JOHNSON COUNTY REGIONAL HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
JOHNSON COUNTY REGIONAL HOSPITAL (EIN 71-0403278)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201203199349303495
Schema version
2011v1.2
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)
Timestamp2012-11-14T14:23:54-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KING JACOBS GRESHAM & LORFING CPAS PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11216 S ROGERS STAddressLine1
CityCLARKSVILLECity
StateARState
ZIP Code728309159ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710403278EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JOHNSON REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJOHNNameControl
Phone4797545454Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 738AddressLine1
CityCLARKSVILLECity
StateARState
ZIP Code72830ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEDWARD ANDERSONName
TitleCFOTitle
Phone4797545454Phone
Date Signed2012-11-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameADELE K JACOBS CPAName
Phone4797542478Phone
Date Prepared2012-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT MORSENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 738AddressLine1
CityCLARKSVILLECity
StateARState
ZIP Code72830ZIPCode
FieldValueIRS element (for citing)
Gross Receipts35751138GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.JRMC.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionINPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO SURROUNDING RURAL COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees473TotalNbrEmployees
Total Nbr Volunteers91TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year91349ContributionsGrantsPriorYear
Contributions Grants Current Year98290ContributionsGrantsCurrentYear
Program Service Revenue Prior Year34104605ProgramServiceRevenuePriorYear
Program Service Revenue CY32256382ProgramServiceRevenueCY
Investment Income Prior Year125614InvestmentIncomePriorYear
Investment Income Current Year133703InvestmentIncomeCurrentYear
Other Revenue Prior Year2918730OtherRevenuePriorYear
Other Revenue Current Year3262763OtherRevenueCurrentYear
Total Revenue Prior Year37240298TotalRevenuePriorYear
Total Revenue Current Year35751138TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17336715SalariesEtcPriorYear
Salaries Etc Current Year16051987SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19001710OtherExpensePriorYear
Other Expenses Current Year18645450OtherExpensesCurrentYear
Total Expenses Prior Year36338425TotalExpensesPriorYear
Total Expenses Current Year34697437TotalExpensesCurrentYear
Revenues Less Expenses Prior Year901873RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1053701RevenuesLessExpensesCY
Total Assets BOY34792546TotalAssetsBOY
Total Assets EOY35423019TotalAssetsEOY
Total Liabilities BOY11670658TotalLiabilitiesBOY
Total Liabilities EOY11247430TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY23121888NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24175589NetAssetsOrFundBalancesEOY
Mission DescriptionINPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO SURROUNDING RURAL COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense32224850Expense
Revenue32256382Revenue
DescriptionINPATIENT AND OUTPATIENT HEALTHCARE SERVICES WHICH INCLUDES CHARITABLE CARE FOR 2011 OF 828,696 BASED ON ESTIMATED COSTS.Description
Total Program Service Expense32224850TotalProgramServiceExpense
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 LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
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 OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109667NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees473NumberOfEmployees
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
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management 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 BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonEDWARD ANDERSONNamePerson
Telephone Number4797545454TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 738AddressLine1
CityCLARKSVILLECity
StateARState
ZIP Code72830ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
KANNA LOU PHILLIPS
DIRECTOR1.00X000
KEN NELSON
DIRECTOR1.00X000
JANELL BURCH
DIRECTOR1.00X000
FREEMAN WISH
DIRECTOR1.00X000
RON COLLINS
DIRECTOR1.00X000
RICK CASEY
DIRECTOR1.00X000
CHRIS ALLEN
DIRECTOR1.00X000
ROBERT MORSE
CEO45.00157988025973X
EDWARD ANDERSON
CFO45.00100510022904X
TERRI STUMBAUGH
NURSING ADMN45.0010029209704X
STEPHEN MCELMURRY
SURGEON50.00304306024147X
ROGER KENNEDY
CRNA50.00240630024268X
CECIL SUTTERFIELD
CRNA50.00240142020586X
CHARLES BROWN
SURGEON50.00196331026403X
JAMES GOODMAN
SURGEON50.00175557022155X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1515756TotalReportableCompFromOrg
Total Other Compensation176140TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1Address Line2AddressOfContractor/AddressUS/AddressLine2CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HORIZON MENTAL HEALTH MGMT
PO BOX 840839PO BOX 840839DALLASTX75284SENIOR CARE SER838616
MRI SOLUTIONS LLC
136 ARKOTA SHORES DR136 ARKOTA SHORES DRHOT SPRINGSAR71913MRI SERVICES362925
REHABCARE GROUP INC
PO BOX 502096PO BOX 502096ST LOUISMO63150REHAB MGMT SERV286204
JAMES MURDOCK MD
PO BOX 1123619 HICKORY LANECLARKSVILLEAR72830MEDICAL DOCTOR199036
RICHARD DAILY MD
16 RIMROCK ROAD16 RIMROCK ROADRUSSELLVILLEAR72802MEDICAL DOCTOR168050
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Government Grants98290GovernmentGrants
Total Contributions98290TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
GROSS PATIENT SERVICES REV6219906071543160715431
CONTRACTUAL ADJUSTMENTS-28459049-28459049
FieldValueIRS element (for citing)
Total Program Service Revenue32256382TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column107953TotalRevenueColumn
Related Or Exempt Function Income107953RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other25750Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other25750Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column25750TotalRevenueColumn
Related Or Exempt Function Income25750RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER OPERATING REVENUE32607543260754
NON-OPERATING REVENUE20092009
FieldValueIRS element (for citing)
Total Other Revenue3262763TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column35751138TotalRevenueColumn
Related Or Exempt Function Income35652848RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13719056Total
Program Services12638071ProgramServices
Management And General1080985ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total311518Total
Program Services286974ProgramServices
Management And General24544ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1072777Total
Program Services988253ProgramServices
Management And General84524ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total948636Total
Program Services873893ProgramServices
Management And General74743ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total28897Total
Management And General28897ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total133842Total
Management And General133842ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4029520Total
Program Services3904105ProgramServices
Management And General125415ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total8339Total
Program Services2413ProgramServices
Management And General5926ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total931563Total
Program Services931563ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total118893Total
Program Services108284ProgramServices
Management And General10609ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total460308Total
Management And General460308ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1856477Total
Program Services1856477ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total496806Total
Program Services496806ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS45500384550038
MEDICAL SUPPLIES35299023529902
OTHER SUPPLIES98719689372993467
REPAIR & MAINTENANCE68071564372536990

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total832954Total
Program Services520617ProgramServices
Management And General312337ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total34697437Total
Program Services32224850ProgramServices
Management And General2472587ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9249525BOY
EOY9301929EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1658874BOY
EOY1690358EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5804829BOY
EOY6338034EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY720500BOY
EOY794187EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1504906BOY
EOY1390992EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY307237BOY
EOY321242EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis36073404LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec20533610LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15496482BOY
EOY15539794EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY50193BOY
EOY46483EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY34792546BOY
EOY35423019EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2686268BOY
EOY2930573EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7718370BOY
EOY7330867EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1266020BOY
EOY985990EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11670658BOY
EOY11247430EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22328583BOY
EOY23364634EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY793305BOY
EOY810955EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23121888BOY
EOY24175589EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34792546BOY
EOY35423019EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1053701ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis494869OtherCostOrOtherBasis
Book Value494869BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18576035OtherCostOrOtherBasis
Depreciation8752714Depreciation
Book Value9823321BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis17002500OtherCostOrOtherBasis
Depreciation11780896Depreciation
Book Value5221604BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15539794TotalOfBookValueLandBuildings
Total Revenue35751138TotalRevenue
Total Expenses34697437TotalExpenses
Excess Or Deficit For Year1053701ExcessOrDeficitForYear
Excess Or Deficit Per FS1053701ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt35751138TotRevenueEtcAuditedFinclStmt
Revenue Subtotal35751138RevenueSubtotal
Total Revenue Per Form99035751138TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt34697437TotExpensesEtcAuditedFinclStmt
Expenses Subtotal34697437ExpensesSubtotal
Total Expenses Per Form99034697437TotalExpensesPerForm990

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense883705TotalCommunityBenefitExpense
Net Community Benefit Expense883705NetCommunityBenefitExpense
Percent Of Total Expense0.02550PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense5117332TotalCommunityBenefitExpense
Direct Offsetting Revenue5587333DirectOffsettingRevenue
Net Community Benefit Expense-470001NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense6001037TotalCommunityBenefitExpense
Direct Offsetting Revenue5587333DirectOffsettingRevenue
Net Community Benefit Expense413704NetCommunityBenefitExpense
Percent Of Total Expense0.02550PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5203451TotalCommunityBenefitExpense
Direct Offsetting Revenue3842005DirectOffsettingRevenue
Net Community Benefit Expense1361446NetCommunityBenefitExpense
Percent Of Total Expense0.03920PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5203451TotalCommunityBenefitExpense
Direct Offsetting Revenue3842005DirectOffsettingRevenue
Net Community Benefit Expense1361446NetCommunityBenefitExpense
Percent Of Total Expense0.03920PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense11204488TotalCommunityBenefitExpense
Direct Offsetting Revenue9429338DirectOffsettingRevenue
Net Community Benefit Expense1775150NetCommunityBenefitExpense
Percent Of Total Expense0.06470PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense5621TotalCommunityBuildingExpense
Net Community Building Expense5621NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense1819TotalCommunityBuildingExpense
Net Community Building Expense1819NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense66361TotalCommunityBuildingExpense
Net Community Building Expense66361NetCommunityBuildingExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense30685TotalCommunityBuildingExpense
Net Community Building Expense30685NetCommunityBuildingExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense104486TotalCommunityBuildingExpense
Net Community Building Expense104486NetCommunityBuildingExpense
Percent Of Total Expense0.00300PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$4,550,038BadDebtExpenseAmount
Amount Reimbursed By Medicare7894654AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare7699578CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall195076MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
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 Line1JOHNSON REGIONAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11100 POPLARAddressLine1
CityCLARKSVILLECity
StateARState
ZIP Code72830ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1JOHNSON REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent201.0FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1JRMC HOME HEALTHBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1401 ROGERS STAddressLine1
CityCLARKSVILLECity
StateARState
ZIP Code72830ZIPCode
FieldValueIRS element (for citing)
Facility TypeHOME HEALTH SERVICESFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER TESTING METHODS FOR FREE OR DISCOUNTED CAREPART I LINE 3CIN ADDITION TO USING THE FEDERAL POVERTY GUIDELINES JRMC ALSO USES THE ASSET TEST TO DETERMINE ELIGIBILITY OF FREE OR DISCOUNTED CARE
SUBSIDIZED HEALTH SERVICES EXPLANATIONPART I LINE 7GJRMC INCLUDED IN SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO HOSPITAL OWNED PHYSICIAN CLINICS INPATIENT PSYCHIATRIC SERVICES AND HOME HEALTH CARE SERVICES
COSTING METHODOLOGY EXPLANATIONPART I LINE 7A 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 ACTIVITIESPART IITHE 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 EXPLANATIONPART III LINE 4AMOUNT 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 EXPLANATIONPART III LINE 9BPATIENTS 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 ASSESSMENTPART VIJOHNSON 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 50 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 ASSISTANCEPART VI1 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 INFORMATIONPART VIMANAGEMENT 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 PURPOSEPART VIJOHNSON 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 20 MILLION AND BAD DEBT RECOGNIZED OF ALMOST 45 MILLION BASED ON GROSS CHARGES COMBINED THESE REPRESENT OVER 10 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 19DPART V LINE 19DJRMC 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

FieldValueIRS element (for citing)
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 (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
ROBERT MORSE
13760624020142766518308183961
STEPHEN MCELMURRY
281632240224341005114096328453
ROGER KENNEDY
22560624014784660017668264898
CECIL SUTTERFIELD
20350424036398960710979260728
CHARLES BROWN
1387082237535248785018553222734
JAMES GOODMAN
1510497224436813314022197712

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1TAX EXEMPT BONDSBusinessNameLine1
FieldValueIRS element (for citing)
Date Issued2004-05-01DateIssued
Issue Price10000000IssuePrice
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractsfalseEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenuesBusiness Name Line2NameOfInterestedPerson/NameBusiness/BusinessNameLine2
AMANDA OVERBEY PT
DIRECTOR FAMILY66534EMPLOYEE COMPENSATIOfalse
JAMES GOODMAN MD
FORMER DIRECTOR197692EMPLOYEE COMPENSATIOfalse
REGIONS BANKRON COLLINS
BANK OFFICERBANKING TRANSACTIONSfalseREGIONS BANK/RON COLLINS
FIRST SECURITY BANKKANNA PHILLIPS
BANK TRUSTEEBANKING TRANSACTIONSfalseFIRST SECURITY BANK/KANNA PHILLIPS

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE L PART VReturnReference
ExplanationSCHEDULE 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 SERVICESExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BBECAUSE 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 POLICYFORM 990, PAGE 6, PART VI, LINE 12CORGANIZATION 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 OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ACEO 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 OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BOTHER 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 EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

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