2025-05-14T15:20:08+00:00 2024-06-30 440160260 Forvis Mazars LLP 14221 Dallas Parkway Suite 400 Dallas TX 75254 990 2023-07-01 821820277 Jefferson Regional Medical Center Foundation JEFF 8705417100 1600 West 40th Avenue Pine Bluff AR 71603 DEBE HOLLINGSWORTH EXECUTIVE DIRECTOR 2025-05-14 true true Jeanette Verrelli P00742631 9727028262 2025-05-15 2023 2025-03-06 01:10:19Z DEBE HOLLINGSWORTH 1600 West 40th Avenue Pine Bluff AR 71603 542205 false X N/A X 2017 AR TO MAKE DISTRIBUTIONS OF PROPERTY FROM THE FOUNDATION TO ORGANIZATIONS THAT THEN QUALIFY AS EXEMPT ORGANIZATIONS 14 11 1 23 0 0 362745 389472 0 7383 10979 20443 26647 390571 427098 562436 441072 0 79695 80142 0 0 56573 55164 698704 576378 -308133 -149280 574163 471065 34917 22445 539246 448620 THE FOUNDATION RAISES FUNDS THAT DIRECTLY SUPPORT JEFFERSON REGIONAL MEDICAL CENTER AND THE COMMUNITIES WE SERVE. TOGETHER WE ARE BRINGING THE HIGHEST QUALITY HEALTHCARE TO SOUTHEAST ARKANSAS. false false 458947 441072 THE FOUNDATION HOSTED ITS ANNUAL GOLF TOURNAMENT. THE PROCEEDS BENEFIT PROJECTS AND SERVICES AT JEFFERSON REGIONAL. ALSO, THE PINK LUNCHEON AND PINK OUT 5K BOTH BENEFIT THE JEFFERSON REGIONAL BREAST CENTER. ADDITIONALLY, THE FOUNDATION AUTHORIZED GRANTS TO JEFFERSON REGIONAL FOR NURSING SCHOLARSHIPS, PATIENT ASSISTANCE AND CANCER CENTER PATIENTS. THE WINTER WONDERLAND RAISED FUNDS FOR THE DOONA TERRELL WARRIOR LODGE. 458947 true true false false false false false false false false false false false true false false true false false false false false false true false false true true true false false false false false false false false false false false false false true true false false false true X 0 0 1 true false false false false false true true false false false false false false X 14 11 false false false false true true false true true false false true true true true true true false false false AR X JEREMY JEFFERY 8705417100 1600 WEST 40TH AVENUE PINE BLUFF AR 71603 B JACKSON - See Sch O EX-OFFICIO TERM EXPIRED: 4/24 1.0 40.0 X X 0 0 0 B THOMAS - SEE SCH O PRESIDENT, EX-OFFICIO 1.0 40.0 X X 0 0 0 D HOLLINGSWORTH - SEE SCH O EX OFFICIO 1.0 0.0 X X 0 0 0 J BRIDGFORTH - SEE SCH O CHAIR 1.0 0.0 X X 0 0 0 J Jeffery - SEE SCH O Treasurer 1.0 40.0 X X 0 0 0 A SANDERS - SEE SCH O MEMBER 0.3 0.0 X 0 0 0 B JONES - SEE SCH O MEMBER 0.3 0.0 X 0 0 0 C BLAKELY - SEE SCH O MEMBER 0.3 0.0 X 0 0 0 C TROTTER - SEE SCH O MEMBER 0.3 0.0 X 0 0 0 G CASTEEL - SEE SCH O MEMBER 0.3 0.0 X 0 0 0 G DUNKLIN - SEE SCH O MEMBER 0.3 0.0 X 0 0 0 L KOSMITIS - SEE SCH O MEMBER 0.3 0.0 X 0 0 0 L RANDLE - SEE SCH O MEMBER 0.3 0.0 X 0 0 0 N OUDIN - SEE SCH O MEMBER 0.3 0.0 X 0 0 0 0 0 0 0 false true false 0 197586 191886 22415 389472 0 0 0 0 0 10979 10979 0 0 0 0 141754 197586 115107 26647 26647 0 0 0 0 0 427098 0 0 37626 427272 427272 13800 13800 70176 70176 9966 9966 5305 5305 13683 0 13683 0 3095 3095 1387 1387 2057 2057 711 711 BANK CHARGES 6520 6520 DUES/FEES 1223 1223 21183 17875 3308 0 576378 458947 117431 0 139772 157484 186192 0 0 0 0 0 4250 0 0 0 0 0 243949 313581 0 0 0 0 574163 471065 0 0 34917 22445 34917 22445 X 166400 162438 372846 286182 539246 448620 574163 471065 -149280 58654 0 X false true X true false X X X 1 JEFFERSON HOSPITAL ASSOCIATION 710329353 3 true 458947 0 1 458947 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED DUE TO AFFILIATE 22445 22445 Schedule D, Part X, Line 2 ASC 740 FOOTNOTE 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. 2024 Winter Wonderland Ball 297542 178525 119017 12692 47570 1710 25197 2024 Golf Event 19946 10372 9574 2130 3359 2369 396 2 21852 8689 13163 3297 10339 320 300 5428 339340 197586 141754 5427 26390 50259 2010 31021 115107 26647 true JEFFERSON HOSPITAL ASSOCIATION 1600 W 40TH AVE PINE BLUFF AR 71603 710329353 501(C)(3) 424272 Patient lodging construction; CANCER CENTER OPERATIONS; Patient Transport Assistance 1 NURSING SCHOOL SCHOLARSHIPS 25 13800 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. JEFFERSON REGIONAL MEDICAL CENTER FOUNDATION MAINTAINED RECORDS TO SUBSTANTIATE THE AMOUNT OF THE GRANTS OR ASSISTANCE, THE GRANTEES' ELIGIBILITY FOR THE GRANTS OR ASSISTANCE, AND THE SELECTION CRITERIA USED TO AWARD GRANTS OR ASSISTANCE. false true false false false false false false false Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan PARTICIPANTS IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: Amount reported in W-2: Brian Thomas $145,954 Jeremy Jeffery $34,464 Bryan Jackson $85,305 Deferred Compensation: Brian Thomas NONE Jeremy Jeffery $34,464 Bryan Jackson NONE Schedule J, Part I, Line 3 METHOD TO DETERMINE EXECUTIVE COMPENSATION THE TOP MANAGEMENT OFFICIAL IS A VOLUNTEER AND NOT COMPENSATED BY THE FOUNDATION OR ANY RELATED ORGANIZATION. Schedule J, Part II Compensation Table COMPENSATION INFORMATION REQUIRED IN FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II IS PROVIDED IN A TABLE ATTACHED TO THE TAX RETURN DOCUMENT FOLLOWING SCHEDULE R. THE AMOUNTS ARE INCLUDED IN THE ATTACHMENT. Form 990, Part V, Line 2a EMPLOYEES REPORTED ON FORM W-3 JEFFERSON HOSPITAL ASSOCIATION, INC IS THE COMMON PAY MASTER FOR THE FOUNDATION. ALL W-2S ARE FILED BY THE HOSPITAL WITH PAYROLL EXPENSE ALLOCATIONS REPORTED ON THE FOUNDATION. Form 990, Part VI, Line 15 COMPENSATION REVIEW THE TOP MANAGEMENT OFFICIAL IS A VOLUNTEER AND NOT COMPENSATED BY THE FOUNDATION OR ANY RELATED ORGANIZATION. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER IS JEFFERSON HOSPITAL ASSOCIATION, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER WILL ELECT THE BOARD OF DIRECTOR Form 990, Part VI, Line 11b Review of form 990 by governing body THE BOARD HAS DELEGATED THE REVIEW OF THE 990 TO AN AD HOC COMMITTEE MADE UP OF THE PRESIDENT, TREASURER, AND EXECUTIVE DIRECTOR OF THE FOUNDATION. THE FINAL 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy ALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE POTENTIAL CONFLICTS. THE BOARD ANNUALLY REVIEWS POTENTIAL CONFLICTS IN ACCORDANCE WITH ITS POLICY. 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 UPON REQUEST. Form 990, Part VII, Section A COMPENSATION TABLE COMPENSATION INFORMATION REQUIRED IN FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II IS PROVIDED IN A TABLE ATTACHED TO THE TAX RETURN DOCUMENT FOLLOWING SCHEDULE R. THE AMOUNTS ARE INCLUDED IN THE ATTACHMENT. JEFFERSON HOSPITAL ASSOCIATION 1600 WEST 40TH AVE PINE BLUFF AR 71603 710329353 HOSPITAL AR 501(c)(3) 3 NA false JEFFERSON MANAGEMENT SERVICES INC 1600 W 40TH AVE PINE BLUFF AR 71603 710582753 PHY PRACTICE AR JHA C Corporation true JHA HEALTH AFFILIATES INC 1600 W 40TH AVE PINE BLUFF AR 71603 710766959 REAL EST RENT AR JHA C Corporation true false true false false true false false false false false false false false false false false false false false