WHITE COUNTY MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WHITE COUNTY MEDICAL CENTER (EIN 71-0772737)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-13
IRS object ID
201242269349300929
Schema version
2010v3.7
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)
Timestamp2012-08-13T09:57:06-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code722033667ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710772737EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WHITE COUNTY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWHITNameControl
Phone5012686121Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameSTUART HILLName
TitleVICE PRESIDENT/TREASURERTitle
Date Signed2012-07-25DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5013721040Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13214 EAST RACE AVENUEAddressLine1
CitySEARCYCity
StateARState
ZIP Code72143ZIPCode
FieldValueIRS element (for citing)
Gross Receipts199999821GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WCMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION MAINTAINED A HOSPITAL IN SEARCY, AR TO BENEFIT THE SURROUNDING AREA. THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR FINANCIAL STATUS.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees1827TotalNbrEmployees
Total Nbr Volunteers170TotalNbrVolunteers
Total Gross UBI2760TotalGrossUBI
Net Unrelated Business Txbl Income-14084NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year95189ContributionsGrantsCurrentYear
Program Service Revenue Prior Year205843358ProgramServiceRevenuePriorYear
Program Service Revenue CY195097264ProgramServiceRevenueCY
Investment Income Prior Year722205InvestmentIncomePriorYear
Investment Income Current Year522346InvestmentIncomeCurrentYear
Other Revenue Prior Year4652587OtherRevenuePriorYear
Other Revenue Current Year4285022OtherRevenueCurrentYear
Total Revenue Prior Year211218150TotalRevenuePriorYear
Total Revenue Current Year199999821TotalRevenueCurrentYear
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 Year83325681SalariesEtcPriorYear
Salaries Etc Current Year79958652SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year111365868OtherExpensePriorYear
Other Expenses Current Year108534715OtherExpensesCurrentYear
Total Expenses Prior Year194691549TotalExpensesPriorYear
Total Expenses Current Year188493367TotalExpensesCurrentYear
Revenues Less Expenses Prior Year16526601RevenuesLessExpensesPriorYear
Revenues Less Expenses CY11506454RevenuesLessExpensesCY
Total Assets BOY177457310TotalAssetsBOY
Total Assets EOY191189551TotalAssetsEOY
Total Liabilities BOY37719511TotalLiabilitiesBOY
Total Liabilities EOY41532657TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY139737799NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY149656894NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWHITE COUNTY MEDICAL CENTER ASSOCIATES AND PARTNERS THROUGH A SPIRIT OF SERVANTHOOD ARE COMMITTED TO THE CONTINUOUS IMPROVEMENT OF QUALITY PATIENT CARE, THE PROVISION OF HIGHLY SATISFIED PATIENT CARE AT REASONABLE PRICES, THE MAINTENANCE OF AN ADEQUATE MARGIN FOR REINVESTMENT IN NEW TECHNOLOGY, FACILITY IMPROVEMENTS, HUMAN RESOURCES, AND A LEADERSHIP ROLE FOR POSITIVE CHANGE IN THE HEALTHCARE ENVIRONMENT.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense128763589Expense
Revenue195097264Revenue
DescriptionTHE ORGANIZATION MAINTAINED A HOSPITAL IN SEARCY, ARKANSAS TO BENEFIT THE SURROUNDING AREA. THE HOSPITAL PROVIDES CARE TO PATIENTS MEETING CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHARGES EXCLUDED FROM REVENUE UNDER THE MEDICAL CENTER'S CHARITY CARE POLICY WERE $13,136,050 AND $13,249,764 FOR FISCAL YEAR END 2011 AND 2010, RESPECTIVELY.Description
Total Program Service Expense128763589TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccounttrueEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109697NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1827NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSTUART HILLNamePerson
Telephone Number5013801001TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
KEITH FEATHER
VICE CHAIRMAN1.0XX000
CLEVE TREAT
DIRECTOR1.0X000
MARVIN DELK
DIRECTOR1.0X000
EUGENE MCKAY
DIRECTOR1.0X000
MITCHELL HAMILTON
CHAIRMAN1.0XX000
JIM WILSON
SECRETARY1.0XX000
JOHN PAUL CAPPS
DIRECTOR1.0X000
RAYMOND MONTGOMERY
PRESIDENT/CEO40.0X350627039805
STUART HILL
VICE PRESIDENT/TREASURER40.0X220036016796
LADONNA JOHNSTON
VICE PRESIDENT PATIENT SERVICE40.0X197560016192
SCOTTY PARKER
ASST VP ANCILLARY SERVICES40.0126212011083X
DENNIS H MILNER
PHARMACIST40.0119223013602X
GARY A VODEHNAL
PHARMACIST40.011936106725X
ARFAN FAHOUM
PHARMACIST40.0125027010079X
EMMANUEL TANCINCO
HOSPITALIST40.014707402562X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1405120TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation116844TotalOtherCompensation
Number Individuals GT100 K17NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WHITE COUNTY ER PHYSICIANS LLC
1446 MISSLE BASE RDJUDSONIAAR72081ER PHYSICIANS6648409
PRACTICE PLUS MANAGEMENT SERVICES
11001 EXECUTIVE DR STE 300LITTLE ROCKAR72211MANAGEMENT SERVICES2849948
DAVID PAUL BUILDERS
934 PICKENS CHAPEL RDSEARCYAR72143CONSTRUCTION853673
DELK CONSTRUCTION INC
915 E BEEBE-CAPPS EXPYSEARCYAR72143CONSTRUCTION4317486
ANESTHESIA AND PAIN MGMT ASSOCIATIE
119 W MARKET AVESEARCYAR72143ANESTHESIOLOGY1140340
FieldValueIRS element (for citing)
Number Of Contractors GT100 K26NumberOfContractorsGT100K
Related Organizations95189RelatedOrganizations
Total Contributions95189TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SVC REVDescription
Business Code621110BusinessCode
Total Revenue Column195097264TotalRevenueColumn
Related Or Exempt Function Income195097264RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue195097264TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column494448TotalRevenueColumn
Exclusion$494,448ExclusionAmount

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)
Real2534001Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2534001Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2534001TotalRevenueColumn
Exclusion$2,534,001ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other27898Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other27898Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column27898TotalRevenueColumn
Exclusion$27,898ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA REVENUE9000991149583$1,149,583
CHILD CARE REVENUE900099207635$207,635
VENDING REVENUE90009947979$47,979

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column345824TotalRevenueColumn
Unrelated Business Revenue2760UnrelatedBusinessRevenue
Exclusion$343,064ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1751021TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column199999821TotalRevenueColumn
Related Or Exempt Function Income195097264RelatedOrExemptFunctionIncome
Unrelated Business Revenue2760UnrelatedBusinessRevenue
Exclusion$4,804,608ExclusionAmount

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)
Total726213Total
Program Services0ProgramServices
Management And General726213ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total65301961Total
Program Services38701247ProgramServices
Management And General26600714ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1877969Total
Program Services1112979ProgramServices
Management And General764990ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8648621Total
Program Services5125611ProgramServices
Management And General3523010ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3403888Total
Program Services2017316ProgramServices
Management And General1386572ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3296463Total
Program Services1953651ProgramServices
Management And General1342812ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total413186Total
Program Services244875ProgramServices
Management And General168311ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total184338Total
Program Services109248ProgramServices
Management And General75090ManagementAndGeneral
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)
Total9219755Total
Program Services5464093ProgramServices
Management And General3755662ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total412148Total
Program Services244260ProgramServices
Management And General167888ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total31099932Total
Program Services18431394ProgramServices
Management And General12668538ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2627080Total
Program Services1556941ProgramServices
Management And General1070139ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total230441Total
Program Services136571ProgramServices
Management And General93870ManagementAndGeneral
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)
Total708129Total
Program Services419673ProgramServices
Management And General288456ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8309215Total
Program Services4924461ProgramServices
Management And General3384754ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total826751Total
Program Services489974ProgramServices
Management And General336777ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROVISION FOR BAD DEBT429195944291959400
REPAIRS & MAINTENANCE2850612168941711611950
COST OF FOOD15255689041296214390
BLOOD BANK EXPENSE10151466016274135190
.

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2896357Total
Program Services1716528ProgramServices
Management And General1179829ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total188493367Total
Program Services128763589ProgramServices
Management And General59729778ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY45113275BOY
EOY31462002EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY19358089BOY
EOY33620262EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23611405BOY
EOY21950951EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4216651BOY
EOY4035816EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY835756BOY
EOY934118EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis167631566LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec85384605LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY76949503BOY
EOY82246961EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6094643BOY
EOY12685153EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1277988BOY
EOY4254288EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY177457310BOY
EOY191189551EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16567642BOY
EOY16265262EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY16520568BOY
EOY15443445EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4631301BOY
EOY4621796EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY5202154EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY37719511BOY
EOY41532657EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY139737799BOY
EOY149656894EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY139737799BOY
EOY149656894EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY177457310BOY
EOY191189551EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses11506454ReconcilationRevenueExpenses
Reconcilation Other Changes-1587359ReconcilationOtherChanges
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$14,995OtherActivitiesAmount
Total Lobbying Expenditures IIB14995TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE C, PART II-B, LINE 1iIdentifier
Return ReferenceDESCRIPTION OF OTHER ACTIVITIESReturnReference
ExplanationPORTION OF AMERICAN HOSPITAL ASSOCIATION AND ARKANSAS HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING - $14,995Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3893397OtherCostOrOtherBasis
Book Value3893397BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis100254010OtherCostOrOtherBasis
Depreciation39749632Depreciation
Book Value60504378BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2797143OtherCostOrOtherBasis
Depreciation1285479Depreciation
Book Value1511664BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis60534276OtherCostOrOtherBasis
Depreciation44349494Depreciation
Book Value16184782BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis152740OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value152740BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings82246961TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESTIMATED THIRD-PARTY PAYER SETTLEMENTSDescription
Amount$5,202,154Amount
FieldValueIRS element (for citing)
Total Of Amounts5202154TotalOfAmounts
Total Revenue199999821TotalRevenue
Total Expenses188493367TotalExpenses
Excess Or Deficit For Year11506454ExcessOrDeficitForYear
Net Unrealized GL On Investments-1587359NetUnrealizedGLOnInvestments
Total Adjustments-1587359TotalAdjustments
Excess Or Deficit Per FS9919095ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt198412462TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1587359NetUnrealizedGainsInvestments
Revenue Not Rptd F990-1587359RevenueNotRptdF990
Revenue Subtotal199999821RevenueSubtotal
Total Revenue Per Form990199999821TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt188493367TotExpensesEtcAuditedFinclStmt
Expenses Subtotal188493367ExpensesSubtotal
Total Expenses Per Form990188493367TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierUNCERTAINTY IN INCOME TAXESIdentifier
Return ReferenceSCH. D, PART X, LINE 2ReturnReference
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3796812TotalCommunityBenefitExpense
Net Community Benefit Expense3796812NetCommunityBenefitExpense
Percent Of Total Expense0.02610PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense20212128TotalCommunityBenefitExpense
Direct Offsetting Revenue17913683DirectOffsettingRevenue
Net Community Benefit Expense2298445NetCommunityBenefitExpense
Percent Of Total Expense0.01580PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense586047TotalCommunityBenefitExpense
Direct Offsetting Revenue360050DirectOffsettingRevenue
Net Community Benefit Expense225997NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense24594987TotalCommunityBenefitExpense
Direct Offsetting Revenue18273733DirectOffsettingRevenue
Net Community Benefit Expense6321254NetCommunityBenefitExpense
Percent Of Total Expense0.04350PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense520408TotalCommunityBenefitExpense
Direct Offsetting Revenue94289DirectOffsettingRevenue
Net Community Benefit Expense426119NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense37090660TotalCommunityBenefitExpense
Direct Offsetting Revenue30866328DirectOffsettingRevenue
Net Community Benefit Expense6224332NetCommunityBenefitExpense
Percent Of Total Expense0.04280PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense76390TotalCommunityBenefitExpense
Net Community Benefit Expense76390NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense12898TotalCommunityBenefitExpense
Net Community Benefit Expense12898NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense37700356TotalCommunityBenefitExpense
Direct Offsetting Revenue30960617DirectOffsettingRevenue
Net Community Benefit Expense6739739NetCommunityBenefitExpense
Percent Of Total Expense0.04630PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense62295343TotalCommunityBenefitExpense
Direct Offsetting Revenue49234350DirectOffsettingRevenue
Net Community Benefit Expense13060993NetCommunityBenefitExpense
Percent Of Total Expense0.08980PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense1376TotalCommunityBuildingExpense
Net Community Building Expense1376NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense246754TotalCommunityBuildingExpense
Net Community Building Expense246754NetCommunityBuildingExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense248130TotalCommunityBuildingExpense
Net Community Building Expense248130NetCommunityBuildingExpense
Percent Of Total Expense0.00170PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$12,355,637BadDebtExpenseAmount
Amount Attributable To571793AmountAttributableTo
Amount Reimbursed By Medicare60655965AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare46205774CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall14450191MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

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

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

Hospital Facility NumberHospitalFacilityNumberCHNA ConductedCHNAConductedDevelop Community PlanDevelopCommunityPlanEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresActions On NonpaymentActionsOnNonpaymentPermit Report To Credit AgencyPermitReportToCreditAgencyPermit LawsuitPermitLawsuitCollection ActivitiesCollectionActivitiesReport To Credit AgencyReportToCreditAgencyLawsuitLawsuitNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationOther Actions TakenOtherActionsTakenNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
WHITE COUNTY MEDICAL CENTER
1falseXtruetrue200.true400.falsetruefalsetrueXXtrueXXXXXXXtrueXfalsefalse
WHITE COUNTY MEDICAL CENTER - SOUTH
2falsetruetrue200.true400.falsetruefalsetrueXXfalsetrueXfalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities6NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BAD DEBT EXPENSESCHEDULE H, PART III, LINE 4ATHE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVCIE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.
COSTING METHODOLOGYSCHEDULE H, PART III, LINE 4BAMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. LINE 3 WAS DETERMINED BY APPLYING A WEIGHTED AVERAGE POVERTY LEVEL FOR THE TOP SEVEN COUNTIES COMPRISING WCMCS PATIENT CENSUS FOR THE FISCAL YEAR.
COSTING METHODOLOGYSCHEDULE H, PART III, LINE 8ATHE MEDICARE COST REPORT FOR FYE 2011 WAS UTILIZED TO DETERMINE THE AMOUNT FOR LINE 6.
ACTIONS BEFORE INITIATING COLLECTION ACTIONSSCHEDULE H, PART V, LINE 17COLLECTION ACTIONS TAKEN BEYOND THE MINIMUM LEGALLY REQUIRED TO ENSURE ALL PATIENTS ARE TREATED EQUALLY ARE BASED ON A PROPENSITY TO PAY ANALYSIS PERFORMED BY A CONTRACTED THIRD PARTY.
AMOUNTS BILLED TO INDIVIDUALS WITHOUT INSURANCE COVERING EMERGENCY CARESCHEDULE H, PART V, LINE 19THE MEDICAL CENTER UTILIZED THE AVERAGE OF THE THREE LARGEST INSURERS AS DETERMINED BY GROSS REVENUE.
NEEDS ASSESSMENTSCHEDULE H, PART VI, LINE 2THE HEALTHCARE NEEDS OF THE COMMUNITY ARE PREPARED BY THE MARKETING AND PUBLIC RELATIONS DEPARTMENT AND REPORTED EVERY TWO YEARS AS PART OF THE HOSPITAL STRATEGIC PLAN.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESCHEDULE H, PART VI, LINE 3HOSPITAL HAS A SOCIAL WORKER THAT VISITS AND WORKS WITH EACH PATIENT OR PATIENT'S FAMILY REGARDING ANY NEEDS THE PATIENT MAY HAVE, FINANCIAL OR OTHERWISE. SIGNS AND INFORMATIONAL BROCHURES ARE POSTED AND MADE AVAILABLE TO EDUCATE PATIENTS OF FINANCIAL ASSISTANCE PROGRAMS. FINANCIAL COUNSELORS VISIT PATIENTS TO ASSIST IN REGISTERING FOR FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS. ADDITIONALLY, A FINANCIAL ASSISTANCE COMPANY IS CONTRACTED TO ASSIST PATIENTS FIND AND REGISTER FOR MEDICAL ASSISTANCE BOTH PRIVATE AND PUBLIC.
COMMUNITY INFORMATIONSCHEDULE H, PART VI, LINE 4THE PRIMARY COMMUNITY SERVICED IS APPROXIMATELY A FIVE COUNTY AREA SURROUNDING WHITE COUNTY, ARKANSAS. THE SOCIO ECONOMIC MAKEUP OF THE COMMUNITY IS MIXED, WITH STRATUM FROM INDIGENT TO THOSE HAVING NO APPARENT FINANCIAL NEEDS. THE PAYER MIX OF THE HOSPITAL IS 24% COMMERCIAL, 7% SELF PAY, 56% MEDICARE, AND 14% MEDICAID.
PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI, LINE 5THE HOSPITAL PARTICIPATES IN MANY COMMUNITY ACTIVITIES AND EDUCATION PROGRAMS TO PROVIDE GENERAL HEALTH EDUCATION AND SCREENINGS FOR RESIDENTS WITHIN THE COMMUNITY. THESE ACTIVITIES INCLUDE THE ANNUAL DAYS OF CARING AND COUNTY FAIR. THE HOSPITAL IS CONSTRUCTING A CANCER CENTER TO BETTER TREAT THE NEEDS OF THE COMMUNITY. THE HOSPITAL MAKES ITSELF AND RESOURCES AVAILABLE NOT ONLY TO THE IMMEDIATE MEDICAL COMMUNITY (WHITE COUNTY AND SURROUNDING AREA), BUT ALSO TO THE NEEDS OF OTHER HEALTHCARE PROVIDERS IN THE ENTIRE STATE. THE HOSPITAL PROVIDES MEDICAL SCREENINGS AND EDUCATION TO REGIONAL BUSINESSES AND SCHOOLS THROUGH THE HEALTHWORKS DEPARTMENT, HEALTH FAIRS, PATIENT-COMMUNITY-EMPLOYEE HEALTH EDUCATION, ATHLETIC TRAINERS TO LOCAL SCHOOLS, AND VARIOUS MEDICAL TRAINING PROGRAMS.
AFFILIATED HEALTH CARE SYSTEM ROLESSCHEDULE H, PART VI, LINE 6WCMC WEST CLINIC - OUTPATIENT MRI & CT PHYSICAL THERAPY DME WCMC SURGERY CENTER - OUTPATIENT SURGERY WOUND CARE CENTER FAMILY PRACTICE ASSOCIATES - FAMILY PRACTICE CLINIC SEARCY MEDICAL CENTER - MULTI-SPECIALTY CLINIC WHITE COUNTY ONCOLOGY - ONCOLOGY CLINIC RIVER OAKS VILLAGE - INDEPENDENT & ASSISTED LIVING FACILITY WHITE COUNTY MEDICAL CENTER - HOME HEALTH - HOME HEALTH SERVICES ADVANCED CARE HOSPITAL OF WHITE COUNTY - LONG TERM ACUTE CARE HOSPITAL
SUBSIDIZED SERVICESSCHEDULE H, PART I, LINE 7GTHE SUBSIDIZED SERVICES AMOUNT INCLUDES PHYSICIAN CLINICS WITH TOTAL COSTS OF $37,090,660 AND DIRECT OFFSETTING REVENUE OF $30,866,328 FOR A NET COMMUNITY BENEFIT EXPENSE OF $6,224,332.
BAD DEBTSCHEDULE H, PART I, LINE 7FBAD DEBT EXPENSE IN THE AMOUNT OF $42,919,594 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN.
COSTING METHODOLGYSCHEDULE H, PART I, LINE 7THE COST TO CHARGE RATIO AS CALCULATED USING WORKSHEET 2 WAS USED TO DETERMINE THE COSTS ON LINE 7.

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RAYMOND MONTGOMERY
295884031043023700034150056550390432000
STUART HILL
18899303104300013133036630236832000
LADONNA JOHNSTON
16651703104300012034041580213752000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
WHITE COUNTY ARKANSAS
716012741963653AK62005-12-299582500RETIRE PROJECT LOANfalsefalsefalse
WHITE COUNTY ARKANSAS
716012741963653AR12006-02-1510000000PURCHASE FACILITY & RENOVATIONfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
4230625098754279933470019000000000truefalsetruetrue
600000102703726750000018160000000truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruefalsetruetrue
falsefalsetruefalsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsetrue
falsefalsefalsefalsefalsetrue

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierPERIOD COVEREDIdentifier
Return ReferenceSCHEDULE K, PART IIReturnReference
ExplanationPART II OF SCHEDULE K WAS COMPLETED ON THE BOND YEAR OF EACH BOND ISSUE. 12/1/2011 FOR THE 2005 SERIES AND 2/1/2012 FOR THE 2006 SERIES.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMARVIN DELKNamePerson
FieldValueIRS element (for citing)
Relationship50% OWNERRelationship
Amount Of Transaction4600000AmountOfTransaction
Description Of TransactionCONSTRUCTION OF CANCER CENTERDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DELEGATION OF CONTROL OVER MANAGEMENT DUTIESFORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS USED UNRELATED MANAGEMENT ORGANIZATIONS TO DIRECT THE OPERATIONS OF THEIR ADULT PSYCHOLOGY AND GERIATRIC PSYCHOLOGY UNITS AS WELL AS ENGINEERING AND ENVIRONMENTAL SERVICES.
APPROVAL OF MEMBERSFORM 990, PART VI, SECTION A, LINE 7BTHE VOTE OF THE BOARD OF DIRECTORS DETERMINES THE SELECTION OF NEW BOARD MEMBERS. THE SELECTION IS SUBJECT TO THE APPROVAL OF THE WHITE COUNTY QUORUM COURT.
CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENTFORM 990, PART VI, SECTION B, LINE 12CANNUAL CONFLICT OF INTEREST POLICIES ARE REVIEWED BY EACH OFFICER AND DIRECTOR. THE OFFICERS AND DIRECTORS THEN SIGN A DOCUMENT INDICATING THE EXISTENCE OF ANY CONFLICT OR LACK THEREOF.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE FULL BOARD OF DIRECTORS APPROVES THE COMPENSATION ANNUALLY FOR THE TOP 3 EXECUTIVES OF THE HOSPITAL. THE ORGANIZATION'S CEO PRESENTS FORM 990'S OF OTHER ORGANIZATIONS AND COMPENSATION SURVEYS OR STUDIES TO THE BOARD OF DIRECTORS FOR THEIR ANALYSIS AND COMPENSATION DECISIONS. FOR ALL REMAINING TOP MANAGEMENT OFFICIALS, OFFICERS, AND KEY EMPLOYEES, HUMAN RESOURCES REVIEWS COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF WAGES/SALARIES ON AN ANNUAL BASIS.
AVAILABILITY OF DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC WITHIN THE ADMINISTRATIVE OFFICE UPON A VALID PURPOSE AND REQUEST.
SELECTION AND OVERSIGHT OF INDEPENDENT ACCOUNTANTFORM 990, PART XII, LINES 2B AND 2CTHE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED ON A CONSOLIDATED BASIS BY AN INDEPENDENT ACCOUNTANT. THE GOVERNING BODY AS A WHOLE ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT.
REVIEW OF FORM 990FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE INTERNAL AUDITOR AND THE CFO PRIOR TO PRESENTING IT TO THE GOVERNING BODY AND SUBSEQUENTLY FILED.
CORPORATION MEMBERSFORM 990, PART VI, SECTION A, LINE 6THE MEMBERS OF THE CORPORATION SHALL CONSIST OF THOSE PERSONS WHO SERVE AS DIRECTORS OF THE CORPORATION.
ELECTION OF GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 7ADIRECTORS SHALL BE ELECTED BY PLURALITY VOTE AT THE ANNUAL MEETING OF THE MEMBERS. AT EACH SUCH ELECTION FOR DIRECTORS, EVERY MEMBER ENTITLED TO VOTE AT SUCH ELECTION SHALL HAVE THE RIGHT TO CAST ONE VOTE FOR AS MANY PERSONS AS THERE ARE DIRECTORS TO BE ELECTED AND FOR WHOSE ELECTION HE OR SHE HAS A RIGHT TO VOTE.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5UNREALIZED LOSS ON INVESTMENTS (1,587,359)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
WHITE COUNTY MEDICAL FOUNDATION
3214 EAST RACESEARCYAR72143621697734FUNDRAISINGAR501(C)(3)11ANA
ADVANCED CARE HOSPITAL OF WHITE COUNTY
1200 SOUTH MAINSEARCYAR72143208459270LT ACUTE CAREAR501(C)(3)3NA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1BHWC CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13214 EAST RACEAddressLine1
CitySEARCYCity
StateARState
ZIP Code72143ZIPCode
FieldValueIRS element (for citing)
EIN710819731EIN
Primary ActivityHEALTHCARE PRPrimaryActivity
Legal Domicile StateARLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets527299ShareOfEOYAssets
Percentage Ownership0.50000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
WHITE COUNTY MEDICAL FOUNDATION
C95189
ADVANCED CARE HOSPITAL OF WHITE COUNTY
A276000
ADVANCED CARE HOSPITAL OF WHITE COUNTY
K1314000

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