2021-04-29T08:38:50-05:00 2020-06-30 BKD LLP 1201 Walnut Suite 1700 KANSAS CITY MO 641062246 990 2019-07-01 300255522 PATHWAYS PSYCHIATRIC HOSPITAL INC % JAKE KRAFVE PATH 6606472182 307 N MAIN WINDSOR MO 65360 JAKE KRAFVE CFO 6363326000 2021-05-15 true Gregory M Sullivan P01259107 8162216300 2021-05-15 2019 2022-09-23 18:48:47Z ALAN W GREIMANN 307 N MAIN WINDSOR MO 65360 20150316 false X WWW.ROYAL-OAKS-HOSPITAL.ORG X 2004 MO TO PROVIDE BEHAVIORAL, PSYCHIATRY, AND CLINICAL SERVICES TO THE GENERAL PUBLIC. 7 7 306 8 0 0 5500 16733471 19940903 -34239 2130 185460 179675 16884692 20128208 11 50 0 0 14588737 14500961 0 0 0 7995660 9668045 22584408 24169056 -5699716 -4040848 9438961 9068868 16792540 20463295 -7353579 -11394427 TO PROVIDE BEHAVIORAL, PSYCHIATRY, AND CLINICAL SERVICES TO THE GENERAL PUBLIC. false false 19894348 50 20117226 ORGANIZATION OPERATES A 54 BED, ACUTE PSYCHIATRIC HOSPITAL FOR CHILDREN, ADOLESCENTS AND ADULTS. 19894348 true true false true false false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 19 0 true 306 true false false false false false false false false false false false false X 7 7 true false false false true true true true true false false true true true true true true true true false MO X JAKE KRAFVE 6363328392 111 MEXICO COURT ST PETERS MO 63376 SYED HUSAIN MEDICAL DIRECTOR 32.0 8.0 X 478897 0 34984 IYAD KHREIS VP OF INPATIENT MEDICAL SERVIC 62.0 0.0 X 396216 0 45070 FAHEEM ARAIN PSYCHIATRIST 50.0 0.0 X 364024 0 50797 ALAN GREIMANN CEO 30.0 10.0 X 359244 0 45772 ROBIN VOGT DIRECTOR OF MEDICAL SERVICES 24.0 16.0 X 289754 0 41487 JON BAIR ADMINISTRATOR 40.0 0.0 X 255512 0 38794 VANESSA SCHMIDT PSYCHIATRIST 36.0 4.0 X 274522 0 15916 JAKE KRAFVE CFO 10.0 30.0 X 0 198749 48793 SAUNDRA OVERTON CHIEF NURSING OFFICER 26.0 14.0 X 183959 0 41076 STEPHANIE PFAUTZ FAMILY NURSE PRACTICIONER 40.0 0.0 X 156034 0 23959 REBECCA CULLER CHAIRPERSON 1.0 3.0 X X 0 0 0 DENNIS DAUGHTERY VICE CHAIRPERSON 1.0 1.0 X X 0 0 0 PAT CLEVELAND TREASURER 1.0 1.0 X X 0 0 0 KEITH SCHAFER DIRECTOR 1.0 1.0 X 0 0 0 TIM LARIMORE DIRECTOR 1.0 2.0 X 0 0 0 ROD REID DIRECTOR 1.0 1.0 X 0 0 0 TIM GLASSCOCK DIRECTOR 1.0 1.0 X 0 0 0 JC SMITH DIRECTOR 1.0 1.0 X 0 0 0 2758162 198749 386648 14 false true false US FOODSERVICE INC PO BOX 501133 ST LOUIS MO 631501133 FOOD 213681 CURITSS-MANES-SCHULTE INC PO BO 233 ELDON MO 65026 CONSTRUCTION 212665 MCKESSON 1 COMMERCE DRIVE OFALLON MO 63366 PHARMACY 203890 JIM STEWART TRANSPORTATION LLC 853 COUNTY HIGHWAY 461 STEELE MO 63877 TRANSPORTATION 191275 NATIONAL PSYCHOLOGY TRAINING CONSOR 2885 W BATTLEFIELD ST SPRINGFIELD MO 65807 CLINICAL 111296 5 5500 5500 PATIENT SERVICE REVENUE 624100 11700855 11700855 MEDICARE/MEDICAID ALLOWANCE 624100 7911829 7911829 OUTSIDE CONTRACTING PHYSICIAN REVENUE 624100 328219 328219 19940903 531 531 0 0 0 0 0 23707 22108 1599 1599 1599 0 0 0 0 0 0 0 0 0 MEDICAL RECORDS REVENUE 900099 3547 3547 MEDICAID GME REVENUE 900099 172776 172776 All Other Misc Revenue 900099 3352 3352 3352 3352 179675 20128208 20117226 5482 0 50 50 0 0 1769478 619317 1150161 0 10680061 9986379 693682 239654 225687 13967 985869 928415 57454 825899 777767 48132 1868873 1868873 36 36 11242 11242 38987 38987 0 0 579988 530185 49803 2308 2110 198 108106 98255 9851 126116 100676 25440 0 328361 284607 43754 153924 126294 27630 0 0 107862 101228 6634 0 578986 393929 185057 281198 270914 10284 BAD DEBT EXPENSE 3703379 3703379 FRA TAX 719088 719088 MEDICAL SUPPLIES 460335 460335 PATIENT SUPPLIES 195507 195507 403749 370226 33523 24169056 19894348 4274708 0 500 800378 1505215 912139 0 8473 1464345 1310213 0 0 0 0 0 0 78715 45382 165861 167320 8565440 3263792 5767466 5301648 0 0 0 0 0 0 0 0 456859 523315 9438961 9068868 2598787 2847379 0 0 0 0 0 0 0 0 0 0 4546832 4397000 0 0 9646921 13218916 16792540 20463295 X -7353579 -11394427 0 0 -7353579 -11394427 9438961 9068868 -4040848 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 38987 false false false 38987 false SCHEDULE C, PART II-B, LINE 1F THE AMOUNT OF LOBBYING EXPENDITURES REPORTED IS THE ESTIMATED PORTION OF MISSOURI HOSPITAL ASSOCIATION DUES ALLOCATED TO LOBBYING ACTIVITY. IN ADDITION, THE ORGANIZATION HAD LOBBYING EXPENDITURES RELATING TO THE IMD WAIVER FOR MEDICAID. 58000 58000 6870961 2218672 4652289 1319971 897421 422550 316508 147699 168809 5301648 EMPLOYEE LOAN 2500 Due from FTC 520815 523315 0 Due to Affiliates 12795282 Due to Third Party 421301 Accrued Interest 2333 13218916 251203254 234778425 234778425 16424829 3703379 3703379 20128208 238479287 218013610 218013610 20465677 3703379 3703379 24169056 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITION UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSE IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D RELATED ORGANIZATION REVENUE $ 236,717,298 ELIMINATIONS ($ 1,938,873) ---------------- TOTAL $ 234,778,425 SCHEDULE D, PART XI, LINE 4B PROVISION FOR BAD DEBTS $ 3,703,379 SCHEDULE D, PART XII, LINE 2D RELATED ORGANIZATION EXPENSE $ 219,952,483 ELIMINATIONS ($ 1,938,873) ---------------- TOTAL $ 218,013,610 SCHEDULE D, PART XII, LINE 4B PROVISION FOR BAD DEBTS $ 3,703,379 true true X true X true X true true false true true 2385389 1206336 1179053 0.05760 16360547 12187188 4173359 0.20390 18745936 13393524 5352412 0.26150 10976 10976 0.00050 533414 172776 360638 0.01760 544390 172776 371614 0.01810 19290326 13566300 5724026 0.27960 true 3703379 518084 334191 418175 -83984 X true true 1 1 ROYAL OAKS HOSPITAL 307 N MAIN STREET WINDSOR MO 65360 WWW.ROYAL-OAKS-HOSPITAL.ORG 488-10 X X INPATIENT PSYCHIATRIC HOSPITAL ROYAL OAKS HOSPITAL 1 false false true X X X X X X X X X 19 true true true true X SEE PART V, SECTION C X true 19 true SEE PART V, SECTION C false true X 200. 300. X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 THE HOSPITAL RECEIVED INPUT FROM A BROAD RANGE OF INDIVIDUALS SERVING IN THE COMMUNITIES TO INCLUDE: CONSUMERS, THE PUBLIC HEALTH DEPARTMENT, HEALTH CARE CONSUMERS, LOCAL SCHOOL DISTRICTS, REFERRAL SOURCES AND NON-PROFIT ORGANIZATIONS. SCHEDULE H, PART V, SECTION B, LINE 6A GOLDEN VALLEY MEMORIAL HOSPITAL IN CLINTON, MO SCHEDULE H, PART V, SECTION B, LINE 6B HENRY COUNTY HEALTH CENTER IN CLINTON, MO SCHEDULE H, PART V, SECTION B, LINE 7D & 10A COMPASSHEALTHNETWORK.ORG/LOCATION/ROYAL-OAKS-HOSPITAL/ SCHEDULE H, PART V, SECTION B, LINE 11 STRENGTHENING PARTNERSHIPS WITH KEY COMMUNITY PROVIDERS, SPECIFICALLY WITH OTHER MEMBERS OF THE HEART OF MISSOURI NETWORK. IMPROVING ACCESSIBILITY THROUGH ADDING CAPACITY WILL BE A FOCUS, AND WE WILL WORK TO ACHIEVE THIS BY INCREASING THE NUMBER OF MENTAL HEALTH PROFESSIONALS THROUGH THE CLINICAL TRAINING PROGRAMS OFFERED BY THE HOSPITAL. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16c http://compasshealthnetwork.org/about-us/royal-oaks-hospital/ SCHEDULE H, PART I, LINE 3C THE ORGANIZATION ALSO USES ASSET LEVELS, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY IN DETERMINING THE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE FACTORS ARE SECONDARY TO THE FPG FACTORS - ONLY APPLICABLE IF THE PATIENT IS INELIGIBLE BASED ON FPG FACTORS. SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED IN THIS TABLE IS THE COST-TO-CHARGE RATIO. SCHEDULE H, PART III, SECTION A, LINE 2 THE ORGANIZATION USES A STANDARD RATIO BASED ON TOTAL ACCOUNTS RECEIVABLE. SCHEDULE H, PART III, SECTION A, LINE 3 ACTUAL WRITE-OFF'S FOR FAP PATIENTS DURING THE FISCAL YEAR, PER OUR BILLING SYSTEM. SCHEDULE H, PART III, SECTION A, LINE 4 THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A) SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $3,703,379. THE FOOTNOTES DESCRIBING BAD DEBT CAN BE FOUND ON PAGE 13 AND 18 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION B, LINE 8 THE HOSPITAL BELIEVES THAT MEDICARE SHORTFALLS SHOULD QUALIFY AS A COMMUNITY BENEFIT COST IF THE MEDICARE BENEFICIARY IS INDIGENT. APPROXIMATELY 75% OF THE HOSPITAL'S MEDICARE SHORTFALL IS RELATED TO THE COST OF TREATING THE MEDICARE INDIGENT. THE ORGANIZATION USES A COST-TO-CHARGE RATIO TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS. SCHEDULE H, PART III, SECTION C, LINE 9B PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE GIVEN THE OPPORTUNITY TO APPLY FOR ASSISTANCE AND REASONABLE EFFORTS ARE MADE TO INFORM PATIENTS WHO MAY BE ELIGIBLE BEFORE THE COLLECTION POLICY IS APPLIED. SCHEDULE H, PART VI, LINE 2 HEALTH CARE NEEDS ARE ASSESSED BY RECEIVING FEEDBACK FROM CONSUMERS AND OTHER STAKEHOLDERS REGARDING SERVICES THROUGH SURVEYS AND TOWN HALL MEETINGS, NEWSPAPER NOTIFICATIONS TO THE COMMUNITY ASKING THEIR FEEDBACK, COMMUNITY INVOLVEMENT WITH PARTNERS WHO WORK TOGETHER TO ASSESS NEEDS SUCH AS THE HEART OF MISSOURI REGIONAL NETWORK, A CONSORTIUM THAT INCLUDES THREE OTHER COMMUNITY HOSPITALS, TWO FQHCS, ANOTHER MENTAL HEALTH AGENCY, AND A SENIOR SERVICES HEALTH AGENCY. THE HOSPITAL'S STRATEGIC PLAN CAN BE FOUND AT THE FOLLOWING URL: COMPASSHEALTHNETWORK.ORG/ABOUT-US/ROYAL-OAKS-HOSPITAL/ SCHEDULE H, PART VI, LINE 3 PATIENTS ARE INFORMED OF THE FINANCIAL ASSISTANCE POLICY AT THE TIME OF ADMISSION. IN ADDITION, SIGNAGE AND HANDOUTS ADVERTISING THE FAP ARE PRESENT IN VARIOUS AREAS OF THE HOSPITAL. UPON DISCHARGE, A PLAIN LANGUAGE SUMMARY OF THE FAP IS ALSO GIVEN TO THE PATIENT. ACCOMPANYING THE PATIENT'S FIRST BILL UPON DISCHARGE IS A LETTER INFORMING THEM OF THE FAP. IN ADDITION, ON ALL PATIENT STATEMENTS IS A NOTICE OF THE AVAILABILITY OF THE FAP, AND CONTACT INFORMATION FOR THE PATIENT TO ACCESS MORE DETAILS REGARDING THE FAP (PHONE NUMBER AND WEBSITE). IF A PATIENT CONTINUES TO DISREGARD THEIR BILL, PRIOR TO SENDING THE PATIENT OWED BALANCE TO COLLECTIONS, WE SEND ONE FINAL NOTICE OF THE FAP BEING AVAILABLE, VIA MAILING OF THE PLAIN LANGUAGE SUMMARY 30 DAYS PRIOR TO SENDING THE BALANCE TO COLLECTIONS. SCHEDULE H, PART VI, LINE 4 THE DEFINED COMMUNITY INVOLVES FOUR RURAL COUNTIES SURROUNDING THE HOSPITAL AND FOCUSES ON MENTAL HEALTH ISSUES. THE COMMUNITY INCLUDES THE MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. SCHEDULE H, PART VI, LINE 5 THE ORGANIZATION'S EMPLOYEES GO OUT TO SCHOOLS AND OTHER LOCAL ORGANIZATIONS TO DO PRESENTATIONS ABOUT HEALTHY LIVING HABITS AND OTHER RELATED SUBJECTS. THE HOSPITAL OFFERS A FREE CLINIC ON SATURDAYS. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 MO X X X X X X false true false false false false false false false ALAN GREIMANN CEO 332602 0 25122 0 1520 0 31800 0 13972 0 405016 0 0 0 JON BAIR ADMINISTRATOR 238704 0 15869 0 939 0 28358 0 10436 0 294306 0 0 0 JAKE KRAFVE CFO 0 177193 0 21400 0 156 0 27927 0 20866 0 247542 0 0 SYED HUSAIN MEDICAL DIRECTOR 442778 0 26478 0 9641 0 31800 0 3184 0 513881 0 0 0 IYAD KHREIS VP OF INPATIENT MEDICAL SERVIC 394806 0 0 0 1410 0 23800 0 21270 0 441286 0 0 0 FAHEEM ARAIN PSYCHIATRIST 363660 0 0 0 364 0 28800 0 21997 0 414821 0 0 0 VANESSA SCHMIDT PSYCHIATRIST 274422 0 100 0 0 0 7000 0 8916 0 290438 0 0 0 ROBIN VOGT DIRECTOR OF MEDICAL SERVICES 264059 0 24622 0 1073 0 25658 0 15829 0 331241 0 0 0 SAUNDRA OVERTON CHIEF NURSING OFFICER 165569 0 17753 0 637 0 26460 0 14616 0 225035 0 0 0 STEPHANIE PFAUTZ FAMILY NURSE PRACTICIONER 150341 0 5693 0 0 0 15445 0 8514 0 179993 0 SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS LISTED IN 990, PART VII, SECTION A PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED (457(F)) RETIREMENT PLAN: ALAN GREIMANN JOHN BAIR JAKE KRAFVE ROBIN VOGT SAUNDRA OVERTON IYAD KHREIS FAHEEM ARAIN VANESSA SCHMIDT THE PLANS WERE ADMINISTERED BY COMPASS HEALTH, INC. AND PATHWAYS PSYCHIATRIC HOSPITAL, INC. NO AMOUNTS WERE PAID TO THE PARTICIPANTS DURING THE TAX YEAR. FORM 990, PART VI, SECTION A, LINE 2 PER THE IRS INSTRUCTIONS, CERTAIN BUSINESS RELATIONSHIPS BETWEEN THE ORGANIZATION'S CURRENT OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES, AS REPORTED IN PART VII, SECTION A, MUST BE DISCLOSED. BECAUSE OF THE INTERRELATED NATURE OF THE FILING ORGANIZATION WITH ITS RELATED ENTITIES (AS DISCLOSED ON SCHEDULE R), ALL OF THE OFFICERS AND DIRECTORS HAVE OVERLAPPING RESPONSIBILITIES, AND THUS HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 COMPASS HEALTH, INC. IS THE SOLE MEMBER OF PATHWAYS PSYCHIATRIC HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF COMPASS HEALTH, INC. APPOINTS THE BOARD OF DIRECTORS OF PATHWAYS PSYCHIATRIC HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7B COMPASS HEALTH, INC., BEING THE SOLE MEMBER, MUST APPROVE ANY CHANGES TO THE GOVERNING DOCUMENTS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. A DRAFT IS REVIEWED BY THE CFO AND EXECUTIVE TEAM, THEN IS PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST STATEMENT IS COMPLETED ANNUALLY BY EVERY BOARD MEMBER, OFFICER, EMPLOYEE, CONSULTANT AND VENDOR. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHALL BE DISCLOSED AS SOON AS THE CONFLICT IS IDENTIFIED. BOARD MEMBERS WITH CONFLICTS ARE NOT ALLOWED TO PARTICIPATE IN THE DISCUSSION OF THE MATTER, VOTE, OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER AND HE/SHE IS NOT COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR A BOARD MEETING EVEN WHERE PERMITTED BY LAW. THE MINUTES OF SUCH BOARD MEETING SHOULD REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, THE EXISTENCE OF A QUORUM AND WHETHER THE MATTER WAS APPROVED. AN EMPLOYEE WITH A CONFLICT SHALL DISCLOSE CONFLICTS TO HIS/HER IMMEDIATE SUPERVISOR. FORM 990, PART VI, SECTION B, LINE 15A & 15B THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S CEO, DIRECTORS, TOP MANAGEMENT OFFICIALS, AND KEY EMPLOYEES CONSISTS OF REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE, REVIEW OF THE SALARIES OF OTHER COMPARABLE ORGANIZATIONS, AND APPROVAL BY THE ORGANIZATION'S BOARD. THE LAST REVIEWS WERE DONE IN 2020 USING INFORMATION PROVIDED BY CBIZ, MHA, AND OTHER SALARY SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FORM 990S ARE AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE. THE AUDITED FINANCIAL STATEMENTS ARE SENT OUT TO ORGANIZATIONS THAT REQUIRE THEM. ALL OTHER DOCUMENTS ARE NOT MADE AVAILABLE. MIDWEST BEHAVIORAL HEALTHCARE MANAGMENT 1800 COMMUNITY DRIVE CLINTON MO 64735 300255520 MGMT MO 501(C)(3) 12B COMPASS true COMPASS HEALTH INC 1800 COMMUNITY DRIVE CLINTON MO 64735 431032835 COUNSELING MO 501(C)(3) 10 NA false FOR THE CHILDREN FOUNDATION 1800 COMMUNITY DRIVE CLINTON MO 64735 204942869 FUNDRAISING MO 501(C)(3) 12A COMPASS true FAMILY COUNSELING CENTER OF MO INC 117 NORTH GARTH COLUMBIA MO 65203 431008405 COUNSELING MO 501(C)(3) 10 COMPASS true CENLA CHEMICAL DEPENDENCY COUNCIL UNIT 24 LINCOLN STREET PINEVILLE LA 71360 721094003 COUNSELING LA 501(C)(3) 10 COMPASS true HOLT APARTMENTS INC 1800 COMMUNITY DRIVE CLINTON MO 64735 463392734 HOUSING MO 501(C)(3) 10 COMPASS true CRAWFORD COMMONS APARTMENTS INC 1800 COMMUNITY DRIVE CLINTON MO 64735 455115830 HOUSING MO 501(C)(3) 10 COMPASS true CRIDER CENTER CHOICES 1032 CROSSWINDS COURT WENTZVILLE MO 63385 050549000 HOUSING MO 501(C)(3) 10 COMPASS true PATHWAYS WARRENSBURG APARTMENTS LP 1800 COMMUNITY DRIVE CLINTON MO 64735 REAL ESTATE MO NA LACLEDE COUNTY HEALTHCARE CONSORTIUM LLC 1800 COMMUNITY DRIVE CLINTON MO 64735 REAL ESTATE MO NA false false false false true false false false false false false false true true true true true false false