K26 TV'S 726 COMMUNITY INFORMATION PROGRAMS. THE RURAL HEALTH CLINICS AND RURAL AMBULANCE STATIONS HAVE REPRESENTATIVES ON THE LOCAL CHAMBER OF COMMERCE BOARD OF DIRECTORS, MEMBERS OF KIWANIS, ROTARY, LIONS, EVENING LIONS, FIRST RESPONDERS, VOLUNTEER FIRE DEPARTMENT, ETC. AFFILIATED HEALTH CARE SYSTEM FORM 990, SCH H, PART VI NORTH ARKANSAS MEDICAL SYSTEM IS A PUBLIC BENEFIT CORPORATION TO NORTH ARKANSAS REGIONAL MEDICAL CENTER. IT IS ORGANIZED TO OPERATE FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND/OR TO CARRY OUT THE PURPOSES OF THE HOSPITAL. NORTH ARKANSAS MEDICAL SERVICES IS A PUBLIC BENEFIT CORPORATION TO NORTH ARKANSAS REGIONAL MEDICAL CENTER. IT IS ORGANIZED TO OPERATE FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND/OR TO CARRY OUT THE PURPOSES OF THE HOSPITAL. NORTH ARKANSAS MEDICAL FOUNDATION'S MISSION IS TO ENCOURAGE PUBLIC SUPPORT FOR THE ACTIVITIES AND PURPOSE OF NORTH ARKANSAS REGIONAL MEDICAL CENTER. STATE FILING OF COMMUNITY BENEFIT REPORT FORM 990, SCH H, PART VI NORTH 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 FACILITIES FORM 990, SCH H, SECTION C NARMC OWNS THREE RURAL HEALTH CLINICS. 1. NEWTON COUNTY FAMILY PRACTICE IN JASPER, AR, 2. CLAUDE PARRISH COMMUNITY HEALTH CLINIC IN LEAD HILL, AR, 3. MARSHALL FAMILY PRACTICE IN MARSHALL, AR. NARMC ALSO HAS THREE MANNED AMBULANCE SUBSTATIONS. THEY ARE LOCATED IN JASPER, DIAMOND CITY AND MARSHALL. THROUGH THESE RURAL HEALTH CLINICS AND AMBULANCE SUBSTATIONS WE CONTINUALLY MEET THE NEEDS OF THE COMMUNITIES WE SERVE IN THE RURAL AREAS. NARMC SUPPORTS AND STAFFS THE LOCAL HOSPICE HOUSE WHICH PROVIDES TERMINALLY ILL PATIENTS AND THEIR FAMILIES WITH AN ALTERNATIVE TO HOSPICE SERVICES IN THEIR HOMES. NARMC SUPPORTS THE MEDICAL CLINIC MISSION BY PROVIDING FREE HEALTH CARE SERVICES TO THE INDIGNET PATIENTS OF THE CLINIC. COST OF SERVICES IS INCLUDED IN THE CHARITY SUBSIDY INFORMATION. NARMC PARTNERS WITH NORTH ARKANSAS PARTNERSHIP FOR HEALTH EDUCATION WHICH PROVIDES QUALITY CERTIFIED HEALTH CARE TRAINING FOR COMMUNITY NEEDS. TRAINING AND EDUCATION INCLUDES CLASSES FOR NURSE ASSISTANTS, HOME HEALTH AIDES, FIRST AIDE, CPR TRAINING AND CONTINUING HEALTH EDUCATION FOR HEALTHCARE PROFESSIONALS, AS WELL AS, COMMUNITY EDUCATION FOR HEALTHY LIVES, WEIGHT LOSS AND SMOKING CESSATION. COST TO CHARGE WORKSHEET FORM 990, SCH H, PART I, LN 7 THE COST TO CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED IN COMPLETING LINE 7A AND 7B. LINE 7E, 7F, 7G, AND 7I WERE CALCULATED USING ACTUAL COSTS SUBSIDIZED HEALTH SERVICES FORM 990, SCH H, PART I, LINE 7G THREE 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. MEDICARE FORM 990, SCH H, PART III, LINE 8 THE 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 ACTIONS FORM 990, SCH H, PART V, SECTION B, LINE 17 LINE 17 WAS ANSWERED BY CHECKING ALL ACTIONS THE HOSPITAL FACILITY TOOK BEFORE INITIATING ANY OF THE COLLECTION ACTIONS LISTED IN LINE 16. BAD DEBT EXPENSE FORM 990, SCH H, PART I, LINE 7, COLUMN F BAD 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. X true true X X X X true false false false false false false false false VINCENT LEIST 167048 0 1000 0 0 0 2688 0 2600 0 173336 0 0 0 RICHARD MCBRYDE 194878 0 8119 0 0 0 2347 0 5200 0 210544 0 0 0 DEBBIE L HENRY 151610 0 7119 0 0 0 5291 0 5200 0 169220 0 0 0 JAMES D WATERS 366613 0 180 0 0 0 7108 0 5200 0 379101 0 0 0 JAMES B JUSTICE 204146 0 480 0 0 0 6491 0 5200 0 216317 0 0 0 GARRY M MELTON 183036 0 180 0 0 0 242 0 5200 0 188658 0 0 0 HELEN GENEVA MURPHY 145520 0 6999 0 0 0 4214 0 5200 0 161933 0 0 0 LUANA MATHIS 173678 0 5000 0 0 0 3279 0 5200 0 187157 0 0 0 ERIC WOODS 176992 0 180 0 0 0 4919 0 5200 0 187291 0 0 0 HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES FORM 990, SCH J, PART I, LINE 1A VINCENT 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 PAYMENT FORM 990, SCH J, PART I, LINE 4A HELEN GENEVA MURPHY $149,522.44 BOONE COUNTY AR 710386082 098646AS1 2006-03-16 25000000 HOSPITAL REVENUE CONSTRUCITON false false false BOONE COUNTY AR 710386082 098646AT9 2010-11-16 5314921 HOSPITAL REVENUE REFUNDING BONDS false false false BOONE COUNTY AR 710386082 098646BR2 2011-12-20 9959500 HOSPITAL REVENUE REFUNDING BONDS false false false 10510000 0 26420340 0 0 0 272406 377517 0 24360795 0 0 2008 false false true true 260000 0 5335000 533500 0 5736028 46482 0 0 0 0 0 2010 false true true true 0 0 9965000 934391 0 8851667 49350 0 0 0 0 0 2011 false true true true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true false true false 0 false 0 false false false false false 0 false 0 false false false false false 0 false 0 false false BOND YEAR FORM 990, SCHEDULE K, PART I, A - C A - COMPLETED ON BOND YEAR OF 5/1/2011 B - COMPLETED ON BOND YEAR OF 5/1/2011 C - COMPLETED ON BOND YEAR OF 5/1/2012 REVIEW OF FORM 990 FORM 990, PART VI, QUESTION 11B FORM 990 IS PROVIDED TO EACH BOARD DIRECTOR DURING THE BOARD COMMITTEE MEETINGS. MANAGEMENT REVIEWED EACH SECTION AND ALL SIGNIFICANT DISCLOSURES WITH THE BOARD OF DIRECTORS. CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C BOARD OF DIRECTORS COMPLETE A QUESTIONNAIRE EACH YEAR AND DISCLOSURES (IF ANY) ARE REVIEWED BY THE BOARD AND OFFICERS. KEY EMPLOYEES ARE REQUIRED TO REPORT ANY POTENTIAL CONFLICTS OF INTEREST TO THEIR SUPERVISOR AND TO HUMAN RESOURCES. COMPENSATION OF OFFICERS FORM 990, PART VI, LINE 15A & 15B HUMAN RESOURCES AND THE BOARD COMPARE THE CEO'S SALARY TO THE AHA SALARY DATABASE AND THEN SET THE SALARY BASED ON THEIR FINDINGS. SALARIES OF OTHER OFFICERS OR KEY EMPLOYEES ARE COMPARED TO AHA SALARY DATABASE BY HUMAN RESOURCES AND ARE REVIEWED AND APPROVED BY THE CEO. SALARIES OF OFFICERS AND KEY EMPLOYEES ARE ALSO REVIEWED BY THE BOARD. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, QUESTION 19 THE ORGANIZATION'S FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE PROVIDED TO THE COUNTY ON A MONTHLY BASIS. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED GAIN $38,959 NORTH ARKANSAS MEDICAL FOUNDATION 620 NORTH MAIN HARRISON AR 72601 710787861 SUPPORT AR 501(c)(3) 11a NARMEDSYS false NORTH ARKANSAS MEDICAL SYSTEM 620 NORTH MAIN HARRISON AR 72601 710787859 SUPPORT AR 501(C)(3) 11a NA false NORTH ARKANSAS MEDICAL SERVICES 620 NORTH MAIN HARRISON AR 72601 710787858 SUPPORT AR 501(C)(3) 11a NARMEDSYS false NORTH ARKANSAS REGIONAL PHO 620 NORTH MAIN HARRISON AR 72601 710815322 MANAGEMENT AR NA C CORP 1179 1255 0.50000 false false true false false false false false false false false false false false false false false false