OUACHITA COUNTY MEDICAL CENTER: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- OUACHITA COUNTY MEDICAL CENTER (EIN 71-0766341)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-01
- IRS object ID
- 201132139349300403
- Schema version
- 2009v1.7
- 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 J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-01T08:05:13-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | 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 | PO BOX 3667 | AddressLine1 |
| City | LITTLE ROCK | City |
| State | AR | State |
| ZIP Code | 722033667 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710766341 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OUACHITA COUNTY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OUAC | NameControl |
| Phone | 8708361200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 797 | AddressLine1 |
| City | CAMDEN | City |
| State | AR | State |
| ZIP Code | 717010797 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT J ANDERS | Name |
| Title | CFO | Title |
| Date Signed | 2011-07-20 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5013721040 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT ANDERS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 797 | AddressLine1 |
| City | CAMDEN | City |
| State | AR | State |
| ZIP Code | 717010797 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 37942718 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.OUACHITAMEDCENTER.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | AR | StateLegalDomicile |
| Activity Or Mission Description | OUACHITA COUNTY MEDICAL CENTER AND ITS CLINICS PROVIDE STATE-OF-THE- ART MEDICAL CARE TO RESIDENTS OF OUACHITA COUNTY, ARKANSAS, AND THE SURROUNDING AREA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 565 | TotalNbrEmployees |
| Total Nbr Volunteers | 72 | TotalNbrVolunteers |
| Total Gross UBI | 4882 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -688974 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 515182 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 410464 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 73677731 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 35896769 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 101037 | InvestmentIncomePriorYear |
| Investment Income Current Year | 137668 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1482694 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1479245 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 75776644 | TotalRevenuePriorYear |
| Total Revenue Current Year | 37924146 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 16143730 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 17305553 | 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 | 59766601 | OtherExpensePriorYear |
| Other Expenses Current Year | 19876741 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 75910331 | TotalExpensesPriorYear |
| Total Expenses Current Year | 37182294 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -133687 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 741852 | RevenuesLessExpensesCY |
| Total Assets BOY | 26355552 | TotalAssetsBOY |
| Total Assets EOY | 27625720 | TotalAssetsEOY |
| Total Liabilities BOY | 11083312 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10730719 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15272240 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 16895001 | NetAssetsOrFundBalancesEOY |
| Mission Description | OUACHITA COUNTY MEDICAL CENTER AND ITS CLINICS PROVIDE STATE-OF-THE- ART MEDICAL CARE TO RESIDENTS OF OUACHITA COUNTY, ARKANSAS, AND THE SURROUNDING AREA. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 25544226 | Expense |
| Grants | 0 | Grants |
| Revenue | 35896769 | Revenue |
| Description | TO PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF OUACHITA COUNTY AND THE SURROUNDING AREAS. | Description |
| Total Program Service Expense | 25544226 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| 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 |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | 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 | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | 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 | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | false | ScheduleORequired |
| Number Forms Transmitted With1096 | 32 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 565 | 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 |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | 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 | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | AR | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROBERT J ANDERS | NamePerson |
| Telephone Number | 8708361387 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 638 CALIFORNIA AVENUE | AddressLine1 |
| City | CAMDEN | City |
| State | AR | State |
| ZIP Code | 71701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| LAWRENCE ROBERSON | |||||||
| VICE CHAIRMAN | 1.0 | X | 0 | 0 | 0 | ||
| DR JERRY KENDALL | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| JAY WILSON | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| DR CORBET LAMKIN | |||||||
| CHAIRMAN | 1.0 | X | 0 | 0 | 0 | ||
| ELAINE B ECKERT | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| DAVID MAHAFFEY | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| BOBBY BASS | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| DR FRED PERKINS | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| JAMES D CICERO | |||||||
| CEO/PRESIDENT | 40.0 | 148208 | 0 | 5325 | X | ||
| ROBERT J ANDERS | |||||||
| CFO | 40.0 | 90618 | 0 | 3102 | X | ||
| PEGGY ABBOTT | |||||||
| VICE PRESIDENT | 40.0 | 98568 | 0 | 3856 | X | ||
| TERRY FEYN | |||||||
| PHARMACIST | 40.0 | 135567 | 0 | 0 | X | ||
| LAURA LAMBERT | |||||||
| PHARMACIST | 40.0 | 125371 | 0 | 3039 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 598332 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 15322 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| EMERGENCY PHYSICIANS ASSOC | |
| ER PHYSICIAN | 941425 |
| FREDERICK HAYWARD PERKINS JR DO INC | |
| PHYSICIAN | 276000 |
| SAMUEL ARNOLD DO | |
| PHYSICIAN | 161723 |
| BKD LLP | |
| ACCOUNTING | 143709 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 2822 | RelatedOrganizations |
| Government Grants | 327534 | GovernmentGrants |
| All Other Contributions | 80108 | AllOtherContributions |
| Total Contributions | 410464 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENUE | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 35896769 | TotalRevenueColumn |
| Related Or Exempt Function Income | 35896769 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 35896769 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 130909 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $130,909 | 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 | 39136 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 18572 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 20564 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20564 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $20,564 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 6759 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 6759 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6759 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $6,759 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| HEALTHWARE LEASED EMPLOYEES | 900099 | 271783 | 0 | 0 | $271,783 |
| CAFTERIA REVENUE | 900099 | 309725 | 0 | 0 | $309,725 |
| HOME DELIVERED MEALS | 900099 | 235200 | 0 | 0 | $235,200 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 641973 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4882 | UnrelatedBusinessRevenue |
| Exclusion | $637,091 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1458681 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 37924146 | TotalRevenueColumn |
| Related Or Exempt Function Income | 35896769 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4882 | UnrelatedBusinessRevenue |
| Exclusion | $1,612,031 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 387147 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 387147 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9984109 | Total |
| Program Services | 6352872 | ProgramServices |
| Management And General | 3631237 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 459264 | Total |
| Program Services | 292229 | ProgramServices |
| Management And General | 167035 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3036426 | Total |
| Program Services | 1932073 | ProgramServices |
| Management And General | 1104353 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3438607 | Total |
| Program Services | 2187980 | ProgramServices |
| Management And General | 1250627 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7478 | Total |
| Program Services | 4758 | ProgramServices |
| Management And General | 2720 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
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 | 3918364 | Total |
| Program Services | 2493249 | ProgramServices |
| Management And General | 1425115 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 985966 | Total |
| Program Services | 627369 | ProgramServices |
| Management And General | 358597 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155594 | Total |
| Program Services | 99004 | ProgramServices |
| Management And General | 56590 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 370918 | Total |
| Program Services | 236014 | ProgramServices |
| Management And General | 134904 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1001708 | Total |
| Program Services | 637385 | ProgramServices |
| Management And General | 364323 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 202989 | Total |
| Program Services | 129162 | ProgramServices |
| Management And General | 73827 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBT EXPENSE | 5860695 | 5860695 | 0 | 0 |
| SUPPLIES & OTHER | 6151282 | 3914036 | 2237246 | 0 |
| REPAIRS & MAINTENANCE | 903109 | 574647 | 328462 | 0 |
| ASSESSMENT TAX | 251457 | 160004 | 91453 | 0 |
| DUES & SUBSCRIPTIONS | 43573 | 27725 | 15848 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23608 | Total |
| Program Services | 15024 | ProgramServices |
| Management And General | 8584 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37182294 | Total |
| Program Services | 25544226 | ProgramServices |
| Management And General | 11638068 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1368666 | BOY |
| EOY | 1179486 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267716 | BOY |
| EOY | 259789 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4512889 | BOY |
| EOY | 4612018 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105457 | BOY |
| EOY | 8011 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 944861 | BOY |
| EOY | 1080145 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 40520316 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 28760466 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12489538 | BOY |
| EOY | 11759850 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6451984 | BOY |
| EOY | 8474531 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 214441 | BOY |
| EOY | 251890 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26355552 | BOY |
| EOY | 27625720 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2553225 | BOY |
| EOY | 2315331 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5935000 | BOY |
| EOY | 5630000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1365292 | BOY |
| EOY | 1518873 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1229795 | BOY |
| EOY | 1266515 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11083312 | BOY |
| EOY | 10730719 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15272240 | BOY |
| EOY | 16895001 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15272240 | BOY |
| EOY | 16895001 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26355552 | BOY |
| EOY | 27625720 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
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 | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $5,832 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 5832 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER LOBBYING ACTIVITIES | Identifier |
| Return Reference | FORM 990, PART II-B, LINE I | ReturnReference |
| Explanation | PERCENTAGE OF ARKANSAS HOSPITAL ASSOCIATION ($2,412) AND AMERICAN HOSPITAL ASSOCIATION ($3,420) DUES SPENT ON LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 582906 | InvestmentCostOrOtherBasis |
| Book Value | 582906 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 18800836 | InvestmentCostOrOtherBasis |
| Depreciation | 9900892 | Depreciation |
| Book Value | 8899944 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 21136574 | InvestmentCostOrOtherBasis |
| Depreciation | 18859574 | Depreciation |
| Book Value | 2277000 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11759850 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INTERNALLY DESIGNATED ASSETS | 500769 | F |
| ASSETS HELD BY TRUSTEE | 873258 | F |
| LESS CURRENT OBLIGATIONS | -259789 | F |
| SHORT TERM INVESTMENTS | 7060293 | F |
| LONG TERM INVESTMENTS | 300000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 8474531 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED AMOUNT DUE 3RD PARTY | $413,802 |
| ASSET RETIREMENT OBLIGATIONS | $852,713 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1266515 | TotalOfAmounts |
| Total Revenue | 37924146 | TotalRevenue |
| Total Expenses | 37182294 | TotalExpenses |
| Excess Or Deficit For Year | 741852 | ExcessOrDeficitForYear |
| Other | $880,908 | OtherAmount |
| Total Adjustments | 880908 | TotalAdjustments |
| Excess Or Deficit Per FS | 1622760 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 38823626 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 899480 | OtherRevenues |
| Revenue Not Rptd F990 | 899480 | RevenueNotRptdF990 |
| Revenue Subtotal | 37924146 | RevenueSubtotal |
| Total Revenue Per Form990 | 37924146 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 37200865 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 18571 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 18571 | ExpensesNotRptdF990 |
| Expenses Subtotal | 37182294 | ExpensesSubtotal |
| Total Expenses Per Form990 | 37182294 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER REVENUE INCLUDED ON RETURN BUT NOT ON BOOKS | FORM 990, SCHEDULE D, PART XII, LINE 2D | TRANSFERS FROM AFFILIATES 880,908 RENTAL 18,571 ROUNDING 1 --------- TOTAL 899,480 |
| OTHER EXPENSES INCLUDED ON BOOKS BUT NOT ON RETURN | FORM 990, SCHEDULE D, PART XIII, LINE 2D | RENTAL EXPENSE 18,571 |
| RECONCILIATION OF CHANGE IN NET ASSETS TO AUDITED FINANCIALS | FORM 990, SCH D, PART XI, LINE 8 | TRANSFERS FROM AFFILIATES 880,908 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 755740 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 755740 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02410 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3952902 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2475157 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1477745 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04720 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4708642 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2475157 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2233485 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07130 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14177 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14177 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2506789 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2180946 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 325843 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01040 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 56018 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 56018 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2576984 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2180946 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 396038 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01260 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7285626 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4656103 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2629523 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08390 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $2,140,727 | BadDebtExpenseAmount |
| Amount Attributable To | 214718 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 9890509 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 10037520 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -147011 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OUACHITA COUNTY MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 638 CALIFORNIA AVE | AddressLine1 |
| City | CAMDEN | City |
| State | AR | State |
| ZIP Code | 71701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | THE COST TO CHARGE RATIO, AS CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE THE AMOUNTS ON LINE 7. | CostingMethodUsed |
| Percent Of Total Expense Expln | BAD DEBT EXPENSE IN THE AMOUNT OF $5,860,695 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES ON THE ACCOUNT. AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. IN ORDER TO DETERMINE THE TOTAL AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELGIBILE UNDER THE CHARITY CARE POLICY, THE TOTAL CHARGES TO INDIVIDUALS BELOW THE FEDERAL POVERTY LEVEL IS ESTIMATED BY TAKING TOTAL CHARGES AND MULTIPLYING THAT BY THE PERCENTAGE OF RESIDENTS IN OUACHITA COUNTY THAT ARE BELOW THE FEDERAL POVERTY LEVEL. THIS AMOUNT WAS OBTAINED FROM THE CENSUS WEBSITE. MEDICAID CHARGES, SSI PORTION OF MEDICARE CHARGES AND KNOWN CHARITY CARE PROVIDED DURING THE YEAR ARE THEN BACKED OUT. THE TOTAL AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE WAS $587,787. THIS AMOUNT MULTIPLIED BY THE COST TO CHARGE RATIO IS $214,718, WHICH IS ENTERED ON LINE 3 OF SCH H, PART III. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS COMMUNITY BENEFIT. | BadDebtFootnote |
| Shortfall As Community Benefit | THE AMOUNT REPORTED ON LINE 6 WAS CALCULATED USING THE ORGANIZATION'S MEDICARE COST REPORT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | WHEN BALANCE DUE CANNOT BE PAID AT THE TIME OF SERVICE OR WHEN THE BALANCE BECOMES DUE AFTER SERVICE AND THE PATIENT IS UNABLE TO MAKE FULL PAYMENT, PERIODIC, PARTIAL PAYMENTS MAY BE APPROVED IN ACCORDANCE WITH CREDIT AND COLLECTION PROCEDURES, AS AUTHORIZED BY CFP. ACCOUNTS, WHICH CANNOT BE, COLLECT AFTER NORMAL IN-HOUSE COLLECTION PROCEDURES MAY BE REFERRED TO A COLLECTION AGENCY OR ATTORNEY FOR FURTHER ACTION IN ACCORDANCE WITH ESTABLISHED GUIDELINES. IF SATISFACTORY PAYMENT ARRANGEMENT CANNOT BE MADE OR SHOULD ANY INDIVIDUAL BE DETERMINED CHARITY OR INDIGENT, THE CEO OR DESIGNEE SHALL BE NOTIFIED. | DebtCollectionPolicy |
| Needs Assessment | THE ORGANIZATION USES THE STATE HEALTH DEPARTMENT'S ASSESSMENT OF THE COMMUNITY'S HEALTH. | NeedsAssessment |
| Patient Education Assistance | WHILE AT THE MEDICAL CENTER, THE PATIENTS ARE GIVEN FORMS TO COMPLETE AT REGISTRATION FOR FINANCIAL ASSISTANCE. A FINANCIAL COUNSELOR MEETS WITH THE PATIENT IN THE ROOM TO DISCUSS FURTHER. SIGNS ARE ALSO POSTED INFORMING PATIENTS. | PatientEducationAssistance |
| Community Information | THE ORGANIZATION IS IN A RURAL MEDICALLY UNDESERVED AREA WITH A LARGE WELFARE AND MEDICARE POPULATION. | CommunityInformation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | 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 | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JAMES D CICERO | NamePerson |
| Base Compensation Filing Org | 148208 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 1950 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 3375 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 153533 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OUACHITA COUNTY PUBLIC FACILITIES BOARD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 716016182 | IssuerEIN |
| CUSIP Number | 689811BW6 | CUSIPNumber |
| Date Issued | 2003-05-22 | DateIssued |
| Issue Price | 7539664 | IssuePrice |
| Description Of Purpose | HEALTHCARE REVENUE BONDS | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 7858711 | TotalProceeds |
| Amount In Reserve Fund | 613469 | AmountInReserveFund |
| Issuance Costs From Proceeds | 150793 | IssuanceCostsFromProceeds |
| Capital Expenditures | 6978467 | CapitalExpenditures |
| Year Of Subst Completion | 2006 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | false | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, SECTION A, LINE 11A | THE FORM 990 IS REVIEWED BY ROBERT J. ANDERS, THE CFO OF THE ORGANIZATION, PRIOR TO FILING. |
| CONFLICT OF INTEREST POLICY MONITORING PROCESS | FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES ALL OFFICERS AND DIRECTORS TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. |
| COMPENSATION REVIEW PROCESS | FORM 990, PART VI, SECTION B, LINES 15A & 15B | THE ORGANIZATION'S COMPENSATION DETERMINATION PROCESS INCLUDES REVIEW AND APPROVAL BY THE INDEPENDENT BOARD OF DIRECTORS. THE ORGANIZATION'S LATEST REVIEW WAS CONDUCTED DURING 2011. |
| AVAILABILITY OF GOVERNING DOCUMENTS | FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| TAX-EXEMPT BOND YEAR | SCHEDULE K, PART II | THE ORGANIZATION USED THE FISCAL YEAR-END OF 6/30/10 FOR DETERMINING THE AMOUNTS TO REPORT ON SCHEDULE K, PART II. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| OUACHITA VALLEY HEALTH SYSTEM | |||||||||
| PO BOX 797 | CAMDEN | AR | 71701 | 710766340 | HEALTHCARE | AR | 501C3 | 11, TYPE I | NA |
| OUACHITA COUNTY MEDICAL FOUNDATION | |||||||||
| PO BOX 797 | CAMDEN | AR | 71701 | 710766342 | FOUNDATION | AR | 501C3 | 11, TYPE I | OVHS |
| MEDICAL CENTER SENIOR SERVICES | |||||||||
| 638 CALIFORNIA AVE | CAMDEN | AR | 71701 | 710798343 | NURSING HOME | AR | 501C3 | 11, TYPE I | OVHS |
| OUACHITA COUNTY MEDICAL SERVICES | |||||||||
| PO BOX 797 | CAMDEN | AR | 71701 | 710766343 | HEALTHCARE | AR | 501C3 | 11, TYPE I | OVHS |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOLDEN TRIANGLE SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 797 | AddressLine1 |
| City | CAMDEN | City |
| State | AR | State |
| ZIP Code | 71701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710782242 | EIN |
| Primary Activity | SALES & SVCS | PrimaryActivity |
| Legal Domicile State | AR | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCSS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Share Of Total Income | -83332 | ShareOfTotalIncome |
| Share Of EOY Assets | 723938 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | 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 |
| 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 | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |