2022-05-16T12:08:18-05:00 2021-06-30 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2020-07-01 812677745 LITTLE RIVER MEDICAL CENTER INC % VICKI KEENER LITT 8708985011 451 W LOCKE ST ASHDOWN AR 71822 JAMES DOWELL CEO 8708985011 2022-05-10 true JAMES DOWELL 000000000 BRIAN D TODD P00422601 5013721040 3 2020 2022-09-23 18:48:47Z JAMES DOWELL 451 W LOCKE ST ASHDOWN AR 71822 13390084 false X WWW.LRMH.ORG X 2017 AR COMMITTED TO PROVIDING HIGH-QUALITY CARE TO ADDRESS THE NEEDS OF OUR COMMUNITY WITH FOCUSED AND PERSONAL CARE TO EACH CUSTOMER. 7 7 192 7 0 1096173 2682621 10446571 10671512 3876 4498 65229 31453 11611849 13390084 0 0 0 0 6744109 7000609 0 0 0 4087899 3710036 10832008 10710645 779841 2679439 8195201 9137852 7619513 5882725 575688 3255127 COMMITTED TO PROVIDING HIGH-QUALITY CARE TO ADDRESS THE NEEDS OF OUR COMMUNITY WITH FOCUSED AND PERSONAL CARE TO EACH CUSTOMER. false false 9104048 0 10671512 LITTLE RIVER MEDICAL CENTER, INC. IS AN ACUTE CARE HOSPITAL LOCATED IN ASHDOWN, ARKANSAS THAT PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES TO PATIENTS IN THE LITTLE RIVER COUNTY AREA. 9104048 true true false true false false false false false false true false false false true false false false false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 10 0 true 192 true false false false false false false false false false false false false X 7 7 false false false false false false false true true false false true true true true true true true true false X VICKI KEENER 8708985011 451 W LOCKE ST ASHDOWN AR 71822 X JAMES OGLESBY MD SURGEON 40.0 0.0 X 308735 0 3623 JAMES DOWELL CEO 40.0 0.0 X 170410 0 23 JACKIE RAINEY CFO 40.0 0.0 X 135000 0 0 BRANSON O'NEAL DIRECTOR OF THERAPY 40.0 0.0 X 108844 0 3623 SHAWN SIMMONS PHYSICIAL THERAPIST 40.0 0.0 X 107174 0 3623 SONJA COWEN NURSE PRACTITIONER 40.0 0.0 X 109588 0 23 TODD MATTHEWS NURSE PRACTITIONER 40.0 0.0 X 105265 0 23 PERRY YOUNG DIRECTOR 1.0 0.0 X 0 0 0 DOROTHY HENDERSON DIRECTOR 1.0 0.0 X 0 0 0 THAD BISHOP VICE CHAIR 1.0 0.0 X X 0 0 0 DEBBIE POUNDS DIRECTOR 1.0 0.0 X 0 0 0 JUDY ADAMS CHAIRMAN 1.0 0.0 X X 0 0 0 KENNETH GROUNDS DIRECTOR 1.0 0.0 X 0 0 0 ANGELA BERNARDI SECRETARY 1.0 0.0 X X 0 0 0 1045016 0 10938 12 false true false MALLARD GARDNER PLLC 1422 SCOTT STREET LITTLE ROCK AR 72202 LEGAL 242658 JACKIE RAINEY 1331 CECILE CIRCLE CEDAR HILL TX 75104 CONTRACT FIN. SRVCS. 135000 BKD LLP PO BOX 3667 LITTLE ROCK AR 72203 ACCOUNTING SERVICES 155992 SIDNEY YOUNG 2106 HASTING CROSSING TEXARKANA AR 71854 PAVING 132000 4 2650931 31690 2682621 PATIENT SERVICE REVENUE 622110 10468512 10468512 MANAGEMENT FEE INCOME 561000 180000 180000 MEDICAL OFFICE BUILDING RENT 531120 23000 23000 10671512 1017 1017 0 0 0 0 0 3481 3481 3481 3481 0 0 0 0 0 0 0 0 0 EMPLOYEE MEALS 624210 22178 22178 CAPITATION INCOME 900099 4077 4077 MEDICAL RECORDS INCOME 900099 2657 2657 2541 2541 31453 13390084 10671512 35951 X 0 0 0 0 305432 305432 0 6064310 5305972 758338 0 167510 146563 20947 463357 405415 57942 0 91253 79842 11411 0 236986 207351 29635 0 0 0 1569336 1373092 196244 0 3606 3155 451 105570 92369 13201 0 0 103368 90442 12926 185772 162541 23231 0 0 77282 67618 9664 0 234007 204745 29262 170300 149004 21296 SUPPLIES EXPENSE 493109 431446 61663 REPAIRS & MAINTENANCE 203304 177881 25423 DRUG EXPENSE 139715 122244 17471 DUES & FEES 28484 24922 3562 67944 59446 8498 10710645 9104048 1606597 0 1010774 278926 4449385 5282820 0 0 1511448 1697505 0 0 0 0 0 0 183569 262587 64293 67259 8896509 7401929 975732 1494580 0 0 0 0 0 0 0 0 0 54175 8195201 9137852 828989 771661 0 0 3310169 3218026 0 0 0 0 0 0 2349729 857689 0 0 1130626 1035349 7619513 5882725 X 575688 3255127 0 0 575688 3255127 8195201 9137852 2679439 X true X false true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2883 2883 false FORM 990, SCHEDULE C, PART II-B, LINE 1I LOBBYING ACTIVITIES INCLUDE DUES FOR THE ARKANSAS HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. 198313 198313 2014800 1938747 76053 6501149 5441589 1059560 182247 21593 160654 1494580 0 AMOUNTS DUE TO THIRD-PARTY 1035349 1035349 true true X true X true X true true false true true 29453 29453 0.00270 824455 1560182 0 0.00000 853908 1560182 29453 0.00270 1523780 870148 653632 0.06100 1523780 870148 653632 0.06100 2377688 2430330 683085 0.06370 true 927883 4720833 4312834 407999 X true true 1 1 LITTLE RIVER MEDICAL CENTER INC 451 W LOCKE ST ASHDOWN AR 71822 WWW.LRMH.ORG AR5219 X X X LITTLE RIVER MEDICAL CENTER INC false false true X X X X X X X X X 18 true false false true X WWW.LRMH.ORG X false 19 false true false true X 100 300. X X X true true X X X true X WWW.LRMH.ORG X WWW.LRMH.ORG X WWW.LRMH.ORG X X X X X X true X false X X X X true X false false FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 A SURVEY WAS CONDUCTED WITH THREE KEY INTERVIEWEES. THE INTERVIEWEES WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. THE INTERVIEWS WERE CONDUCTED USING A STANDARD QUESTIONNAIRE. A COPY OF THE INTERVIEW INSTRUMENT IS INCLUDED IN THE APPENDIX. A SUMMARY OF OPINIONS IS REPORTED WITHOUT JUDGING THE TRUTHFULNESS OR ACCURACY OF THEIR REMARKS. COMMENTS WERE PROVIDED ON THE FOLLOWING ISSUES: - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY - BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY - OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES - DELINEATION OF THE MOST IMPORTANT HEALTH CARE ISSUES OR SERVICES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES INTERVIEW DATA WAS INITIALLY RECORDED IN NARRATIVE FORM. THE INTERVIEWEES WERE ASSURED THAT PERSONAL IDENTIFIERS SUCH AS NAME OR ORGANIZATIONAL AFFILIATIONS WOULD NOT BE CONNECTED IN ANY WAY TO THE INFORMATION PRESENTED IN THIS REPORT. THEREFORE, INFORMATION INCLUDED IN THE REPORT MAY HAVE BEEN ALTERED SLIGHTLY TO PRESERVE CONFIDENTIALITY. THIS TECHNIQUE DOES NOT PROVIDE A QUANTITATIVE ANALYSIS OF THE LEADERS OPINIONS BUT REVEALS SOME OF THE FACTORS AFFECTING THE VIEWS AND SENTIMENTS ABOUT OVERALL HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 BASED ON A REVIEW OF THE DATA GATHERED DURING THIS ASSESSMENT, INCLUDING LEADING CAUSES OF DEATH, RANKINGS OF HEALTH OUTCOMES AND FACTORS AS WELL AS SURVEYS AND INTERVIEWS, NUMEROUS HEALTH NEEDS WERE IDENTIFIED. THESE NEEDS WERE PRIORITIZED AND EVALUATED TO DETERMINE WHICH WERE SIGNIFICANT TO THE COMMUNITY. THE CRITERIA INCLUDED THE NUMBERS OF PERSONS AFFECTED, THE SERIOUSNESS OF THE ISSUE, WHETHER THE HEALTH NEED PARTICULARLY AFFECTED PERSONS LIVING IN POVERTY OR MEMBERS OF AN UNDERSERVED POPULATION, AND AVAILABILITY OF COMMUNITY RESOURCES TO ADDRESS THE NEED. AS A RESULT, THE FOLLOWING LIST OF SIGNIFICANT NEEDS WAS IDENTIFIED: 1. OBESITY 2. HEART DISEASE 3. ACCESS TO CLINICS AND PRIMARY CARE PHYSICIANS 4. MENTAL HEALTH PROVIDERS 5. HEALTH EDUCATION PLEASE SEE ATTACHED IMPLEMENTATION STRATEGY FOR HOW THE SIGNIFICANT NEEDS ARE BEING ADDRESSED. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 13H THE PRESENCE OF AN APPLICABLE RECENT BANKRUPTCY OF A PATIENT OR THIRD PARTY PROVIDING COVERAGE FOR THE PATIENT WILL RESULT IN A CONSIDERATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF THE HOSPITAL IS UNABLE TO OBTAIN ADEQUATE INFORMATION REGARDING ABILITY TO PAY FOR ANY PATIENT TREATED IN THE ED, THE PATIENT MAY BE GRANTED 100% FINANCIAL ASSISTANCE AFTER APPROPRIATE BILLING AND/OR OTHER ATTEMPTS TO COLLECT INFORMATION. IN CERTAIN SITUATIONS, SERVICES DENIED OR NON-COVERED BY MEDICAID OR OTHER PROGRAMS WHICH PROVIDE CARE TO LOW-INCOME PATIENTS, MAY BE CONSIDERED UNDER THE FAP. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16J LITTLE RIVER MEMORIAL HOSPITAL WILL MAKE REASONABLE EFFORTS TO VERBALLY COMMUNICATE WITH THE PATIENT OR GUARANTOR ABOUT THE HOSPITALS FINANCIAL POLICY ASSISTANCE APPLICATION AND HOW ASSISTANCE MAY BE OBTAINED WITH THE APPLICATION AND WHAT NECESSARY QUALIFICATIONS MUST BE MET. THE FIRST BILLING STATEMENT ALSO INCLUDES A PHONE NUMBER TO CALL IF ONE BELIEVES THEY WILL NEED FINANCIAL ASSISTANCE. 2 Memorial Medical Clinic 450 WEST Locke STREET ASHDOWN AR 71822 PHYSICIAN CLINIC LRMH HOME HEALTH 450 WEST LOCKE STREET ASHDOWN AR 71822 HOME HEALTH FORM 990, SCHEDULE H, PART I, LINE 3c SEE SCHEDULE H, PART V FOR FURTHER INFOMRATION ON CRITERIA USED FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. FORM 990, SCHEDULE H, PART I, LINE 7 THE COST TO CHARGE RATIO (CALCULATED USING WORKSHEET 2) WAS USED FOR LINE 7 AMOUNTS. 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 TRACTS 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 4 THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. FORM 990, SCHEDULE H, PART III, LINE 9B LRMH SENDS PATIENTS ACCOUNT STATEMENTS ON A MONTHLY (35-DAY) CYCLE. GENERALLY, IF THE ACCOUNT IS NOT PAID, LRMH WILL SEND THREE STATEMENTS, WITH THE FINAL STATEMENT SERVING AS FINAL NOTICE THAT THE ACCOUNT MAY BE REFERRED TO A THIRD-PARTY COLLECTION AGENCY IF PAYMENT IS NOT RECEIVED WITHIN 30 DAYS AFTER THE DATE OF THE FINAL NOTICE. LRMH REQUIRES ANY COLLECTION AGENCY IT USES TO AGREE TO REFRAIN FROM ABUSIVE COLLECTION PRACTICES. LRMH WILL NOT ENGAGE IN "EXTRAORDINARY COLLECTION ACTIONS" UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THIS POLICY. EXTRAORDINARY COLLECTION ACTIONS INCLUDE SELLING DEBT TO THIRD PARTIES (EXCEPT AS LEGALLY ALLOWED), REPORTING TO CONSUMER CREDIT REPORTING AGENCIES AND CREDIT BUREAUS, DENYING FUTURE MEDICAL CARE BECAUSE OF NONPAYMENT, FILING LAWSUITS, FORECLOSING ON REAL ESTATE, ATTACHING OR SEIZING BANK ACCOUNTS OR PERSONAL PROPERTY, PLACING LIENS ON RESIDENCES, ARRESTS, BODY ATTACHMENTS, AND SIMILAR ACTIVITIES, UNLESS ALL COLLECTION ACTIVITIES HAVE BEEN EXHAUSTED AND THE ACCOUNT HAS BEEN TURNED OVER TO A COLLECTION AGENCY. IF A PATIENT ACCOUNT HAS BEEN REFERRED TO A COLLECTION AGENCY, THAT PATIENT MAY STILL APPLY FOR FINANCIAL ASSISTANCE FOR A PERIOD OF 120 DAYS. WHILE THE APPLICATION IS BEING COMPLETED AND WHILE THE DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS PENDING, COLLECTION EFFORTS WILL BE SUSPENDED. LRMH MAY INITIATE AN EXTRAORDINARY COLLECTION ACTION UNDER CERTAIN CIRCUMSTANCES. FIRST, LRMH MAY INITIATE EXTRAORDINARY COLLECTION ACTIONS WHEN IT PROVIDES THE PATIENT WITH AT LEAST 30 DAYS' WRITTEN NOTICE THAT THE ACTION IS BEING INITIATED AND PROVIDES A DEADLINE FOR THE PATIENT TO BRING HIS OR HER ACCOUNT CURRENT. WITH THAT NOTICE, LRMH WILL PROVIDE A PLAIN LANGUAGE SUMMARY OF THIS POLICY. LRMH WILL ALSO MAKE REASONABLE EFFORTS TO PROVIDE THE PATIENT WITH NOTICE THAT IT IS INITIATING AN EXTRAORDINARY COLLECTION ACTION. LRMH RECOGNIZES THAT SOME PATIENTS WILL RECEIVE MULTIPLE EPISODES OF CARE OR CARE ON MULTIPLE OCCASIONS. IN THAT EVENT, LRMH WILL ONLY INITIATE AN EXTRAORDINARY COLLECTION ACTION ON THE AGGREGATE OF THE PATIENT'S OUTSTANDING BILLS AFTER 120 DAYS HAVE PASSED SINCE LRMH PROVIDED THE FIRST POST-DISCHARGE BILLING STATEMENT FOR THE PATIENT'S MOST RECENT EPISODE OF CARE. DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS PENDING, COLLECTION EFFORTS WILL BE SUSPENDED. FORM 990, SCHEDULE H, PART VI, LINE 2 THE HOSPITAL HOSTS AN ANNUAL HEALTH FAIR. IN ADDITION, HOSPITAL EMPLOYEES SPEAK AT VARIOUS FUNCTIONS THROUGHOUT THE YEAR SUCH AS ROTARY, CHURCHES AND COUNTY MEETINGS. FORM 990, SCHEDULE H, PART VI, LINE 3 ALL PATIENTS WILL BE OFFERED, AS PART OF THE REGISTRATION AND/OR DISCHARGE PROCESS, A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. ADDITIONALLY, ALL PATIENTS IDENTIFIED AS POTENTIAL FINANCIAL ASSISTANCE RECIPIENTS OR ANYONE REQUESTING FINANCIAL ASSISTANCE WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. IF THIS EVALUATION IS NOT CONDUCTED UNTIL AFTER THE PATIENT LEAVE THE FACILITY, OR IN CASE OF OUTPATIENTS OR EMERGENCY PATIENTS, THE BUSINESS OFFICE WILL MAIL A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT FOR COMPLETION. IN ADDITION, LRMH WILL PROVIDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY TO THE PATIENT UPON REQUEST, FOLLOWING THE FIRST BILLING STATEMENT. FORM 990, SCHEDULE H, PART VI, LINE 4 THE MEDICAL CENTER IS A NOT-FOR-PROFIT ORGANIZATION LOCATED IN ASHDOWN, ARKANSAS. THE MEDICAL CENTER PROVIDES A WIDE RANGE OF SERVICES, INCLUDING A 24-HOUR EMERGENCY DEPARTMENT. ASHDOWN IS 20 MILES NORTH OF TEXARKANA, ARKANSAS, THE CLOSEST METROPOLITAN AREA. ASHDOWN IS APPROXIMATELY 12 MILES FROM THE NEAREST INTERSTATE HIGHWAY. THE COMMUNITY SERVED BY THE MEDICAL CENTER IS A RURAL AREA IN SOUTHWEST ARKANSAS. ACCORDING TO 2018 PROJECTIONS BASED ON THE MOST RECENT U.S. CENSUS BUREAU ESTIMATES, ABOUT 12,800 PEOPLE LIVE IN LITTLE RIVER COUNTY. ACCORDING TO THE U.S. CENSUS BUREAU, APPROXIMATELY 50% OF THE COMMUNITYS POPULATION IS OVER AGE 45. THE PERCENTAGE OF THE COMMUNITY POPULATION AGE 45 AND OLDER IS EXPECTED TO INCREASE OVER THE NEXT TWO YEARS. THESE AGE GROUPS USE MORE HEALTH SERVICES THAN ANY OTHER, CONSEQUENTLY, THE MEDICAL CENTER COULD EXPERIENCE AN INCREASE IN PATIENT VOLUME IN THE NEAR FUTURE. HOWEVER, THE OVERALL COMMUNITY POPULATION IS EXPECTED TO DECREASE, WHICH MIGHT CAUSE A DECLINE IN PATIENT VOLUME. ADDITIONALLY, THE PERCENTAGE OF THE COMMUNITY POPULATION AGES 44 AND BELOW IS EXPECTED TO DECREASE OVER THE NEXT TWO YEARS, WHICH COULD CONTRIBUTE TO DIFFICULTIES IN RECRUITING ENOUGH CARE PROVIDERS TO MANAGE THE AGING POPULATION. EDUCATIONALLY, THE COMMUNITY SERVED BY THE MEDICAL CENTER IS RANKING SIGNIFICANTLY LOWER THAN THE STATE OF ARKANSAS AS A WHOLE. ABOUT 10% OF THE POPULATION AGE 25 AND OLDER HAVE OBTAINED A BACHELORS DEGREE OR HIGHER, COMPARED TO ABOUT 31% OF THE U.S. AND 22% IN ARKANSAS. APPROXIMATELY 15% OF THE POPULATION AGE 25 AND OLDER DO NOT HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO ABOUT 13% IN THE COUNTRY AS A WHOLE. LOWER LEVELS OF EDUCATION HAVE BEEN LINKED TO NEGATIVE HEALTH OUTCOMES, SO THE EDUCATIONAL ATTAINMENT OF THE COMMUNITY IS RELEVANT TO THE CONSIDERATION OF THE HEALTH NEEDS OF THE COMMUNITY. FORM 990, SCHEDULE H, PART VI, LINE 5 LRMH PARTNERS WITH THE KOMEN FOUNDATION AND WADLEY HOSPITAL AS WELL AS PROGRAMS AT CHURCHES THAT ADDRESS HEART DISEASE (BLOOD PRESSURES, PULSE AND BMI) AND DISCUSS THE IMPORTANCE OF NUTRITIONAL GUIDELINES, WHICH ADDRESSES OBESITY ISSUES. LRMH PARTICIPATES IN SEVERAL HEALTH FAIRS AS WELL AS PUTS ON ITS OWN ANNUAL HEALTH FAIR. THE WADLEYSCAN IS A SCREENING FOR STROKE, ABDOMINAL AORTIC ANEURYSM, PERIPHERAL ARTERIAL DISEASE AND ATRIAL FIBRILATION WHICH IS OFFERED BY LRMH TWICE A YEAR. LRMH PROVIDED AN OFFICE AREA FOR THE COUNTY MENTAL HEALTH TO SCREEN PATIENTS. LRMH'S CLINIC SPONSORS AN ANNUAL WOMENS DAY WHERE THE FOCUS IS ON BREAST HEALTH, WHICH ALSO HAS NUTRITIONAL DISCUSSIONS. FORM 990, SCHEDULE H, PART VI, LINE 6 THE MEMBERS OF THE MEDICAL CENTER'S BOARD OF DIRECTORS ALSO SERVE ON THE BOARD OF GOVERNORS OF LITTLE RIVER NURSING & REHAB, A COMPONENT UNIT OF LITTLE RIVER COUNTY, ARKANSAS (THE NURSING HOME), AND AS SUCH, THE NURSING HOME AND THE MEDICAL CENTER ARE CONSIDERED RELATED PARTIES AND HAVE A COLLABORATIVE RELATIONSHIP IN THE PROVISION OF HEALTH CARE SERVICES. THE MEDICAL CENTER PROVIDES REHABILITATION SERVICES TO PATIENTS OF THE NURSING HOME AND PAYS CERTAIN VENDORS ON BEHALF OF THE NURSING HOME. THE MEDICAL CENTER ALSO PROVIDES MANAGEMENT SUPPORT TO THE NURSING HOME. X X false false false false false false false false false JAMES DOWELL CEO 170410 0 0 0 0 0 0 0 23 0 170433 0 0 0 JAMES OGLESBY MD SURGEON 308735 0 0 0 0 0 0 0 3623 0 312358 0 0 0 FORM 990, PART IV, LINE 20B THERE IS NOT AN AUDIT REPORT AVAILABLE FOR LITTLE RIVER MEMORIAL HOSPITAL'S 6/30/2021 TAX YEAR. THE MOST RECENT AUDITED FINANCIALS ARE FOR TAX YEAR 6/30/2016 AND THEY HAVE BEEN ATTACHED TO THE FILED RETURN. THE HOSPITAL'S FINANCIAL STATEMENTS WERE REVIEWED BY AN INDEPENDENT ACCOUNTANT FOR TAX YEAR ENDING 6/30/2021. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CEO AND BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, LINE 12B THE CONFLICT OF INTEREST STATEMENT IS PROVIDED ANNUALLY FOR SIGNATURE. THE ADMINISTRATIVE ASSISTANT INVESTIGATES ANY POTENTIAL CONFLICTS AND DETERMINES THE NATURE OF THE CONFLICT. IF A CONFLICT OF INTEREST ARISES, A SUBCOMMITTE REVIEWS ANY CONFLICTS AND DETERMINES THE APPROPRIATE ACTION DEPENDING ON THE NATURE OF THE CONFLICT. BOARD MEMBERS ABSTAIN FROM VOTING IF CONFLICT EXISTS. FORM 990, PART VI, LINES 15A & 15B COMPENSATION FOR TOP MANAGEMENT OFFICIALS, OFFICERS, AND HIGHEST COMPENSATED EMPLOYEES ARE REVIEWED AND APPROVED BY THE BOARD. THE CEO'S COMPENSATION IS SET BY THE BOARD OF DIRECTORS UTILIZING SALARY DATA FOR GENERAL MANAGER'S STATEWIDE AND NATIONALLY. SURVEY DATA IS GATHERED THROUGH THE AMERICAN HOSPITAL ASSOCIATION, ARKANSAS HOSPITAL ASSOCIATION, AND OTHER HOSPITAL SURVEYS UTILIZED TO SET COMPENSATION LEVELS. FORM 990, PART VI, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:1026106 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:543230 LITTLE RIVER NURSING HOME PO BOX 69 ASHDOWN AR 71822 710469480 HEALTHCARE AR 115 N/A NA true false false false false false false false false false false false false false false true false false false false LITTLE RIVER NURSING HOME O 180000 FMV