2016-05-16T15:53:12-05:00 2015-06-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2014-07-01 710329353 Jefferson Hospital Association Inc % BRYAN G JACKSON JEFF 8705417100 1600 West 40th Avenue Pine Bluff AR 71603 BRYAN G JACKSON VP & CFO 8705417100 2016-05-16 true Jeanette Verrelli P00742631 9727028262 2014 2016-08-17 19:52:53Z Brian Thomas 1600 WEST 40TH AVENUE PINE BLUFF AR 71603 204969690 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. 15 9 1879 41 10469 1505726 1031711 157725867 175362037 9793206 4709064 5578196 5538518 174602995 186641330 546433 548793 0 0 87030571 84452427 0 0 0 81010749 88497374 168587753 173498594 6015242 13142736 251256686 251620791 62331269 66410401 188925417 185210390 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 155975082 548793 176363129 JEFFERSON HOSPITAL ASSOCIATION, INC. (JHA) OPERATES JEFFERSON REGIONAL MEDICAL CENTER (JRMC), A 471 BED TERTIARY CARE FACILITY LOCATED IN SOUTHEAST ARKANSAS THAT SERVES A POPULATION BASE OF 213,000 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. 155975082 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 true true true false false false false false true true true false false true 202 0 true 1879 true true true false false false false false false false false false X 15 9 true false false false true true false true true false false true true true true true true true true true true X BRYAN G JACKSON 8705417100 1600 WEST 40TH AVENUE PINE BLUFF AR 71603 X F ANTHONY - See sch O DIRECTOR 1.0 0.0 X 0 0 0 D ATKINSON - 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 CHAIRMAN 1.0 0.0 X X 0 0 0 M ECKERT - See sch O DIRECTOR 1.0 0.0 X 0 0 0 W JOHNSON - See sch O PRESIDENT/CEO 40.0 0.0 X X 0 0 0 A KLINE - See sch O TREASURER 1.0 0.0 X X 0 0 0 J O LYTLE - See sch O DIRECTOR/JRMC CHIEF OF STAFF 40.0 0.0 X 0 0 0 G MAKRIS - See sch O DIRECTOR 1.0 0.0 X 0 0 0 JB MAYS - See sch O DIRECTOR 1.0 0.0 X 0 0 0 C MORGAN - See sch O VICE CHAIRMAN 1.0 0.0 X X 0 0 0 S PITTILLO - See sch O SECRETARY 1.0 0.0 X X 0 0 0 C ROAF - See sch O DIRECTOR 1.0 0.0 X 0 0 0 H TROTTER III-See sch O DIRECTOR 1.0 0.0 X 0 0 0 T HARBUCK - See sch O EXECUTIVE VP 40.0 0.0 X 0 0 0 L HICKMAN - SEE SCH O VP/CNO 40.0 0.0 X 0 0 0 BG JACKSON-See sch O VP/CFO 40.0 0.0 X 0 0 0 B THOMAS - SEE SCH O SENIOR VP/COO 40.0 0.0 X 0 0 0 A AL-NASHIF-SEE SCH O PHYSICIAN 40.0 0.0 X 0 0 0 N BHASKAR - SEE SCH O PHYSICIAN 40.0 0.0 X 0 0 0 K MOHAMMAD - SEE SCH O PHYSICIAN 40.0 0.0 X 0 0 0 J POLLARD - 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 0 0 0 65 false true false REHAB CARE GROUP INC PO BOX 502096 ST LOUIS MO 63150 THERAPY SERVICES 3612060 SODEXHO INC AFFILIATES PO BOX 536922 ATLANTA GA 30353 NUTRITIONAL SERVICES 2649699 EM URGENT CARE INC 8 SHACKLEFORD PLAZA LITTLE ROCK AR 72211 PHYSICIAN SERVICES 2059789 JEFFERSON EMERGENCY PHYS PA 6005 WALDEN PL MANDEVILLE LA 70448 PHYSICIAN SERVICES 2024949 UAMS - AHEC 4010 MULBERRY ST PINE BLUFF AR 71603 PHYSICIAN SERVICES 2005581 41 642669 389042 1031711 PATIENT SERVICE REVENUE 621400 174314507 174314507 EHR INCENTIVE REVENUE 900099 1047530 1047530 175362037 4582881 7525 4575356 0 0 536818 536818 0 536818 2944 533874 18132369 315704 18284023 37867 -151654 277837 126183 126183 8863 6470 2393 2393 0 0 CAFETERIA REVENUE 722320 844248 844248 WELLNESS CENTER 713940 947593 947593 PATHOLOGY/OUTSIDE LAB BILLING REVENUE 900099 53499 53499 3153967 3153967 4999307 186641330 176363129 10469 9236021 X 92717 92717 456076 456076 0 0 3860035 954284 2905751 247023 139933 107090 67883782 62348779 5535003 2175936 1919213 256723 5410822 4741715 669107 4874829 4293296 581533 4856413 4564887 291526 164402 125878 38524 236642 236642 28956 28956 0 0 33591705 29109925 4481780 46005 12913 33092 5561484 4443555 1117929 1627288 1456645 170643 0 2758887 2524225 234662 170046 115086 54960 0 125743 117749 7994 958540 922330 36210 0 8066501 7761782 304719 1470939 1450257 20682 MEDICAL SUPPLIES 23677807 23677807 LICENSE & TAXES 2675791 2645991 29800 PAYMENTS TO RELATED PARTIES 2148656 2089850 58806 DUES & FEES 476963 147010 329953 -145394 -136821 -8573 173498594 155975082 17523512 0 -246027 1134473 11673827 16058576 0 0 24294434 23598036 0 0 0 0 984644 879982 3595755 3552303 2198505 2481781 230935539 163513124 52073473 67422415 119089053 125919973 2580206 3826240 0 0 0 0 35012816 6747012 251256686 251620791 35646125 41334988 0 0 2116902 1651250 23471232 21050000 0 0 0 0 0 0 0 0 1097010 2374163 62331269 66410401 X 188925417 185210390 0 0 0 0 188925417 185210390 251256686 251620791 X 13142736 -853062 585039 -16589740 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true 28956 28956 false FORM 990, SCHEDULE C, PART II-B, LINE 1I LOBBYING ACTIVITIES: A PORTION OF DUES PAID TO ARKANSAS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING EXPENSES. ADDITIONAL LOBBYING EXPENSES WERE PAID TO MCDERMOTT WILL & EMORY FOR THE SOLE COMMUNITY HOSPITAL COALITION AND RELATED MEDIA ADVOCACY. 7193372 7193372 112729433 76166333 36563100 1874132 1513962 360170 107720866 85832829 21888037 1417736 1417736 67422415 0 457 PLAN 1256311 CAPITAL LEASE OBLIGATION 1117852 2374163 X FORM 990, SCHEDULE D, PART X, LINE 2 LIABILITY FOR UNCERTAIN TAX POSITIONS: THE ASSOCIATION HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE ASSOCIATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. JEFFERSON MANAGEMENT SERVICES, INC., JEFFERSON REGIONAL MEDICAL CENTER DEVELOPMENT, INC. AND JHA HEALTH AFFILIATES, INC. ARE TAXABLE ENTITIES AND HAD NO MATERIAL DEFERRED TAX BALANCES AT JUNE 30, 2015 AND 2014. THE ASSOCIATION'S MAJORITY OWNED PROFESSIONAL LIMITED LIABILITY COMPANY, JEFFERSON SURGERY CENTER, PLLC, IS TREATED AS A PARTNERSHIP FOR FEDERAL INCOME TAX PURPOSES. CONSEQUENTLY, FEDERAL INCOME TAXES ARE NOT PROVIDED FOR OR PAYABLE BY JEFFERSON SURGERY CENTER, PLLC. THE ASSOCIATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE ASSOCIATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ASSOCIATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES THAT ARE NOT CURRENTLY BEING RECOGNIZED. THE TAX RETURNS FOR TAX YEARS 2012 TO 2014 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL AND STATE AUTHORITIES. THE ASSOCIATION'S 2011 IRS FORMS 990 AND 990-T ARE CURRENTLY UNDER EXAMINATION. THE EXAMINATION IS ONGOING AND POTENTIAL OUTCOMES ARE NOT KNOWN. FORM 990, SCHEDULE D, PART X, LINE 2 ADDITIONAL INFORMATION ON IRS EXAMINATION: AFTER THE FINALIZATION OF THE AUDITED FINANCIAL STATEMENTS, THE 2011 IRS EXAMINATION WAS CLOSED. THE EXAMINATION FOUND THAT THE PATHOLOGY AND OUTSIDE LAB BILLING REVENUE SHOULD NOT BE CONSIDERED UNRELATED BUSINESS INCOME. THEREFORE, WE HAVE REVISED OUR PART VIII STATEMENT OF REVENUE TO PRESENT THESE REVENUE STREAMS AS RELATED TO THE ORGANIZATION'S EXEMPT PURPOSE. true true X true X true X true true false true true 5922 4084300 4084300 0.02350 7995 4519204 4519204 0.02600 13917 8603504 8603504 0.04950 44 59567 168664 74371 94293 0.00050 25 5318723 2899614 2419109 0.01390 5 9403723 6985930 2417793 0.01390 548893 456176 92717 0.00050 74 59567 15440003 10416091 5023912 0.02880 74 73484 24043507 10416091 13627416 0.07830 51 107659 150502 150502 0.00090 51 107659 150502 150502 0.00090 true -2134166 58759008 55422893 3336115 X true true JEFFERSON SURGERY CENTER PLLC AMBULATORY SURGERY CENTER 0.71500 0.07000 0.21500 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 1 false false true X X X X X X X X 12 true false false true X SEE PART V, SECTION C X true 12 true SEE PART V, SECTION C false false true X 150. 300. X X X X true true X X X X true X SEE PART V, SECTION C X X X X true X false X X X X true X false false FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 CONSULTING REPRESENTATIVES OF THE COMMUNITY: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM ALL THREE GROUPS OUTLINED IN IRS NOTICE 2011-52. THE HOSPITAL CONSULTED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: THE CENTER FOR BUSINESS AND ECONOMIC RESEARCH, SAM M. WALTON COLLEGE OF BUSINESS,UNIVERSITY OF ARKANSAS; THE ARKANSAS DEPARTMENT OF HEALTH; AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. THE HOSPITAL ALSO ENGAGED FIVE FOCUS GROUPS WITH BUSINESS AND COMMUNITY LEADERS, HEALTH CARE CONSUMERS, SOUTHEAST ARKANSAS COMMUNITY MEMBERS, AND PHYSICIANS FROM ITS PRIMARY AND SECONDARY SERVICE AREAS. THERE WERE OVER 100 INDIVIDUALS CONSULTED. THEIR NAMES CAN BE FOUND IN THE CHNA REPORT. FORM 990, 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: HTTP://WWW.JRMC.ORG/COMMUNITY/INDEX.HTM FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY: THE FAP APPLICATION IS AVAILABLE UPON REQUEST. THE FAP IS AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: HTTP://WWW.JRMC.ORG/COMMUNITY/INDEX.HTM FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22D FINANCIAL ASSISTANCE POLICY ELIGIBILITY: AMOUNTS CHARGED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ARE DETERMINED BASED ON A SLIDING-SCALE THAT CONSIDERS INCOME AS COMPARED TO FEDERAL POVERTY GUIDELINES. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED: THE ORGANIZATION IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENT CHNA THROUGH THE CONTINUED EXECUTION OF ITS CHNA IMPLEMENTATION STRATEGY. ONE COMMUNITY HEALTH NEED IDENTIFIED IN THE CHNA WAS DETERMINED TO BE OUTSIDE THE SCOPE OF THE ORGANIZATION. OTHER ORGANIZATIONS, INCLUDING THE ARKANSAS DEPARTMENT OF HEALTH, SCHOOLS AND OTHER HEALTHCARE ORGANIZATIONS HAVE TAKEN ON THE RESPONSIBILITY OF EDUCATION AND PREVENTION OF SEXUALLY TRANSMITTED DISEASES IN THE YOUTH OF THE COMMUNITY. FOR ADDITIONAL INFORMATION, SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A. 10 HEALTH CARE PLUS 209 N BLAKE PINE BLUFF AR 71603 PHYSICIAN CLINIC CENTER ON AGING 4747 DUSTY LAKE DR SUITE 101 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 SOUTH ARKANSAS CARDIOVASCULAR SURGERY 1609 W 40TH AVE 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 PINE BLUFF AR 71603 PHYSICIAN CLINIC SURGICAL ASSOCIATES OF SOUTHEAST AR 1609 W 40TH AVE PINE BLUFF AR 71603 PHYSICIAN CLINIC FORM 990, SCHEDULE H, PART I, LINE 6B AVAILABILITY OF COMMUNITY BENEFIT REPORT: THE ORGANIZATION PUBLISHES A COMPREHENSIVE TWO YEAR REPORT FOR THE COMMUNITY BI-ANNUALLY THAT INCLUDES COMMUNITY BENEFIT INFORMATION. THIS REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE AND UPON REQUEST. FOR YEARS IN WHICH A BI-ANNUAL REPORT IS NOT PUBLISHED, A REPORT OF COMMUNITY BENEFIT IS AVAILABLE UPON REQUEST. FORM 990, SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A. FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2 PROVISION FOR UNCOLLECTIBLE ACCOUNTS METHODOLOGY: THE AMOUNT REPORTED ON LINE 2 IS BASED ON THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS PER THE AUDITED FINANCIAL STATEMENTS. FORM 990, SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE: THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE OTHERWISE ATTRIBUTABLE TO ACCOUNTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE UTILIZING HISTORIC INFORMATION AND HAS EXCLUDED THESE AMOUNTS FROM BAD DEBT EXPENSE, OFFSETTING NET PATIENT SERVICE REVENUE ACCORDINGLY. FORM 990, SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE ASSOCIATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ASSOCIATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ASSOCIATION RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR THE YEARS ENDED JUNE 30, 2015 AND 2014, THERE WERE NO SIGNIFICANT CHANGES IN THE UNDERLYING ASSUMPTIONS USED IN ESTIMATING THE ALLOWANCE FOR UNCOLLECTIBLE AND CHARITY ACCOUNTS OR IN THE POLICIES REGARDING UNCOLLECTIBLE ACCOUNTS FOR CHARITY CARE. FORM 990, 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 A COMMUNITY BENEFIT TO THE EXTENT COSTS EXCEED MEDICARE REIMBURSEMENT. FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTIONS POLICY: PATIENT ACCOUNTS QUALIFYING FOR CHARITY CARE WOULD NOT INTENTIONALLY BE PLACED WITH A DEBT COLLECTION SERVICE. FROM TIME TO TIME, INFORMATION THAT RESULTS IN THE DETERMINATION OF CHARITY 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. FORM 990, SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A. FORM 990, 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 CHARITY CARE ASSISTANCE, MEDICAID COVERAGE AND OTHER THIRD PARTY COVERAGE. OUTPATIENTS RECEIVE A FINANCIAL ASSISTANCE GUIDE SHEET SUMMARIZING ASSISTANCE OFFERED BY JRMC AT THE TIME OF REGISTRATION. FORM 990, SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A. FORM 990, SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A. FORM 990, SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: THIS IS NOT APPLICABLE FOR TAX YEAR 2014 FORM 990, SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: ARKANSAS true UNITED WAY OF SE ARKANSAS PO BOX 8702 PINE BLUFF AR 71611 710236869 501(C)(3) 35000 2014 CAMPAIGN PLEDGE JHA HEALTH AFFILIATES INC 1600 W 40TH AVE PINE BLUFF AR 71603 710766959 750000 CAPITAL CONTRIBUTION 1 1 FEDERAL PELL GRANTS (US DEPT OF ED) 51 328476 ACADEMIC CHALLENGE SCHOLARSHIPS (AR) 3 7875 REHABILITATION GRANTS (STATE OF AR) 34 86135 WIA ADULT PROGRAM GRANTS (US DEPT OF LABOR) 22 30340 GO! OPPORTUNITIES GRANTS (STATE OF AR) 8 3250 FORM 990, 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, LINE 1 & FORM 990, SCHEDULE I, PART II, LINE 1 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, PAGE 10 AND SCHEDULE I, PART II. X X X false true X X X X X false true false false false false false true false 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 D Brown - 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 W Johnson - 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 JO Lytle - See Sch O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 G Makris - 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 C Morgan - 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 C Roaf - 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 T Harbuck - See Sch O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 L Hickman - See Sch O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BG Jackson - 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 A Al-Nashif - See Sch O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N Bhaskar - See Sch O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 K Mohammad - See Sch O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 J Pollard - 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 FORM 990, 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. - A DISCRETIONARY SPENDING ACCOUNT IS PROVIDED FOR THE CEO. - COUNTRY CLUB MEMBERSHIPS ARE MAINTAINED BY THE ORGANIZATION FOR THE USE OF SPECIFIC EMPLOYEES AS DESIGNATED BY THE BOARD OF DIRECTORS. FORM 990, 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. FORM 990, SCHEDULE J, PART I, LINE 4B PARTICIPANTS IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP PLAN REPORTED IN W-2 -------------------------- ----------------- WALTER JOHNSON $ 151,081 THOMAS HARBUCK $ 131,105 BRIAN THOMAS $ 53,973 LOUISE HICKMAN $ 58,491 BRYAN G. JACKSON $ 50,001 FORM 990, 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. A JEFFERSON COUNTY AR 716009958 472705DF6 2011-12-15 26013416 REFUND 2001 BONDS false false false A 510000 0 26013416 0 0 25395168 372172 246076 0 0 0 0 2012 true false false true A false false false false 0 false false false true A false true false false false false 0 false 0 false true A true RICHARD MORGAN SEE SUPPLEMENTAL INFO SEE SUPPLEMENTAL INFO false REBECCA PITTILLO SEE SUPPLEMENTAL INFO SEE SUPPLEMENTAL INFO false LINDSAY MAKRIS SEE SUPPLEMENTAL INFO SEE SUPPLEMENTAL INFO false ARKANSAS HOSPITAL ASSOCIATION SEE SUPPLEMENTAL INFO SEE SUPPLEMENTAL INFO false STATE VOLUNTEER MUTUAL INSUR CO SEE SUPPLEMENTAL INFO SEE SUPPLEMENTAL INFO false FORM 990, SCHEDULE L, PART IV, COLUMNS B, C, & D BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: RICHARD MORGAN (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF CHUCK MORGAN (JHA DIRECTOR) (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $10,000 (D) DESCRIPTION OF TRANSACTION: EMPLOYEE OF JRMC (A) NAME OF PERSON: REBECCA PITTILLO (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF SCOTT PITTILLO (JHA DIRECTOR) (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $10,000 (D) DESCRIPTION OF TRANSACTION: EMPLOYEE OF JRMC (A) NAME OF PERSON: LINDSAY 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: ARKANSAS HOSPITAL ASSOCIATION (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: WALTER JOHNSON (JHA PRESIDENT & CEO) IS A BOARD MEMBER (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $100,000 (D) DESCRIPTION OF TRANSACTION: HOSPITAL MEMBERSHIP DUES (A) NAME OF PERSON: STATE VOLUNTEER MUTUAL INSURANCE CO. (B)RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JOHN LYTLE IS A DIRECTOR AND OFFICER. (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $100,000 (D) DESCRIPTION OF TRANSACTION: INSURANCE PREMIUMS FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: CONTINUED FROM PART III... JRMC HAS A LONG TRADITION OF PROVIDING SIGNIFICANT BENEFITS TO OUR COMMUNITY WHICH IS ROOTED IN OUR MISSION, "TO PROVIDE MEASURABLE QUALITY HEALTH SERVICES IN A CARING ENVIRONMENT WHICH FULFILL THE NEEDS OF OUR PATIENTS, PHYSICIANS, EMPLOYERS, EMPLOYEES AND COMMUNITY" AND VISION, "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." JRMC PROVIDES SEVERAL CENTERS OF EXCELLENCE PROVIDING A WIDE RANGE OF PROGRAMS AND MEDICAL SERVICES. THESE INCLUDE CARDIOLOGY, SURGERY, CRITICAL CARE, REHABILITATION, PSYCHIATRY, LABORATORY, GASTROENTEROLOGY, ORTHOPEDICS, NEUROLOGY, EMERGENCY, OBSTETRICS/GYNECOLOGY, RADIOLOGY, AND MANY MORE. WE OPERATE AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; HAVE AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA; HAVE A GOVERNING BODY COMPRISED OF INDIVIDUALS WHO ARE REPRESENTATIVE OF THE COMMUNITY; ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS; AND PARTICIPATES IN MEDICAID, MEDICARE CHAMPUS, TRICARE AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. JRMC ALSO OPERATES AND MANAGES SEVERAL SATELLITE CLINICS WHICH PROVIDE PRIMARY AND SPECIALTY HEALTHCARE TO THE COMMUNITY AND OUTLYING AREAS. COMMUNITY SERVICE AND EDUCATION CONTINUE TO BE A SIGNIFICANT PART OF OUR MISSION. JRMC PROVIDES NUMEROUS SPONSORSHIPS WITHIN THE COMMUNITY, AND OFFERS DOZENS OF FREE HEALTH SCREENINGS AND EDUCATIONAL EVENTS EACH YEAR. NOT ONLY IS INFORMATION SHARED ABOUT HEALTHCARE RELATED ISSUES, BUT PARTICIPANTS ARE GIVEN THE OPPORTUNITY TO VISIT ONE-ON-ONE WITH PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS. WE BELIEVE EVERYONE IN SOUTHEAST ARKANSAS IS IMPACTED, EITHER DIRECTLY OR INDIRECTLY, THROUGH THE COMMUNITY HEALTH EFFORTS AND COMMUNITY BUILDING ACTIVITIES CHAMPIONED BY JRMC. OUR COMMITMENT TO BRING NEW AND INNOVATIVE PROGRAMS AND SERVICES TO SOUTHEAST ARKANSAS IS EVIDENT. DURING FISCAL YEAR 2015, JRMC INVESTED APPROXIMATELY $7.5 MILLION IN CAPITAL ADDITIONS AND IMPROVEMENTS TO OUR FACILITIES AND EQUIPMENT. THIS WAS ACCOMPLISHED BY CONNECTING THOUGHTFUL, DELIBERATE, DISCIPLINED PLANNING, BUDGETING AND SPENDING WITH THE NEED 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 RECEIVED MONETARY INCENTIVES FROM THE ARKANSAS MEDICAID QUALITY PROGRAM BY ACHIEVING PERFORMANCE GOALS IN QUALITY, DOCUMENTATION AND VALIDATION EXCELLENCE. OUR ORGANIZATION WAS RECOGNIZED FOR ENTERING OUTCOMES MEASURE DATA IN ALL APPICABLE AREAS, AND IMPROVING PATIENT SAFETY AND QUALITY AS PART OF THE AHA/HRET HOSPITAL ENGAGEMENT NETWORK PROGRAM. JRMC CONTINUES TO PARTICIPATE IN THE HCAHPS PATIENT PERSPECTIVES ON CARE. WE HAVE CHOSEN THE PHONE METHODOLOGY WHICH ENSURES A 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 A 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: CHUCK MORGAN (JHA DIRECTOR) AND ANNETTE KLINE (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. MARTY CASTEEL (JHA DIRECTOR) AND DR. CLIFTON ROAF (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. GEORGE MAKRIS (JHA DIRECTOR) AND DR. CLIFTON ROAF (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. GEORGE MAKRIS (JHA DIRECTOR) AND MARTY CASTEEL (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. H. FORD TROTTER III (JHA DIRECTOR) AND DR. CLIFTON ROAF (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. H. FORD TROTTER III (JHA DIRECTOR) AND MARTY CASTEEL (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. H. FORD TROTTER III (JHA DIRECTOR) AND GEORGE MAKRIS (JHA DIRECTOR) HAVE BUSINESS RELATIONSHIPS. H. FORD TROTTER III (JHA DIRECTOR) AND DAVID BROWN (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. H. FORD TROTTER III (JHA DIRECTOR) AND WALTER JOHNSON (JHA PRESIDENT AND CEO) HAVE A BUSINESS RELATIONSHIP. GEORGE MAKRIS (JHA DIRECTOR) AND DAVID BROWN (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. MARTY CASTEEL (JHA DIRECTOR) AND JOHN LYTLE (JHA CHIEF OF STAFF & DIRECTOR) HAVE A BUSINESS RELATIONSHIP. MARTY CASTEEL (JHA DIRECTOR) AND CHUCK MORGAN (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. SCOTT PITTILLO (JHA DIRECTOR) AND ANNETTE KLINE (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. SCOTT PITTILLO (JHA DIRECTOR) AND CHUCK MORGAN (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. DREW ATKINSON (JHA DIRECTOR) AND FRANK ANTHONY (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. GEORGE MAKRIS (JHA DIRECTOR) AND JOHN LYTLE (JHA CHIEF OF STAFF & DIRECTOR) HAVE A BUSINESS RELATIONSHIP. DREW ATKINSON (JHA DIRECTOR) AND BRYAN JACKSON (JHA VP & CFO) HAVE A BUSINESS RELATIONSHIP. FRANK ANTHONY (JHA DIRECTOR) AND BRYAN JACKSON (JHA VP & CFO) HAVE A BUSINESS RELATIONSHIP. CLIFTON ROAF (JHA DIRECTOR) AND JOHN LYTLE (JHA CHIEF OF STAFF & DIRECTOR) HAVE A BUSINESS RELATIONSHIP. H. FORD TROTTER III (JHA DIRECTOR) AND JOHN LYTLE (JHA CHIEF OF STAFF & DIRECTOR) HAVE A BUSINESS RELATIONSHIP. 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 BOARD OF DIRECTORS HAS ESTABLISHED A SEPARATE COMPENSATION COMMITTEE CHARGED WITH PERFORMING AN ANNUAL PERFORMANCE AND COMPENSATION REVIEW OF THE CEO AND OTHER OFFICERS. THE COMPENSATION COMMITTEE MOST RECENTLY ENGAGED A THIRD-PARTY GLOBAL HUMAN CAPITAL CONSULTING FIRM IN JULY OF 2014 FOR A LIMITED ENGAGEMENT TO REVIEW AND VALIDATE THE FINDINGS AND REPORT PROVIDED TO THE COMPENSATION COMMITTEE IN 2014. THE COMPENSATION COMMITTEE ENGAGES THE THIRD-PARTY GLOBAL HUMAN CAPITAL CONSULTING FIRM TO DEVELOP AND MAINTAIN A COMPENSATION PACKAGE THAT IS REASONABLE AS COMPARED TO SIMILAR POSITIONS AT NON-PROFIT HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY. THE COMPENSATION COMMITTEE THEN MAKES A REPORT TO THE FULL BOARD OF DIRECTORS OF ANY COMPENSATION ADJUSTMENTS. 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 ZEROES BECAUSE OF THE ELECTRONIC FILING REQUIREMENT, AND THE CORRECT AMOUNTS ARE INCLUDED IN THE ATTACHMENT. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: TRANSFER TO AFFILIATE (JRMC DEVELOPMENT, INC.) $(16,589,740) FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:4081304 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:11333769 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:3479728 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:5321060 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:9375844 JEFFERSON SURGERY CENTER PLLC 1600 W 40TH AVE PINE BLUFF AR 71603 710810564 AMB SURGERY AR JHA RELATED 51276 1372103 false 0 true 0.71500 JRMC DEVELOPMENT INC 1600 W 40TH AVE PINE BLUFF AR 71603 710664723 REAL ESTATE MGMT AR JHA C-CORPORATION -19007696 0 1.00000 true JEFFERSON MANAGEMENT SERVICES INC 1600 W 40TH AVE PINE BLUFF AR 71603 710582753 PHYS PRACTICE MGT AR JHA C-CORPORATION 0 789639 1.00000 true JHA HEALTH AFFILIATES INC 1600 W 40TH AVE PINE BLUFF AR 71603 710766959 REAL EST RENTAL AR JHA C-CORPORATION -7250 730672 1.00000 true true true false false false false false false false false true true true false false false false true true JRMC DEVELOPMENT INC L 270430 G/L ACTIVITY JRMC DEVELOPMENT INC K 703192 G/L ACTIVITY JRMC DEVELOPMENT INC A 1675727 G/L ACTIVITY JRMC DEVELOPMENT INC S 17146623 G/L ACTIVITY JRMC DEVELOPMENT INC R 427126 G/L ACTIVITY JEFFERSON SURGERY CENTER PLLC L 1230916 G/L ACTIVITY JEFFERSON SURGERY CENTER PLLC M 1428218 G/L ACTIVITY JEFFERSON SURGERY CENTER PLLC S 1254353 G/L ACTIVITY JEFFERSON SURGERY CENTER PLLC R 1285655 G/L ACTIVITY JEFFERSON MANAGEMENT SERVICES INC L 263262 G/L ACTIVITY JEFFERSON MANAGEMENT SERVICES INC R 25000 G/L ACTIVITY JHA HEALTH AFFILIATES INC B 750000 G/L ACTIVITY