LEO N LEVI MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- LEO N LEVI MEMORIAL HOSPITAL ASSOCIATION (EIN 71-0246565)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-06-29
- IRS object ID
- 201731809349300008
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-06-29T08:43:24-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 710623618 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Welch Couch & Company | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2094 | AddressLine1Txt |
| City | Batesville | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710246565 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEO N LEVI MEMORIAL HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LEON | BusinessNameControlTxt |
| Phone | 5016241281 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 PROSPECT AVENUE | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STUART LISKO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5016241281 | PhoneNum |
| Signature | 2017-06-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | William T Couch | PreparerPersonNm |
| PTIN | P00183609 | PTIN |
| Phone | 8707935231 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 66.76.123.137 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-06-29 | IPDt |
| IP Tm | 08:43:18 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 08D1AA71DE42FB7658B2275BEFF4B739FA62BE2A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9D58197C13815D4130D1C4330F13A3BA70E56F10 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STUART LISKO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 PROSPECT AVENUE | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,724,685 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| All Affiliates Included | Yes (1) | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LEVIHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Assoc | Yes (X) | TypeOfOrganizationAssocInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | LEVI HOSPITAL SYSTEM IS A NOT-FOR-PROFIT HOSPITAL WHICH SPECIALIZES IN ARTHRITIS & ORTHOPEDIC REHABILITATION & PSYCHIATRIC SERVICES. THE HOSPITAL IS LOCATED IN HOT SPRINGS, AR AND PROVIDES SERVICES TO THE CITIZENS OF HOT SPRINGS AND THE SURROUNDING AREAS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 167 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $52,060 | PYContributionsGrantsAmt |
| CY Contributions Grants | $20,428 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,680,851 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,928,437 | CYProgramServiceRevenueAmt |
| PY Investment Income | $126,400 | PYInvestmentIncomeAmt |
| CY Investment Income | $194,272 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,252,057 | PYOtherRevenueAmt |
| CY Other Revenue | $1,534,465 | CYOtherRevenueAmt |
| PY Total Revenue | $8,111,368 | PYTotalRevenueAmt |
| CY Total Revenue | $8,677,602 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,009,731 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,221,207 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,614,622 | PYOtherExpensesAmt |
| CY Other Expenses | $2,668,909 | CYOtherExpensesAmt |
| PY Total Expenses | $7,624,353 | PYTotalExpensesAmt |
| CY Total Expenses | $7,890,116 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $487,015 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $787,486 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,168,298 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,799,604 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $501,339 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $345,159 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,666,959 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,454,445 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | LEVI HOSPITAL SYSTEM IS A NOT-FOR-PROFIT HOSPITAL WHICH SPECIALIZES IN ARTHRITIS & ORTHOPEDIC REHABILITATION & PSYCHIATRIC SERVICES. THE HOSPITAL IS LOCATED IN HOT SPRINGS, AR AND PROVIDES SERVICES TO THE CITIZENS OF HOT SPRINGS AND THE SURROUNDING AREAS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,639,284 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | LEVI REHAB UNITS AT ST. JOSEPH'S MERCY HEALTH CENTER PROVIDES INPATIENT REHABILITATION. LEVI HOSPITAL ALSO OFFERS OUTPATIENT REHAB SERVICES AT THE PROSPECT AVENUE LOCATION, WHICH HOUSES A 3,000 SQUARE FT. GYM AND A 50' X 20' POOL FILLED WITH THERMAL WATERS FROM HOT SPRINGS NATIONAL PARK. REHABILITATION AIDS PATIENTS IN RECOVERY FROM STROKES, SURGERY, ACCIDENTS AND SPORTS-RELATED INJURIES AND TREATMENT TO HELP EASE SYMPTOMS OF VARIOUS DISEASES INCLUDING ARTHRITIS, OSTEOPOROSIS, LUPUS AND FIBROMYALGIA. THE LEVI SPORTS MEDICINE PROGRAM INCLUDES PHYSICAL THERAPISTS AND ATHLETIC TRAINERS PROVIDING INJURY PREVENTION SERVICES AND ENDURANCE TRAINING, AS WELL AS TREATING INJURIES, AT SEVERAL LOCAL HIGH SCHOOLS.LEVI HOSPITAL ESTABLISHED THE FIRST HOSPICE IN GARLAND COUNTY FIFTEEN YEARS AGO, AND IS AGAIN STRIVING TO MEET A COMMUNITY NEED BY OPENING A HOSPICE INPATIENT PROGRAM AT 300 PROSPECT AVENUE. LEVI HOSPITAL ALSO OPERATES AN ADULT DAY RESPITE PROGRAM FOR ALZHEIMER'S PATIENTS IN A COOPERATIVE EFFORT WITH FIRST UNITED METHODIST CHURCH AND A GROUP OF INTER-FAITH VOLUNTEERS.LEVI'S GERIATRIC/ADULT PSYCHIATRY PROGRAM PROVIDES INPATIENT TREATMENT FOR SENIORS AND ADULTS WITH MENTAL HEALTH CONDITIONS.LEVI HOSPITAL CONTINUES TO PROVIDE SPECIALTY CARE, IN A UNIQUE TRADITION OF ITS JEWISH SERVICE HERITAGE, FOR THE BENEFIT OF THE RESIDENTS OF HOT SPRINGS AND ITS SURROUNDING COMMUNITIES. LEVI HOSPITAL SHALL SERVE ALL PERSONS WITHOUT REGARDS TO RACE, RELIGION, CREED, NATIONAL ORIGIN, SEX, AGE, DISABILITY, OR ECONOMIC MEANS. AS A NOT-FOR-PROFIT ENTITY, LEVI PROVIDES SERVICE WITHIN THE RESOURCES OF ITS ORGANIZATION. | Desc |
| Total Program Service Expenses | $5,639,284 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 167 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STUART LISKO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5016223322 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 PROSPECT AVENUE | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71901 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| BRAD WOLKEN | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LARRY STEPHENS | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STUART FLEISCHNER DDS | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PHILIP CLAY | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STEVE DEMOTT | ||||||
| Secretary | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DENNIS SMITH CPA | ||||||
| Treasurer | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| RAY OWEN JR | ||||||
| Chairman | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| COURTNEY C CROUCH JR | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LESLIE BALLENTINE | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JIM RANDALL | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| HAROLD KOPPEL DDS MSD | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KAREN BAIM REAGLER | ||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BOB ASPELLMD | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STUART LISKO | ||||||
| CFO | 40.00 | $124,862 | $0 | $0 | Yes (X) | |
| PATRICK MCCABE | ||||||
| CEO | 40.00 | $175,926 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $300,788 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN DOWNS MD | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 62 CARMEL DR | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72212 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | PHYSICIAN | ServicesDesc |
| Compensation | $160,980 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $20,428 | AllOtherContributionsAmt |
| Total Contributions | $20,428 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $6,928,437 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,928,437 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,928,437 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $241,355 | TotalRevenueColumnAmt |
| Exclusion | $241,355 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,240,986 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,240,986 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,240,986 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,240,986 | RelatedOrExemptFuncIncomeAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $47,083 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$47,083 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$47,083 | TotalRevenueColumnAmt |
| Exclusion | -$47,083 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | $103,838 | $103,838 |
| SALARY REIMBURSEMENT | 900099 | $67,530 | $67,530 |
| MANAGEMENT FEE INCOME | 541610 | $60,000 | $60,000 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62,111 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,111 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $293,479 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,677,602 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,462,902 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $194,272 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,788 | TotalAmt |
| Management And General | $300,788 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,044,667 | TotalAmt |
| Program Services | $3,184,872 | ProgramServicesAmt |
| Management And General | $859,795 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $563,794 | TotalAmt |
| Program Services | $422,845 | ProgramServicesAmt |
| Management And General | $140,949 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,958 | TotalAmt |
| Program Services | $233,968 | ProgramServicesAmt |
| Management And General | $77,990 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,486 | TotalAmt |
| Management And General | $5,486 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,750 | TotalAmt |
| Management And General | $34,750 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,043 | TotalAmt |
| Program Services | $25,323 | ProgramServicesAmt |
| Management And General | $19,720 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,094 | TotalAmt |
| Management And General | $201,094 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,776 | TotalAmt |
| Management And General | $99,776 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,667 | TotalAmt |
| Management And General | $150,667 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $1,478,002 | $1,378,906 | $99,096 |
| PURCHASED SERVICES | $375,487 | $302,208 | $73,279 |
| REPAIRS & MAINTENANCE | $86,089 | $46,895 | $39,194 |
| MISCELLANEOUS | $67,096 | $3,151 | $63,945 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,419 | TotalAmt |
| Program Services | $41,116 | ProgramServicesAmt |
| Management And General | $84,303 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,890,116 | TotalAmt |
| Program Services | $5,639,284 | ProgramServicesAmt |
| Management And General | $2,250,832 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,782 | BOYAmt |
| EOY | $516,918 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $493,081 | BOYAmt |
| EOY | $375,775 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,825 | BOYAmt |
| EOY | $72,448 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,071 | BOYAmt |
| EOY | $30,374 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,228,855 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,568,440 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,673,317 | BOYAmt |
| EOY | $1,660,415 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $632,222 | BOYAmt |
| EOY | $1,143,674 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,168,298 | BOYAmt |
| EOY | $3,799,604 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $501,339 | BOYAmt |
| EOY | $345,159 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $501,339 | BOYAmt |
| EOY | $345,159 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,666,959 | BOYAmt |
| EOY | $3,454,445 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,666,959 | BOYAmt |
| EOY | $3,454,445 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,168,298 | BOYAmt |
| EOY | $3,799,604 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $787,486 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $963,356 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $209,374 | OtherCostOrOtherBasisAmt |
| Book Value | $1,172,730 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,924,742 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,873,291 | DepreciationAmt |
| Book Value | $51,451 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $132,162 | OtherCostOrOtherBasisAmt |
| Depreciation | $127,746 | DepreciationAmt |
| Book Value | $4,416 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,999,221 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,567,403 | DepreciationAmt |
| Book Value | $431,818 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,660,415 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENT IN LHC HOME HEALTH | $97,074 |
| OTHER RECEIVABLES | $1,046,600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,143,674 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The System has adopted Accounting Standards Codification Topic 740, Accounting for Uncertainty in Income Taxes. The System will recognize a tax benefit only if it is more likely than not the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized will be the largest amount of tax benefit that has a greater than 50% likelihood of being realized on examination for tax positions not meeting the more likely than not test, no tax benefit will be recorded. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 138.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 138.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $141,588 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $141,588 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01790 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $141,588 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $141,588 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01790 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $141,588 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $141,588 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01790 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $333,499 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $274,908 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $1,307,844 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $1,112,294 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $195,550 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 HOSPICE OF CENTRAL AR LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HOSPICE | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.33000 | OrgProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | LEO N LEVI MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 PROSPECT AVENUE | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LEVIHOSPITAL.COM | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEO N LEVI MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.LEVIHOSPITAL.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.LEVIHOSPITAL.COM | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 138.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 138.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Engaged Selling Debt | Yes (X) | EngagedSellingDebtInd |
| Other Actions | Yes (X) | OtherActionsInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LEO N LEVI MEMORIAL HOSPITAL | Part V, Section B, Line 5: THROUGH THE USE OF FOUR TOOLS; SECONDARY DATA, COMMUNITY FOCUS GROUPS, PERSONAL INTERVIEWS, AND A COMMUNITY HEALTH SURVEY. |
| LEO N LEVI MEMORIAL HOSPITAL | Part V, Section B, Line 7d: OVER 200 PAPER COPIES DISTRIBUTED TO COMMUNITY MEMBERS AND ORGANIZATIONS. |
| LEO N LEVI MEMORIAL HOSPITAL | Part V, Section B, Line 11: ATTACHED DOCUMENTATION REPORTS ALL ONGOING EFFORTS TO ADDRESS EACH IMPLEMENTATION STRATEGY ASSOCIATED WITH THE IDENTIFIED SIGNIFICANT HEALTH NEEDS. |
| LEO N LEVI MEMORIAL HOSPITAL | Part V, Section B, Line 16j: PLACING INFORMATION ON PATIENT STATEMENTS |
| LEO N LEVI MEMORIAL HOSPITAL | Part V, Section B, Line 19e: GARNISHMENTS |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part II, Community Building Activities: | The Hospital engaged in the following community building activities during the year ended December 31, 2014: Free glucose testing, fall prevention testing, grip strength testing, free training for clinical interns, sports medicine program for area high schools, sports medicine injury training for ambulance services and emergency rooms, training for school coaches regarding sports medicine, physicals for student athletes, health fairs, public speaking at civic clubs, provide space for health support groups and sponsorship of community organizations. |
| Part III, Line 2: | ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUALLY CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES SURROUNDING THE ACCOUNT. |
| Part III, Line 3: | SEE FOOTNOTE ON PAGE 8 REGARDING PATIENT ACCOUNTS RECEIVABLE AND FOOTNOTE ON PAGE 10 REGARDING NET PATIENT SERVICE REVENUE IN THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| Part III, Line 4: | SEE FOOTNOTE ON PAGE 13 REGARDING PATIENT ACCOUNTS RECEIVABLE AND FOOTNOTE ON PAGE 14 REGARDING NET PATIENT SERVICE REVENUE IN THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| Part III, Line 9b: | PATIENTS ARE INFORMED OF CHARITY CARE PROGRAM |
| Part VI, Line 2: | UTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FROM DGS AS WELL AS REPORTS SHOWING PERCENT OF COMMUNITY BY SOURCE. |
| Part VI, Line 3: | INFORMS PATIENTS UPON ADMISSION AND POSTS NOTICES IN CONSPICUOUS AREAS |
| Part VI, Line 4: | URBAN SETTING, PREDOMINATLY INDUSTRIAL BASE. AVERAGE INCOME AT OR BELOW FEDERAL POVERTY GUIDELINES. PREDOMINANTLY CAUCASIAN, HIGH SCHOOL EDUCATED AND GERIATRIC IN NATURE. |
| Part VI, Line 5: | LEVI REHAB UNITS AT ST. JOSEPH'S MERCY HEALTH CENTER PROVIDES INPATIENT REHABILITATION. LEVI HOSPITAL ALSO OFFERS OUTPATIENT REHAB SERVICES AT THE PROSPECT AVENUE LOCATION, WHICH HOUSES A 3,000 SQUARE FT. GYM AND A 50' X 20' POOL FILLED WITH THERMAL WATERS FROM HOT SPRINGS NATIONAL PARK. REHABILITATION AIDS PATIENTS IN RECOVERY FROM STROKES, SURGERY, ACCIDENTS AND SPORTS-RELATED INJURIES AND TREATMENT TO HELP EASE SYMPTOMS OF VARIOUS DISEASES INCLUDING ARTHRITIS, OSTEOPOROSIS, LUPUS AND FIBROMYALGIA. THE LEVI SPORTS MEDICINE PROGRAM INCLUDES PHYSICAL THERAPISTS AND ATHLETIC TRAINERS PROVIDING INJURY PREVENTION SERVICES AND ENDURANCE TRAINING, AS WELL AS TREATING INJURIES, AT SEVERAL LOCAL HIGH SCHOOLS.LEVI HOSPITAL ESTABLISHED THE FIRST HOSPICE IN GARLAND COUNTY FIFTEEN YEARS AGO, AND IS AGAIN STRIVING TO MEET A COMMUNITY NEED BY OPENING A HOSPICE INPATIENT PROGRAM AT 300 PROSPECT AVENUE. LEVI HOSPITAL ALSO OPERATES AN ADULT DAY RESPITE PROGRAM FOR ALZHEIMER'S PATIENTS IN A COOPERATIVE EFFORT WITH FIRST UNITED METHODIST CHURCH AND A GROUP OF INTER-FAITH VOLUNTEERS.LEVI'S GERIATRIC/ADULT PSYCHIATRY PROGRAM PROVIDES INPATIENT TREATMENT FOR SENIORS AND ADULTS WITH MENTAL HEALTH CONDITIONS.LEVI HOSPITAL CONTINUES TO PROVIDE SPECIALTY CARE, IN A UNIQUE TRADITION OF ITS JEWISH SERVICE HERITAGE, FOR THE BENEFIT OF THE RESIDENTS OF HOT SPRINGS AND ITS SURROUNDING COMMUNITIES. LEVI HOSPITAL SHALL SERVE ALL PERSONS WITHOUT REGARDS TO RACE, RELIGION, CREED, NATIONAL ORIGIN, SEX, AGE, DISABILITY, OR ECONOMIC MEANS. AS A NOT-FOR-PROFIT ENTITY, LEVI PROVIDES SERVICE WITHIN THE RESOURCES OF ITS ORGANIZATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICK MCCABE | PersonNm |
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $175,926 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $175,926 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 8b | N/A - NO COMMITTEE WITH AUTHORITY. |
| Form 990, Part VI, Section B, line 11b | NO REVIEW WILL OR WAS CONDUCTED |
| Form 990, Part VI, Section B, line 12c | THE HOSPITAL HAS A CODE OF BUSIENSS CONDUCT THAT OUTLINES FUDICIARY RESPONSIBILITIES OF THE BOARD OF DIRECTORS AND OFFICERS AND AS WELL AS STANDARDS OF PERSONAL CONDUCT OF EMPLOYEES. THE POLICIES ALSO COVER TRANSACTIONS WITH OUTSIDE PARTIES, FINANCIAL RECORDS, POLITICAL ACTIVITIES, LEGAL ISSUES, TAX EXEMPT STATUS AND HEALTH AND SAFETY ISSUES. THE POLICES ARE MONITORED AND ENFORCED BY A CHEIF COMPLIANCE OFFICER AT ALL LEVELS OF THE ORGANIZATION. |
| Form 990, Part VI, Section B, line 15a | EVALUATION AND COMPENSATION CONDUCTED ANNUALLY. EVALUATION CONDUCTED AND COMPENSATION APPROVED BY BOARD |
| Form 990, Part VI, Section C, line 19 | AVAILABLE UPON REQUEST FROM ADMINISTRATION |
| Form 990, Part XII, Line 2c: | NO CHANGES |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEVI ENDOWMENT FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 PROSPECT AVENUE | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710583773 | EIN |
| Primary Activities | SUPPORTING ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Exempt Code Section | 501 (C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line_3_Hospital_Coop | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF CENTRAL ARKANSAS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 WEST PINHOOK SUITE A | AddressLine1Txt |
| City | LAFAYETTE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264310419 | EIN |
| Primary Activities | HOSPICE | PrimaryActivitiesTxt |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Share Of Total Income | $241,192 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $481,222 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.33000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF CENTRAL ARKANSAS LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | A | TransactionTypeTxt |
| Involved | $241,192 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |