2017-07-10T16:57:22-05:00 2016-09-30 710623618 Welch Couch & Company PO Box 2094 Batesville AR 72503 990 2015-10-01 710644637 HOWARD MEMORIAL HOSPITAL HOWA 8708454400 130 MEDICAL CIRCLE NASHVILLE AR 71852 WILLIAM J CRAIG CFO 8708454400 2017-07-10 1 WILLIAM T COUCH P00183609 8707935231 2015 2021-01-29 14:40:06Z 18790401 0 X WWW.HOWARDMEMORIAL.COM X 1987 AR HMH MISSION STATEMENT IS "IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE." HMH VISION IS TO BE THE RESPECTED HEALTHCARE LEADER PROVDIING SERVICE EXCELLENCE TO HOWARD COUNTY AND ITS SURROUNDING COMMUNITIES. 8 8 203 20 0 0 97395 64983 15145171 17665236 51287 60542 1083481 988615 16377334 18779376 0 0 0 0 7977214 9286908 0 0 0 8351115 9638192 16328329 18925100 49005 -145724 29607316 29287145 4088351 3873608 25518965 25413537 HMH MISSION STATEMENT IS "IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE." HMH VISION IS TO BE THE RESPECTED HEALTHCARE LEADER PROVDIING SERVICE EXCELLENCE TO HOWARD COUNTY AND ITS SURROUNDING COMMUNITIES. 0 0 13869924 HOWARD 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 INPATIENT 2,109 DAYS OF CARE, AS WELL AS 20,667 OUTPATIENT VISITS AND 9,895 EMERGENCY DEPARTMENT VISITS, TO BENEFIT THE POOR AND ELDERLY IN THE COMMUNITY, THE HOSPITAL PARTICIPATED IN MEDICARE AND MEDICAID PROGRAMS. 1,462 DAYS OF CARE WERE PROVIDED TO PARTICIPANTS IN THESE PROGRAMS 13869924 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 58 0 203 1 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 1 0 X WILLIAM J CRAIG 8708454400 130 MEDICAL CIRCLE NASHVILLE AR 71852 MARGIE GREEN SECRETARY 1.00 X X 0 0 0 JOHN HEARNSBERGER MD CHIEF OF STAFF 1.00 X X 231381 0 0 MARK KITCHENS CHAIRMAN 1.00 X X 0 0 0 JOHNNY MCJUNKINS TREASURER 1.00 X X 0 0 0 JULIE RHODES MEMBER 1.00 X 0 0 0 GLENN LANCE DDS MEMBER 1.00 X 0 0 0 KEN YOUNG MEMBER 1.00 X 0 0 0 WES HOWARD MEMBER 1.00 X 0 0 0 DEBRA WRIGHT CEO 40.00 X 169589 0 0 WILLIAM J CRAIG CFO 40.00 X 130488 0 0 GARY MANLY CRNA 40.00 X 126062 0 0 CJ BAYLON CRNA 40.00 X 123941 0 0 KRISTI WHISENHUNT DIRECTOR OF PHARMACY 40.00 X 132188 0 0 DR CHARLES CALDWELL PHYSICIAN 40.00 X 100913 0 0 PAUL COX REHAB SERVICES 40.00 X 114575 0 0 1129137 0 0 8 1 1 0 CPP WOUND CARE LLC 3445 N CAUSEWAY BLVD SUITE 600 METARIE AR 70002 WOUND CARE SERVICES 364575 LUIS BARANDIARAN MD PO BOX 508 NASHVILLE AR 71852 SURGEON 275116 JOHN HEARNSBURGER MD 132 MEDICAL CIRCLE SUITE 200 NASHVILLE AR 71852 SURGEON 231381 OSTRANDER AND ASSOCIATES 7245 EAST MELROSE MESA AZ 85207 SLEEP STUDY 119695 4 25751 5500 33732 64983 PATIENT SERVICE REVENUE 17665236 17665236 17665236 69039 69039 2528 0 11025 2528 -11025 -8497 -8497 SWAHC THERAPY SERVICE 624100 598303 598303 MISCELLANEOUS INCOME 900099 182286 182286 CAFETERIA SALES 900099 127726 127726 80300 80300 988615 18779376 17665236 0 1049157 1129137 829060 300077 6913868 5017387 1896481 72900 52488 20412 599421 431583 167838 571582 411539 160043 2223 2223 43330 43330 36406 22909 13497 3133 3133 512132 193866 318266 62422 44262 18160 87890 87890 1993852 1993852 182327 182327 PURCHASED SERVICES 3902779 3106251 796528 SUPPLIES & OTHER 2811698 1766727 1044971 18925100 13869924 5055176 0 850410 1408150 1366016 1628045 1434675 1709291 234459 275154 210865 274433 33256978 12899661 21690335 20357317 3255843 2940958 564713 693797 29607316 29287145 1635098 1529414 2438275 2317410 14978 26784 4088351 3873608 X 9098721 10112758 16420244 15300779 25518965 25413537 29607316 29287145 -145724 40296 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 311999 311999 23674233 6729485 16944748 453257 34446 418811 8798993 6135730 2663263 18496 18496 20357317 SHORT TERM FINANCING 26784 26784 X 19898841 1119465 1119465 18779376 0 18779376 20044565 1119465 1119465 18925100 0 18925100 Part X, Line 2: THE 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 POSTION 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 POSTIONS NOT MEETING THE MORE THAN LIKELY THAN NOT TEST, NO TAX BENEFIT WILL BE RECORDED. Part XI, Line 2d - Other Adjustments: NET ASSETS RELEASED FROM RESTRICTIONS Part XII, Line 2d - Other Adjustments: NET ASSETS RELEASED FROM RESTRICTIONS 1 1 X 1 X 1 X 1 1 1 0 1 1 549825 549825 0.02910 549825 549825 0.02910 47562 47562 0.00250 47562 47562 0.00250 597387 597387 0.03160 1 1350312 513933 8011669 7940809 70860 X 1 0 1 SOUTHWEST ARKANSAS HOMECARE LLC HEALTHCARE 0.33000 1 1 HOWARD MEMORIAL HOSPITAL 130 MEDICAL CIRCLE NASHVILLE AR 71852 WWW.HOWARDMEMORIAL.COM X X X X HOWARD MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X WWW.HOWARDMEMORIAL.COM X X 1 15 1 WWW.HOWARDMEMORIAL.COM 0 0 1 X 200.000000000000 200.000000000000 X X X X X 1 1 X X X 1 X WWW.HOWARDMEMORIAL.COM X WWW.HOWARDMEMORIAL.COM X WWW.HOWARDMEMORIAL.COM X X X 1 X 0 X X X X 1 X 0 0 HOWARD MEMORIAL HOSPITAL Part V, Section B, Line 3j: CONTRACTED WITH CENTER FOR COMMUNITY ENGAGEMENTS AT ARKANSAS STATE UNIVERSITY TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENT HOWARD MEMORIAL HOSPITAL Part V, Section B, Line 5: HMH CREATED FOUR DIFFERENT FOCUS GROUPS BASED ON THE DEMOGRAPHICS OF HOWARD COUNTY TO CAPTURE VARYING POPULATIONS. HOWARD MEMORIAL HOSPITAL Part V, Section B, Line 7d: COPY AVAILABLE IN ADMISSIONS, EMERGENCY DEPARTMENTS AND ADMINISTRATION; PRESS RELEASE TO MEDIA; NEWSPAPERS AND RADIO. HOWARD MEMORIAL HOSPITAL Part V, Section B, Line 11: PLAN OF ACTION TO ADDRESS NEEDS INDENTIFIED THROUGH THE CHNA ARE PRIORITIZED IN THE IMPLEMENTATION STRATEGY. HOWARD MEMORIAL HOSPITAL Part V, Section B, Line 22d: INTIAL 60% WRITE OFF OF CHARGES PRIOR TO FINANCIAL ASSISTANCE BASED ON A 12 MONTH LOOK BACK METHOD. Part III, Line 9b: PATIENTS ARE INFORMED OF CHARITY CARE PROGRAM AND FINANCIAL ASSISTANCE PROGRAM FOR UNINSURED PATIENTS. 0 0 0 0 0 0 0 0 0 JOHN HEARNSBERGER MD CHIEF OF STAFF 231381 0 0 0 0 0 0 0 0 0 231381 0 0 0 DEBRA WRIGHT CEO 169589 0 0 0 0 0 0 0 0 0 169589 0 0 0 Form 990, Part VI, Section B, line 11 CFO PRESENTS THE HOSPITAL'S 990 TO THE BOARD OF DIRECTORS AT THE MONTHLY BOARD MEETING, DOCUMENTED IN THE BOARD MINUTES Form 990, Part VI, Section B, line 12c HMH 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, Section B, line 15b HOWARD MEMORIAL HOSPITAL UTILIZES ITS ANNUAL EVALUATIONS AND COMPARABILITY DATA TO REVIEW AND DETERMINE COMPENSATION OF EMPLOYEES. Form 990, Part VI, Section C, line 19 AVAILABLE UPON REQUEST FROM ADMINISTRATION. HOWARD MEMORIAL HOSPITAL FOUNDATION 130 MEDICAL CIRCLE NASHVILLE AR 71852 710644638 TO FURTHER THE PURPOSE OF HOWARD MEMORIAL HOSPITAL AR 501(C)(3) 170-B-1-A-iii 0 HOWARD HEALTH SYSTEMS PO BOX 381 NASHVILLE AR 71852 710644639 OVERSIGHT ORGANIZATION FOR HOSPITAL AND FOUNDATION AR 501(C)(3) 170-B-1-A-iii 0 SOUTHWEST ARKANSAS HOMECARE LLC 901 S HUGH WALLIS ROAD LAFAYETTE LA 70508 260274543 HEALTHCARE LA 121461 28212 0 0 0.33000 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SOUTHWEST ARKANSAS HOMECARE LLC A 83465 CASH HOWARD MEMORIAL HOSPITAL FOUNDATION C 25751 CASH