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DARDANELLE REGIONAL LLC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
DARDANELLE REGIONAL LLC (EIN 83-4538290)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-10
IRS object ID
202523149349303817
Schema version
2024v5.1
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)
Return2025-11-10T13:23:55+00:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Forvis Mazars LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 3667AddressLine1Txt
CityLittle RockCityNm
State AbbreviationARStateAbbreviationCd
ZIP722033667ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN834538290EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Dardanelle Regional LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDARDBusinessNameControlTxt
Phone4792296131PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 North 3rd StreetAddressLine1Txt
CityDardanelleCityNm
State AbbreviationARStateAbbreviationCd
ZIP72834ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALANPersonNm
Person TitleFINLEYPersonTitleTxt
Phone4792296131PhoneNum
Signature2025-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmber SherrillPreparerPersonNm
PTINP00748683PTIN
Phone5013721040PhoneNum
Preparation2025-11-10PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1ALAN FINLEYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 North 3rd StreetAddressLine1Txt
CityDardanelleCityNm
State AbbreviationARStateAbbreviationCd
ZIP72834ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,575,187GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.dardanelleregional.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2019FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionPROVIDE MANAGEMENT SERVICES TO ENSURE HEALTHCARE SERVICES ARE AVAILABLE TO CITIZENS OF YELL COUNTY, ARKANSAS AND THE SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee184TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$373,315PYContributionsGrantsAmt
CY Contributions Grants$184,349CYContributionsGrantsAmt
PY Program Service Revenue$19,034,292PYProgramServiceRevenueAmt
CY Program Service Revenue$19,344,155CYProgramServiceRevenueAmt
PY Investment Income$42,589PYInvestmentIncomeAmt
CY Investment Income$46,683CYInvestmentIncomeAmt
PY Other Revenue$20,648PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$19,470,844PYTotalRevenueAmt
CY Total Revenue$19,575,187CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,252,897PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,780,297CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,318,888PYOtherExpensesAmt
CY Other Expenses$9,709,130CYOtherExpensesAmt
PY Total Expenses$19,571,785PYTotalExpensesAmt
CY Total Expenses$19,489,427CYTotalExpensesAmt
PY Revenues Less Expenses-$100,941PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$85,760CYRevenuesLessExpensesAmt
Total Assets BOY$9,730,300TotalAssetsBOYAmt
Total Assets EOY$12,057,377TotalAssetsEOYAmt
Total Liabilities BOY$10,365,710TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,607,027TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$635,410NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$549,650NetAssetsOrFundBalancesEOYAmt
MissionDARDANELLE REGIONAL, LLC PROVIDES HIGH QUALITY COMPASSIONATE HEALTH CARE SERVICES TO THE RIVER VALLEY AREA CONSISTENT WITH THE OVERALL MISSION OF CONWAY REGIONAL MEDICAL CENTER. DARDANELLE REGIONAL, LLC WILL PROVIDE MANAGEMENT SERVICES TO ENSURE HEALTHCARE SERVICES ARE AVAILABLE TO CITIZENS OF YELL COUNTY, ARKANSAS AND THE SURROUNDING AREAS BY OPERATING THE HOSPITAL THAT IS OWNED BY THE YELL COUNTY BOARD OF GOVERNORS FOR DARDANELLE HOSPITAL OF YELL COUNTY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$15,203,794ExpenseAmt
Grant$0GrantAmt
Revenue$19,344,155RevenueAmt
DescDARDANELLE REGIONAL, LLC PROVIDES MANAGEMENT SERVICES TO ENSURE HEALTHCARE SERVICES ARE AVAILABLE TO CITIZENS OF YELL COUNTY, ARKANSAS AND THE SURROUNDING AREAS BY OPERATING THE HOSPITAL THAT IS OWNED BY THE YELL COUNTY BOARD OF GOVERNORS FOR DARDANELLE HOSPITAL OF YELL COUNTY.Desc
Total Program Service Expenses$15,203,794TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
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 EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee184EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
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 CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALAN FINLEYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4792294677PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 NORTH 3RD STREETAddressLine1Txt
CityDARDANELLECityNm
State AbbreviationARStateAbbreviationCd
ZIP72834ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALAN WAYNE COX
BOARD MEMBER1.02.0Yes (X)$0$720$0
BRYAN BRUICH
BOARD MEMBER1.02.0Yes (X)$0$1,378$0
GENA ESTER
BOARD MEMBER1.02.0Yes (X)$0$1,642$0
JEFF STANDRIDGE
BOARD MEMBER1.02.0Yes (X)$0$1,071$0
JEREMY RIDDLE
BOARD MEMBER1.02.0Yes (X)$0$0$0
SUSAN GATTO
BOARD MEMBER1.02.0Yes (X)$0$636$0
T MICHAEL STANTON
BOARD MEMBER / PHYSICIAN1.039.0Yes (X)$0$427,282$42,203
THAD WAYNE HARDIN JR
BOARD MEMBER1.02.0Yes (X)$0$28,132$0
TOM POE
BOARD MEMBER1.02.0Yes (X)$0$1,079$0
ALAN FINLEY
PRESIDENT37.03.0$0$268,324$39,598Yes (X)
AMANDA IRBY
CNO1.039.0$0$195,894$37,422Yes (X)
APRIL KRANZ
CHIEF NURSING OFFICER1.039.0$0$0$0Yes (X)
MATTHEW TROUP
CHIEF EXECUTIVE OFFICER1.039.0$0$793$0Yes (X)
REBEKAH FINCHER
CAO1.039.0$0$264,465$35,173Yes (X)
WILLIAM PACK
CHIEF FINANCIAL OFFICER1.039.0$0$361,600$25,799Yes (X)
DARREN FREEMAN
SYSTEM MEDICAL DIRECTOR1.039.0$0$601,474$45,933Yes (X)
CHRISTOPHER KEY
PHARMACY MANAGER40.00$161,754$0$28,293Yes (X)
EDUARDO ALEJANDRO
RN40.00$127,431$0$21,937Yes (X)
JACQUELINE HOLT
DIRECTOR OF NURSING40.00$119,234$0$14,886Yes (X)
JACQUELINE LOYD
RN40.00$124,464$0$28,839Yes (X)
SARAH GAINES
WEO NURSE COORDINATOR40.00$120,160$0$25,570Yes (X)
ANDREW AXLEY COLE - Thru 12312023
BOARD MEMBER0.00.0$0$21,147$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$653,043TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,175,637TotReportableCompRltdOrgAmt
Total Other Compensation$345,653TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FLAGG EMERGENCY GROUP PLLC
PO BOX 67797DALLASTX752677979ER PHYSICIAN COVERAGE$1,200,524
SIGNET HEALTH COPRORTIAON
9151 boulevard 26 ste 175anorth richland hillsTX76180BEHAVIORAL HEALTH MANAGEMENT$759,220
QUALIVIS LLC
PO BOX 674913DALLASTX752674913AGENCY STAFFING$374,054
SLEEP PARTNER HOLDINGS LLC
501 MILLWOOD CIRCLE SUITE FMAUMELLEAR72113SLEEP STUDY PROVIDERS$317,345
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$184,349GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$184,349TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$18,481,707$18,481,707
340B REVENUE621999$743,107$743,107
OTHER OPERATING REVENUE621110$76,461$76,461
CAFETERIA REVENUE722310$42,880$42,880

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$19,344,155TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,683TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$46,683ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
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
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

Total Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
$0$0$0
$0$0$0
$0$0$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,575,187TotalRevenueColumnAmt
Related Or Exempt Func Income$19,344,155RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$46,683ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,030,875TotalAmt
Program Services$6,893,650ProgramServicesAmt
Management And General$2,137,225ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$249,010TotalAmt
Program Services$190,080ProgramServicesAmt
Management And General$58,930ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total-$151,402TotalAmt
Program Services-$115,572ProgramServicesAmt
Management And General-$35,830ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$651,814TotalAmt
Program Services$497,557ProgramServicesAmt
Management And General$154,257ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,007,754TotalAmt
Program Services$1,532,604ProgramServicesAmt
Management And General$475,150ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,901TotalAmt
Program Services$10,611ProgramServicesAmt
Management And General$3,290ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$56,994TotalAmt
Program Services$43,506ProgramServicesAmt
Management And General$13,488ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,868,853TotalAmt
Program Services$2,953,260ProgramServicesAmt
Management And General$915,593ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$66,577TotalAmt
Program Services$50,821ProgramServicesAmt
Management And General$15,756ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$214,956TotalAmt
Program Services$164,085ProgramServicesAmt
Management And General$50,871ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$355,723TotalAmt
Program Services$271,538ProgramServicesAmt
Management And General$84,185ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$208,867TotalAmt
Program Services$159,437ProgramServicesAmt
Management And General$49,430ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,665TotalAmt
Program Services$15,011ProgramServicesAmt
Management And General$4,654ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$151,351TotalAmt
Program Services$115,533ProgramServicesAmt
Management And General$35,818ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$541,340TotalAmt
Program Services$413,228ProgramServicesAmt
Management And General$128,112ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$215,104TotalAmt
Program Services$164,198ProgramServicesAmt
Management And General$50,906ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$982,780$982,780
LAB SUPPLIES$397,644$397,644
FOOD$126,150$96,296$29,854
REPAIRS & MAINTANCES$87,484$66,780$20,704

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$393,987TotalAmt
Program Services$300,747ProgramServicesAmt
Management And General$93,240ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,489,427TotalAmt
Program Services$15,203,794ProgramServicesAmt
Management And General$4,285,633ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$799,342BOYAmt
EOY$1,739,935EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,101,784BOYAmt
EOY$1,943,954EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$399,523BOYAmt
EOY$358,920EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,349BOYAmt
EOY$23,870EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,482,559LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,651,247LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,360,323BOYAmt
EOY$5,831,312EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,055,099BOYAmt
EOY$1,819,618EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,880BOYAmt
EOY$339,768EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,730,300BOYAmt
EOY$12,057,377EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,655,593BOYAmt
EOY$1,235,286EOYAmt

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$2,534,759BOYAmt
EOY$2,940,700EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,175,358BOYAmt
EOY$8,431,041EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,365,710BOYAmt
EOY$12,607,027EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$635,410BOYAmt
EOY-$549,650EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$635,410BOYAmt
EOY-$549,650EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,730,300BOYAmt
EOY$12,057,377EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$85,760ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$466,276OtherCostOrOtherBasisAmt
Book Value$466,276BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,291,505OtherCostOrOtherBasisAmt
Depreciation$229,150DepreciationAmt
Book Value$2,062,355BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$620,070OtherCostOrOtherBasisAmt
Depreciation$528,723DepreciationAmt
Book Value$91,347BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,518,727OtherCostOrOtherBasisAmt
Depreciation$888,152DepreciationAmt
Book Value$1,630,575BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,585,981OtherCostOrOtherBasisAmt
Depreciation$5,222DepreciationAmt
Book Value$1,580,759BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,831,312TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Federal Income Taxes
DUE TO AFFILIATE$8,431,041
ROU LIABILITY
FieldValueIRS element (for citing)
Total Liability$8,431,041TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$19,575,187TotalRevEtcAuditedFinclStmtAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$19,575,187RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$19,575,187TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$19,489,427TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$19,489,427ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$19,489,427TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2FormAndLineReferenceDesc
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL 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

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other225FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$161,304TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$161,304NetCommunityBenefitExpnsAmt
Total Expense0.00828TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$161,304TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$161,304NetCommunityBenefitExpnsAmt
Total Expense0.00828TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,040,892TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,662,645DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,378,247NetCommunityBenefitExpnsAmt
Total Expense0.12203TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$5,040,892TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,662,645DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,378,247NetCommunityBenefitExpnsAmt
Total Expense0.12203TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$5,202,196TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,662,645DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,539,551NetCommunityBenefitExpnsAmt
Total Expense0.13030TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Reimbursed By Medicare$3,874,847ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,999,576CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,124,729MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DARDANELLE REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 NORTH 3RD STREETAddressLine1Txt
CityDARDANELLECityNm
State AbbreviationARStateAbbreviationCd
ZIP72834ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.DARDANELLEREGIONAL.ORGWebsiteAddressTxt
State LicenseAR5844StateLicenseNum
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DARDANELLE REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.dardanelleregional.org/ABOUT/MISSION-VISION/COMMUNITY-HEALTHOwnWebsiteURLTxt
Other Website URLCONWAYREGIONAL.ORG/ABOUT/MISSION-VISION/COMMUNITY-HEALTHOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.dardanelleregional.org/ABOUT/MISSION-VISION/COMMUNITY-HEALTHStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.dardanelleregional.org/patients-visitors/price-transparency/insurance-and-costsFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.dardanelleregional.org/patients-visitors/price-transparency/insurance-and-costsFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.dardanelleregional.org/patients-visitors/price-transparency/insurance-and-costsFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - DARDANELLE REGIONAL MEDICAL CENTER. THE COUNTY HEALTH RANKINGS MODEL (CHRM) WILL GUIDE THE CONWAY REGIONAL HEALTH SYSTEM 2022 CHNA. THE COUNTY HEALTH RANKINGS ARE BASED ON A POPULATION HEALTH MODEL THAT INCLUDES BOTH HEALTH OUTCOMES (LENGTH AND QUALITY OF LIFE) AND HEALTH FACTORS. THE CHRM HEALTH FACTORS ARE DIVIDED INTO FOUR CATEGORIES: PHYSICAL ENVIRONMENT, SOCIAL AND ECONOMIC FACTORS, CLINICAL CARE, AND HEALTH BEHAVIORS. THE CHRM INCLUDES 30 MEASURES ACROSS THE FOUR CATEGORIES THAT DEFINES THE OVERALL HEALTH OF THE COUNTY. THE RESEARCH TEAM WILL UTILIZE BOTH PRIMARY AND SECONDARY DATA SOURCES TO GATHER INFORMATION FOR THE CHNA. THE RESEARCH TEAM FURTHER REFINED THE POTENTIAL COMMUNITY HEALTH FOCUS AREAS THROUGH TWO SUBSEQUENT RESEARCH METHODOLOGIES: 1) COMMUNITY SURVEY RESEARCH (APPENDIX B) AND 2) COMMUNITY FOCUS GROUPS. THESE APPROACHES ALLOWED THE RESEARCHERS TO ENGAGE WITH AND RECEIVE FEEDBACK FROM A BROAD RANGE OF STAKEHOLDERS AS PER THE IRS REQUIREMENTS FOR NON-PROFIT HOSPITALS. THE SURVEY LINK WAS DISTRIBUTED BY EMAIL TO MORE THAN 150 COMMUNITY STAKEHOLDERS INCLUDING PHYSICIANS, HOSPITAL OFFICIALS, CHURCHES, SCHOOLS, COMMUNITY AGENCIES, PUBLIC SAFETY, AND PUBLIC HEALTH REPRESENTATIVES ACROSS FAULKNER COUNTY. INCOMPLETE OR ABANDONED SURVEYS WERE EXCLUDED FROM THE DATA SET. AT THE CONCLUSION OF THE SURVEY ENDING JULY 10, 2022, 37 STAKEHOLDERS COMPLETED THE SURVEY FOR A RESPONSE RATE OF 24.6%. FOCUS GROUPS WERE HELD IN JULY AND AUGUST 2022 AND WERE DESIGNED TO ALLOW FOR DIRECT ENGAGEMENT WITH COMMUNITY MEMBERS ACROSS A RANGE OF DEMOGRAPHICS. SESSIONS WERE HELD AT COMMUNITY CENTERS AND CONWAY REGIONAL MEDICAL CENTER WITH A TOTAL OF 40 PARTICIPANTS.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - DARDANELLE REGIONAL MEDICAL CENTER. CONWAY REGIONAL REHABILITATION HOSPITAL, CONWAY REGIONAL MEDICAL CENTER
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - DARDANELLE REGIONAL MEDICAL CENTER. THE CHNA REPORT WAS MADE WIDELY AVAILABLE TO THE PUBLIC BY RELEASING TO LOCAL MEDIA, PROVIDING ACCESS ON THE HOSPITAL'S WEBSITE, AND MAKING HARD COPIES AVAILABLE IN THE ADMINISTRATIVE OFFICES.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - DARDANELLE REGIONAL MEDICAL CENTER. FOUR MAJOR AREAS EMERGED FROM THE QUALITATIVE AND QUANTITATIVE DATA AS THE PRIMARY HEALTH NEEDS FOR OUR COMMUNITY: - OBESITY - ACCESS TO CARE - SUBSTANCE ABUSE - CHRONIC DISEASE MANAGEMENT AND DIABETES 1. OBESITY A. INCREASE AWARENESS FOR OBESITY MANAGEMENT OPTIONS I. BARIATRIC SERVICES: INCREASE PATIENT ENGAGEMENT IN BARIATRIC SURGERY FOR OBESITY MANAGEMENT. II. OBESITY MANAGEMENT: PARTNER WITH PRIMARY CARE PROVIDERS TO REFER PATIENTS FOR MEDICAL NUTRITIONAL THERAPY WITH DX OF OBESITY. IN ADDITION, EDUCATE AND PRESCRIBE PATIENT PHARMACOLOGICAL APPROACHES. 2. ACCESS TO CARE A. ENHANCE ACCESS POINTS FOR PATIENT TO RECEIVE CARE I. TELEHEALTH: CONTINUE TO MAKE THIS A FOCUS AND EXPAND SERVICES THROUGHOUT THE ORGANIZATION. II. MOBILE HEALTH UNIT: PROVIDE CARE OUTSIDE OF OUR PRIMARY CARE AND SPECIALTY CARE CLINICS. III. REMOTE PATIENT MONITORING: UTILIZE TECHNOLOGY TO ENABLE MONITORING OF PATIENTS OUTSIDE OF CLINICAL SETTINGS. IV. CONTINUE TO PROMOTE AND ENHANCE PATIENT NAVIGATION CENTER; ONE CALL FOR HEALTHCARE NAVIGATION. V. SATELLITE CLINICS: PROVIDE VARIOUS SPECIALTY CARE SERVICES THROUGH SATELLITE CLINICS. B. CONTINUED FOCUS ON PROVIDER RECRUITMENT I. RECRUITMENT: RECRUIT PROVIDERS FOR AREAS IDENTIFIED AS COMMUNITY NEEDS. II. GRADUATE MEDICAL EDUCATION: SINCE 2020, CONWAY REGIONAL HAS WELCOMED TWELVE FAMILY MEDICINE RESIDENTS, FIVE INTERNAL MEDICINE RESIDENTS, AND TWO RURAL TRACK FAMILY MEDICINE RESIDENTS. WE WILL CONTINUE TO SUPPORT AND ENGAGE WITH OUR GME PROGRAMS WHICH WHEN FILLED THERE WILL BE A TOTAL OF 33 RESIDENTS. 3. SUBSTANCE ABUSE A. INCREASE ACCESS TO TOBACCO CESSATION PROGRAMS I. PROVIDE OPPORTUNITIES FOR TOBACCO TREATMENT WITH TOBACCO TREATMENT SPECIALISTS AT DARDANELLE REGIONAL. II. INCREASE PUBLIC HEALTH INFORMATION REGARDING RISKS ASSOCIATED WITH TOBACCO USAGE AND TOBACCO TREATMENT. B. INCREASE ACCESS TO MENTAL HEALTH CARE I. TELEHEALTH: PROVIDE MORE ACCESS TO TELEHEALTH MENTAL HEALTH SERVICES. II. MOBILE HEALTH UNIT: PROVIDE MENTAL HEALTH CARE TO RURAL AREAS. 4. MANAGEMENT OF CHRONIC DISEASES & DIABETES A. IMPROVE CHRONIC DISEASE MANAGEMENT AND DIABETES MANAGEMENT I. INCREASE AVAILABILITY FOR HEART AND HEALTH WELLNESS SCREENINGS II. CREATE AND IMPLEMENT COMMUNITY HEALTH EDUCATION LECTURES III. INCREASE AVAILABILITY OF MEDICAL NUTRITION THERAPY AND DIABETES CARE MANAGEMENT IN YELL COUNTY
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3cSEE SCHEDULE H, PART V, LINES 13 THROUGH 16 FOR ADDITIONAL INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY.
Schedule H, Part I, Line 7THE COST TO CHARGE RATIO (CALCULATED USING WORKSHEET 2) WAS USED FOR LINE 7 AMOUNTS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountDARDANELLE REGIONAL MEDICAL CENTER USES A COMPLEX CALCULATION TO IDENTIFY REQUIRED BAD DEBT RESERVES BASED ON HISTORICAL KNOWLEDGE ASSOCIATED WITH THE AGE OF ACCOUNTS, THE PAYERS, AND THE PATIENT TYPES.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnotePLEASE SEE ATTACHED AUDIT REPORT, NOTE 1, PATIENT ACCOUNTS RECEIVABLE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE MEDICARE COST REPORT WAS USED TO CALCULATE THE MEDICARE ALLOWABLE COSTS. THE ORGANIZATION DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceALL PATIENTS WILL BE OFFERED A FINANCIAL ASSISTANCE APPLICATION AT THE TIME OF REGISTRATION AND/OR DISCHARGE FROM THE FACILITY. IF THIS EVALUATION IS NOT CONDUCTED UNTIL AFTER THE PATIENT LEAVES THE FACILITY, OR IN CASE OF OUTPATIENTS OR EMERGENCY PATIENTS, A FINANCIAL COUNSELOR WILL MAIL A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT FOR COMPLETION. EACH PATIENT SIGNS A CONDITION OF ADMISSION FORM WHICH MAKES THEM AWARE OF CONWAY REGIONAL'S FINANCIAL ASSISTANCE POLICY. THERE IS ALSO A STATEMENT ON THE REVERSE SIDE OF THE PATIENT'S BILL WHICH EXPLAINS THAT FINANCIAL COUNSELORS ARE AVAILABLE. IF A PATIENT CALLS THE PATIENT ACCOUNTING OFFICE ABOUT THEIR BILL, THEY ARE MADE AWARE OF THE FINANCIAL ASSISTANCE POLICY. IN ADDITION, THE HOSPITAL WILL PROVIDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY TO THE PATIENT WITH ALL BILLING STATEMENTS AND COMMUNICATIONS WITHIN THE FIRST 120 DAYS FOLLOWING THE FIRST BILLING STATEMENT. THE POLICY WILL ALSO BE AVAILABLE ON THE HOSPITAL WEBSITE, AT ALL POINTS OF REGISTRATION WITHIN THE FACILITY, AND WILL BE PROVIDED BY MAIL TO ANYONE REQUESTING IT AT NO CHARGE. A PLAIN LANGUAGE SUMMARY OF THE POLICY WILL BE MADE AVAILABLE IN THESE LOCATIONS AS WELL.
Schedule H, Part V, Section B, Line 16a FAP website- DARDANELLE REGIONAL MEDICAL CENTER: Line 16a URL: https://www.dardanelleregional.org/patients-visitors/price-transparency/insurance-and-costs;
Schedule H, Part V, Section B, Line 16b FAP Application website- DARDANELLE REGIONAL MEDICAL CENTER: Line 16b URL: https://www.dardanelleregional.org/patients-visitors/price-transparency/insurance-and-costs;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- DARDANELLE REGIONAL MEDICAL CENTER: Line 16c URL: https://www.dardanelleregional.org/patients-visitors/price-transparency/insurance-and-costs;
Schedule H, Part VI, Line 2 Needs assessmentDARDANELLE REGIONAL ANNUALLY UPDATES THE COMMUNITY HEALTH NEEDS SCORECARD FROM VARIOUS SOURCES FROM THE STATE OF ARKANSAS, ESRI, CENSUS, COUNTY HEALTH RANKING, AND PROPRIETARY DATA SOURCES. BOTH PRIMARY AND SECONDARY RESEARCH METHODS ARE USED.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceALL PATIENTS ARE OFFERED A FINANCIAL ASSISTANCE APPLICATION AT THE TIME OF REGISTRATION AND/OR DISCHARGE FROM THE FACILITY. IF THIS EVALUATION IS NOT CONDUCTED UNTIL AFTER THE PATIENT LEAVES THE FACILITY OR IN CASE OF OUTPATIENTS OR EMERGENCY PATIENTS, A FINANCIAL COUNSELOR WILL MAIL A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT FOR COMPLETION. EACH PATIENT SIGNS A CONDITION OF ADMISSION FORM WHICH MAKES THEM AWARE OF CONWAY REGIONAL'S FINANCIAL ASSISTANCE POLICY. THERE IS ALSO A STATEMENT ON THE REVERSE SIDE OF THE PATIENT'S BILL WHICH EXPLAINS THAT FINANCIAL COUNSELORS ARE AVAILABLE. IF A PATIENT CALLS THE PATIENT ACCOUNTING OFFICE ABOUT THEIR BILL, THEY ARE MADE AWARE OF THE ASSISTANCE POLICY. IN ADDITION, THE HOSPITAL WILL PROVIDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY TO THE PATIENT WITH ALL BILLING STATEMENTS AND COMMUNICATIONS WITHIN THE FIRST 120 DAYS FOLLOWING THE FIRST BILLING STATEMENT. THE POLICY WILL ALSO BE MADE AVAILABLE ONT HE HOSPITAL WEBSITE, AT ALL POINTS OF REGISTRATION WITHIN THE FACILITY, AND WILL BE PROVIDED BY MAIL TO ANYONE REQUESTING IT AT NO CHARGE. A PLAIN LANGUAGE SUMMARY OF THE POLICY WILL BE MADE AVAILABLE AT THESE LOCATIONS AS WELL.
Schedule H, Part VI, Line 4 Community informationDARDANELLE REGIONAL MEDICAL CENTER'S PRIMARY SERVICE AREA IS YELL COUNTY, ARKANSAS. IN 2022: THE POPULATION OF YELL COUNTY IS 20,978 - A 1.7% DECREASE SINCE 2019. IN YELL COUNTY, 93% OF THE POPULATION IS CAUCASIAN, 2.5% IS AFRICAN AMERICAN, 1.3% IS AMERICAN INDIAN OR ALASKAN NATIVE, 1.6% IS ASIAN, 0.01% IS HAWAIIAN OR OTHER PACIFIC ISLANDER, 1.5% IS TWO OR MORE RACES, AND 0.09% IS OTHER. THE MEDIAN AGE OF YELL COUNTY IS 40, WHICH IS 1.9 YEARS OLDER THAN THE NATIONAL MEDIAN AGE OF 38.1. IN YELL COUNTY, 24.10% OF THE POPULATION IS UNDER 18 YEARS OLD, 57.80% OF THE POPULATION IS BETWEEN 19 AND 64 YEARS OLD, AND 18.10% IS OVER 65 YEARS OLD. THE MEDIAN HOUSEHOLD INCOME IN YELL COUNTY IS $47,981. THIS IS LOWER THAN THE ARKANSAS AVERAGE OF $49,475 AND THE U.S. AVERAGE OF $61,937. YELL COUNTY IS RANKED THE 25TH HEALTHIEST COUNTY IN ARKANSAS OUT OF 75 TOTAL COUNTIES.
Schedule H, Part VI, Line 5 Promotion of community healthDARDANELLE REGIONAL PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. WE WORK TO IMPROVE HEALTH BY FOCUSING ON THREE PRIMARY GOALS IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDING OBESITY, NUTRITION AND EXERCISE, AND CHRONIC DISEASE MANAGEMENT. OUR FITNESS CENTER PROVIDES SUPPORT FOR MANY AREA SCHOOLS IN DEVELOPING RUNNING CLUBS AND ANNUALLY HOSTS THE KIDS RUN ARKANSAS EVENT TO ENCOURAGE FAMILIES TO EXERCISE TOGETHER. DARDANELLE REGIONAL PROVIDES HEALTHY EATING INFORMATION AND EDUCATION THROUGH OUR WOMEN'S COUNCIL AND OFFERS HUNDREDS OF FREE HEALTH SCREENINGS THROUGHOUT THE YEAR AT EVENTS SUCH AS THE SENIOR HEALTH FAIR AND THE WOMEN'S HEALTH FAIR. CONWAY REGIONAL PROVIDES EXPERT SPEAKERS FOR MANY CLUBS AND COMMUNITY MEETINGS TO HELP EDUCATE ON LIVING A HEALTHIER LIFE. DARDANELLE REGIONAL OFFERS SPECIALIZED SUPPORT FOR PARENTS INCLUDING BABY CARE CLASSES, BREASTFEEDING SUPPORT, AND SUPPORT DURING THE LOSS OF A PREGNANCY.
Schedule H, Part VI, Line 6 Affiliated health care systemDARDANELLE REGIONAL MEDICAL CENTER, INC. PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, PSYCHIATRIC AND EMERGENCY CARE SERVICES TO PATIENTS IN YELL COUNTY, ARKANSAS. DARDANELLE REGIONAL MEDICAL CENTER IS A SUBSIDIARY HOSPITAL OF CONWAY REGIONAL MEDICAL CENTER (THE MEDICAL CENTER). CONWAY REGIONAL MEDICAL CENTER, INC. (THE MEDICAL CENTER) PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, PSYCHIATRIC AND EMERGENCY CARE SERVICES TO PATIENTS IN CONWAY, ARKANSAS, AND SURROUNDING AREAS IN CENTRAL ARKANSAS. IT ALSO OPERATES A HOME HEALTH AGENCY AND PHYSICIAN CLINICS IN THE SAME GEOGRAPHIC AREA. EFFECTIVE APRIL 1, 2022, THE MEDICAL CENTER'S BOARD OF DIRECTORS RENEWED THE AGREEMENT THROUGH APRIL 1, 2023, WITH CHI ST. VINCENT INFIRMARY MEDICAL CENTER, D/B/A CHI ST. VINCENT, AN ARKANSAS NONPROFIT CORPORATION AND A SUBSIDIARY OF CATHOLIC HEALTH INITIATIVES. THE GOAL OF THE AGREEMENT IS TO DEVELOP A LEVEL OF INTEGRATION AND COORDINATION THAT RESULTS IN MORE ACCESSIBLE, HIGH QUALITY, CLINICALLY INTEGRATED, COORDINATED AND LOWER-COST CARE FOR THE COMMUNITIES OF CENTRAL ARKANSAS THAT THEY SERVE WHILE ENHANCING THE OVERALL HEALTH OF THOSE COMMUNITIES. INSTITUTIONAL SERVICES CORPORATION (ISC) IS A WHOLLY OWNED TAXABLE SUBSIDIARY OF THE MEDICAL CENTER. ISC OWNS AND LEASES REAL ESTATE AND PERSONAL PROPERTY, PRIMARILY TO THE MEDICAL CENTER. THIRD TABLE, LLC WAS FORMED WITH THE MEDICAL CENTER AS THE SOLE MEMBER. EFFECTIVE DECEMBER 7, 2018, THIRD TABLE PROVIDES ACCOUNTABLE CARE MANAGEMENT (ACM) SERVICES THROUGH PARTICIPATING PHYSICIANS TO THE MEDICAL CENTER AND IS MANAGED BY AN ACM COMMITTEE WITH MEDICAL CENTER REPRESENTATION. CONWAY REGIONAL HEALTH FOUNDATION (THE FOUNDATION) IS A NOT-FOR-PROFIT ORGANIZATION WHOSE MISSION AND PRINCIPAL ACTIVITIES ARE TO SOLICIT AND RECEIVE CONTRIBUTIONS FOR THE BENEFIT OF THE MEDICAL CENTER. THE FOUNDATION'S REVENUES AND OTHER SUPPORT ARE DERIVED PRINCIPALLY FROM CONTRIBUTIONS IN FAULKNER COUNTY AND SURROUNDING AREAS. THE BOARD OF DIRECTORS OF THE FOUNDATION IS ELECTED ANNUALLY BY THE BOARD OF DIRECTORS OF THE MEDICAL CENTER. THE MEDICAL CENTER OWNS A MAJORITY MEMBER INTEREST OF 66.2% IN CONWAY REGIONAL REHABILITATION HOSPITAL, LLC (CRRH). CRRH PRIMARILY EARNS REVENUE BY PROVIDING INPATIENT REHABILITATIVE CARE TO PATIENTS IN CONWAY, ARKANSAS, AND SURROUNDING AREAS IN CENTRAL ARKANSAS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
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 PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANDREW AXLEY COLE - Thru 12312023
BOARD MEMBER$0$21,147$0$0$0$0$0$0$0$0$0$21,147$0$0
T MICHAEL STANTON
BOARD MEMBER / PHYSICIAN$0$383,237$0$0$0$44,045$0$13,200$0$29,003$0$469,485$0$0
WILLIAM PACK
CHIEF FINANCIAL OFFICER$0$293,059$0$48,205$0$20,336$0$13,402$0$12,397$0$387,399$0$0
ALAN FINLEY
PRESIDENT$0$168,231$0$46,350$0$53,743$0$8,047$0$31,551$0$307,922$0$0
REBEKAH FINCHER
CAO$0$212,881$0$33,538$0$18,046$0$10,929$0$24,244$0$299,638$0$0
AMANDA IRBY
CNO$0$171,900$0$18,275$0$5,719$0$7,480$0$29,942$0$233,316$0$0
DARREN FREEMAN
SYSTEM MEDICAL DIRECTOR$0$414,724$0$163,750$0$23,000$0$13,200$0$32,733$0$647,407$0$0
CHRISTOPHER KEY
PHARMACY MANAGER$137,517$0$10,180$0$14,057$0$7,609$0$20,684$0$190,047$0$0$0
JACQUELINE LOYD
RN$117,243$0$0$0$7,221$0$4,746$0$24,093$0$153,303$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationFormAndLineReferenceDesc
ExplanationCONWAY REGIONAL MEDICAL CENTER, A RELATED ORGANIZATION, USES THE APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, AND AN INDPENDENT COMPENSATION CONSULTANT TO DETERMINE THE COMPENSATION OF THE CEO.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15 15a & 15bDARDANELLE REGIONAL, LLC DOES NOT COMPENSATE ANY TOP MANAGEMENT OFFICIALS, OFFICERS, OR KEY EMPLOYEES OF THE ORGANIZATION, THEREFORE THIS WILL NOT BE APPLICABLE.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE REVIEW PROCESS OF FORM 990 INCLUDES A REVIEW BY THE PRESIDENT, CFO AND CONTROLLER OF THE ORGANIZATION. THE FORM 990 IS THEN PRESENTED TO ALL BOARD MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION FOR REVIEW PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policyTHE DARDANELLE REGIONAL, LLC BOARD REVIEWS THE GOVERNING BOARD CONFLICT OF INTEREST POLICY ANNUALLY DURING THE JANUARY BOARD MEETING. A NEW CONFLICT OF INTEREST STATEMENT IS REQUIRED OF EACH BOARD MEMBER EVERY YEAR. THESE STATEMENTS ARE REVIEWED BY THE CHAIRMAN, PRESIDENT, AND CFO FOR MONITORING. BOARD MEMBERS WHO HAVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN MATTERS BROUGHT BEFORE THE BOARD ARE TO ALERT THE OTHER MEMBERS OF THE BOARD BEFOREHAND. THE CONFLICTED BOARD MEMBER IS TO WITHDRAW FROM THE MEETING DURING SAID DISCUSSION UNTIL THE MATTER HAS BEEN VOTED ON. IF THE MEMBER FAILS TO WITHDRAW VOLUNTARILY, THE CHAIRMAN IS EMPOWERED TO REQUIRE WITHDRAWAL FROM THE ROOM DURING DISCUSSION AND VOTE ON THE MATTER. IN THE EVENT THE CONFLICT OF INTEREST AFFECTS THE CHAIRMAN, THE VICE CHAIRMAN IS THEN EMPOWERED TO REQUIRE THE CHAIRMAN'S WITHDRAWAL.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
Form 990, Part IX, Line 11g Other FeesPHYSICIAN FEES - Total Expense: 152, Program Service Expense: 116, Management and General Expenses: 36, Fundraising Expenses: 0; EQUIPMENT SERVICE - Total Expense: 227322, Program Service Expense: 173525, Management and General Expenses: 53797, Fundraising Expenses: 0; AGENT STAFF - Total Expense: 312535, Program Service Expense: 238571, Management and General Expenses: 73964, Fundraising Expenses: 0; CONTRACTS - Total Expense: 2744196, Program Service Expense: 2094761, Management and General Expenses: 649435, Fundraising Expenses: 0; PURCHASED SERVICES - Total Expense: 584648, Program Service Expense: 446287, Management and General Expenses: 138361, Fundraising Expenses: 0; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CONWAY REGIONAL HEALTH FOUNDATION
2302 COLLEGE AVECONWAYAR72034710797723SUPPORTAR501(c)(3)Type ICRMCYes (true)
CONWAY REGIONAL MEDICAL CENTER
2302 COLLEGE AVENUECONWAYAR72034710249735HOSPITALAR501(c)(3)3NAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CONWAY REGIONAL REHABILITATION HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12210 ROBINSON AVEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
EIN412136339EIN
Primary ActivitiesIP REHAB SERVICESPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1INSTITUTIONAL SERVICES CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
EIN710575886EIN
Primary ActivitiesPROPERTY OWNERSHIPPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CRMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorporationEntityTypeTxt
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
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 OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd