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Nonprofiteer
← OUACHITA VALLEY HEALTH SYSTEM

Form 990 for tax year 2022

Filed by OUACHITA VALLEY HEALTH SYSTEM.

Totals

Total revenue
$695,135
Total expenses
$1,490,005
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$695,135
Investment income
$0
Other revenue
$0
Total assets, end of year
$62,856
Total liabilities, end of year
$110,358
Net assets or fund balances, end of year
-$47,502
Program services expenses (Part IX)
$1,489,429
Management and general expenses
$576
Fundraising expenses
$0
Program service expenses (Part III)
$1,489,429

Program services were 100.0% 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.

  • 2a · Program service revenue: PATIENT SERVICE REVENU

    total $408,847 · related or exempt $408,847

  • 2b · Program service revenue: OTHER INCOME

    total $286,288 · related or exempt $286,288

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $1,194,099 · program services $1,194,099

  • 9 · Other employee benefits

    total $74,095 · program services $74,095

  • 11g · Fees: other

    total $82,041 · program services $82,041

  • 16 · Occupancy

    total $26,769 · program services $26,769

  • 22 · Depreciation, depletion and amortization

    total $5,159 · program services $5,159

  • 23 · Insurance

    total $38,288 · program services $38,288

  • 24a · Other expenses: SUPPLIES

    total $58,123 · program services $57,547 · management and general $576

  • 24b · Other expenses: MISCELLANEOUS

    total $9,349 · program services $9,349

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $2,082 · program services $2,082

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $744 · end of year $10,885

  • 4 · Accounts receivable

    beginning of year $53,783

  • 9 · Prepaid expenses and deferred charges

    beginning of year $20,201 · end of year $32,477

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

    $82,611

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

    $63,117

  • 10c · Land, buildings and equipment, net

    beginning of year $24,653 · end of year $19,494

  • 17 · Accounts payable and accrued expenses

    beginning of year $179,966 · end of year $110,358

  • 27 · Net assets without donor restrictions

    beginning of year -$80,585 · end of year -$47,502

Mission and programs · 2022

Mission

TO OPERATE FOR THE BENEFIT OF, PERFORM THE FUNCTIONS OF, AND/OR TO CARRY OUT THE PURPOSES OF OUACHITA COUNTY MEDICAL CENTER, A HOSPITAL AS DEFINED IN SECTION 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED.

Activities or mission (Part I)

TO OPERATE FOR THE BENEFIT OF, PERFORM THE FUNCTIONS OF, AND/OR TO CARRY OUT THE PURPOSES OF OCMC, A HOSPITAL AS DEFINED IN SECTION 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE.

  • TO OPERATE FOR THE BENEFIT OF, PERFORM THE FUNCTIONS OF, AND/OR TO CARRY OUT THE PURPOSES OF OUACHITA COUNTY MEDICAL CENTER, A HOSPITAL AS DEFINED IN SECTION 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE.

    Expenses $1,489,429 · Revenue $695,135

As filed on the 2022 return.

Listed in Part VII

  • David Mahaffey

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Connie Castleberry

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Edgar Lee

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Thomas Burger

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • John Dawson III

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Peggy Abbott

    PRESIDENT/CEO

    Total calculated
    $0
    Hours/week
    1 + 40 related
  • Charles Jeffus

    CORPORATE SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 40 related
  • Chris Abbott

    CORPORATE TREASURER

    Total calculated
    $0
    Hours/week
    1 + 40 related
  • Shannon Parker

    ASST SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 40 related
  • Kenneth Frachiseur

    ASST TREASURER

    Total calculated
    $0
    Hours/week
    1 + 40 related
  • Joe Michael Givens

    CORPORATE SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 40 related
  • Mark Shina

    PHYSICIAN

    Total calculated
    $242,570
    From this org
    $0
    From related orgs
    $237,983
    Other
    $4,587
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $237,983 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $4,587 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $242,570 related
  • Shaletha Jones

    PHYSICIAN

    Total calculated
    $386,052
    From this org
    $0
    From related orgs
    $378,024
    Other
    $8,028
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $378,024 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $8,028 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $386,052 related
  • Teresa Cothern

    PHYSICIAN

    Total calculated
    $252,928
    From this org
    $0
    From related orgs
    $248,212
    Other
    $4,716
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $248,212 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $4,716 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $252,928 related
  • John Henriksen

    PHYSICIAN

    Total calculated
    $338,203
    From this org
    $0
    From related orgs
    $330,175
    Other
    $8,028
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $330,175 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $8,028 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $338,203 related
  • Samuel Arnold III

    PHYSICIAN

    Total calculated
    $255,568
    From this org
    $0
    From related orgs
    $252,406
    Other
    $3,162
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $252,406 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $3,162 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $255,568 related

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

None.

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

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

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • OUACHITA PHYSICIANS SERVICES LLC

    SUPPORT · AR · income $695,135 · assets $61,139

    Directly controlled by OUACHITA VALLEY HEALTH SYSTEM

Provenance

Return type
form_990
Tax year
2022
Filed
14 August 2024
IRS schema version
2022v5.0
Source object
202432289349302468

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