2023-11-15T08:56:51-06:00 2022-12-31 FORVIS LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2022-01-01 710664683 WASHINGTON REGIONAL MEDICAL SERVICES % ACCOUNTING DEPARTMENT WASH 4794631120 3215 NORTHHILLS BLVD FAYETTEVILLE AR 72703 DJ BURROWS VP & CAO 4794631120 2023-11-11 true DJ BURROWS 999009999 AMBER SHERRILL P00748683 5013721040 2022 2023-04-26 12:10:37Z LARRY SHACKELFORD 3215 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 4475794 false X N/A X 1988 AR THE ORGANIZATION OWNS REAL ESTATE AND DEVELOPS AND MANAGES HEALTHCARE FACILITIES AND SERVICES THAT SUPPORT THE MISSION OF WASHINGTON REGIONAL MEDICAL CENTER. 9 9 0 9 0 0 0 503445 2945693 0 769782 777224 0 1280669 3715475 0 0 0 0 0 0 0 0 0 301255 1780822 301255 1780822 979414 1934653 45788814 45000058 3561544 3353478 42227270 41646580 X THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF WASHINGTON REGIONAL MEDICAL CENTER, AN INTERNAL REVENUE CODE SECTION 509(A)(1) PUBLIC CHARITY THAT OPERATES A HOSPITAL AS DEFINED IN IRC SECTION 170(B)(1)(A)(III). THE ORGANIZATION OWNS REAL ESTATE AND DEVELOPS AND MANAGES HEALTHCARE FACILITIES AND SERVICES THAT SUPPORT THE MISSION OF WASHINGTON REGIONAL MEDICAL CENTER TO IMPROVE THE HEALTH OF THE CITIZENS OF NORTHWEST ARKANSAS THROUGH THE PROVISION OF HIGH-QUALITY MEDICAL CARE, DISEASE PREVENTION PROGRAMS, AND WELLNESS EDUCATION. false false 1780822 0 2945693 THE ORGANIZATION OWNS REAL ESTATE AND DEVELOPS AND MANAGES HEALTHCARE FACILITIES AND SERVICES THAT SUPPORT THE MISSION OF WASHINGTON REGIONAL MEDICAL CENTER 1780822 true false false false false false false false false true false true false false false false true false false false false false false false false false false false true true false false false false false false false false false false false false false false true true true true false false true 0 0 0 false false false false false false false false false false false false X 9 9 false false false false true true true true true false false true true true true true true true true true true X ACCOUNTING DEPARTMENT 4794631120 3215 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 LARRY SHACKELFORD PRESIDENT & CEO 0.0 40.0 X 0 1014949 23503 THOMAS J OLMSTEAD SVP & GENERAL COUNSEL 0.0 40.0 X 0 561575 26076 DANIEL R ECKELS SVP & CFO 0.0 40.0 X 0 527091 26066 PAULA WORKMAN VP CLINICAL OPERATIONS 0.0 40.0 X 0 215122 21388 M GARETH ECK MD VICE CHAIR 0.0 40.0 X X 0 111747 12344 GREG W LEE CHAIR 0.0 0.0 X X 0 0 0 TIMOTHY HELDER SECRETARY 0.0 0.0 X X 0 0 0 STACY HANBY DIRECTOR 0.0 0.0 X 0 0 0 LUCAS CAMPBELL MD DIRECTOR 0.0 0.0 X 0 0 0 ANNE O' LEARY-KELLY DIRECTOR 0.0 0.0 X 0 0 0 ANTHONY N HUI MD DIRECTOR 0.0 0.0 X 0 0 0 NEAL PENDERGRAFT DIRECTOR 0.0 0.0 X 0 0 0 BROCK GEARHART DIRECTOR 0.0 0.0 X 0 0 0 0 2430484 109377 0 false true false 0 0 MOB RENTAL INCOME 531120 2345423 2345423 GAIN ON EQUITY INVESTEES 531120 600270 600270 2945693 6 6 0 0 0 0 0 1530095 760319 769776 769776 769776 0 0 0 0 0 0 0 0 0 0 3715475 2945693 769782 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14466 14466 0 0 0 0 210419 210419 0 0 0 153740 153740 0 0 0 1307880 1307880 20837 20837 DUES & SUBSCRIPTIONS 73480 73480 . 0 . 0 . 0 1780822 1780822 0 0 0 -25083 0 0 0 0 52902 5933 0 0 0 0 0 0 0 0 16390 13343 53280592 11908699 42493095 41371893 0 0 0 0 0 3633972 0 0 3226427 0 45788814 45000058 8295 10393 0 0 0 0 3553249 3343085 0 0 0 0 0 0 0 0 0 0 3561544 3353478 X 42227270 41646580 0 0 42227270 41646580 45788814 45000058 X 1934653 -2515343 X false true X true false X X 1 WASHINGTON REGIONAL MEDICAL CENTER 710664687 3 true 2750000 0 1 2750000 true false false false false false false false false false false false false false false true true true X true true SCHEDULE A, PART IV, SECTION D, LINE 3 A MAJORITY OF THE ORGANIZATION'S BOARD OF DIRECTORS MUST BE MEMBERS OF THE BOARD OF DIRECTORS OF WASHINGTON REGIONAL MEDICAL CENTER - THE SUPPORTED ORGANIZATION. THE ORGANIZATION'S BOARD OF DIRECTORS HAS AN AUDIT & FINANCE COMMITTEE AND HAS, AS ONE OF ITS MANY FUNCTIONS, OVERSIGHT AND DIRECTION OF INVESTMENTS, OPERATING AND CAPITAL BUDGETS, AND POLICIES OF THE ORGANIZATION. AS THE MEMBERS OF THIS COMMITTTEE ARE ALSO BOARD MEMBERS OF THE SUPPORTED ORGANIZATION, THE POLICIES AND DIRECTIVES OF THE AUDIT & FINANCE COMMITTE CONCERNING INVESTMENT OF ORGANIZATIONAL FUNDS IN FURTHERANCE OF THE SUPPORTED ORGANIZATION'S CHARITABLE MISSION IS ASSURED. SCHEDULE A, PART IV, SECTION E, LINE 2A THE SUPPORTED ORGANIZATION IS WASHINGTON REGIONAL MEDICAL CENTER, A SECTION 509(A)(1) PUBLIC CHARITY THAT OPERATES A HOSPITAL AS DEFINED IN SECTION 170(B)(1)(A)(III). THE ORGANIZATION OWNS REAL ESTATE THROUGH WHICH HEALTHCARE ACTIVITIES THAT FURTHER THE CHARITABLE MISSION OF WASHINGTON REGIONAL MEDICAL CENTER ARE CONDUCTED. SUCH ACTIVITIES INCLUDE LABORATORY, CARDIOLOGY, CARDIOVASCULAR SERVICES, AND BUSINESS SERVICES. SCHEDULE A, PART IV, SECTION E, LINE 2B THE SUPPORTED ORGANIZATION IS WASHINGTON REGIONAL MEDICAL CENTER, A SECTION 509(A)(1) PUBLIC CHARITY THAT OPERATES A HOSPITAL AS DEFINED IN SECTION 170(B)(1)(A)(III). THE ORGANIZATION OWNS REAL ESTATE THROUGH WHICH HEALTHCARE ACTIVITIES THAT FURTHER THE CHARITABLE MISSION OF WASHINGTON REGIONAL MEDICAL CENTER ARE CONDUCTED. SUCH ACTIVITIES INCLUDE LABORATORY, CARDIOLOGY, CARDIOVASCULAR SERVICES, AND BUSINESS SERVICES. IN THE EVENT THAT THE ORGANIZATION DID NOT PROVIDE SERVICES TO THE SUPPORTED ORGANIZATION, THE SUPPORTED ORGANIZATION WOULD BE REQUIRED TO ACQUIRE/CONSTRUCT AND FINANCE SAID REAL ESTATE. 19908282 19908282 32063178 10846534 21216644 644033 637081 6952 665099 425084 240015 41371893 INVESTMENT IN WR-NWAHV LLC 738842 C INVESTMENT IN FOUNTAIN PLAZA 323755 C INVESTMENT IN JOHNSON MOB 415650 C INVESTMENT IN URGENT TEAM JV 2155725 C 3633972 false true false false false false false false false LARRY SHACKELFORD PRESIDENT & CEO 0 741018 0 65963 0 207968 0 15250 0 8253 0 1038452 0 199417 THOMAS J OLMSTEAD SVP & GENERAL COUNSEL 0 447482 0 35125 0 78968 0 15250 0 10826 0 587651 0 76548 DANIEL R ECKELS SVP & CFO 0 431187 0 35470 0 60434 0 15250 0 10816 0 553157 0 57869 PAULA WORKMAN VP CLINICAL OPERATIONS 0 198682 0 15507 0 933 0 10711 0 10677 0 236510 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 WASHINGTON REGIONAL MEDICAL CENTER A RELATED ORGANIZATION, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL OF THE BOARD TO ESTABLISH COMPENSATION OF THE CEO. FORM 990, SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN AND RECEIVED CONTRIBUTIONS FROM THE ORGANIZATION. DANIEL ECKELS $57,869 THOMAS J OLMSTEAD $76,548 LARRY SHACKELFORD $199,417 A ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 2017-06-30 4360000 CONSTRUCTION OF HEALTHCARE FACILIT false false false A 981000 0 4360000 0 0 0 78360 0 0 4281640 0 0 2018 false false true true A false false false false 0 false false false true A false false false true false false 0 false 0 false true A true FORM 990, SCHEDULE K, PART IV, LINE 2C THE LAST REBATE COMPUTATION FOR THE 2017 SERIES BONDS WAS PERFORMED AS OF DECEMBER 27, 2022. PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A MEMBER AS PERMITTED UNDER THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993. PART VI, SECTION A, LINE 7A 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 7B 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. FORM 990, PART VI, SECTION B, LINE 11B 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 2023, 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 ACCOUNTING OFFICER AND GENERAL COUNSEL. FORM 990, PART VI, SECTION B, LINE 12C THE TERMS OF THE CONFLICT OF INTEREST POLICY ARE INCORPORATED WITHIN THE BYLAWS OF THE ORGANIZATION AND 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 ALSO REVIEWED IN DETAIL AT THE TIME OF NEW BOARD MEMBER ORIENTATION. AS POTENTIAL CONFLICTS ARISE, THOSE CONFLICTS ARE ADDRESSED PURSUANT TO THE POLICY. FORM 990, PART VI, SECTION B, LINES 15A & 15B OFFICERS OF THE ORGANIZATION ARE COMPENSATED FOR THEIR SERVICES ON BEHALF OF THE ORGANIZATION BY A RELATED ORGANIZATION (WASHINGTON REGIONAL MEDICAL CENTER). THE BOARD OF DIRECTORS OF THE MEMBER ORGANIZATION HAS A STANDING COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS OF THE MEMBER 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. FORM 990, PART VI, SECTION C, LINE 19 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 XI, LINE 9 TRANSFERS FROM AFFILIATE ($2,750,154) DIFF IN NET ASSETS BOOKED - CLINIC INVESTMENTS $ 234,810 _______________________________________________________________ TOTAL ($2,515,343) CLINIC INVESTMENTS LLC 300 N COLLEGE AVE FAYETTEVILLE AR 72701 471340307 MEDICAL R/E AR 0 231852 MED SVCS WASHINGTON REGIONAL URGENT CARE LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 842154116 MEDICAL INV AR 11857 2160307 MED SVCS WASHINGTON REGIONAL MEDICAL SYSTEM 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710664686 PHY CLINIC AR 501(C)(3) 12B NA false WASHINGTON REGIONAL MEDICAL CENTER 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710664687 HOSPITAL AR 501(C)(3) 3 WRMS true WASHINGTON REGIONAL MEDICORP 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710707450 PACE AR 501(C)(3) 10 WRMS true WASHINGTON REGIONAL MEDICAL FOUNDATION 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710664685 FUNDRAISING AR 501(C)(3) 12C WRMS true EUREKA REGIONAL HEALTH 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710769450 MEDICAL R/E AR 501(C)(3) 3 WRMS true WR-NWAHV LLC 3211 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 800118770 MEDICAL R/E AR MED SERVICES RELATED 334548 1240150 false false 0.60800 FOUNTAIN PLAZA HOLDINGS LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 473155119 MEDICAL R/E AR MED SERVICES RELATED 68820 356498 false false 0.80000 JOHNSON MOB HOLDINGS LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 810854482 MEDICAL R/E AR MED SERVICES RELATED 57279 416334 false false 0.80000 FOUNTAIN PLAZA MEDICAL RENTALS 3383 N MANA COURT STE 201 FAYETTEVILLE AR 72703 MEDICAL R/E AR MED SERVICES RELATED 86919 453486 false false 0.68000 DIALYSIS CENTERS OF NW ARKANSAS 107 E MONTE PAINTER DRIVE FAYETTEVILLE AR 72703 MED TREATMENT AR NA NORTH HILLS SURGERY CENTER LLC 3271 N WIMBERLY DR FAYETTEVILLE AR 72703 MED TREATMENT AR NA true false false false false true false false false true false false false false false false false false false DIALYSIS CENTERS OF NW ARKANSAS LLC J 161880 COST NORTH HILLS SURGERY CENTER LLC J 453684 COST WASHINGTON MEDICAL SYSTEM J 1084584 COST WASHINGTON REGIONAL MEDICAL CENTER J 466800 COST WR-NWAHV LLC A 62305 OOST FOUNTAIN PLAZA HOLDINGS LLC F 50000 COST