HOWARD MEMORIAL HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HOWARD MEMORIAL HOSPITAL (EIN 71-0644637)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-05-04
IRS object ID
201221259349301167
Schema version
2010v3.2
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)
Timestamp2012-05-04T11:25:47-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Hughes Welch & MilliganCPASLTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2094AddressLine1
CityBatesvilleCity
StateARState
ZIP Code725032094ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710644637EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOWARD MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOWANameControl
Phone8708454400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 381AddressLine1
CityNASHVILLECity
StateARState
ZIP Code71852ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM J CRAIGName
TitleCFOTitle
Date Signed2012-05-04DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM T COUCHName
Phone8707935231Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts15492412GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.HOWARDMEMORIAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionACUTE CARE HOSPITALActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees177TotalNbrEmployees
Total Nbr Volunteers35TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year561098ContributionsGrantsPriorYear
Contributions Grants Current Year416966ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12562279ProgramServiceRevenuePriorYear
Program Service Revenue CY14236023ProgramServiceRevenueCY
Investment Income Prior Year-546049InvestmentIncomePriorYear
Investment Income Current Year63241InvestmentIncomeCurrentYear
Other Revenue Prior Year797211OtherRevenuePriorYear
Other Revenue Current Year776182OtherRevenueCurrentYear
Total Revenue Prior Year13374539TotalRevenuePriorYear
Total Revenue Current Year15492412TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5586192SalariesEtcPriorYear
Salaries Etc Current Year5896759SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8264327OtherExpensePriorYear
Other Expenses Current Year8739324OtherExpensesCurrentYear
Total Expenses Prior Year13850519TotalExpensesPriorYear
Total Expenses Current Year14636083TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-475980RevenuesLessExpensesPriorYear
Revenues Less Expenses CY856329RevenuesLessExpensesCY
Total Assets BOY27742026TotalAssetsBOY
Total Assets EOY28550313TotalAssetsEOY
Total Liabilities BOY2046082TotalLiabilitiesBOY
Total Liabilities EOY1996457TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY25695944NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26553856NetAssetsOrFundBalancesEOY
Mission DescriptionACUTE CARE HOSPITALMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10696371Expense
DescriptionHOWARD MEMORIAL HOSPITAL IS CLASSIFIED AS A 20-BED CRITICAL ACCESS HOSPITAL AND PROVIDES ACUTE AND SWING BED SERVICES. THE HOSPITAL PROVIDES MEDICAL CARE TO RESIDENTS OF SOUTHWESTERN ARKANSAS. THIS CARE INCLUDED APPROXIMATELY 2,888 INPATIENT DAYS OF CARE, AS WELL AS 12,780 OUTPATIENT VISITS. TO BENEFIT THE POOR AND ELDERLY IN THE COMMUNITY, THE HOSPITAL PARTICIPATED IN MEDICARE AND MEDICAID PROGRAMS. 1,757 DAYS OF CARE WERE PROVIDED TO PARTICIPANTS IN THESE PROGRAMS.Description
Total Program Service Expense10696371TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees177NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWILLIAM CRAIGNamePerson
Telephone Number8708454400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 381AddressLine1
CityNASHVILLECity
StateARState
ZIP Code71852ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
PAUL BRITT
Secretary1.00X000
MARK KITCHENS
BOARD MEMBER1.00X000
MARGIE GREEN
BOARD MEMBER1.00X000
K WHISENHUND
PHARMACY DIRECTOR0.0011486600X
JB DAVIS
RN CRNA0.0013996900X
J BAYLON
0.00000X
DALTON HARRIS
BOARD MEMBER1.00X000
CLAY FERGUSON MD
BOARD MEMBER1.00X000
BRENDA WARD
BOARD MEMBER1.00X000
BOB JAMISON
Chairman1.00X000
BARRY WRIGHT
BOARD MEMBER1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org254835TotalReportableCompFromOrg
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonJOHN HEARNSBERGER MDNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 904AddressLine1
CityNASHVILLECity
StateARState
ZIP Code71852ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesSURGEONDescriptionOfServices
Compensation180000Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions416966AllOtherContributions
Noncash Contributions322061NoncashContributions
Total Contributions416966TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Total Revenue Column14236023TotalRevenueColumn
Related Or Exempt Function Income14236023RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue14236023TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column49886TotalRevenueColumn
Related Or Exempt Function Income49886RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other13355Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other13355Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column13355TotalRevenueColumn
Related Or Exempt Function Income13355RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
SWAHC INCOME617740617740
OTHER INCOME70326$70,326
CAFETERIA SALES82533$82,533

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column5583TotalRevenueColumn
Exclusion$5,583ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue776182TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15492412TotalRevenueColumn
Related Or Exempt Function Income14917004RelatedOrExemptFunctionIncome
Exclusion$158,442ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5128235Total
Program Services3595268ProgramServices
Management And General1532967ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total384241Total
Program Services269794ProgramServices
Management And General114447ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total384283Total
Program Services268998ProgramServices
Management And General115285ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total528315Total
Management And General528315ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total63188Total
Program Services53191ProgramServices
Management And General9997ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total67961Total
Management And General67961ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1641118Total
Program Services1641118ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total183648Total
Program Services183648ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES13645381088308276230
MISCELLANEOUS EXPENSE29803032666265364
LEASE EXPENSE25650361701194802
CONTRACT SERVICES1702925976082726843
BAD DEBT EXPENSE24712072471207

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total161891Total
Program Services54390ProgramServices
Management And General107501ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14636083Total
Program Services10696371ProgramServices
Management And General3939712ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1465193BOY
EOY1856242EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY960009BOY
EOY1089198EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY74157BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY167921BOY
EOY185508EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY91167BOY
EOY113088EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis28979365LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5122199LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23870307BOY
EOY23857166EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY448629BOY
EOY473792EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY664643BOY
EOY975319EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27742026BOY
EOY28550313EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY907572BOY
EOY845265EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY21630BOY
EOY11214EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY50424BOY
EOY2246EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1066456BOY
EOY1137732EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2046082BOY
EOY1996457EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3240995BOY
EOY5053122EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY22454949BOY
EOY21500734EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25695944BOY
EOY26553856EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27742026BOY
EOY28550313EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses856329ReconcilationRevenueExpenses
Reconcilation Other Changes1583ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

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 Basis73629OtherCostOrOtherBasis
Book Value73629BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21989894OtherCostOrOtherBasis
Depreciation2029750Depreciation
Book Value19960144BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6910842OtherCostOrOtherBasis
Depreciation3092199Depreciation
Book Value3818643BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5000OtherCostOrOtherBasis
Depreciation250Depreciation
Book Value4750BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23857166TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCAPITAL LEASE OBLIGATIONSDescription
Amount$1,137,732Amount
FieldValueIRS element (for citing)
Total Of Amounts1137732TotalOfAmounts
Total Revenue15492412TotalRevenue
Total Expenses14636083TotalExpenses
Excess Or Deficit For Year856329ExcessOrDeficitForYear
Net Unrealized GL On Investments1583NetUnrealizedGLOnInvestments
Total Adjustments1583TotalAdjustments
Excess Or Deficit Per FS857912ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt15492412TotRevenueEtcAuditedFinclStmt
Revenue Subtotal15492412RevenueSubtotal
Total Revenue Per Form99015492412TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14636083TotExpensesEtcAuditedFinclStmt
Expenses Subtotal14636083ExpensesSubtotal
Total Expenses Per Form99014636083TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationMANGEMENT ANNUALLY REVIEWS ITS TAX POSITION AND HAS DETERMINED THAT HTERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense644372TotalCommunityBenefitExpense
Net Community Benefit Expense644372NetCommunityBenefitExpense
Percent Of Total Expense0.04400PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense644372TotalCommunityBenefitExpense
Net Community Benefit Expense644372NetCommunityBenefitExpense
Percent Of Total Expense0.04400PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense644372TotalCommunityBenefitExpense
Net Community Benefit Expense644372NetCommunityBenefitExpense
Percent Of Total Expense0.04400PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$921,596BadDebtExpenseAmount
Amount Reimbursed By Medicare4604512AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare5886082CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1281570MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicyfalseWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnership
ST JOSEPHS MERCY HLTH CTR
ADMIN CONTRACT OF CEO & CFO
SOUTHWEST ARKANSAS HOMECARELL
HOME HEALTH0.33000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOWARD MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1130 MEDICAL CIRCLEAddressLine1
CityNASHVILLECity
StateARState
ZIP Code71852ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HOWARD MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent250.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicyfalseNondiscrimEmergencyCarePolicy
Other ReasonXOtherReason
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part V - Explanation of Number of Facility Type1 - RURAL HOSPITAL
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeHOWARD MEMORIAL HOSPITAL IS CLASSIFIED AS A 20-BED CRITICAL ACCESS HOSPITAL AND PROVIDES ACUTE AND SWING BED SERVICES. THE HOSPITAL PROVIDES MEDICAL CARE TO RESIDENTS OF SOUTHWESTERN ARKANSAS. THIS CARE INCLUDED APPROXIMATELY 2,888 INPATIENT DAYS OF CARE, AS WELL AS 12,780 OUTPATIENT VISITS. TO BENEFIT THE POOR AND ELDERLY IN THE COMMUNITY, THE HOSPITAL PARTICIPATED IN MEDICARE AND MEDICAID PROGRAMS.
Part VI - Community InformationRURAL SETTING, PREDOMINANTLY AGRICULTURAL BASE. AVERAGE INCOME AT OR BELOW POVERTY GUIDELINES. PREDOMINANTLY CAUCASIAN, HIGH SCHOOL EDUCATED AND GERIATRIC IN NATURE.
Part VI - Patient Education of Eligibility for AssistanceINFORMS PATIENTS UPON ADMISSION AND POSTS NOTICES IN CONSPICUOUS AREAS.
Part VI - Needs AssessmentUTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FROM DHS AS WELL AS REPORTS SHOWING PERCENT OF ACTIVITY OF COMMUNITY BY PAYOR SOURCE.
Part V, Line 19d - Other Billing Determination of Individuals Without InsurancePRIVATE PAY PATIENTS ARE OFFERED A 50% DISCOUNT IF PATIENT PAYS ON DATE OF SERVICENumber of Hospital Faciltiy - 0
Part V, Line 18d - Other Reason Not Having Nondiscriminatory Policy for Emergency Medical CareEMTALA DISCRIMINATIONNumber of Hospital Faciltiy - 0
Part V, Line 13g - Other Means Hospital Facility Publicized the PolicyBUSINESS SERVICES OFFERS FINANCIAL ASSISTANCE, PATIENT ASSESSED SHOWS NEEDNumber of Hospital Faciltiy - 0
Part V, Line 11h - Other Factors Used in Determing Amounts Charged PatientsHMH CONTRACTED WITH SEARCH AMERICAN TOOL TO ASSIST WITH PRESUMPTIVE CHARITYNumber of Hospital Faciltiy - 0

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990332061NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableAVAILABLE UPON REQUEST FROM ADMINISTRATION
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesHOWARD MEMORIAL UTILIZES ITS ANNUAL EVALUATIONS AND COMPARABILITY DATA TO REVIEW AND DETERMINE COMPENSATION OF EMPLOYEES
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review Process990 WILL BE REVIEWED DURING A MONTHLY BOARD MEETING

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
HOWARD HEALTH SYSTEMS
PO BOX 381NASHVILLEAR71852710644639OVERSIGHT ORGANIZATION FOR HOSPITAL AND FNDAR501-C-3170-B-1-A-iiiN/Afalse
HOWARD MEMORIAL HOSPITAL FOUNDATION
130 MEDICAL CIRCLENASHVILLEAR71852710644638TO FURTHER THE PURPOSE OF HOWARD MEMORIAL HOSPITALAR501-C-3170-B-1-A-iiiN/Afalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SOUTHWEST ARKANSAS HOMECARE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1420 WEST PINHOOK ROAD SUITE AAddressLine1
CityLAFAYETTECity
StateLAState
ZIP Code70503ZIPCode
FieldValueIRS element (for citing)
EIN260274543EIN
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StateLALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Share Of Total Income193542ShareOfTotalIncome
Share Of EOY Assets35696ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.33PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HOWARD MEMORIAL HOSPITAL FOUNDATION
q35162Cost
HOWARD MEMORIAL HOSPITAL FOUNDATION
c52191FMV

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