WHITE COUNTY MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WHITE COUNTY MEDICAL CENTER (EIN 71-0772737)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-01
IRS object ID
201322139349300817
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)
Timestamp2013-08-01T15:00:42-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710772737EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WHITE COUNTY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% STUART HILLInCareOfName
Name ControlWHITNameControl
Phone5012686121Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13214 EAST RACE AVENUEAddressLine1
CitySEARCYCity
StateARState
ZIP Code72143ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTUART HILLName
TitleVICE PRESIDENT/ CEOTitle
Date Signed2013-07-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMBER SHERRILLName
Phone5013721040Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRAYMOND MONTGOMERY IINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13214 EAST RACE AVENUEAddressLine1
CitySEARCYCity
StateARState
ZIP Code72143ZIPCode
FieldValueIRS element (for citing)
Gross Receipts219711757GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WCMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION MAINTAINED A HOSPITAL IN SEARCY, AR TO BENEFIT THE SURROUNDING AREA. THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR FINANCIAL STATUS.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees1796TotalNbrEmployees
Total Nbr Volunteers170TotalNbrVolunteers
Total Gross UBI592TotalGrossUBI
Net Unrelated Business Txbl Income-10472NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year95189ContributionsGrantsPriorYear
Contributions Grants Current Year1040314ContributionsGrantsCurrentYear
Program Service Revenue Prior Year195097264ProgramServiceRevenuePriorYear
Program Service Revenue CY210284443ProgramServiceRevenueCY
Investment Income Prior Year522346InvestmentIncomePriorYear
Investment Income Current Year309608InvestmentIncomeCurrentYear
Other Revenue Prior Year4285022OtherRevenuePriorYear
Other Revenue Current Year8077392OtherRevenueCurrentYear
Total Revenue Prior Year199999821TotalRevenuePriorYear
Total Revenue Current Year219711757TotalRevenueCurrentYear
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 Year79958652SalariesEtcPriorYear
Salaries Etc Current Year86078139SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year108534715OtherExpensePriorYear
Other Expenses Current Year114178432OtherExpensesCurrentYear
Total Expenses Prior Year188493367TotalExpensesPriorYear
Total Expenses Current Year200256571TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11506454RevenuesLessExpensesPriorYear
Revenues Less Expenses CY19455186RevenuesLessExpensesCY
Total Assets BOY191189551TotalAssetsBOY
Total Assets EOY205606638TotalAssetsEOY
Total Liabilities BOY41532657TotalLiabilitiesBOY
Total Liabilities EOY34671710TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY149656894NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY170934928NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWHITE COUNTY MEDICAL CENTER ASSOCIATES AND PARTNERS, THROUGH A SPIRIT OF SERVANTHOOD, ARE COMMITTED TO THE CONTINUOUS IMPROVEMENT OF QUALITY PATIENT CARE, THE PROVISION OF HIGHLY SATISFIED PATIENT CARE AT REASONABLE PRICES, THE MAINTENANCE OF AN ADEQUATE MARGIN FOR REINVESTMENT IN NEW TECHNOLOGY, FACILITY IMPROVEMENTS, HUMAN RESOURCES, AND A LEADERSHIP ROLE FOR POSITIVE CHANGE IN THE HEALTHCARE ENVIRONMENT.MissionDescription
Significant New Program ServicestrueSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense138468572Expense
Revenue210284443Revenue
DescriptionTHE ORGANIZATION MAINTAINED A HOSPITAL IN SEARCY, ARKANSAS TO BENEFIT THE SURROUNDING AREA. THE HOSPITAL PROVIDES CARE TO PATIENTS MEETING CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHARGES EXCLUDED FROM REVENUE UNDER THE MEDICAL CENTER'S CHARITY CARE POLICY WERE $10,709,862 AND $13,136,050 FOR FISCAL YEAR END 2012 AND 2011, RESPECTIVELY.Description
Total Program Service Expense138468572TotalProgramServiceExpense
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 AccounttrueEscrowAccount
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109686NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1796NumberOfEmployees
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 Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSTUART HILLNamePerson
Telephone Number5013801001TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13214 EAST RACE AVENUEAddressLine1
CitySEARCYCity
StateARState
ZIP Code72143ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
KEITH FEATHER
VICE CHAIRMAN1.0XX000
CLEVE TREAT
DIRECTOR1.0X000
MARVIN DELK
DIRECTOR1.0X000
EUGENE MCKAY
DIRECTOR1.0X000
MITCHELL HAMILTON
CHAIRMAN1.0XX000
JIM WILSON
SECRETARY1.0XX000
JOHN PAUL CAPPS
DIRECTOR1.0X000
RAYMOND MONTGOMERY
PRESIDENT/CEO40.0X335847041337
STUART HILL
VICE PRESIDENT/TREASURER40.0X203576017154
LADONNA JOHNSTON
VICE PRESIDENT PATIENT SERVICE40.0X177808018239
SCOTTY PARKER
ASST VP ANCILLARY SERVICES40.0128353010965X
ARFAN FAHOUM
PHARMACIST40.012686909717X
EMMANUEL TANCINCO
HOSPITALIST40.022014804871X
DENNIS MILNER
PHARMACIST40.0128088011254X
BJ ROBERTS
ASST VP FISCAL SERVICES40.012034607380X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1441035TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation120917TotalOtherCompensation
Number Individuals GT100 K19NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WHITE COUNTY ER PHYSICIANS LLC
1446 MISSLE BASE RDJUDSONIAAR72081ER PHYSICIANS6741732
PRACTICE PLUS
11001 EXECUTIVE DR STE 300LITTLE ROCKAR72211MANAGEMENT SERVICES2143491
SIGNET HEALTH CORPORATION
504 SEVILLE RD STE 201DENTONTX76205MANAGMENT SVCS716687
DELK CONSTRUCTION INC
915 E BEEBE-CAPPS EXPYSEARCYAR72143CONSTRUCTION3836744
ANESTHESIA AND PAIN MGMT ASSOCIATIE
119 W MARKET AVESEARCYAR72143ANESTHESIOLOGY1352261
FieldValueIRS element (for citing)
Number Of Contractors GT100 K27NumberOfContractorsGT100K
Related Organizations1040314RelatedOrganizations
Total Contributions1040314TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SVC REVDescription
Business Code621110BusinessCode
Total Revenue Column210284443TotalRevenueColumn
Related Or Exempt Function Income210284443RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue210284443TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column223813TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$223,813ExclusionAmount

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)
Real2800006Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2800006Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2800006TotalRevenueColumn
Exclusion$2,800,006ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other85795Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other85795Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column85795TotalRevenueColumn
Exclusion$85,795ExclusionAmount

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
CAFETERIA REVENUE9000991213463$1,213,463
CHILD CARE REVENUE900099211078$211,078
VENDING REVENUE90009965185$65,185

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3787660TotalRevenueColumn
Unrelated Business Revenue592UnrelatedBusinessRevenue
Exclusion$3,787,068ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5277386TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column219711757TotalRevenueColumn
Related Or Exempt Function Income210284443RelatedOrExemptFunctionIncome
Unrelated Business Revenue592UnrelatedBusinessRevenue
Exclusion$8,386,408ExclusionAmount

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)
Total1031666Total
Management And General1031666ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total71869948Total
Program Services43712962ProgramServices
Management And General28156986ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1902605Total
Program Services1157208ProgramServices
Management And General745397ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6689673Total
Program Services4068814ProgramServices
Management And General2620859ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4584247Total
Program Services2788245ProgramServices
Management And General1796002ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3140237Total
Program Services1909965ProgramServices
Management And General1230272ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total319401Total
Program Services194267ProgramServices
Management And General125134ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total177621Total
Program Services108033ProgramServices
Management And General69588ManagementAndGeneral
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)
Total9504107Total
Program Services5780617ProgramServices
Management And General3723490ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total425757Total
Program Services258955ProgramServices
Management And General166802ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total24464489Total
Program Services14879867ProgramServices
Management And General9584622ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8381531Total
Program Services5097841ProgramServices
Management And General3283690ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total268543Total
Program Services163334ProgramServices
Management And General105209ManagementAndGeneral
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)
Total526325Total
Program Services320123ProgramServices
Management And General206202ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9320788Total
Program Services5669118ProgramServices
Management And General3651670ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1116695Total
Program Services679200ProgramServices
Management And General437495ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROVISION FOR BAD DEBT441460054414600500
PHARMACY5184638315341720312210
REPAIRS AND MAINTENANCE3073598186943312041650
COST OF FOOD175906310699036891600

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2369634Total
Program Services1441265ProgramServices
Management And General928369ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total200256571Total
Program Services138468572ProgramServices
Management And General61787999ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY31462002BOY
EOY45731889EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY33620262BOY
EOY35673637EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY21950951BOY
EOY18319679EOY

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)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4035816BOY
EOY4160863EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY934118BOY
EOY1118983EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis174285307LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec94810000LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY82246961BOY
EOY79475307EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12685153BOY
EOY16560475EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY4254288BOY
EOY4565805EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY191189551BOY
EOY205606638EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16265262BOY
EOY11843659EOY

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)
BOY15443445BOY
EOY14318451EOY

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)
BOY4621796BOY
EOY3306095EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5202154BOY
EOY5203505EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY41532657BOY
EOY34671710EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY149656894BOY
EOY170934928EOY

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)
BOY149656894BOY
EOY170934928EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY191189551BOY
EOY205606638EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses19455186ReconcilationRevenueExpenses
Reconcilation Other Changes1822848ReconcilationOtherChanges
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$15,742OtherActivitiesAmount
Total Lobbying Expenditures IIB15742TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE C, PART II-B, LINE 1iIdentifier
Return ReferenceDESCRIPTION OF OTHER ACTIVITIESReturnReference
ExplanationPORTION OF AMERICAN HOSPITAL ASSOCIATION AND ARKANSAS HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING - $15,742Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3310941OtherCostOrOtherBasis
Book Value3310941BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis99577413OtherCostOrOtherBasis
Depreciation44076426Depreciation
Book Value55500987BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3102699OtherCostOrOtherBasis
Depreciation1487397Depreciation
Book Value1615302BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis68038644OtherCostOrOtherBasis
Depreciation49246177Depreciation
Book Value18792467BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis255610OtherCostOrOtherBasis
Book Value255610BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings79475307TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEST THIRD-PARTY PAYER SETTLEMENTDescription
Amount$5,203,505Amount
FieldValueIRS element (for citing)
Total Of Amounts5203505TotalOfAmounts
Total Revenue219711757TotalRevenue
Total Expenses200256571TotalExpenses
Excess Or Deficit For Year19455186ExcessOrDeficitForYear
Net Unrealized GL On Investments1822848NetUnrealizedGLOnInvestments
Total Adjustments1822848TotalAdjustments
Excess Or Deficit Per FS21278034ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt221534605TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1822848NetUnrealizedGainsInvestments
Revenue Not Rptd F9901822848RevenueNotRptdF990
Revenue Subtotal219711757RevenueSubtotal
Total Revenue Per Form990219711757TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt200256571TotExpensesEtcAuditedFinclStmt
Expenses Subtotal200256571ExpensesSubtotal
Total Expenses Per Form990200256571TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierUNCERTAINTY IN INCOME TAXESIdentifier
Return ReferenceFORM 990,SCHEDULE D, PART X, LINE 2ReturnReference
ExplanationMANAGEMENT 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.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
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 Expense2925027TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2925027NetCommunityBenefitExpense
Percent Of Total Expense0.01870PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense21361059TotalCommunityBenefitExpense
Direct Offsetting Revenue19162508DirectOffsettingRevenue
Net Community Benefit Expense2198551NetCommunityBenefitExpense
Percent Of Total Expense0.01410PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense599107TotalCommunityBenefitExpense
Direct Offsetting Revenue353064DirectOffsettingRevenue
Net Community Benefit Expense246043NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense24885193TotalCommunityBenefitExpense
Direct Offsetting Revenue19515572DirectOffsettingRevenue
Net Community Benefit Expense5369621NetCommunityBenefitExpense
Percent Of Total Expense0.03440PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense547516TotalCommunityBenefitExpense
Direct Offsetting Revenue72903DirectOffsettingRevenue
Net Community Benefit Expense474613NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense60008TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense60008NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense25047249TotalCommunityBenefitExpense
Direct Offsetting Revenue16596935DirectOffsettingRevenue
Net Community Benefit Expense8450314NetCommunityBenefitExpense
Percent Of Total Expense0.05410PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense43449TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense43449NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense92055TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense92055NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense25790277TotalCommunityBenefitExpense
Direct Offsetting Revenue16669838DirectOffsettingRevenue
Net Community Benefit Expense9120439NetCommunityBenefitExpense
Percent Of Total Expense0.05840PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense50675470TotalCommunityBenefitExpense
Direct Offsetting Revenue36185410DirectOffsettingRevenue
Net Community Benefit Expense14490060NetCommunityBenefitExpense
Percent Of Total Expense0.09280PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense1375TotalCommunityBuildingExpense
Net Community Building Expense1375NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense5602TotalCommunityBuildingExpense
Net Community Building Expense5602NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense227994TotalCommunityBuildingExpense
Net Community Building Expense227994NetCommunityBuildingExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense234971TotalCommunityBuildingExpense
Net Community Building Expense234971NetCommunityBuildingExpense
Percent Of Total Expense0.00150PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$44,146,005BadDebtExpenseAmount
Amount Attributable To2083123AmountAttributableTo
Amount Reimbursed By Medicare68623583AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare51223690CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall17399893MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
WHITE COUNTY MEDICAL CENTER
13214 EAST RACESEARCYAR72143XXX
WHITE COUNTY MEDICAL CENTER - SOUTH
21200 SOUTH MAINSEARCYAR72143XREHABILITATION ADULT PSYCHOLOGY GERIATRIC PSYCHOLOGY

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberCHNA ConductedCHNAConductedDevelop Community PlanDevelopCommunityPlanEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAttached To InvoicesAttachedToInvoicesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationOther Actions TakenOtherActionsTakenNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
WHITE COUNTY MEDICAL CENTER
1falseXtruetrue200.true400.trueXXXXXXtruetrueXXXXXXtruefalseXXXXXtrueXfalsefalse
WHITE COUNTY MEDICAL CENTER - SOUTH
2falsetruetrue200.true400.trueXXXXXXtruetrueXXXXXXtruefalseXXXXXtrueXfalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities6NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
WCMC WEST CLINIC
2505 WEST BEEBE CAPPS EXPRESSWAYSEARCYAR72143OUTPATIENT MRI & CT PT DME
WCMC SURGERY CENTER
710 MARION STREET SUITE 101SEARCYAR72143OUTPATIENT SURGERY WOUND CARE
FAMILY PRACTICE ASSOCIATES
3130 EAST RACE SUITE 100SEARCYAR72143FAMILY PRACTICE CLINIC
SEARCY MEDICAL CENTER
2900 HAWKINSSEARCYAR72143MULTI-SPECIALTY CLINIC
WHITE COUNTY ONCOLOGY
3130 E RACE AVESEARCYAR72143ONCOLOGY CLINIC
RIVER OAKS VILLAGE
3012 E MOORE AVESEARCYAR72143INDEPENDENT & ASSISTED LIVING FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BAD DEBT EXPENSESCHEDULE H, PART III, LINE 4ATHE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, 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 SERVCIE 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.
COSTING METHODOLOGYSCHEDULE H, PART III, LINE 4BAMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. LINE 3 WAS DETERMINED BY APPLYING A WEIGHTED AVERAGE POVERTY LEVEL FOR THE TOP SEVEN COUNTIES COMPRISING WCMCS PATIENT CENSUS FOR THE FISCAL YEAR.
COSTING METHODOLOGYSCHEDULE H, PART III, LINE 8ATHE MEDICARE COST REPORT FOR FYE 2012 WAS UTILIZED TO DETERMINE THE AMOUNT FOR LINE 6.
ACTIONS BEFORE INITIATING COLLECTION ACTIONSSCHEDULE H, PART V, LINE 17COLLECTION ACTIONS TAKEN BEYOND THE MINIMUM LEGALLY REQUIRED TO ENSURE ALL PATIENTS ARE TREATED EQUALLY ARE BASED ON A PROPENSITY TO PAY ANALYSIS PERFORMED BY A CONTRACTED THIRD PARTY.
AMOUNTS BILLED TO INDIVIDUALS WITHOUT INSURANCE COVERING EMERGENCY CARESCHEDULE H, PART V, LINE 19THE MEDICAL CENTER UTILIZED THE AVERAGE OF THE THREE LARGEST INSURERS AS DETERMINED BY GROSS REVENUE.
NEEDS ASSESSMENTSCHEDULE H, PART VI, LINE 2THE HEALTHCARE NEEDS OF THE COMMUNITY ARE PREPARED BY THE MARKETING AND PUBLIC RELATIONS DEPARTMENT AND REPORTED EVERY TWO YEARS AS PART OF THE HOSPITAL STRATEGIC PLAN.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESCHEDULE H, PART VI, LINE 3HOSPITAL HAS A SOCIAL WORKER THAT VISITS AND WORKS WITH EACH PATIENT OR PATIENT'S FAMILY REGARDING ANY NEEDS THE PATIENT MAY HAVE, FINANCIAL OR OTHERWISE. SIGNS AND INFORMATIONAL BROCHURES ARE POSTED AND MADE AVAILABLE TO EDUCATE PATIENTS OF FINANCIAL ASSISTANCE PROGRAMS. FINANCIAL COUNSELORS VISIT PATIENTS TO ASSIST IN REGISTERING FOR FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS. ADDITIONALLY, A FINANCIAL ASSISTANCE COMPANY IS CONTRACTED TO ASSIST PATIENTS FIND AND REGISTER FOR MEDICAL ASSISTANCE BOTH PRIVATE AND PUBLIC.
COMMUNITY INFORMATIONSCHEDULE H, PART VI, LINE 4THE PRIMARY COMMUNITY SERVICED IS APPROXIMATELY A SIX COUNTY AREA SURROUNDING WHITE COUNTY, ARKANSAS. THE SOCIO ECONOMIC MAKEUP OF THE COMMUNITY IS MIXED, WITH STRATUM FROM INDIGENT TO THOSE HAVING NO APPARENT FINANCIAL NEEDS. THE PAYER MIX OF THE HOSPITAL IS 24% COMMERCIAL, 3% SELF PAY, 58% MEDICARE, AND 15% MEDICAID.
PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI, LINE 5THE HOSPITAL PARTICIPATES IN MANY COMMUNITY ACTIVITIES AND EDUCATION PROGRAMS TO PROVIDE GENERAL HEALTH EDUCATION AND SCREENINGS FOR RESIDENTS WITHIN THE COMMUNITY. THESE ACTIVITIES INCLUDE THE ANNUAL DAY OF CARING AND COUNTY FAIR. THE HOSPITAL IS FOCUSED ON PROVIDING FOR THE NEEDS OF THE COMMUNITY THROUGH EXPANDING SERVICES AND TEAMING WITH OTHER AREA PROVIDERS TO PROVIDE NECESSARY RESOURCES. THE HOSPITAL MAKES ITSELF AND RESOURCES AVAILABLE NOT ONLY TO THE IMMEDIATE MEDICAL COMMUNITY (WHITE COUNTY AND SURROUNDING AREA), BUT ALSO TO THE NEEDS OF OTHER HEALTHCARE PROVIDERS IN THE ENTIRE STATE. THE HOSPITAL PROVIDES MEDICAL SCREENINGS AND EDUCATION TO REGIONAL BUSINESSES AND SCHOOLS THROUGH THE HEALTHWORKS DEPARTMENT, HEALTH FAIRS, PATIENT-COMMUNITY-EMPLOYEE HEALTH EDUCATION, ATHLETIC TRAINERS TO LOCAL SCHOOLS, AND VARIOUS TRAINING PROGRAMS. THE HOSPITAL IS ALSO ACTIVELY EXPANDING AND EVALUATING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS TO ENSURE COMMUNITY DIALOG AND INPUT ARE RECEIVED.
AFFILIATED HEALTH CARE SYSTEM ROLESSCHEDULE H, PART VI, LINE 6THE HOSPITAL AND ITS AFFILIATED ORGANIZATIONS ARE COMMITTED TO PROVIDING HIGH QUALITY, PERSONALIZED CARE TO THEIR IMMEDIATE SERVICE AREA (WHITE COUNTY AND SURROUNDING AREAS) AND THE ENTIRE STATE. THE HOSPITAL IS LEAD BY A VOLUNTEER INDEPENDENT GOVERNING BODY CONSISTING OF RESIDENTS OF THE ORGANIZATION'S SERVICE AREA WHO ARE NEITHER EMPLOYEES OR DIRECT INDEPENDENT CONTRACTORS. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL REQUESTING QUALIFIED PHYSICIANS WITHIN THE SERVICE AREA FOR ALL NECESSARY DEPARTMENTS. THE ORGANIZATION IS COMMITTED TO ENSURING CONTINUED FUNDING IS AVAILABLE FOR ALL NECESSARY SERVICES, ADVANCED EQUIPMENT, QUALITY SUPPLIES, COMPETENT CARING TEAM MEMBERS, AND CONTINUED OPERATIONAL FLEXIBILITY FOR FUTURE UNCERTAINTY.
BAD DEBTSCHEDULE H, PART I, LINE 7FBAD DEBT EXPENSE IN THE AMOUNT OF $44,146,005 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.
COSTING METHODOLOGYSCHEDULE H, PART I, LINE 7THE COST TO CHARGE RATIO AS CALCULATED USING WORKSHEET 2 WAS USED TO DETERMINE THE COSTS ON LINE 7.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 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
RAYMOND MONTGOMERY
296845015302023700034150071870377184000
STUART HILL
1939030967300013133040210220730000
LADONNA JOHNSTON
1690910871700012034062050196047000
EMMANUEL TANCINCO
2201230250000048710225019000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BENEFITS PROVIDEDSCH J, PART I, LINE 1AALL MEMBERS OF THE EXECUTIVE TEAM HAVE ACCESS TO THE ORGANIZATION'S SOCIAL CLUB MEMBERSHIP. NO PART OF THE MEMBERSHIP IS TREATED AS TAXABLE COMPENSATION BECAUSE ALL USE IS CONSIDERED BUSINESS USE. PERSONAL EXPENSES ARE PAID BY THE OFFICERS TO THE CLUB.
NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTSSCH J, PART I, LINE 4BTHE ORGANIZATION HAS A 457 PLAN. THE FOLLOWING IS A LIST OF THE PERSONS PARTICIPATING IN THE PLAN AND THE ACCRUED VALUE. RAYMOND MONTGOMERY - $0 , STUART HILL - $0 , LADONNA JOHNSTON - $0
COMPENSATION CONTINGENT ON NET EARNINGSSCH J, PART I, LINE 6ATHE INCENTIVE PAY CALCULATION IS BASED ON THREE COMPONENTS: QUALITY, PATIENT SATISFACTION, AND FINANCE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WHITE COUNTY ARKANSASBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN716012741IssuerEIN
CUSIP Number963653AK6CUSIPNumber
Date Issued2005-12-29DateIssued
Issue Price9582500IssuePrice
Description Of PurposeRETIRE PROJECT LOANDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired5193875AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds9882546TotalProceeds
Amount In Reserve Fund950000AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds190000IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2006YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractstrueEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
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
Exception To RebatetrueExceptionToRebate

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WHITE COUNTYARKANSASBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN716012741IssuerEIN
CUSIP Number963653AR1CUSIPNumber
Date Issued2006-02-15DateIssued
Issue Price10000000IssuePrice
Description Of PurposePURCHASE FACILITY & RENEVATIONDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired80000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds10275430TotalProceeds
Amount In Reserve Fund675000AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds181600IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2007YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractstrueEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
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
Exception To RebatetrueExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMARVIN DELKNamePerson
FieldValueIRS element (for citing)
Relationship50% OWNERRelationship
Amount Of Transaction313099AmountOfTransaction
Description Of TransactionCONSTRUCTION OF CANCER CENTERDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DELEGATION OF CONTROL OVER MANAGEMENT DUTIESFORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS USED UNRELATED MANAGEMENT ORGANIZATIONS TO DIRECT THE OPERATIONS OF THEIR ADULT PSYCHOLOGY AND GERIATRIC PSYCHOLOGY UNITS AS WELL AS ENGINEERING AND ENVIRONMENTAL SERVICES.
APPROVAL OF MEMBERSFORM 990, PART VI, SECTION A, LINE 7BTHE VOTE OF THE BOARD OF DIRECTORS DETERMINES THE SELECTION OF NEW BOARD MEMBERS. THE SELECTION IS SUBJECT TO THE APPROVAL OF THE WHITE COUNTY QUORUM COURT.
CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENTFORM 990, PART VI, SECTION B, LINE 12CANNUAL CONFLICT OF INTEREST POLICIES ARE REVIEWED BY EACH OFFICER AND DIRECTOR. THE OFFICERS AND DIRECTORS THEN SIGN AN ATTESTATION DOCUMENT INDICATING THE EXISTENCE OF ANY CONFLICT OR LACK THEREOF.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE ORGANIZATION'S CEO PRESENTS FORM 990'S OF OTHER ORGANIZATIONS AND COMPENSATION SURVEYS OR STUDIES TO THE ENTIRE BOARD OF DIRECTORS FOR THEIR ANALYSIS AND COMPENSATION DECISIONS. FOR ALL REMAINING TOP MANAGEMENT OFFICIALS, OFFICERS, AND KEY EMPLOYEES, HUMAN RESOURCES REVIEWS COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF WAGES/SALARIES ON AN ANNUAL BASIS.
AVAILABILITY OF DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC WITHIN THE ADMINISTRATIVE OFFICE UPON A VALID PURPOSE AND REQUEST.
SELECTION AND OVERSIGHT OF INDEPENDENT ACCOUNTANTFORM 990, PART XII, LINES 2B AND 2CTHE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED ON A CONSOLIDATED BASIS BY AN INDEPENDENT ACCOUNTANT. THE GOVERNING BODY AS A WHOLE ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT.
REVIEW OF FORM 990FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE EXECUTIVE TEAM OF THE HOSPITAL AS WELL AS THE INTERNAL AUDIT DEPARTMENT. THE BOARD OF DIRECTORS IS PROVIDED COPIES OF THE 990 PRIOR TO FILING.
CORPORATION MEMBERSFORM 990, PART VI, SECTION A, LINE 6THE MEMBERS OF THE CORPORATION SHALL CONSIST OF THOSE PERSONS WHO SERVE AS DIRECTORS OF THE CORPORATION.
ELECTION OF GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 7ADIRECTORS SHALL BE ELECTED BY PLURALITY VOTE AT THE ANNUAL MEETING OF THE BOARD OF DIRECTORS. AT EACH SUCH ELECTION FOR DIRECTORS, EVERY MEMBER ENTITLED TO VOTE AT SUCH ELECTION SHALL HAVE THE RIGHT TO CAST ONE VOTE FOR AS MANY PERSONS AS THERE ARE DIRECTORS TO BE ELECTED AND FOR WHOSE ELECTION HE OR SHE HAS A RIGHT TO VOTE. THE NOMINATION OF A NEW BOARD MEMBER IS SUBMITTED TO THE COUNTY QUORUM COURT FOR APPROVAL.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5UNREALIZED GAIN ON INVESTMENTS 1,822,848
NEW SIGNIFICANT PROGRAM SERVICEFORM 990, PART III, LINE 2THE ORGANIZATION HAS MOVED TO A PROVIDER BASED MODEL OF CARE WHERE VARIOUS PHYSICIANS AND CLINICS ARE NOW PART OF THE HEALTH SYSTEM.

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
WHITE COUNTY MEDICAL FOUNDATION
3214 EAST RACESEARCYAR72143621697734FUNDRAISINGAR501 (C)(3)11ANAtrue
ADVANCED CARE HOSPITAL OF WHITE COUNTY
1200 SOUTH MAINSEARCYAR72143208459270LT ACUTE CAREAR501 (C)(3)3NAtrue
WHITE COUNTY PHYSICIANS GROUP
3214 EAST RACESEARCYAR72143275303218HEALTHCAREAR501 (C)(3)9NAtrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
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 OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
WHITE COUNTY MEDICAL FOUNDATION
C1040314FMV
ADVANCED CARE HOSPITAL OF WHITE COUNTY
A276000FMV
ADVANCED CARE HOSPITAL OF WHITE COUNTY
K1424000FMV
WHITE COUNTY PHYSICIAN GROUP
P7064938FMV

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