JEFFERSON HOSPITAL ASSN INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: JEFFERSON HOSPITAL ASSN INC (EIN 71-0329353)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201431349349307673
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-14T16:58:34-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2800 POST OAK BLVD SUITE 3200	AddressLine1
City	HOUSTON	City
State	TX	State
ZIP Code	77056	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	710329353	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Jefferson Hospital Association Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% BRYAN G JACKSON	InCareOfName
Name Control	JEFF	NameControl
Phone	8705417100	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 West 40th Avenue	AddressLine1
Address Line2	Suite	AddressLine2
City	Pine Bluff	City
State	AR	State
ZIP Code	71603	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	BRYAN G JACKSON	Name
Title	VP & CFO	Title
Phone	8705417100	Phone
Date Signed	2014-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	7134994600	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WALTER JOHNSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1600 WEST 40TH AVENUE	AddressLine1
City	PINE BLUFF	City
State	AR	State
ZIP Code	71603	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	180717129	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.JRMC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1959	YearFormation
State Legal Domicile	AR	StateLegalDomicile
Activity Or Mission Description	JEFFERSON HOSPITAL ASSOCIATION, INC. PROVIDES A WIDE RANGE OF HEALTH CARE SERVICES TO PATIENTS FROM JEFFERSON COUNTY AND SURROUNDING AREAS IN SOUTHEAST ARKANSAS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	2214	TotalNbrEmployees
Total Nbr Volunteers	61	TotalNbrVolunteers
Total Gross UBI	166172	TotalGrossUBI
Net Unrelated Business Txbl Income	-34992	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1419947	ContributionsGrantsPriorYear
Contributions Grants Current Year	1537684	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	176078282	ProgramServiceRevenuePriorYear
Program Service Revenue CY	170702750	ProgramServiceRevenueCY
Investment Income Prior Year	2465169	InvestmentIncomePriorYear
Investment Income Current Year	3533843	InvestmentIncomeCurrentYear
Other Revenue Prior Year	8839559	OtherRevenuePriorYear
Other Revenue Current Year	4842247	OtherRevenueCurrentYear
Total Revenue Prior Year	188802957	TotalRevenuePriorYear
Total Revenue Current Year	180616524	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	366572	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	554025	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	89619300	SalariesEtcPriorYear
Salaries Etc Current Year	93907944	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	90215463	OtherExpensePriorYear
Other Expenses Current Year	85872702	OtherExpensesCurrentYear
Total Expenses Prior Year	180201335	TotalExpensesPriorYear
Total Expenses Current Year	180334671	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	8601622	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	281853	RevenuesLessExpensesCY
Total Assets BOY	241797556	TotalAssetsBOY
Total Assets EOY	243604272	TotalAssetsEOY
Total Liabilities BOY	64420486	TotalLiabilitiesBOY
Total Liabilities EOY	63603958	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	177377070	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	180000314	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	162371826	Expense
Grants	554025	Grants
Revenue	170702750	Revenue
Description	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 222,000 people living in 11 counties. JRMC is a not-for-profit, sole community hospital, licensed by the Arkansas State Health Department and accredited by the Joint Commission on Accreditation of Healthcare Organizations. 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." During fiscal year 2013, JRMC conducted a Community Health Needs Assessment (CHNA) and adopted an implementation strategy to address the needs of the community, in accordance with IRS Code Section 501(r)(3). In many cases, JRMC and other organizations already addressed community health needs of Southeast Arkansas, but conducting the CHNA gave JRMC the opportunity to study health care needs, with input from various sources, which confirmed our continued and important role in the community. We are proud that we can continue to provide leading healthcare services to everyone in Southeast Arkansas, regardless of ability to pay. 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, Hospice, 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 2013, JRMC invested approximately $6 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, continuing to meet Stage 1 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. This initiative is part of a larger compliance program intended to ensure JHA continually self evaluates its regulatory compliance. Today's public demands more information in a fully transparent manner. To be transparent, we must provide information openly, candidly, and accurately. We provide information on the following topics: inpatient pricing, outpatient pricing, quality outcomes, and patient satisfaction. This goes over and beyond the efforts and requirements of the Arkansas Hospital Association and American Hospital Association. The complete information can be viewed at www.jrmc.org.	Description
Total Program Service Expense	162371826	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	196	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2214	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	BRYAN G JACKSON	NamePerson
Telephone Number	8705417100	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1600 WEST 40TH AVENUE	AddressLine1
City	PINE BLUFF	City
State	AR	State
ZIP Code	71603	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
FRANK ANTHONY
DIRECTOR	1.0	0.0	X	0	0	0
DREW ATKINSON
DIRECTOR	1.0	0.0	X	0		0
JERREL BOAST
DIRECTOR	1.0	0.0	X	0		0
DAVID BROWN
DIRECTOR	1.0	0.0	X
JAMES A CAMPBELL MD
DIRECTOR	1.0	0.0	X
MARTY CASTEEL
VICE CHAIRMAN	1.0	0.0	X				X
MICHELLE ECKERT MD FACS
DIRECTOR	1.0	0.0	X	111721
ANNETTE KLINE
DIRECTOR	1.0	0.0	X
GEORGE MAKRIS
CHAIRMAN	1.0	0.0	X				X
JOANN B MAYS MD
DIRECTOR	1.0	0.0	X
CHUCK MORGAN
SECRETARY	1.0	0.0	X				X
SCOTT PITTILLO
DIRECTOR	1.0	0.0	X
CLIFTON ROAF DDS
DIRECTOR	1.0	0.0	X
HENRY FORD TROTTER III
DIRECTOR	1.0	0.0	X
OT GORDON MD
DIRECTOR/JRMC CHIEF OF STAFF	15.0	0.0	X	27500
WALTER JOHNSON
PRESIDENT/CEO	40.0	0.0	X	745414		28546	X
THOMAS HARBUCK
EXECUTIVE VP	40.0	0.0		629962		31146	X
BRIAN THOMAS
SENIOR VP/COO	40.0	0.0		376350		29326	X
BRYAN G JACKSON
VP/CFO	40.0	0.0		285559		79411	X
LOUISE HICKMAN
VP/CNO	40.0	0.0		315878		27526	X
AARON KUPERMAN
PHYSICIAN	40.0	0.0		429828		17398		X
ALI ALNASHIF
PHYSICIAN	40.0	0.0		441660		22933		X
CHARLES HOFFLER
PHYSICIAN	40.0	0.0		486602		24595		X
JAMES ALAN POLLARD
PHYSICIAN	40.0	0.0		476765		23633		X
JOHN O LYTLE
PHYSICIAN	40.0	0.0		762630		33763		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5089869	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	318277	TotalOtherCompensation
Number Individuals GT100 K	64	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
EMURGENT CARE INC
8 SHACKLEFORD PLAZA	LITTLE ROCK	AR	72211	PHYSICIAN SERVICES	3766608
REHAB CARE GROUP INC
PO BOX 502096	ST LOUIS	MO	63150	THERAPY SERVICES	3119182
SODEXHO INC AFFILIATES
PO BOX 536922	ATLANTA	GA	30353	NUTRITIONAL SERVICES	2646126
UAMS - AHEC
4010 MULBERRY ST	PINE BLUFF	AR	71603	PHYSICIAN SERVICES	1980428
JEFFERSON ANESTHESIOLOGY
PO BOX 1272	PINE BLUFF	AR	71613	PROFESSIONAL SERVICE	1855987

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	51	NumberOfContractorsGT100K
Info In Schedule O Part VIII	X	InfoInScheduleOPartVIII
Government Grants	1140454	GovernmentGrants
All Other Contributions	397230	AllOtherContributions
Total Contributions	1537684	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE	621400	169040483	169040483
EHR INCENTIVE REVENUE	900099	1662267	1662267

Field	Value	IRS element (for citing)
Total Program Service Revenue	170702750	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3511372	TotalRevenueColumn
Unrelated Business Revenue	13572	UnrelatedBusinessRevenue
Exclusion	$3,497,800	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	545425	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	545425	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	545425	TotalRevenueColumn
Unrelated Business Revenue	2400	UnrelatedBusinessRevenue
Exclusion	$543,025	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	106397	Securities
Other	10410	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	52212	Securities
Other	42124	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	54185	Securities
Other	-31714	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	22471	TotalRevenueColumn
Exclusion	$22,471	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	13536	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	6269	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	7267	TotalRevenueColumn
Exclusion	$7,267	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA	722320	1289901	$1,289,901
WELLNESS CENTER	713940	944510	$944,510
PATHOLOGY/OUTSIDE LAB BILLING	900099	150200		150200

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1904944	TotalRevenueColumn
Exclusion	$1,904,944	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	4289555	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	180616524	TotalRevenueColumn
Related Or Exempt Function Income	170702750	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	166172	UnrelatedBusinessRevenue
Exclusion	$8,209,918	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	122361	Total
Program Services	122361	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	431664	Total
Program Services	431664	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2892759	Total
Program Services	383275	ProgramServices
Management And General	2509484	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	210297	Total
Program Services	189395	ProgramServices
Management And General	20902	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	75650500	Total
Program Services	68407156	ProgramServices
Management And General	7243344	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2411285	Total
Program Services	2110875	ProgramServices
Management And General	300410	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7198313	Total
Program Services	6267958	ProgramServices
Management And General	930355	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5544790	Total
Program Services	4853991	ProgramServices
Management And General	690799	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	4144967	Total
Program Services	3757631	ProgramServices
Management And General	387336	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	219331	Total
Program Services	145560	ProgramServices
Management And General	73771	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	194770	Total
Management And General	194770	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	26408832	Total
Program Services	24114965	ProgramServices
Management And General	2293867	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	69645	Total
Program Services	20492	ProgramServices
Management And General	49153	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6438344	Total
Program Services	4570728	ProgramServices
Management And General	1867616	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1529168	Total
Program Services	1276235	ProgramServices
Management And General	252933	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2594269	Total
Program Services	2340990	ProgramServices
Management And General	253279	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	308494	Total
Program Services	190566	ProgramServices
Management And General	117928	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	173135	Total
Program Services	156941	ProgramServices
Management And General	16194	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	995673	Total
Program Services	958061	ProgramServices
Management And General	37612	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	8883258	Total
Program Services	8547685	ProgramServices
Management And General	335573	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1999743	Total
Program Services	1954552	ProgramServices
Management And General	45191	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
DUES & FEES	443748	170465	273283
MEDICAL SUPPLIES	27014637	27014637
PAYMENTS TO RELATED PARTIES	1774546	1735000	39546
LICENSES & TAXES	2683074	2660831	22243

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	-2932	Total
Program Services	-10188	ProgramServices
Management And General	7256	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	180334671	Total
Program Services	162371826	ProgramServices
Management And General	17962845	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	18572418	BOY
EOY	-361052	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	10893481	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	22929527	BOY
EOY	23934247	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1812431	BOY
EOY	1467006	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4941179	BOY
EOY	4724705	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2797891	BOY
EOY	2999683	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	200791469	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	145320665	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	58914277	BOY
EOY	55470804	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	97514664	BOY
EOY	108576141	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	2278826	BOY
EOY	2220107	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	32036343	BOY
EOY	33679150	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	241797556	BOY
EOY	243604272	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	34845472	BOY
EOY	35871605	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	3355512	BOY
EOY	2714498	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	25483245	BOY
EOY	24181006	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	736257	BOY
EOY	836849	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	64420486	BOY
EOY	63603958	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	177377070	BOY
EOY	180000314	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	177377070	BOY
EOY	180000314	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	241797556	BOY
EOY	243604272	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	281853	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1756352	ReconciliationUnrealizedInvest
Reconcilation Donated Services	585039	ReconcilationDonatedServices
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$0	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$28,721	OtherActivitiesAmount
Total Lobbying Expenditures IIB	28721	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE 1I	ReturnReference
Explanation	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.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years
Current Year Minus4 Years		CurrentYearMinus4Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4805853	OtherCostOrOtherBasis
Book Value	4805853	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	82610077	OtherCostOrOtherBasis
Depreciation	55956339	Depreciation
Book Value	26653738	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1739592	OtherCostOrOtherBasis
Depreciation	1323880	Depreciation
Book Value	415712	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	110504787	OtherCostOrOtherBasis
Depreciation	88040446	Depreciation
Book Value	22464341	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1131160	OtherCostOrOtherBasis
Book Value	1131160	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	55470804	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
DEFERRED FINANCING COSTS	547498
457 PLAN - FMV	836849
DUE FROM AFFILIATES	32294803

Field	Value	IRS element (for citing)
Total Book Value Other Assets	33679150	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	457 PLAN	Description
Amount	$836,849	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	836849	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	8257	PersonsServed
Total Community Benefit Expense	13009395	TotalCommunityBenefitExpense
Net Community Benefit Expense	13009395	NetCommunityBenefitExpense
Percent Of Total Expense	0.07210	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	10832	PersonsServed
Total Community Benefit Expense	1985951	TotalCommunityBenefitExpense
Net Community Benefit Expense	1985951	NetCommunityBenefitExpense
Percent Of Total Expense	0.01100	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	19089	PersonsServed
Total Community Benefit Expense	14995346	TotalCommunityBenefitExpense
Net Community Benefit Expense	14995346	NetCommunityBenefitExpense
Percent Of Total Expense	0.08310	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	81125	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8400	DirectOffsettingRevenue
Net Community Benefit Expense	72725	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6284747	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2527443	DirectOffsettingRevenue
Net Community Benefit Expense	3757304	NetCommunityBenefitExpense
Percent Of Total Expense	0.02080	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2951871	TotalCommunityBenefitExpense
Direct Offsetting Revenue	908583	DirectOffsettingRevenue
Net Community Benefit Expense	2043288	NetCommunityBenefitExpense
Percent Of Total Expense	0.01130	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	554025	TotalCommunityBenefitExpense
Direct Offsetting Revenue	431664	DirectOffsettingRevenue
Net Community Benefit Expense	122361	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9871768	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3876090	DirectOffsettingRevenue
Net Community Benefit Expense	5995678	NetCommunityBenefitExpense
Percent Of Total Expense	0.03320	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	19089	PersonsServed
Total Community Benefit Expense	24867114	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3876090	DirectOffsettingRevenue
Net Community Benefit Expense	20991024	NetCommunityBenefitExpense
Percent Of Total Expense	0.11630	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	201515	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1381	DirectOffsettingRevenue
Net Community Building Expense	200134	NetCommunityBuildingExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	201515	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1381	DirectOffsettingRevenue
Net Community Building Expense	200134	NetCommunityBuildingExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$10,910,082	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	56190930	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	57699479	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1508549	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
JEFFERSON SURGERY

CENTER PLLC
AMBULATORY SURGERY CENTER	0.61000	0.02000	0.37000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON REGIONAL MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1600 W 40TH AVENUE	AddressLine1
City	PINE BLUFF	City
State	AR	State
ZIP Code	71603	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	150.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	9	NumberOfOtherFacilities

Other Facilities OtherFacilities (9 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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
RHUEMATOLOGY CLINIC
1609 W 40TH SUITE 207	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
PINE BLUFF SPECIALTY CLINIC
1601 W 4OTH SUITE 301	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
CARDIOLOGY ASSOCIATES
1601 W 40TH 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 SUITE 501	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
SOUTH ARKANSAS CARDIOVASCULAR SURGERY
1609 W 40TH AVE	PINE BLUFF	AR	71603	PHYSICIAN CLINIC
SURGICAL ASSOCIATES OF SOUTHEAST AR
1609 W 40TH AVE	PINE BLUFF	AR	71603	PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
AVAILABILITY OF COMMUNITY BENEFIT REPORT	SCHEDULE H, PART I, LINE 6B	THE ORGANIZATION MAKES ITS ANNUAL COMMUNITY BENEFIT REPORT AVAILABLE ON THE ORGANIZATION'S WEBSITE and UPON REQUEST.
COMMUNITY BUILDING ACTIVITIES	SCHEDULE H, PART II	SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A.
BAD DEBT METHODOLOGY	SCHEDULE H, PART III, LINE 2	THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS.
BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	SCHEDULE H, PART III, LINE 3	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.
BAD DEBT EXPENSE	SCHEDULE H, PART III, LINE 4	Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability 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, 2013 and 2012, 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.
MEDICARE SHORTFALL and costing methodology	SCHEDULE H, PART III, LINE 8	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.
COLLECTIONS POLICY	SCHEDULE H, PART III, LINE 9B	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 PATIENTS ACCOUNT BEING PLACED WITH A DEBT COLLECTION AGENCY. THE ORGANIZATIONS "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 PATIENTS FINANCIAL HARDSHIP. THE COLLECTION AGENT IS ALSO REQUIRED TO NOTIFY THE ORGANIZATION OF THE PATIENTS FINANCIAL HARDSHIP SO THE ORGANIZATION CAN ASSIST THE PATIENT IN ACCESSING THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS.
FINANCIAL ASSISTANCE POLICY ELIGIBILITY	SCHEDULE H, PART V, SECTION B, LINE 20	AMOUNTS CHARGED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY ARE DETERMINED BASED ON A SLIDING-SCALE THAT CONSIDERS INCOME AS COMPARED TO FEDERAL POVERTY GUIDeLINES.
NEEDS ASSESSMENT	SCHEDULE H, PART VI, LINE 2	SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 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.
COMMUNITY INFORMATION	SCHEDULE H, PART VI, LINE 4	SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A.
PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI, LINE 5	SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A.
AFFILIATED HEALTH CARE SYSTEM	SCHEDULE H, PART VI, LINE 6	THIS IS NOT APPLICABLE FOR TAX YEAR 2012. STATE FILING of COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 ARKANSAS
CONSULTING REPRESENTATIVES OF THE COMMUNITY	SCHEDULE H, PART V, SECTION B, LINE 3	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.
Needs not addressed From CHNA	Schedule H, part v, section b, Line 7	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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
UNIVERSITY OF AR - PINE BLUFF
1200 N UNIVERSITY MAIL SLOT 4891	PINE BLUFF	AR	71601	716010030	501(C)(3)	50000	SPONSORSHIPS 2011-2012 AND 2010-2011
UNITED WAY OF SE ARKANSAS
PO BOX 8702	PINE BLUFF	AR	71611	710236869	501(C)(3)	44485	2011 CAMPAIGN PLEDGE
ARTS & SCIENCE CENTER FOR SE ARKANSAS
701 MAIN STREET	PINE BLUFF	AR	71601	710401966	501(C)(3)	15000	PROGRAM SPONSORSHIP

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
FEDERAL PELL GRANT (US DEPT OF EDUCATION)	73	349979
ACADEMIC CHALLENGE SCHOLARSHIPS (STATE OF AR)	3	5250
REHABILITATION GRANTS (STATE OF AR)	12	33701
WIA ADULT PROGRAM GRANTS (US DEPT OF LABOR)	15	24134
GO! OPPORTUNITIES GRANTS (STATE OF AR)	12	5250

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROCEDURES FOR MONITORING GRANTS	SCHEDULE I, PART I, LINE 2	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.
DIFFERENCE BETWEEN SCHEDULE I AND STATEMENT OF FUNCTIONAL EXPENSES	FORM 990, PART IX, LINE 1 & SCHEDULE I, PART II, LINE 1	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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Discretionary Spending Account	X	DiscretionarySpendingAccount
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	false	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WALTER JOHNSON
PRESIDENT/CEO	367243	109200	268971	10794	0	20164	0	776372	0	0	0
THOMAS HARBUCK
EXECUTIVE VP	317216	99053	213693	10794	0	22600	0	663356	0	0	0
BRIAN THOMAS
SENIOR VP/COO	228007	56517	91826	10794	0	20369	0	407513	0	0	0
BRYAN G JACKSON
VP/CFO	189931	45000	50628	60359	0	20565	0	366483	0	0	0
LOUISE HICKMAN
VP/CNO	167172	41408	107298	10794	0	18113	0	344785	0	0	0
AARON KUPERMAN
PHYSICIAN	314658	98004	17166	10669	0	8162	0	448659	0	0	0
ALI ALNASHIF
PHYSICIAN	408321	16000	17339	10794	0	14513	0	466967	0	0	0
CHARLES HOFFLER
PHYSICIAN	433180	51823	1599	4905	0	21316	0	512823	0	0	0
JAMES ALAN POLLARD
PHYSICIAN	298120	166696	11949	11114	0	13976	0	501855	0	0	0
JOHN O LYTLE
PHYSICIAN	223646	516388	22596	10794	0	24548	0	797972	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
SCHEDULE J, PART I, LINE 1A	- 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.
SCHEDULE J, PART I, LINE 1B	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.
PARTICIPANTS IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	PARTICIPANTS IN SERP PLAN REPORTED IN W-2 -------------------------- ----------------- WALTER JOHNSON $122,422 THOMAS HARBUCK $104,699 BRIAN THOMAS $49,671 LOUISE HICKMAN $52,868 BRYAN JACKSON NONE	SCHEDULE J, PART I, LINE 4B
NON-FIXED PAYMENTS	THE ORGANIZATION PROVIDES DEFINED MEMBERS OF MANAGEMENT A NON-FIXED PERFORMANCE BASED INCENTIVE PLAN. THE PLANS COMPONENTS ARE ESTABLISHED AND EVALUATED BY THE ORGANIZATIONS EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.	SCHEDULE J, PART I, LINE 7

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON COUNTY AR	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	716009958	IssuerEIN
CUSIP Number	472705DF6	CUSIPNumber
Date Issued	2011-12-15	DateIssued
Issue Price	26013416	IssuePrice
Description Of Purpose	REFUND 2001 BONDS	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	510000	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	26013416	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	25395168	RefundingEscrow
Issuance Costs From Proceeds	372172	IssuanceCostsFromProceeds
Credit Enhancement	246076	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	0	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2012	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	false	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers
Bond Iss Meet Prvt Security Pay Test	false	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedProp
Remedial Action Taken	false	RemedialActionTaken
Non Qualified Bond Remed Procdrs	true	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiled
Rebate Not Due Yet	true	RebateNotDueYet
Exception To Rebate	false	ExceptionToRebate
No Rebate Due	false	NoRebateDue
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Written Proc To Monitor Reqs	true	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	true	ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
RICHARD MORGAN
See Schedule O.	0	See Schedule O.	false
Simmons First National Bank
See Schedule O.	0	See Schedule O.	false
CENTRAL MOLONEY
See Schedule O.	0	See Schedule O.	false
LINDSAY MAKRIS
See Schedule O.	0	See Schedule O.	false
ARKANSAS HOSPITAL ASSOCIATION
See Schedule O.	0	See Schedule O.	false
REBECCA PITTILLO
See Schedule O.	0	See Schedule O.	false
STRONG MANUFACTURING
See Schedule O.	0	See Schedule O.	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DELEGATION OF AUTHORITY	FORM 990, PART VI, SECTION A, LINE 1A	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. RELATIONSHIPS OF OFFICERS, DIRECTORS, AND TRUSTEES FORM 990, PART VI, SECTION A, LINE 2 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. Frank Anthony (JHA Director) and Walter Johnson (JHA President and CEO) 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. Drew Atkinson (JHA Director) and Walter Johnson (JHA President & CEO) have a business relationship. BRYAN JACKSON (JHA OFFICER) AND FRANK ANTHONY (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP. BRYAN JACKSON (JHA OFFICER) AND DREW ATKINSON (JHA DIRECTOR) HAVE A BUSINESS RELATIONSHIP.
MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS A MEMBERSHIP CONSISTING OF 30 JEFFERSON COUNTY ARKANSAS RESIDENTS.
POWER TO ELECT OR APPOINT MEMBERS OF GOVERNING BODY	FORM 990, PART VI, SECTION A, LINE 7A	THE MEMBERSHIP OF THE ORGANIZATION HAS THE RESPONSIBILITY OF ELECTING THE BOARD OF DIRECTORS AT THE ANNUAL MEMBERSHIP MEETING.
DESCRIBE PROCESS TO REVIEW FORM 990	FORM 990, PART VI, SECTION B, LINE 11B	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 AND APPROVE THE RETURNS BEFORE THEY ARE FILED WITH THE IRS. AFTER ANY FINAL REVISIONS ARE MADE AND THE RETURNS ARE APPROVED BY THE GOVERNANCE COMMITTEE AND THE BOARD OF DIRECTORS, A FINAL VERSION IS POSTED TO AN INTERNAL SECURE WEBSITE WITH A LINK E-MAILED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS.
MONITOR AND ENFORCEMENT OF COMPLIANCE WITH POLICIES	FORM 990, PART VI, SECTION B, LINE 12C	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.
COMPENSATION OF CEO AND OTHER OFFICERS	FORM 990, PART VI, SECTION B, LINE 15A & 15B	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 2012 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.
AVAILABILITY OF DOCUMENTS TO THE PUBLIC	FORM 990, PART VI, SECTION C, LINE 19	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.
OTHER FEES FOR SERVICES	FORM 990, PART IX, LINE 11G	PHYSICIAN FEES $9,805,127 PURCHASED SERVICES $8,539,086 PROFESSIONAL FEES $3,082,196 CONTRACT LABOR $2,232,828 OTHER FEES $2,749,595 ------------- TOTAL $26,408,832
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	SCHEDULE L, PART IV, COLUMNS B, C, & D	(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: SIMMONS FIRST NATIONAL BANK AND/OR SIMMONS FIRST NATIONAL CORPORATION (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ENTITY IN WHICH DR. CLIFTON ROAF, MARTY CASTEEL, GEORGE MAKRIS AND FORD TROTTER III ARE OFFICERS OR DIRECTORS (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $100,000 (D) DESCRIPTION OF TRANSACTION: INTEREST INCOME & BANK/TRUSTEE FEES (A) NAME OF PERSON: CENTRAL MOLONEY (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ENTITY IN WHICH CHUCK MORGAN (JHA DIRECTOR) IS AN OFFICER (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $100,000 (D) DESCRIPTION OF TRANSACTION: HEALTH CARE PAYMENTS (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: 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: STRONG MANUFACTURING (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ENTITY IN WHICH ANNETTE KLINE (JHA DIRECTOR) IS AN OFFICER (C) TRANSACTION AMOUNTS REPORTED ARE GREATER THAN $100,000 (D) DESCRIPTION OF TRANSACTION: HEALTH CARE PAYMENTS

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON SURGERY CENTER PLLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1600 W 40TH AVE	AddressLine1
City	PINE BLUFF	City
State	AR	State
ZIP Code	71603	ZIPCode

Field	Value	IRS element (for citing)
EIN	710810564	EIN
Primary Activity	AMB SURGERY	PrimaryActivity
Legal Domicile State	AR	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JHA	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	264729	ShareOfTotalIncome
Share Of EOY Assets	1232757	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	true	GeneralOrManagingPartner
Percentage Ownership	0.61000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
JRMC DEVELOPMENT INC
1600 W 40TH AVE	PINE BLUFF	AR	71603	710664723	REAL ESTATE MGMT	AR	JHA	C CORP	-125526	16843494	1.00000	true
JEFFERSON MANAGEMENT SERVICES INC
1600 W 40TH AVE	PINE BLUFF	AR	71603	710582753	PHYS PRACTICE MGT	AR	JHA	C CORP	0	886189	1.00000	true

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
JRMC DEVELOPMENT INC
A	1633688	G/L ACTIVITY
JRMC DEVELOPMENT INC
R	314346	G/L ACTIVITY
JRMC DEVELOPMENT INC
S	444104	G/L ACTIVITY
JRMC DEVELOPMENT INC
K	679790	G/L ACTIVITY
JRMC DEVELOPMENT INC
L	365444	G/L ACTIVITY
JEFFERSON MANAGEMENT SERVICES INC
L	285013	G/L ACTIVITY
JEFFERSON MANAGEMENT SERVICES INC
R	100000	G/L ACTIVITY
Jefferson Surgery Center PLLC
L	1512591	G/L ACTIVITY
Jefferson Surgery Center PLLC
M	1151747	G/L ACTIVITY
Jefferson Surgery Center PLLC
R	1112609	G/L ACTIVITY
Jefferson Surgery Center PLLC
S	1498104	G/L ACTIVITY