SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
BAPTIST HEALTH
 
Employer identification number

71-0236856
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		  48,745 17,033,780   17,033,780 2.440 %
b Medicaid (from Worksheet 3, column a) . . . . .     61,557,701 46,464,351 15,093,350 2.160 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .   48,745 78,591,481 46,464,351 32,127,130 4.600 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 24 18,031 153,283 2,400 150,883 0.020 %
f Health professions education (from Worksheet 5) . . .     10,822,547 8,892,082 1,930,465 0.280 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     1,460,000   1,460,000 0.210 %
j Total. Other Benefits . . 24 18,031 12,435,830 8,894,482 3,541,348 0.510 %
k Total. Add lines 7d and 7j . 24 66,776 91,027,311 55,358,833 35,668,478 5.110 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
68,845,254
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
15,225,038
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
264,315,750
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
251,437,423
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
12,878,327
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1SURGICAL PAVILLION
  		ASC 50.000 %   50.000 %
2SPRINGHILL SURGERY
  		ASC 51.745 %   48.255 %
3AUTUMN ROAD LLC
  		REAL ESTATE 59.720 %   40.280 %
4ORTHOARKANSAS
  		ASC 51.000 %   49.000 %
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?5
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 BAPTIST HEALTH MED CTR ARKADELPHIA
3050 TWIN RIVERS DRIVE
ARKADELPHIA,AR719234299
WWW.BAPTIST-HEALTH.COM
AR4227 		X X     X   X      
2 BAPTIST HEALTH MED CTR HEBER SPRINGS
1800 BYPASS ROAD
HEBER SPRINGS,AR72543
WWW.BAPTIST-HEALTH.COM
AR4436 		X X     X   X      
3 BAPTIST HEALTH MED CTR LITTLE ROCK
9601 I-630 EXIT 7
LITTLE ROCK,AR72205
WWW.BAPTIST-HEALTH.COM
AR3886 		X X         X      
4 BAPTIST HEALTH MED CTR NLR
3333 SPRINGHILL DRIVE
NORTH LITTLE ROCK,AR72116
WWW.BAPTIST-HEALTH.COM
AR3828 		X X         X      
5 BAPTIST HEALTH REHAB INSTITUTE LR
9601 I-630 EXIT 7
LITTLE ROCK,AR72205
WWW.BAPTIST-HEALTH.COM
AR3782 		X               REHAB HOSPITAL  
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
BAPTIST HEALTH MED CTR ARKADELPHIA
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted................. 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities
in Part VI.................................. 		4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public?.............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs........... 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ................................ 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? .......... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 300.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?........ 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?........ 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual?.......................... 22   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
BAPTIST HEALTH MED CTR HEBER SPRINGS
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		2
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted................. 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities
in Part VI.................................. 		4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public?.............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs........... 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ................................ 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? .......... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 300.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?........ 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?........ 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual?.......................... 22   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
BAPTIST HEALTH MED CTR LITTLE ROCK
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		3
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted................. 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities
in Part VI.................................. 		4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public?.............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs........... 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ................................ 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? .......... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 300.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?........ 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?........ 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual?.......................... 22   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
BAPTIST HEALTH MED CTR NLR
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		4
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted................. 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities
in Part VI.................................. 		4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public?.............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs........... 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ................................ 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? .......... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 300.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?........ 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?........ 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual?.......................... 22   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
BAPTIST HEALTH REHAB INSTITUTE LR
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		5
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted................. 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities
in Part VI.................................. 		4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public?.............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs........... 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ................................ 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? .......... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 300.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?........ 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?........ 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual?.......................... 22   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
FORM 990, SCHEDULE H,PART V, LINE 20D THE FINANCIAL ASSISTANCE POLICY INCLUDES THE FOLLOWING: THE POLICY IS INTENDED TO SERVE AS A LIMITATION OF CHARGES TO INSURE THAT PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE CHARGED NO MORE THAN AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE. PATIENTS WITHOUT INSURANCE OR WITHOUT ELIGIBILITY FOR ANY THIRD PARTY PAYMENT OR REIMBURSEMENT, INCLUDING GOVERNMENT COVERAGE OR ASSISTANCE, WILL AUTOMATICALLY RECEIVE A DISCOUNT FROM GROSS CHARGES THAT AT LEAST EQUALS THE DISCOUNT THAT MEDICARE AND ALL PRIVATE HEALTH INSURERS RECEIVE ON A COMBINED AVERAGE BASIS. THIS PERCENTAGE MUST BE RE-CALCULATED EVERY JANUARY AND RESET BASED ON THE PRIOR YEARS' EXPERIENCE. THE DISCOUNT FOR FYE 2013 UNDER THIS POLICY WAS 70% OF BILLED CHARGES.
FORM 990, SCHEDULE H, PART V, LINE 18E THE HOSPITAL HAS SOFTWARE WHICH USES PUBLICLY AVAILABLE DEMOGRAPHIC INFORMATION TO DETERMINE PRESUMPTIVE ELIGIBILITY FOR PATIENTS WHO DO NOT RESPOND TO OFFERS OF FINANCIAL ASSISTANCE.
FORM 990, SCHEDULE H, PART V, LINE 3 THE FOLLOWING PERSONS WERE INCLUDED IN THE INTERVIEW/FOCUS GROUP PROCESS FOR THE CHNA FOR BAPTIST HEALTH. THE PROCESS INCLUDED THE FOLLOWING PERSONS WHO REPRESENTED BOTH STATEWIDE HEALTH ISSUES AND INITIATIVES AND LOCAL AND COMMUNITY INTERESTS WITHIN THE DESIGNATED AREAS SURROUNDING HOSPITALS WITHIN BAPTIST HEALTH. NINETY THREE INTERVIEWS AND SEVEN FOCUS GROUPS WERE CONDUCTED. ARKANSAS SURGEON GENERAL, DIRECTOR OF EQUITY, AMERICAN HEART ASSOCIATION/ AMERICAN STROKE ASSOCIATION, LEADERSHIP, COMMUNITY HEALTH CENTERS OF ARKANSAS, REPRESENTATIVES OF LOCAL SCHOOL DISTRICTS, REPRESENTATIVES OF LOCAL DISTRICT SCHOOL NURSE PROGRAMS, PASTORS/ CLERGY, OUTREACH COORDINATOR, ARKANSAS ADVOCATES FOR CHILDREN AND FAMILIES, EXECUTIVE DIRECTOR, LOCAL NON-PROFIT AFTER SCHOOL TUTORING PROGRAM, DIRECTOR, ARKANSAS DEPARTMENT OF HEALTH, DIRECTOR, ARKANSAS PROSTATE CANCER FOUNDATION, PHYSICIANS AND HEEALTHCARE PROFESSIONALS, LOCAL GOVERNMENT OFFICIALS, LOCAL BUSINESS PERSONS, LEADERSHIP, LOCAL FOOD BANK/ FOOD PANTRIES, LOCAL LAW ENFORCEMENT, REPRESENTATIVES, LOCAL COUNTY HEALTH DEPARTMENTS, AT LEARGE COMMUNITY MEMBERS, SENIOR PHYSICIAN SPECIALIST, ARKANSAS DEPARTMENT OF HEALTH, DISTRICT DIRECTOR, UNIVERSITY OF ARKANSAS COORPORATIVE EXTENSION SERVICE, MEDICAL DIRECTOR OF IMMUNIZATION, ARKANSAS DEPARTMENT OF HEALTH.
FORM 990, SCHEDULE H, PART V, LINE 7 BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA ARKANSAS IS A STATE WITH MANY HEALTH NEEDS, RANKING 47TH OF 50 IN OVERALL HEALTH STATUS. IT IS ALSO A STATE WITH A HIGHER PROPORTION OF UNDERSERVED AND UNINSURED INDIVIDUALS. RECOGNIZING THAT ALTHOUGH ALL OF THE IDENTIFIED NEEDS ARE IMPORTANT, ALL OF THEM CANNOT BE PURSUED BY BHMC-A, AND CHOICES HAD TO BE MADE. AFTER ESTABLISHING CRITERIA BASED ON THE BAPTIST HEALTH MISSION, AS WELL AS BHMC-A CLINICAL STRENGTHS, RESOURCES AND INFRASTRUCTURE TO MAINTAIN PROGRAMS, EACH OF THE IDENTIFIED NEEDS WAS REVIEWED. THE FOLLOWING COMMUNITY HEALTH NEEDS WILL NOT BE ADDRESSED IN THE BHMC-A IMPLEMENTATION PLAN. LACK OF PCP'S - THIS IS CURRENTLY BEING ADDRESSED BY OTHER MEANS WITHIN THE COMMUNITY THROUGH RECRUITING EFFORTS BY AHG/PRACTICE PLUS. HYPERTENSION - THIS NEED IS INCLUDED WITHIN OUR STROKE PLAN. DIABETES - THIS NEED IS ADDRESSED BY OTHER FACILITIES AND/OR ORGANIZATION IN THE COMMUNITY BY ALLCARE PHARMACY. SEXUAL TRANSMITTED INFECTIONS - THIS NEED IS BEING ADDRESSED THROUGH OUR LOCAL HEALTH UNIT, AND COLLEGE ON-CAMPUS HEALTH UNITS. OBESITY - THIS NEED IS BEING ADDRESS THROUGH THE COMMUNITY "HEALTHIER CLARK COUNTY" CAMPAIGN. A BROCHURE IS DISTRIBUTED THROUGH OUR LOCAL HEALTH DEPARTMENT AND SCHOOLS WITHIN THE COUNTY COVERING VARIOUS ACTIVITIES PROMOTING PHYSICAL EXERCISE. ASTHMA - LOW PRIORITY ASSIGNED TO THE NEED BASED ON THE CRITERIA USED BY BHMC-A. ARTHRITIS - LOW PRIORITY ASSIGNED TO THE NEED BASED ON THE CRITERIA USED BY BHMC-A. POOR PHYSICAL HEALTH - THIS NEED IS BEING ADDRESSED THROUGH THE COMMUNITY "HEALTHIER CLARK COUNTY" CAMPAIGN. A BROCHURE IS DISTRIBUTED THROUGH OUR LOCAL HEALTH DEPARTMENT AND SCHOOLS COVERING VARIOUS ACTIVITIES PROMOTING PHYSICAL EXERCISE. FAST FOOD RESTAURANTS - LACK OF EXPERTISE OR COMPETENCY TO EFFECTIVELY ADDRESS THE NEED. SINGLE PARENT HOUSEHOLDS - DUE TO LACK OF EXPERTISE OR COMPETENCY TO EFFECTIVELY ADDRESS THE NEED, THIS NEED WILL NOT BE ADDRESSED BY BHMC-A AT THIS TIME. UNINSURED - DUE TO LIMITED RESOURCES THIS NEED WILL NOT BE ADDRESSED BY BHMC-A AT THIS TIME. ALSO, THIS NEED IS ADDRESSED BY THE COMMUNITY "FREE HEALTH CLINIC".
FORM 990, SCHEDULE H, PART V, LINE 7 BAPTIST HEALTH MEDICAL CENTER - HEBER SPRINGS ARKANSAS IS A STATE WITH MANY HEALTH NEEDS, RANKING 47TH OF 50 IN OVERALL HEALTH STATUS. IT IS ALSO A STATE WITH A HIGHER PROPORTION OF UNDERSERVED AND UNINSURED INDIVIDUALS. RECOGNIZING THAT ALTHOUGH ALL OF THE IDENTIFIED NEEDS ARE IMPORTANT, ALL OF THEM CANNOT BE PURSUED BY BHMC-HS, AND CHOICES HAD TO BE MADE. AFTER ESTABLISHING CRITERIA BASED ON THE BAPTIST HEALTH MISSION, AS WELL AS BHMC-HS CLINICAL STRENGTHS, RESOURCES AND INFRASTRUCTURE TO MAINTAIN PROGRAMS, EACH OF THE IDENTIFIED NEEDS WAS REVIEWED. THE FOLLOWING COMMUNITY HEALTH NEEDS WILL NOT BE ADDRESSED IN THE BHMC-HS IMPLEMENTATION PLAN. FLU SHOTS - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE CLEBURNE COUNTY HEALTH DEPARTMENT. MAMMOGRAMS - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE SUSAN G. KOMEN FOUNDATION, THE AMERICAN CANCER SOCIETY, THE ARKANSAS DEPARTMENT OF HEALTH, AND THE ARKANSAS CANCER COALITION. COLORECTAL - FOCUSING LIMITED RESOURCES ON OTHER NEEDS DUE TO LOW PRIORITY NEED ASSESSMENT OF THIS ISSUE. HIGH CHOLESTEROL - THIS NEED IS CURRENTLY BEING ADDRESSED THROUGH THE ARKANSAS DEPARTMENT OF HEALTH'S MILLION HEARTS PROGRAM AND THE AMERICAN HEART ASSOCIATION. SMOKING - THIS NEED IS CURRENTLY BEING ADDRESSED THROUGH THE ARKANSAS DEPARTMENT OF HEALTH "STAMP OUT SMOKING" PROGRAM. PHYSICAL ACTIVITY - HEBER SPRINGS/CLEBURNE COUNTY OFFERS A WEALTH OF OPPORTUNITIES FOR PHYSICAL ACTIVITIES THROUGH ITS VARIOUS COMMUNITY ORGANIZATIONS, PRIVATE BUSINESSES, AREA PARKS AND RECREATION. ADDITIONALLY, THE HEBER SPRINGS COMMUNITY CENTER IS ADDRESSING THESE ISSUES WITH VARIOUS EXERCISE EQUIPMENT AND CLASSES, INCLUDING AN AQUATICS CENTER WITH CLASSES FOR THE ELDERLY AND ARTHRITIC. EXCESSIVE DRINKING - THIS NEED IS ADDRESSED BY THE ARKANSAS / CLEBURNE COUNTY HEALTH DEPARTMENT, AS WELL AS THE CLEBURNE COUNTY CHAPTER OF MOTHERS AGAINST DRUNK DRIVING (MADD). CORONARY ARTERY DISEASE - THIS NEED IS CURRENTLY BEING ADDRESSED THROUGH THE ARKANSAS DEPARTMENT OF HEALTH'S MILLION HEARTS PROGRAM AND THE AMERICAN HEART ASSOCIATION. HEART DISEASE - THIS NEED IS CURRENTLY BEING ADDRESSED THROUGH THE ARKANSAS DEPARTMENT OF HEALTH'S MILLION HEARTS PROGRAM AND THE AMERICAN HEART ASSOCIATION. ARTHRITIS - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARTHRITIS FOUNDATION OF ARKANSAS. POOR OR FAIR HEALTH STATUS - HOMETOWN HEALTH IMPROVEMENT IS CURRENTLY ADDRESSED BY THE ARKANSAS/CLEBURNE COUNTY HEALTH DEPARTMENT. LOW BIRTH WEIGHT - THIS NEED IS BEING ADDRESSED BY THE MARCH OF DIMES, AND THE ARKANSAS/ CLEBURNE COUNTY DEPARTMENT OF HEALTH. POOR PHYSICAL /MENTAL HEALTH DAYS - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS/CLEBURNE COUNTY HEALTH DEPARTMENT. CHRONIC LOWER RESPIRATORY - FOCUSING LIMITED RESOURCES ON OTHER NEEDS DUE TO LOW PRIORITY NEED ASSESSMENT OF THIS ISSUE. ASTHMA - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS FOUNDATION FOR MEDICAL CARE. ACCESS TO RECREATIONAL FACILITIES - HEBER SPRINGS/CLEBURNE COUNTY OFFERS A WEALTH OF OPPORTUNITIES FOR RECREATION THROUGH ITS VARIOUS COMMUNITY ORGANIZATIONS, PRIVATE BUSINESSES, AND AREA PARKS. ADDITIONALLY, THE HEBER SPRINGS COMMUNITY CENTER IS ADDRESSING THESE ISSUES WITH VARIOUS EXERCISE EQUIPMENT AND CLASSES, INCLUDING AN AQUATICS CENTER WITH CLASSES FOR THE ELDERLY AND ARTHRITIC. NO PERSONAL DOCTOR - THIS NEED IS CURRENTLY BEING MET BY SEVERAL FREE COMMUNITY CLINICS WITH THE PRIMARY CARE ISSUES ADDRESSING THIS CONCERN IN OUR MARKET AREA.
FORM 990, SCHEDULE H, PART V, LINE 7 BAPTIST HEALTH MEDICAL CENTER - LITTLE ROCK ARKANSAS IS A STATE WITH MANY HEALTH NEEDS, RANKING 47TH OF 50 IN OVERALL HEALTH STATUS. IT IS ALSO A STATE WITH A HIGHER PROPORTION OF UNDERSERVED AND UNINSURED INDIVIDUALS. RECOGNIZING THAT ALTHOUGH ALL OF THE IDENTIFIED NEEDS ARE IMPORTANT, ALL OF THEM CANNOT BE PURSUED BY BHMC-LR, AND CHOICES HAD TO BE MADE. AFTER ESTABLISHING CRITERIA BASED ON THE BAPTIST HEALTH MISSION, AS WELL AS BHMC-LR CLINICAL STRENGTHS, RESOURCES AND INFRASTRUCTURE TO MAINTAIN PROGRAMS, EACH OF THE IDENTIFIED NEEDS WAS REVIEWED. THE FOLLOWING COMMUNITY HEALTH NEEDS WILL NOT BE ADDRESSED IN THE BHMC-LR IMPLEMENTATION PLAN. DIABETES (DEATH) - THIS NEED IS CURRENTLY ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH, ARKANSAS FOUNDATION FOR MEDICAL CARE, THE AMERICAN DIABETES ASSOCIATION OF ARKANSAS AND OTHER LOCAL HEALTHCARE PROVIDERS. INFANT MORTALITY - THIS NEED IS CURRENTLY BEING ADDRESSED BY VARIOUS ORGANIZATIONS INCLUDING BAPTIST HEALTH MEDICAL CENTER - NORTH LITTLE ROCK, THE MARCH OF DIMES OF ARKANSAS, ARKANSAS DEPARTMENT OF HEALTH AND OTHER LOCAL HEALTHCARE PROVIDERS. LOW BIRTH WEIGHT - THIS NEED IS BEING ADDRESSED BY THE MARCH OF DIMES, THE ARKANSAS DEPARTMENT OF HEALTH AND OTHER LOCAL HEALTHCARE PROVIDERS. DIABETES (CHRONIC CONDITIONS) - THIS NEED IS CURRENTLY ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH, ARKANSAS FOUNDATION FOR MEDICAL CARE, THE AMERICAN DIABETES ASSOCIATION OF ARKANSAS, THE ARKANSAS WELLNESS COALITION AND OTHER LOCAL HEALTHCARE PROVIDERS. HYPERTENSION - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH. CORONARY HEART DISEASE - THIS NEED IS CURRENTLY BEING ADDRESSED THROUGH THE ARKANSAS DEPARTMENT OF HEALTH'S MILLION HEARTS PROGRAM, THE AMERICAN HEART ASSOCIATION, AND OTHER LOCAL HEALTHCARE PROVIDERS. PAP TEST - THIS NEED IS CURRENTLY BEING IMPLEMENTED BY THE ARKANSAS DEPARTMENT OF HEALTH THROUGH THEIR FAMILY PLANNING PROGRAM AND OTHER LOCAL HEALTHCARE PROVIDERS. STROKE - THIS INITIATIVE IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH AND THE AMERICAN HEART ASSOCIATION. ACCESS TO HEALTHY FOOD - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE CITY OF LITTLE ROCK, THE CITY OF NORTH LITTLE ROCK, THE UNIVERSITY OF ARKANSAS DIVISION OF AGRICULTURE AND THE ARKANSAS DEPARTMENT OF HEALTH. CANCER - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE SUSAN G. KOMEN FOUNDATION, THE AMERICAN CANCER SOCIETY, THE ARKANSAS DEPARTMENT OF HEALTH, THE ARKANSAS CANCER COALITION, THE PROSTATE CANCER FOUNDATION AND OTHER LOCAL HEALTHCARE PROVIDERS. ARTHRITIS - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARTHRITIS FOUNDATION OF ARKANSAS. ASTHMA - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS FOUNDATION FOR MEDICAL CARE. CHRONIC LOWER RESPIRATORY - DUE TO LIMITED RESOURCES, THIS NEED WILL NOT BE ADDRESSED AT THIS TIME. SEXUALLY TRANSMITTED INFECTIONS - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH. ACCESS TO RECREATIONAL FACILITIES - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE CITY OF LITTLE ROCK, THE CITY OF NORTH LITTLE ROCK, COMMUNITY CENTERS AND THE BOYS AND GIRLS CLUBS OF ARKANSAS. EXCESSIVE DRINKING - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH AND HUMAN SERVICES. CHILDREN WITH SINGLE PARENT HOUSEHOLDS - THIS NEED ARE CURRENTLY BEING ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH AND HUMAN SERVICES. POOR OR FAIR HEALTH STATUS - DUE TO LIMITED RESOURCES, THIS NEED WILL NOT BE ADDRESSED AT THIS TIME. POOR PHYSICAL/MENTAL DAYS - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS COMMUNITY MENTAL HEALTH CENTERS. PERCENTAGE OF FAST FOOD RESTAURANTS - THIS NEED IS NOT AN AREA OF EXPERTISE FOR BAPTIST HEALTH. DUE TO LIMITED RESOURCES, THIS NEED WILL NOT BE ADDRESSED AT THIS TIME. PREMATURE DEATH - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH. VIOLENT CRIME - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE CITY OF LITTLE ROCK.
FORM 990, SCHEDULE H, PART V, LINE 7 BAPTIST HEALTH MEDICAL CENTER - NORTH LITTLE ROCK ARKANSAS IS A STATE WITH MANY HEALTH NEEDS, RANKING 47TH OF 50 IN OVERALL HEALTH STATUS. IT IS ALSO A STATE WITH A HIGHER PROPORTION OF UNDERSERVED AND UNINSURED INDIVIDUALS. RECOGNIZING THAT ALTHOUGH ALL OF THE IDENTIFIED NEEDS ARE IMPORTANT, ALL OF THEM CANNOT BE PURSUED BY BHMC-NLR, AND CHOICES HAD TO BE MADE. AFTER ESTABLISHING CRITERIA BASED ON THE BAPTIST HEALTH MISSION, AS WELL AS BHMC-NLR CLINICAL STRENGTHS, RESOURCES AND INFRASTRUCTURE TO MAINTAIN PROGRAMS, EACH OF THE IDENTIFIED NEEDS WAS REVIEWED. THE FOLLOWING COMMUNITY HEALTH NEEDS WILL NOT BE ADDRESSED IN THE BHMC-NLR IMPLEMENTATION PLAN. DIABETES (DEATH) - THIS NEED IS CURRENTLY ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH, ARKANSAS FOUNDATION FOR MEDICAL CARE, THE AMERICAN DIABETES ASSOCIATION OF ARKANSAS AND OTHER LOCAL HEALTHCARE PROVIDERS. LOW BIRTH WEIGHT - THIS NEED IS BEING ADDRESSED BY THE MARCH OF DIMES, THE ARKANSAS DEPARTMENT OF HEALTH AND OTHER LOCAL HEALTHCARE PROVIDERS. DIABETES (CHRONIC CONDITIONS) - THIS NEED IS CURRENTLY ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH, ARKANSAS FOUNDATION FOR MEDICAL CARE, THE AMERICAN DIABETES ASSOCIATION OF ARKANSAS, THE ARKANSAS WELLNESS COALITION AND OTHER LOCAL HEALTHCARE PROVIDERS. HYPERTENSION - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH. CORONARY HEART DISEASE - THIS NEED IS CURRENTLY BEING ADDRESSED THROUGH THE ARKANSAS DEPARTMENT OF HEALTH'S MILLION HEARTS PROGRAM, THE AMERICAN HEART ASSOCIATION, AND OTHER LOCAL HEALTHCARE PROVIDERS. PAP TEST - THIS NEED IS CURRENTLY BEING IMPLEMENTED BY THE ARKANSAS DEPARTMENT OF HEALTH THROUGH THEIR FAMILY PLANNING PROGRAM AND OTHER LOCAL HEALTHCARE PROVIDERS. STROKE - THIS INITIATIVE IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH AND THE AMERICAN HEART ASSOCIATION. ACCESS TO HEALTHY FOOD - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE CITY OF LITTLE ROCK, THE CITY OF NORTH LITTLE ROCK, THE UNIVERSITY OF ARKANSAS DIVISION OF AGRICULTURE AND THE ARKANSAS DEPARTMENT OF HEALTH. CANCER - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE SUSAN G. KOMEN FOUNDATION, THE AMERICAN CANCER SOCIETY, THE ARKANSAS DEPARTMENT OF HEALTH, THE ARKANSAS CANCER COALITION, THE PROSTATE CANCER FOUNDATION AND OTHER LOCAL HEALTHCARE PROVIDERS. ARTHRITIS - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARTHRITIS FOUNDATION OF ARKANSAS. ASTHMA - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS FOUNDATION FOR MEDICAL CARE. CHRONIC LOWER RESPIRATORY - THIS NEED WAS RATED LOWER IN THE PRIORITIZATION PROCESS, AND DUE TO LIMITED RESOURCES WILL NOT BE ADDRESSED AT THIS TIME. SEXUALLY TRANSMITTED INFECTIONS - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH. ACCESS TO RECREATIONAL FACILITIES - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE CITY OF LITTLE ROCK, THE CITY OF NORTH LITTLE ROCK, COMMUNITY CENTERS AND THE BOYS AND GIRLS CLUBS OF ARKANSAS. LACK OF PCP - THE LACK OF PCP ISSUE IS CURRENTLY BEING MET BY SEVERAL FREE COMMUNITY CLINICS WITH THE PRIMARY CARE ISSUES ADDRESSING THIS CONCERN IN OUR MARKET AREA. LIMITED RESOURCES ALSO IMPACT ANY INITIATIVE WE MAY ATTEMPT. OBESITY - CURRENTLY THE ARKANSAS DEPARTMENT OF HEALTH HAS A STATEWIDE OBESITY INITIATIVE SMOKING - THE ARKANSAS DEPARTMENT OF HEALTH AND THE STAMP OUT SMOKING INITIATIVE COVERS THIS AREA OF CONCERN. PREMATURE DEATH - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH. POOR OR FAIR HEALTH STATUS - THIS NEED WAS RATED LOWER IN THE PRIORITIZATION PROCESS, AND DUE TO LIMITED RESOURCES WILL NOT BE ADDRESSED AT THIS TIME. POOR PHYSICAL/MENTAL DAYS - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS COMMUNITY MENTAL HEALTH CENTERS. EXCESSIVE DRINKING - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH AND HUMAN SERVICES. VIOLENT CRIME - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE CITY OF NORTH LITTLE ROCK. CHILDREN WITH SINGLE PARENT HOUSEHOLDS - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH AND HUMAN SERVICES. PERCENTAGE OF FAST FOOD RESTAURANTS - DUE TO LIMITED RESOURCES AND THIS NEED NOT BEING AN AREA OF EXPERTISE FOR BHMC-NLR, IT WILL NOT BE ADDRESSED AT THIS TIME.
FORM 990, SCHEDULE H, PART V, LINE 7 BAPTIST HEALTH REHABILITATION INSTITUTE (BHRI) ARKANSAS IS A STATE WITH MANY HEALTH NEEDS, RANKING 47TH OF 50 IN OVERALL HEALTH STATUS. IT IS ALSO A STATE WITH A HIGHER PROPORTION OF UNDERSERVED AND UNINSURED INDIVIDUALS. RECOGNIZING THAT ALTHOUGH ALL OF THE IDENTIFIED NEEDS ARE IMPORTANT, ALL OF THEM CANNOT BE PURSUED BY BHRI, AND CHOICES HAD TO BE MADE. AFTER ESTABLISHING CRITERIA BASED ON THE BAPTIST HEALTH MISSION, AS WELL AS BHRI CLINICAL STRENGTHS, RESOURCES AND INFRASTRUCTURE TO MAINTAIN PROGRAMS, EACH OF THE IDENTIFIED NEEDS WAS REVIEWED. THE FOLLOWING COMMUNITY HEALTH NEEDS WILL NOT BE ADDRESSED IN THE BHRI IMPLEMENTATION PLAN. DIABETES (DEATH) - THIS NEED IS CURRENTLY ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH, ARKANSAS FOUNDATION FOR MEDICAL CARE, THE AMERICAN DIABETES ASSOCIATION OF ARKANSAS AND OTHER LOCAL HEALTHCARE PROVIDERS. DIABETES (CHRONIC CONDITIONS) - THIS NEED IS CURRENTLY ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH, ARKANSAS FOUNDATION FOR MEDICAL CARE, THE AMERICAN DIABETES ASSOCIATION OF ARKANSAS, THE ARKANSAS WELLNESS COALITION AND OTHER LOCAL HEALTHCARE PROVIDERS. HYPERTENSION - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH. WE WILL FOCUS OUR LIMITED RESOURCES ON THE OTHER NEEDS IDENTIFIED. CORONARY HEART DISEASE - THIS NEED IS CURRENTLY BEING ADDRESSED THROUGH THE ARKANSAS DEPARTMENT OF HEALTH'S MILLION HEARTS PROGRAM, THE AMERICAN HEART ASSOCIATION, AND OTHER LOCAL HEALTHCARE PROVIDERS. ASTHMA - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS FOUNDATION FOR MEDICAL CARE. CHRONIC LOWER RESPIRATORY - DUE TO LIMITED RESOURCES WE WILL NOT ADDRESS THIS ISSUE AT THIS TIME AND WILL FOCUS ON THE OTHER PRIORITIZED NEEDS IDENTIFIED IN OUR ASSESSMENT. ACCESS TO RECREATIONAL FACILITIES - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE CITY OF LITTLE ROCK, THE CITY OF NORTH LITTLE ROCK, COMMUNITY CENTERS AND THE BOYS AND GIRLS CLUBS OF ARKANSAS. SMOKING - THE ARKANSAS DEPARTMENT OF HEALTH AND THE STAMP OUT SMOKING INITIATIVE COVERS THIS AREA OF CONCERN. MAMMOGRAPHY - THIS NEED IS BEING ADDRESSED BY THE ARKANSAS DEPARTMENT OF HEALTH, THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES CANCER CONTROL OUTREACH CENTER AND THE KOMEN FOUNDATION OF ARKANSAS. d allPOOR OR FAIR HEALTH STATUS - DUE TO LIMITED RESOURCES, THIS NEED WILL NOT BE ADDRESSED AT THIS TIME. POOR PHYSICAL/MENTAL DAYS - THIS NEED IS CURRENTLY BEING ADDRESSED BY THE ARKANSAS COMMUNITY MENTAL HEALTH CENTERS. COLORECTAL SCREENING - THIS NEED IS BEING ADDRESSED BY THE ARKANSAS CANCER COALITION AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES CANCER CONTROL OUTREACH CENTER. PERCENTAGE OF FAST FOOD RESTAURANTS - THIS NEED IS NOT AN AREA OF EXPERTISE FOR BAPTIST HEALTH. DUE TO LIMITED RESOURCES, THIS NEED WILL NOT BE ADDRESSED AT THIS TIME.
FORM 990, SCHEDULE H, PART V, LINE 4 BAPTIST HEALTH MEDICAL CENTER ARKADELPHIA, BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS, BAPTIST HEALTH MEDICAL CENTER LITTLE ROCK, BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK, BAPTIST HEALTH REHAB INSTITUTE LITTLE ROCK, BAPTIST HEALTH HOSPITALS, BAPTIST HEALTH EXTENDED CARE.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
FORM 990, SCHEDULE H, PART I, LINE 3C SEE SCH H, PART V, LINES 9 THROUGH 14 FOR ADDITIONAL INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY.
FORM 990, SCHEDULE H, PART I, LINE 6A A LIST OF ALL ORGANIZATIONS, HEALTH IMPROVEMENT INITIATIVES, AND COMMUNITY OUTREACH THAT IS SUPPORTED BY BAPTIST HEALTH ANNUALLY IS POSTED ON OUR WEBSITE, POSTED IN VARIOUS PRINT MEDIA OUTLETS AND A SUMMARY IS MAILED TO OVER 2,000 COMMUNITY LEADERS IN ARKANSAS.
FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE IN THE AMOUNT OF $68,845,254 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 990, SCHEDULE H, PART I, LINE 7 BAPTIST HEALTH USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY.
FORM 990, SCHEDULE H, PART III, LINE 4 ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNT. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCE DUE FOR WHICH THIRD-PARTY COVERAGE EXITS FOR PART OF THE BILL), THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERINCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. DUE TO A CHANGE IN THIRD-PARTY COLLECTION AGENCIES IN 2012, THE CORPORATION CHANGED ITS POLICY AND REDUCED THE NUMBER OF DAYS THAT SELF-PAY ACCOUNTS REMAIN IN ACCOUNTS RECEIVABLE AFTER DISCHARGE.
FORM 990, SCHEDULE H, PART III, LINE 8 MEDICARE COST TO CHARGE RATIO
FORM 990, SCHEDULE H, PART III, LINE 9B EVERY UNINSURED PATIENT IS SEEN BY A FINANCIAL COUNSELOR WHO EDUCATES THE PATIENT AND FAMILY MEMBERS ABOUT OUR FINANCIAL ASSISTANCE POLICY, ASSISTS IN COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION WHEN APPROPRIATE, AND PROVIDES ASSISTANCE IN DETERMINING ELIGIBILITY UNDER FEDERAL, STATE, OR LOCAL PROGRAMS SUCH AS MEDICAID. CHARITY CARE AND OTHER FINANCIAL ASSISTANCE IS PROVIDED WHEN ELIGIBLE AND COLLECTION EFFORTS CEASE ONCE ELIGIBILITY IS DETERMINED.
FORM 990, SCHEDULE H, PART VI, LINE 2 THROUGH THE UTILIZATION AND ANALYSIS OF THIRD PARTY INFORMATION AVAILABLE TO US THROUGH NUMEROUS SOURCES. SOME EXAMPLES INCLUDE: ARKANSAS DEPARTMENT OF HEALTH, DEMOGRAPHIC INFORMATION AVAILABLE THROUGH UNIVERSITY OF ARKANSAS AT LITTLE ROCK CENSUS DATA CENTER, CLARITAS, THOMSON MEDSTAT ANNUAL PULSE HEALTHCARE SURVEY AS A PART OF THE MARKET EXPERT PRODUCT AND NATIONAL RESEARCH CORPORATION HEALTHCARE MARKET GUIDE. WE ALSO UTILIZE QUANTITATIVE (SURVEYS) AND QUALITATIVE RESEARCH (FOCUS GROUPS) CONDUCTED ON A PERIODIC OR ON AN AS NEEDED BASIS. WE ALSO UTILIZE INPUT FROM NUMEROUS COMMUNITY ADVISORY GROUPS, COMMUNITY OUTREACH ACTIVITIES AND ASSESSMENTS, PHYSICIAN INPUT, EMPLOYEE INPUT, AND ANALYSIS OF HISTORICAL INTERNAL DATA.
FORM 990, SCHEDULE H, PART VI, LINE 3 EVERY UNINSURED PATIENT IS SEEN BY A FINANCIAL COUNSELOR WHO EDUCATES THE PATIENT AND FAMILY MEMBERS ABOUT OUR FINANCIAL ASSISTANCE POLICY, ASSISTS IN COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION WHEN APPROPRIATE, AND PROVIDES ASSISTANCE IN DETERMINING ELIGIBILITY UNDER FEDERAL, STATE, OR LOCAL PROGRAMS SUCH AS MEDICAID. CHARITY CARE AND OTHER FINANCIAL ASSISTANCE IS PROVIDED WHEN ELIGIBLE AND COLLECTION EFFORTS CEASE ONCE ELIGIBILITY IS DETERMINED.
FORM 990, SCHEDULE H, PART VI, LINE 4 IN THE UNITED HEALTH GROUP STATE HEALTH RANKING FOR 2013, ARKANSAS HOLDS THE 49TH WORST RANKING THROUGHOUT THE U.S. FOR THE GENERAL HEALTH OF ITS POPULATION, DOWN 1 RANKING FROM THE 2012 YEAR REPORT. THE REPORT SHOWED SINCE 1990, ARKANSAS HAS FAILED TO MATCH OTHER STATES' IMPROVEMENT IN SMOKING, REDUCTION IN RISKS FOR HEART DISEASE, OR DECREASES IN INFANT MORTALITY. CHALLENGES INCLUDE A HIGH PREVALENCE OF OBESITY AT 34.5 PERCENT OF THE POPULATION, A HIGH OCCUPATIONAL FATALITIES RATE AT 8.2 PER 100,000 WORKERS AND LOW IMMUNIZATION COVERAGE WITH 66.4 PERCENT OF CHILDREN AGES 19 TO 35 MONTHS RECEIVING IMMUNIZATIONS. ACCORDING TO THE LATEST STATE-LEVEL DATA CENTERS FOR DISEASE CONTROL (2011), ARKANSAS HAS A HIGHER THAN AVERAGE RATE OF DEATH (PER 100,000 POPULATION) FROM DISEASES OF THE HEART (AR RATE 244.0/U.S. RATE 191.5) AND CEREBROVASCULAR DISEASE - STROKE (AR RATE 57.6/U.S. RATE 41.4). AS A PERCENTAGE OF THE STATE'S POPULATION, MORE PEOPLE IN ARKANSAS THAN THOSE IN THE GENERAL U.S. POPULATION HAVE HIGH BLOOD PRESSURE, SMOKE CIGARETTES AND ARE COMPLETELY PHYSICALLY INACTIVE. IN THE PAST YEAR, THE PERCENTAGE OF CHILDREN IN POVERTY INCREASED FROM 25.4% TO 29.6% OF PERSONS UNDER THE AGE OF 18. THE PER CAPITA PERSONAL INCOME HAS INCREASED FROM $34,014 IN 2012 TO $34,723 IN 2013. THE LACK OF HEALTH INSURANCE, AS REPORTED BY THE UNITED HEALTH GROUP STATE HEALTH RANKINGS IS 17.9% OF THE 2013 POPULATION. A 0.1% DECREASE OVER PREVIOUS YEAR. ARKANSAS IS SEEING A REDUCTION IN THE 2014 UNINSURED AS A RESULT OF THE ARKANSAS STATE LEGISLATURE'S PASSAGE OF THE PRIVATE OPTION. THE FULL IMPACT WILL NOT BE KNOWN UNTIL NEXT YEAR. THE U.S. PERCENT OF UNINSURED CURRENTLY STANDS AT 15.6%. COUPLED WITH THE LACK OF INSURANCE, DECLINING PERSONAL INCOME AND INCREASING PERCENTAGE OF CHILDREN IN POVERTY, THE VIABILITY OF ARKANSAS'S HEALTH SYSTEMS, LIKE BAPTIST HEALTH, ARE THREATENED. THE LITTLE ROCK MARKET IS SERVED BY THREE MAJOR MEDICAL CENTERS INCLUDING BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK, ST. VINCENT INFIRMARY AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES; THREE COMMUNITY HOSPITALS INCLUDING BAPTIST HEALTH MEDICAL CENTER-NORTH LITTLE ROCK, ST. VINCENT NORTH AND NORTH METRO MEDICAL CENTER. FIVE NICHE OR SPECIALTY HOSPITALS INCLUDING ARKANSAS CHILDREN'S HOSPITAL, ARKANSAS HEART HOSPITAL, ARKANSAS SURGICAL HOSPITAL, ST. VINCENT REHABILITATION HOSPITAL IN PARTNERSHIP WITH HEALTH SOUTH AND BAPTIST HEALTH REHABILITATION INSTITUTE; FOUR PSYCHIATRIC OR DRUG REHABILITATION FACILITIES; THREE LONG TERM ACUTE CARE HOSPITALS AND TWO VETERANS HOSPITALS. THERE ARE A TOTAL OF 4,208 LICENSED BEDS IN THE LITTLE ROCK MARKET AND THIS INCLUDES 3,226 ACUTE INPATIENT BEDS (538 OF WHICH ARE PART OF THE CENTRAL ARKANSAS VA SYSTEM), 213 REHABILITATION BEDS, 729 PSYCHIATRIC AND 40 INPATIENT HOSPICE BEDS AT ARKANSAS HOSPICE INC. FACILITY. WHILE BAPTIST HEALTH SERVES PATIENTS FROM ALL 75 COUNTIES IN ARKANSAS, 85% OF OUR INPATIENT DISCHARGES ORIGINATE IN THE 13 COUNTY REGION IN CENTRAL ARKANSAS. ACCORDING TO 2012 DATA FROM THE ARKANSAS DEPARTMENT OF HEALTH, BAPTIST HEALTH PROVIDES 13.3% OF STATE WIDE INPATIENT DISCHARGES. THIS PERCENTAGE HAS SLOWLY INCREASED SINCE 2004 WHEN IT WAS 12.3%. IN THE 13 COUNTY REGION IN CENTRAL ARKANSAS, BAPTIST HEALTH AVERAGED 31.7% OF INPATIENT DISCHARGES OVER THE 2009-2012 TIME PERIOD. IN THE 13 COUNTY PRIMARY MARKET OF CENTRAL ARKANSAS, 68.6% OF THE POPULATION IS WHITE, 22.6% IS AFRICAN AMERICAN, 5.0% IS HISPANIC, 1.4% ARE ASIAN AND PACIFIC ISLANDERS AND 2.4% ARE OF OTHER RACIAL DESCENT. THOSE DEMOGRAPHIC PERCENTAGES MIRROR OUR PATIENT PERCENTAGES.
FORM 990, SCHEDULE H, PART VI, LINE 5 BAPTIST HEALTH PROMOTES COMMUNITY HEALTH THROUGH ACTIVELY SUPPORTING AN OPEN MEDICAL STAFF AND MAINTAINS A COMPLETELY COMMUNITY BASED BOARD THROUGH OUR CORPORATE MEMBERSHIP. ALL SURPLUS FUNDS ARE REINVESTED BACK IN THE COMMUNITY THROUGH NEEDS BASED SERVICES, INVESTMENT IN NEW TECHNOLOGY, UPGRADED EQUIPMENT, AND NEW AND RENOVATED FACILITIES, FREE HEALTH SCREENINGS AND OUTREACH CLINICS THROUGHOUT CENTRAL ARKANSAS, HEALTH EDUCATION THROUGH OUR LITTLE ROCK SCHOOLS OF NURSING AND ALLIED HEALTH, CARE TO ALL WITHOUT REGARD FOR ABILITY TO PAY, AND DEVELOPMENT OF A FULL CONTINUUM OF CARE THROUGH ACUTE HOSPITAL CARE, REHABILITATION SERVICES, AND HOME HEALTH SERVICES. BAPTIST HEALTH ALSO PROVIDES ELECTRONIC MONITORING OF ALL INTENSIVE CARE PATIENTS AT ITS ACUTE CARE HOSPITALS AND PROVIDES THESE SERVICES FOR OTHER HOSPITALS IN ARKANSAS AS WELL.
FORM 990, SCHEDULE H,PART VI, LINE 6 BAPTIST HEALTH EXISTS TO PROVIDE QUALITY PATIENT CENTERED SERVICES TO THE CITIZENS OF ARKANSAS WITH CHRISTIAN COMPASSION AND PERSONAL CONCERN CONSISTENT WITH OUR CHARITABLE PURPOSES. BAPTIST HEALTH OFFERS FURTHER EXPANSION OF HEALTH SERVICES FOR ALL ARKANSANS THROUGH ITS RELATIONSHIP WITH ITS AFFILIATED ORGANIZATIONS. BAPTIST HEALTH EXTENDED CARE HOSPITAL IS LOCATED ON THE CAMPUS OF BAPTIST HEALTH MEDICAL CENTER IN LITTLE ROCK AND PROVIDES LONG TERM ACUTE CARE SERVICES FOR PATIENTS COMING FROM THE GENERAL ACUTE CARE SETTING AT BAPTIST HEALTH HOSPITALS. THIS ENABLES PATIENTS NEEDING LONG STAYS IN THE HOSPITAL TO REMAIN ON THE SAME CAMPUS AND OFTEN CAN RETAIN THE SAME PHYSICIANS IN THEIR CARE. BAPTIST HEALTH HOSPITALS AKA BAPTIST HEALTH MEDICAL CENTER - STUTTGART IS AN INTEGRAL PART OF THE BAPTIST HEALTH FAMILY OF HOSPITALS PROVIDING CARE TO PATIENTS FROM EVERY COUNTY IN ARKANSAS. THE STUTTGART FACILITY PROVIDES A SIGNIFICANT LINK TO MEETING HEALTH CARE NEEDS IN EASTERN ARKANSAS THROUGH ITS ACUTE CARE AND PHYSICIAN SERVICES, AND THEN FOR TERTIARY LEVEL HOSPITAL NEEDS THE PATIENTS CAN BE TRANSFERRED TO BAPTIST HEALTH FACILITIES IN LITTLE ROCK AND NORTH LITTLE ROCK. ARKANSAS HEALTH GROUP PROVIDES PHYSICIAN CLINIC SERVICES TO PATIENTS IN RURAL AND URBAN COMMUNITIES IN MORE THAN 30 LOCATIONS WITH MORE THAN 150 PHYSICIANS THROUGHOUT ARKANSAS. PARKWAY HEALTH CENTER PROVIDES LONG-TERM CARE SKILLED NURSING SERVICES TO RESIDENTS OF PULASKI COUNTY, ARKANSAS. PARKWAY VILLAGE PROVIDES ASSISTED LIVING AND INDEPENDENT LIVING COMMUNITIES IN CENTRAL ARKANSAS FOR THE ELDERLY IN WHICH MEDICAL CARE, CULTURAL AND RECREATIONAL BENEFITS ARE EXTENDED TO RESIDENTS IN ADDITION TO HOUSING AND SHELTER. THE VILLAGE ALSO INCLUDES AN ASSISTED LIVING CENTER DESIGNED SPECIFICALLY FOR ALZHEIMER'S PATIENTS.
Schedule H (Form 990) 2013
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