2013-10-31T11:27:02-05:00 2013-01-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2012-02-01 710623643 MAINLINE HEALTH SYSTEMS INC % MAINLINE HEALTH SYSTEMS INC MAIN 8705385414 PO BOX 100 Suite PORTLAND AR 71663 GARY ALLAN NICHOLS 5013721040 2013-09-25 true ERNIE SKYRME 5013721040 2012 2016-03-07 17:11:31Z G ALLAN NICHOLS PO BOX 100 PORTLAND AR 71663 6389850 false X WWW.MAINLINEHEALTH.NET X 1986 AR TO IMPROVE THE QUALITY OF LIFE FOR THE POPULATION WITHIN THE SCOPE OF OPERATION THROUGH THE DELIVERY OF HIGH QUALITY ACCESSIBLE COMPREHENSIVE HEALTH CARE. 14 14 76 14 0 0 4108904 4041823 2522245 2096474 -7863 4124 900 247429 6624186 6389850 0 0 0 0 3286604 3599109 0 0 0 2674461 2605919 5961065 6205028 663121 184822 5180794 5389853 1594375 1618612 3586419 3771241 TO IMPROVE THE QUALITY OF LIFE FOR THE POPULATION WITHIN THE SCOPE OF OPERATION THROUGH THE DELIVERY OF HIGH QUALITY ACCESSIBLE COMPREHENSIVE HEALTH CARE. SERVICES INCLUDE MEDICAL, DENTAL, MENTAL HEALTH AND PREVENTIVE HEALTH SERVICES FOR THE ENTIRE FAMILY. false false 4287486 2096474 PROVIDED MEDICAL SERVICES TO 8,233 PATIENTS AND DENTAL SERVICES TO 3,232 PATIENTS IN SOUTHEAST ARKANSAS; SERVED RESIDENTS OF BOTH ASHLEY AND CHICOT COUNTIES. 4287486 true true false false false false false false false false true false false true false false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 29 0 true 76 true false false false false false false false false false false X 14 14 true false false false false false false true true false false true true true true true true true true false X MAINLINE HEALTH SYSTEMS INC 8705385414 108 E SPEEDWAY DERMOTT AR 71638 MARILYN NEWCOME 0.25 X X 0 0 0 MARY HOLLINS-SCOTT RN 0.25 X 0 0 0 FRANK HENRY JR 0.25 X 0 0 0 GERALD MERCER 0.25 X 0 0 0 ROBERT THOMAS 0.25 X X 0 0 0 NANCY O'NEAL 0.25 X 0 0 0 LEILA DOCKERY 0.25 X 0 0 0 RICHARD STOCK 0.25 X 0 0 0 RON MILLER 1.0 X X 0 0 0 JIMMY PARKERSON 0.5 X 0 0 0 ESBEIDA HIGGINBOTHAM 0.1 X 0 0 0 EUGENE BUTLER 0.25 X 0 0 0 MICHELLE DUNBAR 0.25 X 0 0 0 KEITH WILLIAMS 0.5 X 0 0 0 GARY ALLAN NICHOLS 40.0 X 84325 0 14277 TAFTA MCCAIN 40.0 X 56239 0 7831 DR FELICIA WATKINS-BROWN 40.0 X 123184 0 9466 DR MICHAEL MCDANIELS 40.0 X 135878 0 21506 DR DON BALL 40.0 X 169286 0 23606 DR TEJASWI B THIPPESWAMY 40.0 X 157819 0 16919 726731 0 93605 4 false true false NONE 0 3281979 759844 635256 4041823 PATIENT REVENUE 621110 2096474 2096474 2096474 4124 0 0 4124 0 0 600 0 600 0 600 0 0 600 0 0 0 0 COST REPORT REVENUE 900099 6755 6755 340B REVENUE 900099 6669 6669 OTHER EXPENSES 900099 233405 233405 233405 233405 246829 6389850 2096474 0 251553 0 0 0 0 142377 142377 0 0 2893437 1914994 978443 0 66849 44243 22606 0 261775 173253 88522 0 234671 155315 79356 0 0 252 167 85 0 55167 36512 18655 0 0 0 0 357287 236467 120820 0 0 199661 132144 67517 0 0 0 110589 73192 37397 0 81845 54168 27677 0 0 0 56958 37697 19261 0 0 243938 161448 82490 0 42533 28150 14383 0 MEDICAL SUPPLIES 635256 635256 0 0 SUPPLIES 258287 170945 87342 0 BAD DEBT EXPENSES 177902 177902 0 0 REPAIRS& MAINTENANCE EXPENSES 127312 84260 43052 0 258932 171373 87559 6205028 4287486 1917542 0 1154484 1752652 249000 249000 310133 71509 242417 160114 0 0 0 0 0 0 151685 182373 54256 57918 4464301 2001014 2628309 2463287 0 0 0 0 0 0 0 0 390510 453000 5180794 5389853 240161 272640 0 0 33 9533 0 0 0 0 0 0 1354181 1336439 0 0 0 0 1594375 1618612 X 3586419 3771241 0 0 0 0 3586419 3771241 5180794 5389853 184822 X false true X true true true X 3408882 3952908 4814669 4108904 4041823 20327186 0 0 3408882 3952908 4814669 4108904 4041823 20327186 0 20327186 450 1873 2930 2250 4124 11627 0 41 0 0 0 246829 246870 20585683 0.98744 0.81074 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2806963 987735 1819228 1657338 1013279 644059 2463287 FQHC COST REPORT RECEIVABLE 453000 453000 6222061 10113 10113 6211948 177902 177902 6389850 6037239 10113 10113 6027126 177902 177902 6205028 FIN 48 DISCLOSURE FORM 990, SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATMENTS. EXPENSE INCLUDED IN REVENUE PER AUDIT, INCLUDED AS EXPENSE PER RETURN FORM 990, SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $177,902 EXPENSE INCLUDED IN REVENUE PER AUDIT, INCLUDED AS EXPENSE PER RETURN FORM 990, SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $177,902 PRIOR PERIOD ADJUSTMENT FORM 990, SCHEDULE D, PART XI, LINE 2D PRIOR PERIOD ADJUSTMENT $10,113 PRIOR PERIOD ADJUSTMENT FORM 990, SCHEDULE D, PART XII, LINE 2D PRIOR PERIOD ADJUSTMENT $10,113 X X X false false false false false false false true false DR MICHAEL MCDANIELS 135878 0 0 0 0 0 14000 0 7506 0 157384 0 0 0 DR DON BALL 169286 0 0 0 0 0 11900 0 11706 0 192892 0 0 0 DR TEJASWI B THIPPESWAMY 157819 0 0 0 0 0 4967 0 11952 0 174738 0 0 0 NON-FIXED PAYMENTS SCH. J, PART 1, LINE 7 INCENTIVE PAY IS OFFERED FOR PROVIDERS AND CLINICAL STAFF WHO MEET VARIOUS PRODUCTIVITY GOALS AND FINANCIAL AND QUALITY MEASURES ON A QUARTERLY BASIS. PROVIDERS: LEVEL 1 = $2,500 LEVEL 2 = $5,000 LEVEL 3 = $7,500 CLINICAL STAFF: LEVEL 1 = $250 LEVEL 2 = $500 LEVEL 3 = $1,000 X 1 635256 FAIR MARKET VALUE false false false REVIEW OF FORM 990 FORM 990, PART VI, SECTION B, LINE 11B CFO REVIEWS FORM 990 AND PRESENTS IT TO THE BOARD FOR REVIEW PRIOR TO FILING. MONITORING AND ENFORCING CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12(C) MANAGEMENT INVESTIGATES ANY POTENTIAL CONFLICTS AND TAKES APPROPRIATE ACTION AS NECESSARY. BUSINESS RELATIONSHIP AMONG DIRECTORS FORM 990, PART VI, SECTION A, LINE 2 RICHARD STOCK AND RON MILLER ARE DIRECTORS AT BOTH MAINLINE HEALTH SYSTEMS AND BAYOU GRAIN. DETERMINATION OF COMPENSATION FORM 990, PART VI, SECTION B, LINE 15(A) AND 15(B) 15(A): COMPENSATION COMMITTEE BASES EXECUTIVE DIRECTOR'S COMPENSATION ON THE NUMBER OF SITES SERVED. THE COMMITTEE COMPARES TO OTHER SYSTEMS IN THE STATE WITH REGARD TO THE NUMBER OF SITES SERVED TO DETERMINE COMPENSATION. COMPENSATION COMMITTEE PRESENTS PROPOSED COMPENSATION TO THE BOARD FOR APPROVAL. THERE IS A WRITTEN EMPLOYMENT CONTRACT WHICH PROVIDES FOR AN INCREASE IN PAY AFTER 90 DAYS OF EMPLOYMENT. 15(B): THE EXECUTIVE DIRECTOR DETERMINES THE CFO'S SALARY. THE LAST REVIEW WAS IN 2012. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.