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DREW MEMORIAL HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
DREW MEMORIAL HOSPITAL INC (EIN 35-2414105)
Tax period
2021-04-01 to 2022-03-31
Filed
2023-02-09
IRS object ID
202300409349301810
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-02-09T17:22:00-06:00ReturnTs
Tax Period End2022-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP722033667ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352414105EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DREW MEMORIAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% SCOTT BARRILLEAUXInCareOfNm
Business Name ControlDREWBusinessNameControlTxt
Phone8703672411PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1778 SCOGIN DRIVEAddressLine1Txt
CityMONTICELLOCityNm
State AbbreviationARStateAbbreviationCd
ZIP71655ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT BARRILLEAUXPersonNm
Person TitleCEOPersonTitleTxt
Phone8704603539PhoneNum
Signature2023-02-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSCOTTPersonFirstNm
Person LastBARRILLEAUXPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMBER SHERRILLPreparerPersonNm
PTINP00748683PTIN
Phone5013721040PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-03-07 01:45:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSCOTT BARRILLEAUXPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1778 SCOGIN DRAddressLine1Txt
CityMONTICELLOCityNm
State AbbreviationARStateAbbreviationCd
ZIP71655ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$54,356,841GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DREWMEMORIAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionDREW MEMORIAL IS COMMITTED TO ENHANCING HEALING, HEALTH AND WELLNESS IN SOUTHEAST ARKANSAS.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee545TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$5,746,632PYContributionsGrantsAmt
CY Contributions Grants$12,008,064CYContributionsGrantsAmt
PY Program Service Revenue$40,197,375PYProgramServiceRevenueAmt
CY Program Service Revenue$41,990,947CYProgramServiceRevenueAmt
PY Investment Income$39,692PYInvestmentIncomeAmt
CY Investment Income-$62,330CYInvestmentIncomeAmt
PY Other Revenue$127,751PYOtherRevenueAmt
CY Other Revenue$309,925CYOtherRevenueAmt
PY Total Revenue$46,111,450PYTotalRevenueAmt
CY Total Revenue$54,246,606CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$20,684,124PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,882,351CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$24,026,164PYOtherExpensesAmt
CY Other Expenses$26,884,514CYOtherExpensesAmt
PY Total Expenses$44,710,288PYTotalExpensesAmt
CY Total Expenses$47,766,865CYTotalExpensesAmt
PY Revenues Less Expenses$1,401,162PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,479,741CYRevenuesLessExpensesAmt
Total Assets BOY$72,103,720TotalAssetsBOYAmt
Total Assets EOY$65,272,333TotalAssetsEOYAmt
Total Liabilities BOY$46,500,515TotalLiabilitiesBOYAmt
Total Liabilities EOY$33,189,387TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,603,205NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$32,082,946NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE DREW MEMORIAL HOSPITAL MISSION IS 1) TO PROVIDE A FRIENDLY, PROFESSIONAL ENVIRONMENT COMMITTED TO QUALITY AND COMPLIANCE WHILE RESPECTING AND APPRECIATING EVERYONE; 2) TO EXPAND NEEDED HEALTHCARE SERVICES; 3) TO PROMOTE GOOD HEALTH AND WELLNESS THROUGH THE PROVISION OF COMMUNITY EDUCATION AND FACILITIES; 4) TO UPHOLD THE VALUES OF ACCOUNTABILITY, TEAMWORK, QUALITY, HONESTY, TRUST, CREATIVITY/INNOVATION, AND PREMIER SERVICE; AND 5) TO OPERATE IN AN ECONOMICALLY SOUND MANNER.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$37,632,467ExpenseAmt
Grant$0GrantAmt
Revenue$41,990,947RevenueAmt
DescTHE HOSPITAL PROVIDES THE HIGHEST QUALITY HEALTH SERVICES IN A COMPETENT, EFFECTIVE, EFFICIENT MANNER TO THE CITIZENS OF DREW COUNTY AND SURROUNDING COMMUNITIES.Desc
Total Program Service Expenses$37,632,467TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document40IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee545EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSCOTT BARRILLEAUXPersonNm
Phone8703672411PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1778 SCOGIN DRAddressLine1Txt
CityMONTICELLOCityNm
State AbbreviationARStateAbbreviationCd
ZIP71655ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ALAN WILSON
GENERAL SURGEON40.00.0Yes (X)$430,000$0$11,162
KELLY SHRUM
OB/GYN40.00.0Yes (X)$400,000$0$10,700
FRANCISCO BRAVO
GENERAL SURGEON40.00.0Yes (X)$350,000$0$11,162
SCOTT BARRILLEAUX
CEO40.00.0$262,324$0$13,685Yes (X)
MELODIE COLWELL
CFO40.00.0$136,615$0$8,609Yes (X)
FRANCES EFIRD
CNO40.00.0$139,269$0$3,115Yes (X)
JENNIFER STEVENS
PHARMACIST40.00.0Yes (X)$130,166$0$8,816
SETH GIVENS
COO40.00.0$123,115$0$13,413Yes (X)
KIMBERLY HENDRICKS
RN40.00.0Yes (X)$123,696$0$2,819
MIKE AKIN
CHAIRMAN1.00.0$0$0$0Yes (X)Yes (X)
CARL LUCKY
VICE-CHAIRMAN1.00.0$0$0$0Yes (X)Yes (X)
WAYNE OWEN
SECRETARY1.00.0$0$0$0Yes (X)Yes (X)
JAY JONES
DIRECTOR1.00.0$0$0$0Yes (X)
JOSH MCKIEVER
DIRECTOR1.00.0$0$0$0Yes (X)
ROBIN MCCLENDON
DIRECTOR1.00.0$0$0$0Yes (X)
LAGARIAN CROSS
DIRECTOR1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,095,185TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$83,481TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ARAMARK
PO BOX 978839DALLASTX75397DIETARY & EVS$1,921,041
EMERGENCY STAFFING SOLUTIONS
17304 PRESTON ROAD SUITE 1400DALLASTX75252ER PHYSICIAN STAFFIN$981,765
THEREX INC
PO BOX 502096ST LOUISMO63105REHAB THERAPY SVCS$1,214,591
QUALIVIS LLC
1000 CENTER POINT ROADCOLUMBIASC29210CONTRACT NURSING$1,100,092
TELERAD PLLC
618 FREDERICK DRIVECLEVELANDMS38732RADIOLOGIST SERVICES$827,090
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K23CntrctRcvdGreaterThan100KCnt
Government Grants$11,982,289GovernmentGrantsAmt
All Other Contributions$25,775AllOtherContributionsAmt
Total Contributions$12,008,064TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE622110$41,769,602$41,769,602
MEDICAL OFFICE RENT621111$38,425$38,425
OTHER PROGRAM REVENUE622110$182,920$182,920
FieldValueIRS element (for citing)
Total Program Service Revenue$41,990,947TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,155TotalRevenueColumnAmt
Exclusion$36,155ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$11,750OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$110,235OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$98,485OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$98,485TotalRevenueColumnAmt
Exclusion-$98,485ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA REVENUE722310$191,021$191,021
EDUCATION REVENUE900099$35,620$35,620
MEDICAL RECORDS REVENUE900099$11,099$11,099

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,185TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$72,185ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$309,925OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,246,606TotalRevenueColumnAmt
Related Or Exempt Func Income$41,990,947RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$247,595ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$658,564TotalAmt
Management And General$658,564ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,383,975TotalAmt
Program Services$13,288,399ProgramServicesAmt
Management And General$4,095,576ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$229,459TotalAmt
Program Services$175,400ProgramServicesAmt
Management And General$54,059ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,326,116TotalAmt
Program Services$1,013,690ProgramServicesAmt
Management And General$312,426ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,284,237TotalAmt
Program Services$981,677ProgramServicesAmt
Management And General$302,560ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$37,547TotalAmt
Program Services$28,701ProgramServicesAmt
Management And General$8,846ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$198,389TotalAmt
Program Services$151,650ProgramServicesAmt
Management And General$46,739ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,301,073TotalAmt
Program Services$10,167,408ProgramServicesAmt
Management And General$3,133,665ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$164,133TotalAmt
Program Services$125,464ProgramServicesAmt
Management And General$38,669ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$145,785TotalAmt
Program Services$111,439ProgramServicesAmt
Management And General$34,346ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$769,051TotalAmt
Program Services$587,867ProgramServicesAmt
Management And General$181,184ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$166,786TotalAmt
Program Services$127,492ProgramServicesAmt
Management And General$39,294ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$894,030TotalAmt
Program Services$683,401ProgramServicesAmt
Management And General$210,629ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,870,619TotalAmt
Program Services$2,194,316ProgramServicesAmt
Management And General$676,303ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$371,202TotalAmt
Program Services$283,749ProgramServicesAmt
Management And General$87,453ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$6,887,419$6,887,419
REPAIRS & MAINTENANCE$858,818$656,485$202,333
DUES & SUBSCRIPTIONS$137,490$105,098$32,392
RECRUITMENT EXPENSE$36,311$27,756$8,555

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$45,861TotalAmt
Program Services$35,056ProgramServicesAmt
Management And General$10,805ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$47,766,865TotalAmt
Program Services$37,632,467ProgramServicesAmt
Management And General$10,134,398ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,922BOYAmt
EOY$5,580EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,588,107BOYAmt
EOY$12,952,542EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,408,163BOYAmt
EOY$6,273,858EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$729,385BOYAmt
EOY$897,183EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$352,216BOYAmt
EOY$522,790EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$75,391,328LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$31,706,357LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$45,352,518BOYAmt
EOY$43,684,971EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$671,409BOYAmt
EOY$935,409EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$72,103,720BOYAmt
EOY$65,272,333EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,052,239BOYAmt
EOY$3,297,825EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$12,859,001BOYAmt
EOY$4,211,402EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$926,529BOYAmt
EOY$781,690EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$28,662,746BOYAmt
EOY$24,898,470EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$46,500,515BOYAmt
EOY$33,189,387EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,507,865BOYAmt
EOY$13,794,335EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,095,340BOYAmt
EOY$18,288,611EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,603,205BOYAmt
EOY$32,082,946EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$72,103,720BOYAmt
EOY$65,272,333EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$6,479,741ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$7,251OtherActivitiesAmt
Total Lobbying Expenditures$7,251TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990 SCHEDULE C PART II-B LINE 1IFormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES INCLUDE DUES FOR THE ARKANSAS & AMERICAN HOSPITAL ASSOCIATION.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,449OtherCostOrOtherBasisAmt
Book Value$41,449BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,387,556OtherCostOrOtherBasisAmt
Depreciation$8,727,372DepreciationAmt
Book Value$39,660,184BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$231,759OtherCostOrOtherBasisAmt
Depreciation$178,961DepreciationAmt
Book Value$52,798BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,254,943OtherCostOrOtherBasisAmt
Depreciation$22,800,024DepreciationAmt
Book Value$3,454,919BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$475,621OtherCostOrOtherBasisAmt
Book Value$475,621BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$43,684,971TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$54,345,091TotalRevEtcAuditedFinclStmtAmt
Other Revenue$98,485OtherRevenueAmt
Revenue Not Reported$98,485RevenueNotReportedAmt
Revenue Subtotal$54,246,606RevenueSubtotalAmt
Total Revenue Per Form990$54,246,606TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$47,865,350TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$98,485OtherExpensesIncludedAmt
Expenses Not Reported$98,485ExpensesNotReportedAmt
Expenses Subtotal$47,766,865ExpensesSubtotalAmt
Total Expenses Per Form990$47,766,865TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITION UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL INCOME TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
FORM 990, SCHEDULE D, PART XI, LINE 2D LINELOSS ON SALE OF ASSET $98,485
FORM 990, SCHEDULE D, PART XII, LINE 2DLOSS ON SALE OF ASSET $98,485

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other225.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$158,965TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$158,965NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,228,419TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,674,330DirectOffsettingRevenueAmt
Net Community Benefit Expns$554,089NetCommunityBenefitExpnsAmt
Total Expense0.01160TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,387,384TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,674,330DirectOffsettingRevenueAmt
Net Community Benefit Expns$713,054NetCommunityBenefitExpnsAmt
Total Expense0.01490TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,266TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,266NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,539,902TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,184,355DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,355,547NetCommunityBenefitExpnsAmt
Total Expense0.07020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,542,168TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,184,355DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,357,813NetCommunityBenefitExpnsAmt
Total Expense0.07020TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,929,552TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,858,685DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,070,867NetCommunityBenefitExpnsAmt
Total Expense0.08510TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Reimbursed By Medicare$14,189,876ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$12,785,021CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,404,855MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DREW MEMORIAL HEALTH SYSTEMBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1778 SCOGIN DRAddressLine1Txt
CityMONTICELLOCityNm
State AbbreviationARStateAbbreviationCd
ZIP71655ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.DREWMEMORIAL.ORGWebsiteAddressTxt
State LicenseAR4799StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DREW MEMORIAL HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care225.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5THE COMMUNITY HEALTH NEEDS ASSESSMENT TOOLKIT DEVELOPED BY THE NATIONAL CENTER FOR RURAL HEALTH WORKS AT OKLAHOMA STATE UNIVERSITY AND CENTER FOR RURAL HEALTH AND OKLAHOMA OFFICE OF RURAL HEALTH WAS UTILIZED AS A GUIDE FOR THE CHNA FACILITATION PROCESS. THE PROCESS WAS DESIGNED TO BE CONDUCTED THROUGH TWO COMMUNITY MEETINGS. THE FACILITATOR AND THE STEERING COMMITTEE OVERSEE THE ENTIRE PROCESS OF ORGANIZING AND DETERMINING A COMMUNITY ADVISORY COMMITTEE OF 30-40 COMMUNITY MEMBERS THAT MEET THROUGHOUT THE PROCESS TO DEVELOP A STRATEGIC PLAN FOR THE HOSPITAL TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY. DUE TO THE SIZE OF THE SERVICE AREA, THE STEERING COMMITTEE CHOSE TO CONDUCT THEIR ASSESSMENT THROUGH A FOCUS GROUP OF COMMUNITY LEADERS AND INDIVIDUALS IN HEALTH-RELATED FIELDS. APPROXIMATELY 38 INDIVIDUALS FROM THE COMMUNITY WERE SELECTED FOR INVITATION TO THE FOCUS GROUP, OR COMMUNITY ADVISORY COMMITTEE, BY THE DREW MEMORIAL HEALTH SYSTEM STAFF STEERING COMMITTEE. THOSE ACCEPTING THE INVITATION - APPROXIMATELY 30 - ATTENDED THE FIRST MEETING OF THE ADVISORY COMMITTEE. A FEW ADDITIONAL ADVISORY COMMITTEE MEMBERS, WHO WERE UNABLE TO ATTEND THE FIRST MEETING, JOINED THE SECOND MEETING AFTER BEING BRIEFED. THESE COMMUNITY ADVISORY COMMITTEE MEMBERS MET INITIALLY TO DISCUSS HEALTH STATISTICS AFFECTING THE HOSPITAL SERVICE AREA, AND TO INDIVIDUALLY COMPLETE THE 2022 HEALTH NEEDS SURVEY. ADVISORY COMMITTEE MEMBERS ASSISTED IN THE DISTRIBUTION OF THE SURVEY QR CODE AND FLYERS TO NEIGHBORS, COLLEAGUES, AND FRIENDS PRIOR TO THE SECOND MEETING. SURVEYS WERE ALSO AVAILABLE ELECTRONICALLY ON THE DMHS WEBSITE, THE ARHP WEBSITE, AND VARIOUS SITES THROUGHOUT THE SERVICE AREA. AT THE SECOND COMMITTEE MEETING, MEMBERS WERE PRESENTED WITH THE RESULTS OF THE SURVEYS AND DISCUSSED SOME OF THE QUESTIONS AND RESPONSES AS A GROUP AND PRIORITIZED COMMUNITY HEALTH CONCERNS. THESE PRIORITIES LED THE STAFF STEERING COMMITTEE TO DEVELOP A MORE DETAILED IMPLEMENTATION PLAN TO ADDRESS THOSE ISSUES AND CREATE COMMUNITY BENEFIT. OVER THE NEXT THREE YEARS, THE ACTION PLANS WILL BE IMPLEMENTED FOR EACH ISSUE AND THE HOSPITAL STEERING COMMITTEE WILL MEET ANNUALLY WITH THE ADVISORY COMMITTEE TO ASSESS PROGRESS.
SCHEDULE H, PART V, SECTION B, LINE 7A & 10ADREWMEMORIAL.ORG/OUR-COMMUNITY/COMMUNITY-BENEFIT-REPORT/
FORM 990, SCHEDULE H, PART V, LINE 11THE HOSPITAL HAS IDENTIFIED THE FOLLOWING THREE NEEDS THAT WILL BE ADDRESSED: 1. MENTAL HEALTH & SUBSTANCE ABUSE: OBJECTIVE 1: ADDRESS THE NEEDS OF THE LOCAL COMMUNITY BY CONTINUING TO INCREASE DREW MEMORIAL HEALTH SYSTEM MENTAL AND BEHAVIORAL HEALTH SERVICES BY: - DEVELOP AND IMPLEMENT STAFFING PLAN TO BE ABLE TO EXPAND DELIVERY OF MENTAL HEALTH SERVICES THROUGH DMHS, SPECIFICALLY ADULT AND YOUTH SERVICES - CONDUCT A FEASIBILITY STUDY FOR A POTENTIAL DMHS OUTPATIENT MENTAL HEALTH CLINIC FOR ADULTS AND PEDIATRICS - OPTIMIZE TELEHEALTH SERVICES FOR THE DELIVERY OF MENTAL AND BEHAVIORAL HEALTH SERVICES - CONTINUE TO PROVIDE IN-PATIENT WITHDRAWAL MANAGEMENT SERVICES AT DMHS OBJECTIVE 2: CONTINUE TO COLLABORATE AND BUILD PARTNERSHIPS TO INCREASE MENTAL AND BEHAVIORAL HEALTH SERVICES AND PROGRAMS IN THE SERVICE AREA: - PARTNER WITH OTHER HEALTHCARE ORGANIZATIONS, LOCALLY AND STATEWIDE, TO INCREASE THE CAPACITY TO PROVIDE ADDITIONAL MENTAL AND BEHAVIORAL HEALTH SERVICES - CONTINUE TO PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S MENTAL/BEHAVIORAL HEALTH TASK FORCE - PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S NEW OPIOID COMMUNITY RESPONSE IMPLEMENTATION PROJECT TO INCREASE IN-PATIENT MENTAL AND BEHAVIORAL HEALTH SERVICES - PROVIDE MENTAL HEALTH FIRST AID TO LOCAL SCHOOLS, COLLEGES, AND COMMUNITY ORGANIZATIONS THROUGH ARHP 2. OBESITY/DIABETES: OBJECTIVE 1: CONTINUE TO FOSTER COLLABORATION WITH LOCAL SCHOOLS AND ORGANIZATIONS TO CREATE PROGRAMS THAT ASSIST INDIVIDUALS WITH OBESITY AND DIABETES: - PARTNER WITH LOCAL SCHOOLS TO PROMOTE HEALTHIER FOOD OPTIONS, INCLUDING MORE FRESH FOODS AND FRESH FRUIT SNACKS AT BREAKS - PROVIDE HEALTHY EATING MATERIALS AND EDUCATIONAL INFORMATION AT PARENT NIGHT AT THE LOCAL SCHOOLS, ESPECIALLY ON SELECTING THE HEALTHIEST FAST FOOD RESTAURANT OPTIONS, COOKING INEXPENSIVE HEALTHY MEALS FOR FAMILIES, AND HEALTHY CHOICES FOR DIABETIC DIETS. - WORK WITH ARHP PARTNERS TO ADDRESS HEALTHY EATING AND EXERCISE PROGRAMS - FOR THE SCHOOLS IN THE REGION THROUGH FUTURE GRANT OPPORTUNITIES OBJECTIVE 2: INCREASE COMMUNITY AWARENESS OF PROGRAMS THAT ADDRESS OBESITY AND DIABETES: - DEVELOP A STRATEGIC CIVIC AND RELIGIOUS ORGANIZATION EDUCATION PLAN TO INCREASE COMMUNITY AWARENESS OF SERVICES - CONTINUE MARKETING STRATEGIES THROUGH BOTH PRINT AND SOCIAL MEDIA TO PROMOTE LOCAL SERVICES TO BOTH COMMUNITY AND OTHER HEALTHCARE PROFESSIONALS - CONTINUE TO PROMOTE AND EXPAND THE CURRENT DMHS DIABETES EDUCATION PROGRAM - PROMOTE OTHER WEIGHT-LOSS PROGRAMS DEVELOPED THROUGH DMHS EFFORTS TO ADDRESS THEIR STRATEGIC PLAN 3. HEALTHCARE WORKFORCE OBJECTIVE 1: INCREASE HEALTHCARE SERVICES PROVIDED THROUGH DMHS: - RECRUIT WORKFORCE TO IMPROVE AND INCREASE INTENSIVE CARE UNIT (ICU) CAPACITY AT DMHS - RECRUIT SPECIALTY PHYSICIANS AND HEALTHCARE WORKFORCE TO EXPAND HEALTHCARE SERVICES OFFERED THROUGH DMHS (OB/GYN, ENT, PAIN MANAGEMENT, PULMONOLOGY, ORTHOPEDIC, GI, ENDOCRINOLOGY, INTERVENTIONAL RADIOLOGY, AND UROLOGY) OBJECTIVE 2: CONTINUE TO COLLABORATE WITH ARHP AND OTHER HEALTHCARE ORGANIZATIONS TO INCREASE SPECIALTY HEALTHCARE SERVICES IN THE SERVICE AREA: - INCREASE SURGICAL SERVICES THROUGH COLLABORATION WITH PCPS THROUGHOUT THE REGION - CONTINUE TO PARTICIPATE IN ARHP DISCUSSIONS WITH UAMS REGIONAL PROGRAMS, THE ARKANSAS COLLEGE OF OSTEOPATHIC MEDICINE, AND NYIT SCHOOL OF OSTEOPATHIC MEDICINE IN JONESBORO - CONTINUE TO ENCOURAGE STUDENT ROTATIONS WITH UAMS REGIONAL PROGRAMS, THE ARKANSAS COLLEGE OF OSTEOPATHIC MEDICINE, AND NYIT SCHOOL OF OSTEOPATHIC MEDICINE IN JONESBORO - COMMUNICATE AND PARTNER WITH MEDICAL STAFF AND LOCAL PROVIDERS TO ASSIST IN RECRUITMENT OF ADDITIONAL PHYSICIANS TO THE AREA - CONTINUE TO PARTNER WITH ARHP TO PROVIDE WORKFORCE INITIATIVES IN THE LOCAL SCHOOLS AND COLLEGES - PARTICIPATE IN THE ARHP NURSING SCHOOL TASK FORCE INITIATIVES TO INCREASE NURSING CLINICAL ROTATIONS AT DMHS - PARTICIPATE IN ARHP STUDENT PRECEPTORSHIP OPPORTUNITIES TO ENCOURAGE STUDENTS IN HEALTHCARE FIELDS OF STUDY - IMPROVE RELATIONSHIP WITH MAINLINE HEALTH SYSTEMS FOR REFERRALS - DEVELOP RELATIONSHIPS WITH SPECIALTY PHYSICIANS LEAD TO DELAYS IN CARE LEAD TO DELAYS IN CARE
FORM 990, SCHEDULE H, PART V, LINES 16A, 16B, AND 16CWWW.DREWMEMORIAL.ORG/FINANCIAL-ASSISTANCE/

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE H, PART I, LINE 7DREW MEMORIAL HOSPITAL USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY.
FORM 990, SCHEDULE H, PART III, LINE 4PLEASE SEE ATTACHED AUDIT REPORT NOTE 1.
FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9BEVERY 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 2DREW MEMORIAL HEALTH SYSTEM PROVIDES COMMUNITY BENEFITS BY OFFERING HEALTH EDUCATION, MEETING FACILITIES, SUPPORT FOR LOCAL ATHLETIC ACTIVITIES, AND COMMUNITY HEALTH INITIATIVES. FURTHER, EVERY THREE YEARS THE HOSPITAL CONDUCTS A SURVEY ASSESSING THE NEEDS OF DREW COUNTY RESIDENTS AND HOSPITAL STAKEHOLDERS IN THE SURROUNDING AREA. THE ASSESSMENT INCLUDES INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE COMMUNITY SERVED BY THE DREW MEMORIAL HEALTH SYSTEM FACILITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE.
FORM 990, SCHEDULE H, PART VI, LINE 3IN ORDER TO DETERMINE IF A PATIENT IS ELIGIBLE FOR ASSISTANCE, AN APPLICATION FOR FINANCIAL ASSISTANCE MUST BE COMPLETED BY THE PATIENT OR GUARANTOR. THE HOSPITAL WILL THEN REVIEW THE APPLICATION AND MAKE A DETERMINATION OF ELIGIBILITY. THE HOSPITAL WILL ACCEPT FAP APPLICATIONS AT LEAST TWO HUNDRED FORTY (240) DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. THE HOSPITAL WILL NOTIFY INDIVIDUALS WHO SUBMIT AN INCOMPLETE FAP APPLICATIONS DURING THE APPLICATION PERIOD ABOUT HOW TO COMPLETE THE APPLICATION (AND PROVIDE CONTACT INFORMATION FOR ASSISTANCE), AND SUSPEND ANY EXTRAORDINARY COLLECTION ACTIVITIES FOR THESE INDIVIDUALS UNTIL ELIGIBILITY IS DETERMINED.THE AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE WIDELY PUBLICIZED. APPLICATIONS FOR FREE OR REDUCED CHARGE CARE WILL BE DISTRIBUTED BY A PATIENT FINANCIAL ADVISOR, PATIENT FINANCIAL COLLECTOR, CASHIERS DEPARTMENT, SOCIAL SERVICES, OR OTHER RELATED DEPARTMENTS OF DREW MEMORIAL HOSPITAL. PATIENTS WILL BE OFFERED A PLAIN LANGUAGE SUMMARY OF THE FAP EITHER UPON PATIENT INTAKE OR PATIENT DISCHARGE. PAPER COPIES WILL BE AVAILABLE, WITHOUT CHARGE, BOTH FOR DISTRIBUTION IN PUBLIC LOCATIONS WITHIN THE FACILITY AND BY MAIL, IF REQUESTED. THE HOSPITAL WILL INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN A MANNER REASONABLY DETERMINED BY REACH THOSE MEMBERS OF THE COMMUNITY MOST LIKELY NEEDING FINANCIAL ASSISTANCE (I.E., DISTRIBUTING FAP INFORMATION TO LOCAL GOVERNMENT AGENCIES AND NON-PROFIT ORGANIZATIONS). EACH UNINSURED PATIENT IS SEEN BY A FINANCIAL COUNSELOR WHO EDUCATES THE PATIENT AND FAMILY MEMBERS ABOUT 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 4DREW MEMORIAL HOSPITAL IS LOCATED IN MONTICELLO, THE COUNTY SEAT OF DREW COUNTY IN SOUTHEAST ARKANSAS. DREW COUNTY IS THE HOME TO 17,350 PEOPLE AND ONE OF THE HEALTHIER COUNTIES IN THE ARKANSAS DELTA REGION. THE AVERAGE PERCENTAGE OF PERSONS UNDER 18 YEARS IN THE SERVICE AREA IS 22.1%, WHICH IS SLIGHTLY LOWER THAN THE STATE. IN DESHA COUNTY, TO FURTHER ESTIMATE THE TARGET POPULATION, ADULTS IN THE SERVICE AREA ARE ESTIMATED TO BE ABOUT 80% OF THE SERVICE AREA POPULATION AND 17% OF THE POPULATION IS 65 OR OLDER. HEALTH DISPARITIES, POVERTY, LACK OF TRANSPORTATION, LOW EDUCATIONAL ATTAINMENT, POOR ACCESS TO HEALTH CARE, AND POOR HEALTH OUTCOMES- THE MISSISSIPPI DELTA REGION REPRESENTS AN AMALGAM OF SOCIETAL DIFFICULTIES THAT AFFECT EACH OF ITS RESIDENTS. ACCORDING TO RECENT US CENSUS DATA (2020), INDIVIDUALS WITHIN THE SERVICE AREA EXPERIENCE GREATER ECONOMIC HARDSHIP COMPARED TO THOSE IN OTHER REGIONS OF THE STATE AND NATION. THIS INCLUDES A LOWER MEDIAN HOUSEHOLD INCOME AND HIGHER POVERTY RATE. THIS CAN BE CONTRIBUTED TO LOWER LEVELS OF EDUCATIONAL ATTAINMENT, WITH MOST COUNTY RESIDENTS HAVING LOWER HIGH SCHOOL GRADUATION RATES COMPARED TO THE STATE AND NATION. UNEMPLOYMENT IS ALSO, SIGNIFICANTLY HIGHER IN EIGHT OUT OF NINE SERVICE AREA COUNTIES AS COMPARED TO THE STATE AND NATION. THE MAJORITY OF SOUTHEAST ARKANSAS DELTA RESIDENTS ARE CAUCASIAN (AVERAGE OF 59%), WHICH IS LESS THAN THE STATE (70%). AFRICAN AMERICANS ARE THE LARGEST MINORITY IN THE SERVICE AREA (AVERAGE OF 33%), WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE (15%). THE HISPANIC POPULATION IS SMALL, BUT GROWING (AVERAGE OF 4% IN SERVICE AREA VS. 9% ACROSS STATE). THE PRIMARY SERVICE COVERAGE AREA INCLUDES ALL COUNTIES THAT BORDER DREW, INCLUDING: LINCOLN, DESHA, BRADLEY, ASHLEY, AND CHICOT. THESE SIX COUNTIES HAVE A COMBINED POPULATION OF APPROXIMATELY 100,000. THE SECONDARY SERVICE COVERAGE AREA SPREADS BEYOND THE BORDERING COUNTIES AND INCLUDES PARTS OF ARKANSAS COUNTY, JEFFERSON COUNTY, DALLAS COUNTY, UNION COUNTY, GRANT COUNTY AND CALHOUN COUNTY, ARKANSAS. COMBINED, THE PRIMARY AND SECONDARY SERVICE COVERAGE AREAS TOTAL A POPULATION OF MORE THAN 200,000.
FORM 990, SCHEDULE H, PART VI, LINE 5DREW MEMORIAL HOSPITAL IS ACTIVE THROUGHOUT DREW COUNTY IN SPONSORING HEALTH FAIRS, EDUCATIONAL PROGRAMS, FREE HEALTH SCREENINGS AND OTHER ACTIVITIES TO PROMOTE THE HEALTH OF THE CITIZENS OF DREW COUNTY. DMH IS AN ACTIVE MEMBER OF THE DREW COUNTY HOMETOWN HEALTH INITIATIVE WHICH IS A PROGRAM OF THE ARKANSAS DEPARTMENT OF HEALTH. THE HOMETOWN HEALTH INITIATIVE (HHI) BRINGS TOGETHER A WIDE RANGE OF PEOPLE AND ORGANIZATIONS INCLUDING CONSUMERS, BUSINESS LEADERS, AND HEALTH CARE PROVIDERS TO DEVELOP AND IMPLEMENT WAYS TO SOLVE HEALTH ISSUES IN EACH COUNTY. DREW MEMORIAL CURRENTLY PARTICIPATES IN SEVERAL HEALTH OUTREACH EFFORTS THROUGH ITS AFFILIATION WITH ARKANSSAS RURAL HEALTH PARTNERSHIP (ARHP). THE ORGANIZATION WAS FOUNDED TO HELP LOCAL HOSPITALS ADDRESS FINANCIAL BURDENS OF THEIR INDIVIDUAL ORGANIZATIONS AND WORK TO PROVIDE HEALTH OUTREACH TO THE REGION THROUGH FUNDING OPPORTUNITIES.
FORM 990, SCHEDULE H, PART VI, LINE 6DREW MEMORIAL HEALTH SYSTEM CURRENTLY PARTICIPATES IN SEVERAL HEALTH OUTREACH EFFORTS THROUGH ITS AFFILIATION WITH THE ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP). THE ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP) IS A NON-PROFIT HORIZONTAL HOSPITAL AND ECONOMIC DEVELOPMENT ORGANIZATION COMPOSED OF FIFTEEN INDEPENDENTLY OWNED, SOUTH ARKANSAS RURAL HOSPITALS, TWO FEDERALLY QUALIFIED HEALTH CENTERS, AND 2 MEDICAL SCHOOLS. THIS UNIQUE NETWORK IS THE LARGEST HEALTHCARE SERVICE PROVIDER IN THE AREA AND SERVES AS A HUB FOR ECONOMIC GROWTH AND DEVELOPMENT ACROSS THE REGION. ARHP EFFORTS AIM TO SUPPORT AND IMPROVE EXISTING HEALTHCARE INFRASTRUCTURE, WHILE STRENGTHENING HEALTHCARE DELIVERY ACROSS RURAL SOUTH ARKANSAS. THE ARHP IS COMMITTED TO STRENGTHENING THE ECOSYSTEM OF RURAL COMMUNITIES ACROSS SOUTH ARKANSAS BY ENGAGING IN TRANSFORMATIVE CONVERSATIONS, PARTNERSHIPS, AND INITIATIVES. ARKANSAS RURAL HEALTH PARTNERSHIP MEMBERS INCLUDE ASHLEY COUNTY MEDICAL CENTER (CROSSETT, AR), BAPTIST HEALTH-STUTTGART (STUTTGART, AR), BRADLEY COUNTY MEDICAL CENTER (WARREN, AR), CHICOT MEMORIAL MEDICAL CENTER (LAKE VILLAGE, AR), DALLAS COUNTY MEDICAL CENTER (FORDYCE, AR), DELTA MEMORIAL MEDICAL CENTER (DUMAS, AR), DEWITT HOSPITAL & NURSING HOME (DEWITT, AR), DREW MEMORIAL HEALTH SYSTEM (MONTICELLO, AR) MEDICAL CENTER OF SOUTH ARKANSAS (EL DORADO, AR), MCGEHEE HOSPITAL (MCGEHEE, AR), MAGNOLIA REGIONAL MEDICAL CENTER (MAGNOLIA, AR), HELENA REGIONAL MEDICAL CENTER (HELENA, AR), OUACHITA COUNTY MEDICAL CENTER (CAMDEN, AR), SEVIER COUNTY MEDICAL CENTER (DE QUEEN, AR), JEFFERSON REGIONAL MEDICAL CENTER (PINE BLUFF, AR), UNIVERSITY OF ARKANSAS FOR MEDICAL SERVICES (LITTLE ROCK, AR), NEW YORK INSTITUTE OF TECHNOLOGY (JONESBORO, AR), MAINLINE HEALTH SYSTEMS, INC (MONTICELLO, AR) AND MID-DELTA HEALTH SYSTEMS, INC (CLARENDON, AR). THE ORGANIZATION WAS FOUNDED TO HELP LOCAL HOSPITALS ADDRESS THE FINANCIAL BURDENS OF THEIR INDIVIDUAL ORGANIZATIONS AND WORK TO PROVIDE HEALTH OUTREACH TO THE REGION THROUGH FUNDING OPPORTUNITIES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SCOTT BARRILLEAUX
CEO$230,324$0$32,000$0$0$0$2,500$0$11,185$0$276,009$0$0$0
ALAN WILSON
GENERAL SURGEON$430,000$0$0$0$0$0$2,500$0$8,662$0$441,162$0$0$0
KELLY SHRUM
OB/GYN$400,000$0$0$0$0$0$2,500$0$8,200$0$410,700$0$0$0
FRANCISCO BRAVO
GENERAL SURGEON$350,000$0$0$0$0$0$2,500$0$8,662$0$361,162$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DREW COUNTY ARBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN716008583BondIssuerEIN
Bond Issued2010-12-08BondIssuedDt
Issue Price$2,000,000IssuePriceAmt
PurposeCONSTRUCTION AND ACQUISITION OF EQPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,218,310RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$2,000,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$12,500IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$1,987,500CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2013SubstantialCompletionYr
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE, OR MEMBER OF THE COMMITTEE WITH BOARD DELEGATED POWERS MUST ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15ATHE PERFORMANCE OF THE CEO IS EVALUATED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE CEO'S BONUSES AND SALARY ARE APPROVED BY THE BOARD ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES, FINANICAL STATEMENTS, AND FORM 990 ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT SERVICES TOTAL FEES:9277718
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3794076
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION FEES TOTAL FEES:229279

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
DREW PROFESSIONAL SERVICES
778 SCOGIN DRMONTICELLOAR71655460762804PHYS. CLINICAR$624,571$0DMH
DREW SURGICAL SERVICES
778 SCOGIN DRMONTICELLOAR71655471533658PHYS. CLINICAR$774,671$0DMH