BAXTER COUNTY REGIONAL HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BAXTER COUNTY REGIONAL HOSPITAL INC (EIN 71-0561765)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201143159349303519
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)
Timestamp2011-11-11T14:27:28-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code722033667ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710561765EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BAXTER COUNTY REGIONAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBAXTNameControl
Phone8705081000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1624 HOSPITAL DRIVEAddressLine1
CityMOUNTAIN HOMECity
StateARState
ZIP Code72653ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameIVAN HOLLEMANName
TitleCFOTitle
Date Signed2011-11-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHERYL SCHLUTERMANName
Phone5013721040Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1BAXTER REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonRONDELL PETERSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1624 HOSPITAL DRIVEAddressLine1
CityMOUNTAIN HOMECity
StateARState
ZIP Code72653ZIPCode
FieldValueIRS element (for citing)
Gross Receipts165012299GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.baxterregional.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1963YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionBAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENCE IN MEDICAL CARE FOR EVERY PATIENT, EVERY TIMEActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1564TotalNbrEmployees
Total Nbr Volunteers439TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year923795ContributionsGrantsPriorYear
Contributions Grants Current Year481991ContributionsGrantsCurrentYear
Program Service Revenue Prior Year141112594ProgramServiceRevenuePriorYear
Program Service Revenue CY144704167ProgramServiceRevenueCY
Investment Income Prior Year135604InvestmentIncomePriorYear
Investment Income Current Year4227943InvestmentIncomeCurrentYear
Other Revenue Prior Year1152274OtherRevenuePriorYear
Other Revenue Current Year1457847OtherRevenueCurrentYear
Total Revenue Prior Year143324267TotalRevenuePriorYear
Total Revenue Current Year150871948TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year17492GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY13233GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year66196359SalariesEtcPriorYear
Salaries Etc Current Year70259464SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year78367732OtherExpensePriorYear
Other Expenses Current Year78852316OtherExpensesCurrentYear
Total Expenses Prior Year144581583TotalExpensesPriorYear
Total Expenses Current Year149125013TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1257316RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1746935RevenuesLessExpensesCY
Total Assets BOY141663297TotalAssetsBOY
Total Assets EOY141950802TotalAssetsEOY
Total Liabilities BOY86461809TotalLiabilitiesBOY
Total Liabilities EOY86222510TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY55201488NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY55728292NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionBAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENCE IN MEDICAL CARE FOR EVERY PATIENT, EVERY TIME. BRMC STRIVES TO PROVIDE QUALITY CARE IN A RURAL COMMUNITY SETTING WITH PATIENT AND FAMILY FRIENDLY CUSTOMER SERVICE. THE HOSPITAL PROVIDES A VARIETY OF INPATIENT SERVICES INCLUDING SPECIALTY SERVICES SUCH AS CARDIOVASCULAR AND OPEN HEART SURGERY, ONCOLOGY, PLASTIC SURGERY, ORTHOPEDICS, OBSTETRICS, A GERI-PSY UNIT AND AN INPATIENT REHABILITATION UNIT. OUTPATIENT SERVICES INCLUDE HOSPITAL BASED PHYSICIAN CLINICS, EMERGENCY AND AMBULANCES SERVICES, HOME HEALTH SERVICES, CARDIAC REHABILITATION AND IMAGING CENTER. OUR PILLARS OF EXCELLENCE SUPPORT OUR MISSION BY A COMMITMENT FROM OUR PHYSICIANS, STAFF AND VOLUNTEERS, OUR QUALITY, EXEMPLARY PATIENT CARE, STAYING FINANCIALLY SOUND AND TO CONTINUALLY "GROW" OUR SERVICES TO MEET THE NEEDS OF OUR COMMUNITIES. IN 2009 WE REACHED BEYOND OUR HOSPITAL WALLS TO HOST A HEALTH FAIR FOR THE POPULATIONS THAT WE SERVE (14 COUNTIES) AND PROVIDEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense139111627Expense
Grants13233Grants
Revenue144704167Revenue
DescriptionBAXTER REGIONAL MEDICAL CENTER OFFERS THIRTY-THREE SPECIALIZED SERVICES TO THE COMMUNITIES SERVED IN THE TWIN LAKES AREA. SEE SCHEDULE O FOR 2010 SERVICES.Description
Total Program Service Expense139111627TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096118NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1564NumberOfEmployees
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
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonIVAN HOLLEMANNamePerson
Telephone Number8705081000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1624 HOSPITAL DRIVEAddressLine1
CityMOUNTAIN HOMECity
StateARState
ZIP Code72653ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ROSALYN BLAGG
BOARD SECRETARY5.0XX000
CLARK FLETCHER
BOARD CHAIRMAN5.0XX000
TED SANDERS
BOARD VICE CHAIRMAN5.0XX000
STEVE LUELF
BOARD TREASURER5.0XX000
JIM VENTERS
DIRECTOR5.0X000
BRUCE WHITE
PAST CHIEF OF STAFF5.0X000
MARY WREN
DIRECTOR5.0X000
GEORGE LAWRENCE
CHIEF OF STAFF5.0X000
TOM SCHMUECKER
DIRECTOR5.0X000
SALLY GILBERT
DIRECTOR5.0X000
STEVE WILBUR
DIRECTOR5.0X000
RON PETERSON
CEO50.0X422891022310
IVAN HOLLEMAN
CFO50.0X249498027330
CATHLEEN HAMEL
CNO50.0X220854020439
RUDY DARLING
COO50.0X194772021031
BARNEY LARRY
VP/BUSINESS DEVELOPMENT50.0221546024743X
LOUIS ELKINS
PHYSICIAN60.0886599013012X
JASON LINDSAY
PHYSICIAN60.0329336021587X
KENNY OWENS
CRNA SUPERVISOR45.0216548024807X
WILLIAM GALLI
PHYSICIAN40.0341905018692X
SAFWAN SAKR
PHYSICIAN40.0217709021779X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3301658TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation215730TotalOtherCompensation
Number Individuals GT100 K34NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
HORIZON MENTAL HEALTH
GERI PSYCH MGMT763621
EXECUTIVE HEALTH RESOURCES
CONTRACT SERVICE913965
ST JOHN'S MERCY HEALTH SYSTEM
ICU PHYSICIAN SVC728450
4-K PERFUSION INC
PERFUSION SVC708125
SPHERIS
TRANSCRIPTION SVC676431
FieldValueIRS element (for citing)
Number Of Contractors GT100 K119NumberOfContractorsGT100K
Related Organizations341944RelatedOrganizations
All Other Contributions140047AllOtherContributions
Total Contributions481991TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
GROSS PATIENT SVC621400144816887144816887
JOINT VENTURE REVENUE621110-112720-112720
FieldValueIRS element (for citing)
Total Program Service Revenue144704167TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column655173TotalRevenueColumn
Exclusion$655,173ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real597836Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real496703Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real101133Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column101133TotalRevenueColumn
Exclusion$101,133ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities15837082Securities
Other800614Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities12056172Securities
Other1008754Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3780910Securities
Other-208140Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3572770TotalRevenueColumn
Exclusion$3,572,770ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory603668GrossSalesOfInventory
Cost Of Goods Sold578722CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column24946TotalRevenueColumn
Exclusion$24,946ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA SALES722210777276$777,276
OTHER INCOME900099133763$133,763
REBATES/DISCOUNTS900099384310$384,310

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column36419TotalRevenueColumn
Exclusion$36,419ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1331768TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column150871948TotalRevenueColumn
Related Or Exempt Function Income144704167RelatedOrExemptFunctionIncome
Exclusion$5,685,790ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total13233Total
Program Services13233ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1425414Total
Program Services0ProgramServices
Management And General1425414ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total53733204Total
Program Services51389852ProgramServices
Management And General2343352ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1745926Total
Program Services1632863ProgramServices
Management And General113063ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9620719Total
Program Services8942341ProgramServices
Management And General678378ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3734201Total
Program Services3470387ProgramServices
Management And General263814ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total101668Total
Program Services0ProgramServices
Management And General101668ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total240360Total
Program Services0ProgramServices
Management And General240360ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10750067Total
Program Services10165647ProgramServices
Management And General584420ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total476964Total
Program Services56624ProgramServices
Management And General420340ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1374888Total
Program Services985371ProgramServices
Management And General389517ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3368514Total
Program Services3065348ProgramServices
Management And General303166ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2155684Total
Program Services2100309ProgramServices
Management And General55375ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total339232Total
Program Services279825ProgramServices
Management And General59407ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total3512259Total
Program Services3196156ProgramServices
Management And General316103ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9604898Total
Program Services7566640ProgramServices
Management And General2038258ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PATIENT SUPPLIES & IMPLANTS167012121670121200
BAD DEBT EXPENSE8048612804861200
EQUIPMENT RENTAL & MAINTENANCE413450337623983721050
CONTRACT SERVICES21105602060032505280
PROVIDER ASSESSMENT TAX1122985112298500

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14809910Total
Program Services14551792ProgramServices
Management And General258118ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total149125013Total
Program Services139111627ProgramServices
Management And General10013386ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9598236BOY
EOY11850427EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18705161BOY
EOY17054123EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5141371BOY
EOY5253298EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1391527BOY
EOY1866897EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis162825339LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec106756898LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY59841221BOY
EOY56068441EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY46985781BOY
EOY49857616EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY141663297BOY
EOY141950802EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY17042555BOY
EOY18839440EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY67569857BOY
EOY65870306EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1849397BOY
EOY1512764EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY86461809BOY
EOY86222510EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY55013415BOY
EOY55537731EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY183073BOY
EOY185561EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5000BOY
EOY5000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY55201488BOY
EOY55728292EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY141663297BOY
EOY141950802EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1746935ReconcilationRevenueExpenses
Reconcilation Other Changes-1220131ReconcilationOtherChanges
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$23,480OtherActivitiesAmount
Total Lobbying Expenditures IIB23480TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationLOBBYING ACTIVITIES INCLUDE EFFORTS FOR MEDICARE RECLASSIFICATIONS, RURAL REFERRAL CENTER COALITION, AND DUES FOR AMERICAN HOSPITAL ASSOCIATION.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance8677407BeginningOfYearBalance
Contributions268615Contributions
Investment Earnings Or Losses868931InvestmentEarningsOrLosses
Grants Or Scholarships576806GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance9238147EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance8241019BeginningOfYearBalance
Contributions121360Contributions
Investment Earnings Or Losses634108InvestmentEarningsOrLosses
Grants Or Scholarships319080GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance8677407EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8237495BeginningOfYearBalance
Contributions879521Contributions
Investment Earnings Or Losses-683717InvestmentEarningsOrLosses
Grants Or Scholarships192280GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance8241019EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.77000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.23000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4355680OtherCostOrOtherBasis
Book Value4355680BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis58905146OtherCostOrOtherBasis
Depreciation32316596Depreciation
Book Value26588550BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis97083616OtherCostOrOtherBasis
Depreciation72930965Depreciation
Book Value24152651BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2480897OtherCostOrOtherBasis
Depreciation1509337Depreciation
Book Value971560BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings56068441TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES218712
EQUITY INVESTEES240500
OTHER ASSETS32370
ASSETS LIMITED AS TO USE49366034
FieldValueIRS element (for citing)
Total Book Value Other Assets49857616TotalBookValueOtherAssets
Total Revenue150871948TotalRevenue
Total Expenses149125013TotalExpenses
Excess Or Deficit For Year1746935ExcessOrDeficitForYear
Net Unrealized GL On Investments-1223375NetUnrealizedGLOnInvestments
Other-$25,401OtherAmount
Total Adjustments-1248776TotalAdjustments
Excess Or Deficit Per FS498159ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt149831312TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1223375NetUnrealizedGainsInvestments
Other Revenues182739OtherRevenues
Revenue Not Rptd F990-1040636RevenueNotRptdF990
Revenue Subtotal150871948RevenueSubtotal
Total Revenue Per Form990150871948TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt149333153TotExpensesEtcAuditedFinclStmt
Other Expenses Included208140OtherExpensesIncluded
Expenses Not Rptd F990208140ExpensesNotRptdF990
Expenses Subtotal149125013ExpensesSubtotal
Total Expenses Per Form990149125013TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF NET ASSETSSCHEDULE D, PART XI, LINE 8AUXILIARY NET INCOME: $- 25,401
RECONCILIATION OF REVENUESCHEDULE D, PART XII, LINE 2DREALIZED LOSS ON SALE OF ASSETS: $- 208,140 INCOME FROM AUXILIARY: $ 25,401
RECONCILIATION OF EXPENSESSCHEDULE D, PART XIII, LINE 2DREALIZED LOSS ON SALE OF ASSETS: $- 208,140
ENDOWMENT FUNDSFORM 990, SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS ARE USED BY HOSPITAL DEVELOPMENT FOUNDATION TO SUPPORT BAXTER COUNTY REGIONAL HOSPITAL D/B/A BAXTER REGIONAL MEDICAL CENTER.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
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 ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3598650TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3598650NetCommunityBenefitExpense
Percent Of Total Expense0.02550PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense13078452TotalCommunityBenefitExpense
Direct Offsetting Revenue9597251DirectOffsettingRevenue
Net Community Benefit Expense3481201NetCommunityBenefitExpense
Percent Of Total Expense0.02470PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense16677102TotalCommunityBenefitExpense
Direct Offsetting Revenue9597251DirectOffsettingRevenue
Net Community Benefit Expense7079851NetCommunityBenefitExpense
Percent Of Total Expense0.05020PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense717517TotalCommunityBenefitExpense
Direct Offsetting Revenue297248DirectOffsettingRevenue
Net Community Benefit Expense420268NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense842083TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense842083NetCommunityBenefitExpense
Percent Of Total Expense0.00600PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense76830TotalCommunityBenefitExpense
Direct Offsetting Revenue300DirectOffsettingRevenue
Net Community Benefit Expense76530NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1636430TotalCommunityBenefitExpense
Direct Offsetting Revenue297548DirectOffsettingRevenue
Net Community Benefit Expense1338881NetCommunityBenefitExpense
Percent Of Total Expense0.00950PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense18313532TotalCommunityBenefitExpense
Direct Offsetting Revenue9894799DirectOffsettingRevenue
Net Community Benefit Expense8418732NetCommunityBenefitExpense
Percent Of Total Expense0.05970PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense27764TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense27764NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense8925TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense8925NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense382405TotalCommunityBuildingExpense
Direct Offsetting Revenue3788DirectOffsettingRevenue
Net Community Building Expense378617NetCommunityBuildingExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense419094TotalCommunityBuildingExpense
Direct Offsetting Revenue3788DirectOffsettingRevenue
Net Community Building Expense415306NetCommunityBuildingExpense
Percent Of Total Expense0.00300PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$3,585,364BadDebtExpenseAmount
Amount Attributable To537805AmountAttributableTo
Amount Reimbursed By Medicare72524387AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare70913528CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1610859MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
RENAL VENTURES OF MT
DIALYSIS SERVICES0.370000.000000.12000
BAXTER REGIONAL PHO
HEALTHCARE ADMIN SERVICES0.500000.000000.50000
FieldValueIRS element (for citing)
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 Line1BAXTER COUNTY REGIONAL HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1624 HOSPITAL DRIVEAddressLine1
CityMOUNTAIN HOMECity
StateARState
ZIP Code72653ZIPCode
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 Line1BAXTER COUNTY REGIONAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BAD DEBT EXPENSEPART I, LINE 7, COLUMN (F)BAD DEBT EXPENSE IN THE AMOUNT OF $8,048,612 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.
CHARITY CAREPART I, LINE 7THE CHARITY CARE AMOUNTS WERE DERIVED FROM THE COST TO CHARGE RATIO. THE MEDICAID AMOUNT WAS FROM AN INTERNAL COST ACCOUNTING SYSTEM, ADJUSTED FOR MEDICAID UPL AND ASSESSMENT IN 2010.
PATIENT ACCOUNTS RECEIVABLEPART III, LINE 4THE 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. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. RATIO OF COST TO CHARGES IS USED TO CALCULATE LINE 2. 15% OF THIS NUMBER IS THE ESTIMATED AMOUNT ATTRIBUTED TO COMMUNITY BENEFIT REPORTED ON LINE 3. 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.
MEDICARE COSTSPART III, LINE 8THE MEDICARE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORT.
BAD DEBT ACCOUNTSPART III, LINE 9BWHEN BAD DABT ACCOUNTS ARE REFERRED TO A COLLECTION AGENCY, THE AGENCY CAN PROVIDE DEBTORS WITH A BAXTER REGIONAL FINANCIAL STATEMENT FOR COMPLETION IF THE FOLLOWING CRITERIA APPLY: 1) THE PATIENT/DEBTOR HAS NOT ALREADY OBTAINED ASSISTANCE THROUGH THE HOSPITAL. 2) THE PATIENT/DEBTOR INDICATES A FINANCIAL NEED WITHIN 30 DAYS OF THE ACCOUNT BEING REFERRED TO THE COLLECTION AGENCY. IF THE PATIENT/DEBTOR DOES NOT COMMUNICATE WITH THE HOSPITAL OR COLLECTION AGENCY PRIOR TO THE 30 DAY WINDOW, ELIGIBILITY FOR ASSISTANCE COMES TO AN END.
NEEDS ASSESSMENTPART VI, LINE 2SERVICE NEEDS ASSESSMENTS ARE DEVELOPED FROM COMMUNITY INPUT, INDIVIDUAL FUNDING, COMMUNITY SURVEYS, TALKING WITH COMMUNITY LEADERS AS WELL AS STATE AND NATIONAL TRENDS. PHYSICIAN NEEDS ASSESSMENTS ARE OBTAINED THROUGH ANALYSIS PROVIDED BY AN OUTSIDE COMPANY AT LEAST BI-ANNUALLY.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VI, LINE 3PATIENTS ARE GIVEN HANDOUTS REGARDING FINANCIAL ASSISTANCE AT ADMISSION. ALL SELF PAY PATIENTS ARE SCREENED FOR MEDICAID ELIGIBILITY, CHARITY OR OTHER FINANCIAL ASSISTANCE RECOMMENDATIONS DURING THEIR STAY AND HAVE THE OPPORTUNITY TO TALK WITH FINANCIAL COUNSELORS. FINANCIAL ASSISTANCE AND CONTACT INFORMATION IS AVAILABLE ON ALL HOSPITAL STATEMENT MAILINGS.
COMMUNITY INFORMATIONPART VI, LINE 4BAXTER REGIONAL MEDICAL CENTER IS LOCATED IN THE HEART OF THE BEAUTIFUL OZARK MOUNTAIN IN NORTH-CENTRAL ARKANSAS. BAXTER REGIONAL AND ITS SUBSIDIARIES AND CLINICS PROVIDE PATIENTS FROM TWO STATES AND 14 COUNTIES WITH STATE-OF-THE-ART HEALTHCARE. BAXTER REGIONAL MEDICAL CENTER IS KNOWN THROUGHOUT THE REGION FOR OUR CENTERS OF EXCELLENCE: CANCER, CARDIAC, DIGESTIVE DISEASES, SURGERY, VASCULAR DISEASES AND WOMEN'S HEALTH. FIRST OPENED IN 1963, BAXTER REGIONAL IS A 268 ALL PRIVATE BED TERTIARY CARE FACILITY WITH MORE THAN 100 PHYSICIANS ON STAFF.
PROMOTION OF COMMUNITY HEALTHPART VI, LINE 5BAXTER REGIONAL WORKS TO RECRUIT PHYSICIANS INTO OUR RURAL AREA TO PROVIDE SPECIALTY AND FAMILY PRACTICE MEDICAL CARE. BAXTER REGIONAL MEDICAL CENTER ASSISTS IN PROVIDING COMMUNITY MEMBERS LEADERSHIP TRAINING THROUGH AN EVENT HELD ANNUALLY. BAXTER ALSO WORKS WITH AREA OFFICIALS FOR DISASTER PREPAREDNESS AND TRAINING.
AFFILIATED HEALTH CARE SYSTEMPART VI, LINE 6BAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENCE IN MEDICAL CARE FOR EVERY PATIENT, EVERY TIME. BRMC STRIVES TO PROVIDE QUALITY CARE IN A RURAL COMMUNITY SETTING WITH PATIENT AND FAMILY FRIENDLY CUSTOMER SERVICE. THE HOSPITAL PROVIDES A VARIETY OF INPATIENT SERVICES INCLUDING SPECIALTY SERVICES SUCH AS CARDIOVASCULAR AND OPEN HEART SURGERY, ONCOLOGY, PLASTIC SURGERY, ORTHOPEDICS, OBSTETRICS, A GERI-PSY UNIT AND AN INPATIENT REHABILITATION UNIT. OUTPATIENT SERVICES INCLUDE HOSPITAL BASED PHYSICIAN CLINICS, EMERGENCY AND AMBULANCES SERVICES, HOME HEALTH SERVICES, CARDIAC REHABILITATION AND IMAGING CENTER. THE MISSION OF HOSPICE OF THE OZARKS IS TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN THE LAST PHASES OF AN INCURABLE ILLNESS AND THEIR FAMILY MEMBERS BY PROVIDING A HIGH LEVEL OF COMPREHENSIVE CARE. BAXTER REGIONAL HOSPITAL FOUNDATION RAISES MONEY TO KEEP THE COMMUNITY HEALTHY. THE FUNDRAISING EFFORTS OF THE FOUNDATION PROVIDE FINANCIAL SUPPORT FOR BAXTER REGIONAL MEDICAL CENTER. BAXTER REGIONAL HEALTH SYSTEM OPERATES FOR THE BENEFIT OF, PERFORM FUNCTIONS OF AND/OR CARRY OUT THE PURPOSE OF BAXTER COUNTY REGIONAL HOSPITAL AND OTHER HEALTH CARE ORGANIZATIONS LOCATED IN THE STATE OF ARKANSAS WHICH ARE HOSPITALS.
OTHER INFORMATIONBAXTER REGIONAL MEDICAL CENTER PROVIDES HEALTH FAIRS, SCREENING AND EDUCATION EVENTS FOR THE COMMUNITY AND SURROUNDING AREAS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantASSISTANCE FOR PATIENTS EXHIBITING NEEDTypeOfGrant
Number Of Recipients149NumberOfRecipients
Amount Of Cash Grant0AmountOfCashGrant
Amount Of Non Cash Assistance13233AmountOfNonCashAssistance
Method Of ValuationFMVMethodOfValuation
Description Of Non Cash AssistancePRESCR/MED SUPPLYDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING GRANTSIdentifier
Return ReferencePART I, LINE 2ReturnReference
ExplanationANY INDIVIDUAL EXHIBITING A NEED FOR PRESCRIPTION ASSISTANCE OR MEDICAL SUPPLY ASSISTANCE IS REFERRED TO A SOCIAL WORKER FOR ONE-TIME ASSISTANCE WITH THIS NEED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
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 OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RON PETERSON
4209590001932089680133420445201000
IVAN HOLLEMAN
22993200019566098000175300276828000
CATHLEEN HAMEL
2195430001311066730137660241293000
RUDY DARLING
1925880002184078970131340215803000
BARNEY LARRY
21114600010400090910156520246289000
LOUIS ELKINS
8853570001242000130120899611000
JASON LINDSAY
328850000486085750130120350923000
KENNY OWENS
215779000769088700159370241355000
WILLIAM GALLI
341365000540073500113420360597000
SAFWAN SAKR
2166330001076088430129360239488000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPHYSICIAN CONTRACTSIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 6ReturnReference
ExplanationCURRENTLY, MOST PHYSICIAN CONTRACTS USE COLLECTIONS LESS EXPENSES TO SET THE NEXT YEAR'S SALARY AND/OR CALCULATE A BONUS AMOUNT DUE. THE ORGANIZATION HAS STARTED TO IMPLEMENT THE RELATIVE VALUE UNIT METHOD FOR PHYSICIAN COMPENSATION. BY 2011, ALL PHYSICIAN CONTRACTS WILL BE CALCULATED USING THE RELATIVE VALUE METHOD.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
BAXTER COUNTY ARKANSAS
716008786071808GU72007-02-2740509218REVENUE REFUNDING BONDSfalsefalsefalse
BAXTER COUNTY ARKANSAS
716008786071808HF92010-08-0125860347REVENUE REFUNDING BONDSfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
4850000450301912738260040032780448435000002009falsetruefalsetrue
00258603472848273025547074305742000002010truefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetrue0.000000.000000.00000true
falsefalsefalsefalsetrue0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalsetruetrue
falsefalsefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierGROSS PROCEEDS IN RESERVE FUNDIdentifier
Return ReferencePART II, LINE 4ReturnReference
ExplanationTHE AMOUNTS REPORTED ON LINE 4, COLUMN A AND B REPRESENT TRANSFERRED PROCEEDS FROM THE 1999 BONDS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVIEW OF FORM 990990 PART VI, SECTION B, LINE 11BTHE CONTROLLER AND CFO REVIEW FORM 990 BEFORE IT IS PRESENTED TO THE BOARD FOR REVIEW. PRIOR TO FILING, EACH BOARD MEMBER PRESENT RECEIVED A MATERIALLY COMPLETE COPY OF FORM 990 AT THE BOARD MEETING AT WHICH IT WAS REVIEWED AND A COPY WAS MADE AVAILABLE FOR REVIEW TO BOARD MEMBERS NOT IN ATTENDANCE. THIS MEETING WAS HELD PRIOR TO FILING.
MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY990 PART VI, SECTION B, LINE 12THE GOVERNING BOARD HAS A CONFLICT OF INTEREST/COMPENSATION COMMITTEE WHICH ANNUALLY REVIEWS BUDGETED TRANSACTIONS WITH INTERESTED PERSONS. OTHER TRANSACTIONS ARE REVIEWED ON A CASE BY CASE BASIS.
COMPENSATION OF CEO, EXECUTIVE DIRECTOR, AND OTHER OFFICIALS990 PART VI, SECTION B, LINE 15 (A) & 15 (B)TOTAL COMPENSATION PROGRAM RECOMMENDATIONS WERE MADE BY INTEGRATED HEALTHCARE STRATEGIES IN A REPORT TO THE COMPENSATION COMMITTEE IN 2009. IN ADDITION, THE COMPENSATION COMMITTEE AND HUMAN RESOURCES DEPARTMENT REVIEWS AREA 990'S, AHA, AND OTHER MARKET DATA AS NEEDED.
AVAILABILITY OF GOVERNING DOCUMENTS990 PART VI, SECTION C, LINE 19THE ORGANIZATIONS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
2010 PROGRAM ACTIVITY SERVICESFORM 990, PART III, LINE 4GENERAL STATISTICS 2010 ACUTE CARE: ACTUAL OPERATED BEDS 172 PATIENT DAYS 33,297 AVERAGE DAILY CENSUS 91 PERCENT OF OCCUPANCY 53.00% AVERAGE LENGTH OF STAY 3.50 DISCHARGES 9,540 GERI PSYCHIATRIC: OPERATED BEDS 19 PATIENT DAYS 3,696 AVERAGE DAILY CENSUS 10 PERCENT OF OCCUPANCY 53.30% AVERAGE LENGTH OF STAY 12.90 DISCHARGES 286 REHABILITATION: OPERATED BEDS 23 PATIENT DAYS 5,504 AVERAGE DAILY CENSUS 15 PERCENT OF OCCUPANCY 65.60% AVERAGE LENGTH OF STAY 13.90 DISCHARGES 396 NEWBORN: OPERATED BASSINETS 10 PATIENT DAYS 1,404 AVERAGE DAILY CENSUS 4 PERCENT OF OCCUPANCY 38.50% AVERAGE LENGTH OF STAY 2.10 DISCHARGES 655 MEDICARE - ACUTE CARE: DISCHARGES 5,315 % OF TOTAL DISCHARGES 55.70% PATIENT DAYS 20,446 % OF TOTAL PATIENT DAYS 61.40% AVERAGE LENGTH OF STAY 3.80 MEDICAID - ACUTE CARE: DISCHARGES 1101 % OF TOTAL DISCHARGES 11.50% PATIENT DAYS 3,153 % OF TOTAL PATIENT DAYS 9.50% AVERAGE LENGTH OF STAY 2.90 OUTPATIENTS 63,531 EMERGENCY ROOM VISITS 27,497 HOME HEALTH VISITS 40,044 SURGERIES 7,673 ENDOSCOPY 9,237 CATH LAB 9,365 HEART SURGERIES 203 AMBULANCE TRIPS 10,009 IMAGING CENTER VISITS 4,840 CLINIC VISITS 39,536 LAB TESTS 496,770 EKG's 26,470 RADIATION THERAPY UNITS 430 RADIOLOGY PROCEDURES 43,934 MRI PROCEDURES 5,010 CT SCANS 13,752 NUCLEAR MEDICINE PROCEDURES 2,369 ULTRASOUND PROCEDURES 7,981 OP REHAB PROCEDURES 30,116
TIME WORKED FOR RELATED ORGANIZATION990 PART VII, SECTION A, LINE 16BARNEY LARRY SPENT 60% OF HIS TIME WORKING FOR A RELATED ORGANIZATION, HOSPITAL DEVELOPMENT FOUNDATION. HIS COMPENSATION WAS PAID BY BAXTER REGIONAL MEDICAL CENTER AND WAS NOT REIMBURSED BY HOSPITAL DEVELOPMENT FOUNDATION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HOSPICE OF THE OZARKS
701 BURNETT DRIVEMOUNTAIN HOMEAR72653710521323HOSPICEAR501(C)(3)7BAXTER HOSPI
HOSPITAL DEVELOPMENT FOUNDATION INC
624 HOSPITAL DRIVEMOUNTIAN HOMEAR72653581805265SUPPORTAR501(C)(3)11BAXTER HOSPI
BAXTER REGIONAL HEALTH SYSTEM
624 HOSPITAL DRIVEMOUNTAIN HOMEAR72653300650211SUPPORTAR501(C)(3)11ABAXTER HOSPI
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
HOSPITAL DEVELOPMENT FOUNDATION
C341944
HOSPITAL DEVELOPMENT FOUNDATION
J59360
HOSPITAL DEVELOPMENT FOUNDATION
N246289
HOSPITAL DEVELOPMENT FOUNDATION
P620192
HOSPICE OF THE OZARKS
P3114937

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