JOHNSON COUNTY REGIONAL HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: JOHNSON COUNTY REGIONAL HOSPITAL (EIN 71-0403278)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201323189349304837
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T13:59:50-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KING JACOBS GRESHAM & LORFING CPAS PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1216 S ROGERS ST	AddressLine1
City	CLARKSVILLE	City
State	AR	State
ZIP Code	728309159	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	710403278	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JOHNSON REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	JOHN	NameControl
Phone	4797545454	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 738	AddressLine1
City	CLARKSVILLE	City
State	AR	State
ZIP Code	72830	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	EDWARD ANDERSON	Name
Title	CFO	Title
Phone	4797545454	Phone
Date Signed	2013-08-12	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	ADELE K JACOBS CPA	Name
Phone	4797542478	Phone
Date Prepared	2013-11-13	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ROBERT MORSE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 738	AddressLine1
City	CLARKSVILLE	City
State	AR	State
ZIP Code	72830	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	36680977	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.JRMC.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1996	YearFormation
State Legal Domicile	AR	StateLegalDomicile
Activity Or Mission Description	INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO SURROUNDING RURAL COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	489	TotalNbrEmployees
Total Nbr Volunteers	89	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	98290	ContributionsGrantsPriorYear
Contributions Grants Current Year	95968	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	32256382	ProgramServiceRevenuePriorYear
Program Service Revenue CY	32885151	ProgramServiceRevenueCY
Investment Income Prior Year	133703	InvestmentIncomePriorYear
Investment Income Current Year	86789	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3262763	OtherRevenuePriorYear
Other Revenue Current Year	3604057	OtherRevenueCurrentYear
Total Revenue Prior Year	35751138	TotalRevenuePriorYear
Total Revenue Current Year	36671965	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	16051987	SalariesEtcPriorYear
Salaries Etc Current Year	16883912	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	18645450	OtherExpensePriorYear
Other Expenses Current Year	19193911	OtherExpensesCurrentYear
Total Expenses Prior Year	34697437	TotalExpensesPriorYear
Total Expenses Current Year	36077823	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1053701	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	594142	RevenuesLessExpensesCY
Total Assets BOY	35423019	TotalAssetsBOY
Total Assets EOY	41788559	TotalAssetsEOY
Total Liabilities BOY	11247430	TotalLiabilitiesBOY
Total Liabilities EOY	17018828	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	24175589	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	24769731	NetAssetsOrFundBalancesEOY
Mission Description	INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO SURROUNDING RURAL COMMUNITY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	33274529	Expense
Revenue	32885151	Revenue
Description	INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WHICH INCLUDES CHARITABLE CARE FOR 2011 OF 828,696 BASED ON ESTIMATED COSTS.	Description
Total Program Service Expense	33274529	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	true	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	74	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	489	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	EDWARD ANDERSON	NamePerson
Telephone Number	4797545454	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 738	AddressLine1
City	CLARKSVILLE	City
State	AR	State
ZIP Code	72830	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
KANNA LOU PHILLIPS
DIRECTOR	1.00	X	0	0	0
KEN NELSON
DIRECTOR	1.00	X	0	0	0
JANELL BURCH
DIRECTOR	1.00	X	0	0	0
FREEMAN WISH
DIRECTOR	1.00	X	0	0	0
RON COLLINS
DIRECTOR	1.00	X	0	0	0
RICK CASEY
DIRECTOR	1.00	X	0	0	0
CHRIS ALLEN
DIRECTOR	1.00	X	0	0	0
ROBERT MORSE
CEO	45.00		168772	0	26285	X
EDWARD ANDERSON
CFO	45.00		114151	0	23229	X
TERRI STUMBAUGH
NURSING ADMN	45.00		104607	0	9825	X
STEPHEN MCELMURRY
SURGEON	50.00		299304	0	22844		X
CECIL SUTTERFIELD
CRNA	50.00		278735	0	21534		X
ROGER KENNEDY
CRNA	50.00		276665	0	18282		X
CHARLES BROWN
SURGEON	50.00		187411	0	26847		X
SHERIE LANE
PHARMACIST	45.00		128033	0	10149		X
JAMES GOODMAN
SURGEON	50.00		40516	0	6897			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1598194	TotalReportableCompFromOrg
Total Other Compensation	165892	TotalOtherCompensation
Number Individuals GT100 K	9	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	Address Line2AddressOfContractor/AddressUS/AddressLine2	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
HORIZON MENTAL HEALTH MGMT
PO BOX 840839	PO BOX 840839	DALLAS	TX	75284	SENIOR CARE SER	855128
MRI SOLUTIONS LLC
136 ARKOTA SHORES DR	136 ARKOTA SHORES DR	HOT SPRINGS	AR	71913	MRI SERVICES	360000
REHABCARE GROUP INC
PO BOX 502096	PO BOX 502096	ST LOUIS	MO	63150	REHAB MGMT SERV	267287
GEORGE RICHISON MD
428 TANNER RD	428 TANNER RD	POTTSVILLE	AR	72585	MEDICAL DOCTOR	132316
ROBIN GOODMAN MD
444 WALLEYE ROAD	444 WALLEYE ROAD	RUSSELLVILLE	AR	72802	MEDICAL DOCTOR	126883

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	7	NumberOfContractorsGT100K
Government Grants	95968	GovernmentGrants
Total Contributions	95968	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
GROSS PATIENT SERVICES REV	621990	63907854	63907854
CONTRACTUAL ADJUSTMENTS		-31022703	-31022703

Field	Value	IRS element (for citing)
Total Program Service Revenue	32885151	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	83654	TotalRevenueColumn
Related Or Exempt Function Income	83654	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	12147	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	9012	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	3135	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3135	TotalRevenueColumn
Related Or Exempt Function Income	3135	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER OPERATING REVENUE	3574505	3574505
NON-OPERATING REVENUE	29552	29552

Field	Value	IRS element (for citing)
Total Other Revenue	3604057	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	36671965	TotalRevenueColumn
Related Or Exempt Function Income	36575997	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	14145339	Total
Program Services	12933093	ProgramServices
Management And General	1212246	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	313380	Total
Program Services	286523	ProgramServices
Management And General	26857	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1466005	Total
Program Services	1340368	ProgramServices
Management And General	125637	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	959188	Total
Program Services	876986	ProgramServices
Management And General	82202	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	37515	Total
Management And General	37515	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	108614	Total
Management And General	108614	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4452877	Total
Program Services	4141592	ProgramServices
Management And General	311285	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	15293	Total
Program Services	1887	ProgramServices
Management And General	13406	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	885284	Total
Program Services	875060	ProgramServices
Management And General	10224	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	129036	Total
Program Services	123908	ProgramServices
Management And General	5128	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	418678	Total
Management And General	418678	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1821088	Total
Program Services	1821088	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	484475	Total
Program Services	484475	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS	4195372	4195372
MEDICAL SUPPLIES	3857207	3857207
OTHER SUPPLIES	1127734	1031865	95869
REPAIR & MAINTENANCE	774721	745418	29303

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	886017	Total
Program Services	559687	ProgramServices
Management And General	326330	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	36077823	Total
Program Services	33274529	ProgramServices
Management And General	2803294	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	9301929	BOY
EOY	10233815	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1690358	BOY
EOY	3280276	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	6338034	BOY
EOY	6268247	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	794187	BOY
EOY	926145	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1390992	BOY
EOY	1504300	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	321242	BOY
EOY	222568	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	41497495	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	22340953	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	15539794	BOY
EOY	19156542	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	46483	BOY
EOY	196666	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	35423019	BOY
EOY	41788559	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2930573	BOY
EOY	4977961	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	7330867	BOY
EOY	10000000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	985990	BOY
EOY	2073905	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
EOY	-33038	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	11247430	BOY
EOY	17018828	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	23364634	BOY
EOY	24769731	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	810955	BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	24175589	BOY
EOY	24769731	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	35423019	BOY
EOY	41788559	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	594142	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	true	AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	494869	OtherCostOrOtherBasis
Book Value	494869	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	21625380	OtherCostOrOtherBasis
Depreciation	9385023	Depreciation
Book Value	12240357	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19377246	OtherCostOrOtherBasis
Depreciation	12955930	Depreciation
Book Value	6421316	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	19156542	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	BOND DISCOUNT	Description
Amount	-$33,038	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	-33038	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	36671965	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	36671965	RevenueSubtotal
Total Revenue Per Form990	36671965	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	36077823	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	36077823	ExpensesSubtotal
Total Expenses Per Form990	36077823	TotalExpensesPerForm990

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	false	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	761044	TotalCommunityBenefitExpense
Net Community Benefit Expense	761044	NetCommunityBenefitExpense
Percent Of Total Expense	0.02110	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4970875	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5979001	DirectOffsettingRevenue
Net Community Benefit Expense	-1008126	NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5731919	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5979001	DirectOffsettingRevenue
Net Community Benefit Expense	-247082	NetCommunityBenefitExpense
Percent Of Total Expense	0.02110	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4795955	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3920312	DirectOffsettingRevenue
Net Community Benefit Expense	875643	NetCommunityBenefitExpense
Percent Of Total Expense	0.02430	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4795955	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3920312	DirectOffsettingRevenue
Net Community Benefit Expense	875643	NetCommunityBenefitExpense
Percent Of Total Expense	0.02430	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10527874	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9899313	DirectOffsettingRevenue
Net Community Benefit Expense	628561	NetCommunityBenefitExpense
Percent Of Total Expense	0.04540	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	5568	TotalCommunityBuildingExpense
Net Community Building Expense	5568	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	1886	TotalCommunityBuildingExpense
Net Community Building Expense	1886	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	33736	TotalCommunityBuildingExpense
Net Community Building Expense	33736	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	40275	TotalCommunityBuildingExpense
Net Community Building Expense	40275	NetCommunityBuildingExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	81465	TotalCommunityBuildingExpense
Net Community Building Expense	81465	NetCommunityBuildingExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$4,195,372	BadDebtExpenseAmount
Amount Reimbursed By Medicare	8474263	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	8795168	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-320905	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JOHNSON REGIONAL MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1100 POPLAR	AddressLine1
City	CLARKSVILLE	City
State	AR	State
ZIP Code	72830	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	JOHNSON REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.0	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	201.0	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	1	NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JRMC HOME HEALTH	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	401 ROGERS ST	AddressLine1
City	CLARKSVILLE	City
State	AR	State
ZIP Code	72830	ZIPCode

Field	Value	IRS element (for citing)
Facility Type	HOME HEALTH SERVICES	FacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE	PART I LINE 3C	IN ADDITION TO USING THE FEDERAL POVERTY GUIDELINES JRMC ALSO USES THE ASSET TEST TO DETERMINE ELIGIBILITY OF FREE OR DISCOUNTED CARE
SUBSIDIZED HEALTH SERVICES EXPLANATION	PART I LINE 7G	JRMC INCLUDED IN SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO HOSPITAL OWNED PHYSICIAN CLINICS INPATIENT PSYCHIATRIC SERVICES AND HOME HEALTH CARE SERVICES
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	A COST TO CHARGE RATIO FROM WORKSHEET 2 RATIO OF PATIENT CARE COSTTOCHARGES WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE PART I LINE 7 TABLE
COMMUNITY BUILDING ACTIVITIES	PART II	THE HOSPITAL STAFF SUPPORT PARTICIPATE AND PROVIDE LEADERSHIP TO MANY DIFFERENT AND VARIED ORGANIZATIONS IN ITS SERVICE AREA OF SEVEN COUNTIES CONTAINING OVER 5381 SQUARE MILES THESE ORGANIZATIONS INCLUDE THE CHAMBER OF COMMERCE COMMUNITY SERVICE CLUBS ROTARY LIONS KIWANIS ALL PUBLIC SCHOOLS TWO UNIVERSITIES THE BLOOD BANK UNITED WAY FOR THREE COUNTIES JOHNSON COUNTY RESOURCE ALLIANCE FORRESTER DAVIS DEVELOPMENT CENTER AND THE AMERICAN CANCER SOCIETY TO NAME A FEW SOME EXAMPLES OF THE ACTIVITIES AND PROJECTS INCLUDE COMMUNITY BUILDING PROJECTS FOR THE UNITED WAY LOCAL BLOOD DRIVES FLU SHOTS FOR PUBLIC SCHOOLS AND GENERAL PUBLIC AT LARGE HEALTH FAIRS FOR SENIOR CITIZENS LOCAL NIGHT OUT SPONSORSHIP TO PROMOTE GOOD WORKING RELATIONSHIPS TO SUPPORT LAW ENFORCEMENT AND MANY OTHER PROJECTS TO NUMEROUS TOO MENTION THE HOSPITAL PROVIDES STAFF MEDICAL SUPPLIES AND FOOD AS NECESSARY TO PROMOTE MAINTAIN ANDOR DEVELOP EACH PROJECT TO ITS FULLEST POTENTIAL
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBT PER THE AUDITED FINANCIAL STATEMENTS AT GROSS CHARGES ACCOUNTS OVER 30 DAYS OLD ARE CONSIDERED PAST DUE AN ACCOUNT THAT IS APPROXIMATELY 90 DAYS PAST DUE WITH NO PAYMENT ACTIVITY IS SENT TO AN OUTSIDE BILLING AND COLLECTION SERVICE WHO MAKE ADDITIONAL ATTEMPTS TO COLLECT PAST DUE AMOUNTS AFTER THE OUTSIDE COLLECTION SERVICE ADVISES THAT THEY HAVE MADE ALL REASONABLE ATTEMPTS TO COLLECT A PAST DUE ACCOUNT IT IS REVIEWED AGAIN BY THE HOSPITAL AND A DETERMINATION IS MADE WHETHER TO WRITE OFF THE ACCOUNT
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	PATIENTS WHO CAN SHOW THAT PAYMENT OF THEIR HOSPITAL BILL WOULD BE AN UNBEARABLE HARDSHIP FOR THEM MAY APPLY FOR FINANCIAL ASSISTANCE TO PAY ALL OR PART OF THEIR BILL APPLICANTS MUST COMPLETE THE REQUIRED FINANCIAL APPLICAITON AND MEET MINIMUM GUIDELINE REQUIREMENTS AS SET FORTH IN THE JRMC CHARITY CARE POLICY APPLICANTS WILL BE RESPONSIBLE FOR OBTAINING THE INFORMATION NEEDED TO DETERMINE THEIR ELIGIBILTY AND PROVIDE VERIFICATION OF INCOME AS REQUIRED
NEEDS ASSESSMENT	PART VI	JOHNSON COUNTY HOSPITAL WAS ESTABLISHED IN 1938 WITH THE EXISTING FACILITY BEING BUILT IN 1977 THE HOSPITAL HAS PROVIDED HEALTHCARE SERVICES TO THE COMMUNITY OF CLARKSVILLE AR AND OTHER ADJACENT COMMUNITIES IN THE SERVICE AREA FOR OVER 5 DECADES SERVICES INCLUDE OBGYN GENERAL SURGERY REHABILITATION ICU EMERGENCY AND DIAGNOSTIC AND FACILITY IS LICENSED FOR 80 BEDS THE LOCAL COMMUNITY HAS A VERY BALANCED ECONOMIC BASE CONSISTING OF MANUFACTURING SERVICE AND AGRICULTURAL INDUSTRIES SOME OF THE LARGER INDUSTRIAL CORPORATIONS INCLUDE TYSON HANES BRANDS WALMART DISTRIBUTION CENTER RETAIL AND BALDOR THE TOWN ALSO IS THE HOME OF THE UNIVERSITY OF THE OZARKS WITH THE GROWTH OF THE LOCAL ECONOMYINDUSTRIES AND INCREASING ENROLLMENT IN THE UNIVERSITY JOHNSON REGIONAL MEDICAL CENTER HAS ADAPTED TO THE EVER CHANGING HEALTHCARE NEEDS OF THE COMMUNITY TO CONTINUE TO ADAPT TO THE CONSTANTLY CHANGING NEEDS OF THE COMMUNITY PHASE 1 OF THE RENOVATION AND EXPANSION OF THE EXISTING FACILITY WAS DONE IN EARLY 2005 TO ADD A NEW SURGERY EMERGENCY IMAGING AND ADMITTINGWAITING AS PART OF COMPLETED PROJECT A FUTURE PHASE II WAS PLANNED TO ADD A MEDSURG PATIENT WING 40 BED ALONG WITH A RENOVATION AND ADDITION TO LABOR AND DELIVERY DEPARTMENT THAT WOULD RENOVATE THE NEW FULL TERM NURSERY AND ADD 10 NEW LDRP ROOMS IN ADDITION THE SHELL SPACE BELOW THE PATIENT ROOMS WOULD BE USED FOR RELOCATING THE PHARMACY AND LABORATORY DEPARTMENTS AND WILL BE SHELLED OUT TO ALLOW FOR FUTURE MEDICAL OFFICES TO ACCOMMODATE PHYSICIAN PRACTICES AND SERVICE LINES DEMANDED BY COMMUNITY SINCE THE COMPLETION OF PHASE I IN 2005 THE FACILITY HAS BEEN WORKING TO RAISE FUNDS TO COMPLETE THE PHASE II PORTION OF THE MASTERPLAN THE EXISTING FACILITIES TO BE REPLACED UNDER THE PHASE II WORK ARE OUTDATED AND DO NOT ACCOMMODATE MODERN HEALTHCARE NEEDS AND REQUIREMENTS IT IS NECESSARY TO COMPLETE THESE REPLACEMENT FACILITIES TO BE COMPETITIVE IN THE SERVICE AREA TO MINIMIZE LOSS OF BUSINESS TO OTHER ADJACENT FACILITIES DUE TO HAVING ANTIQUATED FACILITIES AND PROVIDE A STANDARD OF CARE THAT IS REQUIRED TO ACCOMMODATE LIFE SAFETY NEEDS OF PATIENTS AND TO OBTAIN HIGHER LEVEL OF PATIENT CARE AND SATISFACTION ALL OF THE EXISTING PATIENT ROOMS ARE CURRENTLY DESIGNED AS SEMIPRIVATE ROOMS DOUBLE OCCUPANCY THE STANDARD OF CARE IS NOW PRIVATE ROOMS AND IS PROVIDED BY LEADING HEALTHCARE PROVIDERS AND EXPECTED BY CURRENT PATIENT POPULATION IN ADDITION PRIVATE LABORDELIVERYPOSTPARTUM AND DELIVERY ROOMS LDRP ALLOW FOR A SINGLE ROOM TO ACCOMMODATE ALL NEW MOTHER NEEDS THIS IS ALSO A SERVICE THAT IS PROVIDED BY LEADING HEALTHCARE PROVIDERS AND EXPECTED BY CURRENT PATIENT POPULATION SERVICES AVAILABLE FROM THE MEDICAL CENTER INCLUDE AMBULATORY CARE ANESTHESIA SERVICES CLINICAL LABORATORY CARE DIABETES EDUCATION EEG EMERGENCY SERVICES GASTROINTESTINAL LAB HOME HEALTH PHARMACY SERVICES PHYSICAL THERAPY PSYCHIATRIC SERVICES REHABILITATION RESPIRATORY THERAPY SPEECH THERAPY SLEEP LAB SURGICAL SERVICES GENERAL ORTHOPEDIC UROLOGY GYNECOLOGY PODIATRY ENT AND OPHTHALMIC AND AN AMBULANCE SERVICE THE MEDICAL CENTERS 80 LICENSED BEDS ARE CURRENTLY ALLOCATED AS FOLLOWS MEDICALSURGICAL 41 BEDS INTENSIVE CARE 8 BEDS PSYCHIATRIC 10 BEDS REHABILITATION 12 BEDS AND OBSTETRICS 9 BEDS THE PRESENT ACTIVE MEDICAL STAFF OF THE MEDICAL CENTER IS COMPOSED OF 25 PHYSICIANS 17 OF WHOM ARE BOARD CERTIFIED IN THEIR RESPECTIVE AREAS OF PRACTICE THE AVERAGE AGE OF THE ACTIVE MEDICAL STAFF IS 48 YEARS AN ADDITIONAL 66 PHYSICIANS HAVE CONSULTING STATUS AT THE MEDICAL CENTER AND ANOTHER 6 HAVE COURTESY ER STATUS IN MANY CASES THE EXISTING PATIENT ROOMS ARE DEFICIENT IN PHYSICAL PROGRAM AND NOT CURRENTLY IN COMPLIANCE WITH ADA AND CURRENT LICENSING REQUIREMENTS ROOMS AND FACILITIES REQUIRE A MINIMUM NUMBER OF ADA ACCESSIBLE UNITS AND MINIMUM AMOUNT OF SPACE TO ACCOMMODATE PATIENT STAFF FAMILIES AND EQUIPMENT THE HVAC FIRE PROTECTION MEDICAL GAS AND ELECTRICAL SYSTEMS ARE ALSO DEFICIENT IN SOME RESPECTS AND THE CURRENT SYSTEMS WILL REQUIRE INCREASED MAINTENANCE AND UPGRADE SHOULD THEY BE REQUIRED TO REMAIN IN PLACE TO SUPPORT PATIENT NEEDS THE PHYSICAL CONDITION OF THE FACILITY INCLUDING FLOORING AND WALL FINISHES AND HEADWALL UNITS WOULD ALSO REQUIRE REPLACEMENT SHOULD THE EXISTING FACILITIES NEED TO REMAIN IN PLACE ANY UPGRADES TO EXISTING FACILITIES WOULD BE COSTLY DUE TO REQUIREMENT TO MEET CURRENT STANDARDSCODES AND WOULD ULTIMATELY BE A COMPROMISE TO MASTERPLAN VISION IN AN EFFORT TO CONTINUE THE FACILITY MASTERPLAN AND REPLACE OUTDATED FACILITIES THE PHASE II WORK MUST BE COMPLETED DUE TO COMPLEXITY OF PHASING WORK WITHIN OPERATING FACILITY AND UPGRADES THAT WOULD BE REQUIRED TO BRING EXISTING FACILITY UP TO CURRENT LICENSING AND CODE REQUIREMENT A MAJOR RENOVATION WOULD NEED TO BE UNDERTAKEN TO UPDATE THE EXISTING MEDSURG ROOMS IT IS CONCEIVABLE THAT THE COMPLEX NATURE OF A RENOVATION PROJECT WOULD BE AS COSTLY OR IN EXCESS OF COST OF NEW CONSTRUCTION THE BIG DIFFERENCE BETWEEN THE TWO OPTIONS LIES IN ABILITY TO CONTINUE OPERATIONS AND MINIMIZE DISRUPTION TO PATIENTS AND STAFF THE OTHER BENEFIT OF NEW CONSTRUCTION YOU WOULD NOT HAVE WITH RENOVATION WOULD BE IN ADDITION OF INCREASED GROUND FLOOR DEPARTMENT SHELL MEDICAL OFFICE SPACE THE HVAC FIRE PROTECTION MEDICAL GAS AND ELECTRICAL SYSTEM UPGRADES THAT WOULD BE REQUIRED TO SUPPORT NEW AREAS WOULD ALSO BE VERY DISRUPTIVE AND COSTLY NOTE THAT AS PART OF PHASE I A NEW ELEVATOR AND MECHANICAL PENTHOUSE WITH NEW SYSTEMS TO SUPPORT PHASE II ARE IN PLACE TO PROVIDE SYSTEMS IN COMPLIANCE WITH CURRENT REQUIREMENTS AND TO ELIMINATE NEED FOR UTILITY INTERRUPTIONS AND UPGRADES SINCE MUCH OF UTILITY INFRASTRUCTURE SUPPORTING PHASE II IS IN PLACE THE COST OF NEW CONSTRUCTION WILL BE LESS WHEN COMPARED TO COST OF OTHER SIMILAR FACILITIES THAT DO NOT HAVE THIS INFRASTRUCTURE IN PLACE ALREADY THE HOSPITAL HAS CONTRACTED AND BEGUN AN OFFICIAL COMMUNITY NEEDS ASSESSMENT AND WE PLAN TO HAVE IT COMPLETE BY 12312013 WE HAVE ALSO BEGUN PHASE II OF THE CONSTRUCTION PLAN AND HOPE TO BE COMPLETE BY SPRING 2014 AS NOTED ABOVE THE MASTERPLAN FOR THE HOSPITAL WAS DEVELOPED IN EARLY 2005 INTENDED TO REPLACE ALL EXISTING MAJOR HOSPITAL SERVICES AND UTILIZE THE ORIGINAL STRUCTURE FOR SUPPORT AREAS THE COMPLETION OF PHASE II MEDSURG PATIENT ROOMS LABOR AND DELIVERY RENOVATIONEXPANSION AND MEDICAL OFFICE SHELL SPACE WILL ALLOW JRMC TO COMPLETE THE MASTERPLAN VISION IT WILL REPURPOSE EXISTING AREAS AND WILL SUPPLEMENT AND REINFORCE THE NEED FOR CURRENT SERVICES TO REMAIN COMPLETED AS PART OF PHASE I OR EARLIER PROJECT SUCH AS ICU AND REHAB THE RENOVATION AND ADDITION OF LABORDELIVERY WILL ALLOW JRMC TO RECRUIT OBGYN PHYSICIANS TO SERVICE THE GROWING NEED IN THE COMMUNITY BASED ON AN INCREASE IN BIRTHS IN THE AREA THE SHELL SPACE WILL ALLOW FOR THESE PHYSICIAN GROUPS TO ESTABLISH THEIR PRACTICES WITHIN CLOSE PROXIMITY TO THE FACILITY WHICH THEY SUPPORT BY PROVIDING SERVICES SUCH AS LABORDELIVERY IT IS COMMON FOR THE PATIENTBABY TO CONTINUE TO ACCESS SERVICE AT THE FACILITY IN WHICH THEY HAD THE BIRTH PROVIDED THE EXPERIENCE AT THE FACILITY HAD POSITIVE OUTCOMESHIGH SATISFACTION RATING BY PROVIDING THESE SPECIALTY SERVICES REQUIRED TO SUPPORT THE COMMUNITY NEEDS THE PATIENT POPULATION WILL REQUIRE OTHER SPECIALIZED SERVICES AS THEY GROW AND HEALTHCARE NEEDS CHANGE TO ADAPT TO THE YOUNG AND AGING POPULATION THE ADDITION OF THE PHASE II FACILITIES AT JRMC WILL ONLY FURTHER STRENGTHEN CORE SERVICE INFRASTRUCTURE OF COMMUNITY AND PROVIDE HIGHER LEVEL OF PATIENT CARE WITH INCREASE IN USE OF FACILITIES AND CENSUS AT THE HOSPITAL MORE JOBS WILL BE CREATED IN ADDITION BY ATTRACTING SPECIALTY PHYSICIAN GROUPS THE NEW PRACTICES WILL ALSO REQUIRE SUPPORT WHICH WILL RESULT IN ADDITIONAL JOB CREATION IN ADDITION THERE IS HIGHER LIKELIHOOD THAT THERE WILL BE HIGHER RETENTION OF SKILLED INDIVIDUALS IN THE COMMUNITY IF CORE COMMUNITY SERVICES ARE IN PLACE
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	1 ANY PATIENT THAT INDICATES AN INABILITY TO PAY IS OFFERED A CHARITY CAREINDIGENT CARE APPLICATION 2 THE MEDICAL CENTER PLACES NOTICES IN ALL REGISTRATION AREAS THAT WE OFFER CHARITY CARE PROGRAMS AND DESCRIBES HOW TO OBTAIN MORE INFORMATION ABOUT FINANCIAL ASSISTANCE 3 THE MEDICAL CENTER PLACES A NOTE ON STATEMENTS REGARDING HOW TO REQUEST INFORMATION ABOUT FINANCIAL ASSISTANCE
COMMUNITY INFORMATION	PART VI	MANAGEMENT DEFINES THE PRIMARY SERVICE AREA OF THE MEDICAL CENTER AS JOHNSON COUNTY ARKANSAS AND THE SECONDARY SERVICE AREAS AS FRANKLIN LOGANPOPE AND SOUTHERN SECTIONS OF MADISON COUNTIES IN ARKANSAS THE PRIMARY SERVICE AREA CONTRIBUTED APPROXIMATELY 71 OF THE TOTAL MEDICAL CENTERS ADMISSIONS IN FISCAL YEAR 2011 THE SECONDARY SERVICE AREA CONTRIBUTED APPROXIMATELY 29 OF THE TOTAL MEDICAL CENTER ADMISSIONS IN FISCAL YEAR 2011 THE POPULATION OF THE SERVICE AREA IS APPROXIMATELY 22000 AND THE COMBINED POPULATION OF THE SECONDARY SERVICE IS APPROXIMATELY 45000ALTHOUGH THERE ARE NO OTHER HOSPITALS LOCATED IN THE MEDICAL CENTERS PRIMARY SERVICE AREA THERE ARE THREE HOSPITALS IN THE SECONDARY SERVICE AREA AND SEVERAL OTHER HOSPITALS IN THE REGION THAT REQUIRE THE MEDICAL CENTER TO REMAIN HIGHLY COGNIZANT OF COMPETITION THESE HOSPITALS AND THEIR LOCATIONS ARE AS FOLLOWS SECONDARY SERVICE AREA HOSPITALS MERCY HOSPITALTURNER MEMORIAL OZARK AR NORTH LOGAN MERCY HOSPITAL PARIS AR SAINT MARYS REGIONAL MEDICAL CENTER RUSSELLVILLE AR HOSPITALS OUTSIDE PRIMARY AND SECONDARY SERVICE AREA BOONEVILLE COMMUNITY HOSPITAL BOONEVILLE AR CHAMBERS MEMORIAL HOSPITAL DANVILLE AR DARDANELLE HOSPITAL DARDANELLE AR SELECT SPECIALTY HOSPITAL FORT SMITH AR ADVANCE CARE HOSPITAL FORT SMITH AR SPARKS HEALTH SYSTEM FORT SMITH AR VISTA HEALTH FORT SMITH AR ST EDWARD MERCY MEDICAL CENTER FORT SMITH AR CRAWFORD MEMORIAL HOSPITAL VAN BUREN AR
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	JOHNSON REGIONAL MEDICAL CENTER HAS AN OPEN MEDICAL STAFF AND WELCOMES NEW PRACTITIONERS TO THE SERVICE AREA JOHNSON REGIONAL ALSO ENSURES ACCESS TO BASIC PRIMARY CARE BY SUPPORTING THE RECRUITMENT OF PRIMARY CARE PHYSICIANS TO PRACTICE IN JOHNSON COUNTY WE ALSO HAVE A BOARD OF DIRECTORS THAT REPRESENTS THE NEEDS OF THE COMMUNITY AND PURSUES THE BEST POSSIBLE CARE FOR OUR SERVICE AREA EACH BOARD MEMBER IS A VOLUNTEER AND DONATES A CONSIDERABLE AMOUNT OF TIME AND ENERGY TO ASSURE A VIABLE PROGRESSIVE AND WELLMANAGED HOSPITAL JOHNSON REGIONAL MEDICAL CENTER ALSO PARTICIPATES WITH FIVE COLLEGES AND UNIVERSITIES TO TRAIN FUTURE HEALTHCARE WORKERS WE HAVE AFFILIATION AGREEMENTS FOR NURSES PHYSICAL THERAPISTS PHARMACISTS EMS STAFF AND STUDENT ROTATIONS THROUGH VARIOUS ANCILLARY DEPARTMENTS THIS REQUIRES A REAL DEDICATION OF TIME AND EFFORT BY OUR STAFF TO EDUCATE AND TRAIN FUTURE HEALTHCARE PROFESSIONALS JOHNSON REGIONAL MEDICAL CENTERS SUPPORT ALSO INCLUDES SUBSTANTIAL AMOUNTS OF CHARITY CARE OF OVER 16 MILLION AND BAD DEBT RECOGNIZED OF ALMOST 42 MILLION BASED ON GROSS CHARGES COMBINED THESE REPRESENT OVER 8 OF OUR GROSS PATIENT SERVICE REVENUE BEFORE CONTRACTUAL ALLOWANCE DEDUCTIONS JRMC IS A 501C 3 NOTFORPROFIT CORPORATION AND AS SUCH NO ONE INDIVIDUALLY PROFITS THROUGH OWNERSHIP DIVIDENDS ARE NOT EVER PAID
JOHNSON REGIONAL MEDICAL CENTER LINE NUMBER 1 PART V LINE 20D	PART V LINE 20D	JRMC CHARGES ALL PATIENTS THE SAME AMOUNT THE UNINSURED RECEIVE 40 DISCOUNT OFF TOTAL CHARGES USING THE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATE TO CALCULATE THE 40 ALL BALANCES AFTER ALL DISCOUNTS REGARDLESS IF PATIENT IS INSURED UNDERINSURED OR UNINSURED ARE ELIGIBLE TO APPLY FOR HEALTHCARE ASSISTANCE ALL PATIENTS EXCLUDING UNINSURED WHO RECEIVE 40 DISCOUNTEMPLOYEES AND MEDICAL STAFF ARE OFFERED 20 EARLY PAY DISCOUNT IF BALANCES ARE PAID WITHIN 30 DAYS ALL EMPLOYEES AND MEDICAL STAFF AND IMMEDIATE FAMILIES LIVING AT HOME ARE GIVEN A 50 DISCOUNT OFF BALANCE OWED AFTER INSURANCE PAYMENTS THEY ARE NOT OFFERED THE ADDTIONIAL 20 EARLY PAY DISCOUNT

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
ROBERT MORSE
CEO	148631	20141	7995	18290	195057
STEPHEN MCELMURRY
SURGEON	277360	21944	10180	12664	322148
CECIL SUTTERFIELD
CRNA	239068	39667	10538	10996	300269
ROGER KENNEDY
CRNA	275081	1584		18282	294947
CHARLES BROWN
SURGEON	151228	36183	8077	18770	214258
JAMES GOODMAN
SURGEON	32794	7722	3385	3512	47413

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
2012A TAX EXEMPT BONDS
A	716001704	478378BV3	2012-10-23	6870000	REFUND 2004 BONDS	false	true	false
2012B TAX EXEMPT BONDS
B	716001704	478378BV3	2012-10-23	3130000	BUILDING ADDITIONS	false	true	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion
A	6888880	6888880	239643	6486438	162799	true	false	false	false
B		3138625	109206		72877	false	false	false	false	1023946	1932596	2013

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false	false

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	false	false	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false	false	false

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	false	ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues	Business Name Line2NameOfInterestedPerson/NameBusiness/BusinessNameLine2
AMANDA OVERBEY PT
DIRECTOR FAMILY	60745	EMPLOYEE COMPENSATIO	false
JAMES GOODMAN MD
FORMER DIRECTOR	47412	EMPLOYEE COMPENSATIO	false
REGIONS BANKRON COLLINS
BANK OFFICER		BANKING TRANSACTIONS	false	REGIONS BANK/RON COLLINS
FIRST SECURITY BANKKANNA PHILLIPS
BANK TRUSTEE		BANKING TRANSACTIONS	false	FIRST SECURITY BANK/KANNA PHILLIPS

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE L PART V	ReturnReference
Explanation	SCHEDULE L PART IV LINE 3 RON COLLINS IN ON THE BOARD OF DIRECTORS OF JOHNSON REGIONAL MEDICAL CENTER AND IS ALSO AN OFFICER OF REGIONS BANK JOHNSON REGIONAL MEDICAL CENTER HAS ROUTINE BANKING TRANSACTIONS WITH REGIONS BANK WE ARE UNABLE TO DETERMINE THE FAIR MARTKET VALUE OF THESE SERVICES SCHEDULE L PART IV LINE 4 KANNA PHILLIPS IS ON THE BOARD OF DIRECTORS OF JOHNSON REGIONAL MEDICAL CENTER AND HER HUSBAND IS A TRUSTEE OF FIRST SECURITY BANK JOHNSON REGIONAL MEDICAL CENTER HAS ROUTINE BANKING TRANSACTIONS WITH FIRST SECURITY BANK WE ARE UNABLE TO DETERMINE THE FAIR MARTKET VALUE OF THESE SERVICES	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	BECAUSE THE REGULARLY SCHEDULED MONTHLY BOARD MEETING TAKES PLACE AFTER THE DUE DATE OF THE TAX RETURN, THE FORM 990 WILL BE REVIEWED BY THE BOARD IN THE FIRST MONTHLY MEETING AFTER THE FILING DATE.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	ORGANIZATION COMPLIANCE OFFICER REPORTS AT LEAST ANNUALLY TO THE BOARD OF DIRECTORS AND REVIEWS THE CONFLICT OF INTEREST POLICY. DIRECTORS AND KEY EMPLOYEES ARE UPDATED REGARDING ANY CHANGES IN POLICY AND ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST BASED ON THE POLICY.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	CEO COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS AND IS COMPARED TO COMPENSATION OF COMPARABLE CEO POSITIONS ANNUALLY BY THE BOARD OF DIRECTORS.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	OTHER OFFICERS AND KEY EMPLOYEES COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS AND IS COMPARED TO COMPENSATION OF COMPARABLE POSITIONS ANNUALLY BY THE BOARD OF DIRECTORS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER FEES FOR SERVICES	FORM 990, PART IX, LINE 11G	PHYSICIAN FEES 1,560,506 0 0 OTHER FEES 2,198,935 4,826 0 PURCHASED SERVICES 382,151 118,723 0 LOSS FROM DEBT EXTINGUISHMENT 0 187,736 0