2026-05-12T16:59:58+00:00 2025-06-30 440160260 FORVIS MAZARS LLP PO Box 3667 Little Rock AR 722033667 990 2024-07-01 710276839 DELTA MEMORIAL HOSPITAL DELT 8703824303 811 HWY 65 SOUTH DUMAS AR 71639 TIMOTHY JONES CHAIRMAN 8703824303 2026-05-12 true true Amber Sherrill P00748683 5013721040 2026-05-12 2024 2025-03-06 01:10:19Z TIMOTHY JONES 811 HWY 65 SOUTH DUMAS AR 71639 25376217 false X WWW.DELTAMEM.ORG X 1975 AR 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 7 7 249 15 0 0 2684462 2442568 17692414 22829889 17086 18917 75124 84843 20469086 25376217 0 0 11578839 12684497 0 0 8526244 11065702 20105083 23750199 364003 1626018 15166505 16226100 4494950 3928527 10671555 12297573 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. false false 18802641 0 22829889 DELTA MEMORIAL HOSPITAL PROVIDES MEDICAL HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR ABILITY TO PAY. 18802641 true true false true false false false false false false true false false true true false true false false false false false false false false false true true false false true false false false false false false false false false true false false false false false false false false false false true 14 0 true 249 true false false false false false false false false false false false false X 7 7 false false false false false false false true false false false false true true true true true true true false false false X SKYE WELLS 8703824303 811 HWY 65 SOUTH DUMAS AR 71639 SHIRLEY TEETER Secretary and Vice Chairman 1.0 0.0 X X 0 0 0 TIMOTHY JONES Chairman 1.0 0.0 X X 0 0 0 ALICE CURTIS DIRECTOR 1.0 0.0 X 0 0 0 GERALD LOYD DIRECTOR 1.0 0.0 X 0 0 0 HEATHER HARRIS DIRECTOR 1.0 0.0 X 0 0 0 JON WALTERS DIRECTOR 1.0 0.0 X 0 0 0 RACHEL FREEMAN DIRECTOR 1.0 0.0 X 0 0 0 CARL MORELAND CCO 40.0 0.0 X 78889 0 4297 DANA MILES CNO 40.0 0.0 X 150457 0 6774 EMILY SKYE WELLS CFO 40.0 0.0 X 80806 0 3318 JEREMY CAPPS CEO 40.0 0.0 X 167859 0 10234 DEREK WHITE MID-LEVEL PROVIDER 60.0 0.0 X 222320 0 11378 DUSTIN HALE MID-LEVEL PROVIDER 40.0 0.0 X 297848 0 1414 FRANKLIN CHAMBERS PHYSICIAN 40.0 0.0 X 994371 0 6436 SARAH BLEVINS RN - OBSTETRICS 40.0 0.0 X 155662 0 2480 SARAH FRANKLIN PHYSICIAN 40.0 0.0 X 625715 0 12339 2773927 0 58670 18 false true false Trilogy Healthcare Solutions 2064 Main Street Building A Madison MS 39110 REVENUE CYCLE PURCHASED SERVICE 539230 GRAYCORP LLC 3 ROBINWOOD DR DUMAS AR 71639 EMERGENCY ROOM PHYSICIAN COVERAGE 331238 Sunflower Management Group 8117 Preston Rd 200 Dallas TX 75225 CONSULTING 252626 MARGARET ISHEE 3303 MOUNT VERNON CT OCEAN SPRINGS MS 39564 CRNA PURCHASED SERVICE 251692 LEWIS NELSON BALLARD III 100 RAVENWOOD PLACE HOT SPRINGS AR 71901 CRNA PURCHASED SERVICE 250000 11 2305235 137333 2442568 PATIENT SERVICE REVENUE 622110 17800806 17800806 340B REVENUE 622110 5020833 5020833 MEDICAL OFFICE BUILDING RENT 531120 8250 8250 0 0 0 0 22829889 18917 18917 0 0 0 0 MEAL REVENUE 624210 76579 76579 VENDOR REBATES 900099 4158 4158 VENDING REVENUE 900099 1707 1707 2399 0 0 2399 84843 25376217 22829889 0 103760 X 2538534 2538534 9009545 7822539 1187006 33437 29032 4405 329070 285715 43355 773911 671948 101963 49722 43171 6551 140306 121821 18485 5155671 4476412 679259 0 23418 20333 3085 184026 159781 24245 300071 260537 39534 113596 98630 14966 37145 32251 4894 1204018 1045389 158629 362338 314600 47738 SUPPLIES EXPENSE 2749114 2749114 0 0 REPAIRS & MAINTENANCE 356632 309646 46986 PROVIDER ASSESSMENT FEES 177718 177718 0 0 DUES & SUBSCRIPTIONS 88311 76676 11635 123616 107328 16288 0 23750199 18802641 4947558 0 2449264 3131653 0 0 14356 14356 3205591 3500006 0 0 0 0 0 0 508982 590367 336888 372432 21726251 15911109 6225402 5815142 0 0 0 0 0 0 2426022 2802144 15166505 16226100 2370803 2196364 0 0 753249 883508 0 0 0 0 57563 0 181959 229799 0 0 1131376 618856 4494950 3928527 X 4524152 6528659 6147403 5768914 0 0 0 0 0 0 10671555 12297573 15166505 16226100 1626018 0 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4716 4716 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE PERCENTAGE OF 2024 MEMBERSHIP DUES PAID TO THE AMERICAN AND ARKANSAS HOSPITAL ASSOCIATION ALLOCABLE TO LOBBYING EXPENSE IS $4,716. 35000 0 35000 14440354 10381531 4058823 0 0 6970888 5368034 1602854 280009 161544 118465 5815142 DUE FROM THIRD PARTY PAYORS 1409572 BENEFICIAL INTEREST IN TRUST 845240 ROU ASSETS 290980 SUBSCRIPTION ASSETS 245467 SHORT TERM INVESTMENTS 10885 2802144 Federal Income Taxes DUE TO THIRD PARTY PAYORS 90114 LEASE LIABILITY 325026 SUBSCRIPTION LIABILITY 203716 618856 25376217 0 0 25376217 0 0 25376217 23750199 0 0 23750199 0 0 23750199 Schedule D, Part X, Line 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X 0 0 187505 187505 0.00789 0 0 3353357 3482673 0 0.0 0 0 0 0 0 0.0 0 0 3540862 3482673 187505 0.00789 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 5365167 3822006 1543161 0.06497 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 5365167 3822006 1543161 0.06497 0 0 8906029 7304679 1730666 0.07287 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 true 2727957 2727957 4068371 4019298 49073 X true true 1 1 DELTA MEMORIAL HOSPITAL 811 HWY 65 S DUMAS AR 71639 WWW.DELTAMEM.ORG AR4392 X X X DELTA MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 24 true false false true X https://www.deltamem.org/docs/ARHP_Delta_Memorial_Hospital_CHNA_2025_Dec2025_v1.4.pdf X true 24 true https://www.deltamem.org/docs/ARHP_Delta_Memorial_Hospital_CHNA_2025_Dec2025_v1.4.pdf false true X 200.0 200.0 X X true true X X X true X https://www.deltamem.org/getpage.php?name=financial_assistance&sub=Application+and+Policy X https://www.deltamem.org/getpage.php?name=financial_assistance&sub=Application+and+Policy X https://www.deltamem.org/getpage.php?name=financial_assistance&sub=Application+and+Policy X X X X X X true X false X X X X true X false false 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. 1 DELTA HEALTH SERVICES 803 HIGHWAY 65 S DUMAS AR 71639 RURAL HEALTH CLINIC 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. X X X false false false false false false false false false JEREMY CAPPS CEO 167859 0 0 0 0 0 0 0 10234 0 178093 0 0 0 DANA MILES CNO 147957 0 2500 0 0 0 0 0 6774 0 157231 0 0 0 FRANKLIN CHAMBERS PHYSICIAN 994371 0 0 0 0 0 0 0 6436 0 1000807 0 0 0 SARAH FRANKLIN PHYSICIAN 506349 0 119366 0 0 0 3300 0 9039 0 638054 0 0 0 DUSTIN HALE MID-LEVEL PROVIDER 223463 0 74385 0 0 0 0 0 1414 0 299262 0 0 0 DEREK WHITE MID-LEVEL PROVIDER 222320 0 0 0 0 0 2339 0 9039 0 233698 0 0 0 SARAH BLEVINS RN - OBSTETRICS 151162 0 4500 0 0 0 0 0 2480 0 158142 0 0 0 GRAYCORP LLC SEE PART V 331238 ER CONTRACTED LABOR false Schedule L, Part IV, Column (b) FRANKLIN CHAMBERS OWNS >35%. 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;