2022-05-13T11:21:27-05:00 2021-06-30 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2020-07-01 710276839 DELTA MEMORIAL HOSPITAL % VICKI ALLEN DELT 8703824303 811 HWY 65 SOUTH DUMAS AR 71639 TIMOTHY JONES CHAIRMAN 8703824303 2022-05-12 true TIMOTHY JONES 000000000 AMBER SHERRILL P00748683 5013721040 2 2020 2022-09-23 18:48:47Z TIMOTHY JONES 811 HWY 65 SOUTH DUMAS AR 71639 24774512 false X WWW.DELTAMEM.ORG X 1975 AR DELTA MEMORIAL HOSPITAL IS COMMITTED TO AID HEALING AND PROMOTE WELLNESS FOR SOUTHEAST ARKANSAS. 7 7 244 30 0 2971751 6869271 17439242 16434463 8491 592060 128378 152878 20547862 24048672 0 0 0 0 9766581 10578779 19634 0 0 9645331 9014910 19431546 19593689 1116316 4454983 21526464 19360595 15110366 8489514 6416098 10871081 AT DELTA MEMORIAL HOSPITAL, WE ARE COMMITTED TO PROMOTING HEALING AND WELLNESS FOR THE RESIDENTS OF THE SOUTHEAST REGION IN A COURTEOUS AND COMPASSIONATE MANNER. false false 15512002 0 16434463 DELTA MEMORIAL HOSPITAL PROVIDES MEDICAL HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR ABILITY TO PAY. 15512002 true true false true false false false false false true false false true true false true false false false false false false false false false true true false false true false false false true false false false false false false false false false false false false false true 40 0 true 244 true false false false false false false false false false false false false X 7 7 false false false false false false false true false false false true true true true true true true false false X VICKI ALLEN 8703824303 811 HWY 65 SOUTH DUMAS AR 71639 X FRANKLIN D CHAMBERS PHYSICIAN 40.0 0.0 X 854219 0 5321 RALPH MAXWELL PHYSICIAN 40.0 0.0 X 733339 0 15111 SARAH FRANKLIN PHYSICIAN 40.0 0.0 X 535347 0 8358 JOHN JERIUS PHYSICIAN 40.0 0.0 X 346477 0 2604 DEREK WHITE NURSE PRACTITIONER 40.0 0.0 X 232704 0 7977 VICKI ALLEN CFO 40.0 0.0 X 113949 0 4452 ASHLEY ANTHONY CEO 40.0 0.0 X 107132 0 1484 LEAH OSBAHR CEO 40.0 0.0 X 25962 0 0 JOHN FREEMAN DIRECTOR 1.0 0.0 X 0 0 0 PRICE BONEY JR DIRECTOR 1.0 0.0 X 0 0 0 SHIRLEY TEETER SECRETARY 1.0 0.0 X X 0 0 0 TIMOTHY JONES CHAIRMAN 1.0 0.0 X X 0 0 0 WARREN PARKER DIRECTOR 1.0 0.0 X 0 0 0 HEATHER HARRIS DIRECTOR 1.0 0.0 X 0 0 0 JOHN WALTERS DIRECTOR 1.0 0.0 X 0 0 0 2949129 0 45307 12 false true false MARGARET ISHEE 3303 MOUNT VERNON CT OCEAN SPRINGS MS 39564 CRNA 250000 LEWIS NELSON BALLARD III 100 RAVENWOOD PLACE HOT SPRINGS AR 71901 CRNA 250000 ZION REVENUE SOLUTIONS 2019A RICHMOND RD 363 TEXARKANA TX 75503 BILLING AGENCY 519251 AMEDISTAFF LLC PO BOX 595 TONTITOWN AR 72770 TRAVEL NURSE AGENCY 200414 GRAYCORP LLC 3 ROBINWOOD DR DUMAS AR 71639 ER PHYSICIAN 383663 6 6080926 788345 6869271 PATIENT SERVICE REVENUE 622110 15768709 15768709 340B REVENUE 622110 655954 655954 MEDICAL OFFICE BUILDING RENT 531120 9800 9800 16434463 23612 23612 0 0 0 0 0 1294288 725840 568448 568448 568448 0 0 0 0 0 0 0 0 0 MEAL REVENUE 624210 39882 39882 VENDING REVENUE 445132 11335 11335 REVENUE MEDICAL RECORD 900099 9758 9758 91903 91903 152878 24048672 16434463 744938 X 0 0 0 0 252979 252979 0 9340176 7307191 2032985 22543 17636 4907 357667 279817 77850 605414 473639 131775 0 8058 6304 1754 88804 69475 19329 0 0 0 0 4472671 3499149 973522 0 8645 6763 1882 47626 37260 10366 0 0 437358 342163 95195 67711 52973 14738 0 0 180335 141083 39252 0 993759 777457 216302 580067 453810 126257 SUPPLIES EXPENSE 1602822 1602822 PROVIDER ASSESSMENT FEES 147584 147584 MINOR EQUIPMENT 135391 105922 29469 REPAIRS & MAINTENANCE 53918 42182 11736 190161 148772 41389 19593689 15512002 4081687 0 1097 1942 7356479 5033155 282275 14356 2300220 2575470 0 0 0 0 0 0 450648 414164 512215 605221 20509748 12403651 7469307 8106097 0 0 0 0 0 0 0 0 3154223 2610190 21526464 19360595 3095288 3106753 0 0 5114673 1406627 0 0 0 0 557406 418369 4610572 1974916 0 0 1732427 1582849 15110366 8489514 X 1020092 4371213 5396006 6499868 6416098 10871081 21526464 19360595 4454983 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1448 1448 false FORM 990, SCHEDULE C, PART II-B, LINE 1I THE PERCENTAGE OF 2021 MEMBERSHIP DUES PAID TO THE ARKANSAS HOSPITAL ASSOCIATION ALLOCABLE TO LOBBYING EXPENSE IS $1,448. 14307966 8069892 6238074 122688 5623 117065 5947757 4244449 1703308 131337 83687 47650 8106097 DUE FROM THIRD PARTIES 1254650 BENEFICIAL INTEREST IN TRUST 1206655 SHORT TERM INVESTMENTS 10885 BUILDING - ANNEX 138000 2610190 0 DUE TO THIRD PARTY PAYORS 1582849 1582849 24048672 24048672 24048672 19593689 19593689 19593689 FORM 990, SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X true true true false false 228909 228909 0.01170 2253664 2796517 2482573 2796517 228909 0.01170 1302063 895554 406509 0.02070 1302063 895554 406509 0.02070 3784636 3692071 635418 0.03240 true 2386193 2386193 4281412 4184294 97118 X true true 1 1 DELTA MEMORIAL HOSPITAL 811 HWY 65 SOUTH DUMAS AR 71639 WWW.DELTAMEM.ORG AR4392 X X X DELTA MEMORIAL HOSPITAL false false true X X X X X X X X X 18 true false false true X WWW.DELTAMEM.ORG X true 18 true WWW.DELTAMEM.ORG false true X 200. 200. X X true true X X X true X WWW.DELTAMEM.ORG X WWW.DELTAMEM.ORG X WWW.DELTAMEM.ORG X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 DEVELOPED A STEERING COMMITTEE THAT ORGANIZED COMMUNITY MEETINGS INVITING LOCAL BUSINESS PERSONS, CLERGY, SCHOOL OFFICIALS, COUNTY AND CITY OFFICIALS, LOCAL HEALTH CLINICS, HOSPITAL MEDICAL STAFF, COUNTY HEALTH DEPARTMENT, LOCAL EMS, HOSPITAL AUXILIARY, CHAMBER OF COMMERCE, FARMING COMMUNITY, LOCAL NEWSPAPER, AND MEMBERS OF UAMS EAST, DESHA HOMETOWN HEALTH IMPROVEMENT PROJECT (DHHIP) AND ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP). THIS PROVIDED A BROAD SECTION OF THE COMMUNITY WITH A FOCUS ON THE HEALTHCARE COMMUNITY. SURVEYS WERE CONDUCTED IN THE COMMUNITY AND RESULTS TABULATED AND REVIEWED AT THE COMMUNITY MEETINGS. THIS, ALONG WITH INPUT FROM ATTENDEES, WAS USED TO FORMULATE AND PRIORITIZE THE LIST OF SIGNIFICANT COMMUNITY HEALTH RELATED NEEDS THAT COULD BE IMPACTED BY THE HOSPITAL. AT AROUND THE SAME TIME, A SERIES OF TOWN HALL MEETINGS RELATED TO COMMUNITY HEALTH NEEDS WERE HELD AND SPECIFIC DIAGNOSES TARGETED TO IMPROVE OVERALL COMMUNITY HEALTH. SCHEDULE H, PART V, SECTION B, LINE 11 AN IMPLEMENTATION STRATEGY WAS DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS. SEVERAL ISSUES WERE IDENTIFIED FOR CONSIDERATION AND PRIORITIZED IN THE PLAN. FOR EXAMPLE, MENTAL HEALTH SERVICES WAS IDENTIFIED AS A SIGNIFICANT NEED. SINCE THAT TIME, A PSYCHIATRIST HAS MOVED HER CLINIC TO OUR HOSPITAL AND IS ALSO AVAILABLE TO SEE PATIENTS BY TELEHEALTH. DRUG ABUSE WAS IDENTIFIED AS A CONCERN IN THE COMMUNITY, AND THROUGH THE ARHP SEVERAL RESOURCES ARE AVAILABLE TO HELP ADDRESS THIS, INCLUDING OPIOID USE DISORDER (OUD) EDUCATION AND ENROLLMENT, AND OTHERS. ALTHOUGH NOT SPECIFICALLY ADDRESSED IN THE CHNA, DURING TOWN HALL MEETINGS, OBESITY WAS IDENTIFIED AS A CONTRIBUTING FACTOR IN POOR OVERALL HEALTH OF THE COMMUNITY AND IS BEING ADDRESSED THROUGH A FREE 12 WEEK WEIGHT CONTROL PROGRAM. THE ONLY IDENTIFIED NEED NOT BEING ADDRESSED IN SOME MANNER IS AN AFTER-HOURS CLINIC, WHICH IS SIMPLY NOT A FINANCIALLY VIABLE OPTION AT THIS TIME. 1 DELTA HEALTH SERVICES 803 HIGHWAY 65 SOUTH DUMAS AR 71639 RURAL HEALTH CLINIC FORM 990, SCHEDULE H, PART I, LINE 3C AMOUNTS GENERALLY BILLED (AGB) IS DEFINED AS THE AMOUNTS THAT ARE GENERALLY BILLED FOR CARE TO INDIVIDUALS WHO HAVE THIRD PARTY COVERAGE. DELTA MEMORIAL HOSPITAL DETERMINES AGB BY UTILIZING THE "LOOK-BACK" METHOD. THE AGB PERCENTAGE IS CALCULATED BY USING CLAIMS ALLOWED BY MEDICARE, MEDICAID AND PRIVATE HEALTH INSURERS DURING THE MOST RECENT FISCAL YEAR. FORM 990, SCHEDULE H, PART I, LINE 7 DELTA MEMORIAL HOSPITAL USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY. FORM 990, SCHEDULE H, PART III, LINE 2 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 TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. FORM 990, SCHEDULE H, PART III, LINE 3 UNDER THE ADOPTION OF REVENUE RECOGNITION STANDARD ASU 2014-09 ALL OF THE ORGANIZATION'S BAD DEBT EXPENSE REPORTED ON SCHEDULE H, PART III, LINE 2 IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. FORM 990, SCHEDULE H, PART III, LINE 8 MEDICARE COST TO CHARGE RATIO FORM 990, SCHEDULE H, PART III, LINE 9B IF DURING THE COURSE OF COLLECTIONS FOLLOW-UP, A PATIENT OR GUARANTOR REQUESTS FINANCIAL ASSISTANCE OR INDICATES THAT THEY ARE UNINSURED AND CANNOT PAY FOR THEIR CARE, THEY WILL BE REFERRED TO DMH'S FINANCIAL ASSISTANCE TEAM TO BE SCREENED FOR POTENTIAL FINANCIAL ASSISTANCE ELIGIBILITY. IF IT IS DETERMINED A PATIENT MAY BE ELIGIBLE FOR ASSISTANCE, COLLECTION ACTIVITY WILL CONTINUE UNTIL THE PATIENT RETURNS THE APPROPRIATE APPLICATION. ONCE THE APPLICATION IS RECEIVED, REGARDLESS OF COMPLETENESS, ALL FURTHER COLLECTION ACTIVITY WILL BE STOPPED PENDING A DECISION FROM THE FINANCIAL ASSISTANCE TEAM ON ASSISTANCE ELIGIBILITY. FORM 990, SCHEDULE H, PART VI, LINE 2 IN ADDITION TO THE CHNA, DELTA MEMORIAL USES A VARIETY OF OTHER SOURCES TO COLLECT DATA, ANALYZE IT, AND PRIORITIZE FUTURE ACTION ITEMS. THESE INCLUDE: - HAVING AN ACTIVE BOARD OF DIRECTORS MADE UP OF COMMUNITY MEMBERS WHO GIVE INPUT. - PARTICIPATING IN THE LOCAL CHAMBER OF COMMERCE AND GETTING FEEDBACK. - PARTICIPATION IN THE DHIPP PROGRAM IN DESHA COUNTY. - TOWN HALL MEETINGS FACILITATED BY DRCHSD PROGRAM (DELTA REGION COMMUNITY HEALTH SYSTEMS DEVELOPMENT) - COMMUNITY CHAMPION INPUT. - INPUT FROM PHYSICIANS ON NEEDS OF THEIR PATIENTS AND ON THEIR REFERRAL PATTERNS FOR SERVICES NOT PROVIDED LOCALLY. - INPUT ON SOCIAL MEDIA. - DIRECT INPUT FROM INDIVIDUAL PATIENTS AND EMPLOYEES, AS WELL AS LOCAL INDUSTRY AND EMS. - PATIENT EXPERIENCE SURVEYS. - EVALUATION OF HEALTH DATA AND REPORTS, SUCH AS THE COUNTY HEALTH RANKINGS IN HEALTH OUTCOMES. - PLANS TO ADD A MARKETING/OUTREACH RESOURCE IN THE COMING YEAR. FORM 990, SCHEDULE H, PART VI, LINE 3 DMH STAFF SHALL ATTEMPT TO IDENTIFY THOSE PATIENTS IN NEED OF FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION. THE PATIENT'S INSURANCE INFORMATION AND/OR PAYMENT ARRANGEMENTS SHALL BE DISCUSSED BEFORE SERVICES ARE RENDERED, EXCEPT IN THE CASE OF EMERGENCY SERVICES IN ACCORDANCE WITH EMTALA REGULATIONS. PATIENTS REQUIRING EMERGENT OR URGENT MEDICAL CARE AND PREGNANT WOMEN IN ACTIVE LABOR SHALL BE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY IN ACCORDANCE WITH EMTALA REGULATIONS. DMH WILL PROVIDE A COPY OF THE PLAIN LANGUAGE SUMMARY DOCUMENT OF THE FINANCIAL ASSISTANCE POLICY TO ALL UNINSURED PATIENTS AT THE TIME OF REGISTRATION. THE PATIENT WILL BE REQUIRED TO SIGN THE DOCUMENT TO BE SCANNED INTO DMH'S DOCUMENT IMAGING SYSTEM FOR EACH ENCOUNTER. THIS WILL DOCUMENT THAT THE PATIENT WAS MADE AWARE OF THE FINANCIAL ASSISTANCE POLICY. PATIENTS, IDENTIFIED AS NEEDING FINANCIAL ASSISTANCE, SHALL BE ENCOURAGED TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. FORM 990, SCHEDULE H, PART VI, LINE 4 DELTA MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES THE COMMUNITIES OF DESHA COUNTY THAT ARE LOCATED NEAR DUMAS. DUMAS RESIDENTS MAKE UP THE MAJORITY OF BOTH INPATIENT AND EMERGENCY ROOM PATIENTS. THOSE REMAINING, FOR THE MOST PART, RESIDENTS OF LINCOLN, ARKANSAS, AND DREW COUNTIES ARE CONSIDERED THE SECONDARY SERVICE AREA. DESHA COUNTY IS LOCATED IN THE SOUTHEAST CORNER IN THE STATE OF ARKANSAS ON THE BORDER OF MISSISSIPPI AND THE MISSISSIPPI RIVER. IT IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA. AS OF THE 2017 CENSUS, DESHA HAS A POPULATION OF 13,008 RESIDENTS COMPARED TO THE 2000 CENSUS WHICH WAS 15,341 RESIDENTS - A 15% DECREASE IN POPULATION IN SEVEN YEARS. ACCORDING TO THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS AND ROADMAP STUDY, DESHA RANKS IN OVERALL HEALTH OUTCOMES AT #70 IN OVERALL HEALTH FACTORS OUT OF 75 COUNTIES IN ARKANSAS. DESHA COUNTY IS CONSIDERED ONE OF THE UNHEALTHIEST COUNTIES IN THE STATE OF ARKANSAS, RANKING #73 WITHIN THE 75 COUNTIES. THE OVERALL DEMOGRAPHICS OF DESHA COUNTY ARE 45.9% WHITE, 47.6% AFRICAN AMERICAN, AND 5.2% HISPANIC OR LATINO ORIGIN. MEDIAN HOUSEHOLD INCOME FOR THE COUNTY IS $26,519, COMPARED TO $42,336 FOR THE STATE OF ARKANSAS. 32% OF PEOPLE ARE LIVING BELOW THE FEDERAL POVERTY LINE, COMPARED TO 18.8% STATEWIDE. RELEVANT TO THIS INFORMATION, SOME KEY RANKINGS DEMONSTRATE DESHA COUNTY'S RANKING IN ECONOMICS, HEALTH INDICATORS, AND HEALTH FACTORS: - DESHA COUNTY RANKS 74 OUT OF 75 IN LOW BIRTH-WEIGHT BABIES - DESHA COUNTY RANKS 71 OUT OF 75 IN LOW HEALTH LITERACY - DESHA COUNTY RANKS 73 OUT OF 75 IN FOOD INSECURITY - DESHA COUNTY RANKS 74 OUT OF 75 FOR POVERTY FOR ALL AGES - DESHA COUNTY RANKS 71 OUT OF 75 IN HOUSEHOLDS WITH NO TRANSPORTATION - DESHA COUNTY RANKS 74 OUT OF 75 IN MEDIAN HOUSEHOLD INCOME FORM 990, SCHEDULE H, PART VI, LINE 5 DELTA MEMORIAL HOSPITAL PROVIDES COMMUNITY BENEFITS BY OFFERING HEALTH EDUCATION THROUGH HEALTH FAIRS, FREE COMMUNITY HEALTH SCREENINGS, AND SUPPORT FOR LOCAL COMMUNITY ACTIVITIES TO PROMOTE THE HEALTH OF CITIZENS OF DESHA COUNTY. DMH IS AN ACTIVE MEMBER OF THE DESHA COUNTY HOMETOWN HEALTH INITIATIVE (HHI) WHICH IS A PROGRAM OF THE ARKANSAS DEPARTMENT OF HEALTH. HHI BRINGS TOGETHER A WIDE RANGE OF PEOPLE AND ORGANIZATIONS INCLUDING CONSUMERS, BUSINESS LEADERS, AND HEALTH CARE PROVIDERS TO DEVELOP AND IMPLEMENT WAYS TO SOLVE HEALTH ISSUES IN THE COUNTY. HHI STRESSES COLLABORATION, COALITION BUILDING, PRIORITIZING OF HEALTH ISSUES, AND THE DEVELOPMENT AND IMPLEMENTATION OF COMMUNITY HEALTH STRATEGIES THAT ARE LOCALLY DESIGNED AND SUSTAINED. DELTA MEMORIAL IS ALSO AN ACTIVE MEMBER IN THE ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP), WHICH IS COMPRISED OF TWELVE, INDEPENDENTLY OWNED, SOUTH ARKANSAS RURAL HOSPITALS COMMITTED TO WORKING TOGETHER THROUGHOUT THE SOUTH ARKANSAS DELTA REGION TO: IMPROVE THE DELIVERY OF HEALTHCARE SERVICES, INCREASE ACCESS TO HEALTH CARE SERVICES & PROGRAMS, PROVIDE HEALTHCARE PROVIDER EDUCATION OPPORTUNITIES, INCREASE THE UTILIZATION OF TELEHEALTH & TELEMEDICINE TECHNOLOGY, PROMOTE HEALTHY LIFESTYLES, ASSIST COMMUNITY MEMBERS WITH PATIENT ASSISTANCE PROGRAMS, AND REDUCE SERVICE AND OPERATION COSTS FOR HOSPITAL MEMBERS THROUGH COLLABORATIVE NEGOTIATION AND PURCHASING. ARHP CURRENTLY PROVIDES THE FOLLOWING OUTREACH AND EDUCATION PROGRAMS TO ITS MEMBERS, PATIENTS, AND COMMUNITIES: OPIOID USE DISORDER EDUCATION & NAVIGATION, FREE BREAST SCREENING & DIAGNOSTIC SERVICES, INSURANCE & MEDICARE ASSISTANCE & ENROLLMENT, DIABETES EMPOWERMENT EDUCATION PROGRAM, EMERGENCY DEPARTMENT MENTAL HEALTH ASSESSMENTS, PRESCRIPTION ASSISTANCE SERVICES, COOKING MATTERS CLASSES, DIABETES PREVENTION PROGRAM, AND PATIENT NAVIGATION. X X X false false false false false false false false false RALPH MAXWELL PHYSICIAN 733339 0 0 0 0 0 0 0 15111 0 748450 0 0 0 SARAH FRANKLIN PHYSICIAN 535347 0 0 0 0 0 2850 0 5508 0 543705 0 0 0 JOHN JERIUS PHYSICIAN 346477 0 0 0 0 0 0 0 2604 0 349081 0 0 0 DEREK WHITE NURSE PRACTITIONER 232704 0 0 0 0 0 2441 0 5536 0 240681 0 0 0 FRANKLIN D CHAMBERS PHYSICIAN 854219 0 0 0 0 0 0 0 5321 0 859540 0 0 0 DAVID CHAMBERS TOP 5 HIGHEST PAID SALE OF CLINIC X 77000 27000 false true false GRAYCORP LLC MORE THAN 35% OWNED BY DAVID CHAMBERS ER CONTRACTED LABOR X 391369 false true false 418369 FORM 990, SCHEDULE L, PART II ON SEPTEMBER 27, 2019, THE HOSPITAL FORMALIZED A VERBAL AGREEMENT WITH THE LENDER. FORM 990, PART VI, SECTION A, LINE 8B COMMITTEES ACTING ON BEHALF OF THE GOVERNING BODY REPORT TO THE GOVERNING BODY AT MONTHLY BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS EMAILED TO ALL BOARD MEMBERS FOR REVIEW BEFORE FILING. THE FORM 990 IS DISCUSSED AND APPROVED DURING THE NEXT BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BYLAWS REQUIRE BOARD MEMBERS TO ABSTAIN FROM CONFLICTS OF INTEREST. BOARD MEMBERS ARE REQUIRED TO ANNUALLY SUBMIT A WRITTEN STATEMENT AND ANSWER A QUESTIONNAIRE. THE COMPLIANCE OFFICER INVESTIGATES ANY POTENTIAL CONFLICTS AND DETERMINES THE NATURE OF THE CONFLICT. A SUBCOMMITTEE REVIEWS ANY CONFLICTS AND DETERMINES THE APPROPRIATE ACTION DEPENDING ON THE NATURE OF THE CONFLICT. BOARD MEMBERS ARE ASKED TO ABSTAIN FROM CONFLICT OF INTERESTS OR ABSTAIN FROM VOTING IF A CONFLICT EXISTS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS REVIEWED THE CEO'S COMPENSATION IN 2021. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:3120494 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:1240573 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING & COLLECTION SERVICES TOTAL FEES:111604