2024-10-24T12:41:31+00:00 2023-12-31 440160260 Forvis Mazars LLP PO Box 3667 Little Rock AR 722033667 990 2023-01-01 710664687 Washington Regional Medical Center WASH 4794631120 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 DJ BURROWS VP & CAO 4794631120 2024-10-24 true April Arnold P01559426 5013721040 2024-10-24 2023 2024-10-15 13:58:12Z LARRY SHACKELFORD 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 476539444 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. 9 7 4438 62 1452833 0 9971953 3594009 362197800 408851030 3827320 9169588 114513 626032 376111586 422240659 752339 333373 0 174664030 180614675 0 0 190384351 208255517 365800720 389203565 10310866 33037094 465849944 481420468 204210753 220592692 261639191 260827776 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 338709375 333373 407398197 ANCILLARY SUPPORT SERVICES: SERVICES OFFERED IN 2023 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 12,002 INPATIENT AND OUTPATIENT SURGERIES IN 2023. THE CENTRAL SERVICES DEPARTMENT PROVIDED OVER 5 MILLION SUPPLY ITEMS TO PATIENTS BEING TREATED. LABORATORY TESTS PERFORMED TOTALED 1,195,940. IMAGING PROCEDURES THAT INCLUDED ITEMS SUCH AS X-RAYS, CT SCANS, ULTRASOUND, CARDIAC CATHETERIZATION, AND NUCLEAR IMAGES TOTALED 150,375 PROCEDURES. WASHINGTON REGIONAL ALSO PERFORMED 7,645 MRI PROCEDURES. THE PHARMACY DISTRIBUTED 12,634,478 ITEMS FOR PATIENTS, AND RESPIRATORY THERAPY PERFORMED TESTS AND TREATMENTS TOTALING 739,109 RELATIVE VALUES. THE WOUND CARE CENTER PERFORMED 15,439 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 2023 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 2023, WASHINGTON REGIONAL ALSO PROVIDED 26 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 2023, WITH THE HOSPITAL PROVIDING ACUTE STROKE CARE FOR 1,226 COMMUNITY MEMBERS, WITH NEARLY 30% 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 15,713 ACUTE ADMISSIONS IN 2023 AND PROVIDED 66,881 DAYS OF INPATIENT ACUTE CARE. THIS INCLUDED 11,934 INTENSIVE CARE DAYS AND CARDIAC CRITICAL CARE DAYS. THE AVERAGE LENGTH OF AN INPATIENT HOSPITAL STAY IN 2023 WAS 4.26 DAYS. THERE WERE 2,579 BABIES BORN AT WASHINGTON REGIONAL IN 2023. EMERGENCY SERVICES: WASHINGTON REGIONAL'S EMERGENCY DEPARTMENT PHYSICIANS AND STAFF, BACKED BY THE RESOURCES OF MORE THAN 417 PHYSICIANS ON THE MEDICAL STAFF, PROVIDED MEDICAL SERVICES TO 54,434 PATIENTS IN 2023. 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. 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. 338709375 true false 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 true true true false false false false false false false false false false false false false false true true true true false false true 18 0 true 4438 true true true false false false false false false false false false false false X 9 7 false false false false true true true true true false false true true true true true true true true true true AR X DENNIS BURROWS 4794631120 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 BROCK GEARHART SECRETARY 1.0 2.0 X X 0 0 0 GREG W LEE CHAIRMAN 1.0 2.0 X X 0 0 0 ANNE O'LEARY-KELLY DIRECTOR 1.0 2.0 X 0 0 0 JON BERRY DIRECTOR 40.0 1.0 X 736459 0 34389 LUCAS CAMPBELL DIRECTOR 1.0 2.0 X 0 0 0 M GARETH ECK VICE CHAIR 40.0 2.0 X 88860 0 16036 MARSHALL SAVIERS DIRECTOR 1.0 2.0 X 0 0 0 NEAL PENDERGRAFT DIRECTOR 1.0 2.0 X 0 0 0 STACY HANBY DIRECTOR 1.0 3.0 X 0 0 0 BIRCH WRIGHT COO & ADMINISTRATOR 40.0 1.0 X 406158 0 28868 DANIEL ECKELS OUTGOING CFO 40.0 3.0 X 484729 0 39841 DAVID RATCLIFF CHIEF MEDICAL OFFICER 40.0 1.0 X 496766 0 29498 DENNIS BURROWS VP & CHIEF ACCOUNTING OFFICER 40.0 4.0 X 162091 0 20576 LARRY SHACKELFORD PRESIDENT & CEO 40.0 4.0 X 913130 0 29534 THOMAS OLMSTEAD SVP & GENERAL COUNSEL 40.0 4.0 X 510998 0 32244 BORIS BOGOMILOV MEDICAL DIRECTOR/PHYSICIAN 20.0 20.0 X 0 1774218 34909 BRANDON CHISM PHYSICIAN 20.0 20.0 X 0 1520043 33001 LARRY ARMSTRONG MEDICAL DIRECTOR/PHYSICIAN 20.0 20.0 X 0 1704912 26986 SEAN SENTER MEDICAL DIRECTOR/PHYSICIAN 20.0 20.0 X 0 1839065 29777 ZUBAIR AHMED MEDICAL DIRECTOR/PHYSICIAN 20.0 20.0 X 0 1478965 29255 3799191 8317203 384914 230 true true false PREMIER ANESTHESIA GROUP 2655 NORTHWINDS PKWY ALPHARETTA GA 30009 ANESTHESIA SERVICES 7414386 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES PO BOX 123847 DEPT 3847 SLOT 560 DALLAS TX 753123847 CONTRACT SERVICES 3048804 QUALIVIS 3383 N MANA CT FAYETTEVILLE AR 72703 CONTRACT SERVICES 2288052 MEDICAL ASSOCIATION OF NORTHWEST ARKANSAS 4301 W MARKHAM ST TREASURERS OFFICE SLOT 560 LITTLE ROCK AR 72205 CONTRACT SERVICES 2218906 DIALYSIS CENTERS OF NORTHWEST ARKANSAS 107 E MONTE PAINTER DR FAYETTEVILLE AR 72703 CONTRACT SERVICES 1432719 58 3594009 3594009 PATIENT SERVICE REVENUE 622110 400692941 400692941 OTHER PROGRAM SERVICE REVENUE 622110 3053681 1600848 1452833 CAFETERIA/FOOD 722514 2737892 2737892 MOB RENTAL INCOME 622110 1509619 1509619 FITNESS CENTER 713940 413854 413854 443043 443043 0 0 408851030 4603154 4603154 0 0 58865219 54169822 128963 4695397 -128963 4566434 4566434 OTHER REVENUE 900099 563779 563779 RESEARCH CLINICAL TESTS 900099 45114 45114 MEDICAL RECORDS 900099 13996 13996 3143 0 0 3143 626032 422240659 407398197 1452833 9795620 241168 241168 92205 92205 4030844 3370942 659902 146069484 122155980 23913504 3320183 2943810 376373 16333177 14481664 1851513 10860987 9629796 1231191 491211 390581 100630 162117 162117 467043 467043 21668 21668 27412882 21797035 5615847 0 193536 153888 39648 3232646 2570401 662245 11358081 9031246 2326835 5868425 4666210 1202215 356650 283586 73064 6030953 4736243 1294710 20178965 13847551 6331414 2105039 1673797 431242 MEDICAL SUPPLIES 106490429 106490429 REPAIRS & MAINTENANCE 7458086 5930210 1527876 MCD PROVIDER ASSESSMENT TAX 5663668 5663668 FOOD 2845259 2262375 582884 7918859 6296590 1622269 0 389203565 338709375 50494190 0 718721 1833980 8631189 133203 0 58141854 73706806 0 0 0 0 0 5984278 5448404 5155265 5073068 455338442 259638498 206068535 195699944 149737947 160546772 0 16884271 16647443 14527884 22330848 465849944 481420468 40546769 45673288 151141883 144193274 0 0 2923544 22972094 9598557 7754036 204210753 220592692 256360420 259922320 5278771 905456 261639191 260827776 465849944 481420468 X 33037094 13887941 -47736450 X false true X true true true X false false false false false false false false true 27008 27008 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION IS A MEMBER OF, AND PAYS DUES TO, THE AMERICAN HOSPITAL ASSOCIATION AND THE ARKANSAS HOSPITAL ASSOCIATION. 2699719 774737 435952 20135 34633 0 3855640 2976681 8500 -231126 8377 45959 0 2699719 2780140 25560 202995 32014 0 0 2976681 2591026 38796 267968 36500 81150 0 2780140 2005438 332593 310189 24382 32812 0 2591026 0.2326 0.34 0.4274 false true true 1185418 1185418 226823502 90415688 136407814 1907151 1778863 128288 213660326 160583845 53076481 11762045 6860102 4901943 195699944 DUE TO THIRD PARTY PAYERS 913335 LEASE LIABILITY 6277659 OTHER LONG TERM LIABILITY 563042 7754036 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. Schedule D, Part V, Line 4 Intended uses of endowment funds THE MAJORITY OF THE ENDOWMENT FUNDS ARE FOR GENERATION OF INCOME NEEDED TO AWARD SCHOLARSHIPS. true true X true X 138 true X true true true false true true 1 7161479 0 7161479 0.0184 1 35902051 30924506 4977545 0.0128 274859 0 274859 0.0007 2 0 43338389 30924506 12413883 0.0319 8 282815 20275 262540 0.0007 1 50000 0 50000 0.0001 8 18277981 9036762 9241219 0.0237 1 187414 45114 142300 0.0004 3 137287 0 137287 0.0004 21 0 18935497 9102151 9833346 0.0253 23 0 62273886 40026657 22247229 0.0572 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 0 0 0 0 0.0 true 20751204 2075120 85770428 86699542 -929114 X true true DIALYSIS CENTER OF NORTHWEST ARKANSAS DIALYSIS SERVICES 0.6 0.4 NWA PACE MANAGEMENT SENIOR CARE 0.575 0.425 1 1 WASHINGTON REGIONAL MEDICAL CENTER 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 WREGIONAL.COM AR5143 X X X X WASHINGTON REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X X 22 true false false true X www.wregional.com/main/community-health-needs-assessment X true 22 true www.wregional.com/main/community-health-needs-assessment false true X 138.0 200.0 X X X X true true X X X true X WWW.WREGIONAL.COM/MAIN/FINANCIAL-ASSISTANCE X WWW.WREGIONAL.COM/MAIN/FINANCIAL-ASSISTANCE X WWW.WREGIONAL.COM/MAIN/FINANCIAL-ASSISTANCE X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - WASHINGTON REGIONAL MEDICAL CENTER. 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 Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - WASHINGTON REGIONAL MEDICAL CENTER. 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. ACCESS TO SPECIALTY CARE FOR RURAL COMMUNITIES 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 SENIOR SUPPORT 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. 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. H. WASHINGTON REGIONAL SENIOR SUPPORT 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. I. WASHINGTON REGIONAL WILL WORK WITH THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES TO EXPAND MEDICAL EDUCATION AND GRADUATE MEDICAL EDUCATION IN NORTHWEST ARKANSAS WHICH WILL GROW THE PIPELINE OF PHYSICIANS IN NORTHWEST ARKANSAS. J. 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. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - WASHINGTON REGIONAL MEDICAL CENTER (CONT.). - 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 - CARDIOLOGY, ELECTROPHYSIOLOGY, CARDIOVASCULAR AND THORACIC SURGERY. - WASHINGTON REGIONAL WILL CONTINUE TO OFFER CARDIOPULMONARY REHABILITATION SERVICES TO PATIENTS WITH HEART DISEASE, ANGINA OR WHO HAVE HAD A HEART ATTACK OR CORONARY BYPASS. - WASHINGTON REGIONAL WILL CONTINUE TO RECRUIT CARDIOVASCULAR PHYSICIANS, ADVANCED PRACTICE PROVIDERS AND STAFF AS NECESSARY TO MEET COMMUNITY DEMANDS. - WASHINGTON REGIONAL WILL CONTINUE TO FINANCIALLY SUPPORT AND COLLABORATE WITH THE AMERICAN HEART ASSOCIATION TO EDUCATE THE PUBLIC ABOUT CARDIOVASCULAR AND CEREBROVASCULAR HEALTH. - WASHINGTON REGIONAL WILL CONTINUE TO PROVIDE EDUCATION ABOUT CARDIOVASCULAR DISEASE AND PREVENTION 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. D. WOMEN AND INFANT CARE - WASHINGTON REGIONAL WILL CONTINUE TO PROVIDE SERVICES NEEDED TO MEET THE NEEDS OF NORTHWEST ARKANSAS' GROWING FAMILIES. - WASHINGTON REGIONAL WILL CONTINUE TO PROVIDE LABOR AND DELIVERY SERVICES, INCLUDING LOW INTERVENTION SERVICES, VARIOUS PAIN MANAGEMENT OPTIONS, ACCOMMODATION OF A VARIETY OF BIRTH PLANS, LACTATION SERVICES AND PELVIC THERAPY SERVICES. - WASHINGTON REGIONAL WILL MAINTAIN ITS LEVEL III-A NEONATAL INTENSIVE CARE UNIT STATUS, WHICH ALLOWS IT TO CARE FOR THE MOST FRAGILE OF NEWBORNS IN THE REGION. - WASHINGTON REGIONAL WILL CONTINUE TO PARTNER WITH UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES TO PROVIDE OUTPATIENT AND INPATIENT MATERNAL FETAL MEDICINE SUPPORT FOR PATIENTS WITH HIGH-RISK PREGNANCIES. - WASHINGTON REGIONAL WILL CONTINUE TO PROVIDE A SOCIAL WORKER/CARE NAVIGATOR FOR HIGH RISK NICU AND L&D POPULATIONS. - WASHINGTON REGIONAL WILL CONTINUE TO SUPPORT HERHEALTH CLINIC AND PARKHILL CLINIC FOR WOMEN, TWO OF THE LEADING OB/GYN CLINICS IN THE REGION. - WASHINGTON REGIONAL WILL CONTINUE TO PROVIDE SPACE FOR THE REGION'S ONLY RONALD MCDONALD HOUSE, LOCATED IN THE WOMEN AND INFANTS CENTER. - WASHINGTON REGIONAL'S INFANT NUTRITION LAB WILL CONTINUE TO BE AVAILABLE TO STORE AND FORTIFY MOTHERS' BREAST MILK. - WASHINGTON REGIONAL WILL CONTINUE TO SERVE AS A DEPOT FOR THE OKLAHOMA MOTHERS' MILK BANK, WHICH ALLOWS NURSING WOMEN IN THE REGION TO DONATE THEIR EXTRA BREAST MILK AT THE HOSPITAL, WHERE IT IS STORED UNTIL COLLECTED BY THE MILK BANK. - WASHINGTON REGIONAL'S WOMEN AND INFANTS CENTER WILL CONTINUE TO PROVIDE COMMUNITY CLASSES, INCLUDING BIRTH BASICS, BABY BASICS, BREASTFEEDING SUPPORT, AND INFANT CPR. E. DIGESTIVE HEALTH - WASHINGTON REGIONAL WILL CONTINUE TO RECRUIT GASTROENTEROLOGISTS AND SUPPORT STAFF AS NECESSARY TO MEET COMMUNITY DEMANDS. F. NEPHROLOGY - WASHINGTON REGIONAL WILL CONTINUE TO RECRUIT NEPHROLOGISTS AND SUPPORT STAFF AS NECESSARY TO MEET COMMUNITY DEMANDS. G. RHEUMATOLOGY - WASHINGTON REGIONAL WILL CONTINUE TO RECRUIT RHEUMATOLOGISTS AND SUPPORT STAFF AS NECESSARY TO MEET COMMUNITY DEMANDS. H. ENDOCRINOLOGY - WASHINGTON REGIONAL WILL CONTINUE TO RECRUIT ENDOCRINOLOGISTS AND SUPPORT STAFF AS NECESSARY TO MEET COMMUNITY DEMANDS. I. TRAUMA SERVICES - WASHINGTON REGIONAL WILL CONTINUE TO INVEST IT ITS TRAUMA PROGRAM, WHICH OFFERS THE HIGHEST LEVEL OF TRAUMA CARE IN THE REGION. - WASHINGTON REGIONAL MEDICAL CENTER WILL MAINTAIN ITS STATUS AS AN ARKANSAS DEPARTMENT OF HEALTH DESIGNATED LEVEL II TRAUMA CENTER. - WASHINGTON REGIONAL WILL EXPAND ITS TRAUMA PROGRAM, WORKING TOWARD LEVEL I TRAUMA CENTER DESIGNATION, SO THAT FEWER PATIENTS MUST BE TRANSPORTED OUT OF THE MARKET TO RECEIVE CARE. - WASHINGTON REGIONAL, THROUGH ITS TRAUMA PROGRAM, WILL CONTINUE TO EDUCATE THE COMMUNITY ABOUT TRAUMA PREVENTION. - WASHINGTON REGIONAL WILL CONTINUE TO OFFER 24/7/365 SURGICALIST CARE FOR HOSPITALIZED PATIENTS. 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 COMMUNITY HEALTH NEED PRIORITY #4: COMMUNITY HEALTH AND WELLNESS EDUCATION COMMUNITY MEMBERS NEED HEALTH AND WELLNESS EDUCATION IN ORDER TO MAKE INFORMED DECISIONS ABOUT THEIR HEALTH. OBJECTIVE #4: WASHINGTON REGIONAL WILL PROVIDE HEALTH AND WELLNESS EDUCATION TO COMMUNITY MEMBERS THROUGH VARIOUS EVENTS, ONLINE PLATFORMS, PARTNERSHIPS AND MEDIA. IMPLEMENTATION ACTIVITIES: A. WASHINGTON REGIONAL WILL CONTINUE TO SUPPORT ITS EMPLOYEE WELLNESS PROGRAM, INCLUDING OFFERING HEALTH INSURANCE DISCOUNTS FOR PARTICIPATING EMPLOYEES WHO PARTICIPATE IN ELIGIBLE WELLNESS ACTIVITIES AND/OR EDUCATION. B. WASHINGTON REGIONAL WOMEN AND INFANTS CENTER WILL CONTINUE TO PROVIDE COMMUNITY CLASSES SUCH AS BIRTH BASICS, BABY BASICS, BREASTFEEDING SUPPORT AND INFANT CPR. C. WASHINGTON REGIONAL, THROUGH ITS TRAUMA PROGRAM, WILL CONTINUE TO EDUCATE THE COMMUNITY ABOUT TRAUMA PREVENTION. D. WASHINGTON REGIONAL'S AMERICAN HEART ASSOCIATION TRAINING CENTER WILL CONTINUE TO PROVIDE CPR INSTRUCTION TO TEAM MEMBERS, COMMUNITY MEMBERS AND LOCAL BUSINESSES. E. WASHINGTON REGIONAL'S CENTER FOR EXERCISE WILL CONTINUE TO PROVIDE HEALTH EDUCATION AND FITNESS CLASSES TO EMPLOYEES AND COMMUNITY MEMBERS. F. WASHINGTON REGIONAL WILL CONTINUE TO PROVIDE HEALTH AND WELLNESS INFORMATION AT HEALTH FAIRS AND COMMUNITY EDUCATION EVENTS. G. WASHINGTON REGIONAL WILL CONTINUE TO PROVIDE EDUCATION AND WELLNESS TIPS ON KNWA DURING THE YOUR HEALTH MORNING-NEWS SEGMENTS AND THROUGH OUR HEALTH, DISTRIBUTED MONTHLY BY THE LOCAL REGIONAL NEWSPAPER. H. WASHINGTON REGIONAL WILL CONTINUE PROVIDE HEALTH EDUCATION AND WELLNESS TIPS VIA SOCIAL MEDIA CHANNELS, WEBSITE AND IN COLLABORATION WITH MEDIA PARTNERS. COMMUNITY HEALTH NEED PRIORITY #5: MEDICAL EDUCATION AND GRADUATE MEDICAL EDUCATION EXPANSION OF MEDICAL EDUCATION AND GRADUATE MEDICAL EDUCATION IS NEEDED IN NORTHWEST ARKANSAS. OBJECTIVE #5: WASHINGTON REGIONAL, IN PARTNERSHIP WITH THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES AND THE ALICE L. WALTON SCHOOL OF MEDICINE, WILL EXPAND MEDICAL EDUCATION AND GRADUATE MEDICAL EDUCATION IN NORTHWEST ARKANSAS TO MEET THE INCREASING DEMAND FOR PHYSICIANS IN THE REGION. IMPLEMENTATION ACTIVITIES: A. WASHINGTON REGIONAL WILL CONTINUE TO PROVIDE CLINICAL ROTATION OPPORTUNITIES FOR UAMS, ARCOM AND NYIT MEDICAL STUDENTS. B. WASHINGTON REGIONAL WILL CONTINUE TO BE A PARTICIPATING SITE FOR CLINICAL ROTATION OPPORTUNITIES FOR THE UAMS FAMILY MEDICINE RESIDENCY PROGRAM. C. WASHINGTON REGIONAL MEDICAL CENTER AND WASHINGTON REGIONAL EUREKA SPRINGS FAMILY CLINIC WILL SERVE AS CLINICAL TRAINING SITES FOR THE UAMS FAMILY MEDICINE RURAL TRAINING PROGRAM, WHICH WILL BRING TWO RESIDENTS PER YEAR FOR THE THREE-YEAR PROGRAM THAT BEGINS IN 2023. D. THE UAMS/WASHINGTON REGIONAL INTERNAL MEDICINE RESIDENCY PROGRAM WILL BEGIN IN JULY 2023, BRINGING EIGHT NEW INTERNAL MEDICINE RESIDENTS TO NORTHWEST ARKANSAS EACH YEAR OF THE THREE-YEAR PROGRAM. E. UAMS AND WASHINGTON REGIONAL WILL APPLY FOR AN EMERGENCY MEDICINE RESIDENCY PROGRAM IN 2023. THIS THREE-YEAR PROGRAM WILL BRING SIX RESIDENTS PER YEAR. F. UAMS AND WASHINGTON REGIONAL WILL BEGIN THE PLANNING AND APPLICATION PROCESS FOR ADDITIONAL RESIDENCIES IN NEUROLOGY AND GENERAL SURGERY BY 2025. G. WASHINGTON REGIONAL WILL COLLABORATE WITH THE ALICE L. WALTON SCHOOL OF MEDICINE (AWSOM) ON CLINICAL LEARNING OPPORTUNITIES AND WILL SERVE AS A CLINICAL ROTATION SITE FOR AWSOM STUDENTS. H. WASHINGTON REGIONAL WILL BUILD A SIMULATION CENTER WHERE MEDICAL STUDENTS AND RESIDENTS WILL HAVE ACCESS TO HIGH-FIDELITY SIMULATED LEARNING EXPERIENCES. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - WASHINGTON REGIONAL MEDICAL CENTER. WHEN DETERMINING DISCOUNTED CARE, THE ORGANIZATION CONSIDERS MULTIPLE FACTORS SUCH AS GROSS INCOME, FAMILY SIZE, AND NET PAY IN RELATION TO REPORTED EXPENSES. 48 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 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 SPECIALTY CLINIC GASTROENTEROLOGY CLINIC 3344 N FUTRALL DR 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 FAYETTEVILLE AR 72703 HOSPICE Schedule H, Part III, Line 8 THE ORGANIZATION FOLLOWS THE VHA/CATHOLIC HEALTH ASSOCIATION'S GUIDE FOR PLANNING 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 2023 MEDICARE COST REPORT AS REQUIRED IN THE FORM 990 INSTRUCTIONS. Schedule H, Part III, Line 4 PLEASE SEE FOOTNOTE 1 IN THE AUDITED FINANCIAL STATEMENTS WHICH DESCRIBES BAD DEBT. Schedule H, Part III, Line 2 & Line 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 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 FROM THE TREATMENT OF PATIENTS AS A COMMUNITY BENEFIT. 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. Schedule H, Part I, Line 3c THE ORGANIZATION ALSO USES RESIDENCY STATUS AND INSURANCE STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. Schedule H, Part I, Line 7g Subsidized Health Services 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. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance WASHINGTON REGIONAL MEDICAL CENTER USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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. Schedule H, Part V, Section B, Line 16a FAP website - WASHINGTON REGIONAL MEDICAL CENTER: Line 16a URL: WWW.WREGIONAL.COM/MAIN/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - WASHINGTON REGIONAL MEDICAL CENTER: Line 16b URL: WWW.WREGIONAL.COM/MAIN/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - WASHINGTON REGIONAL MEDICAL CENTER: Line 16c URL: WWW.WREGIONAL.COM/MAIN/FINANCIAL-ASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment 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. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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 DISCUSS 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. Schedule H, Part VI, Line 4 Community information 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 657,681 PEOPLE LIVE IN THE COMMUNITY'S SERVICE AREA. APPROXIMATELY 14% OF THE COMMUNITY'S POPULATION IS OVER AGE 65, AS COMPARED TO 17% IN ARKANSAS AND IN THE UNITED STATES AS A WHOLE. EVEN THOUGH THE COMMUNITY'S POPULATION OVER AGE 65 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. THE AVERAGE MEDIAN HOUSEHOLD INCOME IN WASHINGTON REGIONAL'S COMMUNITY IS $63,899, COMPARED TO $56,335 FOR THE STATE OF ARKANSAS AND $75,149 FOR THE UNITED STATES. Schedule H, Part VI, Line 5 Promotion of community health 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 WASTE 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 2023, WASHINGTON REGIONAL WELCOMED 24 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, UROLOGY, RHEUMATOLOGY, GASTROENTEROLOGY, NEUROLOGY, ENDOCRINOLOGY, PALLIATIVE CARE, HOSPITAL MEDICINE, NEONATOLOGY, AND EMERGENCY MEDICINE. INCLUDED IN THE 2023 COMMUNITY BENEFIT TOTALS ARE AMOUNTS FOR WHICH THE ORGANIZATION PROVIDED FINANCIAL SUPPORT TO LOCAL NURSING EDUCATION PROGRAMS. TOTAL SUPPORT FOR THESE PROGRAMS IN 2023 WAS $50,000. Schedule H, Part VI, Line 6 Affiliated health care system 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 PHYSICIAN 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 THOUSANDS OF BENEFICIARIES AT A COST OF $7.2 MILLION: OVER 20,000 MEDICAID BENEFICIARIES RECEIVING CARE AT A NET OF $5.0 MILLION; COMMUNITY HEALTH SERVICES (INCLUDING MEDICAID ELIGIBILITY SERVICES, HIV CLINICS, PRENATAL CLINICS AND FREE HEALTH CLINICS) AT A COST OF $817,000; DIRECT SUPPORT TO HEALTH PROFESSIONS EDUCATION OF $50,000; SUBSIDIZED HEALTH SERVICES FOR CERTAIN CLINICS AT A COST OF $9.2 MILLION; MEDICAL RESEARCH AND OTHER CASH DONATIONS AT A COST OF $138,000. 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 ORGANIZATION'S MISSION OF IMPROVING THE HEALTH OF THE CITIZENS IN THE COMMUNITIES 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 TWO WHOLLY OWNED SUBSIDIARIES. 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 (100% OWNED SUBSIDARY) PROVIDES OUTPATIENT SURGICAL SERVICES, HEALTH PARTNERS (50% OWNED JOINT VENTURE) COORDINATES CONTRACTING BETWEEN PROVIDERS, INSURERS AND EMPLOYERS TO 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. Schedule H, Part VI, Line 7 State filing of community benefit report AR true Welcome Health 1100 N Woolsey Ave Fayetteville AR 72703 581691790 501 (C) (3) 28500 General Support NORTHWEST ARKANSAS COMMUNITY COLLEGE FOUNDATION 1 COLLEGE DR BENTONVILLE AR 72712 710685540 501 (C) (3) 50000 GENERAL SUPPORT WASHINGTON COUNTY ARKANSAS 280 N COLLEGE AVE FAYETTEVILLE AR 72701 115 78500 CLINIC SERVICES ARKANSAS DEPTARTMENT OF HEALTH 4815 W MARKHAM SLOT 57 LITTLE ROCK AR 72205 115 62471 GENERAL SUPPORT 4 0 PATIENT ASSISTANCE 31 92025 COST Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. WASHINGTON REGIONAL MEDICAL CENTER (WRMC) PROVIDED GENERAL SUPPORT GRANTS TO THE ABOVE GRANTEES WHOSE ACTIVITIES ADVANCE THE ORGANIZATION'S GOALS. ALL GRANTS WERE MADE PURSUANT TO SPECIFIC AGREEMENTS WHICH REQUIRE REPORTS TO BE SUBMITTED BY THE GRANTEE ON THE USE OF THE GRANT FUNDS ON AN ANNUAL BASIS OR MADE AVAILABLE UPON REQUEST. PATIENT ASSISTANCE GRANTS ARE AWARDED ON A CASE-BY-CASE BASIS PENDING THE ACHIEVEMENT OF CERTAIN METRICS AND QUALIFICATIONS THAT ARE LAID OUT IN WRMC'S WRITTEN FINANCIAL ASSISTANCE POLICY. X X X X X true true false false false false false false false JON BERRY DIRECTOR 431499 0 303650 0 1310 0 9900 0 24489 0 770848 0 0 0 DENNIS BURROWS VP & CHIEF ACCOUNTING OFFICER 161814 0 0 0 277 0 4996 0 15580 0 182667 0 0 0 THOMAS OLMSTEAD SVP & GENERAL COUNSEL 459198 0 0 0 51800 0 9900 0 22344 0 543242 0 0 0 DAVID RATCLIFF CHIEF MEDICAL OFFICER 428113 0 0 0 68653 0 9900 0 19598 0 526264 0 0 0 LARRY SHACKELFORD PRESIDENT & CEO 763113 0 0 0 150017 0 9900 0 19634 0 942664 0 0 0 BIRCH WRIGHT COO & ADMINISTRATOR 354509 0 0 0 51649 0 9900 0 18968 0 435026 0 0 0 DANIEL ECKELS OUTGOING CFO 99915 0 0 0 384814 0 9900 0 29941 0 524570 0 0 0 ZUBAIR AHMED MEDICAL DIRECTOR/PHYSICIAN 0 571441 0 899310 0 8214 0 9900 0 19355 0 1508220 0 0 LARRY ARMSTRONG MEDICAL DIRECTOR/PHYSICIAN 0 976596 0 719616 0 8700 0 9900 0 17086 0 1731898 0 0 BORIS BOGOMILOV MEDICAL DIRECTOR/PHYSICIAN 0 560232 0 1197552 0 16434 0 9900 0 25009 0 1809128 0 0 BRANDON CHISM PHYSICIAN 0 566920 0 950784 0 2339 0 9900 0 23101 0 1553044 0 0 SEAN SENTER MEDICAL DIRECTOR/PHYSICIAN 0 573198 0 1254185 0 11682 0 9900 0 19877 0 1868842 0 0 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: DANIEL ECKLES - $16,406 THOMAS OLMSTEAD - $49,264 DAVID RATCLIFF - 62,560 LARRY SHACKELFORD - 146,822 BIRCH WRIGHT - $50,557 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 DEPARTMENT OF FINANCE AUTHORITY 710503641 04109FCB2 2019-09-26 30587237 CONSTRUCTION false false false A 25490000 0 115741408 0 0 0 859876 0 0 30010849 84881532 0 2016 true false true true B 2715000 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 374890 0 2021 false false false true A false false false false 0.0 false false true B false false false false 0.0 0.0 0.0 false false true C false false false false 0.0 false false true A false false false true false false false false true B false false false true false false false false true C false true false false false false false false true A true B true C true Schedule K, Part IV, Line 2c COLUMN A Issuer name: ARKANSAS DEVELOPMENT FINANCE AUTHORITY The calculation for computing no rebate due was performed on 01/14/2020 Schedule K, Part IV, Line 2c COLUMN B Issuer name: ARKANSAS DEVELOPMENT FINANCE AUTHORITY The calculation for computing no rebate due was performed on 12/27/2022 Form 990, Part VI, Line 15a & 15B PROCESS TO ESTABLISH COMPENSATION 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, Line 6 Classes of members or stockholders WASHINGTON REGIONAL MEDICAL SYSTEM IS THE SOLE MEMBER OF WASHINGTON REGIONAL MEDICAL CENTER. 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 ORGANIZATION'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 MEMBER'S AUDIT AND FINANCE COMMITTEE, WHICH IS COMPRISED OF THE MEMBER'S BOARD OF DIRECTORS, HELD IN NOVEMBER, 2024, 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, 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. 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, 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. Form 990, Part VIII, Line 2f Other Program Service Revenue OTHER - Total Revenue: 443043, Related or Exempt Function Revenue: 443043, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue RECYCLING - Total Revenue: 3143, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 3143; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO AFFILIATE - -54325000; EQUITY IN INVESTEES INCOME - 6747151; OTHER - -158601; WR REHABILITATION SERVICES 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 261611632 REHAB PARTNER AR 4860890 13585335 WRMC NORTH HILLS SURGERY CENTER 3271 WIMBERLY DRIVE FAYETTEVILLE AR 72703 710807771 AMBULATORY SURGERY CENTER AR 9625733 2979777 WRMC WRMC IC LLC 9601 BAPTIST HEALTH DRIVE LITTLE ROCK AR 72205 922296734 INSURANCE AR 349356 2035207 WRMC 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 MEDICORP 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710707450 PACE AR 501(c)(3) 10 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 DIALYSIS CENTER OF NORTHWEST ARKANSAS 107 E MONTE PAINTER DR FAYETTEVILLE AR 72703 432074310 RENAL DIALYSIS AR WRMC Related 2175738 5322396 false false 0.6 NWA PACE MANAGEMENT LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 812071226 SENIOR CARE AR WRMC Related -488293 1794671 false true 0.575 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 true false false false false false false false false true true false false false true false false false Washington Regional Medical Services K 785761 COST WASHINGTON REGIONAL MEDICAL FOUNDATION L 112752 COST WASHINGTON REGIONAL MEDICAL FOUNDATION P 412675 cost