2018-05-10T08:07:10-07:00 2017-06-30 Welch Couch & Company PA 410 Barnett Dr Batesville AR 72501 990 2016-07-01 710276839 DELTA MEMORIAL HOSPITAL DELT 8703824303 811 HWY 65 S DUMAS AR 71639 TIMOTHY JONES Chairman 2018-05-10 true WILLIAM T COUCH P00183609 8707935231 2016 2022-09-23 18:48:47Z 13210615 false false X WWW.DELTAMEM.ORG X 1975 AR DELTA MEMORIAL HOSPITAL IS COMMITTED TO AID HEALING AND PROMOTE WELLNESS FOR SOUTHEAST ARKANSAS 9 9 185 20 0 87809 54923 10568131 12241033 294373 -185050 804113 914273 11754426 13025179 0 0 7039401 7032557 0 0 6201833 6824811 13241234 13857368 -1486808 -832189 11699048 10859921 7010612 7003674 4688436 3856247 DELTA MEMORIAL HOSPITAL IS COMMITTED TO AID HEALING AND PROMOTE WELLNESS FOR SOUTHEAST ARKANSAS false false 10073515 DELTA MEMORIAL HOSPITAL PROVIDES MEDICAL HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR ABILITY TO PAY. 10073515 true true false false false false false false false false true false false false true true true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false false false false false true 23 0 true 185 false false false false false false false false false 0 false false false false false false false false false false X 9 9 false false false false false false false true false false false true true true true true true false false false X X VICKI ALLEN 8703924303 811 HWY 65 S DUMAS AR 71639 FLORA SIMON Director 1.00 0.00 X 0 0 0 HEATH MONICRIEF Director 1.00 0.00 X 0 0 0 TIMOTHY JONES Chairman 1.00 0.00 X X 0 0 0 JOSHUA SMITH Director 1.00 0.00 X 0 0 0 PRICE BONEY JR Director 0.00 0.00 X 0 0 0 WARREN PARKER Director 0.00 0.00 X 0 0 0 ROBIN SHEA Director 1.00 0.00 X 0 0 0 JOHN FREEMAN Director 1.00 0.00 X 0 0 0 SHIRLEY TEETER Secretary 1.00 0.00 X X 0 0 0 ASHLEY ANTHONY CEO 40.00 0.00 X 95740 0 0 VICKI ALLEN CFO 40.00 0.00 X 75762 0 0 DR DAVID CHAMBERS PHYSICIAN 40.00 0.00 X 882532 0 0 DAVID FOSCUE MD ER PHYSICIAN 35.00 0.00 X 227257 0 0 CANDACE PRIDDY PA PHYSICIAN ASST 30.00 0.00 X 104543 0 0 DONNA NORRIS RN 40.00 0.00 X 102309 0 0 1488143 4 false true false LEWIS NELSON BALLARD III 100 RAVENWOOD PLACE HOT SPRINGS AR 71901 CRNA 250000 MARGARET ISHEE 5120 LODS FIELD RD GRAND BAY AL 36541 CRNA 250000 FRANKLIN DAVID CHAMBERS 3 ROBINWOOD DR DUMAS AR 71639 ER PHYSICIAN 175000 DAVID FOSCUE 5 W NOTTINGHAM LANE ROGERS AR 72758 ER PHYSICIAN 229575 4 40113 14810 54923 PATIENT SERVICE REVENUE 11430541 11430541 STATE ASSESSMENT REVENUE 810492 810492 12241033 386 386 0 0 29115 29115 29115 29115 185436 -185436 -185436 -185436 0 0 0 COUNTY MILLAGE TAX 900099 656560 656560 GUEST AND EMPLOYEE MEALS 900099 55485 55485 MISCELLANEOUS 900099 164358 164358 8755 8755 885158 13025179 13126191 -155935 0 0 0 0 171502 171502 0 5955098 4706738 1248360 9929 7546 2383 496032 376985 119047 399996 303997 95999 0 37179 37179 79900 79900 0 0 0 0 0 0 0 0 254487 27098 227389 58043 50847 7196 0 0 219770 219770 0 1167933 1167933 336621 336621 PURCHASED SERVICES 3032650 2415396 617254 SUPPLIES & OTHER 1209173 794990 414183 REPAIRS & MAINTENANCE 197116 137859 59257 TELEPHONE 92743 7621 85122 139196 76505 62691 13857368 10073515 3783853 0 159195 359548 0 0 2178982 1883225 0 0 0 233597 197250 254068 274895 18475743 10472312 8695353 8003431 0 0 0 0 177853 141572 11699048 10859921 2212596 2694505 4077071 4123253 27000 27000 693945 158916 7010612 7003674 X -1210664 -1648485 5899100 5504732 4688436 3856247 11699048 10859921 -832189 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 105910 105910 12356078 6082500 6273578 6013755 4389812 1623943 8003431 ESTIMATED THIRD-PARTY PAYOR 158916 158916 X 13419547 394368 394368 13025179 13025179 13857368 13857368 13857368 Part X : FIN48 Footnote MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITION AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 RELEASE OF RESTRICTIONS $394368 true true true X true X true true false false true true 12275 12275 0.00090 12275 12275 0.00090 12275 12275 0.00090 true 1547676 817271 4616500 3823118 793382 true false 1 1 DELTA MEMORIAL HOSPITAL 811 HWY 65 S DUMAS AR 71639 X X X DELTA MEMORIAL HOSPITAL 1 false false true X X X X X X X X 16 true false false true X www.deltamem.org true 16 false true false true X 200.0000 200.0000 X X X X true true true X X true X X true X X X X X true false false Part V, Line 5 - Account Input from Persons Who Represent the Community DEVELOPED A STEERING COMMITTEE AND HELD COMMUNITY MEETINGS THAT PRESENTED SURVEYS TO COMMITTEE MEMEBERS FOR INPUT Part VI - Needs Assessment UTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FORM DHS AS WELL AS REPORTS SHOWING PERCENT OF ACTIVITY OF COMMUNITY BY PAYOR SOURCE. Part VI - Patient Education of Eligibility for Assistance INFORMS PATIENTS UPON ADMISSION AND POSTS NOTICES IN CONSPICUOUS AREAS. Part VI - Community Information RURAL SETTING, PREDOMINANTLY AGRICULTURAL BASE. AVERAGE INCOME AT OR BELOW FEDERAL POVERTY GUIDELINES. PREDOMINANTLY CAUCASIAN, HIGH SCHOOL EDUCATED AND GERIATRIC IN NATURE. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose PROVIDES DUMAS SCHOOL ATHLETES PHYSICALS FREE OF CHARGE, PARTICIPATES IN NUMEROUS COMMUNITY HEALTH FAIRS AND PROVIDES HEALTH SCREENINGS, NEW MOM/BIRTHING CLASSES, CAR SEAT SAFETY TRAINING, BABYSITTING TRAINING CLASSES,AND MEALS FOR COMMUNITY EVENTS false false false false false false false false false false DAVID FOSCUE MD ER PHYSICIAN 227257 227257 DR DAVID CHAMBERS PHYSICIAN 707532 175000 882532 Form 990, Part VI, Line 11b: Form 990 Review Process REVIEWED BY MANAGMENT AND GOVERNING BOARD Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts ANNUAL CONFLICT OF INTEREST FORM COMPLETED BY EACH BOARD MEMBER Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public Inspection UPON REQUEST Form 990, Part VI, Line 19: Other Organization Documents Publicly Available UPON REQUEST