2019-08-14T16:35:57-05:00 2018-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-10-01 431696258 PHELPS COUNTY HOSPITAL FOUNDATION % JANA COOK PHEL 5733648899 1000 WEST 10TH STREET ROLLA MO 65401 EDWARD CLAYTON CEO 2019-08-01 true Brian D Todd P00422601 4178658701 167.68.126.162 43032920192265000032 2019-08-14 P 8705656393E68C4A592E0CEA227AF158EB1E06AC C3432A87FBFF9491E59BD7298F2E512B0D9B3700 2017 2019-02-21 02:37:17Z PHELPS HEALTH FOUNDATION EDWARD CLAYTON 1000 WEST 10TH STREET ROLLA MO 65401 923072 false X WWW.PCRMC.COM X 1994 MO SERVES AS THE PHILANTHROPIC ORGANIZATION THAT FACILITATES CHARITABLE DONATIONS TO SUPPORT AND ASSIST PHELPS HEALTH IN PROVIDING HEALTHCARE. SEE SCHEDULE O FOR MORE DETAIL. 15 10 8 31 0 0 1123364 875165 0 0 6435 4027 -38278 -44852 1091521 834340 4353448 200778 0 0 585200 378130 171274 43821 116035 249044 122967 5358966 745696 -4267445 88644 1400350 1568712 5690003 5769721 -4289653 -4201009 OUR MISSION IS TO SERVE AS THE PHILANTHROPIC ORGANIZATION THAT FACILITATES CHARITABLE DONATIONS TO SUPPORT AND ASSIST THE MISSION OF PHELPS HEALTH TO IMPROVE THE HEALTH AND WELLNESS OF PEOPLE IN OUR REGION. false false 519937 THE ORGANIZATION FACILITATES CHARITABLE DONATIONS TO HELP SUPPORT THE MISSION AND ACTIVITIES OF PHELPS. CONTRIBUTIONS ARE RECEIVED BY THE ORGANIZATION AND DISTRIBUTED TO PHELPS HEALTH FOR USE IN ITS MISSION TO IMPROVE THE HEALTH AND WELLNESS OF PEOPLE IN OUR REGION. 519937 true true false false false false false false false false true false false true true false false false false false false false false true true false false true false true false false false false false false false false false false false false false true false false false true 17 0 true 8 true false false false false false true true false false false false false X 15 10 false false true false false false false true true false false false true true true true true false false false X JANA COOK 5734587916 1000 WEST 10TH STREET ROLLA MO 65401 X OLLIE T JACKSON MEMBER 1.0 1.0 X 0 0 0 CANDACE L CONNELL MEMBER 1.0 1.0 X 0 0 0 SAMMY S AUXIER TREASURER/VICE PRES. BEG 01/18 1.0 1.0 X X 0 0 0 STEVEN M LYNCH MEMBER 1.0 1.0 X 0 0 0 AMY MEADOWS MEMBER/TREASURER BEG 01/18 1.0 1.0 X X 0 0 0 TED E DAY PRESIDENT END 12/18 1.0 1.0 X X 0 0 0 EDWARD J CLAYTON EX-OFFICIO MEMBER/CEO 1.0 40.0 X X 0 384048 44206 CHRISTOPHER R SPENCER SECRETARY/PRESIDENT BEG 01/18 1.0 40.0 X X 0 1087583 50327 KERI S BROOKSHIRE-HEAVIN EX-OFFICIO MEMBER/CNO 1.0 40.0 X 0 194418 33712 JASON L SHENEFIELD EX-OFFICIO MEMBER/COO 1.0 40.0 X 0 245488 47115 ERNEST F KOST MEMBER 1.0 1.0 X 0 0 0 DR RON WILKERSON MEMBER BEG 04/18 1.0 1.0 X 0 0 0 JOY TUCKER MEMBER BEG 04/18 1.0 1.0 X 0 0 0 PATRICIA LEADERS MEMBER 1.0 1.0 X 0 0 0 CINDY A BEGER MEMBER/SECRETARY BEG 01/18 1.0 1.0 X X 0 0 0 LORRIE D HARTLEY EXECUTIVE DIRECTOR 1.0 40.0 X X 0 149456 32434 0 2060993 207794 0 false true false 0 274350 28128 572687 4901 875165 0 4027 4027 0 0 0 0 0 0 43880 274350 88732 -44852 -44852 0 0 0 0 0 0 0 834340 -40825 200778 200778 0 0 0 0 0 287367 200367 53160 33840 15763 10991 2916 1856 53564 37347 9909 6308 21436 14947 3965 2524 0 0 5100 5100 0 43821 43821 0 9430 9430 0 58873 31290 26544 1039 25504 25504 0 0 1004 1004 0 6335 6335 0 0 744 518 138 88 0 LICENSES, DUES, SUBSCRIPTIONS 7021 7021 MISCELLANEOUS 8956 6244 1657 1055 745696 519937 109724 116035 0 0 1156947 1308055 0 0 10000 10000 0 0 0 0 0 0 0 0 15341 17538 70862 48184 23421 22678 0 0 0 0 0 0 0 0 194641 210441 1400350 1568712 77554 5517 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5612449 5764204 5690003 5769721 X -4289653 -4201009 0 0 0 0 -4289653 -4201009 1400350 1568712 88644 X false false false X X 1 PHELPS HEALTH 436004435 3 true 200778 0 1 200778 0 true false false false false false false false false false false false false false false true true false SCHEDULE A, PART IV, SECTION E, LINE 1C SUPPORT OF A GOVERNMENTAL ENTITY: PHELPS HEALTH FOUNDATION SUPPORTS PHELPS HEALTH, A GOVERNMENTAL ENTITY. THE PURPOSE OF THE FOUNDATION IS TO SERVE AS THE PHILANTHROPIC ORGANIZATION THAT FACILITATES CHARITABLE DONATIONS TO SUPPORT AND ASSIST THE MISSION OF PHELPS HEALTH IN PROVIDING HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THROUGH PATIENT-CENTERED AND COMMUNITY-FOCUSED INITIATIVES, THE FOUNDATION WORKS IN COOPERATION WITH CLINICIANS, STAFF, PATIENTS, FRIENDS AND DONORS TO ENSURE THE GREATEST NEEDS AND OPPORTUNITIES ARE FUNDED ACROSS PHELPS HEALTH. 17500 17500 53362 48184 5178 22678 DUE FROM HOME HEALTH 201641 DUE FROM PMGI 8800 210441 0 DUE TO PHELPS HEALTH 5764204 5764204 true RISING TIDE DIRECT CAMPAIGN false 22000 DUNLAP GRANTWORKS CAMPAIGN false 11220 THE LARKWOOD CONSULTING CAMPAIGN false 4081 KELMSCOTT COMMUNICATIONS 5656 MCDERMOTT DR BERKELEY IL 60163 CAMPAIGN false 6520 43821 CANCER GALA 216613 185863 30750 605 24298 9100 18974 GOLF TOURNAMENT 101617 88487 13130 5940 16212 5621 7982 0 318230 274350 43880 5940 16817 29919 9100 26956 88732 -44852 true PHELPS HEALTH 1000 W 10TH STREET ROLLA MO 65401 436004435 PHELPS HEALTH 200778 SUPPORT PROGRAMS 1 SCHEDULE I, PART I, LINE 2 MONITORING OF GRANT FUNDS: GRANTS ARE PROVIDED TO A RELATED ORGANIZATION AS PART OF THE FOUNDATION'S MISSION. GRANT SPENDING IS MONITORED MONTHLY BY PHELPS HEALTH ACCOUNTING DEPARTMENT AND FINANCIAL INFORMATION IS FORWARDED TO DIRECTOR OF FOUNDATION TO DETERMINE IF ADDITIONAL GRANT FUNDS ARE NEEDED. false false false false false false false false false EDWARD J CLAYTON EX-OFFICIO MEMBER/CEO 0 364810 0 280 0 18958 0 15900 0 28306 0 428254 0 0 CHRISTOPHER R SPENCER SECRETARY/PRESIDENT BEG 01/18 0 640186 0 429397 0 18000 0 15900 0 34427 0 1137910 0 0 KERI S BROOKSHIRE-HEAVIN EX-OFFICIO MEMBER/CNO 0 193001 0 101 0 1316 0 12011 0 21701 0 228130 0 0 JASON L SHENEFIELD EX-OFFICIO MEMBER/COO 0 243508 0 102 0 1878 0 10645 0 36470 0 292603 0 0 LORRIE D HARTLEY EXECUTIVE DIRECTOR 0 141443 0 101 0 7912 0 9391 0 23043 0 181890 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION DETERMINATION: PHELPS HEALTH, A RELATED ORGANIZATION, USES A WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE IN DETERMINING THE COMPENSATION OF THE CEO. FORM 990, PART I, LINE 1 ORGANIZATION'S SIGNIFICANT ACTIVITIES: THE PHELPS HEALTH FOUNDATION IS A 501(C)(3) TAX EXEMPT, NOT-FOR-PROFIT SUPPORTING ORGANIZATION TO PHELPS HEALTH, ESTABLISHED IN 1996. OUR MISSION IS TO SERVE AS THE PHILANTHROPIC ORGANIZATION THAT FACILITATES CHARITABLE DONATIONS TO SUPPORT AND ASSIST THE MISSION OF PHELPS HEALTH TO IMPROVE THE HEALTH AND WELLNESS OF PEOPLE IN OUR REGION. THE FOUNDATION EXISTS TO ENSURE THAT HEALTH CARE DELIVERY IN PHELPS COUNTY AND THE SURROUNDING COMMUNITIES CONTINUES TO BE TRANSFORMATIONAL. THROUGH PATIENT-CENTERED AND COMMUNITY-FOCUSED INITIATIVES, THE FOUNDATION WORKS IN COOPERATION WITH CLINICIANS, STAFF, PATIENTS, FRIENDS AND DONORS TO ENSURE THE GREATEST NEEDS AND OPPORTUNITIES ARE FUNDED ACROSS PHELPS HEALTH. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES IN ORGANIZATION'S GOVERNING DOCUMENTS: IN THE BYLAWS CHANGED AND APPROVED IN JANUARY 2018, THE NAME OF RELATED ORGANIZATION PHELPS COUNTY REGIONAL MEDICAL CENTER CHANGED TO PHELPS HEALTH. PHELPS COUNTY HOSPITAL FOUNDATION ALSO IMPLEMENTED A DOING BUSINESS AS NAME OF PHELPS HEALTH FOUNDATION. BOTH OF THESE NAMES CHANGES WENT INTO EFFECT JANUARY 2019. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON INTERNAL FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM IS REVIEWED BY THE CFO AND CONTROLLER OF THE ORGANIZATION BEFORE BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: ALL EMPLOYEES, DIRECTORS, OFFICERS AND TRUSTEES ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. EACH INDIVIDUAL IS REQUIRED TO SUBMIT ANY POTENTIAL CONFLICTS FOR REVIEW BY THE BOARD AND, IF NECESSARY, GENERAL COUNSEL SO THAT A DETERMINATION OF CONFLICT CAN BE ISSUED. IF A CONFLICT DOES EXIST, THE AFFECTED INDIVIDUAL IS NOT ALLOWED TO VOTE WITH REGARDS TO TRANSACTIONS THAT INVOLVE THE ORGANIZATION AND POTENTIALLY THE CONFLICTED PARTY AND WILL BE EXCUSED FROM THE BOARD SESSION DURING THE VOTING PERIOD. IN ADDITION, THE BOARD MAINTAINS THE RIGHT TO APPOINT AN INDEPENDENT THIRD PARTY TO RESEARCH THE POTENTIAL TRANSACTION AND ANY POSSIBLE ALTERNATIVES. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION REVIEW: THE TOP MANAGEMENT OFFICIAL OF THE ORGANIZATION IS COMPENSATION BY PHELPS HEALTH, A RELATED ORGANIZATION. HUMAN RESOURCES CONDUCTS AN ORGANIZATION-WIDE COMPENSATION REVIEW BASED ON MARKET DATA COLLECTED FROM COMPETITIVE MARKETS. RECOMMENDED ADJUSTMENTS ARE BASED ON THE DATA COLLECTED AND THE FINANCIAL POSITIONS OF THE ORGANIZATION. PAY RAISES ARE APPROVED BY THE BOARD OF DIRECTORS, AND DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES ITS GOVERNMENT DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: LORRIE HARTLEY, EDWARD CLAYTON, KERI BROOKSHIRE-HEAVIN, DR. CHRISTOPHER SPENCER, AND JASON SHENEFIELD RECEIVE W-2 COMPENSATION FROM PHELPS HEALTH FOR THEIR SERVICES AS EMPLOYEES. NO BOARD MEMBERS ARE COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. PHELPS HEALTH 1000 W 10TH STREET ROLLA MO 65401 436004435 HEALTH CARE MO 501(C)(3) 3 NA false false true true false true false false false false false true false true true true true false false