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Nonprofiteer
← MAINLINE HEALTH SYSTEMS INC

Form 990 for tax year 2022

Filed by MAINLINE HEALTH SYSTEMS INC.

Totals

Total revenue
$35,308,042
Total expenses
$33,008,764
Contributions and grants received
$8,308,017
Grants paid
$15,372
Program service revenue
$26,998,192
Investment income
$490
Other revenue
$1,343
Total assets, end of year
$33,839,417
Total liabilities, end of year
$10,120,990
Net assets or fund balances, end of year
$23,718,427
Program services expenses (Part IX)
$27,248,111
Management and general expenses
$5,760,653
Fundraising expenses
$0
Program service expenses (Part III)
$27,248,111

Program services were 82.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $7,656,098

  • 1f · All other contributions, gifts and grants

    $651,919

  • 1g · Noncash contributions included above

    $421,054

  • 2a · Program service revenue: PATIENT REVENUE

    total $15,706,774 · related or exempt $15,706,774

  • 2b · Program service revenue: 340B REVENUE

    total $10,886,744 · related or exempt $10,886,744

  • 2c · Program service revenue: SHARED SAVINGS REVENUE

    total $370,114 · related or exempt $370,114

  • 2d · Program service revenue: MOB RENTAL

    total $34,560 · related or exempt $34,560

  • 3 · Investment income

    total $259 · excluded $259

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7a · Gross sales of assets other than inventory

    other assets $231

  • 7c · Gain or loss

    other assets $231

  • 7d · Net gain or loss

    total $231 · excluded $231

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: All Other Misc Revenue

    total $1,343 · excluded $1,343

  • 11d · All other revenue

    total $1,343 · excluded $1,343

  • 11e · Other revenue, total

    $1,343

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $15,372 · program services $15,372

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $1,110,555 · management and general $1,110,555

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $15,351,556 · program services $12,950,127 · management and general $2,401,429

  • 8 · Pension plan contributions

    total $272,330 · program services $229,730 · management and general $42,600

  • 9 · Other employee benefits

    total $2,304,615 · program services $1,944,106 · management and general $360,509

  • 10 · Payroll taxes

    total $1,137,346 · program services $959,432 · management and general $177,914

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $33,662 · program services $28,396 · management and general $5,266

  • 11c · Fees: accounting

    total $214,365 · program services $180,832 · management and general $33,533

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $2,132,693 · program services $1,799,078 · management and general $333,615 · fundraising $0

  • 12 · Advertising and promotion

    total $79,673 · program services $67,210 · management and general $12,463

  • 13 · Office expenses

    total $727,561 · program services $613,749 · management and general $113,812

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $691,788 · program services $583,572 · management and general $108,216

  • 17 · Travel

    total $250,709 · program services $211,491 · management and general $39,218

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $278,825 · program services $235,209 · management and general $43,616

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $639,623 · program services $539,567 · management and general $100,056

  • 23 · Insurance

    total $137,997 · program services $116,410 · management and general $21,587

  • 24a · Other expenses: 340B EXPENSES

    total $4,441,819 · program services $3,746,990 · management and general $694,829

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $2,156,269 · program services $2,156,269

  • 24c · Other expenses: REPAIRS & MAINTENANCE

    total $242,011 · program services $204,153 · management and general $37,858

  • 24d · Other expenses: EQUIPMENT EXPENSE

    total $157,456 · program services $132,825 · management and general $24,631

  • 24e · All other expenses

    total $632,539 · program services $533,593 · management and general $98,946

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,596,623 · end of year $3,982,571

  • 2 · Savings and temporary cash investments

    beginning of year $5,148,417 · end of year $4,894,438

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $3,402,854 · end of year $7,354,833

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $539,310 · end of year $700,595

  • 9 · Prepaid expenses and deferred charges

    beginning of year $252,518 · end of year $313,390

  • 10a · Land, buildings and equipment: cost or other basis

    $17,669,352

  • 10b · Land, buildings and equipment: accumulated depreciation

    $5,281,320

  • 10c · Land, buildings and equipment, net

    beginning of year $11,466,321 · end of year $12,388,032

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $1,005,993

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $633,454 · end of year $570,109

  • 15 · Other assets

    beginning of year $3,340,407 · end of year $2,629,456

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,665,405 · end of year $2,477,434

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $7,641,940 · end of year $7,417,474

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $226,082

  • 27 · Net assets without donor restrictions

    beginning of year $20,072,559 · end of year $23,718,427

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

TO IMPROVE THE QUALITY OF LIFE FOR THE POPULATION WITHIN THE SCOPE OF OPERATION THROUGH THE DELIVERY OF HIGH QUALITY ACCESSIBLE COMPREHENSIVE HEALTH CARE. SERVICES INCLUDE MEDICAL, DENTAL, MENTAL HEALTH AND PREVENTIVE HEALTH SERVICES FOR THE ENTIRE FAMILY.

Activities or mission (Part I)

TO IMPROVE THE QUALITY OF LIFE FOR THE POPULATION WITHIN THE SCOPE OF OPERATION THROUGH THE DELIVERY OF HIGH QUALITY ACCESSIBLE COMPREHENSIVE HEALTH CARE.

  • PROVIDED MEDICAL SERVICES TO 26,438 PATIENTS AND DENTAL SERVICES TO 2,153 PATIENTS AND BEHAVORIAL HEALTH SERVICES TO 1,677 PATIENTS IN SOUTHEAST ARKANSAS; SERVED RESIDENTS OF CHICOT, BRADLEY, ASHLEY, DREW, LINCOLN, GRANT & CLEVELAND COUNTIES.

    Expenses $27,248,111 · Grants $15,372 · Revenue $26,998,192

As filed on the 2022 return.

Listed in Part VII

  • Gary Allan Nichols

    CEO

    Total calculated
    $367,895
    From this org
    $346,460
    From related orgs
    $0
    Other
    $21,435
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $207,674
    Bonus
    $138,786
    Other
    $0
    Deferred
    $12,200
    Nontaxable benefits
    $9,235
    Filer's total
    $367,895
  • Kerry Pennington MD

    MEDICAL DOCTOR

    Total calculated
    $366,260
    From this org
    $349,028
    From related orgs
    $0
    Other
    $17,232
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $309,590
    Bonus
    $39,438
    Other
    $0
    Deferred
    $7,997
    Nontaxable benefits
    $9,235
    Filer's total
    $366,260
  • Joe Wharton MD

    MEDICAL DOCTOR

    Total calculated
    $304,748
    From this org
    $285,196
    From related orgs
    $0
    Other
    $19,552
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $250,895
    Bonus
    $34,301
    Other
    $0
    Deferred
    $10,317
    Nontaxable benefits
    $9,235
    Filer's total
    $304,748
  • Kimberly Golden MD

    MEDICAL DOCTOR

    Total calculated
    $275,182
    From this org
    $259,579
    From related orgs
    $0
    Other
    $15,603
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $253,279
    Bonus
    $6,300
    Other
    $0
    Deferred
    $6,368
    Nontaxable benefits
    $9,235
    Filer's total
    $275,182
  • Paul Whipple MD

    MEDICAL DOCTOR

    Total calculated
    $267,461
    From this org
    $249,060
    From related orgs
    $0
    Other
    $18,401
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $245,116
    Bonus
    $3,944
    Other
    $0
    Deferred
    $9,166
    Nontaxable benefits
    $9,235
    Filer's total
    $267,461
  • Blayne Beene Do

    MEDICAL DOCTOR

    Total calculated
    $263,738
    From this org
    $244,609
    From related orgs
    $0
    Other
    $19,129
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $244,309
    Bonus
    $300
    Other
    $0
    Deferred
    $9,804
    Nontaxable benefits
    $9,325
    Filer's total
    $263,738
  • Tafta McCain

    CFO

    Total calculated
    $181,645
    From this org
    $165,558
    From related orgs
    $0
    Other
    $16,087
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $131,845
    Bonus
    $33,713
    Other
    $0
    Deferred
    $6,852
    Nontaxable benefits
    $9,235
    Filer's total
    $181,645
  • Byron Montgomery

    CIO

    Total calculated
    $179,274
    From this org
    $163,239
    From related orgs
    $0
    Other
    $16,035
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $133,295
    Bonus
    $29,944
    Other
    $0
    Deferred
    $6,800
    Nontaxable benefits
    $9,235
    Filer's total
    $179,274
  • Jeni Barham

    CQO

    Total calculated
    $152,622
    From this org
    $139,033
    From related orgs
    $0
    Other
    $13,589
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $108,585
    Bonus
    $30,448
    Other
    $0
    Deferred
    $4,354
    Nontaxable benefits
    $9,235
    Filer's total
    $152,622
  • Ashley Anthony

    COO

    Total calculated
    $139,065
    From this org
    $129,830
    From related orgs
    $0
    Other
    $9,235
    Hours/week
    40
  • Amanda Gilbert

    CPO

    Total calculated
    $134,855
    From this org
    $120,710
    From related orgs
    $0
    Other
    $14,145
    Hours/week
    40
  • Charles Carr

    CCO

    Total calculated
    $64,154
    From this org
    $56,458
    From related orgs
    $0
    Other
    $7,696
    Hours/week
    40
  • Mary Hollins-Scott RN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Frank Henry Jr

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Robert Thomas

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Ron Miller

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Eugene Butler

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Michelle Dunbar

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Irma Bernal

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Keith Shepherd

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Brandi Poole

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Alicia Whitaker

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Becky Phillips

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Shanna Knowles

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Leslie Adams

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Written employment contract
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

FORM 990, SCHEDULE J, PART I, LINE 7
INCENTIVE PAY IS OFFERED FOR PROVIDERS AND CLINICAL STAFF WHO MEET VARIOUS PRODUCTIVITY GOALS AND FINANCIAL AND QUALITY MEASURES ON A QUARTERLY BASIS. CLINICAL STAFF: LEVEL 1 = $200 LEVEL 2 = $400 LEVEL 3 = $600 LEVEL 4 = $800 INCENTIVE PAY WAS OFFERED TO THE CEO BASED ON LEVEL OF PCMH REACHED, PATIENT GROWTH, AND BOARD EVALUATION. INCENTIVE PAY WAS OFFERED TO THE MEDICAL DIRECTOR BASED ON LEVEL OF PCMH REACHED, PATIENT GROWTH, PATIENT SATISFACTION, AND QUALITY PERFORMANCE. INCENTIVE PAY WAS OFFERED TO THE CFO BASED ON LEVEL OF PCMH REACHED, LEVEL OF PROFIT, AUDIT PERFORMANCE, AND EVALUATION BY THE CEO. PROVIDER BONUSES ARE BASED ON THE NUMBER OF ENCOUNTERS OVER THE MINIMUM REQUIREMENT AND AVERAGE QUALITY METRICS FOR THE QUARTER.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Provenance

Return type
form_990
Tax year
2022
Filed
4 December 2023
IRS schema version
2022v5.0
Source object
202303399349301020

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