ARKANSAS METHODIST HOSPITAL CORPORATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ARKANSAS METHODIST HOSPITAL CORPORATION (EIN 71-0230218)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202221339349304492
- Schema version
- 2020v4.2
- 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 I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T11:24:59-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 201941244 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HORNE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 661 SUNNYBROOK ROAD STE 100 | AddressLine1Txt |
| City | RIDGELAND | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710230218 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS METHODIST HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Business Name Line2 | D/B/A ARKANSAS METHODIST MEDICAL CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ARKA | BusinessNameControlTxt |
| Phone | 8702397000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 WEST KINGSHIGHWAY | AddressLine1Txt |
| City | PARAGOULD | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72450 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BARRY L DAVIS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8702397000 | PhoneNum |
| Signature | 2022-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BARRY | PersonFirstNm |
| Person Last | DAVIS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMIE T WHITTINGTON CPA | PreparerPersonNm |
| PTIN | P01082167 | PTIN |
| Phone | 6013261000 | PhoneNum |
| Preparation | 2022-05-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS METHODIST MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BARRY L DAVIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 WEST KINGSHIGHWAY | AddressLine1Txt |
| City | PARAGOULD | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72450 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $90,739,309 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ARKANSASMETHODIST.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1949 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | AMMC IS A COMMUNITY-FOCUSED ORGANIZATION THAT PROVIDES OVERALL LEADERSHIP FOR MEETING THE HEALTHCARE NEEDS OF PARAGOULD AND GREENE COUNTY, ARKANSAS, AS WELL AS SURROUNDING AREAS OF NORTHEAST ARKANSAS AND SOUTHEAST MISSOURI. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 880 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $30,347 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,876,480 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,512,329 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $66,522,394 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $77,449,809 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$126,919 | PYInvestmentIncomeAmt |
| CY Investment Income | $304,082 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$2,259,814 | PYOtherRevenueAmt |
| CY Other Revenue | $1,448,489 | CYOtherRevenueAmt |
| PY Total Revenue | $67,012,141 | PYTotalRevenueAmt |
| CY Total Revenue | $90,714,709 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $18,110 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,990 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $33,237,571 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,631,902 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $35,648,200 | PYOtherExpensesAmt |
| CY Other Expenses | $42,783,817 | CYOtherExpensesAmt |
| PY Total Expenses | $68,903,881 | PYTotalExpensesAmt |
| CY Total Expenses | $87,419,709 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,891,740 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,295,000 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $77,904,998 | TotalAssetsBOYAmt |
| Total Assets EOY | $65,539,223 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $39,568,447 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,742,800 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,336,551 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $42,796,423 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CORE OF THE SERVICES OFFERED BY AMMC IS OUR GENERAL ACUTE CARE HOSPITAL, WHICH SAW OVER 3,100 INPATIENT DISCHARGES AND OVER 21,000 EMERGENCY ROOM VISITS IN FISCAL YEAR 2021. AMMC OPERATES ONE OF THE OLDEST HOME HEALTH AGENCIES IN THE STATE OF ARKANSAS, MAKING OVER 13,500 VISITS LAST YEAR. WE ALSO PROVIDE THE AMBULANCE SERVICE FOR GREENE COUNTY AND PORTIONS OF CLAY COUNTY. OUR AMBULANCES MADE OVER 7,000 RUNS IN FISCAL YEAR 2021. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $72,430,293 | ExpenseAmt |
| Grant | $3,990 | GrantAmt |
| Revenue | $78,410,959 | RevenueAmt |
| Desc | AMMC IS A COMMUNITY-FOCUSED ORGANIZATION THAT PROVIDES OVERALL LEADERSHIP FOR MEETING THE HEALTHCARE NEEDS OF PARAGOULD AND GREENE COUNTY, ARKANSAS, AS WELL AS SURROUNDING AREAS OF NORTHEAST ARKANSAS AND SOUTHEAST MISSOURI. IN RECOGNITION OF ITS UNIQUE ROLE, AMMC WAS DESIGNATED A RURAL REFERRAL CENTER BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES IN AUGUST 2004. AMMC IS THE ONLY HOSPITAL IN GREENE COUNTY, ARKANSAS, AND PROVIDES A SIGNIFICANT AMOUNT OF CARE AND SERVICE TO INDIGENT PATIENTS COVERED BY THE MEDICAID PROGRAM AS WELL AS OTHER UNINSURED AND UNDERINSURED PATIENTS. AS A RESULT, AMMC IS IDENTIFIED AS A DISPROPORTIONATE SHARE HOSPITAL BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.DURING FISCAL YEAR 2021, AMMC DISCHARGED 3,536 ADULT AND PEDIATRIC INPATIENTS AND DELIVERED 438 NEWBORNS. THERE WERE APPROXIMATELY 73,526 OUTPATIENT VISITS RANGING FROM OUTPATIENT SURGERY AND CARDIAC CATH LAB PROCEDURES TO DIAGNOSTIC RADIOLOGY AND LABORATORY VISITS. IN ADDITION, OUR EMERGENCY ROOM SAW 20,412 VISITS LAST YEAR AND OUR HOME HEALTH AGENCY MADE 13,541 VISITS. THE AMMC AMBULANCE SERVICE, WITH BASES IN PARAGOULD, CORNING AND RECTOR, MADE 7,007 RUNS. | Desc |
| Total Program Service Expenses | $72,430,293 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 47 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 880 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | 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 | STACI WILLIAMS CONTROLLER | PersonNm |
| Phone | 8702397855 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 WEST KINGSHIGHWAY | AddressLine1Txt |
| City | PARAGOULD | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72450 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DR DWIGHT WILLIAMS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MR PAUL HILL | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MR TOM KIRK | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RHONDA DAVIS | ||||||||
| BOARD MEMBER/TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MS JANNIE DISTRETTI | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MR ROBERT THOMPSON | ||||||||
| BOARD MEMBER/SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR JON COLLIER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MIKE GASKILL | ||||||||
| BOARD MEMBER/PAST CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR FRANK SCHEFANO | ||||||||
| BOARD MEMBER/MEDICAL STAFF | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| REV DANE WOMACK | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.50 | ||
| DAVID NEIGHBORS | ||||||||
| BOARD MEMBER/VICE CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BOB HODGE | ||||||||
| BOARD MEMBER/CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR AARON THOMPSON | ||||||||
| CHIEF OF STAFF - NONVOTING | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BARRY L DAVIS | ||||||||
| COO | 40.00 | $238,834 | $0 | $13,194 | 2.00 | Yes (X) | ||
| BRAD BLOEMER | ||||||||
| CFO | 40.00 | $151,703 | $0 | $18,123 | 2.00 | Yes (X) | ||
| MICHAEL BOGATCH | ||||||||
| ORTHOPEDIST | 40.00 | $516,087 | $0 | $0 | Yes (X) | |||
| MATHIEU FORGUS | ||||||||
| OTOLARYNGOLOGIST | 40.00 | $512,125 | $0 | $0 | Yes (X) | |||
| GEORGE MUNDAY | ||||||||
| UROLOGIST | 40.00 | $504,478 | $0 | $0 | Yes (X) | |||
| ROBERT WARNER | ||||||||
| SURGEON | 40.00 | $450,015 | $0 | $0 | Yes (X) | |||
| JENNIFER SUSORENY-VELGOS | ||||||||
| SURGEON | 40.00 | $418,363 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,791,605 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $31,317 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 25 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUEST DIAGNOSTICS | |||||
| PO BOX 14730 | ST LOUIS | MO | 63150 | DIAGNOSTIC TESTING | $1,357,471 |
| ARKANSAS HOSPITALIST PARTNERS | |||||
| PO BOX 677979 | DALLAS | TX | 75267 | PHYSICIAN SERVICES | $849,936 |
| ANESTHESIA ASSOCIATES OF PARAGOULD ARKA | |||||
| 128 CYPRESS POINT DRIVE | PARAGOULD | AR | 72450 | ANESTHESIA SERVICES | $588,500 |
| EAST ARKANSAS EMERGENCY PHYSICIANS | |||||
| PO BOX 677979 | DALLAS | TX | 75267 | ER PHYSICIAN SERVICES | $523,512 |
| CHARLES MATTHEW HOLLIS | |||||
| 802 CR 401 | RECTOR | AR | 72461 | ANESTHESIA SERVICES | $258,519 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $42,004 | RelatedOrganizationsAmt |
| Government Grants | $11,351,236 | GovernmentGrantsAmt |
| All Other Contributions | $119,089 | AllOtherContributionsAmt |
| Total Contributions | $11,512,329 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $77,449,809 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $77,449,809 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $77,449,809 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $328,682 | TotalRevenueColumnAmt |
| Exclusion | $328,682 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $121,152 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $121,152 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $121,152 | TotalRevenueColumnAmt |
| Exclusion | $121,152 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $14,030 | SecuritiesAmt |
| Other | $10,570 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$14,030 | SecuritiesAmt |
| Other | -$10,570 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$24,600 | TotalRevenueColumnAmt |
| Exclusion | -$24,600 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OTHER REVENUE | 900099 | $578,950 | $578,950 | |
| PHARMACY | 446110 | $322,275 | $322,275 | |
| CAFETERIA REVENUE | 722210 | $262,239 | $262,239 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $163,873 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $59,925 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $30,347 | UnrelatedBusinessRevenueAmt |
| Exclusion | $73,601 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,327,337 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $90,714,709 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $78,410,959 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $30,347 | UnrelatedBusinessRevenueAmt |
| Exclusion | $761,074 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,990 | TotalAmt |
| Program Services | $3,990 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,469,782 | TotalAmt |
| Program Services | $31,539,066 | ProgramServicesAmt |
| Management And General | $4,930,716 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,813,114 | TotalAmt |
| Program Services | $5,027,181 | ProgramServicesAmt |
| Management And General | $785,933 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,349,006 | TotalAmt |
| Program Services | $2,125,672 | ProgramServicesAmt |
| Management And General | $223,334 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,000 | TotalAmt |
| Management And General | $153,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,978,080 | TotalAmt |
| Program Services | $3,978,080 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,237 | TotalAmt |
| Program Services | $16,752 | ProgramServicesAmt |
| Management And General | $126,485 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,795,939 | TotalAmt |
| Program Services | $442,066 | ProgramServicesAmt |
| Management And General | $1,353,873 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,048 | TotalAmt |
| Program Services | $155,101 | ProgramServicesAmt |
| Management And General | $8,947 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $782,723 | TotalAmt |
| Management And General | $782,723 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,263,409 | TotalAmt |
| Management And General | $3,263,409 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $658,800 | TotalAmt |
| Program Services | $658,800 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $12,146,261 | $11,120,329 | $1,025,932 |
| PURCHASED SERVICES | $9,603,463 | $7,587,528 | $2,015,935 |
| BAD DEBTS | $8,451,320 | $8,451,320 | |
| TAXES | $1,119,595 | $1,119,595 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $523,942 | TotalAmt |
| Program Services | $204,813 | ProgramServicesAmt |
| Management And General | $319,129 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,419,709 | TotalAmt |
| Program Services | $72,430,293 | ProgramServicesAmt |
| Management And General | $14,989,416 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,974,169 | BOYAmt |
| EOY | $8,538,389 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,843,149 | BOYAmt |
| EOY | $8,496,869 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,607,505 | BOYAmt |
| EOY | $1,632,974 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,150,874 | BOYAmt |
| EOY | $1,772,092 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $92,340,854 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $69,051,269 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,541,904 | BOYAmt |
| EOY | $23,289,585 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,215,754 | BOYAmt |
| EOY | $10,490,002 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,571,643 | BOYAmt |
| EOY | $11,319,312 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,904,998 | BOYAmt |
| EOY | $65,539,223 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,108,021 | BOYAmt |
| EOY | $7,768,966 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,457,658 | BOYAmt |
| EOY | $14,971,066 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,768 | BOYAmt |
| EOY | $2,768 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,568,447 | BOYAmt |
| EOY | $22,742,800 | 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 | $38,336,551 | BOYAmt |
| EOY | $42,796,423 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,336,551 | BOYAmt |
| EOY | $42,796,423 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,904,998 | BOYAmt |
| EOY | $65,539,223 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,295,000 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,164,872 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $7,220 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,220 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PERCENTAGE OF THE DUES PAID BY THE HOSPITAL TO AMERICAN HOSPITAL ASSOCIATION AND ARKANSAS HOSPITAL ASSOCIATION ARE DEEMED TO BE USED FOR LOBBYING PURPOSES. PART OF THE WORK DONE BY THESE ASSOCIATIONS IS LOBBYING ON BEHALF OF HOSPITALS FOR LEGISLATION THAT WILL BENEFIT THE HEALTHCARE COMMUNITY. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,613,471 | OtherCostOrOtherBasisAmt |
| Book Value | $4,613,471 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,456,100 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,127,824 | DepreciationAmt |
| Book Value | $7,328,276 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,896,592 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,773,646 | DepreciationAmt |
| Book Value | $10,122,946 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,374,691 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,149,799 | DepreciationAmt |
| Book Value | $1,224,892 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $23,289,585 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| ASSETS LIMITED AS TO USE,DESIGNATED FOR CAPITAL ACQ.: CASH & S-T INVESTMENTS | $57,103 | F |
| STEPHENS INC MKT VALUE | $1,325,261 | F |
| FUNDED DEPR - STEPHENS INC | $9,107,638 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $10,490,002 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (10 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| NET DEFERRED FINANCING COSTS | $33,847 |
| ESTIMATED AMOUNTS DUE TO 3RD-PARTY PAYERS | $1,469,693 |
| DUE FROM RELATED PARTY | $2,000,822 |
| INTEREST RECEIVABLE | $658,303 |
| INVESTMENT-WOUND CARE | $194,528 |
| INVESTMENT-PGLD | $6,057,420 |
| INVESTMENT IN FOUNDATION | $3,862,477 |
| INVESTMENT IN CHATEAU | -$3,415,611 |
| INVESTMENT IN RCII | -$95,000 |
| ACCOUNTS RECEIVABLE CHATEAU | $552,833 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $11,319,312 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST PAYABLE | Desc |
| Amt | $2,768 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,768 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 150.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $465,176 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $465,176 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00590 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,772,320 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,636,904 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $135,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,237,496 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,636,904 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $600,592 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00760 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,378 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,032 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,990 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,990 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,368 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,032 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,336 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,289,864 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,660,936 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $628,928 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,451,320 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $4,225,660 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $18,219,462 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $17,046,055 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,173,407 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 | ARKANSAS METHODIST HOSPITAL CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 WEST KINGSHIGHWAY | AddressLine1Txt |
| City | PARAGOULD | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72450 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS METHODIST MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/CHNA_ARKANSAS%20METHODIST%20MEDICAL% | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/ARKANSAS%20METHODIST%20MEDICAL%20CEN | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 150.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/FINANCIALASSISTANCEPOLICY05022018.PD | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/FINANCIALASSISTANCEAPPLLICATION05022 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/FINANCIALASSISTANCEPOLICY05022018.PD | 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 (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ARKANSAS METHODIST MEDICAL CENTER | PART V, SECTION B, LINE 5: ARKANSAS METHODIST MEDICAL CENTER HOSTED A SUMMIT AND FOCUS GROUPS AND INVITED MEMBERS OF THE COMMUNITY INCLUDING REPRESENTATIVES FROM THE HOSPITAL; DOCTORS AND NURSE PRACTITIONERS FROM THE MEDICAL COMMUNITY; THE HEALTH DEPARTMENT; THE CHAMBER OF COMMERCE; PUBLIC OFFICIALS INCLUDING CITY AND COUNTY GOVERNMENT AND FIRE DEPARTMENT; THE PUBLIC SCHOOL DISTRICTS, A PRIVATE SCHOOL DISTRICT AND THE RELIGIOUS COMMUNITY. SEE CHNA FOR FURTHER INFO: HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/CHNA_ARKANSAS%20METHODIST%20MEDICAL%20CENTER_COMMUNITY%20REPORT_2020%206_16_20.PDF |
| ARKANSAS METHODIST MEDICAL CENTER | PART V, SECTION B, LINE 11: HOSPITAL IS ADDRESSING ALL NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY:- ADOPTION OF AN IMPLEMENTATION STRATEGY TO ADDRESS THE HEALTH NEEDS OF THE HOSPITAL FACILITY'S COMMUNITY- PARTICIPATION IN THE DEVELOPMENT OF A COMMUNITY-WIDE COMMUNITY BENEFIT PLAN- INCLUSION OF A COMMUNITY BENEFIT SECTION IN OPERATIONAL PLANS- PRIORITIZATION OF HEALTH NEEDS IN ITS COMMUNITY- PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY |
| PART VI, LINE 1 | CHNA AND IMPLEMENTATION STRATEGY CAN BE ACCESSED AT: HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/CHNA_ARKANSAS%20METHODIST%20MEDICAL%20CENTER_COMMUNITY%20REPORT_2020%206_16_20.PDFHTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/ARKANSAS%20METHODIST%20MEDICAL%20CENTER%20IMPLEMENTATION%20STRATEGY%20-%206_15_20.PDF |
| PART V, QUESTIONS 16 AND 17 | FULL WEBSITE FOR FINANCIAL ASSISTANCE POLICY:HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/FINANCIALASSISTANCEPOLICY05022018.PDFFULL WEBSITE FOR FINANCIAL ASSISTANCE APPLICATION:HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/FINANCIALASSISTANCEAPPLLICATION05022018.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - AMMC OUTPATIENT | ||||
| 4000 LINWOOD DRIVE STE D | PARAGOULD | AR | 72450 | OUTPATIENT LAB/X-RAY |
| 2 - AMMC OUTPATIENT SERVICES AT MARKET PLACE | ||||
| 5 MARKET PLACE | PARAGOULD | AR | 72450 | OUTPATIENT LAB/X-RAY |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | WORKSHEET 2 COST TO CHARGE RATIO WAS USED BY THE ORGANIZATION. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 8,451,320. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY BUILDING ACTIVITIES HAVE NOT BEEN QUANTIFIED BY AMMC INTO A DOLLAR BENEFIT TO THE COMMUNITY. HOWEVER, AS DESCRIBED ABOVE, AMMC IS ACTIVELY INVOLVED IN COMMUNITY HEALTH IMPROVEMENT ADVOCACY THROUGH HEALTH FAIRS, DIABETES CLINICS, PHYSICALS FOR STUDENT ATHLETES AND MISSION OUTREACH CHARITABLE CLINIC. |
| PART III, LINE 4: | THE AMOUNT OF BAD DEBT EXPENSE IS PULLED FROM THE ORGANIZATION'S INTERNAL FINANCIAL STATEMENTS AND THE AUDIT DETAILED INFORMATION. DUE TO THE AUDITING STANDARDS CHANGING TO INCLUDE LANGUAGE REGARDING IMPLICIT AND EXPLICIT PRICE CONCESSIONS.PLEASE SEE AUDIT NOTE 1 FOR FURTHER INFORMATION. |
| PART III, LINE 9B: | NO COLLECTION EFFORTS ARE TAKEN ON PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE.AMMC REVIEWS ALL OUTSTANDING ACCOUNTS FOR COLLECTIONS, CONTRACTUAL ADJUSTMENT VIA THE CONTRACT AGREEMENT WITH THE INSURANCE, OR QUALIFICATION OF PATIENT FOR ANY OF THE PROGRAMS OFFERED BY AMMC. IF A BALANCE IS THE RESPONSIBLITY OF THE PATIENT, AMMC HAS STEPS IN PLACE TO GIVE THE PATIENT EVERY OPPORTUNITY TO MAKE ARRANGEMENT TO HANDLE THESE ACCOUNTS, PER THE AGREEMENT THAT THE PATIENT HAS SIGNED ON THE DATE OF SERVICE;PAYMENT PLANS, CREDIT CARDS, CHECKS, AND EVEN PAYROLL DEDUCTIONS FOR AMMC EMPLOYEES. |
| PART VI, LINE 2: | ARKANSAS METHODIST HOSPITAL CORPORATION HAS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHNA CAN BE ACCESSED AT:HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/CHNA_ARKANSAS%20METHODIST%20MEDICAL%20CENTER_COMMUNITY%20REPORT_2020%206_16_20.PDF |
| PART VI, LINE 3: | PRIVATE PAY INPATIENTS ARE VISITED BY OUR SOCIAL SERVICE DIRECTOR TO DETERMINE WHAT NEEDS THE PATIENT MIGHT HAVE. THE DIRECTOR THEN GIVES THE PATIENT INFORMATION REGARDING THE ASSISTANCE THAT IS AVAILABLE TO THEM. PATIENTS WHO SHE FEELS MAY QUALIFY FOR MEDICAID OR CHARITY ARE REFERRED TO A FINANCIAL COUNSELOR WHO HELPS THE PATIENT WITH THE COMPLETION OF THE APPLICATIONS. |
| PART VI, LINE 4: | THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING GEOGRAPHIC AND DEMOGRAPHIC AREAS, IS ADDRESSED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHNA CAN BE ACCESSED AT:HTTPS://WWW.MYAMMC.ORG/FILES/DOCUMENTS/CHNA_ARKANSAS%20METHODIST%20MEDICAL%20CENTER_COMMUNITY%20REPORT_2020%206_16_20.PDF |
| PART VI, LINE 5: | THE AMMC BOARD OF DIRECTORS IS COMPRISED OF MEMBERS WHO ARE EMPLOYED OR RETIRED FROM MANY OF THE INDUSTRIES IN THE COMMUNITY. AMMC WORKS TO RECRUIT PHYSICIANS IN ORDER TO BETTER SERVE THE COMMUNITY AND EXTENDS PRIVILEGES TO THE QUALIFIED PHYSICIANS IN OUR COMMUNITIES. THROUGH A PARTNERSHIP WITH THE ARKANSAS SAVES (STROKE ASSISTANCE THROUGH VIRTUAL EMERGENCY SUPPORT) PROGRAM, AMMC IS HELPING SAVE THE LIVES OF STROKE VICTIMS. USING HIGH-SPEED LIVE VIDEO COMMUNICATIONS, TOP NEUROLOGISTS ACROSS THE STATE PROVIDE TIME-CRUCIAL COMMUNICATIONS WITH AMMC EMERGENCY ROOM DOCTORS, SPEEDING RESPONSE TIMES AND IMPROVING PATIENT OUTCOMES. AMMC IS ALSO UTILIZING THE HIGH-SPEED LIVE VIDEO COMMUNICATIONS TO COMMUNICATE WITH PHYSICIANS AT UAMS TO HELP IN TREATING NEONATALS AND BURN VICTIMS. AMMC ALSO PROVIDES FREE HEALTH FAIRS, DIABETES EDUCATION AND EDUCATION TO NEW MOTHERS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DONATIONS ARE GIVEN OUT TO CHARITIES WHO ARE LOCATED WITHIN THE HOSPITAL'S SERVICE AREA. ALL DONATIONS ARE TRACKED BY THE MARKETING DEPARTMENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL BOGATCH | ||||||||||||||
| ORTHOPEDIST | $516,087 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $516,087 | $0 | $0 | $0 |
| MATHIEU FORGUS | ||||||||||||||
| OTOLARYNGOLOGIST | $512,125 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $512,125 | $0 | $0 | $0 |
| GEORGE MUNDAY | ||||||||||||||
| UROLOGIST | $504,478 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $504,478 | $0 | $0 | $0 |
| ROBERT WARNER | ||||||||||||||
| SURGEON | $450,015 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $450,015 | $0 | $0 | $0 |
| JENNIFER SUSORENY-VELGOS | ||||||||||||||
| SURGEON | $418,363 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $418,363 | $0 | $0 | $0 |
| BARRY L DAVIS | ||||||||||||||
| COO | $238,834 | $0 | $0 | $0 | $0 | $0 | $6,903 | $0 | $6,291 | $0 | $252,028 | $0 | $0 | $0 |
| BRAD BLOEMER | ||||||||||||||
| CFO | $151,703 | $0 | $0 | $0 | $0 | $0 | $4,462 | $0 | $13,661 | $0 | $169,826 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ANESTHESIA ASSOCIATES OF PARAGOULD ARKANSAS | |||
| ENTITY MORE THAN 35% OWNED BY DR. FRANK SCHEFANO, BOARD MEMBER | $588,500 | AS REPORTED ON FORM 990, PART VII, SECTION B, ARKANSAS METHODIST HOSPITAL CORPORATION PAYS ANESTHESIA ASSOCIATES OF PARAGOULD, ARKANSAS $588,500 FOR THE PERFORMANCE OF ANESTHESIA SERVICES BY THE ENTITY. | 0 |
| ROBIN SMITH | |||
| ROBIN SMITH IS THE SISTER OF BOARD MEMBER/PAST CHAIRMAN, RHONDA DAVIS | $69,541 | ROBIN SMITH WORKS FOR THE HOSPITAL. SHE WAS PAID $54,201.68 IN WAGES, $1,677.80 IN RETIREMENT AND $13,661.04 IN NONTAXABLE BENEFITS. | 0 |
| TORI THOMPSON | |||
| TORI THOMPSON IS THE SPOUSE OF BOARD SECRETARY ROBERT THOMPSON | $63,184 | TORI THOMPSON WORKS FOR THE HOSPITAL. SHE WAS PAID $48,361.78 IN WAGES, $1,161.48 IN RETIREMENT AND $13,661.04 IN NONTAXABLE BENEFITS. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE CONTROLLER AND CFO OF THE ORGANIZATION, WORKING WITH THE ORGANIZATION'S OUTSIDE ACCOUNTING FIRM. WHEN A DRAFT FORM 990 IS READY, IT IS PRESENTED FOR REVIEW TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. THE AUDIT COMMITTEE MAKES THE FINAL REVIEW AND APPROVES THE FORM 990 TO BE FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS, OFFICERS, DIRECTORS AND DEPARTMENT MANAGERS REVIEW AND SIGN CONFLICT OF INTEREST POLICY EACH YEAR. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH IS MADE UP COMPLETELY OF INDEPENDENT DIRECTORS, REVIEWS THE COMPENSATION OF THE CEO, COO AND CFO ON AN ANNUAL BASIS. IN ADDITION TO REVIEWING EACH INDIVIDUAL'S PERFORMANCE, THE COMMITTEE REVIEWS INDEPENDENT SURVEY DATA FOR COMPARISON TO MARKET. THE COMMITTEE DETERMINES A RECOMMENDATION THAT IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS FOR APPROVAL. CONTEMPORANEOUS MINUTES DOCUMENT THE DELIBERATIONS, RECOMMENDATIONS AND DECISIONS OF BOTH THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE FORM 990 AND FORM 1023 ARE AVAILABLE TO PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | AMMC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | THE PROCESS OF MONITORING AND SELECTING THE INDEPENDENT AUDITOR HAS NOT CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ARKANSAS METHODIST MEDICAL CENTER FOUNDATION | ||||||||||
| 900 WEST KINGSHIGHWAY | PARAGOULD | AR | 72450 | 721562468 | PROVIDE FUNDS TO AR METHODIST MEDICAL CENTER | AR | 501(C)(3) | 509(A)(3)(1) | ARKANSAS METHODIST HOSPITAL CORPORATION | Yes (1) |
| ARKANSAS METHODIST MEDICAL CENTER RETIRMENT COMMUNITY INC | ||||||||||
| 900 WEST KINGSHIGHWAY | PARAGOULD | AR | 72450 | 263215294 | OPERATION OF RETIREMENT COMMUNITY | AR | 501(C)(3) | 509(A)(2) | ARKANSAS METHODIST HOSPITAL CORPORATION | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMMCSBMC MANAGEMENT LLC | |||||||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 273600995 | WOUND CARE SERVICES | AR | ARKANSAS METHODIST HOSPITAL CORPORATION | RELATED | 0 | 0 | 0.50000 | ||
| PARAGOULD MEDICAL PARK LLC | |||||||||||||
| 800 S MAIN | JONESBORO | AR | 72401 | 460888318 | MEDICAL PARK FOR PHYSICIAN OFFICES/OUTPATIENT SVCS | AR | ARKANSAS METHODIST HOSPITAL CORPORATION | RELATED | 0 | 0 | 0.50000 | $118,350 | $6,890,070 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRISM INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 MEDICAL DRIVE | AddressLine1Txt |
| City | PARAGOULD | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72450 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710779476 | EIN |
| Primary Activities | PHYSICIAN SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Ownership | 0.50000 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt | InvolvedInvolvedAmt |
|---|---|---|
| AMMC RETIREMENT COMMUNITY INC | ||
| N | SHARED SERVICES- NO VALUE ASSIGNE | |
| AMMC RETIREMENT COMMUNITY INC | ||
| O | CASH | $80,390 |
| AMMC RETIREMENT COMMUNITY INC | ||
| Q | CASH | $175,019 |
| ARKANSAS METHODIST MEDICAL CENTER FOUNDATION | ||
| Q | CASH | $67,861 |
| ARKANSAS METHODIST MEDICAL CENTER FOUNDATION | ||
| C | CASH | $42,004 |
| ARKANSAS METHODIST MEDICAL CENTER FOUNDATION | ||
| M | SHARED SERVICES- NO VALUE ASSIGNE | |
| ARKANSAS METHODIST MEDICAL CENTER FOUNDATION | ||
| O | CASH | $78,573 |
| ARKANSAS METHODIST MEDICAL CENTER FOUNDATION | ||
| N | SHARED SERVICES- NO VALUE ASSIGNE | |