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THE COST REPORT AND TRIAL BALANCE WERE USED FOR LINE 7B."},{"explanation":"THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES AT NET REALIZABLE AMOUNTS FROM THIRD PARTY PAYERS, PATIENTS, AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. WE USED THE RESULT OF THE CALCULATION IN SCHEDULE H'S WORKSHEET II, WHICH IS THE RATIO OF ADJUSTED OPERATING EXPENSES TO GROSS HOSPITAL CHARGES. AS FOR INCLUDING A PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT, ALTHOUGH THE HOSPITAL MAKES EVERY EFFORT TO DISTINGUISH BETWEEN FINANCIAL ASSISTANCE AND BAD DEBT, IT IS NOT AN EXACT SCIENCE AND DOES REQUIRE SOME PATIENT FOLLOW UP. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS COMMUNITY BENEFIT."},{"explanation":"LINE 6 WAS CALCULATED USING MEDICARE COST REPORT."},{"explanation":"IF AT ANY TIME DURING THE COLLECTION PROCESS, A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE, ALL COLLECTION EFFORTS CEASE."},{"explanation":"HOSPITAL ADMINISTRATION REVIEWS SERVICE AREA, PATIENT DISCHARGE DATA FROM ARKANSAS AND TENNESSEE SUMMARIZED BY MAJOR DIAGNOSTIC CATEGORY AND THEN MATCHES COMMUNITY NEEDS WITH CURRENT HOSPITAL SERVICE OFFERINGS. WE ALSO USE THIS DATA TO DETERMINE NEW SERVICE LINES THAT NEED DEVELOPING AND PHYSICIAN RECRUITING NEEDS."},{"explanation":"CRH CONTRACTS WITH AN ORGANIZATION THAT INTERVIEWS ALL INPATIENTS WITH NO HEALTH COVERAGE TO DETERMINE IF ANY PUBLIC ASSISTANCE IS AVAILABLE TO THEM. BASED ON THE INTERVIEWS, APPLICATIONS ARE FILED. IF NO PUBLIC ASSISTANCE IS AVAILABLE, FINANCIAL ASSISTANCE APPLICATIONS ARE FILED ACCORDING TO THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ONCE APPROPRIATE DOCUMENTATION IS RECEIVED SUPPORTING THE ASSISTANCE, THE HOSPITAL ADJUSTS THE CLAIMS ACCORDINGLY."},{"explanation":"CRITTENDEN HOSPITAL ASSOCIATION SERVES AN AREA IN NORTHEAST ARKANSAS THAT IS ECONOMICALLY IMPOVERSISHED. THE COUNTY'S UNEMPLOYMENT RATE HAS HOVERED HEAR AND ABOVE THE 10% MARK THROUGHOUT 2010. CRITTENDEN HOSPITAL ASSOCIATION IS COMMITTED TO PROVIDING EXCELLENCE IN PATIENT CENTER HEALTHCARE FOR THIS COMMUNITY REGARDLESS OF PATIENTS' ABILITY TO PAY."},{"explanation":"THE HOSPITAL SPONSORS AN ASSORTMENT OF COMMUNITY HEALTH EDUCATION ACTIVITIES WITH IT'S AFFILIATION WITH UAMS AND THE DELTA AREA HEALTH EDUCATION CENTER. AMONG THOSE ARE SENIOR HEALTH & EXERCISE, CHILDBIRTH EDUCATION, DIABETES EDUCATION, HEALTH COUNCIL, HYPERTENSION, AND CPR JUST TO NAME A FEW. THE HOSPITAL'S OBJECTIVES WITH THIS PROGRAM ARE AS FOLLOWS: RECRUITMENT AND RETENTION OF HEALTHCARE PROFESSIONALS, CONTINUING EDUCATION FOR THOSE PROFESSIONALS AND COMMUNITY HEALTH EDUCATION."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JAMIE 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AS SUCH, THE HOSPITAL IS REQUIRED TO FILE IRS FORM 990 ON AN ANNUAL BASIS. HOWEVER, THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. NO PROVISION FOR FEDERAL OR STATE INCOME TAXES IS INCLUDED IN THE HOSPITAL'S FINANCIAL STATEMENTS. THE HOSPITAL IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR INCOME TAX RETURNS FILED FOR YEARS BEFORE 2009. THE HOSPITAL'S TAXABLE SUBSIDIARY, CRITTENDEN CARES, INC., RECOGNIZES DEFERRED TAX LIABILITIES AND ASSETS FOR THE TAX EFFECTS OF DIFFERENCES BETWEEN THE FINANCIAL STATEMENT AND TAX BASIS OF ASSETS AND LIABILITIES. A VALUATION ALLOWANCE IS ESTABLISHED TO REDUCE DEFERRED TAX ASSETS IF IT IS MORE LIKELY THAN NOT THAT A DEFERRED TAX ASSET WILL NOT BE REALIZED. THERE WERE NO MATERIAL DEFERRED TAX ITEMS OR TAX PROVISIONS AS OF OR FOR THE YEARS ENDED DECEMBER 31, 2012 OR 2011."},{"identifier":"EXPENSE INCLUDED IN EXPENSES PER AUDIT, INCLUDED IN REVENUES PER RETURN","form_and_line_reference":"FORM 990, SCHEDULE D, PART XI, LINE 2D","explanation":"RENTAL EXPENSES $16,396"},{"identifier":"EXPENSE INCLUDED IN EXPENSES PER AUDIT, INCLUDED IN REVENUES PER RETURN","form_and_line_reference":"FORM 990, SCHEDULE D, PART XII, LINE 2D","explanation":"RENTAL EXPENSES $16,396"}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_percent_150":true,"fpg_reference_discounted_care":true,"discounted_care_percent_250":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":false},"bad_debt_medicare_collections":{"bad_debt_expense_reported":false,"bad_debt_expense":15241606,"bad_debt_expense_attributable_to_financial_assistance":4572482,"reimbursed_by_medicare":19821195,"cost_of_care_reimbursed_by_medicare":19739981,"medicare_surplus_or_shortfall":81214,"costing_methodology_other":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":2382186,"net_community_benefit_expense":2382186,"total_expense_percentage":0.041},"unreimbursed_medicaid":{"total_community_benefit_expense":10196103,"direct_offsetting_revenue":8911687,"net_community_benefit_expense":1284416,"total_expense_percentage":0.0221},"total_financial_assistance":{"total_community_benefit_expense":12578289,"direct_offsetting_revenue":8911687,"net_community_benefit_expense":3666602,"total_expense_percentage":0.0631},"health_professions_education":{"total_community_benefit_expense":615614,"direct_offsetting_revenue":520202,"net_community_benefit_expense":95412,"total_expense_percentage":0.0016},"subsidized_health_services":{"total_community_benefit_expense":823020,"direct_offsetting_revenue":776195,"net_community_benefit_expense":46825,"total_expense_percentage":0.0008},"total_other_benefits":{"total_community_benefit_expense":1438634,"direct_offsetting_revenue":1296397,"net_community_benefit_expense":142237,"total_expense_percentage":0.0024},"total_community_benefits":{"total_community_benefit_expense":14016923,"direct_offsetting_revenue":10208084,"net_community_benefit_expense":3808839,"total_expense_percentage":0.0655}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"CRITTENDEN REGIONAL HOSPITAL","address_line1":"200 WEST TYLER","city":"WEST MEMPHIS","state":"AR","zip":"72301","licensed_hospital":true,"general_medical_and_surgical":true,"critical_access_hospital":true,"emergency_room_24_hours":true,"name":"CRITTENDEN REGIONAL HOSPITAL","address":"200 WEST TYLER, WEST MEMPHIS, AR, 72301"}],"facility_policies":[{"business_name_line1":"CRITTENDEN REGIONAL HOSPITAL","facility_number":1,"chna_conducted":false,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":150.0,"fpg_family_income_limit_discounted_care_percentage":150.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"includes_publicity_measures":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"fap_actions_on_nonpayment":true,"collection_activities":false,"processed_fap_application":true,"nondiscriminatory_emergency_care_policy":true,"lookback_medicare":true,"medicaid_medicare":true,"amounts_generally_billed":false,"gross_charges":false,"name":"CRITTENDEN REGIONAL HOSPITAL"}],"supplemental_information":[{"form_and_line_reference":"FORM 990, SCHEDULE H,PART I, LINE 7, COLUMN F","explanation":"BAD DEBT EXPENSE IN THE AMOUNT OF $15,241,606 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) (\"TOTAL FUNCTIONAL EXPENSES\"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN."},{"form_and_line_reference":"FORM 990, SCHEDULE H, PART I, LINE 7","explanation":"THE COST TO CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED ON LINE 7A. THE COST REPORT AND TRIAL BALANCE WERE USED FOR LINE 7B."},{"form_and_line_reference":"FORM 990, SCHEDULE H, PART III, LINE 4","explanation":"THE FOOTNOTE CONTAINING THE EXPLANATION FOR BAD DEBT EXPENSE CAN BE FOUND IN THE ATTACHED FINANCIAL STATEMENTS ON PAGE 8."},{"form_and_line_reference":"FORM 990, SCHEDULE H, PART III, LINE 8","explanation":"LINE 6 WAS CALCULATED USING MEDICARE COST REPORT."},{"form_and_line_reference":"FORM 990, SCHEDULE H, PART III, LINE 9B","explanation":"IF AT ANY TIME DURING THE COLLECTION PROCESS, A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE, ALL COLLECTION EFFORTS CEASE."},{"form_and_line_reference":"FORM 990, SCHEDULE H, PART VI, LINE 2","explanation":"HOSPITAL ADMINISTRATION REVIEWS SERVICE AREA, PATIENT DISCHARGE DATA FROM ARKANSAS AND TENNESSEE SUMMARIZED BY MAJOR DIAGNOSTIC CATEGORY AND THEN MATCHES COMMUNITY NEEDS WITH CURRENT HOSPITAL SERVICE OFFERINGS. WE ALSO USE THIS DATA TO DETERMINE NEW SERVICE LINES THAT NEED DEVELOPING AND PHYSICIAN RECRUITING NEEDS."},{"form_and_line_reference":"FORM 990, SCHEDULE H, PART VI, LINE 3","explanation":"CRH CONTRACTS WITH AN ORGANIZATION THAT INTERVIEWS ALL INPATIENTS WITH NO HEALTH COVERAGE TO DETERMINE IF ANY PUBLIC ASSISTANCE IS AVAILABLE TO THEM. BASED ON THE INTERVIEWS, APPLICATIONS ARE FILED. IF NO PUBLIC ASSISTANCE IS AVAILABLE, FINANCIAL ASSISTANCE APPLICATIONS ARE FILED ACCORDING TO THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ONCE APPROPRIATE DOCUMENTATION IS RECEIVED SUPPORTING THE ASSISTANCE, THE HOSPITAL ADJUSTS THE CLAIMS ACCORDINGLY."},{"form_and_line_reference":"FORM 990, SCHEDULE H, PART VI, LINE 4","explanation":"CRITTENDEN HOSPITAL ASSOCIATION SERVES AN AREA IN NORTHEAST ARKANSAS THAT IS ECONOMICALLY IMPOVERSISHED. THE COUNTY'S UNEMPLOYMENT RATE HAS HOVERED HERE AND ABOVE THE 11% MARK THROUGHOUT 2012. CRITTENDEN HOSPITAL ASSOCIATION IS COMMITTED TO PROVIDING EXCELLENCE IN PATIENT CENTER HEALTHCARE FOR THIS COMMUNITY REGARDLESS OF PATIENTS' ABILITY TO PAY."},{"form_and_line_reference":"FORM 990, SCHEDULE H, PART VI, LINE 5","explanation":"THE HOSPITAL SPONSORS AN ASSORTMENT OF COMMUNITY HEALTH EDUCATION ACTIVITIES WITH ITS AFFILIATION WITH UAMS AND THE DELTA AREA HEALTH EDUCATION CENTER. AMONG THOSE ARE SENIOR HEALTH & EXERCISE, CHILDBIRTH EDUCATION, DIABETES EDUCATION, HEALTH COUNCIL, HYPERTENSION, AND CPR JUST TO NAME A FEW. THE HOSPITAL'S OBJECTIVES WITH THIS PROGRAM ARE AS FOLLOWS: RECRUITMENT AND RETENTION OF HEALTHCARE PROFESSIONALS, CONTINUING EDUCATION FOR THOSE PROFESSIONALS AND COMMUNITY HEALTH EDUCATION."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"CHURCHILL 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