JOHNSON COUNTY REGIONAL HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
JOHNSON COUNTY REGIONAL HOSPITAL (EIN 71-0403278)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201133189349305253
Schema version
2010v3.4
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)
Timestamp2011-11-14T13:45:07-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KING JACOBS GRESHAM & LORFING CPA'S PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11216 S ROGERS STAddressLine1
CityCLARKSVILLECity
StateARState
ZIP Code728309159ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710403278EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameEDWARD ANDERSONName
TitleCFOTitle
Phone4797545454Phone
Date Signed2011-11-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameADELE K JACOBS CPAName
Phone4797542478Phone
Date Prepared2011-11-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 738AddressLine1
CityCLARKSVILLECity
StateARState
ZIP Code72830ZIPCode
FieldValueIRS element (for citing)
Gross Receipts37240298GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.JRMC.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionINPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO SURROUNDING RURAL COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees464TotalNbrEmployees
Total Nbr Volunteers47TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year60910ContributionsGrantsPriorYear
Contributions Grants Current Year91349ContributionsGrantsCurrentYear
Program Service Revenue Prior Year59793235ProgramServiceRevenuePriorYear
Program Service Revenue CY34104605ProgramServiceRevenueCY
Investment Income Prior Year157270InvestmentIncomePriorYear
Investment Income Current Year125614InvestmentIncomeCurrentYear
Other Revenue Prior Year1558908OtherRevenuePriorYear
Other Revenue Current Year2918730OtherRevenueCurrentYear
Total Revenue Prior Year61570323TotalRevenuePriorYear
Total Revenue Current Year37240298TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15719309SalariesEtcPriorYear
Salaries Etc Current Year17336715SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year44657717OtherExpensePriorYear
Other Expenses Current Year19001710OtherExpensesCurrentYear
Total Expenses Prior Year60377026TotalExpensesPriorYear
Total Expenses Current Year36338425TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1193297RevenuesLessExpensesPriorYear
Revenues Less Expenses CY901873RevenuesLessExpensesCY
Total Assets BOY33502294TotalAssetsBOY
Total Assets EOY34792546TotalAssetsEOY
Total Liabilities BOY11282279TotalLiabilitiesBOY
Total Liabilities EOY11670658TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22220015NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23121888NetAssetsOrFundBalancesEOY
Mission DescriptionINPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO SURROUNDING RURAL COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense33847280Expense
Revenue34104605Revenue
DescriptionINPATIENT AND OUTPATIENT HEALTHCARE SERVICES WHICH INCLUDES CHARITABLE CARE FOR 2010 OF 1,804,259 BASED ON ESTABLISHED RATES.Description
Total Program Service Expense33847280TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109641NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees464NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonEDWARD ANDERSONNamePerson
Telephone Number4797545454TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
KANNA LOU PHILLIPS
DIRECTOR1.00X000
KEN NELSON
DIRECTOR1.00X000
LAURIE FISHER
DIRECTOR1.00X000
FREEMAN WISH
DIRECTOR1.00X000
RON COLLINS
DIRECTOR1.00X000
RICK CASEY
DIRECTOR1.00X000
CHRIS ALLEN
DIRECTOR1.00X000
ROBERT MORSE
CEO45.00152441015205X
TERRI STUMBAUGH
NURSING ADMN45.009653607986X
EDWARD ANDERSON
CFO45.0094832011854X
ROGER KENNEDY
CRNA50.0027849308201X
CECIL SUTTERFIELD
CRNA50.00277834018350X
ROBERT MAY
SURGEON50.00275534010134X
STEPHEN MCELMURRY
SURGEON50.00271854018350X
JAMES GOODMAN
SURGEON50.00241755018138X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1689279TotalReportableCompFromOrg
Total Other Compensation108218TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1Address Line2AddressOfContractor/AddressUS/AddressLine2CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HORIZON MENTAL HEALTH MGMT
PO BOX 840839PO BOX 840839DALLASTX75284SENIOR CARE SER849252
MRI SOLUTIONS LLC
136 ARKOTA SHORES DR136 ARKOTA SHORES DRHOT SPRINGSAR71913MRI SERVICES359600
REHABCARE GROUP INC
PO BOX 502096PO BOX 502096ST LOUISMO63150REHAB MGMT SERV340578
ROBIN GOODMAN MD
PO BOX 11236444 WALLEYE DRRUSSELLVILLEAR72802MEDICAL DOCTOR260008
RICHARD DAILY MD
16 RIMROCK ROAD16 RIMROCK ROADRUSSELLVILLEAR72802MEDICAL DOCTOR255733
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Government Grants91349GovernmentGrants
Total Contributions91349TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
GROSS PATIENT SERVICES REV6219906264941862649418
CONTRACTUAL ADJUSTMENTS-28544813-28544813
FieldValueIRS element (for citing)
Total Program Service Revenue34104605TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column125614TotalRevenueColumn
Related Or Exempt Function Income125614RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER OPERATING REVENUE29122362912236
NON-OPERATING REVENUE44444444
GAIN ON SALE OF ASSETS20502050
FieldValueIRS element (for citing)
Total Other Revenue2918730TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column37240298TotalRevenueColumn
Related Or Exempt Function Income37148949RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14081782Total
Program Services13021953ProgramServices
Management And General1059829ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total277448Total
Program Services256564ProgramServices
Management And General20884ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2003022Total
Program Services1852255ProgramServices
Management And General150767ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total974463Total
Program Services901244ProgramServices
Management And General73219ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total23971Total
Management And General23971ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total194548Total
Management And General194548ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3783495Total
Program Services3681656ProgramServices
Management And General101839ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total22157Total
Program Services14304ProgramServices
Management And General7853ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total906226Total
Program Services906226ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total85469Total
Program Services79630ProgramServices
Management And General5839ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total469643Total
Management And General469643ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1714191Total
Program Services1714191ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total567645Total
Program Services567645ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS51166945116694
MEDICAL SUPPLIES37773243777324
OTHER SUPPLIES103098594018690799
REPAIR & MAINTENANCE67409463372340371
OTHER EXPENSES470226247654222572

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total165042Total
Program Services136031ProgramServices
Management And General29011ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total36338425Total
Program Services33847280ProgramServices
Management And General2491145ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8016402BOY
EOY9249525EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1505197BOY
EOY1658874EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5749343BOY
EOY5804829EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1095165BOY
EOY720500EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1435141BOY
EOY1504906EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY258136BOY
EOY307237EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis34751205LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19254723LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15382534BOY
EOY15496482EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY60376BOY
EOY50193EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33502294BOY
EOY34792546EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1138087BOY
EOY1226176EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8090872BOY
EOY7718370EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY728324BOY
EOY1266020EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1324996BOY
EOY1460092EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11282279BOY
EOY11670658EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY21443426BOY
EOY22328583EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY776589BOY
EOY793305EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22220015BOY
EOY23121888EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33502294BOY
EOY34792546EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses901873ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1675866OtherCostOrOtherBasis
Book Value1675866BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16853782OtherCostOrOtherBasis
Depreciation8046867Depreciation
Book Value8806915BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16221557OtherCostOrOtherBasis
Depreciation11207856Depreciation
Book Value5013701BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15496482TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCRUED EXPENSESDescription
Amount$1,460,092Amount
FieldValueIRS element (for citing)
Total Of Amounts1460092TotalOfAmounts
Total Revenue37240298TotalRevenue
Total Expenses36338425TotalExpenses
Excess Or Deficit For Year901873ExcessOrDeficitForYear
Excess Or Deficit Per FS901873ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt37240298TotRevenueEtcAuditedFinclStmt
Revenue Subtotal37240298RevenueSubtotal
Total Revenue Per Form99037240298TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt36338425TotExpensesEtcAuditedFinclStmt
Expenses Subtotal36338425ExpensesSubtotal
Total Expenses Per Form99036338425TotalExpensesPerForm990

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense828685TotalCommunityBenefitExpense
Net Community Benefit Expense828685NetCommunityBenefitExpense
Percent Of Total Expense0.02680PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense4737414TotalCommunityBenefitExpense
Direct Offsetting Revenue4737414DirectOffsettingRevenue

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense5566099TotalCommunityBenefitExpense
Direct Offsetting Revenue4737414DirectOffsettingRevenue
Net Community Benefit Expense828685NetCommunityBenefitExpense
Percent Of Total Expense0.02680PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5900238TotalCommunityBenefitExpense
Direct Offsetting Revenue4726003DirectOffsettingRevenue
Net Community Benefit Expense1174235NetCommunityBenefitExpense
Percent Of Total Expense0.03760PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5900238TotalCommunityBenefitExpense
Direct Offsetting Revenue4726003DirectOffsettingRevenue
Net Community Benefit Expense1174235NetCommunityBenefitExpense
Percent Of Total Expense0.03760PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense11466337TotalCommunityBenefitExpense
Direct Offsetting Revenue9463417DirectOffsettingRevenue
Net Community Benefit Expense2002920NetCommunityBenefitExpense
Percent Of Total Expense0.06440PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense5052TotalCommunityBuildingExpense
Net Community Building Expense5052NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense3024TotalCommunityBuildingExpense
Net Community Building Expense3024NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense45168TotalCommunityBuildingExpense
Net Community Building Expense45168NetCommunityBuildingExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense32711TotalCommunityBuildingExpense
Net Community Building Expense32711NetCommunityBuildingExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense85955TotalCommunityBuildingExpense
Net Community Building Expense85955NetCommunityBuildingExpense
Percent Of Total Expense0.00260PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$2,350,066BadDebtExpenseAmount
Amount Reimbursed By Medicare8794845AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare8207961CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall586884MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

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

Address Address

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1JOHNSON REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1JRMC HOME HEALTHBusinessNameLine1

Address Address

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER TESTING METHODS FOR FREE OR DISCOUNTED CAREPART I LINE 3CIN ADDITION TO USING THE FEDERAL POVERTY GUIDELINES JRMC ALSO USES THE ASSET TEST TO DETERMINE ELIGIBILITY OF FREE OR DISCOUNTED CARE
SUBSIDIZED HEALTH SERVICES EXPLANATIONPART I LINE 7GJRMC INCLUDED IN SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO HOSPITAL OWNED PHYSICIAN CLINICS INPATIENT PSYCHIATRIC SERVICES AND HOME HEALTH CARE SERVICES
COSTING METHODOLOGY EXPLANATIONPART I LINE 7A COST TO CHARGE RATIO FROM WORKSHEET 2 RATIO OF PATIENT CARE COSTTOCHARGES WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE PART I LINE 7 TABLE
COMMUNITY BUILDING ACTIVITIESPART IITHE HOSPITAL STAFF SUPPORT PARTICIPATE AND PROVIDE LEADERSHIP TO MANY DIFFERENT AND VARIED ORGANIZATIONS IN ITS SERVICE AREA OF SEVEN COUNTIES CONTAINING OVER 5381 SQUARE MILES THESE ORGANIZATIONS INCLUDE THE CHAMBER OF COMMERCE COMMUNITY SERVICE CLUBS ROTARY LIONS KIWANIS ALL PUBLIC SCHOOLS TWO UNIVERSITIES THE BLOOD BANK UNITED WAY FOR THREE COUNTIES JOHNSON COUNTY RESOURCE ALLIANCE FORRESTER DAVIS DEVELOPMENT CENTER AND THE AMERICAN CANCER SOCIETY TO NAME A FEW SOME EXAMPLES OF THE ACTIVITIES AND PROJECTS INCLUDE COMMUNITY BUILDING PROJECTS FOR THE UNITED WAY LOCAL BLOOD DRIVES FLU SHOTS FOR PUBLIC SCHOOLS AND GENERAL PUBLIC AT LARGE HEALTH FAIRS FOR SENIOR CITIZENS LOCAL NIGHT OUT SPONSORSHIP TO PROMOTE GOOD WORKING RELATIONSHIPS TO SUPPORT LAW ENFORCEMENT AND MANY OTHER PROJECTS TO NUMEROUS TOO MENTION THE HOSPITAL PROVIDES STAFF MEDICAL SUPPLIES AND FOOD AS NECESSARY TO PROMOTE MAINTAIN ANDOR DEVELOP EACH PROJECT TO ITS FULLEST POTENTIAL
BAD DEBT EXPENSE EXPLANATIONPART III LINE 4AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBT PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO ACCOUNTS OVER 30 DAYS OLD ARE CONSIDERED PAST DUE AN ACCOUNT THAT IS APPROXIMATELY 90 DAYS PAST DUE WITH NO PAYMENT ACTIVITY IS SENT TO AN OUTSIDE BILLING AND COLLECTION SERVICE WHO MAKE ADDITIONAL ATTEMPTS TO COLLECT PAST DUE AMOUNTS AFTER THE OUTSIDE COLLECTION SERVICE ADVISES THAT THEY HAVE MADE ALL REASONABLE ATTEMPTS TO COLLECT A PAST DUE ACCOUNT IT IS REVIEWED AGAIN BY THE HOSPITAL AND A DETERMINATION IS MADE WHETHER TO WRITE OFF THE ACCOUNT
COLLECTION PRACTICES EXPLANATIONPART III LINE 9BPATIENTS WHO CAN SHOW THAT PAYMENT OF THEIR HOSPITAL BILL WOULD BE AN UNBEARABLE HARDSHIP FOR THEM MAY APPLY FOR FINANCIAL ASSISTANCE TO PAY ALL OR PART OF THEIR BILL APPLICANTS MUST COMPLETE THE REQUIRED FINANCIAL APPLICAITON AND MEET MINIMUM GUIDELINE REQUIREMENTS AS SET FORTH IN THE JRMC CHARITY CARE POLICY APPLICANTS WILL BE RESPONSIBLE FOR OBTAINING THE INFORMATION NEEDED TO DETERMINE THEIR ELIGIBILTY AND PROVIDE VERIFICATION OF INCOME AS REQUIRED
NEEDS ASSESSMENTPART VIJOHNSON COUNTY HOSPITAL WAS ESTABLISHED IN 1938 WITH THE EXISTING FACILITY BEING BUILT IN 1977 THE HOSPITAL HAS PROVIDED HEALTHCARE SERVICES TO THE COMMUNITY OF CLARKSVILLE AR AND OTHER ADJACENT COMMUNITIES IN THE SERVICE AREA FOR OVER 5 DECADES SERVICES INCLUDE OBGYN GENERAL SURGERY REHABILITATION ICU EMERGENCY AND DIAGNOSTIC AND FACILITY IS LICENSED FOR 80 BEDS THE LOCAL COMMUNITY HAS A VERY BALANCED ECONOMIC BASE CONSISTING OF MANUFACTURING SERVICE AND AGRICULTURAL INDUSTRIES SOME OF THE LARGER INDUSTRIAL CORPORATIONS INCLUDE TYSON HANES BRANDS WALMART DISTRIBUTION CENTER RETAIL AND BALDOR THE TOWN ALSO IS THE HOME OF THE UNIVERSITY OF THE OZARKS WITH THE GROWTH OF THE LOCAL ECONOMYINDUSTRIES AND INCREASING ENROLLMENT IN THE UNIVERSITY JOHNSON REGIONAL MEDICAL CENTER HAS ADAPTED TO THE EVER CHANGING HEALTHCARE NEEDS OF THE COMMUNITY TO CONTINUE TO ADAPT TO THE CONSTANTLY CHANGING NEEDS OF THE COMMUNITY PHASE 1 OF THE RENOVATION AND EXPANSION OF THE EXISTING FACILITY WAS DONE IN EARLY 2005 TO ADD A NEW SURGERY EMERGENCY IMAGING AND ADMITTINGWAITING AS PART OF COMPLETED PROJECT A FUTURE PHASE II WAS PLANNED TO ADD A MEDSURG PATIENT WING 40 BED ALONG WITH A RENOVATION AND ADDITION TO LABOR AND DELIVERY DEPARTMENT THAT WOULD RENOVATE THE NEW FULL TERM NURSERY AND ADD 10 NEW LDRP ROOMS IN ADDITION THE SHELL SPACE BELOW THE PATIENT ROOMS WOULD BE USED FOR RELOCATING THE PHARMACY AND LABORATORY DEPARTMENTS AND WILL BE SHELLED OUT TO ALLOW FOR FUTURE MEDICAL OFFICES TO ACCOMMODATE PHYSICIAN PRACTICES AND SERVICE LINES DEMANDED BY COMMUNITY SINCE THE COMPLETION OF PHASE I IN 2005 THE FACILITY HAS BEEN WORKING TO RAISE FUNDS TO COMPLETE THE PHASE II PORTION OF THE MASTERPLAN THE EXISTING FACILITIES TO BE REPLACED UNDER THE PHASE II WORK ARE OUTDATED AND DO NOT ACCOMMODATE MODERN HEALTHCARE NEEDS AND REQUIREMENTS IT IS NECESSARY TO COMPLETE THESE REPLACEMENT FACILITIES TO BE COMPETITIVE IN THE SERVICE AREA TO MINIMIZE LOSS OF BUSINESS TO OTHER ADJACENT FACILITIES DUE TO HAVING ANTIQUATED FACILITIES AND PROVIDE A STANDARD OF CARE THAT IS REQUIRED TO ACCOMMODATE LIFE SAFETY NEEDS OF PATIENTS AND TO OBTAIN HIGHER LEVEL OF PATIENT CARE AND SATISFACTION ALL OF THE EXISTING PATIENT ROOMS ARE CURRENTLY DESIGNED AS SEMIPRIVATE ROOMS DOUBLE OCCUPANCY THE STANDARD OF CARE IS NOW PRIVATE ROOMS AND IS PROVIDED BY LEADING HEALTHCARE PROVIDERS AND EXPECTED BY CURRENT PATIENT POPULATION IN ADDITION PRIVATE LABORDELIVERYPOSTPARTUM AND DELIVERY ROOMS LDRP ALLOW FOR A SINGLE ROOM TO ACCOMMODATE ALL NEW MOTHER NEEDS THIS IS ALSO A SERVICE THAT IS PROVIDED BY LEADING HEALTHCARE PROVIDERS AND EXPECTED BY CURRENT PATIENT POPULATION SERVICES AVAILABLE FROM THE MEDICAL CENTER INCLUDE AMBULATORY CARE ANESTHESIA SERVICES CLINICAL LABORATORY CARE DIABETES EDUCATION EEG EMERGENCY SERVICES GASTROINTESTINAL LAB HOME HEALTH PHARMACY SERVICES PHYSICAL THERAPY PSYCHIATRIC SERVICES REHABILITATION RESPIRATORY THERAPY SPEECH THERAPY SLEEP LAB SURGICAL SERVICES GENERAL ORTHOPEDIC UROLOGY GYNECOLOGY PODIATRY ENT AND OPHTHALMIC AND AN AMBULANCE SERVICE THE MEDICAL CENTERS 80 LICENSED BEDS ARE CURRENTLY ALLOCATED AS FOLLOWS MEDICALSURGICAL 41 BEDS INTENSIVE CARE 8 BEDS PSYCHIATRIC 10 BEDS REHABILITATION 12 BEDS AND OBSTETRICS 9 BEDS THE PRESENT ACTIVE MEDICAL STAFF OF THE MEDICAL CENTER IS COMPOSED OF 26 PHYSICIANS 19 OF WHOM ARE BOARD CERTIFIED IN THEIR RESPECTIVE AREAS OF PRACTICE THE AVERAGE AGE OF THE ACTIVE MEDICAL STAFF IS 43 YEARS AN ADDITIONAL 28 PHYSICIANS HAVE ASSOCIATE STAFF STATUS AT THE MEDICAL CENTER AND ANOTHER SEVEN HAVE COURTESY ER STATUS IN MANY CASES THE EXISTING PATIENT ROOMS ARE DEFICIENT IN PHYSICAL PROGRAM AND NOT CURRENTLY IN COMPLIANCE WITH ADA AND CURRENT LICENSING REQUIREMENTS ROOMS AND FACILITIES REQUIRE A MINIMUM NUMBER OF ADA ACCESSIBLE UNITS AND MINIMUM AMOUNT OF SPACE TO ACCOMMODATE PATIENT STAFF FAMILIES AND EQUIPMENT THE HVAC FIRE PROTECTION MEDICAL GAS AND ELECTRICAL SYSTEMS ARE ALSO DEFICIENT IN SOME RESPECTS AND THE CURRENT SYSTEMS WILL REQUIRE INCREASED MAINTENANCE AND UPGRADE SHOULD THEY BE REQUIRED TO REMAIN IN PLACE TO SUPPORT PATIENT NEEDS THE PHYSICAL CONDITION OF THE FACILITY INCLUDING FLOORING AND WALL FINISHES AND HEADWALL UNITS WOULD ALSO REQUIRE REPLACEMENT SHOULD THE EXISTING FACILITIES NEED TO REMAIN IN PLACE ANY UPGRADES TO EXISTING FACILITIES WOULD BE COSTLY DUE TO REQUIREMENT TO MEET CURRENT STANDARDSCODES AND WOULD ULTIMATELY BE A COMPROMISE TO MASTERPLAN VISION IN AN EFFORT TO CONTINUE THE FACILITY MASTERPLAN AND REPLACE OUTDATED FACILITIES THE PHASE II WORK MUST BE COMPLETED DUE TO COMPLEXITY OF PHASING WORK WITHIN OPERATING FACILITY AND UPGRADES THAT WOULD BE REQUIRED TO BRING EXISTING FACILITY UP TO CURRENT LICENSING AND CODE REQUIREMENT A MAJOR RENOVATION WOULD NEED TO BE UNDERTAKEN TO UPDATE THE EXISTING MEDSURG ROOMS IT IS CONCEIVABLE THAT THE COMPLEX NATURE OF A RENOVATION PROJECT WOULD BE AS COSTLY OR IN EXCESS OF COST OF NEW CONSTRUCTION THE BIG DIFFERENCE BETWEEN THE TWO OPTIONS LIES IN ABILITY TO CONTINUE OPERATIONS AND MINIMIZE DISRUPTION TO PATIENTS AND STAFF THE OTHER BENEFIT OF NEW CONSTRUCTION YOU WOULD NOT HAVE WITH RENOVATION WOULD BE IN ADDITION OF INCREASED GROUND FLOOR DEPARTMENT SHELL MEDICAL OFFICE SPACE THE HVAC FIRE PROTECTION MEDICAL GAS AND ELECTRICAL SYSTEM UPGRADES THAT WOULD BE REQUIRED TO SUPPORT NEW AREAS WOULD ALSO BE VERY DISRUPTIVE AND COSTLY NOTE THAT AS PART OF PHASE I A NEW ELEVATOR AND MECHANICAL PENTHOUSE WITH NEW SYSTEMS TO SUPPORT PHASE II ARE IN PLACE TO PROVIDE SYSTEMS IN COMPLIANCE WITH CURRENT REQUIREMENTS AND TO ELIMINATE NEED FOR UTILITY INTERRUPTIONS AND UPGRADES SINCE MUCH OF UTILITY INFRASTRUCTURE SUPPORTING PHASE II IS IN PLACE THE COST OF NEW CONSTRUCTION WILL BE LESS WHEN COMPARED TO COST OF OTHER SIMILAR FACILITIES THAT DO NOT HAVE THIS INFRASTRUCTURE IN PLACE ALREADY ALSO JOHNSON COUNTY POPULATION DEMOGRAPHICS ARE ROUTINELY REVIEWED AND CONSIDERED TO BRING THE BEST AND MOST NEEDED SERVICES TO THE SERVICE AREA THE LATEST DATA IS ATTACHED AS AN EXAMPLE OF THE COMPLEXITY OF THE DATA AND DEPTH OF THE RESEARCH AND THOUGHT GIVEN TO EACH STRATEGIC HEALTH INITIATIVES WE TAKE WHILE THE HOSPITAL HAS NOT YET PERFORMED AN OFFICAILA COMMUNITY NEEDS ASSESSMENT WE PLAN TO PERFORM ONE IN THE NEXT YEAR AS NOTED ABOVE THE MASTERPLAN FOR THE HOSPITAL WAS DEVELOPED IN EARLY 2005 INTENDED TO REPLACE ALL EXISTING MAJOR HOSPITAL SERVICES AND UTILIZE THE ORIGINAL STRUCTURE FOR SUPPORT AREAS THE COMPLETION OF PHASE II MEDSURG PATIENT ROOMS LABOR AND DELIVERY RENOVATIONEXPANSION AND MEDICAL OFFICE SHELL SPACE WILL ALLOW JRMC TO COMPLETE THE MASTERPLAN VISION IT WILL REPURPOSE EXISTING AREAS AND WILL SUPPLEMENT AND REINFORCE THE NEED FOR CURRENT SERVICES TO REMAIN COMPLETED AS PART OF PHASE I OR EARLIER PROJECT SUCH AS ICU AND REHAB THE RENOVATION AND ADDITION OF LABORDELIVERY WILL ALLOW JRMC TO RECRUIT OBGYN PHYSICIANS TO SERVICE THE GROWING NEED IN THE COMMUNITY BASED ON AN INCREASE IN BIRTHS IN THE AREA THE SHELL SPACE WILL ALLOW FOR THESE PHYSICIAN GROUPS TO ESTABLISH THEIR PRACTICES WITHIN CLOSE PROXIMITY TO THE FACILITY WHICH THEY SUPPORT BY PROVIDING SERVICES SUCH AS LABORDELIVERY IT IS COMMON FOR THE PATIENTBABY TO CONTINUE TO ACCESS SERVICE AT THE FACILITY IN WHICH THEY HAD THE BIRTH PROVIDED THE EXPERIENCE AT THE FACILITY HAD POSITIVE OUTCOMESHIGH SATISFACTION RATING BY PROVIDING THESE SPECIALTY SERVICES REQUIRED TO SUPPORT THE COMMUNITY NEEDS THE PATIENT POPULATION WILL REQUIRE OTHER SPECIALIZED SERVICES AS THEY GROW AND HEALTHCARE NEEDS CHANGE TO ADAPT TO THE YOUNG AND AGING POPULATION THE ADDITION OF THE PHASE II FACILITIES AT JRMC WILL ONLY FURTHER STRENGTHEN CORE SERVICE INFRASTRUCTURE OF COMMUNITY AND PROVIDE HIGHER LEVEL OF PATIENT CARE WITH INCREASE IN USE OF FACILITIES AND CENSUS AT THE HOSPITAL MORE JOBS WILL BE CREATED IN ADDITION BY ATTRACTING SPECIALTY PHYSICIAN GROUPS THE NEW PRACTICES WILL ALSO REQUIRE SUPPORT WHICH WILL RESULT IN ADDITIONAL JOB CREATION IN ADDITION THERE IS HIGHER LIKELIHOOD THAT THERE WILL BE HIGHER RETENTION OF SKILLED INDIVIDUALS IN THE COMMUNITY IF CORE COMMUNITY SERVICES ARE IN PLACE
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VI1 ANY PATIENT THAT INDICATES AN INABILITY TO PAY IS OFFERED A CHARITY CAREINDIGENT CARE APPLICATION 2 THE MEDICAL CENTER PLACES NOTICES IN ALL REGISTRATION AREAS THAT WE OFFER CHARITY CARE PROGRAMS AND DESCRIBES HOW TO OBTAIN MORE INFORMATION ABOUT FINANCIAL ASSISTANCE 3 THE MEDICAL CENTER PLACES A NOTE ON STATEMENTS REGARDING HOW TO REQUEST INFORMATION ABOUT FINANCIAL ASSISTANCE
COMMUNITY INFORMATIONPART VIMANAGEMENT DEFINES THE PRIMARY SERVICE AREA OF THE MEDICAL CENTER AS JOHNSON COUNTY ARKANSAS AND THE SECONDARY SERVICE AREAS AS FRANKLIN LOGANPOPE AND SOUTHERN SECTIONS OF MADISON COUNTIES IN ARKANSAS THE PRIMARY SERVICE AREA CONTRIBUTED APPROXIMATELY 76 OF THE TOTAL MEDICAL CENTERS ADMISSIONS IN FISCAL YEAR 2003 THE SECONDARY SERVICE AREA CONTRIBUTED APPROXIMATELY 22 OF THE TOTAL MEDICAL CENTER ADMISSIONS IN FISCAL YEAR 2003 THE POPULATION OF THE SERVICE AREA IS APPROXIMATELY 22000 AND THE COMBINED POPULATION OF THE SECONDARY SERVICE IS APPROXIMATELY 45000ALTHOUGH THERE ARE NO OTHER HOSPITALS LOCATED IN THE MEDICAL CENTERS PRIMARY SERVICE AREA THERE ARE THREE HOSPITALS IN THE SECONDARY SERVICE AREA AND SEVERAL OTHER HOSPITALS IN THE REGION THAT REQUIRE THE MEDICAL CENTER TO REMAIN HIGHLY COGNIZANT OF COMPETITION THESE HOSPITALS AND THEIR LOCATIONS ARE AS FOLLOWS SECONDARY SERVICE AREA HOSPITALS MERCY HOSPITALTURNER MEMORIAL OZARK AR NORTH LOGAN MERCY HOSPITAL PARIS AR SAINT MARYS REGIONAL MEDICAL CENTER RUSSELLVILLE AR HOSPITALS OUTSIDE PRIMARY AND SECONDARY SERVICE AREA BOONEVILLE COMMUNITY HOSPITAL BOONEVILLE AR CHAMBERS MEMORIAL HOSPITAL DANVILLE AR DARDANELLE HOSPITAL DARDANELLE AR SELECT SPECIALTY HOSPITAL FORT SMITH AR ADVANCE CARE HOSPITAL FORT SMITH AR SPARKS HEALTH SYSTEM FORT SMITH AR VISTA HEALTH FORT SMITH AR ST EDWARD MERCY MEDICAL CENTER FORT SMITH AR CRAWFORD MEMORIAL HOSPITAL VAN BUREN AR
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSEPART VIJOHNSON REGIONAL MEDICAL CENTER HAS AN OPEN MEDICAL STAFF AND WELCOMES NEW PRACTITIONERS TO THE SERVICE AREA JOHNSON REGIONAL ALSO ENSURES ACCESS TO BASIC PRIMARY CARE BY SUPPORTING THE RECRUITMENT OF PRIMARY CARE PHYSICIANS TO PRACTICE IN JOHNSON COUNTY WE ALSO HAVE A BOARD OF DIRECTORS THAT REPRESENTS THE NEEDS OF THE COMMUNITY AND PURSUES THE BEST POSSIBLE CARE FOR OUR SERVICE AREA EACH BOARD MEMBER IS A VOLUNTEER AND DONATES A CONSIDERABLE AMOUNT OF TIME AND ENERGY TO ASSURE A VIABLE PROGRESSIVE AND WELLMANAGED HOSPITAL JOHNSON REGIONAL MEDICAL CENTER ALSO PARTICIPATES WITH FIVE COLLEGES AND UNIVERSITIES TO TRAIN FUTURE HEALTHCARE WORKERS WE HAVE AFFILIATION AGREEMENTS FOR NURSES PHYSICAL THERAPISTS PHARMACISTS EMS STAFF AND STUDENT ROTATIONS THROUGH VARIOUS ANCILLARY DEPARTMENTS THIS REQUIRES A REAL DEDICATION OF TIME AND EFFORT BY OUR STAFF TO EDUCATE AND TRAIN FUTURE HEALTHCARE PROFESSIONALS JOHNSON REGIONAL MEDICAL CENTERS SUPPORT ALSO INCLUDES SUBSTANTIAL AMOUNTS OF CHARITY CARE OF OVER 18 MILLION AND BAD DEBT RECOGNIZED OF ALMOST 45 MILLION COMBINED THESE REPRESENT ALMOST 10 OF OUR TOTAL REVENUE JRMC IS A 501C 3 NOTFORPROFIT CORPORATION AND AS SUCH NO ONE INDIVIDUALLY PROFITS THROUGH OWNERSHIP DIVIDENDS ARE NOT EVER PAID

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
ROBERT MORSE
15244115205167646
ROGER KENNEDY
2784938201286694
CECIL SUTTERFIELD
27783418350296184
ROBERT MAY
27553410134285668
STEPHEN MCELMURRY
27185418350290204
JAMES GOODMAN
24175518138259893

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

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

Form990 Schedule K Part II Form990ScheduleKPartII

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

Form990 Schedule K Part III Form990ScheduleKPartIII

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

Form990 Schedule K Part IV Form990ScheduleKPartIV

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MARLA ANDERSON RN
OFFICER FAMILY13016EMPLOYEE COMPENSATIOfalse
AMANDA OVERBEY PT
DIRECTOR FAMILY62250EMPLOYEE COMPENSATIOfalse
JAMES GOODMAN MD
FORMER DIRECTOR259894EMPLOYEE COMPENSATIOfalse
LYNNE YARBROUGH
HCE FAMILY90895EMPLOYEE COMPENSATIOfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE TAX RETURN WAS REVIEWED BY MANAGEMENT AND THE BOARD OF DIRECTORS BEFORE FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CORGANIZATION COMPLIANCE OFFICER REPORTS AT LEAST ANNUALLY TO THE BOARD OF DIRECTORS AND REVIEWS THE CONFLICT OF INTEREST POLICY. DIRECTORS AND KEY EMPLOYEES ARE UPDATED REGARDING ANY CHANGES IN POLICY AND ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST BASED ON THE POLICY.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ACEO COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS AND IS COMPARED TO COMPENSATION OF COMPARABLE CEO POSITIONS ANNUALLY BY THE BOARD OF DIRECTORS.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BOTHER OFFICERS AND KEY EMPLOYEES COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS AND IS COMPARED TO COMPENSATION OF COMPARABLE POSITIONS ANNUALLY BY THE BOARD OF DIRECTORS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

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