2024-10-24T12:39:03+00:00 2023-12-31 440160260 Forvis Mazars LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2023-01-01 710707450 Washington Regional Medicorp WASH 4794631120 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 DENNIS BURROWS VP & CAO 2024-10-24 true April Arnold P01559426 8162216300 2024-10-24 2023 2024-10-15 13:58:12Z LARRY SHACKELFORD 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 10833437 false X N/A X 1991 AR WASHINGTON REGIONAL MEDICORP HOLDS A LICENSE TO OPERATE A PACE PROGRAM AND CONTRACT WITH PACE OF THE OZARKS, LLC TO CARRY OUT OPERATIONS. 9 3 0 3 0 0 0 10404252 10833437 0 0 10404252 10833437 0 0 0 0 0 10404265 10833440 10404265 10833440 -13 -3 33 30 0 0 33 30 THE ORGANIZATION IS LICENSED TO OPERATE A PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). THE ORGANIZATION HAS CONTRACTED WITH NWA PACE MANAGEMENT, LLC TO OPERATE THE PACE PROGRAM. false false 10833440 10833437 EXPENSES INCURRED IN THE PROVISION AND OPERATION OF A PACE PROGRAM. 10833440 true false false false false false false false false false false false false false false false true false false false false false false false false false false false 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 false false false false false false false X 9 3 false true false false true true true true true false false true true true true true true false false false AR X DENNIS BURROWS WR ACCOUNTING DEPARTMENT 4794631120 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 BIRCH WRIGHT CHAIR 1.0 40.0 X X 0 406158 28868 BRAD BAILEY SECRETARY 1.0 0 X X 0 0 0 LARRY SHACKELFORD VICE CHAIR 1.0 43.0 X X 0 913130 29534 AMY WENGER BOARD MEMBER 1.0 0 X 0 0 0 DAVID RATCLIFF BOARD MEMBER 1.0 40.0 X 0 496766 29498 DEMETRA EMERSON BOARD MEMBER 1.0 0 X 0 0 0 DENNIS BURROWS BOARD MEMBER 1.0 43.0 X 0 162091 20576 JACK MORRIS BOARD MEMBER 20.0 20.0 X 0 161309 24569 THOMAS OLMSTEAD GENERAL COUNSEL 1.0 43.0 X 0 510998 32244 DANIEL ECKELS FORMER CHAIR 0.0 43.0 X 0 484729 39841 0 3135181 205130 0 true true false 0 0 MEDICARE & MEDICAID REV FOR PACE PROGRAM 621498 10833437 10833437 0 0 0 0 10833437 0 0 0 0 0 0 0 0 0 10833437 10833437 0 0 0 0 0 0 FUNDS FOR PACE PROGRAM 10833440 10833440 0 0 0 0 10833440 10833440 0 0 33 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 33 30 33 30 33 30 -3 0 X false true X true false X 0 0 0 0 0 0 1122855 5699615 8891046 10404252 10833437 36951205 0 0 0 1122855 5699615 8891046 10404252 10833437 36951205 0 0 0 0 0 0 0 0 0 0 900321 900321 0 0 0 0 900321 900321 36050884 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1122855 5699615 8891046 10404252 10833437 36951205 0.9756 1.0 0 0.0 X 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. true true false false false false false false false DANIEL ECKELS FORMER CHAIR 0 99915 0 0 0 384814 0 9900 0 29941 0 524570 0 0 LARRY SHACKELFORD VICE CHAIR 0 763113 0 0 0 150017 0 9900 0 19634 0 942664 0 0 BIRCH WRIGHT CHAIR 0 354509 0 0 0 51649 0 9900 0 18968 0 435026 0 0 DENNIS BURROWS BOARD MEMBER 0 161814 0 0 0 277 0 4996 0 15580 0 182667 0 0 JACK MORRIS BOARD MEMBER 0 159112 0 1083 0 1114 0 5132 0 19436 0 185878 0 0 THOMAS OLMSTEAD GENERAL COUNSEL 0 459198 0 0 0 51800 0 9900 0 22344 0 543242 0 0 DAVID RATCLIFF BOARD MEMBER 0 428113 0 0 0 68653 0 9900 0 19598 0 526264 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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. Schedule J, Part I, Line 4a Severance or change-of-control payment DANIEL ECKELS - $41,667 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS HAD VESTED AMOUNTS FROM THE 457(F) PLAN FOR 2023: LARRY SHACKELFORD - $146,822 TOM OLMSTEAD - $49,264 DAVID RATCLIFF - $62,561 DANIEL ECKELS - $16,406 BIRCH WRIGHT - $50,557 Form 990, Part VI, Line 15a & 15B PROCESS TO ESTABLISH COMPENSATION 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, Line 6 Classes of members or stockholders WASHINGTON REGIONAL MEDICAL SYSTEM IS THE SOLE MEMBER OF THE ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body 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. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBER OF THE ORGANIZATION HAS THE RIGHT TO APPROVE CERTAIN ACTIONS OF THE ORGANIZATIONS'S GOVERNING BODY AS ARE RESERVED TO THE MEMBER UNDER THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND THEN REVIEWED BY MANAGEMENT. AT A DULY CALLED MEETING OF THE ORGANIZATION'S AUDIT AND FINANCE COMMITTEE, WHICH IS COMPRISED OF THE ORGANIZATION'S BOARD OF DIRECTORS, COPIES OF THE PROPOSED FORM 990 FILING ARE PRESENTED AND REVIEWED WITH THE BOARD BY THE ORGANIZATION'S CHIEF ACCOUNTING OFFICER AND GENERAL COUNSEL. Form 990, Part VI, Line 12c Conflict of interest policy 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, Line 19 Required documents available to the public 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 PHYSICIAN CLINIC AR 501(c)(3) Type II NA false WASHINGTON REGIONAL MEDICAL SERVICES 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710664683 MEDICAL R/E AR 501(c)(3) Type III-FI WRMS true WASHINGTON REGIONAL FOUNDATION 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710664685 FUNDRAISING AR 501(c)(3) Type III-FI 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 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710664687 HOSPITAL AR 501(c)(3) 3 WRMS true DIALYSIS CENTER OF NORTHWEST ARKANSAS 107 E MONTE PAINTER DR FAYETTEVILLE AR 72703 432074310 RENAL DIALYSIS AR WRMC N/A false false NWA PACE MANAGEMENT LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 812071226 SENIOR CARE AR WRMC N/A false false FOUNTAIN PLAZA MEDICAL RENTALS 3383 N MANA COURT SUITE 201 FAYETTEVILLE AR 72703 203736241 REAL ESTATE AR PLAZA HOLDINGS N/A false false FOUNTAIN PLAZA HOLDINGS LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 473155119 REAL ESTATE AR WR MED SERVICES N/A false false WR-NWAHV LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 800118770 REAL ESTATE AR WR MED SERVICES N/A false false JOHNSON MOB HOLDINGS LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 810854482 REAL ESTATE AR WR MED SERVICES N/A false false false false false false false false false false false false true false false false false false false true false NEW PACE MANAGEMENT LLC R 10833440 COST WASHINGTON REGIONAL MEDICAL FOUNDATION K 967922 COST