SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/form990 for instructions and the latest informtion.
OMB No. 1545-0047
2017
Open to Public Inspection
Name of the organization
BAPTIST HEALTH EXTENDED CARE HOSPITAL
C/O ROBERT C ROBERTS
Employer identification number

26-1286647
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 criteria used 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) . . . 		  44 531,133     3.270 %
b Medicaid (from Worksheet 3, column a) . . . . .     163,234 7,316 155,918 0.960 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .   44 694,367 7,316 155,918 4.230 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).            
f Health professions education (from Worksheet 5) . . .            
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .            
j Total. Other Benefits . .            
k Total. Add lines 7d and 7j .   44 694,367 7,316 155,918 4.230 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2017
Schedule H (Form 990) 2017
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
38,636
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
0
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
9,420,972
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
8,807,167
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
613,805
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 %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2017
Schedule H (Form 990) 2017
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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		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 EXTENDED CARE HOSPITAL
9601 BAPTIST HEALTH DRIVE 10TH FLO
LITTLE ROCK,AR72205
WWW.BAPTIST-HEALTH.ORG
AR4489 		X               LONG TERM ACUTE CARE  
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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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 EXTENDED CARE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.BAPTIST-HEALTH.COM
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2017
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Schedule H (Form 990) 2017
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
BAPTIST HEALTH EXTENDED CARE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.BAPTIST-HEALTH.COM
b
WWW.BAPTIST-HEALTH.COM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part VFacility Information (continued)

Billing and Collections
BAPTIST HEALTH EXTENDED CARE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 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
f
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
BAPTIST HEALTH EXTENDED CARE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 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
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
FORM 990, SCHEDULE H, PART V, LINE 5 FOCUS GROUPS WERE UTILIZED TO ACQUIRE INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY EACH FACILITY. AS A PART OF THIS PROCESS, ARIEL STRATEGIC COMMUNICATIONS WAS CONTRACTED TO CONDUCT TEN FOCUS GROUPS. FOCUS GROUPS REPRESENTED THE DEFINED COMMUNITY SURROUNDING EACH ACUTE CARE FACILITY AND ONE WELLNESS CENTER CLIENT-BASED GROUP. PARTICIPANTS INCLUDED REPRESENTATIVES FROM PUBLIC HEALTH DEPARTMENTS AND LOCAL ORGANIZATIONS, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. TO FACILITATE THE CHNA PROCESS, BAPTIST HEALTH FORMED A CHNA ADVISORY GROUP CONSISTING OF REPRESENTATIVES FROM EACH FACILITY. MEMBERS OF THE CHNA ADVISORY GROUP WERE ASKED TO REPRESENT THEIR RESPECTIVE HOSPITALS AND WORK IN AN ADVISORY CAPACITY DURING THE ASSESSMENT PROCEDURES. THE CHNA ADVISORY GROUP THEN PARTICIPATED IN THE COMMUNITY HEALTH NEEDS PRIORITIZATION. THOSE INDIVIDUALS ARE ALSO INTEGRAL TO PLANNING AND IMPLEMENTATION PROCESSES TO ADDRESS HEALTH NEEDS. PERSONS THE HOSPITAL FACILITY CONSULTED IN ITS FOCUS GROUP INCLUDED: COMMUNITY HEALTH CENTERS OF ARKANSAS, REPRESENTATIVES OF LOCAL SCHOOL DISTRICTS, REPRESENTATIVES OF LOCAL DISTRICT SCHOOL NURSE PROGRAMS, PASTORS/ CLERGY, OUTREACH COORDINATOR, PHYSICIANS AND HEALTHCARE PROFESSIONALS, LOCAL GOVERNMENT OFFICIALS, LOCAL BUSINESS PERSONS, LOCAL LAW ENFORCEMENT, LOCAL COUNTY HEALTH DEPARTMENTS, ARKANSAS DEPARTMENT OF HEALTH, UNIVERSITY REPRESENTATIVES, AND SEVERAL REPRESENTATIVES OF THE COMMUNITIES.
FORM 990, SCHEDULE H, PART V, LINE 6A 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 MEDICAL CENTER STUTTGART, BAPTIST HEALTH MEDICAL CENTER HOT SPRING COUNTY, AND BAPTIST HEALTH MEDICAL CENTER CONWAY.
FORM 990, SCHEDULE H, PART V, LINE 11 ARKANSAS IS A STATE WITH MANY HEALTH NEEDS, RANKING 48TH 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 BHECH. AFTER ESTABLISHING CRITERIA BASED ON THE BAPTIST HEALTH MISSION, AS WELL AS BHECH CLINICAL STRENGTHS, RESOURCES AND INFRASTRUCTURE TO MAINTAIN PROGRAMS, EACH OF THE IDENTIFIED NEEDS FROM THE FOCUS GROUPS AND DATA COLLECTION WAS REVIEWED AND PRIORITIZED. BAPTIST HEALTH DOES BELIEVE THE FOCUS AREAS SELECTED WILL INDIRECTLY HAVE A POSITIVE IMPACT ON MANY OF THE OTHER ITEMS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. A PRIORITIZATION SESSION WAS HELD TO CHOOSE TWO HEALTH NEEDS TO BE ADDRESSED VIA A SYSTEM-WIDE APPROACH, AND ONE ADDITIONAL NEED SPECIFIC TO EACH FACILITYS DEFINED COMMUNITY. A THREE-ROUND, MULTI-VOTING TECHNIQUE WAS UTILIZED TO MAKE FINAL SELECTIONS. RESULTS OF THE BAPTIST HEALTH COMMUNITY HEALTH NEEDS SELECTION PROCESS DETERMINED DIABETES AND OBESITY WOULD BE THE SYSTEM-BASED NEEDS ADDRESSED. BHECH MADE THE DETERMINATION TO ADDRESS ONLY THE TWO SYSTEM-WIDE HEALTH NEEDS DUE TO LIMITED RESOURCES. THE STRATEGIES AND OBJECTIVES OF EACH NEED ARE ADDRESSED IN THE CHNA IMPLEMENTATION PLAN. BAPTIST HEALTH AND BHECH ACKNOWLEDGES THAT THE IMPLEMENTATION STRATEGY ADOPTED DOES NOT ADDRESS ALL THE COMMUNITY HEALTH NEEDS IDENTIFIED AND THAT ALL OF THE IDENTIFIED NEEDS ARE IMPORTANT. AFTER ESTABLISHING CRITERIA BASED ON THE BAPTIST HEALTH MISSION, AS WELL AS BHECH CLINICAL STRENGTHS, RESOURCES AND INFRASTRUCTURE TO MAINTAIN PROGRAMS, EACH OF THE IDENTIFIED NEEDS FROM THE FOCUS GROUPS AND DATA COLLECTION WAS REVIEWED AND PRIORITIZED. BHECH BELIEVE THE FOCUS AREAS SELECTED WILL INDIRECTLY HAVE A POSITIVE IMPACT ON MANY OF THE OTHER ITEMS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.
FORM 990, SCHEDULE H, PART V, LINE 20E 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. THE HOSPITAL ALSO VERBALLY CONTACTS THE PATIENT TO INFORM THEM OF FINANCIAL ASSISTANCE.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
Page 9
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) 2017
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Schedule H (Form 990) 2017
Page 10
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 13 THROUGH 16 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 AND POSTED IN VARIOUS PRINT MEDIA OUTLETS.
FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE IN THE AMOUNT OF $38,636 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 EXTENDED CARE HOSPITAL USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY.
FORM 990, SCHEDULE H, PART III, LINE 4 PLEASE SEE ATTACHED AUDIT REPORT, NOTE 2.
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 CENTER FOR HEALTH IMPROVEMENT (ACHI), ARKANSAS DEPARTMENT OF HEALTH, BUREAU OF LABOR STATISTICS, CENTERS FOR MEDICARE AND MEDICAID SERVICES, COUNTY HEALTH RANKINGS, AND SEVERAL OTHERS. 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. THE FINANCIAL ASSISTANCE POLICY (FAP), FAP PLAIN LANAGUAGE, AND FAP APPLICATION ARE AVAILABLE ON THE WEBSITE AND UPON REQUEST, FREE OF CHARGE. NOTICES OF AVAILABILITY ARE DISPLAYED THROUGHOUT THE HOSPITAL FACILITY. PATIENTS ARE NOTIFIED UPON ADMISSION, PRIOR TO DISCHARGE, AND NOTIFIED OF THE FAP IN COMMUNICATIONS REGARDING BILLS.
FORM 990, SCHEDULE H, PART VI, LINE 4 IN THE UNITED HEALTH GROUP STATE HEALTH RANKING FOR 2017, ARKANSAS HOLDS THE 48TH WORST RANKING THROUGHOUT THE U.S. FOR THE GENERAL HEALTH OF ITS POPULATION. 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 35.7 PERCENT OF THE POPULATION, A HIGH OCCUPATIONAL FATALITIES RATE AT 7.5 PER 100,000 WORKERS AND LOW IMMUNIZATION COVERAGE WITH 67.8 PERCENT OF CHILDREN AGES 19 TO 35 MONTHS RECEIVING IMMUNIZATIONS. ACCORDING TO THE LATEST STATE-LEVEL DATA CENTERS FOR DISEASE CONTROL (2016), ARKANSAS HAS A HIGHER THAN AVERAGE RATE OF DEATH (PER 100,000 POPULATION) FROM DISEASES OF THE HEART (AR RATE 223.7/U.S. RATE 165.5) AND CEREBROVASCULAR DISEASE STROKE (AR RATE 45.6/U.S. RATE 37.3). AS A PERCENTAGE OF THE STATES 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 20.8% TO 21.4% OF PERSONS UNDER THE AGE OF 18. THE MEDIAN INCOME IN 2016 WAS $42,236. THE LACK OF HEALTH INSURANCE, AS REPORTED BY THE UNITED HEALTH GROUP STATE HEALTH RANKINGS IS 8.7% OF THE 2017 POPULATION. A 1.9% DECREASE OVER THE PREVIOUS YEAR. ARKANSAS IS SEEING A REDUCTION IN THE 2017 UNINSURED AS A RESULT OF THE ARKANSAS STATE LEGISLATURES PASSAGE OF THE PRIVATE OPTION. THE U.S. PERCENT OF UNINSURED CURRENTLY STANDS AT 9%. 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 CHILDRENS 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 4,214 LICENSED BEDS IN THE LITTLE ROCK MARKET AND THIS INCLUDES 2,766 ACUTE INPATIENT BEDS (538 OF WHICH ARE PART OF THE CENTRAL ARKANSAS VA SYSTEM), 180 REHABILITATION BEDS, 632 PSYCHIATRIC AND 44 INPATIENT HOSPICE BEDS AT ARKANSAS HOSPICE INC. FACILITY. WHILE BAPTIST HEALTH SERVES PATIENTS FROM ALL 75 COUNTIES IN ARKANSAS, 84% OF OUR INPATIENT DISCHARGES ORIGINATE IN THE 16 COUNTY REGION IN CENTRAL ARKANSAS. ACCORDING TO 2016 DATA FROM THE ARKANSAS DEPARTMENT OF HEALTH, BAPTIST HEALTH PROVIDES 13.4% OF STATE WIDE INPATIENT DISCHARGES UP FROM 13.3% IN 2012. THIS PERCENTAGE HAS SLOWLY INCREASED SINCE 2004 WHEN IT WAS 12.3%. IN THE 16 COUNTY REGION IN CENTRAL ARKANSAS, BAPTIST HEALTH HAD A MARKET SHARE OF 30.4% IN 2016. IN THE 16 COUNTY PRIMARY MARKET OF CENTRAL ARKANSAS, 68.5% OF THE POPULATION IS WHITE, 22.6% IS AFRICAN AMERICAN, 4.9% IS HISPANIC, 1.6% ARE ASIAN AND PACIFIC ISLANDERS AND 2.5% ARE OF OTHER RACIAL DESCENT. THOSE DEMOGRAPHIC PERCENTAGES MIRROR OUR PATIENT PERCENTAGES.
FORM 990, SCHEDULE H, PART VI, LINE 5 BAPTIST HEALTH EXTENDED CARE HOSPITAL PROVIDES LONG TERM ACUTE CARE SERVICES FOR PATIENTS COMING FROM ALL HOSPITAL SYSTEMS IN THE CENTRAL ARKANSAS AREA. IT MAINTAINS A BOARD THAT INCLUDES INDEPENDENT MEMBERS OF THE LOCAL COMMUNITY AND AN OPEN MEDICAL STAFF. IT PROVIDES CARE FOR ALL PATIENTS WITHOUT REGARD TO ABILITY TO PAY. THIS IS A NECESSARY PART OF A FULL CONTINUUM OF CARE FOR PATIENTS WITH CHRONIC OR SLOW RECOVERY HEALTH ISSUES REQUIRING HOSPITALIZATION AVERAGING 25 DAYS OR LONGER.
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. BAPTIST HEALTH MEDICAL CENTER - HOT SPRING COUNTY IS AN INTEGRAL PART OF THE BAPTIST HEALTH HOSPITAL FAMILY AND PROVIDES NECESSARY CARE FOR THE SOUTHERN PARTS OF ARKANSAS. BAPTIST HEALTH MEDICAL CENTER - CONWAY PROVIDES HEALTH SERVICES TO CENTRAL ARKANSAS. BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA PROVIDES HEALTH SERVICES TO SOUTHWEST ARKANSAS. BAPTIST HEALTH MEDICAL CENTER - HEBER SPRINGS PROVIDES HEALTH SERVICES TO THE NEEDS OF CLEBURNE COUNTY AND NORTH CENTRAL ARKANSAS.
Schedule H (Form 990) 2017
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