2025-06-25T15:20:40-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2024-01-01 430926316 INDEPENDENCE HEALTH SYSTEM INC INDE 5735476546 800 SOUTH KINGSHIGHWAY PERRYVILLE MO 63775 DANA KORANDO ADMINISTRATOR/CEO 5735476546 2025-06-23 1 0 AMBER HAMILTON P01251012 3149254300 2025-06-23 2024 2025-03-06 01:10:19Z DANA KORANDO 800 SOUTH KINGSHIGHWAY PERRYVILLE MO 63775 12313140 0 X HTTP://WWW.INDEPENDENCEHEALTHSYSTEM.ORG X 1969 MO INDEPENDENCE HEALTH SYSTEM, INC. IS DEDICATED TO DELIVERING EFFECTIVE, EFFICIENT, AND RESPECTFUL CARE TO OUR RESIDENTS WITH INTEGRITY AND ACCOUNTABILITY USING BOTH PROVEN AND INNOVATIVE METHODS. 9 9 210 25 0 0 1146594 0 7830163 9308594 268007 208791 35429 41382 9280193 9558767 1500 0 0 0 5048907 5885238 0 0 0 4490743 2895332 9541150 8780570 -260957 778197 17455335 19531350 874552 850940 16580783 18680410 TO PROVIDE THE ELDERLY WITH RETIREMENT AND HEALTH CARE SERVICES WHICH ARE DEDICATED TO EXCELLENCE, IN AN ENVIRONMENT WHICH PROMOTES LIVING WITH DIGINITY, SECURITY AND INDEPENDENCE. 0 0 7706434 0 9313145 PROVIDED LONG TERM CARE FOR THE ELDERLY AT VARIOUS STAGES: SKILLED NURSING FACILITY, 133 LICENSED BEDS; RESIDENTIAL CARE, 75 LICENSED BEDS; INDEPENDENT LIVING, 20 LIVING UNITS CONSISTING OF COTTAGES AND DUPLEXES. ACCEPT MEDICARE, MEDICAID, AND PRIVATE PAY WHERE APPLICABLE.WE PROVIDE CARE FOR OUR RESIDENTS FROM HEAD TO TOE. WE WANT OUR RESIDENTS TO LIVE THEIR BEST LIFE WHILE LIVING HERE. WE TAKE PRIDE IN OUR PROVIDERS THAT COME INTO OUR FACILITY TO PROVIDE CARE SO THE RESIDENTS DON'T HAVE TO LEAVE THE FACILITY.WE ALSO PROVIDE ADDITIONAL CARE WITH THERAPY, FACIALS, MANICURES, PEDICURES, AND BEAUTY SHOP TREATMENT. 0 0 -4551 THE SYSTEM ACCEPTS MEDICAID RESIDENTS WITH THE UNDERSTANDING THAT A PORTION OF THESE REVENUES WILL BE UNCOLLECTIBLE. THE CONTRACTUAL ADJUSTMENT IS RECORDED IN NET RESIDENT SERVICE REVENUE. THE SYSTEM CONSIDERS THIS CONTRACTUAL ADJUSTMENT TO BE CHARITABLE CARE. 7706434 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 34 0 210 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DANA KORANDO 5735476546 800 S KINGSHIGHWAY PERRYVILLE MO 63775 BRIAN DREYER PRESIDENT 2.00 X X 0 0 0 DONALD PALISCH BOARD MEMBER 1.00 X 0 0 0 FRED EGGERS BOARD MEMBER 1.00 X 0 0 0 JENNIFER STREILER BOARD MEMBER 1.00 X 0 0 0 JUDITH ERNST SECRETARY/TREASURER 2.00 X X 0 0 0 JUSTIN KOENIG BOARD MEMBER 1.00 X 0 0 0 PATTY WICHERN VICE PRESIDENT 2.00 X X 0 0 0 TERRI GREEN BOARD MEMBER 1.00 X 0 0 0 VIDA YAMNITZ BOARD MEMBER 1.00 X 0 0 0 DANA KORANDO ADMINISTRATOR/CEO 40.00 X 148683 0 6493 RHONDA PFISTER CFO 40.00 X 97059 0 19375 245742 0 25868 1 0 1 0 SELECT REHABILITATION PO BOX 71985 CHICAGO IL 60694 THERAPY SERVICES 335042 PLANTE MORAN LIVING FORWARD 3000 TOWN CENTER SOUTHFIELD MI 48075 CONSULTING SERVICES 208492 CLIFTONLARSON ALLEN PO BOX 679342 DALLAS TX 75267 ACCOUNTING & AUDITING SERVICES 195101 3 NURSING REVENUE 623000 9293847 9293847 MEDICARE LEVEL PAYMENTS 623000 14747 14747 9308594 347827 347827 2607837 7500 2754373 0 -146536 7500 -139036 -139036 351 0 351 351 PERSONAL ITEMS & DIRECT SUPPLY 623000 20217 20217 BEAUTY SHOP 623000 17707 17707 EMPLOYEE & GUEST MEALS 623000 3107 3107 41031 9558767 9308594 0 250173 271610 271610 4672418 3964155 708263 77011 74812 2199 490317 476316 14001 373882 363206 10676 2125 2064 61 71266 69231 2035 566876 560192 6684 1746 1696 50 132622 130142 2480 16866 16384 482 363169 352799 10370 8746 5377 3369 29133 28301 832 286553 278371 8182 306505 297753 8752 NFRA AND NFAC FEES 437103 424622 12481 FOOD SUPPLIES 393559 382321 11238 MEDICAL SUPPLIES 264054 264054 RECRUITMENT EXPENSES 5976 5805 171 9033 8833 200 8780570 7706434 1074136 0 41079 274920 149691 84133 1505747 2106378 93076 94303 171766 95985 13880218 11161974 2750534 2718244 12727297 14048346 16145 109041 17455335 19531350 835819 730364 22587 11357 16146 109219 874552 850940 X 16580783 18680410 16580783 18680410 17455335 19531350 778197 1321430 0 X X 0 1 X 1 0 X 1400 1146594 1147994 9890555 7688488 7922146 7830163 9308945 42640297 10712 15244 20814 46770 9890555 7688488 7934258 8992001 9329759 43835061 74538 74538 0 74538 74538 43760523 2366 4772 226283 322119 347827 903367 2366 4772 226283 322119 347827 903367 42166 19908 20217 82291 9892921 7693260 8202707 9334028 9697803 44820719 0.97630 0.98610 0.02020 0.01250 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2022 AMOUNT: $ 42,166. 2023 AMOUNT: $ 19,908. 2024 AMOUNT: $ 20,217. 0 1 X 44200 44200 12383182 10193254 2189928 1230212 968720 261492 222624 222624 2718244 LEASE LIABILITY 109219 109219 X 10880197 1321430 1321430 9558767 0 9558767 8780570 0 8780570 0 8780570 PART IV, LINE 2B: THE ORGANIZATION HOLDS FUNDS ON BEHALF OF RESIDENTS. PART X, LINE 2: THE SYSTEM'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE SYSTEM IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE SYSTEM IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAX EXCEPT FOR THOSE THAT ARE ALREADY REPORTED ANNUALLY. X X 0 0 0 0 0 0 0 0 0 DANA KORANDO ADMINISTRATOR/CEO 148683 0 0 0 0 0 5923 0 570 0 155176 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE PRESIDENT, VICE PRESIDENT AND SECRETARY/TREASURER. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO: A.) APPROVE THE DISSOLUTION OR MERGER OF THE CORPORATION, OR THE SALE, PLEDGE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; B.) APPOINT OR REMOVE DIRECTORS OR FILL VACANCIES ON THE BOARD OR ON COMMITTEES OF THE BOARD; C.) ADOPT, AMEND OR REPEAL THESE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION; D.) AUTHORIZE DISTRIBUTIONS TO DIRECTORS, OFFICERS, EMPLOYEES OR AGENTS OF THE CORPORATION EXCEPT FOR VALUE AND IN ACCORDANCE WITH THE PROVISIONS OF THE MISSOURI NONPROFIT ACT. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. THE ADMINISTRATOR SIGNS AND A COPY IS PRESENTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C A LETTER AND QUESTIONNAIRE CONCERNING THE POSSIBILITY OF CONFLICTS OF INTEREST IS SENT TO EACH MEMBER OF THE BOARD OF DIRECTORS, THE CEO, AND THE CFO. A LETTER PERTAINING TO CONFLICTS OF INTEREST IS SIGNED BY EACH DEPARTMENT HEAD, RESPONSES ARE REVIEWED BY THE HR DIRECTOR, CFO, AND CEO, DEPENDING ON WHETHER IT IS A BOARD OF DIRECTOR MEMBER OR DEPARTMENT HEAD. BOARD OF DIRECTOR MEMBERS WOULD ABSTAIN FROM ANY VOTE WHERE A POSSIBILE CONFLICT OF INTEREST MIGHT ARISE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD DETERMINES THE CEO AND ADMINISTRATOR'S SALARY. THEY PERFORM AN ANNUAL EVALUATION AND BASE ANY INCREASE ON THEIR PERFORMANCE REVIEW. HR PROVIDES THE BOARD WITH COMPARABLE WAGES FROM LOCAL CEOS AND ADMINISTRATORS. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES AND WAS LAST PERFORMED IN 2024. THE CFO, ADMINISTRATOR, AND HR DIRECTOR REVIEW COMPENSATION FOR THEIR OFFICERS AND KEY EMPLOYEES. ANY CHANGES ARE DOCUMENTED AND BROUGHT TO THE BOARD FOR APPROVAL. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.