{"success":true,"data":{"_id":710816634,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Consistent with The Sisters of Mercy Health System - St. Louis, the mission of Advance Care Hospital is to continue the healing ministry of Jesus Christ.","primary_activities":"GENERAL INFORMATIONThe Gospel values underlying the mission statement challenges Advance Care Hospital to make choices which respond to the patient's needs in providing the necessary setting for the appropriate continuum of care. Special consideration is given to those who are economically disadvantaged and underserved. The hospital cares for patients who are medically complex and may require daily monitoring; ventilator dependent patients, oxygen dependent patients needing respiratory rehabilitation, patients with slow healing wounds, patients benefiting from physical, occupational or speech therapy, and for patients requiring palliative and end of life care. The medical and therapeutic needs of the patients are met using an interdisciplinary, holistic team approach incorporating medical management, physical, respiratory, occupational and speech therapies in an effort to restore individual quality of life to as high a degree as possible and to promote self-help and independence to the extent feasible. The spiritual needs of the patients, families and significant others are provided for as well. The growth and development of Advance Care Hospital is determined by the health care needs of the communities that it serves, available resources, and the interrelationship of those serving and those being served. Responsible stewardship mandates that Advance Care Hospital search out new, effective means to deliver quality health care and to promote wholeness in the human person for those who require this long-term acute continuum of care.The vision of Advance Care Hospital is to provide health care that is spiritually rooted, fully integrated in the continuum of care, supportive of healthier communities, innovative and interdisciplinary in a holistic approach to care, and compassionate in response to the needs of patients in their life journey. Advance Care Hospital's approach to strengthen current ministries and to expand into new locations and services; to implement innovative approaches to caring for the whole person; to increase access to health care for the poor and underserved through advocacy and other initiatives; to make a contribution to creating healthy communities; and to create a work environment filled with hope, dignity, and mutual respect.COMMUNITY BENEFITSIn support of its mission and philosophy regarding social accountability, Advance Care Hospital provides care to patients who bear a significant health-care financial burden relative to their financial resources. Advance Care Hospital classifies the resources utilized for the care of patients bearing a significant health care financial burden as compared to their resources as charity care. Charity care includes the cost of services provided to persons who cannot afford health care because of the financial burden of the health care services and/or who are uninsured or underinsured. Charity care is provided without charge or at a charge that is less than the usual charge for such services. The determination as to the amount to be charged, if any, is made according to a patient's ability to pay, consideration of the patient's assets and liabilities, and determined by the established eligibility criteria based on the most current federal poverty guidelines. A financially indigent patient is one who is uninsured or underinsured and whose economic circumstances place them at or under 200% of the federal poverty guidelines. A medically indigent patient is a person who's medical or hospital bills after payment by third-party payers exceeds 25% of their annual gross income. No patient is refused necessary medical care on the basis of their inability to pay.In addition to uncompensated costs, Advance Care Hospital supports and participates in community benefit programs designed to positively impact the health status of the communities served.UNREIMBURSED GOVERNMENT SPONSORED PROGRAMSIn addition to the provision of care without expectation of payment (charity care), Advance Care Hospital provides services to persons covered under government sponsored programs, including Medicare, TRICARE (formerly CHAMPUS which provides civilian health care benefits to Military personnel, Military retirees and their dependents, and some members of the Reserve Component) and TRICARE for Life (a Medicare Supplement insurance program available to individuals who had been eligible for TRICARE). As already cited, Advance Care Hospital provided medical services to persons covered under the federal Medicare Program which, in fact, comprised the largest single payer classification of patients served by this health system. The payment rate for inpatient services is on a per discharge rate, calculated based on the diagnostic-related group into which the patient is categorized. Number of Patients Served by the LTACH: 505Number of Patient Days of Care Provided by the LTACH: 13,047Number of Patient Days of Charity Care Provided by the LTACH: 700Charity Care Cost: $990,684Community members served by the Laboratory (terminated June 30) 46,580TOTAL PROGRAM SERVICE EXPENSES (GRANTS $1,067,044) $20,606,665\n\nEffective March 30, 2008, Advance Care Hospital entered into a temporary agreement with St. Joseph's Mercy Health Center, an Arkansas non-profit corporation, to operate the Mercy Laboratory of Hot Springs to provide lab services to the patients of St. Joseph's Mercy Health Center and its affiliated satellite labs in the Hot Springs community. Advance Care Hospital and St. Joseph's Mercy Health Center did not renew or extend this operating agreement which terminated June 30, 2010. As a result of this termination, Advance Care Hospital's primary source of unrelated business income is also eliminated.","year":2009,"name":"ADVANCE CARE HOSPITAL","phone":"7132772300","website":"n/a","type":"990","principal_officer":"JOHN SELIG","year_formation":1998,"state_legal_domicile":"AR","total_volunteers":4,"tax_period_begin":"2009-10-01T00:00:00","tax_period_end":"2010-09-30T00:00:00","address":"300 WERNER STREET 3RD FLOOR, HOT SPRINGS, AR, 71913, USA","city":"HOT SPRINGS","state":"AR","country":"USA","zip_code":"71913"},"Governance":{"501c determination":true,"Number of voting members":5,"Number of independent voting members":4,"Number of employees total":0,"Total Gross UBI":6349637,"Net unrelated business taxable income":306320,"Number of employees":0,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":false,"Delegation of management duties":true,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":false,"Compensation process for other employees":false,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":true,"Election of board members":true,"Decisions subject to approval":true,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":false,"Accountant compile or review":false,"Financial statements audited by independent accountant":false,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":22353558,"Contributions":{"value":0},"Program revenue":{"value":22336111,"Total revenue":{"value":22336111,"VARIOUS":22336111},"Unrelated business revenue":6349637},"Investment income":{"value":16633,"Investment income total":16633},"Other revenues":{"value":814,"Other total":814}},"Expenses":{"value":23173361,"Grant expense":{"value":1067044,"Grants to domestic orgs":1067044},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":9915500,"Current officers":30252,"Other salaries and wages":7934081,"Pension plan contributions":255769,"Other employee benefits":1242911,"Payroll taxes":452487},"Other expenses":{"value":12190817,"Management services":543457,"Legal":1788,"Accounting":605004,"Lobbying services":809,"Other services":367020,"Advertising":4666,"Office expenses":4806356,"Occupancy":1174559,"Travel":91884,"Depreciation and depletion":115833,"Insurance":78872,"Itemized Expenses":{"value":4400569,"VARIOUS":4400569}}},"Assets":{"value":8078468,"Non-interest bearing cash":3293454,"Accounts receivable":1785392,"Inventories for sale or use":347713,"Prepaid expenses deferred charges":13475,"Land, building, equipment":596542,"Other assets":2041892},"Liabilities":{"value":4148160,"Accounts payable, accrued":1449950,"Other liabilities":2698210},"Fund balance":{"value":3930308},"Form990Details":{"program_service_accomplishments":[{"description":"GENERAL INFORMATIONThe Gospel values underlying the mission statement challenges Advance Care Hospital to make choices which respond to the patient's needs in providing the necessary setting for the appropriate continuum of care. Special consideration is given to those who are economically disadvantaged and underserved. The hospital cares for patients who are medically complex and may require daily monitoring; ventilator dependent patients, oxygen dependent patients needing respiratory rehabilitation, patients with slow healing wounds, patients benefiting from physical, occupational or speech therapy, and for patients requiring palliative and end of life care. The medical and therapeutic needs of the patients are met using an interdisciplinary, holistic team approach incorporating medical management, physical, respiratory, occupational and speech therapies in an effort to restore individual quality of life to as high a degree as possible and to promote self-help and independence to the extent feasible. The spiritual needs of the patients, families and significant others are provided for as well. The growth and development of Advance Care Hospital is determined by the health care needs of the communities that it serves, available resources, and the interrelationship of those serving and those being served. Responsible stewardship mandates that Advance Care Hospital search out new, effective means to deliver quality health care and to promote wholeness in the human person for those who require this long-term acute continuum of care.The vision of Advance Care Hospital is to provide health care that is spiritually rooted, fully integrated in the continuum of care, supportive of healthier communities, innovative and interdisciplinary in a holistic approach to care, and compassionate in response to the needs of patients in their life journey. Advance Care Hospital's approach to strengthen current ministries and to expand into new locations and services; to implement innovative approaches to caring for the whole person; to increase access to health care for the poor and underserved through advocacy and other initiatives; to make a contribution to creating healthy communities; and to create a work environment filled with hope, dignity, and mutual respect.COMMUNITY BENEFITSIn support of its mission and philosophy regarding social accountability, Advance Care Hospital provides care to patients who bear a significant health-care financial burden relative to their financial resources. Advance Care Hospital classifies the resources utilized for the care of patients bearing a significant health care financial burden as compared to their resources as charity care. Charity care includes the cost of services provided to persons who cannot afford health care because of the financial burden of the health care services and/or who are uninsured or underinsured. Charity care is provided without charge or at a charge that is less than the usual charge for such services. The determination as to the amount to be charged, if any, is made according to a patient's ability to pay, consideration of the patient's assets and liabilities, and determined by the established eligibility criteria based on the most current federal poverty guidelines. A financially indigent patient is one who is uninsured or underinsured and whose economic circumstances place them at or under 200% of the federal poverty guidelines. A medically indigent patient is a person who's medical or hospital bills after payment by third-party payers exceeds 25% of their annual gross income. No patient is refused necessary medical care on the basis of their inability to pay.In addition to uncompensated costs, Advance Care Hospital supports and participates in community benefit programs designed to positively impact the health status of the communities served.UNREIMBURSED GOVERNMENT SPONSORED PROGRAMSIn addition to the provision of care without expectation of payment (charity care), Advance Care Hospital provides services to persons covered under government sponsored programs, including Medicare, TRICARE (formerly CHAMPUS which provides civilian health care benefits to Military personnel, Military retirees and their dependents, and some members of the Reserve Component) and TRICARE for Life (a Medicare Supplement insurance program available to individuals who had been eligible for TRICARE). As already cited, Advance Care Hospital provided medical services to persons covered under the federal Medicare Program which, in fact, comprised the largest single payer classification of patients served by this health system. The payment rate for inpatient services is on a per discharge rate, calculated based on the diagnostic-related group into which the patient is categorized. Number of Patients Served by the LTACH: 505Number of Patient Days of Care Provided by the LTACH: 13,047Number of Patient Days of Charity Care Provided by the LTACH: 700Charity Care Cost: $990,684Community members served by the Laboratory (terminated June 30) 46,580TOTAL PROGRAM SERVICE EXPENSES (GRANTS $1,067,044) $20,606,665","expense":20606665,"grants":1067044,"revenue":15986474}],"program_service_revenue_detail":[{"business_code":"900099","description":"Inpatient Revenues","total_revenue":15961702,"related_or_exempt_function_income":15961702},{"business_code":"621500","description":"Outpatient 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SELIG","address_line1":"300 WERNER STREET 3RD FLOOR","city":"HOT SPRINGS","state":"AR","zip":"71913"},"audit_financial_statement_detail":{"accountant_compile_or_review":false,"federal_grant_audit_required":false},"related_party_due_diligence":{"officer_entity_with_business_relationship":false,"officer_mailing_address":false,"related_entity":true,"related_org_controlled_entity":false,"compensation_from_other_sources":false,"excess_benefit_transaction":false,"annual_disclosure_covered_persons":true},"grant_due_diligence":{"grants_to_organizations":true,"grants_to_individuals":false,"more_than_5000_to_organizations":false,"more_than_5000_to_individuals":false},"books_are_in_care_of":{"phone":"7132772300","business_name_line1":"Paul Veillon","address_line1":"1700 W Loop South Suite 1100A","city":"Houston","state":"TX","zip":"770270000"},"contractor_compensation":[{"business_name_line1":"St Edward Mercy Medical Center","compensation":1210785,"services_description":"Ancillary services","address_line1":"5501 Euper Lane","city":"Fort Smith","state":"AR","zip":"729030000","name":"St Edward Mercy Medical Center","address":"5501 Euper Lane, Fort Smith, AR, 729030000"},{"business_name_line1":"Christus Dubuis Health System","compensation":1148472,"services_description":"Management services","address_line1":"1700 West Loop South Ste 1100A","city":"Houston","state":"TX","zip":"770270000","name":"Christus Dubuis Health System","address":"1700 West Loop South Ste 1100A, Houston, TX, 770270000"},{"business_name_line1":"St Joseph's Mercy Health Center","compensation":754113,"services_description":"Ancillary services","address_line1":"300 Werner Street","city":"Hot Springs","state":"AR","zip":"719039001","name":"St Joseph's Mercy Health Center","address":"300 Werner Street, Hot Springs, AR, 719039001"},{"business_name_line1":"Arkansas Nephrology Services Inc","compensation":137600,"services_description":"Ancillary services","address_line1":"115 Wrights Street","city":"Hot Springs","state":"AR","zip":"719130000","name":"Arkansas Nephrology Services Inc","address":"115 Wrights Street, Hot Springs, AR, 719130000"},{"business_name_line1":"SPA City Pathology","compensation":103644,"services_description":"Ancillary services","address_line1":"PO Box 22304","city":"Hot Springs","state":"AR","zip":"719032304","name":"SPA City Pathology","address":"PO Box 22304, Hot Springs, AR, 719032304"}],"officers_directors_key_employees":[{"title":"President/Board Member","average_hours_per_week":4.0,"reportable_comp_from_org":30252,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"Board Member","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"Board 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Activities:","explanation":"A portion of annual dues paid to the National Association of Long Term Hospitals is allocated to lobbying activities on behalf of the membership."}]},"ScheduleD":{"land_buildings_equipment":{"leasehold_improvements":{"other_cost_or_other_basis":27626,"book_value":10118,"depreciation":17508},"equipment":{"other_cost_or_other_basis":1522978,"book_value":586424,"depreciation":936554},"total_book_value":596542},"other_assets":{"assets":[{"description":"A/R St. Joseph Laboratory Service Fees","book_value":2041892}],"total_book_value":2041892},"other_liabilities":{"liabilities":[{"description":"Third Party Payor Settlements","amount":177004},{"description":"Payable to Host Facilities","amount":56360},{"description":"Payable to CHRISTUS Dubuis Health System","amount":263922},{"description":"Payable to St. Joseph's Mercy Health System","amount":2167581},{"description":"Miscellaneous taxes payable","amount":33343}],"total_liability":2698210},"net_assets_reconciliation":{"total_revenue":22353558,"total_expenses":23173361,"excess_or_deficit_for_year":-819803,"excess_or_deficit_per_financial_statements":-819803}},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_400":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":false},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":46849,"reimbursed_by_medicare":14266663,"cost_of_care_reimbursed_by_medicare":12724693,"medicare_surplus_or_shortfall":1541970,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":990684,"net_community_benefit_expense":990684,"total_expense_percentage":0.043},"total_financial_assistance":{"total_community_benefit_expense":990684,"net_community_benefit_expense":990684,"total_expense_percentage":0.043},"cash_and_inkind_contributions":{"total_community_benefit_expense":1067044,"net_community_benefit_expense":1067044,"total_expense_percentage":0.0463},"total_other_benefits":{"total_community_benefit_expense":1067044,"net_community_benefit_expense":1067044,"total_expense_percentage":0.0463},"total_community_benefits":{"total_community_benefit_expense":2057728,"net_community_benefit_expense":2057728,"total_expense_percentage":0.0893}},"community_building":{"physical_improvements_and_housing":{"total_community_benefit_expense":50000,"net_community_benefit_expense":50000,"total_expense_percentage":0.0022},"total_community_building_activities":{"total_community_benefit_expense":50000,"net_community_benefit_expense":50000,"total_expense_percentage":0.0022}},"hospital_facilities":[{"business_name_line1":"Advance Care Hospital of Hot Springs","address_line1":"300 Werner Street 3rd Floor","city":"Hot Springs","state":"AR","zip":"71913","licensed_hospital":true,"other_description":"Long Term Acute Care Hospital","name":"Advance Care Hospital of Hot Springs","address":"300 Werner Street 3rd Floor, Hot Springs, AR, 71913"},{"business_name_line1":"Advance Care Hospital of Fort Smith","address_line1":"7301 Rogers Ave 4th Floor","city":"Fort Smith","state":"AR","zip":"72917","licensed_hospital":true,"other_description":"Long Term Acute Care Hospital","name":"Advance Care Hospital of Fort Smith","address":"7301 Rogers Ave 4th Floor, Fort Smith, AR, 72917"}],"part_vi_explanations":{"affiliated_health_care_system":"Part VI, Line 7: The Advance Care Hospital is primarily focused on the provision of long-term acute care which is directed to persons who are medically complex and may require daily monitoring; ventilator dependent patients, oxygen dependent patients needing respiratory rehabilitation, patients with slow healing wounds, patients benefiting from physical, occupational or speech therapy, and for patients requiring palliative and end of life care. By contrast the Sisters of Mercy Health System includes over 400 clinic and hospital locations in the Midwest of the United States providing medical care at all levels. Neither Advance Care Hospital nor the Sisters of Mercy Health System will refuse to provide necessary medical teatment due to a patient's inability to pay.","bad_debt_footnote":"Part III, Line 4: Patient accounts receivable are from patients and third-party payors for medical services and are net of allowances for contractual adjustments and doubtful accounts. Allowances are estimated based on established billing rates and historical experience.","community_building_activities":"Part VI, Line 5:","community_information":"Part VI, Line 4: Advance Care Hospital's service areas in Arkansas include Long-Term Acute Care Hospitals in Fort Smith and Hot Springs. The Advance Care Hospital community is comprised of patients from local communities who are medically complex and may require daily monitoring: ventilator dependent patients, oxygen dependent patients needing respiratory rehabilitation, patients with slow healing wounds, patients benefiting from physical, occupational or speech therapy, and for patients requiring palliative and end of life care. Special efforts are taken to ensure that poor and other underserved individuals are included in the community served. Advance Care Hospital of Fort Smith is located in Sebastian County. Total population in the county is 125,744 of which 13.1% are ages 65 and over according to the 2009 Census Bureau. In addition, 17.6% of the population is below the poverty level. Advance Care Hospital of Hot Springs is located in Garland County. Total population in the county is 96,024 of which 21.7% are age 65 and over according to the 2009 Census Bureau. In addition, 14.7% of the population is below poverty level.","costing_method_used":"Part I, Line 7: The Community Benefit of Cost of Charity Care was calculated as the total Voluntary Free Care times the ratio of cost to gross patient billing. The Community Benefit for Cash and In-kind contributions to Community Groups was calculated as the amount of the cash contribution.","debt_collection_policy":"Part III, Line 9b: Advance Care Hospital does not outsource patient balances to a third party debt collection agency. All collections are done by in-house collectors using collection letters. Patients are not subject to harassment or legal action due to their incapacity to pay. Upon admission, patients who have no insurance coverage and no ability to pay will be given consideration for charity care. Every effort will be made to obtain the appropriate financial documentation to determine the ability to pay for services. Patients receive private letters/bills each month indicating their balance due. Patients who have not made payments for a 30-day period will receive a letter requesting payment. Patients who are unable to pay their balance will be considered for charity care if appropriate. Collection efforts will continue for 120 days with the patient/guarantor receiving at least three letters requesting payment within said 120 day period. Accounts that are not deemed eligible for charity care or medical indigence will be written off as bad debt following the 120 day collection period.","needs_assessment":"Part VI, Line 2: Advance Care Hospital assesses the health care needs of the communities served through regular exchanges with civic, community and religious leaders, as well as patient surveys that solicit information on specific and general ongoing and upcoming needs.","number_of_facility_type":"Part V:","other_information":"Part VI, Line 6: In addition to its primary mission to provide long-term acute medical care to the community including the poor and underserved, Advance Care Hospital annually provides cash and in-kind support to tax-exempt charitable organizations with established need.","patient_education_assistance":"Part VI, Line 3: All patients are assessed during the registration process. Patients identified as possible charity cases will be asked to complete an application for financial assistance. Patients who may qualify for financial assistance from a governmental program but are not currently enrolled are referred to the appropriate program. Patients who can prove eligibility for Medicaid will be deemed as indigent and automatically qualify for charity care. Patients admitted to the hospital with Medicare as the only insurance will be monitored as Medicare days near depletion. Thirty days prior to the end of the Medicare coverage, an interview and an application for financial assistance will be requested as appropriate. These patients are assessed as to meeting the guidelines for receiving charity care if the stay should exceed Medicare coverage limits. As soon as sufficient information is available concerning the patient's financial resources and eligibility for government assistance, a determination is made concerning the patient's eligibility for charity. No collection effort is pursued on a charity account after such determinations are made.","percent_of_total_expense":"Part I, Line 7f:","subsidized_health_services":"Part I, Line 7g:"}},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":1067044,"reported_domestic_org_grants_program_services":1067044,"total_501c3_and_government_organizations":4,"total_other_organizations":1,"grants":[{"ein":710804718,"irc_section":"501(c)(3)","cash":500000,"purpose":"Provide medical support to underserved and low income","address_line1":"300 Werner St","city":"Hot Springs","state":"AR","zip":"71913","name":"St Joseph's Mercy Health Foundation","address":"300 Werner St, Hot Springs, AR, 71913"},{"ein":710240352,"irc_section":"501(c)(3)","cash":500000,"purpose":"Provide medical support to underserved and low income","address_line1":"7301 Rogers Ave","city":"Fort Smith","state":"AR","zip":"72917","name":"St Edward Mercy Medical Center","address":"7301 Rogers Ave, Fort Smith, AR, 72917"},{"ein":710776139,"irc_section":"501(c)(3)","cash":50000,"purpose":"Charity housing","address_line1":"PO Box 171","city":"hot Springs","state":"AR","zip":"71902","name":"Garland County Habitat for Humanity","address":"PO Box 171, hot Springs, AR, 71902"},{"ein":208631167,"noncash":8758,"purpose":"Provide needed beds to the hospital","noncash_description":"bed frames","valuation_method":"book","address_line1":"200 North 3rd Street","city":"Dardanelle","state":"AR","zip":"72834","name":"River Valley Medical Center","address":"200 North 3rd Street, Dardanelle, AR, 72834"},{"ein":237330425,"irc_section":"501(c)(3)","cash":5500,"purpose":"Provide medical support to underserved and low income","address_line1":"PO Box 17000","city":"Fort Smith","state":"AR","zip":"72917","name":"St Edward Mercy Foundation","address":"PO Box 17000, Fort Smith, AR, 72917"}],"total_domestic_grants":1067044,"total_domestic_program_services":1067044,"detail_org_grants_total":1064258,"detail_domestic_grants_total":1064258,"supplemental_information":[{"identifier":"Procedure for Monitoring Grants in the U.S.:","form_and_line_reference":"Part I, Line 2:","explanation":"Schedule I, Part I, Line 2: Donations are provided to tax-exempt charitable organizations with an established need. The decision to donate and the selection of the recipient charity determined by the hospital Administrator and/or the Board of Directors. All donations are documented."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"Schedule I, Part I, Line 2: Donations are provided to tax-exempt charitable organizations with an established need. The decision to donate and the selection of the recipient charity determined by the hospital Administrator and/or the Board of Directors. 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CARE HOSPITAL OF HOT SPRINGS","address_line1":"300 WERNER STREET 3RD FLOOR","city":"HOT SPRINGS","state":"AR","zip":"71913","licensed_hospital":true,"other_description":"LONG TERM ACUTE CARE HOSPITAL","name":"ADVANCE CARE HOSPITAL OF HOT SPRINGS","address":"300 WERNER STREET 3RD FLOOR, HOT SPRINGS, AR, 71913"},{"facility_number":2,"business_name_line1":"ADVANCE CARE HOSPITAL OF FORT SMITH","address_line1":"7301 ROGERS AVE 4TH FLOOR","city":"FORT SMITH","state":"AR","zip":"72917","licensed_hospital":true,"other_description":"LONG TERM ACUTE CARE HOSPITAL","name":"ADVANCE CARE HOSPITAL OF FORT SMITH","address":"7301 ROGERS AVE 4TH FLOOR, FORT SMITH, AR, 72917"}],"facility_policies":[{"business_name_line1":"NA","facility_number":1,"name":"NA"}],"supplemental_information":[{"explanation":"PART I, LINE 7: THE COMMUNITY BENEFIT OF COST OF CHARITY CARE WAS CALCULATED AS THE TOTAL VOLUNTARY FREE CARE TIMES THE RATIO OF COST TO GROSS PATIENT BILLING. THE COMMUNITY BENEFIT FOR IN-KIND CONTRIBUTIONS TO HEALTH PROFESSIONS WAS CALCULATED BASED ON THE NUMBER OF EMPLOYEE HOURS."},{"explanation":"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 $ 146706."},{"explanation":"PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE FROM PATIENTS AND THIRD-PARTY PAYORS FOR MEDICAL SERVICES AND ARE NET OF ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS AND DOUBTFUL ACCOUNTS. ALLOWANCES ARE ESTIMATED BASED ON ESTABLISHED BILLING RATES AND HISTORICAL EXPERIENCE. IN ORDER TO DETERMINE THE BAD DEBT EXPENSE AT COST FOR PART III SECTION A LINE 2, THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS WAS MULTIPLIED BY THE COST-TO-CHARGE RATIO."},{"explanation":"PART III, LINE 9B: ADVANCE CARE HOSPITAL DOES NOT OUTSOURCE PATIENT BALANCES TO A THIRD PARTY DEBT COLLECTION AGENCY. ALL COLLECTIONS ARE DONE BY IN-HOUSE COLLECTORS USING COLLECTION LETTERS. PATIENTS ARE NOT SUBJECT TO HARASSMENT OR LEGAL ACTION DUE TO THEIR INCAPACITY TO PAY. UPON ADMISSION, PATIENTS WHO HAVE NO INSURANCE COVERAGE AND NO ABILITY TO PAY WILL BE GIVEN CONSIDERATION FOR CHARITY CARE. EVERY EFFORT WILL BE MADE TO OBTAIN THE APPROPRIATE FINANCIAL DOCUMENTATION TO DETERMINE THE ABILITY TO PAY FOR SERVICES. PATIENTS RECEIVE PRIVATE LETTERS/BILLS EACH MONTH INDICATING THEIR BALANCE DUE. PATIENTS WHO HAVE NOT MADE PAYMENTS FOR A 30-DAY PERIOD WILL RECEIVE A LETTER REQUESTING PAYMENT. PATIENTS WHO ARE UNABLE TO PAY THEIR BALANCE WILL BE CONSIDERED FOR CHARITY CARE IF APPROPRIATE. COLLECTION EFFORTS WILL CONTINUE FOR 120 DAYS WITH THE PATIENT/GUARANTOR RECEIVING AT LEAST THREE LETTERS REQUESTING PAYMENT WITHIN SAID 120 DAY PERIOD. ACCOUNTS THAT ARE NOT DEEMED ELIGIBLE FOR CHARITY CARE OR MEDICAL INDIGENCE WILL BE WRITTEN OFF AS BAD DEBT FOLLOWING THE 120 DAY COLLECTION PERIOD."},{"explanation":"PART VI, LINE 2: ADVANCE CARE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED THROUGH REGULAR EXCHANGES WITH CIVIC, COMMUNITY AND RELIGIOUS LEADERS, AS WELL AS PATIENT SURVEYS THAT SOLICIT INFORMATION ON SPECIFIC AND GENERAL ONGOING AND UPCOMING NEEDS."},{"explanation":"PART VI, LINE 3: ALL PATIENTS ARE ASSESSED DURING THE REGISTRATION PROCESS. PATIENTS IDENTIFIED AS POSSIBLE CHARITY CASES WILL BE ASKED TO COMPLETE AN APPLICATION FOR FINANCIAL ASSISTANCE. PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE FROM A GOVERNMENTAL PROGRAM BUT ARE NOT CURRENTLY ENROLLED ARE REFERRED TO THE APPROPRIATE PROGRAM. PATIENTS WHO CAN PROVE ELIGIBILITY FOR MEDICAID WILL BE DEEMED AS INDIGENT AND AUTOMATICALLY QUALIFY FOR CHARITY CARE. PATIENTS ADMITTED TO THE HOSPITAL WITH MEDICARE AS THE ONLY INSURANCE WILL BE MONITORED AS MEDICARE DAYS NEAR DEPLETION. THIRTY DAYS PRIOR TO THE END OF THE MEDICARE COVERAGE, AN INTERVIEW AND AN APPLICATION FOR FINANCIAL ASSISTANCE WILL BE REQUESTED AS APPROPRIATE. THESE PATIENTS ARE ASSESSED AS TO MEETING THE GUIDELINES FOR RECEIVING CHARITY CARE IF THE STAY SHOULD EXCEED MEDICARE COVERAGE LIMITS. AS SOON AS SUFFICIENT INFORMATION IS AVAILABLE CONCERNING THE PATIENT'S FINANCIAL RESOURCES AND ELIGIBILITY FOR GOVERNMENT ASSISTANCE, A DETERMINATION IS MADE CONCERNING THE PATIENT'S ELIGIBILITY FOR CHARITY. NO COLLECTION EFFORT IS PURSUED ON A CHARITY ACCOUNT AFTER SUCH DETERMINATIONS ARE MADE."},{"explanation":"PART VI, LINE 4: ADVANCE CARE HOSPITAL'S SERVICE AREAS IN ARKANSAS INCLUDE LONG-TERM ACUTE CARE HOSPITALS IN FORT SMITH AND HOT SPRINGS. THE ADVANCE CARE HOSPITAL COMMUNUITY IS COMPRISED OF PATIENTS FROM LOCAL COMMUNITIES WHO ARE MEDICALLY COMPLEX AND MAY REQUIRE DAILY MONITORING; VENTILATOR DEPENDENT PATIENTS, OXYGEN DEPENDENT PATIENTS NEEDING RESPIRATORY REHABILITATION, PATIENTS WITH SLOW HEALING WOUNDS, PATIENTS BENEFITING FROM PHYSICAL, OCCUPATIONAL OR SPEECH THERAPHY, AND FOR PATIENTS REQUIRING PALLIATIVE AND END OF LIFE CARE. SPECIAL EFFORTS ARE TAKEN TO ENSURE THAT POOR AND OTHER UNDERSERVED INDIVIDUALS ARE INCLUDED IN THE COMMUNITY SERVED. ADVANCE CARE HOSPITAL OF FORT SMITH IS LOCATED IN SEBASTIAN COUNTY. TOTAL POPULATION IN THE COUNTY IS 125,127 OF WHICH 13.3% ARE AGES 65 AND OVER ACCORDING TO THE 2010 CENSUS BUREAU. IN ADDITION, 18.0% OF THE POPULATION IS BELOW THE POVERTY LEVEL. ADVANCE CARE HOSPITAL OF HOT SPRINGS IS LOCATED IN GARLAND COUNTY. TOTAL POPULATION IN THE COUNTY IS 97,124 OF WHICH 21.1% ARE AGE 65 AND OVER ACCORDING TO THE 2010 CENSUS BUREAU. IN ADDITION, 17.7% OF THE POPULATION IS BELOW POVERTY LEVEL."},{"explanation":"PART VI, LINE 6: IN ADDITION TO ITS PRIMARY MISSION TO PROVIDE LONG-TERM ACUTE MEDICAL CARE TO THE COMMUNITY INCLUDING THE POOR AND UNDERSERVED, ADVANCE CARE HOSPITAL ANNUALLY PROVIDES CASH AND/OR IN-KIND SUPPORT TO TAX-EXEMPT CHARITABLE ORGANIZATIONS WITH ESTABLISHED NEED."},{"explanation":"PART VI, LINE 7: THE ADVANCE CARE HOSPITAL IS PRIMARILY FOCUSED ON THE PROVISION OF LONG-TERM ACUTE CARE WHICH IS DIRECTED TO PERSONS WHO ARE MEDICALLY COMPLEX AND MAY REQUIRE DAILY MONITORING; VENTILATOR DEPENDENT PATIENTS, OXYGEN DEPENDENT PATIENTS NEEDING RESPIRATORY REHABILITATION, PATIENTS WITH SLOW HEALING WOUNDS, PATIENTS BENEFITING FROM PHYSICAL, OCCUPATIONAL OR SPEECH THERAPY, AND FOR PATIENTS REQUIRING PALLIATIVE AND END OF LIFE CARE. BY CONTRAST THE SISTERS OF MERCY HEALTH SYSTEM INCLUDES OVER 400 CLINIC AND HOSPITAL LOCATIONS IN THE MIDWEST OF THE UNITED STATES PROVIDING MEDICAL CARE AT ALL LEVELS. NEITHER ADVANCE CARE HOSPITAL NOR THE SISTERS OF MERCY HEALTH SYSTEM WILL REFUSE TO PROVIDE NECESSARY MEDICAL TEATMENT DUE TO A PATIENT'S INABILITY TO PAY."},{"explanation":"AR"}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":8789,"reported_domestic_org_grants_program_services":8789,"no_grant_over_5000":true,"total_domestic_grants":8789,"total_domestic_program_services":8789,"supplemental_information":[{"identifier":"PROCEDURE FOR MONITORING GRANTS IN THE U.S.:","form_and_line_reference":"PART I, LINE 2:","explanation":"SCHEDULE I, PART I, LINE 2: DONATIONS ARE PROVIDED TO TAX-EXEMPT CHARITABLE ORGANIZATIONS WITH AN ESTABLISHED NEED. THE DECISION TO DONATE AND TO WHICH CHARITY TO DONATE IS DETERMINED BY THE HOSPITAL ADMINISTRATOR AND/OR THE BOARD OF DIRECTORS. ALL DONATIONS ARE DOCUMENTED."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"SCHEDULE I, PART I, LINE 2: DONATIONS ARE PROVIDED TO TAX-EXEMPT CHARITABLE ORGANIZATIONS WITH AN ESTABLISHED NEED. THE DECISION TO DONATE AND TO WHICH CHARITY TO DONATE IS DETERMINED BY THE HOSPITAL ADMINISTRATOR AND/OR THE BOARD OF DIRECTORS. ALL DONATIONS ARE DOCUMENTED.","form_and_line_reference":"PART I, LINE 2:"}},"ScheduleR":{"tax_exempt_organizations":[{"ein":431767432,"business_name_line1":"BREECH REGIONAL MEDICAL CENTER","primary_activities":"HOSPITAL","exempt_code_section":"501(C)(3)","public_charity_status":"LINE 3: 170(B)(1)(A)","controlled_organization":false,"legal_domicile_state":"MO","direct_controlling_business_name_line1":"ST JOHNS HS","address_line1":"100 HOSPITAL DRIVE","city":"LEBANON","state":"MO","zip":"65536","name":"BREECH REGIONAL MEDICAL CENTER","address":"100 HOSPITAL DRIVE, LEBANON, MO, 65536"},{"ein":710759301,"business_name_line1":"CARROLL HEALTH FOUNDATION","primary_activities":"FOUNDATION","exempt_code_section":"501(C)(3)","public_charity_status":"11A","controlled_organization":false,"legal_domicile_state":"AR","direct_controlling_business_name_line1":"OZARK RG HS","address_line1":"214 CARTER STREET","city":"BERRYVILLE","state":"AR","zip":"72616","name":"CARROLL HEALTH 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ADVANCE CARE HOSPITAL MAINTAINS A SEPARATE AND INDEPENDENT GOVERNING BODY, CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, ADMINISTRATORS, AND DIRECTORS OF PATIENT CARE. COSTS FOR FACILITY RENTAL IS BASED ON A FIXED COST REIMBURSEMENT FORMULA. SERVICES ARE PRICED BASED ON A VARIABLE COST REIMBURSEMENT FORMULA."}]},"source_xml":"201202269349302600_public.xml"}],"Latest":{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"To continue the healing ministry of jesus christ to patients who require an extended hospitalization.","primary_activities":"General information the gospel values underlying the mission statement challenges advance care hospital to make choices which respond to the patient's needs in providing the necessary setting for the appropriate continuum of care. Special consideration is given to those who are economically disadvantaged and underserved. The hospital cares for patients who are medically complex and may require daily monitoring; ventilator dependent patients, oxygen dependent patients needing respiratory rehabilitation, patients with slow healing wounds, patients benefiting from physical, occupational or speech therapy, and for patients requiring palliative and end of life care. The medical and therapeutic needs of the patients are met using an interdisciplinary, holistic team approach incorporating medical management, physical, respiratory, occupational and speech therapies in an effort to restore individual quality of life to as high a degree as possible and to promote self-help and independence to the extent feasible. The spiritual needs of the patients, families and significant others are provided for as well. The growth and development of advance care hospital is determined by the health care needs of the communities that it serves, available resources, and the interrelationship of those serving and those being served. Responsible stewardship mandates that advance care hospital search out new, effective means to deliver quality health care and to promote wholeness in the human person for those who require this long-term acute continuum of care. The vision of advance care hospital is to provide health care that is spiritually rooted, fully integrated in the continuum of care, supportive of healthier communities, innovative and interdisciplinary in a holistic approach to care, and compassionate in response to the needs of patients in their life journey. Advance care hospital's approach to strengthen current ministries and to expand into new locations and services; to implement innovative approaches to caring for the whole person; to increase access to health care for the poor and underserved through advocacy and other initiatives; to make a contribution to creating healthy communities; and to create a work environment filled with hope, dignity, and mutual respect. Community benefits in support of its mission and philosophy regarding social accountability, advance care hospital provides care to patients who bear a significant health-care financial burden relative to their financial resources. Advance care hospital classifies the resources utilized for the care of patients bearing a significant health care financial burden as compared to their resources as charity care. Charity care includes the cost of services provided to persons who cannot afford health care because of the financial burden of the health care services and/or who are uninsured or underinsured. Charity care is provided without charge or at a charge that is less than the usual charge for such services. The determination as to the amount to be charged, if any, is made according to a patient's ability to pay, consideration of the patient's assets and liabilities, and determined by the established eligibility criteria based on the most current federal poverty guidelines. A financially indigent patient is one who is uninsured or underinsured and whose economic circumstances place them at or under 200% of the federal poverty guidelines. A medically indigent patient is a person who's medical or hospital bills after payment by third-party payers exceeds 25% of their annual gross income. No patient is refused necessary medical care on the basis of their inability to pay. In addition to uncompensated costs, advance care hospital supports and participates in community benefit programs designed to positively impact the health status of the communities served. Reimbursed government sponsored programs in addition to the provision of care without expectation of payment (charity care), advance care hospital provides services to persons covered under government sponsored programs, including medicare, tricare (formerly champus which provides civilian health care benefits to military personnel, military retirees and their dependents, and some members of the reserve component) and tricare for life (a medicare supplement insurance program available to individuals who had been eligible for tricare). As already cited, advance care hospital provided medical services to persons covered under the federal medicare program which, in fact, comprised the largest single payer classification of patients served by this health system. 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THE COMMUNITY BENEFIT FOR IN-KIND CONTRIBUTIONS TO HEALTH PROFESSIONS WAS CALCULATED BASED ON THE NUMBER OF EMPLOYEE HOURS."},{"explanation":"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 $ 146706."},{"explanation":"PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE FROM PATIENTS AND THIRD-PARTY PAYORS FOR MEDICAL SERVICES AND ARE NET OF ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS AND DOUBTFUL ACCOUNTS. ALLOWANCES ARE ESTIMATED BASED ON ESTABLISHED BILLING RATES AND HISTORICAL EXPERIENCE. IN ORDER TO DETERMINE THE BAD DEBT EXPENSE AT COST FOR PART III SECTION A LINE 2, THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS WAS MULTIPLIED BY THE COST-TO-CHARGE RATIO."},{"explanation":"PART III, LINE 9B: ADVANCE CARE HOSPITAL DOES NOT OUTSOURCE PATIENT BALANCES TO A THIRD PARTY DEBT COLLECTION AGENCY. ALL COLLECTIONS ARE DONE BY IN-HOUSE COLLECTORS USING COLLECTION LETTERS. PATIENTS ARE NOT SUBJECT TO HARASSMENT OR LEGAL ACTION DUE TO THEIR INCAPACITY TO PAY. UPON ADMISSION, PATIENTS WHO HAVE NO INSURANCE COVERAGE AND NO ABILITY TO PAY WILL BE GIVEN CONSIDERATION FOR CHARITY CARE. EVERY EFFORT WILL BE MADE TO OBTAIN THE APPROPRIATE FINANCIAL DOCUMENTATION TO DETERMINE THE ABILITY TO PAY FOR SERVICES. PATIENTS RECEIVE PRIVATE LETTERS/BILLS EACH MONTH INDICATING THEIR BALANCE DUE. PATIENTS WHO HAVE NOT MADE PAYMENTS FOR A 30-DAY PERIOD WILL RECEIVE A LETTER REQUESTING PAYMENT. PATIENTS WHO ARE UNABLE TO PAY THEIR BALANCE WILL BE CONSIDERED FOR CHARITY CARE IF APPROPRIATE. COLLECTION EFFORTS WILL CONTINUE FOR 120 DAYS WITH THE PATIENT/GUARANTOR RECEIVING AT LEAST THREE LETTERS REQUESTING PAYMENT WITHIN SAID 120 DAY PERIOD. ACCOUNTS THAT ARE NOT DEEMED ELIGIBLE FOR CHARITY CARE OR MEDICAL INDIGENCE WILL BE WRITTEN OFF AS BAD DEBT FOLLOWING THE 120 DAY COLLECTION PERIOD."},{"explanation":"PART VI, LINE 2: ADVANCE CARE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED THROUGH REGULAR EXCHANGES WITH CIVIC, COMMUNITY AND RELIGIOUS LEADERS, AS WELL AS PATIENT SURVEYS THAT SOLICIT INFORMATION ON SPECIFIC AND GENERAL ONGOING AND UPCOMING NEEDS."},{"explanation":"PART VI, LINE 3: ALL PATIENTS ARE ASSESSED DURING THE REGISTRATION PROCESS. PATIENTS IDENTIFIED AS POSSIBLE CHARITY CASES WILL BE ASKED TO COMPLETE AN APPLICATION FOR FINANCIAL ASSISTANCE. PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE FROM A GOVERNMENTAL PROGRAM BUT ARE NOT CURRENTLY ENROLLED ARE REFERRED TO THE APPROPRIATE PROGRAM. PATIENTS WHO CAN PROVE ELIGIBILITY FOR MEDICAID WILL BE DEEMED AS INDIGENT AND AUTOMATICALLY QUALIFY FOR CHARITY CARE. PATIENTS ADMITTED TO THE HOSPITAL WITH MEDICARE AS THE ONLY INSURANCE WILL BE MONITORED AS MEDICARE DAYS NEAR DEPLETION. THIRTY DAYS PRIOR TO THE END OF THE MEDICARE COVERAGE, AN INTERVIEW AND AN APPLICATION FOR FINANCIAL ASSISTANCE WILL BE REQUESTED AS APPROPRIATE. THESE PATIENTS ARE ASSESSED AS TO MEETING THE GUIDELINES FOR RECEIVING CHARITY CARE IF THE STAY SHOULD EXCEED MEDICARE COVERAGE LIMITS. AS SOON AS SUFFICIENT INFORMATION IS AVAILABLE CONCERNING THE PATIENT'S FINANCIAL RESOURCES AND ELIGIBILITY FOR GOVERNMENT ASSISTANCE, A DETERMINATION IS MADE CONCERNING THE PATIENT'S ELIGIBILITY FOR CHARITY. NO COLLECTION EFFORT IS PURSUED ON A CHARITY ACCOUNT AFTER SUCH DETERMINATIONS ARE MADE."},{"explanation":"PART VI, LINE 4: ADVANCE CARE HOSPITAL'S SERVICE AREAS IN ARKANSAS INCLUDE LONG-TERM ACUTE CARE HOSPITALS IN FORT SMITH AND HOT SPRINGS. THE ADVANCE CARE HOSPITAL COMMUNUITY IS COMPRISED OF PATIENTS FROM LOCAL COMMUNITIES WHO ARE MEDICALLY COMPLEX AND MAY REQUIRE DAILY MONITORING; VENTILATOR DEPENDENT PATIENTS, OXYGEN DEPENDENT PATIENTS NEEDING RESPIRATORY REHABILITATION, PATIENTS WITH SLOW HEALING WOUNDS, PATIENTS BENEFITING FROM PHYSICAL, OCCUPATIONAL OR SPEECH THERAPHY, AND FOR PATIENTS REQUIRING PALLIATIVE AND END OF LIFE CARE. SPECIAL EFFORTS ARE TAKEN TO ENSURE THAT POOR AND OTHER UNDERSERVED INDIVIDUALS ARE INCLUDED IN THE COMMUNITY SERVED. ADVANCE CARE HOSPITAL OF FORT SMITH IS LOCATED IN SEBASTIAN COUNTY. TOTAL POPULATION IN THE COUNTY IS 125,127 OF WHICH 13.3% ARE AGES 65 AND OVER ACCORDING TO THE 2010 CENSUS BUREAU. IN ADDITION, 18.0% OF THE POPULATION IS BELOW THE POVERTY LEVEL. ADVANCE CARE HOSPITAL OF HOT SPRINGS IS LOCATED IN GARLAND COUNTY. TOTAL POPULATION IN THE COUNTY IS 97,124 OF WHICH 21.1% ARE AGE 65 AND OVER ACCORDING TO THE 2010 CENSUS BUREAU. IN ADDITION, 17.7% OF THE POPULATION IS BELOW POVERTY LEVEL."},{"explanation":"PART VI, LINE 6: IN ADDITION TO ITS PRIMARY MISSION TO PROVIDE LONG-TERM ACUTE MEDICAL CARE TO THE COMMUNITY INCLUDING THE POOR AND UNDERSERVED, ADVANCE CARE HOSPITAL ANNUALLY PROVIDES CASH AND/OR IN-KIND SUPPORT TO TAX-EXEMPT CHARITABLE ORGANIZATIONS WITH ESTABLISHED NEED."},{"explanation":"PART VI, LINE 7: THE ADVANCE CARE HOSPITAL IS PRIMARILY FOCUSED ON THE PROVISION OF LONG-TERM ACUTE CARE WHICH IS DIRECTED TO PERSONS WHO ARE MEDICALLY COMPLEX AND MAY REQUIRE DAILY MONITORING; VENTILATOR DEPENDENT PATIENTS, OXYGEN DEPENDENT PATIENTS NEEDING RESPIRATORY REHABILITATION, PATIENTS WITH SLOW HEALING WOUNDS, PATIENTS BENEFITING FROM PHYSICAL, OCCUPATIONAL OR SPEECH THERAPY, AND FOR PATIENTS REQUIRING PALLIATIVE AND END OF LIFE CARE. BY CONTRAST THE SISTERS OF MERCY HEALTH SYSTEM INCLUDES OVER 400 CLINIC AND HOSPITAL LOCATIONS IN THE MIDWEST OF THE UNITED STATES PROVIDING MEDICAL CARE AT ALL LEVELS. NEITHER ADVANCE CARE HOSPITAL NOR THE SISTERS OF MERCY HEALTH SYSTEM WILL REFUSE TO PROVIDE NECESSARY MEDICAL TEATMENT DUE TO A PATIENT'S INABILITY TO PAY."},{"explanation":"AR"}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":8789,"reported_domestic_org_grants_program_services":8789,"no_grant_over_5000":true,"total_domestic_grants":8789,"total_domestic_program_services":8789,"supplemental_information":[{"identifier":"PROCEDURE FOR MONITORING GRANTS IN THE U.S.:","form_and_line_reference":"PART I, LINE 2:","explanation":"SCHEDULE I, PART I, LINE 2: DONATIONS ARE PROVIDED TO TAX-EXEMPT CHARITABLE ORGANIZATIONS WITH AN ESTABLISHED NEED. THE DECISION TO DONATE AND TO WHICH CHARITY TO DONATE IS DETERMINED BY THE HOSPITAL ADMINISTRATOR AND/OR THE BOARD OF DIRECTORS. ALL DONATIONS ARE DOCUMENTED."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"SCHEDULE I, PART I, LINE 2: DONATIONS ARE PROVIDED TO TAX-EXEMPT CHARITABLE ORGANIZATIONS WITH AN ESTABLISHED NEED. THE DECISION TO DONATE AND TO WHICH CHARITY TO DONATE IS DETERMINED BY THE HOSPITAL ADMINISTRATOR AND/OR THE BOARD OF DIRECTORS. ALL DONATIONS ARE DOCUMENTED.","form_and_line_reference":"PART I, LINE 2:"}},"ScheduleR":{"tax_exempt_organizations":[{"ein":431767432,"business_name_line1":"BREECH REGIONAL MEDICAL CENTER","primary_activities":"HOSPITAL","exempt_code_section":"501(C)(3)","public_charity_status":"LINE 3: 170(B)(1)(A)","controlled_organization":false,"legal_domicile_state":"MO","direct_controlling_business_name_line1":"ST JOHNS HS","address_line1":"100 HOSPITAL DRIVE","city":"LEBANON","state":"MO","zip":"65536","name":"BREECH REGIONAL MEDICAL CENTER","address":"100 HOSPITAL DRIVE, LEBANON, MO, 65536"},{"ein":710759301,"business_name_line1":"CARROLL HEALTH FOUNDATION","primary_activities":"FOUNDATION","exempt_code_section":"501(C)(3)","public_charity_status":"11A","controlled_organization":false,"legal_domicile_state":"AR","direct_controlling_business_name_line1":"OZARK RG HS","address_line1":"214 CARTER STREET","city":"BERRYVILLE","state":"AR","zip":"72616","name":"CARROLL HEALTH 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