2022-10-11T18:16:04-05:00 2021-12-31 FORVIS LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2021-01-01 710717967 BOSTON MOUNTAIN RURAL HEALTH CENTER INC % DEBBIE ACKERSON BOST 8704483796 PO BOX 1030 MARSHALL AR 726501030 DEBBIE ACKERSON CEO 8704483796 2022-10-10 true DEBBIE ACKERSON 000000000 AMBER SHERRILL P00748683 5013721040 2 2021 2022-09-23 18:48:47Z DEBBIE ACKERSON 2263 HWY 65 NORTH MARSHALL AR 72650 34872763 false X WWW.BMRHC.NET X 1994 AR TO PROVIDE QUALITY, FAMILY-CENTERED, COMPREHENSIVE, COORDINATED PRIMARY, PREVENTATIVE AND BEHAVIORAL HEALTH CARE SERVICES TO PERSONS IN NORTH CENTRAL AND NORTHWEST ARKANSAS 11 11 258 11 0 7389685 9604868 11315545 16782947 -101331 45814 4303675 5352835 22907574 31786464 0 0 0 0 14122504 16781563 0 0 0 5149384 5627184 19271888 22408747 3635686 9377717 28724532 33485948 5770058 1153757 22954474 32332191 TO PROVIDE QUALITY, FAMILY-CENTERED, COMPREHENSIVE, COORDINATED PRIMARY, PREVENTIVE AND BEHAVIORAL HEALTH CARE SERVICES TO PERSONS IN NORTH CENTRAL AND NORTHWEST ARKANSAS. false false 18856476 0 22098113 PROVIDING QUALITY HEALTH CARE, PREVENTIVE CARE AND BEHAVIORAL HEALTH CARE SERVICES TO THE INDIVIDUALS IN THE ORGANIZATION'S SERVICE AREA. 18856476 true true false false false false false false false false true false false false false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 53 0 true 258 true false false false false false false false false false false false false X 11 11 true false false false false false false true false false false false true true true true true true true false AR X DEBBIE ACKERSON 8704483796 2265 HWY 65 N MARSHALL AR 72650 X LARRY JENNINGS PHYSICIAN 40.0 0.0 X 343062 0 26291 CHARLES JACKSON Physician 40.0 0.0 X 286721 0 20381 TRAVIS EMBRY PHYSICIAN 40.0 0.0 X 275553 0 25357 ASISH GHOSH PHYSICIAN 40.0 0.0 X 274709 0 19656 DEBBIE ACKERSON CEO 40.0 0.0 X 231612 0 20691 BILL DILL Dental Director 25.0 0.0 X 211842 0 10400 JENNIFER DEPRIEST CHIEF CLINICAL OFFICER 40.0 0.0 X 194328 0 19578 BECKY BLAIR CFO 40.0 0.0 X 168051 0 18829 NICOLE DEPRIEST COMPLIANCE OFFICER 40.0 0.0 X 142227 0 17885 KORTNI DIXON CIO 40.0 0.0 X 125690 0 18874 DONNA SAMPLES BOARD CHAIR 1.0 0.0 X X 0 0 0 DANNY HORTON VICE CHAIR 1.0 0.0 X X 0 0 0 CHRIS GRAHAM TREASURER 1.0 0.0 X X 0 0 0 CHELLA REYNOLDS DIRECTOR 1.0 0.0 X 0 0 0 DAVID DOSHIER DIRECTOR 1.0 0.0 X 0 0 0 MARY LYNN EMMETT DIRECTOR 1.0 0.0 X 0 0 0 CHARLIE REECE DIRECTOR 1.0 0.0 X 0 0 0 DEBBIE HOLT DIRECTOR 1.0 0.0 X 0 0 0 JIM ARNOLD DIRECTOR 1.0 0.0 X 0 0 0 SUN LEE DOBBINS DIRECTOR 1.0 0.0 X 0 0 0 GERALDINE LITTLETON SECRETARY 1.0 0.0 X X 0 0 0 2253795 0 197942 29 false true false UAMS 4310 MARKHAM STREET LITTLE ROCK AR 72205 PROVIDER SERVICES 120010 CPI PO BOX 7 MAMMOTH SPRINGS AR 72554 340B PHARMACY CONS 196200 GREGORY CONSTRUCTION PO BOX 710 MOUNTAIN HOME AR 72654 BUILDING CONTRACTOR 1155205 ECLINICAL WORKS PO BOX 847950 BOSTON MA 02284 COMPUTER SERVICES 187896 FORVIS PO BOX 3667 LITTLE ROCK AR 72205 AUDIT SERVICES 104702 5 9604868 9604868 PATIENT SERVICE 621110 16769829 16769829 BAD DEBT RECOVERY 621110 13118 13118 16782947 27479 27479 0 0 0 0 0 18335 18335 18335 18335 0 0 0 0 0 0 8401465 3086299 5315166 5315166 All Other Misc Revenue 900099 37669 37669 37669 37669 37669 31786464 22098113 83483 0 0 0 0 957764 957764 0 0 12796174 11248471 1547703 487413 428460 58953 1586205 1394353 191852 954007 838619 115388 0 16282 14313 1969 114752 100873 13879 0 0 0 880307 773833 106474 0 422157 371097 51060 545177 479238 65939 0 463369 407324 56045 132832 116766 16066 0 85006 74724 10282 22177 19495 2682 0 493127 433483 59644 97571 85770 11801 MEDICAL EXPENSES 929448 817031 112417 COVID 19 EXPENSES 814042 715583 98459 EQUIPMENT EXPENSE 238133 209331 28802 DUES AND SUBSCRIPTIONS 150862 132615 18247 221942 195097 26845 22408747 18856476 3552271 0 8008836 8441725 4987862 5001709 0 413345 4842575 7150345 0 0 0 0 0 0 0 0 46803 68195 16693152 4282523 10838456 12410629 0 0 0 0 0 0 0 0 0 0 28724532 33485948 1825088 1077033 0 0 581376 76724 0 0 0 0 0 0 3363594 0 0 0 0 0 5770058 1153757 X 22954474 32332191 0 0 22954474 32332191 28724532 33485948 9377717 X false true X true true true X 4723343 5040298 5225139 7389685 9604868 31983333 0 0 4723343 5040298 5225139 7389685 9604868 31983333 0 31983333 8809 14057 117436 68669 27479 236450 0 193897 112531 27624 18155 37669 389876 32609659 75217202 0.98079 0.97262 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1628282 1628282 12642748 2413389 10229359 72860 0 72860 2349262 1869134 480128 12410629 34872763 3086299 3086299 31786464 31786464 25495046 3086299 3086299 22408747 22408747 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 TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. FORM 990, SCHEDULE D, PART XI, LINE 2D COGS $3,086,299 FORM 990, SCHEDULE D, PART XII, LINE 2D COGS $3,086,299 X false false false false false false false false false DEBBIE ACKERSON CEO 178021 44160 9431 11306 9385 252303 0 BECKY BLAIR CFO 125105 32936 10010 6476 12353 186880 0 JENNIFER DEPRIEST CHIEF CLINICAL OFFICER 140076 41256 12996 7225 12353 213906 0 NICOLE DEPRIEST COMPLIANCE OFFICER 105417 28276 8534 5532 12353 160112 0 LARRY JENNINGS PHYSICIAN 296490 30707 15865 16535 9756 369353 0 TRAVIS EMBRY PHYSICIAN 245580 20358 9615 12500 12857 300910 0 ASISH GHOSH PHYSICIAN 221580 32351 20778 11250 8406 294365 0 BILL DILL Dental Director 208000 3842 0 10400 0 222242 0 CHARLES JACKSON Physician 270580 16141 0 7524 12857 307102 0 FORM 990, PART VI, SECTION A, LINE 2 JENNIFER DEPRIEST AND NICOLE DEPRIEST HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DID NOT DOCUMENT THE MEETINGS OF ITS COMMITTEES BECAUSE NO COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S EXECUTIVE DIRECTOR AND CFO WILL CONDUCT A REVIEW OF THE FORM 990. THE ORGANIZATION ALSO MAKES THE FORM 990 AVAILABLE TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW AT THEIR DISCRETION FORM 990, PART VI, SECTION B, LINE 12C ALL NEW HIRES ARE APPROVED BY THE EXECUTIVE DIRECTOR WHO IS MADE AWARE OF ANY POSSIBLE CONFLICTS TO THE POLICY WHEN MAKING THE DECISION TO HIRE. THE COMPLIANCE OFFICER IS AVAILABLE TO DISCUSS POTENTIAL CONFLICTS OF INTEREST WITH EMPLOYEES AND/OR BOARD MEMBERS. IF A SUPERVISOR IS UNABLE TO TAKE CORRECTIVE ACTION FOR A CONFLICT OF INTEREST THE ISSUE IS THEN FORWARDED TO ADMINISTRATIVE STAFF AND IF NECESSARY TO THE BOARD OF DIRECTORS FOR FINAL RESOLUTION. FORM 990, PART VI, SECTION B, LINES 15A & 15B THE CEO'S COMPENSATION IS DETERMINED ON AN ANNUAL BASIS BY A REVIEW FROM THE BOARD OF DIRECTORS. IT IS AT THE DISCRETION OF THE CEO TO DETERMINE AND EVALUATE KEY OFFICERS FOR ANNUAL RAISES BASED ON FAIR MARKET VALUE, EXPERIENCE AND EDUCATION. 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.