Mainline Health Systems
Legal name: Mainline Health Systems Inc
Nonprofit profile at a glance
- EIN
- 710623643
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Monticello, AR, US
- Phone
- (870) 538-5414
- Rating
- 79
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Community Health Systems
Reported finances
- Revenue
- $53,844,630
- Expenses
- $47,019,021
- Assets
- $41,117,318
- Liabilities
- $9,380,177
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
25 people listed
Executive titles in this filing
- GARY ALLAN NICHOLS (CEO)
Highest reported compensation
- KELLY SHRUM MD (MEDICAL DOCTOR): $524,736 total reported compensation
- CONSTANCE CHAPMAN MD (MEDICAL DOCTOR): $397,097 total reported compensation
- KERRY PENNINGTON MD (MEDICAL DOCTOR): $364,569 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To provide the highest quality clinical services to all.
What it reported doing in 2024
Provided medical services to 29,684 patients, dental services to 2,250 patients, and behavioral health services to 1,952 patients in southeast Arkansas; served residents of chicot, bradley, ashley, drew, lincoln, grant, cleveland & pulaski counties.
Operating model
- Revenue model
- Other-operating. 86% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Total assets are small relative to annual expenses; liquid coverage is unknown and reported officer compensation is a large share of total spending, which may reflect staffing concentration.
Rating breakdown
- Financial Efficiency: 66
- Transparency & Controls: 84
- Accountability: 100
- Sustainability: 56
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 70.7%; rating input score 71
- Program expense ratio: 81%; rating input score 81
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 3 of 6 controls in place; rating input score 50
- Compensation committee: Pass
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Missing
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 12.7%; rating input score 78; 78th percentile among comparable filings
- Total-asset coverage ratio: 0.87; rating input score 35; 35th percentile among comparable filings
- Liabilities to assets ratio: 0.23; rating input score 65; 65th percentile among comparable filings
- Officer compensation ratio: 6.1%; rating input score 11; 11th percentile among comparable filings
Growth
- Program expense growth: 20.1% per year; rating input score 100; 92nd percentile among comparable filings
- Revenue growth: 16.6% per year; rating input score 100; 91st percentile among comparable filings
- Asset growth: 16.1% per year; rating input score 100; 88th percentile among comparable filings
Details
- What they do: 11 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 70.7% of revenue deployed · 81% of spending went to programs
- Governance: 13 of 13 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $38.1M in reported program spending
- Leadership: top reported pay $525K · 25 people listed · 3 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $1.6M reported
- Consistency: 46 of 46 current checks pass
- Schedules: 6 filed schedules · includes major donors and executive pay
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 12 filed money-flow records
- Related organizations: Filed and resolved organization relationships.
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- Moderate — Sustainability: Total-asset coverage ratio scored 35/100.
- High — Sustainability: Officer compensation ratio scored 11/100.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.