Community Benefit Insight - Tax-exempt hospital

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Baxter County Regional Hospital Inc

Baxter Regional Medical Center

624 Hospital Drive
Mountain Home, AR 72653

Bed count	268	Medicare provider number	040027	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 710561765

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

3.8%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 1,476,786 0.54 %
Medicaid as % of operating expenses	$ 5,669,035 2.08 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 783,018 0.29 %
Subsidized health services as % of operating expenses	$ 1,331,140 0.49 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 1,036,282 0.38 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 49,176 0.02 %
Community building* as % of operating expenses	$ 829,780 0.30 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 829,780 0.30 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 3,046 0.37 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 826,734 99.63 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 8,452,566 3.10 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 253619985 including grants of $ 106118) (Revenue $ 266695810)
BAXTER REGIONAL MEDICAL CENTER OFFERS OVER THIRTY SPECIALIZED SERVICES TO THE COMMUNITIES SERVED IN THE TWIN LAKES AREA. SEE SCHEDULE O FOR 2021 SERVICES

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

SCHEDULE H, PART V, LINE 5
BAXTER COUNTY REGIONAL HOSPITAL ENGAGED BKD, LLP TO CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. SPEAKING WITH KEY INTERVIEWEES (COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTEREST OF THE COMMUNITY WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH OR THOSE REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED OR MINORITY POPULATIONS WIT COMMUNITY) IS A TECHNIQUE EMPLOYED TO ASSESS PUBLIC PERCEPTIONS OF THE COUNTY'S HEALTH STATUS AND UNMET NEEDS. THESE INTERVIEWS ARE INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. KEY INTERVIEWEES INCLUDED THE COUNTY HEALTH DEPARTMENT DIRECTORS FROM EACH COUNTY IN THE MEDICAL CENTER'S COMMUNITY, AS WELL AS INDIVIDUALS WHO ARE KNOWLEDGEABLE ABOUT POPULATIONS WITHIN THE COMMUNITY WHOSE HEALTH AND QUALITY OF LIFE MAY NOT GOOD AS OTHERS, SUCH AS REPRESENTATIVES OF ORGANIZATIONS SERVING THE MEDICALLY INDIGENT, CHILDREN IN POVERTY OR THE ELDERLY. DIALOGUES WITH 14 KEY INTERVIEWEES WERE CONDUCTED IN OCTOBER 2019. 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 MEDICAL CENTER PERSONNEL USI STANDARD QUESTIONNAIRE. A COPY OF THE INTERVIEW INSTRUMENT IS INCLUDED IN THE APPENDIX. A SUMMARY OF THEIR 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 HEALTH CARE ISSUES OR SERVICES DISCUSSED ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES INTERVIEW DATA WAS INITIALLY RECORDED IN NARRATIVE FORM. INTERVIEWEES WERE ASSURED THAT PERSONAL IDENTIFIERS SUCH AS NAME OR ORGANIZATIONAL AFFILIATIONS WOULD NOT BE CONNECTED IN ANY WAY TO THE INFORMATION PRESENTED THIS REPORT. THIS TECHNIQUE DOES NOT PROVIDE A QUANTITATIVE ANALYSIS OF THE LEADERS' OPINIONS, BUT REVEALS COMMUNITY INPUT FOR SOME OF THE FACTORS AFFECTING THE VIEWS AND SENTIMENTS ABOUT OVERALL HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY.

FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11
THE SIGNIFICANT NEEDS THE HOSPITAL IDENTIFIED ARE: 1) SUICIDE PREVENTION/ACCESS TO MENTAL HEALTH CARE 2) DRUG ABUSE PREVENTION 3) OBESITY 4) DIABETES 5) HEALTH & WELLNESS EDUCATION 6) ACCESS TO PRIMARY CARE PLEASE REFER TO THE IMPLEMENTATION STRATEGY FOR A MORE THOROUGH EXPLANATION OF THE ACTIONS THE HOSPITAL WILL TAKE TO ADDRESS THESE NEEDS. 1. SUICIDE PREVENTION/ACCESS TO MENTAL HEALTH CARE WILL BE ADDRESSED BY COLLABORATING WITH AREA SCHOOL DISTRICTS FOR CLASSROOM EDUCATION ABOUT MENTAL HEALTH INCLUDING GUEST SPEAKERS AND CONTINUED SUPPORT FOR PROJECT SEMICOLON, PROVIDING ACCESS TO MENTAL HEALTH SCREENING TOOLS FOR PEDIATRIC AND FAMILY PRACTICE PHYSICIANS, CREATE AND IMPLEMENT A SUICIDE PREVENTION MARKETING CAMPAIGN TARGETING VETERANS, CONDUCT A FINANCIAL PROFORMA TO EXPLORE THE POSSIBILITY OF CREATING A MENTAL HEALTH HOPE AND EDUCATION CENTER, CONTINUE TO EXPLORE GRANT FUNDING OPPORTUNITIES TO PROVIDE RESOURCES FOR MENTAL HEALTH. 2. DRUG ABUSE PREVENTION - BRMC WILL CONTINUE TO SUPPORT THE COMMUNITY DRUG TASK FORCE WITH A FOCUS ON PREVENTION, CONTINUE TO SUPPORT AND PROMOTE THE RESOURCES PROVIDED BY REGIONAL RECOVERY NETWORK, COLLABORATE WITH AREA SCHOOLS FOR COMMUNITY EDUCATION USING SIMULATIONS AND OVERDOSE-SPECIFIC TRAINING, APPLY FOR GRANTS TO HELP ASSIST AREA SCHOOLS WITH DRUG ABUSE EDUCATION, EXPLORE THE POSSIBILITY OF PROVIDING DRUG/ALCOHOL EDUCATION FOR LOCAL BUSINESS AND FACTORY EMPLOYEES, EXPLORE THE POSSIBILITY OF PROVIDING MENTAL HEALTH SUPPORT FOR EX-CONVICTS NEWLY RELEASED FROM JAIL OR NEWLY SOBER, HELP IMPLEMENT THE DRUG TAKE BACK PROGRAM IN PARTNERSHIP WITH THE DISABLED AMERICAN VETERANS. 3. OBESITY - BRMC WILL PROVIDE HEALTHIER FOOD OPTIONS AND REDUCE THE AMOUNT OF UNHEALTHY OPTIONS FOR PATIENTS AND EMPLOYEES IN THEIR FACILITY, CONTINUE HEALTH EATING EVENTS PROVIDED BY REPPELL DIABETES LEARNING CENTER, PROVIDE RECOGNITION FOR HEALTHY EATING AND WEIGHT LOSS FOR THEIR STAFF, COLLABORATE WITH AREA SCHOOLS TO REDUCE ADOLESCENT OBESITY THROUGH EDUCATION, PROVIDE OPPORTUNITIES FOR DIETARY SERVICES AND NURSING STAFF TO PARTICIPATE IN COMMUNITY SPEAKING EVENTS AND EDUCATION ABOUT OBESITY, CONTINUE TO WORK ALONGSIDE THE FOOD BANK OF NORTH CENTRAL ARKANSAS FOR COMMUNITY EDUCATION, WORK IN CONJUCTION WITH THE COMMUNITY TO EXPLORE THE DEVELOPMENT OF BIKE TRAILS FROM THE ASUMH CAMPUS TO THE BAXTER REGIONAL CAMPUS. 4. DIABETES - BRMC WILL CONTINUE TO PROVIDE COMMUNITY EDUCATION THROUGH REPPELL DIABETES LEARNING CENTER, CONTINUE TO PROVIDE DIABETIC TESTING AT THE BRMC SPONSORED HEALTH FAIR AND WILL BEGIN TO INCORPORATE THIS OPPORTUNITY AT OTHER COMMUNITY EVENTS, COLLABORATE WITH AREA SCHOOLS TO PROVIDE SCREENINGS FOR HIGH SCHOOL STUDENTS, CONTINUE OFFERING INSULIN PUMP EDUCATION TO THE COMMUNITY, PROVIDE OBESITY HEALTH CARE FOR DIABETES PATIENTS WITHOUT INSURANCE. 5. HEALTH & WELLNESS EDUCATION - BRMC WILL INCREASE THE OPPORTUNITIES FOR STAFF EDUCATION TO BE ABLE TO PROVIDE MORE RESOURCES FOR COMMUNITY EDUCATION, IMPLEMENT INTERNAL AND COMMUNITY EDUCATIONAL CAMPAIGNS ON STRESS MANAGEMENT AND MENTAL HEALTH, COLLABORATE WITH AREA SCHOOLS TO PROVIDE STUDENTS WITH HEALTH & WELLNESS EDUCATION, COLLABORATE WITH AREA CHURCHES TO PROVIDE HEALTH AND WELLNESS INFORMATION TO THE COMMUNITY. 6. ACCESS TO PRIMARY CARE - BRMC WILL MAINTAIN AN IN-HOUSE PHYSICIAN RECRUITER ON STAFF, CONTINUE TO PROVIDE MEDICAL SCHOLARSHIPS, SUPPORT ADDITIONAL MID-LEVEL PROVIDERS, EXPLORE ESTABLISHING MORE FAMILY CARE CLINICS, CONTINUE TO PURSUE MAGNET STATUS RECOGNITION. ADDITIONAL MID-LEVEL PROVIDERS, EXPLORE ESTABLISHING MORE FAMILY CARE CLINICS, CONTINUE TO PURSUE MAGNET STATUS RECOGNITION.

FORM 990, SCHEDULE H, PART V, SECTION B, LINE 13H
BRMC WILL TAKE INTO ACCOUNT PROOF OF ANY OUT-OF-POCKET MEDICAL EXPENSES IN THE PAST 12 MONTHS. IF A PATIENT (1) STATES THAT HE OR SHE IS HOMELESS AT THE TIME CARE IS NEEDED OR (2) IS PHYSICALLY OR MENTALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS OR HER BEHALF, AND IF BRMC DOES NOT FIND ANY EVIDENCE TO THE CONTRARY THROUGH ITS OWN DILIGENCE, THAT PATIENT WILL BE CONSIDERED A QUALIFIED FINANCIAL ASSISTANCE RECIPIENT AND WILL NOT BE REQUIRED TO COMPLETE THE APPLICATION FOR SUCH FINANCIAL ASSISTANCE. PATIENTS WITH THOSE CIRCUMSTANCES WILL BE ELIGIBLE FOR CARE WITHOUT COST TO THE PATIENT.

Supplemental Information

Schedule H (Form 990) Part VI

FORM 990, SCHEDULE H, PART I, LINE 7
THE CHARITY CARE AMOUNTS WERE DERIVED FROM THE COST TO CHARGE RATIO. THE MEDICAID AMOUNT WAS FROM AN INTERNAL COST ACCOUNTING SYSTEM, ADJUSTED FOR MEDICAID AND ASSESSMENTS IN 2021.

FORM 990, SCHEDULE H, PART II, LINES 1 - 10
RECRUITING PHYSICIANS, BOTH SPECIALIZED AND FAMILY PRACTICE, TO OUR RURAL AREA IS CHALLENGING BUT NECESSARY SO THAT OUR HOSPITAL CAN BRING ALL THE NEEDED SERVICES TO THE COMMUNITIES WE SERVE. THE HOSPITAL SERVES A LOCAL AND STATE-WIDE ROLE FOR DISASTER PREPAREDNESS. THE HOSPITAL BRINGS INTO THE COMMUNITY EDUCATION OPPORTUNITIES FOR LEADERSHIP DEVELOPMENT.

FORM 990, SCHEDULE H, PART III, LINE 2
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 SCHEDULE H, PART III, SECTION A, LINE 2.

FORM 990, SCHEDULE H, PART III, LINE 3
BRMC DOES NOT HAVE A METHODOLOGY TO ESTIMATE THE AMOUNT OF THOSE NOT QUALIFYING FOR FAP AND HAVE NOT INCLUDED ANY AMOUNTS AS COMMUNITY BENEFIT.

FORM 990, SCHEDULE H, PART III, LINE 4
ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.

FORM 990, SCHEDULE H, PART III, LINE 8
THE MEDICARE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORT.

FORM 990, SCHEDULE H, PART III, LINE 9B
WHEN BAD DEBT ACCOUNTS ARE REFERRED TO A COLLECTION AGENCY, THE AGENCY CAN PROVIDE DEBTORS WITH A BAXTER REGIONAL FINANCIAL ASSISTANCE APPLICATION FOR COMPLETION IF THE FOLLOWING CRITERIA APPLY: 1) THE PATIENT/DEBTOR HAS NOT ALREADY OBTAINED ASSISTANCE THROUGH THE HOSPITAL. 2) THE PATIENT/DEBTOR INDICATES A FINANCIAL NEED WITHIN 30 DAYS OF THE ACCOUNT BEING REFERRED TO THE COLLECTION AGENCY. IF THE PATIENT/DEBTOR DOES NOT COMMUNICATE WITH THE HOSPITAL OR COLLECTION AGENCY PRIOR TO THE END OF THE 30-DAY WINDOW, COLLECTION ACTIONS WILL PROCEED.

FORM 990, SCHEDULE H, PART VI, LINE 2
SERVICE NEEDS ASSESSMENTS ARE DEVELOPED FROM COMMUNITY INPUT, INDIVIDUAL FUNDING, COMMUNITY SURVEYS, TALKING WITH COMMUNITY LEADERS AS WELL AS RESEARCH OF STATE AND NATIONAL TRENDS. PHYSICIAN NEEDS ASSESSMENTS ARE OBTAINED THROUGH ANALYSIS PROVIDED BY AN OUTSIDE COMPANY A LEAST BI-ANNUALLY.

FORM 990, SCHEDULE H, PART VI, LINE 3
PATIENTS ARE GIVEN HANDOUTS REGARDING FINANCIAL ASSISTANCE AT ALL REGISTRATION AREAS UPON ADMISSION. ALL SELF PAY PATIENTS ARE SCREENED FOR MEDICAID ELIGIBILITY, CHARITY OR OTHER FINANCIAL ASSISTANCE RECOMMENDATIONS DURING THEIR STAY AND HAVE THE OPPORTUNITY TO TALK WITH FINANCIAL COUNSELORS. FINANCIAL ASSISTANCE AND CONTACT INFORMATION IS AVAILABLE ON ALL HOSPITAL STATEMENT MAILINGS AND ON THE HOSPITAL'S WEBSITE.

FORM 990, SCHEDULE H, PART VI, LINE 4
BAXTER REGIONAL MEDICAL CENTER IS LOCATED IN THE HEART OF THE BEAUTIFUL OZARK MOUNTAINS IN NORTH-CENTRAL ARKANSAS. BAXTER REGIONAL AND ITS SUBSIDIARIES AND CLINICS PROVIDE CARE TO PATIENTS FROM TWO STATES AND 11 COUNTIES. OUR HEALTHCARE IS STATE-OF-THE-ART HEALTHCARE. BAXTER REGIONAL MEDICAL CENTER IS KNOWN THROUGHOUT THE REGION FOR OUR CENTERS OF EXCELLENCE: CANCER, CARDIAC, DIGESTIVE DISEASES, SURGERY, VASCULAR DISEASES AND WOMEN'S HEALTH. AT BAXTER REGIONAL MEDICAL CENTER, WE HAVE SET OUT TO CHANGE THE EXPERIENCE OF SURGERY WITH OUR INVESTMENT IN THE MOST ADVANCED TECHNOLOGY FOR MINIMALLY INVASIVE SURGERY, THE DA VINCI SURGICAL SYSTEM. THE BREAST IMAGING CENTER AT BAXTER REGIONAL MEDICAL CENTER IS HOME TO ARKANSASMISSOURI'S FIRST 3-D MAMMOGRAM. 3-D MAMMOGRAPHY IS ALSO AVAILABLE ON OUR MOBILE UNIT WHICH TRAVELS OUR SERVICE AREA PROVIDING MAMMOGRAMS FOR WOMEN WHO MIGHT NOT OTHERWISE RECEIVE ONE. FIRST OPENED IN 1963, BAXTER REGIONAL IS A 268 ALL PRIVATE BED CARE FACILITY WITH MORE THAN 100 PHYSICIANS ON STAFF.

FORM 990, SCHEDULE H, PART VI, LINE 5
BAXTER REGIONAL WORKS TO RECRUIT PHYSICIANS INTO OUR RURAL AREA TO PROVIDE SPECIALTY AND FAMILY PRACTICE MEDICAL CARE. BAXTER REGIONAL MEDICAL CENTER ASSISTS IN PROVIDING COMMUNITY MEMBERS LEADERSHIP TRAINING CLASSES. BAXTER ALSO WORKS WITH AREA OFFICIALS FOR DISASTER PREPAREDNESS AND TRAINING. BAXTER REGIONAL MEDICAL CENTER PROVIDES HEALTH FAIRS, SCREENING AND EDUCATION EVENTS FOR THE COMMUNITY AND SURROUNDING AREAS.

FORM 990, SCHEDULE H, PART VI, LINE 6
BAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENT CARE FOR EVERY PATIENT, EVERY TIME. BRMC STRIVES TO PROVIDE QUALITY CARE IN A RURAL COMMUNITY SETTING WITH PATIENT AND FAMILY FRIENDLY CUSTOMER SERVICE. THE HOSPITAL PROVIDES A VARIETY OF INPATIENT SERVICES INCLUDING SPECIALTY SERVICES SUCH AS CARDIOVASCULAR, OPEN HEART SURGERY, ONCOLOGY, PLASTIC SURGERY, ORTHOPEDICS, OBSTETRICS, GERI-PSY UNIT, ADULT BEHAVIORAL HEALTH AND AN INPATIENT REHABILITATION UNIT. OUTPATIENT SERVICES INCLUDE HOSPITAL BASED PHYSICIAN CLINICS, EMERGENCY, AMBULANCE SERVICES, HOME HEALTH SERVICES, CARDIAC REHABILITATION AND BREAST IMAGING CENTER. THE MISSION OF HOSPICE OF THE OZARKS IS TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN THE LAST PHASES OF AN INCURABLE ILLNESS AND THEIR FAMILY MEMBERS BY PROVIDING A HIGH LEVEL OF COMPREHENSIVE CARE. BAXTER REGIONAL HOSPITAL FOUNDATION RAISES MONEY TO KEEP THE COMMUNITY HEALTHY. THE FUNDRAISING EFFORTS OF THE FOUNDATION PROVIDE FINANCIAL SUPPORT FOR BAXTER REGIONAL MEDICAL CENTER. BAXTER REGIONAL HEALTH SYSTEM OPERATES FOR THE BENEFIT OF, PERFORM FUNCTIONS OF AND/OR CARRY OUT THE PURPOSE OF BAXTER REGIONAL MEDICAL CENTER AND OTHER HEALTH CARE ORGANIZATIONS LOCATED IN THE STATE OF ARKANSAS WHICH ARE HOSPITAL. BAXTER REGIONAL MEDICAL CENTER'S VISION IS TO BE THE REGIONAL MEDICAL CENTER OF EXCELLENCE.

Operating expenses	$ 272,395,357
Total amount spent on community benefits as % of operating expenses	$ 10,345,437 3.80 %