UNITED METHODIST BEHAVIORAL HEALTH SYSTEM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UNITED METHODIST BEHAVIORAL HEALTH SYSTEM INC (EIN 71-0855633)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201301359349307765
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T15:27:18-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN710650689EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HUDSON CISNE & CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line111412 HURON LANEAddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code72211ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710855633EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNITED METHODIST BEHAVIORAL HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNITNameControl
Phone5018033388Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 ALDERSGATE RD NO 200AddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code72205ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLESLEY DON COLEName
TitleCFOTitle
Phone5018033388Phone
Date Signed2013-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRAMI KASSISSIEHName
PTINP01328714PTIN
Phone5012211000Phone
Date Prepared2013-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLESLEY DON COLENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11600 ALDERSGATE STE 200AddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code72205ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17646524GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteMETHODISTFAMILY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O FOR MISSION STATEMENT.TO PROVIDE INPATIENT HOSPITALIZATION, PSYCHIATRIC TRANSITIONAL TREATMENT, AND OUTPATIENT SERVICES TO CHILDREN AND ADOLESCENTS IN NEED.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1589198ContributionsGrantsPriorYear
Contributions Grants Current Year98893ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15246085ProgramServiceRevenuePriorYear
Program Service Revenue CY17528927ProgramServiceRevenueCY
Investment Income Prior Year1466InvestmentIncomePriorYear
Investment Income Current Year-3511InvestmentIncomeCurrentYear
Other Revenue Prior Year22380OtherRevenuePriorYear
Other Revenue Current Year18704OtherRevenueCurrentYear
Total Revenue Prior Year16859129TotalRevenuePriorYear
Total Revenue Current Year17643013TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8257969SalariesEtcPriorYear
Salaries Etc Current Year9666969SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6707629OtherExpensePriorYear
Other Expenses Current Year8283576OtherExpensesCurrentYear
Total Expenses Prior Year14965598TotalExpensesPriorYear
Total Expenses Current Year17950545TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1893531RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-307532RevenuesLessExpensesCY
Total Assets BOY5179886TotalAssetsBOY
Total Assets EOY4847216TotalAssetsEOY
Total Liabilities BOY4236361TotalLiabilitiesBOY
Total Liabilities EOY4211223TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY943525NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY635993NetAssetsOrFundBalancesEOY
Mission DescriptionSEE PAGE 1, PART I, LINE 1.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11272512Expense
Revenue17544120Revenue
DescriptionTHE ORGANIZATION'S PRIMARY PURPOSE IS TO PROVIDE PSYCHIATRIC TREATMENT FOR CHILDREN AND ADOLESCENTS. ALL PROGRAM EXPENDITURES WENT TOWARD THIS PURPOSE.Description
Total Program Service Expense11272512TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DON COLEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5016610720TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 ALDERSGATE ROADAddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code72215ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
RITTER ARNOLD
BOARD MEMBER1.00X000
HARRY CLERGET
BOARD MEMBER1.00X000
CHARLES CLOGSTON
BOARD MEMBER1.00X000
JANE HARDIN
BOARD MEMBER1.00X000
CHARLES CRUTCHFIELD
BOARD MEMBER1.00X000
BILL JOHNSTON
BOARD MEMBER1.00X000
BILL MANN
BOARD MEMBER1.00X000
JAMILYN NOBLES
BOARD MEMBER1.00X000
KAREN BALLARD
BOARD MEMBER1.00X000
LESLEY BAILEY
BOARD MEMBER1.00X000
PHIL HATHCOCK
BOARD MEMBER1.00X000
NATHANIEL NOBLE
BOARD MEMBER1.00X000
CE MCADOO
BOARD MEMBER1.00X000
MIKE MILLAR
CHAIR1.00X000
SALLY RIGGS
BOARD MEMBER1.00X000
NEIL SLOAN
BOARD MEMBER1.00X000
DON WEAVER
BOARD MEMBER1.00X000
WILLIAM ALTOM
CEO40.00011419210411X
LESLEY DON COLE
CFO40.0001162943740X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs230486TotalReportableCompFrmRltdOrgs
Total Other Compensation14151TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1METHODIST FAMILY HEALTH INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 ALDERSGATEAddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code72205ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesMANAGEMENT SERVICESDescriptionOfServices
Compensation2368541Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations94893RelatedOrganizations
Government Grants4000GovernmentGrants
Total Contributions98893TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU6241001554821215548212
HOSPITAL ASSESSMENT RE62410012817451281745
SCHOOL TUITION624100558439558439
NATIONAL SCHOOL LUNCH6241007690976909
DHS ONE TO ONE COST CO6241006362263622
FieldValueIRS element (for citing)
Total Program Service Revenue17528927TotalProgramServiceRevenue

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other3511Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-3511Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3511TotalRevenueColumn
Related Or Exempt Function Income-3511RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA SALES - DIET6241001416314163
MEDICAL RECORDS FEES62410042194219
OTHER INCOME624100322322
FieldValueIRS element (for citing)
Total Other Revenue18704TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17643013TotalRevenueColumn
Related Or Exempt Function Income17544120RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8057939Total
Program Services7364572ProgramServices
Management And General693367ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total94395Total
Management And General94395ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total803705Total
Management And General803705ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total710930Total
Program Services710930ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2560329Total
Program Services191788ProgramServices
Management And General2368541ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total70389Total
Management And General70389ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total37460Total
Management And General37460ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2262582Total
Program Services2262582ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total720127Total
Program Services418621ProgramServices
Management And General301506ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total481170Total
Program Services176778ProgramServices
Management And General304392ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total110359Total
Program Services89024ProgramServices
Management And General21335ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total166538Total
Management And General166538ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total153422Total
Management And General153422ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total182047Total
Management And General182047ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
BAD DEBT13090751309075
OTHER TAXES168084168084
HEALTH5821758217
STAFF DEVELOPMENT37773777

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17950545Total
Program Services11272512ProgramServices
Management And General6678033ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2501BOY
EOY3601EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1649432BOY
EOY1995559EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY49538BOY
EOY48772EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3378880LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec973068LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2098426BOY
EOY2405812EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1379989BOY
EOY393472EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5179886BOY
EOY4847216EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY596809BOY
EOY882354EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2790000BOY
EOY2715000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY849552BOY
EOY613869EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4236361BOY
EOY4211223EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY943525BOY
EOY635993EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY943525BOY
EOY635993EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5179886BOY
EOY4847216EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-307532ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis300000OtherCostOrOtherBasis
Book Value300000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2521823OtherCostOrOtherBasis
Depreciation606283Depreciation
Book Value1915540BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis557057OtherCostOrOtherBasis
Depreciation366785Depreciation
Book Value190272BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2405812TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BOND DEBT RESERVES298186
DUE FROM RELATED PARTIES95286
FieldValueIRS element (for citing)
Total Book Value Other Assets393472TotalBookValueOtherAssets
Total Revenue17643013TotalRevenue
Total Expenses17950545TotalExpenses
Excess Or Deficit For Year-307532ExcessOrDeficitForYear
Excess Or Deficit Per FS-307532ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17643013TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal17643013RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99017643013TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17950545TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal17950545ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99017950545TotalExpensesPerForm990

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense488007TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense488007NetCommunityBenefitExpense
Percent Of Total Expense0.02900PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense11589231TotalCommunityBenefitExpense
Direct Offsetting Revenue6379996DirectOffsettingRevenue
Net Community Benefit Expense5209235NetCommunityBenefitExpense
Percent Of Total Expense0.31300PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense12077238TotalCommunityBenefitExpense
Direct Offsetting Revenue6379996DirectOffsettingRevenue
Net Community Benefit Expense5697242NetCommunityBenefitExpense
Percent Of Total Expense0.34200PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense12077238TotalCommunityBenefitExpense
Direct Offsetting Revenue6379996DirectOffsettingRevenue
Net Community Benefit Expense5697242NetCommunityBenefitExpense
Percent Of Total Expense0.34200PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$859,453BadDebtExpenseAmount
Amount Attributable To578834AmountAttributableTo
Written Debt Collection Policy0WrittenDebtCollectionPolicy

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 METHODIST FAMILY HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityMANAGEMENT OF HOSPITAL AND OTHER AFFILIATEDDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.00000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNITED METHODIST BEHAVIORAL HEALTH SYSTBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11601 MURPHY DRIVEAddressLine1
CityMAUMELLECity
StateARState
ZIP Code72113ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
OtherADOLESCENT PSYCHIATRIC HOSPITALOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UNITED METHODIST BEHAVIORAL HEALTH SYSTEBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
71050364104109KBE62009-04-0195329PURCHASE OF REAL ESTATE000
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
71050364104109KBF32009-04-0177997PURCHASE OF REAL ESTATE000
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
71050364104109KBG12009-04-0183774PURCHASE OF REAL ESTATE000
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
71050364104109KBH92009-04-0183774PURCHASE OF REAL ESTATE000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
95329286247666310420090011
77997234139005163120090011
83774251541895545520090011
83774251541895545520090011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000
00000
00000
00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000
000000
000000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
71050364104109KBJ52009-04-0186663PURCHASE OF REAL ESTATE000
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
71050364104109KBK22009-04-0189552PURCHASE OF REAL ESTATE000
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
71050364104109KBL02009-04-0192441PURCHASE OF REAL ESTATE000
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
71050364104109KBM82009-04-0198218PURCHASE OF REAL ESTATE000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
86663260243335736820090011
89552268844785928020090011
92441277546226119320090011
98218294849116501720090011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000
00000
00000
00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000
000000
000000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
71050364104109KBN62009-04-01436204PURCHASE OF REAL ESTATE000
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
71050364104109KBP12009-04-01121328PURCHASE OF REAL ESTATE000
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
71050364104109KBQ92009-04-01127106000
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
71050364104109KBR72009-04-01421760000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
436204130952181028875120090011
121328364260668031520090011
127106381663558414020090011
421760126612108827919020090011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000
00000
00000
00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000
000000
000000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS DEVELOPMENT FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN710503641IssuerEIN
CUSIP Number04109KBS5CUSIPNumber
Date Issued2009-04-01DateIssued
Issue Price860854IssuePrice
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds860853TotalProceeds
Amount In Reserve Fund25843AmountInReserveFund
Issuance Costs From Proceeds43043IssuanceCostsFromProceeds
Capital Expenditures569853CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs0PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3THE METHODIST FAMILY HEALTH INC., AN AFFILIATE, PROVIDES MANAGEMENT SERVICES TO THE UNITED METHODIST BEHAVORIAL HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS AND KEY EMPLOYEES RECEIVE AN ANNUAL QUESTIONARE THAT ASKS THEM TO DISCLOSE ANY CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15HUMAN RESOURCE DEPARTMENT COMPARES SALARY AND THE FINANCE COMMITTEE REVIEWS AND APPROVES SALARY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
UNITED METHODIST CHILDREN'S HOME
1600 ALDERSGATE ROAD STE 200LITTLE ROCKAR72205710236906PROVIDE THERAPY & HOUSING FOR UNDERPRIVELEDGED CHILDRENAR501(C)(3)LINE 9N/A0
METHODIST FAMILY HEALTH FOUNDATION
1600 ALDERSGATE ROAD STE 200LITTLE ROCKAR72205020701562CUSTODIAN AND FUNDRAISINGAR501(C)(3)LINE 11A, IN/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1METHODIST FAMILY HEALTH INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 ALDERSGATE ROAD STE 200AddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code72205ZIPCode
FieldValueIRS element (for citing)
EIN020701560EIN
Primary ActivityMANAGEMENT SERVICESPrimaryActivity
Legal Domicile StateARLegalDomicileState
Type Of EntitySTypeOfEntity
Share Of EOY Assets823119ShareOfEOYAssets
Percentage Ownership0.50000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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