DREW MEMORIAL HOSPITAL INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- DREW MEMORIAL HOSPITAL INC (EIN 35-2414105)
- Tax period
- 2020-04-01 to 2021-03-31
- Filed
- 2022-02-14
- IRS object ID
- 202240459349302214
- Schema version
- 2020v4.1
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-02-14T14:43:23-06:00 | ReturnTs |
| Tax Period End | 2021-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD 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 | 2020-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352414105 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DREW MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % SCOTT BARRILLEAUX | InCareOfNm |
| Business Name Control | DREW | BusinessNameControlTxt |
| Phone | 8703672411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 778 SCOGIN DR | AddressLine1Txt |
| City | MONTICELLO | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71655 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT BARRILLEAUX | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8704603539 | PhoneNum |
| Signature | 2022-02-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SCOTT | PersonFirstNm |
| Person Last | BARRILLEAUX | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMBER SHERRILL | PreparerPersonNm |
| PTIN | P00748683 | PTIN |
| Phone | 5013721040 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DREW MEMORIAL HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SCOTT BARRILLEAUX | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 778 SCOGIN DR | AddressLine1Txt |
| City | MONTICELLO | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71655 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $46,111,450 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DREWMEMORIAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | DREW MEMORIAL IS COMMITTED TO ENHANCING HEALING, HEALTH AND WELLNESS IN SOUTHEAST ARKANSAS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 520 | TotalEmployeeCnt |
| Total Volunteers | 45 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $485,939 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,746,632 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $41,559,564 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $40,197,375 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,782 | PYInvestmentIncomeAmt |
| CY Investment Income | $39,692 | CYInvestmentIncomeAmt |
| PY Other Revenue | $388,852 | PYOtherRevenueAmt |
| CY Other Revenue | $127,751 | CYOtherRevenueAmt |
| PY Total Revenue | $42,442,137 | PYTotalRevenueAmt |
| CY Total Revenue | $46,111,450 | 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 | $17,867,581 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,684,124 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $26,644,623 | PYOtherExpensesAmt |
| CY Other Expenses | $24,026,164 | CYOtherExpensesAmt |
| PY Total Expenses | $44,512,204 | PYTotalExpensesAmt |
| CY Total Expenses | $44,710,288 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,070,067 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,401,162 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $54,132,252 | TotalAssetsBOYAmt |
| Total Assets EOY | $72,103,720 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $29,930,209 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $46,500,515 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,202,043 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,603,205 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE DREW MEMORIAL HOSPITAL MISSION IS 1) TO PROVIDE A FRIENDLY, PROFESSIONAL ENVIRONMENT COMMITTED TO QUALITY AND COMPLIANCE WHILE RESPECTING AND APPRECIATING EVERYONE; 2) TO EXPAND NEEDED HEALTHCARE SERVICES; 3) TO PROMOTE GOOD HEALTH AND WELLNESS THROUGH THE PROVISION OF COMMUNITY EDUCATION AND FACILITIES; 4) TO UPHOLD THE VALUES OF ACCOUNTABILITY, TEAMWORK, QUALITY, HONESTY, TRUST, CREATIVITY/INNOVATION, AND PREMIER SERVICE; AND 5) TO OPERATE IN AN ECONOMICALLY SOUND MANNER. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $35,224,385 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $40,197,375 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDES THE HIGHEST QUALITY HEALTH SERVICES IN A COMPETENT, EFFECTIVE, EFFICIENT MANNER TO THE CITIZENS OF DREW COUNTY AND SURROUNDING COMMUNITIES. | Desc |
| Total Program Service Expenses | $35,224,385 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | false | 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 | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| 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 | Yes (true) | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 520 | 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 | false | QuidProQuoContributionsInd |
| 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | 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 |
| 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 | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT BARRILLEAUX | PersonNm |
| Phone | 8703672411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 778 SCOGIN DR | AddressLine1Txt |
| City | MONTICELLO | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71655 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| ALAN WILSON | ||||||||
| GENERAL SURGEON | 40.0 | 0.0 | Yes (X) | $431,000 | $0 | $9,204 | ||
| KELLY SHRUM | ||||||||
| OB/GYN | 40.0 | 0.0 | Yes (X) | $402,200 | $0 | $11,704 | ||
| FRANCISCO BRAVO | ||||||||
| GENERAL SURGEON | 40.0 | 0.0 | Yes (X) | $351,000 | $0 | $9,204 | ||
| SCOTT BARRILLUEAX | ||||||||
| CEO | 40.0 | 0.0 | $227,232 | $0 | $12,699 | Yes (X) | ||
| MELEAH WRIGHT | ||||||||
| RN | 42.0 | 0.0 | Yes (X) | $143,000 | $0 | $488 | ||
| KIMBERLY HENDRICKS | ||||||||
| RN | 42.0 | 0.0 | Yes (X) | $138,603 | $0 | $2,101 | ||
| MELODIE COLWELL | ||||||||
| CFO | 40.0 | 0.0 | $126,561 | $0 | $8,845 | Yes (X) | ||
| SETH GIVENS | ||||||||
| COO | 40.0 | 0.0 | $116,737 | $0 | $12,204 | Yes (X) | ||
| FRANCES EFIRD | ||||||||
| CQO | 40.0 | 0.0 | $122,615 | $0 | $2,895 | Yes (X) | ||
| CARL LUCKY | ||||||||
| BOARD VICE CHAIRMAN | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| JAY JONES | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| JOSH MCKIEVER | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MIKE AIKEN | ||||||||
| BOARD CHARIMAN | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| REGGIE BINNS | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| ROBIN MCCLENDON | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| WAYNE OWEN | ||||||||
| BOARD SECRETARY | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,058,948 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $69,344 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | 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 |
|---|---|---|---|---|---|
| ARAMARK CORPORATION | |||||
| PO BOX 978839 | DALLAS | TX | 753978839 | CONTRACT EVS/DIETARY | $1,668,291 |
| EMERGENCY STAFFING SOLUTIONS | |||||
| 17304 PRESTON ROAD SUITE 1400 | DALLAS | TX | 75252 | PHYSICIAN STAFFING | $981,765 |
| THEREX INC | |||||
| PO BOX 502096 | ST LOUIS | MO | 63105 | THERAPY SERVICES | $793,286 |
| TELERAD PLLC | |||||
| 618 FREDERICK DRVIE | CLEVELAND | MS | 38732 | RADIOLOGIST SERVICES | $782,459 |
| CPS SOLUTIONS LLC | |||||
| PO BOX 638316 | CINCINNATI | OH | 45263 | MANAGEMENT FEE | $524,284 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,333,664 | GovernmentGrantsAmt |
| All Other Contributions | $412,968 | AllOtherContributionsAmt |
| Total Contributions | $5,746,632 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $40,096,222 | $40,096,222 |
| MEDICAL OFFICE RENT | 621111 | $28,879 | $28,879 |
| OTHER PROGRAM REVENUE | 622110 | $72,274 | $72,274 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $40,197,375 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,692 | TotalRevenueColumnAmt |
| Exclusion | $39,692 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA REVENUE | 722310 | $65,447 | $65,447 |
| EDUCATION REVENUE | 900099 | $27,410 | $27,410 |
| MEDICAL RECORDS REVENUE | 900099 | $10,655 | $10,655 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,239 | TotalRevenueColumnAmt |
| Exclusion | $24,239 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $127,751 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,111,450 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,197,375 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $167,443 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $688,513 | TotalAmt |
| Management And General | $688,513 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,153,524 | TotalAmt |
| Program Services | $13,158,564 | ProgramServicesAmt |
| Management And General | $3,994,960 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,182 | TotalAmt |
| Program Services | $171,204 | ProgramServicesAmt |
| Management And General | $51,978 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,459,023 | TotalAmt |
| Program Services | $1,119,225 | ProgramServicesAmt |
| Management And General | $339,798 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,159,882 | TotalAmt |
| Program Services | $889,752 | ProgramServicesAmt |
| Management And General | $270,130 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,790 | TotalAmt |
| Program Services | $28,989 | ProgramServicesAmt |
| Management And General | $8,801 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,184 | TotalAmt |
| Program Services | $124,412 | ProgramServicesAmt |
| Management And General | $37,772 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,341,695 | TotalAmt |
| Program Services | $8,700,278 | ProgramServicesAmt |
| Management And General | $2,641,417 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,040 | TotalAmt |
| Program Services | $157,287 | ProgramServicesAmt |
| Management And General | $47,753 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,650 | TotalAmt |
| Program Services | $117,099 | ProgramServicesAmt |
| Management And General | $35,551 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $685,193 | TotalAmt |
| Program Services | $525,615 | ProgramServicesAmt |
| Management And General | $159,578 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,356 | TotalAmt |
| Program Services | $127,613 | ProgramServicesAmt |
| Management And General | $38,743 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $900,748 | TotalAmt |
| Program Services | $690,969 | ProgramServicesAmt |
| Management And General | $209,779 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,820,078 | TotalAmt |
| Program Services | $2,163,298 | ProgramServicesAmt |
| Management And General | $656,780 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,320 | TotalAmt |
| Program Services | $251,089 | ProgramServicesAmt |
| Management And General | $76,231 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $6,247,618 | $6,247,618 | |
| REPAIRS & MAINTENANCE | $821,073 | $629,850 | $191,223 |
| DUES & SUBSCRIPTIONS | $93,857 | $71,998 | $21,859 |
| RECRUITMENT EXPENSE | $55,786 | $42,794 | $12,992 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,776 | TotalAmt |
| Program Services | $6,731 | ProgramServicesAmt |
| Management And General | $2,045 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,710,288 | TotalAmt |
| Program Services | $35,224,385 | ProgramServicesAmt |
| Management And General | $9,485,903 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,349 | BOYAmt |
| EOY | $1,922 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,004,940 | BOYAmt |
| EOY | $19,588,107 | 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 | $5,304,475 | BOYAmt |
| EOY | $5,408,163 | 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 | $679,697 | BOYAmt |
| EOY | $729,385 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,185 | BOYAmt |
| EOY | $352,216 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $74,967,504 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $29,614,986 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,198,238 | BOYAmt |
| EOY | $45,352,518 | 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 |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
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 | $679,066 | BOYAmt |
| EOY | $671,409 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,132,252 | BOYAmt |
| EOY | $72,103,720 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,098,661 | BOYAmt |
| EOY | $4,052,239 | 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 | $0 | BOYAmt |
| EOY | $12,859,001 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,065,006 | BOYAmt |
| EOY | $926,529 | 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 | $24,766,542 | BOYAmt |
| EOY | $28,662,746 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,930,209 | BOYAmt |
| EOY | $46,500,515 | 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 | $4,326,150 | BOYAmt |
| EOY | $6,507,865 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,875,893 | BOYAmt |
| EOY | $19,095,340 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,202,043 | BOYAmt |
| EOY | $25,603,205 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,132,252 | BOYAmt |
| EOY | $72,103,720 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,401,162 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $2,395 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,395 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990 SCHEDULE C PART II-B LINE 1I | FormAndLineReferenceDesc |
| Explanation | ARKANSAS HOSPITAL ASSOCIATION DUES PAID SUBJECT TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,449 | OtherCostOrOtherBasisAmt |
| Book Value | $41,449 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,345,085 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,493,917 | DepreciationAmt |
| Book Value | $39,851,168 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $231,759 | OtherCostOrOtherBasisAmt |
| Depreciation | $176,602 | DepreciationAmt |
| Book Value | $55,157 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,859,822 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,944,467 | DepreciationAmt |
| Book Value | $4,915,355 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $489,389 | OtherCostOrOtherBasisAmt |
| Book Value | $489,389 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $45,352,518 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $46,111,450 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $46,111,450 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $46,111,450 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $44,710,288 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $44,710,288 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $44,710,288 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITION UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL INCOME TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
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 |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 225. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $131,112 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $131,112 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,037,835 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,978,709 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $59,126 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,168,947 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,978,709 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $190,238 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $170 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $170 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,459,636 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,243,652 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,215,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07190 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,459,806 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,243,652 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,216,154 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07190 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,628,753 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,222,361 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,406,392 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07610 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $13,474,869 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,000,467 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,474,402 | 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 | DREW MEMORIAL HEALTH SYSTEM | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 778 SCOGIN DR | AddressLine1Txt |
| City | MONTICELLO | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 716555729 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.DREWMEMORIAL.ORG | WebsiteAddressTxt |
| State License | AR4799 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DREW MEMORIAL HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 18 | 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 | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | 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 | 150. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 225. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| 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 | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | 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 |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | THE COMMUNITY HEALTH NEEDS ASSESSMENT TOOLKIT DEVELOPED BY THE NATIONAL CENTER FOR RURAL HEALTH WORKS AT OKLAHOMA STATE UNIVERSITY AND CENTER FOR RURAL HEALTH AND OKLAHOMA OFFICE OF RURAL HEALTH WAS UTILIZED AS A GUIDE FOR THE CHNA FACILITATION PROCESS. THE PROCESS WAS DESIGNED TO BE CONDUCTED THROUGH TWO COMMUNITY MEETINGS. THE FACILITATOR AND THE STEERING COMMITTEE OVERSEE THE ENTIRE PROCESS OF ORGANIZING AND DETERMINING A COMMUNITY ADVISORY COMMITTEE OF 30-40 COMMUNITY MEMBERS THAT MEET THROUGHOUT THE PROCESS TO DEVELOP A STRATEGIC PLAN FOR THE HOSPITAL TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY. DUE TO THE SIZE OF THE SERVICE AREA, THE STEERING COMMITTEE CHOSE TO CONDUCT THEIR ASSESSMENT THROUGH A FOCUS GROUP OF COMMUNITY LEADERS AND INDIVIDUALS IN HEALTH-RELATED FIELDS. APPROXIMATELY 40 INDIVIDUALS FROM THE COMMUNITY WERE SELECTED FOR INVITATION TO THE FOCUS GROUP, OR COMMUNITY ADVISORY COMMITTEE, BY THE DREW MEMORIAL HEALTH SYSTEM STAFF STEERING COMMITTEE. THOSE ACCEPTING THE INVITATION - APPROXIMATELY 27 - ATTENDED THE FIRST MEETING OF THE ADVISORY COMMITTEE. A FEW ADDITIONAL ADVISORY COMMITTEE MEMBERS, WHO WERE UNABLE TO ATTEND THE FIRST MEETING, JOINED THE SECOND MEETING AFTER BEING BRIEFED. THESE COMMUNITY ADVISORY COMMITTEE MEMBERS MET INITIALLY TO DISCUSS HEALTH STATISTICS AFFECTING THE HOSPITAL SERVICE AREA, AND TO INDIVIDUALLY COMPLETE THE 2019 HEALTH NEEDS SURVEY. ADVISORY COMMITTEE MEMBERS ASSISTED IN THE DISTRIBUTION OF THE SURVEYS TO NEIGHBORS, NEIGHBORS,COLLEAGUES, AND FRIENDS PRIOR TO THE SECOND MEETING. SURVEYS WERE ALSO AVAILABLE ELECTRONICALLY ON THE DMHS WEBSITE, THE ARHP WEBSITE, AND VARIOUS SITES THROUGHOUT THE SERVICE AREA. AT THE SECOND COMMITTEE MEETING, MEMBERS WERE PRESENTED WITH THE RESULTS OF THE SURVEYS AND DISCUSSED SOME OF THE QUESTIONS AND RESPONSES AS A GROUP AND PRIORITIZED COMMUNITY HEALTH CONCERNS. THESE PRIORITIES LED THE STAFF STEERING COMMITTEE TO DEVELOP A MORE DETAILED IMPLEMENTATION PLAN TO ADDRESS THOSE ISSUES AND CREATE COMMUNITY BENEFIT. OVER THE NEXT THREE YEARS, THE ACTION PLANS WILL BE IMPLEMENTED FOR EACH ISSUE AND THE HOSPITAL STEERING COMMITTEE WILL MEET ANNUALLY WITH THE ADVISORY COMMITTEE TO ASSESS PROGRESS. |
| FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A & LINE 10A | WWW.DREWMEMORIAL.ORG/OUR-COMMUNITY/COMMUNITY-BENEFIT-REPORT/ |
| FORM 990, SCHEDULE H, PART V, LINE 11 | THE HOSPITAL HAS IDENTIFIED THE FOLLOWING NEEDS THAT WILL BE ADDRESSED: - MENTAL HEALTH & DRUG ADDICTION/SUBSTANCE ABUSE: THE HOSPITAL WILL CONTINUE TO PROVIDE MENTAL HEALTH ASSESSMENTS IN THE DMHS EMERGENCY DEPARTMENT, PROVIDE IN-PATIENT MEDICAL STABILIZATION TREATMENT AT DMHS, PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S MENTAL/BEHAVIORAL HEALTH TASK FORCE, EXPAND COMMUNITY EDUCATION ON DRUG ABUSE THROUGH MARKETING EFFORTS, AND ENCOURAGE LOCAL PHYSICIANS TO ASSIST WITH THE MEDICATION ASSISTANCE TREATMENT (MAT) SERVICES. DMHS WILL ALSO PROVIDE OPOID USE DISORDER (OUD) COUNSELING SERVICES VIA TELEHEALTH TO PARTICIPATING CLINICS, PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S NEW OPOID COMMUNITY RESPONSE PLANNING PROJECT, AND PROVIDE MENTAL HEALTH FIRST AID TO LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS. -OBESITY: THE HOSPITAL WILL PARTICIPATE WITH LOCAL SCHOOLS TO PROMOTE HEALTIER FOOD OPTIONS; INCLUDING MORE FRESH FOODS AND FRESH FRUIT SNACKS, PROVIDE HEALTHY EATING MATERIALS & EDUCATIONAL INFORMATION AT PARENT NIGHT AT THE LOCAL SCHOOLS, AND WORK WITH ARHP PARTNERSHIPS TO ADDRESS HEALTHY EATING AND EXERCISE PROGRAMS FOR THE SCHOOLS IN THE REGION THROUGH FUTURE GRANT OPPORTUNITIES. ADDITIONALLY, DMHS WILL ADVOCATE WITH HHI COALITION TO INCREASE RECREATIONAL ACTIVITY AREAS & EQUIPMENT ON COUNTY AND CITY PROPERTY, PROMOTE MORE SIDEWALKS AND PATHS CONNECTING NEIGHBORHOODS TO ACCOMODATE RESIDENTS WANTING TO WALK, RUN, STROLL, OR BIKE, SUPPORT LOCAL ACTIVITIES THAT PROMOTE EXERCISE AND FITNESS ACTIVITIES SUCH AS 5K RUNS, MARKET THE HOSPITAL CAFETERIA MENU AND SALAD BAR AS HEALTHY LUNCH OPTIONS TO THE COMMUNITY, SUPPORT COMMUNITY ACTIVITIES THAT PROMOTE GROWING VEGETABLE GARDENS, AND RESEARCH OFFERING COOKING CLASSES IN CONJUNCTION WITH DMH EDUCATION DEPARTMENT AND UAM COMMUNITY EDUCATION CLASSES. -ACCESS TO PRIMARY CARE/WAIT TIME DMHS WILL SUPPORT LOCAL PROVIDERS WITH REDUCING WAIT TIME FOR PATIENTS BY COMMUNICATING AND PARTNERING WITH MEDICAL STAFF AND LOCAL PROVIDERS TO ASSIST IN RECRUITMENT OF ADDITIONAL PHYSICIANS TO THE AREA, PROVIDE EDUCATION & RESOURCES TO LOCAL CLINICS TO ASSIST WITH CLINICAL OPERATIONS, AND WORK WITH STATE-WIDE PARTNERS THROUGH ARHP TO PROVIDE RESOURCES TO LOCAL CLINICAL STAFF. THE HOSPITAL WILL ALSO CONTINUE TO ENCOURAGE STUDENT ROTATIONS AND COLLABORATE WITH STATE-WIDE MEDICAL SCHOOLS TO ENCOURAGE NEW PHYSICIANS TO DREW COUNTY, CONTINUE TO PARTICIPATE IN ARHP DISCUSSIONS WITH UAMS REGIONAL PROGRAMS, THE ARKANSAS COLLEGE OF OSTEOPATHIC MEDICINE, AND NYIT SCHOOL OF OSTEOPATHIC MEDICINE IN JONESBORO. DMHS HAS CHOSEN NOT TO ADDRESS THE FOLLOWING NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT BECAUSE OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THESE: - IMPROVE ACCESS TO EXERCISE OPPORTUNITIES - INCREASE ACCESS TO HEALTHY FOOD ALTERNATIVES - PROVIDE EDUCATION ABOUT HEALTHY LIFESTYLE CHOICES - IMPROVE ACCESS TO TRANSPORTATION - REDUCE THE FINANCIAL BURDEN OF HEALTH CARE AND PRESCRIPTIONS THAT CAN LEAD TO DELAYS IN CARE |
| FORM 990, SCHEDULE H, PART V, LINES 16A, 16B, AND 16C | WWW.DREWMEMORIAL.ORG/FINANCIAL-ASSISTANCE/ |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE H, PART I, LINE 7 | DREW MEMORIAL HOSPITAL USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY. |
| FORM 990, SCHEDULE H, PART III, LINE 4 | PLEASE SEE ATTACHED AUDIT REPORT NOTE 1. |
| FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B | EVERY UNINSURED PATIENT IS SEEN BY A FINANCIAL COUNSELOR WHO EDUCATES THE PATIENT AND FAMILY MEMBERS ABOUT OUR FINANCIAL ASSISTANCE POLICY, ASSISTS IN COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION WHEN APPROPRIATE, AND PROVIDES ASSISTANCE IN DETERMINING ELIGIBILITY UNDER FEDERAL, STATE, OR LOCAL PROGRAMS SUCH AS MEDICAID. CHARITY CARE AND OTHER FINANCIAL ASSISTANCE IS PROVIDED WHEN ELIGIBLE AND COLLECTION EFFORTS CEASE ONCE ELIGIBILITY IS DETERMINED. |
| FORM 990, SCHEDULE H, PART VI, LINE 2 | DREW MEMORIAL HEALTH SYSTEM PROVIDES COMMUNITY BENEFITS BY OFFERING HEALTH EDUCATION, MEETING FACILITIES, SUPPORT FOR LOCAL ATHLETIC ACTIVITIES, AND COMMUNITY HEALTH INITIATIVES. FURTHER, EVERY THREE YEARS THE HOSPITAL CONDUCTS A SURVEY ASSESSING THE NEEDS OF DREW COUNTY RESIDENTS AND HOSPITAL STAKEHOLDERS IN THE SURROUNDING AREA. THE ASSESSMENT INCLUDES INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE COMMUNITY SERVED BY THE DREW MEMORIAL HEALTH SYSTEM FACILITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE. |
| FORM 990, SCHEDULE H, PART VI, LINE 3 | IN ORDER TO DETERMINE IF A PATIENT IS ELIGIBLE FOR ASSISTANCE, AN APPLICATION FOR FINANCIAL ASSISTANCE MUST BE COMPLETED BY THE PATIENT OR GUARANTOR. THE HOSPITAL WILL THEN REVIEW THE APPLICATION AND MAKE A DETERMINATION OF ELIGIBILITY. THE HOSPITAL WILL ACCEPT FAP APPLICATIONS AT LEAST TWO HUNDRED FORTY (240) DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. THE HOSPITAL WILL NOTIFY INDIVIDUALS WHO SUBMIT AN INCOMPLETE FAP APPLICATIONS DURING THE APPLICATION PERIOD ABOUT HOW TO COMPLETE THE APPLICATION (AND PROVIDE CONTACT INFORMATION FOR ASSISTANCE), AND SUSPEND ANY EXTRAORDINARY COLLECTION ACTIVITIES FOR THESE INDIVIDUALS UNTIL ELIGIBILITY IS DETERMINED.THE AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE WIDELY PUBLICIZED. APPLICATIONS FOR FREE OR REDUCED CHARGE CARE WILL BE DISTRIBUTED BY A PATIENT FINANCIAL ADVISOR, PATIENT FINANCIAL COLLECTOR, CASHIERS DEPARTMENT, SOCIAL SERVICES, OR OTHER RELATED DEPARTMENTS OF DREW MEMORIAL HOSPITAL. PATIENTS WILL BE OFFERED A PLAIN LANGUAGE SUMMARY OF THE FAP EITHER UPON PATIENT INTAKE OR PATIENT DISCHARGE. PAPER COPIES WILL BE AVAILABLE, WITHOUT CHARGE, BOTH FOR DISTRIBUTION IN PUBLIC LOCATIONS WITHIN THE FACILITY AND BY MAIL, IF REQUESTED. THE HOSPITAL WILL INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN A MANNER REASONABLY DETERMINED BY REACH THOSE MEMBERS OF THE COMMUNITY MOST LIKELY NEEDING FINANCIAL ASSISTANCE (I.E., DISTRIBUTING FAP INFORMATION TO LOCAL GOVERNMENT AGENCIES AND NON-PROFIT ORGANIZATIONS). EACH UNINSURED PATIENT IS SEEN BY A FINANCIAL COUNSELOR WHO EDUCATES THE PATIENT AND FAMILY MEMBERS ABOUT FINANCIAL ASSISTANCE POLICY, ASSISTS IN COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION WHEN APPROPRIATE, AND PROVIDES ASSISTANCE IN DETERMINING ELIGIBILITY UNDER FEDERAL, STATE, OR LOCAL PROGRAMS SUCH AS MEDICAID. CHARITY CARE AND OTHER FINANCIAL ASSISTANCE IS PROVIDED WHEN ELIGIBLE AND COLLECTION EFFORTS CEASE ONCE ELIGIBILITY IS DETERMINED. |
| FORM 990, SCHEDULE H, PART VI, LINE 4 | DREW MEMORIAL HOSPITAL IS LOCATED IN MONTICELLO, THE COUNTY SEAT OF DREW COUNTY IN SOUTHEAST ARKANSAS. DREW COUNTY IS THE HOME TO 18,622 PEOPLE AND ONE OF THE MORE HEALTHIER COUNTIES IN THE ARKANSAS DELTA REGION. WITHIN THE SERVICE AREA, APPROXIMATELY 6.0% AVERAGE OF THE GENERAL POPULATION IS BELOW THE AGE OF FIVE (RANGING FROM 5.1% IN DALLAS COUNTY AND 6.9% IN DESHA COUNTY). THIS IS SLIGHTLY BELOW THE STATE AND U.S. AVERAGES FOR THE AGE BRACKET. INCREASING THE AGE PARAMETERS TO PERSONS UNDER 18 YEARS OF AGE SHOWS ANOTHER PERSPECTIVE OF THE NUMBER OF CHILDREN BELOW 10 YEARS. THE AVERAGE PERCENTAGE OF PERSONS UNDER 18 YEARS IN THE SERVICE AREA IS 22.6%, WHICH IS THE SAME AS THE U.S. AND SLIGHTLY LOWER THAN THE STATE. RANGES WITHIN THE SERVICE AREA INCLUDE 20.7% IN COLUMBIA COUNTY AND 25.8% IN DESHA COUNTY. TO FURTHER ESTIMATE THE TARGET POPULATION, NEW APPROXIMATIONS FROM THE OFFICE OF ADOLESCENT HEALTH WERE CONSIDERED, WHICH SHOWS THAT ADOLESCENTS (INDIVIDUALS AGE 10-19) MAKE UP APPROXIMATELY 13.2% OF THE U.S. POPULATION (THE CHANGING FACE OF AMERICA'S ADOLESCENTS, OFFICE OF ADOLESCENT HEALTH, HHS, 2018). THE FOCUS OF SUD PREVENTION, TREATMENT, AND RECOVERY PLANNING EFFORTS WILL FOCUS ON ADOLESCENTS (BEGINNING AT AGE 10) AND ADULTS IN THE SERVICE AREA, ROUGHLY ESTIMATED TO BE ABOUT 90% OF THE SERVICE AREA POPULATION. HEALTH DISPARITIES, POVERTY, LACK OF TRANSPORTATION, LOW EDUCATIONAL ATTAINMENT, POOR ACCESS TO HEALTH CARE, AND POOR HEALTH OUTCOMES- THE MISSISSIPPI DELTA REGION REPRESENTS AN AMALGAM OF SOCIETAL DIFFICULTIES THAT AFFECT EACH OF ITS RESIDENTS. ON AVERAGE, ONE IN FOUR PERSONS IN THE SERVICE AREA IS LIVING BELOW POVERTY LEVEL, MAKING IT ONE OF THE POOREST AREAS OF THE STATE. ACCORDING TO RECENT US CENSUS DATA (2017), INDIVIDUALS WITHIN THE SERVICE AREA EXPERIENCE GREATER ECONOMIC HARDSHIP COMPARED TO THOSE IN OTHER REGIONS OF THE STATE AND NATION. THIS INCLUDES A LOWER MEDIAN HOUSEHOLD INCOME AND HIGHER POVERTY RATE. THIS CAN BE CONTRIBUTED TO LOWER LEVELS OF EDUCATIONAL ATTAINMENT, WITH MOST COUNTY RESIDENTS HAVING LOWER HIGH SCHOOL GRADUATION RATES COMPARED TO THE STATE AND NATION. UNEMPLOYMENT IS ALSO, SIGNIFICANTLY HIGHER IN EIGHT OUT OF NINE SERVICE AREA COUNTIES AS COMPARED TO THE STATE AND NATION. THE MAJORITY OF SOUTHEAST ARKANSAS DELTA RESIDENTS ARE CAUCASIAN (AVERAGE OF 59%), WHICH IS LESS THAN THE STATE (78%). AFRICAN AMERICANS ARE THE LARGEST MINORITY IN THE SERVICE AREA (AVERAGE OF 37%), WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE (15%). THE HISPANIC POPULATION IS SMALL, BUT GROWING (AVERAGE OF 4% IN SERVICE AREA VS. 7% ACROSS STATE). THE PRIMARY SERVICE COVERAGE AREA INCLUDES ALL COUNTIES THAT BORDER DREW, INCLUDING: CLEVELAND, LINCOLN, DESHA, BRADLEY, ASHLEY, AND CHICOT. THESE SEVEN COUNTIES HAVE A COMBINED POPULATION OF APPROXIMATELY 100,000. THE SECONDARY SERVICE COVERAGE AREA SPREADS BEYOND THE BORDERING COUNTIES AND INCLUDES PARTS OF ARKANSAS COUNTY, JEFFERSON COUNTY, DALLAS COUNTY, UNION COUNTY, GRANT COUNTY AND CALHOUN COUNTY, ARKANSAS. COMBINED, THE PRIMARY AND SECONDARY SERVICE COVERAGE AREAS TOTAL A POPULATION OF MORE THAN 200,000. |
| FORM 990, SCHEDULE H, PART VI, LINE 5 | DREW MEMORIAL HOSPITAL IS ACTIVE THROUGHOUT DREW COUNTY IN SPONSORING HEALTH FAIRS, EDUCATIONAL PROGRAMS, FREE HEALTH SCREENINGS AND OTHER ACTIVITIES TO PROMOTE THE HEALTH OF THE CITIZENS OF DREW COUNTY. DMH IS AN ACTIVE MEMBER OF THE DREW COUNTY HOMETOWN HEALTH INITIATIVE WHICH IS A PROGRAM OF THE ARKANSAS DEPARTMENT OF HEALTH. THE HOMETOWN HEALTH INITIATIVE (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 EACH COUNTY. DREW MEMORIAL CURRENTLY PARTICIPATES IN SEVERAL HEALTH OUTREACH EFFORTS THROUGH ITS AFFILIATION WITH ARKANSSAS RURAL HEALTH PARTNERSHIP (ARHP). THE ORGANIZATION WAS FOUNDED TO HELP LOCAL HOSPITALS ADDRESS FINANCIAL BURDENS OF THEIR INDIVIDUAL ORGANIZATIONS AND WORK TO PROVIDE HEALTH OUTREACH TO THE REGION THROUGH FUNDING OPPORTUNITIES. |
| FORM 990, SCHEDULE H, PART VI, LINE 6 | DREW MEMORIAL HEALTH SYSTEM CURRENTLY PARTICIPATES IN SEVERAL HEALTH OUTREACH EFFORTS THROUGH ITS AFFILIATION WITH THE ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP). ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP), FORMERLY KNOWN AS GREATER DELTA ALLIANCE FOR HEALTH) IS A 501(C)3 NON-PROFIT, HORIZONTAL HOSPITAL ORGANIZATION 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 TELE HEALTH & TELE MEDICINE TECHNOLOGY, PROMOTE HEALTHY LIFESTYLES, ASSIST COMMUNITY MEMBERS WITH PATIENT ASSISTANCE PROGRAMS, AND REDUCE SERVICE & OPERATIONAL COSTS FOR HOSPITAL MEMBERS THROUGH COLLABORATIVE NEGOTIATION AND PURCHASING. ARKANSAS RURAL HEALTH PARTNERSHIP MEMBERS INCLUDE ASHLEY COUNTY MEDICAL CENTER (CROSSETT, AR), BAPTIST HEALTH-STUTTGART (STUTTGART, AR), BRADLEY COUNTY MEDICAL CENTER (WARREN, AR), CHICOT MEMORIAL MEDICAL CENTER (LAKE VILLAGE, AR), DALLAS COUNTY MEDICAL CENTER (FORDYCE, AR), DELTA MEMORIAL MEDICAL CENTER (DUMAS, AR), DEWITT HOSPITAL & NURSING HOME (DEWITT, AR), DREW MEMORIAL HEALTH SYSTEM (MONTICELLO, AR) MEDICAL CENTER OF SOUTH ARKANSAS (EL DORADO, AR), MCGEHEE HOSPITAL (MCGEHEE, AR), MAGNOLIA REGIONAL MEDICAL CENTER (MAGNOLIA, AR), AND JEFFERSON REGIONAL MEDICAL CENTER (PINE BLUFF, AR). THE ORGANIZATION WAS FOUNDED TO HELP LOCAL HOSPITALS ADDRESS THE FINANCIAL BURDENS OF THEIR INDIVIDUAL ORGANIZATIONS AND WORK TO PROVIDE HEALTH OUTREACH TO THE REGION THROUGH FUNDING OPPORTUNITIES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SCOTT BARRILLEAUX | ||||||||||||||
| CEO | $224,232 | $0 | $3,000 | $0 | $0 | $0 | $2,500 | $0 | $10,199 | $0 | $239,931 | $0 | $0 | $0 |
| ALAN WILSON | ||||||||||||||
| GENERAL SURGEON | $430,000 | $0 | $1,000 | $0 | $0 | $0 | $0 | $0 | $9,204 | $0 | $440,204 | $0 | $0 | $0 |
| KELLY SHRUM | ||||||||||||||
| OB/GYN | $401,200 | $0 | $1,000 | $0 | $0 | $0 | $2,500 | $0 | $9,204 | $0 | $413,904 | $0 | $0 | $0 |
| FRANCISCO BRAVO | ||||||||||||||
| GENERAL SURGEON | $350,000 | $0 | $1,000 | $0 | $0 | $0 | $0 | $0 | $9,204 | $0 | $360,204 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DREW COUNTY ARKANSAS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 716008583 | BondIssuerEIN |
| Bond Issued | 2010-12-08 | BondIssuedDt |
| Issue Price | $2,000,000 | IssuePriceAmt |
| Purpose | CONSTRUCTION AND ACQUISITION OF EQ | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,073,471 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $2,000,000 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $12,500 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $1,987,500 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2013 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | false | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE, OR MEMBER OF THE COMMITTEE WITH BOARD DELEGATED POWERS MUST ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE PERFORMANCE OF THE CEO IS EVALUATED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE CEO'S BONUSES AND SALARY ARE APPROVED BY THE BOARD ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES, FINANICAL STATEMENTS, AND FORM 990 ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT SERVICES TOTAL FEES:7594008 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3547014 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTION FEES TOTAL FEES:200673 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| DREW PROFESSIONAL SERVICES | |||||||||
| 750 HL ROSS DRIVE | MONTICELLO | AR | 71655 | 460762804 | PHYS. CLINIC | AR | $487,473 | $0 | DMH |
| DREW SURGICAL SERVICES | |||||||||
| 778 SCOGIN DR | MONTICELLO | AR | 71655 | 471533658 | PHYS. CLINIC | AR | $542,863 | $0 | DMH |