2011-11-15T17:19:10-05:00 2010-12-31 990 2010-01-01 710664687 Washington Regional Medical Center WASH 4794631088 3215 NORTHHILLS BLVD FAYETTEVILLE AR 72703 Dan Eckels 2011-11-14 2010 2016-03-07 17:11:31Z WILLIAM L BRADLEY SAME AS ABOVE FAYETTEVILLE AR 72703 233074800 false X WWW.WREGIONAL.COM X 1988 AR WASHINGTON REGIONAL IS COMMITTED TO IMPROVING THE HEALTH OF PEOPLE IN COMMUNITIES WE SERVE THROUGH COMPASSIONATE, HIGH QUALITY CARE, PREVENTION AND WELLNESS EDUCATION. 9 9 2429 182 5510433 -402803 14796 17078 220130903 226491698 8452751 6224880 431279 328380 229029729 233062036 0 0 0 0 89542746 89610574 0 0 335289 125245711 127114228 214788457 216724802 14241272 16337234 291087784 294571943 140069703 136686615 151018081 157885328 X WASHINGTON REGIONAL IS COMMITTED TO IMPROVING THE HEALTH OF PEOPLE IN COMMUNITIES WE SERVE THROUGH COMPASSIONATE, HIGH QUALITY CARE, PREVENTION AND WELLNESS EDUCATION. false true 129039836 178285931 Ancillary Support Services: Services offered in 2010 by Washington Regional Medical Center included surgery, recovery, labor and delivery, central supply, IV therapy, laboratory, radiology and special imaging, pharmacy, respiratory therapy, physical therapy, and occupational therapy. A number of these services were available as outpatient services. Washington Regional Medical Center also offered pulmonary rehabilitation and diabetic education programs, a sleep disorders center, a wound care clinic, and outpatient cardiac rehabilitation. Washington Regional's surgery service performed 14,576 inpatient and outpatient surgeries. The central services department provided 1,327,653 supply items to patients being treated. Laboratory tests performed totaled 620,390. Radiology diagnostic procedures that included items such as x-rays, CT scans, ultrasound, cardiac catheterization, and nuclear images totaled 95,236 procedures. Washington Regional also performed 3,214 magnetic resonance imaging scans. The pharmacy sold patients 2,294,765 items, and respiratory therapy performed tests and treatments totaling 450,105 relative values. The wound care center performed 8,485 treatments. Pastoral care, case management, and volunteer services were offered at no cost to patients. Our chaplains, who worked closely with local ministers, served as liaisons between patients and their faith groups to provide spiritual and emotional support when needed. Case management helped patients and families locate community resources, home care, and financial assistance needed after leaving the hospital. 31839361 24091550 General Inpatient Services: Washington Regional Medical Center is committed to providing a wide range of services to meet the general healthcare needs of its service population. General inpatient services in 2010 included internal medicine, geriatric health, obstetrics and gynecology, pediatrics, cardiology, cardiovascular surgery, intensive care, coronary intensive care, oncology, orthopedics, and geriatric psychiatry. Also included in general inpatient services are nursing services, nursing education, admissions services, medical records, quality assurance, case coordination, and central scheduling. Washington Regional continues to provide "intensivists" - physicians who specialize in caring for critically ill patients in the Medical Center's critical care unit. Staffed by physicians from our Pulmonology team, these highly trained and experienced medical specialists coordinate the care provided by nurses, respiratory therapists, and others as needed by the patient. They provide continuous clinical assessment and are able to address even the subtlest changes in clinical conditions. The intensivist program is one of 30 NQF Hospital Best Practices. At Washington Regional, hospitalists, physicians who specialize in caring for hospitalized patients, are on site to provide ongoing and immediate care. They work as partners with our physicians and nursing staff to provide the highest standard of care during a patient's hospital stay. The benefits to patients are numerous. Often, timing is critical when making decisions about the needs of hospitalized patients. Having internists available in the hospital enables instant care coordination between the hospitalist and the nurses. They can modify treatment or follow-up on a test result on the spot, instead of waiting until the next day. This hands-on approach not only helps prevent medical complications, but also results in reduced hospital stays and lower costs. Patients are ready to go home that afternoon or evening, rather than having to wait to be discharged the next day. And, the hospitalists can consult with the patient's family more readily. In 2010, WRMC provide 12 hospitalists to our community. WRMC's specialized inpatient program, Senior Specialty Unit, is one of only a few such programs in the United States. Geriatricians evaluate our general inpatient population, aged 70+, to identify elderly patients who are at risk of "declining" during an inpatient hospital stay. A multi-disciplinary team, staffed with geriatricians, geriatric nurse practitioner, nurse, social worker, dietician, pharmacologist, occupational therapist, case manager and volunteers proactively visit inpatients to identify the level of risk they have for developing issues that would cause them to worsen during their hospital stay. The goal of the SSU team is to minimize or eliminate these threats to our elderly patients and improve their quality of life, by coordinating all aspects of their care, medically and socially. Washington Regional had 11,758 acute admissions in 2010 and provided 46,942 days of inpatient acute care. (This included 3,653 intensive care days and 4,641 cardiac critical care days.) The average length of an inpatient hospital stay in 2010 was 4.12 days. There were 885 babies born at Washington Regional in 2010, and (2,729) days of nursery care were given. The geriatric psychiatry program had 162 admissions for a total of 2,101 days of care given. 8948874 12515346 Emergency Services: Washington Regional's emergency physicians and staff, backed by the resources of more than 380 physicians on the medical staff, provided medical services to 43,809 patients in 2010. Washington Regional Medical Center's emergency department provided services regardless of patients' ability to pay. Washington Regional added another valuable service to the community in 2010 by partnering with the University of Arkansas for Medical Science (UAMS) to provide life-saving emergency care for stroke patients. Called Arkansas SAVES (Stroke Assistance through Virtual Emergency Support), the program uses a high-tech video communications system that enables WRMC emergency physicians and stroke neurologist from UAMS to administer life-saving treatments 24 hours a day. Physicians and staff also provide a public service by responding to news media requests for community health information such as accident prevention, emergency management and avoiding weather-related illnesses. The emergency room is capable of providing care for as many as 70,000 patient visits annually with its 46 treatment rooms. 7561873 HOSPICE/HOME HEALTH 862967 EDUCATION AND OTHER 6452144 8424840 176280215 true true false false false false false false true true false false true true false true false false false false false false false false false true false false false true true false false false false false false false true false true false false false false false true true false false false true 65 0 2429 true true true false false false false false false false false false false false false X 9 9 true false false false true true true true true false false true true true true true true true true true true X ACCOUNTING DEPARTMENT 4794631088 3215 NORTHHILLS BLVD FAYETTEVILLE AR 72703 X Woodson W Bassett III Esquire X Dorothy J Hanby X Timothy T Helder X Ann B Rosso X Daniel E Ferritor PhD X Greg W Lee X Anthony N Hui MD X M Gareth Eck MD X Tom Patrick Coker MD X X William L Bradley 40.0 X 665788 259974 Mark A Bever 40.0 X 383353 145833 Larry Shackelford 40.0 X 123050 72003 Daniel R Eckels 40.0 X 352703 133506 David G Ratcliff MD 26.0 X 348688 87990 157290 Thomas J Olmstead 40.0 X 365180 143255 Claudia A Williams 40.0 X 231505 90285 Eileen C Kradel 40.0 X 157955 40095 Rebecca D Magee 40.0 X 343363 125712 James V Wardein 13.6 X 93643 181778 63787 Matthew G Cheadle 40.0 X 303228 10264 Roger C Montgomery 40.0 X 290174 29658 Danette L Bowles 40.0 X 259509 16224 3918139 269768 1287886 71 false true false OZARK REGIONAL ANESTHESIA PO BOX 6340 FAYETTEVILLE AR 72702 ANESTHESIA SERVICES 2002002 AMCOL PO BOX 21625 COLUMBIA SC 29221 COLLECTION SERVICES 491137 EMCARE 7032 COLLECTION CENTER DR CHICAGO IL 60693 ER PHYSICIANS 377364 NW PERFUSION SERVICES 3276 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 PERFUSION SERVICES 418714 NWA PATHLOGY PO BOX 1086 FAYETTEVILLE AR 72701 PATHLOGY SERVICE 334675 22 17078 9078 17078 PATIENT SERVICE REVENUE 900099 217280979 217280979 REFERENCE LAB 621500 2991350 2991350 REGENCY HOSPITAL SERVICES 541900 1712898 1712898 EXERCISE CENTER 713940 600056 600056 CATH LAB LEASE SPACE 623000 58626 58626 3847789 2183694 147503 1516592 226491698 5981392 5981392 256252 256252 0 328380 328380 328380 328380 12764 -12764 -12764 -12764 0 0 0 0 233062036 226017933 5510433 1516592 0 0 0 0 3638772 3638772 0 70968735 60630262 10147154 191319 2140890 1740412 394996 5482 7551683 6131567 1400804 19312 5310494 4421149 875084 14261 5555777 3625590 1930187 180011 180011 343908 343908 0 0 119781 119781 405295 405295 646186 43475 584524 18187 2847753 693397 2134044 20312 3851476 2556927 1294549 0 3296674 2590758 703972 1944 460508 328032 127703 4773 0 190059 89381 99518 1160 5384209 5384209 0 15020610 11505907 3513207 1496 1068145 49416 1018729 MEDICAL SUPPLIES 46841600 46707280 134226 94 BAD DEBT 24569085 24569085 PURCHASED SERVICES 6335836 2661171 3632240 42425 REPAIRS AND MAINTENANCE 3805287 2810703 993756 828 NON CAPITAL EQUIPMENT 1888174 1747325 134083 6766 4303854 2973083 1323841 6930 216724802 176280215 40109298 335289 37409 89347 39303007 40928841 30899100 30191998 1150724 1331460 1995255 1818502 241526470 97374587 149408673 144151883 45726936 51985432 5820944 5838960 16745736 18235520 291087784 294571943 22369056 22569103 109086343 106696935 2946581 2134224 5667723 5286353 140069703 136686615 X 150967871 155311931 50210 2573397 151018081 157885328 291087784 294571943 X 16337234 -9469987 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1028937 89907 17744 113001 1023587 865169 262021 21196 7750 111699 1028937 807942 181309 27812 8510 143384 865169 0.65000 0.32000 0.03000 false true true 1235385 1235385 123393969 26737880 96656089 3728468 1902332 1826136 103170457 66155083 37015374 9998191 2579292 7418899 144151883 PREPAID BOND FUNDING 10428252 ACCRUED INTEREST 284260 DEFERRED ORGANIZATIONAL COSTS 2042018 BENEFICIAL INTEREST IN WR FDN 2599982 EQUITY INVESTMENTS 2881008 18235520 0 DUE TO THIRD PARTY 5286353 5286353 233062036 216724802 16337234 16337234 233074800 12764 12764 233062036 233062036 216737566 12764 12764 216724802 216724802 LOSS ON DISPOSAL OF ASSETS SCHEDULE D, RECONCILIATION true true true X true X true false true true 1 2971 3973837 3973837 0.01650 1 8598 15028706 11729552 3299154 0.01370 2 11569 19002543 11729552 7272991 0.03020 6 551589 13509 538080 0.00220 3 44745 44745 0.00020 1 -12922 -12922 0.00010 138201 138201 0.00060 10 721613 13509 708104 0.00290 12 11569 19724156 11743061 7981095 0.03310 true 5713049 571305 69783329 65859937 3923392 true true 1 1 WASHINGTON REGIONAL MEDICAL CENTER

3215 NORTHHILLS BLVD FAYETTEVILLE AR 72703

X X X X WASHINGTON REGIONAL MEDICAL CENTER 1 5 Washington Regional Medical Center

3017 N Bob Younkin Ste 102 Fayetteville AR 72703

Wound Clinic, Hyperbaric Clini Infusion Clinic, Diabetic Edu Washington Regional Medical Center

1125 N College Fayetteville AR 72703

Sleep Lab, Geri Psych Unit Washington Regional Hospice

34 Colt Square Fayetteville AR 72703

Hospice Washington Regional Home Health

88 Colt Square Fayetteville AR 72703

Home Health Services Washington Regional Center for Health

813 Founders Park Drive Springdale AR 72762

Radiology Services Physical Therapy Services PART 1 LINE 6A THE ORGANIZATION PREPARES A COMMUNITY BENEFIT REPORT ANNUALLY AND PRESENTS THE REPORT TO THE WASHINGTON COUNTY, ARKANSAS QUORUM COURT AND POSTS THE REPORT ON THE ORGANIZATION'S WEBSITE. PART 1, LINE 7G THE ORGANIZATION REPORTS NO SUBSIDIZED HEALTH SERVICES, BUT ITS SOLE MEMBER, WASHINGTON REGIONAL MEDICAL SYSTEM, OPERATES A PHYSICIAN CLINIC CALLED THE PAT WALKER CENTER FOR SENIORS (PWCS). THE PWCS WAS CREATED TO SERVE THE COMMUNITY'S SENIOR CITIZENS WHO ARE ALMOST EXCLUSIVELY MEDICARE BENEFICIARES. THE PWCS WAS CREATED TO ADDRESS THE FACT THAT OTHER AREA PROVIDERS WERE UNWILLING TO ACCEPT ADDITIONAL MEDICARE PATIENTS DUE TO THE LOW AMOUNT OF MEDICARE REIMBURSEMENT. PART 1, LINE 7, COLUMN F THE ORGANIZATION EXCLUDED FROM TOTAL EXPENSE BAD DEBT OF $24,569,085 FOR THE PURPOSE OF CALCULATING COMMUNITY BENEFIT PERCENT OF TOTAL EXPENSES. PART 1, LINE 7 THE ORGANIZATION USES A COST ACCOUNTING SYSTEM WHICH ADDRESSES VARIOUS PATIENT SEGMENTS, E.G. INPATIENTS, OUTPATIENTS, EMERGENCY ROOM PATIENTS, ETC PART 111, LINE 4 THE ORGANIZATION PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. PATIENT ACCOUNTS 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. THE COST OF BAD DEBT IS ESTIMATED BY USING A COST TO CHARGE RATIO. THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY IS ESTIMATED TO BE 10%, OR A RELATIVELY SMALL NUMBER, AS PATIENTS HAVE MANY CHANCES TO LEARN ABOUT FINANCIAL ASSISTANCE, AND THE ASSUMPTION IS MADE THAT QUALIFYING PATIENTS WILL ACT UPON INFORMATION RECEIVED. THE ORGANIZATION FOLLOWS THE VHA/CATHOLIC HEALTH ASSOCIATION'S GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, AND AS SUCH, DOES NOT REPORT BAD DEBT FROM THE TREATMENT OF PATIENTS AS A COMMUNITY BENEFIT. PART 111, LINE 8 THE ORGANIZATION USES A COST ACCOUNTING SYSTEM TO DETERMINE COST OF SERVICES PROVIDED TO MEDICARE PATIENTS. THE ORGANIZATION FOLLOWS THE VHA/CATHOLIC HEALTH ASSOCIATION'S GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, AND AS SUCH, DOES NOT REPORT SHORTFALLS FROM THE TREATMENT OF MEDICARE PATIENTS AS A COMMUNITY BENEFIT. PART 111, LINE 9B THE ORGANIZATION'S BAD DEBT POLICY SPECIFICALLY ADDRESSES THAT COLLECTION AGENCIES ARE REQUIRED TO ANALYZE THE PATIENT'S ABILITY TO PAY, AND IN THE EVENT THAT CHARITY IS IDENTIFIED, THE ACCOUNT IS RETURNED TO A/R AND THEN PROMPTLY WRITTEN OFF TO CHARITY. PART 5 SECTION B "OTHER" CENTER FOR EXERCISE SLEEP LAB WOUND CENTER NEEDS ASSESSMENT THE ORGANIZATION CONDUCTS NEEDS ASSESSMENTS IN A VARIETY OF WAYS; WITH RESPECT TO PRACTITIONER RECRUITMENT FOR DEVELOPEMENT OF NEW HEALTH CARE SERVICES THE ORGANIZATION MAY PERFORM INTERNAL ASSESSMENTS OF THE NEED FOR SUCH PROVIDERS OR SERVICES OR ENGAGE EXTERNAL CONSULTANTS TO ASSESS THOSE NEEDS. THE ORGANIZATION IS ALSO ADVISED BY ITS COMMUNITY BASED BOARD OF DIRECTORS, MEDICAL STAFF, LOCAL GOVERNMENT, AND LOCAL NONPROFIT ORGANIZATIONS OF COMMUNITY NEEDS THAT MIGHT BE ADDRESSED BY THE ORGANIZATION. THE ORGANIZATION ALSO IDENTIFIES THE NEED FOR NEW SERVICES OR SHORTCOMINGS IN EXISTING COMMUNITY HEALTH RESOURCES BY ANALYZING UTILIZATION PATTERNS IN ITS SERVICE OFFERINGS, E.G. PATIENTS PRESENTING TO THE E/D FOR SERVICES NO LONGER PROVIDED ELSEWHERE. THE PAT WALKER CENTER FOR SENIORS IS AN EXAMPLE WHERE THE ORGANIZATION HAS RESPONDED TO THE NEEDS OF A PATIENT POPULATION WHO BECAME UNDERSERVED WHEN OTHER LOCAL PROVIDERS ELECTED TO DISCONTINUE SERVICES TO THE ELDERLY POPULATION DUE TO REDUCED MEDICARE REIMBURSEMENT. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE DURING PRE-REGISTRATION AND REGISTRATION, STAFF IDENTIFIES PATIENT FINANCIAL NEEDS DURING DISCUSSIONS OF SOURCE OF PAYMENT. WHEN PATIENTS STATE AN INABILITY TO PAY, ORGANIZATION PERSONNEL SCREEN FOR CHARITY ELIGIBILITY BY ASKING FOR INCOME AND FAMILY SIZE. PATIENTS THAT STAFF BELIEVES MAY QUALIFY FOR FINANCIAL ASSISTANCE ARE REFERRED TO FINANCIAL COUNSELORS TO DISCUSS CHARITY ASSISTANCE AVAILABLE, INFORMATION NEEDED, AND THE DECISION PROCESS. DURING THE A/R PRE-COLLECTION PROCESS, CORRESPONDENCE LETTERS FROM THE ORGANIZATION CLEARLY STATE THAT PATIENTS WHO BELIEVE THAT THEY MAY QUALIFY FOR ASSISTANCE UNDER THE CHARITY ASSISTANCE PROGRAM SHOULD CALL FOR THIS SPECIFIC HELP. PHONE DISCUSSIONS, DURING THE A/R PRE-COLLECTION PHASE AND THE BAD DEBT COLLECTION PHASE, SCREEN FOR THOSE WHO MAY QUALIFY FOR BENEFITS UNDER THE CHARITY CARE POLICY. THIS IS EVIDENCED BY THE MANY INSTANCES OF CHARITY PROVIDED TO ACCOUNTS THAT WERE IN THE COLLECTION OR THE BAD DEBT COLLECTION PHASE WHEN THE CHARITY DETERMINATION WAS MADE. THE ORGANIZATION ALSO ATTEMPTS TO IDENTIFY HEALTHCARE COVERAGE UNDER FEDERAL AND STATE PROGRAMS AND FACILITATE PATIENTS' ENROLLMENT IN SUCH PROGRAMS. FUNDING OF THESE EFFORTS IN 2010 COST $250,000. COMMUNITY INFORMATION THE ORGANIZATION SERVES AS A REGIONAL REFERRAL CENTER FOR NORTHWEST ARKANSAS, WESTERN OKLAHOMA, AND SOUTHWEST MISSOURI. WRMC'S PRIMARY AND SECONDARY SERVICE AREAS INCLUDE WASHINGTON, BENTON, MADISON AND CARROLL COUNTIES. IN 2010, THE ESTIMATED POPULATION ACCORDING TO THE US CENSUS BUREAU EACH OF THESE FOUR COUNTIES IN NORTHWEST ARKANSAS WAS AS FOLLOWS: WASHINGTON, 203,065; BENTON, 221,339; CARROLL, 27,446; MADISON, 15,717. THE MEDIAN HOUSEHOLD INCOME IN 2010 FOR EACH OF THE COUNTIES WAS $41,098 FOR WASHINGTON, $49,226 FOR BENTON, $35,006 FOR CARROLL AND $33,117 FOR MADISON. THE PERCENTAGE OF PERSONS BELOW THE POVERTY LEVEL RANGE FROM 18.7 % FOR WASHINGTON AND MADISON COUNTIES AND 17.3 % FOR CARROLL COUNTY AND 13.1% FOR BENTON COUNTY. WHITE PERSONS MADE UP THE GREATEST PERCENTAGE IN 2010 FOR EACH OF THE COUNTIES WITH PERSONS OF HISPANIC OR LATINO ORIGIN BEING THE SECOND HIGHEST RANGING FROM 15.5% IN BENTON COUNTY TO 4.8% IN MADISON COUNTY. OVER 65% OF OUR INPATIENT ADMISSIONS WERE FROM WASHINGTON COUNTY AND 12.9% FROM BENTON COUNTY. OVER 9.6% OF OUR PATIENTS CAME FROM MADISON AND CARROLL COUNTIES AND 4% FROM NEIGHBORING OKLAHOMA AND MISSOURI. THE REMAINING PERCENTAGE CAME FROM OTHER COUNTIES IN ARKANSAS AND FROM ACROSS THE NATION. WASHINGTON AND BENTON COUNTY RESIDENTS REPRESENTED OVER 96% OF OUR OUTPATIENTS. OF THE TOTAL ADMISSIONS IN 2010, 18% WERE UNINSURED OR MEDICAID RECIPIENTS. THERE ARE TWO OTHER MEDICAL SYSTEMS IN NORTHWEST ARKANSAS THAT OWN FIVE HOSPITALS IN THE PRIMARY AND SECONDARY SERVICE AREAS OF WASHINGTON REGIONAL MEDICAL CENTER. PROMOTION OF COMMUNITY HEALTH THE ORGANIZATION PROVIDES COMMUNITY SUPPORT THROUGH BEING A MAJOR PARTICIPANT IN DISASTER READINESS, PUBLIC HEALTH EMERGENCY ACTIVITIES, AND COMMUNITY DISEASE SURVEILLANCE. FROM AN ENVIRONMENTAL PERSPECTIVE, THE ORGANIZATION SEGREGATES AND PROPERLY DISPOSES OF HAZARDOUS CLINICAL WASTE IN ORDER TO SAFEGUARD COMMUNITY NATURAL RESOURCES. PART OF THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH OF THE CITIZENS IN THE COMMUNITIES WE SERVE, AND THE ORGANIZATION IMPORTANTLY ADDED WALKING TRAILS AROUND THE CAMPUS, CONNECTED THESE TRAILS TO THE CITY'S WALKING TRAILS, AND CONTRIBUTED LAND TO THE CITY TO ADD TO ITS WALKING TRAILS. THE ORGANIZATION CONTINUALLY ASSESSES NEEDS FOR VARIOUS PHYSICIANS, AND RECRUITS AS APPROPRIATE. IN 2010 THE MEDICAL CENTER ADDED 29 NEW PHYSICIANS TO THE MEDICAL STAFF WHOSE AREAS OF EXPERTISE INCLUDE ANESTHESIOLOGY, CARDIOLOGY, DERMATOLOGY, EMERGENCY MEDICINE, FAMILY PRACTICE, GENERAL SURGERY, INTERNAL MEDICINE, NEPHROLOGY, OPHTHALMOLOGY, PEDIATRICS, PLASTIC SURGERY, PHYSICAL MEDICINE/REHABILITAION, PSYCHIATRY, RADIOLOGY, TELEMEDICINE AND UROLOGY. IN THE 2010 COMMUNITY BENEFITS TOTALS, THE ORGANIZATION PROVIDED $100K IN FINANCIAL SUPPORT TO THE UNIVERSITY OF ARKANSAS AND NORTHWEST ARKANSAS COMMUNITY COLLEGE TO ASSIST NURSING EDUCATION PROGRAMS AT EACH INSTITUTION. THE ORGANIZATION FURTHER PROVIDED NEARLY $37,000 TO SUPPORT THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES IN TRAINING OF RADIOLOGY AND ULTRASOUND TECHS. OTHER INFORMATION: THE BOARD IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS WHO RESIDE LOCALLY AND ARE NOT EMPLOYEES OR FAMILY MEMBERS OF EMPLOYEES. ONE BOARD MEMBER IS A CONTRACTOR OF THE ORGANIZATION. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. WE RECRUIT BOTH PRIMARY CARE PHYSICIANS AND SPECIALISTS TO OUR MEDICAL STAFF ON A CONTINUAL BASIS. WITH MORE THAN 380 DOCTORS AND HEALTHCARE PROVIDERS ON OUR MEDICAL STAFF, WASHINGTON REGIONAL HAS THE EXPERTISE NEEDED BY OUR PATIENTS IN MOST BRANCHES OF SPECIALIZED MEDICINE AND SURGERY -INCLUDING LEADING EXPERTS IN CARDIAC SURGERY; VASCULAR INTERVENTIONS SUCH AS CARTOID STENTING; NEONATOLOGY; AND INTERVENTIONAL RADIOLOGY. THE ORGANIZATION ACTS RESPONSIBLY IN THE ALLOCATION OF SURPLUS THROUGH THE PROVISION OF GENEROUS COMMUNITY BENEFITS. CHARITY, AT COST OF $3.8 MILLION, BENEFITTED THOUSANDS OF PATIENTS. THE SUBSIDIZED COST OF TREATING MEDICAID PATIENTS WAS $5.5 MILLION AND BENEFITED ALMOST 2.5 TIMES THE NUMBER OF CHARITY PATIENTS. PRENATAL CARE AT THE WASHINGTON COUNTY HEALTH DEPARTMENT WAS SUPPORTED BY CASH DONATIONS OF $62,000. THE FREE HEALTH CLINIC WAS SUPPORTED BY DONATIONS OF $57,000. THE ORGANIZATION HAS ALSO BEEN A CONSISTENT FUNDING SOURCE FOR THE WASHINGTON COUNTY HIV CLINIC WITH DONATIONS OF $110,000 IN 2008. THE GOAL OF THIS CLINIC IS TO MANAGE THE HEALTH OF HIV POSITIVE PATIENTS IN THE MOST COST EFFECTIVE MANNER. THE ORGANIZATION ALSO ATTEMPTS TO IDENTIFY, FOR PATEINTS, HEALTHCARE COVERAGE UNDER FEDERAL AND STATE PROGRAMS AND FACILITATE ENROLLMENT IN SUCH PROGRAMS. FUNDING OF THESE EFFORTS IN 2010 COST $250,000. EDUCATIONAL FUNDING TO HELP ADDRESS THE SHORTAGE OF HEALTHCARE WORKERS, SPECIFICALLY RN'S, RADIOLOGY TECHS AND ULTRASOUND TECHS, TOTALED $187,000. WASHINGTON REGIONAL'S DEDICATION TO THE IMPLEMENTATION OF THE ELECTRONIC MEDICAL RECORD HAS BEEN UNSURPASSED BY MANY HOSPITALS. ACCORDING TO THE HEALTHCARE INFORMATION MANAGEMENT SYSTEMS SOCIETY, IN 2010, WASHINTON REGIONAL MEDICAL CENTER WAS IN THE TOP 3.2% OF HOSPITALS IN THE NATION REACHING A STAGE 6 MATURITY LEVEL. FOR FIVE YEARS, WASHINGTON REGIONAL HAS BEEN BUILDING A COMPUTERIZED MEDICAL RECORD THAT GOES BEYOND JUST DIGITAL DOCUMENTATION. FOCUS ON HIGH QUALTIY CARE IS CONTINUED INTO THE EMR THROUGH THE SAFETY AND CLINICAL DECISION SUPPORT RULES THAT RUN IN THE BACKGROUND TO ALERT THE PHYSICIANS AND NURSES TO A PATEINT'S CHANGING CONDITIOINS. ONE OF THESE RULES, TEAM RESPONSE TO EXTREMES, MONITORS PATIENTS FOR POTENTIAL PRE-HEART ATTACH CHANGING CONDITIONIS. IN 2010, WASHINTON REGIOINAL REDUCED THE INCIDENT OF OUT-OF-CRITICAL CARE CARDIAC ARREST BY 76%, FAR EXCEEDING THE NATIOINAL AVERAGE. WASHINGTON REGIONAL MEDICAL CENTER HAS BEEN KNOWN FOR ITS UNWAVERING COMMITMENT TO PROVIDING QUALITY CARE. DILIGENT PROGRAM INITIATIVES HAVE CONSISTENTLY RESULTED IN HIGHLY FAVORABLE PATIENT OUTCOMES INCLUDING: THE AVERAGE LENGTH OF TIME PATIENTS REMAINED IN OUR HOSPITAL WAS 3.9 DAYS. THAT'S 7% BETTER THAN THE NATIONIAL AVERAGE. INPATIENT MORTALITY RATE WAS 35% LOWER THAN THE NATIONAL AVERAGE. HOSPITAL INPATIENT COMPLICATION RATE 52% LOWER THAN THE NATIONAL AVERAGE. FOR SIX CONSECUTIVE MONTHS IN 2010, OVERALL TREATMENTS FOR THE PREVENTION OF LIFE-THREATENING BLOOD CLOTS WAS 100%. THE OVERALL HOSPTIAL BLOOD STEAM INFECTION RATE IN PATIENTS FOLLOWING SURGERY WAS 58% BELOW THE NATIONAL AVERAGE. TWO PROGRAMS THAT ADD TO THE POSITIVE OUTCOMES OF OUR PATIENTS ARE THE INTENSIVIST PROGRAM AND THE HOSPITALIST PROGRAM. WASHINGTON REGIONAL WAS THE FIRST AREA HOSPITAL TO ESTABLISH A TEAM OF INTENSIVIST, PHYSICIANS WHO SPECILIZE IN CARING FOR CRITICALLY ILL PAIENTS. THEY PROVIDE CONTINOUS CARE CLINICAL ASSESSMENT AND ARE ABLE TO ADDRESS EVEN THE MOST SUBTLE CHANGES IN A PATIENT'S CLINICAL CONDITION. THE INTENSIVIST PROGRAM IS ONE OF THE NATIONAL QUALITY FORUM'S BEST PRACTICES. THE HOSPITALISTS, MEDICAL PHYSICIANS WHO WORK IN PARTNERSHIP WITH PATIENTS' REGULAR DOCTOR, PROVIDE ONGOING AND IMMEDIATE CARE TO PATIENTS DURING THEIR HOSPTIAL STAY. STUDIES HAVE SHOWN THAT PATIENTS ATTENDED BY HOSPITALISTS HAVE SHORTER STAYS, LOWER COSTS AND BETTER MEDICLA OUTCOMES. WASHINGTON REGIONAL PROVIDED 11 HOSPTIALIST TO THE COMMUNITY IN 2010. AFFILIATED HEALTH CARE SYSTEM ROLES PARENT CORPORATION, WASHINGTON REGIONAL MEDICAL SYSTEM, PROVIDES PLANNING AND COORDINATION OF THE DELIVERY OF HEALTH SERVICES AND ALSO OPERATES PHYSICIAN CLINICS. THE ORGANIZATION, WASHINGTON REGIONAL MEDICAL CENTER, IS THE LARGEST PROVIDER OF ACUTE CARE SERVICES IN NORTHWEST ARKANSAS. WASHINGTON REGIONAL MEDICORP IS A SIBLING CORPORATION THAT PROVIDES SERVICES FOR THE ELDERLY INCLUDING LONG TERM CARE, SKILLED NURSING, AND ASSISTED LIVING. EUREKA REGIONAL HEALTH PROVIDES MEDICAL FACILITIES IN CARROLL COUNTY FOR A PHYSICIAN CLINIC. WASHINGTON REGIONAL MEDICAL FOUNDATION PROVIDES FUNDRAISING ACTIVITIES THAT SUPPORT WASHINGTON REGIONAL MEDICAL CENTER'S MISSION OF IMPROVING THE HEALTH OF CITIZENS IN THE COMMUNITIES IT SERVES. WASHINGTON REGIONAL MEDICAL SERVICES PROVIDES MEDICAL REAL ESTATE FOR VARIOUS MEDICAL OFFERINGS SUCH AS BROOKSTONE ASSISTED LIVING, OFFICE SPACE FOR WASHINGTON REGIONAL MEDICAL FOUNDATION, AND PARKING SPACE FOR THE NORTH HILLS CAMPUS. THE ORGANIZATION HAS FOUR SUBSIDIARIES. THE 51% OWNED DIALYSIS CENTERS OF NORTHWEST ARKANSAS PROVIDES CHRONIC DIALYSIS SERVICES TO PATIENTS WITH RENAL FAILURE. THE MAJORITY OWNED NORTH HILLS SURGERY CENTER PROVIDES OUTPATIENT SURGICAL SERVICES. THE 50% OWNED HEALTH PARTNERS, PHO COORDINATES CONTRACTING BETWEEN PROVIDERS, INSURERS, AND SOME EMPLOYERS TO FACILITATE THE ACCESS OF CARE TO THE COMMUNITY. THE 100% OWNED WASHINGTON REGIONAL REHABILITATIVE SERVICES, LLC HOLDS A 50% OWNERSHIP IN THE REHAB HOSPITAL. THROUGH THIS OWNERSHIP, THE ORGANIZATION ENSURES ACCESS TO QUALITY REHAB SERVICES FOR PATIENTS REGARDLESS OF ABILITY TO PAY. false true false false false false false false false William L Bradley 395225 214087 56476 227966 32008 925762 267683 Mark A Bever 251266 105061 27026 128072 17761 529186 129143 Larry Shackelford 123050 65833 6170 195053 Claudia A Williams 147736 68597 15172 76143 14142 321790 89266 Daniel R Eckels 223764 104277 24662 119347 14159 486209 132544 Rebecca D Magee 213425 94709 35229 107980 17732 469075 122051 David G Ratcliff MD 211848 53459 99082 25003 37758 9528 116580 29419 9016 2275 474284 119684 134654 33980 Thomas J Olmstead 239676 95986 29518 134410 8845 508435 122331 Eileen C Kradel 118813 37777 1365 35495 4600 198050 37777 James V Wardein 55941 108592 25895 50267 11807 22919 16843 32695 4845 9404 115331 223877 31174 60514 Matthew G Cheadle 303228 10264 313492 Roger C Montgomery 265250 24000 924 18137 11521 319832 6000 Danette L Bowles 239750 19759 11600 4624 275733 SCHEDULE J, PART I, LINE 3 METHODS USED TO ESTABLISH COMPENSATION OF TOP OFFICIAL The Board of Directors of a Related Organization (Washington Regional Medical System) has a standing Compensation Committee comprised of independent members of the Board of Directors of the Related Organization that regularly review the performance of the members of senior management of the Organization, engage independent compensation consultant, tax and legal advisors to ascertain and opine as to the reasonableness of total compensation paid to members of senior management, as determined on the basis of compensation surveys prepared by such advisors, and who determine the total compensation paid members of senior management of the Organization in conformance with the rebuttable presumption requirements of Section 4958 of the Internal Revenue Code. SCHEDULE J, PART I, 4B PARTICIPATE IN, OR RECEIVE PMTS FROM SUPPLEMENTAL NON-QUALIFIED RET PLAN ANY AMOUNTS RECEIVED FROM PARTICIPATION IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WERE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). WILLIAM BRADLEY RECEIVED 53595 FROM PARTICIPATION IN A 457(F) PLAN. MARK BEVER RECEIVED 24349 FROM PARTICIPATION IN A 457(F) PLAN. DAVID RATCLIFF RECEIVED 45043 FROM PARTICIPATION IN A 457(F) PLAN. THOMAS OLMSTEAD RECEIVED 26354 FROM PARTICIPATION IN A 457(F) PLAN. DAN ECKELS RECEIVED 28580 FROM PARTICIPATION IN A 457(F) PLAN. JAMES WARDEIN RECEIVED 15697 FROM PARTICIPATION IN A 457(F) PLAN. REBECCA MAGEE RECEIVED 39350 FROM PARTICIPATION IN A 457(F) PLAN. CLAUDIA WILLIAMS RECEIVED 20793 FROM PARTICIPATION IN A 457(F) PLAN. WASHINGTON COUNTY ARKANSAS SERIES 2005A 716003197 937537CH9 2005-08-17 24770750 NEW HOSPITAL CONSTRUCTION false false false WASHINGTON COUNTY ARKANSAS SERIES 2005B 716003197 937537CH9 2005-08-17 85282996 REFUNDED BONDS ISSUED 4/5/2000 false false false 24826306 218340 24552410 2008 false false true true 85466596 5959848 84056889 739654 2002 false true true true false true true false true 0.05230 0.05230 true false true true false true 0.00203 0.00203 true false false false false false false false false false false true false Anthony N Hui MD Director 371700 Pathology Services false Ann B Rosso Director 206525 Bank Fees;Investment Int Rec'd false Woodson S Bassett Director 206525 Bank Fees;Investment Int Rec'd false William L Bradley President & CEO 808600 Bank Fees;Investment Int Rec'd false PART VI, SECTION A, LINE 11B COPY OF FORM 990 PROVIDED TO GOVERNING BODY PRIOR TO FILING At a duly called meeting of the Organization's Audit and Finance Committee, which is comprised of the Organization's board of directors, held in November 2011, copies of the proposed Form 990 filing prepared on behalf of the Organization were presented and reviewed with the board membership by the Organization's Chief Financial Officer and General Counsel. PART VI, SECTION B, LINE 12 C MONITOR AND ENFORCE COMPLIANCE WITH CONFLICT OF INTEREST POLICY The terms of the Conflict of Interest Policy are incorporated within the Bylaws of the Organization, are reviewed annually with the Board of Directors, each of whom are required to sign an acknowledgment that they have reviewed the policy and are aware of its terms. The policy is reviewed in detail at the time of new board member orientation. As potential conflicts arise, those conflicts are addressed pursuant to the policy. PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION The Board of Directors of a Related Organization (Washington Regional Medical System) has a standing Compensation Committee comprised of independent members of the Board of Directors of the Related Organization that regularly review the performance of the members of senior management of the Organization, engage independent compensation consultant, tax and legal advisors to ascertain and opine as to the reasonableness of total compensation paid to members of senior management, as determined on the basis of compensation surveys prepared by such advisors, and who determine the total compensation paid members of senior management of the Organization in conformance with the rebuttable presumption requirements of Section 4958 of the Internal Revenue Code. PART VI, SECTION C, LINE 19 HOW THE ORGANIZATION MAKES CERTAIN DOCUMENTS AVAILABLE TO THE PUBLIC The Organization's Form 990 filing, governing documents, conflict of interest policy, and certain financial statements are available to the public upon written request. PART VI, SECTION A, LINE 2; SCH L Part IV OFFICER OR DIRECTOR BUSINESS RELATIONSHIPS Ann Rosso and Woody Bassett serve as Directors for both the Organization and The Bank of Fayetteville. The Organization maintains bank accounts at The Bank of Fayetteville. Bill Bradley, CEO, serves as a director of Arvest Bank. The organization also maintains bank accounts at Arvest. Anthony Hui is a Director of the Organization and serves as the President of North West Arkansas Pathology Associates, P.A. The Organization purchases pathology services from NorthWest Arkansas Pathology Associates, P.A. PART VI, SECTION A, LINE 7A DOES THE ORGANIZATION HAVE MEMBERS WHO MAY ELECT MEMBERS OF GOVERNING BODY THE ORGANIZATION HAS A MEMBER WHO IS AUTHORIZED TO ELECT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY AS PERMITTED UNDER THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993. PART VI, SECTION A, LINE 6 DOES THE ORGANIZATION HAVE MEMBERS OR STOCKHOLDERS THE ORGANIZATION HAS A MEMBER AS PERMITTED UNDER THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993. PART VI, SECTION A, LINE 7B ARE ANY DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL BY MEMBER? THE MEMBER OF THE ORGANIZATION HAS THE RIGHT TO APPROVE CERTAIN ACTIONS OF THE ORGANIZATION'S GOVERNING BODY AS ARE RESERVED TO THE MEMBER UNDER THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993. PART XI, LINE 5 Other changes in net assets or fund balance Acquisition of member units-North Hills Surgery Center $ -394,144 Investment return-Change in unrealized gains -41,458 Distributions to noncontrolling interest -844,469 Contributions from WRM Foundation for acquisition of property 1,450,000 Change in beneficial interest in net asset of WRM foundation for property acquisitions -1,163,104 Transfers to affiliates -11,000,000 Change in beneficial interest in net asset of 2,523,188 WRM Foundation for property acquisition Part III, Line 3 DID ORGANIZATION CEASE ANY PROGRAM SERVICES IN AUGUST 2010, WRMC CLOSED ITS GERIATRIC PSYCH UNIT. THIS SERVICE HAD BEEN PROVIDED IN AN OLDER OFF CAMPUS FACILITY AWAY FROM THE MAIN CAMPUS. WRMC ELECTED TO CLOSE ITS UNIT AS AN UNRELATED ORGANIZATION CONSTRUCTED AND BEGAN OPERATING A NEW ACUTE PSYCH FACILITY. PART VII, SECTION A, COLUMN B HOURS FOR RELATED ORGANIZATIONS DAVID RATCLIFF, MD SPENDS APPROXIMATELY 14 HOURS A WEEK WORKING FOR RELATED ORGANIZATION WASHINGTION REGIONAL MEDICAL SYSTEM AT THE PAT WALKER SENIOR CENTER SEEING MEDICARE PATIENTS. JAMES WARDEIN ALLOCATES 26.4 HOURS PER WEEK TO RELATED ORGANIZATION HEALTH PARTNERS PHO AS ITS EXECUTIVE DIRECTOR. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David G. Ratcliff, MD TITLE:Chief Medical Officer HOURS:14 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:James V. Wardein TITLE:Exec Diretor Health Partners HOURS:26 WASHINGTON REGIONAL MEDICAL SYSTEM 3215 N NORTHHILS BLVD FAYETTEVILLE AR 72703 710664686 PHYS CLINIC AR 501(C)3 11 WRMC WASHINGTON REGIONAL MEDICAL SERVICES 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710664683 MEDICAL R/E AR 501(C)3 11 WRMC WASHINGTON REGIONAL MEDICORP 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710707450 LTC/SNF/AL AR 501(C)3 3 WRMC WASHINGTON REGIONAL FOUNDATION 3215 N NORTHHILLS FAYETTEVILLE AR 72703 710664685 FUNDRAISING AR 501(C)3 11 WRMC WASHINGTON REGIONAL OUTREACH SERVICES 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 581913581 MEDICAL R/E AR 501(C)3 11 WRMC EUREKA REGIONAL HEALTH 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710769450 MEDICAL R/E AR 501(C)3 3 WRMC DIALYSIS CENTER OF NORTHWEST ARKANSAS 107 E MONTE PAINTER DR FAYETTEVILLE AR 72703 432074310 RENAL DIALYSI AR Wash Reg Med Ct Related 715010 865588 false true 0.51000 WR REHABILIATION SERVICES 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 261611632 PARTNER IN RE AR Wash Reg Med Ct Related 1367807 3429154 false true 0.50000 NORTH HILLS SURGERY CENTER 1125 N COLLEGE FAYETTEVILLE AR 72703 710807771 AMB SURG CTR AR Wash Reg Med Ct Related 573636 418572 false true 0.72510 HEALTH PARTNERS 180 W APPLEBY RD FAYETTEVILLE AR 72703 710764667 PHO AR NA C 27190 182891 0.50000 true false false false false false false false true false true false false false false false false true Washington Regional Medical System K 183544 Washington Regional Medicorp K 150000 Washington Regional Medical System I 322380 Washington Regional Medical Foundation R 45794 Washington Regional Medical System R 11000000 Washington Regional Medical Services A 101577