WHITE COUNTY MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
WHITE COUNTY MEDICAL CENTER (EIN 71-0772737)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-11
IRS object ID
201122239349302352
Schema version
2009v1.7
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)
Timestamp2011-08-11T14:39:19-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

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 Signed2011-06-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone5013721040Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts211218150GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Employees1787TotalNbrEmployees
Total Nbr Volunteers170TotalNbrVolunteers
Total Gross UBI1719TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year190477508ProgramServiceRevenuePriorYear
Program Service Revenue CY205843358ProgramServiceRevenueCY
Investment Income Prior Year700148InvestmentIncomePriorYear
Investment Income Current Year722205InvestmentIncomeCurrentYear
Other Revenue Prior Year4458838OtherRevenuePriorYear
Other Revenue Current Year4652587OtherRevenueCurrentYear
Total Revenue Prior Year195636494TotalRevenuePriorYear
Total Revenue Current Year211218150TotalRevenueCurrentYear
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 Year79338709SalariesEtcPriorYear
Salaries Etc Current Year83325681SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year104339716OtherExpensePriorYear
Other Expenses Current Year111365868OtherExpensesCurrentYear
Total Expenses Prior Year183678425TotalExpensesPriorYear
Total Expenses Current Year194691549TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11958069RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16526601RevenuesLessExpensesCY
Total Assets BOY164536712TotalAssetsBOY
Total Assets EOY177457310TotalAssetsEOY
Total Liabilities BOY41325514TotalLiabilitiesBOY
Total Liabilities EOY37719511TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY123211198NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY139737799NetAssetsOrFundBalancesEOY
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
Expense134279731Expense
Revenue211218150Revenue
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 $12,836,377 AND $13,258,478 FOR FISCAL YEAR END 2010 AND 2009, RESPECTIVELY.Description
Total Program Service Expense134279731TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109685NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1787NumberOfEmployees
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
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 StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
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

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
MONTY BETTS
CHAIRMAN1.0XX000
KEITH FEATHER
SECRETARY1.0XX000
CLEVE TREAT
DIRECTOR1.0X000
MARVIN DELK
DIRECTOR1.0X000
EUGENE MCKAY
DIRECTOR1.0X000
MITCHELL HAMILTON
VICE CHAIRMAN1.0XX000
JIM WILSON
DIRECTOR1.0X000
RAYMOND MONTGOMERY
PRESIDENT/CEO40.0X326290016228
STUART HILL
VICE PRESIDENT/TREASURER40.0X192262012841
LADONNA JOHNSTON
VICE PRESIDENT PATIENT SERVICE40.0X169502012272
SCOTTY PARKER
ASST VP ANCILLARY SERVICES40.0121360011338X
DENNIS H MILNER
PHARMACIST40.0129328012862X
GREG C LOGAN
PHARMACIST40.011045909285X
GARY A VODEHNAL
PHARMACIST40.011345506410X
JOHN C ZIEGENBALG
PHARMACIST40.011595209871X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1278608TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation91107TotalOtherCompensation
Number Individuals GT100 K24NumberIndividualsGT100K
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 PHYSICIANS5848504
PRACTICE PLUS MANAGEMENT SERVICES
11001 EXECUTIVE DR STE 300LITTLE ROCKAR72211MANAGEMENT SERVICES3907424
IMA CONSULTING
3 CHRISTY DR STE 100CHADDS FORDPA19317CONSULTING1377859
DAVID PAUL BUILDERS
934 PICKENS CHAPEL RDSEARCYAR72143CONSTRUCTION1184481
SIGNET HEALTH CORPORATION
504 SEVILLE RD STE 201DENTONTX76205MANAGEMENT SERVICES706415
FieldValueIRS element (for citing)
Number Of Contractors GT100 K37NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SVC REVDescription
Business Code621110BusinessCode
Total Revenue Column205843358TotalRevenueColumn
Related Or Exempt Function Income205843358RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue205843358TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column722205TotalRevenueColumn
Exclusion$722,205ExclusionAmount

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)
Real2388036Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2388036Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2388036TotalRevenueColumn
Exclusion$2,388,036ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA REVENUE9000991110990$1,110,990
CATERING REVENUE72232016141614
OTHER REVENUE9000991101812$1,101,812

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column50135TotalRevenueColumn
Unrelated Business Revenue105UnrelatedBusinessRevenue
Exclusion$50,030ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2264551TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column211218150TotalRevenueColumn
Related Or Exempt Function Income205843358RelatedOrExemptFunctionIncome
Unrelated Business Revenue1719UnrelatedBusinessRevenue
Exclusion$5,373,073ExclusionAmount

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)
Total901377Total
Program Services0ProgramServices
Management And General901377ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total67636976Total
Program Services40506432ProgramServices
Management And General27130544ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1891571Total
Program Services1132824ProgramServices
Management And General758747ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9483133Total
Program Services5679259ProgramServices
Management And General3803874ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3412624Total
Program Services2043752ProgramServices
Management And General1368872ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total262585Total
Program Services157257ProgramServices
Management And General105328ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total184853Total
Program Services110705ProgramServices
Management And General74148ManagementAndGeneral
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)
Total11674388Total
Program Services6991557ProgramServices
Management And General4682831ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total377032Total
Program Services225797ProgramServices
Management And General151235ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total32449901Total
Program Services19433597ProgramServices
Management And General13016304ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2687268Total
Program Services1609351ProgramServices
Management And General1077917ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total232779Total
Program Services139407ProgramServices
Management And General93372ManagementAndGeneral
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)
Total898068Total
Program Services537835ProgramServices
Management And General360233ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8709366Total
Program Services5215865ProgramServices
Management And General3493501ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total955665Total
Program Services572329ProgramServices
Management And General383336ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROVISION FOR BAD DEBT441363414413634100
REPAIRS & MAINTENANCE2757595165146811061270
OTHER203633912197538165860
COST OF FOOD16398489820726577760
BLOOD BANK EXPENSE10712766415664297100

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1292564Total
Program Services1292564ProgramServices
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total194691549Total
Program Services134279731ProgramServices
Management And General60411818ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY29809963BOY
EOY45113275EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY18631726BOY
EOY19358089EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25270235BOY
EOY23611405EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4070399BOY
EOY4216651EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY783863BOY
EOY835756EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis155139133LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec78189630LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY76995152BOY
EOY76949503EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6450105BOY
EOY6094643EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2525269BOY
EOY1277988EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY164536712BOY
EOY177457310EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19645342BOY
EOY16567642EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY17554145BOY
EOY16520568EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4126027BOY
EOY4631301EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY41325514BOY
EOY37719511EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY123211198BOY
EOY139737799EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY123211198BOY
EOY139737799EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY164536712BOY
EOY177457310EOY
FieldValueIRS element (for citing)
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$15,159OtherActivitiesAmount
Total Lobbying Expenditures IIB15159TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART II-B, LINE 1 IIdentifier
Return ReferenceDESCRIPTION OF OTHER ACTIVITIESReturnReference
ExplanationPORTION OF AMERICAN HOSPITAL ASSOCIATION AND ARKANSAS HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING - $15,159Explanation

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 Basis92151794OtherCostOrOtherBasis
Depreciation35744147Depreciation
Book Value56407647BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2786180OtherCostOrOtherBasis
Depreciation1097374Depreciation
Book Value1688806BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis55630207OtherCostOrOtherBasis
Depreciation41348109Depreciation
Book Value14282098BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis677555OtherCostOrOtherBasis
Book Value677555BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings76949503TotalOfBookValueLandBuildings
Total Revenue211218150TotalRevenue
Total Expenses194691549TotalExpenses
Excess Or Deficit For Year16526601ExcessOrDeficitForYear
Excess Or Deficit Per FS16526601ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt211218150TotRevenueEtcAuditedFinclStmt
Revenue Subtotal211218150RevenueSubtotal
Total Revenue Per Form990211218150TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt194691549TotExpensesEtcAuditedFinclStmt
Expenses Subtotal194691549ExpensesSubtotal
Total Expenses Per Form990194691549TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierUNCERTAINTY IN INCOME TAXESIdentifier
Return ReferenceSCH. D, PART XReturnReference
ExplanationTHE MEDICAL CENTER DID NOT HAVE ANY UNRELATED BUSINESS INCOME, AS DEFINED BY THE PROVISIONS OF FASB ACCOUNTING STANDARDS CODIFICATION TOPIC 740 RELATED TO UNCERTAINTY IN INCOME TAXES, FOR THE YEAR ENDED SEPTEMBER 30, 2010.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 Expense3865241TotalCommunityBenefitExpense
Net Community Benefit Expense3865241NetCommunityBenefitExpense
Percent Of Total Expense0.02570PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense17179129TotalCommunityBenefitExpense
Direct Offsetting Revenue17858356DirectOffsettingRevenue
Net Community Benefit Expense-679227NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense21044370TotalCommunityBenefitExpense
Direct Offsetting Revenue17858356DirectOffsettingRevenue
Net Community Benefit Expense3186014NetCommunityBenefitExpense
Percent Of Total Expense0.02120PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense334208TotalCommunityBenefitExpense
Direct Offsetting Revenue108235DirectOffsettingRevenue
Net Community Benefit Expense225973NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense37219752TotalCommunityBenefitExpense
Direct Offsetting Revenue31785664DirectOffsettingRevenue
Net Community Benefit Expense5434088NetCommunityBenefitExpense
Percent Of Total Expense0.03610PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense29133TotalCommunityBenefitExpense
Net Community Benefit Expense29133NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense37583093TotalCommunityBenefitExpense
Direct Offsetting Revenue31893899DirectOffsettingRevenue
Net Community Benefit Expense5689194NetCommunityBenefitExpense
Percent Of Total Expense0.03780PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense58627463TotalCommunityBenefitExpense
Direct Offsetting Revenue49752255DirectOffsettingRevenue
Net Community Benefit Expense8875208NetCommunityBenefitExpense
Percent Of Total Expense0.05900PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$12,874,571BadDebtExpenseAmount
Amount Attributable To988274AmountAttributableTo
Amount Reimbursed By Medicare63663918AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare49191056CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall14472862MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
WHITE COUNTY MEDICAL CENTER
3214 EAST RACESEARCYAR72143XXX
WHITE COUNTY MEDICAL CENTER - SOUTH
1200 SOUTH MAINSEARCYAR72143XREHABILITATION ADULT PSYCHOLOGY GERIATRIC PSYCHOLOGY

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedTHE COST TO CHARGE RATIO AS CALCULATED USING WORKSHEET 2 WAS USED TO DETERMINE THE COSTS ON LINE 7.CostingMethodUsed
Subsidized Health Services ExplnTHE SUBSIDIZED SERVICES AMOUNT INCLUDES PHYSICIAN CLINICS WITH TOTAL COSTS OF $21,720,098 AND DIRECT OFFSETTING REVENUE OF $21,524,795 FOR A NET COMMUNITY BENEFIT EXPENSE OF $195,303.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnBAD DEBT EXPENSE IN THE AMOUNT OF $44,136,341 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.PercentOfTotalExpenseExpln
Bad Debt FootnoteTHE 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 SERVICE 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. AMOUNT 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 WCMC'S PATIENT CENSUS FOR THE FISCAL YEAR. THE HOSPITAL SERVES MANY IMPOVERISHED PATIENTS WHO ARE UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITIES AND DO NOT COMPLETE FINANCIAL ASSISTANCE APPLICATIONS IN ACCORDANCE WITH THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE FINANCIAL ASSISTANCE APPLICATION, AS SUCH THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE CONSIDERED COMMUNITY BENEFIT.BadDebtFootnote
Shortfall As Community BenefitTHE MEDICARE COST REPORT FOR FYE 2010 WAS UTILIZED TO DETERMINE THE AMOUNT FOR LINE 6.ShortfallAsCommunityBenefit
Needs AssessmentTHE 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.NeedsAssessment
Patient Education AssistanceTHE HOSPITAL 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 IN FINDING AND REGISTERING FOR MEDICAL ASSISTANCE BOTH PRIVATE AND PUBLIC.PatientEducationAssistance
Community InformationTHE PRIMARY COMMUNITY SERVICED IS APPROXIMATELY A SIX 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 22% COMMERCIAL, 19% SELF PAY, 45% MEDICARE, AND 14% MEDICAID. A PORTION OF THE ORGANIZATION'S SERVICES ARE PROVIDED TO AND FOR MEDICALLY UNDERSERVED AND RURAL POPULATIONS.CommunityInformation
Other InformationTHE 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.OtherInformation
Affiliated Health Care SystemWCMC 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 HOSPITALAffiliatedHealthCareSystem

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 OrgsTotalCompensationRelatedOrgs
RAYMOND MONTGOMERY
2980750134150148000122500397803425180
STUART HILL
1802720849003500093630347802051030
LADONNA JOHNSTON
1583770762503500082930397901817740

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INFORMATION REGARDING BENEFITS PROVIDEDPART I, QUESTION 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 ARRANGEMENTSPART 1, QUESTION 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
EXPLANATION OF COMPENSATION CONTINGENT ON NET EARNINGSPART 1 QUESTION 6THE CONTINGENT COMPENSATION 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 IssuerOnBehalfOfIssuer
WHITE COUNTY ARKANSAS
716012741963653AK62005-12-299582500RETIRE PROJECT LOANfalsefalse
WHITE COUNTY ARKANSAS
716012741963653AR12006-02-1510000000PURCHASE FACILITY & RETIRE LOANfalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
984972799282784425001839332006truefalsetruetrue
1026284067500049325001799762007truefalsetruetrue4319507

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruefalsetrue0.000000.000000.00000true
falsefalsetruefalsetrue0.000000.000000.00000true

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART VI, QUESTION 3DESCRIBE DELEGATION OF CONTROL OVER MANAGEMENT DUTIESTHE HOSPITAL UTILIZES SIGNET HEALTH TO MANAGE THE PSYCHIATRIC UNITS AND SERVICE PROFESSIONALS TO PROVIDE DIRECTORS FOR THE ENGINEERING DEPARTMENT AND ENVIRONMENTAL SERVICES DEPARTMENT. THESE MANAGEMENT COMPANY EMPLOYEES REPORT DIRECTLY TO EITHER A VICE PRESIDENT OR ASSISTANT VICE PRESIDENT OF THE HOSPITAL.
PART VI, QUESTION 7BSUBJECT TO APPROVAL OF MEMBERSTHE 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.
PART VI, QUESTION 12CDESCRIBE HOW CONFLICT OF INTEREST POLICY IS MONITORED & ENFORCEDANNUAL 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.
PART VI, QUESTION 15A & 15BDESCRIBE PROCESS FOR DETERMINING COMPENSATIONTHE FULL BOARD OF DIRECTORS APPROVES THE COMPENSATION ANNUALLY FOR THE TOP THREE 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.
PART VI, QUESTION 19DESCRIBE HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLICTHE 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.
PART IV, QUESTION 12 AND PART XI, QUESTION 2B AND 2CSELECTION AND OVERSIGHT OF INDEPENDENT ACCOUNTANTTHE 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.
PART VI, QUESTION 11AREVIEW OF FORM 990THE FORM 990 IS REVIEWED BY THE INTERNAL AUDITOR AND THE CFO PRIOR TO PRESENTING IT TO THE GOVERNING BODY AND SUBSEQUENTLY FILED.
SCH K REPORTING PERIODSCHEDULE K, PART IIA - THE REPORTING PERIOD ENDING 12/1/2010 WAS USED FOR THE 2005 BONDS. B - THE REPORTING PERIOD ENDING 2/1/2011 WAS USED FOR THE 2006 BONDS.
FORM 990, PART ICONTRACTUAL ADJUSTMENTS AND CHARITY CARE ARE NETTED WITH PATIENT SERVICE REVENUES IN PART VIII ON THE 2009 FORM 990, RATHER THAN REPORTED AS EXPENSES IN PART IX AS THEY WERE ON THE 2008 FORM 990. FOR COMPARABILITY AND CONSISTENCY BETWEEN THE CURRENT YEAR AND PRIOR YEAR AMOUNTS, THE PRIOR YEAR REVENUES AND EXPENSES IN PART I WERE RESTATED ACCORDINGLY.

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 Assets537142ShareOfEOYAssets
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 OrgfalseGiftGrantOrCapContrFrOtherOrg
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

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