2014-05-14T13:57:37-05:00 2013-06-30 710650689 HUDSON CISNE & CO LLP 11412 HURON LANE LITTLE ROCK AR 72211 990 2012-07-01 710855633 UNITED METHODIST BEHAVIORAL HEALTH SYSTEM INC UNIT 5012259320 1600 ALDERSGATE ROAD NO 200 LITTLE ROCK AR 72205 LESLEY DON COLE 5012259320 2014-05-14 1 RAMI KASSISSIEH P01328714 5012211000 2014-05-14 2012 2015-11-30 17:44:51Z LESLEY DON COLE 1600 ALDERSGATE STE 200 LITTLE ROCK AR 72205 18224932 0 X METHODISTFAMILY.ORG X 2001 AR SEE SCHEDULE O FOR MISSION STATEMENT.TO PROVIDE INPATIENT HOSPITALIZATION, PSYCHIATRIC TRANSITIONAL TREATMENT, AND OUTPATIENT SERVICES TO CHILDREN AND ADOLESCENTS IN NEED. 16 16 0 150 0 0 98893 280937 17528927 17930380 -3511 112 18704 13503 17643013 18224932 0 0 0 0 9666969 8862887 0 0 0 8283576 7799020 17950545 16661907 -307532 1563025 4847216 5678805 4211223 3479787 635993 2199018 SEE SCHEDULE O. 0 0 10422047 17943883 THE ORGANIZATION'S PRIMARY PURPOSE IS TO PROVIDE PSYCHIATRIC TREATMENT FOR CHILDREN AND ADOLESCENTS. ALL PROGRAM EXPENDITURES WENT TOWARD THIS PURPOSE. 10422047 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LESLEY DON COLE 5016610720 1600 ALDERSGATE ROAD LITTLE ROCK AR 72215 RITTER ARNOLD 1.00 X 0 0 0 HARRY CLERGET 1.00 X 0 0 0 CHARLES CLOGSTON 1.00 X 0 0 0 WILLIAM BUD REEVES 1.00 X 0 0 0 MIKE MILLAR 1.00 X 0 0 0 SALLY RIGGS 1.00 X 0 0 0 NEILL SLOAN 1.00 X 0 0 0 DON WEAVER 1.00 X 0 0 0 CE MCADOO 1.00 X 0 0 0 BILL MANN 1.00 X 0 0 0 BISHOP MUELLER 1.00 X 0 0 0 JAMILYN NOBLE 1.00 X 0 0 0 MACKEY YOKEM 1.00 X 0 0 0 ROSE KUONEIN 1.00 X 0 0 0 SCOTT BEARDSLEY 1.00 X 0 0 0 WA MCCORMICK 1.00 X 0 0 0 LESLEY DON COLE 40.00 X 0 121779 2389 WILLIAM ALTOM 40.00 X 0 128068 0 STEVE COX 40.00 X 0 117005 5141 0 366852 7530 0 0 0 0 METHODIST FAMILY HEALTH INC 1600 ALDERSGATE LITTLE ROCK AR 72205 MANAGEMENT SERVICES 2445370 1 278358 2579 280937 PATIENT SERVICE REVENUE 624100 15741598 15741598 HOSPITAL ASSESSMENT REVENUE 624100 1316225 1316225 SCHOOL TUITION 624100 705952 705952 NATIONAL SCHOOL LUNCH PROGRAM 624100 84776 84776 DHS ONE TO ONE COST COVERAGE 624100 81829 81829 17930380 112 112 CAFETERIA SALES - DIETARY 624100 13056 13056 MEDICAL RECORDS FEES 624100 447 447 13503 18224932 17943883 0 112 X 7498333 6695540 802793 96655 96655 620769 620769 647130 647130 2619259 173889 2445370 34868 34868 33300 33300 2114872 2114872 674028 379070 294958 593868 231366 362502 107869 91366 16503 142434 142434 186393 186393 187758 187758 BAD DEBT 915933 915933 OTHER TAXES 97513 97513 HEALTH 77918 77918 MISCELLANEOUS 10896 10896 2111 2111 16661907 10422047 6239860 0 3601 404545 1995559 1744479 48772 52967 3644408 1149479 2405812 2494929 393472 981885 4847216 5678805 882354 844787 2715000 2635000 613869 0 4211223 3479787 X 635993 2199018 635993 2199018 4847216 5678805 1563025 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 300000 300000 2601482 717399 1884083 742926 432080 310846 2494929 BOND DEBT RESERVES 287329 DUE FROM RELATED PARTIES 694556 981885 18224932 0 18224932 0 18224932 16661907 0 16661907 0 16661907 1 1 1 X 1 X 1 1 0 0 593962 0 593962 0.05500 9194316 7539281 1655035 0.15400 9788278 7539281 2248997 0.20900 9788278 7539281 2248997 0.20900 1 915933 247875 0 1 METHODIST FAMILY HEALTH MANAGEMENT OF HOSPITAL AND OTHER AFFILIATES 0.50000 0.00000 0.00000 1 1 UNITED METHODIST BEHAVIORAL HEALTH SYSTE

1601 MURPHY DRIVE MAUMELLE AR 72113

X ADOLESCENT PSYCHIATRIC HOSPITAL UNITED METHODIST BEHAVIORAL HEALTH SYSTE 1 0 1 1 200.000000000000 1 300.000000000000 1 X X X X 1 1 X X 1 0 X X X X 1 0 1 A ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109KBE6 2009-04-01 95329 PURCHASE OF REAL ESTATE 0 0 0 B ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109KBF3 2009-04-01 77997 PURCHASE OF REAL ESTATE 0 0 0 C ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109KBG1 2009-04-01 83774 PURCHASE OF REAL ESTATE 0 0 0 D ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109KBH9 2009-04-01 83774 PURCHASE OF REAL ESTATE 0 0 0 A 95329 2829 4766 63104 2009 0 0 1 1 B 77997 2315 3900 51631 2009 0 0 1 1 C 83774 2486 4189 55455 2009 0 0 1 1 D 83774 2486 4189 55455 2009 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 A ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109KBJ5 2009-04-01 86663 PURCHASE OF REAL ESTATE 0 0 0 B ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109KBK2 2009-04-01 89552 PURCHASE OF REAL ESTATE 0 0 0 C ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109KBL0 2009-04-01 92441 PURCHASE OF REAL ESTATE 0 0 0 D ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109KBM8 2009-04-01 98218 PURCHASE OF REAL ESTATE 0 0 0 A 86663 2572 4333 57368 2009 0 0 1 1 B 89552 2658 4478 59280 2009 0 0 1 1 C 92441 2744 4622 61193 2009 0 0 1 1 D 98218 2915 4911 65017 2009 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 A ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109KBN6 2009-04-01 136204 PURCHASE OF REAL ESTATE 0 0 0 B ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109KBP1 2009-04-01 121328 PURCHASE OF REAL ESTATE 0 0 0 C ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109KBQ9 2009-04-01 127106 0 0 0 D ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109KBR7 2009-04-01 421760 0 0 0 A 436204 12946 21810 288751 2009 0 0 1 1 B 121328 3601 6066 80315 2009 0 0 1 1 C 127106 3772 6355 84140 2009 0 0 1 1 D 421760 12517 21088 279190 2009 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 A ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 04109KBS5 2009-04-01 860854 0 0 0 A 860853 25549 43043 569853 2009 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 METHODIST FAMILY HEALTH INC., AN AFFILIATE, PROVIDES MANAGEMENT SERVICES TO THE UNITED METHODIST BEHAVORIAL HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION B, LINE 11 THE FEDERAL FORM 990 IS REVIEWED BY THE CFO BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES RECEIVE AN ANNUAL QUESTIONNAIRE THAT ASKS THEM TO DISCLOSE ANY CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 HUMAN RESOURCE DEPARTMENT COMPARES SALARY AND THE FINANCE COMMITTEE REVIEWS AND APPROVES SALARY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES - IT : PROGRAM SERVICE EXPENSES 1,876. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,876. PROFESSIONAL SERVICES - MAINTENANCE : PROGRAM SERVICE EXPENSES 35. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35. PROFESSIONAL SERVICES - HOUSEKEEPIN : PROGRAM SERVICE EXPENSES 821. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 821. PROFESSIONAL SERVICES - PHARMACY : PROGRAM SERVICE EXPENSES 235,647. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 235,647. PROFESSIONAL SERVICES - ACUTE : PROGRAM SERVICE EXPENSES 8,860. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,860. PROFESSIONAL SERVICES - CLINICAL AC : PROGRAM SERVICE EXPENSES 1,993. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,993. PROFESSIONAL SERVICES - SUB-ACUTE : PROGRAM SERVICE EXPENSES 3,563. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,563. PROFESSIONAL SERVICES - CLINICAL SU : PROGRAM SERVICE EXPENSES 590. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 590. PROFESSIONAL SERVICES - OP LITTLE R : PROGRAM SERVICE EXPENSES 12,367. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,367. PROFESSIONAL SERVICES - OP MAGNOLIA : PROGRAM SERVICE EXPENSES 80. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80. PROFESSIONAL SERVICES - OP FAYETTEV : PROGRAM SERVICE EXPENSES 20,474. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,474. PROFESSIONAL SERVICES - OP LIGHTHOU : PROGRAM SERVICE EXPENSES 1,617. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,617. PROFESSIONAL SERVICES - ARKANSAS SH : PROGRAM SERVICE EXPENSES 1,325. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,325. PROFESSIONAL SERVICES - ASR CLINIC : PROGRAM SERVICE EXPENSES 3,194. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,194. PROFESSIONAL SERVICES - ASR MULBERR : PROGRAM SERVICE EXPENSES 39,782. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,782. PROFESSIONAL SERVICES-CHEROKEE VILL : PROGRAM SERVICE EXPENSES 8,115. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,115. PROFESSIONAL SERVICES - OUTPATIENT : PROGRAM SERVICE EXPENSES 21,340. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,340. PROFESSIONAL SERVICES - OP CLINIC M : PROGRAM SERVICE EXPENSES 57,513. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,513. PROFESSIONAL SERVICES - SB HARRISBU : PROGRAM SERVICE EXPENSES 1,800. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,800. PROFESSIONAL SERVICES - SB JONESBOR : PROGRAM SERVICE EXPENSES 7,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,400. PROFESSIONAL SERVICES - SB NETTLETO : PROGRAM SERVICE EXPENSES 660. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 660. PROFESSIONAL SERVICES - SB SUCCESS : PROGRAM SERVICE EXPENSES 539. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 539. PROFESSIONAL SERVICES - SB VILONIA : PROGRAM SERVICE EXPENSES 6,703. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,703. CONTRACT NURSES - ACUTE : PROGRAM SERVICE EXPENSES 36,971. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,971. CONTRACT NURSES - SUB-ACUTE : PROGRAM SERVICE EXPENSES 57,708. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,708. CONTRACT BEHAVIORAL INSTRUCTORS - A : PROGRAM SERVICE EXPENSES 100,177. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,177. CONTRACT BEHAVIORAL INSTRUCTORS - S : PROGRAM SERVICE EXPENSES 23,067. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,067. PSYCHIATRIC SERVICES - ACUTE : PROGRAM SERVICE EXPENSES 558,240. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 558,240. PSYCHIATRIC SERVICES - SUB-ACUTE : PROGRAM SERVICE EXPENSES 161,963. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 161,963. PSYCHIATRIC SERVICES - OP LITTLE RO : PROGRAM SERVICE EXPENSES 120,905. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120,905. PSYCHIATRIC SERVICES - OP MAGNOLIA : PROGRAM SERVICE EXPENSES 64,639. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,639. PSYCHIATRIC SERVICES - OP FAYETTEVI : PROGRAM SERVICE EXPENSES 101,065. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 101,065. PSYCHIATRIC SERVICES - OP LIGHTHOUS : PROGRAM SERVICE EXPENSES 32,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,364. PSYCHIATRIC SERVICES - OP CLINIC MT : PROGRAM SERVICE EXPENSES 18,509. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,509. PSYCHIATRIC SERVICES - SB HARRISBUR : PROGRAM SERVICE EXPENSES 62,880. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,880. PSYCHIATRIC SERVICES - SB JONESBORO : PROGRAM SERVICE EXPENSES 72,458. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,458. PSYCHIATRIC SERVICES - SB NETTLETON : PROGRAM SERVICE EXPENSES 92,839. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,839. PSYCHIATRIC SERVICES - SB SUCCESS : PROGRAM SERVICE EXPENSES 35,899. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,899. PSYCHIATRIC SERVICES - SB VILONIA : PROGRAM SERVICE EXPENSES 55,481. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,481. PSYCHIATRIC SERVICES - SB LINCOLN : PROGRAM SERVICE EXPENSES 22,165. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,165. PSYCHIATRIC SERVICES - DAY TREATMEN : PROGRAM SERVICE EXPENSES 61,248. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,248. FORM 990, PART XII, LINE 2C, AUDIT OVERSIGHT & AUDITOR SELECTION: THE AUDIT OVERSIGHT PROCESS AND SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT HAVE NOT CHANGED FROM THE PRIOR YEAR. UNITED METHODIST CHILDREN'S HOME 1600 ALDERSGATE ROAD STE 200 LITTLE ROCK AR 72205 710236906 PROVIDE THERAPY & HOUSING FOR UNDERPRIVELEDGED CHILDREN AR 501(C)(3) LINE 9 N/A 0 METHODIST FAMILY HEALTH FOUNDATION 1600 ALDERSGATE ROAD STE 200 LITTLE ROCK AR 72205 020701562 CUSTODIAN AND FUNDRAISING AR 501(C)(3) LINE 11A, I N/A 0 METHODIST FAMILY HEALTH INC 1600 ALDERSGATE ROAD STE 200 LITTLE ROCK AR 72205 020701560 MANAGEMENT SERVICES AR S 852424 0.50000 0 0 0 1 1 1 0 0 0 0 0 1 0 0 1 1 1 0 0 0