HOWARD MEMORIAL HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HOWARD MEMORIAL HOSPITAL (EIN 71-0644637)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-06
IRS object ID
201912189349300116
Schema version
2017v2.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-06T08:11:57-07:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN710623618PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Welch Couch & Company PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1410 Barnett DrAddressLine1Txt
CityBatesvilleCityNm
State AbbreviationARStateAbbreviationCd
ZIP72501ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710644637EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOWARD MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOWABusinessNameControlTxt
Phone8708454400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 MEDICAL CIRCLEAddressLine1Txt
CityNASHVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP71852ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM J CRAIGPersonNm
Person TitleCFOPersonTitleTxt
Signature2019-08-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWILLIAM T COUCHPreparerPersonNm
PTINP00183609PTIN
Phone8707935231PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$22,539,675GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOWARDMEMORIAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionHMH MISSION STATEMENT IS "IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE". HMH VISION IS TO BE THE RESPECTED HEALTHCARE LEADER PROVIDING SERVICE EXCELLENCE TO HOWARD COUNTY AND ITS SURROUNDING COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee257TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$68,047PYContributionsGrantsAmt
CY Contributions Grants$70,774CYContributionsGrantsAmt
PY Program Service Revenue$19,137,560PYProgramServiceRevenueAmt
CY Program Service Revenue$20,741,384CYProgramServiceRevenueAmt
PY Investment Income$66,957PYInvestmentIncomeAmt
CY Investment Income$31,495CYInvestmentIncomeAmt
PY Other Revenue$1,216,658PYOtherRevenueAmt
CY Other Revenue$1,609,177CYOtherRevenueAmt
PY Total Revenue$20,489,222PYTotalRevenueAmt
CY Total Revenue$22,452,830CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,898,060PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,777,728CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,136,904PYOtherExpensesAmt
CY Other Expenses$10,819,271CYOtherExpensesAmt
PY Total Expenses$22,034,964PYTotalExpensesAmt
CY Total Expenses$23,596,999CYTotalExpensesAmt
PY Revenues Less Expenses-$1,545,742PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,144,169CYRevenuesLessExpensesAmt
Total Assets BOY$27,903,320TotalAssetsBOYAmt
Total Assets EOY$27,025,288TotalAssetsEOYAmt
Total Liabilities BOY$4,023,965TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,333,950TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$23,879,355NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,691,338NetAssetsOrFundBalancesEOYAmt
MissionHMH MISSION STATEMENT IS "IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE". HMH VISION IS TO BE THE RESPECTED HEALTHCARE LEADER PROVIDING SERVICE EXCELLENCE TO HOWARD COUNTY AND ITS SURROUNDING COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$18,337,438ExpenseAmt
DescHOWARD MEMORIAL HOSPITAL IS CLASSIFIED AS A 20-BED CRITICAL ACCESS HOSPITAL AND PROVIDES ACUTE AND SWING BED SERVICES. THE HOSPITAL PROVIDES MEDICAL CARE TO RESIDENTS OF SOUTHWESTERN ARKANSAS. THIS CARE INCLUDED APPROXIMATELY 2,449 INPATIENT DAYS OF CARE, AS WELL AS 24,116 OUTPATIENT VISITS AND 10,312 EMERGENCY DEPARTMENT VISITS, TO BENEFIT THE POOR AND ELDERLY IN THE COMMUNITY, THE HOSPITAL PARTICIPATED IN MEDICARE AND MEDICAID PROGRAMS. 1,210 DAYS OF CARE WERE PROVIDED TO PARTICIPANTS IN THESE PROGRAMS. ADDITIONALLY, HMH PROVIDED CARE FOR 739 SWING BED PATIENT DAYS.Desc
Total Program Service Expenses$18,337,438TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document52IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee257EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonWILLIAM J CRAIGPersonNm
Phone8708454400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 MEDICAL CIRCLEAddressLine1Txt
CityNASHVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP71852ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARK KITCHENS
Chairman1.000.00Yes (X)Yes (X)$0$0$0
GLENN LANCE DDS
Member1.000.00Yes (X)$0$0$0
KEN YOUNG
Member1.000.00Yes (X)$0$0$0
MARGIE GREEN
Member1.000.00Yes (X)$0$0$0
JOHN HEARNSBERGER MD
Member40.000.00Yes (X)$253,130$0$0
JOHNNY MCJUNKINS
Member1.000.00Yes (X)$0$0$0
JULIE RHODES
Member1.000.00Yes (X)$0$0$0
WES HOWARD
Member1.000.00Yes (X)$0$0$0
DEBRA WRIGHT
CEO40.000.00Yes (X)$185,179$0$0
WILLIAM CRAIG
CFO40.000.00Yes (X)$139,690$0$0
CHARLES CALDWELL
PHYSICIAN40.000.00$213,307$0$0Yes (X)
NGOZIDILENNA WILKINS
PHYSICIAN40.000.00$213,327$0$0Yes (X)
CHINEDU EDE
PHYSICIAN40.000.00$225,834$0$0Yes (X)
CHARLES BEARD
PHYSICIAN40.000.00$338,130$0$0Yes (X)
KRISTI WHISENHUNT
PHARMACIST40.000.00$145,311$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,713,908TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
JOHN HEARNSBERGER MD
PO BOX 904NASHVILLEAR71852SURGEON$253,130
LUIS BARANDIARAN MD
PO BOX 508NASHVILLEAR71852SURGEON$313,050
WOUND CARE SPECIALISTS
PO BOX 71849CHICAGOIL60694WOUND CARE SERVICES$391,225
OSTRANDER AND ASSOC
7245 EAST MELROSEMESAAZ85207SLEEP STUDY$109,130
DELTA FLEX TRAVELERS LLC
PO BOX 202940DALLASTX75320STAFFING SOLUTIONS$131,547
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$65,094RelatedOrganizationsAmt
All Other Contributions$5,680AllOtherContributionsAmt
Total Contributions$70,774TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Total Revenue Column$20,741,384TotalRevenueColumnAmt
Related Or Exempt Func Income$20,741,384RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$20,741,384TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$107,190TotalRevenueColumnAmt
Exclusion$107,190ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$82,800RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$82,800RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$82,800TotalRevenueColumnAmt
Related Or Exempt Func Income$82,800RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$11,150OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$86,845OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$75,695OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$75,695TotalRevenueColumnAmt
Exclusion-$75,695ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA SALES722210$192,943$192,943
OTHER INCOME900099$278,043$278,043
SWAHC THERAPY SERVICES624100$1,055,391$1,055,391
FieldValueIRS element (for citing)
Other Revenue Total$1,526,377OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,452,830TotalRevenueColumnAmt
Related Or Exempt Func Income$20,824,184RelatedOrExemptFuncIncomeAmt
Exclusion$1,557,872ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,713,908TotalAmt
Program Services$1,389,039ProgramServicesAmt
Management And General$324,869ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,238,649TotalAmt
Program Services$6,886,504ProgramServicesAmt
Management And General$2,352,145ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$107,895TotalAmt
Program Services$82,000ProgramServicesAmt
Management And General$25,895ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$935,752TotalAmt
Program Services$711,172ProgramServicesAmt
Management And General$224,580ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$781,524TotalAmt
Program Services$593,958ProgramServicesAmt
Management And General$187,566ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,345TotalAmt
Management And General$4,345ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$68,996TotalAmt
Management And General$68,996ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$103,561TotalAmt
Program Services$31,972ProgramServicesAmt
Management And General$71,589ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$624,452TotalAmt
Program Services$624,452ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$125,182TotalAmt
Program Services$104,809ProgramServicesAmt
Management And General$20,373ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$94,836TotalAmt
Management And General$94,836ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,815,187TotalAmt
Program Services$1,815,187ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$209,895TotalAmt
Program Services$20,503ProgramServicesAmt
Management And General$189,392ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$3,993,334$3,215,452$777,882
SUPPLIES & EQUIPMENT$2,529,537$2,151,274$378,263
OTHER EXPENSES$769,444$320,764$448,680
REPAIRS & MAINTENANCE$229,857$212,034$17,823

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$250,645TotalAmt
Program Services$178,318ProgramServicesAmt
Management And General$72,327ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$23,596,999TotalAmt
Program Services$18,337,438ProgramServicesAmt
Management And General$5,259,561ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,205,152BOYAmt
EOY$1,872,386EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,642,727BOYAmt
EOY$1,165,108EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,969,954BOYAmt
EOY$2,091,411EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$285,696BOYAmt
EOY$319,456EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$223,556BOYAmt
EOY$252,649EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$34,278,908LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,977,000LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,153,311BOYAmt
EOY$18,301,908EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,335,389BOYAmt
EOY$2,931,347EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$87,535BOYAmt
EOY$91,023EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,903,320BOYAmt
EOY$27,025,288EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,682,210BOYAmt
EOY$1,915,525EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,230,318BOYAmt
EOY$2,401,835EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$111,437BOYAmt
EOY$16,590EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,023,965BOYAmt
EOY$4,333,950EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,569,562BOYAmt
EOY$9,318,851EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,309,793BOYAmt
EOY$13,372,487EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,879,355BOYAmt
EOY$22,691,338EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,903,320BOYAmt
EOY$27,025,288EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,144,169ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$43,848NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$311,999OtherCostOrOtherBasisAmt
Book Value$311,999BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,630,785OtherCostOrOtherBasisAmt
Depreciation$7,402,026DepreciationAmt
Book Value$16,228,759BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$496,921OtherCostOrOtherBasisAmt
Depreciation$95,259DepreciationAmt
Book Value$401,662BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,785,936OtherCostOrOtherBasisAmt
Depreciation$8,479,715DepreciationAmt
Book Value$1,306,221BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,267OtherCostOrOtherBasisAmt
Book Value$53,267BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,301,908TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescSHORT-TERM NOTES PAYABLEDesc
Amt$16,590Amt
FieldValueIRS element (for citing)
Total Liability$16,590TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$23,390,136TotalRevEtcAuditedFinclStmtAmt
Other Revenue$937,306OtherRevenueAmt
Revenue Not Reported$937,306RevenueNotReportedAmt
Revenue Subtotal$22,452,830RevenueSubtotalAmt
Total Revenue Per Form990$22,452,830TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$24,534,305TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$937,306OtherExpensesIncludedAmt
Expenses Not Reported$937,306ExpensesNotReportedAmt
Expenses Subtotal$23,596,999ExpensesSubtotalAmt
Total Expenses Per Form990$23,596,999TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X : FIN48 FootnoteThe Hospital has adopted Accounting Standards Codification Topic 740, Accounting for Uncertainty in Income Taxes. The System will recognize a tax benefit only if it is more likely than not the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized will be the largest amount of tax benefit that has a greater than 50% likelihood of being realized on examination for tax positions not meeting the more likely than not test, no tax benefit will be recorded.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990NET ASSETS RELEASED FROM RESTRICTIONS $937306
Part XII, Line 2d: Other expenses and losses per audited F/SNET ASSETS RELEASED FROM RESTRICTIONS $937306

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$277,139TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$277,139NetCommunityBenefitExpnsAmt
Total Expense0.01170TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$277,139TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$277,139NetCommunityBenefitExpnsAmt
Total Expense0.01170TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,582TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$50,582NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,582TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$50,582NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$327,721TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$327,721NetCommunityBenefitExpnsAmt
Total Expense0.01380TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$2,486,149BadDebtExpenseAmt
Bad Debt Expense Attributable$969,534BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,337,990ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,264,543CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$73,447MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnfalseFinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1SOUTHWEST ARKANSAS HOMECARELLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesHOME HEALTHPrimaryActivitiesTxt
Org Profit Or Ownership0.33000OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOWARD MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 MEDICAL CIRCLEAddressLine1Txt
CityNASHVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP71852ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.HOWARDMEMORIAL.COMWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
OtherYes (X)OtherInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.HOWARDMEMORIAL.COMOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.HOWARDMEMORIAL.COMStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.0000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.HOWARDMEMORIAL.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.HOWARDMEMORIAL.COMFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.HOWARDMEMORIAL.COMFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 3j - Description of Other Needs AssessmentCONTRACTED WITH CENTER FOR COMMUNITY ENGAGEMENTS AT ARKANSAS STATE UNIVERSITY TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENT
Part V, Line 5 - Account Input from Persons Who Represent the CommunityHMH CREATED FOUR DIFFERENT FOCUS GROUPS BASED ON THE DEMOGRAPHICS OF HOWARD COUNTY TO CAPTURE VARYING POPULATIONS
Part V, Line 7d - Description of Making Needs Assessment Widely AvailableCOPY OF NEEDS ASSESSMENT READILY AVALIABLE IN ADMINISTRATION.NEEDS ASSESSMENT POSTED ON HOSPITAL'S FACEBOOK PAGE.NEEDS ASSESSMENT PRESENTED TO QUORUM COURT, HOSPITAL BOARD OF DIRECTORS, HOSPITAL MEDICAL STAFF, PRESS RELEASE TO MEDIA (NEWSPAPER AND RADIO), INCLUDED AS A COMPONENT OF HOSPITAL'S STRATEGIC PLAN.
Part V, Line 16j - Other Means Hospital Facility Publicized the PolicySPANISH

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseACCOUNTS CALCULATED BASED ON REIMBURSEMENT FROM PRIVATE PAY/ UNINSURED PATIENTS AVERAGES TO BE 5 CENTS PER DOLLAR CHARGE, BASED ON A 12 MONTH LOOK BACK ANALYSIS
Part III, Line 4 - Bad Debt ExpenseACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUALLY CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES SURROUNDING THE ACCOUNT. THE DIFFERENCE BETWEEN THE STANDARD RATES OR NEGOTIATED DISCOUNTED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsPATIENTS ARE INFORMED OF CHARITY CARE PROGRAM AND FINANCIAL ASSISTANCE PROGRAM FOR UNINSURED PATIENTS
Part VI, Line 3 - Patient Education of Eligibility for AssistanceINFORMS PATIENTS UPON ADMISSION AND POSTS NOTICES IN CONSPICUOUS AREAS.
Part VI, Line 4 - Community InformationRURAL SETTING, PREDOMINANTLY AGRICULTURAL BASE. AVERAGE INCOME AT OR BELOW POVERTY GUIDELINES. PREDOMINANTLY CAUCASIAN, HIGH SCHOOL EDUCATED AND GERIATRIC IN NATURE.
Part VI, Line 5 - Promotion of Community HealthHOWARD MEMORIAL HOSPITAL IS CLASSIFIED AS A 20-BED CRITICAL ACCESS HOSPITAL AND PROVIDES ACUTE AND SWING BED SERVICES. THE HOSPITAL PROVIDES MEDICAL CARE TO RESIDENTS OF SOUTHWESTERN ARKANSAS. THIS CARE INCLUDED APPROXIMATELY 2,449 INPATIENT DAYS OF CARE, AS WELL AS 24,116 OUTPATIENT VISITS AND 10,312 EMERGENCY DEPARTMENT VISITS. TO BENEFIT THE POOR AND ELDERLY IN THE COMMUNITY, THE HOSPITAL PARTICIPATED IN MEDICARE AND MEDICAID PROGRAMS. 1,784 DAYS OF CARE WERE PROVIDED TO PARTICIPANTS IN THESE PROGRAMS.
Part V - Explanation of Number of Facility TypeA RURAL HOSPITAL LOCATED IN NASHVILLE, ARKANSAS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
CHARLES BEARD
PHYSICIAN$338,130$338,130
CHARLES CALDWELL
PHYSICIAN$213,307$213,307
CHINEDU EDE
PHYSICIAN$225,834$225,834
DEBRA WRIGHT
CEO$185,179$185,179
JOHN HEARNSBERGER MD
Member$253,130$253,130
NGOZIDILENNA WILKINS
PHYSICIAN$213,327$213,327

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review Process990 WILL BE REVIEWED DURING A MONTHLY BOARD MEETING
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsHMH DISTRIBUTES THE CONFLICT OF INTEREST STATEMENT ANNUALLY AT THE BOARD OF DIRECTORS MEETING AND REQUIRES COMPLETION OF THE DISCLOSURE STATEMENT ANNUALLY.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesHOWARD MEMORIAL UTILIZES ITS ANNUAL EVALUATIONS AND COMPARABILITY DATA TO REVIEW AND DETERMINE COMPENSATION OF EMPLOYEES
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableAVAILABLE UPON REQUEST FROM ADMINISTRATION

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
HOWARD MEMORIAL HOSPITAL FOUNDATION
130 MEDICAL CIRCLENASHVILLEAR71852710644638TO FURTHER THE PURPOSE OF HOWARD MEMORIAL HOSPITALAR501(C)(3)170-B-1-A-iiiN/Afalse
HOWARD HEALTH SYSTEMS
PO BOX 381NASHVILLEAR71852710644639OVERSIGHT ORGANIZATION FOR HOSPITAL AND FNDAR501(C)(3)170-B-1-A-iiiN/Afalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
SOUTHWEST ARKANSAS HOMECARE LLC
901 S HUGH WALLIS RDLAFAYETTELA70508260274543HEALTHCARELAN/A$347,400$77,928falsefalse0.33000
HMH PHYSICIAN SERVICES LLC
130 MEDICAL CIRCLENASHVILLEAR71852815151360BILLING FOR HOSPITALISTARN/A$267,975falseYes (true)1.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HOWARD MEMORIAL HOSPITAL FOUNDATION
c$65,094CASH
HOWARD MEMORIAL HOSPITAL FOUNDATION
o$36,981CASH
HOWARD MEMORIAL HOSPITAL FOUNDATION
q$24,123CASH
HOWARD MEMORIAL HOSPITAL FOUNDATION
r$2,516CASH
SOUTHWEST ARKANSAS HOMECARE LLC
a$342,680CASH
HMH PHYSICIAN SERVICES LLC
s$267,975CASH

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.