DELTA MEMORIAL HOSPITAL: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- DELTA MEMORIAL HOSPITAL (EIN 71-0276839)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-12
- IRS object ID
- 202631329349306648
- Schema version
- 2024v5.1
- 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 L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-12T16:59:58+00:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS MAZARS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 3667 | AddressLine1Txt |
| City | Little Rock | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 722033667 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710276839 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DELT | BusinessNameControlTxt |
| Phone | 8703824303 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 811 HWY 65 SOUTH | AddressLine1Txt |
| City | DUMAS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71639 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIMOTHY JONES | PersonNm |
| Person Title | CHAIRMAN | PersonTitleTxt |
| Phone | 8703824303 | PhoneNum |
| Signature | 2026-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amber Sherrill | PreparerPersonNm |
| PTIN | P00748683 | PTIN |
| Phone | 5013721040 | PhoneNum |
| Preparation | 2026-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIMOTHY JONES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 811 HWY 65 SOUTH | AddressLine1Txt |
| City | DUMAS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71639 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,376,217 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DELTAMEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | AT DELTA MEMORIAL HOSPITAL, WE ARE COMMITTED TO PROMOTING HEALING AND WELLNESS FOR THE RESIDENTS OF THE SOUTHEAST DELTA REGION IN A COURTEOUS AND COMPASSIONATE MANNER | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 249 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,684,462 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,442,568 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,692,414 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,829,889 | CYProgramServiceRevenueAmt |
| PY Investment Income | $17,086 | PYInvestmentIncomeAmt |
| CY Investment Income | $18,917 | CYInvestmentIncomeAmt |
| PY Other Revenue | $75,124 | PYOtherRevenueAmt |
| CY Other Revenue | $84,843 | CYOtherRevenueAmt |
| PY Total Revenue | $20,469,086 | PYTotalRevenueAmt |
| CY Total Revenue | $25,376,217 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,578,839 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,684,497 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,526,244 | PYOtherExpensesAmt |
| CY Other Expenses | $11,065,702 | CYOtherExpensesAmt |
| PY Total Expenses | $20,105,083 | PYTotalExpensesAmt |
| CY Total Expenses | $23,750,199 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $364,003 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,626,018 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,166,505 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,226,100 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,494,950 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,928,527 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,671,555 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,297,573 | NetAssetsOrFundBalancesEOYAmt |
| Mission | AT DELTA MEMORIAL HOSPITAL, WE ARE COMMITTED TO PROMOTING HEALING AND WELLNESS FOR THE RESIDENTS OF THE SOUTHEAST REGION IN A COURTEOUS AND COMPASSIONATE MANNER. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $18,802,641 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $22,829,889 | RevenueAmt |
| Desc | DELTA MEMORIAL HOSPITAL PROVIDES MEDICAL HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $18,802,641 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 249 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SKYE WELLS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8703824303 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 811 HWY 65 | AddressLine1Txt |
| City | SOUTH DUMAS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71639 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SHIRLEY TEETER | ||||||||
| Secretary and Vice Chairman | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TIMOTHY JONES | ||||||||
| Chairman | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ALICE CURTIS | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| GERALD LOYD | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| HEATHER HARRIS | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JON WALTERS | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| RACHEL FREEMAN | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| CARL MORELAND | ||||||||
| CCO | 40.0 | 0.0 | Yes (X) | $78,889 | $0 | $4,297 | ||
| DANA MILES | ||||||||
| CNO | 40.0 | 0.0 | Yes (X) | $150,457 | $0 | $6,774 | ||
| EMILY SKYE WELLS | ||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $80,806 | $0 | $3,318 | ||
| JEREMY CAPPS | ||||||||
| CEO | 40.0 | 0.0 | Yes (X) | $167,859 | $0 | $10,234 | ||
| DEREK WHITE | ||||||||
| MID-LEVEL PROVIDER | 60.0 | 0.0 | $222,320 | $0 | $11,378 | Yes (X) | ||
| DUSTIN HALE | ||||||||
| MID-LEVEL PROVIDER | 40.0 | 0.0 | $297,848 | $0 | $1,414 | Yes (X) | ||
| FRANKLIN CHAMBERS | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $994,371 | $0 | $6,436 | Yes (X) | ||
| SARAH BLEVINS | ||||||||
| RN - OBSTETRICS | 40.0 | 0.0 | $155,662 | $0 | $2,480 | Yes (X) | ||
| SARAH FRANKLIN | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $625,715 | $0 | $12,339 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,773,927 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $58,670 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| Trilogy Healthcare Solutions | ||||||
| 2064 Main Street | Building A | Madison | MS | 39110 | REVENUE CYCLE PURCHASED SERVICE | $539,230 |
| GRAYCORP LLC | ||||||
| 3 ROBINWOOD DR | DUMAS | AR | 71639 | EMERGENCY ROOM PHYSICIAN COVERAGE | $331,238 | |
| Sunflower Management Group | ||||||
| 8117 Preston Rd | 200 | Dallas | TX | 75225 | CONSULTING | $252,626 |
| MARGARET ISHEE | ||||||
| 3303 MOUNT VERNON CT | OCEAN SPRINGS | MS | 39564 | CRNA PURCHASED SERVICE | $251,692 | |
| LEWIS NELSON BALLARD III | ||||||
| 100 RAVENWOOD PLACE | HOT SPRINGS | AR | 71901 | CRNA PURCHASED SERVICE | $250,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,305,235 | GovernmentGrantsAmt |
| All Other Contributions | $137,333 | AllOtherContributionsAmt |
| Total Contributions | $2,442,568 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $17,800,806 | $17,800,806 |
| 340B REVENUE | 622110 | $5,020,833 | $5,020,833 |
| MEDICAL OFFICE BUILDING RENT | 531120 | $8,250 | $8,250 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,829,889 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,917 | TotalRevenueColumnAmt |
| Exclusion | $18,917 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MEAL REVENUE | 624210 | $76,579 | $76,579 |
| VENDOR REBATES | 900099 | $4,158 | $4,158 |
| VENDING REVENUE | 900099 | $1,707 | $1,707 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,399 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,399 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $84,843 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,376,217 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,829,889 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $103,760 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,538,534 | TotalAmt |
| Management And General | $2,538,534 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,009,545 | TotalAmt |
| Program Services | $7,822,539 | ProgramServicesAmt |
| Management And General | $1,187,006 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,437 | TotalAmt |
| Program Services | $29,032 | ProgramServicesAmt |
| Management And General | $4,405 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,070 | TotalAmt |
| Program Services | $285,715 | ProgramServicesAmt |
| Management And General | $43,355 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $773,911 | TotalAmt |
| Program Services | $671,948 | ProgramServicesAmt |
| Management And General | $101,963 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,722 | TotalAmt |
| Program Services | $43,171 | ProgramServicesAmt |
| Management And General | $6,551 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,306 | TotalAmt |
| Program Services | $121,821 | ProgramServicesAmt |
| Management And General | $18,485 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,155,671 | TotalAmt |
| Program Services | $4,476,412 | ProgramServicesAmt |
| Management And General | $679,259 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,418 | TotalAmt |
| Program Services | $20,333 | ProgramServicesAmt |
| Management And General | $3,085 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,026 | TotalAmt |
| Program Services | $159,781 | ProgramServicesAmt |
| Management And General | $24,245 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,071 | TotalAmt |
| Program Services | $260,537 | ProgramServicesAmt |
| Management And General | $39,534 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,596 | TotalAmt |
| Program Services | $98,630 | ProgramServicesAmt |
| Management And General | $14,966 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,145 | TotalAmt |
| Program Services | $32,251 | ProgramServicesAmt |
| Management And General | $4,894 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,204,018 | TotalAmt |
| Program Services | $1,045,389 | ProgramServicesAmt |
| Management And General | $158,629 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,338 | TotalAmt |
| Program Services | $314,600 | ProgramServicesAmt |
| Management And General | $47,738 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES EXPENSE | $2,749,114 | $2,749,114 | $0 | $0 |
| REPAIRS & MAINTENANCE | $356,632 | $309,646 | $46,986 | |
| PROVIDER ASSESSMENT FEES | $177,718 | $177,718 | $0 | $0 |
| DUES & SUBSCRIPTIONS | $88,311 | $76,676 | $11,635 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,616 | TotalAmt |
| Program Services | $107,328 | ProgramServicesAmt |
| Management And General | $16,288 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,750,199 | TotalAmt |
| Program Services | $18,802,641 | ProgramServicesAmt |
| Management And General | $4,947,558 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,449,264 | BOYAmt |
| EOY | $3,131,653 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,356 | BOYAmt |
| EOY | $14,356 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,205,591 | BOYAmt |
| EOY | $3,500,006 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $508,982 | BOYAmt |
| EOY | $590,367 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $336,888 | BOYAmt |
| EOY | $372,432 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,726,251 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,911,109 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,225,402 | BOYAmt |
| EOY | $5,815,142 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,426,022 | BOYAmt |
| EOY | $2,802,144 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,166,505 | BOYAmt |
| EOY | $16,226,100 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,370,803 | BOYAmt |
| EOY | $2,196,364 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $753,249 | BOYAmt |
| EOY | $883,508 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,563 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,959 | BOYAmt |
| EOY | $229,799 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,131,376 | BOYAmt |
| EOY | $618,856 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,494,950 | BOYAmt |
| EOY | $3,928,527 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,524,152 | BOYAmt |
| EOY | $6,528,659 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,147,403 | BOYAmt |
| EOY | $5,768,914 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,671,555 | BOYAmt |
| EOY | $12,297,573 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,166,505 | BOYAmt |
| EOY | $16,226,100 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,626,018 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $4,716 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,716 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | THE PERCENTAGE OF 2024 MEMBERSHIP DUES PAID TO THE AMERICAN AND ARKANSAS HOSPITAL ASSOCIATION ALLOCABLE TO LOBBYING EXPENSE IS $4,716. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $35,000 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $35,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,440,354 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,381,531 | DepreciationAmt |
| Book Value | $4,058,823 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,970,888 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,368,034 | DepreciationAmt |
| Book Value | $1,602,854 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $280,009 | OtherCostOrOtherBasisAmt |
| Depreciation | $161,544 | DepreciationAmt |
| Book Value | $118,465 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,815,142 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM THIRD PARTY PAYORS | $1,409,572 |
| BENEFICIAL INTEREST IN TRUST | $845,240 |
| ROU ASSETS | $290,980 |
| SUBSCRIPTION ASSETS | $245,467 |
| SHORT TERM INVESTMENTS | $10,885 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,802,144 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | |
| DUE TO THIRD PARTY PAYORS | $90,114 |
| LEASE LIABILITY | $325,026 |
| SUBSCRIPTION LIABILITY | $203,716 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $618,856 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $25,376,217 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $25,376,217 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $25,376,217 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $23,750,199 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $23,750,199 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $23,750,199 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $187,505 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $187,505 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00789 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,353,357 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,482,673 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,540,862 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,482,673 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $187,505 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00789 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $5,365,167 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,822,006 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,543,161 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06497 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $5,365,167 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,822,006 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,543,161 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06497 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $8,906,029 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,304,679 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,730,666 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07287 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,727,957 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,727,957 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,068,371 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,019,298 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $49,073 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 811 HWY 65 S | AddressLine1Txt |
| City | DUMAS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71639 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.DELTAMEM.ORG | WebsiteAddressTxt |
| State License | AR4392 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.deltamem.org/docs/ARHP_Delta_Memorial_Hospital_CHNA_2025_Dec2025_v1.4.pdf | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.deltamem.org/docs/ARHP_Delta_Memorial_Hospital_CHNA_2025_Dec2025_v1.4.pdf | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.0 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.deltamem.org/getpage.php?name=financial_assistance&sub=Application+and+Policy | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.deltamem.org/getpage.php?name=financial_assistance&sub=Application+and+Policy | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.deltamem.org/getpage.php?name=financial_assistance&sub=Application+and+Policy | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - DELTA MEMORIAL HOSPITAL. Given the extensive size of the service area, the steering committee chose to utilize a focused group comprising community leaders and professionals from health-related sectors. The Delta Memorial staff steering committee identified and invited approximately 20 community members to serve on this Community Advisory Committee. Twelve participants attended the initial advisory committee meeting - where ARHP staff delivered an educational presentation outlining the CHNA process. During this initial gathering, participants reviewed health statistics pertinent to the service area and individually completed the 2025 Community Health Needs Assessment survey. Advisory committee members actively assisted in distributing surveys, reaching out to neighbors, colleagues, and friends - thus ensuring broad community engagement. Additionally, electronic surveys were available through the Delta Memorial Hospital and ARHP websites, as well as various local community platforms. Once survey responses were gathered, the ARHP team analyzed the data to facilitate the presentation of key findings during the committee's second meeting. At this follow-up session, committee members reviewed survey results, engaged in group discussions regarding critical health issues identified, and collaboratively prioritized community health concerns. These priorities formed the foundation of a comprehensive implementation plan developed by the staff steering committee to generate measurable community benefits. Implementation of these strategic action plans will occur over a three-year period, with the hospital steering committee convening annually with the advisory committee to monitor progress and make necessary adjustments. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - DELTA MEMORIAL HOSPITAL. AN IMPLEMENTATION STRATEGY WAS DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS. SEVERAL ISSUES WERE IDENTIFIED FOR CONSIDERATION AND PRIORITIZED IN THE PLAN. Priority 1: Chronic Disease Objective 1: Strengthen Chronic Disease Prevention & Management Expand community screening events for hypertension, diabetes, and cancer - including ARHP's mobile unit. Launch a public education campaign (social media, local radio, and print) to promote annual wellness visits and preventive screenings. Objective 2: Enhance Management & Support Deploy ARHP Community Health Workers (CHWs) to provide one-on-one coaching, medication reminders, and care coordination for patients with chronic conditions. Integrate telehealth follow-up visits for high-risk patients to ensure timely adjustments to care plans. Establish a peer-support network for diabetes and heart-disease patients, offering group education and lifestylemanagement workshops. Priority 2: Mental & Behavioral Health Objective 1: Expand Mental & Behavioral Health Services Increase on-site behavioral-health staffing through recruitment incentives and telepsychiatry partnerships. Implement a 24/7 mental health hotline staffed by trained clinicians and CHWs for crisis support and referrals. Objective 2: Promote Community Awareness & Resilience Launch a destigmatization campaign featuring patient stories and resource guides to highlight available support and encourage helpseeking behavior. Offer Mental Health First Aid (MHFA) training in schools, colleges, and community organizations through ARHP to build awareness, reduce stigma, and promote early intervention. Priority 3: Transportation Objective 1: Improve Patient Mobility Develop a hospital network program that coordinates shared transportation resources across Delta Memorial Hospital and partner facilities to reduce missed appointments. Offer subsidized rideshare vouchers to lowincome patients for urgent and routine medical appointments. Objective 2: Address NonMedical Travel Barriers Map and communicate all existing transportation options - including faithbased rides and community carpools - via an online portal and printed guides. Advocate with county planners and the Arkansas Department of Transportation for expanded rural transit routes and Section 5311 grant funding. Integrate transportation needs into discharge planning to ensure every patient leaves with a confirmed travel plan for followup visits. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA HEALTH SERVICES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 803 HIGHWAY 65 S | AddressLine1Txt |
| City | DUMAS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71639 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | RURAL HEALTH CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c | AMOUNTS GENERALLY BILLED (AGB) IS DEFINED AS THE AMOUNTS THAT ARE GENERALLY BILLED FOR CARE TO INDIVIDUALS WHO HAVE THIRD PARTY COVERAGE. DELTA MEMORIAL HOSPITAL DETERMINES AGB BY UTILIZING THE "LOOK-BACK" METHOD. THE AGB PERCENTAGE IS CALCULATED BY USING CLAIMS ALLOWED BY MEDICARE, MEDICAID AND PRIVATE HEALTH INSURERS DURING THE MOST RECENT FISCAL YEAR. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | UNDER THE ADOPTION OF REVENUE RECOGNITION STANDARD ASU 2014-09 ALL OF THE ORGANIZATION'SBAD DEBT EXPENSE REPORTED ON SCHEDULE H, PART III, LINE 2 IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO COLLECT ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND AS SUCH ARE RECORDED AS A DEDUCTION FROM GROSS PATIENT REVENUE. THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SHCEDULE H, PART III, SECTION A, LINE 2. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | UNDER THE ADOPTION OF REVENUE RECOGNITION STANDARD ASU 2014-09 ALL OF THE ORGANIZATION'S BAD DEBT EXPENSE REPORTED ON SCHEDULE H, PART III, LINE 2 IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | MEDICARE COST TO CHARGE RATIO |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | IF DURING THE COURSE OF COLLECTIONS FOLLOW-UP, A PATIENT OR GUARANTOR REQUESTS FINANCIAL ASSISTANCE OR INDICATES THAT THEY ARE UNINSURED AND CANNOT PAY FOR THEIR CARE, THEY WILL BE REFERRED TO DMH'S FINANCIAL ASSISTANCE TEAM TO BE SCREENED FOR POTIENTIAL FINANCIAL ASSISTANCE ELIGIBILITY. IF IT IS DETERMINED A PATIENT MAY BE ELIGIBLE FOR ASSISTANCE, COLLECTION ACTIVITIY WILL CONTINUE UNTIL THE PATIENT RETURNS THE APPROPRIATE APPLICATION. ONCE THE APPLICATION IS RECEIVED, REGARDLESS OF COMPLETENESS, ALL FURTHER COLLECTION ACTIVITY WILL BE STOPPED PENDING A DECISION FROM THE FINANCIAL ASSISTANCE TEAM ON ASSISTANCE ELIGIBILITY. |
| Schedule H, Part V, Section B, Line 16a FAP website | - DELTA MEMORIAL HOSPITAL: Line 16a URL: https://www.deltamem.org/getpage.php?name=financial_assistance&sub=Application+and+Policy; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - DELTA MEMORIAL HOSPITAL: Line 16b URL: https://www.deltamem.org/getpage.php?name=financial_assistance&sub=Application+and+Policy; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - DELTA MEMORIAL HOSPITAL: Line 16c URL: https://www.deltamem.org/getpage.php?name=financial_assistance&sub=Application+and+Policy; |
| Schedule H, Part VI, Line 2 Needs assessment | IN ADDITION TO THE CHNA, DELTA MEMORIAL HOSPITAL USES A VARIETY OF OTHER SOURCES TO COLLECT DATA, ANALYZE IT, AND PRIORITIZE FUTURE ACTION ITEMS. THESE INCLUDE: - HAVING AN ACTIVE BOARD OF DIRECTORS MADE UP OF COMMUNITY MEMBERS WHO GIVE INPUT. - PARTICIPATING IN THE LOCAL CHAMBER OF COMMERCE AND GETTING FEEDBACK. - INPUT FROM PHYSICIANS ON NEEDS OF THEIR PATIENTS AND ON THEIR REFERRAL PATTERNS FOR SERVICES NOT PROCIDED LOCALLY. - INPUT ON SOCIAL MEDIA. - DIRECT INPUT FROM INDIVIDUAL PATIENTS AND EMPLOYEES, AS WELLS AS LOCAL INDUSTRY AND EMS. - PATIENT EXPERIENCE SURVEYS. - EVALUATION OF HEALTH DATA AND REPORTS, SUCH AS THE COUNTY HEALTH RANKINGS IN HEALTH OUTCOMES. - DIRECT INPUT FROM DMH AUXILIARY WHO ARE MEMBERS OF THE COMMUNITY. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | DMH STAFF SHALL ATTEMPT TO IDENTIFY THOSE PATIENTS IN NEED OF FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION. THE PATIENT'S INSURANCE INFORMAITON AND/OR PAYMENT ARRANGEMENTS SHALL BE DISCUSSED BEFORE SERVICES ARE RENDERED, EXCEPT IN THE CASE OF EMERGENCY SERVICES IN ACCORDANCE WITH EMTALA REGULATIONS. PATIENTS REQUIRING EMERGENT OR URGENT MEDICAL CARE AND PREGNANT WOMEN IN ACTIVE LABOR SHALL BE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY IN ACCORDANCE WITH EMTALA REGUATIONS. DMH WILL PROVIDE A COPY OF THE PLAIN LANGUAGE SUMMARY DOCUMENT OF THE FINANCIAL ASSISTANCE POLICY TO ALL UNINSURED PATIENTS AT THE TIME OF REGISTRATION. THE PATIENT WILL BE REQUIRED TO SIGN THE DOCUMENT TO BE SCANNED INTO DMH'S DOCUMENT IMAGING SYSTEM FOR EACH ENCOUNTER. THIS WILL DOCUMENT THAT THE PATIENT WAS MADE AWARE OF THE FINANCIAL ASSITANCE POLICY. PATIENTS IDENTIFIED AS NEEDING FINANCIAL ASSISTANCE SHALL BE ENCOURAGED TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. |
| Schedule H, Part VI, Line 4 Community information | DELTA MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES THE COMMUNITIES OF DESHA COUNTY THAT ARE LOCATED NEAR DUMAS. DUMAS RESIDENTS MAKE UP THE MAJORITY OF BOTH INPATIENT AND EMERGENCY ROOM PATIENTS. THOSE REMAINING, FOR THE MOST PART, RESIDENTS OF LINCOLN, ARKANSAS, AND DREW COUNTIES ARE CONSIDERED THE SECONDARY SERVICE AREA. DESHA COUNTY IS LOCATED IN THE SOUTHEAST CORNER OF THE STATE OF ARKANSAS ON THE BORDER OF MISSISSIPPI AND THE MISSISSIPPI RIVER. ACCORDING TO THE 2024 CENSUS DESHA HAS A POPULATION OF 10,771 RESIDENTS COMPARED TO THE 2021 CENSUS WHICH WAS 11,395 RESIDENTS - A LOSS OF 624 IN POPULATION OVER THE COURSE OF THREE YEARS. According to the 2024 County Health Rankings by the University of Wisconsin Population Health Institute, Desha County, Arkansas, is ranked with less favorable health outcomes and health factors among the state's 75 counties. THE OVERALL DEMOGRAPHICS OF DESHA COUNTY ARE 43.2% WHITE, 46.6% AFRICAN AMERICAN, 7.4% HISPANIC OR LATINO ORIGIN. MEDIAN HOUSEHOLD INCOME FOR THE COUNTY IS $41,300 COMPARED TO $55,500 FOR THE STATE OF ARKANSAS. 27% OF PEOPLE ARE LIVING BELOW THE FEDERAL POVERTY LINE, COMPARED TO 16% STATEWIDE. |
| Schedule H, Part VI, Line 5 Promotion of community health | DELTA MEMORIAL HOSPITAL IS AN ACTIVE MEMBER OF THE ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP), WHICH IS COMPRISED OF 14 INDEPENDENTLY OWNED RURAL HOSPITALS, 2 MEDICAL TEACHING INSTITUTIONS, AND 2 FQHC'S. THE ARHP IS COMMITTED TO WORKING TOGETHER THROUGHOUT THE 21 SOUTH ARKANSAS COUNTIES TO: IMPROVE THE DELIVERY OF HEALTHCARE SERVICES, INCREASE ACCESS TO HEALTH CARE SERVICES AND PROGRAMS, PROVIDE HEALTHCARE PROVIDER EDUCATION OPPORTUNITIES, INCREASE THE UTILIZATION OF TELEHEALTH AND TELEMEDICINE TECHNOLOGY, PROMOTE HEALTH LIFESTYLES, ASSIST COMMUNITY MEMBERS WITH PATIENT ASSISTANCE PROGRAMS, AND REDUCE SERVICE AND OPERATION COSTS FOR HOSPITAL MEMBERS THROUGH COLLABORATIVE NEGOTIATION AND PURCHASING. ARHP CURRENTLY PROVIDES THE FOLLOWING OUTREACH AND EDUCATION PROGRAMS TO ITS MEMBERS, PATIENTS, AND COMMUNITIES: OPIOID USE DISORDER EDUCATION AND NAVIGATION, FREE BREAST SCREENING AND DIAGNOSTIC SERVICES, INSURANCE AND MEDICARE ASSISTANCE AND ENROLLMENT, DIABETES EMPOWERMENT EDUCATION PROGRAM, EMERGENCY DEPARTMENT MENTAL HEALTH ASSESSMENTS, PRESCRIPTION ASSISTANCE SERVICES, COOKING MATTERS CLASSES, DIABETES PREVENTION PROGRAM, AND PATIENT NAVIGATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEREMY CAPPS | ||||||||||||||
| CEO | $167,859 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,234 | $0 | $178,093 | $0 | $0 | $0 |
| DANA MILES | ||||||||||||||
| CNO | $147,957 | $0 | $2,500 | $0 | $0 | $0 | $0 | $0 | $6,774 | $0 | $157,231 | $0 | $0 | $0 |
| FRANKLIN CHAMBERS | ||||||||||||||
| PHYSICIAN | $994,371 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,436 | $0 | $1,000,807 | $0 | $0 | $0 |
| SARAH FRANKLIN | ||||||||||||||
| PHYSICIAN | $506,349 | $0 | $119,366 | $0 | $0 | $0 | $3,300 | $0 | $9,039 | $0 | $638,054 | $0 | $0 | $0 |
| DUSTIN HALE | ||||||||||||||
| MID-LEVEL PROVIDER | $223,463 | $0 | $74,385 | $0 | $0 | $0 | $0 | $0 | $1,414 | $0 | $299,262 | $0 | $0 | $0 |
| DEREK WHITE | ||||||||||||||
| MID-LEVEL PROVIDER | $222,320 | $0 | $0 | $0 | $0 | $0 | $2,339 | $0 | $9,039 | $0 | $233,698 | $0 | $0 | $0 |
| SARAH BLEVINS | ||||||||||||||
| RN - OBSTETRICS | $151,162 | $0 | $4,500 | $0 | $0 | $0 | $0 | $0 | $2,480 | $0 | $158,142 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRAYCORP LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $331,238 | TransactionAmt |
| Transaction | ER CONTRACTED LABOR | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part IV, Column (b) | FormAndLineReferenceDesc |
| Explanation | FRANKLIN CHAMBERS OWNS >35%. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body | COMMITTEES ACTING ON BEHALF OF THE GOVERNING BODY REPORT TO THE GOVERNING BODY AT MONTHLY BOARD MEETINGS. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS EMAILED TO ALL BOARD MEMBERS FOR REVIEW BEFORE FILING. THE FORM 990 IS DISCUSSED AND APPROVED DURING THE NEXT BOARD MEETING. |
| Form 990, Part VI, Line 12c Conflict of interest policy | THE ORGANIZATION'S BYLAWS REQUIRE BOARD MEMBERS TO ABSTAIN FROM CONFLICTS OF INTEREST. BOARD MEMBERS ARE REQUIRED TO ANNUALLY SUBMIT A WRITTEN STATEMENT AND ANSWER A QUESTIONNAIRE. THE COMPLIANCE OFFICER INVESTIGATES ANY POTENTIAL CONFLICTS AND DETERMINES THE NATURE OF THE CONFLICT. A SUBCOMMITTEE REVIEWS ANY CONFLICTS AND DETERMINES THE APPROPRIATE ACTION DEPENDING ON THE NATURE OF THE CONFLICT. BOARD MEMBERS ARE ASKED TO ABSTAIN FROM CONFLICT OF INTERESTS OR ABSTAIN FROM VOTING IF A CONFLICT EXISTS. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | THE BOARD OF DIRECTORS REVIEWED THE CEO'S COMPENSATION IN 2024. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | MISC. REVENUE - Total Revenue: 2399, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2399; |
| Form 990, Part IX, Line 11g Other Fees | PURCHASED SERVICES - Total Expense: 3361898, Program Service Expense: 2918968, Management and General Expenses: 442930, Fundraising Expenses: 0; BILLING & COLLECTION SVCS - Total Expense: 1793728, Program Service Expense: 1557405, Management and General Expenses: 236323, Fundraising Expenses: 0; CONTRACT LABOR - Total Expense: 45, Program Service Expense: 39, Management and General Expenses: 6, Fundraising Expenses: 0; |
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