2016-07-28T13:54:31-05:00 2016-01-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2015-02-01 710623643 MAINLINE HEALTH SYSTEMS INC % MAINLINE HEALTH SYSTEMS INC MAIN 8705385414 PO BOX 100 PORTLAND AR 71663 GARY ALLAN NICHOLS EXECUTIVE DIRECTOR 8705385414 2016-07-20 true AMBER SHERRILL P00748683 5013721040 2015 2016-12-15 16:53:06Z G ALLAN NICHOLS PO BOX 100 PORTLAND AR 71663 9623271 false X WWW.MAINLINEHEALTH.NET X 1986 AR TO IMPROVE THE QUALITY OF LIFE FOR THE POPULATION WITHIN THE SCOPE OF OPERATION THROUGH THE DELIVERY OF HIGH QUALITY ACCESSIBLE COMPREHENSIVE HEALTH CARE. 15 15 106 15 0 4270846 4498287 3585680 4817862 1822 1199 343728 305923 8202076 9623271 0 0 0 0 4334295 5620458 0 0 0 2728260 3270238 7062555 8890696 1139521 732575 7704341 8962010 1558184 2123187 6146157 6838823 TO IMPROVE THE QUALITY OF LIFE FOR THE POPULATION WITHIN THE SCOPE OF OPERATION THROUGH THE DELIVERY OF HIGH QUALITY ACCESSIBLE COMPREHENSIVE HEALTH CARE. SERVICES INCLUDE MEDICAL, DENTAL, MENTAL HEALTH AND PREVENTIVE HEALTH SERVICES FOR THE ENTIRE FAMILY. false false 6248988 4817862 PROVIDED MEDICAL SERVICES TO 8,968 PATIENTS AND DENTAL SERVICES TO 3,004 PATIENTS AND BEHAVORIAL HEALTH SERVICES TO 470 PATIENTS IN SOUTHEAST ARKANSAS; SERVED RESIDENTS OF DREW, DESHA, LINCOLN, ASHLEY AND CHICOT COUNTIES. 6248988 true true false false false false false false false false true false false true false false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 30 0 true 106 true false false false false false false false false false false X 15 15 true false false false false false false true true false false true true true true true true true true false X MAINLINE HEALTH SYSTEMS INC 8705385414 108 E SPEEDWAY DERMOTT AR 71638 MARILYN NEWCOME BOARD MEMBER 0.25 0.0 X 0 0 0 MARY HOLLINS-SCOTT RN BOARD MEMBER 0.25 0.0 X 0 0 0 FRANK HENRY JR SECRETARY 0.25 0.0 X X 0 0 0 GERALD MERCER BOARD MEMBER 0.25 0.0 X 0 0 0 ROBERT THOMAS BOARD MEMBER 0.25 0.0 X 0 0 0 NANCY O'NEAL BOARD MEMBER 0.25 0.0 X 0 0 0 RICHARD STOCK BOARD MEMBER 0.25 0.0 X 0 0 0 RON MILLER PRESIDENT 1.0 0.0 X X 0 0 0 JIMMY PARKERSON BOARD MEMBER 0.5 0.0 X 0 0 0 EUGENE BUTLER BOARD MEMBER 0.25 0.0 X 0 0 0 MICHELLE DUNBAR BOARD MEMBER 0.25 0.0 X 0 0 0 KEITH WILLIAMS VICE PRESIDENT 0.5 0.0 X X 0 0 0 KEITH SHEPHERD BOARD MEMBER 0.25 0.0 X 0 0 0 IRMA BERNAL BOARD MEMBER 0.25 0.0 X 0 0 0 KEVIN STOREY BOARD MEMBER 0.25 0.0 X 0 0 0 GARY ALLAN NICHOLS EXECUTIVE DIRECTOR 42.0 0.0 X 184452 0 16965 TAFTA MCCAIN CFO 42.0 0.0 X 110670 0 8792 FELICIA WATKINS-BROWN MD MEDICAL DOCTOR 36.0 0.0 X 216039 0 7818 TERRI EUBANKS DDS DENTIST 40.0 0.0 X 113265 0 9184 BRENDA JACOBS DNP NURSE PRACTITIONER 40.0 0.0 X 120749 0 9264 DON BALL MEDICAL DOCTOR 40.0 0.0 X 258787 0 21046 1003962 0 73069 10 false true false NONE 0 4141588 356699 243860 4498287 PATIENT REVENUE 621110 4817862 4817862 4817862 1199 0 0 1199 0 0 700 700 0 700 0 0 700 0 0 0 0 340B REVENUE 900099 261217 261217 OTHER EXPENSES 900099 44006 44006 44006 44006 305223 9623271 4817862 0 307122 0 0 0 0 288584 288584 0 4401444 3005535 1395909 116044 79241 36803 456952 312031 144921 357434 244075 113359 0 648 442 206 58681 40070 18611 0 0 0 381342 260400 120942 21982 15010 6972 310303 211891 98412 0 0 291176 198830 92346 100115 68364 31751 0 0 69212 47262 21950 0 256846 175388 81458 30377 20743 9634 MEDICAL SUPPLIES 537297 537297 BAD DEBT EXPENSE 645176 645176 REPAIRS & MAINTENANCE 159320 108792 50528 MEMBERSHIPS 83644 57116 26528 324119 221325 102794 8890696 6248988 2641708 0 2760546 2788020 1383302 1343393 86801 0 560666 592407 0 0 0 0 0 0 236081 312630 64749 105705 5681644 2759669 2463225 2921975 0 0 0 0 0 0 0 0 148971 897880 7704341 8962010 259117 400776 0 0 0 0 0 0 0 0 0 0 1299067 1722411 0 0 0 0 1558184 2123187 X 6146157 6838823 0 0 0 0 6146157 6838823 7704341 8962010 732575 -39909 X false true X true true true X 4108904 4041823 4534703 4270846 4498287 21454563 0 0 4108904 4041823 4534703 4270846 4498287 21454563 2184567 19269996 2250 4124 3764 2922 1899 14959 0 0 246829 209843 342628 305223 1104523 22574045 15782842 0.85364 0.96390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 91113 91113 3608716 1147170 2461546 1977915 1612499 365416 3900 3900 2921975 FQHC COST REPORT RECEIVABLE 897880 897880 8938186 -39909 -39909 8978095 645176 645176 9623271 8245520 8245520 645176 645176 8890696 FIN 48 DISCLOSURE FORM 990, SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. EXPENSE INCLUDED IN REVENUE PER AUDIT, INCLUDED AS REVENUE PER RETURN FORM 990, SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $645,176. EXPENSE INCLUDED IN REVENUE PER AUDIT, INCLUDED AS EXPENSE PER RETURN FORM 990, SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $645,176. X X X false false false false false false false true false GARY ALLAN NICHOLS EXECUTIVE DIRECTOR 108154 0 76298 0 0 0 11419 0 5546 0 201417 0 0 0 FELICIA WATKINS-BROWN MD MEDICAL DOCTOR 213539 0 2500 0 0 0 2272 0 5546 0 223857 0 0 0 DON BALL MEDICAL DOCTOR 258787 0 0 0 0 0 15500 0 5546 0 279833 0 0 0 NON-FIXED PAYMENTS INCENTIVE PAY IS OFFERED FOR PROVIDERS AND CLINICAL STAFF WHO MEET VARIOUS PRODUCTIVITY GOALS AND FINANCIAL AND QUALITY MEASURES ON A QUARTERLY BASIS. PROVIDERS: LEVEL 1 = $2,500 LEVEL 2 = $5,000 LEVEL 3 = $7,500 CLINICAL STAFF: LEVEL 1 = $250 LEVEL 2 = $500 LEVEL 3 = $1,000 INCENTIVE PAY WAS OFFERED TO THE EXECUTIVE DIRECTOR BASED ON LEVEL OF PCMH REACHED, PATIENT GROWTH, AND BOARD EVALUATION. INCENTIVE PAY WAS OFFERED TO THE MEDICAL DIRECTOR BASED ON LEVEL OF PCMH REACHED, PATIENT GROWTH, PATIENT SATISFACTION, AND QUALITY PERFORMANCE. INCENTIVE PAY WAS OFFERED TO THE CFO BASED ON LEVEL OF PCMH REACHED, LEVEL OF PROFIT, AUDIT PERFORMANCE, AND EVALUATION BY THE EXECUTIVE DIRECTOR. X 1 243860 FAIR MARKET VALUE false false false FORM 990, SCHEDULE M, PART I, LINE 20 COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS MADE. REVIEW OF FORM 990 FORM 990, PART VI, SECTION B, LINE 11B CFO REVIEWS FORM 990 AND PRESENTS IT TO THE BOARD FOR REVIEW PRIOR TO FILING. MONITORING AND ENFORCING CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12(C) MANAGEMENT INVESTIGATES ANY POTENTIAL CONFLICTS AND TAKES APPROPRIATE ACTION AS NECESSARY. BUSINESS RELATIONSHIP AMONG DIRECTORS FORM 990, PART VI, SECTION A, LINE 2 RICHARD STOCK AND RON MILLER HAVE A BUSINESS RELATIONSHIP. DETERMINATION OF COMPENSATION FORM 990, PART VI, SECTION B, LINE 15(A) AND 15(B) 15(A): COMPENSATION COMMITTEE BASES EXECUTIVE DIRECTOR'S COMPENSATION ON THE NUMBER OF SITES SERVED. THE COMMITTEE COMPARES TO OTHER SYSTEMS IN THE STATE WITH REGARD TO THE NUMBER OF SITES SERVED TO DETERMINE COMPENSATION. COMPENSATION COMMITTEE PRESENTS PROPOSED COMPENSATION TO THE BOARD FOR APPROVAL. THERE IS A WRITTEN EMPLOYMENT CONTRACT WHICH PROVIDES FOR AN INCREASE IN PAY AFTER 90 DAYS OF EMPLOYMENT. 15(B): THE EXECUTIVE DIRECTOR DETERMINES THE CFO'S SALARY. THE LAST REVIEW WAS IN 2014. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.