2023-11-15T09:03:01-06:00 2022-12-31 FORVIS LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2022-01-01 710664687 WASHINGTON REGIONAL MEDICAL CENTER % ACCOUNTING DEPARTMENT WASH 4794631120 3215 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 DJ BURROWS VP & CAO 4794631120 2023-11-13 true DJ BURROWS 000000000 AMBER SHERRILL P00748683 5013721040 2022 2023-04-26 12:10:37Z LARRY SHACKELFORD 3215 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 398098392 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. 10 9 4408 9 1578372 0 19580463 9971953 361913730 362197800 13779359 3827320 8388231 114513 403661783 376111586 7219549 752339 0 0 160303646 174664030 0 0 0 182046885 190384351 349570080 365800720 54091703 10310866 575396005 465849944 242402030 204210753 332993975 261639191 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 false 299195148 752339 360751312 ANCILLARY SUPPORT SERVICES: SERVICES OFFERED IN 2022 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, SPEECH THERAPY AND OCCUPATIONAL THERAPY. A NUMBER OF THESE SERVICES WERE AVAILABLE AS OUTPATIENT SERVICES. WASHINGTON REGIONAL MEDICAL CENTER ALSO OFFERED DIABETES EDUCATION PROGRAMS, A SLEEP DISORDERS CENTER, A BALANCE DISORDERS CENTER, A WOUND CARE CLINIC, AND OUTPATIENT CARDIOPULMONARY REHABILITATION. WASHINGTON REGIONAL'S SURGERY SERVICE PERFORMED 11,379 INPATIENT AND OUTPATIENT SURGERIES IN 2022. THE CENTRAL SERVICES DEPARTMENT PROVIDED OVER 4 MILLION SUPPLY ITEMS TO PATIENTS BEING TREATED. LABORATORY TESTS PERFORMED TOTALED 1,133,664. IMAGING PROCEDURES THAT INCLUDED ITEMS SUCH AS X-RAYS, CT SCANS, ULTRASOUND, CARDIAC CATHETERIZATION, AND NUCLEAR IMAGES TOTALED 140,440 PROCEDURES. WASHINGTON REGIONAL ALSO PERFORMED 7,150 MRI PROCEDURES. THE PHARMACY DISTRIBUTED 7,694,035 ITEMS FOR PATIENTS, AND RESPIRATORY THERAPY PERFORMED TESTS AND TREATMENTS TOTALING 703,879 RELATIVE VALUES. THE WOUND CARE CENTER PERFORMED 14,693 TREATMENTS. PASTORAL CARE, CASE MANAGEMENT, PALLIATIVE/SUPPORTIVE CARE, 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 WHEN NEEDED AFTER LEAVING THE HOSPITAL. THE PALLIATIVE/SUPPORTIVE CARE TEAM HELPED PATIENTS WITH COMPLEX HEALTH CONDITIONS TO UNDERSTAND AND MANAGE THEIR TREATMENT OPTIONS. VOLUNTEER SERVICES PROVIDED ASSISTANCE TO PATIENTS AND VISITORS THROUGHOUT THE HOSPITAL, MOST NOTABLY AT THE INFORMATION DESK AND IN WAITING AREAS. GENERAL INPATIENT SERVICES: WASHINGTON REGIONAL MEDICAL CENTER IS COMMITTED TO PROVIDING A WIDE RANGE OF SERVICES TO MEET THE GENERAL HEALTH CARE NEEDS OF NORTHWEST ARKANSAS. GENERAL INPATIENT SERVICES IN 2022 INCLUDED INTERNAL MEDICINE, GERIATRIC HEALTH, OBSTETRICS AND GYNECOLOGY, NEONATAL INTENSIVE CARE, CARDIOLOGY, CARDIOVASCULAR SURGERY, INTENSIVE CARE, CORONARY INTENSIVE CARE, STROKE CARE, NEUROSURGERY, ONCOLOGY, AND ORTHOPEDICS. ALSO INCLUDED IN GENERAL INPATIENT SERVICES ARE NURSING SERVICES, NURSING EDUCATION, ADMISSIONS SERVICES, MEDICAL RECORDS, QUALITY ASSURANCE, CASE COORDINATION, AND CENTRAL SCHEDULING. WASHINGTON REGIONAL'S WOMEN AND INFANTS CENTER CONTINUED TO SERVE AREA FAMILIES WITH 18 LABOR AND DELIVERY ROOMS, 28 PRIVATE MOTHER-BABY ROOMS, A 34-BED NEONATAL INTENSIVE CARE UNIT AND A DEDICATED PHARMACY. FAMILIES BENEFITED FROM THE ANGEL EYE CAMERA SYSTEM AS WELL AS A MILK LAB STAFFED BY TECHNOLOGISTS SPECIALLY TRAINED IN INFANT NUTRITION. WASHINGTON REGIONAL CONTINUED TO PROVIDE "INTENSIVISTS" - PHYSICIANS WHO SPECIALIZE IN CARING FOR PATIENTS IN THE CRITICAL CARE UNIT. THESE HIGHLY TRAINED AND EXPERIENCED MEDICAL SPECIALISTS COORDINATED THE CARE PROVIDED BY NURSES, RESPIRATORY THERAPISTS AND OTHERS AS NEEDED BY THE PATIENT AND PROVIDED CONTINUOUS CLINICAL ASSESSMENT. IN 2022, WASHINGTON REGIONAL ALSO PROVIDED 25 HOSPITALISTS, PHYSICIANS WHO SPECIALIZE IN CARING FOR HOSPITALIZED PATIENTS, TO OUR COMMUNITY. THEY WORKED AS PARTNERS WITH OUR PHYSICIANS AND NURSING STAFF TO PROVIDE THE HIGHEST STANDARD OF CARE DURING A PATIENT'S HOSPITAL STAY. THIS HANDS-ON APPROACH HAS BEEN SHOWN TO NOT ONLY HELP PREVENT MEDICAL COMPLICATIONS, BUT ALSO TO REDUCE HOSPITAL STAYS AND TO LOWER COSTS. WASHINGTON REGIONAL CONTINUES TO PROVIDE THE AREA'S ONLY NEURO INTENSIVE CARE UNIT, SERVING PATIENTS WHO ARE RECOVERING FROM STROKE, SPINAL CORD INJURY, BRAIN INJURY OR NEUROLOGICAL ILLNESS. WITH 20 PATIENT BEDS, THE NEURO ICU FEATURES ADVANCED NEUROLOGICAL TOOLS SUCH AS CONTINUOUS ELECTROENCEPHALOGRAPHY, DIMMABLE LIGHTS, CEILING-MOUNTED LIFTS FOR REPOSITIONING PATIENTS, BEDSIDE MONITORS AND A NURSE CALL SYSTEM THAT HELPS TO IDENTIFY PATIENTS WITH CERTAIN RISK FACTORS. WASHINGTON REGIONAL MEDICAL CENTER MAINTAINED ITS ADVANCED CERTIFICATION FOR PRIMARY STROKE CENTERS IN 2022, WITH THE HOSPITAL PROVIDING ACUTE STROKE CARE FOR 1,566 COMMUNITY MEMBERS, WITH NEARLY 24% OF THOSE INDIVIDUALS BEING TRANSFERRED TO WASHINGTON REGIONAL FROM ANOTHER HOSPITAL. WASHINGTON REGIONAL IS THE FIRST HOSPITAL IN NORTHWEST ARKANSAS AND ONLY THE SECOND HOSPITAL IN THE STATE OF ARKANSAS TO EARN COMPREHENSIVE STROKE CENTER DESIGNATION. THIS PRESTIGIOUS DESIGNATION IS THE HIGHEST LEVEL OF STROKE CARE CERTIFICATION AWARDED BY THE JOINT COMMISSION AND IS ONLY GIVEN TO HOSPITALS THAT HAVE CAPABILITIES TO TREAT THE MOST COMPLEX STROKE CASES. STROKE PATIENTS AT WASHINGTON REGIONAL HAVE ACCESS TO ADVANCED TREATMENTS WITHOUT HAVING TO BE TRANSFERRED TO ANOTHER FACILITY, INCLUDING MINIMALLY INVASIVE STROKE TREATMENT OPTIONS, ADVANCED NEUROSURGICAL CARE, ADVANCED IMAGING AND A NEUROSURGICAL INTENSIVE CARE UNIT. COMPREHENSIVE STROKE CENTERS OFFER PATIENTS THE BEST CHANCE OF SURVIVAL AND RECOVERY FROM STROKE. TO ACHIEVE THE COMPREHENSIVE STROKE CENTER CERTIFICATION, WASHINGTON REGIONAL UNDERWENT A RIGOROUS ONSITE REVIEW IN WHICH THE JOINT COMMISSION'S EXPERTS EVALUATED COMPLIANCE WITH STROKE STANDARDS AND REQUIREMENTS. OVERALL, WASHINGTON REGIONAL HAD 15,240 ACUTE ADMISSIONS IN 2022 AND PROVIDED 61,834 DAYS OF INPATIENT ACUTE CARE. THIS INCLUDED 9,187 INTENSIVE CARE DAYS AND CARDIAC CRITICAL CARE DAYS. THE AVERAGE LENGTH OF AN INPATIENT HOSPITAL STAY IN 2022 WAS 4.18 DAYS. THERE WERE 2,517 BABIES BORN AT WASHINGTON REGIONAL IN 2022. EMERGENCY SERVICES: WASHINGTON REGIONAL'S EMERGENCY DEPARTMENT PHYSICIANS AND STAFF, BACKED BY THE RESOURCES OF MORE THAN 315 PHYSICIANS ON THE MEDICAL STAFF, PROVIDED MEDICAL SERVICES TO 52,990 PATIENTS IN 2022. WASHINGTON REGIONAL'S EMERGENCY DEPARTMENT PROVIDED SERVICES REGARDLESS OF PATIENTS' ABILITY TO PAY. PLUS, WASHINGTON REGIONAL CONTINUED TO PROVIDE 24/7/365 COVERAGE BY A FELLOWSHIP-TRAINED STROKE CARE PROVIDER IN THE EMERGENCY DEPARTMENT. WASHINGTON REGIONAL'S EMERGENCY DEPARTMENT PROVIDED TRAUMA CARE FOR 1,313 PATIENTS IN 2022, WITH 11% OF THOSE PATIENTS BEING TRANSFERRED FROM OTHER FACILITIES ACROSS NORTHWEST ARKANSAS AND THE RIVER VALLEY. AS THE AREA'S ONLY LEVEL II TRAUMA CENTER, WASHINGTON REGIONAL PROVIDED THE HIGHEST LEVEL OF EMERGENCY CARE IN THE NORTHWEST ARKANSAS REGION, RECEIVING TRAUMA PATIENTS FROM ALL SURROUNDING COUNTIES, PLUS AREAS OF OKLAHOMA AND MISSOURI. PHYSICIANS AND STAFF ALSO PROVIDED A PUBLIC SERVICE BY RESPONDING TO MEDIA INQUIRIES AND BY PROVIDING COMMUNITY EDUCATION. THE EMERGENCY DEPARTMENT IS CAPABLE OF PROVIDING CARE FOR AS MANY AS 70,000 PATIENT VISITS ANNUALLY WITH ITS 37 TREATMENT ROOMS. 299195148 true true false true false false false false true true false false false true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 58 0 true 4408 true true true false false false false false false false false false false false X 10 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 X SEAN SENTER MEDICAL DIRECTOR 40.0 0.0 X 1788208 0 25701 LARRY ARMSTRONG PHYSICIAN 40.0 0.0 X 1650175 0 26005 BORIS BOGOMILOV MEDICAL DIRECTOR 40.0 0.0 X 1277682 0 26789 DANIEL SHEPHERD PHYSICIAN 40.0 0.0 X 1239244 0 28261 ZUBAIR AHMED MEDICAL DIRECTOR 40.0 0.0 X 1228980 0 26800 BRANDON CHISM PHYSICIAN 40.0 0.0 X 1219564 0 12750 JOEL CARVER PHYSICIAN 40.0 0.0 X 1146779 0 20580 JAMES COUNCE PHYSICIAN 40.0 0.0 X 1081638 0 24503 LARRY SHACKELFORD PRESIDENT & CEO 40.0 0.0 X 1014949 0 23503 ERIC SALE MEDICAL DIRECTOR 40.0 0.0 X 768531 0 26967 GARRET SANFORD MEDICAL DIRECTOR 40.0 0.0 X 745365 0 25683 JON BERRY MD DIRECTOR 40.0 0.0 X 670022 0 26780 JEFFERY BELL MEDICAL DIRECTOR 40.0 0.0 X 650913 0 26429 SAMMY TURNER MEDICAL DIRECTOR 40.0 0.0 X 649485 0 26645 THOMAS OLMSTEAD SVP & GENERAL COUNSEL 40.0 0.0 X 561575 0 26076 DAVID RATCLIFF CHIEF MEDICAL OFFICER 40.0 0.0 X 535024 0 23455 DANIEL ECKELS SVP & CFO 40.0 0.0 X 527091 0 26066 REBECCA MAGEE FORMER CIO 0.0 0.0 X 551401 0 0 MICHEAL BOLDING MEDICAL DIRECTOR 40.0 0.0 X 421391 0 26693 MARLA LIGHTBURN MEDICAL DIRECTOR 40.0 0.0 X 405578 0 26707 BIRCH WRIGHT COO & ADMINISTRATOR 40.0 0.0 X 375679 0 26015 MEREDITH GREEN SCP & CNO 40.0 0.0 X 369530 0 26587 JIM DALY CIO 40.0 0.0 X 266244 0 21379 PAULA WORKMAN VP CLINICAL OPERATIONS 40.0 0.0 X 215122 0 21388 MARK BEVER FORMER COO 0.0 0.0 X 126944 0 0 M GARETH ECK MD VICE CHAIR 40.0 0.0 X X 111747 0 12344 GREG W LEE CHAIRMAN 1.0 0.0 X X 0 0 0 TIMOTHY HELDER SECRETARY 1.0 0.0 X X 0 0 0 STACY HANBY DIRECTOR 1.0 0.0 X 0 0 0 LUCAS CAMPBELL MD DIRECTOR 1.0 0.0 X 0 0 0 ANNE O'LEARY-KELLY DIRECTOR 1.0 0.0 X 0 0 0 ANTHONY N HUI MD DIRECTOR 1.0 0.0 X 0 0 0 NEAL PENDERGRAFT DIRECTOR 1.0 0.0 X 0 0 0 BROCK GEARHART DIRECTOR 1.0 0.0 X 0 0 0 19487114 0 571762 209 true true false PREMIER ANESTHESIA GROUP 2655 NORTHWINDS PARKWWAY ALPHARETTA GA 30009 ANESTHESIA SVCS 6436778 UAMS 3417 U OF A WAY TEXARKANA AR 71854 CONTRACT SERVICES 1574472 NWA PATHOLOGY ASSOC 390 E LONGVIEW FAYETTEVILLE AR 72703 PATHOLOGY 1543435 MEDICAL ASSOCIATION OF NWA 3383 N MANA COURT FAYETTEVILLE AR 72703 INTENSIVIST 1363371 NW PERFUSION 3276 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 PERFUSION SERVICES 656804 14 676652 9279408 15893 9971953 PATIENT SERVICE REVENUE 622110 354827546 354827546 OTHER PROGRAM SERVICE REVENUE 622110 2853870 1275498 1578372 CAFETERIA/FOOD 722514 2222488 2222488 MOB RENTAL INCOME 622110 1567283 1567283 FITNESS CENTER 713940 316771 316771 409842 409842 362197800 3500356 3500356 0 0 0 0 0 0 18342357 3971413 20849207 1137599 -2506850 2833814 326964 326964 0 0 0 0 0 0 0 0 0 RESEARCH CLINICAL TESTS 900099 49050 49050 RECYCLING 900099 12362 12362 MEDICAL RECORDS 900099 11122 11122 41979 41979 114513 376111586 360619428 1578372 3941833 752339 752339 0 0 0 13055122 13055122 678345 678345 133308415 105342376 27966039 4732715 3739865 992850 12842859 10148626 2694233 10046574 7938959 2107615 1350844 1067458 283386 287358 287358 437322 437322 0 0 98985 98985 22702937 17940213 4762724 0 247831 195840 51991 3891036 3074757 816279 9764860 7716344 2048516 0 5328348 4210543 1117805 303992 240219 63773 0 0 5873767 4641542 1232225 0 21045023 16630103 4414920 1826007 1442939 383068 MEDICAL SUPPLIES 97248332 97248332 REPAIRS & MAINTENANCE 7040210 5563283 1476927 MCD PROVIDER ASSESSMENT TAX 5138597 5138597 FOOD 2609363 2061959 547404 5189539 4100854 1088685 365800720 299195148 66605572 0 X 30342 718721 70910210 8631189 0 0 53647811 58141854 0 0 0 0 0 0 7048842 5984278 4895760 5155265 444577387 238508852 222602050 206068535 175613403 149737947 0 0 0 16884271 0 0 40647587 14527884 575396005 465849944 71889703 40546769 0 0 0 0 153489773 151141883 0 0 0 0 6781953 2923544 0 0 10240601 9598557 242402030 204210753 X 321603975 256360420 11390000 5278771 332993975 261639191 575396005 465849944 X 10310866 -29755467 -51910183 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 24710 24710 false FORM 990, SCHEDULE C, PART II-B, LINE 1I THE ORGANIZATION IS A MEMBER OF, AND PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE ARKANSAS HOSPITAL ASSOCIATION. FOR THE YEAR ENDED 2022, THE DUES WERE $37,801 AND $95,958 RESPECTIVELY. APPROXIMATELY 15% OF THE ARKANSAS HOSPITAL ASSOCIATION DUES AND APPROXIMATELY 27% OF THE AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING. 2976681 8500 -231126 8377 45959 2699719 2780140 25560 202995 32014 2976681 2591026 38796 267968 36500 81150 2780140 2005438 332593 310189 24382 32812 2591026 2160687 5208 -65947 62353 32157 2005438 0.30980 0.48560 0.20460 false true true 1185418 1185418 221530986 83667880 137863106 2092006 1889925 202081 207027461 146377860 60649601 12741516 6573187 6168329 206068535 0 DUE TO THIRD PARTY PAYERS 1811893 DUE TO AFFILIATE 15184 LEASE LIABILITY 7771480 9598557 361772556 -29755467 19351044 -10404423 372176979 3934607 3934607 376111586 369574403 7410853 7410853 362163550 3637170 3637170 365800720 FORM 990, SCHEDULE D, PART V, LINE 4 THE MAJORITY OF THE ENDOWMENT FUNDS ARE FOR GENERATION OF INCOME NEEDED TO AWARD SCHOLARSHIPS. FORM 990, SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. FORM 990, SCHEDULE D, PART XI, LINE 2D LOSS ON SALE OF PPE 185,977 NHSC REVENUES - PRIOR TO 100% OWNERSHIP 8,049,352 ASSETS RELEASED FROM RESTRICTIONS 6,111,229 INCOME FROM EQUITY IN INVESTEES 5,004,486 -------------------------------------------------------- TOTAL 19,351,044 FORM 990, SCHEDULE D, PART XI, LINE 4B CONTRIBUTION FROM FOUNDATION 676,652 REVENUE FROM WRMC IC, LLC 237,164 GAIN ON INVOLUNTARY CONVERSION 3,020,791 -------------------------------------------------------- TOTAL 3,934,607 FORM 990, SCHEDULE D, PART XII, LINE 2D NHSC EXPENSES - PRIOR TO 100% OWNERSHIP 7,224,876 LOSS ON DISPOSAL OF PPE 185,977 -------------------------------------------------------- TOTAL 7,410,853 FORM 990, SCHEDULE D, PART XII, LINE 4B GAIN ON INVOLUNTARY CONVERSION 3,020,791 EXPENSE FROM WRMC IC, LLC 616,379 -------------------------------------------------------- TOTAL 3,637,170 true true X true X true X true true true false true true 1 8629422 8629422 0.02360 1 38598946 32617904 5981042 0.01640 2 47228368 32617904 14610464 0.04000 8 607817 19758 588059 0.00160 1 50000 50000 0.00010 8 17670100 8466781 9203319 0.02520 1 183537 49050 134487 0.00040 3 543938 543938 0.00150 21 19055392 8535589 10519803 0.02880 23 66283760 41153493 25130267 0.06880 true 81131677 85552394 -4420717 X true true DIALYSIS CENTER OF N DIALYSIS SERVICES 0.6 0.4 NWA PACE MANAGEMENT SENIOR CARE 0.575 0.425 1 1 WASHINGTON REGIONAL MEDICAL CENTER 3215 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 WREGIONAL.COM AR5143 X X X X X WASHINGTON REGIONAL MEDICAL CENTER false false true X X X X X X X X X 22 true false false true X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 100 200. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 DIALOGUES WITH 14 KEY INTERVIEWEES WERE CONDUCTED IN 2022. INTERVIEWEES WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. ALL INTERVIEWS WERE CONDUCTED BY FORVIS PERSONNEL USING A STANDARD QUESTIONNAIRE. A COPY OF THE INTERVIEW INSTRUMENT IS INCLUDED IN THE APPENDIX SECTION OF THIS REPORT. A SUMMARY OF THE INTERVIEWEES' OPINIONS IS REPORTED WITHOUT JUDGING THE TRUTHFULNESS OR ACCURACY OF THEIR REMARKS. COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY - BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY - OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES. - DELINEATION OF THE MOST IMPORTANT HEALTHCARE ISSUES OR SERVICES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A & 10A https://www.wregional.com/main/community-health-needs-assessment FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 AS A RESULT OF WASHINGTON REGIONAL'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOLLOWING SIGNIFICANT NEEDS WERE IDENTIFIED: 1. ACCESS TO AFFORDABLE HEALTH CARE 2. ACCESS TO PRIMARY CARE WITH WHOLE PERSON FOCUS 3. ACCESS TO SPECIALTY CARE IN NORTHWEST ARKANSAS 4. COMMUNITY HEALTH AND WELLNESS EDUCATION 5. MEDICAL EDUCATION AND GRADUATE MEDICAL EDUCATION COMMUNITY HEALTH NEED PRIORITY #1: ACCESS TO AFFORDABLE HEALTH CARE ACCESS TO AFFORDABLE HEALTH CARE FOR COMMUNITY MEMBERS, INCLUDING THOSE WHO ARE UNINSURED OR UNDERINSURED AND ARE THEREFORE UNLIKELY TO SEEK HEALTH CARE SERVICES. OBJECTIVE #1: WASHINGTON REGIONAL WILL CONTINUE TO IMPROVE ACCESS TO AFFORDABLE HEALTH CARE SERVICES FOR THE COMMUNITY, INCLUDING THOSE WHO ARE UNINSURED OR UNDERINSURED, WHILE CONTINUING TO INCREASE PATIENT SUPPORT THROUGHOUT THE ENTIRE CONTINUUM OF CARE. IMPLEMENTATION ACTIVITIES: A. WASHINGTON REGIONAL MEDICAL CENTER WILL CONTINUE TO OFFER FINANCIAL ASSISTANCE TO PATIENTS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT HEALTH CARE PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY OR EMERGENT CARE. B. WASHINGTON REGIONAL'S PUBLIC BENEFITS DEPARTMENT WILL CONTINUE TO ASSIST PATIENTS WITH THE MEDICAID APPLICATION PROCESS. C. WASHINGTON REGIONAL WILL PROVIDE INFORMATION TO PATIENTS WHO ARE ARKANSAS MEDICAID BENEFICIARIES CONCERNING THE MEDICAID RENEWAL PROCESS. D. WASHINGTON REGIONAL WILL CONTINUE TO PROVIDE ACUTE CARE CASE MANAGEMENT AND SOCIAL SERVICES TO ASSIST PATIENTS WITH THEIR DISCHARGE NEEDS. E. WASHINGTON REGIONAL WILL CONTINUE TO RECRUIT PHYSICIANS, ADVANCED PRACTICE PROVIDERS AND SUPPORT STAFF AS NECESSARY TO MEET COMMUNITY NEEDS. F. WASHINGTON REGIONAL URGENT CARE FACILITIES ACROSS NORTHWEST ARKANSAS WILL CONTINUE TO OFFER ACCESS TO URGENT CARE SERVICES WITH EXTENDED HOURS, INCLUDING EVENINGS AND WEEKENDS. G. WASHINGTON REGIONAL WILL CONTINUE TO SUPPORT AMBULATORY CARE SERVICES SUCH AS HOME HEALTH AND HOSPICE. H. WASHINGTON REGIONAL PRIMARY CARE CLINICS WILL CONTINUE TO IMPLEMENT VALUE-BASED PRIMARY CARE WITH MEDICARE INNOVATION PROGRAMS SUCH AS PRIMARY CARE FIRST. I. WASHINGTON REGIONAL WILL CONTINUE TO PROVIDE FINANCIAL SUPPORT TO THE WASHINGTON COUNTY DEPARTMENT OF HEALTH UNIT AND WELCOMEHEALTH, TWO LOCAL ORGANIZATIONS THAT OFFER FREE HEALTH SERVICES TO THOSE IN NEED. J. THE WASHINGTON REGIONAL J.B. HUNT TRANSPORT SERVICES CANCER SUPPORT HOME WILL CONTINUE TO OFFER SERVICES AT NO COST TO INDIVIDUALS WHO HAVE A CANCER DIAGNOSIS. SERVICES INCLUDE OVERNIGHT LODGING, WIGS, MASTECTOMY SUPPLIES, CLINICAL BREAST EXAMS, MAMMOGRAMS, AND NAVIGATION SERVICES. K. WASHINGTON REGIONAL FAITH IN ACTION WILL CONTINUE TO PROVIDE NON-MEDICAL SERVICES TO HOMEBOUND OLDER ADULTS AT NO-COST. SERVICES INCLUDE IN-PERSON FRIENDLY VISITS, CHECK-IN TELEPHONE CALLS, DISTRIBUTION OF FOOD AND PAPER GOODS, AND TRANSPORTATION FOR SHOPPING AND MEDICAL APPOINTMENTS. COMMUNITY HEALTH NEED PRIORITY #2: ACCESS TO PRIMARY CARE WITH WHOLE PERSON FOCUS ACCESS TO PRIMARY CARE WITH WHOLE PERSON FOCUS EMPHASIZING PHYSICAL, MENTAL, EMOTIONAL AND SOCIAL WELL-BEING. OBJECTIVE #2: WASHINGTON REGIONAL WILL CONTINUE TO PROVIDE THE COMMUNITY WITH APPROPRIATE ACCESS TO PRIMARY CARE SERVICES WHILE SUPPORTING THE PHYSICAL, MENTAL, EMOTIONAL, AND SOCIAL WELL-BEING OF PATIENTS. IMPLEMENTATION ACTIVITIES: A. WASHINGTON REGIONAL WILL MAINTAIN EXECUTIVE-LEVEL POSITIONS THAT WERE CREATED TO OVERSEE PRACTICE TRANSFORMATION EFFORTS AND PROVIDE OVERSIGHT OF CLINICS/PHYSICIANS. B. WASHINGTON REGIONAL WILL EVALUATE PRIMARY CARE CLINIC LOCATIONS AND NEED FOR ADDITIONAL PRIMARY CARE LOCATIONS. C. WASHINGTON REGIONAL WILL CONTINUE TO RECRUIT PHYSICIANS, ADVANCED PRACTICE PROVIDERS AND SUPPORT STAFF AS NECESSARY TO MEET COMMUNITY NEEDS FOR PRIMARY CARE SERVICES. D. WASHINGTON REGIONAL PRIMARY CARE CLINICS WILL CONTINUE TO PROMOTE ANNUAL VISITS THROUGH PARTICIPATION IN VALUE-BASED PROGRAMS WITH THE GOAL OF IMPROVING THE PATIENT EXPERIENCE, IMPROVING QUALITY AND REDUCING COST. E. WASHINGTON REGIONAL PRIMARY CARE CLINICS WILL CONTINUE TO PROMOTE WELLNESS BY ENCOURAGING PATIENTS TO TAKE THEIR MEDICATIONS AS PRESCRIBED, FOLLOW RECOMMENDED TREATMENT PLANS, AND TAKE ADVANTAGE OF PREVENTIVE CARE. F. AS MANY COMMUNITY MEMBERS UTILIZE URGENT CARE CLINICS FOR PRIMARY CARE SERVICES, WASHINGTON REGIONAL URGENT CARE FACILITIES ACROSS NORTHWEST ARKANSAS WILL CONTINUE TO OFFER ACCESS TO CARE WITH EXTENDED HOURS, INCLUDING EVENINGS AND WEEKENDS. G. WASHINGTON REGIONAL, THROUGH ITS PARTNERSHIP WITH THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES WILL CONTINUE TO OFFER PRIMARY CARE SERVICES AND HEALTH EDUCATION FOR OLDER ADULTS AT THE UAMS SCHMIEDING CENTER IN SPRINGDALE. H. AS MANY WOMEN IN THE COMMUNITY RECEIVE PRIMARY CARE SERVICES THROUGH OBSTETRICS/GYNECOLOGY CLINICS, WASHINGTON REGIONAL WILL CONTINUE TO SUPPORT NORTHWEST ARKANSAS' TWO LEADING OB/GYN CLINICS, HERHEALTH CLINIC AND PARKHILL CLINIC FOR WOMEN, BOTH OF WHICH ARE LOCATED IN THE WASHINGTON REGIONAL WOMEN AND INFANTS CENTER. I. WASHINGTON REGIONAL FAITH IN ACTION WILL CONTINUE TO PROVIDE NON-MEDICAL SERVICES TO HOMEBOUND OLDER ADULTS AT NO-COST. SERVICES INCLUDE IN-PERSON FRIENDLY VISITS, CHECK-IN TELEPHONE CALLS, DISTRIBUTION OF FOOD AND PAPER GOODS, AND TRANSPORTATION FOR SHOPPING AND MEDICAL APPOINTMENTS. J. WASHINGTON REGIONAL WILL WORK WITH THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES AND THE ALICE L. WALTON SCHOOL OF MEDICINE TO EXPAND MEDICAL EDUCATION AND GRADUATE MEDICAL EDUCATION IN NORTHWEST ARKANSAS WHICH WILL GROW THE PIPELINE OF PHYSICIANS IN NORTHWEST ARKANSAS. K. WASHINGTON REGIONAL WILL WORK WITH THE WHOLE HEALTH INSTITUTE TO INCORPORATE WHOLE HEALTH PRINCIPLES INTO PRIMARY CARE SERVICES AND EVALUATE ADDITIONAL RESOURCES NEEDED TO EFFECTIVELY IMPLEMENT CARE THE FOCUS ON THE WHOLE PERSON VS. THE SYMPTOMS OR PROBLEMS IN WHICH THE PATIENT PRESENTS. COMMUNITY HEALTH NEED PRIORITY #3: ACCESS TO SPECIALTY CARE IN NORTHWEST ARKANSAS ACCESS TO SPECIALTY CARE IN THE MARKET, INCLUDING NEUROSCIENCE, CARDIOVASCULAR, WOMEN'S HEALTH, DIGESTIVE HEALTH, NEPHROLOGY, RHEUMATOLOGY, ENDOCRINOLOGY, AND TRAUMA SERVICES. OBJECTIVE #3: WASHINGTON REGIONAL WILL CONTINUE TO OFFER SPECIALTY CARE THAT WILL POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY AND WILL FURTHER EXPAND THOSE PROGRAMS AS NECESSARY TO MEET COMMUNITY NEEDS. IMPLEMENTATION ACTIVITIES: A. WASHINGTON REGIONAL WILL MAINTAIN AN EXECUTIVE-LEVEL POSITION CREATED TO PROVIDE OVERSIGHT OF CLINICS AND PHYSICIANS. B. NEUROSCIENCES - WASHINGTON REGIONAL'S J.B. HUNT TRANSPORT SERVICES NEUROSCIENCE INSTITUTE, THE REGION'S LEADER IN NEUROSCIENCES, WILL CONTINUE TO INVEST IN PROVIDING COMPREHENSIVE CARE FOR THE BRAIN, SPINE AND NERVOUS SYSTEM. - WASHINGTON REGIONAL MEDICAL CENTER WILL MAINTAIN ITS CERTIFICATION AS A COMPREHENSIVE STROKE CENTER AS DESIGNATED BY THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION AND WILL CONTINUE TO PROVIDE 24/7/365 IN-PERSON STROKE COVERAGE. - WASHINGTON REGIONAL WILL CONTINUE TO SERVE AS A HUB IN THE UAMS IDHI STROKE PROGRAM (FORMERLY ARKANSAS SAVES), A PARTNERSHIP BETWEEN WASHINGTON REGIONAL, THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES CENTER FOR DISTANCE HEALTH, THE DEPARTMENT OF HEALTH AND THE DEPARTMENT OF HUMAN SERVICES. - WASHINGTON REGIONAL MEDICAL CENTER WILL MAINTAIN ITS CERTIFICATION IN SPINE SURGERY BY THE JOINT COMMISSION AND WORK TOWARDS OBTAINING ADVANCED CERTIFICATION IN SPINE SURGERY. - WASHINGTON REGIONAL WILL CONTINUE TO OPERATE OUTPATIENT CLINICS WITH THE FOLLOWING SPECIALTIES - NEUROLOGY (GENERAL, STROKE, EPILEPSY, MS, MOVEMENT DISORDERS), NEUROSURGERY (SURGICAL AND CONSERVATIVE), INTERVENTIONAL NEURORADIOLOGY, INTERVENTIONAL PAIN MANAGEMENT AND PHYSICAL THERAPY. - WASHINGTON REGIONAL WILL CONTINUE TO RECRUIT NEUROSCIENCE PHYSICIANS, ADVANCED PRACTICE PROVIDERS AND SUPPORT STAFF AS NEEDED TO MEET COMMUNITY NEEDS. - WASHINGTON REGIONAL WILL CONTINUE TO FINANCIALLY SUPPORT AND COLLABORATE WITH THE AMERICAN HEART ASSOCIATION TO EDUCATE THE PUBLIC ABOUT CEREBROVASCULAR AND CARDIOVASCULAR HEALTH. - WASHINGTON REGIONAL WILL CONTINUE TO PROVIDE EDUCATION ABOUT CEREBROVASCULAR DISEASE, INCLUDING STROKE, AT HEALTH FAIRS AND COMMUNITY EVENTS, ON TV WITH THE YOUR HEALTH MORNING-NEWS SEGMENTS AND THROUGH PUBLICATIONS SUCH AS OUR HEALTH, THE LOCAL NEWSPAPER'S MONTHLY HEALTH PUBLICATION. C. CARDIAC CARE - WASHINGTON REGIONAL'S WALKER HEART INSTITUTE, THE LEADER IN CARDIOVASCULAR SERVICES IN NORTHWEST ARKANSAS, WILL CONTINUE INVEST AS NEEDED TO PROVIDE EVALUATION AND TREATMENT FOR CONDITIONS OF THE CARDIOVASCULAR SYSTEM. - WASHINGTON REGIONAL MEDICAL CENTER WILL CONTINUE TO PROVIDE 24/7/365 CARDIOVASCULAR, ELECTROPHYSIOLOGY, AND CARDIOVASCULAR & THORACIC SURGERY COVERAGE. - WASHINGTON REGIONAL MEDICAL CENTER WILL CONTINUE TO IMPLEMENT CUTTING EDGE TECHNOLOGY INCLUDING STRUCTURAL HEART PROCEDURES SUCH AS TAVR AND MITRACLIP. - WASHINGTON REGIONAL WILL CONTINUE TO OPERATE OUTPATIENT CLINICS WITH THE FOLLOWING SPECIALTIES FORM 990, SCHEDULE H, PART V, SECTION B, LINE 13H WHEN DETERMINING DISCOUNTED CARE, THE ORGANIZATION CONSIDERS MULTIPLE FACTORS SUCH AS GROSS INCOME, FAMILY SIZE, AND NET PAY IN RELATION TO REPORTED EXPENSES. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, & 16C https://www.wregional.com/main/financial-assistance 49 EUREKA SPRINGS FAMILY CLINIC 146 PASSION PLAY ROAD STE A EUREKA SPRINGS AR 72632 FAMILY CLINIC FARMINGTON FAMILY CLINIC 199 E MAIN STREET FARMINGTON AR 72730 FAMILY CLINIC FAYETTEVILLE FAMILY CLINIC 3 E APPLEBY ROAD STE 301 FAYETTEVILLE AR 72703 FAMILY CLINIC INTERNAL MEDICINE ASSOCIATES 688 MILLSAP ROAD STE 100 FAYETTEVILLE AR 72703 INTERNAL MEDICINE PLAZA INTERNAL MEDICINE 3 E APPLEBY ROAD STE 302 FAYETTEVILLE AR 72703 INTERNAL MEDICINE SENIOR HEALTH CLINIC 12 E APPLEBY ROAD FAYETTEVILLE AR 72703 SENIOR HEALTH HARRISON FAMILY PRACTICE 715 W SHERMAN ST STE G HARRISON AR 72601 FAMILY CLINIC WEST WASHINGTON COUNTY CLINIC 106 W PARK ST LINCOLN AR 72744 PRIMARY CARE SHILOH CLINIC 513 N SHILOH STREET SPRINGDALE AR 72746 PRIMARY CARE BENTONVILLE URGENT CARE 1301 S WALTON BLVD BENTONVILLE AR 72712 URGENT CARE FAYETTEVILLE URGENT CARE 2069 N CROSSOVER RD STE 2 FAYTEEVILLE AR 72703 URGENT CARE HARRISON URGENT CARE 808 US-65 HARRISON AR 72601 URGENT CARE ROGERS URGENT CARE 2301 W PLEASANT GROVE ROGERS AR 72758 URGENT CARE SPRINGDALE URGENT CARE 3300 W SUNSET AVE SPRINGDALE AR 72762 URGENT CARE BALANCE DISORDERS CLINIC 3017 BOB YOUNKIN DRIVE STE 102 FAYETTEVILLE AR 72703 SPECIALTY CLINIC BRAIN & SPINE SURGERY CLINIC 3336 N FUTRALL DRIVE FAYETTEVILLE AR 72703 SURGERY CLINIC WR CARDIOVASCULAR CLINIC 3211 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 CARIDOVASCULAR CLINIC WR CARDIOVASCULAR & THORACIC SURG CLINIC 3211 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 SURGERY CLINIC WR ELECTROPHYSIOLOGY CLINIC 3211 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 SPECIALTY CLINIC ENDOCRINOLOGY CLINIC 3 E APPLEBY ROAD STE 202 FAYETTEVILLE AR 72703 SPECILATY CLINIC GASTROENTEROLOGY CLINIC 3344 N FUTRALL DRIVE FAYETTEVILLE AR 72703 SPECIALTY CLINIC GENERAL SURGERY CLINIC 3 E APPLEBY ROAD STE 401 FAYETTEVILLE AR 72703 SURGERY CLINIC GYNECOLOGIC ONCOLOGY CLINIC 3 E APPLEBY ROAD STE 201 FAYETTEVILLE AR 72703 SPECIALTY CLINIC HERHEALTH CLINIC 3215 N NORTH HILLS BLVD STE B FAYETTEVILLE AR 72703 SPECIALTY CLINIC IMAGING CLINIC 3 E APPLEBY ROAD STE 103 FAYETTEVILLE AR 72703 SPECIALTY CLINIC INTERVENTIONAL NEURORADIOLOGY CLINIC 3 E APPLEBY ROAD STE 402 FAYETTEVILLE AR 72703 SPECIALTY CLINIC INTERVENTIONAL PAIN MANAGEMENT CLINIC 3336 N FUTRALL DRIVE FAYETTEVILLE AR 72703 SPECIALTY CLINIC MATERNAL FETAL MEDICINE CLINIC 3215 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 SPECIALTY CLINIC MEMORY DISORDERS CLINIC 12 E APPLEBY ROAD FAYETTEVILLE AR 72703 SPECIALTY CLINIC MOVEMENT DISORDERS CLINIC 12 E APPLEBY ROAD FAYETTEVILLE AR 72703 SPECIALTY CLINIC NEUROLOGY CLINIC 3 E APPLEBY ROAD STE 402 FAYETTEVILLE AR 72703 SPECIALTY CLINIC OZARK UROLOGY 3 E APPLEBY ROAD STE 201 FAYETTEVILLE AR 72703 SPECIALTY CLINIC RENAL SPECIALISTS OF NWA 813 FOUNDERS PARK DRIVE E STE 203 SPRINGDALE AR 72762 SPECIALTY CLINIC RHEUMATOLOGY CLINIC 3276 B NORTHHILLS BLVD FAYETTEVILLE AR 72703 SPECIALTY CLINIC TOTAL SPINE PHYSICAL THERAPY 3561 JOHNSON MILL BLVD STE 201 FAYETTEVILLE AR 72704 SPECIALTY CLINIC WOUND CARE CLINIC 3017 BOB YOUNKIN DRIVE STE 102 FAYETTEVILLE AR 72703 SPECIALTY CLINIC JB HUNT NEUROSCIENCE INSTITUTE 3215 N NORTHILLS BLVD FAYETTEVILLE AR 72703 NEUROSCIENCE INSTITUTE PAT WALKER CENTER FOR SENIORS 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 SENIOR CENTER TOTAL JOINT CENTER 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 JOINT CENTER WALKER HEART INSTITUTE 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 HEART INSTITUTE WOMEN AND INFANTS CENTER 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 INFANT CENTER JB HUNT CANCER SUPPORT HOME 488 E LONGVIEW ST FAYETTEVILLE AR 72703 CANCER SUPPORT CENTER FOR EXERCISE 12 E APPLEBY ROAD FAYETTEVILLE AR 72703 EXERCISE CENTER CENTER FOR SLEEP DISORDERS 3017 N BOB YOUNKIN DRIVE STE 102 FAYETTEVILLE AR 72703 SLEEP CENTER DIALYSIS CENTERS OF NWA 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 DIALYSIS CENTER WILLIAM L BRADLEY MEDICAL PLAZA 3 E APPLEBY ROAD FAYETTEVILLE AR 72703 MEDICAL PLAZA NORTH HILLS SURGERY CENTER 3271 WIMBERLY DRIVE STE 1 FAYETTEVILLE AR 72703 SURGERY CENTER SPRINGDALE CENTER FOR HEALTH 813 FOUNDERS PARK DRIVE E SPRINGDALE AR 72762 HEALTH CENTER WILLARD WALKER HOSPICE HOME 325 E LONGVIEW STREET FAYETEVILLE AR 72703 HOSPICE FORM 990, SCHEDULE H, PART I, LINE 3C SEE SCH H, PART V, LINES 13 THROUGH 16 FOR ADDITIONAL INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY. FORM 990, SCHEDULE H, PART I, LINE 6A THE ORGANIZATION PREPARES A COMMUNITY BENEFIT REPORT ANNUALLY AND PRESENTS THE REPORT TO THE WASHINGTON COUNTY, ARKANSAS QUORUM COURT. THE REPORT IS ALSO POSTED ON THE ORGANIZATION'S WEBSITE. FORM 990, SCHEDULE H, PART I, LINE 7 WASHINGTON REGIONAL MEDICAL CENTER USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY. FORM 990, SCHEDULE H, PART I, LINE 7G THE ORGANIZATION REPORTS SUBSIDIZED HEALTH SERVICES FOR CERTAIN CLINICS. THE SUBSIDY REPORTED IS EQUAL TO THE AMOUNT OF OPERATING LOSS LESS THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS. THE CLINICS FOR WHICH THE ORGANIZATION SUBSIDIZES MEET CERTAIN CRITERIA AS SET FORTH BY THE IRS INCLUDING: SERVICES FOR SENIORS, NEONATAL SERVICES, WOMEN'S SERVICES AND PSYCHIATRIC SERVICES. FORM 990, SCHEDULE H, PART III, SECTION A, LINES 2 & 3 BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE ORGANIZATION'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE ORGANIZATION RECORDS A PROVISION FOR UNCOLLECTIBLE CCOUNTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. THIS PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS PRESENTED ON THE STATEMENT OF OPERATIONS AS A COMPONENT OF NET PATIENT REVENUE. THE COST OF BAD DEBT IS ESTIMATED 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. PATIENTS HAVE MANY OPPORTUNITIES TO LEARN ABOUT FINANCIAL ASSISTANCE, AND THE ASSUMPTION IS MADE THAT QUALIFYING PATIENTS WILL ACT UPON RECEIPT OF SUCH INFORMATION. THE ORGANIZATION FOLLOWS THE VHA/CATHOLIC HEALTH ASSOCIATION'S GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS. AS SUCH, THE ORGANIZATION DOES NOT REPORT BAD DEBT FORM THE TREATMENT OF PATIENTS AS A COMMUNITY BENEFIT. FORM 990, SCHEDULE H, PART III, SECTION A, LINE 4 BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE ORGANIZATION'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE ORGANIZATION RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. THIS PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS PRESENTED ON THE STATEMENT OF OPERATIONS AS A COMPONENT OF NET PATIENT REVENUE. THE COST OF BAD DEBT IS ESTIMATED 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. PATIENTS HAVE MANY OPPORTUNITIES TO LEARN ABOUT FINANCIAL ASSISTANCE, AND THE ASSUMPTION IS MADE THAT QUALIFYING PATIENTS WILL ACT UPON RECEIPT OF SUCH INFORMATION. THE ORGANIZATION FOLLOWS THE VHA/CATHOLIC HEALTH ASSOCIATION'S GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS. AS SUCH, THE ORGANIZATION DOES NOT REPORT BAD DEBT FORM THE TREATMENT OF PATIENTS AS A COMMUNITY BENEFIT. PLEASE SEE FOOTNOTE 1 IN THE AUDITED FINANCIAL STATEMENTS WHICH DESCRIBES BAD DEBT. FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8 THE ORGANIZATION FOLLOWS THE VHA/CATHOLIC HEALTH ASSOCIATION'S GUIDE FOR PALNNING AND REPORTING COMMUNITY BENEFITS. AS SUCH, THE ORGANIZATION DOES NOT REPORT SHORTFALLS FROM THE TREATMENT OF MEDICARE PATIENTS AS A COMMUNITY BENEFIT. THE INFORMATION ON THE PROFITABILITY OF MEDICARE WAS DERIVED FROM THE 2022 MEDICARE COST REPORT AS REQUIRED IN THE FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B THE ORGANIZATION'S COLLECTION (BAD DEBT) POLICY SPECIFICALLY ADDRESSES THAT COLLECTION AGENCIES ARE REQUIRED TO ANALYZE THE PATIENT'S ABILITY TO PAY. IN THE EVENT THAT CHARITY IS IDENTIFIED, COLLECTION EFFORTS ARE SUSPSENDED AND THE ACCOUNT IS WRITTEN OFF TO CHARITY IN A TIMELY BASIS. FORM 990, SCHEDULE H, PART VI, LINE 2 THE ORGANIZATION ASSESSES NEEDS IN A VARIETY OF WAYS. WITH RESPECT TO PRACTITIONER RECRUITMENT FOR DEVELOPMENT OF NEW HEALTH CARE SERVICES, THE ORGANIZATION MAY PERFORM INTERNAL ASSESSMENTS OF THE NEED FOR SUCH PROVIDERS AND/OR SERVICES OR ENGAGE EXTERNAL CONSULTANTS TO ASSESS THOSE NEEDS. ADDITIONALLY, THE ORGANIZATION IS ADVISED OF COMMUNITY NEEDS BY ITS COMMUNITY-BASED BOARD OF DIRECTORS, MEDICAL STAFF, LOCAL GOVERNMENT AND LOCAL NONPROFIT ORGANIZATIONS. THE ORGANIZATION ALSO IDENTIFIES THE NEED FOR NEW SERVICES OR SHORTCOMINGS IN EXISTING COMMUNITY HEALTH RESOURCES BY ANALYZING UTILIZATION PATTERNS IN ITS SERVICE OFFERINGS, I.E. PATIENTS PRESENTING TO THE EMERGENCY ROOM FOR SERVICES NO LONGER PROVIDED ELSEWHERE. THE PAT WALKER CENTER FOR SENIORS IS AN EXAMPLE WHERE THE ORGANIZATION HAS RESPONDED TO THE NEEDS OF THE AGING PATIENT POPULATION. THIS PATIENT POPULATION BECAME UNDERSERVED WHEN OTHER LOCAL PROVIDERS ELECTED TO DISCONTINUE OR LIMIT SERVICES TO PATIENTS WITH MEDICARE. FORM 990, SCHEDULE H, PART VI, LINE 3 DURING PRE-REGISTRATION AND REGISTRATION, STAFF IDENTIFY PATIENT FINANCIAL NEEDS DURING DISCUSSIONS OF SOURCE OR PAYMENT. WHEN A PATIENT STATES AN INABILITY TO PAY, ORGANIZATION PERSONNEL SCREEN FOR FINANCIAL ASSISTANCE ELIGIBILITY BY ASKING FOR INCOME AND FAMILY SIZE. PATIENTS THAT STAFF BELIEVE MAY QUALITY FOR FINANCIAL ASSISTANCE ARE REFERRED TO FINANCIAL COUNSELORS TO DISUCSS FINANCIAL ASSISTANCE AVAILABLE, INFORMATION NEEDED AND THE DECISION PROCESS. DURING THE ACCOUNTS RECEIVABLE PRE-COLLECTION PROCESS, CORRESPONDENCE LETTERS FROM THE ORGANIZATION CLEARLY STATE THAT PATIENTS WHO BELIEVE THAT THEY MAY QUALIFY FOR FINANCIAL 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 FINANCIAL ASSISTANCE POLICY. THESE EFFORTS ARE EVIDENCED BY INSTANCES OF FINANCIAL ASSISTANCE PROVIDED TO ACCOUNTS THAT WERE EITHER IN THE PRE-COLLECTION OR BAD DEBT COLLECTIONS PHASES WHEN THE FINANCIAL ASSISTANCE DETERMINATION WAS MADE. THE ORGANIZATION ALSO ATTEMPTS TO IDENTIFY HEALTH CARE COVERAGE UNDER FEDERAL AND STATE PROGRAMS AND FACILITATES PATIENTS' ENROLLMENT IN SUCH PROGRAMS. FORM 990, SCHEDULE H, PART VI, LINE 4 THE COMMUNITY SERVED BY WASHINGTON REGIONAL IS A PRIMARILY URBAN AREA IN NORTHWEST ARKANSAS. ACCORDING TO THE MOST RECENT U.S. CENSUS BUREAU ESTIMATES, APPROXIMATELY 526,100 PEOPLE LIVE IN THE COMMUNITY'S SERVICE AREA. APPROXIMATELY 35% OF THE COMMUNITY'S POPULATION IS OVER AGE 45, AS COMPARED TO 42% IN ARKANSAS AND IN THE UNITED STATES AS A WHOLE. EVEN THOUGH THE COMMUNITY'S POPULATION OVER AGE 45 IS NOT AS HIGH AS COMPARED TO ARKANSAS OR THE UNITED STATES, THIS AGE GROUP MAKES UP A LARGE PORTION OF THE COMMUNITY'S POPULATION AND CONSEQUENTLY, WASHINGTON REGIONAL COULD EXPERIENCE AN INCREASE IN PATIENT VOLUME IN THE FUTURE AS THIS AGE GROUP TENDS TO USE MORE HEALTH SERVICES THAN ANY OTHER. THE AGING POPULATION WILL HAVE PARTICULARLY STRONG EFFECT ON ENCOMPASS HEALTH, SINCE OLDER INDIVIDUALS ARE MORE LIKELY TO REQUIRE REHABILITATION SERVICES. IN THE SERVICE AREA, 25% OF THE POPULATION IS UNDER THE AGE OF 15, 40% IS BETWEEN AGES 15 AND 44, 22% IS BETWEEN AGES 45 AND 64, AND 13% IS OVER AGE 65. THE AVERAGE MEDIAN HOUSEHOLD INCOME IN WASHINGTON REGIONAL'S COMMUNITY IS $55,127, COMPARED TO $49,475 FOR THE STATE OF ARKANSAS AND $64,994 FOR THE UNITED STATES. FORM 990, SCHEDULE H, PART VI, LINE 5 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 WASTER 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. THE ORGANIZATION MAINTAINS 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 THE NEED FOR VARIOUS TYPES OF PHYSICIANS AND RECRUITS AS APPROPRIATE. IN 2022, WASHINGTON REGIONAL WELCOMED 22 NEW PHYSICIANS TO THE MEDICAL STAFF. WITH SKILLS AND EXPERTISE THAT COMPLEMENT EXISTING PRACTICES AND SERVE A DEMONSTRATED NEED IN THE COMMUNITY, THESE NEW PHYSICIANS REPRESENT A WIDE RANGE OF MEDICAL SPECIALTIES: PRIMARY CARE, CARDIOLOGY, CARDIOVASCULAR & THORACIC SURGERY, NEUROLOGY, NEUROSURGERY, GASTROENTEROLOGY, GENERAL SURGERY, NEPHROLOGY, PALLIATIVE CARE, HOSPITAL MEDICINE, RADIOLOGY, NEONATOLOGY, EMERGENCY MEDICINE. INCLUDED IN THE 2022 COMMUNITY BENEFIT TOTALS ARE AMOUNTS FOR WHICH THE ORGANIZATION PROVIDED FINANCIAL SUPPORT TO LOCAL NURSING EDUCATION PROGRAMS. TOTAL SUPPORT FOR THESE PROGRAMS IN 2022 WAS $50,000. FORM 990, SCHEDULE H, PART VI, LINE 6 WASHINGTON REGIONAL MEDICAL CENTER IS A MEMBER OF WASHINGTON REGIONAL MEDICAL SYSTEM WHICH IS ALSO THE PARENT OF SEVERAL OTHER ORGANIZATIONS THAT PROMOTE THE HEALTH OF THE COMMUNITY. EACH ORGANIZATION IS LISTED BELOW. WASHINGTON REGIONAL MEDICAL SYSTEM (PARENT)PROVIDES PLANNING AND COORDINATION OF THE DELIVERY OF HEALTH CARE SERVICES. IT OPERATES HYSICIAN CLINICS WITH MULTIPLE SPECIALTIES WITHIN THE CLINIC SETTING, PROVIDES COMMUNITY EDUCATION AND SEMINARS RELATING TO SENIOR HEALTH, NEONATAL CARE, WOMEN'S HEALTH, AND MEN'S HEALTH. WASHINGTON REGIONAL MEDICAL CENTER IS THE LARGEST PROVIDER OF ACUTE CARE IN NORTHWEST ARKANSAS. IT CONDUCTS AND PARTICIPATES IN COMMUNITY HEALTH FAIRS, HOSTS COMMUNITY BLOOD DRIVES, AND HOSTS EDUCATION SEMINARS FOR HEALTH CARE PROVIDERS IN THE REGION. IT ALLOCATES SURPLUS THROUGH THE PROVISION OF COMMUNITY BENEFITS INCLUDING BUT NOT LIMITED TO CHARITY CARE TO APPROXIMATELY 12,000 BENEFICARIES AT A COST OF $6.6 MILLION: APPROXIMATELY 20,500 MEDICAID BENEFICIARIES RECEIVING CARE AT A NET OF $3.5 MILLION; COMMUNITY HEALTH SERVICES (INCLUDING MEDICAID ELIGIBILITY SERVICES, HIV CLINICS, PRENATAL CLINICS AND FREE HEALTH CLINICS) AT A COST OF $770,000; DIRECT SUPPORT TO HEALTH PROFESSIONS EDUCATION OF $50,000; SUBSIDED HEALTH SERVICES FOR CERTAIN CLINICS AT A COST OF $6.8 MILLION; MEDICAL RESEARCH AND OTHER CASH DONATIONS AT A COST OF $78,000. EUREKA REGIONAL HEALTH (SIBLING ORGANIZATION) PROVIDES MEDICAL FACILITIES IN CARROLL COUNTY FOR A PHYSICIAN CLINIC. WASHINGTON REGIONAL MEDICAL FOUNDATION (SIBLING ORGANIZATION) PROVIDES FUND RAISING ACTIVITIES THAT SUPPORT THE ORGANIZATIONS MISSION OF IMPROVING THE HEALTH OF THE CITIZENS IN THE COMMUNITY'S IT SERVES. IT INVOLVES THE COMMUNITY THROUGH BOARD MEMBERSHIP AND VOLUNTEER PARTICIPATION. WASHINGTON REGIONAL MEDICAL SERVICES THE ORGANIZATION OWNS REAL ESTATE AND DEVELOPS AND MANAGES HEALTHCARE FACILITIES AND SERVICES THAT SUPPORT THE MISSION OF WASHINGTON REGIONAL MEDICAL CENTER. IN ADDITION TO ITS SIBLING ORGANIZATIONS, THE ORGANIZATION HAS JOINT VENTURES AND ONE WHOLLY OWNED SUBSIDIARY. WASHINGTON REGIONAL REHABILITATION SERVICES, LLC (100% OWNED SUBSIDARY) HOLDS A 50% OWNERSHIP IN THE LOCAL HEALTHSOUTH REHAB HOSPITAL WHICH ENSURES ACCESS TO QUALITY REHAB SERVICES FOR PATIENTS REGARDLESS OF ABILITY TO PAY. DIALYSIS CENTERS OF NORTHWEST ARKANSAS (60% OWNED JOINT VENTURE) PROVIDES CHRONIC DIALYSIS SERVICES TO PATIENTS WITH RENAL FAILURE. NORTH HILLS SURGERY CENTER (50.5% OWNED JOINT VENTURE) PROVIDES OUTPATIENT SURGICAL SERVICES, HEALTH PARTNERS (50% OWNED JOINT VENTURE) COORDINATES CONTRACTING BETWEEN PROVIDERS, INSURERS AND EMPLOYERSTO FACILITATE ACCESS TO CARE TO THE COMMUNITY. LASTLY, THE ORGANIZATION OWNS 57.5% OF NWA PACE MANAGEMENT, LLC, AN ENTITY FOCUSED ON CARING FOR MEDICARE AND MEDICAID DUALLY ELIGIBLE PARTICIPANTS. false WELCOME HEALTH 1100 N WOOLSEY AVE FAYETTEVILLE AR 72703 581691790 501(C)(3) 28500 0 n/a n/a GENERAL SUPPORT NORTHWEST ARKANSAS COMMUNITY COLLEGE FOUNDATION 1 COLLEGE DR BENTONVILLE AR 72712 710685540 501(C)(3) 50000 0 N/A N/A GENERAL SUPPORT ARKANSAS DEPARTMENT OF HEALTH 4815 WEST MARKHAM SLOT 57 LITTLE ROCK AR 72205 115 5206 0 N/A N/A GENERAL SUPPORT FAYETTEVILLE PUBLIC SCHOOLS 1000 WEST BULLDOG BLVD FAYETTEVILLE AR 72701 115 10000 0 N/A N/A CNA SUMMER PROGRAM WASHINGTON COUNTY ARKANSAS 280 NORTH COLLEGE FAYETTEVILE AR 72701 115 78500 0 n/a n/a CLINIC SVCS WASHINGTON REGIONAL MEDICAL FOUNDATION 3215 NORTHHILS BLVD FAYETTEVILLE AR 72703 710664685 501(C)(3) 428857 0 N/A N/A GENERAL SUPPORT 6 0 X X X X X false true false false false false false false false JON BERRY MD DIRECTOR 441733 0 224956 0 3333 0 15250 0 11530 0 696802 0 0 0 LARRY SHACKELFORD PRESIDENT & CEO 741018 0 65963 0 207968 0 15250 0 8253 0 1038452 0 199417 0 BIRCH WRIGHT COO & ADMINISTRATOR 346592 0 28055 0 1032 0 15250 0 10765 0 401694 0 0 0 THOMAS OLMSTEAD SVP & GENERAL COUNSEL 447482 0 35125 0 78968 0 15250 0 10826 0 587651 0 76548 0 DANIEL ECKELS SVP & CFO 431187 0 35470 0 60434 0 15250 0 10816 0 553157 0 57869 0 DAVID RATCLIFF CHIEF MEDICAL OFFICER 419837 0 34283 0 80904 0 15250 0 8205 0 558479 0 77810 0 PAULA WORKMAN VP CLINICAL OPERATIONS 198682 0 15507 0 933 0 10711 0 10677 0 236510 0 0 0 JIM DALY CIO 246262 0 19275 0 707 0 13278 0 8101 0 287623 0 0 0 MEREDITH GREEN SCP & CNO 299278 0 25040 0 45212 0 15250 0 11337 0 396117 0 44778 0 MARK BEVER FORMER COO 0 0 0 0 126944 0 0 0 0 0 126944 0 52112 0 REBECCA MAGEE FORMER CIO 0 0 0 0 551401 0 0 0 0 0 551401 0 551147 0 JEFFERY BELL MEDICAL DIRECTOR 441733 0 206788 0 2392 0 15250 0 11179 0 677342 0 0 0 ERIC SALE MEDICAL DIRECTOR 765954 0 0 0 2577 0 15250 0 11717 0 795498 0 0 0 SAMMY TURNER MEDICAL DIRECTOR 457540 0 188658 0 3287 0 15250 0 11395 0 676130 0 0 0 SEAN SENTER MEDICAL DIRECTOR 481700 0 1291587 0 14921 0 15250 0 10451 0 1813909 0 0 0 GARRET SANFORD MEDICAL DIRECTOR 448031 0 294931 0 2403 0 15250 0 10433 0 771048 0 0 0 BORIS BOGOMILOV MEDICAL DIRECTOR 456499 0 809647 0 11536 0 15250 0 11539 0 1304471 0 0 0 ZUBAIR AHMED MEDICAL DIRECTOR 487125 0 738033 0 3822 0 15250 0 11550 0 1255780 0 0 0 MICHEAL BOLDING MEDICAL DIRECTOR 356124 0 63512 0 1755 0 15250 0 11443 0 448084 0 0 0 MARLA LIGHTBURN MEDICAL DIRECTOR 378782 0 25000 0 1796 0 15250 0 11457 0 432285 0 0 0 LARRY ARMSTRONG PHYSICIAN 985224 0 656251 0 8700 0 15250 0 10755 0 1676180 0 0 0 DANIEL SHEPHERD PHYSICIAN 913000 0 324005 0 2239 0 15250 0 13011 0 1267505 0 0 0 BRANDON CHISM PHYSICIAN 482475 0 735012 0 2077 0 0 0 12750 0 1232314 0 0 0 JOEL CARVER PHYSICIAN 475500 0 659438 0 11841 0 15250 0 5330 0 1167359 0 0 0 JAMES COUNCE PHYSICIAN 986015 0 80000 0 15623 0 15250 0 9253 0 1106141 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS HAD VESTED AMOUNTS FROM THE 457(F) PLAN FOR 2022. DANIEL ECKELS $57,869 MEREDITH GREEN $44,778 THOMAS OLMSTEAD $76,548 DAVID RATCLIFF $77,810 LARRY SHACKELFORD $199,417 MARK BEVER $52,112 REBECCA MAGEE $551,147 A ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109FAQ1 2015-01-15 115741408 REFUNDING & CONSTRUCTION false false false B ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109FBY3 2017-12-28 31995852 CONSTRUCTION false false false C ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109FCB2 2019-09-26 30587237 CONSTRUCTION false false false A 21805000 0 115741408 0 0 0 859876 0 0 30010849 84881532 0 2016 true false true true B 2135000 0 31995852 0 0 0 343110 0 0 31652742 0 0 2019 false false false true C 0 0 30587237 0 0 0 315511 0 0 29898826 0 374890 2021 false false false true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true FORM 990, SCHEDULE K, PART IV, LINE 2C BOND A - THE LAST REBATE COMPUTATION WAS PERFORMED JANUARY 14,2020 BOND B - THE LAST REBATE COMPUTATION WAS PERFORMED DECEMBER 27,2022 FORM 990, PART VI, SECTION A, LINE 6 WASHINGTON REGIONAL MEDICAL SYSTEM IS THE SOLE MEMBER OF WASHINGTON REGIONAL MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS A MEMBER WHO IS AUTHORIZED TO ELECT ON OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY AS PERMITTED UNDER THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993. FORM 990, 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 MEMBER'S AUDIT AND FINANCE COMMITTEE, WHICH IS COMPRISED OF THE MEMBER'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 MEMBER'S BOARD OF DIRECTORS 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. ALL DIRECTORS ARE REQUIRED TO SIGN AN ACKNOWLEDGEMENT 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. FORM 990, PART VI, SECTION B, LINE 15A & 15B THE BOARD OF DIRECTORS OF THE MEMBER (WASHINGTON REGIONAL MEDICAL SYSTEM) HAS A STANDING COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS THAT REGULARLY REVIEWS THE PERFORMANCE OF THE MEMBERS OF SENIOR MANAGEMENT OF THE ORGANIZATION, ENGAGES INDEPENDENT COMPENSATION CONSULTANTS, 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 TO 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. FORM 990, PART XI, LINE 9 DISTRIBUTION TO NCI (745,628) WRMC IC, LLC OTHER CHANGES IN NET ASSETS 256,483 TRANSFER TO AFILIATE (57,250,000) NORTH HILLS SURGERY CENTER INCOME PRIOR TO DRE 824,476 EQUITY IN INVESTEES INCOME 5,004,486 --------------------------------------------------------------- TOTAL (51,910,183) WR REHABILITATION SERVICES 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 261611632 REHAB PARTNER AR 3669597 13443097 WRMC NORTH HILLS SURGERY CENTER 3271 WIMBERLY DRIVE FAYETTEVILLE AR 72703 710807771 AMB SURG CTR AR 2035168 2202027 WRMC WRMC IC LLC 9601 BAPTIST HEALTH DRIVE LITTLE ROCK AR 72205 922296734 INSURANCE AR 237164 556970 WRMC WASHINGTON REGIONAL MEDICAL SYSTEM 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710664686 PHYS CLINIC AR 501(C)(3) 12B NA false WASHINGTON REGIONAL MEDICAL SERVICES 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710664683 MEDICAL R/E AR 501(C)(3) 12C WRMS true WASHINGTON REGIONAL MEDICORP 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710707450 PACE AR 501(C)(3) 10 WRMS true WASHINGTON REGIONAL FOUNDATION 3215 N NORTHHILLS FAYETTEVILLE AR 72703 710664685 FUNDRAISING AR 501(C)(3) 12A WRMS true EUREKA REGIONAL HEALTH 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710769450 MEDICAL R/E AR 501(C)(3) 3 WRMS true WASHINGTON REGIONAL MEDICAL CENTER AUX 3215 NORTHHILLS BLVD FAYETTEVILLE AR 72703 710503767 SUPPORT AL 501(C)(3) 12C WRMS true DIALYSIS CENTER OF NORTHWEST ARKANSAS 107 E MONTE PAINTER DR FAYETTEVILLE AR 72703 432074310 RENAL DIALYSIS AR WRMC RELATED 2705629 5614853 false 0 false 0.60000 NWA PACE MANAGEMENT LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 812071226 SENIOR CARE AR WRMC RELATED 95205 1882821 false 0 true 0.57500 FOUNTAIN PLAZA MEDICAL RENTALS 3383 N MANA COURT SUITE 201 FAYETTEVILLE AR 72703 203736241 HOLDING AR PLAZA HOLDINGS FOUNTAIN PLAZA HOLDINGS LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 473155119 HOLDING AR WR MED SERVICES WR-NWAHV LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 800118770 REAL ESTATE AR WR MED SERVICES JOHNSON MOB HOLDINGS LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 810854482 HOLDING AR WR MED SERVICES true true true false false false false false false true false true false false false true false false true WASHINGTON REGIONAL MEDICAL SYSTEM A 74474212 FMV WASHINGTON REGIONAL MEDICAL SERVICES A 279252 FMV WASHINGTON REGIONAL MEDICAL FOUNDATION A 99117 FMV