LAWRENCE MEMORIAL HEALTH FOUNDATION: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- LAWRENCE MEMORIAL HEALTH FOUNDATION (EIN 73-1547175)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-05
- IRS object ID
- 202631259349302113
- Schema version
- 2024v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-05T11:32:54+00:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars 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 | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731547175 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAWRENCE MEMORIAL HEALTH FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAWR | BusinessNameControlTxt |
| Phone | 8708861263 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 839 | AddressLine1Txt |
| City | WALNUT RIDGE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 724760839 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Alicia Storey | PersonNm |
| Person Title | interim president | PersonTitleTxt |
| Phone | 8708861263 | PhoneNum |
| Signature | 2026-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amber Sherrill | PreparerPersonNm |
| PTIN | P00748683 | PTIN |
| Phone | 5013721040 | PhoneNum |
| Preparation | 2026-05-05 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alicia Storey | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 839 | AddressLine1Txt |
| City | WALNUT RIDGE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 724760839 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,751,128 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LAWRENCEMEMORIAL.INFO | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | LAWRENCE MEMORIAL HEALTH FOUNDATION INC'S MISSION IS TO PROVIDE COMPASSIONATE, QUALITY HEALTHCARE TO THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 233 | TotalEmployeeCnt |
| Total Volunteers | 174 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,700,610 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,992,939 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,830,230 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,666,052 | CYProgramServiceRevenueAmt |
| PY Investment Income | $78,210 | PYInvestmentIncomeAmt |
| CY Investment Income | $27,401 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,457 | PYOtherRevenueAmt |
| CY Other Revenue | $43,327 | CYOtherRevenueAmt |
| PY Total Revenue | $19,619,507 | PYTotalRevenueAmt |
| CY Total Revenue | $20,729,719 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $23,666 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,804,337 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,350,846 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $37,937 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,246,677 | PYOtherExpensesAmt |
| CY Other Expenses | $9,435,522 | CYOtherExpensesAmt |
| PY Total Expenses | $20,051,014 | PYTotalExpensesAmt |
| CY Total Expenses | $20,810,034 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$431,507 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$80,315 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,221,489 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,005,872 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,049,472 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,914,170 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,172,017 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,091,702 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE BELIEVE A FACILITY SHOULD DO MORE THAN PROVIDE HEALTH CARE SERVICES: AFTER ALL, OUR JOB IS ALL ABOUT BUILDING A HEALTHY COMMUNITY. FOR OVER 60 YEARS, LAWRENCE MEMORIAL HEALTH FOUNDATION, INC. HAS BEEN COMMITTED TO DELIVERING EMPLOYMENT, PUBLIC HEALTH EDUCATION AND QUALITY HEALTH (CONTINUED ON SCHEDULE O) | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $15,296,346 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $17,666,052 | RevenueAmt |
| Desc | PROVIDE ROUTINE HOSPITAL CARE, OUTPATIENT AND CLINICAL SERVICES TO PATIENTS IN AND AROUND LAWRENCE COUNTY. IN FY25 1,644 INPATIENT DAYS, 16,709 OUTPATIENT ADMISSIONS, 6,135 EMERGENCY ROOM ADMISSION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $23,666 | ExpenseAmt |
| Grant | $23,666 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | THE LAWRENCE HEALTHCARE COMMUNITY FOOD PANTRY, LOCATED ON THE CAMPUS OF LAWRENCE HEALTHCARE/LAWRENCE MEMORIAL HOSPITAL, OPENED ITS DOORS IN OCTOBER 2024. IT IS A PARTNER AGENCY OF THE FOOD BANK OF NORTHEAST ARKANSAS IN JONESBORO. THE FOOD PANTRY IS AVAILABLE TO THE PUBLIC, AND THERE'S NO INCOME OR RESIDENCE REQUIREMENTS TO RECEIVE ASSISTANCE FROM REGULAR DISTRIBUTIONS. THE USDA DISTRIBUTION DOES HAVE RESIDENCE AND INCOME REQUIREMENTS, PER FEDERAL LAW. IN 2025, THE FOOD PANTRY SERVED A TOTAL OF 3,820 HOUSEHOLDS AND 9,851 INDIVIDUALS. THERE ARE TWO REGULARLY SCHEDULED COMMUNITY DISTRIBUTIONS: THE FIRST MONDAY OF EACH MONTH FROM 9AM-11AM, AND THE THIRD MONDAY OF EACH MONTH FROM 4PM-6PM. THE USDA DISTRIBUTION IS THE FOURTH MONDAY OF EACH MONTH FROM 4PM-5PM. THE FOOD PANTRY IS ALSO AVAILABLE DAILY FOR PATIENT AND COMMUNITY EMERGENCY ASSISTANCE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $15,320,012 | 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 |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | 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 | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| 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 | 233 | 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | 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 |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| 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 |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAWRENCE MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8708861265 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 839/1309 WEST MAIN | AddressLine1Txt |
| City | WALNUT RIDGE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72476 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 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 |
|---|---|---|---|---|---|---|---|---|
| BONITA STAUDT | ||||||||
| SECRETARY | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN THOMISON | ||||||||
| CHARIMAN | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LILA FLOYD | ||||||||
| VICE CHAIRMAN | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| AARON ANDREWS | ||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| AMY FITZGERALD | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| ASHLEY BURRIS | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| BLAKE PERKINS | ||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| CHRIS JONES | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| JEFF YATES | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| JEREMY HOPPER | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| JORDAN ANDREWS | ||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| KERRY DALTON | ||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| RHONDA FORRESTER | ||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| SEB SPADES | ||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM WILCOXSON | ||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| WILMA JONES | ||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| AARON HILTON | ||||||||
| PRESIDENT | 25.0 | 30.0 | Yes (X) | $0 | $0 | $0 | ||
| GREGG MCELHANON | ||||||||
| CFO | 40.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| ELIZABETH AKERS MD | ||||||||
| Physician | 39.4 | 0.0 | $243,652 | $0 | $24,055 | Yes (X) | ||
| KEVIN DIAMOND MD | ||||||||
| Physician | 46.4 | 0.0 | $402,512 | $0 | $34,031 | Yes (X) | ||
| MIKAYLA FLANREY | ||||||||
| Pharmaicist | 32.0 | 0.0 | $141,112 | $0 | $14,405 | Yes (X) | ||
| PAUL VELLOZO MD | ||||||||
| Physician | 39.6 | 0.0 | $209,257 | $0 | $31,204 | Yes (X) | ||
| SHANNON COOPER MD | ||||||||
| Physician | 39.4 | 0.0 | $231,665 | $0 | $15,313 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,228,198 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $119,008 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | 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 | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| ST BERNARDS HEALTHCARE | ||||||
| PO BOX 4060 | JONESBORO | AR | 72403 | CONTRACT LABOR | $617,038 | |
| ST BERNARDS MEDICAL CENTER | ||||||
| PO BOX 4060 | JONESBORO | AR | 72403 | IP & OP THERAPY | $572,083 | |
| EPPERSON EMERGENCY STAFFING PA | ||||||
| 36 CR 7187 | JONESBORO | AR | 72401 | PHYSICIAN SERVICES | $338,185 | |
| WILSON JOHN MD | ||||||
| 900 W Kingshighway | Paragould | AR | 72450 | Physician Services | $329,040 | |
| FORVIS MAZARS LLP | ||||||
| 111 Center St | LITTLE ROCK | AR | 72201 | ACCOUNTING SERVICES | $182,110 | 1600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $49,800 | FundraisingAmt |
| Government Grants | $2,876,616 | GovernmentGrantsAmt |
| All Other Contributions | $66,523 | AllOtherContributionsAmt |
| Noncash Contributions | $23,708 | NoncashContributionsAmt |
| Total Contributions | $2,992,939 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $13,434,623 | $13,434,623 |
| STAFFING FEES | 622110 | $2,752,177 | $2,752,177 |
| PHARMACY REVENUE | 446110 | $1,368,996 | $1,368,996 |
| MEDICAL OFFICE BUILDING RENT | 561320 | $110,256 | $110,256 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,666,052 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,401 | TotalRevenueColumnAmt |
| Exclusion | $27,401 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $36,944 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $49,800 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $21,409 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,535 | TotalRevenueColumnAmt |
| Exclusion | $15,535 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| VENDING MACHINE REVENUE | 900099 | $14,692 | $14,692 |
| PURCHASE DISCOUNTS | 900099 | $5,660 | $5,660 |
| MEDICAL RECORD FEES | 900099 | $2,857 | $2,857 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,583 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,583 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $27,792 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,729,719 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,666,052 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $70,728 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,666 | TotalAmt |
| Program Services | $23,666 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,894,621 | TotalAmt |
| Program Services | $6,557,373 | ProgramServicesAmt |
| Management And General | $2,337,248 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,874 | TotalAmt |
| Program Services | $59,623 | ProgramServicesAmt |
| Management And General | $21,251 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,751,523 | TotalAmt |
| Program Services | $1,291,274 | ProgramServicesAmt |
| Management And General | $460,249 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $623,828 | TotalAmt |
| Program Services | $459,904 | ProgramServicesAmt |
| Management And General | $163,924 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,053 | TotalAmt |
| Program Services | $94,404 | ProgramServicesAmt |
| Management And General | $33,649 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,661 | TotalAmt |
| Program Services | $31,451 | ProgramServicesAmt |
| Management And General | $11,210 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,831 | TotalAmt |
| Program Services | $112,671 | ProgramServicesAmt |
| Management And General | $40,160 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,855,216 | TotalAmt |
| Program Services | $2,076,979 | ProgramServicesAmt |
| Management And General | $740,300 | ManagementAndGeneralAmt |
| Fundraising | $37,937 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,816 | TotalAmt |
| Program Services | $64,003 | ProgramServicesAmt |
| Management And General | $22,813 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $370,201 | TotalAmt |
| Program Services | $272,923 | ProgramServicesAmt |
| Management And General | $97,278 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,464 | TotalAmt |
| Program Services | $234,044 | ProgramServicesAmt |
| Management And General | $83,420 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,586 | TotalAmt |
| Program Services | $203,907 | ProgramServicesAmt |
| Management And General | $72,679 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,118 | TotalAmt |
| Program Services | $53,905 | ProgramServicesAmt |
| Management And General | $19,213 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,145 | TotalAmt |
| Program Services | $6,005 | ProgramServicesAmt |
| Management And General | $2,140 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,496,061 | TotalAmt |
| Program Services | $1,102,940 | ProgramServicesAmt |
| Management And General | $393,121 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $410,829 | TotalAmt |
| Program Services | $302,875 | ProgramServicesAmt |
| Management And General | $107,954 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS & SUPPLIES | $2,077,307 | $1,531,451 | $545,856 |
| DIETARY SUPPLEMENTS | $511,113 | $376,807 | $134,306 |
| EQUIPMENT | $249,897 | $184,231 | $65,666 |
| PROVIDER ASSESSMENT TAX | $146,240 | $107,812 | $38,428 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,984 | TotalAmt |
| Program Services | $171,764 | ProgramServicesAmt |
| Management And General | $61,220 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,810,034 | TotalAmt |
| Program Services | $15,320,012 | ProgramServicesAmt |
| Management And General | $5,452,085 | ManagementAndGeneralAmt |
| Fundraising | $37,937 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,144,460 | BOYAmt |
| EOY | $3,304,952 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,085 | BOYAmt |
| EOY | $224,379 | 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 | $1,557,921 | BOYAmt |
| EOY | $1,585,002 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,235 | BOYAmt |
| EOY | $201,897 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,677 | BOYAmt |
| EOY | $221,236 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,688,597 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,221,617 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,718,397 | BOYAmt |
| EOY | $9,466,980 | 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 | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
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 | $4,101,714 | BOYAmt |
| EOY | $4,001,426 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,221,489 | BOYAmt |
| EOY | $19,005,872 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,427,395 | BOYAmt |
| EOY | $1,476,390 | 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 | $26,404 | BOYAmt |
| EOY | $26,404 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $107,363 | BOYAmt |
| EOY | $3,782 | 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 | $488,310 | BOYAmt |
| EOY | $407,594 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,049,472 | BOYAmt |
| EOY | $1,914,170 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,143,185 | BOYAmt |
| EOY | $17,063,370 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,832 | BOYAmt |
| EOY | $28,332 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| 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 | $17,172,017 | BOYAmt |
| EOY | $17,091,702 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,221,489 | BOYAmt |
| EOY | $19,005,872 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$80,315 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $207,716 | OtherCostOrOtherBasisAmt |
| Book Value | $207,716 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,850,342 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,103,418 | DepreciationAmt |
| Book Value | $8,746,924 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,331 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,737 | DepreciationAmt |
| Book Value | $31,594 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,053,274 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,722,277 | DepreciationAmt |
| Book Value | $330,997 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $530,934 | OtherCostOrOtherBasisAmt |
| Depreciation | $381,185 | DepreciationAmt |
| Book Value | $149,749 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,466,980 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM THIRD PARTIES | $177,186 |
| SALES TAX RECEIVABLE | $1,628,606 |
| DUE FROM AFFILIATES | $896,927 |
| ALATU CASH | $28,333 |
| ROU ASSETS | $1,270,374 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,001,426 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | |
| DUE TO AFFLIATES | $224,835 |
| LEASE LIABILITY | $182,759 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $407,594 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $20,751,128 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $21,409 | OtherRevenueAmt |
| Revenue Not Reported | $21,409 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,729,719 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $20,729,719 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,831,443 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $21,409 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $21,409 | ExpensesNotReportedAmt |
| Expenses Subtotal | $20,810,034 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,810,034 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 | FUNDRAISING EXPENSE - 21409 |
| Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 | FUNRAISING EXPENSE - 21409 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $35,975 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $16,990 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $18,985 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $1,800 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $4,800 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $3,630 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $0 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $715 | OtherDirectExpensesEvent1Amt |
| Event2 | Gala | Event2Nm |
| Gross Receipts Event2 | $50,769 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $32,810 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $17,959 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $0 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $0 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $1,000 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $6,115 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $500 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $2,849 | OtherDirectExpensesEvent2Amt |
| Gross Revenue Other Events | $0 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $86,744 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $49,800 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $36,944 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $0 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $1,800 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $5,800 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $9,745 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,564 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $21,409 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $15,535 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2532 | PersonsServedCnt |
| Total Community Benefit Expns | $488,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $488,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02345 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8569 | PersonsServedCnt |
| Total Community Benefit Expns | $2,262,579 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,729,323 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $533,256 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02562 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 11101 | PersonsServedCnt |
| Total Community Benefit Expns | $2,750,579 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,729,323 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,021,256 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04908 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,856,716 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,995,025 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $861,691 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04141 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $2,856,716 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,995,025 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $861,691 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04141 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 11101 | PersonsServedCnt |
| Total Community Benefit Expns | $5,607,295 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,724,348 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,882,947 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09048 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,428,444 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $893,376 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,707,491 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $2,676,417 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $31,074 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAWRENCE MEMORIAL HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1309 WEST MAIN | AddressLine1Txt |
| City | WALNUT RIDGE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72476 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LAWRENCEMEMORIAL.INFO/ | WebsiteAddressTxt |
| State License | AR5522 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| 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 | LAWRENCE MEMORIAL HEALTH FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.LAWRENCEMEMORIAL.INFO/COMMUNITY | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.LAWRENCEMEMORIAL.INFO/COMMUNITY | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.LAWRENCEMEMORIAL.INFO/PAY-MY-BILL | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.LAWRENCEMEMORIAL.INFO/PAY-MY-BILL | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.LAWRENCEMEMORIAL.INFO/PAY-MY-BILL | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - LAWRENCE MEMORIAL HEALTH FOUNDATION,. INFORMATION WAS COLLECTED THROUGH QUESTIONNAIRES. RESIDENTS OF LAWRENCE COUNTY WERE THE TARGET POPULATION. THE QUESTIONNAIRE WAS DESIGNED TO YIELD INFORMATION ABOUT CERTAIN KEY DEMOGRAPHICS, SDOH, AND NEEDED SERVICES WITHIN LAWRENCE COUNTY. VARIOUS SCALING TECHNIQUES WERE EMPLOYED TO DETERMINE WHAT AREAS WERE MORE PROMINENT IN TERMS OF OUR RESEARCH OBJECTIVES AND WHAT AREAS NEEDED MORE ATTENTION. THE QUESTIONNAIRE WAS OFFERED TO PATIENTS AT FREE HEALTH SCREENINGS AND TO PEOPLE WHO MADE A VISIT TO LMH INCLUDING THE EMERGENCY DEPARTMENT, FAMILY MEDICAL CENTER, REHAB SERVICES, AND SPECIALTY CLINIC. HOSPITAL. THE SURVEY WAS ALSO MADE AVAILABLE TO RESIDENTS OF LAWRENCE COUNTY THROUGH VARIOUS CHANNELS SUCH AS ONLINE SOCIAL MEDIA (FACEBOOK), EMAIL, AND QR CODES. PARTNERSHIPS WITH A LOCAL FOOD PANTRIES AND AREA CHURCHES TO DISSEMINATE THE SURVEY VIA QR CODE ENABLED THE TEAM TO REACH EVEN MORE RESIDENTS OF LAWRENCE COUNTY. TO MAXIMIZE RESPONSES, THE SURVEY WAS SUBJECT TO PRE-TESTS TO DETERMINE THAT ALL QUESTIONS WERE EASILY UNDERSTANDABLE AND FORMATTED CORRECTLY. WE ALSO USED PRE-TESTS TO MAKE SURE THAT THE QUESTIONNAIRE TOOK AN APPROPRIATE AMOUNT OF TIME TO FILL OUT SO THAT RESPONDENTS WOULD COMPLETE THE QUESTIONNAIRES FULLY AND ACCURATELY. WE REVIEWED QUESTIONNAIRES AND CODED THE RESPONSES THAT WE RECEIVED SO THAT WE COULD ANALYZE THE DATA. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - LAWRENCE MEMORIAL HEALTH FOUNDATION. BASED ON A REVIEW OF THE DATA GATHERED DURING THIS ASSESSMENT, FACTORS AS WELL AS SURVEYS AND INTERVIEWS WERE CONDUCTED TO IDENTIFY NUMEROUS HEALTH NEEDS. THESE NEEDS WERE PRIORITIZED AND EVALUATED TO DETERMINE WHICH WERE SIGNIFICANT TO THE COMMUNITY. THE CRITERIA INCLUDED THE NUMBERS OF PERSONS AFFECTED, THE SERIOUSNESS OF THE ISSUE, WHETHER THE HEALTH NEED PARTICULARLY AFFECTED PERSONS THAT WERE CHILDREN, ADULTS, OR SENIORS, AND WHAT NEEDS TO BE DONE TO ADDRESS THESE ISSUES. AS A RESULT, THE FOLLOWING LIST OF SIGNIFICANT HEALTH AND QUALITY OF LIFE ISSUES WERE IDENTIFIED: 1. ACCESS TO PRIMARY CARE SERVICES - RECRUIT ADDITIONAL FAMILY MEDICINE, INTERNAL MEDICINE, AND PEDIATRIC PROVIDERS TO BETTER SERVE OUR COMMUNITY. - INCREASE EDUCATION OF COMMUNITY MEMBERS REGARDING EXISTING PRIMARY CARE SERVICES. - INCREASE PRIMARY CARE SERVICE ACCESS POINTS BY EXPANDING EXSISTING TELEHEALTH SERVICES - EXPLORE THE FEASIBILITY OF ESTABLISHING PRIMARY CARE CLINIC SERVICES DURING "OFF HOURS WEEKENDS. - EXPLORE THE FEASIBILITY OF ESTABLISHING URGENT CARE/FAST TRACK CLINIC SERVICES - EXPLORE THE FEASIBILITY OF ESTABLISHING PRIMARY CARE CLINIC SERVICES AT OFF SITE LOCATIONS IN THE COUNTRY. 2. ACCESS TO WOMEN'S HEALTH CARE SERVICES - IDENTIFY SPECIFIC WOMEN'S HEALTH NEEDS IN OUR COMMUNITY. - IDENTIFY EXISITNG COMMUNITY WOMEN'S HEALTH PARTNERS AND RESOURCES. - INCREASE EDUCATION OF COMMUNITY MEMBERS REGARDING EXSISTING WOMEN'S HEALTH SERVICES (I.E. PREGNANCY CLINIC, MAMMOGRAMS, AND PRIMARY CARE OFFERINGS). - INCREASE AND EXPAND EXSISTING WOMEN'S HEALTH SERVICES AT LMH. - EXPAND OUR PREGNANCY CLINIC BY ADDING MORE COVERAGE. - EXPAND AVAILABILITY OF MAMMOGRAM SERVICES - EXPLORE THE FEASIBLITY OF ESTABLISHING GYNECOLOGICAL SERVICES AT LMH. - INCREASE EDUCATION OF COMMUNITY REGARDING WOMEN'S HEALTH ISSUES (I.E. HEALTH SCREENINGS, BREAST CARE, PRENATAL CARE, REPRODUCTIVE HEALTH). 3. FOOD INSECURITY - OPEN A LMH COMMUNITY FOOD PANTRY. - FORM A COMMUNITY WORKING GROUP TO ADDRESS FOOD INSECURITY. - PARTNER WITH WORKING GROUP MEMBERS TO IDENTIFY EXSISTING FOOD INSECURITY RESOURCES IN COMMUNITY. - PARTNER WITH WORKING GROUP MEMBERS TO IDENTIFY AND EXPAND HEALTHY FOOD OPTIONS IN LAWRENCE COUNTY. - PARTNER WITH WORKING GROUP MEMBERS TO EXPLORE FEASIBILITY OF OPENING A COMMUNITY FARMER'S MARKET. - INCREASE EDUCATION OF COMMUNITY REGARDING THE IMPACT OF HEALTHY EATING HABITS AND FOOD PREPARATION ON ONE'S OVERALL HEALTH. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| LAWRENCE HEALTH SVCS SPECIALITY CLINIC | ||||
| 1309 WEST MAIN | WALNUT RIDGE | AR | 72746 | MEDICAL CLINIC |
| LMHF FAMILY MEDICAL CENTER | ||||
| 1309 WEST MAIN | WALNUT RIDGE | AR | 72476 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c | LMH WILL GIVE A 40% DISCOUNT FROM BILLED GROSS CHARGES PER INDIVIDUAL ACCOUNT TO PATIENTS WITHOUT INSURANCE. FOLLOWING A DETERMINATION OF THE FINANCIAL ASSISTANCE POLICY (FAP) ELIGIBILITY, AN ELIGIBLE INDIVIDUAL WILL NOT BE CHARGED MORE FOR EMERGENCY, MEDICALLY NECESSARY CARE, OR OTHER MEDICAL CARE COVERED UNDER THE FAP THAN THE AMOUNTS GENERALLY BILLED (AGB) TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. LMH HAS CALCULATED THE CURRENT AGB TO BE 60% OF GROSS CHARGES. THEREFORE, LMH WILL GIVE THE FOLLOWING DISCOUNT FROM GROSS BILLED CHARGES (BEFORE 40% DISCOUNT STATED EARLIER) TO ELIGIBLE FAP INDIVIDUALS FOR INPATIENT OR OUTPATIENT GROSS CHARGES: THE METHOD OF CALCULATION OF THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE WAS THE LOOK-BACK METHOD. LMH REVIEWED CLAIMS ALLOWED DURING THE 12-MONTH PERIOD ENDING JANUARY 31, 2021 FOR THIS CALCULATION. A MORE DETAILED EXPLANATION OF HOW THIS PERCENTAGE WAS CALCULATED IS AVAILABLE FREE OF CHARGE BY CONTACTING THE FINANCIAL COUNSELORS AT THE LAWRENCE MEMORIAL HOSPITAL AT (870) 886-1264, MONDAY THROUGH FRIDAY, 8:00 A.M. TO 4:30 P.M. LMH WILL PROVIDE DIRECT FINANCIAL ASSISTANCE (CHARITY) USING A SLIDING SCALE BASED UPON INCOME LEVELS UP TO 350% OF THE CURRENT FEDERAL INCOME POVERTY GUIDELINES AS ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. ELIGIBILITY FOR FINANCIAL ASSISTANCE (DIRECT, PAYMENT PLAN OR DISCOUNT) WILL BE SUBJECT TO A REVIEW OF ASSETS, INCOME, AND REASONABLE EXPENSES FOR THE PURPOSES OF: . ESTABLISHING PROOF OF INCOME AND INDIGENCE . STANDARDIZING AND EQUALIZING THE PROCESS OF GRANTING ASSISTANCE . ASSURING THAT ALL RELEVANT CONSIDERATIONS ARE MADE IN REVIEWING THE REQUEST FOR ASSISTANCE |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | THE AMOUNTS ON LINE 7A WERE CALCULATED USING THE COST TO CHARGE RATIO. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO COLLECT ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND AS SUCH ARE RECORDED AS A DEDUCTION FROM GROSS PATIENT REVENUE. THE HOSPITAL INTERNALLY TRACTS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | COMMUNITY BENEFIT IS DETERMINED BY ANALYZING ACCOUNTS THAT HAVE BEEN DENIED FINANCIAL ASSISTANCE DUE TO A LACK OF DOCUMENTATION. MANY TIMES, WE ARE UNABLE TO GET PATIENTS WHO WE THINK WOULD QUALIFY FOR CHARITY TO COMPLETE OUR CHARITY APPLICATION. OFTEN TIMES WE DON'T CLASSIFY SOMEONE AS CHARITY WHO WOULD EASILY QUALIFY IF THEY WOULD JUST COMPLETE THE PAPERWORK. SOMETIMES, DUE TO FAULTY ADDRESSES, WE CANNOT CONTACT THESE PATIENTS TO ATTEMPT TO QUALIFY THEM AS CHARITY. THERE IS A SIGNIFICANT AMOUNT OF BAD DEBT THAT IS, IN REALITY, CHARITY. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | SEE ATTACHED AUDIT REPORT FOOTNOTE #1. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE AMOUNTS WERE PULLED FROM THE MOST RECENT MEDICARE COST REPORT. THE ORGANIZATION FOLLOWS CHA COMMUNITY BENEFIT GUIDELINES AND DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | ACCOUNTS WHICH ARE DEEMED UNCOLLECTIBLE ARE REFERRED TO AN OUTSIDE AGENCY FOR COLLECTING. AN ACCOUNT IS CONSIDERED UNCOLLECTIBLE WHEN THE GUARANTOR HAS HAD SUFFICIENT NOTICE AND TIME TO PAY A BILL OR MAKE ARRANGEMENTS TO PAY A BILL BUT HAS FAILED TO DO SO. MEDICARE BAD DEBT IS DEFINED ACCORDING TO CENTERS FOR MEDICARE AND MEDICAID SERVICES GUIDELINES. CHARITY CARE AND OTHER FINANCIAL ASSISTANCE IS PROVIDED WHEN ELIGIBLE AND COLLECTION EFFORTS CEASE ONCE ELIGIBILITY IS DETERMINED. |
| Schedule H, Part V, Section B, Line 16a FAP website | - LAWRENCE MEMORIAL HEALTH FOUNDATION: Line 16a URL: HTTPS://WWW.LAWRENCEMEMORIAL.INFO/PAY-MY-BILL; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - LAWRENCE MEMORIAL HEALTH FOUNDATION: Line 16b URL: HTTPS://WWW.LAWRENCEMEMORIAL.INFO/PAY-MY-BILL; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - LAWRENCE MEMORIAL HEALTH FOUNDATION: Line 16c URL: HTTPS://WWW.LAWRENCEMEMORIAL.INFO/PAY-MY-BILL; |
| Schedule H, Part VI, Line 2 Needs assessment | LMHF ASSESS THE HEALTHCARE NEEDS OF OUR COMMUNITY IN VARIOUS WAYS. WE ANALYZE OUR OWN PATIENT DATA AND REFERRALS TO DETERMINE WHAT HEALTH CONDITIONS MAY BE THE MOST PREVALENT IN OUR PATIENT POPULATION, WHICH LIVE PREDOMINATELY IN LAWRENCE COUNTY. WE ALSO REVIEW PUBLIC HEALTH DATA PROVIDED BY VARIOUS INSTITUTIONS SUCH AS THE ARKANSAS DEPARTMENT OF HEALTH, ROBERT WOODS JOHNSON FOUNDATION, AND OTHER REGIONAL PARTNERS. LMHF PROVIDES REGULAR FREE COMMUNITY OUTREACH EVENTS THROUGHOUT THE COUNTY PROVIDING FREE HEALTH SCREENING AND HEALTH EDUCATION. LMHF USES ALL OF THESE SOURCES OF INFORMATION TO ASSESS THE NEEDS OF OUR COMMUNITIES AND PROVIDE THE APPROPRIATE HEALTHCARE TO THE COMMUNITIES WE SERVE. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | LMH WILL MAKE ALL REASONABLE EFFORTS TO ORALLY COMMUNICATE WITH THE PATIENT/GUARANTOR ABOUT ITS FINANCIAL ASSISTANCE POLICY AND ABOUT HOW ASSISTANCE MAY BE OBTAINED WITH THE FINANCIAL ASSISTANCE POLICY APPLICATION PROCESS BEFORE AN ACCOUNT IS TURNED OVER TO A COLLECTION AGENCY. THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE FREE OF CHARGE ON THE LMH WEBSITE OR UPON REQUEST. A FINANCIAL ASSISTANCE SUMMARY IS AVAILABLE FREE OF CHARGE ON THE LMH WEBSITE, DISPLAYED AT THE FACILITY, INCLUDED IN THE SELF-PAY ADMISSION PACKET, AND AVAILABLE UPON REQUEST. ADDITIONALLY, THE FINANCIAL ASSISTANCE APPLICATION IS AVAILABLE FREE OF CHARGE UPON REQUEST. |
| Schedule H, Part VI, Line 4 Community information | THE ORGANIZATION PROVIDES ROUTINE HOSPITAL CARE, LONG-TERM CARE AND OUTPATIENT AND CLINICAL SERVICES TO PATIENTS IN AND AROUND LAWRENCE COUNTY. EDUCATIONALLY, THE COMMUNITY SERVED BY THE HOSPITAL IS RANKING LOWER THAN THE STATE OFARKANSAS AS A WHOLE. ABOUT 12.90% OF THE POPULATION AGE 25 OR OLDER HAS OBTAINED A BACHELOR'S DEGREE OR HIGHER, COMPARED TO ABOUT 37.90% OF THE U.S. AND 25.40% IN ARKANSAS. APPROXIMATELY 17.80% OF THE POPULATION AGE 25 OR OLDER DOES NOT HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO ABOUT 9.00% IN THE COUNTRY AS A WHOLE. LAWRENCE COUNTY IS LOCATED IN NORTHEAST ARKANSAS. ITS COUNTY SEAT IS WALNUT RIDGE. ACCORDING TO THE U.S. CENSUS BUREAU, LAWRENCE COUNTY, AR HAS A POPULATION OF 16,216. THE MEDIAN AGE IN LAWRENCE COUNTY IS 39.8 COMPARED TO 38.9 FOR ARKANSAS. THE AVERAGE MEDIAN HOUSEHOLD INCOME IN THE HOSPITAL'S COMMUNITY IS $43,606 WHICH IS LOWER THAN THE STATE AVERAGE OF $55,432. |
| Schedule H, Part VI, Line 5 Promotion of community health | WE BELIEVE A FACILITY SHOULD DO MORE THAN PROVIDE HEALTH CARE SERVICES; AFTER ALL, OUR JOB IS ALL ABOUT BUILDING A HEALTHY COMMUNITY. FOR OVER 50 YEARS, LAWRENCE MEMORIAL HEALTH FOUNDATION, INC. HAS BEEN COMMITTED TO DELIVERING EMPLOYMENT, PUBLIC HEALTH EDUCATION AND QUALITY HEALTH CARE SERVICES TO THE RESIDENTS OF LAWRENCE COUNTY AND SURROUNDING COUNTIES. LAWRENCE MEMORIAL HEALTH FOUNDATION, INC. HAS A VISION OF COMMITTING THE RESOURCES TO MEET THE NEEDS AND EXPECTATIONS OF OUR PATIENTS, OUR STAFF, AND THE COMMUNITIES WE SERVICE. WE STRIVE TO BE A LEADER IN EFFICIENTLY AND CONTINUOUSLY IMPROVING THE ECONOMICS, ACCESSIBILITY AND QUALITY OF HEALTH CARE IN LAWRENCE COUNTY. AS A HEALTH CARE PROVIDER, WE ARE COMMITTED TO THOROUGHLY ASSESSING THE NEEDS OF THE COMMUNITIES THAT WE SERVE. EVERY YEAR, WE SERVE THOSE NEEDS THROUGH THE DELIVERY OF VOLUNTEERING, CHARITY CARE AND OTHER BENEFITS, SUCH AS EDUCATIONAL EVENTS AND FREE HEALTH SCREENINGS. |
| Schedule H, Part VI, Line 6 Affiliated health care system | LAWRENCE MEMORIAL HEALTH FOUNDATION, INC. (THE FOUNDATION) IS A LEGALLY SEPARATE, TAX-EXEMPT ORGANIZATION THAT WAS FORMED TO FOSTER, SUPPORT AND ENCOURAGE THE ACTIVITIES AND PURPOSES OF THE HOSPITAL FACILITY PREVIOUSLY OPERATED BY LAWRENCE MEMORIAL HOSPITAL (LMH), A COMPONENT UNIT OF LAWRENCE COUNTY (THE COUNTY). LAWRENCE HALL HEALTH & REHABILITATION (THE NURSING HOME) IS A LEGALLY SEPARATE, TAX-EXEMPT ORGANIZATION THAT WAS FORMED ON OCTOBER 16, 2018, TO OPERATE THE NURSING HOME FACILITY PREVIOUSLY OPERATED BY LMH. THE FOUNDATION OWNS 100% OF NORTHEAST ARKANSAS SERVICE COMPANY (NEA) D/B/A HOME MEDICAL EQUIPMENT (HME), A FOR-PROFIT ENTITY IN THE BUSINESS OF DURABLE MEDICAL EQUIPMENT RENTAL, SALES AND MAINTENANCE SERVICES. THE FOUNDATION DISCONTINUED ITS DURABLE MEDICAL EQUIPMENT BUSINESS ON JULY 2, 2018. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Food | GrantTypeTxt |
| Recipient | 9851 | RecipientCnt |
| Cash Grant | $0 | CashGrantAmt |
| Non Cash Assistance | $23,666 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Non Cash Assistance | Food | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION ONLY GIVES FOOD TO INDIVIDUALS THROUGH THEIR FOOD BANK. NO GRANTS OR ASSISTANCE IS MADE TO ORGANIZATIONS. THE ORGANIZATION DOES NOT MONITOR THE USE OF GRANT FUNDS WITHIN THE UNITED STATES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEVIN DIAMOND MD | ||||||||||||||
| Physician | $395,774 | $0 | $5,273 | $0 | $1,465 | $0 | $6,168 | $0 | $27,863 | $0 | $436,543 | $0 | $0 | $0 |
| ELIZABETH AKERS MD | ||||||||||||||
| Physician | $224,882 | $0 | $18,750 | $0 | $20 | $0 | $3,715 | $0 | $20,340 | $0 | $267,707 | $0 | $0 | $0 |
| SHANNON COOPER MD | ||||||||||||||
| Physician | $220,145 | $0 | $11,500 | $0 | $20 | $0 | $3,488 | $0 | $11,825 | $0 | $246,978 | $0 | $0 | $0 |
| PAUL VELLOZO MD | ||||||||||||||
| Physician | $194,999 | $0 | $14,238 | $0 | $20 | $0 | $3,270 | $0 | $27,934 | $0 | $240,461 | $0 | $0 | $0 |
| MIKAYLA FLANREY | ||||||||||||||
| Pharmaicist | $141,092 | $0 | $0 | $0 | $20 | $0 | $2,136 | $0 | $12,269 | $0 | $155,517 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 1 ORGANIZATION'S MISSION | CARE SERVICES TO THE RESIDENTS OF LAWRENCE COUNTY AND SURROUNDING COUNTIES. LAWRENCE MEMORIAL HEALTH FOUNDATION, INC. HAS A VISION OF COMMITTING THE RESOURCES TO MEET THE NEEDS AND EXPECTATIONS OF OUR PATIENTS, OUR STAFF, AND THE COMMUNITIES WE SERVICE. WE STRIVE TO BE A LEADER IN EFFICIENTLY AND CONTINUOUSLY IMPROVING THE ECONOMICS, ACCESSIBILITY AND QUALITY OF HEALTH CARE IN LAWRENCE COUNTY. AS A HEALTH CARE PROVIDER, WE ARE COMMITTED TO THOROUGHLY ASSESSING THE NEEDS OF THE COMMUNITIES THAT WE SERVE. EVERY YEAR, WE SERVE THOSE NEEDS THROUGH THE DELIVERY OF VOLUNTEERING, CHARITY CARE AND OTHER BENEFITS, SUCH AS EDUCATIONAL EVENTS AND FREE HEALTH SCREENINGS. |
| Form 990, Part VI, Line 15 A&B | ST BERNARDS HEALTHCARE, INC. MANAGES LAWRENCE MEMORIAL HEALTH FOUNDATION AND AS SUCH HAS A COMMITTEE TO REVIEW LMHF'S COMPENSATION ANNUALLY WITH COMPENSATION SURVEYS AND COMPARABILITY OF COMPENSATION MODELS AT LIKE-SIZE HOSPITALS. |
| Form 990, Part VI, Line 3 Delegation of management duties | THE ORGANIZATION HAS AN AGREEMENT WITH ST. BERNARDS HEALTHCARE, INC. (SBHC) TO PROVIDE CONSULTING AND ADMINISTRATIVE SUPPORT SERVICES, AS WELL AS AN ADMINISTRATOR TO OVERSEE THE DAY-TO-DAY OPERATIONS OF THE ORGANIZATION. ADDITIONALLY, SBHC MANAGES THE LICENSES FOR THE INFORMATION SYSTEMS UTILIZED BY THE ORGANIZATION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS REVIEWED BY THE FOLLOWING PERSON OR GROUPS PRIOR TO FILING: BOARD AND PRESIDENT OF LAWRENCE MEMORIAL HEALTH FOUNDATION AND CFO OF LAWRENCE MEMORIAL HEALTH FOUNDATION. |
| Form 990, Part VI, Line 12c Conflict of interest policy | EACH BOARD MEMBER, PRINCIPAL OFFICER, MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, DIRECTOR OR MANAGER ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY, AND; (D) UNDERSTANDS THAT THE FACILITY IS A NON-PROFIT ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. MANAGEMENT INVESTIGATES ANY POTENTIAL CONFLICTS AND TAKES APPROPRIATE ACTION DEPENDING ON THE NATURE OF THE CONFLICT. LEGAL COUNSEL ALSO REVIEWS ANY POTENTIAL CONFLICT OF INTEREST AND ADVISES MANAGEMENT. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT-OF-INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| Form 990, Part VII, Section A | AARON HILTON AND GREGG MCELHANON ARE PAID BY ST. BERNARDS HEALTHCARE, AN UNRELATED ORGANIZATION, THROUGH A MANAGEMENT FEE CONTRACT, SO NO COMPENSATION IS REQUIRED TO BE REPORTED FOR THEM. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | MISC. REVENUE - Total Revenue: 4583, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 4583; |
| Form 990, Part IX, Line 11g Other Fees | Professional Fees - Total Expense: 1249652, Program Service Expense: 893311, Management and General Expenses: 318404, Fundraising Expenses: 37937; Purchased Services - Total Expense: 871940, Program Service Expense: 642819, Management and General Expenses: 229121, Fundraising Expenses: 0; Contract Labor - Total Expense: 644756, Program Service Expense: 475333, Management and General Expenses: 169423, Fundraising Expenses: 0; Lab Fees - Total Expense: 88868, Program Service Expense: 65516, Management and General Expenses: 23352, Fundraising Expenses: 0; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAWRENCE HALL HEALTH AND REHABILITATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 839/1051 WEST FREE STREET | AddressLine1Txt |
| City | WALNUT RIDGE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72476 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 832375754 | EIN |
| Primary Activities | NURSING HOME | PrimaryActivitiesTxt |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 10 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LMHF | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEAST ARKANSAS SERVICE COMPANY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 839 | AddressLine1Txt |
| City | WALNUT RIDGE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72476 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710653921 | EIN |
| Primary Activities | MED EQUIPMENT | PrimaryActivitiesTxt |
| Legal Domicile State | AR | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LMHF | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Share Of Total Income | $67 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $53,892 | ShareOfEOYAssetsAmt |
| Ownership | 1 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| 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 | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | 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 (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| LAWRENCE HALL HEALTH & REHAB | ||
| L | $3,238,754 | FMV |
| LAWRENCE HALL HEALTH & REHAB | ||
| Q | $2,781,618 | FMV |
| LAWRENCE HALL HEALTH & REHAB | ||
| M | $459,090 | FMV |