JEFFERSON HOSPITAL ASSN INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: JEFFERSON HOSPITAL ASSN INC (EIN 71-0329353)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-14
IRS object ID: 202141349349301019
Schema version: 2019v5.1
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
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	2021-05-14T06:06:57-05:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14241 DALLAS PARKWAY SUITE 1100	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75254	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	710329353	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jefferson Hospital Association Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JEREMY JEFFERY	InCareOfNm
Business Name Control	JEFF	BusinessNameControlTxt
Phone	8705417100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 West 40th Avenue	AddressLine1Txt
City	Pine Bluff	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	71603	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEREMY JEFFERY	PersonNm
Person Title	VP AND CFO	PersonTitleTxt
Phone	8705417100	PhoneNum
Signature	2021-05-17	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jeanette Verrelli	PreparerPersonNm
PTIN	P00742631	PTIN
Phone	9727028262	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	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	Jefferson Regional Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	BRIAN THOMAS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 WEST 40TH AVENUE	AddressLine1Txt
City	PINE BLUFF	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	71603	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$260,708,030	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.JRMC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1959	FormationYr
Legal Domicile State	AR	LegalDomicileStateCd
Activity Or Mission	JEFFERSON 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 Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	2163	TotalEmployeeCnt
Total Volunteers	50	TotalVolunteersCnt
Total Gross UBI	$5,114	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$743,630	PYContributionsGrantsAmt
CY Contributions Grants	$14,183,715	CYContributionsGrantsAmt
PY Program Service Revenue	$185,767,717	PYProgramServiceRevenueAmt
CY Program Service Revenue	$187,326,944	CYProgramServiceRevenueAmt
PY Investment Income	$5,028,866	PYInvestmentIncomeAmt
CY Investment Income	$6,530,323	CYInvestmentIncomeAmt
PY Other Revenue	$2,905,632	PYOtherRevenueAmt
CY Other Revenue	$2,573,578	CYOtherRevenueAmt
PY Total Revenue	$194,445,845	PYTotalRevenueAmt
CY Total Revenue	$210,614,560	CYTotalRevenueAmt
PY Grants And Similar Paid	$507,450	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,308,739	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$98,497,640	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$100,531,409	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$102,608,231	PYOtherExpensesAmt
CY Other Expenses	$118,217,038	CYOtherExpensesAmt
PY Total Expenses	$201,613,321	PYTotalExpensesAmt
CY Total Expenses	$221,057,186	CYTotalExpensesAmt
PY Revenues Less Expenses	-$7,167,476	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$10,442,626	CYRevenuesLessExpensesAmt
Total Assets BOY	$270,623,412	TotalAssetsBOYAmt
Total Assets EOY	$293,824,793	TotalAssetsEOYAmt
Total Liabilities BOY	$67,419,473	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$101,844,850	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$203,203,939	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$191,979,943	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	JEFFERSON REGIONAL'S MISSION IS IMPROVING HEALTH THROUGH EXCELLENCE & COMPASSION WITH A VISION TO BE THE HEALTHCARE PROVIDER AND EMPLOYER OF CHOICE FOR SOUTHEAST ARKANSAS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$192,669,641	ExpenseAmt
Grant	$2,308,739	GrantAmt
Revenue	$188,894,277	RevenueAmt
Desc	Jefferson 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 Countys only general acute care hospital, Jefferson Regional is licensed for 300 acute care beds (currently operates an available 276 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	$192,669,641	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	232	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2163	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JEREMY JEFFERY	PersonNm
Phone	8705417100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 WEST 40TH AVENUE	AddressLine1Txt
City	PINE BLUFF	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	71603	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
J ACOSTA - SEE SCH O
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
F ANTHONY - SEE SCH O
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
D ATKINSON - SEE SCH O
SECRETARY	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
D BRIDGFORTH - SEE SCH O
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
D BROWN - SEE SCH O
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
JA CAMPBELL - SEE SCH O
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
M CASTEEL - SEE SCH O
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
M ECKERT - SEE SCH O
DIRECTOR	40.0	0.0	Yes (X)	$0	$0	$0
A KLINE - SEE SCH O
chairman	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JB MAYS - SEE SCH O
DIRECTOR	40.0	0.0	Yes (X)	$0	$0	$0
S PITTILLO - SEE SCH O
VICE CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
A SANDERS - SEE SCH O
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
H TROTTER III - SEE SCH O
DIRECTOR/TREASURER	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
P AUSTIN - SEE SCH O
VP & COO	40.0	0.0		$0	$0	$0	Yes (X)
L HICKMAN - SEE SCH O
VP & CNO	40.0	0.0		$0	$0	$0	Yes (X)
B JACKSON - SEE SCH O
VP & CAO	40.0	2.0		$0	$0	$0	Yes (X)
B THOMAS - SEE SCH O
PRESIDENT & CEO	40.0	2.0		$0	$0	$0	Yes (X)
J JEFFERY - SEE SCH O
VP & CFO	40.0	0.0		$0	$0	$0	Yes (X)
T HARBUCK - SEE SCH O
FORMER EXECUTIVE VP	0.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
W JOHNSON - SEE SCH O
FORMER DIR/PRES & CEO	0.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
M ALI - SEE SCH O
PHYSICIAN	40.0	0.0		$0	$0	$0			Yes (X)
G BIRK - SEE SCH O
PHYSICIAN	40.0	0.0		$0	$0	$0			Yes (X)
R BURRELL - SEE SCH O
PHYSICIAN	40.0	0.0		$0	$0	$0			Yes (X)
K MOHAMMAD - SEE SCH O
PHYSICIAN	40.0	0.0		$0	$0	$0			Yes (X)
A POLLARD - SEE SCH O
PHYSICIAN	40.0	0.0		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	129	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
REHAB CARE GROUP INC
PO Box 502096	ST LOUIS	MO	631502096	THERAPY & REHAB SVCS	$3,519,973
CERNER HEALTH SVC INC
PO BOX 959156	ST LOUIS	MO	631959156	IT SUPPORT	$2,945,956
SODEXO INC AFFILIATES
PO BOX 536922	ATLANTA	GA	303536922	FOOD SERVICES	$2,607,603
SOUTHEAST ARKANSAS HOSPITALISTS LLP
PO BOX 677979	DALLAS	TX	752677979	PROFESSIONAL SERVICE	$2,121,000
ALLSCRIPTS HEALTHCARE
24630 NETWORK PLACE	CHICAGO	IL	606731246	IT SUPPORT	$1,647,491

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	90	CntrctRcvdGreaterThan100KCnt
Government Grants	$13,161,266	GovernmentGrantsAmt
All Other Contributions	$1,022,449	AllOtherContributionsAmt
Total Contributions	$14,183,715	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Service Revenue	621110	$170,893,316	$170,893,316
EHR Incentive	900099	$2,400	$2,400
Joint Venture Income	621500	$969,204	$966,490	$2,714
Medical Office Rental	531120	$1,101,048	$1,101,048
Pharmacy Revenue	446110	$14,360,976	$14,360,976

Field	Value	IRS element (for citing)
Total Program Service Revenue	$187,326,944	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,530,323	TotalRevenueColumnAmt
Exclusion	$6,530,323	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$38,418	RealAmt
Personal	$2,400	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$38,418	RealAmt
Personal	$2,400	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,818	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,400	UnrelatedBusinessRevenueAmt
Exclusion	$38,418	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$50,080,941	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$50,080,941	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$317,434	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$12,529	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$304,905	TotalRevenueColumnAmt
Related Or Exempt Func Income	$304,905	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Outside/Pathology Lab	900099	$13,018	$13,018
Cafeteria	722320	$967,827		$967,827
Wellness Center	713490	$428,002	$428,002

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$819,008	TotalRevenueColumnAmt
Related Or Exempt Func Income	$819,008	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,227,855	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$210,614,560	TotalRevenueColumnAmt
Related Or Exempt Func Income	$188,889,163	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,114	UnrelatedBusinessRevenueAmt
Exclusion	$7,536,568	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$87,561	TotalAmt
Program Services	$87,561	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$2,221,178	TotalAmt
Program Services	$2,221,178	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,890,092	TotalAmt
Program Services	$634,106	ProgramServicesAmt
Management And General	$2,255,986	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$495,657	TotalAmt
Program Services	$97,987	ProgramServicesAmt
Management And General	$397,670	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$81,641,003	TotalAmt
Program Services	$72,942,500	ProgramServicesAmt
Management And General	$8,698,503	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,050,542	TotalAmt
Program Services	$1,777,131	ProgramServicesAmt
Management And General	$273,411	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,215,281	TotalAmt
Program Services	$6,409,755	ProgramServicesAmt
Management And General	$805,526	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,238,834	TotalAmt
Program Services	$5,410,504	ProgramServicesAmt
Management And General	$828,330	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,803,202	TotalAmt
Program Services	$4,258,910	ProgramServicesAmt
Management And General	$544,292	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$250,418	TotalAmt
Program Services	$16,118	ProgramServicesAmt
Management And General	$234,300	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$262,453	TotalAmt
Management And General	$262,453	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$33,816	TotalAmt
Management And General	$33,816	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$45,097,412	TotalAmt
Program Services	$35,489,454	ProgramServicesAmt
Management And General	$9,607,958	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$590,250	TotalAmt
Program Services	$70,830	ProgramServicesAmt
Management And General	$519,420	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,690,165	TotalAmt
Program Services	$4,159,412	ProgramServicesAmt
Management And General	$1,530,753	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,860,725	TotalAmt
Program Services	$1,527,655	ProgramServicesAmt
Management And General	$333,070	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,497,622	TotalAmt
Program Services	$3,580,320	ProgramServicesAmt
Management And General	-$82,698	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$125,899	TotalAmt
Program Services	$93,274	ProgramServicesAmt
Management And General	$32,625	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$88,214	TotalAmt
Program Services	$76,345	ProgramServicesAmt
Management And General	$11,869	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$883,394	TotalAmt
Program Services	$822,550	ProgramServicesAmt
Management And General	$60,844	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,870,783	TotalAmt
Program Services	$10,122,054	ProgramServicesAmt
Management And General	$748,729	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,107,354	TotalAmt
Program Services	$3,960,704	ProgramServicesAmt
Management And General	$146,650	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT	-$136,984	-$136,984
MEDICAL SUPPLIES	$36,158,731	$36,158,731
DUES & FEES	$599,991	$177,861	$422,130
LICENSE & TAXES	$2,926,844	$2,704,953	$221,891

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$506,749	TotalAmt
Program Services	$6,732	ProgramServicesAmt
Management And General	$500,017	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$221,057,186	TotalAmt
Program Services	$192,669,641	ProgramServicesAmt
Management And General	$28,387,545	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,377	BOYAmt
EOY	$125,482	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$34,807,424	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,044,860	BOYAmt
EOY	$34,786,714	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$375,961	BOYAmt
EOY	$429,148	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,779,030	BOYAmt
EOY	$4,744,506	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,124,222	BOYAmt
EOY	$2,827,995	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$258,610,559	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$183,058,119	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$77,962,972	BOYAmt
EOY	$75,552,440	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$142,565,906	BOYAmt
EOY	$129,461,921	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,797,057	BOYAmt
EOY	$2,858,847	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,967,027	BOYAmt
EOY	$8,230,316	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$270,623,412	BOYAmt
EOY	$293,824,793	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$35,009,314	BOYAmt
EOY	$42,387,844	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$70,486	BOYAmt
EOY	$34,355	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,688,857	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$13,694,241	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,650,816	BOYAmt
EOY	$45,728,410	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$67,419,473	BOYAmt
EOY	$101,844,850	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	$203,203,939	BOYAmt
EOY	$191,979,943	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$203,203,939	BOYAmt
EOY	$191,979,943	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$270,623,412	BOYAmt
EOY	$293,824,793	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$10,442,626	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$781,370	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$4,432	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$33,816	OtherActivitiesAmt
Total Lobbying Expenditures	$38,248	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990, Schedule C, Part II-B, Line 1i	FormAndLineReferenceDesc
Explanation	LOBBYING 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 $33,816.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$113,473,142	OtherCostOrOtherBasisAmt
Depreciation	$85,465,928	DepreciationAmt
Book Value	$28,007,214	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,841,991	OtherCostOrOtherBasisAmt
Depreciation	$1,490,697	DepreciationAmt
Book Value	$351,294	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$126,896,673	OtherCostOrOtherBasisAmt
Depreciation	$96,101,494	DepreciationAmt
Book Value	$30,795,179	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,603,735	OtherCostOrOtherBasisAmt
Book Value	$9,603,735	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$75,552,440	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
457 Plan	$2,497,556
ADVANCES FROM 3RD PARTY PAYERS	$30,808,479
Capital Lease Obligation	$1,107,224
Line of Credit	$9,699,954
Due to Affiliates	$235,286
DEFERRED PAYROLL TAX	$1,379,911

Field	Value	IRS element (for citing)
Total Liability	$45,728,410	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	ASC 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

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	7579	PersonsServedCnt
Total Community Benefit Expns	$4,001,857	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,001,857	NetCommunityBenefitExpnsAmt
Total Expense	0.01830	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	14781	PersonsServedCnt
Total Community Benefit Expns	$34,672,530	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,787,109	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,885,421	NetCommunityBenefitExpnsAmt
Total Expense	0.04510	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	22360	PersonsServedCnt
Total Community Benefit Expns	$38,674,387	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,787,109	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,887,278	NetCommunityBenefitExpnsAmt
Total Expense	0.06340	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	625	PersonsServedCnt
Total Community Benefit Expns	$1,610	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,610	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$4,738,557	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,389,636	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,348,921	NetCommunityBenefitExpnsAmt
Total Expense	0.01070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$35,316,732	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,058,553	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,258,179	NetCommunityBenefitExpnsAmt
Total Expense	0.01940	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$342,587	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$253,276	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,311	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	625	PersonsServedCnt
Total Community Benefit Expns	$40,399,486	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,701,465	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,698,021	NetCommunityBenefitExpnsAmt
Total Expense	0.03050	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	22985	PersonsServedCnt
Total Community Benefit Expns	$79,073,873	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,488,574	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,585,299	NetCommunityBenefitExpnsAmt
Total Expense	0.09390	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	1721	PersonsServedCnt
Total Community Benefit Expns	$14,565	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,565	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	1721	PersonsServedCnt
Total Community Benefit Expns	$14,565	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,565	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,576,313	BadDebtExpenseAmt
Reimbursed By Medicare	$59,719,907	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$51,728,513	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$7,991,394	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 W 40TH AVENUE	AddressLine1Txt
City	PINE BLUFF	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	71603	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.JRMC.ORG	WebsiteAddressTxt
State License	AR4213	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	CONSULTING 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 11	NEEDS 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 & 10	CHNA 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 & 16C	FINANCIAL 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

Field	Value	IRS element (for citing)
Facility	22	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
HEALTHWORKS
4747 DUSTY LAKE DR STE 101	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
PINE BLUFF SPECIALTY CLINIC
1601 W 40TH AVE SUITE 301	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
CARDIOLOGY ASSOCIATES
1601 W 40TH AVE SUITE 301	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
ENDOCRINOLOGY OF SOUTH ARKANSAS
7500 DOLLARWAY RD	WHITE HALL	AR	71603	PHYSICIAN CLINIC
SOUTH ARKANSAS ORTHOPEADICS CENTER
1609 W 40TH AVE SUITE 501	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
OBGYN ASSOCIATES OF S AR
1609 W 40TH AVE STE 201	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
SURGICAL ASSOCIATES OF SOUTHEAST AR
1609 W 40TH AVE SUITE 403	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
FAMILY HEALTH ASSOC OF SOUTH ARKANSAS
4747 DUSTY LAKE DRIVE	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
GI ASSOC OF SOUTH ARKANSAS
1609 W 40TH AVE SUITE 202	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
PAIN SPECIALISTS OF SOUTH ARKANSAS
1609 W 40TH AVE SUITE 312	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
Jefferson Regional Neurology Clinic
1609 W 40TH AVE SUITE 207	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
CHILDREN'S CLINIC OF SOUTH ARKANSAS
1420 W 43RD AVE	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
I-530 IMAGING
4747 DUSTY LAKE DR	PINE BLUFF	AR	71603	OP IMAGING
JRMC OUTPATIENT PHYSICAL THERAPY
1600 W HOLLAND AVE	WHITE HALL	AR	71602	OP THERAPY
JRMC URGENT CARE CENTER
4201 S MULBERRY ST	PINE BLUFF	AR	71603	WALK-IN CLINIC
SURGICAL ASSOCIATES OF SOUTHEAST AR
1801 W 40TH AVE STE 7	PINE BLUFF	AR	76103	PHYSICIAN CLINIC
OBGYN ASSOCIATES OF SOUTH AR
1609 W 40TH AVE STE 402	PINE BLUFF	AR	76103	PHYSICIAN CLINIC
JEFFERSON REGIONAL CANCER CENTER
1609 W 40TH AVE STE 205	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
OBGYN ASSOCIATES OF SOUTH AR
1609 W 40TH AVE STE 204	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
FAMILY HEALTH ASSOC OF SOUTH ARKANSAS
1801 W 40TH AVE STE 6A	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
FAMILY HEALTH ASSOC OF SOUTH ARKANSAS
1600 W HOLLAND STE 202	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
JEFFERSON REGIONAL CANCER CENTER
4310 S MULBERRY ST	PINE BLUFF	AR	71603	PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2	PROVISION 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, 2020. 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 3	BAD 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 4	BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO THE ADOPTION OF ASU TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.
SCHEDULE H, PART III, SECTION B, LINE 8	COSTING 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 9B	COLLECTIONS 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 2	Needs Assessment: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A
SCHEDULE H, PART VI, LINE 3	PATIENT 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 4	COMMUNITY INFORMATION: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: THIS IS NOT APPLICABLE FOR FISCAL YEAR 2020.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: NO COMMUNITY BENEFIT REPORT WAS FILED WITH THE STATE FOR FISCAL YEAR 2020.
SCHEDULE H, PART I, LINE 3C	FACTORS 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 II	COMMUNITY 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 7	COSTING 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 7G	SUBSIDIZED 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

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
UNITED WAY OF SOUTH EAST ARKANSAS
PO BOX 8702	PINE BLUFF	AR	71603	710236869	501(C)(3)	$26,250	2019 CAMPAIGN PLEDGE
AR HOSPITAL EDUCATION & RESEARCH TRUST
419 NATURAL RESOURCES DR	LITTLE ROCK	AR	72205	710392458	501(C)(3)	$17,608	2019 AHERT DONATION
PINE BLUFF COUNTRY CLUB
PO BOX 6809	PINE BLUFF	AR	71603	710141610	501(C)(7)	$7,000	IRRIGATION SYSTEM & EVENT SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
FEDERAL PELL GRANTS	49	$177,337
WIA ADULT PROGRAM GRANTS	8	$26,991
STATE GO GRANTS	3	$10,500
STATE OF AR - REHABILITATION	9	$16,574
JSN SCHOLARSHIPS	10	$8,250
Academic Challenge	10	$13,625
State of AR - DCWP	928	$1,966,152

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE I, PART I, LINE 2

PROCEDURES 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 & III

DIFFERENCE 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

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	false	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

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
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 ATKINSON - 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
A KLINE - 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
A SANDERS - SEE SCH O
$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
H TROTTER III - SEE SCH O
$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
C MORGAN - SEE SCH O

G MARKIS - SEE SCH O

P AUSTIN - SEE SCH O
$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
L HICKMAN - SEE SCH O
$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
B JACKSON - SEE SCH O
$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
B THOMAS - SEE SCH O
$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
M ALI - 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
R BURRELL - SEE SCH O
$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
J JEFFERY - SEE SCH O
$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
T HARBUCK - SEE SCH O
$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
W JOHNSON - 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
A POLLARD - SEE SCH O
$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	DESCRIPTION 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 1B	WRITTEN 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 7	NON-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 4A	SEVERANCE PAYMENTS: Mr. Harbuck and Mr. Johnson received severance payments in accordance with the terms of employment agreements between them and the Association. THOMAS HARBUCK $102,981 WALTER JOHNSON $178,063
SCHEDULE J, PART I, LINE 4B	PARTICIPANTS IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP PLAN REPORTED IN W-2 DEFERRED COMPENSATION --------------------------- ----------------- ---------------------- LOUISE HICKMAN $ 78,576 $NONE BRIAN THOMAS $ 99,019 $NONE BRYAN G. JACKSON $ 74,922 $NONE PETER AUSTIN $ NONE $51,774 Jeremy Jeffery $ NONE $30,967

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Eckert Michelle MD PA
See Supplemental Info	See Supplemental Info	false
Dr Joann Mays PLLC
SEE SUPPLEMENTAL INFO	SEE SUPPLEMENTAL INFO	false
MICHAEL ACOSTA
SEE SUPPLEMENTAL INFO	SEE SUPPLEMENTAL INFO	false
ELIZABETH BRIDGFORTH HARTZ
SEE SUPPLEMENTAL INFO	SEE SUPPLEMENTAL INFO	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE L, PART IV, COLUMNS B, C, & D	FormAndLineReferenceDesc
Explanation	(A) NAME OF PERSON: Eckert, Michelle MD PA (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: Michelle Eckert (JHA DIRECTOR) IS the OWNER OF the PA. (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $100,000 (D) DESCRIPTION OF TRANSACTION: CONTRACTED PHYSICIAN SERVICES (A) NAME OF PERSON: Dr. Joann Mays PLLC (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JOANN MAYS (JHA DIRECTOR) IS the OWNER OF the PLLC. (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $100,000 (D) DESCRIPTION OF TRANSACTION: CONTRACTED PEDIATRIC SERVICES (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 JRMC	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS: CONTINUED FROM PART III... Jefferson Regional's governing board is comprised of individuals who are Local business leaders, community leaders, and health care providers. Approximately 65 percent of Jefferson Regional's patients originate from the primary service area (Jefferson, Cleveland and Lincoln counties) with 35 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, orthopedics, 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. Our commitment to bring innovative programs and services to southeast Arkansas is evident. During fiscal year 2020, Jefferson Regional invested $7.6 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 1A	DELEGATION 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 2	RELATIONSHIPS OF OFFICERS, DIRECTORS, AND TRUSTEES: H. Ford Trotter (JHA Director) and David Brown (JHA Director) have a business relationship. Annette Kline (JHA Chair) and Scott Pittillo (JHA Vice chair) have a business relationship. Janice Acosta (JHA Director) and Scott Pittillo (JHA VICE CHAIR) have a business relationship. Annette Kline (JHA Chair) and Janice Acosta (JHA Director) have a business relationship. Archie Sanders (JHA Director) and Scott Pittillo (JHA Vice Chair) have a business relationship. Archie Sanders (JHA Director) and Annette Kline (JHA Chair) have a business relationship. Archie Sanders (JHA Director) and Janice Acosta (JHA Director) have a business relationship.
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS OR STOCKHOLDERS: THE ORGANIZATION HAS A MEMBERSHIP CONSISTING OF 30 JEFFERSON COUNTY ARKANSAS RESIDENTS.
FORM 990, PART VI, SECTION A, LINE 7A	POWER 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 11B	PROCESS 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 12C	PROCESS 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 & 15B	COMPENSATION 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 19	AVAILABILITY 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 II	COMPENSATION 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 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:15565222
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR TOTAL FEES:2685291
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:16654760
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:2475692
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:7716447

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
JEFFERSON REGIONAL ANESTHESIA
1600 W 40TH AVE	PINE BLUFF	AR	71603	831984365	ANESTHESIA	AR	$2,452,721	$3,720,526	JHA
ARKANSAS RURAL HEALTH PARTNERSHIP CIN
1600 W 40TH AVE	PINE BLUFF	AR	71603	830694507	POP HEALTH	AR	$208,563	$347,424	JHA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON REGIONAL MED CENTER FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 W 40TH AVE	AddressLine1Txt
City	PINE BLUFF	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	71603	ZIPCd

Field	Value	IRS element (for citing)
EIN	821820277	EIN
Primary Activities	SUPPORT	PrimaryActivitiesTxt
Legal Domicile State	AR	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	12, TYPE I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JHA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
JEFFERSON MANAGEMENT SERVICES INC
1600 W 40TH AVE	PINE BLUFF	AR	71603	710582753	PHYS PRACTICE MGM	AR	JHA	C-CORPORATION	$0	$690,247	1.00000	Yes (true)
JHA HEALTH AFFILIATES INC
1600 W 40TH AVE	PINE BLUFF	AR	71603	710766959	REAL EST RENTAL	AR	JHA	C-CORPORATION	$0	$671,099	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
JEFFERSON MANAGEMENT SERVICES INC
L	$182,547	G/L ACTIVITY
JEFFERSON MANAGEMENT SERVICES INC
S	$225,000	G/L ACTIVITY
JEFFERSON REGIONAL MED CENTER FOUNDATION
L	$294,023	G/L ACTIVITY