2013-11-14T13:27:16-06:00 2012-12-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2012-01-01 710236932 CRITTENDEN HOSPITAL ASSOCIATION % BRAD MCCORMICK CRIT 8707351500 200 W TYLER Suite WEST MEMPHIS AR 72301 BRAD MCCORMICK 5013721040 2013-11-13 true AMBER SHERRILL 5013721040 2012 2016-02-25 16:41:14Z BRAD MCCORMICK 200 W TYLER WEST MEMPHIS AR 72301 70756339 false X WWW.CRITTENDENREGIONAL.ORG X 1953 AR EXCELLENCE IN PATIENT CENTERED HEALTHCARE FOR THE MIDSOUTH 16 15 29 14 0 0 2574978 1735870 69486048 68068041 -55136 31910 1225142 851096 73231032 70686917 0 0 0 0 31953105 31413864 0 0 0 41836054 41946983 73789159 73360847 -558127 -2673930 30328577 29883763 27912479 32526414 2416098 -2642651 PROVIDE INPATIENT, OUTPATIENT, EMERGENCY, RURAL HEALTH, AND PEDIATRIC CARE FOR THE RESIDENTS OF EAST CENTRAL AR AND SURROUNDING AREAS. false false 62438783 68068041 PROVIDE INPATIENT, OUTPATIENT, EMERGENCY, RURAL HEALTH, AND PEDIATRIC CARE FOR THE RESIDENTS OF EAST CENTRAL AR AND SURROUNDING AREAS. 62438783 true true false false false false false false false false true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 670 0 true 29 true false false false false false false false false false false X 16 15 false false false false false false false true true false false true true true true true true true true false AR X BRAD MCCORMICK 8707351500 200 W TYLER WEST MEMPHIS AR 72301 X JASON COLLARD 1.0 X X 0 0 0 RANDY CATT 1.0 X 0 0 0 DAVID FORD MD 1.0 X 0 0 0 TOM DONALDSON 1.0 X 0 0 0 ANDY LUTTRELL 1.0 1.0 X X 0 0 0 WILLIAM JOHNSON 1.0 X 0 0 0 HERSHEL OWENS 1.0 X X 0 0 0 DAVID RAINS JR 1.0 1.0 X X 0 0 0 LANNIE LANCASTER 1.0 X 0 0 0 JULIO RUIZ MD 1.0 X 0 0 0 SHERRY LONDON 1.0 X 0 0 0 NESS SECHREST 1.0 X 0 0 0 RANDY SULLIVAN 1.0 1.0 X 0 0 0 LEVEN WILLIAMS 1.0 X 0 0 0 GENE CASHMAN 40.0 X X 0 0 0 JAMIE CARTER 40.0 X 17710 0 0 BRAD MCCORMICK 40.0 X 129629 0 1987 CAROL MCCORMACK 40.0 X 62781 0 931 DONNA LANIER 40.0 X 110739 0 1732 CHURCHILL AKHIGBE 40.0 X 356541 0 5993 NIZAR ISSA 40.0 X 416921 0 7909 CHRISTINE RIMMER 40.0 X 199374 0 1109 KOYIA FIGURES 40.0 X 197199 0 4009 SHAKEB HASHMI 40.0 X 227753 0 1109 1718647 0 24779 28 false true false REHABCARE GROUP PO BOX 502096 ST LOUIS MO 63150 REHABILITATION 1422306 SUPERIOR ANESTHESIA PO BOX 541 WYNNE AR 72396 ANESTHESIOLOGIST 360087 BETTYE WICKER PO BOX 142 NEW ALBANY MS 38652 ANESTHESIOLOGIST 179823 IMPERIAL GUARD SERVICE 2555 POPLAR AVE MEMPHIS TN 38112 SECURITY 165840 KANAKA VASUDEVAN MD 603 BIG LAKE DR MARION AR 72364 ANESTHESIOLOGIST 164025 5 87427 1549629 98814 1735870 PATIENT SERVICE REVENUE 621990 68068041 68068041 68068041 -71978 0 0 -71978 0 0 231851 16396 215455 0 215455 0 0 215455 11809 145105 53026 11809 92079 103888 0 0 103888 0 0 0 COUNTY TAX ALLOCATION 621990 264875 264875 CAFETERIA SALES 900099 184525 184525 CATH LAB STUDY INCOME 900099 22000 22000 164241 164241 635641 70686917 68068041 0 883006 0 0 0 0 325509 325509 0 25294817 20529545 4765272 0 832428 675607 156821 0 3159226 2564062 595164 0 1801884 1462428 339456 0 245803 199496 46307 0 65945 53522 12423 0 56047 45488 10559 0 0 0 0 9060300 7353437 1706863 0 125932 102208 23724 0 952462 773028 179434 0 0 0 2762518 2242089 520429 0 396632 321911 74721 0 0 0 567068 460238 106830 0 0 1654580 1342875 311705 0 971678 788624 183054 0 BAD DEBTS 15241606 15241606 0 0 SUPPLIES 4760564 3863725 896839 DRUGS 1545550 1545550 0 0 REPAIRS & MAINTENANCE 1854897 1505454 349443 0 1685401 1367890 317511 73360847 62438783 10922064 0 3995 3025 1015656 1463107 0 0 8527927 8261777 0 0 0 0 2706307 3442456 938286 919891 619441 709234 33059101 19950164 14324354 13108937 0 0 1523224 1342000 0 0 0 0 669387 633336 30328577 29883763 8357726 11015505 0 0 76772 25591 7102129 6750000 0 0 0 0 4077417 4298096 0 0 8298435 10437222 27912479 32526414 X 2365946 -2680263 50152 37612 0 0 2416098 -2642651 30328577 29883763 X -2673930 -826 -22868 -2361125 X false true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 351346 351346 18695867 11120803 7575064 1238869 908847 330022 12110600 7398564 4712036 662419 521950 140469 13108937 0 LIABILITY FOR PENSION BENEFITS 10437222 10437222 X 53099756 -826 16396 15570 53084186 17602731 17602731 70686917 58135637 16396 16396 58119241 15241606 15241606 73360847 REVENUE RECONCILIATION FORM 990, SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $15,241,606 LESS PENSION COST $2,361,125 =========== $17,602,731 EXPENSE RECONCILIATION FORM 990, SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $15,241,606 =========== $15,241,606 FIN 48 DISCLOSURE FORM 990, SCHEDULE D, PART X, LINE 2 THE 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 RETURN FORM 990, SCHEDULE D, PART XI, LINE 2D RENTAL EXPENSES $16,396 EXPENSE INCLUDED IN EXPENSES PER AUDIT, INCLUDED IN REVENUES PER RETURN FORM 990, SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSES $16,396 true true true X true X true true true false false 2382186 2382186 0.04100 10196103 8911687 1284416 0.02210 12578289 8911687 3666602 0.06310 615614 520202 95412 0.00160 823020 776195 46825 0.00080 1438634 1296397 142237 0.00240 14016923 10208084 3808839 0.06550 false 15241606 4572482 19821195 19739981 81214 X true true 1 1 CRITTENDEN REGIONAL HOSPITAL

200 WEST TYLER WEST MEMPHIS AR 72301

X X X X CRITTENDEN REGIONAL HOSPITAL 1 false true true 150. true 150. true X X X X true true X true false X X true X false false BAD DEBT EXPENSE FORM 990, SCHEDULE H,PART I, LINE 7, COLUMN F BAD 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 RATIO FORM 990, SCHEDULE H, PART I, LINE 7 THE 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 EXPENSE FORM 990, SCHEDULE H, PART III, LINE 4 THE FOOTNOTE CONTAINING THE EXPLANATION FOR BAD DEBT EXPENSE CAN BE FOUND IN THE ATTACHED FINANCIAL STATEMENTS ON PAGE 8. MEDICARE ALLOWABLE COST OF CARE FORM 990, SCHEDULE H, PART III, LINE 8 LINE 6 WAS CALCULATED USING MEDICARE COST REPORT. CHARITY CARE FORM 990, SCHEDULE H, PART III, LINE 9B IF AT ANY TIME DURING THE COLLECTION PROCESS, A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE, ALL COLLECTION EFFORTS CEASE. NEEDS ASSESSMENT FORM 990, SCHEDULE H, PART VI, LINE 2 HOSPITAL 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 ASSISTANCE FORM 990, SCHEDULE H, PART VI, LINE 3 CRH 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 INFORMATION FORM 990, SCHEDULE H, PART VI, LINE 4 CRITTENDEN 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 HEALTH FORM 990, SCHEDULE H, PART VI, LINE 5 THE 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. X X X false false false false false false false false false CHURCHILL AKHIGBE 356541 0 0 0 0 0 4884 0 1109 0 362534 0 0 0 NIZAR ISSA 416921 0 0 0 0 0 6800 0 1109 0 424830 0 0 0 CHRISTINE RIMMER 199374 0 0 0 0 0 0 0 1109 0 200483 0 0 0 KOYIA FIGURES 197199 0 0 0 0 0 2900 0 1109 0 201208 0 0 0 SHAKEB HASHMI 227753 0 0 0 0 0 0 0 1109 0 228862 0 0 0 A CRITTENDEN COUNTY AR 716008242 226748CF6 2007-12-28 8057129 REFUNDING BONDS ISSUED 4/1/2000 false false false A 1330000 0 8628004 282751 0 0 160000 0 0 0 0 0 2010 false true false true A false false false false 0.00000 0.00000 0.00000 false false false true A false false false true false false 0 false 0 false true A true BOND YEAR FORM 990, SCHEDULE K, PART I SCHEDULE K INFORMATION WAS COMPLETED ON THE BOND YEAR ENDING 12/1/2012. REBATE CALCULATION FORM 990, SCHEDULE K, PART IV, LINE 2C THE REBATE COMPUTATION WAS PERFORMED DECEMBER 1, 2012. REVIEW OF FORM 990 FORM 990, PART VI, SECTION B, LINE 11B THE 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 POLICY FORM 990, PART VI, SECTION B, LINE 12C IT 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 COMPENSATION FORM 990, PART VI, SECTION B, LINES 15A & 15B IN 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 REQUEST FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, DURING NORMAL BUSINESS HOURS. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 CHANGE IN PENSION PLAN GAIN/LOSS $2,361,125 CRITTENDEN MEMORIAL HOSPITAL DEVELOPMENT 200 W TYLER AVE WEST MEMPHIS AR 72301 043740092 SUPPORT AR 501 (C) (3) 11A NA true CRITTENDEN CARES INC 200 W TYLER AVE WEST MEMPHIS AR 72301 710676486 HEALTHCARE AR NA C CORP 1576823 496768 1.00000 true MID SOUTH CLINIC CORPORATION 200 W TYLER AVE WEST MEMPHIS AR 72301 204978773 HEALTHCARE AR NA C CORP 0 0 1.00000 true false false true false false false false false true true true true true true false false false false CRITTENDEN HOSPITAL FOUNDATION C 87427 FMV