2025-12-15T11:37:25+00:00 2025-01-31 440160260 Forvis Mazars LLP PO Box 3667 Little Rock AR 722033667 990 2024-02-01 710623643 MAINLINE HEALTH SYSTEMS INC MAIN 8705385414 PO BOX 509 DERMOTT AR 71638 GARY ALLAN NICHOLS CEO 8705385414 2025-12-15 true true Amber Sherrill P00748683 5013721040 2025-12-15 2024 2025-03-06 01:10:19Z GARY ALLAN NICHOLS PO BOX 509 DERMOTT AR 71638 53844630 false X https://www.mainlinehealth.net X 1986 AR TO IMPROVE THE QUALITY OF LIFE FOR THE POPULATION WITHIN THE SCOPE OF OPERATION THROUGH THE DELIVERY OF HIGH QUALITY ACCESSIBLE COMPREHENSIVE HEALTH CARE. 13 13 381 17 0 7543343 7427115 34930897 46130594 -5856 296 111779 286625 42580163 53844630 15000 1250 0 0 24937205 25200364 0 0 0 17831705 21817407 42783910 47019021 -203747 6825609 33841173 41117318 9876324 9380177 23964849 31737141 TO IMPROVE THE QUALITY OF LIFE FOR THE POPULATION WITHIN THE SCOPE OF OPERATION THROUGH THE DELIVERY OF HIGH QUALITY ACCESSIBLE COMPREHENSIVE HEALTH CARE. SERVICES INCLUDE MEDICAL, DENTAL, MENTAL HEALTH AND PREVENTIVE HEALTH SERVICES FOR THE ENTIRE FAMILY. false false 38072890 1250 46130594 PROVIDED MEDICAL SERVICES TO 29,684 PATIENTS, DENTAL SERVICES TO 2,250 PATIENTS, AND BEHAVIORAL HEALTH SERVICES TO 1,952 PATIENTS IN SOUTHEAST ARKANSAS; SERVED RESIDENTS OF CHICOT, BRADLEY, ASHLEY, DREW, LINCOLN, GRANT, CLEVELAND & PULASKI COUNTIES. 38072890 true true false false false false false false false false true false false true true false true false false false false false false false false false false false false true false false false false false false false false false false true false false false false false false false false false true 42 0 true 381 true false false false false false false false false false false false false X 13 13 false false false false false false false true false false false false true true true true true true true true false false X MAINLINE HEALTH SYSTEMS INC 8705385414 108 E SPEEDWAY DERMOTT AR 71638 ALICIA WHITAKER CHAIRMAN 1.0 0.0 X X 0 0 0 BECKY PHILLIPS TREASURER 1.0 0.0 X X 0 0 0 FRANK HENTRY JR SECRETARY 1.0 0.0 X X 0 0 0 RON MILLER VICE CHAIRMAN 1.0 0.0 X X 0 0 0 BRANDI POOLE BOARD MEMBER 1.0 0.0 X 0 0 0 EUGENE BUTLER BOARD MEMBER 1.0 0.0 X 0 0 0 IRMA BERNAL BOARD MEMBER 1.0 0.0 X 0 0 0 KEITH SHEPHERD BOARD MEMBER 1.0 0.0 X 0 0 0 LESLIE ADAMS BOARD MEMBER 1.0 0.0 X 0 0 0 MARY HOLLINS-SCOTT RN BOARD MEMBER 1.0 0.0 X 0 0 0 MICHELLE DUNBAR BOARD MEMBER 1.0 0.0 X 0 0 0 ROBERT THOMAS BOARD MEMBER 1.0 0.0 X 0 0 0 SHANNA KNOWLES BOARD MEMBER 1.0 0.0 X 0 0 0 AMANDA GILBERT CPO 40.0 0.0 X 117802 0 12497 ASHLEY ANTHONY COO 40.0 0.0 X 135603 0 7708 BYRON MONTGOMERY CIO 40.0 0.0 X 138379 0 13733 ELYSE KNOBLOCH CFO SINCE 1/23/24 40.0 0.0 X 119807 0 0 GARY ALLAN NICHOLS CEO 40.0 0.0 X 218124 0 16967 JENI BARHAM CQO & CCO 40.0 0.0 X 115840 0 11344 TAFTA MCCAIN CFO THROUGH 1/21/24 40.0 0.0 X 25760 0 8752 CONSTANCE CHAPMAN MD MEDICAL DOCTOR 40.0 0.0 X 389389 0 7708 JOE WHARTON MD MEDICAL DOCTOR 40.0 0.0 X 284848 0 10222 KELLY SHRUM MD MEDICAL DOCTOR 40.0 0.0 X 505889 0 18847 KERRY PENNINGTON MD MEDICAL DOCTOR 40.0 0.0 X 347776 0 16793 PAUL WHIPPLE MD MEDICAL DOCTOR 40.0 0.0 X 305076 0 17874 2704293 0 142445 44 false true false THE CHC ALLIANCE 1459 N US HWY 1 STE A2 ORMOND BEACH FL 32174 BILLING & CREDENTIALING SERVICES 560038 PRACTICE MANAGEMENT SUPPORT SERVICES 300 N MARTINGALE STE 150 SCHAUMBURG IL 60173 BILLING SERVICES 400231 CPI 340B LLC PO BOX 7 MAMMOTH SPRING AR 72554 340B Pharmacy Consultant 224400 FORVIS MAZARS LLP 111 Center St 1600 Little Rock AR 72201 ACCOUNTING SERVICES 204062 REAL RADIOLOGY 17310 WRIGHT ST OMAHA NE 681302405 RADIOLOGY SERVICES 171401 8 0 0 0 0 7031923 395192 280707 7427115 PATIENT REVENUE 621110 22059578 22059578 0 0 340B REVENUE 621110 23579022 23579022 0 0 SHARED SAVINGS REVENUE 621110 491994 491994 0 0 0 0 0 0 46130594 296 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 INSURANCE PROCEEDS 900099 239325 0 0 239325 47300 0 0 47300 286625 53844630 46130594 0 286921 1250 1250 0 0 0 0 0 0 948825 0 948825 0 0 0 0 0 19690443 14704698 4985745 0 438514 327479 111035 0 2687714 2007168 680546 0 1434868 1071550 363318 0 0 0 0 61438 45882 15556 0 220437 164621 55816 0 0 0 0 0 0 0 0 0 0 0 3271715 2443296 828419 0 73884 55176 18708 0 740667 553125 187542 0 0 0 0 0 0 0 0 0 763502 570178 193324 0 255142 190538 64604 0 0 0 0 0 0 0 0 0 357774 267183 90591 0 0 0 0 0 702854 524887 177967 0 195793 146217 49576 0 340B EXPENSES 12601998 12601998 0 0 MEDICAL SUPPLIES 1882799 1882799 0 0 REPAIRS & MAINTENANCE 222383 166074 56309 0 DUES & SUBSCRIPTIONS 167092 124783 42309 0 299929 223988 75941 0 47019021 38072890 8946131 0 2157857 4279443 0 0 0 796904 7528076 8701438 0 0 0 0 0 0 559272 1309211 434401 466024 19472095 6504780 12639180 12967315 5291805 6288707 0 1004219 1004000 506764 443419 3719599 4860857 33841173 41117318 2129789 1673624 0 0 0 0 0 0 0 0 0 0 7641010 7668330 0 0 105525 38223 9876324 9380177 X 23964849 31737141 0 0 0 0 0 0 0 0 23964849 31737141 33841173 41117318 6825609 946683 0 0 0 0 X false true true true true X 10053958 6629500 8308017 7543343 7427115 39961933 0 0 0 0 0 0 0 0 0 0 0 0 10053958 6629500 8308017 7543343 7427115 39961933 539377 39422556 1080 534 259 270 296 2439 0 0 0 0 0 0 210504 0 1343 111779 286625 610251 40574623 145388536 0.97161 0.89860 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 210504.0, COLUMN B - 0.0, COLUMN C - 1343.0, COLUMN D - 27266.0, COLUMN E - 47300.0, COLUMN F - 286413.0; DESCRIPTION - INSURANCE PROCEEDS, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 84513.0, COLUMN E - 239325.0, COLUMN F - 323838.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 914746 914746 0 14610665 3737885 10872780 0 0 0 0 0 3917385 2766895 1150490 0 29299 0 29299 12967315 FQHC COST REPORT RECEIVABLE 4821326 ROU ASSET 39531 4860857 Federal Income Taxes LEASE LIABILITY 38223 38223 54878383 946683 87070 0 0 1033753 53844630 0 0 0 53844630 47106091 87070 0 0 0 87070 47019021 0 0 0 47019021 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. X X X false false false false false false false false false GARY ALLAN NICHOLS CEO 207871 0 1518 0 8735 0 9259 0 7708 0 235091 0 0 0 BYRON MONTGOMERY CIO 138079 0 300 0 0 0 6025 0 7708 0 152112 0 0 0 KELLY SHRUM MD MEDICAL DOCTOR 414039 0 91850 0 0 0 11139 0 7708 0 524736 0 0 0 CONSTANCE CHAPMAN MD MEDICAL DOCTOR 347439 0 41950 0 0 0 0 0 7708 0 397097 0 0 0 PAUL WHIPPLE MD MEDICAL DOCTOR 273726 0 31350 0 0 0 10166 0 7708 0 322950 0 0 0 KERRY PENNINGTON MD MEDICAL DOCTOR 306913 0 29000 0 11863 0 9085 0 7708 0 364569 0 0 0 JOE WHARTON MD MEDICAL DOCTOR 263498 0 21350 0 0 0 10222 0 0 0 295070 0 0 0 1 280707 Market value 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Drugs and medical supplies - COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS MADE. Form 990, Part VI, Line 15 A&B COMPENSATION COMMITTEE BASES CEO'S COMPENSATION ON THE NUMBER OF SITES SERVED. THE COMMITTEE COMPARES TO OTHER SYSTEMS IN THE STATE WITH REGARD TO THE NUMBER OF SITES SERVED TO DETERMINE COMPENSATION. COMPENSATION COMMITTEE PRESENTS PROPOSED COMPENSATION TO THE BOARD FOR APPROVAL. THERE IS A WRITTEN EMPLOYMENT CONTRACT WHICH PROVIDES FOR AN INCREASE IN PAY AFTER 90 DAYS OF EMPLOYMENT. THE CEO DETERMINES THE C-SUITE'S SALARY. A COMPENSATION REVIEW IS COMPLETED EVERY AUGUST/SEPTEMBER. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THE ORGANIZATION HAS NO COMMITEE'S WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body CFO REVIEWS FORM 990 AND PRESENTS IT TO THE BOARD FOR REVIEW PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy THE CONDUCT, RELATIONS AND TRANSACTIONS WITH INDIVIDUALS OUTSIDE THE COMMUNITY HEALTH CENTER AND WITH OTHER ORGANIZATIONS, IS A MATTER OF VITAL IMPORTANCE. IN EVERY CASE, ALL EMPLOYEES ARE EXPECTED TO ACT LEGALLY AND ETHICALLY IN THE BEST INTEREST OF THE COMMUNITY HEALTH CENTER. A CONFLICT OF INTEREST IS DEFINED AS ANY ACTION WHICH IS BASED ON INTERESTS OTHER THAN THOSE OF THE COMMUNITY HEALTH CENTER, OR IN WHICH AN INDIVIDUAL'S PERSONAL ECONOMIC INTEREST CONFLICTS WITH HIS/HER ACTIONS IN HIS/HER BUSINESS CAPACITY. SOME EXAMPLES OF SITUATIONS TO BE AVOIDED: ACCEPTANCE OF GIFTS, LOANS OR EXCESSIVE ENTERTAINMENT FROM SUPPLIERS, CUSTOMERS, OR OTHERS DEALING WITH THE COMMUNITY HEALTH CENTER, THE ISSUE OF PRIVILEGED DATA TO ANY OUTSIDER; AND THE USE OF THE ORGANIZATION'S POSITION FOR PERSONAL GAIN. WHENEVER THERE IS A POSSIBLE CONFLICT OF INTEREST, IT SHOULD BE DISCUSSED WITH THE SUPERVISOR IMMEDIATELY. VIOLATIONS OF THIS VERY IMPORTANT POLICY WHICH ARE NOT DISCLOSED WILL BE CONSIDERED GROUNDS FOR TERMINATION OF EMPLOYMENT. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL OTHER REVENUE - Total Revenue: 47300, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 47300;