CRITTENDEN HOSPITAL ASSOCIATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CRITTENDEN HOSPITAL ASSOCIATION (EIN 71-0236932)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-04-24
- IRS object ID
- 201531149349300008
- Schema version
- 2014v5.0
- 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 | 2015-04-24T08:51:12-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | 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 | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710236932 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRITTENDEN HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % A JAN THOMAS | InCareOfNm |
| Business Name Control | CRIT | BusinessNameControlTxt |
| Phone | 5017351500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 W TYLER | AddressLine1Txt |
| Address Line2 | Suite | AddressLine2Txt |
| City | WEST MEMPHIS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | A JAN THOMAS | PersonNm |
| Person Title | BANKRUPTCY TRUSTEE | PersonTitleTxt |
| Phone | 5013721040 | PhoneNum |
| Signature | 2015-04-24 | 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 |
| Preparation | 2015-04-24 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | A JAN THOMAS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 W TYLER | AddressLine1Txt |
| City | WEST MEMPHIS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $43,909,063 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CRITTENDENREGIONAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | EXCELLENCE IN PATIENT CENTERED HEALTHCARE FOR THE MIDSOUTH FOR THE MIDSOUTH | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 541 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,376,164 | PYContributionsGrantsAmt |
| CY Contributions Grants | $188,066 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $66,198,959 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $33,657,699 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$31,183 | PYInvestmentIncomeAmt |
| CY Investment Income | $382,294 | CYInvestmentIncomeAmt |
| PY Other Revenue | $960,993 | PYOtherRevenueAmt |
| CY Other Revenue | $9,681,004 | CYOtherRevenueAmt |
| PY Total Revenue | $68,504,933 | PYTotalRevenueAmt |
| CY Total Revenue | $43,909,063 | 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 | $31,361,195 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,290,922 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $42,027,923 | PYOtherExpensesAmt |
| CY Other Expenses | $23,918,230 | CYOtherExpensesAmt |
| PY Total Expenses | $73,389,118 | PYTotalExpensesAmt |
| CY Total Expenses | $46,209,152 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,884,185 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,300,089 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $27,920,145 | TotalAssetsBOYAmt |
| Total Assets EOY | $30,423,041 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $30,403,769 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $38,243,570 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$2,483,624 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$7,820,529 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDE INPATIENT, OUTPATIENT, EMERGENCY, RURAL HEALTH, AND PEDIATRIC CARE FOR THE RESIDENTS OF EAST CENTRAL AR AND SURROUNDING AREAS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $38,272,875 | ExpenseAmt |
| Revenue | $33,657,699 | RevenueAmt |
| Desc | PROVIDE INPATIENT, OUTPATIENT, EMERGENCY, RURAL HEALTH, AND PEDIATRIC CARE FOR THE RESIDENTS OF EAST CENTRAL AR AND SURROUNDING AREAS. | Desc |
| Total Program Service Expenses | $38,272,875 | 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 | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 541 | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | 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 | A JAN THOMAS | PersonNm |
| Phone | 8707357700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 W TYLER | AddressLine1Txt |
| City | WEST MEMPHIS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 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 |
|---|---|---|---|---|---|---|---|---|
| JASON COLLARD | ||||||||
| TREASURER | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WILLIAM JOHNSON | ||||||||
| MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| HERSHEL OWENS | ||||||||
| VICE CHAIRMAN | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID RAINS JR | ||||||||
| CHAIRMAN | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LANNIE LANCASTER | ||||||||
| MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JULIO RUIZ MD | ||||||||
| MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| SHERRY LONDON | ||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NESS SECHREST | ||||||||
| MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| RANDY SULLIVAN | ||||||||
| MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| LEVEN WILLIAMS | ||||||||
| MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| GENE CASHMAN | ||||||||
| CEO | 40.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLES ELLIOTT | ||||||||
| MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KEITH INGRAM | ||||||||
| MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| BRAD MCCORMICK | ||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $86,263 | $0 | $20,673 | ||
| DONNA LANIER | ||||||||
| VICE PRESIDENT | 40.0 | 0.0 | Yes (X) | $81,002 | $0 | $7,405 | ||
| CHURCHILL AKHIGBE | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $335,186 | $0 | $20,673 | Yes (X) | ||
| NIZAR ISSA | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $338,952 | $0 | $0 | Yes (X) | ||
| SONIA JOSEPH | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $200,566 | $0 | $1,712 | Yes (X) | ||
| SUSAN MOKHTARI | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $317,363 | $0 | $21,965 | Yes (X) | ||
| MICHAEL SCHMIDT | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $219,230 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,578,562 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $72,428 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | 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 |
|---|---|---|---|---|---|
| SERVPRO OF FORT COLLINS | |||||
| 308 N LINK LANE | FORT COLLINS | CO | 80524 | BUILDING CONTRACTOR | $2,303,745 |
| WALLER LANSDEN DORTCH DAVID | |||||
| PO BOX 198966 | NASHVILLE | TN | 37219 | LEGAL CONSULTATION | $413,654 |
| REHABCARE | |||||
| PO BOX 502096 | ST LOUIS | MO | 63150 | PHYSICAL THERAPY | $377,888 |
| SUPERIOR ANESTHESIA | |||||
| PO BOX 541 | WYNNE | AR | 72396 | PHYSICIAN | $309,550 |
| KANAKA VASUDEVAN MD PLLC | |||||
| 603 BIG LAKE DR | MARION | AR | 72364 | CRNA | $119,820 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $19,873 | RelatedOrganizationsAmt |
| Government Grants | $10,708 | GovernmentGrantsAmt |
| All Other Contributions | $157,485 | AllOtherContributionsAmt |
| Total Contributions | $188,066 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $33,657,699 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,657,699 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $33,657,699 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,094 | TotalRevenueColumnAmt |
| Exclusion | $12,094 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $87,742 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $87,742 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,742 | TotalRevenueColumnAmt |
| Exclusion | $87,742 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $370,200 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $370,200 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $370,200 | TotalRevenueColumnAmt |
| Exclusion | $370,200 | 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 |
|---|---|---|---|
| INSURANCE CLAIM | 900099 | $8,490,561 | $8,490,561 |
| PHARMACY INCOME | 900099 | $516,336 | $516,336 |
| CAFETERIA SALES | 900099 | $80,448 | $80,448 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $505,917 | TotalRevenueColumnAmt |
| Exclusion | $505,917 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,593,262 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,909,063 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,657,699 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $10,063,298 | 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 | $195,343 | TotalAmt |
| Management And General | $195,343 | 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 | $17,001,468 | TotalAmt |
| Program Services | $13,499,703 | ProgramServicesAmt |
| Management And General | $3,501,765 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $815,670 | TotalAmt |
| Program Services | $647,668 | ProgramServicesAmt |
| Management And General | $168,002 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,164,210 | TotalAmt |
| Program Services | $2,512,483 | ProgramServicesAmt |
| Management And General | $651,727 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,114,231 | TotalAmt |
| Program Services | $884,735 | ProgramServicesAmt |
| Management And General | $229,496 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,094 | TotalAmt |
| Program Services | $213,669 | ProgramServicesAmt |
| Management And General | $55,425 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $407,770 | TotalAmt |
| Program Services | $323,782 | ProgramServicesAmt |
| Management And General | $83,988 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,067 | TotalAmt |
| Program Services | $45,313 | ProgramServicesAmt |
| Management And General | $11,754 | 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 | $5,551,968 | TotalAmt |
| Program Services | $4,408,439 | ProgramServicesAmt |
| Management And General | $1,143,529 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,920 | TotalAmt |
| Program Services | $42,814 | ProgramServicesAmt |
| Management And General | $11,106 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,561,092 | TotalAmt |
| Program Services | $2,033,588 | ProgramServicesAmt |
| Management And General | $527,504 | 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 | $1,696,563 | TotalAmt |
| Program Services | $1,347,125 | ProgramServicesAmt |
| Management And General | $349,438 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,658 | TotalAmt |
| Program Services | $118,039 | ProgramServicesAmt |
| Management And General | $30,619 | 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 | $4,816 | TotalAmt |
| Program Services | $3,824 | ProgramServicesAmt |
| Management And General | $992 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $488,907 | TotalAmt |
| Program Services | $388,208 | ProgramServicesAmt |
| Management And General | $100,699 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,614,322 | TotalAmt |
| Program Services | $1,281,823 | ProgramServicesAmt |
| Management And General | $332,499 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $832,225 | TotalAmt |
| Program Services | $660,813 | ProgramServicesAmt |
| Management And General | $171,412 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBTS | $5,646,477 | $5,646,477 | |
| SUPPLIES | $2,315,974 | $2,315,974 | |
| REPAIRS & MAINTENANCE | $1,085,075 | $861,584 | $223,491 |
| DRUGS | $468,245 | $468,245 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $716,057 | TotalAmt |
| Program Services | $568,569 | ProgramServicesAmt |
| Management And General | $147,488 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,209,152 | TotalAmt |
| Program Services | $38,272,875 | ProgramServicesAmt |
| Management And General | $7,936,277 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,247 | BOYAmt |
| EOY | $3,320,499 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,323,606 | BOYAmt |
| EOY | $723,980 | 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 | $7,527,386 | BOYAmt |
| EOY | $4,474,340 | 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 | $2,891,037 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,043,061 | BOYAmt |
| EOY | $907,249 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $787,550 | BOYAmt |
| EOY | $1,886,634 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $40,189,078 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $22,169,813 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,456,304 | BOYAmt |
| EOY | $18,019,265 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $913,227 | 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 | $974,727 | BOYAmt |
| EOY | $1,091,074 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,920,145 | BOYAmt |
| EOY | $30,423,041 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,039,876 | BOYAmt |
| EOY | $18,405,878 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,365,000 | BOYAmt |
| EOY | $4,960,000 | 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 | $4,461,080 | BOYAmt |
| EOY | $4,552,169 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,537,813 | BOYAmt |
| EOY | $10,325,523 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,403,769 | BOYAmt |
| EOY | $38,243,570 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,521,236 | BOYAmt |
| EOY | -$7,820,529 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,612 | 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 | -$2,483,624 | BOYAmt |
| EOY | -$7,820,529 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,920,145 | BOYAmt |
| EOY | $30,423,041 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,300,089 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$3,036,816 | PriorPeriodAdjustmentsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| 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 | $351,346 | OtherCostOrOtherBasisAmt |
| Book Value | $351,346 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,791,886 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,479,132 | DepreciationAmt |
| Book Value | $6,312,754 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,293,307 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,005,556 | DepreciationAmt |
| Book Value | $287,751 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,148,668 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,125,186 | DepreciationAmt |
| Book Value | $4,023,482 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,603,871 | OtherCostOrOtherBasisAmt |
| Depreciation | $559,939 | DepreciationAmt |
| Book Value | $7,043,932 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,019,265 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LIABILITY FOR PENSION BENEFITS | Desc |
| Amt | $10,325,523 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,325,523 | TotalLiabilityAmt |
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 |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $904,616 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $904,616 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02230 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,310,989 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,095,469 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,215,520 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05460 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,215,605 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,095,469 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,120,136 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07690 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $285,638 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $211,702 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $73,936 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $381,759 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $337,839 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $43,920 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $667,397 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $549,541 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $117,856 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,883,002 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,645,010 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,237,992 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07980 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,646,477 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,693,943 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $22,559,036 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $21,995,116 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $563,920 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRITTENDEN REGIONAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 WEST TYLER | AddressLine1Txt |
| City | WEST MEMPHIS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.CRITTENDENREGIONAL.ORG | WebsiteAddressTxt |
| State License | AR3539 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRITTENDEN REGIONAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | Yes (true) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | false | CHNAConductedInd |
| Organization Incur Excise Tax | Yes (true) | OrganizationIncurExciseTaxInd |
| Form4720 Filed | false | Form4720FiledInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F | BAD DEBT EXPENSE IN THE AMOUNT OF $5,646,477 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, CALCULATED USING WORKSHEET 2, WAS USED ON LINE 7A. THE COST REPORT AND TRIAL BALANCE WERE USED FOR LINE 7B. |
| FORM 990, SCHEDULE H, PART III, LINE 4 | THE FOOTNOTE CONTAINING THE EXPLANATION FOR BAD DEBT EXPENSE CAN BE FOUND IN THE ATTACHED FINANCIAL STATEMENTS ON PAGE 8. |
| FORM 990, SCHEDULE H, PART III, LINE 8 | LINE 6 WAS CALCULATED USING MEDICARE COST REPORT. |
| FORM 990, SCHEDULE H, PART III, LINE 9B | IF AT ANY TIME DURING THE COLLECTION PROCESS, A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE, ALL COLLECTION EFFORTS CEASE. |
| FORM 990, SCHEDULE H, PART VI, LINE 2 | HOSPITAL ADMINISTRATION REVIEWS SERVICE AREA, PATIENT DISCHARGE DATA FROM ARKANSAS AND TENNESSEE SUMMARIZED BY MAJOR DIAGNOSTIC CATEGORY AND THEN MATCHES COMMUNITY NEEDS WITH CURRENT HOSPITAL SERVICE OFFERINGS. WE ALSO USE THIS DATA TO DETERMINE NEW SERVICE LINES THAT NEED DEVELOPING AND PHYSICIAN RECRUITING NEEDS. |
| FORM 990, SCHEDULE H, PART VI, LINE 3 | CRH CONTRACTS WITH AN ORGANIZATION THAT INTERVIEWS ALL INPATIENTS WITH NO HEALTH COVERAGE TO DETERMINE IF ANY PUBLIC ASSISTANCE IS AVAILABLE TO THEM. BASED ON THE INTERVIEWS, APPLICATIONS ARE FILED. IF NO PUBLIC ASSISTANCE IS AVAILABLE, FINANCIAL ASSISTANCE APPLICATIONS ARE FILED ACCORDING TO THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ONCE APPROPRIATE DOCUMENTATION IS RECEIVED SUPPORTING THE ASSISTANCE, THE HOSPITAL ADJUSTS THE CLAIMS ACCORDINGLY. |
| FORM 990, SCHEDULE H, PART VI, LINE 4 | CRITTENDEN HOSPITAL ASSOCIATION SERVES AN AREA IN NORTHEAST ARKANSAS THAT IS ECONOMICALLY IMPOVERSISHED. THE COUNTY'S UNEMPLOYMENT RATE HAS HOVERED HERE AND ABOVE THE 11% MARK THROUGHOUT 2014. CRITTENDEN HOSPITAL ASSOCIATION IS COMMITTED TO PROVIDING EXCELLENCE IN PATIENT CENTER HEALTHCARE FOR THIS COMMUNITY REGARDLESS OF PATIENTS' ABILITY TO PAY. |
| FORM 990, SCHEDULE H, PART VI, LINE 5 | THE HOSPITAL SPONSORS AN ASSORTMENT OF COMMUNITY HEALTH EDUCATION ACTIVITIES WITH ITS AFFILIATION WITH UAMS AND THE DELTA AREA HEALTH EDUCATION CENTER. AMONG THOSE ARE SENIOR HEALTH & EXERCISE, CHILDBIRTH EDUCATION, DIABETES EDUCATION, HEALTH COUNCIL, HYPERTENSION, AND CPR JUST TO NAME A FEW. THE HOSPITAL'S OBJECTIVES WITH THIS PROGRAM ARE AS FOLLOWS: RECRUITMENT AND RETENTION OF HEALTHCARE PROFESSIONALS, CONTINUING EDUCATION FOR THOSE PROFESSIONALS AND COMMUNITY HEALTH EDUCATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHURCHILL AKHIGBE | ||||||||||||||
| PHYSICIAN | $335,186 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20,673 | $0 | $355,859 | $0 | $0 | $0 |
| NIZAR ISSA | ||||||||||||||
| PHYSICIAN | $338,952 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $338,952 | $0 | $0 | $0 |
| SONIA JOSEPH | ||||||||||||||
| PHYSICIAN | $200,566 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,720 | $0 | $202,286 | $0 | $0 | $0 |
| SUSAN MOKHTARI | ||||||||||||||
| PHYSICIAN | $317,363 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $21,965 | $0 | $339,328 | $0 | $0 | $0 |
| MICHAEL SCHMIDT | ||||||||||||||
| PHYSICIAN | $219,230 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $219,230 | $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 | CRITTENDEN COUNTY AR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 716008242 | BondIssuerEIN |
| CUSIP | 226748CF6 | CUSIPNum |
| Bond Issued | 2007-12-28 | BondIssuedDt |
| Issue Price | $8,057,129 | IssuePriceAmt |
| Purpose | REFUNDING BONDS ISSUED 4/1/2000 | 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 | $2,340,000 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $8,629,594 | TotalProceedsAmt |
| In Reserve Fund | $282,751 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $160,000 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2010 | SubstantialCompletionYr |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | Yes (true) | AdvanceRefundingInd |
| Final Allocation Made | false | 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 | Yes (true) | 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 | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | Yes (true) | 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 | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE K, PART I | SCHEDULE K INFORMATION WAS COMPLETED ON THE BOND YEAR ENDING 12/1/2014. |
| FORM 990, SCHEDULE K, PART IV, LINE 2C | THE REBATE COMPUTATION WAS PERFORMED DECEMBER 1, 2012. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (22 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 WILL BE REVIEWED BY THE ORGANIZATION'S TRUSTEE BEFORE FILING. THE FILED 990 WILL BE PRESENTED TO THE ENTIRE BOARD DURING A FUTURE BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | IT IS THE POLICY OF THE BOARD OF TRUSTEES TO REQUIRE THAT EACH OFFICER AND TRUSTEE, PRIOR TO TAKING THEIR POSITION ON THE BOARD AND THEREAFTER DURING EACH YEAR OF THEIR TENURE, SUBMIT IN WRITING TO THE BOARD A LIST OF ALL BUSINESS OR OTHER ORGANIZATIONS OF WHICH HE/SHE IS AN OFFICER, MEMBER, OWNER, OR EMPLOYEE OR FOR WHICH HE/SHE ACTS AS AN AGENT, WITH WHICH THE ORGANIZATION HAS, OR MAY REASONABLY IN THE FUTURE ENTER INTO A RELATIONSHIP OR TRANSACTION IN WHICH THE BOARD MEMBER OR OFFICER WOULD HAVE A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A&15B | IN REVIEWING COMPENSATION OF TOP OFFICIALS, KEY EMPLOYEES, AND OFFICERS, MANAGEMENT DISCUSSES THE CANDIDATES BACKGROUND AND SALARY HISTORY. THEY ALSO REVIEW THE SALARIES OF INDIVIDUALS IN SIMILAR POSITIONS WITHIN THE ORGANIZATION AND IN THE MARKET, TO ARRIVE AT A STARTING POINT FOR SALARY NEGOTIATIONS. THE STARTING OFFER IS APPROVED BY THE BOARD'S EXECUTIVE COMMITTEE BEFORE PRESENTING IT TO THE CANDIDATE. ANY FURTHER NEGOTIATIONS OR COUNTER OFFERS ARE ALSO SUBJECT TO APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, DURING NORMAL BUSINESS HOURS. |
| FORM 990, PART IV, LINE 12 & 20B | THE ORGANIZATION ATTACHED ITS 2012 AUDIT REPORT, WHICH IS ITS MOST RECENT AUDIT REPORT TO THE RETURN. THE ORGANIZATION'S FINANCIAL STATEMENTS WERE NOT AUDITED BY AN INDEPENDENT ACCOUNTANT DURING 2013, DUE TO FINANCIAL DIFFICULTIES. THE ORGANIZATION FILED FOR BANKRUPTCY ON AUGUST 25, 2014, AND THE ORGANIZATION SHUT ITS DOORS SEPTEMBER 7, 2014. |
| FORM 990, PART III, LINE 3 | CRITTENDEN HOSPITAL ASSOCIATION FILED FOR BANKRUPTCY ON AUGUST 25, 2014. HOSPITAL OPERATIONS CEASED AND THE HOSPITAL CLOSED ON SEPTEMBER 7, 2014. CRITTENDEN HOSPITAL ASSOCIATION WILL CONTINUE EXISTENCE UNTIL ALL ACTIVITY IS COMPLETED. THESE ACTIVITIES INCLUDE, BUT ARE NOT LIMITED TO, PENSION DISSOLUTION, WORKERS COMPENSATION, AND THIRD-PARTY SETTLEMENTS SUCH AS MEDICARE AND MEDICAID, AND THE SALE OF ASSETS. AFTER ALL TRANSACTIONS ARE COMPLETE THE HOSPITAL WILL FILE A FINAL RETURN. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PT, OT, SP SERVICES TOTAL FEES:752130 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:REHABILITATION SERVICES TOTAL FEES:666575 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL TOTAL FEES:618571 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:HOSPITALIST TOTAL FEES:541513 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:WORK CONSULTING TOTAL FEES:484673 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ANESTHESIA SERVICES TOTAL FEES:392455 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:INTERNS/RESIDENTS TOTAL FEES:354179 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ONCALL SERVICES TOTAL FEES:321114 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTIONS TOTAL FEES:318994 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ER PHYSICIANS TOTAL FEES:311559 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SECURITY TOTAL FEES:173518 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:FOOD SERVICE MANAGEMENT TOTAL FEES:167916 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:RENAL DIALYSIS SERVICES TOTAL FEES:149872 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:REFERENCE LAB WORK TOTAL FEES:112510 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:125033 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TRANSCRIPTION SERVICES TOTAL FEES:61356 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRITTENDEN MEMORIAL HOSPITAL DEVELOPMENT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 W TYLER AVE | AddressLine1Txt |
| City | WEST MEMPHIS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043740092 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Exempt Code Section | 501 (C) (3) | ExemptCodeSectionTxt |
| Public Charity Status | 11A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CRITTENDEN CARES INC | ||||||||||||
| 200 W TYLER AVE | WEST MEMPHIS | AR | 72301 | 710676486 | HEALTHCARE | AR | CHA | C CORP | -$8,130 | $432,953 | 1.00000 | Yes (true) |
| MID SOUTH CLINIC CORPORATION | ||||||||||||
| 200 W TYLER AVE | WEST MEMPHIS | AR | 72301 | 204978773 | HEALTHCARE | AR | CHA | C CORP | $0 | $0 | 1.00000 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 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 | Yes (true) | 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 | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRITTENDEN CARES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionTypeTxt |
| Involved | $560,173 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |