2024-10-24T12:31:49+00:00 2023-12-31 440160260 Forvis Mazars LLP PO Box 3667 Little Rock AR 722033667 990 2023-01-01 710664686 Washington RegIonal Medical System WASH 4794631120 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 DENNIS BURROWS VP & CAO 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 97888057 false X N/A X 1988 AR WASHINGTON REGIONAL MEDICAL SYSTEM (WRMS) PROVIDES MGT, STRATEGIC PLANNING AND FINANCIAL SUPPORT TO AND FOR WRMC, WR MEDICORP, WRM SERVICES, WRM FOUNDATION, AND ERH. 8 7 897 8 0 0 2162772 2448798 87137357 95376111 -159862 32193 0 89140267 97857102 0 0 118693926 122764094 0 0 23268388 31628269 141962314 154392363 -52822047 -56535261 47014301 43629806 37719654 34470420 9294647 9159386 X WASHINGTON REGIONAL MEDICAL SYSTEM (WRMS) PROVIDES MGT, STRATEGIC PLANNING AND FINANCIAL SUPPORT TO AND FOR WRMC, WR MEDICORP, WRM SERVICES, WRM FOUNDATION, AND EUREKA REGIONAL HEALTH. IN ADDITION, VARIOUS MEMBERS OF MANAGEMENT SERVE IN SUPERVISORY ROLES FOR SUBSIDIARY ENTITIIES. THROUGH OVERSIGHT OF THE BOARD OF DIRECTORS AND THE GUIDANCE OF VARIOUS MEMBERS OF MANAGEMENT, WRMS PROVIDES SERVICES FOR THESE SUBSIDIARY COMPANIES TO UTILIZE IN ORDER TO ACCOMPLISH THEIR TAX-EXEMPT PURPOSE OF PROVIDING HEALTHCARE TO RESIDENTS OF THE NORTHWEST ARKANSAS AREA. IN ADDITION, WRMS OPERATES PHYSICIAN CLINICS PROVIDING PRIMARY CARE, SPECIALTY CARE, AND HOSPITAL-BASED CARE, E.G. HOSPITALISTS AND EMERGENCY CARE. false false 89371077 50594236 TWENTY SIX SPECIALTY CLINICS EMPLOY 77 PHYSICIANS AND 63 APN'S/PA'S FOCUSED ON SENIOR HEALTH, NEUROSURGERY, PAIN MANAGEMENT, UROLOGY, RADIOLOGY SERVICES, INTERNAL MEDICINE, AND CARDIAC SERVICES. THESE CLINICS PROVIDED SERVICES OF 834,222 RELATIVE VALUE UNITS IN 2023. PATIENTS RECEIVE TREATMENT REGARDLESS OF ABILITY TO PAY. 19737532 10995206 TWO DIAGNOSTIC CLINICS EMPLOY 39 PHYSICIANS AND 11 APN'S/PA'S. THESE CLINICS PROVIDED SERVICES OF 258,983 RELATIVE VALUE UNITS IN 2023. PATIENTS RECEIVE TREATMENT REGARDLESS OF ABILITY TO PAY. 13539936 7760978 SEVEN FAMILY MEDICAL CLINICS EMPLOY 18 PHYSICIANS AND 7 APN'S/PA'S FOCUSED ON GENERAL HEALTH CARE NEEDS PROVIDING SERVICES OF 100,507 RELATIVE VALUE UNITS IN 2023. PATIENTS RECEIVE TREATMENT REGARDLESS OF ABILITY TO PAY. 14196254 26025691 FOUR WOMEN'S CLINCS, A NEONTOLOGY GROUP AND PEDIATRIC HOSPITALISTS GROUP EMPLOY 15 PHYSICIANS AND 2 APN/PA FOCUSED ON WOMEN'S AND INFANT'S HEALTH PROVIDING SERVICES OF 95,620 RELATIVE VALUE UNITS IN 2023. PATIENTS RECEIVE TREATMENT REGARDLESS OF ABILITY TO PAY. 14196254 26025691 136844799 true false false false false false false false false true false false true true 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 16 0 true 897 true false false false false false false false false false false false false X 8 7 false false false false true true false 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 GREG W LEE CHAIRMAN 1.0 2.0 X X 0 0 0 M GARETH ECK VICE CHAIR 1.0 41.0 X X 0 88860 16036 ANNE O'LEARY-KELLY DIRECTOR 1.0 2.0 X 0 0 0 BROCK GEARHART DIRECTOR 1.0 2.0 X 0 0 0 LUCAS CAMPBELL DIRECTOR 1.0 2.0 X 0 0 0 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 DANIEL ECKELS OUTGOING CFO 1.0 42.0 X 0 484729 39841 DENNIS BURROWS VP & CHIEF ACCOUNTING OFFICER 1.0 43.0 X 0 162091 20576 LARRY SHACKELFORD PRESIDENT & CEO 1.0 43.0 X 0 913130 29534 THOMAS OLMSTEAD SVP & GENERAL COUNSEL 1.0 43.0 X 0 510998 32244 PAULA WORKMAN VP CLINICAL OPERATIONS 40.0 0 X 189352 0 26734 BORIS BOGOMILOV PHYSICIAN 20.0 20.0 X 1774218 0 34909 BRANDON CHISM PHYSICIAN 20.0 20.0 X 1520043 0 33001 LARRY ARMSTRONG PHYSICIAN 20.0 20.0 X 1704912 0 26986 SEAN SENTER PHYSICIAN 20.0 20.0 X 1839065 0 29777 ZUBAIR AHMED PHYSICIAN 20.0 20.0 X 1478965 0 29255 8506555 2159808 318893 214 false true false UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 W MARKHAM ST SLOT 560 LITTLE ROCK AR 72205 CONTRACTED SERVICES 1179593 VIRTUAL RADIOLOGIC CORP 25983 NETWORK PLACE CHICAGO IL 60673 RAD AFTER HOURS COVERAGE 1118654 MSCB INC 1410 INDUSTRIAL PARK RD PARIS TN 38242 CONTRACTED SERVICES 691759 MEDICAL ASSOCIATION OF NWA 3383 N MANA COURT SUITE 201 FAYETTEVILLE AR 72703 CONTRACTED SERVICES 333376 H & S JANITORIAL SERVICES LLC 805 EAST HARDWOOD CIR ROGERS AR 72758 CONTRACTED SERVICES 291540 7 2448798 2448798 PATIENT SERVICE REVENUE 622610 83047232 83047232 SUBISIDIZED SERVICES REVENUE 622610 8005556 8005556 OTHER PROGRAM SERVICE REVENUE 622610 4323378 4323378 LOSS IN EQUITY INVESTEE 621990 -55 -55 0 0 0 0 95376111 63148 63148 0 0 30955 0 -30955 -30955 -30955 0 0 0 0 0 97857102 95376111 0 32193 216086 195198 20888 110998017 100268535 10729482 1783887 1531644 252243 4994245 4288056 706189 4771859 4097116 674743 45107 36410 8697 131693 106301 25392 3007158 2427351 579807 0 53669 43321 10348 653076 527157 125919 145323 117303 28020 7702536 6217418 1485118 89062 71890 17172 1935935 1259794 676141 915811 739234 176577 BAD DEBT EXPENSE 6416043 6416043 0 REPAIRS & MAINTENANCE 4365885 3524103 841782 MEDICAL SUPPLIES 4042060 3262714 779346 COLLECTIONS 766002 618310 147692 1358909 1096901 262008 0 154392363 136844799 17547564 0 371985 11374267 12133619 0 0 0 0 439345 286286 817043 620839 20107682 9863828 9458778 10243854 0 97248 97193 24455635 20248015 47014301 43629806 13225825 12378703 1964 1905266 0 0 24491865 20186451 37719654 34470420 X 9294647 9159386 9294647 9159386 47014301 43629806 X -56535261 56400000 X false true X true true true X X 1 WASHINGTON REGIONAL MEDICAL CENTER 710664687 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true 6249046 2030301 4218745 12869953 7833527 5036426 988683 0 988683 10243854 DEPOSITS 336326 ROU ASSET 19911689 20248015 OPERATING LEASE 20144156 DUE TO AFFILIATES 42295 20186451 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 DENNIS BURROWS VP & CHIEF ACCOUNTING OFFICER 0 161814 0 0 0 277 0 4996 0 15580 0 182667 0 0 THOMAS OLMSTEAD SVP & GENERAL COUNSEL 0 459198 0 0 0 51800 0 9900 0 22344 0 543242 0 0 LARRY SHACKELFORD PRESIDENT & CEO 0 763113 0 0 0 150017 0 9900 0 19634 0 942664 0 0 DANIEL ECKELS OUTGOING CFO 0 99915 0 0 0 384814 0 9900 0 29941 0 524570 0 0 PAULA WORKMAN VP CLINICAL OPERATIONS 188414 0 0 0 938 0 5989 0 20745 0 216086 0 0 0 ZUBAIR AHMED PHYSICIAN 571441 0 899310 0 8214 0 9900 0 19355 0 1508220 0 0 0 LARRY ARMSTRONG PHYSICIAN 976596 0 719616 0 8700 0 9900 0 17086 0 1731898 0 0 0 BORIS BOGOMILOV PHYSICIAN 560232 0 1197552 0 16434 0 9900 0 25009 0 1809128 0 0 0 BRANDON CHISM PHYSICIAN 566920 0 950784 0 2339 0 9900 0 23101 0 1553044 0 0 0 SEAN SENTER PHYSICIAN 573198 0 1254185 0 11682 0 9900 0 19877 0 1868842 0 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 THOMAS OLMSTEAD - $49,264 DANIEL ECKELS - $16,406 Form 990, Part III, Line 4d Description of other program services (Expenses $ 14,196,254 including grants of $)(Revenue $ 26,025,691) FOUR WOMEN'S CLINCS, A NEONTOLOGY GROUP AND PEDIATRIC HOSPITALISTS GROUP EMPLOY 15 PHYSICIANS AND 2 APN/PA FOCUSED ON WOMEN'S AND INFANT'S HEALTH PROVIDING SERVICES OF 95,620 RELATIVE VALUE UNITS IN 2023. PATIENTS RECEIVE TREATMENT REGARDLESS OF ABILITY TO PAY. 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 THE MEMBERSHIP OF THE MEDICAL SYSTEM CONSISTS OF THE PERSONS WHO ARE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body DIRECTORS SHALL BE ELECTED BY PLURALITY VOTE AT THE ANNUAL MEETING OF MEMBERS. AT EACH SUCH ELECTION FOR DIRECTORS, EVERY MEMBER ENTITLED TO VOTE AT SUCH ELECTION SHALL HAVE THE RIGHT TO CAST ONE VOTE FOR AS MANY PERSONS AS THERE ARE DIRECTORS TO BE ELECTED AND FOR WHOSE ELECTION THEY HAVE A RIGHT TO VOTE. 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, HELD IN NOVEMBER 2024, COPIES OF THE PROPOSED FORM 990 FILING PREPARED ON BEHALF OF THE ORGANIZATION WERE PRESENTED AND REVIEWED WITH THE BOARD MEMBERSHIP BY THE ORGANIZATION'S CHIEF ACCOUNTING OFFICER AND GENERAL COUNSEL. Form 990, Part VI, 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 FILINGS, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER FROM AFFILIATE - 56400000; WASHINGTON REGIONAL MEDICAL CENTER 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710664687 HOSPITAL AR 501(c)(3) 3 WRMS true WASHINGTON REGIONAL MEDICAL SERVICES 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 710664683 MEDICAL R/E AR 501(c)(3) 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 N/A NWA PACE MANAGEMENT LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 812071226 SENIOR CARE AR WRMC N/A FOUNTAIN PLAZA MEDICAL RENTALS 3383 N MANA COURT SUITE 201 FAYETTEVILLE AR 72703 203736241 REAL ESTATE AR PLAZA HOLDINGS N/A FOUNTAIN PLAZA HOLDINGS LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 473155119 REAL ESTATE AR WR MED SERVICES N/A WR-NWAHV LLC 3215 N NORTHHILLS BLVD FAYETTEVILLE AR 72703 800118770 REAL ESTATE AR WR MED SERVICES N/A 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 true false true false false true true false true WASHINGTON REGIONAL MEDICAL CENTER K 756504 FMV WASHINGTON REGIONAL MEDICAL SERVICES K 1510059 FMV WASHINGTON REGIONAL MEDICAL CENTER M 2565996 FMV WASHINGTON REGIONAL MEDICAL CENTER P 345953 FMV WASHINGTON REGIONAL MEDICAL CENTER Q 10147203 FMV Washington Regional Medical Services S 2075000 FMV WASHINGTON REGIONAL MEDICAL CENTER S 54325000 FMV