LEO N LEVI MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- LEO N LEVI MEMORIAL HOSPITAL ASSOCIATION (EIN 71-0246565)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201203209349308310
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T14:05:38-08:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hughes Welch & MilliganCPASLTD | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2094 | AddressLine1 |
| City | Batesville | City |
| State | AR | State |
| ZIP Code | 725032094 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710246565 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEO N LEVI MEMORIAL HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LEON | NameControl |
| Phone | 5016241281 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 PROSPECT AVENUE | AddressLine1 |
| City | HOT SPRINGS | City |
| State | AR | State |
| ZIP Code | 71901 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHARLES OSWALT | Name |
| Title | CFO | Title |
| Date Signed | 2012-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM T COUCH | Name |
| Phone | 8707935231 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 10188126 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LEVIHOSPITAL.COM | WebSite |
| Type Of Organization Association | X | TypeOfOrganizationAssociation |
| Year Formation | 1989 | YearFormation |
| State Legal Domicile | AR | StateLegalDomicile |
| Activity Or Mission Description | LEVI HOSPITAL SYSTEM IS A NOT-FOR-PROFIT HOSPITAL WHICH SPECIALIZES IN ARTHRITIS & ORTHOPEDIC REHABILITATION & PSYCHIATRIC SERVICES. THE HOSPITAL IS LOCATED IN HOT SPRINGS, AR AND PROVIDES SERVICES TO THE CITIZENS OF HOT SPRINGS AND THE SURROUNDING AREAS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 204 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 36240 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1452566 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5545916 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7453897 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 692514 | InvestmentIncomePriorYear |
| Investment Income Current Year | 121610 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1373918 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1160053 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7648588 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10188126 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3995504 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4677654 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2920422 | OtherExpensePriorYear |
| Other Expenses Current Year | 3381358 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6915926 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8059012 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 732662 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2129114 | RevenuesLessExpensesCY |
| Total Assets BOY | 3498885 | TotalAssetsBOY |
| Total Assets EOY | 4418628 | TotalAssetsEOY |
| Total Liabilities BOY | 3048120 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1838749 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 450765 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2579879 | NetAssetsOrFundBalancesEOY |
| Mission Description | LEVI HOSPITAL SYSTEM IS A NOT-FOR-PROFIT HOSPITAL WHICH SPECIALIZES IN ARTHRITIS & ORTHOPEDIC REHABILITATION & PSYCHIATRIC SERVICES. THE HOSPITAL IS LOCATED IN HOT SPRINGS, AR AND PROVIDES SERVICES TO THE CITIZENS OF HOT SPRINGS AND THE SURROUNDING AREAS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 6087074 | Expense |
| Description | LEVI REHAB UNITS AT ST. JOSEPH'S MERCY HEALTH CENTER PROVIDES INPATIENT REHABILITATION. LEVI HOSPITAL ALSO OFFERS OUTPATIENT REHAB SERVICES AT THE PROSPECT AVENUE LOCATION, WHICH HOUSES A 3,000 SQUARE FT. GYM AND A 50' X 20' POOL FILLED WITH THERMAL WATERS FROM HOT SPRINGS NATIONAL PARK. REHABILITATION AIDS PATIENTS IN RECOVERY FROM STROKES, SURGERY, ACCIDENTS AND SPORTS-RELATED INJURIES AND TREATMENT TO HELP EASE SYMPTOMS OF VARIOUS DISEASES INCLUDING ARTHRITIS, OSTEOPOROSIS, LUPUS AND FIBROMYALGIA. THE LEVI SPORTS MEDICINE PROGRAM INCLUDES PHYSICAL THERAPISTS AND ATHLETIC TRAINERS PROVIDING INJURY PREVENTION SERVICES AND ENDURANCE TRAINING, AS WELL AS TREATING INJURIES, AT SEVERAL LOCAL HIGH SCHOOLS.LEVI HOSPITAL ESTABLISHED THE FIRST HOSPICE IN GARLAND COUNTY FIFTEEN YEARS AGO, AND IS AGAIN STRIVING TO MEET A COMMUNITY NEED BY OPENING A HOSPICE INPATIENT PROGRAM AT 300 PROSPECT AVENUE. LEVI HOSPITAL ALSO OPERATES AN ADULT DAY RESPITE PROGRAM FOR ALZHEIMER'S PATIENTS IN A COOPERATIVE EFFORT WITH FIRST UNITED METHODIST CHURCH AND A GROUP OF INTER-FAITH VOLUNTEERS.LEVI'S GERIATRIC/ADULT PSYCHIATRY PROGRAM PROVIDES INPATIENT TREATMENT FOR SENIORS AND ADULTS WITH MENTAL HEALTH CONDITIONS.LEVI HOSPITAL CONTINUES TO PROVIDE SPECIALTY CARE, IN A UNIQUE TRADITION OF ITS JEWISH SERVICE HERITAGE, FOR THE BENEFIT OF THE RESIDENTS OF HOT SPRINGS AND ITS SURROUNDING COMMUNITIES. LEVI HOSPITAL SHALL SERVE ALL PERSONS WITHOUT REGARDS TO RACE, RELIGION, CREED, NATIONAL ORIGIN, SEX, AGE, DISABILITY, OR ECONOMIC MEANS. AS A NOT-FOR-PROFIT ENTITY, LEVI PROVIDES SERVICE WITHIN THE RESOURCES OF ITS ORGANIZATION. | Description |
| Total Program Service Expense | 6087074 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 20 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 204 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | false | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CHARLES OSWALT | NamePerson |
| Telephone Number | 5016223322 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 PROSPECT AVENUE | AddressLine1 |
| City | HOT SPRINGS | City |
| State | AR | State |
| ZIP Code | 71901 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| MICHAEL ROSE | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| KAREN BAIM REAGLER | ||||||
| Secretary | 1.00 | X | 0 | 0 | 0 | X |
| HAROLD KOPPEL DDS MSD | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| JIM RANDALL | ||||||
| Chairman | 1.00 | X | 0 | 0 | 0 | X |
| LAWRENCE DODD MD | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| P MARTIN COCO | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| RICHARD LEVI | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| RAY OWEN JR | ||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X |
| BRIAN HILL | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| DENNIS SMITH CPA | ||||||
| Treasurer | 1.00 | X | 0 | 0 | 0 | X |
| STEVE DEMOTT | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| PHILIP CLAY | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| STUART FLEISCHNER DDS | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| LARRY STEPHENS | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| SUE AVERILL | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| PATRICK MCCABE | ||||||
| CEO | 40.00 | 161393 | 0 | 0 | X | |
| CHARLES OSWALT | ||||||
| CFO | 40.00 | 106691 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 268084 | TotalReportableCompFromOrg |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN DOWNS MD | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 62 CARMEZ PR | AddressLine1 |
| City | LITTLE ROCK | City |
| State | AR | State |
| ZIP Code | 72212 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | PHYSICIAN | DescriptionOfServices |
| Compensation | 102025 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| All Other Contributions | 1452566 | AllOtherContributions |
| Total Contributions | 1452566 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROGRAM REVENUE | Description |
| Total Revenue Column | 7453897 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7453897 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7453897 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 121610 | TotalRevenueColumn |
| Related Or Exempt Function Income | 75689 | RelatedOrExemptFunctionIncome |
| Exclusion | $45,921 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1033650 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1033650 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1033650 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1033650 | RelatedOrExemptFunctionIncome |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| MISCELLANEOUS REVENUE | 5980 | 5980 |
| MEAL SALES | 55517 | 55517 |
| MANAGEMENT FEE INCOME | 60000 | 60000 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4906 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4906 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 126403 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10188126 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8689639 | RelatedOrExemptFunctionIncome |
| Exclusion | $45,921 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 268084 | Total |
| Management And General | 268084 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3951388 | Total |
| Program Services | 3071901 | ProgramServices |
| Management And General | 879487 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148074 | Total |
| Program Services | 108094 | ProgramServices |
| Management And General | 39980 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310108 | Total |
| Program Services | 226379 | ProgramServices |
| Management And General | 83729 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5416 | Total |
| Management And General | 5416 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35704 | Total |
| Management And General | 35704 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28790 | Total |
| Program Services | 780 | ProgramServices |
| Management And General | 28010 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 269445 | Total |
| Program Services | 269445 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64550 | Total |
| Management And General | 64550 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44931 | Total |
| Management And General | 44931 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135293 | Total |
| Program Services | 135293 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 1748388 | 1407483 | 340905 |
| REPAIRS & MAINTENANCE | 119569 | 44738 | 74831 |
| PURCHASED SERVICES | 135099 | 68187 | 66912 |
| DUES & SUBS | 42983 | 20659 | 22324 |
| BAD DEBT EXPENSE | 704431 | 704431 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46759 | Total |
| Program Services | 29684 | ProgramServices |
| Management And General | 17075 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8059012 | Total |
| Program Services | 6087074 | ProgramServices |
| Management And General | 1971938 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 308536 | BOY |
| EOY | 821267 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 617976 | BOY |
| EOY | 800589 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88023 | BOY |
| EOY | 94680 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8249 | BOY |
| EOY | 23494 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 6545834 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5224132 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1269207 | BOY |
| EOY | 1321702 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1206894 | BOY |
| EOY | 1356896 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3498885 | BOY |
| EOY | 4418628 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1481676 | BOY |
| EOY | 1692305 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1566444 | BOY |
| EOY | 146444 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3048120 | BOY |
| EOY | 1838749 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 450765 | BOY |
| EOY | 2579879 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 450765 | BOY |
| EOY | 2579879 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3498885 | BOY |
| EOY | 4418628 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 2129114 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 963356 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 209374 | OtherCostOrOtherBasis |
| Book Value | 1172730 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2878539 | OtherCostOrOtherBasis |
| Depreciation | 2814826 | Depreciation |
| Book Value | 63713 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 124252 | OtherCostOrOtherBasis |
| Depreciation | 124252 | Depreciation |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2370313 | OtherCostOrOtherBasis |
| Depreciation | 2285054 | Depreciation |
| Book Value | 85259 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1321702 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| STAMP COLLECTION | 100000 |
| OTHER RECEIVABLES | 491359 |
| NURSING HOME LICENSES | 560855 |
| INVESTMENT IN LHC HOME HEALTH | 204682 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1356896 | TotalBookValueOtherAssets |
| Total Revenue | 10188126 | TotalRevenue |
| Total Expenses | 8059012 | TotalExpenses |
| Excess Or Deficit For Year | 2129114 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 2129114 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 10188126 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 10188126 | RevenueSubtotal |
| Total Revenue Per Form990 | 10188126 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 8059012 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 8059012 | ExpensesSubtotal |
| Total Expenses Per Form990 | 8059012 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X | Identifier |
| Return Reference | Part X : FIN48 Footnote | ReturnReference |
| Explanation | The System has adopted Accounting Standards Codification Topic 740, Accounting for Uncertainty in Income Taxes. The System will recognize a tax benefit only if it is more likely than not the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized will be the largest amount of tax benefit that has a greater than 50% likelihood of being realized on examination for tax positions not meeting the more likely than not test, no tax benefit will be recorded. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | false | FPGReferenceFreeCare |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | false | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 463987 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 463987 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05760 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 463987 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 463987 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05760 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 463987 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 463987 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05760 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $282,104 | BadDebtExpenseAmount |
| Amount Attributable To | 152339 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 2325477 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 1788157 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 537320 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership |
|---|---|
| HOSPICE OF CENTRAL AR LLC | |
| HOSPICE | 0.33000 |
| AR HOMECARE OF HOT SPRINGS | |
| HOME HEALTH | 0.33000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 0 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEO N LEVI MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 PROSPECT AVENUE | AddressLine1 |
| City | HOT SPRINGS | City |
| State | AR | State |
| ZIP Code | 71901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEO N LEVI MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | false | CHNAConducted |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | false | UsesFPGFree |
| Uses FPG Discounted | false | UsesFPGDiscounted |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Other Actions | X | OtherActions |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part V - Explanation of Number of Facility Type | 1-HOSPITAL, 1-HOME HEALTH AGENCY, 1-HOSPICE, 1-SKILLED NURSING FACILITY | |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | LEVI REHAB UNITS AT ST. JOSEPH'S MERCY HEALTH CENTER PROVIDES INPATIENT REHABILITATION. LEVI HOSPITAL ALSO OFFERS OUTPATIENT REHAB SERVICES AT THE PROSPECT AVENUE LOCATION, WHICH HOUSES A 3,000 SQUARE FT. GYM AND A 50' X 20' POOL FILLED WITH THERMAL WATERS FROM HOT SPRINGS NATIONAL PARK. REHABILITATION AIDS PATIENTS IN RECOVERY FROM STROKES, SURGERY, ACCIDENTS AND SPORTS-RELATED INJURIES AND TREATMENT TO HELP EASE SYMPTOMS OF VARIOUS DISEASES INCLUDING ARTHRITIS, OSTEOPOROSIS, LUPUS AND FIBROMYALGIA. THE LEVI SPORTS MEDICINE PROGRAM INCLUDES PHYSICAL THERAPISTS AND ATHLETIC TRAINERS PROVIDING INJURY PREVENTION SERVICES AND ENDURANCE TRAINING, AS WELL AS TREATING INJURIES, AT SEVERAL LOCAL HIGH SCHOOLS.LEVI HOSPITAL ESTABLISHED THE FIRST HOSPICE IN GARLAND COUNTY FIFTEEN YEARS AGO, AND IS AGAIN STRIVING TO MEET A COMMUNITY NEED BY OPENING A HOSPICE INPATIENT PROGRAM AT 300 PROSPECT AVENUE. LEVI HOSPITAL ALSO OPERATES AN ADULT DAY RESPITE PROGRAM FOR ALZHEIMER'S PATIENTS IN A COOPERATIVE EFFORT WITH FIRST UNITED METHODIST CHURCH AND A GROUP OF INTER-FAITH VOLUNTEERS.LEVI'S GERIATRIC/ADULT PSYCHIATRY PROGRAM PROVIDES INPATIENT TREATMENT FOR SENIORS AND ADULTS WITH MENTAL HEALTH CONDITIONS.LEVI HOSPITAL CONTINUES TO PROVIDE SPECIALTY CARE, IN A UNIQUE TRADITION OF ITS JEWISH SERVICE HERITAGE, FOR THE BENEFIT OF THE RESIDENTS OF HOT SPRINGS AND ITS SURROUNDING COMMUNITIES. LEVI HOSPITAL SHALL SERVE ALL PERSONS WITHOUT REGARDS TO RACE, RELIGION, CREED, NATIONAL ORIGIN, SEX, AGE, DISABILITY, OR ECONOMIC MEANS. AS A NOT-FOR-PROFIT ENTITY, LEVI PROVIDES SERVICE WITHIN THE RESOURCES OF ITS ORGANIZATION. | |
| Part VI - Community Building Activities | The Hospital engaged in the following community building activities during the year ended December 31, 2010: Free glucose testing, fall prevention testing, grip strength testing, free training for clinical interns, sports medicine program for area high schools, sports medicine injury training for ambulance services and emergency rooms, training for school coaches regarding sports medicine, physicals for student athletes, health fairs, public speaking at civic clubs, provide space for health support groups and sponsorship of community organizations. | |
| Part VI - Community Information | URBAN SETTING, PREDOMINANTLY INDUSTRIAL BASE. AVERAGE INCOME AT OR BELOW FEDERAL POVERTY GUIDELINES. PREDOMINANTLY CAUCASIAN, HIGH SCHOOL EDUCATED AND GERIATRIC IN NATURE. | |
| Part VI - Patient Education of Eligibility for Assistance | INFORMS PATIENTS UPON ADMISSION AND POSTS NOTICES IN CONSPICUOUS AREAS. | |
| Part VI - Needs Assessment | UTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FROM DHS AS WELL AS REPORTS SHOWING PERCENT OF COMMUNITY BY PAYOR SOURCE. | |
| Part V, Line 19d - Other Billing Determination of Individuals Without Insurance | USE THE BLUE CROSS BLUE SHIELD RATE | Number of Hospital Faciltiy - 0 |
| Part V, Line 16e - Other Collection Actions by Facility or Third Party Engaged | GARNISHMENTS | Number of Hospital Faciltiy - 0 |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | PATIENTS ARE INFORMED OF CHARITY CARE PROGRAM | |
| Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) | NO INCOME BASED CRITERIA IS USED |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PATRICK MCCABE | NamePerson |
| Base Compensation Filing Org | 161393 | BaseCompensationFilingOrg |
| Total Compensation Filing Org | 161393 | TotalCompensationFilingOrg |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 19 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | AVAILABLE UPON REQUEST FROM ADMINISTRATION |
| Form 990, Part VI, Line 15b | Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | EVALUATION AND COMPENSATION CONDUCTED ANNUALLY. |
| Form 990, Part VI, Line 12c | Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | THE HOSPITAL HAS A CODE OF BUSIENSS CONDUCT THAT OUTLINES FUDICIARY RESPONSIBILITIES OF THE BOARD OF DIRECTORS AND OFFICERS AND AS WELL AS STANDARDS OF PERSONAL CONDUCT OF EMPLOYEES. THE POLICIES ALSO COVER TRANSACTIONS WITH OUTSIDE PARTIES, FINANCIAL RECORDS, POLITICAL ACTIVITIES, LEGAL ISSUES, TAX EXEMPT STATUS AND HEALTH AND SAFETY ISSUES. THE POLICES ARE MONITORED AND ENFORCED BY A CHEIF COMPLIANCE OFFICER AT ALL LEVELS OF THE ORGANIZATION. |
| Form 990, Part VI, Line 11 | Form 990, Part VI, Line 11: Form 990 Review Process | NO REVIEW WILL OR WAS CONDUCTED |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEVI ENDOWMENT FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 PROSPECT AVENUE | AddressLine1 |
| City | HOT SPRINGS | City |
| State | AR | State |
| ZIP Code | 71901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710583773 | EIN |
| Primary Activities | SUPPORTING ORGANIZATION | PrimaryActivities |
| Legal Domicile State | AR | LegalDomicileState |
| Exempt Code Section | 501 (C)(3) | ExemptCodeSection |
| Public Charity Status | 3 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | false | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HOSPICE OF CENTRAL ARKANSAS LLC | |||||||||||||
| 420 WEST PINHOOK SUITE A | LAFAYETTE | LA | 70503 | 264310419 | HOSPICE | LA | NA | RELATED | 35213 | 4683 | false | false | 0.33000 |
| ARKANSAS HOMECARE OF HOT SPRINGS LLC | |||||||||||||
| 420 WEST PINHOOK ROAD SUITE A | LAFAYETTE | LA | 70503 | 203552602 | HOME HEALTH | LA | NA | RELATED | 63130 | 227720 | false | false | 0.33000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |