2011-05-16T09:20:49-04:00 2010-06-30 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2009-07-01 710769555 NORTH METRO MEDICAL CENTER INC NORT 5019857000 PO BOX 159 JACKSONVILLE AR 72078 LYNN MULLER 2011-05-13 true 5013721040 2009 2016-02-24 21:20:13Z JAY QUEBEDEAUX CEO PO BOX 159 JACKSONVILLE AR 72078 36920337 false X www.northmetromed.com X 1994 AR OUR MISSION IS TO PROVIDE PERSONAL HEALTHCARE TO YOUR FAMILY THROUGH OUR COMMUNITY HOSPITAL. SEE SCHEDULE O FOR FURTHER DETAILS. 7 7 548 65 -342390 0 38383 5157 82754259 36309835 139615 222937 426351 357496 83358608 36895425 67458 3474 0 0 19791644 16214999 0 0 0 71269402 22538388 91128504 38756861 -7769896 -1861436 23478374 19779166 16070132 13889307 7408242 5889859 OUR MISSION IS TO PROVIDE PERSONAL HEALTHCARE TO YOUR FAMILY THROUGH OUR COMMUNITY HOSPITAL. SEE SCHEDULE O FOR FURTHER DETAILS. false false 21202509 3474 36309835 PROVIDING ACCESS TO A FULL RANGE OF COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. 21202509 true true false false 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 true false true true false false false false false true true false false true 2 0 true 548 true false false false false false false false false false 7 7 false true false false false false false true true false false true true true true true false true true true true AR X LYNN MULLER 5019857447 1400 BRADEN JACKSONVILLE AR 72076 TOMMY SWAIM 1.0 X 0 0 0 PAT BOND 1.0 X 0 0 0 MURICE GREEN 1.0 X 0 0 0 MIKE WILSON 1.0 X X 0 0 0 MACK MCALISTER 1.0 X 0 0 0 HAROLD SHORT 1.0 X 0 0 0 GARY FLETCHER 1.0 X 0 0 0 SCOTT LANDRUM 40.0 X 188878 0 415 JANE ROCKWELL 40.0 X 87519 0 7642 CINDY STAFFORD 40.0 X 90141 0 11295 LYNN MULLER 40.0 X 72093 0 10769 JACQUELINE DAVIDSON 40.0 X 91236 0 10986 STEVEN BONDS 40.0 X 80660 0 4882 MICHAEL SCHIMMING 40.0 X 126417 0 197 MIKHAIL IVANOVSKY 40.0 X 310033 0 15344 JUCELLE OCCIDENTAL 40.0 X 226829 0 13726 ROBERT HENDERSON 40.0 X 142039 0 10581 TAMMY COPELAND 40.0 X 165701 0 14613 MARK SMITH 40.0 X 280696 0 7242 1862242 0 107692 7 false true true SERVICE PROFESSIONALS NUTRI/ENVIRON SVCS 1095900 PULASKI EMERGENCY GROUP LLC ER CONTRACT 228443 ALLEGIANCE HEALTH MANAGEMENT MANAGEMENT CONTRACT 763756 BKD LLP CPA/AUDITORS 108253 PINNACLE HOME THERAPY HH PHYSICAL THERAPY 102661 5 5157 5157 PATIENT SERVICE REVENUE 611600 36309835 36309835 36309835 974 974 0 0 691494 24912 666582 666582 666582 221963 221963 221963 221963 0 0 0 LOSS ON INVESTMENT IN EQUITY INVESTEES 900099 -314922 -314922 CABOT IMAGING CENTER LLC 900099 -342390 -342390 CAFETERIA SALES 900099 256183 256183 92043 92043 -309086 36895425 36309835 -342390 922823 0 3474 3474 0 0 654135 0 654135 0 0 13038882 5415271 7623611 0 0 1453814 603794 850020 0 1068168 443628 624540 0 367817 152761 215056 0 0 76000 31564 44436 0 0 0 0 3246090 1348157 1897933 0 63525 26383 37142 0 4384628 1821011 2563617 0 0 0 1122738 466292 656446 0 107125 44491 62634 0 0 0 499206 207329 291877 0 0 1682959 698962 983997 0 663270 275467 387803 0 BAD DEBTS 9194322 9194322 0 0 REPAIRS & MAINTENANCE 604638 251117 353521 0 LEASE & RENTAL EXPENSES 526070 218486 307584 0 38756861 21202509 17554352 0 189417 73981 4053221 3822502 1288719 1326197 805157 678985 44962135 33343736 14292088 11618399 2614311 2124729 235461 134373 23478374 19779166 5349629 4478447 10440000 9205000 280503 205860 16070132 13889307 X 7408242 5889859 7408242 5889859 23478374 19779166 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 939180 939180 28298947 19731142 8567805 0 0 0 14876883 13214187 1662696 847125 398407 448718 11618399 36895425 38756861 -1861436 343053 343053 -1518383 37263390 663 663 37262727 -367302 -367302 36895425 38781773 24912 24912 38756861 38756861 UNCERTAIN TAX POSITIONS FORM 990, SCHEDULE D, PART X THE MEDICAL CENTER ADOPTED THE PROVISIONS OF ASC TOPIC 740 (ASC 740), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ON JULY 30, 2010. NO AMOUNTS WERE RECORDED AS A RESULT OF THE IMPLEMENTATION OF ASC 740. RECONCILIATION OF CHANGE IN NET ASSETS FORM 990, SCHEDULE D, PART XI CHANGE IN NET ASSETS OF REBSAMEN MEDICAL FOUNDATION $663 CABOT IMAGING CENTER, LLC K-1 LOSS $342,390 TOTAL $343,053. RECONCILIATION OF REVENUE FORM 990, SCHEDULE D, PART XII CHANGE IN NET ASSETS OF REBSAMEN MEDICAL FOUNDATION $663 TOTAL INCLUDED IN AUDITED FINANCIAL STATEMENTS BUT NOT INCLUDED ON FORM 990 $663 CABOT IMAGING CENTER, LLC K-1 LOSS $(342,390) RENTAL EXPENSE $(24,912) TOTAL INCLUDED ON FORM 990 BUT NOT INCLUDED ON AUDITED FINANCIAL STATEMENTS $(367,302) RECONCILIATION OF EXPENSES FORM 990, SCHEDULE D, PART XIII RENTAL EXPENSE $24,912 true true true X 125. true X 125. false true false false 308804 308804 0.01040 2550767 3872778 2859571 3872778 308804 0.01040 2436 2436 0.00010 4197817 4180372 17445 0.00060 3180 3180 0.00010 4203433 4180372 23061 0.00080 7063004 8053150 331865 0.01120 false 3534297 13229941 12918161 311780 true false CABOT IMAGING CENTER 50% JOINT VENTURE WITH RAPA 0.50000 0.00000 0.00000 North Metro Medical Center

1400 Braden Street JACKSONVILLE AR 72076

X X X THE COST TO CHANGE RATIO AS CALCULATED USING WORKSHEET 2 WAS USED TO DETERMINE THE COSTS ON LINE 7. BAD DEBT EXPENSE IN THE AMOUNT OF $9,194,322 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. THE 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. THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. LINE 6 WAS CALCULATED USING THE MEDICARE COST REPORT. NMMC BOARD AND MANAGEMENT SERVE TO MEET THE NEEDS OF THE SURROUNDING COMMUNITIES. SERVICES ARE EVALUATED ON A CONSISTENT BASIS TO ASSURE THE CENTER IS A PROPER FIT FOR THE AREA. EVERY PATIENT RECEIVES A HANDBOOK WITH INFORMATION REGARDING OUR CHARITY POLICY. UNINSURED PATIENTS ARE PUT IN CONTACT WITH MASH FOR MEDICAID ELIGIBILTY POTENTIAL. NMMC PRIMARILY SERVES THE JACKSONVILLE AND CABOT COMMUNITIES. THESE ARE GROWING POPULATIONS, AND THE CENTER STRIVES TO MAINTAIN SERVICES NEEDED BY THE COMMUNITIES. NMMC PERSONNEL ATTEND NUMEROUS EVENTS THROUGHOUT THE YEAR PROMOTING HEALTH AND WELLNESS. THE CENTER CONDUCTS SCREENINGS, HANDS OUT INFORMATION AND ANSWERS QUESTIONS ON RELATED TOPICS. NMMC CONDUCTS QUARTERLY BLOOD DRIVES AND PROVIDES SEMINARS ON HEALTH RELATED TOPICS OPEN TO THE COMMUNITY. WE EDUCATE FACILITIES ABOUT SERVICES AVAILABLE TO THEIR RESIDENTS. X X false false false false false false false false false SCOTT LANDRUM 188878 0 0 0 0 0 351 0 64 0 189293 0 0 0 JANE ROCKWELL 87519 0 0 0 0 0 0 0 7642 0 95161 0 0 0 MIKHAIL IVANOVSKY 310033 0 0 0 0 0 0 0 15344 0 325377 0 0 0 JUCELLE OCCIDENTAL 226829 0 0 0 0 0 0 0 13726 0 240555 0 0 0 ROBERT HENDERSON 142039 0 0 0 0 0 0 0 10581 0 152620 0 0 0 TAMMY COPELAND 165701 0 0 0 0 0 0 0 14613 0 180314 0 0 0 MARK SMITH 280696 0 0 0 0 0 0 0 7242 0 287938 0 0 0 MICHAEL SCHIMMING 126417 0 0 0 0 0 0 0 197 0 126614 0 0 0 CITY OF JACKSONVILLE ARKANSAS 716042693 469234DJ4 2005-12-01 9344386 REFUND BONDS ISSUED 8/27/96 & 2/10 false false CITY OF JACKSONVILLE ARKANSAS 716042693 469234DX3 2006-04-01 3596549 REFUND BONDS ISSUED 10/8/92 & 6/5/ false false 9344386 937500 8252106 0 154780 0 0 2006 true true true true 3596549 43026 3553323 0 43026 0 0 2006 true false true true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false false false false false false false false false CINDY STAFFORD OFFICER/DIRECTOR 1830 TUITION REIMB JACQUELINE DAVIDSON OFFICER 501 TUITION REIMB MIKE WILSON BOARD CHAIRMAN 890732 BROTHER OWNS 1ST ARKANSAS BANK false CONTROL OF MANAGEMENT DUTIES FORM 990, PART VI, SECTION A, LINE 3 THE CEO,CFO,CNO, AND DIRECTOR OF SUPPORT SERVICES ARE ALLEGIANCE EMPLOYEES. (CFO & CNO PAID BY NMMC, BUT SALARY EXPENSE DEDUCTED FROM ALLEGIANCE MONTHLY MGMT FEE.) AVAILABILITY OF DOCUMENTS FORM 990, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. REVIEW PROCESS FOR FORM 990 FORM 990, PART VI, SECTION B, LINE 11A THE CEO AND CFO OF THE ORGANIZATION WILL REVIEW FORM 990. THEY WILL THEN PROVIDE A COPY OF FORM 990 TO THE BOARD OF DIRECTORS OF THE ORGANIZATION PRIOR TO FILING. MONITORING & ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO INDIVIDUALS WHO SERVE AS DIRECTORS, MANAGERS, CHAIRS OF CLINICAL DEPARTMENTS OR ANY OTHER MEDICAL STAFF MEMBER OR OTHER LICENSED INDEPENDENT PRACTITIONER THAT HAS THE ABILITY TO AFFECT THE SAFETY OR QUALITY OF CARE, TREATMENT, OR SERVICES. THESE INDIVIDUALS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST. DISCLOSURE WILL OCCUR THROUGH AN ANNUAL CONFLICT OF INTEREST STATEMENT AND THE DISCLOSURE OF OTHER ACTUAL OR POTENTIAL CONFLICTS AS THEY ARISE. ANY PERSONAL OR BUSINESS ACTIVITIES THAT MAY RAISE CONCERNS REGARDING CONFLICTS OF INTEREST MUST BE REVIEWED WITH, AND APPROVED IN ADVANCE, BY THE EMPLOYEE'S IMMEDIATE SUPERVISOR OR THE COMPLIANCE OFFICER. IF A COLLEAGUE BELIEVES THAT A CONFLICT OF INTEREST MAY EXIST, THE COLLEAGUE IS OBLIGATED TO REPORT THE SUSPECTED CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR OR THE COMPLIANCE OFFICER. COMPENSATION DETERMINATION PROCESS FORM 990, PART VI, SECTION B, LINES 15A & 15B THE BOARD OF DIRECTORS DETERMINES COMPENSATION FOR ALL OFFICERS USING COMPARABILITY DATA. 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