STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

JEFFERSON HOSPITAL ASSN INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
JEFFERSON HOSPITAL ASSN INC (EIN 71-0329353)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-04
IRS object ID
202231249349302718
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-04T15:42:54-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114241 DALLAS PARKWAY SUITE 1100AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75254ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710329353EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jefferson Hospital Association IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JEREMY JEFFERYInCareOfNm
Business Name ControlJEFFBusinessNameControlTxt
Phone8705417100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 West 40th AvenueAddressLine1Txt
CityPine BluffCityNm
State AbbreviationARStateAbbreviationCd
ZIP71603ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEREMY JEFFERYPersonNm
Person TitleSVP AND CFOPersonTitleTxt
Phone8705417100PhoneNum
Signature2022-05-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJeremyPersonFirstNm
Person LastJefferyPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeanette VerrelliPreparerPersonNm
PTINP00742631PTIN
Phone9727028262PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Jefferson Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBRIAN THOMASPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 WEST 40TH AVENUEAddressLine1Txt
CityPINE BLUFFCityNm
State AbbreviationARStateAbbreviationCd
ZIP71603ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$291,369,235GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JRMC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1959FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionJEFFERSON HOSPITAL ASSOCIATION, INC. PROVIDES A WIDE RANGE OF HEALTH CARE SERVICES TO PATIENTS FROM JEFFERSON COUNTY AND SURROUNDING AREAS IN SOUTHEAST ARKANSAS.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee2052TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$2,400TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$14,183,715PYContributionsGrantsAmt
CY Contributions Grants$2,858,676CYContributionsGrantsAmt
PY Program Service Revenue$187,326,944PYProgramServiceRevenueAmt
CY Program Service Revenue$210,478,956CYProgramServiceRevenueAmt
PY Investment Income$6,530,323PYInvestmentIncomeAmt
CY Investment Income$10,551,022CYInvestmentIncomeAmt
PY Other Revenue$2,573,578PYOtherRevenueAmt
CY Other Revenue$4,835,013CYOtherRevenueAmt
PY Total Revenue$210,614,560PYTotalRevenueAmt
CY Total Revenue$228,723,667CYTotalRevenueAmt
PY Grants And Similar Paid$2,308,739PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$361,236CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$100,531,409PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$101,410,317CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$118,217,038PYOtherExpensesAmt
CY Other Expenses$114,903,954CYOtherExpensesAmt
PY Total Expenses$221,057,186PYTotalExpensesAmt
CY Total Expenses$216,675,507CYTotalExpensesAmt
PY Revenues Less Expenses-$10,442,626PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,048,160CYRevenuesLessExpensesAmt
Total Assets BOY$293,824,793TotalAssetsBOYAmt
Total Assets EOY$320,977,864TotalAssetsEOYAmt
Total Liabilities BOY$101,844,850TotalLiabilitiesBOYAmt
Total Liabilities EOY$100,646,678TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$191,979,943NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$220,331,186NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionJEFFERSON REGIONAL'S MISSION IS IMPROVING HEALTH THROUGH EXCELLENCE AND COMPASSION WITH A VISION TO BE THE HEALTHCARE PROVIDER AND EMPLOYER OF CHOICE FOR SOUTHEAST ARKANSAS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$190,714,609ExpenseAmt
Grant$361,236GrantAmt
Revenue$212,418,386RevenueAmt
DescJefferson Regional opened its doors in 1908 as Davis Hospital, with a mission to meet the healthcare needs of Pine Bluff and Southeast Arkansas. More than 100 years later, that mission is unchanged. As Jefferson County's only general acute care hospital, Jefferson Regional is licensed for 300 acute care beds and participates in Medicaid/Arkansas Works, Medicare, Champus, Tricare, Tricare East and/or other government-sponsored healthcare programs. SEE SCH O FOR MORE INFORMATION.Desc
Total Program Service Expenses$190,714,609TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document251IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2052EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJEREMY JEFFERYPersonNm
Phone8705417100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 WEST 40TH AVENUEAddressLine1Txt
CityPINE BLUFFCityNm
State AbbreviationARStateAbbreviationCd
ZIP71603ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
J ACOSTA - SEE SCH O
DIRECTOR1.00.0Yes (X)$0$0$0
F ANTHONY - SEE SCH O
DIRECTOR1.00.0Yes (X)$0$0$0
D BRIDGFORTH - SEE SCH O
TREASURER1.00.0Yes (X)$0$0$0Yes (X)
D BROWN - SEE SCH O
DIRECTOR1.00.0Yes (X)$0$0$0
JA CAMPBELL - SEE SCH O
DIRECTOR1.00.0Yes (X)$0$0$0
M CASTEEL - SEE SCH O
DIRECTOR1.00.0Yes (X)$0$0$0
M ECKERT - SEE SCH O
DIRECTOR40.00.0Yes (X)$0$0$0
JB MAYS - SEE SCH O
DIRECTOR40.00.0Yes (X)$0$0$0
S PITTILLO - SEE SCH O
CHAIRMAN1.00.0Yes (X)$0$0$0Yes (X)
D ROBINSON - SEE SCH O
DIRECTOR1.00.0Yes (X)$0$0$0
A SANDERS - SEE SCH O
SECRETARY1.00.0Yes (X)$0$0$0Yes (X)
F TROTTER III - SEE SCH O
VICE CHAIRMAN1.00.0Yes (X)$0$0$0Yes (X)
S WRIGHT - SEE SCH O
DIRECTOR1.00.0Yes (X)$0$0$0
P AUSTIN - SEE SCH O
VP & COO40.00.0$0$0$0Yes (X)
L HICKMAN - SEE SCH O
VP & CNO40.00.0$0$0$0Yes (X)
B JACKSON - SEE SCH O
VP & CAO40.02.0$0$0$0Yes (X)
J JEFFERY - SEE SCH O
VP & CFO40.00.0$0$0$0Yes (X)
B THOMAS - SEE SCH O
PRESIDENT & CEO40.02.0$0$0$0Yes (X)
M ALI - SEE SCH O
PHYSICIAN40.00.0$0$0$0Yes (X)
G BIRK - SEE SCH O
PHYSICIAN40.00.0$0$0$0Yes (X)
R BURRELL - SEE SCH O
PHYSICIAN40.00.0$0$0$0Yes (X)
K MOHAMMAD - SEE SCH O
PHYSICIAN40.00.0$0$0$0Yes (X)
J R TAYLOR - SEE SCH O
PHYSICIAN40.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K138IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
REHAB CARE GROUP INC
PO BOX 502096ST LOUISMO63150THERAPY & REHAD SVCS$3,320,631
SODEXO INC AFFILIATES
PO BOX 360170PITTSBURGHPA15251FOOD SERVICES$2,660,348
CERNER HEALTH SERVICES INC
7711 CARONDELET AVEST LOUISMO63105IT SUPPORT$2,163,207
NAVIGANT CYMETRIX CORPORATION
150 N RIVERSIDE PLAZA SUITE 2100CHICAGOIL60606BILLING & COLLECTION$2,116,098
REYNOLDS CONSTRUCTION CO
PO BOX 20580WHITE HALLAR71612CONSTRUCTION SVCS$2,065,680
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K82CntrctRcvdGreaterThan100KCnt
Related Organizations$90,665RelatedOrganizationsAmt
Government Grants$2,418,197GovernmentGrantsAmt
All Other Contributions$349,814AllOtherContributionsAmt
Total Contributions$2,858,676TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue621110$195,010,836$195,010,836
OTHER OPERATING REVENUE900099$2,735,435$2,735,435
Joint Venture Income621500$480,754$480,754
Medical Office Rental531120$953,839$953,839
Pharmacy Revenue446110$11,298,092$11,298,092
FieldValueIRS element (for citing)
Total Program Service Revenue$210,478,956TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,844,866TotalRevenueColumnAmt
Exclusion$2,844,866ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$41,702RealAmt
Personal$2,400PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$41,702RealAmt
Personal$2,400PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,102TotalRevenueColumnAmt
Unrelated Business Revenue$2,400UnrelatedBusinessRevenueAmt
Exclusion$41,702ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$70,317,125SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$62,489,170SecuritiesAmt
Other$121,799OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,827,955SecuritiesAmt
Other-$121,799OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,706,156TotalRevenueColumnAmt
Exclusion$7,706,156ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$300,754GrossSalesOfInventoryAmt
Cost Of Goods Sold$34,599CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$266,155TotalRevenueColumnAmt
Related Or Exempt Func Income$266,155RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SETTLEMENT GAIN900099$2,000,000$2,000,000
Cafeteria722320$851,481$851,481
Wellness Center713490$397,205$397,205

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,276,070TotalRevenueColumnAmt
Related Or Exempt Func Income$1,276,070RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,524,756OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$228,723,667TotalRevenueColumnAmt
Related Or Exempt Func Income$212,418,386RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,400UnrelatedBusinessRevenueAmt
Exclusion$13,444,205ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$100,612TotalAmt
Program Services$100,612ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$260,624TotalAmt
Program Services$260,624ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,272,172TotalAmt
Program Services$800,203ProgramServicesAmt
Management And General$2,471,969ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$91,809TotalAmt
Program Services$91,809ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$83,970,332TotalAmt
Program Services$74,492,322ProgramServicesAmt
Management And General$9,478,010ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,073,409TotalAmt
Program Services$926,595ProgramServicesAmt
Management And General$146,814ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,523,176TotalAmt
Program Services$6,741,697ProgramServicesAmt
Management And General$781,479ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,479,419TotalAmt
Program Services$4,736,026ProgramServicesAmt
Management And General$743,393ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,593,335TotalAmt
Program Services$4,002,100ProgramServicesAmt
Management And General$591,235ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$442,531TotalAmt
Program Services$98,952ProgramServicesAmt
Management And General$343,579ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$240,719TotalAmt
Management And General$240,719ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$34,182TotalAmt
Management And General$34,182ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$44,906,229TotalAmt
Program Services$38,008,315ProgramServicesAmt
Management And General$6,897,914ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$409,694TotalAmt
Program Services$8,194ProgramServicesAmt
Management And General$401,500ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,939,815TotalAmt
Program Services$4,003,313ProgramServicesAmt
Management And General$936,502ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,186,606TotalAmt
Program Services$1,836,749ProgramServicesAmt
Management And General$349,857ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,868,360TotalAmt
Program Services$2,944,456ProgramServicesAmt
Management And General$923,904ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$78,312TotalAmt
Program Services$59,235ProgramServicesAmt
Management And General$19,077ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$38,791TotalAmt
Program Services$27,659ProgramServicesAmt
Management And General$11,132ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$765,866TotalAmt
Program Services$713,117ProgramServicesAmt
Management And General$52,749ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,258,769TotalAmt
Program Services$9,552,193ProgramServicesAmt
Management And General$706,576ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,293,680TotalAmt
Program Services$1,126,375ProgramServicesAmt
Management And General$167,305ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$1,525$1,525
MEDICAL SUPPLIES$36,752,651$36,752,651
DUES/FEES$704,563$332,001$372,562
LICENSE & TAXES$3,363,381$3,092,358$271,023

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,945TotalAmt
Program Services$5,528ProgramServicesAmt
Management And General$19,417ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$216,675,507TotalAmt
Program Services$190,714,609ProgramServicesAmt
Management And General$25,960,898ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$125,482BOYAmt
EOY$128,627EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$34,807,424BOYAmt
EOY$8,584,083EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,786,714BOYAmt
EOY$27,649,059EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$429,148BOYAmt
EOY$514,520EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,744,506BOYAmt
EOY$5,411,812EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,827,995BOYAmt
EOY$3,176,812EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$266,615,051LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$192,789,876LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$75,552,440BOYAmt
EOY$73,825,175EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$129,461,921BOYAmt
EOY$188,740,046EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,858,847BOYAmt
EOY$1,830,814EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,230,316BOYAmt
EOY$11,116,916EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$293,824,793BOYAmt
EOY$320,977,864EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$42,387,844BOYAmt
EOY$46,744,128EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$34,355BOYAmt
EOY$36,957EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$13,694,241BOYAmt
EOY$13,500,634EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,728,410BOYAmt
EOY$40,364,959EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$101,844,850BOYAmt
EOY$100,646,678EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$191,979,943BOYAmt
EOY$220,331,186EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$191,979,943BOYAmt
EOY$220,331,186EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$293,824,793BOYAmt
EOY$320,977,864EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$12,048,160ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$16,303,083NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$34,182OtherActivitiesAmt
Total Lobbying Expenditures$34,182TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule C, Part II-B, Line 1iFormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES: DURING THE FISCAL YEAR, MEMBERS OF JRMC'S STAFF HAD OCCASIONAL CONTACT WITH LEGISLATORS. ADDITIONALLY, JRMC CONTRIBUTED TO ORGANIZATIONS THAT UNDERTOOK LOBBYING ACTIVITIES DURING THE YEAR. JRMC ESTIMATES THE TOTAL AMOUNT OF DUES USED FOR LOBBYING ACTIVITIES AT $34,182.ExplanationTxt

Schedule D IRS990ScheduleD

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,795,018OtherCostOrOtherBasisAmt
Book Value$6,795,018BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$117,279,936OtherCostOrOtherBasisAmt
Depreciation$88,480,061DepreciationAmt
Book Value$28,799,875BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,862,667OtherCostOrOtherBasisAmt
Depreciation$1,532,378DepreciationAmt
Book Value$330,289BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$130,803,368OtherCostOrOtherBasisAmt
Depreciation$102,710,370DepreciationAmt
Book Value$28,092,998BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,874,062OtherCostOrOtherBasisAmt
Depreciation$67,067DepreciationAmt
Book Value$9,806,995BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$73,825,175TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
457 Plan$3,267,672
Capital Lease Obligation$702,266
Line of Credit$7,596,660
Due to Affiliates$47,095
Advances from 3rd Party Payers$27,030,533
DEFERRED PAYROLL TAX$1,720,733
FieldValueIRS element (for citing)
Total Liability$40,364,959TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served7579PersonsServedCnt
Total Community Benefit Expns$4,488,851TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,488,851NetCommunityBenefitExpnsAmt
Total Expense0.02070TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served12339PersonsServedCnt
Total Community Benefit Expns$31,415,816TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,305,164DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,110,652NetCommunityBenefitExpnsAmt
Total Expense0.03280TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served19918PersonsServedCnt
Total Community Benefit Expns$35,904,667TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,305,164DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,599,503NetCommunityBenefitExpnsAmt
Total Expense0.05350TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs13ActivitiesOrProgramsCnt
Persons Served27PersonsServedCnt
Total Community Benefit Expns$4,631,316TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,766,654DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,864,662NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Total Community Benefit Expns$72,283,634TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$61,669,273DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,614,361NetCommunityBenefitExpnsAmt
Total Expense0.04900TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$361,236TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$258,174DirectOffsettingRevenueAmt
Net Community Benefit Expns$103,062NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Persons Served27PersonsServedCnt
Total Community Benefit Expns$77,276,186TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64,694,101DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,582,085NetCommunityBenefitExpnsAmt
Total Expense0.05810TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Persons Served19945PersonsServedCnt
Total Community Benefit Expns$113,180,853TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$88,999,265DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,181,588NetCommunityBenefitExpnsAmt
Total Expense0.11160TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs69ActivitiesOrProgramsCnt
Persons Served510PersonsServedCnt
Total Community Benefit Expns$12,138TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,138NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs69ActivitiesOrProgramsCnt
Persons Served510PersonsServedCnt
Total Community Benefit Expns$12,138TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,138NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,612,360BadDebtExpenseAmt
Reimbursed By Medicare$59,474,544ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$48,371,381CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$11,103,163MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEFFERSON REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 W 40TH AVENUEAddressLine1Txt
CityPINE BLUFFCityNm
State AbbreviationARStateAbbreviationCd
ZIP71603ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.JRMC.ORGWebsiteAddressTxt
State LicenseAR4213StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1JEFFERSON REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5CONSULTING REPRESENTATIVES OF THE COMMUNITY: The Community Health Needs Assessment Toolkit developed by the National Center for Rural Health Works at Oklahoma State University, Center for Rural Health and Oklahoma Office of Rural Health was utilized as a guide for the CHNA facilitation process. The hospital created a Steering committee made up of officers of Jefferson Regional Medical Center and Officers of the Arkansas Rural Health Partnership. Due to the size of the service area, the steering committee chose to conduct their assessment through a focus group of community leaders and individuals in health-related fields. Approximately 60 Individuals from the community were selected for invitation to the focus group, or community advisory committee, by the Jefferson Regional Medical Center staff steering committee. Over 20 individuals who participated in the focus group were from various organizations such as: Jefferson Regional Medical Center, local physicians, Relyance Bank, Strong Manufacturing, Oudin Properties, Trotter Auto Group, Go Forward Pine Bluff, First Arkansas Insurance, Greater Mt. Calvary Baptist Church, Reed Architectural Firm, various other businesses and retirees. In addition to the focus group, 84 surveys were completed by members of the community.
SCHEDULE H, PART V, SECTION B, LINE 11NEEDS ADDRESSED AND NOT ADDRESSED: THE ORGANIZATION IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2018 CHNA THROUGH THE EXECUTION OF ITS CHNA IMPLEMENTATION STRATEGY THAT WAS UPDATED IN October OF 2019. All needs identified within the assessment are being addressed in the implementation strategy. FOR ADDITIONAL INFORMATION, SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A.
SCHEDULE H, PART V, SECTION B, LINES 7 & 10CHNA AND IMPLEMENTATION STRATEGY: THE CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: https://www.jrmc.org/about/community-health-needs-assessment/
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16CFINANCIAL ASSISTANCE POLICY: THE FAP, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: https://www.jrmc.org/patients-visitors/billing-insurance/financial-assista nce
FieldValueIRS element (for citing)
Facility22FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
HEALTHWORKS
4747 DUSTY LAKE DR STE 101PINE BLUFFAR71603PHYSICIAN CLINIC
PINE BLUFF SPECIALTY CLINIC
1601 W 40TH AVE SUITE 301PINE BLUFFAR71603PHYSICIAN CLINIC
CARDIOLOGY ASSOCIATES
1601 W 40TH AVE SUITE 301PINE BLUFFAR71603PHYSICIAN CLINIC
ENDOCRINOLOGY OF SOUTH ARKANSAS
7500 DOLLARWAY RD Suite 404WHITE HALLAR71603PHYSICIAN CLINIC
SOUTH ARKANSAS ORTHOPEADICS CENTER
1609 W 40TH AVE SUITE 501PINE BLUFFAR71603PHYSICIAN CLINIC
OBGYN ASSOCIATES OF S AR
1609 W 40TH AVE STE 301PINE BLUFFAR71603PHYSICIAN CLINIC
SURGICAL ASSOCIATES OF SOUTHEAST AR
1609 W 40TH AVE SUITE 403PINE BLUFFAR71603PHYSICIAN CLINIC
FAMILY HEALTH ASSOC OF SOUTH ARKANSAS
4747 DUSTY LAKE DRIVE suite 202PINE BLUFFAR71603PHYSICIAN CLINIC
GI ASSOC OF SOUTH ARKANSAS
1609 W 40TH AVE SUITE 202PINE BLUFFAR71603PHYSICIAN CLINIC
JEFFERSON REGIONAL NEUROLOGY CLINIC
1601 W 40th Ave suite 301CPINE BLUFFAR71603PHYSICIAN CLINIC
CHILDREN'S CLINIC OF SOUTH ARKANSAS
1420 W 43RD AVEPINE BLUFFAR71603PHYSICIAN CLINIC
I-530 IMAGING
4747 DUSTY LAKE DRPINE BLUFFAR71603OP IMAGING
JRMC OUTPATIENT PHYSICAL THERAPY
1600 W HOLLAND AVEWHITE HALLAR71602OP THERAPY
JRMC URGENT CARE CENTER
4201 S MULBERRY STPINE BLUFFAR71603WALK-IN CLINIC
SURGICAL ASSOCIATES OF SOUTHEAST AR
1609 W 40th Ave Suite 403PINE BLUFFAR76103PHYSICIAN CLINIC
OBGYN ASSOCIATES OF SOUTH AR
1609 W 40TH AVE STE 301PINE BLUFFAR76103PHYSICIAN CLINIC
JEFFERSON REGIONAL CANCER CENTER
1609 W 40TH AVE STE 205PINE BLUFFAR71603PHYSICIAN CLINIC
OBGYN ASSOCIATES OF SOUTH AR
1609 W 40TH AVE STE 301PINE BLUFFAR71603PHYSICIAN CLINIC
FAMILY HEALTH ASSOC OF SOUTH ARKANSAS
1801 W 40TH AVE STE 6APINE BLUFFAR71603PHYSICIAN CLINIC
FAMILY HEALTH ASSOC OF SOUTH ARKANSAS
1600 W HOLLAND STE 202PINE BLUFFAR71603PHYSICIAN CLINIC
JEFFERSON REGIONAL CANCER CENTER
4310 S MULBERRY STPINE BLUFFAR71603PHYSICIAN CLINIC
Rheumatology Associates
4747 Dusty Lake Dr Suite G1Pine BluffAR71603physician clinic

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2PROVISION FOR UNCOLLECTIBLE ACCOUNTS METHODOLOGY: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. THEREFORE, BAD DEBT EXPENSE RELATED TO PATIENT ACCOUNTS WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2021. HOWEVER, THE HOSPITAL INTERNALLY TRACKS ACCOUNT ACTIVITY CONSISTENT WITH HISTORICAL PRACTICES AND THE AMOUNT THAT WOULD HAVE BEEN ATTRIBUTED TO BAD DEBT UNDER PREVIOUS ACCOUNTING POLICY HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
SCHEDULE H, PART III, SECTION A, LINE 3BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE: THE HOSPITAL HAS PROCESSES IN PLACE TO IDENTIFY THOSE PATIENTS THAT WOULD QUALIFY FOR FINANCIAL ASSISTANCE. THOSE ACCOUNTS ARE WRITTEN OFF TO CHARITY. THE HOSPITAL ALSO USES PRESUMPTIVE ELIGIBILITY TO IDENTIFY THOSE PATIENTS WHO HAVE NOT COMPLETED AN APPLICATION AND THOSE PATIENTS ARE CONSIDERED FOR ASSISTANCE AS WELL. MANAGEMENT DOESN'T BELIEVE THAT ANY OF THE BAD DEBT WOULD BE ATTRIBUTABLE TO THOSE FAP-ELIGIBLE PATIENTS.
SCHEDULE H, PART III, SECTION A, LINE 4BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO THE ADOPTION OF ASU TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.
SCHEDULE H, PART III, SECTION B, LINE 8COSTING METHODOLOGY: THE ORGANIZATION DETERMINES ALLOWABLE COSTS ASSOCIATED WITH MEDICARE PAYMENTS BY UTILIZING AMOUNTS REPORTED ON THE MEDICARE COST REPORT. Medicare revenue was computed from Worksheet E, less GME & Allied health reimbursement (considered separately). Medicare allowable cost was computed from worksheet D-1. As a safety Net Hospital, the organization provides care to all patients regardless of source of Payment; therefore, costs to provide care to Medicare patients should be considered community benefit to the extent costs exceed Medicare reimbursement.
SCHEDULE H, PART III, SECTION C, LINE 9BCOLLECTIONS POLICY: PATIENT ACCOUNTS QUALIFYING FOR free or discounted care WOULD NOT INTENTIONALLY BE PLACED WITH A DEBT COLLECTION SERVICE. FROM TIME TO TIME, INFORMATION THAT RESULTS IN THE DETERMINATION OF ASSISTANCE QUALIFICATION IS OBTAINED SUBSEQUENT TO A PATIENT'S ACCOUNT BEING PLACED WITH A DEBT COLLECTION AGENCY. THE ORGANIZATION'S COLLECTION AGENCY POLICY REQUIRES CONTRACTED COLLECTION AGENTS, IN ADDITION TO MANY OTHER PRUDENT PROCEDURES, TO INFORM THE DEBTOR OF THE APPROPRIATE HOSPITAL FINANCIAL ASSISTANCE PROFESSIONAL TO CONTACT IF THE COLLECTION AGENT IS MADE AWARE OF A PATIENT'S FINANCIAL HARDSHIP. THE COLLECTION AGENT IS ALSO REQUIRED TO NOTIFY THE ORGANIZATION OF THE PATIENT'S FINANCIAL HARDSHIP SO THE ORGANIZATION CAN ASSIST THE PATIENT IN ACCESSING THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS.
SCHEDULE H, PART VI, LINE 2Needs Assessment: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILTY FOR ASSISTANCE: A FINANCIAL COUNSELOR INITIATES A FINANCIAL SCREENING ON ALL INPATIENTS, OBSERVATION PATIENTS AND OUTPATIENTS OCCUPYING A BED HAVING NO INSURANCE INDICATED ON THEIR ACCOUNT. THIS PROCESS INCLUDES SCREENING FOR free or discounted care, MEDICAID COVERAGE AND OTHER THIRD PARTY COVERAGE. OUTPATIENTS RECEIVE A FINANCIAL ASSISTANCE GUIDE SHEET SUMMARIZING ASSISTANCE OFFERED BY JRMC AT THE TIME OF REGISTRATION.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM: THIS IS NOT APPLICABLE FOR FISCAL YEAR 2021.
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT: NO COMMUNITY BENEFIT REPORT WAS FILED WITH THE STATE FOR FISCAL YEAR 2021.
SCHEDULE H, PART I, LINE 3CFACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: -MEDICAL INDIGENCY -INSURANCE STATUS -UNDERINSURANCE STATUS
SCHEDULE H, PART IICOMMUNITY BUILDING ACTIVITIES: JRMC PERSONNEL SERVED ON THE BOARDS OF A NUMBER OF LOCAL VOLUNTEER AND BUSINESS ORGANIZATIONS THAT PROMOTED GENERAL COMMUNITY DEVELOPMENT AND HEALTH BY PROVIDING HEALTH EDUCATION AND VOLUNTEER SUPPORT.
SCHEDULE H, PART I, LINE 7COSTING METHODOLOGY: The organization computes the cost of providing care through the use of cost accounting methodologies and assumptions derived from the Medicare cost report.
SCHEDULE H, PART I, LINE 7GSUBSIDIZED HEALTH SERVICES: THE EXPENSES REPORTED ON THIS LINE ARE FROM COSTS ASSOCIATED WITH VARIOUS PHYSICIAN CLINICS REPORTED ON PART V, SECTION D THAT PROVIDE SERVICES TO THE COMMUNITY THAT WOULD NOT OTHERWISE BE AVAILABLE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UNITED WAY OF SOUTH EAST ARKANSAS
PO BOX 8702Pine BluffAR71611710236869501(C)(3)$35,0002020 CAMPAIGN PLEDGE
Go Forward Pine Bluff Inc
PO BOX 6316PINE BLUFFAR71611821412910501(C)(3)$150,000LONG-TERM PLEDGE
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
FEDERAL PELL GRANTS55$228,684
WIA ADULT PROGRAM GRANTS1$2,365
STATE GO GRANTS1$5,000
JSN SCHOLARSHIPS8$9,000
ACADEMIC CHALLENGE8$13,125

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE I, PART I, LINE 2PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: JEFFERSON HOSPITAL ASSOCIATION, INC. MAINTAINED RECORDS TO SUBSTANTIATE THE AMOUNT OF THE GRANTS OR ASSISTANCE, THE GRANTEES' ELIGIBILITY FOR THE GRANTS OR ASSISTANCE, AND THE SELECTION CRITERIA USED TO AWARD GRANTS OR ASSISTANCE.
FORM 990, PART IX, LINES 1 & 2 & SCHEDULE I, PARTS II & IIIDIFFERENCE BETWEEN SCHEDULE I & STATEMENT OF FUNCTIONAL EXPENSES: THE ORGANIZATION IS REPORTING THE CONTRIBUTIONS PAID ON SCHEDULE I, WHICH IS NOT NECESSARILY ON THE ACCRUAL BASIS BECAUSE THE ORGANIZATION RECORDS LONG-TERM PLEDGES AT THEIR NPV AND RECORDS ACCRETION OF INTEREST OVER TIME. THE PLEDGES, WHEN PAID, ARE A REDUCTION OF THIS LIABILITY AND NOT CURRENT YEAR EXPENSE WHICH MAY CAUSE A DIFFERENCE BETWEEN AMOUNT REPORTED ON FORM 990, PART IX AND SCHEDULE I, PARTS II & III.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
J ACOSTA - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
F ANTHONY - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
D BRIDGFORTH - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
D BROWN - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
JA CAMPBELL - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
M CASTEEL - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
M ECKERT - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
JB MAYS - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
S PITTILLO - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
D ROBINSON - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
A SANDERS - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
F TROTTER III - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
S WRIGHT - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
P AUSTIN - SEE SCH O
L HICKMAN - SEE SCH O
B JACKSON - SEE SCH O
J JEFFERY - SEE SCH O
B THOMAS - SEE SCH O
M ALI - SEE SCH O
R BURRELL - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
G BIRK - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
K MOHAMMAD - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
J R TAYLOR - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
'
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
'
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
'
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
'
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
'
$0$0$0$0$0$0$0$0$0$0$0$0$0$0
'
$0$0$0$0$0$0$0$0$0$0$0$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ADESCRIPTION OF BENEFITS: THE FOLLOWING BENEFITS ARE INCLUDED IN THE TAXABLE COMPENSATION OF THE RECIPIENTS. - TAX GROSS-UP PAYMENTS ARE INCLUDED IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IDENTIFIED BELOW. - COUNTRY CLUB MEMBERSHIPS ARE MAINTAINED BY THE ORGANIZATION FOR THE USE OF SPECIFIC EMPLOYEES AS DESIGNATED BY THE BOARD OF DIRECTORS.
SCHEDULE J, PART I, LINE 1BWRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT: THERE IS NO WRITTEN POLICY REGARDING PROVISION OF COUNTRY CLUB MEMBERSHIPS. THE BOARD OF DIRECTORS DESIGNATES WHICH EMPLOYEES MAY USE MEMBERSHIPS MAINTAINED BY THE ORGANIZATION.
SCHEDULE J, PART I, LINE 7NON-FIXED PAYMENTS: THE ORGANIZATION PROVIDES DEFINED MEMBERS OF MANAGEMENT A NON-FIXED PERFORMANCE BASED INCENTIVE PLAN. THE PLAN'S COMPONENTS ARE ESTABLISHED AND EVALUATED BY THE ORGANIZATION'S EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
SCHEDULE J, PART I, LINE 4BPARTICIPANTS IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP PLAN REPORTED IN W-2 DEFERRED COMPENSATION --------------------------- ----------------- ---------------------- PETER AUSTIN $43,748 $1,646 LOUISE HICKMAN $87,967 NONE BRYAN JACKSON $73,583 NONE JEREMY JEFFERY $33,269 $3,419 BRIAN THOMAS $118,312 NONE

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
MICHAEL ACOSTA
SEE SUPPLEMENTAL INFOSEE SUPPLEMENTAL INFOfalse
ELIZABETH BRIDGFORTH HARTZ
SEE SUPPLEMENTAL INFOSEE SUPPLEMENTAL INFOfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE L, PART IV, COLUMNS B, C, & DFormAndLineReferenceDesc
Explanation(A) NAME OF PERSON: Michael Acosta (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JANICE ACOSTA (JHA DIRECTOR) (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $10,000 (D) DESCRIPTION OF TRANSACTION: EMPLOYEE OF JRMC (A) NAME OF PERSON: ELIZABETH BRIDGFORTH HARTZ (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF DAVID BRIDGFORTH (JHA DIRECTOR) (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $10,000 (D) DESCRIPTION OF TRANSACTION: EMPLOYEE OF JRMCExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4APROGRAM SERVICE ACCOMPLISHMENTS: CONTINUED FROM PART III... Jefferson Regional's governing board is comprised of individuals who are business leaders in our community. Approximately 77 percent of Jefferson Regional's patients originate from the primary service area (Jefferson, Cleveland and Lincoln counties) with 17 percent originating from the secondary service area (Arkansas, Ashley, Bradley, Chicot, Dallas, Desha, Drew and Grant counties). Offering a variety of diverse programs and services, Jefferson Regional's medical staff features most major specialties including cardiology, general surgery, critical care, gastroenterology, orthopaedics, spinal surgery, neurology, cancer care, endocrinology, obstetrics/gynecology, radiology, psychiatry, urgent and emergency care. Jefferson Regional also actively participates in teaching programs for medical students and residents, as well as students in allied health fields. In addition, our physicians can be seen in surrounding communities, conducting satellite clinics on a regular basis to care for patients in rural areas. The Jefferson Regional Emergency Department and the Urgent Care Walk-In Clinic are open seven days-a-week to provide immediate care for different levels of emergencies, regardless of the patient's ability to pay. Jefferson Regional Healthworks, an occupational health clinic, offers a wide range of services to area businesses including pre-employment testing, laboratory services, and inpatient and outpatient rehabilitation (occupational, physical and speech therapy). Jefferson Regional also operates dozens of additional clinics, some providing specialized care such as the Wound Care Center, and others offering family medical services. The Jefferson Regional Jones-Dunkin Cancer Center provides cancer care for patients all in one convenient location - from screening and diagnosis to therapy and beyond. Services include physician visits, an infusion center, a breast center, imaging services, on site lab and pharmacy, care coordination, financial navigation, and a radiation oncology center, which will be completed in summer 2022. During fiscal year 2021, Jefferson Regional invested $7.9 million in capital additions and improvements to our planning, budgeting and spending with the goal of continuing to provide state-of-the-art technologies in a caring environment. With community service and education as a significant part of our mission, Jefferson Regional provides financial sponsorships within the community and offers free health screenings and educational events each year. We will continue to strive to accomplish our mission, "Improving health through excellence and compassionvision, "To be the healthcare provider and employer of choice for Southeast Arkansas."
FORM 990, PART VI, SECTION A, LINE 1ADELEGATION OF AUTHORITY: AN EXECUTIVE COMMITTEE MAY BE ELECTED BY THE BOARD OF DIRECTORS TO CONSIST OF NOT LESS THAN THREE DIRECTORS. THE COMMITTEE IS ABLE TO EXERCISE ALL AUTHORITY OF THE BOARD DURING INTERVALS BETWEEN MEETINGS OF THE BOARD WITH RESPECT TO THE AFFAIRS OF THE CORPORATION, BUT SHALL BE SUBJECT TO THE CONTROL AND DIRECTION OF THE FULL BOARD. THE COMMITTEE SHALL ALSO CONDUCT AN EVALUATION OF THE CHIEF EXECUTIVE OFFICER ANNUALLY FOR THE FULL BOARD OF DIRECTORS TO REVIEW.
FORM 990, PART VI, SECTION A, LINE 2RELATIONSHIPS OF OFFICERS, DIRECTORS, AND TRUSTEES: H. Ford Trotter (JHA Director) and David Brown (JHA Director) have a business relationship. Janice Acosta (JHA Director) and Scott Pittillo (JHA CHAIR) have a business relationship. MARY CASTEEL (JHA Director) and DANIEL ROBINSON (JHA DIRECTOR) have a business relationship.
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OR STOCKHOLDERS: THE ORGANIZATION HAS A MEMBERSHIP CONSISTING OF 30 JEFFERSON COUNTY ARKANSAS RESIDENTS.
FORM 990, PART VI, SECTION A, LINE 7APOWER TO ELECT OR APPOINT MEMBERS OF GOVERNING BODY: THE MEMBERSHIP OF THE ORGANIZATION HAS THE RESPONSIBILITY OF ELECTING THE BOARD OF DIRECTORS AT THE ANNUAL MEMBERSHIP MEETING.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW FORM 990: THE FORM 990 AND FORM 990-T ARE PREPARED AND REVIEWED UNDER THE DIRECTION OF THE CHIEF FINANCIAL OFFICER. FINAL DRAFTS OF THE RETURNS ARE PRESENTED TO THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH IS DESIGNATED BY THE BOARD OF DIRECTORS TO FULFILL THE FIDUCIARY RESPONSIBILITY OF THE GOVERNING BODY TO REVIEW THE RETURNS BEFORE THEY ARE FILED WITH THE IRS. AFTER ANY FINAL REVISIONS ARE MADE BASED UPON THE GOVERNANCE COMMITTEE'S REVIEW, A FINAL VERSION IS POSTED TO AN INTERNAL SECURE WEBSITE WITH A LINK E-MAILED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS TO MONITOR AND ENFORCE COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION REQUIRES NOT ONLY AN ANNUAL CONFLICT OF INTEREST DISCLOSURE, BUT ALSO DISCLOSURE WHEN SITUATIONS SUBSEQUENT TO THE ANNUAL DISCLOSURE DEVELOP THAT WOULD POTENTIALLY PLACE THE INDIVIDUAL IN A CONFLICT OF INTEREST. IN THOSE SITUATIONS, IMMEDIATE DISCLOSURE IS REQUIRED. THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS CONDUCTS THE ANNUAL REVIEW OF CONFLICT OF INTEREST DISCLOSURES. IN THE EVENT THE GOVERNANCE COMMITTEE DETERMINES THAT A CONFLICT EXISTS, LEGAL COUNSEL IS CONSULTED. IF LEGAL COUNSEL DETERMINES THAT A CONFLICT EXISTS, THE PERSON IS INFORMED AND THE MATTER IS REPORTED TO THE BOARD FOR ACTION. ANY DIRECTOR OR OFFICER WHOSE TRANSACTIONS ARE BEING REVIEWED WOULD ABSENT HIMSELF/HERSELF FROM THE REVIEW.
FORM 990, PART VI, SECTION B, LINES 15A & 15BCOMPENSATION OF CEO AND OTHER OFFICERS: THE COMPENSATION COMMITTEE MOST RECENTLY ENGAGED A THIRD-PARTY GLOBAL HUMAN CAPITAL CONSULTING FIRM, KORN FERRY HAY GROUP IN OCTOBER 2019 TO PERFORM A TOTAL COMPENSATION REVIEW THAT WAS PREVIOUSLY CONDUCTED IN SEPTEMBER 2018. THE COMPENSATION COMMITTEE UTILIZES THIS REVIEW IN CONCERT WITH A DEFINED EXECUTIVE COMPENSATION POLICY TO DEVELOP AND MAINTAIN A TOTAL COMPENSATION PACKAGE THAT IS REASONABLE AS COMPARED TO SIMILAR POSITIONS AT NON-PROFIT HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY. THE DELIBERATIONS AND DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED AND A SUMMARY REPORT IS MADE TO THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19AVAILABILITY OF DOCUMENTS: THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND OTHER DOCUMENTS TO ALL WHO REQUEST ONE OR MORE OF THE ITEMS.
FORM 990, PART VII, SECTION A & SCHEDULE J, PART IICOMPENSATION TABLE: COMPENSATION INFORMATION REQUIRED IN FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II IS PROVIDED IN A TABLE IDENTIFIED AS ATTACHMENT 3 AND ATTACHED TO THE TAX RETURN DOCUMENT FOLLOWING SCHEDULE R. THE TABLES WITHIN THE RETURN ARE POPULATED WITH ZERO BECAUSE OF THE ELECTRONIC FILING REQUIREMENT, AND THE CORRECT AMOUNTS ARE INCLUDED IN THE ATTACHMENT.
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:19357081
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:15127462
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:2861983
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED LABOR TOTAL FEES:2563615
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER FEES TOTAL FEES:4996088

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
JEFFERSON REGIONAL ANESTHESIA
1600 W 40TH AVEPINE BLUFFAR71603831984365ANESTHESIAAR$2,355,411$182,142JHA
ARKANSAS RURAL HEALTH PARTNERSHIP CIN
1600 W 40TH AVEPINE BLUFFAR71603830694507POP HEALTHAR$1,954,788$1,241,710JHA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1JEFFERSON REGIONAL MED CENTER FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 W 40TH AVEAddressLine1Txt
CityPINE BLUFFCityNm
State AbbreviationARStateAbbreviationCd
ZIP71603ZIPCd
FieldValueIRS element (for citing)
EIN821820277EIN
Primary ActivitiesSUPPORTPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status12, TYPE IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1JHABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
JEFFERSON MANAGEMENT SERVICES INC
1600 W 40TH AVEPINE BLUFFAR71603710582753PHYS PRACTICE MGMARJHAC-CORPORATION$0$804,5681.00000Yes (true)
JHA HEALTH AFFILIATES INC
1600 W 40TH AVEPINE BLUFFAR71603710766959REAL EST RENTALARJHAC-CORPORATION$0$484,1741.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JEFFERSON MANAGEMENT SERVICES INC
L$188,191G/L ACTIVITY
JEFFERSON REGIONAL MED CENTER FOUNDATION
L$367,735G/L ACTIVITY
JEFFERSON REGIONAL MED CENTER FOUNDATION
C$90,665G/L ACTIVITY