2011-08-01T08:05:13-05:00 2010-09-30 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2009-10-01 710766341 OUACHITA COUNTY MEDICAL CENTER OUAC 8708361200 PO BOX 797 CAMDEN AR 717010797 ROBERT J ANDERS 2011-07-20 true 5013721040 2009 2016-02-24 21:20:13Z ROBERT ANDERS PO BOX 797 CAMDEN AR 717010797 37942718 false X WWW.OUACHITAMEDCENTER.COM X 1996 AR OUACHITA COUNTY MEDICAL CENTER AND ITS CLINICS PROVIDE STATE-OF-THE- ART MEDICAL CARE TO RESIDENTS OF OUACHITA COUNTY, ARKANSAS, AND THE SURROUNDING AREA. 8 8 565 72 4882 -688974 515182 410464 73677731 35896769 101037 137668 1482694 1479245 75776644 37924146 0 0 0 0 16143730 17305553 0 0 0 59766601 19876741 75910331 37182294 -133687 741852 26355552 27625720 11083312 10730719 15272240 16895001 OUACHITA COUNTY MEDICAL CENTER AND ITS CLINICS PROVIDE STATE-OF-THE- ART MEDICAL CARE TO RESIDENTS OF OUACHITA COUNTY, ARKANSAS, AND THE SURROUNDING AREA. false false 25544226 0 35896769 TO PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF OUACHITA COUNTY AND THE SURROUNDING AREAS. 25544226 true true false true false false false false false true false true false false false false false false false false true false false true true false false false false false false false false false false false false false false false true false false false false 32 0 true 565 true true true false false false false false false false false 8 8 false false false false false false false true true false false true true true true true true true true false AR X ROBERT J ANDERS 8708361387 638 CALIFORNIA AVENUE CAMDEN AR 71701 LAWRENCE ROBERSON 1.0 X 0 0 0 DR JERRY KENDALL 1.0 X 0 0 0 JAY WILSON 1.0 X 0 0 0 DR CORBET LAMKIN 1.0 X 0 0 0 ELAINE B ECKERT 1.0 X 0 0 0 DAVID MAHAFFEY 1.0 X 0 0 0 BOBBY BASS 1.0 X 0 0 0 DR FRED PERKINS 1.0 X 0 0 0 JAMES D CICERO 40.0 X 148208 0 5325 ROBERT J ANDERS 40.0 X 90618 0 3102 PEGGY ABBOTT 40.0 X 98568 0 3856 TERRY FEYN 40.0 X 135567 0 0 LAURA LAMBERT 40.0 X 125371 0 3039 598332 0 15322 3 false true false EMERGENCY PHYSICIANS ASSOC ER PHYSICIAN 941425 FREDERICK HAYWARD PERKINS JR DO INC PHYSICIAN 276000 SAMUEL ARNOLD DO PHYSICIAN 161723 BKD LLP ACCOUNTING 143709 4 2822 327534 80108 410464 PATIENT SERVICE REVENUE 621400 35896769 35896769 0 0 35896769 130909 0 0 130909 0 0 39136 18572 20564 20564 0 0 20564 6759 0 6759 6759 0 0 6759 0 0 0 HEALTHWARE LEASED EMPLOYEES 900099 271783 0 0 271783 CAFTERIA REVENUE 900099 309725 0 0 309725 HOME DELIVERED MEALS 900099 235200 0 0 235200 641973 0 4882 637091 1458681 37924146 35896769 4882 1612031 0 0 0 0 387147 0 387147 0 0 9984109 6352872 3631237 0 459264 292229 167035 0 3036426 1932073 1104353 0 3438607 2187980 1250627 0 0 0 7478 4758 2720 0 0 0 0 3918364 2493249 1425115 0 0 0 0 0 985966 627369 358597 0 155594 99004 56590 0 0 0 370918 236014 134904 0 0 1001708 637385 364323 0 202989 129162 73827 0 BAD DEBT EXPENSE 5860695 5860695 0 0 SUPPLIES & OTHER 6151282 3914036 2237246 0 REPAIRS & MAINTENANCE 903109 574647 328462 0 ASSESSMENT TAX 251457 160004 91453 0 DUES & SUBSCRIPTIONS 43573 27725 15848 0 23608 15024 8584 0 37182294 25544226 11638068 0 1368666 1179486 267716 259789 4512889 4612018 105457 8011 944861 1080145 40520316 28760466 12489538 11759850 6451984 8474531 214441 251890 26355552 27625720 2553225 2315331 5935000 5630000 1365292 1518873 1229795 1266515 11083312 10730719 X 15272240 16895001 15272240 16895001 26355552 27625720 X false true true X false X false false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5832 5832 false OTHER LOBBYING ACTIVITIES FORM 990, PART II-B, LINE I PERCENTAGE OF ARKANSAS HOSPITAL ASSOCIATION ($2,412) AND AMERICAN HOSPITAL ASSOCIATION ($3,420) DUES SPENT ON LOBBYING. 582906 582906 18800836 9900892 8899944 21136574 18859574 2277000 0 0 11759850 INTERNALLY DESIGNATED ASSETS 500769 F ASSETS HELD BY TRUSTEE 873258 F LESS CURRENT OBLIGATIONS -259789 F SHORT TERM INVESTMENTS 7060293 F LONG TERM INVESTMENTS 300000 F 8474531 0 ESTIMATED AMOUNT DUE 3RD PARTY 413802 ASSET RETIREMENT OBLIGATIONS 852713 1266515 37924146 37182294 741852 880908 880908 1622760 38823626 899480 899480 37924146 37924146 37200865 18571 18571 37182294 37182294 OTHER REVENUE INCLUDED ON RETURN BUT NOT ON BOOKS FORM 990, SCHEDULE D, PART XII, LINE 2D TRANSFERS FROM AFFILIATES 880,908 RENTAL 18,571 ROUNDING 1 --------- TOTAL 899,480 OTHER EXPENSES INCLUDED ON BOOKS BUT NOT ON RETURN FORM 990, SCHEDULE D, PART XIII, LINE 2D RENTAL EXPENSE 18,571 RECONCILIATION OF CHANGE IN NET ASSETS TO AUDITED FINANCIALS FORM 990, SCH D, PART XI, LINE 8 TRANSFERS FROM AFFILIATES 880,908 true true true X true X true true false true true 755740 0 755740 0.02410 3952902 2475157 1477745 0.04720 4708642 2475157 2233485 0.07130 14177 0 14177 0.00040 2506789 2180946 325843 0.01040 56018 0 56018 0.00180 2576984 2180946 396038 0.01260 7285626 4656103 2629523 0.08390 false 2140727 214718 9890509 10037520 -147011 X true true OUACHITA COUNTY MEDICAL CENTER

638 CALIFORNIA AVE CAMDEN AR 71701

X X X THE COST TO CHARGE RATIO, AS CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE THE AMOUNTS ON LINE 7. BAD DEBT EXPENSE IN THE AMOUNT OF $5,860,695 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. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES ON THE ACCOUNT. AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. IN ORDER TO DETERMINE THE TOTAL AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELGIBILE UNDER THE CHARITY CARE POLICY, THE TOTAL CHARGES TO INDIVIDUALS BELOW THE FEDERAL POVERTY LEVEL IS ESTIMATED BY TAKING TOTAL CHARGES AND MULTIPLYING THAT BY THE PERCENTAGE OF RESIDENTS IN OUACHITA COUNTY THAT ARE BELOW THE FEDERAL POVERTY LEVEL. THIS AMOUNT WAS OBTAINED FROM THE CENSUS WEBSITE. MEDICAID CHARGES, SSI PORTION OF MEDICARE CHARGES AND KNOWN CHARITY CARE PROVIDED DURING THE YEAR ARE THEN BACKED OUT. THE TOTAL AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE WAS $587,787. THIS AMOUNT MULTIPLIED BY THE COST TO CHARGE RATIO IS $214,718, WHICH IS ENTERED ON LINE 3 OF SCH H, PART III. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS COMMUNITY BENEFIT. THE AMOUNT REPORTED ON LINE 6 WAS CALCULATED USING THE ORGANIZATION'S MEDICARE COST REPORT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. WHEN BALANCE DUE CANNOT BE PAID AT THE TIME OF SERVICE OR WHEN THE BALANCE BECOMES DUE AFTER SERVICE AND THE PATIENT IS UNABLE TO MAKE FULL PAYMENT, PERIODIC, PARTIAL PAYMENTS MAY BE APPROVED IN ACCORDANCE WITH CREDIT AND COLLECTION PROCEDURES, AS AUTHORIZED BY CFP. ACCOUNTS, WHICH CANNOT BE, COLLECT AFTER NORMAL IN-HOUSE COLLECTION PROCEDURES MAY BE REFERRED TO A COLLECTION AGENCY OR ATTORNEY FOR FURTHER ACTION IN ACCORDANCE WITH ESTABLISHED GUIDELINES. IF SATISFACTORY PAYMENT ARRANGEMENT CANNOT BE MADE OR SHOULD ANY INDIVIDUAL BE DETERMINED CHARITY OR INDIGENT, THE CEO OR DESIGNEE SHALL BE NOTIFIED. THE ORGANIZATION USES THE STATE HEALTH DEPARTMENT'S ASSESSMENT OF THE COMMUNITY'S HEALTH. WHILE AT THE MEDICAL CENTER, THE PATIENTS ARE GIVEN FORMS TO COMPLETE AT REGISTRATION FOR FINANCIAL ASSISTANCE. A FINANCIAL COUNSELOR MEETS WITH THE PATIENT IN THE ROOM TO DISCUSS FURTHER. SIGNS ARE ALSO POSTED INFORMING PATIENTS. THE ORGANIZATION IS IN A RURAL MEDICALLY UNDESERVED AREA WITH A LARGE WELFARE AND MEDICARE POPULATION. X false false false false false false false false false JAMES D CICERO 148208 0 0 0 0 0 1950 0 3375 0 153533 0 0 0 OUACHITA COUNTY PUBLIC FACILITIES BOARD 716016182 689811BW6 2003-05-22 7539664 HEALTHCARE REVENUE BONDS false false 7858711 613469 150793 6978467 2006 false false true true false false false false false 0.00000 0.00000 true false false false false false false FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION A, LINE 11A THE FORM 990 IS REVIEWED BY ROBERT J. ANDERS, THE CFO OF THE ORGANIZATION, PRIOR TO FILING. CONFLICT OF INTEREST POLICY MONITORING PROCESS FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL OFFICERS AND DIRECTORS TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. COMPENSATION REVIEW PROCESS FORM 990, PART VI, SECTION B, LINES 15A & 15B THE ORGANIZATION'S COMPENSATION DETERMINATION PROCESS INCLUDES REVIEW AND APPROVAL BY THE INDEPENDENT BOARD OF DIRECTORS. THE ORGANIZATION'S LATEST REVIEW WAS CONDUCTED DURING 2011. AVAILABILITY OF GOVERNING DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. TAX-EXEMPT BOND YEAR SCHEDULE K, PART II THE ORGANIZATION USED THE FISCAL YEAR-END OF 6/30/10 FOR DETERMINING THE AMOUNTS TO REPORT ON SCHEDULE K, PART II. 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