2024-08-13T17:21:49+00:00 2023-09-30 440160260 Forvis Mazars LLP PO Box 3667 Little Rock AR 722033667 990 2022-10-01 710411459 White River Health System Inc WHIT 8706986520 1710 Harrison St Batesville AR 72501 Shawna Ives CFO 8706986520 2024-08-13 true Amber Sherrill P00748683 5013721040 2024-06-26 2022 2024-08-08 14:25:15Z Shawna Ives 1710 Harrison St Batesville AR 72501 287091152 false X WHITERIVERHEALTH.ORG/ X 1976 AR WRHS MISSION IS TO PROVIDE QUALITY HEALTHCARE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. 11 11 2374 100 0 0 13100331 1345206 275463982 281711684 1434446 1923547 1658341 2030661 291657100 287011098 27475 40011 0 0 153974516 161435483 0 0 0 141316308 135269102 295318299 296744596 -3661199 -9733498 249893967 238722448 67771985 65993176 182121982 172729272 WRHS MISSION IS TO PROVIDE QUALITY HEALTHCARE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. WRHS VISION IS TO PROVIDE AN ENVIRONMENT WHERE PATIENTS CHOOSE TO RECEIVE CARE, EMPLOYEES DESIRE TO WORK, PHYSICIANS WANT TO PRACTICE, AND FAMILIES AND VISITORS FEEL WELCOME. false false 247791174 40011 281711684 WHITE RIVER HEALTH SYSTEM, INC. IS A MULTIDIMENSIONAL PROVIDER OF HEALTHCARE SERVICES PRIMARILY TO THE RESIDENTS OF NORTH CENTRAL ARKANSAS. THE NOT-FOR-PROFIT ORGANIZATION OPERATES TWO HOSPITALS; WHITE RIVER MEDICAL CENTER WHICH IS AN ACUTE CARE HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE TO THE RESIDENT OF INDEPENDENCE COUNTY AND SURROUNDING AREAS AND STONE COUNTY MEDICAL CENTER WHICH IS A CRITICAL ACCESS HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF STONE COUNTY AND SURROUNDING AREAS. THE SYSTEM ALSO INCLUDES OUTPATIENT FACILITIES, PRIMARY CARE AND SPECIALTY PHYSICIAN OFFICES, MEDICAL OFFICE BUILDINGS, AND WHITE RIVER HEALTH SYSTEM FOUNDATION, INC., WHICH PROVIDES SUPPORT FOR FURTHERING THE PURPOSE AND PROMOTING THE ACTIVITIES OF THE SYSTEM. 247791174 true true false true false false false false true true false false true 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 131 0 true 2374 true false false false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true true true true X Shawna Ives 8702626100 1710 Harrison St Batesville AR 72501 Jeff Showalter Secretary 1.0 0.0 X X 0 0 0 Kevin Rose Chairman 1.0 0.0 X X 0 0 0 Philip Brissey Secretary 1.0 0.0 X X 0 0 0 Randy Cross Vice Chairman 1.0 0.0 X X 0 0 0 Jason Taylor Director 1.0 0.0 X 0 0 0 Paula Terrell Director 1.0 0.0 X 0 0 0 Rick Elumbaugh Director 1.0 0.0 X 0 0 0 Robert Mcintire Director 1.0 0.0 X 0 0 0 Steve Bryant Director 1.0 0.0 X 0 0 0 Steve Case Director 1.0 0.0 X 0 0 0 Tina Wheelis Director 1.0 0.0 X 0 0 0 Chris Steel IP Chief Medical Officer 40.0 0.0 X 263843 0 0 Gary Paxson President, CEO 40.0 0.0 X 599723 0 20804 Jeff Angel OP Chief Medical Officer 40.0 0.0 X 829118 0 14960 Jeff Reifsteck EVP Chief Information Officer 40.0 0.0 X 215760 0 13742 Jennifer Sandage EVP Chief Nursing Officer 40.0 0.0 X 225941 0 16092 Joseph Smotherman EVP CSO/COO 40.0 0.0 X 256278 0 18551 Kathy Thomas EVP SCMC 40.0 0.0 X 173611 0 11208 Lindsey Castleberry EVP HR/Legal Counsel 40.0 0.0 X 274842 0 16702 Robert Wright EVP Physician Services 40.0 0.0 X 238111 0 12225 Shawna Ives EVP CFO 40.0 0.0 X 271474 0 13749 Charles Varela Physician 40.0 0.0 X 963051 0 10794 Dylan Carpenter Physician 40.0 0.0 X 1207666 0 17169 Mahesh A Narayanan Physician 40.0 0.0 X 1264125 0 3130 Shalhla Naoman Physician 40.0 0.0 X 759050 0 15415 Wesley Greer Physician 40.0 0.0 X 933833 0 17592 8476426 0 202133 206 false true false Independence Emergency Physicians PLLC 2417 Sea Island Jonesboro AR 72404 Physician 7767662 North Arkansas Pain Management 108 N Shackleford Road Little Rock AR 72211 Physician 3605696 Wil-Bry Construction 1300 Bethesda Road Batesville AR 72501 Construction 1416616 John Taylor III MD 29 Belles Fleurs Circle Little Rock AR 72223 Physician 549993 Batesville Cardiology PA 29 Plantation Park Road Bluffton SC 29910 Physician 427500 36 496477 488444 360285 1345206 PATIENT SERVICE REVENUE 621110 271142609 271142609 PHARMACY 340B REVENUE 531120 7574580 7574580 INCENTIVE REVENUE 621110 1668571 1668571 Medical Office Building Rent 621110 865782 865782 INCOME FROM WRHS CIN, LLC 621110 191801 191801 268341 268341 0 0 281711684 1929687 1929687 120974 120974 0 120974 120974 73914 80054 0 -6140 -6140 -6140 Dietary & Food Revenue 900099 1897473 1897473 LAUNDRY 900099 12214 12214 0 0 0 0 1909687 287011098 281711684 0 3954208 X 36092 36092 3919 3919 3545091 3545091 124319233 100471375 23847858 2881952 2329114 552838 22518475 18198810 4319665 8170732 6603360 1567372 4029 3256 773 156273 126296 29977 299145 241761 57384 33997990 27476238 6521752 0 439720 355370 84350 1941224 1568844 372380 4930012 3984300 945712 321670 259965 61705 326075 263525 62550 1160276 937703 222573 10860869 8777455 2083414 2225225 1798365 426860 DRUGS & MEDICAL SUPPLIES 56445190 56445190 REPAIRS & MAINTENANCE 10972092 8867342 2104750 TAXES, FEES & LICENSES 4745502 3835184 910318 FOOD 2720037 2198259 521778 3723773 3009451 714322 0 296744596 247791174 48953422 0 7085466 3342400 30533956 23984848 0 0 34589719 32928334 0 0 0 0 0 0 6286163 6541683 2260429 2452722 302498252 203024815 101988906 99473437 35820238 37101307 0 1414938 1586757 0 963969 29914152 30346991 249893967 238722448 23686080 26918144 0 0 0 0 26634243 22258048 0 0 0 0 9897537 8799647 0 0 7554125 8017337 67771985 65993176 X 182121982 172729272 0 0 0 0 0 0 0 0 182121982 172729272 249893967 238722448 -9733498 340788 0 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 17809 17809 false Schedule C, Part II-B, Line 1i WRHS PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION, 27.29% RELATED TO LOBBYING OF $7,337. WRHS PAID DUES TO THE ARKANSAS HOSPITAL ASSOCIATION, 16.50% RELATED TO LOBBYING OF $10,472. THIS COMES TO A TOTAL OF $17,809 DUES RELATED TO LOBBYING. 113337 0 12611 0 0 0 125948 106554 35445 -28662 0 0 0 113337 93709 8000 4845 0 0 0 106554 71583 20000 2126 0 0 0 93709 76856 0 -5273 0 0 0 71583 0.0 0.6148 0.3852 false true true 0 3797668 3797668 0 156093254 88044317 68048937 0 9275277 2440853 6834424 0 123412848 108008661 15404187 0 9919205 4530984 5388221 99473437 Intercompany Receivables 9466043 Funds Held By Trustee 3370909 Other Assets 3242321 Amounts Due From Third Parties 5946015 Internally Designated Funds 1402640 ROU ASSET 6919063 30346991 ROU- LIABILITY 8017337 8017337 287160085 340788 0 340788 286819297 191801 191801 287011098 296741878 0 0 296741878 2718 2718 296744596 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements REVENUE FROM WRHS CIN - 191801 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements WRHS CIN EXPENSES - 2718 true true X true X true X true true false false 1317665 1317665 0.0044 25668372 25976745 0 0.0 0 0.0 0 0 26986037 25976745 1317665 0.0044 0 0.0 4655001 3263569 1391432 0.0047 5592327 2972883 2619444 0.0088 0 0.0 0 0.0 0 0 10247328 6236452 4010876 0.0135 0 0 37233365 32213197 5328541 0.0180 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 1354178 73764677 67750727 6013950 X true true 2 1 WHITE RIVER MEDICAL CENTER 1710 HARRISON ST BATESVILLE AR 72501 WWW.WHITERIVERHEALTH.ORG 418 X X X A 2 STONE COUNTY MEDICAL CENTER 2106 EAST MAIN STREET MOUNTAIN VIEW AR 72560 WWW.WHITERIVERHEALTH.ORG AR5036 X X X X A A 2 false false true X X X X X X X X X 21 true true false true X WHITERIVERHEALTH.ORG/CORPORATE-COMPLIANCE#COMMUNITYHEALTH true 21 true WHITERIVERHEALTH.ORG/CORPORATE-COMPLIANCE#COMMUNITYHEALTH false true X 150.0 300.0 X X X X X X true true X X X true X HTTPS://WHITERIVERHEALTH.ORG/PAY-MY-BILL#FINANCEASSISTANCE X HTTPS://WHITERIVERHEALTH.ORG/PAY-MY-BILL#FINANCEASSISTANCE X HTTPS://WHITERIVERHEALTH.ORG/PAY-MY-BILL#FINANCEASSISTANCE X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - WHITE RIVER. THE WRHS CHNA UTILIZED THE FOLLOWING SOURCES TO DEVELOP THE PROCESS FOR THE CHNA AND TO GATHER THE NEEDED DATA: 1) COMMUNITY SURVEY MADE AVAILABLE ONLINE AND PROMOTED VIA EMAIL AND SOCIAL MEDIA 2) COUNTY LEVEL CENSUS DATA 3) 2021 COUNTY HEALTH RANKINGS FROM THE BUILDING A CULTURE OF HEALTH REPORT BY THE ROBERT WOOD JOHNSON FOUNDATION THE CHNA TEAM EMAILED SURVEY LINKS TO COMMUNITY STAKEHOLDERS, ORGANIZATIONS WHO REPRESENT MEDICALLY UNDERSERVED RESIDENTS, MINORITY GROUPS AND LOW-INCOME RESIDENTS, AND WHITE RIVER HEALTH BOARD OF DIRECTORS, PHYSICIANS AND EMPLOYEES. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - WHITE RIVER. WHITE RIVER MEDICAL CENTER AND STONE COUNTY MEDICAL CENTER Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - . AFTER COLLECTING AND ANALYZING THE DEMOGRAPHIC, QUALITATIVE AND QUANTITATIVE HEALTH RELATED DATA FROM COUNTY HEALTH RANKINGS AND ONLINE SURVEY DATA; THE FOLLOWING CATEGORIES OF HEALTH NEEDS WERE IDENTIFIED: 1. ADDRESS BARRIERS TO HEALTHCARE HIGH COST OF OFFICE VISIT: - EDUCATE THE PUBLIC ABOUT WELLNESS SERVICES OFFERED BY INSURANCE PLANS WITH LOW OR NO CO-PAY AND DEDUCTIBLE. EDUCATE THE PUBLIC ABOUT SLIDING FEE SCHEDULE SERVICES, AND ENSURE ELIGIBLE PATIENTS ARE ENROLLED IN THE APPROPRIATE ASSISTANCE PROGRAMS. - WORK COLLABORATIVELY WITH INSURERS TO PROMOTE INCENTIVES TO PATIENTS FOR UTILIZATION OF WELLNESS BENEFITS AND SCREENINGS TO IMPROVE HEALTH, AND COST EFFECTIVELY MANAGE CHRONIC CONDITIONS - PROMOTE WRH FINANCIAL ASSISTANCE PROGRAMS THROUGH PUBLIC EDUCATION TO ENSURE QUALIFIED PATIENTS RECEIVE ASSISTANCE - WRH FOUNDATION RIBBONS OF HOPE AND PATIENT ASSISTANCE FUND PROVIDE DIRECT TO PATIENT FINANCIAL ASSISTANCE TO QUALIFIED PATIENTS FOR EXPENSES RELATED TO MEDICAL CARE NOT COVERED BY HEALTH INSURANCE HIGH COST OF MEDICATIONS: - ENCOURAGE PROVIDERS TO LOOK FOR AND USE LOW-COST GENERIC DRUGS WHEN APPROPRIATE. - EDUCATE CLINIC STAFF AND PATIENTS IN THE PROCESSES TO TAKE ADVANTAGE OF DRUG MANUFACTURER PROGRAMS FOR PATIENT WHO CANNOT AFFORD MEDICATIONS. - UTILIZE CLINICAL PHARMACISTS TO CONDUCT MEDICATION RECONCILIATION FOR PATIENTS TO ENSURE MEDICATIONS ARE APPROPRIATELY PRESCRIBED TO PATIENTS WHO ARE TREATED BY MORE THAN ONE PROVIDER AND USE MEDICATION TO MANAGE MULTIPLE CHRONIC HEALTH CONDITIONS ACCESS TO PRIMARY CARE PROVIDER: - WORK WITH LOCAL SCHOOL DISTRICTS TO OFFERS SERVICES OF APRN PROVIDERS VIA TELEMEDICINE DURING SCHOOL HOURS. - CONTINUE TO SUPPORT GRADUATE MEDICAL EDUCATION PROGRAMS IN INTERNAL MEDICINE AND FAMILY MEDICINE. - PROVIDE CLINICAL TRAINING OPPORTUNITIES FOR CANDIDATES OF MASTER'S IN NURSING PROGRAMS. - CONTINUE TO EVALUATE SERVICE AREA COMMUNITY FOR NEED AND POTENTIAL PRIMARY CARE CLINICS; EVALUATE MARKETS FOR RURAL HEALTH CLINICS. - REOPENED NEWARK MEDICAL CLINIC IN 2021 2. ADDRESS MENTAL HEALTH NEEDS SURVEY RESPONDENTS REPORT MENTAL HEALTH DECLINED DURING PANDEMIC: - UTILIZE LICENSED CLINICAL SOCIAL WORKERS IN WRH PRIMARY CARE CLINICS FOR DEPRESSION AND ANXIETY SCREENINGS AND CONFIDENTIAL COUNSELING AS NEEDED TO PATIENTS. - RECRUIT AND TRAIN MENTAL HEALTH ADVOCATES AS A RESOURCE FOR ORGANIZATION EMPLOYEE STRUGGLING WITH WORK AND FAMILY STRESS. - ACTIVELY RECRUIT PSYCHIATRISTS AND MENTAL HEALTH PROFESSIONALS. - PROVIDE CLINICAL TRAINING OPPORTUNITIES TO PSYCHIATRY RESIDENTS. 3. ADDRESS PHYSICAL HEALTH NEEDS SURVEY RESPONDENTS REPORT PHYSICAL HEALTH DECLINED DURING PANDEMIC: - COLLABORATE WITH BATESVILLE COMMUNITY AND AQUATICS CENTER TO SUPPORT AND SPONSOR EVENTS AND PROGRAMS PROMOTING PHYSICAL ACTIVITY. - WRH CARE COORDINATORS IDENTIFY GAPS, EDUCATE, AND SUPPORT PATIENTS INCLUDING FACILITATING REFERRALS TO SPECIALISTS AND DIAGNOSTIC PROCEDURES AS NEEDED. - UTILIZE SOCIAL MEDIA TO INCREASE AWARENESS OF AND ENCOURAGE HEALTH LIFESTYLE CHOICES AND PHYSICAL ACTIVITY. - USING FUNDING FROM A HEALTH AND HUMAN SERVICES ADMINISTRATION GRANT, IMPLEMENT A PROGRAM OF SCREENINGS, DIAGNOSTIC TESTS, TREATMENT, AND FOLLOW-UP CARE TO ADDRESS CANCER, DIABETES, MENTAL HEALTH, AND VACCINATIONS FOR MEDICALLY UNDERSERVED RESIDENTS IN THE WRH SERVICE AREA. INCIDENTS OF OBESITY/NEED FOR WEIGHT MANAGEMENT: - WRH COMMUNITY ENGAGEMENT DIVISION DEVELOPS AND SUPPORTS HEALTHY LIVING AND PHYSICAL ACTIVITY THROUGH EVENTS IN CLEBURNE, INDEPENDENCE, SHARP, AND STONE COUNTIES MATERNAL/INFANT MORTALITY: - UTILIZE THE SERVICES OF MATERNITY NURSE NAVIGATOR TO PROVIDE EDUCATION, SUPPORT, CARE COORDINATION, AND REFERRALS TO SPECIAL SERVICES AS NEEDED. CANCER RELATED ILLNESSES: - UTILIZE THE SERVICES OF ONCOLOGY NURSE NAVIGATOR TO PROVIDE CARE COORDINATION, EDUCATION, AND SUPPORT TO PATIENTS DURING CANCER TREATMENT. THE ONCOLOGY NURSE NAVIGATOR ALSO OFFERS SUPPORT AND CARE COORDINATOR FOR CANCER SURVIVORS AND THEIR FAMILIES. -UPGRADE DIAGNOSTIC IMAGING USED IN CANCER DETECTION AND EXPAND CANCER TREATMENT SERVICES. REDUCE NUMBER OF PREVENTABLE HOSPITALIZATIONS: - HEALTH COACHES REINFORCE HEALTH EDUCATION AND WORK WITH PRIMARY CARE TEAMS TO CONNECT PATIENTS WITH COMMUNITY AND HEALTHCARE RESOURCES TO PREVENT UNINTENDED HOSPITAL READMISSIONS. 4. ADDRESS SUBSTANCE ABUSE TREATMENT NEEDS ACUTE SUBSTANCE ABUSE: - VOLUNTARY INPATIENT DETOXIFICATION SERVICES AT WHITE RIVER MEDICAL CENTER. - WRH EMERGENCY DEPARTMENTS PARTICIPATION IN THE ARKANSAS NALOXHOME INITIATIVE. SUBSTANCE ABUSE TREATMENT AND PREVENTION: - OFFER MEDICATION ASSISTED SUBSTANCE ABUSE TREATMENT BY SUBOXONE CERTIFIED PROVIDERS AT WRH BEHAVIORAL HEALTH AND AT WRH FAMILY CARE. - UTILIZE CARE COORDINATOR FOR SCREENINGS RELATED TO SUBSTANCE ABUSE AND TO FACILITATE REFERRALS FOR THE APPROPRIATE HEALTHCARE SERVICES TO TREAT UNDERLYING HEALTH CONDITION LEADING TO SUBSTANCE ABUSE. - EXPAND THE USE OF INTERVENTIONAL PAIN MANAGEMENT PROCEDURES TO LESSEN USE OF ORAL NARCOTIC MEDICATIONS TO TREAT CHRONIC PAIN. - USE PRE-OPERATIVE SCREENING, TESTING, AND EDUCATION TO EVALUATE PATIENTS SURGICAL PAIN MANAGEMENT NEEDS AND UTILIZE PAIN MANAGEMENT STRATEGIES THAT MINIMIZE THE NEED FOR NARCOTIC MEDICATIONS TO MANAGE POST OPERATIVE PAIN. 5. ADDRESS HEALTH EDUCATION NEEDS UNDERSTANDING CHRONIC CONDITIONS: - DEVELOP SOCIAL MEDIA STRATEGY OF REGULAR POSTS SHARED FROM NATIONAL INSTITUTES OF HEALTH AND OTHER HEALTHCARE ORGANIZATIONS ABOUT MANAGING CHRONIC ILLNESS. - FEATURE WRH PHYSICIANS IN VIDEOS RELATED TO MANAGING CHRONIC HEALTH CONDITIONS AND EVERYDAY HEALTH. VIDEOS ARE PUBLISHED ON SOCIAL MEDIA AND WRH WEBSITE. - CLINIC CARE COORDINATORS, PRIMARY CARE PROVIDERS, AND INPATIENT CASE MANAGERS PROVIDE CHRONIC CONDITION HEALTH EDUCATION IN-PERSON, BY PHONE, AND TELEMEDICINE AS NEEDED. - LYON COLLEGE PRE-PROFESSIONAL STUDENTS ASSIGNED BY WRH HEALTH COACH PROGRAM REINFORCE CLINICAL EDUCATION AND HELP CONNECT PATIENTS TO SERVICES THAT ASSIST PATIENT WITH MANAGING CHRONIC CONDITIONS. UNDERSTANDING TREATMENT PLANS: - CLINIC CARE COORDINATORS AND WRH PROVIDERS UTILIZE TOOLS LIKE MOTIVATIONAL INTERVIEWING TO IMPROVE METHODS OF COMMUNICATION TO ENSURE A PATIENT'S UNDERSTANDING OF THEIR TREATMENT PLANS. - CLINIC CARE COORDINATORS AND NURSING TEAM MEMBERS FOLLOW UP WITH PATIENTS POST VISITS TO FURTHER DISCUSS TREATMENT PLANS AND ANSWER PATIENT QUESTIONS UNDERSTANDING MEDICATIONS: - WRH PROVIDERS UTILIZE EDUCATIONAL TOOLS TO SHARE WITH PATIENT INFORMATION REGARDING MEDICATION MANAGEMENT. - WRH PHARMACISTS AND COMMUNITY PHARMACISTS WORK TOGETHER TO MEET PATIENTS MEDICATION NEEDS AS APPLICABLE. - PRIMARY CARE CLINICS OFFER 24/7 ACCESS TO A NURSE ON CALL TO ASSIST WITH AFTER-HOURS QUESTIONS. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - . IN THE FOLLOWING SITUATIONS (KNOWN AS PRESUMPTIVE FINANCIAL ASSISTANCE), A PATIENT IS DEEMED TO BE ELIGIBLE FOR 100% REDUCTION OF CHARGES: - IF PATIENT IS CURRENTLY ELIGIBLE FOR FULL MEDICAID BENEFITS, BUT WAS NOT ELIBIBLE ON A PRIOR DATE OF SERVICE. THE FACILITY WILL APPLY OUR FINANCIAL ASSISTANCE POLICY RETROACTIVELY FOR THE PREVIOUS THREE(3) MONTHS. - IF PATIENT STATES (S)HE IS HOMELESS AND WRHS, THROUGH OUR OWN DILIGENCE, DOES NOT FIND EVIDENCE OF THE CONTRARY. - IF PATIENT IS MENTALLY OR PHYSICALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS/HER BEHALF. - IF PATIENT IS CURRENTLY A RESIDENT OF A NURSING HOME FACILITY AND THE FACILITY IS ABLE TO PROVIDE ON A LETTERHEAD STATING PATIENT IS A RESIDENTON A FIXED INCOME WITH A PROVIDED MEDICAID NUMBER. - IN THE EVENT OF A PATIENT'S DEATH, THE FAMILY OF THE DECEASED PATIENT WILL BE ELIGIBLE FOR OUR PRESUMPTIVE CHARITY DISCOUNT BY PRESENTING A COPY OF THE PATIENT'S DEATH CERTIFICATE. ONCE COLLECTION EFFORTS HAVE BEEN MET, THE REMAINING BALANCE WILL QUALIFY FOR PRESUMPTIVE CHARITY. 40 SOUTHSIDE FAMILY CARE 1217 BATESVILLE BOULEVARD BATESVILLE AR 72501 FAMILY MEDICINE BATESVILLE FAMILY CARE 1215 SIDNEY STREET SUITE 300 BATESVILLE AR 72501 FAMILY MEDICINE CAVE CITY FAMILY CARE 301 SOUTH MAIN STREET CAVE CITY AR 82521 FAMILY MEDICINE DRASCO FAMILY CARE 60 GREERS FERRY ROAD DRASCO AR 72530 FAMILY MEDICINE HARRISON STREET INTERNAL MEDICINE 3443 HARRISON STREET BATESVILLE AR 72501 FAMILY MEDICINE MELBOURNE FAMILY AND SPECIALTY CARE 1526 EAST MAIN STREET MELBOURNE AR 72556 FAMILY MEDICINE MIDWAY MEDICAL CLINIC SUITE A 195 HOSPITAL DRIVE CHEROKEE VILLAGE AR 72529 FAMILY MEDICINE MIDWAY MEDICAL CLINIC SUITE B 195 HOSPITAL DRIVE CHEROKEE VILLAGE AR 72529 FAMILY MEDICINE NEWARK MEDICAL CLINIC 501 VINE STREET NEWARK AR 72562 FAMILY MEDICINE NEWPORT FAMILY AND SPECIALTY CARE 2200 MALCOLM AVENUE SUITE B NEWPORT AR 72112 FAMILY MEDICINE PLEASANT PLAINS FAMILY CARE 6200 BATESVILLE BOULEVARD PLEASANT PLAINS AR 72568 FAMILY MEDICINE STONE COUNTY FAMILY AND SPECIALTY CARE 105 CASE COMMONS DRIVE MOUNTAIN VIEW AR 72560 FAMILY MEDICINE STONE COUNTY FAMILY CARE 2202 EAST MAIN STREET MOUNTAIN VIEW AR 72560 FAMILY MEDICINE STRAWBERRY FAMILY CARE 58 EAST RIVER DRIVE STRAWBERRY AR 72469 FAMILY MEDICINE SUGARLOAF FAMILY CARE 521 WILBURN ROAD HEBER SPRINGS AR 72543 FAMILY MEDICINE WRMC FAMILY PRACTICE CLINIC 409 VIRGINIA DRIVE BATESVILLE AR 72501 FAMILY MEDICINE BATESVILLE BEHAVIORAL HEALTH 2230 HARRISON STREET BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE BREAST CANCER 525 VIRGINIA DRIVE BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE CANCER CENTER 525 VIRGINIA DRIVE BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE CARDIOLOGY 1699 HARRISON STREET SUITE D BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE ENT 1700 HARRISON STREET SUITE H BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE INTERNAL MEDICINE 3443 HARRISON STREET BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE NEUROLOGY 1699 HARRISON ST SUITE D BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE ONCOLOGY 1710 HARRISON STREET BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE ORTHOPAEDICS AND SPORTS MED 501 VIRGINIA DR SUITE C BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE PAIN MANAGEMENT 1700 HARRISON STREET SUITE T BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE PEDIATRICS 1700 HARRISON STREET SUITE N BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE PULMONOLOGY 1215 SIDNEY STREET BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE RHEUMATOLOGY 12 HOSPITAL CIRCLE BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE SLEEP CENTER 1699 HARRISON STREET BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE SURGICAL CLINIC 501 VIRGINIA DRIVE SUITE A BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE WOMEN'S CLINIC 1215 SIDNEY STREET SUITE 202 BATESVILLE AR 72501 SPECIALTY CLINIC BATESVILLE WOUND CARE 1701 HARRISON STREET BATESVILLE AR 72501 SPECIALTY CLINIC CHEROKEE VILLAGE SPECIALTY CARE 195 HOSPITAL DRIVE SUITE C CHEROKEE VILLAGE AR 72529 SPECIALTY CLINIC HARRISON STREET INTERNAL MEDICINE 3443 HARRISON STREET BATESVILLE AR 72501 SPECIALTY CLINIC MTN VIEW ORTHOHAND SURGERY AND SPORT M 2110 EAST MAIN STREET MOUNTAIN VIEW AR 72560 SPECIALTY CLINIC MOUNTAIN VIEW PAIN MANAGEMENT 105 CASE COMMONS DRIVE MOUNTAIN VIEW AR 72560 SPECIALTY CLINIC NEWPORT FAMILY AND SPECIALTY CARE 2200 MALCOLM AVENUE NEWPORT AR 72112 SPECIALTY CLINIC WHITE RIVER CARDIOLOGY CLINIC 3443 HARRISON STREET BATESVILLE AR 72501 SPECIALTY CLINIC CHEROKEE VILLAGE EMERGENCY ROOM 195 HOSPITAL DRIVE SUITE C CHEROKEE VILLAGE AR 72529 SPECIALTY CLINIC Schedule H, Part I, Line 3c A PATIENT WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE IF THE PATIENT HAS LIMITED OR NO HEALTH INSURANCE OR APPLIES FOR BUT IS DEEMED INELIGIBLE FOR GOVERNMENT MEDICAL ASSISTANCE. IN ADDITION, A PATIENT MAY BE ELIGIBLE IN THE EVENT THE ORGANIZATION, IN ITS DISCRETION, DEEMS SUCH ELIGIBILITY APPROPRIATE UNDER A PATIENT'S UNIQUE CIRCUMSTANCES, INCLUDING POTENTIAL MEDICAL HARDSHIP. CONSIDERATION MAY BE GIVEN TO THE EXISTENCE OF SUBSTANTIAL MEDICAL DEBT AND ADDITIONAL DOCUMENTATION REGARDING ASSETS AND LIVING EXPENSES MAY BE REQUESTED Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO COLLECT ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND AS SUCH ARE RECORDED AS A DEDUCTION FROM GROSS PATIENT REVENUE. THE HOSPITAL INTERNALLY TRACTS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEUDLE H, PART III, SECTION A, LINE 2. Schedule H, Part III, Line 3 Bad Debt Expense Methodology MEDICARE BASED REASONABLE COST METHODOLOGY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PLEASE SEE ATTACHED AUDIT REPORT NOTE 2 Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE COST TO CHARGE RATIO. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ACCOUNTS THAT HAVE BEEN PLACED WITH A THIRD-PARTY COLLECTION AGENCY ARE ELIGIBLE FOR BENEFITS PROVIDED REQUIRING THEY MEET APPROPRIATE SET GUIDELINES. IF APPROVED, THE ACCOUNT WILL REMAIN WITH THE COLLECTION AGENCY BUT WILL RECEIVE THE APPROVED FINANCIAL ASSISTANCE REDUCTION. ALL ACCOUNTS PLACE WITH A THIRD-PARTY COLLECTION AGENCY ARE ELIGIBLE FOR A 35% SETTLEMENT DISCOUNT, UPON REQUEST VIA PATIENT OR REPRESENTATIVE, IF PAID IN FULL. Schedule H, Part V, Section B, Line 16a FAP website A - WHITE RIVER MEDICAL CENTER: Line 16a URL: HTTPS://WHITERIVERHEALTH.ORG/PAY-MY-BILL#FINANCEASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website A - WHITE RIVER MEDICAL CENTER: Line 16b URL: HTTPS://WHITERIVERHEALTH.ORG/PAY-MY-BILL#FINANCEASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - WHITE RIVER MEDICAL CENTER: Line 16c URL: HTTPS://WHITERIVERHEALTH.ORG/PAY-MY-BILL#FINANCEASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment WRHS PROVIDES FREE PREVENTATIVE SCREENINGS TO THE COMMUNITY AND OTHER COMMUNITY OUTREACH PROGRAMS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE ORGANIZATION WILL COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ITS PATIENTS AND THE GENERAL PUBLIC THROUGH MEASURES THAT INCLUDE PROVIDING OR POSTING COPIES OF THIS POLICY, SUMMARIES THEREOF (IF MORE CONDUCIVE TO PATIENT UNDERSTANDING), APPROPRIATE SIGNAGE AND/OR BROCHURES ON THE ORGANIZATION'S WEBSITE; IN THE PATIENT REGISTRATION AREAS; IN THE PATIENT FINANCIAL ADVOCACY DEPARTMENTS; IN OTHER WAITING AREAS THROUGHOUT THE ORGANIZATION'S PREMISES (AS MAY BE REASONABLY WORKABLE AND APPROPRIATE); IN PATIENT INFORMATIONAL BINDERS; AND IN BILLS AND STATEMENTS SENT TO PATIENTS. PERTINENT MATERIALS WILL BE PROVIDED IN ENGLISH AND SPANISH, WHICH ARE THE LANGUAGES APPROPRIATE TO THE COMMUNITIES SERVED BY THE ORGANIZATION. OTHER LANGUAGES WILL BE ADDED AS NECESSARY IN THE EVENT OF CHANGES TO THE ORGANIZATION'S PATIENT POPULATION. ALL SUCH MATERIALS WILL INCLUDE PERTINENT CONTACT TELEPHONE NUMBERS AND/OR E-MAIL ADDRESSES TO PERMIT PATIENTS APPROPRIATE RESOURCES FOR COMPLETION OF THE APPLICATION AND ANSWERS TO ANY OTHER QUESTIONS THEY MAY HAVE ABOUT THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM. Schedule H, Part VI, Line 4 Community information WRHS IS A 501(C) (3) NONPROFIT, INTEGRATED HEALTH SYSTEM. THE ORGANIZATION INCLUDES: WRMC, AN ACUTE CARE HOSPITAL IN BATESVILLE; SCMC, A CRITICAL ACCESS HOSPITAL IN MOUNTAIN VIEW; A SATELLITE EMERGENCY DEPARTMENT IN CHEROKEE VILLAGE, RURAL HEALTH CLINICS (RHC), PRIMARY CARE AND SPECIALTY CLINICS, AND OUTPATIENT DIAGNOSTIC AND TREATMENT CENTERS THROUGHOUT NORTH CENTRAL ARKANSAS. WRHS EMPLOYS 62 PHYSICIANS, 51 MID-LEVEL PROVIDERS, AND 1,840 TOTAL EMPLOYEES. THE WRHS INTERNAL MEDICINE RESIDENCY ACHIEVED ACCREDITATION FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) AND IN 2018, ACHIEVED CONTINUED ACCREDITATION STATUS. THROUGH A COLLABORATIVE AGREEMENT WITH THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS), WHITE RIVER MEDICAL CENTER WILL SERVE AS A TRAINING SITE FOR UAMS FAMILY MEDICINE RESIDENTS. WRHS'S SERVICE AREA INCLUDES SIX (6) COUNTIES (CLEBURNE, INDEPENDENCE, IZARD, JACKSON, SHARP, AND STONE) IN NORTH CENTRAL ARKANSAS. WRHS'S EXTENDED SERVICE AREA AN ADDITIONAL FOUR (4) COUNTIES. THE HEALTHCARE NEEDS OF THE EXTENDED SERVICE AREA ARE ADDRESSED BY THE CHNA OF AREA HEALTHCARE PROVIDERS. LOCATED IN THE OZARK MOUNTAINS, MOST OF THE 3,751 SQUARE MILES OF THE SIX COUNTIES OF THE SERVICE AREA ARE RURAL WITH SMALL CITIES SCATTERED AMONG THE MOUNTAINS AND VALLEYS OF THE REGION. SMALL TO MEDIUM INDUSTRIES ARE IN THE CITY CENTERS; HOWEVER, AGRICULTURE AND TOURISM ARE THE PRIMARY ECONOMIC ENGINES IN THE REGION. ON AVERAGE, THERE ARE 32 PEOPLE PER SQUARE MILE IN THE SERVICE AREA. WITHIN THE SERVICE AREA 90% OF THE POPULATION IS WHITE, 3% IS AFRICAN AMERICAN, LESS THAN 1% IS ASIAN, 4% IS HISPANIC, AND 2% IS OTHER. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $39,124 AND 20% OF THE POPULATION IS LIVING BELOW THE POVERTY LEVEL. Schedule H, Part VI, Line 5 Promotion of community health WHITE RIVER HEALTH SYSTEM PRIORITIZED COMMUNITY INVOLVEMENT BY REACHING OUT TO OUR COMMUNITY TO SUPPORT COMMUNITY-BASED PROGRAMS THAT IMPROVE THE WELL-BEING OF THOSE WE SERVE. WE FOCUSED OUR EFFORTS ON EDUCATION, SCREENINGS, AND SPONSORSHIPS. AS WE LOOK TO THE FUTURE, WE WILL CONTINUE TO LOOK FOR WAYS TO SERVE OUR COMMUNITIES. IT IS OUR MISSION TO PROVIDE QUALITY HEALTHCARE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. PREVIOUSLY KNOWN AS RUN THE WAVE, WRMC HELD ITS ANNUAL 5K RUN/WALK. THE EVENT BROUGHT IN A RECORD 133 RUNNERS AND RAISED OVER $11,000 TO SUPPORT LOCAL SCHOOL FOOD PANTRIES. 133 PEOPLE MADE DONATIONS TO THE EVENT AS VIRTUAL PARTICIPANTS. IN FEBRUARY, EVERY BABY BORN AT WRMC RECEIVED A HAND-KNITTED RED HAT AS PART OF THE AMERICAN HEART ASSOCIATION'S (AHA) LITTLE HATS, BIG HEARTS CAMPAIGN. THE CAMPAIGN FUNCTIONS TO RAISE AWARENESS FOR HEART DISEASE AND PROMOTE HEART HEALTH. Schedule H, Part VI, Line 6 Affiliated health care system WHITE RIVER HEALTH SYSTEM, INC. ALONG WITH ITS SUBSIDIARIES (THE SYSTEM) IS A MULTIDIMENSIONAL PROVIDER OF HEALTHCARE SERVICES PRIMARILY TO THE RESIDENTS OF NORTH CENTRAL ARKANSAS. THE SYSTEM OPERATES TWO HOSPITALS: WHITE RIVER MEDICAL CENTER, WHICH IS AN ACUTE CARE HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE TO THE RESIDENTS OF INDEPENDENCE COUNTY AND SURROUNDING AREAS; AND STONE COUNTY MEDICAL CENTER, WHICH IS A CRITICAL ACCESS HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY SERVICES TO THE RESIDENTS OF STONE COUNTY AND SURROUNDING AREAS. THE SYSTEM ALSO INCLUDES OUTPATIENT FACILITIES, PRIMARY CARE AND SPECIALTY PHYSICIAN OFFICES, NORTH ARKANSAS CLINICS, INC., AND WHITE RIVER HEALTH SYSTEM FOUNDATION, INC. (THE FOUNDATION). NORTH ARKANSAS CLINICS, INC. IS A FOR-PROFIT WHOLLY OWNED SUBSIDIARY OF THE SYSTEM THAT HOLDS REAL ESTATE IN SUPPORT OF THE SYSTEM. THE SYSTEM IS THE SOLE MEMBER OF THE FOUNDATION WHOSE PURPOSE IS TO SOLICIT CONTRIBUTIONS FOR THE BENEFIT OF THE SYSTEM. false LYON COLLEGE 2300 HIGHLAND ROAD BATESVILLE AR 72501 710246213 501 (C) (3) 36092 0 N/A NONE ATHLETIC TRAINER SALARY 1 0 X X false false false false false false false true false Jeff Angel OP Chief Medical Officer 656375 0 172743 0 0 0 11380 0 3580 0 844078 0 0 0 Gary Paxson President, CEO 507723 0 92000 0 0 0 13200 0 7604 0 620527 0 0 0 Lindsey Castleberry EVP HR/Legal Counsel 229317 0 45525 0 0 0 11213 0 5489 0 291544 0 0 0 Shawna Ives EVP CFO 227036 0 44438 0 0 0 10970 0 2779 0 285223 0 0 0 Joseph Smotherman EVP CSO/COO 212879 0 43399 0 0 0 10570 0 7981 0 274829 0 0 0 Chris Steel IP Chief Medical Officer 263843 0 0 0 0 0 0 0 0 0 263843 0 0 0 Robert Wright EVP Physician Services 204227 0 33884 0 0 0 9628 0 2597 0 250336 0 0 0 Jennifer Sandage EVP Chief Nursing Officer 193949 0 31992 0 0 0 7682 0 8410 0 242033 0 0 0 Jeff Reifsteck EVP Chief Information Officer 183940 0 31820 0 0 0 8827 0 4915 0 229502 0 0 0 Kathy Thomas EVP SCMC 173232 0 379 0 0 0 7108 0 4100 0 184819 0 0 0 Mahesh A Narayanan Physician 777016 0 487109 0 0 0 0 0 3130 0 1267255 0 0 0 Dylan Carpenter Physician 651011 0 556655 0 0 0 12200 0 4969 0 1224835 0 0 0 Charles Varela Physician 638170 0 324881 0 0 0 8969 0 1825 0 973845 0 0 0 Wesley Greer Physician 606682 0 327151 0 0 0 8573 0 9019 0 951425 0 0 0 Shalhla Naoman Physician 545976 0 213074 0 0 0 9662 0 5753 0 774465 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments BONUSES TO OFFICERS ARE BASED ON MATRIXES AND A POLICY THAT IS APPROVED BY THE BOARD OF DIRECTORS. A CITY OF MOUNTAINVIEW AR PUBLIC FACILITIES BOARD 352242231 624308BF8 2017-03-27 4135759 HOSPITAL REVENUE REFUNDING BONDS false false false B CITY OF BATESVILLE AR PUBLIC FACILITIES BOARD 331078402 070668AJ7 2020-08-25 34840074 HOSPITAL REVENUE REFUNDING BONDS false false false A 3795000 4135759 82715 4053044 true false true true B 6865000 34840074 571717 34268357 true true true true A false false false false 0.0 false false false B false false false false 0.0 false false false A false false false true false false false false false B false true false false false false false false false A false B false Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE. IT IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL Form 990, Part VI, Line 12c Conflict of interest policy ANNUAL CONFLICT OF INTEREST POLICIES ARE SENT OUT TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES AND RESPONSES ARE RETURNED TO INDEPENDENT AUDITORS WHICH COMPILE A LIST OF CONFLICTS. THE CONFLICTS ARE PRESENTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS TO REVIEW. IF THERE IS A CONFLICT OF INTEREST, THE AFFECTED BOARD MEMBER DOES NOT VOTE. THE BOARD CHAIR WOULD ENSURE THAT THE POLICY IS ADHERED TO. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE ANNUAL COMPENSATION REVIEWS ARE PERFORMED BY THE BOARD IN JANUARY. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE ANNUAL COMPENSATION REVIEWS ARE PERFORMED BY THE BOARD IN JANUARY. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VIII, Line 2f Other Program Service Revenue - Total Revenue: 268341, Related or Exempt Function Revenue: 268341, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Physician Fees - Total Expense: 15675465, Program Service Expense: 12668478, Management and General Expenses: 3006987, Fundraising Expenses: 0; Professional Fees - Total Expense: 7976399, Program Service Expense: 6446306, Management and General Expenses: 1530093, Fundraising Expenses: 0; Collection Fees - Total Expense: 3226135, Program Service Expense: 2607273, Management and General Expenses: 618862, Fundraising Expenses: 0; Other Fees - Total Expense: 623918, Program Service Expense: 504234, Management and General Expenses: 119684, Fundraising Expenses: 0; Contract Labor - Total Expense: 4576280, Program Service Expense: 3698423, Management and General Expenses: 877857, Fundraising Expenses: 0; Consulting Fees - Total Expense: 969826, Program Service Expense: 783787, Management and General Expenses: 186039, Fundraising Expenses: 0; Lab Fees - Total Expense: 949967, Program Service Expense: 767737, Management and General Expenses: 182230, Fundraising Expenses: 0; WHITE RIVER HEALTH SYSTEM CIN LLC 1710 HARRISON ST BATESVILLE AR 72501 465609311 SUPPORT WRHS AR 191801 220119 WRHS WHITE RIVER HEALTH SYSTEM FOUNDATION 1710 HARRISON ST BATESVILLE AR 72501 710728911 SUPPORT WRHS AR 501(c)(3) Type I WRHS true NORTH ARKANSAS CLINIC PO BOX 2116 BATESVILLE AR 72501 710210496 RENT SPACE AR WRHS C Corporation 469510 2245224 1 true false false true false false false false false false false false false true true true false false false false WHITE RIVER HEALTH SYSTEM FOUNDATION C 496477 FMV