ADVANCED CARE HOSPITAL OF WHITECOUNTY: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ADVANCED CARE HOSPITAL OF WHITECOUNTY (EIN 20-8459270)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-08
- IRS object ID
- 202312209349300326
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-08T14:29:09-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 201941244 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HORNE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 661 SUNNYBROOK ROAD STE 100 | AddressLine1Txt |
| City | RIDGELAND | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208459270 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVANCED CARE HOSPITAL OF WHITE COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ADVA | BusinessNameControlTxt |
| Phone | 5012783155 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 SOUTH MAIN STREET | AddressLine1Txt |
| City | SEARCY | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72143 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LOREN MILLER | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 5012783155 | PhoneNum |
| Signature | 2023-08-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LOREN | PersonFirstNm |
| Person Last | MILLER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMIE WHITTINGTON DEAN CPA | PreparerPersonNm |
| PTIN | P01082167 | PTIN |
| Phone | 6013261000 | PhoneNum |
| Preparation | 2023-08-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LOREN MILLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 SOUTH MAIN STREET | AddressLine1Txt |
| City | SEARCY | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72143 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,190,011 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UNITY-HEALTH.ORG/ADVANCED-CARE | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | ACH OF WHITE COUNTY SERVES EXTENDED-STAY PATIENTS WHO NO LONGER REQUIRE INTENSIVE DIAGNOSTIC PROCEDURES BUT ARE TOO ILL FOR HOME HEALTH OR A SKILLED NURSING FACILITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 124 | TotalEmployeeCnt |
| Total Volunteers | 4 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,383,089 | PYContributionsGrantsAmt |
| CY Contributions Grants | $740,643 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,936,866 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,444,242 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,812 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,126 | CYInvestmentIncomeAmt |
| PY Other Revenue | $20 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $9,329,787 | PYTotalRevenueAmt |
| CY Total Revenue | $7,190,011 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,039,221 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,731,779 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,687,766 | PYOtherExpensesAmt |
| CY Other Expenses | $3,386,621 | CYOtherExpensesAmt |
| PY Total Expenses | $8,726,987 | PYTotalExpensesAmt |
| CY Total Expenses | $8,118,400 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $602,800 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$928,389 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,626,153 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,480,664 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,889,123 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,672,023 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,737,030 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $808,641 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ADVANCED CARE HOSPITAL OF WHITE COUNTY SERVES EXTENDED-STAY PATIENTS WHO NO LONGER REQUIRE INTENSIVE DIAGNOSTIC PROCEDURES BUT ARE TOO ILL FOR HOME HEALTH OR A SKILLED NURSING FACILITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,776,528 | ExpenseAmt |
| Revenue | $6,444,242 | RevenueAmt |
| Desc | ADVANCED CARE HOSPITAL OF WHITE COUNTY SERVES EXTENDED-STAY PATIENTS WHO NO LONGER REQUIRE INTENSIVE DIAGNOSTIC PROCEDURES BUT ARE TOO ILL FOR HOME HEALTH OR CARE THAT CAN BE PROVIDED IN A REHABILITATION FACILITY, A NURSING HOME OR THEIR PERSONAL RESIDENCE. | Desc |
| Total Program Service Expenses | $7,776,528 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 124 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOREN MILLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5012783156 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 SOUTH MAIN STREET | AddressLine1Txt |
| City | SEARCY | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72143 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JANET HINES | ||||||||
| BOARD MEMBER | 1.00 | 3.10 | Yes (X) | $0 | $0 | $0 | ||
| BOYCE ARNETT | ||||||||
| BOARD MEMBER - PART YEAR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PHILLIP MILLER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PAT STEGALL | ||||||||
| BOARD CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MATT MANDRELL | ||||||||
| BOARD MEMBER - PART YEAR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RODDY LOCHALA | ||||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $415,918 | $30,696 | ||
| TERRI PARSONS | ||||||||
| ADMINISTRATOR | 40.00 | $151,786 | $0 | $26,807 | Yes (X) | |||
| THOMAS MILLS | ||||||||
| PHARMACIST | 40.00 | $153,392 | $0 | $7,961 | Yes (X) | |||
| KERRI YARBROUGH | ||||||||
| EXECUTIVE DIRECTOR OF NURS | 40.00 | $128,920 | $0 | $25,455 | Yes (X) | |||
| JOHN PITTS | ||||||||
| RT DIRECTOR | 40.00 | $144,588 | $0 | $12,718 | Yes (X) | |||
| MISTI VANNATTER | ||||||||
| APRN | 40.00 | $134,872 | $0 | $15,743 | Yes (X) | |||
| PATRICIA WALLER | ||||||||
| APRN | 40.00 | $119,555 | $0 | $2,401 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $833,113 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $415,918 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $121,781 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WHITE COUNTY MEDICAL CENTER | |||||
| 3214 E RACE | SEARCY | AR | 72143 | MANAGEMENT AND HOSPITAL SERVICES | $603,656 |
| CAPES DIALYSIS LLC | |||||
| PO BOX 781607 | PHILADELPHIA | PA | 19178 | DIALYSIS SERVICES | $151,780 |
| NORTHSTAR EMS INC | |||||
| 1701 E BEEBE CAPPS EXPRESSWAY | SEARCY | AR | 72143 | EMS SERVICES | $137,103 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $740,643 | GovernmentGrantsAmt |
| Total Contributions | $740,643 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SVC REVENU | 621110 | $6,425,651 | $6,425,651 |
| MISCELLANEOUS INCOME | 621110 | $18,545 | $18,545 |
| MEDICAL RECORDS FEES | 621110 | $46 | $46 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,444,242 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,126 | TotalRevenueColumnAmt |
| Exclusion | $5,126 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,190,011 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,444,242 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,126 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,248 | TotalAmt |
| Program Services | $79,011 | ProgramServicesAmt |
| Management And General | $101,237 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,880,767 | TotalAmt |
| Program Services | $3,880,767 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,929 | TotalAmt |
| Program Services | $114,598 | ProgramServicesAmt |
| Management And General | $14,331 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,223 | TotalAmt |
| Program Services | $260,223 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,612 | TotalAmt |
| Program Services | $275,009 | ProgramServicesAmt |
| Management And General | $6,603 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,340 | TotalAmt |
| Management And General | $3,340 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,864 | TotalAmt |
| Management And General | $113,864 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,008,080 | TotalAmt |
| Program Services | $956,863 | ProgramServicesAmt |
| Management And General | $51,217 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,455 | TotalAmt |
| Program Services | $343,581 | ProgramServicesAmt |
| Management And General | $49,874 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,031 | TotalAmt |
| Program Services | $395,031 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106 | TotalAmt |
| Management And General | $106 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,022 | TotalAmt |
| Program Services | $147,022 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,258 | TotalAmt |
| Program Services | $158,258 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,016,133 | $1,016,133 | |
| MEDICARE BED TAX | $83,719 | $83,719 | |
| EQUIPMENT RENTAL AND MA | $66,313 | $66,313 | |
| EDUCATION | $1,300 | $1,300 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,118,400 | TotalAmt |
| Program Services | $7,776,528 | ProgramServicesAmt |
| Management And General | $341,872 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,693,981 | BOYAmt |
| EOY | $1,078,308 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,918,714 | BOYAmt |
| EOY | $1,513,185 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,799 | BOYAmt |
| EOY | $215,877 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,817 | BOYAmt |
| EOY | $51,238 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,661,015 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,038,959 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $736,842 | BOYAmt |
| EOY | $622,056 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,626,153 | BOYAmt |
| EOY | $3,480,664 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,102,526 | BOYAmt |
| EOY | $2,672,023 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $786,597 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,889,123 | BOYAmt |
| EOY | $2,672,023 | 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 | $1,737,030 | BOYAmt |
| EOY | $808,641 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,737,030 | BOYAmt |
| EOY | $808,641 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,626,153 | BOYAmt |
| EOY | $3,480,664 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$928,389 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,570 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,570 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE C, PART II-B, LINE 1(I) | FormAndLineReferenceDesc |
| Explanation | PORTION OF THE NALTH DUES (NATIONAL ASSOCIATION OF LONG TERM HEALTH) ATTRIBUTABLE TO LOBBYING - $1,570. | ExplanationTxt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,661,015 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,038,959 | DepreciationAmt |
| Book Value | $622,056 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $622,056 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $7,190,011 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,190,011 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,190,011 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,118,400 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,118,400 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $8,118,400 | TotalExpensesPerForm990Amt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,746 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,746 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $516,941 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $195,116 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $321,825 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03960 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $524,687 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $195,116 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $329,571 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04060 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $524,687 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $195,116 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $329,571 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,776,105 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $2,988,955 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$212,850 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 | ADVANCED CARE HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 SOUTH MAIN STREET | AddressLine1Txt |
| City | SEARCY | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72143 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.UNITY-HEALTH.ORG/ADVANCED-CARE | WebsiteAddressTxt |
| State License | AR4452 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | LONG TERM ACUTE CARE | OtherDesc |
| Facility Reporting Group | A | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVANCED CARE HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.UNITY-HEALTH.ORG/ABOUT-US/COMMUNITY-REPORT/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.UNITY-HEALTH.ORG/ABOUT-US/COMMUNITY-REPORT/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | 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 (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.UNITY-HEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.UNITY-HEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.UNITY-HEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: ADVANCED CARE HOSPITAL |
| GROUP A-FACILITY 1 -- ADVANCED CARE HOSPITAL PART V, SECTION B, LINE 3J: | IMPLEMENTATION STRATEGY |
| GROUP A-FACILITY 1 -- ADVANCED CARE HOSPITAL PART V, SECTION B, LINE 5: | THE FACILITY HELD "TOWNHALL" MEETINGS IN THE VARIOUS COMMUNITIES. THE INVITEES CONSISTED OF COUNTY HEALTH DEPARTMENTS, COUNTY SHERIFFS, COUNTY JUDGES, CITY MAYORS, MINISTERIAL LEADERS FROM LOCAL CHURCHES OF VARYING DENOMINATIONS, COUNTY DEPARTMENTS OF HUMAN SERVICES, SCHOOL DISTRICT ADMINISTRATORS AND NURSING STAFF, LOCAL BUSINESS LEADERS, CHAMBER OF COMMERCE REPRESENTATIVES, AND OTHER MEDICAL COMMUNITY REPRESENTATIVES. THOSE INVITED WERE ENCOURAGED TO PROVIDE FEEDBACK ON THE HEALTH NEEDS IN THEIR RESPECTIVE COMMUNITIES EVEN IF UNABLE TO ATTEND THE EVENTS. IN CONJUNCTION WITH "TOWN HALL" MEETINGS, UNITY HEALTH ALSO CONDUCTS A NEEDS ASSESSMENT SURVEY WHICH IS OPEN TO ALL COMMUNITY MEMBERS IN THE SERVICE AREA. THIS SURVEY IS FOCUSED ON QUESTIONS ASKING HOW UNITY HEALTH CAN IMPROVE THE IDENTIFIED NEEDS FROM THE CHNA. THE ADDITION OF THE NEEDS ASSESSMENT SURVEY HAS ALLOWED MORE COMMUNITY MEMBERS TO HAVE THEIR VOICE HEARD, WHICH GIVES UNITY HEALTH A BETTER PICTURE OF WHAT THE COMMUNITIES NEED. UNITY HEALTH ENCOURAGES ALL COMMUNITY MEMBERS TO TAKE THIS SURVEY, AND TO HELP WITH THAT, UNITY HEALTH LEAVES THE SURVEY "OPEN" FOR MANY MONTHS, ADVERTISES WHEN THE SURVEY IS AVAILABLE TO COMPLETE, AND PROVIDES IT IN DIGITAL AND PAPER FORM. |
| GROUP A-FACILITY 1 -- ADVANCED CARE HOSPITAL PART V, SECTION B, LINE 6A: | UNITY HEALTH - WHITE COUNTY MEDICAL CENTER |
| GROUP A-FACILITY 1 -- ADVANCED CARE HOSPITAL PART V, SECTION B, LINE 11: | THE HEALTHCARE NEEDS OF THE COMMUNITY ARE ASSESSED AND EVALUATED BY THE SOLE CORPORATE MEMBER.ADVANCED CARE HOSPITAL AND WHITE COUNTY MEDICAL CENTER HAVE PRIORITIZED KEY NEEDS WHICH THE ORGANIZATIONS BELIEVE ARE OF GREATEST SIGNIFICANCE WITHIN THE SURROUNDING COMMUNITY AND WHICH THE ORGANIZATION'S RESOURCES, BOTH FINANCIAL AND SERVICES, ARE BEST SUITED TO ADDRESS AND MOST LIKELY TO HAVE OF GREATEST IMPACT ON IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY AS A WHOLE. |
| GROUP A-FACILITY 1 -- ADVANCED CARE HOSPITAL PART V, SECTION B, LINE 16J: | INDIVIDUALS ARE NOTIFIED OF THE FINANCIAL ASSISTANCE POLICY ON ADMISSION, PRIOR TO DISCHARGE, AND IN COMMUNICATIONS REGARDING THE INDIVIDUAL'A BILLS THE FAP, FAP APPLICATION POLICY, AND PLAIN LANGUAGE SUMMARY ARE MADE AVAILABLE ON THE HOSPITAL WEBSITE AND ARE AVAILABLE UPON REQUEST, FREE OF CHARGE NOTICES OF AVAILABILITY ARE ALSO CONSPICUOUSLY DISPLAYED THROUGHOUT THE HOSPITAL FACILITY. THE HOSPITAL HAS A SOCIAL WORKER THAT VISITS AND WORKS WITH EACH PATIENT OR PATIENT'S FAMILY REGARDING ANY NEEDS THE PATIENT MAY HAVE,FINANCIAL OR OTHERWISE. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COST TO CHARGE RATIO, AS CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE THE AMOUNTS ON LINE 7. |
| PART III, LINE 2: | THE BAD DEBT AMOUNT REPORTED IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 3: | THE ORGANIZATION UTILIZES PATIENT COUNTY CENSUS INFORMATION TO DETERMINE THE WEIGHTED AVERAGE POVERTY LEVELS TO ESTIMATE THE PORTION OF BAD DEBT CONSIDERED COMMUNITY BENEFIT. |
| PART III, LINE 4: | PAGE 8, FOOTNOTE 1 - PATIENT ACCOUNTS RECEIVABLE, OF THE ORGANIZATION'S ATTACHED FINANCIAL STATEMENTS DESCRIBES BAD DEBT EXPENSE, NOW KNOWN AS IMPLICIT PRICE CONCESSIONS. |
| PART III, LINE 8: | THE MEDICARE COST REPORT FOR FYE 2022 WAS UTILIZED TO DETERMINE THE AMOUNT FOR LINE 6 |
| PART III, LINE 9B: | APPLICATIONS FOR CHARITY CARE AND FINANCIAL ASSISTANCE ARE COMPLETED PRIOR TO BALANCES BEING TURNED TO COLLECTION. IN THE EVENT A PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE, AND FAILS TO MAKE PAYMENTS OR ARRANGEMENT FOR PAYMENTS WITHIN 120 DAYS OF NOTIFICATION THAT THE PATIENT DID NOT QUALIFY, PER CONTRACT, HOSPITAL WILL UTILIZE THE SERVICES OF EXTERNAL COLLECTION AGENCIES TO HELP COLLECT THE PATIENT'S DEBT TO THE HOSPITAL. |
| PART VI, LINE 2: | THE HEALTHCARE NEEDS OF THE COMMUNITY ARE ASSESSED AND EVALUATED BY THE SOLE CORPORATE MEMBER. THE CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/UNITY-HEALTH-SITE-301/MEDIA/AA91AC5D47E24E4DA0DB471560425DE2/0923-COMMUNITYHEALTHASSESSMENT.PDF |
| PART VI, LINE 3: | INDIVIDUALS ARE NOTIFIED OF THE FINANCIAL ASSISTANCE POLICY ON ADMISSION, PRIOR TO DISCHARGE, AND IN COMMUNICATIONS REGARDING THE INDIVIDUALS' BILLS. THE FAP, FAP APPLICATION POLICY, AND PLAIN LANGUAGE SUMMARY ARE MADE AVAILABLE ON THE HOSPITAL WEBSITE AND ARE AVAIALABLE UPON REQUEST, FREE OF CHARGE. NOTICES OF AVAILABILITY ARE ALSO CONSPICUOUSLY DISPLAYED THROUGHOUT THE HOSPITAL FACILITY. THE HOSPITAL HAS A SOCIAL WORKER THAT VISITS AND WORKS WITH EACH PATIENT OR PATIENT'S FAMILY REGARDING ANY NEEDS THE PATIENT MAY HAVE, FINANCIAL OR OTHERWISE. |
| PART VI, LINE 4: | ADVANCED CARE HOSPITAL OF WHITE COUNTY SERVES THE NORTH-CENTRAL ARKANSAS REGION OF THE STATE WHICH ECONOMPASSES, CLEBURNE, JACKSON, LONOKE, PRAIRIE, WHITE, AND WOODRUFF COUNTIES. THE SOCIOECONOMIC MAKEUP OF THE COMMUNITY IS MIXED, WITH STRATUM FROM INDIGENT TO THOSE HAVING NO APPARENT FINANCIAL NEEDS. THE MAJORITY OF THE AREA IS MADE UP OF RURAL FARMLAND WITH AGRICULTURE AS THE PRIMARY ECONOMIC BASE OF THE REGION, WHILE TOURISM IS THE LARGEST INDUSTRY IN CLEBURNE COUNTY. |
| PART VI, LINE 5: | THE HOSPITAL MAKES ITSELF AND RESOURCES AVAILABLE NOT ONLY TO THE IMMEDIATE MEDICAL COMMUNITY (WHITE COUNTY AND SURROUNDING AREA), BUT ALSO TO THE NEEDS OF OTHER HEALTHCARE PROVIDERS IN THE ENTIRE STATE. |
| PART VI, LINE 6: | ADVANCED CARE HOSPITAL OF WHITE COUNTY PRIMARILY EARNS REVENUES BY PROVIDING LONG-TERM INPATIENT SERVICES TO PATIENTS IN AND AROUND WHITE COUNTY, ARKANSAS. THE HOSPITAL IS A WHOLLY OWNED SUBSIDIARY OF WHITE COUNTY MEDICAL CENTER, INC. D/B/A UNITY HEALTH. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RODDY LOCHALA | ||||||||||||||
| BOARD MEMBER | $0 | $368,969 | $0 | $46,949 | $0 | $0 | $0 | $17,500 | $0 | $13,196 | $0 | $446,614 | $0 | $0 |
| TERRI PARSONS | ||||||||||||||
| ADMINISTRATOR | $151,761 | $0 | $25 | $0 | $0 | $0 | $8,314 | $0 | $18,493 | $0 | $178,593 | $0 | $0 | $0 |
| THOMAS MILLS | ||||||||||||||
| PHARMACIST | $153,367 | $0 | $25 | $0 | $0 | $0 | $7,961 | $0 | $0 | $0 | $161,353 | $0 | $0 | $0 |
| JOHN PITTS | ||||||||||||||
| RT DIRECTOR | $134,144 | $0 | $10,444 | $0 | $0 | $0 | $4,785 | $0 | $7,933 | $0 | $157,306 | $0 | $0 | $0 |
| KERRI YARBROUGH | ||||||||||||||
| EXECUTIVE DIRECTOR OF NURS | $124,145 | $0 | $4,775 | $0 | $0 | $0 | $5,908 | $0 | $19,547 | $0 | $154,375 | $0 | $0 | $0 |
| MISTI VANNATTER | ||||||||||||||
| APRN | $125,864 | $0 | $9,008 | $0 | $0 | $0 | $0 | $0 | $15,743 | $0 | $150,615 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | WHITE COUNTY MEDICAL CENTER, INC., AN ARKANSAS NONPROFIT CORPORATION, IS THE SOLE MEMBER OF ADVANCED CARE HOSPITAL OF WHITE COUNTY. WHITE COUNTY MEDICAL CENTER HAS THE RIGHT TO RECOMMEND THE COPORATE DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS MAY RECOMMEND, BUT SHALL NOT, WITHOUT THE EXPRESS WRITTEN CONSENT OF THE SOLE CORPORATE MEMBER, HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS: 1 ANY FUNDAMENTAL CHANGE IN THE MISSION, PHILOSOPHY, OR STRATEGIC PLAN OF THE HOSPITAL, 2 ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS, 3 THE INCURRENCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OR LEASE OF REAL ESTATE, AND CAPITAL LEASES, IN EXCESS OF $1,000,000 MEASURED IN AN ANNUAL AGGREGATE, 4 ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY, 5 THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL, 6 ADOPT OR MODIFY POLICIES PERTAINING TO CHARITY CARE, 7 ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $250,000, 8 ANY CAPITAL EXPENDITURES WHICH IN THE AGGREGATE EXCEEDS $250,000 ANNUALLY, 9 APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS, 10 THE DEFENSE, SETTLEMENT OR RESOLUTION OF ANY REGULATORY CHALLENGES TO THE LEGAL STRUCTURE OF THE HOSPITAL, ALLEGED OVERPAYMENTS FROM ANY GOVERNMENTAL AGENCY OR ANY ALLEGATIONS FROM A GOVERNMENTAL AGENCY OF FRAUD AND ABUSE. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF DIRECTORS MAY RECOMMEND, BUT SHALL NOT, WITHOUT THE EXPRESS WRITTEN CONSENT OF THE SOLE CORPORATE MEMBER, HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS: 1 ANY FUNDAMENTAL CHANGE IN THE MISSION, PHILOSOPHY, OR STRATEGIC PLAN OF THE HOSPITAL, 2 ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS, 3 THE INCURRENCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OR LEASE OF REAL ESTATE, AND CAPITAL LEASES, IN EXCESS OF $1,000,000 MEASURED IN AN ANNUAL AGGREGATE, 4 ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY, 5 THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL, 6 ADOPT OR MODIFY POLICIES PERTAINING TO CHARITY CARE, 7 ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $250,000, 8 ANY CAPITAL EXPENDITURES WHICH IN THE AGGREGATE EXCEEDS $250,000 ANNUALLY, 9 APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS, 10 THE DEFENSE, SETTLEMENT OR RESOLUTION OF ANY REGULATORY CHALLENGES TO THE LEGAL STRUCTURE OF THE HOSPITAL, ALLEGED OVERPAYMENTS FROM ANY GOVERNMENTAL AGENCY OR ANY ALLEGATIONS FROM A GOVERNMENTAL AGENCY OF FRAUD AND ABUSE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE EXECUTIVE TEAM OF THE SOLE CORPORATE MEMBER AND ADVANCED CARE HOSPITAL, AS WELL AS THE ACCOUNTING DEPARTMENT. THE ADVANCED CARE HOSPITAL OF WHITE COUNTY BOARD OF DIRECTORS IS PROVIDED COPIES OF THE FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL EMPLOYEES AND DIRECTORS ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. KEY EMPLOYEES AND DIRECTORS ARE REQUESTED ANNUALLY TO SUBMIT ANY KNOWN CONFLICTS FOR REVIEW BY THE BOARD. INDIVIDUALS WITH KNOWN CONFLICTS ARE PRECLUDED FROM ANY PARTICIPATION ON ANY TRANSACTIONS WITH WHICH THEY HAVE A CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | REVIEW OF ANNUAL COMPENSATION BASED ON SURVEY OF HOSPITAL ASSOCIATION |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OUTSIDE PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 320,338. MANAGEMENT AND GENERAL EXPENSES 6,783. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 327,121. CONSULTING AND MANAGEMENT: PROGRAM SERVICE EXPENSES 636,525. MANAGEMENT AND GENERAL EXPENSES 44,434. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 680,959. |
| FORM 990, PART XII, LINE 2C | THE PROCESS FOR SELECTION AND MONITORING OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| UNITY HEALTH | |||||||||||
| 3214 EAST RACE AVENUE | SEARCY | AR | 72143 | 811097358 | SUPPORT | AR | 501(C)(3) | LINE 12B, II | WCMC | 0 | |
| UNITY HEALTH - FOUNDATION | |||||||||||
| 3214 EAST RACE AVENUE | SEARCY | AR | 72143 | 621697734 | SUPPORT | AR | 501(C)(3) | LINE 12A, I | WCMC | 0 | |
| UNITY HEALTH - PHYSICIANS GROUP | |||||||||||
| 3214 EAST RACE AVENUE | SEARCY | AR | 72143 | 275303218 | SUPPORT | AR | 501(C)(3) | LINE 12A, I | WCMC | 0 | |
| UNITY HEALTH - WHITE COUNTY MEDICAL CTR | |||||||||||
| 3214 EAST RACE AVENUE | SEARCY | AR | 72143 | 710772737 | HOSPITAL | AR | 501(C)(3) | LINE 3 | 0 | N/A | |
| UNITY HEALTH - NEWPORT | |||||||||||
| 3214 EAST RACE AVENUE | SEARCY | AR | 72143 | 861835149 | HOSPITAL | AR | 501(C)(3) | LINE 3 | WCMC | 0 | |
| UNITY HEALTH - JACKSONVILLE | |||||||||||
| 3214 EAST RACE AVENUE | SEARCY | AR | 72143 | 862564877 | HOSPITAL | AR | 501(C)(3) | LINE 3 | WCMC | 0 | |
| UNIFIED MEDICAL EQUIPMENT SOLUTIONS INC | |||||||||||
| 3214 EAST RACE AVENUE | SEARCY | AR | 72143 | 861536054 | MEDICAL EQUIPMENT | AR | 501(C)(3) | LINE 12A, I | WCMC | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments