2023-11-15T08:54:55-06:00 2022-12-31 FORVIS LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2022-01-01 710664685 WASHINGTON REGIONAL MEDICAL FOUNDATION % ACCOUNTING DEPARTMENT WASH 4794631120 3215 NORTHHILLS BLVD FAYETTEVILLE AR 72703 DJ BURROWS VP & CAO 4794631120 2023-11-08 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 16091379 false X N/A X 1988 AR THE COMPANY OPERATES AS A FUND-RAISING ORGANIZATION FOR THE BENEFIT OF WASHINGTON REGIONAL MEDICAL CENTER AND OTHER HEALTH RELATED NON-PROFIT COMMUNITY ORGS. 27 27 0 50 0 2149669 4569354 0 967922 915937 463563 345331 0 3410937 6000839 132287 1024826 0 0 281168 314973 0 0 14789 547761 1176878 961216 2516677 2449721 3484162 28377735 28887547 7258628 6952025 21119107 21935522 X THE COMPANY OPERATES AS A FUND-RAISING ORGANIZATION FOR THE BENEFIT OF WASHINGTON REGIONAL MEDICAL CENTER (WRMC). ALL OF THE FUNDS RAISED BY THE ORGANIZATION ARE HELD, INVESTED, AND DISTRIBUTED TO OR FOR THE BENEFIT OF WRMC AND OTHER HEALTH RELATED NON-PROFIT COMMUNITY ORGANIZATIONS. false false 1532991 1024826 967922 THE CANCER SUPPORT HOME (CSH) PROVIDES SERVICES TO PATIENTS THROUGHOUT THE REGION. THE MISSION OF THE CSH IS TO PROVIDE HOPE AND COMFORT TO THOSE LEARNING TO LIVE WITH CANCER. SUPPORT SERVICE ARE PROVIDED AT NO COST, AND INCLUDE SUPPORT GROUPS, A RESOURCE LIBRARY, A BOUTIQUE WITH WIGS, HATS, TURBANS AND MASTECTOMY SUPPLIES, OVERNIGHT LODGING, COUNSELING SERVICES, ART AND EXERCISE PROGRAMS. IN ADDITION, COMMUNITY EDUCATION AND FREE CANCER SCREENING ARE PROVIDED THROUGHOUT THE YEAR. 173580 0 0 THE BENEVOLENCE FUND AT THE FOUNDATION IS FUNDED BY DONATIONS FROM EMPLOYEES THROUGHOUT WASHINGTON REGIONAL MEDICAL SYSTEM. THE FUND ARE PROVIDED TO OTHER EMPLOYEES WHO ARE EXPERIENCING PERSONAL HARDSHIPS AND ARE IN NEED OF FINANCIAL ASSISTANCE IN MAKING THEIR RENT, MORTGAGE, UTILITY OR SIMILAR PAYMENTS. THE APPLICATIONS ARE REVIEWED AND APPROVED BY A COMMITTEE WHO MEETS ON A REGULAR BASIS. 190724 0 0 FAITH IN ACTION (FIA) IS A VOLUNTEER-BASED ORGANIZATION PROVIDING HOMEBOUND SENIORS WITH FREE NON-MEDICAL SERVICES TO HELP PROMOTE THEIR INDEPENDENCE, DIGNITY, AND QUALITY OF LIFE. 1897295 true true false false false false false false true true true false true true false true true false false false false false false false false false true true true false false false false false false false false false false false false false true true true false false true 0 0 0 false false false false false true true false false false false false false X 27 27 false false false false true true true true true false false true true true true true true true true false X ACCOUNTING DEPARTMENT 4794631120 3215 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 LARRY SHACKELFORD PRESIDENT AND CEO 0.0 40.0 X 0 1014949 23503 THOMAS OLMSTEAD GENERAL COUNSEL 0.0 40.0 X 0 561575 26076 DANIEL ECKELS TREASURER 0.0 40.0 X 0 527091 26066 NANCY COZART CHIEF DEVELOPMENT OFFICER 40.0 0.0 X 0 149944 11424 STACEY HANBY CHAIR 0.0 0.0 X X 0 0 0 ANN TERNES ROSSO VICE CHAIR 0.0 0.0 X X 0 0 0 DAVID RUSSELL SECRETARY 0.0 0.0 X X 0 0 0 CAROLYN H ALLEN BOARD MEMBER 0.0 0.0 X 0 0 0 GARY HEAD BOARD MEMBER 0.0 0.0 X 0 0 0 HANNAH F LEE BOARD MEMBER 0.0 0.0 X 0 0 0 JANE B GEARHART BOARD MEMBER 0.0 0.0 X 0 0 0 JOANIE DYER BOARD MEMBER 0.0 0.0 X 0 0 0 MISSY D KINCAID BOARD MEMBER 0.0 0.0 X 0 0 0 RICHARD KLEY BOARD MEMBER 0.0 0.0 X 0 0 0 REY HERNANDEZ BOARD MEMBER 0.0 0.0 X 0 0 0 ROY A CLINTON BOARD MEMBER 0.0 0.0 X 0 0 0 SHANNON ARCANA BOARD MEMBER 0.0 0.0 X 0 0 0 STEVEN HINDS BOARD MEMBER 0.0 0.0 X 0 0 0 TAMARA ROBERTS BOARD MEMBER 0.0 0.0 X 0 0 0 VICKIE MATHEWS BOARD MEMBER 0.0 0.0 X 0 0 0 AMY SMITH BOARD MEMBER 0.0 0.0 X 0 0 0 BO RENNER BOARD MEMBER 0.0 0.0 X 0 0 0 RUTH TURNER BOARD MEMBER 0.0 0.0 X 0 0 0 LARRY ARMSTRONG DO BOARD MEMBER 0.0 0.0 X 0 0 0 CARL COLLIER BOARD MEMBER 0.0 0.0 X 0 0 0 SCOTT CREER BOARD MEMBER 0.0 0.0 X 0 0 0 KELLI GEMMELL BOARD MEMBER 0.0 0.0 X 0 0 0 JACOB HUDSON BOARD MEMBER 0.0 0.0 X 0 0 0 BARBARA KNOTTS BOARD MEMBER 0.0 0.0 X 0 0 0 DENISE GARNER BOARD MEMBER 0.0 0.0 X 0 0 0 KAREN ARMSTRONG BOARD MEMBER 0.0 0.0 X 0 0 0 0 2253559 87069 0 false true false 0 433857 4135497 4569354 MOB RENTAL 621110 967922 967922 967922 339665 339665 0 0 0 0 0 10214438 10090540 123898 123898 123898 0 0 0 0 0 0 0 0 0 0 6000839 967922 463563 676652 676652 348174 348174 0 0 0 0 253134 149521 103613 0 43551 25725 17826 18288 10802 7486 0 0 0 0 0 0 37489 22144 15345 573 338 235 131800 69116 47895 14789 0 0 111723 65992 45731 4826 2851 1975 0 0 321352 189816 131536 0 527085 311338 215747 10394 6140 4254 BANK CHARGES 13047 7707 5340 BAD DEBT EXPENSE 10035 5927 4108 FOOD 2996 1770 1226 LICENSES & FEES 1755 1037 718 3803 2245 1558 2516677 1897295 604593 14789 X 0 0 1847116 2036386 371097 0 0 10315 0 0 0 0 0 0 0 0 46737 8707 12723534 3518237 9732385 9205297 15633399 8931595 736199 2744769 0 0 10802 0 0 5950478 28377735 28887547 55505 36148 0 0 0 0 0 0 0 0 0 0 7191493 6902116 0 0 11630 13761 7258628 6952025 X 18696829 16323607 2422278 5611915 21119107 21935522 28377735 28887547 X 3484162 -2684932 17185 X false true X true false X X 1 WASHINGTON REGIONAL MEDICAL CENTER 710664687 3 true 676652 0 1 676652 0 true false false false false false false false false false false false false false false true true true X true true FORM 990, SCHEDULE A, PART IV, SECTION D, LINE 3 THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, WASHINGTON REGIONAL MEDICAL SYSTEM, HAS THE RIGHT TO APPROVE ALL PERSONS NOMINATED TO SERVE ON THE ORGANIZATION'S BOARD OF DIRECTORS. BOTH WASHINGTON REGIONAL MEDICAL SYSTEM AND THE ORGANIZATION ARE CODE SECTION 509(A)(3) SUPPORTING ORGANIZATIONS OF WASHINGTON REGIONAL MEDICAL CENTER (OPERATES A HOSPITAL AS DEFINED IN CODE SECTION 170(B)(1)(A)(III). WRMC HAS THE RIGHT TO APPOINT A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS OF WASHINGTON REGIONAL MEDICAL SYSTEM. ONE BOARD MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS IS ALSO A MEMBER OF THE BOARD OF DIRECTORS OF WRMC. WASHINGTON REGIONAL MEDICAL SYSTEM, THROUGH ITS AUDIT & FINANCE COMMITTEE, PROVIDES OVERSIGHT AND DIRECTION OF THE INVESTMENTS, OPERATING AND CAPITAL BUDGETS, AND POLICIES OF THE ORGANIZATION. AS THE MEMBERS OF THIS COMMITTEE ARE ALSO BOARD MEMBERS OF WRMC, THE SUPPORTED ORGANIZATION, THE POLICIES AND DIRECTIVES OF THE AUDIT & FINANCE COMMITTEE CONCERNING INVESTMENT OF CHARITABLE ASSETS IN FURTHERANCE OF WRMC'S CHARITABLE MISSION IS ASSURED. FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 2A THE SUPPORTED ORGANIZATION IS WASHINGTON REGIONAL MEDICAL CENTER, A CODE SECTION 509(A)(1) PUBLIC CHARITY THAT OPERATES A HOSPITAL AS DEFINED IN SECTION 170(B)(1)(A)(III). THE ORGANIZATION SOLICITS AND RAISES FUNDS TO SUPPORT THE CHARITABLE HEALTH CARE MISSION OF WRMC. FUNDS RAISED HAVE BEEN USED TO OFFSET THE COST OF EXPANDING THE WRMC HOSPITAL FACILITY, INCLUDING THE CONSTRUCTION OF A WOMEN'S CENTER, A HOSPICE HOME, CONSTRUCTION OF A ENDOVASCULAR NEUROSURGICAL HYBRID OPERATING ROOM, PROVIDING CANCER SUPPORT HOME SERVICES TO ONCOLOGY PATIENTS, AND UNDERWRITING THE COST OF HEALTH EDUCATION FOR WRMC STAFF AND COMMUNITY. FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 2B THE SUPPORTED ORGANIZATION IS WASHINGTON REGIONAL MEDICAL CENTER, A CODE SECTION 509(A)(1) PUBLIC CHARITY THAT OPERATES A HOSPITAL AS DEFINED IN SECTION 170(B)(1)(A)(III). THE ORGANIZATION SOLICITS AND RAISES FUNDS TO SUPPORT THE CHARITABLE HEALTH CARE MISSION OF WRMC. FUNDS RAISED HAVE BEEN USED TO OFFSET THE COST OF EXPANDING THE WRMC HOSPITAL FACILITY, INCLUDING THE CONSTRUCTION OF A HOSPICE HOME, CONSTRUCTION OF A ENDOVASCULAR NEUROSURGICAL HYBRID OPERATING ROOM, PROVIDING PROSTHETIC AND CANCER SUPPORT HOME SERVICES TO ONCOLOGY PATIENTS, AND UNDERWRITING THE COST OF HEALTH EDUCATION FOR WRMC STAFF AND COMMUNITY. IN THE EVENT THE ORGANIZATION DID NOT COORDINATE AND LEAD THE SOLICITATION OF CHARITABLE CONTRIBUTIONS TO SUPPORT THE WRMC HEALTH CARE MISSION, WRMC WOULD HAVE TO RAISE THESE FUNDS IN ITS OWN RIGHT OR FOREGO CERTAIN FACILITY AND SERVICE LINE EXPANSIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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 0.18590 0.48560 0.32850 false false 598440 598440 10980958 2769834 8211124 727094 467548 259546 417042 280855 136187 9205297 US TREASURY BILLS 2007311 F CERTIFICATE OF DEPOSIT 737458 F 2744769 ASSETS LIMITED AS TO USE 5950478 5950478 0 Due to Affiliate 13761 13761 3769221 -2684932 453314 -2231618 6000839 6000839 2952806 436129 436129 2516677 2516677 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 POSISITONS 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. true WASHINGTON REGIONAL MEDICAL CENTER 3215 N NORTH HILLS BLVD FAYETTEVILLE AR 72703 710664687 501(C)(3) 676652 0 N/A N/A SUPPORT 1 0 MEDICAL EXPENSE ASSISTANCE 18 92704 0 N/A N/A RENT/MORTAGE PAYMENT ASSISTANCE 120 108854 0 N/A N/A UTILITY EXPENSE ASSISTANCE 116 56000 0 N/A N/A FOOD ASSISTANCE 28 28000 0 N/A N/A SCHOLARSHIPS 11 25750 0 N/A N/A FORM 990, SCHEDULE I, PART I, LINE 2 GRANTS ARE GENERALLY FOR REIMBURSEMENT OF PREVIOUSLY MADE CAPITAL EXPENDITURES AND THEREFORE GUARANTEE THE GRANTS ARE USED AS INTENDED. OTHER GRANTS ARE MADE ON BEHALF OF EMPLOYEES/PATIENTS IN NEED WHERE THE ORGANIZATION PAYS AN EXPENSE ON BEHALF OF GRANTEE RATHER THAN TO GRANTEE TO GUARANTEE THE EXPENDITURE WAS USED AS INTENDED. false true false false false false false false false LARRY SHACKELFORD PRESIDENT AND CEO 0 741018 0 65963 0 207968 0 15250 0 8253 0 1038452 0 199417 DANIEL ECKELS TREASURER 0 431187 0 35470 0 60434 0 15250 0 10816 0 553157 0 57869 THOMAS OLMSTEAD GENERAL COUNSEL 0 447482 0 35125 0 78968 0 15250 0 10826 0 587651 0 76548 NANCY COZART CHIEF DEVELOPMENT OFFICER 0 143076 0 6205 0 663 0 7464 0 3960 0 161368 0 0 FORM 990, SCHEDULE J, PART I , LINE 3 A RELATED ENTITY, WASHINGTON REGIONAL MEDICAL CENTER, USED THE FOLLOWING TO ESTABLISH THE ORGANIZATION'S CEO'S COMPENSATION: COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM PARTICIPATION IN A 457(F) PLAN: LARRY SHACKELFORD - $199,417 TOM OLMSTEAD - $76,548 DAN ECKELS - $57,869 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A MEMBER AS PERMITTED UNDER THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993. FORM 990, 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 PRMITTED 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. WASHINGTON REGIONAL MEDICAL SYSTEM 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710664686 PHYS CLINICS 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 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 EUREKA REGIONAL HEALTH 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710769450 MEDICAL R/E AR 501 (C) (3) 3 WRMS true false true false false false false false false false true false false false false false true false false false WASHINGTON REGIONAL MEDICAL CENTER B 676652 FMV WASHINGTON REGIONAL MEDICAL SYSTEM J 882466 FMV