FIVE RIVERS MEDICAL CENTER INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- FIVE RIVERS MEDICAL CENTER INC (EIN 27-3970823)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-07-13
- IRS object ID
- 202311949349301316
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-07-13T10:21:48-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3667 | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 722033667 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273970823 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIVE RIVERS MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % BENJAMIN BARYLSKE | InCareOfNm |
| Business Name Control | FIVE | BusinessNameControlTxt |
| Phone | 8708926000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2801 MEDICAL CENTER DR | AddressLine1Txt |
| City | POCAHONTAS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72455 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BENJAMIN BARYLSKE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8708926000 | PhoneNum |
| Signature | 2023-06-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MATT | PersonFirstNm |
| Person Last | NICHOLS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 000000000 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMBER SHERRILL | PreparerPersonNm |
| PTIN | P00748683 | PTIN |
| Phone | 5013721040 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST BERNARDS FIVE RIVERS MEDICAL CTR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRIS BARBER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 EAST WASHINGTON | AddressLine1Txt |
| City | JONESBORO | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,735,844 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STBERNARDS.INFO | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | FIVE RIVERS MEDICAL CENTER IS DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR COMMUNITY AS ITS PRIMARY CARE PROVIDER THROUGH A NETWORK OF QUALITY SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 291 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,998,917 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,503,339 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,259,423 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,187,014 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,055 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,655 | CYInvestmentIncomeAmt |
| PY Other Revenue | $45,418 | PYOtherRevenueAmt |
| CY Other Revenue | $38,836 | CYOtherRevenueAmt |
| PY Total Revenue | $27,314,813 | PYTotalRevenueAmt |
| CY Total Revenue | $21,735,844 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $90 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $896 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,073,169 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,053,637 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,855,176 | PYOtherExpensesAmt |
| CY Other Expenses | $10,360,874 | CYOtherExpensesAmt |
| PY Total Expenses | $21,928,435 | PYTotalExpensesAmt |
| CY Total Expenses | $23,415,407 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,386,378 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,679,563 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,611,293 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,773,628 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,071,156 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,924,077 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,540,137 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,849,551 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FIVE RIVERS MEDICAL CENTER SHALL BE DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR COMMUNITY AS ITS PRIMARY CARE PROVIDER THROUGH A NETWORK OF QUALITY SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $19,114,188 | ExpenseAmt |
| Grant | $896 | GrantAmt |
| Revenue | $18,187,014 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN POCAHONTAS, ARKANSAS AND THE SURROUNDING AREA. IT ALSO OPERATES A HOME HEALTH AGENCY IN THE SAME GEOGRAPHIC REGION. THE HOME HEALTH DEPARTMENT AT FRMC HAD OVER 16,766 SKILLED NURSING, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY AN AIDE VISITS IN 2022. THE EMERGENCY DEPARTMENT AT FRMC TREATED OVER 8,363 PATIENTS IN 2022 AND IS A LEVEL 4 TRAUMA DESIGNATED ER. FRMC PROVIDES EXCELLENT ACUTE CARE THROUGH OUR HOSPITALIST PROGRAM. FRM ADMITTED OVER 598 PATIENTS IN 2022 FOR ACUTE CARE. THE GERIATRIC BEHAVIORAL UNIT TREATS PATIENTS 65 AND OVER WITH VARYING BEHAVIORAL DISORDERS AND ADMITTED OVER 225 PATIENTS IN THE BHU DURING 2022. | Desc |
| Total Program Service Expenses | $19,114,188 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 291 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BENJAMIN BARYLSKE | PersonNm |
| Phone | 8702074100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 EAST WASHINGTON | AddressLine1Txt |
| City | JONESBORO | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CHRIS BARBER | ||||||||
| CHAIR, PRESIDENT AND SECRETARY | 1.0 | 48.0 | Yes (X) | Yes (X) | $0 | $804,053 | $41,949 | |
| MICKEY DEEL | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $357,562 | $0 | $0 | Yes (X) | ||
| WILLIAM LEWIS | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $318,098 | $0 | $0 | Yes (X) | ||
| MALETA TIPTON | ||||||||
| PHYSICIAL THERAPIST | 40.0 | 0.0 | $137,210 | $0 | $0 | Yes (X) | ||
| JANE KUZAS | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $135,291 | $0 | $0 | Yes (X) | ||
| JEREMY CAPPS | ||||||||
| ADMINISTRATOR | 1.0 | 40.0 | Yes (X) | $0 | $117,266 | $13,573 | ||
| LAURA PALMER | ||||||||
| RADIOLOGY TECH | 40.0 | 0.0 | $121,871 | $0 | $350 | Yes (X) | ||
| SARAH LOWTHARP | ||||||||
| CNO | 16.67 | 23.33 | Yes (X) | $37,082 | $51,896 | $18,944 | ||
| MATT NICHOLS | ||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $89,251 | $0 | $12,260 | ||
| GARY CHILDERS | ||||||||
| MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| SISTER THERESE JOHNSON | ||||||||
| MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| SISTER JOHANNA MARIE MELYNK | ||||||||
| MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,196,365 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $973,215 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $87,076 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VAYA WORKFORCE SOLUTIONS LLC | |||||
| 5930 CORNERSTONE COURT W STE 300 | SAN DEIGO | CA | 92121 | TRAVEL NURSES | $421,253 |
| GIBSON BROOKE MD | |||||
| 3515 BIG CREEK COVE | JONESBORO | AR | 72404 | HOSPITALIST | $296,845 |
| VIZIENT INC | |||||
| PO BOX 842175 | DALLAS | TX | 752842167 | TRAVEL NURSES | $189,193 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,402,169 | GovernmentGrantsAmt |
| All Other Contributions | $101,170 | AllOtherContributionsAmt |
| Total Contributions | $3,503,339 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 622110 | $18,130,243 | $18,130,243 |
| 340B PROGRAM REVENUE | 622110 | $56,771 | $56,771 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,187,014 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,655 | TotalRevenueColumnAmt |
| Exclusion | $6,655 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 900099 | $37,596 | $37,596 | |
| ALL OTHER MISC REVENUE | $1,240 | $1,240 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,240 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,240 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $38,836 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,735,844 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,187,014 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $45,491 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896 | TotalAmt |
| Program Services | $896 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,193 | TotalAmt |
| Management And General | $145,193 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,362,817 | TotalAmt |
| Program Services | $9,081,646 | ProgramServicesAmt |
| Management And General | $2,281,171 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $729,853 | TotalAmt |
| Program Services | $583,329 | ProgramServicesAmt |
| Management And General | $146,524 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $815,774 | TotalAmt |
| Program Services | $652,001 | ProgramServicesAmt |
| Management And General | $163,773 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $934,415 | TotalAmt |
| Program Services | $746,824 | ProgramServicesAmt |
| Management And General | $187,591 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,146 | TotalAmt |
| Program Services | $9,708 | ProgramServicesAmt |
| Management And General | $2,438 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,367 | TotalAmt |
| Program Services | $58,638 | ProgramServicesAmt |
| Management And General | $14,729 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,037,821 | TotalAmt |
| Program Services | $2,427,955 | ProgramServicesAmt |
| Management And General | $609,866 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,028 | TotalAmt |
| Program Services | $16,007 | ProgramServicesAmt |
| Management And General | $4,021 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,544 | TotalAmt |
| Program Services | $394,461 | ProgramServicesAmt |
| Management And General | $99,083 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,330 | TotalAmt |
| Program Services | $474,215 | ProgramServicesAmt |
| Management And General | $119,115 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $376,201 | TotalAmt |
| Program Services | $300,676 | ProgramServicesAmt |
| Management And General | $75,525 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,293 | TotalAmt |
| Program Services | $139,302 | ProgramServicesAmt |
| Management And General | $34,991 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $278,275 | TotalAmt |
| Program Services | $222,409 | ProgramServicesAmt |
| Management And General | $55,866 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $808,805 | TotalAmt |
| Program Services | $646,431 | ProgramServicesAmt |
| Management And General | $162,374 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,445 | TotalAmt |
| Program Services | $216,151 | ProgramServicesAmt |
| Management And General | $54,294 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,443,484 | $2,443,484 | |
| EQUIPMENT RENTAL | $212,390 | $169,751 | $42,639 |
| DIETARY EXPENSE | $140,118 | $111,988 | $28,130 |
| LAB FEES | $124,117 | $124,117 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $368,095 | TotalAmt |
| Program Services | $294,199 | ProgramServicesAmt |
| Management And General | $73,896 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,415,407 | TotalAmt |
| Program Services | $19,114,188 | ProgramServicesAmt |
| Management And General | $4,301,219 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $490,848 | BOYAmt |
| EOY | $536,796 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,446,518 | BOYAmt |
| EOY | $1,177,656 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,245,949 | BOYAmt |
| EOY | $1,923,164 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $361,477 | BOYAmt |
| EOY | $357,703 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,041 | BOYAmt |
| EOY | $70,836 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,787,633 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,595,155 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,876,375 | BOYAmt |
| EOY | $7,192,478 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,085 | BOYAmt |
| EOY | $514,995 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,611,293 | BOYAmt |
| EOY | $11,773,628 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,401,762 | BOYAmt |
| EOY | $1,416,813 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $774,461 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,573,228 | BOYAmt |
| EOY | $6,407,264 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $321,705 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,071,156 | BOYAmt |
| EOY | $7,924,077 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,540,137 | BOYAmt |
| EOY | $3,849,551 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,540,137 | BOYAmt |
| EOY | $3,849,551 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,611,293 | BOYAmt |
| EOY | $11,773,628 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,679,563 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$11,023 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $2,019 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,019 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL IS A MEMBER OF THE ARKANSAS HOSPITAL ASSOCIATION. THE HOSPITAL PAID DUES OF $11,349 TO THE ASSOCIATION DURING 2022, 17.79% OF WHICH RELATED TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $254,633 | OtherCostOrOtherBasisAmt |
| Book Value | $254,633 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $929,499 | OtherCostOrOtherBasisAmt |
| Depreciation | $145,493 | DepreciationAmt |
| Book Value | $784,006 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,000,165 | OtherCostOrOtherBasisAmt |
| Depreciation | $528,547 | DepreciationAmt |
| Book Value | $471,618 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,586,523 | OtherCostOrOtherBasisAmt |
| Depreciation | $909,733 | DepreciationAmt |
| Book Value | $5,676,890 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,713 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,382 | DepreciationAmt |
| Book Value | $5,331 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,192,478 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $21,735,844 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $21,735,844 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $21,735,844 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $23,415,407 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $23,415,407 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $23,415,407 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 201 | PersonsServedCnt |
| Total Community Benefit Expns | $190,172 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $190,172 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3336 | PersonsServedCnt |
| Total Community Benefit Expns | $2,698,560 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,267,505 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $431,055 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01840 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3537 | PersonsServedCnt |
| Total Community Benefit Expns | $2,888,732 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,267,505 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $621,227 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02650 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,550,348 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $521,214 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,029,134 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12940 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,550,348 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $521,214 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,029,134 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12940 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3537 | PersonsServedCnt |
| Total Community Benefit Expns | $6,439,080 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,788,719 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,650,361 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15590 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,041,824 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $5,517,895 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,800,917 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$283,022 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIVE RIVERS MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2801 MEDICAL CENTER DRIVE | AddressLine1Txt |
| City | POCAHONTAS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72455 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.STBERNARDS.INFO | WebsiteAddressTxt |
| State License | AR4270 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | HOME HEALTH | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIVE RIVERS MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | SURVEYS TAKEN BY KEY INTERVIEWEES (COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTEREST OF THE COMMUNITY WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH) IS A TECHNIQUE EMPLOYED TO ASSESS PUBLIC PERCEPTIONS OF THE COUNTY'S HEALTH STATUS AND UNMET NEEDS. THESE SURVEYS ARE INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. KEY INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE KNOWLEDGEABLE ABOUT POPULATIONS WITHIN THE COMMUNITY WHOSE HEALTH AND QUALITY OF LIFE MAY NOT BE AS GOOD AS OTHERS, SUCH AS REPRESENTATIVES OF ORGANIZATIONS SERVING THE ETHNIC MINORITIES, OR THE ELDERLY. |
| SCHEDULE H, PART V, SECTION B, LINE 7A | WWW.STBERNARDS.INFO/CORPORATE/COMMUNITY-HEALTH-ASSESSMENT |
| SCHEDULE H, PART V, SECTION B, LINE 11 | THE NEEDS THAT WILL BE ADDRESSED IN THE MOST RECENT IMPLEMENTATION STRATEGY INCLUDE THE FOLLOWING: 1) HEALTH AND WELLNESS EDUCATION A. SBFR WILL CONTINUE TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY THROUGH EDUCATION AND WELLNESS ACTIVITIES. - SBFR WILL PARTNER WITH BRTC AND LOCAL CLINICS IN ANNUAL HEALTH FAIRS AND OUTREACH FOR KEY EMPLOYERS AND THE COMMUNITY. - TO INCREASE HEALTH AND WELLNESS EDUCATION TO THE COMMUNITY, THE MARKETING STAFF AT SBFR WILL INCREASE THE NUMBER OF TELEVISION AND SOCIAL MEDIA MESSAGES AIMED AT GENERAL PREVENTATIVE MEASURES, TYPICAL SCREENING TIMELINES, AND AVAILABLE RESOURCES. SBFR WILL DISPLAY TELEVISION MESSAGES IN EACH ROOM OF OUR RURAL HEALTH CLINIC AND WITHIN OUR WAITING AREAS OF THE HOSPITAL. B. PARTNER WITH KEY STAKEHOLDERS IN THE MARSHALLESE COMMUNITY TO PROMOTE HEALTH AND WELLNESS EDUCATION AND PROVIDE SUPPORT IN A CULTURALLY SENSITIVE WAY TO THIS HIGH RISK PATIENT POPULATION. - IMPLEMENT PARTNERHSIP WITH PECO TO PROVIDE HEALTH SERVICES AND EDUCATION TO THEIR MARSHALLESE EMPLOYEES THROUGH OUR RURUAL HEALTH CLINIC. - CONTINUE TO RECRUIT AND RETAIN MARSHALLESE EMPLOYEES AT BOTH THE RURAL HEALTH CLINIC AND MEDICAL CENTER TO HELP WITH CULTURAL SUPPORT OF THE MARSHALLESE COMMUNITY - ATTEND ANNUAL PACIFIC ISLANDER EVENT TO PROMOTE HEALTH AND WELLNESS INITIATIVES TO THE MARSHALLESE POPULATION. 2) OBESITY A. PARTICIPATE IN ANNUAL HEALTH AND FITNESS EXPO. - PROVIDE EDUCATIONAL MATERIAL TO OUTLINE A HEALTHY LIFESTYLE TO THE COMMUNITY. B. IMPLEMENT A "KNOW YOUR NUMBERS" CAMPAIGN WITHIN THE RURAL HEALTH CLINIC FOR OBESITY - PROVIDE NUTRITIONAL FOOD LISTS, RECIPES, AWARENESS, AND EXERCISE REGIMENS FOR PATIENTS IN THE "KNOW YOUR NUMBERS CAMPAIGN" C. IMPROVE AWARENESS OF OBESITY AND HEALTHY LIFESTYLE - THE MARKETING STAFF AT SBFR WILL INCREASE THE NUMBER OF TELEVISION AND SOCIAL MEDIA MESSAGES AIMED AT NUTRITIONAL HEALTH. TELEVISION MESSAGES WILL BE DISPLAYED IN EACH ROOM OF OUR RURAL HEALTH CLINIC, AND WITHIN OUR WAITING AREAS OF THE HOSPITAL. 3) DIABETES A.IMPLEMENT A "KNOW YOUR NUMBERS" CAMPAIGN WITHIN THE RURAL HEALTH CLINIC FOR DIABETIC PATIENTS - ADD AN APRN AND CARE MANAGER TO THE STAFF OF THE CLINIC. - BEGIN A MONTHLY QUALITY IMPROVEMENT PROGRAM THAT MONITORS PATIENT OUTCOMES BY DESIGNING AND ADJUSTING AN INDIVIDUAL CARE PLAN. - MONITOR PATIENT PROGRESS BY ALLOCATING RESPONSIBILITY TO THE CARE MANAGER TO CONTACT THE PROGRAM'S PATIENTS WEEKLY. B. IMPLEMENT TRACKING OF CARDIO PROTECTIVE ANTI-HYPOGLYCEMIC MEDICATION. - EDUCATE PROVIDERS IN THE SBFR HEALTH SYSTEM ON THE IMPORTANCE OF PRESCRIBING CARDIO PROTECTIVE ANTI- HYPOGLYCEMIC MEDICATIONS FOR DIABETES TREATMENT. - IDENTIFY AND TRACK PATIENTS AT DISCHARGE PLACED ON CARDIO PROTECTIVE ANTI- HYPOGLYCEMIC MEDICATIONS AND COORDINATE AN APPOINTMENT WITH THE PATIENTS PRIMARY CARE PHYSICIAN. C. EMPOWER THE PATIENTS TO BETTER MANAGE THEIR DISEASE TO AVOID THE COMPLICATIONS OF DIABETES AND ACHIEVE OPTIMAL HEALTH STATUS. - PROVIDED PRIMARY AND SKILLED CARE FOR HOMEBOUND PATIENTS IN THE COUNTIES WE SERVE. THIS INCLUDES EDUCATION REGARDING MANAGING MEDICATIONS, DIABETIC DIET, GENERAL HEALTH CARE, AND INCORPORATING SECONDARY DIAGNOSIS. D. EMPOWER PATIENTS FROM THE POPULATION OF RANDOLPH COUNTY TO INCREASE DIABETES MANAGEMENT TO AVOID COMPLICATIONS OF DIABETES AND ACHIEVE OPTIMAL HEALTH STATUS. - BEGIN MONTHLY DIABETIC EDUCATION SESSIONS WITH A CERTIFIED DIABETES EDUCATOR FROM THE POPULATION HEALTH. 4) CANCER A. IMPROVE ACCESS TO SCREENING FOR VARIOUS TYPES OF CANCER - HOST THE SBMC MOBILE MAMMOGRAPHY UNIT ON A WEEKLY BASIS TO PROVIDE ACCESS TO MAMMOGRAMS FOR RESIDENTS OF RANDOLPH COUNTY AND THE SURROUNDING AREA WHO MAY BE UNABLE TO TRAVEL FOR THIS SERVICE. - EACH YEAR THE STAFF AT ST. BERNARDS FIVE RIVERS PARTICIPATES IN THE RANDOLPH COUNTY RELAY FOR LIFE EVENT IN PARTNERSHIP WITH THE AMERICAN CANCER SOCIETY. THIS EVENT BRINGS RECOGNITION AND SUPPORT TO THE CHALLENGES FACED BY PEOPLE IMPACTED BY CANCER AND SUPPORTS ONGOING RESEARCH INTO CANCER TREATMENTS. - TO INCREASE AWARENESS AND THE PURPOSE OF SCREENINGS, THE MARKETING STAFF AT SBFR WILL INCREASE THE NUMBER OF TELEVISION AND SOCIAL MEDIA MESSAGES AIMED AT GENERAL PREVENTATIVE MEASURES, TYPICAL SCREENING TIMELINES, AND AVAILABLE RESOURCES. SBFR WILL DISPLAY TELEVISION MESSAGES IN EACH ROOM OF OUR RURAL HEALTH CLINIC AND WITHIN OUR WAITING AREAS OF THE HOSPITAL. B. IMPROVE LOCAL ACCESS TO CANCER MANAGEMENT MEDICATIONS - SBFR WILL INCREASE THE USE OF MEDICATIONS LOCALLY TO TREAT CANCER-RELATED SIDE EFFECTS. |
| SCHEDULE H, PART V, LINE 16 A, B, & C | www.stbernards.info/patients-visitors/financial-assistance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RURAL HEALTH CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2018 HIGHWAY 67 | AddressLine1Txt |
| City | POCAHONTAS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72455 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | RURAL HEALTH CENTER | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE H, PART I, LINE 7 | THE AMOUNTS ON LINE 7A WERE CALCULATED USING THE COST TO CHARGE RATIO. |
| FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2 | THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO COLLECT ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND AS SUCH ARE RECORDED AS A DEDUCTION FROM GROSS PATIENT REVENUE. THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTI A, LINE 2. |
| FORM 990, SCHEDULE H, PART III, SECTION A, LINE 3 | UNLIKE CHARITY CARE, BAD DEBT ARISES IN SITUATIONS WHERE THE PATIENT HAS EITHER NOT REQUESTED FINANCIAL ASSISTANCE OR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE. IT IS DIFFICULT TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO COULD QUALIFY FOR CHARITY CARE DUE TO THE LIMITED NUMBER OF FINANCIAL APPLICATIONS COMPLETED BY PATIENTS. AN ESTIMATE OF 50% WAS CALCULATED AS THE BAD DEBT EXPENSE THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO ARE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. |
| FORM 990, SCHEDULE H, PART III, LINE 4 | SEE ATTACHED AUDIT REPORT FOOTNOTE #2. |
| FORM 990, SCHEDULE H, PART III, LINE 8 | THE AMOUNTS WERE PULLED FROM THE MOST RECENT AND AS FILED MEDICARE COST REPORT. THE ORGANIZATION FOLLOWS CHA COMMUNITY BENEFIT GUIDELINES AND DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FO NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNI THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS USING THE PERCENT OF OPERATING EXPENSE TO PATIENT REVENUE. |
| FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B | THE HOSPITAL WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION EFFORTS BEFORE MAKING AND DOCUMENTING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL MAY CONTRACT WITH EXTERNAL COLLECTION AGENCIES (AND TAKE OTHER ACTIONS AS NECESSARY) IN ORDER TO COLLECT ON DELINQUENT ACCOUNTS. PRIOR TO DOING SO, HOWEVER, THE HOSPITAL WILL TAKE THE FOLLOWING ACTIONS: 1) SEND A STATEMENT TO THE PATIENT AT THE PATIENT'S MOST CURRENT ADDRESS ON FILE. 2) NOTIFY THE PATIENT OF OUTSTANDING ACCOUNT(S) AND PROVIDING THE PATIENT WITH INFORMATION REGARDIN HOW TO APPLY FOR FINANCIAL ASSISTANCE. THIS INITIAL CONTACT WILL ALSO INCLUDE AN APPLICATION FOR FINANCIAL ASSISTANCE AS WELL AS CONTACT INFORMATION FOR HOSPITAL STAFF MEMBERS WHO CAN ANSWER PATIENT QUESTIONS AN PROVIDE FURTHER INFORMATION AS NEEDED. 3) SUCCESSIVE STATEMENTS ARE SENT AT A MINIMUM OF 21 DAYS, BUT NOT GREATER THAN 30 DAYS. AFTER 90 DAY PERIOD HAS LAPSED, A NOTIFICATION LETTER IS SENT STATING A DEADLINE THAT IS NO EARLIER THAN 30 DAYS AFTER THE DATE THAT THE WRITTEN NOTICE IS PROVIDED AT WHICH TIME THE ACCOUNT WILL BE ASSIGNED TO COLLECTION AGENCY AND REPORTED AS A NEGATIVE ITEM WITH A CREDIT BUREAU. AF 120 DAY NOTIFICATION PERIOD, FRMC BUSINESS OFFICE DIRECTOR OR ASSIGNED MANAGER WILL REVIEW ACCOUNTS TO ENSURE ALL REASONABLE EFFORTS TO DETERMINE FAP ELIGIBILITY HAVE BEEN MADE AND APPROVE ACCOUNTS PRIOR TO ASSIGNING TO A COLLECTION AGENCY. 4) FRMC WILL ACCEPT AND PROCESS FINANCIAL ASSISTANCE APPLICATIONS FROM AN INDIVIDUAL THAT HAS NOT PREVIOUSLY BEEN DETERMINED AS FAP ELIGIBLE FROM DAY 121 TO DAY 240 FROM FI POST-DISCHARGE STATMENT. 5) FRMC WILL ALSO MAKE A REASONABLE EFFORT TO ORALLY COMMUNICATE WITH THE PATIENT/GUARANTOR ABOUT ITS FAP AND HOW ASSISTANCE MAY BE OBTAINED BEFORE AN ACCOUNT IS TURNED OVER TO COLLECTIONS. |
| FORM 990, SCHEDULE H, PART VI, LINE 2 | FRMC COLLABORATES WITH OTHER LOCAL HEALTHCARE PROVIDERS TO ASSESS THE NEEDS OF THE COMMUNITY. FRMC ALSO PARTICIPATES IN ANNUAL HEALTH FAIRS TO GATHER FEEDBACK REGARDING HEALTH ISSUES. |
| FORM 990, SCHEDULE H, PART VI, LINE 3 | PATIENTS ARE ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL SENDS A STATEMENT TO THE PATIENT (AT THE PATIENT'S MOST CURRENT ADDRESS ON FILE), NOTIFYING THE PATIENT OF OUTSTANDING ACCOUNT(S) AND PROVIDES THE PATIENT WITH INFORMATION REGARDING HOW TO APPLY FOR FINANCIAL ASSISTANCE. THIS INITIAL CONTACT WILL ALSO INCLUDE AN APPLICATION FOR FINANCIAL ASSISTANCE. SUCH INFORMATION WILL ALSO INCLUDE CONTACT INFORMATION FOR HOSPITAL STAFF MEMBE WHO CAN ANSWER PATIENT QUESTIONS AND PROVIDE FURTHER INFORMATION AS NEEDED. THE GOAL OF THE HOSPITAL IS TO ESTABLISH A REASONABLE PAYMENT PLAN THAT THE PATIENT CAN MANAGE. IF THEY DO NOT QUALIFY FOR 100% FINANCIAL ASSISTANCE, ALL PAYMENT PLAN PROPOSALS WILL BE CONSIDERED. THE PATIENT WILL RECEIVE AT LEAST TWO ADDITIONAL LETTERS (AT NO LESS THAN 20 DAYS' INTERVALS) REQUESTING PAYMENT AND NOTIFYING THE PATIENT OF THE POTENTIAL AVAILABILITY OF FINANCIAL ASSISTANCE AND STAFF CONTACT INFORMATION AS DESCRIBED ABOVE. THE PATIENT WILL ALSO RECEIVE A PHONE CAL DURING THE PROCESS DURING WHICH THE PATIENT WILL BE ADVISED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. |
| FORM 990, SCHEDULE H, PART VI, LINE 4 | THE MEDICAL CENTER IS LOCATED IN POCAHONTAS, ARKANSAS, IN RANDOLPH COUNTY. POCAHONTAS IS APPROXIMATELY 40 MILES NORTH OF JONESBORO, ARKANSAS, THE CLOSEST METROPOLITAN AREA. THE COMMUNITY SERVED BY THE MEDICAL CENTER IS A PRIMARILY RURAL AREA IN NORTHEAST ARKANSAS. ACCORDING TO 2019 PROJECTIONS BASED ON THE MOST RECENT U.S. CENSUS BUREAU ESTIMATES, ABOUT 17,700 PEOPLE LIVE IN RANDOLPH COUNTY. ACCORDING TO THE U.S. CENSUS BUREAU, APPROXIMATELY 45% OF THE COMMUNITY'S POPULATION IS OVER AGE 45, WHICH IS HIGHER THAN IN ARKANSAS (42%) AND HIGHER THAN IN THE UNITED STATES (41%) AS A WHOLE. THIS AGE GROUP USES MORE HEALTH SERVICES THAN ANY OTHER, SO THE MEDICAL CENTER SHOULD PREPARE FOR INCREASED PATIENT VOLUME IN THE NEAR FUTURE. SOCIOECONOMICALLY, THE COMMUNITY SERVED BY THE MEDICAL CENTER IS SIMILAR TO MANY OTHER PARTS OF RURAL ARKANSAS. ABOUT 14% OF THE POPULATION AGE 25 AND OLDER HAS OBTAINED A BACHELOR'S DEGREE OR HIGHER, COMPARED TO ABOUT 32% OF THE U.S., WHILE ABOUT 17% OF THE POPULATION AGE 25 AND OLDER DOES NOT HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO ABOUT 12% IN THE COUNTRY AS A WHOLE. LOWER LEVELS OF EDUCATION HAVE BEEN LINKED TO NEGATIVE HEALTH OUTCOMES, SO THE EDUCATIONAL ATTAINMENT OF THE COMMUNITY IS RELEVANT TO THE CONSIDERATION OF THE HEALTH NEEDS OF THE COMMUNITY. THE INCOME LEVELS OF INDIVIDUALS WITHIN THE COMMUNITY ALSO HAVE A SIGNIFICANT EFFECT ON THEIR ABILITY TO ACCESS HEALTH SERVICES. THE MEDIAN HOUSEHOLD INCOME IN THE MEDICAL CENTER'S COMMUNITY IS $37,218, COMPARED TO $47,597 FOR THE STATE OF ARKANSAS AND $62,843 FOR THE UNITED STATES. |
| FORM 990, SCHEDULE H, PART VI, LINE 5 | FRMC MAINTAINS AN OPEN MEDICAL STAFF AND THE GOVERNING BODY IS MADE UP OF VOLUNTARY LOCAL COMMUNITY MEMBERS ALONG WITH PHYSICIANS. THE HOSPITAL CARES FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND PROACTIVELY SEEKS TO ENROLL ALL ELIGIBLE PATIENTS INTO APPROPRIATE PROGRAMS TO IMPROVE ACCESS TO CARE. |
| FORM 990, SCHEDULE H, PART VI, LINE 6 | SBHC SYSTEM FOCUSES ITS ENERGIES AND RESOURCES ON PARTNERSHIPS THAT HAVE THE GREATEST POTENTIAL FOR A POSITIVE IMPROVEMENT IN THE HEALTH AND QUALITY OF LIFE FOR INDIVIDUALS AND COMMUNITIES. AREAS WHERE CONSIDERABLE ACTIVITY IS EXPENDED INCLUDE: - COMMUNITY HEALTH EDUCATION, PREVENTION, EARLY DETECTION, AND INTERVENTION ACTIVITIES THAT WOULD REDUCE THE INCIDENCE AND SERIOUSNESS OF ILLNESS, THEREBY MINIMIZING THE NEED FOR PREVENTABLE AND EXPENSIVE MEDICAL INTERVENTIONS. - CHRONIC DISEASE MANAGEMENT ACTIVITIES, WHICH, WHEN DONE EFFECTIVELY, MINIMIZE THE NEED FOR MEDICAL INTERVENTIONS. - PROACTIVE HEALTH GRANT PROGRAMS THAT FUND COMMUNITY BASED HEALTH PROGRAMS AND INITIATIVES. - INCREASING ACCESS TO HEALTH COVERAGE FOR ELIGIBLE RESIDENTS IN PROGRAMS SUCH AS AR KIDS FIRST. - INCREASING ACCESS TO HEALTHCARE SERVICES FOR THOSE IN NEED REGARDLESS OF ABILITY TO PAY. - COLLABORATIVE PARTNERSHIPS THAT SUPPORT THE PURPOSE OF INCREASING INDIVIDUAL AND COMMUNITY CAPACITY TO ACHIEVE THE HEALTHY COMMUNITY VISION. - HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS. - DONATIONS OF FOOD, SURPLUS EQUIPMENT AND STAFF TIME TO ORGANIZATIONS ADDRESSING THE HEALTH NEEDS OF THE COMMUNITY. - PARTNERSHIPS WHICH MOTIVATE RESIDENTS TO GIVE BACK TO THEIR COMMUNITIES TO MOVE THE COMMUNITY CLOSER TO THE HEALTHY COMMUNITY VISION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRIS BARBER | ||||||||||||||
| CHAIR, PRESIDENT AND SECRETARY | $0 | $754,860 | $0 | $250 | $0 | $48,943 | $0 | $26,000 | $0 | $15,949 | $0 | $846,002 | $0 | $0 |
| MICKEY DEEL | ||||||||||||||
| PHYSICIAN | $357,174 | $0 | $250 | $0 | $138 | $0 | $0 | $0 | $0 | $0 | $357,562 | $0 | $0 | $0 |
| WILLIAM LEWIS | ||||||||||||||
| PHYSICIAN | $317,710 | $0 | $250 | $0 | $138 | $0 | $0 | $0 | $0 | $0 | $318,098 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE J, PART I, LINE 3 | ST. BERNARDS HEALTHCARE, A RELATED ORGANIZATION, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD TO ESTABLISH COMPENSATION OF THE CEO. |
| FORM 990, SCHEDULE J, PART I, LINE 4B | CHRIS BARBER RECEIVED $19,500 IN CONTRIBUTIONS TO A 457(F) PLAN. |
| FORM 990, SCHEDULE J, PART II, COLUMN D | THE INCREASE IN ACTUARIAL VALUE OF THE DEFINED BENEFIT PENISON PLAN IS NOT CALCULATED ON AN INDIVIDUAL EMPLOYEE BASIS BUT RATHER ON THE EMPLOYEE GROUP TAKEN AS A WHOLE. THE INCREASE IN EACH INDIVIDUAL'S BALANCE WOULD HAVE TO BE ESTIMATED USING ASSUMPTIONS UNIQUE TO THAT INDIVIDUAL RATHER THAN THE PLAN AS A WHOLE. THIS INFORMATION IS NOT AVAILABLE AT THIS TIME. HOWEVER, WE BELIEVE THE INCREASE TO EACH INDIVIDUAL'S ACCOUNT WOULD NOT MATERIALLY CHANGE THE COMPENSATION REPORTED. WE WILL WORK WITH OUR ACTUARY TO DETERMINE THE ANNUAL INCREASE IN FUTURE PERIODS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 1A | FIVE RIVERS MEDICAL CENTER, INC. DOES NOT REPORT ANY 1099 FILINGS ON PART V, LINE 1A. ALL 1099S ARE FILED BY THE HOSPITAL SYSTEM'S COMMON PAYMASTER, ST. BERNARDS HEALTHCARE, INC. |
| FORM 990, PART VI, SECTION A, LINE 6 | ST BERNARDS HEALTHCARE - SOLE MEMBER |
| FORM 990, PART VI, SECTION A, LINE 7A | ST BERNARDS HEALTHCARE - SOLE MEMBER, APPOINTS ALL DIRECTORS TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 7B | ST. BERNARDS HEALTHCARE, SOLE MEMBER, APPROVES THE CREATION OF EACH COMMITTEE, APPOINTMENT OF MEMBERS TO THOSE COMMITTEES AND ALL AMENDMENTS TO THE BYLAWS ARE SUBJECT TO THE FINAL APPROVAL OF THE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE FOLLOWING PERSONS OR GROUPS: CONTROLLER OF ST BERNARDS HEALTHCARE, INC, VICE PRESIDENT OF FINANCE OF ST BERNARDS HEALTHCARE, INC, REGIONAL CFO OF ST BERNARDS HEALTHCARE, INC, CFO OF FIVE RIVERS MEDICAL CENTER. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR SHALL, AT THEIR FIRST REGULAR BOARD MEETING OF THE CALENDAR YEAR, EXECUTE AND DELIVER TO THE SECRETARY, A CONFLICT OF INTEREST STATEMENT PURSUANT TO THE CORPORATION'S CONFLICT OF INTEREST POLICY. EACH DIRECTOR SHALL, AT ALL TIMES, COMPLY FULLY WITH THE PROVISIONS OF THE CORPORATION'S CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | THE BOARD OF DIRECTORS SELECTS DIRECTORS TO SERVE ON THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES THE INITIAL SALARY AND ANY SUBSEQUENT SALARY ADJUSTMENTS OF ALL MANAGEMENT. THE COMPENSATION COMMITTEE OBTAINS AN INDEPENDENT SALARY SURVEY FROM A COMPENSATION CONSULTING FIRM ON AN EVERY OTHER YEAR BASIS FOR USE IN DETERMINING THE APPROPRIATE SALARY RANGES FOR MANAGEMENT. THE COMPENSATION COMMITTEE PRESENTS THE INFORMATION TO THE BOARD FOR APPROVAL. A COMPENSATION REVIEW WAS CONDUCTED BY GALLAGHER'S HUMAN RESOURCES AND COMPENSATION CONSULTING IN OCTOBER OF 2020 |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS ($11,023) |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:2231609 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIANS TOTAL FEES:33578 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:747947 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:BILLING TOTAL FEES:24687 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ST BERNARDS HEALTHCARE INC | ||||||||||
| 225 WASHINGTON | JONESBORO | AR | 72401 | 710853900 | HEALTHCARE | AR | 501(C)(3) | 12A | OBS | false |
| ST BERNARDS HOSPITAL INC | ||||||||||
| 225 WASHINGTON | JONESBORO | AR | 72401 | 710290019 | HEALTHCARE | AR | 501(C)(3) | 3 | SBHCI | Yes (true) |
| ST BERNARDS VILLAGE INC | ||||||||||
| 225 EAST WASHINGTON | JONESBORO | AR | 72401 | 710805203 | HOUSING | AR | 501(C)(3) | 10 | SBHCI | Yes (true) |
| ST BERNARDS COMMUNITY HOSPITAL CORP | ||||||||||
| 310 SOUTH FALLS BLVD | WYNNE | AR | 72396 | 710835247 | HEALTHCARE | AR | 501(C)(3) | 3 | SBHCI | Yes (true) |
| BENEDICTINE MANOR I | ||||||||||
| 225 EAST WASHINGTON | JONESBORO | AR | 72401 | 208030553 | HOUSING | AR | 501(C)(3) | 10 | VILLAGE | Yes (true) |
| BENEDICTINE MANOR II | ||||||||||
| 225 EAST WASHINGTON | JONESBORO | AR | 72401 | 208030603 | HOUSING | AR | 501(C)(3) | 10 | VILLAGE | Yes (true) |
| JONESBORO REAL ESTATE HOLDINGS INC | ||||||||||
| 225 EAST WASHINGTON | JONESBORO | AR | 72401 | 710835010 | REAL ESTATE | AR | 501(C)(2) | N/A | SBHCI | Yes (true) |
| TOTAL LIFE HEALTHCARE | ||||||||||
| 700 EAST WASHINGTON | JONESBORO | AR | 72401 | 260262745 | HEALTHCARE | AR | 501(C)(3) | 10 | SHBCI | Yes (true) |
| ST BERNARDS DEVELOPMENT FOUNDATION | ||||||||||
| 400 EAST STREET | JONESBORO | AR | 72401 | 710563245 | SUPPORT | AR | 501(C)(3) | 7 | OBS | false |
| OLIVETAN BENEDICTINE SISTERS INC | ||||||||||
| PO DRAWER 130 | JONESBORO | AR | 72403 | 710654621 | CONVENT | AR | 501(C)(3) | N/A | NA | false |
| MATTHEWS MEDICAL MILE | ||||||||||
| 225 EAST WASHINGTON | JONESBORO | AR | 72401 | 273865388 | ADVERTISING | AR | 501(C)(3) | 10 | SBHCI | Yes (true) |
| AUX TO ST BERNARDS MEDICAL CENTER | ||||||||||
| 225 EAST WASHINGTON | JONESBORO | AR | 72401 | 710493824 | FUNDRAISING | AR | 501(C)(3) | 12A | SBHI | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| PET CENTER LLC | |||||||||
| PO BOX 13267 | MAUMELLE | AR | 72118 | 710876911 | P.E.T. SCANNING | AR | NA | false | false |
| OUTPATNT SRGRY CTR | |||||||||
| 1100 E MATTHEWS | JONESBORO | AR | 72401 | 743052826 | HEALTHCARE | AR | NA | false | false |
| PAIN CENTER LLC | |||||||||
| 505 E MATTHEWS SUITE 103 | JONESBORO | AR | 72401 | 331048492 | PAIN MANAGEMENT | AR | NA | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| REGIONAL HEALTHCARE HOLDINGS INC | |||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 731650896 | HOLDING COMPANY | AR | NA | C CORPORATION | Yes (true) |
| JONESBORO ANESTHESIA INC | |||||||||
| 221 HUGHES STE C | JONESBORO | AR | 72401 | 020644209 | ANESTHESIOLOGY | AR | NA | C CORPORATION | Yes (true) |
| HEART SURGERY ASSOCIATES | |||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 200120406 | HEALTHCARE | AR | NA | C CORPORATION | Yes (true) |
| DOCTORS HEALTH GROUP | |||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 710788355 | HEALTHCARE | AR | NA | C CORPORATION | Yes (true) |
| JONESBORO NEUROSURGERY CLINIC | |||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 205938180 | NEUROSURGERY | AR | NA | C CORPORATION | Yes (true) |
| REGIONAL HEALTHCARE SERVICES | |||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 710780305 | HEALTHCARE | AR | NA | C CORPORATION | Yes (true) |
| SURGICAL ASSOCIATES OF JONESBORO | |||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 263827817 | HEALTHCARE | AR | NA | C CORPORATION | Yes (true) |
| HEALTHCARE MEDICAL GROUP INC | |||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 710792539 | HEALTHCARE | AR | NA | C CORPORATION | Yes (true) |
| THE HEARTCARE CENTER | |||||||||
| 225 EAST JACKSON | JONESBORO | AR | 72401 | 202061837 | HEALTHCARE | AR | NA | C CORPORATION | Yes (true) |
| JONESBORO PLASTIC SURGERY | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 271450995 | PLASTIC SURGERY | AR | NA | C CORPORATION | Yes (true) |
| OB-GYN ASSOC OF JONESBORO | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 272717909 | OB-GYN | AR | NA | C CORPORATION | Yes (true) |
| CARDIOLOGY ASSOCIATES OF JONESBORO | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 273757274 | CARDIOLOGY | AR | NA | C CORPORATION | Yes (true) |
| ST BERNARDS CLINICS INC | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 273722124 | HEALTHCARE | AR | NA | C CORPORATION | Yes (true) |
| CANCER CARE ASSOCIATES INC | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 800864692 | HEALTHCARE | AR | NA | C CORPORATION | Yes (true) |
| ST BERNARDS ORTHOPEDIC ASSOCIATES INC | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 462738617 | HEALTHCARE | AR | NA | C CORPORATION | Yes (true) |
| ST BERNARDS UROLOGY ASSOCIATES INC | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 464039608 | HEALTHCARE | AR | NA | C CORPORATION | Yes (true) |
| ST BERNARDS PHYSICIAN CLINICS INC | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 871439061 | HEALTHCARE | AR | NA | C CORPORATION | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |