2012-07-09T16:09:48-05:00 2012-01-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2011-02-01 710623643 MAINLINE HEALTH SYSTEMS INC % MAINLINE HEALTH SYSTEMS INC MAIN 8705385414 PO BOX 100 PORTLAND AR 71663 GARY ALLAN NICHOLS 2012-06-14 true 5013721040 2011 2016-02-24 21:20:13Z G ALLAN NICHOLS PO BOX 100 PORTLAND AR 71663 6634299 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. 11 11 76 11 0 0 4814669 4108904 2069818 2522245 2930 -7863 0 900 6887417 6624186 0 0 0 0 3199667 3286604 0 0 0 3308475 2674461 6508142 5961065 379275 663121 4651818 5180794 1728520 1594375 2923298 3586419 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 4075398 0 2522245 PROVIDED MEDICAL SERVICES TO 7,837 PATIENTS AND DENTAL SERVICES TO 2,189 PATIENTS IN SOUTHEAST ARKANSAS; SERVED RESIDENTS OF BOTH ASHLEY AND CHICOT COUNTIES. 4075398 true true 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 false true 29 0 true 76 true false false false false false false false false false false X 11 11 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 CHARLIE KENNEDY 1.0 X X 0 0 0 MARILYN NEWCOME 0.25 X 0 0 0 MARY HOLLINS-SCOTT RN 0.25 X X 0 0 0 FRANK HENRY JR 0.25 X X 0 0 0 GERALD MERCER 0.25 X 0 0 0 ROBERT THOMAS 0.25 X 0 0 0 NANCY O'NEAL 0.25 X 0 0 0 LEILA ALSTON 0.25 X 0 0 0 RICHARD STOCK 0.25 X 0 0 0 RON MILLER 0.25 X 0 0 0 JIMMY PARKERSON 0.5 X 0 0 0 GARY ALLAN NICHOLS 40.0 X 76860 0 7180 MARY ANN SCOTT 40.0 X 57595 0 5971 DR FAUZIA QADIR 40.0 X 179741 0 10249 DR MICHAEL MCDANIELS 40.0 X 129712 0 8346 DR GARY DALTON 40.0 X 101831 0 7715 BRENDA JACOBS 40.0 X 108230 0 7576 DR TEJASWI B THIPPESWAMY 40.0 X 154431 0 8028 808400 0 55065 5 false true false NONE 0 3301377 807527 687156 4108904 PATIENT REVENUE 621110 2521894 2521894 0 0 OB EXPENSE REIMBURSEMENT 621110 351 351 0 0 2522245 2250 0 0 2250 0 0 900 900 900 0 10113 -10113 -10113 0 0 0 0 6624186 2522245 0 2250 0 0 0 0 148483 0 148483 0 0 2616218 1692790 923428 0 66330 42918 23412 0 244654 158300 86354 0 210919 136472 74447 0 0 6100 3947 2153 0 71862 46497 25365 0 0 0 0 387998 251049 136949 0 24894 16107 8787 0 208732 135057 73675 0 0 0 211364 136760 74604 0 68736 44475 24261 0 0 0 57948 37494 20454 0 0 243332 157445 85887 0 53322 34501 18821 0 MEDICAL SUPPLIES 687156 687156 0 0 REPAIRS & MAINTENANCE 130745 84597 46148 0 BAD DEBTS 203710 203710 0 0 SUPPLIES 210807 136400 74407 0 107755 69723 38032 5961065 4075398 1885667 0 778035 1403484 0 0 346282 310133 351212 242417 0 0 0 0 0 0 116256 151685 75789 54256 4385386 1757077 2871239 2628309 0 0 0 0 0 0 0 0 113005 390510 4651818 5180794 344593 240161 0 0 12994 33 0 0 0 0 0 0 1370933 1354181 0 0 0 0 1728520 1594375 X 2923298 3586419 0 0 0 0 2923298 3586419 4651818 5180794 663121 X false true true X true true X 3451755 3408882 3952908 4814669 4108904 19737118 3451755 3408882 3952908 4814669 4108904 19737118 3726423 16010695 3490 450 1873 2930 2250 10993 0 41 0 0 0 41 19748152 0.81074 0.79351 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2785175 846756 1938419 1600211 910321 689890 2628309 FQHC COST REPORT RECEIVABLE 390510 390510 6624186 5961065 663121 663121 6430589 -203710 -203710 6634299 -10113 -10113 6624186 5767468 10113 10113 5757355 203710 203710 5961065 OTHER REVENUE ON BOOKS NOT ON RETURN SCH. D, PART XII, LINE 2D PROVISION FOR UNCOLLECTIBLE ACCOUNTS $(203,710) OTHER REVENUE ON RETURN NOT ON BOOKS SCH. D, PART XII, LINE 4B LOSS ON SALE OF ASSETS $(10,113) OTHER EXPENSES ON RETURN NOT ON BOOKS SCH. D, PART XIII, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS $203,710 OTHER EXPENSES ON BOOKS NOT ON RETURN SCH. D, PART XIII, LINE 2D LOSS ON SALE OF ASSETS $10,113 X X X false false false false false false false true false DR FAUZIA QADIR 179741 0 0 0 0 0 5562 0 4687 0 189990 0 0 0 DR TEJASWI B THIPPESWAMY 154431 0 0 0 0 0 3720 0 4308 0 162459 0 0 0 NON-FIXED PAYMENTS SCH. J, PART 1, LINE 7 INCENTIVE PAY IS OFFERED FOR PROVIDERS WHO MEET 100% OF THEIR OFFICE GOALS. PROVIDERS RECEIVE INCENTIVE PAYMENTS AS FOLLOWS FOR REACHING GOAL IN CLINICS: 100% GOAL..........4% COLLECTIONS 105% GOAL..........5% COLLECTIONS 110% GOAL..........6% COLLECTIONS 115% GOAL..........7% COLLECTIONS 120% GOAL..........8% COLLECTIONS X 1 687156 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 2007. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.