2020-07-08T14:11:28-05:00 2019-06-30 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2018-07-01 710276839 DELTA MEMORIAL HOSPITAL % VICKI ALLEN DELT 8703824303 811 HWY 65 SOUTH DUMAS AR 71639 TIMOTHY JONES CHAIRMAN 8703824303 2020-07-02 true AMBER SHERRILL P00748683 5013721040 167.68.126.162 71015520201905000000 2020-07-08 P CC61051F674196C1A7C00C4FC8A1F1691B9B2D69 3F910C2EA158F392107FD01EE4BF28EF5850A170 2018 2021-01-29 14:40:06Z TIMOTHY JONES 811 HWY 65 SOUTH DUMAS AR 71639 19960005 false X WWW.DELTAMEM.ORG X 1975 AR DELTA MEMORIAL HOSPITAL IS COMMITTED TO AID HEALING AND PROMOTE WELLNESS FOR SOUTHEAST ARKANSAS. 7 6 226 20 0 125497 1882302 12996972 17461783 60945 864 1276534 615056 14459948 19960005 0 0 0 0 7721708 8435639 0 68609 68609 6707946 9818685 14429654 18322933 30294 1637072 10585630 12251288 6699089 6483167 3886541 5768121 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. false false 13934960 0 17461783 DELTA MEMORIAL HOSPITAL PROVIDES MEDICAL HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR ABILITY TO PAY. 13934960 true true false true false false false false false false true false false true false false true false false false false false false true false false true true false false true false false false true false false false false false false false false false true false false false true 19 0 true 226 true false false false false false false false false false false false false X 7 6 false false false false false false false true false false false true true true true true true true false false X VICKI ALLEN 8703824303 811 HWY 65 SOUTH DUMAS AR 71639 TIMOTHY JONES CHARIMAN 1.0 0.0 X X 0 0 0 SHIRLEY TEETER SECRETARY 1.0 0.0 X X 0 0 0 PRICE BONEY JR DIRECTOR 1.0 0.0 X 0 0 0 ROBIN SHEA DIRECTOR 1.0 0.0 X 0 0 0 WARREN PARKER DIRECTOR 1.0 0.0 X 0 0 0 JOHN FREEMAN DIRECTOR 1.0 0.0 X 0 0 0 JOSHUA SMITH DIRECTOR 1.0 0.0 X 0 0 0 ASHLEY ANTHONY CEO 40.0 0.0 X 99927 0 0 VICKI ALLEN CFO 40.0 0.0 X 106630 0 974 FRANKLIN D CHAMBERS PHYSICIAN 40.0 0.0 X 1014557 0 0 RALPH MAXWELL PHYSICIAN 40.0 0.0 X 610468 0 9808 DEREK WHITE NURSE PRACTITIONER 40.0 0.0 X 183864 0 1793 2015446 0 12575 4 false true false LEWIS NELSON BALLARD III 100 RAVENWOOD PLACE HOT SPRINGS AR 71901 CRNA 250000 MARGARET ISHEE 3303 MOUNT VERNON CT OCEAN SPRINGS MS 39564 CRNA 250000 RESTORIX HEALTH INC PO BOX 71849 CHICAGO IL 71849 PHYSICAL THERAPY 187500 DR LISA HOLADAY 2451 HWY 425 NORTH HAMBURG AR 71646 ER PHYSICIAN 164813 4 869580 1012722 600 1882302 PATIENT SERVICE REVENUE 622110 17461783 17461783 17461783 864 864 0 0 22920 22920 0 22920 22920 0 0 0 0 0 0 0 0 0 0 340B REVENUE 900099 449337 449337 MEAL REVENUE 900099 49905 49905 VENDING REVENUE 900099 20570 20570 72324 72324 592136 19960005 17461783 615920 0 0 0 0 207531 207531 0 0 0 7279054 5345215 1933839 0 11210 8232 2978 450483 330802 119681 487361 357883 129478 0 53082 38980 14102 47315 34745 12570 0 68609 68609 0 3271242 2402165 869077 12214 8969 3245 104958 77074 27884 0 0 320543 235384 85159 71702 52653 19049 0 0 321225 235885 85340 0 1103695 810474 293221 356194 261563 94631 BAD DEBT EXPENSE 2569675 2569675 0 SUPPLIES EXPENSE 1183739 869253 314486 PROVIDER ASSESSMENT FEES 140124 102897 37227 REPAIRS & MAINTENANCE 66352 48724 17628 196625 144387 52238 18322933 13934960 4319364 68609 410160 936797 0 0 0 522504 2079338 2477347 0 0 0 0 0 0 231847 282742 305637 480225 18714090 12285465 7417076 6428625 0 0 0 0 0 0 0 0 141572 1123048 10585630 12251288 2921288 2546625 0 0 0 0 0 0 0 0 0 684825 3750801 3251717 27000 0 0 0 6699089 6483167 X -1223823 1375577 5110364 4392544 0 0 3886541 5768121 10585630 12251288 1637072 244508 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2811 2811 false SCHEDULE C, PART II-B, LINE 1i PERCENTAGE OF 2019 MEMBERSHIP DUES FOR THE ARKANSAS HOSPITAL ASSOCIATION ALLOCABLE TO LOBBYING EXPENSES $2,811 12356078 7093706 5262372 51293 5623 45670 6200809 5110263 1090546 105910 75873 30037 6428625 ESTIMATED AMOUNTS DUE FROM THI 981476 OTHER ASSETS 141572 1123048 17390330 17390330 2569675 2569675 19960005 15753258 15753258 2569675 2569675 18322933 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 X X X X X X true TERRAPIN CONSULITNG LLC 2044 WEST ARCHER DRIVE FAYETEVILLE AR 72701 DATABASE CONSULTNG false 907443 68609 892954 907443 68609 892954 AR FORM 990, SCHEDULE G, PART I, LINE 2B, COLUMN V PROFESSIONAL FUNDRAISING SERVICES $54,120 FUNDRAISING EXPENSES $14,489 -------------- GROSS AMOUNT PAID TO FUNDRAISER $68,609 true true X true X true X true true true false true true 92031 92031 0.00580 92031 92031 0.00580 1126490 681712 444778 0.02820 1126490 681712 444778 0.02820 1218521 681712 536809 0.03400 true 2569675 624431 4720801 2900126 1820675 X true false 1 1 DELTA MEMORIAL HOSPITAL 811 HWY 65 SOUTH DUMAS AR 71639 WWW.DELTAMEM.ORG AR4392 X X X DELTA MEMORIAL HOSPITAL false false true X X X X X X X X X 18 true false false true X WWW.DELTAMEM.ORG X true 18 true WWW.DELTAMEM.ORG false true X 200. 200. X X true true X X X true X WWW.DELTAMEM.ORG X WWW.DELTAMEM.ORG X WWW.DELTAMEM.ORG X X X X true X false X X X X true X false false 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. 1 DELTA HEALTH SERVICES 803 HIGHWAY 65 SOUTH DUMAS AR 71639 RURAL HEALTH CLINIC 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. X X X false false false false false false false false true true FRANKLIN D CHAMBERS PHYSICIAN 1014557 0 0 0 0 0 0 0 0 0 1014557 0 0 0 RALPH MAXWELL PHYSICIAN 608352 0 0 0 2116 0 0 0 9808 0 620276 0 0 0 DEREK WHITE NURSE PRACTITIONER 183864 0 0 0 0 0 1793 0 0 0 185657 0 0 0 DAVID CHAMBERS TOP 5 HIGHEST PAID SALE OF CLINIC X 77000 27000 false true false 27000 FORM 990, SCHEDULE L, PART II ON SEPTEMBER 27, 2019, THE HOSPITAL FORMALIZED A VERBAL AGREEMENT WITH THE LENDER. 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 CITY OF DUMAS 124 W 6TH ST DUMAS AR 79029 716002431 GOVERNMENT AR 115 NA false false false false false false false false false false false false false false false false false false false false