FORM 990, SCHEDULE H, PART I, LINE 3C
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SEE SCH H, PART V, LINES 13 THROUGH 16 FOR ADDITIONAL INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY.
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FORM 990, SCHEDULE H, PART I, LINE 6A
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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.
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FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F
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BAD DEBT EXPENSE IN THE AMOUNT OF $86,435 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.
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FORM 990, SCHEDULE H, PART I, LINE 7
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BAPTIST HEALTH USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY.
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FORM 990, SCHEDULE H, PART III, LINES 2 & 3
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GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE CORPORATION ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE CORPORATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS AND IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENTS ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. CONSISTENT WITH THE CORPORATIONS MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE CORPORATION HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES, SUCH AS CO-PAYS AND DEDUCTIBLES. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE CORPORATION EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. PATIENTS WHO MEET THE CORPORATIONS CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SUCH AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE.
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FORM 990, SCHEDULE H, PART III, LINE 4
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PLEASE SEE ATTACHED AUDIT REPORT NOTE 2.
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FORM 990, SCHEDULE H, PART III, LINE 8
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MEDICARE COST TO CHARGE RATIO.
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FORM 990, SCHEDULE H, PART III, LINE 9B
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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.
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FORM 990, SCHEDULE H, PART VI, LINE 2
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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.
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FORM 990, SCHEDULE H, PART VI, LINE 3
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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.
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FORM 990, SCHEDULE H, PART VI, LINE 4
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THE UNITED HEALTH GROUP STATE HEALTH RANKING FOR 2021, DID NOT REPORT STATE OVERALL RATINGS THROUGHOUT THE U.S. POPULATION DUE TO ONGOING CHALLENGES OF COVID-19 THE COUNTRY ENDURED OVER THE PAST YEAR. ACCORDING TO THE MOST RECENT STATE FINDINGS, ARKANSAS HAS A HIGH PREVALENCE OF MULTIPLE CHRONIC CONDITIONS AS WELL AS A HIGH ECONOMIC HARDSHIP INDEX SCORE. THE STATE FACES MANY OTHER CHALLENGES INLCUDING A HIGH PREVALENCE OF OBESITY AT 36.4 PERCENT OF THE POPULATION, A HIGH OCCUPATIONAL FATALITIES RATE AT 7.5 PER 100,000 WORKERS AND 12.9% OF THE POPULATION AVOIDING CARE DUE TO COST. APPROXIMATELY 9.1% OF ARKANSAS' COMMUNITY WAS RECORDED AS UNINSURED. ACCORDING TO THE LATEST NATIONAL VITAL STATISTICS REPORTS (2020) ARKANSAS HAS A HIGHER THAN AVERAGE RATE OF DEATH (PER 100,000 POPULATION) FROM DISEASES OF THE HEART (AR RATE 284.5/U.S. RATE 211.5) AND CEREBROVASCULAR DISEASE - STROKE (AR RATE 55.6/U.S. RATE 48.6). 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. ACCORDING TO THE LATEST DATA FROM THE UNITED STATES CNESUS, ARKANSAS HAS A 16.1% POVERTY RATE (3.3% HIGHER THAN THE NATIONAL AVERAGE). THE STATE'S MEDIAN HOUSEHOLD INCOME IS $49,475 ($15,500 BELOW THE NATIONAL AVERAGE). IN THE PAST YEAR, THE PERCENTAGE OF CHILDREN IN POVERTY DECREASED FROM 23.7% TO 22.0% FOR PERSONS UNDER THE AGE OF 18. THE LITTLE ROCK MARKET IS SERVED BY THREE MAJOR MEDICAL CENTERS INCLUDING BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK, CHI ST. VINCENT INFIRMARY AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES; TWO COMMUNITY HOSPITALS INCLUDING BAPTIST HEALTH MEDICAL CENTER-NORTH LITTLE ROCK AND CHI ST. VINCENT NORTH. FIVE NICHE OR SPECIALTY HOSPITALS INCLUDING ARKANSAS CHILDREN'S HOSPITAL, ARKANSAS HEART HOSPTIAL, ARKANSAS SURGICAL HOSPITAL, CHI ST. VINCENT REHABILITATION HOSPITAL IN PARTNERSHIP WITH ENCOMPASS HEALTH AND BAPTIST HEALTH REHABILITATION INSTITUTE; FIVE PSYCHIATRIC OR DRUG REHABILITATION FACILITIES; THREE LONG TERM ACUTE CARE HOSPITALS AND TWO VETERANS HOSPITALS. THERE ARE A TOTAL OF 4,489 LICENSED BEDS IN THE LITTLE ROCK MARKET AND THIS INCLUDES 3,573 ACUTE INPATIENT BEDS (635 OF WHICH ARE PART OF THE CENTRAL ARKANSAS VA SYSTEM), 200 REHABILITATION BEDS, 616 PSYCHIATRIC BEDS, 24 INPATIENT HOSPICE BEDS AND 76 LONG-TERM CARE BEDS. WHILE BAPTIST HEALTH SERVES PATIENTS FROM ALL 75 COUNTIES IN ARKANSAS, APPROXIMATELY 80-85% OF OUR CENTRAL MARKET INPATIENT DISCHARGES ORIGINATE IN THE 16 COUNTY REGION IN CENTRAL ARKANSAS AND IMMEDIATE SURROUNDING AREA. ACCORDING TO 2021 DATA FROM THE ARKANSAS HOSPITAL ASSOCIATION HIDI DATABASE, BAPTIST HEALTH PROVIDES 20.5% OF STATE-WIDE INPATIENT DISCHARGES EXCLUDING NORMAL NEWBORNS. IN THE 16 COUNTY REGION IN CENTRAL ARKANSAS, BAPTIST HEALTH CENTRAL HAD A MARKET SHARE OF 37,4% IN 2021. IN THE 16 COUNTY CENTRAL PRIMARY MARKET OF CENTRAL ARKANSAS 65.4% OF THE POPULATION IS WHITE, 22.7% IS BLACK, 6.1% IS HISPANIC OR LATINO, 1.6% ARE ASIAN AND PACIFIC ISLANDERS, AND 3.3% ARE OF OTHER RACIAL DESCENT. THOSE DEMOGRAPHIC PERCENTAGES MIRROR OUR PATIENT PERCENTAGES. 1.5% ARE ASIAN AND PACIFIC ISLANDERS, AND 2.5% ARE OF OTHER RACIAL DESCENT. THOSE DEMOGRAPHIC PERCENTAGES MIRROR OUR PATIENT PERCENTAGES.
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FORM 990, SCHEDULE H, PART VI, LINE 5
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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 AND BAPTIST HEALTH-UAMS MEDICAL EDUCATION PROGRAM ON THE BAPTIST HEALTH MEDICAL CENTER - NORTH LITTLE ROCK CAMPUS, 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 FOR ALL INTENSIVE CARE PATIENTS AT ITS ACUTE CARE HOSPITALS.
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FORM 990, SCHEDULE H, PART VI, LINE 6
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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 VARIOUS BAPTIST HEALTH FACILITIES. BAPTIST HEALTH HOSPITALS DBA BAPTIST HEALTH MEDICAL CENTER - STUTTGART IS AN INTEGRAL PART OF THE BAPTIST HEALTH FAMILY OF HOSPITALS PROVIDING CARE TO PATIENTS. THE STUTTGART FACILITY PROVIDES A SIGNIFICANT LINK TO MEETING HEALTH CARE NEEDS IN EAST CENTRAL ARKANSAS (PRIMARILY ARKANSAS, MONROE, AND PRAIRIE COUNTIES) 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 79 LOCATIONS WITH MORE THAN 265 PHYSICIANS AND 209 ADVANCED PRACTICE CLINICIANS THROUGHOUT CENTRAL ARKANSAS. BAPTIST HEALTH SERVICES PROVIDES PHYSICIAN CLINIC SERVICES TO PATIENTS IN RURAL AND URBAN COMMUNITIES IN MORE THAN 36 LOCATIONS WITH MORE THAN 92 PHYSICIANS AND 41 ADVANCED PRACTICE CLINICIANS THROUGHOUT WESTERN ARKANSAS AND EASTERN OKLAHOMA. 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 FAMILY OF HOSPITALS AND PROVIDES NECESSARY CARE FOR HOT SPRING COUNTY AND PARTS OF GRANT AND GARLAND COUNTIES. CONWAY COMMUNITY SERVICES DBA BAPTIST HEALTH MEDICAL CENTER - CONWAY PROVIDES HEALTH SERVICES TO FAULKNER COUNTY AND SURROUNDING AREAS. BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA PROVIDES HEALTH SERVICES TO PARTS OF SOUTHWEST ARKANSAS. BAPTIST HEALTH MEDICAL CENTER - HEBER SPRINGS PROVIDES HEALTH SERVICES TO CLEBURNE COUNTY AND THE IMMEDIATE SURROUNDING AREA. BAPTIST HEALTH - FORT SMITH AND BAPTIST HEALTH - VAN BUREN ARE COLLECTIVELY KNOWN AS BAPTIST HEALTH REGIONAL HOSPITALS AND PROVIDE HEALTH SERVICES TO THE WESTERN REGION OF ARKANSAS AND THE EASTERN REGION OF OKLAHOMA.
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FORM 990, SCHEDULE H, PART VI, LINE 7
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THERE ARE NO STATES IN WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT.
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