4A (Expenses $ 18913003 including grants of $ 1810) (Revenue $ 19009848)
BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC. PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC., IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AND FURTHER, THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC. PROVIDES THE FOLLOWING:- FREE CARE AND/OR SUBSIDIZED CARE WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXIST,- CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND- HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY.THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC. OPENED ITS DOORS IN DECEMBER 2018 TO BEGIN SERVING THE COMMUNITY AND ITS HEALTH CARE NEEDS. PRIOR TO THE HOSPITAL OPENING, CRITTENDEN COUNTY HAD ENDURED FOUR YEARS WITHOUT AN INPATIENT BED, AN EMERGENCY DEPARTMENT, OR A CT SCANNER IN THE COMMUNITY. PATIENTS HAD TO DRIVE TO TENNESSEE OR AN HOUR NORTHWEST TO JONESBORO, ARKANSAS FOR THESE AND MANY OTHER TYPES OF SERVICES.THE LARGEST PROGRAM SERVICES PROVIDED THE FOLLOWING FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2022:- THE ER DEPARTMENT HAD 19,756 PATIENT VISITS AT A COST OF $3,632,789.- THE RADIOLOGY DEPARTMENT PERFORMED 30,214 PROCEDURES AT A COST OF $1,610,528.- THE OPERATING ROOM PERFORMED 446 CASES AT A COST OF $808,715.- THE MEDICAL/SURGICAL UNIT ADMITTED 391 PATIENTS AT A COST OF $1,179,801.DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2022, BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC. PROVIDED SERVICES FOR 391 INPATIENTS AND MORE THAN 26,985 OUTPATIENTS.BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC. PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS FROM WHICH THE HOSPITAL RECEIVES PAYMENT AT LESS THAN MARKET VALUE REIMBURSEMENT. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO MEDICARE, MEDICAID, AND UNINSURED PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC. RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2022, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $11,370,930.CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC. BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED.EDUCATIONAL PROGRAMS WERE OFFERED TO THE PUBLIC ON A PERIODIC BASIS. ALSO, VARIOUS SUPPORT AND COMMUNITY GROUPS REGULARLY MEET IN THE HOSPITAL MEETING ROOMS.PARAMEDIC STUDENTS FROM ARKANSAS STATE UNIVERSITY - MIDSOUTH COME TO BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC. TO COMPLETE THEIR CLINICAL ROTATIONS. STUDENTS ALSO COME FROM ARKANSAS STATE UNIVERSITY TO RECEIVE TRAINING IN RADIOLOGY.DIRECT SUPPORT:- AMERICAN HOSPITAL ASSOCIATION- ARKANSAS HOSPITAL ASSOCIATION- MARION CHAMBER OF COMMERCE- WEST MEMPHIS CHAMBER OF COMMERCE- MARION ROTARY- DELTA ARTS- NATIONAL TOURISM & HERITAGECOMMUNITY ACTIVITIES:- LEADERSHIP WEST MEMPHIS CHAMBER OF COMMERCE- MARION CHAMBER OF COMMERCE BOARD- HEALTH FAIRS- SPEAKERS ON HEALTH TOPICS FOR ROTARY CLUB, MARION CHAMBER OF COMMERCE, AND WEST MEMPHIS CHAMBER OF COMMERCE- SPONSOR STUDENTS FROM UAMS CHAMPS PROGRAM

BAPTIST MEMORIAL HOSPITAL-CRITTENDEN
PART V, SECTION B, LINE 5: THE FY2022 CHNA FOR BAPTIST'S NORTHEAST ARKANSAS SERVICE AREA WAS CONDUCTED FROM JULY 2021 TO AUGUST 2022 AND INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO DETERMINE HEALTH TRENDS AND DISPARITIES AFFECTING SERVICE AREA RESIDENTS. THROUGH A COMPREHENSIVE VIEW OF STATISTICAL HEALTH INDICATORS AND COMMUNITY STAKEHOLDER FEEDBACK, A PROFILE OF PRIORITY AREAS WAS DETERMINED. THE FINDINGS WILL GUIDE HEALTH CARE SERVICES AND HEALTH IMPROVEMENT EFFORTS, AS WELL AS SERVE AS A COMMUNITY RESOURCE FOR GRANT MAKING AND ADVOCACY, AND SUPPORT THE MANY PROGRAMS PROVIDED BY HEALTH AND SOCIAL SERVICE PARTNERS.COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE FY2022 CHNA. IN ASSESSING COMMUNITY HEALTH NEEDS, INPUT WAS SOLICITED AND RECEIVED FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. THESE INDIVIDUALS PROVIDED WIDE PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AVAILABLE TO MEET THOSE NEEDS AND INSIGHTS INTO SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES AND INEQUITIES.BAPTIST SOUGHT TO ENGAGE INDIVIDUALS AND COMMUNITIES HISTORICALLY UNDERREPRESENTED AND UNDERSERVED BY HEALTH CARE SERVICES TO ILLUMINATE DIVERSE PERSPECTIVES ON COMMUNITY NEEDS AND INFORM COMMUNITY HEALTH IMPROVEMENT STRATEGY. CONSUMER INTERVIEWS AND FOCUS GROUPS WERE HOSTED ACROSS THE BAPTIST SERVICE AREAS WITH THE GOAL OF GARNERING STAKEHOLDER FEEDBACK AND RECOMMENDATIONS TO IMPROVE HEALTH AND THE HEALTH CARE EXPERIENCE BY ADDRESSING ACCESS TO CARE CHALLENGES AND UNDERLYING SOCIAL DETERMINANTS OF HEALTH AND INEQUITIES. THIS FEEDBACK IS REFLECTED IN BAPTIST'S APPROACH TO DEFINING THE FY2022 - FY2025 PRIORITY AREAS AND DEVELOPING EACH HOSPITAL COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).THE FOLLOWING RESEARCH METHODS WERE USED TO DETERMINE COMMUNITY HEALTH NEEDS:- ANALYSIS OF EXISTING SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH STATISTICS, DEMOGRAPHIC AND SOCIAL MEASURES AND HEALTH CARE UTILIZATION.- KEY INFORMANT SURVEYS TO ASSESS PERCEIVED HEALTH PRIORITIES, PERSPECTIVES ON EMERGING HEALTH TRENDS AND RECOMMENDATIONS TO ADVANCE COMMUNITY HEALTH IMPROVEMENT.- PATIENT ACCESS TO CARE AND SERVICES SURVEY TO UNDERSTAND HEALTH CARE PROVIDERS' PERSPECTIVES ON BARRIERS TO CARE, THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH, CULTURAL COMPETENCIES AND OTHER FACTORS THAT IMPEDE OPTIMAL OUTCOMES FOR PATIENTS.- CONSUMER INTERVIEWS AND FOCUS GROUPS WITH INDIVIDUALS REPRESENTING BLACK, INDIGENOUS AND PEOPLE OF COLOR (BIPOC) AND OTHER POPULATIONS HISTORICALLY UNDERSERVED BY HEALTH CARE SERVICES TO INFORM COMMUNITY HEALTH IMPROVEMENT STRATEGY.CHNA LEADERSHIP:A BAPTIST MEMORIAL HEALTH CARE STEERING COMMITTEE, ALONG WITH COMMUNITY REPRESENTATIVES AND PARTNERS, OVERSAW THE FY2022 CHNA. THESE INDIVIDUALS SERVED AS LIAISONS TO THEIR ORGANIZATIONS AND THE COMMUNITIES SERVED BY THEIR ENTITIES.THE FOLLOWING CONTRIBUTED TO THE CHNA PROCESS AS COMMUNITY PARTNERS:AMERICAN CANCER SOCIETYBOYS & GIRLS CLUB OF CRITTENDEN COUNTYCHILDREN'S ADVOCACY CENTER OF EASTERN ARKANSASCOAST TO COAST MEDICALLEADERSHIP MEMPHIS AND VOLUNTEER MEMPHISMIDSOUTH HEALTH SYSTEMSST. JUDE CHILDREN'S RESEARCH HOSPITALSTATE FARM INSURANCEWEST MEMPHIS CHAMBER

BAPTIST MEMORIAL HOSPITAL-CRITTENDEN
PART V, SECTION B, LINE 6A: BAPTIST MEMORIAL HOSPITAL-CRITTENDEN CONDUCTED ITS CHNA WITH NEA BAPTIST MEMORIAL HOSPITAL.

BAPTIST MEMORIAL HOSPITAL-CRITTENDEN
PART V, SECTION B, LINE 11: BAPTIST MEMORIAL HEALTH CARE (BAPTIST) IS DEDICATED TO THE HEALTH AND WELL-BEING OF THE MANY COMMUNITIES WE SERVE ACROSS THE MID-SOUTH. WE BELIEVE STRONGLY IN CORPORATE CITIZENSHIP AND THE IMPORTANCE OF COLLABORATION WITH LOCAL ORGANIZATIONS TO BUILD STRONGER AND HEALTHIER COMMUNITIES.TO HELP US TRACK COMMUNITY HEALTH AND RESPOND TO THE NEEDS OF RESIDENTS, EVERY THREE YEARS WE CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP) FOR EACH COMMUNITY HOSPITAL. THESE ENDEAVORS HELP TO ENSURE OUR INITIATIVES, ACTIVITIES AND PARTNERSHIPS ALIGN WITH OUR COMMUNITIES' MOST PRESSING CONCERNS, AND GUIDE OUR COMMUNITY BENEFIT INVESTMENTS. THEY ARE VITAL TOOLS TO GUIDE COMMUNITY HEALTH IMPROVEMENT ACTIVITIES AS WELL AS ENHANCE CARE DELIVERY, IMPROVE PATIENT ENGAGEMENT STRATEGIES AND DIRECT POPULATION HEALTH MANAGEMENT.IT IS IMPERATIVE TO PRIORITIZE RESOURCES AND ACTIVITIES TOWARD THE MOST PRESSING AND CROSS-CUTTING HEALTH NEEDS WITHIN OUR COMMUNITY. IN DETERMINING THE ISSUES ON WHICH TO FOCUS EFFORTS OVER THE NEXT THREE-YEAR CYCLE, BAPTIST COLLECTED FEEDBACK FROM COMMUNITY PARTNERS AND SOUGHT TO ALIGN WITH COMMUNITY PROGRAMS, POPULATION HEALTH MANAGEMENT STRATEGIES AND DIVERSITY, EQUITY AND INCLUSION INITIATIVES. BAPTIST WILL FOCUS EFFORTS ON THE FOLLOWING COMMUNITY HEALTH PRIORITIES OVER THE NEXT THREE-YEAR CYCLE:1. BEHAVIORAL HEALTH2. CHRONIC DISEASES3. MATERNAL AND CHILD HEALTHBEHAVIORAL HEALTHTHE GOAL IS TO STRENGTHEN EQUITY AND QUALITY IN BEHAVIORAL HEALTH CARE AND IMPROVE ACCESS TO PREVENTION, TREATMENT AND RECOVERY SERVICES.BAPTIST MEMORIAL HOSPITAL-CRITTENDEN HAS OUTLINED THE FOLLOWING OBJECTIVES:1. INCREASE THE NUMBER OF PEOPLE WHO ARE SCREENED FOR BEHAVIORAL HEALTH CONDITIONS.2. INCREASE THE NUMBER OF PEOPLE RECEIVING BEHAVIORAL HEALTH CARE AND SUPPORT.BAPTIST MEMORIAL HOSPITAL-CRITTENDEN WILL IMPLEMENT THE FOLLOWING STRATEGIES:1. INITIATE UNIVERSAL BEHAVIORAL HEALTH SCREENINGS ACROSS ALL CARE SETTINGS.2. EDUCATE PEOPLE TO RECOGNIZE SIGNS AND SYMPTOMS OF MENTAL HEALTH CONDITIONS AND SUBSTANCE ABUSE AND WHERE TO GET HELP.3. SUPPORT, PROMOTE AND PARTICIPATE IN COMMUNITY BEHAVIORAL HEALTH AWARENESS EFFORTS.4. EXPAND WORKFORCE TRAINING AND CAPABILITY IN THE DETECTION, DIAGNOSIS AND MANAGEMENT OF BEHAVIORAL HEALTH CONDITIONS.5. PROVIDE INFORMATION ON THE MEDICAID AND CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) AND COVERAGE OF ESSENTIAL BEHAVIORAL HEALTH SERVICES FOR CHILDREN AND YOUTH.6. EXPAND ACCESS TO COMMUNITY-BASED SERVICES AND RESOURCES SUCH AS PEER SUPPORT, COMMUNITY HEALTH WORKERS, HOME AND COMMUNITY-BASED SERVICES AND SOCIAL SUPPORTS.7. STRENGTHEN AND SUPPORT COMMUNITY ORGANIZATIONS PROVIDING YOUTH MENTAL HEALTH SUPPORT, INCLUDING MENTORSHIP, CAREER DEVELOPMENT AND SOCIAL EMOTIONAL LEARNING OPPORTUNITIES.8. PROVIDE EDUCATION AND SUPPORT ABOUT BEHAVIORAL HEALTH FOR HEALTH CARE PROVIDERS AND PROFESSIONALS.CHRONIC DISEASESTHE GOAL IS TO ENSURE ALL RESIDENTS HAVE KNOWLEDGE OF, AND EQUITABLE ACCESS TO, THE RESOURCES THEY NEED TO MAINTAIN AND IMPROVE THEIR HEALTH.BAPTIST MEMORIAL HOSPITAL-CRITTENDEN HAS OUTLINED THE FOLLOWING OBJECTIVES:1. INCREASE ACCESS TO TRADITIONAL AND ALTERNATIVE PLACES PEOPLE CAN ACCESS HEALTH CARE.2. REDUCE DISPARITIES IN CHRONIC DISEASE PREVALENCE AND DEATH RATES.BAPTIST MEMORIAL HOSPITAL-CRITTENDEN WILL IMPLEMENT THE FOLLOWING STRATEGIES:1. PROVIDE INFORMATION ON THE MEDICAID AND CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) AND COVERAGE OF ESSENTIAL BEHAVIORAL HEALTH SERVICES FOR CHILDREN AND YOUTH.2. CONTINUE TO ASSESS COMMUNITY NEED FOR SPECIALTY CARE SERVICES AND OPPORTUNITIES TO EXPAND AVAILABLE CLINICS.3. EXPAND EQUITABLE ACCESS TO TELEHEALTH VISITS BY INCREASING TECHNOLOGY KNOW-HOW AND USE OF TELEHEALTH AMONG PRIORITY POPULATIONS.4. SUPPORT, PROMOTE, AND PARTICIPATE IN EVENTS OFFERING AFFORDABLE PREVENTIVE SCREENINGS AND OTHER MOBILE HEALTH SERVICES, BRINGING CARE TO THE COMMUNITY.5. OPTIMIZE DATA COLLECTION, STANDARDIZATION AND TRANSPARENCY TO IDENTIFY DISPARITIES AND TRACK IMPROVEMENT.6. INCREASE CHRONIC DISEASE SCREENING RATES AMONG UNDERSERVED POPULATIONS.7. PROVIDE EDUCATION AND SUPPORT PROGRAMS THAT ADDRESS PHYSICAL, MENTAL, SPIRITUAL AND FINANCIAL CONCERNS.MATERNAL AND CHILD HEALTHTHE GOAL IS TO ACHIEVE EQUITABLE OUTCOMES FOR MOTHERS AND BABIES BY STRENGTHENING COMMUNITIES AND ADDRESSING UNDERLYING BARRIERS TO CARE.BAPTIST MEMORIAL HOSPITAL-CRITTENDEN HAS OUTLINED THE FOLLOWING OBJECTIVES:1. REDUCE HEALTH DISPARITIES IN BIRTH OUTCOMES FOR BLACK/AFRICAN AMERICAN WOMEN AND BABIES.2. INCREASE ACCESS TO COMPREHENSIVE PRE- AND POST-NATAL CARE SERVICES.BAPTIST MEMORIAL HOSPITAL-CRITTENDEN WILL IMPLEMENT THE FOLLOWING STRATEGIES:1. OPTIMIZE DATA COLLECTION, STANDARDIZATION AND TRANSPARENCY TO IDENTIFY DISPARITIES AND TRACK IMPROVEMENT.2. EXPAND AND DIVERSIFY THE PERINATAL WORKFORCE.3. STRENGTHEN ECONOMIC AND SOCIAL SUPPORT FOR PEOPLE BEFORE, DURING AND AFTER PREGNANCY.4. CREATE INCLUSIVE AND WELCOMING CARE SETTINGS THAT HONOR DIVERSITY AND REFLECT THE COMMUNITY.5. PARTNER WITH COMMUNITY-BASED ORGANIZATIONS INCLUDING FAITH-BASED INSTITUTIONS TO PROVIDE EDUCATION AND CARE IN COMMUNITIES.6. PROVIDE MOBILE, IN-HOME, AND TELEHEALTH CARE TO INCREASE ACCESS FOR UNDERSERVED POPULATIONS.WE RECOGNIZE THAT OUR HOSPITALS ARE VITAL ORGANIZATIONS WITHIN THE COMMUNITIES WE SERVE. AND WE KNOW THAT WE CANNOT ADDRESS EVERY COMMUNITY NEED BY OURSELVES. TO PROMOTE HEALTH AND QUALITY OF LIFE, WE COLLABORATE WITH COMMUNITY PARTNERS WHO HAVE EXPERTISE IN SOCIAL NEEDS, SPECIALTY SERVICES, FAITH LEADERSHIP, ADVOCACY AND ESSENTIAL RESOURCES. WE FOSTER ONGOING RELATIONSHIPS WITH THESE PARTNERS AND PROVIDE FINANCIAL AND IN-KIND GIFTS TO SUPPORT THEIR WORK.NO ACTIONS WERE TAKEN DURING THE FISCAL YEAR RELATED TO THE MOST RECENT CHNA BECAUSE THE CHNA WAS ADOPTED AT THE END OF THE TAX YEAR. HOWEVER, THE HOSPITAL DID THE FOLLOWING DURING FY'22 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY RELATED TO THE PRIOR CHNA:- SUPPORTED SYSTEM INITIATIVES TO SCREEN INDIVIDUALS FOR DEPRESSION AND MENTAL HEALTH CONDITIONS AND BEGIN TREATMENT BY OFFERING TELE-PSYCHIATRY SERVICES IN EMERGENCY DEPARTMENT.- USED BAPTIST EXPERTS TO SHARE EDUCATIONAL INFORMATION WITH THE PUBLIC VIA PRINTED DOCUMENTS AND SOCIAL MEDIA.- SERVED AS CENTER IN THE NORTHEAST ARKANSAS REGION TO OFFER MONOCLONAL ANTIBODY THERAPY FOR COVID-19 POSITIVE PATIENTS.- PROVIDED FREE COVID-19 VACCINATIONS TO THE COMMUNITY.- OFFERED SMOKING CESSATION COURSES LED BY A NURSE PRACTITIONER.- PROVIDED RESOURCES TO THE COMMUNITY ON COVID-19 TREATMENT AND PREVENTION. - DEVELOPED STRATEGY TO IMPLEMENT THE LOW DOSE CT (LDCT) PROGRAM THAT WILL MAKE LUNG CANCER SCREENINGS AVAILABLE FOR COMMUNITY.- WORKED WITH OUR BAPTIST MEDICAL GROUP TO ADD CLINIC DAYS FOR THE ONLY OB/GYN CLINIC IN CRITTENDEN COUNTY.- PROVIDED GAS CARDS TO CANCER PATIENTS IN ORDER TO REMOVE BARRIERS TO RECEIVING CARE.- PROVIDED FOOD AND CLOTHING FROM OUR CLOTHING CLOSET TO PATIENTS THAT WERE HOMELESS.- PAID FOR THE PRESCRIPTIONS OF PATIENTS WHO COULD NOT AFFORD THEM AFTER DISCHARGE FROM THE HOSPITAL SO THAT THEY WOULD NOT BE READMITTED TO THE HOSPITAL. - SUPPORTED LOCAL HIGH SCHOOL STUDENTS WHO ARE INTERESTED IN A CAREER IN HEALTH CARE BY HOSTING A WEEK-LONG CAMP AT THE HOSPITAL TO EDUCATE THEM ON THE VARIOUS CAREERS IN HEALTH CARE AND LET THEM PARTICIPATE IN FUN AND ENGAGING ACTIVITIES.

BAPTIST MEMORIAL HOSPITAL-CRITTENDEN
PART V, SECTION B, LINE 13B: 1. MONEY INCOME INCLUDING: EARNINGS, UNEMPLOYMENT COMPENSATION, WORKERS' COMPENSATION, SOCIAL SECURITY, SUPPLEMENTAL SECURITY INCOME, DISABILITY PAYMENTS, PUBLIC ASSISTANCE, VETERANS' PAYMENTS, SURVIVOR BENEFITS, PENSION OR RETIREMENT INCOME, INTEREST, DIVIDENDS, RENTS, ROYALTIES, INCOME FROM ESTATES AND/OR TRUSTS, EDUCATIONAL ASSISTANCE, ALIMONY, CHILD SUPPORT, ASSISTANCE FROM OUTSIDE THE HOUSEHOLD, AND OTHER MISCELLANEOUS SOURCES OF INCOME. THE GROSS AMOUNT IS USED WHEN CALCULATING INCOME FROM ANY OF THE PRECEDING SOURCES. 2. NON-CASH BENEFITS, SUCH AS FOOD STAMPS AND HOUSING SUBSIDIES, DO NOT COUNT AS INCOME.3. IF A PERSON LIVES WITH A FAMILY, THE TOTAL GROSS INCOME OF ALL FAMILY MEMBERS IS CALCULATED WHEN DETERMINING INCOME. PLEASE NOTE: (A) NON-RELATIVES, INCLUDING HOUSEMATES, DO NOT COUNT; (B) A CHILD WHO IS A FULL-TIME STUDENT AWAY FROM HOME AT AN ACCREDITED COLLEGE MAY BE COUNTED; (C) MINOR CHILDRENS' EARNED WAGES ARE NOT INCLUDED IN DETERMINING INCOME; AND (D) COURT-ORDERED OR STATE/FEDERAL ISSUED ASSISTANCE RELATED TO A MINOR SHOULD BE INCLUDED IN DETERMINING INCOME.4. PRIMARY RESIDENCE OF INDIVIDUALS CLAIMED IN A FAMILY UNIT SHOULD BE VERIFIED USING TAX RETURNS OR FEDERAL, STATE OR GOVERNMENTAL COURT DOCUMENTS INDICATING RESIDENCY.

BAPTIST MEMORIAL HOSPITAL-CRITTENDEN:
PART V, SECTION B, LINE 16A: THE FAP FOR BAPTIST MEMORIAL HOSPITAL-CRITTENDEN CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE BAPTIST MEMORIAL HOSPITAL-CRITTENDEN: PART V, SECTION B, LINE 16B: THE FAP APPLICATION FOR BAPTIST MEMORIAL HOSPITAL-CRITTENDEN CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE BAPTIST MEMORIAL HOSPITAL-CRITTENDEN: PART V, SECTION B, LINE 16C: THE PLAIN LANGUAGE SUMMARY OF THE FAP FOR BAPTIST MEMORIAL HOSPITAL-CRITTENDEN CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE

PART I, LINE 3C:
BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC. USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR FREE OR REDUCED CARE FOR LOW INCOME AND MEDICALLY INDIGENT INDIVIDUALS. IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC. USES MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.

PART I, LINE 6A:
THE COMMUNITY BENEFIT REPORT IS PREPARED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION (EIN: 58-1521475), THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC. THE COMMUNITY BENEFIT REPORT IS MADE AVAILABLE TO THE PUBLIC BY MAIL AND AVAILABLE AT EACH AFFILIATE OF BAPTIST MEMORIAL HEALTH CARE CORPORATION.

PART I, LINE 7:
OUR COST ACCOUNTING PROCESS REFLECTS FULLY LOADED COST FOR ALL OF OUR PATIENT POPULATIONS. FULLY LOADED COST INCLUDES DIRECT, CAPITAL, AND INDIRECT COST. AFTER WORKING WITH OUR DEPARTMENT DIRECTORS AND CFOS TO MAKE SURE THE DOLLARS IN THE GENERAL LEDGER ARE IN THE CORRECT PLACE TO REFLECT OUR TIME AND EFFORT SPENT THROUGHOUT THE YEAR, WE DEVELOP RELATIVE VALUE UNITS TO ALLOCATE THE ACTUAL GENERAL LEDGER COST DOWN TO THE PROCEDURE CHARGE CODES FROM OUR PATIENT ACCOUNTING SYSTEM. ALL OVERHEAD IS ALLOCATED DOWN TO THE REVENUE PRODUCING DEPARTMENTS BASED ON VARIOUS STATISTICS. ONCE EVERY CHARGE CODE HAS GONE THROUGH THE COST AND AUDIT PROCESS, WE CAN RUN THE PATIENT LEVEL REPORTS USED FOR THE FORM 990 TO GET TO THE COST INFORMATION NEEDED.

PART I, LINE 7G:
SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.

PART II, COMMUNITY BUILDING ACTIVITIES:
BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC. CONDUCTS SEVERAL HEALTH FAIRS, SEMINARS AND CLASSES THROUGHOUT THE YEAR FOR THE COMMUNITIES IT SERVES. EMPLOYEES ALSO VOLUNTEER THEIR TIME ON VARIOUS COMMUNITY PROGRAMS.

PART III, LINE 2:
BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC.'S BAD DEBT EXPENSE WAS DETERMINED AS FOLLOWS:A BAD DEBT REPORT IS RUN TO PULL ALL PATIENTS THAT HAVE BEEN MOVED TO A BAD DEBT ACCOUNT LOCATION. WE THEN TAKE THE TOTAL ACCOUNT BALANCE OF ALL THE PATIENTS IN THE BAD DEBT LOCATION AND DIVIDE IT BY THE TOTAL CHARGES OF THE SAME PATIENT LOCATION. WE MULTIPLY THE RESULTING RATIO BY THE TOTAL COST OF THE SAME PATIENT POPULATION WHICH PROVIDES US WITH THE COST ASSOCIATED WITH THE TOTAL AMOUNT OF THE ACCOUNT BALANCE MOVED TO BAD DEBT STATUS.

PART III, LINE 3:
BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC.'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE BAPTIST MEMORIAL HEALTH CARE CORPORATION'S FINANCIAL ASSISTANCE POLICY WAS DETERMINED AS FOLLOWS:WE IDENTIFY THE PATIENTS ELIGIBLE FOR FREE OR DISCOUNTED CARE UNDER BAPTIST MEMORIAL HEALTH CARE CORPORATION'S FINANCIAL ASSISTANCE POLICY. THIS INFORMATION IS INCLUDED IN THE PATIENT'S RECORD. WE ALSO INCLUDE PATIENTS WHO REFUSE TO COMPLETE THE FINANCIAL ASSISTANCE PAPERWORK. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, IF INFORMATION PROVIDED BY THE PATIENT IS INCOMPLETE, OR WHEN A SELF-PAY MINIMUM DISCOUNT NOTE IS ENTERED IN THE PATIENT RECORD, WE RUN A REPORT WHICH PROVIDES US THE COST ASSOCIATED WITH THE TOTAL AMOUNT OF BAD DEBT ATTRIBUTABLE TO THOSE PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE.

PART III, LINE 4:
BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC., HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE AND BAD DEBTS BY INSTITUTIONAL PROVIDERS.THERE IS NOT A SEPARATE BAD DEBT EXPENSE FOOTNOTE IN BAPTIST MEMORIAL HEALTH CARE CORPORATION'S COMBINED AUDITED FINANCIAL STATEMENTS.

PART III, LINE 8:
THE SHORTFALL, IF ANY, IS NOT TREATED AS COMMUNITY BENEFIT.WE CANNOT GET THE PAYMENT AND MEDICARE ALLOWABLE COST INFORMATION FROM THE COST REPORT IN THE FORMAT WE NEED. THEREFORE, WE TAKE THE FOLLOWING STEPS. FOR LINE 5, WE TAKE THE TOTAL PAYMENTS FOR MEDICARE PATIENTS FROM SCHEDULE 6, PATIENT POPULATION, AND DIVIDE THAT BY THE TOTAL HOSPITAL MEDICARE PAYMENTS. WE MULTIPLY THE RESULTING RATIO BY THE REVENUE NUMBERS THAT COME FROM THE COST REPORT. FOR LINE 6, WE USE THE SAME CONCEPT TO GET THE COST INFORMATION. WE GET THE TOTAL COST OF MEDICARE PATIENTS FROM SCHEDULE 6 AND DIVIDE THAT NUMBER BY THE TOTAL COST OF THE TOTAL MEDICARE PATIENT POPULATION OF THE HOSPITAL. WE THEN MULTIPLY THIS RATIO BY THE COST INFORMATION FROM THE COST REPORT.

PART III, LINE 9B:
THE HOSPITAL'S COLLECTION AGENCY WILL DETERMINE IF THE PATIENT HAS A FINANCIAL ASSISTANCE APPLICATION ON FILE AND WAS DEEMED TO QUALIFY FOR FINANCIAL ASSISTANCE BY THE HOSPITAL. IF IT WAS DETERMINED THAT THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THEN THE COLLECTION AGENCY WILL REVIEW THE REMAINING UNPAID BALANCE AFTER THE APPLICATION OF THE FINANCIAL ASSISTANCE DISCOUNT, AND PURSUE APPROPRIATE COLLECTION EFFORTS. DEPENDING UPON THE CIRCUMSTANCES AT THE TIME, THE ENTIRE AMOUNT OWED MAY BE WRITTEN OFF.

PART VI, LINE 5:
THE HOSPITALS HAVE OPEN MEDICAL STAFFS, COMMUNITY BOARD INVOLVEMENT, SUPPORT SERVICES, FREE AND/OR REDUCED MAMMOGRAMS, HEALTH FAIRS, DONATION OF SUPPLIES AND MONEY, AND MANY OTHER THINGS.

PART VI, LINE 6:
BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC. IS AN AFFILIATE OF BAPTIST MEMORIAL HEALTH CARE CORPORATION. BAPTIST MEMORIAL HEALTH CARE CORPORATION IS THE SOLE MEMBER OF A NUMBER OF HOSPITALS, MINOR MEDICAL CENTERS, HOME CARE AND HOSPICE SERVICES, AND PHYSICIAN SERVICES IN WEST TENNESSEE, NORTH AND CENTRAL MISSISSIPPI, AND EAST ARKANSAS. EACH FACILITY PROVIDES HEALTH CARE SERVICES TO MEET THE NEEDS OF THE COMMUNITIES SERVED.

PART VI, LINE 2:
"BAPTIST MEMORIAL HEALTH CARE CORPORATION (BMHCC), AS SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC., PROVIDES NEEDS ASSESSMENTS THROUGH THE HEALTH SERVICES RESEARCH DEPARTMENT. IN ADDITION, LOCAL ADVISORY BOARDS PROVIDE FEEDBACK TO THE LOCAL HOSPITAL ADMINISTRATORS.REPUTATION.COM IS CONTRACTED TO ANALYZE AND GARNER ADDITIONAL FEEDBACK FROM ONLINE REVIEWS POSTED ON SOCIAL MEDIA AS WELL AS TO SOLICIT REVIEWS FROM BAPTIST PATIENTS. THESE EFFORTS ARE GEARED TOWARDS RAPID RESPONSE AND CORRECTION OF SUBOPTIMAL PERFORMANCE AS WELL AS TO BETTER UNDERSTAND THE CUSTOMER SERVICE NEEDS OF BMHCC'S PATIENT CONSTITUENCY. THIS APPLIES TO BOTH HOSPITALS AND PHYSICIAN PRACTICES.PROVIDER ENGAGEMENT SURVEYS ARE CONDUCTED YEARLY TO DETERMINE LEVELS OF ENGAGEMENT AND ALIGNMENT OF PHYSICIANS AND ADVANCE PRACTICE PROVIDERS. ENGAGEMENT ASSESSES PRIDE IN THE ORGANIZATION, INTENT TO STAY, WILLINGNESS TO RECOMMEND, AND OVERALL WORKPLACE SATISFACTION. ALIGNMENT ASSESSES THE EXTENT TO WHICH PHYSICIANS FEEL A STRONG PARTNERSHIP AND CONNECTION WITH LEADERSHIP, INCLUDING A SHARED VISION OF HOW TO EXECUTE THE ORGANIZATIONAL MISSION. AN IMPORTANT FACET OF ALIGNMENT IS THE PHYSICIANS' SENSE THAT THEIR INPUT AND FEEDBACK ARE VALUED AND HAVE AN IMPACT ON GOAL SETTING AND DIRECTION. QUESTIONS SEEK INPUT ON THEIR PATIENTS' EXPERIENCES, STAFF INTERACTIONS AND SERVICES PROVIDED, QUALITY STATUS AND IMPROVEMENT INITIATIVES, NEEDED EQUIPMENT AND SERVICES, RESOURCES AVAILABLE TO PATIENTS AND PROVIDERS, CONTINUING MEDICAL EDUCATION OPPORTUNITIES AND OUR COMMITMENT TO DIVERSITY. SURVEY INVITATIONS ARE EMAILED TO BOTH SYSTEM AFFILIATED PROVIDERS AND COMMUNITY PROVIDERS BY PRESS GANEY ASSOCIATES, LLC.COMMUNITY NEEDS ASSESSMENTS (CNA) FOR ADDITIONAL PHYSICIANS IN THE COMMUNITY ARE ALSO CONDUCTED. POPULATION-BASED DEMAND ESTIMATES ARE OBTAINED FROM THE MILLIMAN DATA DRIVEN MODELS CREATED IN COLLABORATION WITH BMHCC'S CNA VENDOR, 3DHEALTH. THEY TAKE INTO ACCOUNT THE AGE AND GENDER OF THE POPULATION. THIS IS THEN COMPARED TO THE SUPPLY OF PHYSICIANS AS DETERMINED THROUGH AN IQVIA NATIONAL PHYSICIAN DATABASE. 3DHEALTH ALSO CALLS PHYSICIAN OFFICES IN EACH SERVICE AREA TO DETERMINE THE FULL TIME EQUIVALENT OF PHYSICIANS AVAILABLE IN THE SPECIALTY OF INTEREST FOR EACH ASSESSMENT. THE DEMAND MINUS THE SUPPLY GIVES THE ""NET NEED"" CURRENTLY, AND IN YEARS TO COME. THE REQUEST FOR THESE ANALYSES ARE MADE BY THE HOSPITAL'S CHIEF EXECUTIVE OFFICER BASED ON THE PRIORITIES GIVEN BY THE MEDICAL STAFF AND ACCORDING TO KNOWLEDGE OF PHYSICIANS THAT ARE LIKELY TO LEAVE THE AREA IN THE NEXT YEAR OR TWO. GENERALLY, THE DEMAND AND SUPPLY ESTIMATES ARE FOR A GEOGRAPHIC AREA DEFINED BY THE PRIMARY SERVICE AREA OF THE HOSPITAL AS DEFINED BY THE STARK ACT.BMHCC ALSO CONSULTS WITH MULTIPLE OUTSIDE VENDORS IN THE REAL ESTATE AND HEALTH CARE FACILITY PLANNING BUSINESS TO ASSESS FACILITY NEED AND OPTIMAL LOCATION TO BEST SERVE THE PUBLIC. MULTIPLE SOFTWARE PACKAGES WITH PROPRIETARY ALGORITHMS TO ASSESS BEST LOCATION FOR PROSPECTIVE NEW FACILITIES ARE USED. NATIONAL CLAIMS DATABASES OF HEALTH CARE VISITS, AS WELL AS DATA SETS GATHERED FROM SOCIAL MEDIA AND CELL COMPANIES THAT ASSESS POPULATION TRAFFIC MOVEMENTS, PROVIDE CUTTING EDGE DATA TO ULTIMATELY PROVIDE OPTIMAL LOCATIONS FOR THE MARKETS BAPTIST SERVES.PATIENT EXPERIENCE SURVEYS ARE USED TO ASSESS COMMUNITY NEED AND TO SOLICIT FEEDBACK ON OUR SERVICES. THROUGH PRESS GANEY ASSOCIATES, LLC, BMHCC UTILIZES MAIL, E-MAIL AND TEXT TO SEEK FEEDBACK FROM OVER 1.2 MILLION PATIENT VISITS PER YEAR. SERVICES FOR THESE VISITS MAY BE PROVIDED IN ONE OF SEVEN SETTINGS: INPATIENT, OUTPATIENT TEST AND TREATMENT, ONCOLOGY CENTER, EMERGENCY DEPARTMENT, AMBULATORY SURGERY, URGENT CARE CENTER, AND PHYSICIAN PRACTICE CLINIC. THE SURVEY MEASURES THE PATIENT'S PERCEPTION OF KEY COMPONENTS OF THEIR JOURNEY WITH OUR HEALTH CARE ORGANIZATION. THESE COMPONENTS INCLUDE ADMISSION, REGISTRATION, COMMUNICATION WITH NURSES, COMMUNICATION WITH DOCTORS, WAIT TIME, RESPONSE TO NEEDS, HOSPITAL ENVIRONMENT, DISCHARGE, CARE TRANSITION, ETC. THE RATINGS ON EACH QUESTION ARE USED, ALONG WITH COMMENTS, TO IDENTIFY THE CONTINUATION OF BEST PRACTICES ALONG WITH ANY CHANGES IN PROCESSES OR BEHAVIORS THAT ARE NECESSARY TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE."

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"PATIENTS ARE INFORMED OF THEIR ELIGIBILITY FOR ASSISTANCE IN PERSON UPON ENTERING THE HOSPITAL FACILITY. EACH PATIENT IS ASSIGNED AN ADMISSIONS PERSON WHO PROVIDES WRITTEN INFORMATION AS WELL AS VERBAL INFORMATION. IN ADDITION, THE PATIENT MAY OBTAIN INFORMATION AS FOLLOWS:(A) A COPY IS GIVEN TO THE PATIENT DURING THE ADMISSIONS AND/OR DISCHARGE PROCESS FOR EACH VISIT FOR MEDICAL TREATMENT.(B) A COPY IS SENT WITH THE FIRST POST-DISCHARGE BILLING STATEMENT.(C) COPIES ARE POSTED AND AVAILABLE UPON REQUEST AT ALL ADMISSIONS, EMERGENCY AND BUSINESS OFFICE DEPARTMENT AREAS AT ALL BAPTIST MEMORIAL HEALTH CARE CORPORATION FACILITIES.(D) COPIES ARE ALSO AVAILABLE FOR DOWNLOAD AND PRINTING ONLINE ON THE BAPTIST MEMORIAL HEALTH CARE CORPORATION WEBSITE UNDER ""FINANCIAL ASSISTANCE OR BY CONTACTING THE FACILITY WHERE SERVICES WERE RECEIVED AND REQUESTING A COPY BY MAIL OR EMAIL AT FAP@BMHCC.ORG.(E) COPIES OF ALL FINANCIAL ASSISTANCE POLICY DOCUMENTS WILL BE PROVIDED ELECTRONICALLY TO ANY INDIVIDUAL WHO INDICATES THAT IS THEIR PREFERENCE."

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BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC. SERVICES THE CRITTENDEN COUNTY, ARKANSAS AREA. THE AFRICAN AMERICAN COMMUNITY COMPRISES ABOUT 52.2% OF OUR PRIMARY SERVICE AREA. HISPANICS MAKE UP ABOUT 3.4%, AND CAUCASIANS ARE ABOUT 39.1%.DEMOGRAPHIC SNAPSHOTS ARE PROVIDED BY THE INDEPENDENT OUTSIDE FIRM OF CLARITAS, INC. OUR OWN HEALTH SERVICES RESEARCH DEPARTMENT AT BAPTIST MEMORIAL HEALTH CARE CORPORATION (OUR PARENT) CALCULATES THE DISTRIBUTION OF INPATIENT DISCHARGES (EXCLUDING NEWBORNS) BY COUNTY. THIS IS SORTED IN DESCENDING NUMBER PER COUNTY AND DETERMINES THOSE COUNTIES WITH UP TO 75-77% OF THE DISCHARGES AND THESE CONTIGUOUS COUNTIES COMPRISE THE PRIMARY MARKET AREA. COUNTIES COMPRISING 78-95% OF THE DISCHARGES ARE DESIGNATED THE SECONDARY MARKET, WHILE THE REMAINING 5% IS THE TERTIARY MARKET. BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC.'S PRIMARY MARKET SERVICE AREA HAS 46,995 PERSONS WITH THE COMBINED PRIMARY AND SECONDARY AREA HAVING 1,222,367 PERSONS. OTHER ITEMS SUCH AS AGE, HOUSEHOLD INCOME, AND RACE/ETHNICITY PERCENTAGES, AS COMPARED TO THE NATION AS A WHOLE, ARE ALSO USED IN THE MIX.DUNN AND BRADSTREET DATA IS ALSO USED TO DETERMINE THE COMMUNITIES' LARGEST EMPLOYERS.