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JEFFERSON HOSPITAL ASSN INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
JEFFERSON HOSPITAL ASSN INC (EIN 71-0329353)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201811359349304131
Schema version
2016v3.1
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)
Return2018-05-15T11:35:44-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

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 Begin2016-07-01TaxPeriodBeginDt

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% BRYAN G JACKSONInCareOfNm
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)
PersonBRYAN G JACKSONPersonNm
Person TitleSVP AND CFOPersonTitleTxt
Phone8705417100PhoneNum
Signature2018-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeanette VerrelliPreparerPersonNm
PTINP00742631PTIN
Phone9727028262PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
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$196,944,074GrossReceiptsAmt
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 Independent6VotingMembersIndependentCnt
Total Employee2092TotalEmployeeCnt
Total Volunteers33TotalVolunteersCnt
Total Gross UBI$10,446TotalGrossUBIAmt
PY Contributions Grants$649,602PYContributionsGrantsAmt
CY Contributions Grants$660,031CYContributionsGrantsAmt
PY Program Service Revenue$168,322,763PYProgramServiceRevenueAmt
CY Program Service Revenue$180,638,693CYProgramServiceRevenueAmt
PY Investment Income$3,119,177PYInvestmentIncomeAmt
CY Investment Income$3,217,709CYInvestmentIncomeAmt
PY Other Revenue$5,805,137PYOtherRevenueAmt
CY Other Revenue$2,540,237CYOtherRevenueAmt
PY Total Revenue$177,896,679PYTotalRevenueAmt
CY Total Revenue$187,056,670CYTotalRevenueAmt
PY Grants And Similar Paid$415,436PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$395,039CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$83,412,916PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$90,771,950CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$83,502,464PYOtherExpensesAmt
CY Other Expenses$95,599,431CYOtherExpensesAmt
PY Total Expenses$167,330,816PYTotalExpensesAmt
CY Total Expenses$186,766,420CYTotalExpensesAmt
PY Revenues Less Expenses$10,565,863PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$290,250CYRevenuesLessExpensesAmt
Total Assets BOY$253,030,505TotalAssetsBOYAmt
Total Assets EOY$270,326,800TotalAssetsEOYAmt
Total Liabilities BOY$58,539,133TotalLiabilitiesBOYAmt
Total Liabilities EOY$63,681,967TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$194,491,372NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$206,644,833NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionJEFFERSON REGIONAL MEDICAL CENTER IS COMMITTED TO PROVIDING MEASURABLE QUALITY HEALTH SERVICES IN A CARING ENVIRONMENT, WHICH FULFILL THE NEEDS OF OUR PATIENTS, PHYSICIANS, EMPLOYERS, EMPLOYEES AND COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$164,814,686ExpenseAmt
Grant$395,039GrantAmt
Revenue$182,186,183RevenueAmt
DescJEFFERSON HOSPITAL ASSOCIATION, INC. (JHA) OPERATES JEFFERSON REGIONAL MEDICAL CENTER (JRMC), A TERTIARY CARE FACILITY WITH 471 LICENSED BEDS AND 258 STAFFED BEDS LOCATED IN SOUTHEAST ARKANSAS THAT SERVES A POPULATION BASE OF 209,000 PEOPLE LIVING IN 11 COUNTIES. JRMC IS A NOT-FOR-PROFIT, SOLE COMMUNITY HOSPITAL, LICENSED BY THE ARKANSAS STATE HEALTH DEPARTMENT. SEE SCHEDULE O FOR MORE INFORMATION.Desc
Total Program Service Expenses$164,814,686TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
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 Document273IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2092EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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 FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRYAN G JACKSONPersonNm
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 CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
F ANTHONY - SEE SCH O
DIRECTOR1.00.0Yes (X)$0$0$0
D ATKINSON - SEE SCH O
SECRETARY1.00.0Yes (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
DIRECTOR1.00.0Yes (X)$0$0$0
A KLINE - SEE SCH O
VICE-CHAIRMAN1.00.0Yes (X)$0$0$0Yes (X)
G MAKRIS - SEE SCH O
DIRECTOR1.00.0Yes (X)$0$0$0
JB MAYS - SEE SCH O
DIRECTOR1.00.0Yes (X)$0$0$0
C MORGAN - SEE SCH O
CHAIRMAN1.00.0Yes (X)$0$0$0Yes (X)
S PITTILLO - SEE SCH O
TREASURER1.00.0Yes (X)$0$0$0Yes (X)
C ROAF - SEE SCH O
DIRECTOR1.00.0Yes (X)$0$0$0
H TROTTER III - SEE SCH O
DIRECTOR1.00.0Yes (X)$0$0$0
B THOMAS - SEE SCH O
PRESIDENT/CEO1.00.0$0$0$0Yes (X)
L HICKMAN - SEE SCH O
VP/CNO40.00.0$0$0$0Yes (X)
B JACKSON - SEE SCH O
VP/CFO40.00.0$0$0$0Yes (X)
T HARBUCK - SEE SCH O
FORMER EXECUTIVE VP0.00.0$0$0$0Yes (X)
W JOHNSON - SEE SCH O
FORMER DIRECTOR/PRES/CEO0.00.0$0$0$0Yes (X)
R BURRELL - SEE SCH O
PHYSICIAN40.00.0$0$0$0Yes (X)
R GALLAHER - SEE SCH O
PHYSICIAN40.00.0$0$0$0Yes (X)
R PIERCE - SEE SCH O
PHYSICIAN/VP/CMO40.00.0$0$0$0Yes (X)
JA POLLARD - SEE SCH O
PHYSICIAN40.00.0$0$0$0Yes (X)
N WILLIS - 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 K84IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
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 LOUISMO63150REHAB SERVICE$3,204,461
SODEXO INC AFFILIATES
PO BOX 536922ATLANTAGA30353NUTRITIONAL SVCS$2,522,528
PREMIER ANESTHESIA LLC
2655 NORTHWINDS PKWYATLANTAGA30009ANESTHESIA SVCS$2,344,072
SE AR HOSPITALISTS LLP
PO BOX 677979DALLASTX75267HOSPITALIST SVCS$2,326,000
MEDTRONIC CARDIAC DIV
PO BOX 848086DALLASTX75284CARDIAC SVCS$1,752,596
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K43CntrctRcvdGreaterThan100KCnt
Government Grants$445,102GovernmentGrantsAmt
All Other Contributions$214,929AllOtherContributionsAmt
Total Contributions$660,031TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621400$177,729,982$177,729,982
EHR INCENTIVE REVENUE900099$57,876$57,876
JOINT VENTURE INCOME621500$1,099,372$1,091,326$8,046
MEDICAL OFFICE RENTAL531120$1,751,463$1,751,463
FieldValueIRS element (for citing)
Total Program Service Revenue$180,638,693TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,347,760TotalRevenueColumnAmt
Exclusion$3,347,760ExclusionAmt

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$15,579RealAmt
Personal$2,400PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$15,579RealAmt
Personal$2,400PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,979TotalRevenueColumnAmt
Unrelated Business Revenue$2,400UnrelatedBusinessRevenueAmt
Exclusion$15,579ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,354,486SecuritiesAmt
Other$358,034OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$9,348,290SecuritiesAmt
Other$494,281OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,196SecuritiesAmt
Other-$136,247OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$130,051TotalRevenueColumnAmt
Exclusion-$130,051ExclusionAmt
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$380,529GrossSalesOfInventoryAmt
Cost Of Goods Sold$44,833CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$335,696TotalRevenueColumnAmt
Related Or Exempt Func Income$335,696RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Pathology/Outside Lab Billing900099$36,010$36,010
CAFETERIA722320$966,722$966,722
WELLNESS CENTER713940$797,101$797,101

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$386,729TotalRevenueColumnAmt
Related Or Exempt Func Income$386,729RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,186,562OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$187,056,670TotalRevenueColumnAmt
Related Or Exempt Func Income$182,186,183RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$10,446UnrelatedBusinessRevenueAmt
Exclusion$4,200,010ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$94,294TotalAmt
Program Services$94,294ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$300,745TotalAmt
Program Services$300,745ProgramServicesAmt

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$2,067,700TotalAmt
Program Services$611,240ProgramServicesAmt
Management And General$1,456,460ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,299,017TotalAmt
Program Services$56,340ProgramServicesAmt
Management And General$1,242,677ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$74,290,758TotalAmt
Program Services$67,882,108ProgramServicesAmt
Management And General$6,408,650ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,001,229TotalAmt
Program Services$1,663,510ProgramServicesAmt
Management And General$337,719ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,813,190TotalAmt
Program Services$4,766,576ProgramServicesAmt
Management And General$1,046,614ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,300,056TotalAmt
Program Services$4,381,026ProgramServicesAmt
Management And General$919,030ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,897,840TotalAmt
Program Services$3,644,189ProgramServicesAmt
Management And General$253,651ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$324,196TotalAmt
Program Services$217,667ProgramServicesAmt
Management And General$106,529ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$251,144TotalAmt
Management And General$251,144ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$44,766TotalAmt
Management And General$44,766ManagementAndGeneralAmt

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$37,080,895TotalAmt
Program Services$31,332,708ProgramServicesAmt
Management And General$5,748,187ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$353,241TotalAmt
Program Services$31,740ProgramServicesAmt
Management And General$321,501ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,703,098TotalAmt
Program Services$5,019,026ProgramServicesAmt
Management And General$684,072ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,594,646TotalAmt
Program Services$1,270,614ProgramServicesAmt
Management And General$324,032ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,646,078TotalAmt
Program Services$2,744,632ProgramServicesAmt
Management And General$901,446ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$280,460TotalAmt
Program Services$188,620ProgramServicesAmt
Management And General$91,840ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$125,108TotalAmt
Program Services$103,402ProgramServicesAmt
Management And General$21,706ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$852,746TotalAmt
Program Services$792,769ProgramServicesAmt
Management And General$59,977ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,929,960TotalAmt
Program Services$8,301,882ProgramServicesAmt
Management And General$628,078ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,884,202TotalAmt
Program Services$1,767,407ProgramServicesAmt
Management And General$116,795ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$420,374$420,374
MEDICAL SUPPLIES$26,123,701$26,123,701
DUES & FEES$594,242$182,098$412,144
LICENSE & TAXES$3,347,101$2,912,811$434,290

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$145,633TotalAmt
Program Services$5,207ProgramServicesAmt
Management And General$140,426ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$186,766,420TotalAmt
Program Services$164,814,686ProgramServicesAmt
Management And General$21,951,734ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$195,491BOYAmt
EOY-$444,527EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,630,884BOYAmt
EOY$4,686,478EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,344,148BOYAmt
EOY$27,815,850EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$22,856BOYAmt
EOY$12,856EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,143,791BOYAmt
EOY$648,089EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,607,930BOYAmt
EOY$3,701,879EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,610,105BOYAmt
EOY$2,477,968EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$242,723,824LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$176,933,910LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$63,664,930BOYAmt
EOY$65,789,914EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$138,521,767BOYAmt
EOY$155,548,722EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,704,767BOYAmt
EOY$3,756,942EOYAmt

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$6,583,836BOYAmt
EOY$6,332,629EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$253,030,505BOYAmt
EOY$270,326,800EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$35,614,844BOYAmt
EOY$40,481,727EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$993,276BOYAmt
EOY$635,085EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,553,573BOYAmt
EOY$19,232,719EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,377,440BOYAmt
EOY$3,332,436EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$58,539,133BOYAmt
EOY$63,681,967EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$194,491,372BOYAmt
EOY$206,644,833EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$194,491,372BOYAmt
EOY$206,644,833EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$253,030,505BOYAmt
EOY$270,326,800EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$290,250ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$11,799,641NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$308,868DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets-$245,298OtherChangesInNetAssetsAmt
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 RequiredfalseFederalGrantAuditRequiredInd

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 LegislatorsYes (true)DirectContactLegislatorsInd
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$13,226RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$31,540OtherActivitiesAmt
Total Lobbying Expenditures$44,766TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES: As part of the efforts to promote the Go Forward Pine Bluff campaign (city-wide campaign sponsored by various business and non-profit organizations to increase the local sales tax), members of JRMCs marketing staff had occasional contact with legislators. JRMC marketing employees also participated in rallies and other activities (periodic campaign leadership meetings and creation of promotional materials) whose purpose was to promote the passage of the sales tax increase. Additionally, JRMC contributed to organizations that undertook lobbying activities during the year. JRMC estimates the total amount of dues used for lobbying activities at $31,540.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$6,920,676OtherCostOrOtherBasisAmt
Book Value$6,920,676BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$111,687,891OtherCostOrOtherBasisAmt
Depreciation$80,602,949DepreciationAmt
Book Value$31,084,942BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,829,310OtherCostOrOtherBasisAmt
Depreciation$1,520,905DepreciationAmt
Book Value$308,405BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$116,102,440OtherCostOrOtherBasisAmt
Depreciation$94,810,056DepreciationAmt
Book Value$21,292,384BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,183,507OtherCostOrOtherBasisAmt
Book Value$6,183,507BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$65,789,914TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
457 PLAN$1,664,205
Capital Lease Obligation$1,668,231
FieldValueIRS element (for citing)
Total Liability$3,332,436TotalLiabilityAmt

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 BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served7827PersonsServedCnt
Total Community Benefit Expns$2,758,785TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,758,785NetCommunityBenefitExpnsAmt
Total Expense0.01480TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served12386PersonsServedCnt
Total Community Benefit Expns$10,506,526TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,506,526NetCommunityBenefitExpnsAmt
Total Expense0.05630TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served20213PersonsServedCnt
Total Community Benefit Expns$13,265,311TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,265,311NetCommunityBenefitExpnsAmt
Total Expense0.07110TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs33ActivitiesOrProgramsCnt
Persons Served18149PersonsServedCnt
Total Community Benefit Expns$127,263TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,704DirectOffsettingRevenueAmt
Net Community Benefit Expns$50,559NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs25ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,274,069TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,822,861DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,451,208NetCommunityBenefitExpnsAmt
Total Expense0.01310TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Total Community Benefit Expns$8,460,382TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,184,390DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,275,992NetCommunityBenefitExpnsAmt
Total Expense0.01750TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$395,039TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$299,995DirectOffsettingRevenueAmt
Net Community Benefit Expns$95,044NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs62ActivitiesOrProgramsCnt
Persons Served18149PersonsServedCnt
Total Community Benefit Expns$14,256,753TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,383,950DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,872,803NetCommunityBenefitExpnsAmt
Total Expense0.03140TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs62ActivitiesOrProgramsCnt
Persons Served38362PersonsServedCnt
Total Community Benefit Expns$27,522,064TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,383,950DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,138,114NetCommunityBenefitExpnsAmt
Total Expense0.10250TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs71ActivitiesOrProgramsCnt
Persons Served95891PersonsServedCnt
Total Community Benefit Expns$129,980TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$129,980NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs71ActivitiesOrProgramsCnt
Persons Served95891PersonsServedCnt
Total Community Benefit Expns$129,980TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$129,980NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,717,688BadDebtExpenseAmt
Reimbursed By Medicare$60,939,223ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$56,330,579CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$4,608,644MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
JEFFERSON SURGERY
AMBULATORY SURGERY CENTER0.7150.070.215
CENTER PLLC
FieldValueIRS element (for citing)
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
CHNA Conducted15CHNAConductedYr
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 Adpt16ImplementationStrategyAdptYr
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
Explained BasisfalseExplainedBasisInd
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
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5CONSULTING REPRESENTATIVES OF THE COMMUNITY: THE PREVIOUS JRMC CHNA (CONDUCTED IN 2013) INCLUDED EXTENSIVE INPUT FROM NUMEROUS REPRESENTATIVES OF THE COMMUNITY AS OUTLINED IN IRS NOTICE 2011-52. THAT INPUT REMAINED RELEVANT FOR THE CURRENT TAX REPORTING PERIOD; THEREFORE ADDITIONAL INPUT WAS NOT SOLICITED. INSTEAD, THE ORIGINAL NEEDS IDENTIFIED IN THE PREVIOUS ASSESSMENT WERE RE-EVALUATED BY JRMC SENIOR MANAGEMENT, REPRIORITIZED, AND UPDATED WITH ONE ADDITIONAL NEED. THE EARLIER CHNA CONSIDERED INPUT FROM ALL THREE GROUPS OUTLINED IN IRS NOTICE 2011-52. THE HOSPITAL CONSULTED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: THE CENTER FOR BUSINESS AND ECONOMIC RESEARCH, SAM M. WALTON COLLEGE OF BUSINESS, UNIVERSITY OF ARKANSAS; THE ARKANSAS DEPARTMENT OF HEALTH; AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. THE HOSPITAL ALSO ENGAGED FIVE FOCUS GROUPS WITH BUSINESS AND COMMUNITY LEADERS, HEALTH CARE CONSUMERS, SOUTHEAST ARKANSAS COMMUNITY MEMBERS, AND PHYSICIANS FROM ITS PRIMARY AND SECONDARY SERVICE AREAS. THERE WERE OVER 160 INDIVIDUALS CONSULTED.
SCHEDULE H, PART V, SECTION B, LINE 11NEEDS ADDRESSED AND NOT ADDRESSED: THE ORGANIZATION IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2013 CHNA THROUGH THE CONTINUED EXECUTION OF ITS CHNA IMPLEMENTATION STRATEGY THAT WAS UPDATED IN NOVEMBER OF 2016. ONE COMMUNITY HEALTH NEED IDENTIFIED IN THE CHNA WAS DETERMINED TO BE OUTSIDE THE SCOPE OF THE ORGANIZATION. OTHER ORGANIZATIONS, INCLUDING THE ARKANSAS DEPARTMENT OF HEALTH, SCHOOLS AND OTHER HEALTHCARE ORGANIZATIONS HAVE TAKEN ON THE RESPONSIBILITY OF EDUCATION AND PREVENTION OF SEXUALLY TRANSMITTED DISEASES IN THE YOUTH OF THE COMMUNITY. 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: http://www.jrmc.org/about-jrmc/community-health-needs-assessment-a
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: http://www.jrmc.org/patients/billinginsurance-services/jrmc-financial-assi stance
SCHEDULE H, PART V, SECTION B, LINE 22DFINANCIAL ASSISTANCE POLICY ELIGIBILITY: AMOUNTS CHARGED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ARE DETERMINED BASED ON A SLIDING-SCALE THAT CONSIDERS INCOME AS COMPARED TO FEDERAL POVERTY GUIDELINES.
SCHEDULE H, PART V, SECTION BCOMPLIANCE WITH 501R: During a compliance review of the organizations Financial Assistance Policy in fiscal year 2017, management identified inadvertent omissions from the FAP, which resulted in non-compliance with 501r regulations. The following items were not included in the FAP: - DESCRIPTION OF THE METHOD TO CALCULATE THE AMOUNTS GENERALLY BILLED TO PATIENTS - A LIST OF PROVIDERS OR A DESCRIPTION OF THE DEPARTMENTS DELIVERING EMERGENCY OR MEDICALLY NECESSARY CARE COVERED OR NOT COVERED BY THE FAP - BASIS FOR CALCULATING THE AMOUNTS CHARGED TO PATIENTS In addition, a review of the Plain Language Summary of the FAP identified minor technical omissions that need to be corrected. Management is taking action to correct these oversights in order to be in full compliance with all 501r regulations.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
HEALTH CARE PLUS
209 N BLAKEPINE 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 RDWHITE HALAR71603PHYSICIAN CLINIC
SOUTH ARKANSAS ORTHOPEADICS CENTER
1609 W 40TH AVE SUITE 501PINE BLUFFAR71603PHYSICIAN CLINIC
NEUROSURGERY ASSOCIATES OF SOUTHEAST AR
1609 W 40TH AVE SUITE 501PINE BLUFFAR71603PHYSICIAN CLINIC
OBGYN ASSOCIATES OF S AR
1801 W 40TH AVEPINE BLUFFAR71603PHYSICIAN CLINIC
SURGICAL ASSOCIATES OF SOUTHEAST AR
1609 W 40TH AVEPINE BLUFFAR71603PHYSICIAN CLINIC
FAMILY HEALTH ASSOC OF SOUTH ARKANSAS
4747 DUSTY LAKE DRIVEPINE BLUFFAR71603PHYSICIAN CLINIC
GI ASSOC OF SOUTH ARKANSAS
1609 W 40TH AVE STE 312PINE BLUFFAR71603PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2PROVISION FOR UNCOLLECTIBLE ACCOUNTS METHODOLOGY: THE AMOUNT REPORTED ON LINE 2 IS BASED ON THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS PER THE AUDITED FINANCIAL STATEMENTS.
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 charity as well. Management doesnt 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: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE ASSOCIATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ASSOCIATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ASSOCIATION RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR THE YEARS ENDED JUNE 30, 2017 AND 2016, THERE WERE NO SIGNIFICANT CHANGES IN THE UNDERLYING ASSUMPTIONS USED IN ESTIMATING THE ALLOWANCE FOR UNCOLLECTIBLE AND CHARITY ACCOUNTS OR IN THE POLICIES REGARDING UNCOLLECTIBLE ACCOUNTS FOR CHARITY CARE.
SCHEDULE H, PART III, SECTION B, LINE 8COSTING METHODOLOGY: THE ORGANIZATION MAINTAINS A COST ACCOUNTING SYSTEM THAT COMPUTES COSTS AT THE PATIENT LEVEL. THE COSTING METHODOLOGIES ARE APPLIED TO THE ORGANIZATION'S MEDICARE PATIENTS TO DETER THE COST OF PROVIDING CARE. 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 CHARITY CARE WOULD NOT INTENTIONALLY BE PLACED WITH A DEBT COLLECTION SERVICE. FROM TIME TO TIME, INFORMATION THAT RESULTS IN THE DETERMINATION OF CHARITY 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 CHARITY CARE ASSISTANCE, 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 TAX YEAR 2016
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT: THE REPORT HAS NOT BEEN FILED WITH THE STATE.
SCHEDULE H, PART II, LINES 1 - 10COMMUNITY 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 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

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
CITY OF WHITE HALL
PO BOX 20100WHITE HALLAR71612710386836GOVT$8,000CRENSHAW SPRINGS POOL USE
ARTS & SCIENCES CENTER
701 MAIN STPINE BLUFFAR71601710401966501(C)(3)$6,000PLAYBILL & POTPOURRI & BENEFACTOR SPONSORSHIPS AND
AR AFFILIATE OF SUSAN G KOMEN
904 AUTUMN STLITTLE ROCKAR72211710724439501(C)(3)$7,000SPONSORSHIP RACE FOR CURE
PINE BLUFF COUNTRY CLUB
PO BOX 6809PINE BLUFFAR71611710141610501(C)(7)$5,300HALL OF FAME SPONSORSHIP
UNITED WAY OF SE ARKANSAS
PO BOX 8702PINE BLUFFAR71611710236869501(C)(3)$35,0002016 CAMPAIGN PLEDGE
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
FEDERAL PELL GRANTS (US DEPT OF ED)56$223,595
WIA ADULT PROGRAM GRANTS (US DEPT OF LABOR)18$55,688

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, LINE 1 & SCHEDULE I, PART II, LINE 1DIFFERENCE 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, PAGE 10 AND SCHEDULE I, PART II.

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 PaymentYes (true)SeverancePaymentInd
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 (23 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 OrgsTotalCompensationRltdOrgsAmt
F ANTHONY - SEE SCH O
$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
D BROWN - SEE SCH O
$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
J A CAMPBELL - SEE SCH O
$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
M ECKERT - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0
R GALLAHER - SEE SCH O
$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
L HICKMAN - SEE SCH O
$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
W JOHNSON - SEE SCH O
$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
G MAKRIS - SEE SCH O
$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
C MORGAN - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0
R PIERCE - SEE SCH O
$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
JA POLLARD - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0
C ROAF - SEE SCH O
$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
HF TROTTER - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0
N WILLIS - SEE SCH O
$0$0$0$0$0$0$0$0$0$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 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 4ASEVERANCE PAYMENTS: THOMAS HARBUCK $300,215 WALTER JOHNSON $333,571
SCHEDULE J, PART I, LINE 4BPARTICIPANTS IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP PLAN REPORTED IN W-2 DEFERRED COMPENSATION --------------------------- ----------------- ---------------------- WALTER JOHNSON $ 142,400 $NONE THOMAS HARBUCK $ 120,166 $NONE LOUISE HICKMAN $ 69,595 $NONE BRIAN THOMAS $ 82,538 $NONE BRYAN G. JACKSON $ 98,112 $NONE
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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1JEFFERSON COUNTY ARBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN716009958BondIssuerEIN
CUSIP472705SP6CUSIPNum
Bond Issued2011-12-15BondIssuedDt
Issue Price$26,013,416IssuePriceAmt
PurposeREFUND 2001 BONDSPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,450,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$26,013,416TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$25,395,168RefundingEscrowAmt
Issuance Costs From Proceeds$372,172IssuanceCostsFromProceedsAmt
Credit Enhancement$246,076CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2012SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Hedge Provider Name HedgeProviderName

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

GIC Provider Name GICProviderName

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART IV, LINE 2CFormAndLineReferenceDesc
ExplanationARBITRAGE REBATE COMPUTATION: THE COMPUTATION TO DETERMINE THERE IS NO REBATE CURRENTLY DUE WAS PERFORMED DECEMBER 1, 2016.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonCHILDREN'S CLINIC PAPersonNm
Relationship With OrgJHA DIRECTOR OWNERRelationshipWithOrgTxt
Loan PurposeDHS ENROLLMENTLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$32,856OriginalPrincipalAmt
Balance Due$12,856BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalfalseBoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$12,856TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
REBECCA PITTILLO
SEE SUPPLEMENTAL INFOSEE SUPPLEMENTAL INFOfalse
MARY VIRGINIA MAKRIS
SEE SUPPLEMENTAL INFOSEE SUPPLEMENTAL INFOfalse
SIMMONS BANK
SEE SUPPLEMENTAL INFOSEE SUPPLEMENTAL INFOfalse
CHILDREN'S CLINIC PA
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: REBECCA PITTILLO (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF SCOTT PITTILLO (JHA DIRECTOR) (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $10,000 (D) DESCRIPTION OF TRANSACTION: EMPLOYEE OF JRMC (A) NAME OF PERSON: MARY VIRGINIA MAKRIS (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF GEORGE MAKRIS (JHA DIRECTOR) (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $10,000 (D) DESCRIPTION OF TRANSACTION: EMPLOYEE OF JRMC (A) NAME OF PERSON: SIMMONS BANK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MAKRIS, CASTEEL, ROAF, AND TROTTER ARE OFFICERS AND/OR DIRECTORS. (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $100,000 (D) DESCRIPTION OF TRANSACTION: BANKING SERVICES (A) NAME OF PERSON: CHILDREN'S CLINIC PA (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JOANN MAYS (JHA DIRECTOR) IS A MEMBER/OWNER OF CHILDREN'S CLINIC PA. (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $100,000 (D) DESCRIPTION OF TRANSACTION: PEDIATRIC SERVICESExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4APROGRAM SERVICE ACCOMPLISHMENTS: CONTINUED FROM PART III... JRMC HAS A LONG TRADITION OF PROVIDING SIGNIFICANT BENEFITS TO OUR COMMUNITY WHICH IS ROOTED IN OUR MISSION, "TO PROVIDE MEASURABLE QUALITY HEALTH SERVICES IN A CARING ENVIRONMENT WHICH FULFILL THE NEEDS OF OUR PATIENTS, PHYSICIANS, EMPLOYERS, EMPLOYEES AND COMMUNITYVISION, "TO BE WIDELY RECOGNIZED AS THE HEALTH CARE LEADER AND REFERRAL CENTER OF CHOICE FOR SOUTH ARKANSAS BY PROVIDING QUALITY HEALTH CARE SERVICES IN A COST EFFECTIVE MANNER." JRMC PROVIDES A VARIETY OF DIVERSE PROGRAMS AND MEDICAL SERVICES DESIGNED TO MEET THE SPECIFIC NEEDS OF INDIVIDUALS WHO LIVE IN SOUTH ARKANSAS. THESE INCLUDE CARDIOLOGY, GENERAL SURGERY, CRITICAL CARE, GASTROENTEROLOGY, ORTHOPAEDICS, NEUROLOGY, NEUROSURGERY, ENDOCRINOLOGY, URGENT AND EMERGENT CARE, OBSTETRICS/GYNECOLOGY, RADIOLOGY, PSYCHIATRY, LABORATORY SERVICES, INPATIENT AND OUTPATIENT REHABILITATION (PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY,) AND MANY MORE. OUR EMERGENCY DEPARTMENT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY, AS WELL AS OUR URGENT CARE WALK-IN CLINIC AND OUR HEALTHCARE PLUS CLINIC, THE LATTER OF WHICH ALSO PROVIDES OCCUPATIONAL HEALTH SERVICES TO AREA BUSINESSES. JRMC HAS A ROBUST, OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA; HAS A GOVERNING BODY COMPRISED OF INDIVIDUALS WHO ARE REPRESENTATIVE OF THE COMMUNITY; ENGAGES IN THE TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS; AND PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. JRMC SPECIALISTS ALSO CONDUCT SEVERAL SATELLITE SPECIALTY CLINICS IN SURROUNDING COMMUNITIES. COMMUNITY SERVICE AND EDUCATION CONTINUE TO BE A SIGNIFICANT PART OF OUR MISSION. JRMC PROVIDES FINANCIAL SPONSORSHIPS WITHIN THE COMMUNITY AND OFFERS FREE HEALTH SCREENINGS AND EDUCATIONAL EVENTS EACH YEAR. WE BELIEVE EVERYONE IN SOUTHEAST ARKANSAS IS IMPACTED, EITHER DIRECTLY OR INDIRECTLY, THROUGH THE COMMUNITY HEALTH EFFORTS AND COMMUNITY-BUILDING ACTIVITIES CHAMPIONED BY JRMC. OUR COMMITMENT TO BRING NEW AND INNOVATIVE PROGRAMS AND SERVICES TO SOUTHEAST ARKANSAS IS EVIDENT. DURING FISCAL YEAR 2017, JRMC INVESTED APPROXIMATELY $6.9 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. JRMC CONTINUES TO BE A LEADER IN ELECTRONIC MEDICAL RECORD SYSTEM ADVANCEMENT, MEETING STAGE 2 MEANINGFUL USE REQUIREMENTS SET FORTH AS PART OF THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009. SINCE THE BEGINNING OF THE PROGRAM, JRMC HAS CONTINUED TO RECEIVE MONETARY INCENTIVES FROM THE ARKANSAS MEDICAID QUALITY PROGRAM BY ACHIEVING PERFORMANCE GOALS IN QUALITY, DOCUMENTATION AND VALIDATION EXCELLENCE. JRMC CONTINUES TO PARTICIPATE IN THE HCAHPS PATIENT PERSPECTIVES ON CARE. WE HAVE CHOSEN THE PHONE METHODOLOGY, WHICH ENSURES A HIGHER RESPONSE RATE IN OUR SERVICE AREA. WE CONTINUALLY ANALYZE THE HCAHPS SURVEY RESULTS AND MAKE ADJUSTMENTS, WHEN NEEDED, TO IMPROVE THE OVERALL PATIENT EXPERIENCE AT JRMC. DURING THE PAST SEVERAL YEARS, THE BOARD OF DIRECTORS VIA ITS AUDIT COMMITTEE HAS FOCUSED ON MAINTAINING RECOMMENDATIONS MADE BY FITCH RATING WHICH URGED NOT-FOR-PROFIT HEALTHCARE PROVIDERS TO ADOPT NINE SPECIFIC PROVISIONS OF SARBANES-OXLEY COMPLIANCE. DURING THIS PERIOD WE HAVE CONTINUED TO MAINTAIN COMPLIANCE WITH ALL NINE OF THE FITCH/SOX PROVISIONS. THESE INCLUDE: PROHIBITION OF SPECIFIED NON-AUDIT SERVICES BY AUDITORS, FIVE YEAR AUDIT PARTNER ROTATION, AUDITOR COMMUNICATIONS, AUDIT COMMITTEE STANDARDS, MANAGEMENT CERTIFICATION OF FINANCIAL STATEMENTS,BONUS FORFEITURE, ADOPTION OF A CODE OF ETHICS, AUDIT COMMITTEE FINANCIAL EXPERT, AND INTERNAL CONTROL EVALUATION. IN ADDITION TO THE COMPLETE ADOPTION OF THE FITCH/SOX PROVISIONS, THE JHA BOARD OF DIRECTORS HAS UNDERTAKEN A COMPREHENSIVE SELF-ASSESSMENT REGARDING ITS NOT-FOR-PROFIT STATUS UTILIZING COMPLIANCE CHECK TOOL AND PROPOSED GUIDELINES PUBLISHED BY THE IRS. JHA HAS NO REASON TO BELIEVE ITS TAX EXEMPT STATUS HAS EVER BEEN IN JEOPARDY.
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: CHUCK MORGAN (JHA CHAIRMAN) AND ANNETTE KLINE (JHA VICE-CHAIRMAN) HAVE A BUSINESS RELATIONSHIP. MARTY CASTEEL (JHA DIRECTOR) AND DR. CLIFTON ROAF (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. GEORGE MAKRIS (JHA DIRECTOR) AND DR. CLIFTON ROAF (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. GEORGE MAKRIS (JHA DIRECTOR) AND MARTY CASTEEL (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. H. FORD TROTTER III (JHA DIRECTOR) AND DR. CLIFTON ROAF (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. H. FORD TROTTER III (JHA DIRECTOR) AND MARTY CASTEEL (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. H. FORD TROTTER III (JHA DIRECTOR) AND GEORGE MAKRIS (JHA DIRECTOR) HAVE BUSINESS RELATIONSHIPS. H. FORD TROTTER III (JHA DIRECTOR) AND DAVID BROWN (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. GEORGE MAKRIS (JHA DIRECTOR) AND DAVID BROWN (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. MARTY CASTEEL (JHA DIRECTOR) AND CHUCK MORGAN (JHA CHAIRMAN) HAVE A BUSINESS RELATIONSHIP. SCOTT PITTILLO (JHA TREASURER) AND ANNETTE KLINE (JHA VICE-CHAIRMAN) HAVE A BUSINESS RELATIONSHIP. SCOTT PITTILLO (JHA TREASURER) AND CHUCK MORGAN (JHA CHAIRMAN) 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 August 2017 to perform a total compensation review that was previously conducted in 2014. 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 4 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 XI, LINE 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES: PURCHASE OF NONCONTROLLING INTEREST IN JSC $(245,298)
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:18463234
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT LABOR TOTAL FEES:4995534
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3676295
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:7956635
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER FEES TOTAL FEES:1989197

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1JEFFERSON SURGERY CENTER PLLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 W 40TH AVEAddressLine1Txt
CityPINE BLUFFCityNm
State AbbreviationARStateAbbreviationCd
ZIP71603ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesAMB SURGERYPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1JHABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income-$98,401ShareOfTotalIncomeAmt
Share Of EOY Assets$1,451,739ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.71500OwnershipPct

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$791,3721.00000Yes (true)
JHA HEALTH AFFILIATES INC
1600 W 40TH AVEPINE BLUFFAR71603710766959REAL EST RENTALARJHAC-CORPORATION-$11,661$819,1491.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JEFFERSON SURGERY CENTER PLLC
L$1,600,845G/L ACTIVITY
JEFFERSON SURGERY CENTER PLLC
M$1,518,636G/L ACTIVITY
JEFFERSON SURGERY CENTER PLLC
R$1,493,987G/L ACTIVITY
JEFFERSON SURGERY CENTER PLLC
S$1,579,985G/L ACTIVITY
JEFFERSON SURGERY CENTER PLLC
A$498,896G/L ACTIVITY
JEFFERSON SURGERY CENTER PLLC
H$245,298G/L ACTIVITY
JHA HEALTH AFFILIATES INC
B$200,000G/L Activity
JEFFERSON MANAGEMENT SERVICES INC
S$600,000G/L ACTIVITY
JEFFERSON MANAGEMENT SERVICES INC
L$271,517G/L ACTIVITY

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART III, LINE 1FormAndLineReferenceDesc
ExplanationRELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP: ON JUNE 28, 2017, THE HOSPITAL PURCHASED THE REMAINING OWNERSHIP INTEREST IN JEFFERSON SURGERY CENTER, PLLC (JSC). DUE TO THIS TRANSACTION, WE ARE SHOWING ALL OF THE PARTNERSHIP'S ASSETS AT THE END OF THE YEAR AS BELONGING TO THE HOSPITAL IN COLUMN (G). HOWEVER, BECAUSE THE HOSPITAL DID NOT FULLY OWN JSC FOR A MAJORITY OF THE FISCAL YEAR, THE ACTIVITY IS NOT REFLECTED ON THE FORM 990, PARTS VIII, IX & X. GOING FORWARD JSC WILL BE REPORTED AS A DISREGARDED ENTITY.ExplanationTxt