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Johnson Regional Medical Center
Clarksville, AR 72830
| Bed count | 90 | Medicare provider number | 040002 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
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.
Operating expenses $ 41,482,590 Total amount spent on community benefits as % of operating expenses$ 3,110,739 7.50 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 207,271 0.50 %Medicaid as % of operating expenses$ 138,768 0.33 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 2,764,700 6.66 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 38,324 0.09 %- * = 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$ 38,324 0.09 %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$ 38,324 100 %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$ 0 0 %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$ 2,353,188 5.67 %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 2021 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:
Reported to credit agency Not available 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.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES 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.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available 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.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? NO
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
- 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 $ 36817680 including grants of $ 0) (Revenue $ 35813646) INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WHICH INCLUDES CHARITABLE CARE FOR 2021 OF 181,366 BASED ON ESTIMATED COSTS.
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Facility Information
FACILITY 1, JOHNSON REGIONAL MEDICAL CENTER - PART V, LINE 3E JRMC PEREPARED AN IMPLEMENTATION STATEGY IN RESPONSE TO THE NEEDS IDENTIFIED IN ITS 2019 NEEDS ASSESSMENT. 1. RECRUITMENT OF ADDITIONAL PRIMARY CARE PROVIDERS - ASSIST LOCAL PRIMARY CARE PROVIDERS WITH RECRUITMENT EFFORTS. 2. HEALTH AND WELLNESS EDUCATION AND OUTREACH - DO OUTREACH IN SCHOOLS ON THE STOP THE BLEED PROGRAM, WORK WITH FIRST RESPONDERS TO CONTINUE SUPPORT WITH FREE CPR CLASSES, AND OTHER NEEDS AS THEY DEVELOP. 3. DRUG AND ALCOHOL ABUSE PREVENTION - OFFER EDUCATIONAL INFORMATION ON DRUG AND ALCOHOL PREVENTION AT OUR ANNUAL HEALTH FAIR AND THROUGH COMMUNITY OUTREACH EVENTS. 4. OBESITY - CONTINUE TO OFFER FREE DIABETIC EDUCATION CLASSES TAUGHT BY NURSE EDUCATOR, DIETITIAN, AND PHARMACY DIRECTOR.
FACILITY 1, JOHNSON REGIONAL MEDICAL CENTER - PART V, LINE 5 INTERVIEWING KEY INFORMANTS (COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTEREST OF THE COMMUNITY WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH) IS A TECHNIQUE EMPLOYED TO ASSESS PUBLIC PERCEPTIONS OF THE COMMUNITY'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. DIALOGUES WITH TWO KEY INTERVIEWEES WERE CONDUCTED IN NOVEMBER 2019. INTERVIEWEES WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS.
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Supplemental Information
SCHEDULE H, PART I, LINE 3C IN ADDITION TO USING THE FEDERAL POVERTY GUIDELINES, JRMC ALSO USES THE ASSET TEST TO DETERMINE ELIGIBILITY OF FREE OR DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 7G JRMC INCLUDED IN SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO HOSPITAL OWNED PHYSICIAN CLINICS, INPATIENT PSYCHIATRIC SERVICES, AND HOME HEALTH CARE SERVICES.
SCHEDULE H, PART I, LINE 7 A COST TO CHARGE RATIO FROM WORKSHEET 2 - RATIO OF PATIENT CARE COST-TO-CHARGES WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE PART I LINE 7 TABLE.
SCHEDULE H, PART II THE HOSPITAL STAFF SUPPORT, PARTICIPATE, AND PROVIDE LEADERSHIP TO MANY DIFFERENT AND VARIED ORGANIZATIONS IN ITS SERVICE AREA OF SEVEN COUNTIES CONTAINING OVER 5,381 SQUARE MILES. THESE ORGANIZATIONS INCLUDE THE CHAMBER OF COMMERCE, COMMUNITY SERVICE CLUBS (ROTARY, LIONS, KIWANIS), ALL PUBLIC SCHOOLS, TWO UNIVERSITIES, THE BLOOD BANK, UNITED WAY FOR THREE COUNTIES, JOHNSON COUNTY RESOURCE ALLIANCE, FORRESTER DAVIS DEVELOPMENT CENTER, AND THE AMERICAN CANCER SOCIETY, TO NAME A FEW. SOME EXAMPLES OF THE ACTIVITIES AND PROJECTS INCLUDE COMMUNITY BUILDING PROJECTS FOR THE UNITED WAY, LOCAL BLOOD DRIVES, FLU SHOTS FOR PUBLIC SCHOOLS, AND GENERAL PUBLIC AT LARGE, HEALTH FAIRS FOR SENIOR CITIZENS, LOCAL NIGHT OUT SPONSORSHIP TO PROMOTE GOOD WORKING RELATIONSHIPS TO SUPPORT LAW ENFORCEMENT, AND MANY OTHER NUMEROUS PROJECTS. THE HOSPITAL PROVIDES STAFF, MEDICAL SUPPLIES, AND FOOD AS NECESSARY TO PROMOTE, MAINTAIN, AND/OR DEVELOP EACH PROJECT TO ITS FULLEST POTENTIAL.
SCHEDULE H, PART III, LINE 2 AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBT PER THE AUDITED FINANCIAL STATEMENTS AT GROSS CHARGES. ACCOUNTS OVER 30 DAYS OLD ARE CONSIDERED PAST DUE. AN ACCOUNT THAT IS APPROXIMATELY 90 DAYS PAST DUE WITH NO PAYMENT ACTIVITY IS SENT TO AN OUTSIDE BILLING AND COLLECTION SERVICE WHO MAKE ADDITIONAL ATTEMPTS TO COLLECT PAST DUE AMOUNTS. AFTER THE OUTSIDE COLLECTION SERVICE ADVISES THAT THEY HAVE MADE ALL REASONABLE ATTEMPTS TO COLLECT A PAST DUE ACCOUNT, IT IS REVIEWED AGAIN BY THE HOSPITAL AND A DETERMINATION IS MADE WHETHER TO WRITE OFF THE ACCOUNT.
SCHEDULE H, PART III, LINE 9B PATIENTS WHO CAN SHOW THAT PAYMENT OF THEIR HOSPITAL BILL WOULD BE AN UNBEARABLE HARDSHIP MAY APPLY FOR FINANCIAL ASSISTANCE TO PAY ALL OR PART OF THEIR BILL. APPLICANTS MUST COMPLETE THE REQUIRED FINANCIAL APPLICAITON AND MEET MINIMUM GUIDELINE REQUIREMENTS AS SET FORTH IN THE JRMC CHARITY CARE POLICY. APPLICANTS WILL BE RESPONSIBLE FOR OBTAINING THE INFORMATION NEEDED TO DETERMINE THEIR ELIGIBILTY AND PROVIDE VERIFICATION OF INCOME AS REQUIRED.
SCHEDULE H, PART VI, LINE 2 FOR OVER 5 DECADES, JOHNSON REGIONAL MEDICAL CENTER HAS STRIVED TO PROVIDE THE UPMOST COMMITMENT TO THE COMMUNITIES IT SERVES. THROUGH CAREFUL THOUGHT AND PLANNING, JRMC HAS EVOLVED TO OFFER A NUMBER OF SERVICES THAT AID WITH THE GROWING AND AGING POPULATION. THESE INCLUDE FLU CLINICS, SENIOR HEALTH FAIRS, FALL & BALANCE CLASSES, AR SAVES INITIATIVE, COMMUNITY HEALTH SCREENINGS, AND THE ELECTRONIC INTENSIVE CARE UNIT. A COMMUNITY NEEDS ASSESSMENT IS COMPLETED AS REQUIRED EVERY 3 YEARS AND AN IMPLEMENTATION STRATEGY IS DEVELOPED. STARTING IN 2012, JOHNSON REGIONAL MEDICAL CENTER BEGAN PHASE 2, ITS LONG ANTICIPATED PROJECT OF EXPANDING THE HOSPITAL. THIS EXPANSION ADDED A NEW WING THAT HOUSES 40 PRIVATE PATIENT ROOMS, AS WELL AS A COMPLETELY RENOVATED LABOR/DELIVERY/POSTPARTUM AND DELIVERY ROOMS (LDRP) WHICH ALLOW FOR A SINGLE ROOM TO ACCOMMODATE ALL THE NEW MOTHER'S NEEDS. THE EXPANSION WAS COMPLETED AUGUST 2014. THIS HAS BROUGHT THE HOSPITAL UP TO THE STANDARD OF CARE THAT IS PROVIDED BY LEADING HEALTHCARE PROVIDERS AND IS EXPECTED BY THE CURRENT PATIENT POPULATION.
SCHEDULE H, PART VI, LINE 3 1. ANY PATIENT THAT INDICATES AN INABILITY TO PAY IS OFFERED A CHARITY CARE/INDIGENT CARE APPLICATION. 2. THE MEDICAL CENTER PLACES NOTICES IN ALL REGISTRATION AREAS THAT WE OFFER CHARITY CARE PROGRAMS AND DESCRIBES HOW TO OBTAIN MORE INFORMATION ABOUT FINANCIAL ASSISTANCE. 3. THE MEDICAL CENTER PLACES A NOTE ON STATEMENTS REGARDING HOW TO REQUEST INFORMATION ABOUT FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 4 A COMMUNITY IS DEFINED AS A GEOGRAPHIC AREA FROM WHICH A SIGNIFICANT NUMBER OF PATIENTS UTILIZING HOSPITAL SERVICES RESIDE. DISCHARGE ANALYSIS SHOWED THAT APPROXIMATELY 95% OF THE MEDICAL CENTER'S INPATIENT DISCHARGES ORIGINATE FROM JOHNSON, POPE, FRANKLIN, AND LOGAN COUNTIES. MEDICAL CENTER MANAGEMENT THEREFOR CHOSE TO DEFINE THE COMMUNITY AS THESE COUNTIES.
SCHEDULE H, PART VI, LINE 5 JOHNSON REGIONAL MEDICAL CENTER HAS AN OPEN MEDICAL STAFF AND WELCOMES NEW PRACTITIONERS TO THE SERVICE AREA. JOHNSON REGIONAL ALSO ENSURES ACCESS TO BASIC PRIMARY CARE BY SUPPORTING THE RECRUITMENT OF PRIMARY CARE PHYSICIANS TO PRACTICE IN JOHNSON COUNTY. WE ALSO HAVE A BOARD OF DIRECTORS THAT REPRESENTS THE NEEDS OF THE COMMUNITY AND PURSUES THE BEST POSSIBLE CARE FOR OUR SERVICE AREA. EACH BOARD MEMBER IS A VOLUNTEER AND DONATES A CONSIDERABLE AMOUNT OF TIME AND ENERGY TO ASSURE A VIABLE, PROGRESSIVE, AND WELL-MANAGED HOSPITAL. JOHNSON REGIONAL MEDICAL CENTER ALSO PARTICIPATES WITH FIVE COLLEGES AND UNIVERSITIES TO TRAIN FUTURE HEALTHCARE WORKERS. WE HAVE AFFILIATION AGREEMENTS FOR NURSES, PHYSICAL THERAPISTS, PHARMACISTS, EMS STAFF, AND STUDENT ROTATIONS THROUGH VARIOUS ANCILLARY DEPARTMENTS. THIS REQUIRES A REAL DEDICATION OF TIME AND EFFORT BY OUR STAFF TO EDUCATE AND TRAIN FUTURE HEALTHCARE PROFESSIONALS. JOHNSON REGIONAL MEDICAL CENTER'S SUPPORT ALSO INCLUDES SUBSTANTIAL AMOUNTS OF CHARITY CARE OF OVER 180,000 AND BAD DEBT RECOGNIZED OF OVER 2,300,000 BASED ON GROSS CHARGES. COMBINED, THESE REPRESENT OVER 7% OF OUR PATIENT SERVICE REVENUE NET OF CONTRACTUAL ALLOWANCE DEDUCTIONS. JRMC IS A 501(C) 3 NOT-FOR-PROFIT CORPORATION AND AS SUCH, NO ONE INDIVIDUALLY PROFITS THROUGH OWNERSHIP.
