2020-05-15T11:15:12-05:00 2019-06-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2018-07-01 710329353 Jefferson Hospital Association Inc % JEREMY JEFFERY JEFF 8705417100 1600 West 40th Avenue Pine Bluff AR 71603 JEREMY JEFFERY VP AND CFO 8705417100 2020-05-15 true Jeanette Verrelli P00742631 9727028262 167.68.126.162 75465920201365000015 2020-05-15 P BC2C8F7F1C2AD12471C74E6F8C925013EDB3E05D EB976710118F518B8933A72D91D1D85239D99EDA 2018 2020-09-23 17:36:50Z JEFFERSON REGIONAL MEDICAL CENTER BRIAN THOMAS 1600 WEST 40TH AVENUE PINE BLUFF AR 71603 210028616 false X WWW.JRMC.ORG X 1959 AR JEFFERSON HOSPITAL ASSOCIATION, INC. PROVIDES A WIDE RANGE OF HEALTH CARE SERVICES TO PATIENTS FROM JEFFERSON COUNTY AND SURROUNDING AREAS IN SOUTHEAST ARKANSAS. 13 7 1983 44 12602 0 893797 743630 189575238 185767717 7086233 5028866 2728733 2905632 200284001 194445845 503870 507450 0 0 96204230 98497640 0 0 0 100062911 102608231 196771011 201613321 3512990 -7167476 272913375 270623412 64968181 67419473 207945194 203203939 X JEFFERSON REGIONAL MEDICAL CENTER IS COMMITTED TO PROVIDING MEASURABLE QUALITY HEALTH SERVICES IN A CARING ENVIRONMENT, WHICH FULFILL THE NEEDS OF OUR PATIENTS, PHYSICIANS, EMPLOYERS, EMPLOYEES AND COMMUNITY. false false 173845508 507450 187572223 JEFFERSON HOSPITAL ASSOCIATION, INC. (JHA) OPERATES JEFFERSON REGIONAL MEDICAL CENTER (JRMC), A TERTIARY CARE FACILITY WITH 300 LICENSED BEDS AND 266 STAFFED BEDS LOCATED IN SOUTHEAST ARKANSAS THAT SERVES A POPULATION BASE OF 209,000 PEOPLE LIVING IN 11 COUNTIES. JRMC IS A NOT-FOR-PROFIT, SOLE COMMUNITY HOSPITAL, LICENSED BY THE ARKANSAS STATE HEALTH DEPARTMENT. SEE SCHEDULE O FOR MORE INFORMATION. 173845508 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true true true true false false false false false false false false true true false false false false true true true true false false true 265 0 1983 true true true false false false false false false false false false false false X 13 7 true false true false true true false true true false false true true true true true true true true true true CA IL NC X JEREMY JEFFERY 8705417100 1600 WEST 40TH AVENUE PINE BLUFF AR 71603 X J ACOSTA - SEE SCH O DIRECTOR 1.0 0.0 X 0 0 0 F ANTHONY - SEE SCH O DIRECTOR 1.0 0.0 X 0 0 0 D ATKINSON - SEE SCH O SECRETARY 1.0 0.0 X X 0 0 0 D BRIDGFORTH - SEE SCH O DIRECTOR 1.0 0.0 X 0 0 0 D BROWN - SEE SCH O DIRECTOR 1.0 0.0 X 0 0 0 JA CAMPBELL - SEE SCH O DIRECTOR 1.0 0.0 X 0 0 0 M CASTEEL - SEE SCH O DIRECTOR 1.0 0.0 X 0 0 0 M ECKERT - SEE SCH O DIRECTOR 40.0 0.0 X 0 0 0 A KLINE - SEE SCH O VICE CHAIRMAN/Chairman 1.0 0.0 X X 0 0 0 JB MAYS - SEE SCH O DIRECTOR 40.0 0.0 X 0 0 0 S PITTILLO - SEE SCH O TREASURER/Vice Chairman 1.0 0.0 X X 0 0 0 A SANDERS - SEE SCH O DIRECTOR 1.0 0.0 X 0 0 0 H TROTTER III - SEE SCH O DIRECTOR/TREASURER 1.0 0.0 X X 0 0 0 C MORGAN - SEE SCH O CHAIRMAN/DIRECTOR 1.0 0.0 X X 0 0 0 G MAKRIS - SEE SCH O DIRECTOR 1.0 0.0 X 0 0 0 P AUSTIN - SEE SCH O VP & COO 40.0 0.0 X 0 0 0 L HICKMAN - SEE SCH O VP & CNO 40.0 0.0 X 0 0 0 B JACKSON - SEE SCH O SVP & CFO 40.0 0.0 X 0 0 0 B THOMAS - SEE SCH O PRESIDENT & CEO 40.0 0.0 X 0 0 0 M ALI - SEE SCH O PHYSICIAN 40.0 0.0 X 0 0 0 G BIRK - SEE SCH O PHYSICIAN 40.0 0.0 X 0 0 0 R BURRELL - SEE SCH O PHYSICIAN 40.0 0.0 X 0 0 0 R FRAM - SEE SCH O PHYSICIAN 40.0 0.0 X 0 0 0 N WILLIS - SEE SCH O PHYSICIAN 40.0 0.0 X 0 0 0 T HARBUCK - SEE SCH O FORMER EXECUTIVE VP 0.0 0.0 X 0 0 0 W JOHNSON - SEE SCH O FORMER DIR/PRES & CEO 0.0 0.0 X 0 0 0 0 0 0 105 true true false PREMIER ANESTHESIA LLC 2655 NORTHWINDS PKWY ALPHARETTA GA 30009 PROFESSIONAL SERVICE 4409412 TEG ARCHITECTS 903 SPRING ST JEFFERSONVILLE IN 47130 PROFESSIONAL SERVICE 3919767 REHAB CARE GROUP INC PO BOX 502096 ST LOUIS MO 63150 THERAPY SERVICES 3544543 SODEXO INC AFFILIATES PO BOX 536922 ATLANTA GA 30353 NUTRITIONAL SERVICES 2820546 Southeast Arkansas Emergency Physic 4075 Copper Ridge Drive TRAVERSE CITY MI 49684 Professional Service 2338470 79 508424 235206 743630 Patient Service Revenue 621110 180514964 180514964 EHR Incentive 900099 41842 41842 Joint Venture Income 621500 1230097 1219895 10202 Medical Office Rental 531120 1191034 1191034 Pharmacy Revenue 446110 2789780 2789780 185767717 5049821 5049821 0 0 32520 2400 32520 2400 34920 2400 32520 15542426 1500 15538588 26293 3838 -24793 -20955 -20955 0 0 0 0 0 0 351324 17890 333434 333434 Outside/Pathology Lab 900099 17528 17528 Cafeteria 722320 1068606 1068606 Wellness Center 713490 565201 565201 885943 885943 2537278 194445845 187559621 12602 6129992 X 144821 144821 362629 362629 0 0 2784808 777864 2006944 1081662 112538 969124 78941539 70883621 8057918 2329824 2017183 312641 7701920 6872967 828953 5657887 4886604 771283 5064151 4518192 545959 162432 34130 128302 182687 182687 34848 34848 0 0 40779463 31806155 8973308 282831 65051 217780 6240736 4432909 1807827 1822917 1452865 370052 0 3279326 2430561 848765 164180 119053 45127 0 94572 84660 9912 1172971 1092182 80789 0 10596546 9866705 729841 1512832 1395303 117529 BAD DEBT EXPENSE 564056 564123 -67 MEDICAL SUPPLIES 27282026 27298734 -16708 DUES & FEES 675808 190571 485237 LICENSE & TAXES 2636070 2417260 218810 59779 18827 40952 201613321 173845508 27767813 0 8600 6377 0 0 0 0 34935812 34044860 0 0 0 0 921348 375961 3326131 3779030 1763498 2124222 260192554 182229582 70700777 77962972 151159838 142565906 2964347 2797057 0 0 0 0 7133024 6967027 272913375 270623412 37573465 35009314 0 0 228986 70486 17677626 16688857 0 0 0 0 0 0 0 0 9488104 15650816 64968181 67419473 X 207945194 203203939 0 0 0 0 207945194 203203939 272913375 270623412 -7167476 2426221 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true 34848 34848 false FORM 990, SCHEDULE C, PART II-B, LINE 1 LOBBYING ACTIVITIES: DURING THE FISCAL YEAR, MEMBERS OF JRMC'S STAFF HAD OCCASIONAL CONTACT WITH LEGISLATORS. ADDITIONALLY, JRMC CONTRIBUTED TO ORGANIZATIONS THAT UNDERTOOK LOBBYING ACTIVITIES DURING THE YEAR. JRMC ESTIMATES THE TOTAL AMOUNT OF DUES USED FOR LOBBYING ACTIVITIES AT $34,848. 6795018 6795018 113680535 82855948 30824587 1841991 1449039 392952 129164459 97924595 31239864 8710551 8710551 77962972 0 457 Plan 2266467 Capital Lease Obligation 576667 Line of Credit 12614850 Due to Affiliates 192832 15650816 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: 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. true true X true X true X true true true false true true 7579 3616633 3616633 0.01790 14781 12314709 12314709 0.06110 22360 15931342 15931342 0.07900 10 2892 61528 38600 22928 0.00010 26 5157200 2249095 2908105 0.01440 3 6114121 4563948 1550173 0.00770 507450 361379 146071 0.00070 39 2892 11840299 7213022 4627277 0.02290 39 25252 27771641 7213022 20558619 0.10190 24 1455 27034 27034 0.00010 24 1455 27034 27034 0.00010 true 1472753 59993758 52512577 7481181 X true true 1 1 JEFFERSON REGIONAL MEDICAL CENTER 1600 W 40TH AVENUE PINE BLUFF AR 71603 WWW.JRMC.ORG AR4213 X X X X JEFFERSON REGIONAL MEDICAL CENTER false false true X X X X X X X X X 18 true false false true X SEE PART V, SECTION C X true 19 true SEE PART V, SECTION C false true X 150. 300. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 CONSULTING REPRESENTATIVES OF THE COMMUNITY: The Community Health Needs Assessment Toolkit developed by the National Center for Rural Health Works at Oklahoma State University, Center for Rural Health and Oklahoma Office of Rural Health was utilized as a guide for the CHNA facilitation process. The hospital created a Steering committee made up of officers of Jefferson Regional Medical Center and Officers of the Arkansas Rural Health Partnership. Due to the size of the service area, the steering committee chose to conduct their assessment through a focus group of community leaders and individuals in health-related fields. Approximately 60 Individuals from the community were selected for invitation to the focus group, or community advisory committee, by the Jefferson Regional Medical Center staff steering committee. Over 20 individuals who participated in the focus group were from various organizations such as: Jefferson Regional Medical Center, local physicians, Relyance Bank, Strong Manufacturing, Oudin Properties, Trotter Auto Group, Go Forward Pine Bluff, First Arkansas Insurance, Greater Mt. Calvary Baptist Church, Reed Architectural Firm, various other businesses and retirees. In addition to the focus group, 84 surveys were completed by members of the community. SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED: THE ORGANIZATION IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2018 CHNA THROUGH THE EXECUTION OF ITS CHNA IMPLEMENTATION STRATEGY THAT WAS UPDATED IN October OF 2019. All needs identified within the assessment are being addressed in the implementation strategy. FOR ADDITIONAL INFORMATION, SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A. SCHEDULE H, PART V, SECTION B, LINES 7 & 10 CHNA AND IMPLEMENTATION STRATEGY: THE CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: https://www.jrmc.org/about/community-health-needs-assessment/ SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16C FINANCIAL ASSISTANCE POLICY: THE FAP, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: https://www.jrmc.org/patients-visitors/billing-insurance/financial-assista nce 18 HEALTH CARE PLUS 209 N BLAKE PINE BLUFF AR 71603 PHYSICIAN CLINIC PINE BLUFF SPECIALTY CLINIC 1601 W 40TH AVE SUITE 301 PINE BLUFF AR 71603 PHYSICIAN CLINIC CARDIOLOGY ASSOCIATES 1601 W 40TH AVE SUITE 301 PINE BLUFF AR 71603 PHYSICIAN CLINIC ENDOCRINOLOGY OF SOUTH ARKANSAS 7500 DOLLARWAY RD WHITE HALL AR 71603 PHYSICIAN CLINIC SOUTH ARKANSAS ORTHOPEADICS CENTER 1609 W 40TH AVE SUITE 501 PINE BLUFF AR 71603 PHYSICIAN CLINIC NEUROSURGERY ASSOCIATES OF SOUTHEAST AR 1609 W 40TH AVE SUITE 501 PINE BLUFF AR 71603 PHYSICIAN CLINIC OBGYN ASSOCIATES OF S AR 1801 W 40TH AVE SUITE 401 PINE BLUFF AR 71603 PHYSICIAN CLINIC SURGICAL ASSOCIATES OF SOUTHEAST AR 1609 W 40TH AVE SUITE 403 PINE BLUFF AR 71603 PHYSICIAN CLINIC FAMILY HEALTH ASSOC OF SOUTH ARKANSAS 4747 DUSTY LAKE DRIVE PINE BLUFF AR 71603 PHYSICIAN CLINIC GI ASSOC OF SOUTH ARKANSAS 1609 W 40TH AVE SUITE 312 PINE BLUFF AR 71603 PHYSICIAN CLINIC PAIN SPECIALISTS OF SOUTH ARKANSAS 1609 W 40TH AVE SUITE 312 PINE BLUFF AR 71603 PHYSICIAN CLINIC NEUROLOGY PRACTICE 1609 W 40TH AVE SUITE 207 PINE BLUFF AR 71603 PHYSICIAN CLINIC CHILDREN'S CLINIC PA 1420 W 43RD AVE PINE BLUFF AR 71603 PHYSICIAN CLINIC I-530 IMAGING 4747 DUSTY LAKE DR PINE BLUFF AR 71603 OP IMAGING JRMC OUTPATIENT PHYSICAL THERAPY 1600 W HOLLAND AVE WHITE HALL AR 71602 OP THERAPY JRMC URGENT CARE CENTER 4201 S MULBERRY ST PINE BLUFF AR 71603 WALK-IN CLINIC SURGICAL ASSOCIATES OF SOUTHEAST AR 1801 W 40TH AVE STE 7 PINE BLUFF AR 76103 PHYSICIAN CLINIC OBGYN ASSOCIATES OF SOUTH AR 1609 W 40TH AVE STE 402 PINE BLUFF AR 76103 PHYSICIAN CLINIC SCHEDULE H, PART III, SECTION A, LINE 2 PROVISION FOR UNCOLLECTIBLE ACCOUNTS METHODOLOGY: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. THEREFORE, BAD DEBT EXPENSE RELATED TO PATIENT ACCOUNTS WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2019. HOWEVER, THE HOSPITAL INTERNALLY TRACKS ACCOUNT ACTIVITY CONSISTENT WITH HISTORICAL PRACTICES AND THE AMOUNT THAT WOULD HAVE BEEN ATTRIBUTED TO BAD DEBT UNDER PREVIOUS ACCOUNTING POLICY HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE: THE HOSPITAL HAS PROCESSES IN PLACE TO IDENTIFY THOSE PATIENTS THAT WOULD QUALIFY FOR FINANCIAL ASSISTANCE. THOSE ACCOUNTS ARE WRITTEN OFF TO CHARITY. THE HOSPITAL ALSO USES PRESUMPTIVE ELIGIBILITY TO IDENTIFY THOSE PATIENTS WHO HAVE NOT COMPLETED AN APPLICATION AND THOSE PATIENTS ARE CONSIDERED ASSISTANCE AS WELL. MANAGEMENT DOESN'T BELIEVE THAT ANY OF THE BAD DEBT WOULD BE ATTRIBUTABLE TO THOSE FAP-ELIGIBLE PATIENTS. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO THE ADOPTION OF ASU TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: THE ORGANIZATION MAINTAINS A COST ACCOUNTING SYSTEM THAT COMPUTES COSTS AT THE PATIENT LEVEL. THE COSTING METHODOLOGIES ARE APPLIED TO THE ORGANIZATION'S MEDICARE PATIENTS TO DETERMINE THE COST OF PROVIDING CARE. AS A SAFETY NET HOSPITAL, THE ORGANIZATION PROVIDES CARE TO ALL PATIENTS REGARDLESS OF SOURCE OF PAYMENT; THEREFORE, COSTS TO PROVIDE CARE TO MEDICARE PATIENTS SHOULD BE CONSIDERED COMMUNITY BENEFIT TO THE EXTENT COSTS EXCEED MEDICARE REIMBURSEMENT. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTIONS POLICY: PATIENT ACCOUNTS QUALIFYING FOR free or discounted care WOULD NOT INTENTIONALLY BE PLACED WITH A DEBT COLLECTION SERVICE. FROM TIME TO TIME, INFORMATION THAT RESULTS IN THE DETERMINATION OF ASSISTANCE QUALIFICATION IS OBTAINED SUBSEQUENT TO A PATIENT'S ACCOUNT BEING PLACED WITH A DEBT COLLECTION AGENCY. THE ORGANIZATION'S COLLECTION AGENCY POLICY REQUIRES CONTRACTED COLLECTION AGENTS, IN ADDITION TO MANY OTHER PRUDENT PROCEDURES, TO INFORM THE DEBTOR OF THE APPROPRIATE HOSPITAL FINANCIAL ASSISTANCE PROFESSIONAL TO CONTACT IF THE COLLECTION AGENT IS MADE AWARE OF A PATIENT'S FINANCIAL HARDSHIP. THE COLLECTION AGENT IS ALSO REQUIRED TO NOTIFY THE ORGANIZATION OF THE PATIENT'S FINANCIAL HARDSHIP SO THE ORGANIZATION CAN ASSIST THE PATIENT IN ACCESSING THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS. SCHEDULE H, PART VI, LINE 2 Needs Assessment: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILTY FOR ASSISTANCE: A FINANCIAL COUNSELOR INITIATES A FINANCIAL SCREENING ON ALL INPATIENTS, OBSERVATION PATIENTS AND OUTPATIENTS OCCUPYING A BED HAVING NO INSURANCE INDICATED ON THEIR ACCOUNT. THIS PROCESS INCLUDES SCREENING FOR free or discounted care, MEDICAID COVERAGE AND OTHER THIRD PARTY COVERAGE. OUTPATIENTS RECEIVE A FINANCIAL ASSISTANCE GUIDE SHEET SUMMARIZING ASSISTANCE OFFERED BY JRMC AT THE TIME OF REGISTRATION. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: THIS IS NOT APPLICABLE FOR FISCAL YEAR 2019. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: THIS IS NOT APPLICABLE FOR FISCAL YEAR 2019. SCHEDULE H, PART I, LINE 3C FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: -MEDICAL INDIGENCY -INSURANCE STATUS -UNDERINSURANCE STATUS SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: JRMC PERSONNEL SERVED ON THE BOARDS OF A NUMBER OF LOCAL VOLUNTEER AND BUSINESS ORGANIZATIONS THAT PROMOTED GENERAL COMMUNITY DEVELOPMENT AND HEALTH BY PROVIDING HEALTH EDUCATION AND VOLUNTEER SUPPORT. true UNITED WAY OF SOUTH EAST ARKANSAS PO BOX 8702 PINE BLUFF AR 71611 710236869 501(C)(3) 61250 2017 CAMPAIGN PLEDGE AR HOSPITAL EDUCATION & RESEARCH TRUST 419 NATURAL RESOURCES DR LITTLE ROCK AR 72205 710392458 501(C)(3) 28313 2018 AHERT DONATION JEFFERSON CO TAX COLLECTOR 101 W BARRAQUE ST PINE BLUFF AR 71601 716009958 GOVT 10000 BOARD APPROVED DONATION TO JEFFERSON COUNTY SHERRIFF DEPT PINE BLUFF COUNTRY CLUB PO BOX 6809 PINE BLUFF AR 71601 710141610 501(C)(7) 12000 IRRIGATION SYSTEM & HALL OF FAME SPONSORSHIP 3 1 FEDERAL PELL GRANTS 65 270974 WIA ADULT PROGRAM GRANTS 14 49236 STATE GO GRANTS 2 750 ACADEMIC CHALLENGE 10 17375 STATE OF AR - REHABILITATION 6 15544 JSN SCHOLARSHIPS 10 7500 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: JEFFERSON HOSPITAL ASSOCIATION, INC. MAINTAINED RECORDS TO SUBSTANTIATE THE AMOUNT OF THE GRANTS OR ASSISTANCE, THE GRANTEES' ELIGIBILITY FOR THE GRANTS OR ASSISTANCE, AND THE SELECTION CRITERIA USED TO AWARD GRANTS OR ASSISTANCE. FORM 990, PART IX, LINES 1 & 2 & SCHEDULE I, PARTS II & III DIFFERENCE BETWEEN SCHEDULE I & STATEMENT OF FUNCTIONAL EXPENSES: THE ORGANIZATION IS REPORTING THE CONTRIBUTIONS PAID ON SCHEDULE I, WHICH IS NOT NECESSARILY ON THE ACCRUAL BASIS BECAUSE THE ORGANIZATION RECORDS LONG-TERM PLEDGES AT THEIR NPV AND RECORDS ACCRETION OF INTEREST OVER TIME. THE PLEDGES, WHEN PAID, ARE A REDUCTION OF THIS LIABILITY AND NOT CURRENT YEAR EXPENSE WHICH MAY CAUSE A DIFFERENCE BETWEEN AMOUNT REPORTED ON FORM 990, PART IX AND SCHEDULE I, PARTS II & III. X X false true X X X X true true false false false false false true false J ACOSTA - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 M ALI - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 F ANTHONY - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 D ATKINSON - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 P AUSTIN - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 G BIRK - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 D BRIDGFORTH - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 D BROWN - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 R BURRELL - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JA CAMPBELL - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 M CASTEEL - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 M ECKERT - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 R FRAM - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 G Makris - See Sch O L HICKMAN - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 B JACKSON - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 A KLINE - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JB MAYS - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 S PITTILLO - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 A SANDERS - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 B THOMAS - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 H TROTTER III - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N WILLIS - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 T HARBUCK - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 W JOHNSON - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 C MORGAN - SEE SCH O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 G Makris - See Sch O SCHEDULE J, PART I, LINE 1A DESCRIPTION OF BENEFITS: THE FOLLOWING BENEFITS ARE INCLUDED IN THE TAXABLE COMPENSATION OF THE RECIPIENTS. - TAX GROSS-UP PAYMENTS ARE INCLUDED IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IDENTIFIED BELOW. - COUNTRY CLUB MEMBERSHIPS ARE MAINTAINED BY THE ORGANIZATION FOR THE USE OF SPECIFIC EMPLOYEES AS DESIGNATED BY THE BOARD OF DIRECTORS. SCHEDULE J, PART I, LINE 1B WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT: THERE IS NO WRITTEN POLICY REGARDING PROVISION OF COUNTRY CLUB MEMBERSHIPS. THE BOARD OF DIRECTORS DESIGNATES WHICH EMPLOYEES MAY USE MEMBERSHIPS MAINTAINED BY THE ORGANIZATION. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: THE ORGANIZATION PROVIDES DEFINED MEMBERS OF MANAGEMENT A NON-FIXED PERFORMANCE BASED INCENTIVE PLAN. THE PLAN'S COMPONENTS ARE ESTABLISHED AND EVALUATED BY THE ORGANIZATION'S EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS: Mr. Harbuck and Mr. Johnson received severance payments in accordance with the terms of employment agreements between them and the Association. THOMAS HARBUCK $408,637 WALTER JOHNSON $454,043 SCHEDULE J, PART I, LINE 4B PARTICIPANTS IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP PLAN REPORTED IN W-2 DEFERRED COMPENSATION --------------------------- ----------------- ---------------------- LOUISE HICKMAN $ 81,801 $NONE BRIAN THOMAS $ 108,080 $NONE BRYAN G. JACKSON $ 289,858 $NONE PETER AUSTIN $ NONE $28,356 A JEFFERSON COUNTY AR 716009958 472705SP6 2011-12-15 26013416 REFUND 2001 BONDS false false false A 1580000 0 26013416 0 0 25395168 372172 246076 0 0 0 0 2012 true false true true A false false false false 0 false false false true A false false false true false false 0 false 0 false true A true SCHEDULE K, PART IV, LINE 2C ARBITRAGE REBATE COMPUTATION: THE COMPUTATION TO DETERMINE THERE IS NO REBATE CURRENTLY DUE WAS PERFORMED DECEMBER 1, 2016. mary virginia makris SEE SUPPLEMENTAL INFO SEE SUPPLEMENTAL INFO false Michael Acosta SEE SUPPLEMENTAL INFO SEE SUPPLEMENTAL INFO false ELIZABETH BRIDGFORTH Hartz SEE SUPPLEMENTAL INFO SEE SUPPLEMENTAL INFO false SIMMONS BANK SEE SUPPLEMENTAL INFO SEE SUPPLEMENTAL INFO false CHILDREN'S CLINIC PA SEE SUPPLEMENTAL INFO SEE SUPPLEMENTAL INFO false FORM 990, SCHEDULE L, PART IV, COLUMNS B, C, & D A) NAME OF PERSON: MARY VIRGINIA MAKRIS (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF GEORGE MAKRIS (JHA DIRECTOR) (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $10,000 (D) DESCRIPTION OF TRANSACTION: EMPLOYEE OF JRMC (A) NAME OF PERSON: Michael Acosta (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JANICE ACOSTA (JHA DIRECTOR) (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $10,000 (D) DESCRIPTION OF TRANSACTION: EMPLOYEE OF JRMC (A) NAME OF PERSON: ELIZABETH BRIDGFORTH HARTZ (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF DAVID BRIDGFORTH (JHA DIRECTOR) (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $10,000 (D) DESCRIPTION OF TRANSACTION: EMPLOYEE OF JRMC (A) NAME OF PERSON: SIMMONS BANK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: CASTEEl AND TROTTER ARE OFFICERS AND/OR DIRECTORS. (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $100,000 (D) DESCRIPTION OF TRANSACTION: BANKING SERVICES (A) NAME OF PERSON: CHILDREN'S CLINIC PA (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JOANN MAYS (JHA DIRECTOR) IS A MEMBER/OWNER OF CHILDREN'S CLINIC PA. (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $100,000 (D) DESCRIPTION OF TRANSACTION: CONTRACTED PEDIATRIC SERVICES FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: CONTINUED FROM PART III... IN EXISTENCE FOR OVER A CENTURY, JEFFERSON REGIONAL BEGAN AS DAVIS HOSPITAL IN 1908 TO MEET THE HEALTHCARE NEEDS OF SOUTHEAST ARKANSAS AND EXISTS TODAY WITH THE SAME PURPOSE. AS THE COUNTYS ONLY GENERAL ACUTE CARE HOSPITAL, JEFFERSON REGIONAL MEDICAL CENTER IS LICENSED FOR 471 ACUTE CARE BEDS AND CURRENTLY OPERATES AN AVAILABLE 258 BEDS AND PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. JEFFERSON REGIONALS GOVERNING BODY IS COMPRISED OF INDIVIDUALS WHO ARE REPRESENTATIVE OF THE COMMUNITY. APPROXIMATELY 65 PERCENT OF JEFFERSON REGIONALS PATIENTS ORIGINATE FROM ITS PRIMARY SERVICE AREA (JEFFERSON, CLEVELAND AND LINCOLN COUNTIES) WITH 35 PERCENT ORIGINATING FROM THE SECONDARY SERVICE AREA (ARKANSAS, ASHLEY, BRADLEY, CHICOT, DALLAS, DESHA, DREW AND GRANT COUNTIES.) WITH COMMUNITY SERVICE AND EDUCATION AS A SIGNIFICANT PART OF THE MISSION, JEFFERSON REGIONAL PROVIDES FINANCIAL SPONSORSHIPS WITHIN THE COMMUNITY AND OFFERS FREE HEALTH SCREENINGS AND EDUCATIONAL EVENTS EACH YEAR TO REALIZE THE MISSION, "TO PROVIDE MEASURABLE QUALITY HEALTH SERVICES IN A CARING ENVIRONMENT WHICH FULFILL THE NEEDS OF OUR PATIENTS, PHYSICIANS, EMPLOYERS, EMPLOYEES AND COMMUNITYVISION, "TO BE WIDELY RECOGNIZED AS THE HEALTH CARE LEADER AND REFERRAL CENTER OF CHOICE FOR SOUTH ARKANSAS BY PROVIDING QUALITY HEALTH CARE SERVICES IN A COST EFFECTIVE MANNER". WITH A VARIETY OF DIVERSE PROGRAMS AND MEDICAL SERVICES DESIGNED TO MEET THE SPECIFIC NEEDS OF SOUTH ARKANSANS, JEFFERSON REGIONALS MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, REPRESENTS MOST MAJOR SPECIALTIES, INCLUDING CARDIOLOGY, GENERAL SURGERY, CRITICAL CARE, GASTROENTEROLOGY, ORTHOPAEDICS, NEUROLOGY, NEUROSURGERY, ENDOCRINOLOGY, URGENT AND EMERGENT CARE, OBSTETRICS/GYNECOLOGY, RADIOLOGY, AND PSYCHIATRY, AND HAS AN ACTIVE TEACHING PROGRAMS FOR MEDICAL STUDENTS AND RESIDENTS AS WELL AS STUDENTS IN ALLIED HEALTH FIELDS. JEFFERSON REGIONAL SPECIALISTS ALSO CONDUCT SATELLITE SPECIALTY CLINICS IN SURROUNDING COMMUNITIES. THE EMERGENCY DEPARTMENT, OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY, IS ALSO ACCOMPANIED BY AN URGENT CARE WALK-IN CLINIC AND THE HEALTHCARE PLUS CLINIC, WHICH PROVIDES OCCUPATIONAL HEALTH SERVICES TO AREA BUSINESSES, AND LABORATORY SERVICES, INPATIENT AND OUTPATIENT REHABILITATION (PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY). OUR COMMITMENT TO BRING INNOVATIVE PROGRAMS AND SERVICES TO SOUTHEAST ARKANSAS IS EVIDENT. DURING FISCAL YEAR 2019, JRMC INVESTED $7.9 MILLION IN CAPITAL ADDITIONS AND IMPROVEMENTS TO OUR PLANNING, BUDGETING AND SPENDING WITH THE GOAL OF CONTINUING TO PROVIDE STATE-OF-THE-ART TECHNOLOGIES IN A CARING ENVIRONMENT. JRMC CONTINUES TO BE A LEADER IN ELECTRONIC MEDICAL RECORD SYSTEM ADVANCEMENT, MEETING STAGE 2 MEANINGFUL USE REQUIREMENTS SET FORTH AS PART OF THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009. SINCE THE BEGINNING OF THE PROGRAM, JRMC HAS CONTINUED TO RECEIVE MONETARY INCENTIVES FROM THE ARKANSAS MEDICAID QUALITY PROGRAM BY ACHIEVING PERFORMANCE GOALS IN QUALITY, DOCUMENTATION AND VALIDATION EXCELLENCE. JRMC CONTINUES TO PARTICIPATE IN THE HCAHPS PATIENT PERSPECTIVES ON CARE. WE HAVE CHOSEN THE PHONE METHODOLOGY, WHICH ENSURES HIGHER RESPONSE RATE IN OUR SERVICE AREA. WE CONTINUALLY ANALYZE THE HCAHPS SURVEY RESULTS AND MAKE ADJUSTMENTS, WHEN NEEDED, TO IMPROVE THE OVERALL PATIENT EXPERIENCE AT JRMC. DURING THE PAST SEVERAL YEARS, THE BOARD OF DIRECTORS VIA ITS AUDIT COMMITTEE HAS FOCUSED ON MAINTAINING RECOMMENDATIONS MADE BY FITCH RATING WHICH URGED NOT-FOR-PROFIT HEALTHCARE PROVIDERS TO ADOPT NINE SPECIFIC PROVISIONS OF SARBANES-OXLEY COMPLIANCE. DURING THIS PERIOD WE HAVE CONTINUED TO MAINTAIN COMPLIANCE WITH ALL NINE OF THE FITCH/SOX PROVISIONS. THESE INCLUDE: PROHIBITION OF SPECIFIED NON-AUDIT SERVICES BY AUDITORS, FIVE YEAR AUDIT PARTNER ROTATION, AUDITOR COMMUNICATIONS, AUDIT COMMITTEE STANDARDS, MANAGEMENT CERTIFICATION OF FINANCIAL STATEMENTS, BONUS FORFEITURE, ADOPTION OF A CODE OF ETHICS, AUDIT COMMITTEE FINANCIAL EXPERT, AND INTERNAL CONTROL EVALUATION. IN ADDITION TO THE COMPLETE ADOPTION OF THE FITCH/SOX PROVISIONS, THE JHA BOARD OF DIRECTORS HAS UNDERTAKEN A COMPREHENSIVE SELF-ASSESSMENT REGARDING ITS NOT-FOR-PROFIT STATUS UTILIZING COMPLIANCE CHECK TOOL AND PROPOSED GUIDELINES PUBLISHED BY THE IRS. JHA HAS NO REASON TO BELIEVE ITS TAX EXEMPT STATUS HAS EVER BEEN IN JEOPARDY. FORM 990, PART VI, SECTION A, LINE 1A DELEGATION OF AUTHORITY: AN EXECUTIVE COMMITTEE MAY BE ELECTED BY THE BOARD OF DIRECTORS TO CONSIST OF NOT LESS THAN THREE DIRECTORS. THE COMMITTEE IS ABLE TO EXERCISE ALL AUTHORITY OF THE BOARD DURING INTERVALS BETWEEN MEETINGS OF THE BOARD WITH RESPECT TO THE AFFAIRS OF THE CORPORATION, BUT SHALL BE SUBJECT TO THE CONTROL AND DIRECTION OF THE FULL BOARD. THE COMMITTEE SHALL ALSO CONDUCT AN EVALUATION OF THE CHIEF EXECUTIVE OFFICER ANNUALLY FOR THE FULL BOARD OF DIRECTORS TO REVIEW. FORM 990, PART VI, SECTION A, LINE 2 RELATIONSHIPS OF OFFICERS, DIRECTORS, AND TRUSTEES: David Brown (JHA Director) and H. Ford Trotter III (JHA Director/Treasurer) have a business relationship. H. Ford Trotter III (JHA Director/Treasurer) and Marty Casteel (JHA Director) have a business relationship. Archie Sanders (JHA Director) and Annette Kline (JHA Vice-Chairman/Chairman) have a business relationship. Scott Pittillo (JHA Treasurer/Vice-Chairman) and Annette Kline (JHA Vice-Chairman/Chairman) have a business relationship. George Makris (JHA Director) and Marty Casteel (JHA Director) have a business relationship. H. Ford Trotter III (JHA Director/Treasurer) and George Makris (JHA Director) have business relationships. George Makris (JHA Director) and David Brown (JHA Director) have a business relationship. Chuck Morgan (JHA Chairman/Director) and Annette Kline (JHA Vice-Chairman/Chairman) have a business relationship. Marty Casteel (JHA Director) and Chuck Morgan (JHA Chairman/Director) have a business relationship. Chuck Morgan (JHA Chairman/Director) and George Makris (JHA Director) have a business relationship. Archie Sanders (JHA Director) and Chuck Morgan (JHA Chairman/Director) have a business relationship. Scott Pittillo (JHA Treasurer/Vice-Chairman) and Chuck Morgan (JHA Chairman/Director) have a business relationship. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE BYLAWS WERE AMENDED SEPTEMBER 2018. THE NEW BYLAWS CHANGED THE QUALIFICATIONS AND DEFINITIONS OF THE BOARD OFFICERS. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: THE ORGANIZATION HAS A MEMBERSHIP CONSISTING OF 30 JEFFERSON COUNTY ARKANSAS RESIDENTS. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS OF GOVERNING BODY: THE MEMBERSHIP OF THE ORGANIZATION HAS THE RESPONSIBILITY OF ELECTING THE BOARD OF DIRECTORS AT THE ANNUAL MEMBERSHIP MEETING. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990: THE FORM 990 AND FORM 990-T ARE PREPARED AND REVIEWED UNDER THE DIRECTION OF THE CHIEF FINANCIAL OFFICER. FINAL DRAFTS OF THE RETURNS ARE PRESENTED TO THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH IS DESIGNATED BY THE BOARD OF DIRECTORS TO FULFILL THE FIDUCIARY RESPONSIBILITY OF THE GOVERNING BODY TO REVIEW THE RETURNS BEFORE THEY ARE FILED WITH THE IRS. AFTER ANY FINAL REVISIONS ARE MADE BASED UPON THE GOVERNANCE COMMITTEE'S REVIEW, A FINAL VERSION IS POSTED TO AN INTERNAL SECURE WEBSITE WITH A LINK E-MAILED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR AND ENFORCE COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION REQUIRES NOT ONLY AN ANNUAL CONFLICT OF INTEREST DISCLOSURE, BUT ALSO DISCLOSURE WHEN SITUATIONS SUBSEQUENT TO THE ANNUAL DISCLOSURE DEVELOP THAT WOULD POTENTIALLY PLACE THE INDIVIDUAL IN A CONFLICT OF INTEREST. IN THOSE SITUATIONS, IMMEDIATE DISCLOSURE IS REQUIRED. THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS CONDUCTS THE ANNUAL REVIEW OF CONFLICT OF INTEREST DISCLOSURES. IN THE EVENT THE GOVERNANCE COMMITTEE DETERMINES THAT A CONFLICT EXISTS, LEGAL COUNSEL IS CONSULTED. IF LEGAL COUNSEL DETERMINES THAT A CONFLICT EXISTS, THE PERSON IS INFORMED AND THE MATTER IS REPORTED TO THE BOARD FOR ACTION. ANY DIRECTOR OR OFFICER WHOSE TRANSACTIONS ARE BEING REVIEWED WOULD ABSENT HIMSELF/HERSELF FROM THE REVIEW. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION OF CEO AND OTHER OFFICERS: THE COMPENSATION COMMITTEE MOST RECENTLY ENGAGED A THIRD-PARTY GLOBAL HUMAN CAPITAL CONSULTING FIRM, KORN FERRY HAY GROUP IN OCTOBER 2019 TO PERFORM A TOTAL COMPENSATION REVIEW THAT WAS PREVIOUSLY CONDUCTED IN SEPTEMBER 2018. THE COMPENSATION COMMITTEE UTILIZES THIS REVIEW IN CONCERT WITH A DEFINED EXECUTIVE COMPENSATION POLICY TO DEVELOP AND MAINTAIN A TOTAL COMPENSATION PACKAGE THAT IS REASONABLE AS COMPARED TO SIMILAR POSITIONS AT NON-PROFIT HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY. THE DELIBERATIONS AND DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED AND A SUMMARY REPORT IS MADE TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND OTHER DOCUMENTS TO ALL WHO REQUEST ONE OR MORE OF THE ITEMS. FORM 990, PART VII, SECTION A & SCHEDULE J, PART II COMPENSATION TABLE: COMPENSATION INFORMATION REQUIRED IN FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II IS PROVIDED IN A TABLE IDENTIFIED AS ATTACHMENT 3 AND ATTACHED TO THE TAX RETURN DOCUMENT FOLLOWING SCHEDULE R. THE TABLES WITHIN THE RETURN ARE POPULATED WITH ZERO BECAUSE OF THE ELECTRONIC FILING REQUIREMENT, AND THE CORRECT AMOUNTS ARE INCLUDED IN THE ATTACHMENT. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:13129795 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:4195972 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:15419066 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:2499234 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:5535396 JEFFERSON SURGERY CENTER PLLC 1600 W 40TH AVE PINE BLUFF AR 71603 710810564 AMB SURGERY AR 0 0 JHA JEFFERSON REGIONAL ANESTHESIA 1600 W 40th Ave PINE BLUFF AR 71603 831984365 ANESTHESIA AR 1556223 1558354 JHA JEFFERSON REGIONAL MED CENTER FOUNDATION 1600 W 40TH AVE PINE BLUFF AR 71603 821820277 SUPPORT AR 501(C)(3) 12, TYPE I JHA true JEFFERSON MANAGEMENT SERVICES INC 1600 W 40TH AVE PINE BLUFF AR 71603 710582753 PHYS PRACTICE MGM AR JHA C-CORPORATION 0 631226 1.00000 true JHA HEALTH AFFILIATES INC 1600 W 40TH AVE PINE BLUFF AR 71603 710766959 REAL EST RENTAL AR JHA C-CORPORATION -40575 827729 1.00000 true false false false false false false false false false false false true false false false false false false true JEFFERSON MANAGEMENT SERVICES INC L 77167 G/L ACTIVITY JEFFERSON MANAGEMENT SERVICES INC S 270000 G/L ACTIVITY JEFFERSON REGIONAL MED CENTER FOUNDATION L 209057 G/L ACTIVITY