2015-02-11T10:59:28-08:00 2014-06-30 Welch Couch & Company PA 410 Barnett Dr Batesville AR 72501 990 2013-07-01 710276839 DELTA MEMORIAL HOSPITAL DELT 8703824303 811 HWY 65 S DUMAS AR 71639 TIMOTHY JONES Chairman 2015-02-11 true WILLIAM T COUCH P00183609 8707935231 2013 2016-02-25 16:41:14Z 11813078 false false X WWW.DELTAMEM.ORG X 1975 AR DELTA MEMORIAL HOSPITAL IS COMMITTED TO AID HEALING AND PROMOTE WELLNESS FOR SOUTHEAST ARKANSAS 7 7 206 32 0 280210 318899 15410977 11154232 -2250291 556 1016185 339391 14457081 11813078 0 0 7241764 6493345 0 0 9170655 5913226 16412419 12406571 -1955338 -593493 15137426 13325608 8240576 7022251 6896850 6303357 DELTA MEMORIAL HOSPITAL IS COMMITTED TO AID HEALING AND PROMOTE WELLNESS FOR SOUTHEAST ARKANSAS false false 8799075 DELTA MEMORIAL HOSPITAL PROVIDES MEDICAL HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR ABILITY TO PAY. 8799075 true false 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 false 33 0 true 206 false false false false false false false false false 0 false false false false false false false false false false X 7 7 false false false false false false false true false false false true true true true true true false false false X CRIS BOLIN 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 GLENN CROW Vice Chairman 1.00 0.00 X X 0 0 0 DR DAVID CHAMBERS EX OFFICIO 40.00 0.00 X 704250 0 0 ROBIN SHEA Director 1.00 0.00 X 0 0 0 JOHN FREEMAN Director 0.00 0.00 X 0 0 0 SHIRLEY TEETER Secretary 1.00 0.00 X X 0 0 0 CRIS BOLIN CFO 40.00 0.00 X 100006 0 0 804256 2 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 275039 REHAB CARE GROUP PHYSICAL THERAPY SER 516250 MICHAEL DARREN CALDWELL BILLING 174950 5 242922 75977 318899 PATIENT SERVICE REVENUE 10251678 10251678 STATE ASSESSMENT REVENUE 902554 902554 11154232 556 556 0 0 12058 12058 12058 12058 0 0 0 0 ELECTRONIC HEALTH RECORDS 900099 169816 169816 GUEST AND EMPLOYEE MEALS 900099 35508 35508 MISCELLANEOUS 900099 113331 113331 8678 8678 327333 11813078 11481565 12614 0 0 0 0 804256 804256 0 4759212 4168904 590308 13386 10039 3347 525524 394144 131380 390967 293225 97742 0 61490 61490 32180 32180 0 0 0 0 0 0 0 0 300636 25383 275253 49902 45361 4541 0 0 305070 305070 0 1024111 1024111 288505 288505 PURCHASED SERVICES 2301101 2014026 287075 SUPPLIES & OTHER 982581 620702 361879 REPAIRS & MAINTENANCE 341772 127764 214008 TELEPHONE 83638 8701 74937 142240 66715 75525 12406571 8799075 3607496 0 2697 317300 0 0 3934210 2738538 0 0 0 236039 234278 233080 218204 17873716 8223482 10564346 9650234 0 0 0 0 167054 167054 15137426 13325608 2641386 2136541 5369580 4763058 84094 77000 145516 45652 8240576 7022251 X -185354 -384479 7082204 6687836 6896850 6303357 15137426 13325608 -593493 X false true X true false X 105910 105910 12356078 4680313 7675765 5411728 3543169 1868559 9650234 DELINQUENT PAYROLL TAXES PAYABLE 45652 45652 X 12207446 394368 394368 11813078 11813078 12406571 12406571 12406571 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 39476 39476 0.00320 39476 39476 0.00320 39476 39476 0.00320 true 1974719 1184831 4272177 4024819 247358 true false 1 1 DELTA MEMORIAL HOSPITAL 811 HWY 65S DUMAS AR 71639 X X true X X X X X X X X 12 true false true X X X X true false false true true 100.0000 true 200.0000 true X X X X true true X X X X true X X true X X X X X true false false Part V, Line 3 - Account Input from Person Who Represent the Community DEVELOPED A STEERING COMMITTEE AND HELD COMMUNITY MEETINGS THAT PRESENTED SURVEYS TO COMMITTEE MEMEBERS FOR INPUT Part V, Line 6i - Describe Other Needs Identified THE HOSPITAL SET A GOAL OF INCREASING AVAILABLE HEALTH EDUCATION PROGRAMS IN THE SERVICE AREA. THE HOSPITAL WORKED WITH OTHER GROUPS TO OFFER INSURANCE ENROLLMENT CERTIFICATION TRAINING, CPR, AND HEALTH EDUCATION CLASSES. THE HOSPITAL ALSO FORMED PARTNERSHIPS WITH LOCAL BUSINESSES TO PROVIDE WORKSITE WELLNESS PROGRAM AVAILABLE TO ALL LOCAL EMPLOYERS. 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 DR DAVID CHAMBERS EX OFFICIO 704250 704250 Form 990, Part VI, Line 11b: Form 990 Review Process No review was or will be conducted. 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 19: Other Organization Documents Publicly Available No documents available to the public.