CRITTENDEN HOSPITAL ASSOCIATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CRITTENDEN HOSPITAL ASSOCIATION (EIN 71-0236932)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201343189349303549
Schema version
2012v2.1
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)
Timestamp2013-11-14T13:27:16-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN710236932EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CRITTENDEN HOSPITAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BRAD MCCORMICKInCareOfName
Name ControlCRITNameControl
Phone8707351500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 W TYLERAddressLine1
Address Line2SuiteAddressLine2
CityWEST MEMPHISCity
StateARState
ZIP Code72301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRAD MCCORMICKName
TitleCFOTitle
Phone5013721040Phone
Date Signed2013-11-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMBER SHERRILLName
Phone5013721040Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRAD MCCORMICKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1200 W TYLERAddressLine1
CityWEST MEMPHISCity
StateARState
ZIP Code72301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts70756339GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CRITTENDENREGIONAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1953YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionEXCELLENCE IN PATIENT CENTERED HEALTHCARE FOR THE MIDSOUTHActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees29TotalNbrEmployees
Total Nbr Volunteers14TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2574978ContributionsGrantsPriorYear
Contributions Grants Current Year1735870ContributionsGrantsCurrentYear
Program Service Revenue Prior Year69486048ProgramServiceRevenuePriorYear
Program Service Revenue CY68068041ProgramServiceRevenueCY
Investment Income Prior Year-55136InvestmentIncomePriorYear
Investment Income Current Year31910InvestmentIncomeCurrentYear
Other Revenue Prior Year1225142OtherRevenuePriorYear
Other Revenue Current Year851096OtherRevenueCurrentYear
Total Revenue Prior Year73231032TotalRevenuePriorYear
Total Revenue Current Year70686917TotalRevenueCurrentYear
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 Year31953105SalariesEtcPriorYear
Salaries Etc Current Year31413864SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year41836054OtherExpensePriorYear
Other Expenses Current Year41946983OtherExpensesCurrentYear
Total Expenses Prior Year73789159TotalExpensesPriorYear
Total Expenses Current Year73360847TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-558127RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2673930RevenuesLessExpensesCY
Total Assets BOY30328577TotalAssetsBOY
Total Assets EOY29883763TotalAssetsEOY
Total Liabilities BOY27912479TotalLiabilitiesBOY
Total Liabilities EOY32526414TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2416098NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2642651NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE INPATIENT, OUTPATIENT, EMERGENCY, RURAL HEALTH, AND PEDIATRIC CARE FOR THE RESIDENTS OF EAST CENTRAL AR AND SURROUNDING AREAS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense62438783Expense
Revenue68068041Revenue
DescriptionPROVIDE INPATIENT, OUTPATIENT, EMERGENCY, RURAL HEALTH, AND PEDIATRIC CARE FOR THE RESIDENTS OF EAST CENTRAL AR AND SURROUNDING AREAS.Description
Total Program Service Expense62438783TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096670NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees29NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBRAD MCCORMICKNamePerson
Telephone Number8707351500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 W TYLERAddressLine1
CityWEST MEMPHISCity
StateARState
ZIP Code72301ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
JASON COLLARD
TREASURER1.0XX000
RANDY CATT
MEMBER1.0X000
DAVID FORD MD
MEMBER1.0X000
TOM DONALDSON
MEMBER1.0X000
ANDY LUTTRELL
SECRETARY1.0XX0001.0
WILLIAM JOHNSON
MEMBER1.0X000
HERSHEL OWENS
VICE CHAIRMAN1.0XX000
DAVID RAINS JR
CHAIRMAN1.0XX0001.0
LANNIE LANCASTER
MEMBER1.0X000
JULIO RUIZ MD
MEMBER1.0X000
SHERRY LONDON
MEMBER1.0X000
NESS SECHREST
MEMBER1.0X000
RANDY SULLIVAN
MEMBER1.0X0001.0
LEVEN WILLIAMS
MEMBER1.0X000
GENE CASHMAN
CEO40.0XX000
JAMIE CARTER
CEO40.0X1771000
BRAD MCCORMICK
CFO40.0X12962901987
CAROL MCCORMACK
VP - OPERATIONS40.0X627810931
DONNA LANIER
VICE PRESIDENT40.0X11073901732
CHURCHILL AKHIGBE
PHYSICIAN40.035654105993X
NIZAR ISSA
PHYSICIAN40.041692107909X
CHRISTINE RIMMER
CRNA40.019937401109X
KOYIA FIGURES
PHYSICIAN40.019719904009X
SHAKEB HASHMI
PHYSICIAN40.022775301109X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1718647TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation24779TotalOtherCompensation
Number Individuals GT100 K28NumberIndividualsGT100K
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
REHABCARE GROUP
PO BOX 502096ST LOUISMO63150REHABILITATION1422306
SUPERIOR ANESTHESIA
PO BOX 541WYNNEAR72396ANESTHESIOLOGIST360087
BETTYE WICKER
PO BOX 142NEW ALBANYMS38652ANESTHESIOLOGIST179823
IMPERIAL GUARD SERVICE
2555 POPLAR AVEMEMPHISTN38112SECURITY165840
KANAKA VASUDEVAN MD
603 BIG LAKE DRMARIONAR72364ANESTHESIOLOGIST164025
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations87427RelatedOrganizations
Government Grants1549629GovernmentGrants
All Other Contributions98814AllOtherContributions
Total Contributions1735870TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code621990BusinessCode
Total Revenue Column68068041TotalRevenueColumn
Related Or Exempt Function Income68068041RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue68068041TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-71978TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$71,978ExclusionAmount

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)
Real231851Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real16396Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real215455Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column215455TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$215,455ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities11809Securities
Other145105Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other53026Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities11809Securities
Other92079Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column103888TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$103,888ExclusionAmount

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
COUNTY TAX ALLOCATION621990264875$264,875
CAFETERIA SALES900099184525$184,525
CATH LAB STUDY INCOME90009922000$22,000

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column164241TotalRevenueColumn
Exclusion$164,241ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue635641TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column70686917TotalRevenueColumn
Related Or Exempt Function Income68068041RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$883,006ExclusionAmount

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)
Total325509Total
Management And General325509ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total25294817Total
Program Services20529545ProgramServices
Management And General4765272ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total832428Total
Program Services675607ProgramServices
Management And General156821ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3159226Total
Program Services2564062ProgramServices
Management And General595164ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1801884Total
Program Services1462428ProgramServices
Management And General339456ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total245803Total
Program Services199496ProgramServices
Management And General46307ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total65945Total
Program Services53522ProgramServices
Management And General12423ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total56047Total
Program Services45488ProgramServices
Management And General10559ManagementAndGeneral
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)
Total9060300Total
Program Services7353437ProgramServices
Management And General1706863ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total125932Total
Program Services102208ProgramServices
Management And General23724ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total952462Total
Program Services773028ProgramServices
Management And General179434ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2762518Total
Program Services2242089ProgramServices
Management And General520429ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total396632Total
Program Services321911ProgramServices
Management And General74721ManagementAndGeneral
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)
Total567068Total
Program Services460238ProgramServices
Management And General106830ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1654580Total
Program Services1342875ProgramServices
Management And General311705ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total971678Total
Program Services788624ProgramServices
Management And General183054ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBTS152416061524160600
SUPPLIES47605643863725896839
DRUGS1545550154555000
REPAIRS & MAINTENANCE185489715054543494430

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1685401Total
Program Services1367890ProgramServices
Management And General317511ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total73360847Total
Program Services62438783ProgramServices
Management And General10922064ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3995BOY
EOY3025EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1015656BOY
EOY1463107EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8527927BOY
EOY8261777EOY

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)
BOY2706307BOY
EOY3442456EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY938286BOY
EOY919891EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY619441BOY
EOY709234EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis33059101LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19950164LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14324354BOY
EOY13108937EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1523224BOY
EOY1342000EOY

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)
BOY669387BOY
EOY633336EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY30328577BOY
EOY29883763EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8357726BOY
EOY11015505EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY76772BOY
EOY25591EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7102129BOY
EOY6750000EOY

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)
BOY4077417BOY
EOY4298096EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8298435BOY
EOY10437222EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY27912479BOY
EOY32526414EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2365946BOY
EOY-2680263EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY50152BOY
EOY37612EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2416098BOY
EOY-2642651EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30328577BOY
EOY29883763EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2673930ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-826ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment-22868ReconcilationPriorAdjustment
Reconcilation Other Changes-2361125ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommittee
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 D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis351346OtherCostOrOtherBasis
Book Value351346BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18695867OtherCostOrOtherBasis
Depreciation11120803Depreciation
Book Value7575064BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1238869OtherCostOrOtherBasis
Depreciation908847Depreciation
Book Value330022BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12110600OtherCostOrOtherBasis
Depreciation7398564Depreciation
Book Value4712036BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis662419OtherCostOrOtherBasis
Depreciation521950Depreciation
Book Value140469BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13108937TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLIABILITY FOR PENSION BENEFITSDescription
Amount$10,437,222Amount
FieldValueIRS element (for citing)
Total Of Amounts10437222TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt53099756TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-826NetUnrealizedGainsInvestments
Other Revenues16396OtherRevenues
Revenue Not Rptd F99015570RevenueNotRptdF990
Revenue Subtotal53084186RevenueSubtotal
Other Revenues Not Included17602731OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt17602731RevenueNotRptdOnFinStmt
Total Revenue Per Form99070686917TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt58135637TotExpensesEtcAuditedFinclStmt
Other Expenses Included16396OtherExpensesIncluded
Expenses Not Rptd F99016396ExpensesNotRptdF990
Expenses Subtotal58119241ExpensesSubtotal
Other Expenses Not Included15241606OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt15241606ExpensesNotRptdOnFinStmt
Total Expenses Per Form99073360847TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVENUE RECONCILIATIONFORM 990, SCHEDULE D, PART XI, LINE 4BBAD DEBT EXPENSE $15,241,606 LESS PENSION COST $2,361,125 =========== $17,602,731
EXPENSE RECONCILIATIONFORM 990, SCHEDULE D, PART XI, LINE 4BBAD DEBT EXPENSE $15,241,606 =========== $15,241,606
FIN 48 DISCLOSUREFORM 990, SCHEDULE D, PART X, LINE 2THE HOSPITAL HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND SIMILIAR PROVISION OF STATE LAW. AS SUCH, THE HOSPITAL IS REQUIRED TO FILE IRS FORM 990 ON AN ANNUAL BASIS. HOWEVER, THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. NO PROVISION FOR FEDERAL OR STATE INCOME TAXES IS INCLUDED IN THE HOSPITAL'S FINANCIAL STATEMENTS. THE HOSPITAL IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR INCOME TAX RETURNS FILED FOR YEARS BEFORE 2009. THE HOSPITAL'S TAXABLE SUBSIDIARY, CRITTENDEN CARES, INC., RECOGNIZES DEFERRED TAX LIABILITIES AND ASSETS FOR THE TAX EFFECTS OF DIFFERENCES BETWEEN THE FINANCIAL STATEMENT AND TAX BASIS OF ASSETS AND LIABILITIES. A VALUATION ALLOWANCE IS ESTABLISHED TO REDUCE DEFERRED TAX ASSETS IF IT IS MORE LIKELY THAN NOT THAT A DEFERRED TAX ASSET WILL NOT BE REALIZED. THERE WERE NO MATERIAL DEFERRED TAX ITEMS OR TAX PROVISIONS AS OF OR FOR THE YEARS ENDED DECEMBER 31, 2012 OR 2011.
EXPENSE INCLUDED IN EXPENSES PER AUDIT, INCLUDED IN REVENUES PER RETURNFORM 990, SCHEDULE D, PART XI, LINE 2DRENTAL EXPENSES $16,396
EXPENSE INCLUDED IN EXPENSES PER AUDIT, INCLUDED IN REVENUES PER RETURNFORM 990, SCHEDULE D, PART XII, LINE 2DRENTAL EXPENSES $16,396

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2382186TotalCommunityBenefitExpense
Net Community Benefit Expense2382186NetCommunityBenefitExpense
Percent Of Total Expense0.04100PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10196103TotalCommunityBenefitExpense
Direct Offsetting Revenue8911687DirectOffsettingRevenue
Net Community Benefit Expense1284416NetCommunityBenefitExpense
Percent Of Total Expense0.02210PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense12578289TotalCommunityBenefitExpense
Direct Offsetting Revenue8911687DirectOffsettingRevenue
Net Community Benefit Expense3666602NetCommunityBenefitExpense
Percent Of Total Expense0.06310PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense615614TotalCommunityBenefitExpense
Direct Offsetting Revenue520202DirectOffsettingRevenue
Net Community Benefit Expense95412NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense823020TotalCommunityBenefitExpense
Direct Offsetting Revenue776195DirectOffsettingRevenue
Net Community Benefit Expense46825NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1438634TotalCommunityBenefitExpense
Direct Offsetting Revenue1296397DirectOffsettingRevenue
Net Community Benefit Expense142237NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense14016923TotalCommunityBenefitExpense
Direct Offsetting Revenue10208084DirectOffsettingRevenue
Net Community Benefit Expense3808839NetCommunityBenefitExpense
Percent Of Total Expense0.06550PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$15,241,606BadDebtExpenseAmount
Amount Attributable To4572482AmountAttributableTo
Amount Reimbursed By Medicare19821195AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare19739981CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall81214MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1CRITTENDEN REGIONAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1200 WEST TYLERAddressLine1
CityWEST MEMPHISCity
StateARState
ZIP Code72301ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CRITTENDEN REGIONAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent150.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent150.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BAD DEBT EXPENSEFORM 990, SCHEDULE H,PART I, LINE 7, COLUMN FBAD DEBT EXPENSE IN THE AMOUNT OF $15,241,606 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.
THE COST TO CHARGE RATIOFORM 990, SCHEDULE H, PART I, LINE 7THE COST TO CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED ON LINE 7A. THE COST REPORT AND TRIAL BALANCE WERE USED FOR LINE 7B.
BAD DEBT EXPENSEFORM 990, SCHEDULE H, PART III, LINE 4THE FOOTNOTE CONTAINING THE EXPLANATION FOR BAD DEBT EXPENSE CAN BE FOUND IN THE ATTACHED FINANCIAL STATEMENTS ON PAGE 8.
MEDICARE ALLOWABLE COST OF CAREFORM 990, SCHEDULE H, PART III, LINE 8LINE 6 WAS CALCULATED USING MEDICARE COST REPORT.
CHARITY CAREFORM 990, SCHEDULE H, PART III, LINE 9BIF AT ANY TIME DURING THE COLLECTION PROCESS, A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE, ALL COLLECTION EFFORTS CEASE.
NEEDS ASSESSMENTFORM 990, SCHEDULE H, PART VI, LINE 2HOSPITAL ADMINISTRATION REVIEWS SERVICE AREA, PATIENT DISCHARGE DATA FROM ARKANSAS AND TENNESSEE SUMMARIZED BY MAJOR DIAGNOSTIC CATEGORY AND THEN MATCHES COMMUNITY NEEDS WITH CURRENT HOSPITAL SERVICE OFFERINGS. WE ALSO USE THIS DATA TO DETERMINE NEW SERVICE LINES THAT NEED DEVELOPING AND PHYSICIAN RECRUITING NEEDS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFORM 990, SCHEDULE H, PART VI, LINE 3CRH CONTRACTS WITH AN ORGANIZATION THAT INTERVIEWS ALL INPATIENTS WITH NO HEALTH COVERAGE TO DETERMINE IF ANY PUBLIC ASSISTANCE IS AVAILABLE TO THEM. BASED ON THE INTERVIEWS, APPLICATIONS ARE FILED. IF NO PUBLIC ASSISTANCE IS AVAILABLE, FINANCIAL ASSISTANCE APPLICATIONS ARE FILED ACCORDING TO THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ONCE APPROPRIATE DOCUMENTATION IS RECEIVED SUPPORTING THE ASSISTANCE, THE HOSPITAL ADJUSTS THE CLAIMS ACCORDINGLY.
COMMUNITY INFORMATIONFORM 990, SCHEDULE H, PART VI, LINE 4CRITTENDEN HOSPITAL ASSOCIATION SERVES AN AREA IN NORTHEAST ARKANSAS THAT IS ECONOMICALLY IMPOVERSISHED. THE COUNTY'S UNEMPLOYMENT RATE HAS HOVERED HERE AND ABOVE THE 11% MARK THROUGHOUT 2012. CRITTENDEN HOSPITAL ASSOCIATION IS COMMITTED TO PROVIDING EXCELLENCE IN PATIENT CENTER HEALTHCARE FOR THIS COMMUNITY REGARDLESS OF PATIENTS' ABILITY TO PAY.
PROMOTION OF COMMUNITY HEALTHFORM 990, SCHEDULE H, PART VI, LINE 5THE HOSPITAL SPONSORS AN ASSORTMENT OF COMMUNITY HEALTH EDUCATION ACTIVITIES WITH ITS AFFILIATION WITH UAMS AND THE DELTA AREA HEALTH EDUCATION CENTER. AMONG THOSE ARE SENIOR HEALTH & EXERCISE, CHILDBIRTH EDUCATION, DIABETES EDUCATION, HEALTH COUNCIL, HYPERTENSION, AND CPR JUST TO NAME A FEW. THE HOSPITAL'S OBJECTIVES WITH THIS PROGRAM ARE AS FOLLOWS: RECRUITMENT AND RETENTION OF HEALTHCARE PROFESSIONALS, CONTINUING EDUCATION FOR THOSE PROFESSIONALS AND COMMUNITY HEALTH EDUCATION.

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase 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
CHURCHILL AKHIGBE
PHYSICIAN356541000004884011090362534000
NIZAR ISSA
PHYSICIAN416921000006800011090424830000
CHRISTINE RIMMER
CRNA199374000000011090200483000
KOYIA FIGURES
PHYSICIAN197199000002900011090201208000
SHAKEB HASHMI
PHYSICIAN227753000000011090228862000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CRITTENDEN COUNTY ARBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN716008242IssuerEIN
CUSIP Number226748CF6CUSIPNumber
Date Issued2007-12-28DateIssued
Issue Price8057129IssuePrice
Description Of PurposeREFUNDING BONDS ISSUED 4/1/2000DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired1330000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds8628004TotalProceeds
Amount In Reserve Fund282751AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds160000IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2010YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

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

Form990 Schedule K Part IV Form990ScheduleKPartIV

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

Name Of Hedge Provider NameOfHedgeProvider

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

Name Of GIC Provider NameOfGICProvider

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

Form990 Schedule K Part V Form990ScheduleKPartV

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

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BOND YEARFORM 990, SCHEDULE K, PART ISCHEDULE K INFORMATION WAS COMPLETED ON THE BOND YEAR ENDING 12/1/2012.
REBATE CALCULATIONFORM 990, SCHEDULE K, PART IV, LINE 2CTHE REBATE COMPUTATION WAS PERFORMED DECEMBER 1, 2012.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVIEW OF FORM 990FORM 990, PART VI, SECTION B, LINE 11BTHE 990 WILL BE REVIEWED BY THE ORGANIZATION'S CFO & CONTROLLER BEFORE FILING. THE FILED 990 WILL BE PRESENTED TO THE ENTIRE BOARD DURING A FUTURE BOARD MEETING.
COMPLIANCE OF CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CIT IS THE POLICY OF THE BOARD OF TRUSTEES TO REQUIRE THAT EACH OFFICER AND TRUSTEE, PRIOR TO TAKING THEIR POSITION ON THE BOARD AND THEREAFTER DURING EACH YEAR OF THEIR TENURE, SUBMIT IN WRITING TO THE BOARD A LIST OF ALL BUSINESS OR OTHER ORGANIZATIONS OF WHICH HE/SHE IS AN OFFICER, MEMBER, OWNER, OR EMPLOYEE OR FOR WHICH HE/SHE ACTS AS AN AGENT, WITH WHICH THE ORGANIZATION HAS, OR MAY REASONABLY IN THE FUTURE ENTER INTO A RELATIONSHIP OR TRANSACTION IN WHICH THE BOARD MEMBER OR OFFICER WOULD HAVE A CONFLICT OF INTEREST.
DETERMINATION OF COMPENSATIONFORM 990, PART VI, SECTION B, LINES 15A & 15BIN REVIEWING COMPENSATION OF TOP OFFICIALS, KEY EMPLOYEES, AND OFFICERS, MANAGEMENT DISCUSSES THE CANDIDATES BACKGROUND AND SALARY HISTORY. THEY ALSO REVIEW THE SALARIES OF INDIVIDUALS IN SIMILAR POSITIONS WITHIN THE ORGANIZATION AND IN THE MARKET, TO ARRIVE AT A STARTING POINT FOR SALARY NEGOTIATIONS. THE STARTING OFFER IS APPROVED BY THE BOARD'S EXECUTIVE COMMITTEE BEFORE PRESENTING IT TO THE CANDIDATE. ANY FURTHER NEGOTIATIONS OR COUNTER OFFERS ARE ALSO SUBJECT TO APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD.
AVAILABLE UPON REQUESTFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, DURING NORMAL BUSINESS HOURS.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5CHANGE IN PENSION PLAN GAIN/LOSS $2,361,125

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CRITTENDEN MEMORIAL HOSPITAL DEVELOPMENTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 W TYLER AVEAddressLine1
CityWEST MEMPHISCity
StateARState
ZIP Code72301ZIPCode
FieldValueIRS element (for citing)
EIN043740092EIN
Primary ActivitiesSUPPORTPrimaryActivities
Legal Domicile StateARLegalDomicileState
Exempt Code Section501 (C) (3)ExemptCodeSection
Public Charity Status11APublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgtrueControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
CRITTENDEN CARES INC
200 W TYLER AVEWEST MEMPHISAR72301710676486HEALTHCAREARNAC CORP15768234967681.00000true
MID SOUTH CLINIC CORPORATION
200 W TYLER AVEWEST MEMPHISAR72301204978773HEALTHCAREARNAC CORP001.00000true
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1CRITTENDEN HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved87427AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination

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