DELTA MEMORIAL HOSPITAL: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- DELTA MEMORIAL HOSPITAL (EIN 71-0276839)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-07-08
- IRS object ID
- 202021909349301727
- Schema version
- 2018v3.3
- 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 G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-08T14:11:28-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | 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 | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710276839 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % VICKI ALLEN | InCareOfNm |
| Business Name Control | DELT | BusinessNameControlTxt |
| Phone | 8703824303 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 811 HWY 65 SOUTH | AddressLine1Txt |
| City | DUMAS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71639 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIMOTHY JONES | PersonNm |
| Person Title | CHAIRMAN | PersonTitleTxt |
| Phone | 8703824303 | PhoneNum |
| Signature | 2020-07-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMBER SHERRILL | PreparerPersonNm |
| PTIN | P00748683 | PTIN |
| Phone | 5013721040 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 71015520201905000000 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-07-08 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | CC61051F674196C1A7C00C4FC8A1F1691B9B2D69 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 3F910C2EA158F392107FD01EE4BF28EF5850A170 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TIMOTHY JONES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 811 HWY 65 SOUTH | AddressLine1Txt |
| City | DUMAS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71639 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,960,005 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DELTAMEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | DELTA MEMORIAL HOSPITAL IS COMMITTED TO AID HEALING AND PROMOTE WELLNESS FOR SOUTHEAST ARKANSAS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 226 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $125,497 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,882,302 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,996,972 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,461,783 | CYProgramServiceRevenueAmt |
| PY Investment Income | $60,945 | PYInvestmentIncomeAmt |
| CY Investment Income | $864 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,276,534 | PYOtherRevenueAmt |
| CY Other Revenue | $615,056 | CYOtherRevenueAmt |
| PY Total Revenue | $14,459,948 | PYTotalRevenueAmt |
| CY Total Revenue | $19,960,005 | 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 | $7,721,708 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,435,639 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $68,609 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $68,609 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,707,946 | PYOtherExpensesAmt |
| CY Other Expenses | $9,818,685 | CYOtherExpensesAmt |
| PY Total Expenses | $14,429,654 | PYTotalExpensesAmt |
| CY Total Expenses | $18,322,933 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $30,294 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,637,072 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,585,630 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,251,288 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,699,089 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,483,167 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,886,541 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,768,121 | NetAssetsOrFundBalancesEOYAmt |
| Mission | AT DELTA MEMORIAL HOSPITAL, WE ARE COMMITTED TO PROMOTING HEALING AND WELLNESS FOR THE RESIDENTS OF THE SOUTHEAST DELTA REGION IN A COURTEOUS AND COMPASSIONATE MANNER. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $13,934,960 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $17,461,783 | RevenueAmt |
| Desc | DELTA MEMORIAL HOSPITAL PROVIDES MEDICAL HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $13,934,960 | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | 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 | Yes (true) | 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 | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | 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 | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 226 | 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 | 6 | 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 | false | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VICKI ALLEN | PersonNm |
| Phone | 8703824303 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 811 HWY 65 SOUTH | AddressLine1Txt |
| City | DUMAS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71639 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 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 |
|---|---|---|---|---|---|---|---|---|
| TIMOTHY JONES | ||||||||
| CHARIMAN | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHIRLEY TEETER | ||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PRICE BONEY JR | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ROBIN SHEA | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| WARREN PARKER | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JOHN FREEMAN | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JOSHUA SMITH | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ASHLEY ANTHONY | ||||||||
| CEO | 40.0 | 0.0 | Yes (X) | $99,927 | $0 | $0 | ||
| VICKI ALLEN | ||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $106,630 | $0 | $974 | ||
| FRANKLIN D CHAMBERS | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $1,014,557 | $0 | $0 | Yes (X) | ||
| RALPH MAXWELL | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $610,468 | $0 | $9,808 | Yes (X) | ||
| DEREK WHITE | ||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | $183,864 | $0 | $1,793 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,015,446 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $12,575 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LEWIS NELSON BALLARD III | |||||
| 100 RAVENWOOD PLACE | HOT SPRINGS | AR | 71901 | CRNA | $250,000 |
| MARGARET ISHEE | |||||
| 3303 MOUNT VERNON CT | OCEAN SPRINGS | MS | 39564 | CRNA | $250,000 |
| RESTORIX HEALTH INC | |||||
| PO BOX 71849 | CHICAGO | IL | 71849 | PHYSICAL THERAPY | $187,500 |
| DR LISA HOLADAY | |||||
| 2451 HWY 425 NORTH | HAMBURG | AR | 71646 | ER PHYSICIAN | $164,813 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $869,580 | GovernmentGrantsAmt |
| All Other Contributions | $1,012,722 | AllOtherContributionsAmt |
| Noncash Contributions | $600 | NoncashContributionsAmt |
| Total Contributions | $1,882,302 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $17,461,783 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,461,783 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,461,783 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $864 | TotalRevenueColumnAmt |
| Exclusion | $864 | 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 |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,920 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,920 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,920 | TotalRevenueColumnAmt |
| Exclusion | $22,920 | ExclusionAmt |
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 |
|---|---|---|---|
| 340B REVENUE | 900099 | $449,337 | $449,337 |
| MEAL REVENUE | 900099 | $49,905 | $49,905 |
| VENDING REVENUE | 900099 | $20,570 | $20,570 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,324 | TotalRevenueColumnAmt |
| Exclusion | $72,324 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $592,136 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,960,005 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,461,783 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $615,920 | 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 | $207,531 | TotalAmt |
| Management And General | $207,531 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,279,054 | TotalAmt |
| Program Services | $5,345,215 | ProgramServicesAmt |
| Management And General | $1,933,839 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,210 | TotalAmt |
| Program Services | $8,232 | ProgramServicesAmt |
| Management And General | $2,978 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,483 | TotalAmt |
| Program Services | $330,802 | ProgramServicesAmt |
| Management And General | $119,681 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,361 | TotalAmt |
| Program Services | $357,883 | ProgramServicesAmt |
| Management And General | $129,478 | 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 | $53,082 | TotalAmt |
| Program Services | $38,980 | ProgramServicesAmt |
| Management And General | $14,102 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,315 | TotalAmt |
| Program Services | $34,745 | ProgramServicesAmt |
| Management And General | $12,570 | 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 | $68,609 | TotalAmt |
| Fundraising | $68,609 | FundraisingAmt |
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 | $3,271,242 | TotalAmt |
| Program Services | $2,402,165 | ProgramServicesAmt |
| Management And General | $869,077 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,214 | TotalAmt |
| Program Services | $8,969 | ProgramServicesAmt |
| Management And General | $3,245 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,958 | TotalAmt |
| Program Services | $77,074 | ProgramServicesAmt |
| Management And General | $27,884 | 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 | $320,543 | TotalAmt |
| Program Services | $235,384 | ProgramServicesAmt |
| Management And General | $85,159 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,702 | TotalAmt |
| Program Services | $52,653 | ProgramServicesAmt |
| Management And General | $19,049 | 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 | $321,225 | TotalAmt |
| Program Services | $235,885 | ProgramServicesAmt |
| Management And General | $85,340 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,103,695 | TotalAmt |
| Program Services | $810,474 | ProgramServicesAmt |
| Management And General | $293,221 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,194 | TotalAmt |
| Program Services | $261,563 | ProgramServicesAmt |
| Management And General | $94,631 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $2,569,675 | $2,569,675 | $0 |
| SUPPLIES EXPENSE | $1,183,739 | $869,253 | $314,486 |
| PROVIDER ASSESSMENT FEES | $140,124 | $102,897 | $37,227 |
| REPAIRS & MAINTENANCE | $66,352 | $48,724 | $17,628 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,625 | TotalAmt |
| Program Services | $144,387 | ProgramServicesAmt |
| Management And General | $52,238 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,322,933 | TotalAmt |
| Program Services | $13,934,960 | ProgramServicesAmt |
| Management And General | $4,319,364 | ManagementAndGeneralAmt |
| Fundraising | $68,609 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $410,160 | BOYAmt |
| EOY | $936,797 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $522,504 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,079,338 | BOYAmt |
| EOY | $2,477,347 | 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 | $231,847 | BOYAmt |
| EOY | $282,742 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $305,637 | BOYAmt |
| EOY | $480,225 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,714,090 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,285,465 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,417,076 | BOYAmt |
| EOY | $6,428,625 | 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 | $141,572 | BOYAmt |
| EOY | $1,123,048 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,585,630 | BOYAmt |
| EOY | $12,251,288 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,921,288 | BOYAmt |
| EOY | $2,546,625 | 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 | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $684,825 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,750,801 | BOYAmt |
| EOY | $3,251,717 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,000 | 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 | $6,699,089 | BOYAmt |
| EOY | $6,483,167 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,223,823 | BOYAmt |
| EOY | $1,375,577 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,110,364 | BOYAmt |
| EOY | $4,392,544 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,886,541 | BOYAmt |
| EOY | $5,768,121 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,585,630 | BOYAmt |
| EOY | $12,251,288 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,637,072 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $244,508 | PriorPeriodAdjustmentsAmt |
| 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 | false | FederalGrantAuditRequiredInd |
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 | $2,811 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,811 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1i | FormAndLineReferenceDesc |
| Explanation | PERCENTAGE OF 2019 MEMBERSHIP DUES FOR THE ARKANSAS HOSPITAL ASSOCIATION ALLOCABLE TO LOBBYING EXPENSES $2,811 | 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 |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,356,078 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,093,706 | DepreciationAmt |
| Book Value | $5,262,372 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,293 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,623 | DepreciationAmt |
| Book Value | $45,670 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,200,809 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,110,263 | DepreciationAmt |
| Book Value | $1,090,546 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $105,910 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,873 | DepreciationAmt |
| Book Value | $30,037 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,428,625 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ESTIMATED AMOUNTS DUE FROM THI | $981,476 |
| OTHER ASSETS | $141,572 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,123,048 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $17,390,330 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $17,390,330 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,569,675 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,569,675 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $19,960,005 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,753,258 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $15,753,258 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,569,675 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,569,675 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $18,322,933 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| FORM 990, SCHEDULE D, PART XI, LINE 4B | BAD DEBT EXPENSE $2,569,675 |
| FORM 990, SCHEDULE D, PART XII, LINE 4B | BAD DEBT EXPENSE $2,569,675 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (true) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRAPIN CONSULITNG LLC | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2044 WEST ARCHER DRIVE | AddressLine1Txt |
| City | FAYETEVILLE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | DATABASE CONSULTNG | ActivityTxt |
| Fundraiser Control Of Funds | false | FundraiserControlOfFundsInd |
| Gross Receipts | $907,443 | GrossReceiptsAmt |
| Retained By Contractor | $68,609 | RetainedByContractorAmt |
| Net To Organization | $892,954 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $907,443 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $68,609 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $892,954 | TotalNetToOrganizationAmt |
| Licensed States | AR | LicensedStatesCd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE G, PART I, LINE 2B, COLUMN V | FormAndLineReferenceDesc |
| Explanation | PROFESSIONAL FUNDRAISING SERVICES $54,120 FUNDRAISING EXPENSES $14,489 -------------- GROSS AMOUNT PAID TO FUNDRAISER $68,609 | 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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| 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 | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $92,031 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $92,031 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $92,031 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $92,031 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,126,490 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $681,712 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $444,778 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02820 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,126,490 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $681,712 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $444,778 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02820 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,218,521 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $681,712 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $536,809 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03400 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,569,675 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $624,431 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,720,801 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $2,900,126 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,820,675 | 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 | false | 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 | DELTA MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 811 HWY 65 SOUTH | AddressLine1Txt |
| City | DUMAS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71639 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.DELTAMEM.ORG | WebsiteAddressTxt |
| State License | AR4392 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA MEMORIAL HOSPITAL | 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 | WWW.DELTAMEM.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.DELTAMEM.ORG | 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 | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.DELTAMEM.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.DELTAMEM.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.DELTAMEM.ORG | 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 |
| 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 |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | DEVELOPED A STEERING COMMITTEE THAT ORGANIZED COMMUNITY MEETINGS INVITING LOCAL BUSINESS PERSONS, CLERGY, SCHOOL OFFICIALS, COUNTY AND CITY OFFICIALS, LOCAL HEALTH CLINICS, HOSPITAL MEDICAL STAFF, COUNTY HEALTH DEPARTMENT, LOCAL EMS, HOSPITAL AUXILIARY, CHAMBER OF COMMERCE, FARMING COMMUNITY, LOCAL NEWSPAPER, AND MEMBERS OF UAMS EAST, DESHA HOMETOWN HEALTH IMPROVEMENT PROJECT (DHHIP) AND ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP). THIS PROVIDED A BROAD SECTION OF THE COMMUNITY WITH A FOCUS ON THE HEALTHCARE COMMUNITY. SURVEYS WERE CONDUCTED IN THE COMMUNITY AND RESULTS TABULATED AND REVIEWED AT THE COMMUNITY MEETINGS. THIS, ALONG WITH INPUT FROM ATTENDEES, WAS USED TO FORMULATE AND PRIORITIZE THE LIST OF SIGNIFICANT COMMUNITY HEALTH RELATED NEEDS THAT COULD BE IMPACTED BY THE HOSPITAL. AT AROUND THE SAME TIME, A SERIES OF TOWN HALL MEETINGS RELATED TO COMMUNITY HEALTH NEEDS WERE HELD AND SPECIFIC DIAGNOSES TARGETED TO IMPROVE OVERALL COMMUNITY HEALTH. |
| SCHEDULE H, PART V, SECTION B, LINE 11 | AN IMPLEMENTATION STRATEGY WAS DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS. SEVERAL ISSUES WERE IDENTIFIED FOR CONSIDERATION AND PRIORITIZED IN THE PLAN. FOR EXAMPLE, MENTAL HEALTH SERVICES WAS IDENTIFIED AS A SIGNIFICANT NEED. SINCE THAT TIME, A PSYCHIATRIST HAS MOVED HER CLINIC TO OUR HOSPITAL AND IS ALSO AVAILABLE TO SEE PATIENTS BY TELEHEALTH. DRUG ABUSE WAS IDENTIFIED AS A CONCERN IN THE COMMUNITY, AND THROUGH THE ARHP SEVERAL RESOURCES ARE AVAILABLE TO HELP ADDRESS THIS, INCLUDING OPIOID USE DISORDER (OUD) EDUCATION AND ENROLLMENT, AND OTHERS. ALTHOUGH NOT SPECIFICALLY ADDRESSED IN THE CHNA, DURING TOWN HALL MEETINGS, OBESITY WAS IDENTIFIED AS A CONTRIBUTING FACTOR IN POOR OVERALL HEALTH OF THE COMMUNITY AND IS BEING ADDRESSED THROUGH A FREE 12 WEEK WEIGHT CONTROL PROGRAM. THE ONLY IDENTIFIED NEED NOT BEING ADDRESSED IN SOME MANNER IS AN AFTER-HOURS CLINIC, WHICH IS SIMPLY NOT A FINANCIALLY VIABLE OPTION AT THIS TIME. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA HEALTH SERVICES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 803 HIGHWAY 65 SOUTH | AddressLine1Txt |
| City | DUMAS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71639 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | RURAL HEALTH CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE H, PART I, LINE 3C | AMOUNTS GENERALLY BILLED (AGB) IS DEFINED AS THE AMOUNTS THAT ARE GENERALLY BILLED FOR CARE TO INDIVIDUALS WHO HAVE THIRD PARTY COVERAGE. DELTA MEMORIAL HOSPITAL DETERMINES AGB BY UTILIZING THE "LOOK-BACK" METHOD. THE AGB PERCENTAGE IS CALCULATED BY USING CLAIMS ALLOWED BY MEDICARE, MEDICAID AND PRIVATE HEALTH INSURERES DURING THE MOST RECENT FISCAL YEAR. |
| FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F | BAD DEBT EXPENSE IN THE AMOUNT OF $2,569,675 IS INCLUDED ON FORM 990 PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. |
| FORM 990, SCHEDULE H, PART I, LINE 7 | DELTA MEMORIAL HOSPITAL USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY. |
| FORM 990, SCHEDULE H, PART III, LINE 2 | OUTSTANDING SELF-PAY ACCOUNTS RECEIVABLE IS USED MONTHLY TO CALCULATE 90% AS UNCOLLECTIBLE. THE BAD DEBT EXPENSE IS ADJUSTED MONTHLY BASED ON THE ESTIMATED UNCOLLECTIBLE AMOUNT CALCULATED. |
| FORM 990, SCHEDULE H, PART III, LINE 3 | THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED BY MULTIPLYING THE USDA POVERTY REPORT INDEX FOR DESHA COUNTY, 24.3%, BY THE TOTAL BAD DEBT EXPENSE. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT OF POCKET LIABILITY, BUT THEY DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK; THEREFORE, THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE CLASSIFIED AS COMMUNITY BENEFIT. |
| FORM 990, SCHEDULE H, PART III, LINE 4 | PLEASE SEE ATTACHED AUDIT REPORT NOTE 1. |
| FORM 990, SCHEDULE H, PART VI, LINE 2 | IN ADDITION TO THE CHNA, DELTA MEMORIAL USES A VARIETY OF OTHER SOURCES TO COLLECT DATA, ANALYZE IT, AND PRIORITIZE FUTURE ACTION ITEMS. THESE INCLUDE: - HAVING AN ACTIVE BOARD OF DIRECTORS MADE UP OF COMMUNITY MEMBERS WHO GIVE INPUT. - PARTICIPATING IN THE LOCAL CHAMBER OF COMMERCE AND GETTING FEEDBACK. - PARTICIPATION IN THE DHIPP PROGRAM IN DESHA COUNTY. - TOWN HALL MEETINGS FACILITATED BY DRCHSD PROGRAM (DELTA REGION COMMUNITY HEALTH SYSTEMS DEVELOPMENT) - COMMUNITY CHAMPION INPUT. - INPUT FROM PHYSICIANS ON NEEDS OF THEIR PATIENTS AND ON THEIR REFERRAL PATTERNS FOR SERVICES NOT PROVIDED LOCALLY. - INPUT ON SOCIAL MEDIA. - DIRECT INPUT FROM INDIVIDUAL PATIENTS AND EMPLOYEES, AS WELL AS LOCAL INDUSTRY AND EMS. - PATIENT EXPERIENCE SURVEYS. - EVALUATION OF HEALTH DATA AND REPORTS, SUCH AS THE COUNTY HEALTH RANKINGS IN HEALTH OUTCOMES. - PLANS TO ADD A MARKETING/OUTREACH RESOURCE IN THE COMING YEAR. |
| FORM 990, SCHEDULE H, PART VI, LINE 3 | DMH STAFF SHALL ATTEMPT TO IDENTIFY THOSE PATIENTS IN NEED OF FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION. THE PATIENT'S INSURANCE INFORMATION AND/OR PAYMENT ARRANGEMENTS SHALL BE DISCUSSED BEFORE SERVICES ARE RENDERED, EXCEPT IN THE CASE OF EMERGENCY SERVICES IN ACCORDANCE WITH EMTALA REGULATIONS. PATIENTS REQUIRING EMERGENT OR URGENT MEDICAL CARE AND PREGNANT WOMEN IN ACTIVE LABOR SHALL BE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY IN ACCORDANCE WITH EMTALA REGULATIONS. DMH WILL PROVIDE A COPY OF THE PLAIN LANGUAGE SUMMARY DOCUMENT OF THE FINANCIAL ASSISTANCE POLICY TO ALL UNINSURED PATIENTS AT THE TIME OF REGISTRATION. THE PATIENT WILL BE REQUIRED TO SIGN THE DOCUMENT TO BE SCANNED INTO DMH'S DOCUMENT IMAGING SYSTEM FOR EACH ENCOUNTER. THIS WILL DOCUMENT THAT THE PATIENT WAS MADE AWARE OF THE FINANCIAL ASSISTANCE POLICY. PATIENTS, IDENTIFIED AS NEEDING FINANCIAL ASSISTANCE SHALL BE ENCOURAGED TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. |
| FORM 990, SCHEDULE H, PART VI, LINE 4 | DELTA MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES THE COMMUNITIES OF DESHA COUNTY THAT ARE LOCATED NEAR DUMAS. DUMAS RESIDENTS MAKE UP THE MAJORITY OF BOTH INPATIENT AND EMERGENCY ROOM PATIENTS. THOSE REMAINING, FOR THE MOST PART, RESIDENTS OF LINCOLN, ARKANSAS, AND DREW COUNTIES ARE CONSIDERED THE SECONDARY SERVICE AREA. DESHA COUNTY IS LOCATED IN THE SOUTHEAST CORNER IN THE STATE OF ARKANSAS ON THE BORDER OF MISSISSIPPI AND THE MISSISSIPPI RIVER. IT IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA. AS OF THE 2017 CENSUS, DESHA HAS A POPULATION OF 13,008 RESIDENTS COMPARED TO THE 2000 CENSUS WHICH WAS 15,341 RESIDENTS - A 15% DECREASE IN POPULATION IN SEVEN YEARS. ACCORDING TO THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS AND ROADMAP STUDY, DESHA RANKS IN OVERALL HEALTH OUTCOMES AT #70 IN OVERALL HEALTH FACTORS OUT OF 75 COUNTIES IN ARKANSAS. DESHA COUNTY IS CONSIDERED ONE OF THE UNHEALTHIEST COUNTIES IN THE STATE OF ARKANSAS, RANKING #73 WITHIN THE 75 COUNTIES. THE OVERALL DEMOGRAPHICS OF DESHA COUNTY ARE 45.9% WHITE, 47.6% AFRICAN AMERICAN, AND 5.2% HISPANIC OR LATINO ORIGIN. MEDIAN HOUSEHOLD INCOME FOR THE COUNTY IS $26,519, COMPARED TO $42,336 FOR THE STATE OF ARKANSAS. 32% OF PEOPLE ARE LIVING BELOW THE FEDERAL POVERTY LINE, COMPARED TO 18.8% STATEWIDE. RELEVANT TO THIS INFORMATION, SOME KEY RANKINGS DEMONSTRATE DESHA COUNTY'S RANKING IN ECONOMICS, HEALTH INDICATORS, AND HEALTH FACTORS: - DESHA COUNTY RANKS 74 OUT OF 75 IN LOW BIRTH-WEIGHT BABIES - DESHA COUNTY RANKS 71 OUT OF 75 IN LOW HEALTH LITERACY - DESHA COUNTY RANKS 73 OUT OF 75 IN FOOD INSECURITY - DESHA COUNTY RANKS 74 OUT OF 75 FOR POVERTY FOR ALL AGES - DESHA COUNTY RANKS 71 OUT OF 75 IN HOUSEHOLDS WITH NO TRANSPORTATION - DESHA COUNTY RANKS 74 OUT OF 75 IN MEDIAN HOUSEHOLD INCOME |
| FORM 990, SCHEDULE H, PART VI, LINE 5 | DELTA MEMORIAL HOSPITAL PROVIDES COMMUNITY BENEFITS BY OFFERING HEALTH EDUCATION THROUGH HEALTH FAIRS, FREE COMMUNITY HEALTH SCREENINGS, AND SUPPORT FOR LOCAL COMMUNITY ACTIVITIES TO PROMOTE THE HEALTH OF CITIZENS OF DESHA COUNTY. DMH IS AN ACTIVE MEMBER OF THE DESHA COUNTY HOMETOWN HEALTH INITIATIVE (HHI) WHICH IS A PROGRAM OF THE ARKANSAS DEPARTMENT OF HEALTH. HHI BRINGS TOGETHER A WIDE RANGE OF PEOPLE AND ORGANIZATIONS INCLUDING CONSUMERS, BUSINESS LEADERS, AND HEALTH CARE PROVIDERS TO DEVELOP AND IMPLEMENT WAYS TO SOLVE HEALTH ISSUES IN THE COUNTY. HHI STRESSES COLLABORATION, COALITION BUILDING, PRIORITIZING OF HEALTH ISSUES, AND THE DEVELOPMENT AND IMPLEMENTATION OF COMMUNITY HEALTH STRATEGIES THAT ARE LOCALLY DESIGNED AND SUSTAINED. DELTA MEMORIAL IS ALSO AN ACTIVE MEMBER IN THE ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP), WHICH IS COMPRISED OF TWELVE, INDEPENDENTLY OWNED, SOUTH ARKANSAS RURAL HOSPITALS COMMITTED TO WORKING TOGETHER THROUGHOUT THE SOUTH ARKANSAS DELTA REGION TO: IMPROVE THE DELIVERY OF HEALTHCARE SERVICES, INCREASE ACCESS TO HEALTH CARE SERVICES & PROGRAMS, PROVIDE HEALTHCARE PROVIDER EDUCATION OPPORTUNITIES, INCREASE THE UTILIZATION OF TELEHEALTH & TELEMEDICINE TECHNOLOGY, PROMOTE HEALTHY LIFESTYLES, ASSIST COMMUNITY MEMBERS WITH PATIENT ASSISTANCE PROGRAMS, AND REDUCE SERVICE AND OPERATION COSTS FOR HOSPITAL MEMBERS THROUGH COLLABORATIVE NEGOTIATION AND PURCHASING. ARHP CURRENTLY PROVIDES THE FOLLOWING OUTREACH AND EDUCATION PROGRAMS TO ITS MEMBERS, PATIENTS, AND COMMUNITIES: OPIOID USE DISORDER EDUCATION & NAVIGATION, FREE BREAST SCREENING & DIAGNOSTIC SERVICES, INSURANCE & MEDICARE ASSISTANCE & ENROLLMENT, DIABETES EMPOWERMENT EDUCATION PROGRAM, EMERGENCY DEPARTMENT MENTAL HEALTH ASSESSMENTS, PRESCRIPTION ASSISTANCE SERVICES, COOKING MATTERS CLASSES, DIABETES PREVENTION PROGRAM, AND PATIENT NAVIGATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 | Yes (true) | InitialContractExceptionInd |
| Rebuttable Presumption Proc | Yes (true) | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANKLIN D CHAMBERS | ||||||||||||||
| PHYSICIAN | $1,014,557 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,014,557 | $0 | $0 | $0 |
| RALPH MAXWELL | ||||||||||||||
| PHYSICIAN | $608,352 | $0 | $0 | $0 | $2,116 | $0 | $0 | $0 | $9,808 | $0 | $620,276 | $0 | $0 | $0 |
| DEREK WHITE | ||||||||||||||
| NURSE PRACTITIONER | $183,864 | $0 | $0 | $0 | $0 | $0 | $1,793 | $0 | $0 | $0 | $185,657 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID CHAMBERS | PersonNm |
| Relationship With Org | TOP 5 HIGHEST PAID | RelationshipWithOrgTxt |
| Loan Purpose | SALE OF CLINIC | LoanPurposeTxt |
| Loan To Organization | Yes (X) | LoanToOrganizationInd |
| Original Principal | $77,000 | OriginalPrincipalAmt |
| Balance Due | $27,000 | BalanceDueAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | Yes (true) | BoardOrCommitteeApprovalInd |
| Written Agreement | false | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $27,000 | TotalBalanceDueAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE L, PART II | FormAndLineReferenceDesc |
| Explanation | ON SEPTEMBER 27, 2019, THE HOSPITAL FORMALIZED A VERBAL AGREEMENT WITH THE LENDER. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | COMMITTEES ACTING ON BEHALF OF THE GOVERNING BODY REPORT TO THE GOVERNING BODY AT MONTHLY BOARD MEETINGS. |
| FORM 990, PART VI, SECTION B, LINE 11B | EMAIL TO ALL BOARD MEMBERS FOR REVIEW BEFORE FILING FORM 990. DISCUSS DURING NEXT BOARD MEETING AND APPROVED. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST STATEMENTS COMPLETED ANNUALLY BY ALL BOARD MEMBERS, ADMINISTRATION, AND MANAGEMENT. IF ANY CONFLICTS ARE IDENTIFIED, DISCUSS RESOLUTIONS APPLICABLE TO EACH SITUATION. |
| FORM 990, PART VI, SECTION B, LINE 15A | 2019 - COMPENSATION REVIEW CONDUCTED BY BOARD OF DIRECTORS |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:2597233 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:590882 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:BILLING & COLLECTION SERVICES TOTAL FEES:83127 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF DUMAS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 124 W 6TH ST | AddressLine1Txt |
| City | DUMAS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 79029 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 716002431 | EIN |
| Primary Activities | GOVERNMENT | PrimaryActivitiesTxt |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Exempt Code Section | 115 | ExemptCodeSectionTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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