OUACHITA COUNTY MEDICAL CENTER: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- OUACHITA COUNTY MEDICAL CENTER (EIN 71-0766341)
- Tax period
- 2018-10-01 to 2019-09-30
- Filed
- 2020-08-07
- IRS object ID
- 202012209349301611
- Schema version
- 2018v3.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-08-07T14:20:42-05:00 | ReturnTs |
| Tax Period End | 2019-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 710355269 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LANDMARK PLC CPAS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 10148 | AddressLine1Txt |
| City | FORT SMITH | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 729170148 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710766341 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OUACHITA COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OUAC | BusinessNameControlTxt |
| Phone | 8708361200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 797 | AddressLine1Txt |
| City | CAMDEN | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 717010797 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PEGGY L ABBOTT | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 8708361200 | PhoneNum |
| Signature | 2020-08-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LETITIA S TALKINGTON | PreparerPersonNm |
| PTIN | P00082380 | PTIN |
| Phone | 4794845740 | PhoneNum |
| Preparation | 2020-08-04 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 40.133.38.90 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-08-05 | IPDt |
| IP Tm | 15:31:45 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F8CC22ACD47BD09EA0A02C06965D6C6924927829 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F8CC22ACD47BD09EA0A02C06965D6C6924927829 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-22 18:59:49Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PEGGY L ABBOTT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 797 | AddressLine1Txt |
| City | CAMDEN | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 717010797 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $40,332,333 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.OUACHITAMEDCENTER.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | OUACHITA COUNTY MEDICAL CENTER AND ITS CLINIC PROVIDE STATE-OF-THE-ART MEDICAL CARE TO RESIDENTS OF OUACHITA COUNTY, ARKANSAS, AND THE SURROUNDING AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 521 | TotalEmployeeCnt |
| Total Volunteers | 32 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $36,065,717 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $38,730,974 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$162,904 | PYInvestmentIncomeAmt |
| CY Investment Income | $58,105 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,404,165 | PYOtherRevenueAmt |
| CY Other Revenue | $1,471,560 | CYOtherRevenueAmt |
| PY Total Revenue | $37,306,978 | PYTotalRevenueAmt |
| CY Total Revenue | $40,260,639 | 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 | $16,744,784 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,885,890 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,584,940 | PYOtherExpensesAmt |
| CY Other Expenses | $22,044,428 | CYOtherExpensesAmt |
| PY Total Expenses | $37,329,724 | PYTotalExpensesAmt |
| CY Total Expenses | $38,930,318 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$22,746 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,330,321 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,012,855 | TotalAssetsBOYAmt |
| Total Assets EOY | $27,438,967 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,772,150 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,549,177 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,240,705 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,889,790 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUACHITA COUNTY MEDICAL CENTER AND ITS CLINIC PROVIDE STATE-OF-THE-ART MEDICAL CARE TO RESIDENTS OF OUACHITA COUNTY, ARKANSAS, AND THE SURROUNDING AREA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $30,019,284 | ExpenseAmt |
| Revenue | $40,253,340 | RevenueAmt |
| Desc | TO PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF OUACHITA COUNTY AND THE SURROUNDING AREAS. | Desc |
| Total Program Service Expenses | $30,019,284 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 521 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEGGY L ABBOTT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8708361208 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 638 CALIFORNIA AVENUE | AddressLine1Txt |
| City | CAMDEN | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DAVID MAHAFFEY | ||||||||
| CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WILLIAM BASS | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CONNIE CASTLEBERRY | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| EDGAR LEE | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MIKE CASH | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHONE AVERY SR | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PEGGY ABBOTT | ||||||||
| PRESIDENT/CEO | 40.00 | 1.00 | Yes (X) | $174,803 | $0 | $14,053 | ||
| CHARLES JEFFUS | ||||||||
| CORPORATE SECRETARY | 40.00 | 1.00 | Yes (X) | $80,314 | $0 | $4,298 | ||
| DR SAMUAL H ARNOLD III | ||||||||
| PHYSICIAN | 40.00 | $0 | $365,633 | $8,563 | Yes (X) | |||
| DR TERESA DANI COTHERN | ||||||||
| PHYSICIAN | 40.00 | $0 | $273,853 | $26,127 | Yes (X) | |||
| DR MARK SHINA | ||||||||
| PHYSICIAN | 40.00 | $0 | $144,152 | $994 | Yes (X) | |||
| DR JOHN ERIC HENRIKSEN | ||||||||
| PHYSICIAN | 40.00 | $333,754 | $0 | $23,585 | Yes (X) | |||
| DR SHALETHA JONES | ||||||||
| PHYSICIAN | 40.00 | $299,902 | $0 | $4,039 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $888,773 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $783,638 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $81,659 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WILLIAM ALFRED DANIEL III PA | |||||
| 404 OUACHITA 51 | CAMDEN | AR | 71701 | ER PHYSICIAN | $530,130 |
| WILLIAM ALLEN DUNN MD PA | |||||
| PO BOX 1079 | HAMPTON | AR | 71744 | ER PHYSICIAN | $490,500 |
| UGOCHUKWU NWUDE | |||||
| 6401 SOUTH HAZEL STREET APT 906 | PINE BLUFF | AR | 71603 | PHYSICIAN | $308,000 |
| BKD LLP | |||||
| PO BOX 3667 | LITTLE ROCK | AR | 72203 | ACCOUNTING FIRM | $170,447 |
| SLADE SMITH MD LLC | |||||
| 2515 BROADMOOR BLVD UNIT 1 | MONROE | LA | 71201 | PHYSICIAN | $120,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621400 | $38,138,482 | $38,138,482 |
| OTHER INCOME | 446110 | $592,492 | $592,492 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $38,730,974 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,299 | TotalRevenueColumnAmt |
| Exclusion | $7,299 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $122,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $71,694 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $50,806 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,806 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $50,806 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NONCAPITAL SALES & USE TAX PROCEE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,471,560 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,471,560 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,471,560 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,260,639 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,253,340 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,299 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,717,373 | TotalAmt |
| Program Services | $1,717,373 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,104,892 | TotalAmt |
| Program Services | $9,090,268 | ProgramServicesAmt |
| Management And General | $4,014,624 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,550 | TotalAmt |
| Management And General | $34,550 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $932,336 | TotalAmt |
| Program Services | $299,634 | ProgramServicesAmt |
| Management And General | $632,702 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,096,739 | TotalAmt |
| Program Services | $1,096,739 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,357 | TotalAmt |
| Management And General | $10,357 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,238 | TotalAmt |
| Management And General | $107,238 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,782,769 | TotalAmt |
| Program Services | $10,440,822 | ProgramServicesAmt |
| Management And General | $341,947 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $592,163 | TotalAmt |
| Program Services | $107,448 | ProgramServicesAmt |
| Management And General | $484,715 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $644,490 | TotalAmt |
| Program Services | $42,449 | ProgramServicesAmt |
| Management And General | $602,041 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,860 | TotalAmt |
| Program Services | $55,817 | ProgramServicesAmt |
| Management And General | $36,043 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,633,016 | TotalAmt |
| Program Services | $1,092,664 | ProgramServicesAmt |
| Management And General | $540,352 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,537 | TotalAmt |
| Program Services | $229,126 | ProgramServicesAmt |
| Management And General | $148,411 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $6,453,943 | $4,806,228 | $1,647,715 |
| REPAIR & MAINTENANCE | $1,296,486 | $1,040,716 | $255,770 |
| ACCRETION ON ASSET RETI | $54,569 | $54,569 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,930,318 | TotalAmt |
| Program Services | $30,019,284 | ProgramServicesAmt |
| Management And General | $8,911,034 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $375,210 | BOYAmt |
| EOY | $528,198 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $352,398 | BOYAmt |
| EOY | $357,320 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,345,307 | BOYAmt |
| EOY | $7,012,076 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $703,183 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $864,001 | BOYAmt |
| EOY | $807,270 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$412,676 | BOYAmt |
| EOY | $191,904 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $50,049,373 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $31,507,174 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,697,929 | BOYAmt |
| EOY | $18,542,199 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,503 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,012,855 | BOYAmt |
| EOY | $27,438,967 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,896,421 | BOYAmt |
| EOY | $5,919,905 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,028,463 | BOYAmt |
| EOY | $3,727,437 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $847,266 | BOYAmt |
| EOY | $901,835 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,772,150 | BOYAmt |
| EOY | $10,549,177 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,240,705 | BOYAmt |
| EOY | $16,889,790 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,240,705 | BOYAmt |
| EOY | $16,889,790 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,012,855 | BOYAmt |
| EOY | $27,438,967 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,330,321 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $197,337 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$878,573 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $8,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PERCENTAGE OF ARKANSAS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES SPENT ON LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $582,906 | OtherCostOrOtherBasisAmt |
| Book Value | $582,906 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,490,012 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,154,576 | DepreciationAmt |
| Book Value | $14,335,436 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,976,455 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,352,598 | DepreciationAmt |
| Book Value | $3,623,857 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,542,199 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ASSET RETIREMENT OBLIGATION | Desc |
| Amt | $901,835 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $901,835 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $33,896,887 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $33,896,887 | RevenueSubtotalAmt |
| Other Revenues Not Included | $6,363,752 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $6,363,752 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $40,260,639 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,566,566 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $32,566,566 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $6,363,752 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $6,363,752 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $38,930,318 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE SYSTEM, MEDICAL CENTER, AND MEDICAL SERVICES HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR STATE STATUTE AND ARE NOT SUBJECT TO TAX AT THE ENTITY LEVEL FOR FEDERAL INCOME TAX PURPOSES. EACH ENTITY ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF FASB CODIFICATION TOPIC INCOME TAXES. FASB CODIFICATION TOPIC INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND REQUIRES EACH ENTITY TO RECOGNIZE IN THEIR FINANCIAL STATEMENTS THE IMPACT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED UNDER AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS ASSESSED THE TAX POSITIONS OF EACH ENTITY AND DETERMINED THAT NO POSITIONS EXIST THAT REQUIRE ADJUSTMENT OR DISCLOSURE UNDER THE PROVISIONS OF FASB CODIFICATION TOPIC INCOME TAXES. THE SYSTEM, MEDICAL CENTER, AND MEDICAL SERVICES FILE AN INFORMATIONAL "RETURN OF SYSTEM EXEMPT FROM INCOME TAX" (FORM 990) IN THE U.S. FEDERAL JURISDICTION. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 6,363,752. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 6,363,752. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 133.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $155,626 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $155,626 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,083,484 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,083,746 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,239,110 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,083,746 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $155,626 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,216 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $90,216 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $492,517 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,446 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $442,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $582,733 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,446 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $532,287 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01370 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,821,843 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,134,192 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $687,913 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01770 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,363,752 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $9,000,199 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,080,286 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,080,087 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OUACHITA COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 638 CALIFORNIA AVE | AddressLine1Txt |
| City | CAMDEN | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.OUACHITAMEDCENTER.COM | WebsiteAddressTxt |
| State License | AR2653 | 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 | OUACHITA COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.OUACHITAMEDCENTER.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.OUACHITAMEDCENTER.COM | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 133.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.OUACHITAMEDCENTER.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.OUACHITAMEDCENTER.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.OUACHITAMEDCENTER.COM | 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 Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| OUACHITA COUNTY MEDICAL CENTER | PART V, SECTION B, LINE 5: OUACHITA COUNTY MEDICAL CENTER DEPLOYED SURVEYS TO LOCAL EXPERT ADVISORS TO GAIN INPUT ON LOCAL HEALTH NEEDS AND THE NEEDS OF PRIORITY POPULATIONS. LOCAL EXPERT ADVISORS WERE LOCAL INDIVIDUALS SELECTED ACCORDING TO CRITERIA REQUIRED BY THE FEDERAL GUIDELINES AND REGULATIONS AND THE HOSPITAL'S DESIRE TO REPRESENT THE REGIONS GEOGRAPHICALLY AND ETHNICALLY DIVERSE POPULATION. WE RECEIVED COMMUNITY INPUT FROM 26 LOCAL EXPERT ADVISORS. THE HOSPITAL PERFORMED SEVERAL INDEPENDENTS DATA ANALYSIS BASED ON SECONDARY SOURCE DATA, AUGMENTED THIS WITH LOCAL EXPERT ADVISORS OPINION AND RESOLVED ANY DATA INCONSISTENCY OR DISCREPANCIES BY REVIEWING THE COMBINED OPINIONS FORMED FROM LOCAL EXPERTS. THE PROCESS HELPS TO IDENTIFY THE MOST PRESSING, HIGHEST PRIORITY, COMMUNITY NEEDS. |
| OUACHITA COUNTY MEDICAL CENTER | PART V, SECTION B, LINE 11: OUACHITA COUNTY MEDICAL CENTER USED THE PRIORITY RANKING OF AREA HEALTH NEEDS BY THE LOCAL EXPERT ADVISORS TO ORGANIZE THE SEARCH FOR LOCALLY AVAILABLE RESOURCES AS WELL AS THE RESPONSE TO THE NEEDS BY OUACHITA COUNTY MEDICAL CENTER. A HOSPITAL FACILITY MAY DETERMINE WHETHER A HEALTH NEED IS SIGNIFICANT BASED ON ALL OF THE FACTS AND CIRCUMSTANCE PRESENT IN THE COMMUNITY IT SERVES. THE SIGNIFICANT NEEDS THE HOSPITAL WILL ADDRESS INCLUDE: HEART DISEASE, OBESITY, POPULATION TO PHYSICIANS RATIO, CANCER, DIABETES, MENTAL HEALTH/SUICIDE, AND ACCESSIBILITY/AFFORDABILITY. THE HOSPITAL RECOGNIZES THAT NOT ALL HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ADDRESSED DUE TO LIMITED RESOURCES. THE NEEDS THAT WILL NOT BE ADDRESSED INCLUDE: STROKE, ALZHEIMER'S, COMPLIANCE BEHAVIOR, SMOKING, ACCIDENTS, BLOOD POISONING, CHRONIC BACK PAIN, AND SEVERAL OTHER FACTORS. PLEASE SEE IMPLEMENTATION STRATEGY AT WWW.OUACHITAMEDCENTER.COM FOR FURTHER EXPLANATION AND TASKS THE HOSPITAL WILL TAKE TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFIED AND THOSE THE ORGANIZATION WILL NOT ADDRESS. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | MEDICARE'S REASONABLE COST METHODOLOGY INCLUDING ALLOCATION OF OVERHEAD COSTS, AS CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE THE AMOUNTS ON LINE 7. |
| PART I, LN 7 COL(F): | AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER FINANCIAL STATEMENTS USING MEDICARE'S REASONABLE COST METHODOLOGY INCLUDING ALLOCATION OF OVERHEAD COSTS. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | OUACHITA COUNTY MEDICAL CENTER STRIVES TO PROVIDE ACCESIBLE, PERSONAL AND QUALITY HEALTHCARE IN A SAFE AND CONFIDENTIAL ENVIRONMENT, WITH COURTESY, FRIENDLINESS AND RESPECT. THE MEDICAL CENTER PROVIDES SEVERAL SERVICES TO PROMOTE THE HEALTH OF THE COMMUNITY. ONE OF THE SERVICES PROVIDED IS NUTRITIONAL SCREENING, WHICH SCREENED PATIENTS FOR NUTRITIONAL RISKS AND A NUTRITIONAL INTERVENTION TO OPTIMIZE THE PATIENTS MEDICAL NUTRITION THERAPY AND PROMOTE HEALING IF NECESSARY.THE MEDICAL CENTER SUBSTANCE ABUSE STAFF ARE INVOLVED IN SPEAKING ENGAGEMENTS IN THE COMMUNITY AND AT SCHOOLS RELATED TO DRUGS AND EDUCATIONAL MATERIAL ON MEDICATION DISPOSAL.THE HOSPITAL DIRECTOR OF MENTAL HEALTH ALSO PROVIDES EDUCATION AND SUPERVISORY TRAINING FOR LOCAL BUSINESS ORGANIZATIONS.THE HOSPITAL HOME HEALTH SERVICE ASSISTS IN EDUCATING HOME HEALTH PATIENTS IN PROPER USE AND DISPOSAL OF MEDICATIONS. |
| PART III, LINE 2: | AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER FINANCIAL STATEMENTS USING MEDICARE'S REASONABLE COST METHODOLOGY INCLUDING ALLOCATION OF OVERHEAD COSTS. |
| PART III, LINE 3: | THE AMOUNT REPORTED ON LINE 6 WAS CALCULATED USING THE ORGANIZATION'S MEDICARE COST REPORT.IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THE THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. |
| PART III, LINE 9B: | WHEN BALANCE DUE CANNOT BE PAID AT THE TIME OF SERVICE OR WHEN THE BALANCE BECOMES DUE AFTER SERVICE AND THE PATIENT IS UNABLE TO MAKE FULL PAYMENT, PERIODIC, PARTIAL PAYMENTS MAYBE APPROVED IN ACCORDANCE WITH THE CREDIT AND COLLECTION PROCEDURES, AS AUTHORIZED BY CFP. ACCOUNTS WHICH CANNOT BE COLLECTED AFTER NORMAL IN-HOUSE COLLECTION PROCEDURES MAY BE REFERRED TO A COLLECTION AGENCY OR ATTORNEY FOR FURTHER ACTION, IN ACCORDANCE WITH ESTABLISHED GUIDELINES. IF SATISFACTORY PAYMENT ARRANGEMENT CANNOT BE MADE OR SHOULD ANY INDIVIDUAL BE DETERMINED CHARITY OR INDIGENT, THE CEO OR DESIGNEE SHALL BE NOTIFIED. NO EXTRAORDINARY COLLECTION ACTIONS WILL BE PERMITTED UNTIL ALL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER AN INDIVIDUAL IS FAP-ELIGIBLE. |
| PART VI, LINE 2: | THE ORGANIZATION PARTNERED WITH THE QUORUM HEALTH RESOURCES TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT, PROVIDE THE HOSPITAL WITH INFORMATION REQUIRED TO COMPLETE INFORMATION ON FORM 990 SCHEDULE H, AND PRODUCE THE INFORMATION NECESSARY FOR THE HOSPITAL TO ISSUE AN ASSESSMENT OF COMMUNITY HEALTH NEEDS AND DOCUMENT ITS INTENDED RESPONSE.REPRESENTATIVES OF THE VARIOUS DIVERSE CONSTITUENCIES OUTLINED BY REGULATION TO BE ACTIVE PARTCIPANTS IN THIS PROCESS WERE ACTIVELY SOLICITATED TO OBTAIN THEIR WRITTEN OPINION. THESE OPINIONS OBTAINED FORMED THE INTRODUCTORY STEPS IN THE ASSESSMENT. LOCAL INPUT FROM REPRESENTATIVES OF PARTICULAR DEMOGRAPHIC SECTORS WERE OBTAINED TO GATHER INFORMATION ABOUT THE DIVERSE AND VAST POPULATION THE HOSPITAL SERVES. |
| PART VI, LINE 3: | PATIENTS WILL BE PROVIDED A COPY OF THE FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY UPON ADMISSION OR DISCHARGE. EMPLOYEES IN THE SCHEDULING, PATIENT ACCESS, AND PATIENT FINANCIAL SERVICES DEPARTMENTS WILL BE FULLY VERSED IN THE FINANCIAL ASSISTANCE POLICY, HAVE ACCESS TO FINANCIAL ASSISTANCE APPLICATION FORMS, AND BE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE OCMC REPRESENTATIVES. THE FAP, FAP PLAIN LANGUAGE SUMMARY, AND APPLICATION WILL BE POSTED ON THE OCMC WEBSITE (WWW.OUACHITAMEDCENTER.COM) IN A FORMAT DOWNLOADABLE WITHOUT SPECIAL SOFTWARE. NOTICES OF THE FAP AND FAP PLAIN LANGUAGE SUMMARY WILL BE POSTED IN SEVERAL PROMINENT LOCATIONS WITHIN THE HOSPITAL, INCLUDING BUT NOT LIMITED TO, THE EMERGENCY DEPARTMENT, BILLING OFFICE, AND REGISTRATION AREAS. THE NOTICES WILL BE CLEARLY VISIBLE TO THE PUBLIC. AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE PRINTED ON APPLICABLE LETTERS AND BILLING STATEMENTS THROUGH DIRECT PATIENT CONTACT, IN PERSON, OR OVER THE PHONE. FINANCIAL ASSISTANCE INFORMATION CAN BE OBTAINED FREE OF CHARGE IN THE OCMC BUSINESS OFFICE OR BY CALLING 870-836-1000 OUTREACH TO COMMUNITY ORGANIZATION AND PUBLIC AND NON-PROFIT AGENCIES. AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE POSTED ANNUALLY IN THE LOCAL NEWSPAPER. |
| PART VI, LINE 4: | IN CONJUNCTION WITH QUORUM, THE HOSPITAL DEFINES ITS SERVICE AREA AS OUACHITA COUNTY, ARKANSAS, WHICH INCLUDES THE FOLLOWING: CAMDEN, BEARDEN, CHIDESTAR, LOUANN, AND STEPHENS. |
| PART VI, LINE 5: | OUACHITA COUNTY MEDICAL CENTER STRIVES TO PROVIDE ACCESIBLE, PERSONAL AND QUALITY HEALTHCARE IN A SAFE AND CONFIDENTIAL ENVIRONMENT, WITH COURTESY, FRIENDLINESS AND RESPECT. THE MEDICAL CENTER PROVIDES SEVERAL SERVICES TO PROMOTE THE HEALTH OF THE COMMUNITY. ONE OF THE SERVICES PROVIDED IS NUTRITIONAL SCREENING, WHICH SCREENED PATIENTS FOR NUTRITIONAL RISKS AND A NUTRITIONAL INTERVENTION TO OPTIMIZE THE PATIENTS MEDICAL NUTRITION THERAPY AND PROMOTE HEALING IF NECESSARY.THE MEDICAL CENTER SUBSTANCE ABUSE STAFF ARE INVOLVED IN SPEAKING ENGAGEMENTS IN THE COMMUNITY AND AT SCHOOLS RELATED TO DRUGS AND EDUCATIONAL MATERIAL ON MEDICATION DISPOSAL.THE HOSPITAL DIRECTOR OF MENTAL HEALTH ALSO PROVIDES EDUCATION AND SUPERVISORY TRAINING FOR LOCAL BUSINESS ORGANIZATIONS.THE HOSPITAL HOME HEALTH SERVICE ASSISTS IN EDUCATING HOME HEALTH PATIENTS IN PROPER USE AND DISPOSAL OF MEDICATIONS. |
| PART VI, LINE 6: | OUACHITA VALLEY HEALTH SYSTEMS (THE SYSTEM) EARNS REVENUES PRIMARILY BY PROVIDING A WIDE RANGE OF HEALTH SERVICES TO PATIENTS IN OUACHITA COUNTY AND SURROUNDING AREAS IN SOUTH ARKANSAS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEGGY ABBOTT | ||||||||||||||
| PRESIDENT/CEO | $174,803 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,053 | $0 | $188,856 | $0 | $0 | $0 |
| DR SAMUAL H ARNOLD III | ||||||||||||||
| PHYSICIAN | $0 | $365,633 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,563 | $0 | $374,196 | $0 | $0 |
| DR TERESA DANI COTHERN | ||||||||||||||
| PHYSICIAN | $0 | $273,853 | $0 | $0 | $0 | $0 | $0 | $18,000 | $0 | $8,127 | $0 | $299,980 | $0 | $0 |
| DR JOHN ERIC HENRIKSEN | ||||||||||||||
| PHYSICIAN | $333,754 | $0 | $0 | $0 | $0 | $0 | $18,500 | $0 | $5,085 | $0 | $357,339 | $0 | $0 | $0 |
| DR SHALETHA JONES | ||||||||||||||
| PHYSICIAN | $299,902 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,039 | $0 | $303,941 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY PEGGY ABBOTT (PRESIDENT/CEO OF THE ORGANIZATION) PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES ALL OFFICERS AND DIRECTORS TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S COMPENSATION DETERMINATION PROCESS INCLUDES REVIEW AND APPROVAL BY THE INDEPENDENT BOARD OF DIRECTORS. THE ORGANIZATION'S LATEST REVIEW WAS CONDUCTED DURING 2016. THE BOARD IS PROVIDED THE ARKANSAS HOSPITAL ASSOCIATION SALARY SURVEY INFO FOR COMPARABILITY DATA. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | BAD DEBT EXPENSE: PROGRAM SERVICE EXPENSES 6,363,752. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,363,752. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,729,807. MANAGEMENT AND GENERAL EXPENSES 284,787. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,014,594. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 388,502. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 388,502. PHYSICIAN: PROGRAM SERVICE EXPENSES 1,958,761. MANAGEMENT AND GENERAL EXPENSES 57,160. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,015,921. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO AFFILIATES -878,573. |
| FORM 990, PART XII, LINE 2C | THE PROCESS OF REVIEWING 990 HAS NOT CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OUACHITA VALLEY HEALTH SYSTEM | |||||||||||
| PO BOX 797 | CAMDEN | AR | 71701 | 710766340 | HEALTHCARE | AR | 501(C)(3) | LINE 3 | N/A | 0 | |
| OUACHITA COUNTY MEDICAL FOUNDATION | |||||||||||
| PO BOX 797 | CAMDEN | AR | 71701 | 710766342 | FOUNDATION | AR | 501(C)(3) | LINE 12A, I | 0 | OUACHITA VALLEY HEALTH SYSTEM | |
| OUACHITA COUNTY MEDICAL SERVICES | |||||||||||
| PO BOX 797 | CAMDEN | AR | 71701 | 710766343 | SUPPORT | AR | 501(C)(3) | LINE 12A, I | 0 | OUACHITA VALLEY HEALTH SYSTEM | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OUACHITA VALLEY HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionTypeTxt |
| Involved | $878,573 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |