SALINE COUNTY MEDICAL CENTER: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- SALINE COUNTY MEDICAL CENTER (EIN 71-0772959)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-16
- IRS object ID
- 201641379349302629
- Schema version
- 2014v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-16T09:41:02-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3667 | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 722033667 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710772959 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALINE COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CARLA ROBERTSON | InCareOfNm |
| Business Name Control | SALI | BusinessNameControlTxt |
| Phone | 5017766015 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 MEDICAL PARK DRIVE | AddressLine1Txt |
| City | BENTON | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72015 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARLA ROBERTSON | PersonNm |
| Person Title | CFO/COO | PersonTitleTxt |
| Phone | 5017766015 | PhoneNum |
| Signature | 2016-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMBER SHERRILL | PreparerPersonNm |
| PTIN | P00748683 | PTIN |
| Phone | 5013721040 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALINE MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BOB TRAUTMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 MEDICAL PARK DRIVE | AddressLine1Txt |
| City | BENTON | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $101,180,136 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SALINEMEMORIAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | SALINE MEMORIAL HOSPITAL PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 1224 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $277,513 | PYContributionsGrantsAmt |
| CY Contributions Grants | $637,412 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $81,807,898 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $85,308,970 | CYProgramServiceRevenueAmt |
| PY Investment Income | $208,429 | PYInvestmentIncomeAmt |
| CY Investment Income | $108,289 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,269,010 | PYOtherRevenueAmt |
| CY Other Revenue | $2,844,757 | CYOtherRevenueAmt |
| PY Total Revenue | $85,562,850 | PYTotalRevenueAmt |
| CY Total Revenue | $88,899,428 | 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 | $39,573,725 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $40,932,522 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $42,952,661 | PYOtherExpensesAmt |
| CY Other Expenses | $41,078,526 | CYOtherExpensesAmt |
| PY Total Expenses | $82,526,386 | PYTotalExpensesAmt |
| CY Total Expenses | $82,011,048 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,036,464 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,888,380 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $55,205,771 | TotalAssetsBOYAmt |
| Total Assets EOY | $59,906,544 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,523,903 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,847,484 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $34,681,868 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $39,059,060 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SALINE MEMORIAL HOSPITAL PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. FOR DETAILS, SEE SCH. O. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $59,044,886 | ExpenseAmt |
| Revenue | $85,375,135 | RevenueAmt |
| Desc | PROVIDING HEALTHCARE SERVICES AND OTHER ACTIVITIES IN ACCORDANCE WITH OUR MISSION STATEMENT. IN ADDITION TO HEALTH SERVICES, THE HOSPITAL PROVIDED MULTIPLE HEALTH EDUCATION PROGRAMS, HEALTH SCREENINGS, SPONSORED MANY COMMUNITY ACTIVITIES, PROVIDED FREE TRANSPORTATION TO SEVERAL PATIENTS, AND PROVIDED AN AMBULANCE AND CREW FOR SCHOOL SPORTING EVENTS. | Desc |
| Total Program Service Expenses | $59,044,886 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 46 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1224 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARLA ROBERTSON | PersonNm |
| Phone | 5017766370 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 MEDICAL PARK DRIVE | AddressLine1Txt |
| City | BENTON | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LANCE PENFIELD | ||||||||
| CHAIRMAN | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MEREDITH WINELAND | ||||||||
| VICE CHAIRMAN | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| EDDIE BLACK | ||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHRIS HOLMES | ||||||||
| TREASURER | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BEN MATHEWS MD | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| STEPHANIE DUKE | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| CHRIS WILLIAMS | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| CLAY BRASHEARS MD | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $2,406 | $0 | ||
| BOB TRAUTMAN | ||||||||
| CEO | 40.0 | 1.0 | Yes (X) | $295,610 | $0 | $12,973 | ||
| DEBBIE BURROW | ||||||||
| DON | 40.0 | 1.0 | Yes (X) | $143,688 | $0 | $12,020 | ||
| CARLA ROBERTSON | ||||||||
| CFO/COO | 40.0 | 1.0 | Yes (X) | $173,227 | $0 | $13,537 | ||
| KAYCIE TAYLOR | ||||||||
| PHARMACY MANAGER | 40.0 | 0.0 | $120,018 | $0 | $20,578 | Yes (X) | ||
| ANDY DICK | ||||||||
| IT DIRECTOR | 40.0 | 0.0 | $113,336 | $0 | $7,698 | Yes (X) | ||
| MICHAEL RENICK | ||||||||
| PHARMACIST | 40.0 | 0.0 | $107,440 | $0 | $20,316 | Yes (X) | ||
| CHAD KREBS | ||||||||
| PHARMACIST | 40.0 | 0.0 | $106,753 | $0 | $19,130 | Yes (X) | ||
| REGINA INMAN | ||||||||
| PHARMACIST | 40.0 | 0.0 | $112,043 | $0 | $3,908 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,172,115 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,406 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $110,160 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ENVIRONMENTAL SERVICES | |||||
| 382 ARKRIDGE ROAD | HOT SPRINGS | AR | 71913 | HOUSEKEEPING | $846,181 |
| COUNSELING CLINIC | |||||
| 307 E SEVIER | BENTON | AR | 72019 | PSYCH MANAGEMENT | $660,540 |
| REHABCARE | |||||
| PO BOX 502096 | ST LOUIS | MO | 63150 | REHAB MANAGEMENT | $718,208 |
| ENVIRONMENTAL MANAGEMENT | |||||
| 109 WINANS AVE | HOT SPRINGS | AR | 71901 | HOUSEKEEPING | $449,436 |
| ALLCRIPTS | |||||
| 222 MERCHANDISE MART PLAZA SUITE 2 | CHICAGO | IL | 60654 | REMOTE HOSTING | $436,277 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $416,438 | RelatedOrganizationsAmt |
| Government Grants | $220,974 | GovernmentGrantsAmt |
| Total Contributions | $637,412 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621110 | $85,405,581 | $85,405,581 |
| MEDICAL OFFICE BUILDING LEASE | 532000 | -$96,611 | -$96,611 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $85,308,970 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $147,838 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $147,838 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,227,115 | SecuritiesAmt |
| Other | $14,044 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,160,950 | SecuritiesAmt |
| Other | $119,758 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $66,165 | SecuritiesAmt |
| Other | -$105,714 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$39,549 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $66,165 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$105,714 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MEANINGFUL USE INCOME | 900099 | $1,032,686 | $1,032,686 |
| CAFETERIA INCOME | 900099 | $1,016,632 | $1,016,632 |
| PHARMACY INCOME | 900099 | $232,467 | $232,467 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $562,972 | TotalRevenueColumnAmt |
| Exclusion | $562,972 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,844,757 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $88,899,428 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $85,375,135 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,886,881 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,907 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $593,907 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,641,827 | TotalAmt |
| Program Services | $23,750,590 | ProgramServicesAmt |
| Management And General | $9,891,237 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $746,553 | TotalAmt |
| Program Services | $527,054 | ProgramServicesAmt |
| Management And General | $219,499 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,449,503 | TotalAmt |
| Program Services | $2,435,294 | ProgramServicesAmt |
| Management And General | $1,014,209 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,500,732 | TotalAmt |
| Program Services | $1,765,477 | ProgramServicesAmt |
| Management And General | $735,255 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,125 | TotalAmt |
| Program Services | $170,230 | ProgramServicesAmt |
| Management And General | $70,895 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,400 | TotalAmt |
| Program Services | $53,937 | ProgramServicesAmt |
| Management And General | $22,463 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,719,818 | TotalAmt |
| Program Services | $6,156,052 | ProgramServicesAmt |
| Management And General | $2,563,766 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $426,323 | TotalAmt |
| Program Services | $300,977 | ProgramServicesAmt |
| Management And General | $125,346 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,979,929 | TotalAmt |
| Program Services | $2,103,782 | ProgramServicesAmt |
| Management And General | $876,147 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,898,782 | TotalAmt |
| Program Services | $2,046,494 | ProgramServicesAmt |
| Management And General | $852,288 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,274 | TotalAmt |
| Program Services | $240,228 | ProgramServicesAmt |
| Management And General | $100,046 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60 | TotalAmt |
| Program Services | $42 | ProgramServicesAmt |
| Management And General | $18 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,504 | TotalAmt |
| Program Services | $292,633 | ProgramServicesAmt |
| Management And General | $121,871 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,229,721 | TotalAmt |
| Program Services | $2,986,115 | ProgramServicesAmt |
| Management And General | $1,243,606 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,013,914 | TotalAmt |
| Program Services | $715,807 | ProgramServicesAmt |
| Management And General | $298,107 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL & SURGICAL SUPPLIES | $10,550,098 | $7,448,200 | $3,101,898 |
| BAD DEBTS | $5,325,190 | $5,325,190 | |
| PROVIDER ASSESSMENT TAX | $1,352,847 | $955,088 | $397,759 |
| MEALS & PATIENT NOURISHMENT | $1,292,357 | $912,383 | $379,974 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,217,184 | TotalAmt |
| Program Services | $859,313 | ProgramServicesAmt |
| Management And General | $357,871 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,011,048 | TotalAmt |
| Program Services | $59,044,886 | ProgramServicesAmt |
| Management And General | $22,966,162 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,584 | BOYAmt |
| EOY | $182,732 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,756,675 | BOYAmt |
| EOY | $9,848,658 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,642,855 | BOYAmt |
| EOY | $9,406,130 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,261,170 | BOYAmt |
| EOY | $1,359,435 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $680,238 | BOYAmt |
| EOY | $641,456 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $94,012,389 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $65,009,086 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,252,420 | BOYAmt |
| EOY | $29,003,303 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,733,867 | BOYAmt |
| EOY | $8,530,982 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $695,962 | BOYAmt |
| EOY | $933,848 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,205,771 | BOYAmt |
| EOY | $59,906,544 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,820,621 | BOYAmt |
| EOY | $7,150,589 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,269,567 | BOYAmt |
| EOY | $2,042,610 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,856,485 | BOYAmt |
| EOY | $7,815,795 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,414,275 | BOYAmt |
| EOY | $3,838,490 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,955 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,523,903 | BOYAmt |
| EOY | $20,847,484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,681,868 | BOYAmt |
| EOY | $39,059,060 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,681,868 | BOYAmt |
| EOY | $39,059,060 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,205,771 | BOYAmt |
| EOY | $59,906,544 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,888,380 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$239,160 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,272,028 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,407,303 | OtherCostOrOtherBasisAmt |
| Book Value | $1,407,303 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,344,150 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,981,438 | DepreciationAmt |
| Book Value | $17,362,712 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $536,123 | OtherCostOrOtherBasisAmt |
| Depreciation | $169,990 | DepreciationAmt |
| Book Value | $366,133 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,583,751 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,621,122 | DepreciationAmt |
| Book Value | $7,962,629 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,141,062 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,236,536 | DepreciationAmt |
| Book Value | $1,904,526 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $29,003,303 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $83,335,078 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$239,160 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$239,160 | RevenueNotReportedAmt |
| Revenue Subtotal | $83,574,238 | RevenueSubtotalAmt |
| Other Revenues Not Included | $5,325,190 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $5,325,190 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $88,899,428 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $76,685,858 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $76,685,858 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $5,325,190 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $5,325,190 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $82,011,048 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE D, PART X, LINE 2 | MANAGEMENT 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. |
| FORM 990, SCH D, PART XI, LINE 4B | PROVISION FOR UNCOLLECTIBLE ACCOUNTS $5,325,190 |
| FORM 990, SCH D, PART XII, LINE 4B | PROVISION FOR UNCOLLECTIBLE ACCOUNTS $5,325,190 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 120. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,063,215 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,063,215 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01390 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,247,365 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,548,483 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,698,882 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04820 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,310,580 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,548,483 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,762,097 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06210 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $76,650 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $76,650 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,400 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,400 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $112,050 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $112,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,422,630 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,548,483 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,874,147 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06360 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,250 | NetCommunityBenefitExpnsAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $500 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $350 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $350 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,100 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,325,190 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $555,950 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $35,878,654 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $32,591,015 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,287,639 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALINE COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 MEDICAL PARK DRIVE | AddressLine1Txt |
| City | BENTON | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SALINEMEMORIAL.ORG | WebsiteAddressTxt |
| State License | 3045 | StateLicenseNum |
| 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 | SALINE COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.SALINEMEMORIAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 120. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.SALINEMEMORIAL.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.SALINEMEMORIAL.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.SALINEMEMORIAL.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 | IN JUNE 2015, SMH CONTRACTED WITH STRATASAN TO ASSIST IN CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT FOR SALINE COUNTY. SMH SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY USING SEVERAL METHODS. 22 COMMUNITY MEMBERS, EMPLOYERS, NOT-FOR-PROFT ORGANIZATIONS, SCHOOLS, LAW ENFORCEMENT, HEALTH PROVIDERS, AND GOVERNMENT REPRESENTATIVES PARTICIPATED IN A FOCUS GROUP FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES. 11 PHYSICIANS AND 186 HOSPITAL CO-WORKERS WERE SURVEYED ON-LINE AND 350 COMMUNITY SURVEYS WERE CONDUCTED BY PHONE AND ONLINE, REGARDING PERSPECTIVES ON COMMUNITY HEALTH STATUS AND NEEDS. A COMMUNITY SUMMIT WAS CONDUCTED WITH 30 COMMUNITY STAKEHOLDERS. THE AUDIENCE CONSISTED OF HEALTHCARE PROVIDERS, THE STATE HEALTH DEPARTMENT, PHYSICIANS, BUSINESS LEADERS, SCHOOL SYSTEMS, GOVERNMENT REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATIONS, AND OTHER COMMUNITY MEMBERS. |
| FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 | PLEASE REFER TO THE ATTACHED IMPLEMENTATION STRATEGY FOR A DESCRIPTION OF HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA, NEEDS THAT ARE NOT BEING ADDRESSED, AND REASONS WHY THOSE NEEDS ARE NOT BEING ADDRESSED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| SALINE MEMORIAL BRYANT COMPLEX | ||||
| 23157 INTERSTATE 305 | BRYANT | AR | 72022 | HOSPICE HOUSE |
| BRYANT MEDICAL CLINIC | ||||
| 319 BRYANT AVE 1 | BRYANT | AR | 72022 | INTERNAL MED CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN (F) | BAD DEBT EXPENSE IN THE AMOUNT OF $5,325,190 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. |
| FORM 990, SCHEDULE H, PART I, LINE 7 | THE COST TO CHARGE RATIO AS CALCULATED USING WORKSHEET 2 WAS USED TO DETERMINE THE COSTS ON LINE 7. |
| FORM 990, SCHEDULE H, PART II | THE COMMUNITY BUILDING ACTIVITIES THAT THE HOSPITAL CONDUCTED DURING THE TAX YEAR PROMOTED THE HEALTH OF THE COMMUNITIES IT SERVES IN CULTIVATING LEADERSHIP BY ENERGIZING AND EDUCATING EXISTING AND EMERGING LEADERS IN THE COMMUNITY. BY FURTHER EDUCATING AND INCREASING THE HOSPITAL'S INVOLVEMENT IN THE COMMUNITY, THE OUTCOME IS TO IMPROVE THE HEALTH OF THE COMMUNITY MEMBERS. |
| FORM 990, SCHEDULE H, PART III, LINES 4A & 4B | ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS DECREASED FROM 84% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2014, TO 77% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2015. IN ADDITION, THE SYSTEM'S SELF-PAY WRITE-OFFS DECREASED APPROXIMATELY $4.5 MILLION FROM APPROXIMATELY $11 MILLION FOR THE YEAR ENDED JUNE 30, 2014, TO APPROXIMATELY $6.5 MILLION FOR THE YEAR ENDED JUNE 30, 2015. THE SYSTEM HAS NOT SIGNIFICANTLY CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING THE FISCAL YEARS 2015 OR 2014. THE SYSTEM DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYERS, MEDICARE OR MEDICAID, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYERS. |
| FORM 990, SCHEDULE H, PART III, LINE 8 | LINE 6 WAS CALCULATED USING THE MEDICARE COST REPORT. |
| FORM 990, SCHEDULE H, PART III, LINE 9B | DURING THE COLLECTION PROCESS, IF PATIENT IS DETERMINED TO BE ELIGIBLE FOR 100% CHARITY, ALL COLLECTION AND LEGAL ACTIVITIES ARE CEASED. IF PARTIAL CHARITY IS GRANTED, REMAINING PATIENT BALANCE WILL BE COLLECTED IN THE SAME MANNER AS ALL OTHER ACCOUNTS. OUR COLLECTION PRACTICES ARE APPLIED EQUALLY TO ALL PATIENTS REGARDLESS OF PAYER TYPE OR WHETHER OR NOT THEY RECEIVE CHARITY CARE. SMH DOES NOT PERMIT ANY EXTRAORDINARY COLLECTION ACTIONS (ECA) PRIOR TO MAKING REASONABLE EFFORTS TO DETERMINE AN INDIVIDUAL'S ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. |
| FORM 990, SCHEDULE H, PART VI, LINE 2 | EVERY THREE YEARS, WE CONDUCT COMMUNITY RESEARCH THAT INCLUDES A NEEDS ASSESSMENT AND ANALYSIS AS WELL AS COMMUNITY SURVEYS. WE USE THE FEEDBACK TO HELP GUIDE OUR EFFORTS IN DEVELOPING AND ENHANCING NEW SERVICES. IN ADDITION TO THE RESEARCH, WE ALSO WORK WITH COMMUNITY ORGANIZATIONS SUCH AS OUR LOCAL HEALTH DEPARTMENT AND OTHER NON-PROFITS TO ADDRESS PUBLIC HEALTH NEEDS SUCH AS IMMUNIZATION EFFORTS, EDUCATION, UNDERSERVED COMMUNITIES, ETC. |
| FORM 990, SCHEDULE H, PART VI, LINE 3 | WHEN A PATIENT COMES TO PRE-REGISTER FOR A PROCEDURE OR APPOINTMENT, THEY ALSO MEET WITH A FINANCIAL ADVISOR WHO DISCUSSES THEIR PAYMENT OPTIONS. IF A PATIENT DOES NOT HAVE INSURANCE AND NEEDS ASSISTANCE, WE THEN ASK FOR PROOF OF INCOME, ETC. AFTER WE GET THIS INFORMATION, IT'S EVALUATED TO DETERMINE AT WHAT PERCENT THE PATIENT IS ELIGIBLE FOR CHARITY CARE. THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY CAN BE FOUND ON THE HOSPITAL WEBSITE OR REQUESTED FROM THE HOSPITAL FREE OF CHARGE. NOTICES OF AVAILABILITY OF THE FAP ARE CONSPICUOUSLY DISPLAYED THROUGHOUT THE HOSPITAL FACILITY. INDIVIDUALS ARE ALSO NOTIFIED OF THE FAP IN COMMUNICATIONS ON INVOICES. |
| FORM 990, SCHEDULE H, PART VI, LINE 4 | OUR GOAL IS TO SERVE SALINE COUNTY WHICH CONSISTS OF A CENSUS OF OVER 100,000. MOST OF OUR PATIENTS COME FROM THE CITY OF BENTON. THE POPULATION OF SALINE COUNTY IS PROJECTED TO INCREASE FROM 2015 TO 2020 (1.89% PER YEAR), OVER TWICE THE RATE OF ARKANSAS AT .70% AND THE U.S. AT .75%. SALINE COUNTY HAS AN OLDER MEDIAN AGE (40.1 MEDIAN AGE) AND A HIGHER MEDIAN HOUSEHOLD INCOME ($56,051) THAN ARKANSAS AND THE U.S.. THE INCOME DISTRIBUTION OF SALINE COUNTY IS 20% HIGH INCOME, 61% MIDDLE INCOME, AND 18% LOW INCOME. THE RACIAL MAKEUP OF SALINE COUNTY IS 88% CAUCASIAN, 7% AFRICAN-AMERICAN, 5% HISPANIC, AND 6% OTHER/MIXED RACES. OUR ORGANIZATION SITS BETWEEN TWO LARGER CITIES LOCATED ABOUT 25-30 MILES TO THE EAST AND TO THE WEST OF US. THOSE CITIES BOTH HAVE LARGE HEALTHCARE PROVIDERS. HOWEVER, OUR GOAL IS TO KEEP PATIENTS IN OUR COMMUNITY AND MAKE QUALITY HEALTHCARE CONVENIENT. WITH LARGER HOSPITALS ON BOTH SIDES, IT'S DIFFICULT TO OVERCOME THE PERCEPTION THAT "BIGGER IS BETTER". |
| FORM 990, SCHEDULE H, PART VI, LINE 5 | WE PARTICIPATE IN MULTIPLE HEALTH FAIRS AND EVENTS THROUGHOUT THE YEAR AND PROVIDE FREE HEALTH SCREENINGS TO THE PUBLIC. WE ALSO OFFER FREE SEMINARS ON HEALTH RELATED TOPICS AND INVITE THE PUBLIC TO ATTEND AND MEET OUR SPECIALISTS. WE OFFER FREE DIABETES CLASSES AND WE ALSO HOST CERTAIN SUPPORT GROUPS INSIDE THE HOSPITAL. WE OFFER FREE PROSTATE SCREENINGS EVERY SEPTEMBER AND HEART RELATED SCREENINGS AND EDUCATION EVERY FEBRUARY DURING NATIONAL HEART MONTH. SALINE MEMORIAL OPERATES UNDER A GOVERNING BOARD OF DIRECTORS MADE UP OF COMMUNITY MEMBERS. THEY MEET AT LEAST ONCE A MONTH TO REVIEW FINANCES, QUALITY MEASURES AND OTHER RELEVANT BUSINESS. WE PROMOTE HEALTH IN OUR COMMUNITY IN A VARIETY OF WAYS THAT INCLUDE OFFERING FREE PRENATAL CLASSES FOR ALL NEW MOTHERS DELIVERING AT SMH NO MATTER IF THEY'RE INSURED OR NOT. WE OFFER SMOKING CESSATION TO OUR CO-WORKERS AND THE COMMUNITY. WE PRINT A COMMUNITY REPORT EACH SUMMER TO EDUCATE THE COMMUNITY ABOUT HEALTH SERVICES AND UPCOMNG EVENTS. WE OFFER FREE FLU SHOTS TO OUR CO-WORKERS AND VOLUNTEERS. |
| FORM 990, SCHEDULE H, PART VI, LINE 6 | SALINE COUNTY MEDICAL SYSTEM (SMS) IS AN ARKANSAS NOT-FOR-PROFIT CHARITABLE HOLDING CORPORATION. THE SYSTEM IS THE SOLE MEMBER OF SALINE COUNTY MEDICAL CENTER D/B/A SALINE MEMORIAL HOSPITAL (SMH), WHICH PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN SALINE COUNTY, ARKANSAS, AND SURROUNDING AREAS. SMH ALSO OPERATES A HOME HEALTH AGENCY IN THE SAME GEOGRAPHIC AREA. SMS IS ALSO THE SOLE MEMBER OF SALINE PHYSICIAN SERVICES, LLC (SPS) AND SALINE COUNTY MEDICAL SERVICES (SERVICES). THE MEMBERS OF THE SALINE COUNTY MEDICAL FOUNDATION (SCMF) CONSIST OF THE BOARD OF DIRECTORS OF SMH. THE PURPOSE OF SCMF AND SERVICES IS TO FOSTER, SUPPORT AND ENCOURAGE THE ACTIVITIES AND PURPOSES OF THE SMH AND TO ADVANCE ITS OBJECTIVES, INCLUDING THE SPONSORSHIP OF, AND ASSISTANCE TO, THE SMH. SCMF RECEIVES, MANAGES AND ADMINISTERS FUNDS EXCLUSIVELY FOR SMH, PRIMARILY EARNING REVENUES FROM FUND-RAISING INCOME AND CONTRIBUTIONS. SERVICES HAS NO ACTIVITY AS OF JUNE 30, 2015. SPS EMPLOYS CERTAIN PHYSICIANS AND OPERATES VARIOUS PHYSICIAN CLINICS IN CENTRAL ARKANSAS. IN ADDITION, SPS ALSO EMPLOYS HOSPITALISTS AND CONTRACTS WITH ANESTHESIOLOGISTS THAT PROVIDE SERVICES TO PATIENTS AT SMH. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BOB TRAUTMAN | ||||||||||||||
| CEO | $224,994 | $0 | $66,913 | $0 | $3,703 | $0 | $8,135 | $0 | $4,838 | $0 | $308,583 | $0 | $0 | $0 |
| DEBBIE BURROW | ||||||||||||||
| DON | $141,835 | $0 | $0 | $0 | $1,853 | $0 | $7,182 | $0 | $4,838 | $0 | $155,708 | $0 | $0 | $0 |
| CARLA ROBERTSON | ||||||||||||||
| CFO/COO | $170,914 | $0 | $0 | $0 | $2,313 | $0 | $8,699 | $0 | $4,838 | $0 | $186,764 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALINE COUNTY ARKANSAS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 716000760 | BondIssuerEIN |
| CUSIP | 794900EZ9 | CUSIPNum |
| Bond Issued | 2013-03-08 | BondIssuedDt |
| Issue Price | $7,939,626 | IssuePriceAmt |
| Purpose | REV REFUNDING & IMPROVEMENTS | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $75,000 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $7,947,674 | TotalProceedsAmt |
| In Reserve Fund | $667,516 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $3,502,103 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $144,692 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $4,085,789 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | Yes (true) | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE K, PART I, LINE A | CALCULATED AT BOND YEAR END 03/01/2015 |
| FORM 990, SCHEDULE K, PART II, LINE 3 | TOTAL PROCEEDS OF ISSUE IS DIFFERENT BECAUSE OF THE INVESTMENT INCOME. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1 | SALINE MEMORIAL HOSPITAL PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN KEEPING WITH ITS MISSION, IT PROVIDES FREE AND SUBSIDIZED CARE TO THOSE WHO CANNOT PAY (CHARITY CARE) AND TO THOSE COVERED UNDER GOVERNMENT PROGRAMS (MEDICARE AND MEDICAID) AT REIMBURSEMENT RATES BELOW THOSE PAID BY OTHER THIRD PARTY PAYORS. IN ADDITION TO HEALTH SERVICES, THE HOSPITAL PROVIDED MULTIPLE HEALTH EDUCATION PROGRAMS, HEALTH SCREENINGS, SPONSORED MANY COMMUNITY ACTIVITIES, PROVIDED FREE TRANSPORTATION TO SEVERAL PATIENTS, AND PROVIDED AN AMBULANCE AND CREW FOR SCHOOL SPORTING EVENTS. |
| FORM 990, PART VI, SECTION A, LINES 2 | CHRIS WILLIAMS AND LANCE PENFIELD HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINES 6 & 7A | THE ONLY MEMBER OF SALINE COUNTY MEDICAL CENTER SHALL BE SALINE COUNTY MEDICAL SYSTEM, AN ARKANSAS CORPORATION, ORGANIZED UNDER THE PROVISIONS OF THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993. DIRECTORS OF SALINE COUNTY MEDICAL CENTER SHALL BE ELECTED BY PLURALITY VOTE AT THE ANNUAL MEETING OF THE MEMBERS. THE BOARD OF DIRECTORS MAY APPOINT THEMSELVES WITH THE APPROVAL OF THE QUORUM COURT. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CFO AND CONTROLLER REVIEW THE 990 AND PROVIDE A COPY TO THE BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH JULY ALL OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY THE CEO, COMPLIANCE OFFICER AND DIRECTOR OF HUMAN RESOURCES. A REPORT IS TO BE MADE AT THE SEPTEMBER BOARD OF DIRECTORS MEETING WITH A RECOMMENDED ACTION TO RESOLVE ALL DISCLOSED CONFLICT OF INTEREST. IN ADDITION, THE ENTITY'S COMPLIANCE PROGRAM REQUIRES IMMEDIATE DISCLOSURE UPON THE DISCOVERY OF A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION FOR THE CEO USING COMPARABILITY DATA. THE LAST REVIEW WAS CONDUCTED IN 2014. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE BOARD OF DIRECTORS AND BOB TRAUTMAN, CEO, REVIEWS COMPENSATION FOR OFFICERS USING COMPARABILITY DATA. BOB TRAUTMAN REVIEWS COMPENSATION FOR THE ADMINISTRATIVE STAFF. THE LAST REVIEW WAS CONDUCTED IN 2014. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | TRANSFER TO AFFILIATE $(2,272,028). |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL CONTRACT SERVICES TOTAL FEES:5654905 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SERVICE CONTRACTS TOTAL FEES:2610687 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:STAFF DEVELOPEMENT TOTAL FEES:451544 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LAWN CARE & OTHER TOTAL FEES:2682 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SALINE COUNTY MEDICAL SYSTEMS | ||||||||||
| 1 MEDICAL PARK DRIVE | BENTON | AR | 72015 | 710772960 | SUPPORT | AR | 501 (C) (3) | 11A | NA | false |
| SALINE COUNTY MEDICAL SERVICES | ||||||||||
| 1 MEDICAL PARK DRIVE | BENTON | AR | 72015 | 710772961 | SUPPORT | AR | 501 (C) (3) | 11B | SYSTEMS | Yes (true) |
| SALINE COUNTY MEDICAL CENTER FOUNDATION | ||||||||||
| 1 MEDICAL PARK DRIVE | BENTON | AR | 72015 | 710772958 | SUPPORT | AR | 501 (C) (3) | 11B | SYSTEMS | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALINE COUNTY MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $416,438 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |