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Arkansas Methodist Hospital Corporation D/b/a Arkansas Methodist Medical Center
Paragould, AR 72450
Bed count | 129 | Medicare provider number | 040039 | 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 $ 87,412,950 Total amount spent on community benefits as % of operating expenses$ 1,161,918 1.33 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 297,864 0.34 %Medicaid as % of operating expenses$ 805,326 0.92 %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$ 0 0 %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.$ 53,436 0.06 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 5,292 0.01 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available 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$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 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$ 10,775,082 12.33 %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$ 5,387,541 50 %- 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 $ 71626218 including grants of $ 5292) (Revenue $ 79677354) AMMC IS A COMMUNITY-FOCUSED ORGANIZATION THAT PROVIDES OVERALL LEADERSHIP FOR MEETING THE HEALTHCARE NEEDS OF PARAGOULD AND GREENE COUNTY, ARKANSAS, AS WELL AS SURROUNDING AREAS OF NORTHEAST ARKANSAS AND SOUTHEAST MISSOURI. IN RECOGNITION OF ITS UNIQUE ROLE, AMMC WAS DESIGNATED A RURAL REFERRAL CENTER BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES IN AUGUST 2004. AMMC IS THE ONLY HOSPITAL IN GREENE COUNTY, ARKANSAS, AND PROVIDES A SIGNIFICANT AMOUNT OF CARE AND SERVICE TO INDIGENT PATIENTS COVERED BY THE MEDICAID PROGRAM AS WELL AS OTHER UNINSURED AND UNDERINSURED PATIENTS. AS A RESULT, AMMC IS IDENTIFIED AS A DISPROPORTIONATE SHARE HOSPITAL BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.DURING FISCAL YEAR 2022, AMMC DISCHARGED 3,001 ADULT AND PEDIATRIC INPATIENTS AND DELIVERED 319 NEWBORNS. THERE WERE APPROXIMATELY 68,501 OUTPATIENT VISITS RANGING FROM OUTPATIENT SURGERY AND CARDIAC CATH LAB PROCEDURES TO DIAGNOSTIC RADIOLOGY AND LABORATORY VISITS. IN ADDITION, OUR EMERGENCY ROOM SAW 21,130 VISITS LAST YEAR AND OUR HOME HEALTH AGENCY MADE 11,599 VISITS. THE AMMC AMBULANCE SERVICE, WITH BASES IN PARAGOULD, CORNING AND RECTOR, MADE 7,205 RUNS.
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Facility Information
ARKANSAS METHODIST MEDICAL CENTER PART V, SECTION B, LINE 5: ARKANSAS METHODIST MEDICAL CENTER HOSTED A SUMMIT AND FOCUS GROUPS AND INVITED MEMBERS OF THE COMMUNITY INCLUDING REPRESENTATIVES FROM THE HOSPITAL; DOCTORS AND NURSE PRACTITIONERS FROM THE MEDICAL COMMUNITY; THE HEALTH DEPARTMENT; THE CHAMBER OF COMMERCE; PUBLIC OFFICIALS INCLUDING CITY AND COUNTY GOVERNMENT AND FIRE DEPARTMENT; THE PUBLIC SCHOOL DISTRICTS, A PRIVATE SCHOOL DISTRICT AND THE RELIGIOUS COMMUNITY. SEE CHNA FOR FURTHER INFO: HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/CHNA_ARKANSAS%20METHODIST%20MEDICAL%20CENTER_COMMUNITY%20REPORT_2020%206_16_20.PDF
ARKANSAS METHODIST MEDICAL CENTER PART V, SECTION B, LINE 11: HOSPITAL IS ADDRESSING ALL NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY:- ADOPTION OF AN IMPLEMENTATION STRATEGY TO ADDRESS THE HEALTH NEEDS OF THE HOSPITAL FACILITY'S COMMUNITY- PARTICIPATION IN THE DEVELOPMENT OF A COMMUNITY-WIDE COMMUNITY BENEFIT PLAN- INCLUSION OF A COMMUNITY BENEFIT SECTION IN OPERATIONAL PLANS- PRIORITIZATION OF HEALTH NEEDS IN ITS COMMUNITY- PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY
PART VI, LINE 1 CHNA AND IMPLEMENTATION STRATEGY CAN BE ACCESSED AT: HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/CHNA_ARKANSAS%20METHODIST%20MEDICAL%20CENTER_COMMUNITY%20REPORT_2020%206_16_20.PDFHTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/ARKANSAS%20METHODIST%20MEDICAL%20CENTER%20IMPLEMENTATION%20STRATEGY%20-%206_15_20.PDF
PART V, QUESTIONS 16 AND 17 FULL WEBSITE FOR FINANCIAL ASSISTANCE POLICY:HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/FINANCIALASSISTANCEPOLICY05022018.PDFFULL WEBSITE FOR FINANCIAL ASSISTANCE APPLICATION:HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/FINANCIALASSISTANCEAPPLLICATION05022018.PDF
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Supplemental Information
PART I, LINE 7: WORKSHEET 2 COST TO CHARGE RATIO WAS USED BY THE ORGANIZATION.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 10,775,082.
PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES HAVE NOT BEEN QUANTIFIED BY AMMC INTO A DOLLAR BENEFIT TO THE COMMUNITY. HOWEVER, AS DESCRIBED ABOVE, AMMC IS ACTIVELY INVOLVED IN COMMUNITY HEALTH IMPROVEMENT ADVOCACY THROUGH HEALTH FAIRS, DIABETES CLINICS, PHYSICALS FOR STUDENT ATHLETES AND MISSION OUTREACH CHARITABLE CLINIC.
PART III, LINE 4: THE AMOUNT OF BAD DEBT EXPENSE IS PULLED FROM THE ORGANIZATION'S INTERNAL FINANCIAL STATEMENTS AND THE AUDIT DETAILED INFORMATION. DUE TO THE AUDITING STANDARDS CHANGING TO INCLUDE LANGUAGE REGARDING IMPLICIT AND EXPLICIT PRICE CONCESSIONS.PLEASE SEE AUDIT NOTE 1 FOR FURTHER INFORMATION.
PART III, LINE 9B: NO COLLECTION EFFORTS ARE TAKEN ON PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE.AMMC REVIEWS ALL OUTSTANDING ACCOUNTS FOR COLLECTIONS, CONTRACTUAL ADJUSTMENT VIA THE CONTRACT AGREEMENT WITH THE INSURANCE, OR QUALIFICATION OF PATIENT FOR ANY OF THE PROGRAMS OFFERED BY AMMC. IF A BALANCE IS THE RESPONSIBLITY OF THE PATIENT, AMMC HAS STEPS IN PLACE TO GIVE THE PATIENT EVERY OPPORTUNITY TO MAKE ARRANGEMENT TO HANDLE THESE ACCOUNTS, PER THE AGREEMENT THAT THE PATIENT HAS SIGNED ON THE DATE OF SERVICE;PAYMENT PLANS, CREDIT CARDS, CHECKS, AND EVEN PAYROLL DEDUCTIONS FOR AMMC EMPLOYEES.
PART VI, LINE 2: ARKANSAS METHODIST HOSPITAL CORPORATION HAS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHNA CAN BE ACCESSED AT:HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/CHNA_ARKANSAS%20METHODIST%20MEDICAL%20CENTER_COMMUNITY%20REPORT_2020%206_16_20.PDF
PART VI, LINE 3: PRIVATE PAY INPATIENTS ARE VISITED BY OUR SOCIAL SERVICE DIRECTOR TO DETERMINE WHAT NEEDS THE PATIENT MIGHT HAVE. THE DIRECTOR THEN GIVES THE PATIENT INFORMATION REGARDING THE ASSISTANCE THAT IS AVAILABLE TO THEM. PATIENTS WHO SHE FEELS MAY QUALIFY FOR MEDICAID OR CHARITY ARE REFERRED TO A FINANCIAL COUNSELOR WHO HELPS THE PATIENT WITH THE COMPLETION OF THE APPLICATIONS.
PART VI, LINE 4: THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING GEOGRAPHIC AND DEMOGRAPHIC AREAS, IS ADDRESSED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHNA CAN BE ACCESSED AT:HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/CHNA_ARKANSAS%20METHODIST%20MEDICAL%20CENTER_COMMUNITY%20REPORT_2020%206_16_20.PDF
PART VI, LINE 5: THE AMMC BOARD OF DIRECTORS IS COMPRISED OF MEMBERS WHO ARE EMPLOYED OR RETIRED FROM MANY OF THE INDUSTRIES IN THE COMMUNITY. AMMC WORKS TO RECRUIT PHYSICIANS IN ORDER TO BETTER SERVE THE COMMUNITY AND EXTENDS PRIVILEGES TO THE QUALIFIED PHYSICIANS IN OUR COMMUNITIES. THROUGH A PARTNERSHIP WITH THE ARKANSAS SAVES (STROKE ASSISTANCE THROUGH VIRTUAL EMERGENCY SUPPORT) PROGRAM, AMMC IS HELPING SAVE THE LIVES OF STROKE VICTIMS. USING HIGH-SPEED LIVE VIDEO COMMUNICATIONS, TOP NEUROLOGISTS ACROSS THE STATE PROVIDE TIME-CRUCIAL COMMUNICATIONS WITH AMMC EMERGENCY ROOM DOCTORS, SPEEDING RESPONSE TIMES AND IMPROVING PATIENT OUTCOMES. AMMC IS ALSO UTILIZING THE HIGH-SPEED LIVE VIDEO COMMUNICATIONS TO COMMUNICATE WITH PHYSICIANS AT UAMS TO HELP IN TREATING NEONATALS AND BURN VICTIMS. AMMC ALSO PROVIDES FREE HEALTH FAIRS, DIABETES EDUCATION AND EDUCATION TO NEW MOTHERS.