RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN (EIN 43-0666765)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-03-03
IRS object ID
201720629349300607
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-03-03T09:36:40-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN431001367PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BROWN SMITH WALLACE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16 CITYPLACE DRIVE SUITE 900AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63141ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430666765EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE RANKEN-JORDAN HOME FOR CONVALESCENTBusinessNameLine1Txt
Business Name Line2CRIPPLED CHILDRENBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlRANKBusinessNameControlTxt
Phone3148726400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111365 DORSETT ROADAddressLine1Txt
CityMARYLAND HEIGHTSCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63043ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLAUREEN K TANNERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3148726400PhoneNum
Signature2017-03-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNIFER M VACHAPreparerPersonNm
PTINP01251998PTIN
Phone3149831200PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLAUREEN K TANNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line111365 DORSETT ROADAddressLine1Txt
CityMARYLAND HEIGHTSCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63043ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$39,636,028GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RANKENJORDAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1940FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionPEDIATRIC BRIDGE HOSPITAL PROVIDING A CONTINUUM OF CARE FOR MEDICALLY COMPLICATED CHILDRENActivityOrMissionDesc
Voting Members Governing Body28VotingMembersGoverningBodyCnt
Voting Members Independent26VotingMembersIndependentCnt
Total Employee417TotalEmployeeCnt
Total Volunteers154TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,865,887PYContributionsGrantsAmt
CY Contributions Grants$4,214,060CYContributionsGrantsAmt
PY Program Service Revenue$25,548,335PYProgramServiceRevenueAmt
CY Program Service Revenue$26,522,708CYProgramServiceRevenueAmt
PY Investment Income$1,033,874PYInvestmentIncomeAmt
CY Investment Income$917,322CYInvestmentIncomeAmt
PY Other Revenue-$67,200PYOtherRevenueAmt
CY Other Revenue-$228CYOtherRevenueAmt
PY Total Revenue$30,380,896PYTotalRevenueAmt
CY Total Revenue$31,653,862CYTotalRevenueAmt
PY Grants And Similar Paid$58,451PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$45,373CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,865,072PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$18,871,128CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$873,097CYTotalFundraisingExpenseAmt
PY Other Expenses$10,418,590PYOtherExpensesAmt
CY Other Expenses$10,044,211CYOtherExpensesAmt
PY Total Expenses$29,342,113PYTotalExpensesAmt
CY Total Expenses$28,960,712CYTotalExpensesAmt
PY Revenues Less Expenses$1,038,783PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,693,150CYRevenuesLessExpensesAmt
Total Assets BOY$63,504,775TotalAssetsBOYAmt
Total Assets EOY$64,166,478TotalAssetsEOYAmt
Total Liabilities BOY$21,332,650TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,154,276TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$42,172,125NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$44,012,202NetAssetsOrFundBalancesEOYAmt
MissionRANKEN JORDAN IS A PEDIATRIC BRIDGE HOSPITAL PROVIDING A CONTINUUM OF CARE FOR MEDICALLY COMPLICATED CHILDREN AND THEIR FAMILIES. WE ARE A LEADER IN PROVIDING INTENSIVE TRANSITIONAL CARE AND LIVING SUPPORT FOR THESE CHILDREN.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$19,920,881ExpenseAmt
Grant$43,619GrantAmt
Revenue$24,757,770RevenueAmt
DescDURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 10,593 DAYS OF MEDICAL CARE FOR INPATIENTS. OF THOSE DAYS, 92% WERE CHILDREN THAT WERE ABLE TO RECEIVE SOME FORM OF MEDICAID ASSISTANCE. NO INPATIENT EVER LEAVES RANKEN JORDAN WITH A PATIENT RESPONSIBILITY DUE. IT IS THE GOAL OF THE ENTIRE STAFF AT RANKEN JORDAN TO ASSURE THAT WHEN A CHILD LEAVES OUR CARE, THEIR FAMILY HAS BEEN WELL TRAINED TO PROVIDE QUALITY CARE AND THEY HAVE A SAFE ENVIRONMENT TO GO HOME TO.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,391,281ExpenseAmt
Grant$1,754GrantAmt
Revenue$1,771,314RevenueAmt
DescDURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 25,880 UNITS OF OUTPATIENT SERVICES TO CHILDREN REQUIRING INTENSIVE THERAPY. RANKEN JORDAN PROVIDES PHYSICAL, OCCUPATIONAL, SPEECH, AND AQUATIC THERAPIES ON AN OUTPATIENT BASIS. RANKEN JORDAN ALSO OFFERS A DAY TREATMENT PROGRAM THAT PROVIDES INTENSIVE THERAPY THROUGHOUT THE DAY. RANKEN JORDAN HAS EXPANDED ITS OUTPATIENT PROGRAMS TO INCLUDE CONSTRAINT INDUCED MOVEMENT THERAPY, PAIN MANAGEMENT SERVICES AND PHYSIATRY SERVICES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$696,018ExpenseAmt
DescA VARIETY OF COMMUNITY PROGRAMS ARE ALSO PROVIDED TO SUPPORT CHILDREN WITH COMPLEX MEDICAL NEEDS AND THEIR FAMILIES. THESE PROGRAMS ARE ALWAYS OFFERED FREE OF CHARGE AND OPEN TO THE GENERAL PUBLIC. THIS PROGRAMMING INCLUDES (BUT IS NOT LIMITED TO) SUPPORT GROUPS, SPORTS-RELATED ACTIVITIES FOR CHILDREN WITH SPECIAL NEEDS, AND SOCIAL ENRICHMENT ACTIVITIES FOR CHILDREN WITH COMPLEX MEDICAL NEEDS. A TOTAL OF 5,054 INDIVIDUALS WERE SERVED BY THE COMMUNITY PROGRAMS DURING THE YEAR. THIS PROGRAM CONTINUES TO GROW ANNUALLY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$22,008,180TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee417EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members28GoverningBodyVotingMembersCnt
Independent Voting Member26IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3148726400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111365 DORSETT ROADAddressLine1Txt
CityMARYLAND HEIGHTSCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63043ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
LAUREEN K TANNER
PRESIDENT/CEO50.00Yes (X)Yes (X)$427,278$0$32,222
BILL WILLHITE
CHAIRMAN10.00Yes (X)Yes (X)$0$0$0
WALTER BAZAN JR
VICE CHAIRMAN10.00Yes (X)Yes (X)$0$0$0
THOMAS J MINOGUE
SECRETARY5.00Yes (X)Yes (X)$0$0$0
KEN MARX
TREASURER5.00Yes (X)Yes (X)$0$0$0
NICHOLAS A HOLEKAMP MD
CHIEF MEDICAL OFFICER50.00Yes (X)Yes (X)$395,794$0$33,604
STEVE CORTOPASSI
BOARD MEMBER3.00Yes (X)$0$0$0
CHRIS CIOFFI
BOARD MEMBER3.00Yes (X)$0$0$0
SONDRA M DENK
BOARD MEMBER3.00Yes (X)$0$0$0
MIKE DETWILER
BOARD MEMBER3.00Yes (X)$0$0$0
DAVID DREW
BOARD MEMBER3.00Yes (X)$0$0$0
PAM DUFFY
BOARD MEMBER3.00Yes (X)$0$0$0
GEORGE R EDINGER SR
BOARD MEMBER3.00Yes (X)$0$0$0
R BRUCE FRAZER
BOARD MEMBER3.00Yes (X)$0$0$0
DEREK GLANVILL
BOARD MEMBER3.00Yes (X)$0$0$0
MICHAEL HART
BOARD MEMBER (TERM. 5/2016)3.00Yes (X)$0$0$0
CHARLES HESSLER
BOARD MEMBER3.00Yes (X)$0$0$0
NOREEN LAFFEY
BOARD MEMBER3.00Yes (X)$0$0$0
MIKE MATHENY
BOARD MEMBER3.00Yes (X)$0$0$0
MICHAEL MAURER JR MD
BOARD MEMBER3.00Yes (X)$0$0$0
BETSY PROSPERI
BOARD MEMBER3.00Yes (X)$0$0$0
JOHN PROSPERI
BOARD MEMBER3.00Yes (X)$0$0$0
JEANA REISINGER
BOARD MEMBER3.00Yes (X)$0$0$0
MICHAEL SCULLY
BOARD MEMBER3.00Yes (X)$0$0$0
RABBI MARK L SHOOK
BOARD MEMBER3.00Yes (X)$0$0$0
THAD SIMONS
BOARD MEMBER3.00Yes (X)$0$0$0
KURTIS T SOBUSH MD
BOARD MEMBER3.00Yes (X)$0$0$0
MICHAEL TUCKEY
BOARD MEMBER (TERM. 2/2016)3.00Yes (X)$0$0$0
RICHARD A VANDEGRIFT
BOARD MEMBER3.00Yes (X)$0$0$0
NICK WILLIAMSON
BOARD MEMBER3.00Yes (X)$0$0$0
JEAN L BARDWELL
VICE PRESIDENT & CFO50.00Yes (X)$270,459$0$20,646
R BRETT MOOREHOUSE
VICE PRESIDENT & COO50.00Yes (X)$242,556$0$11,812
ELIZABETH SUGARBAKER AKRE MD
PHYSICIAN40.00$179,540$0$16,030Yes (X)
SUSAN CONGER MD
MEDICAL STAFF ADMINISTRATOR40.00$246,204$0$20,633Yes (X)
EUGENE EVRA MD
PHYSICIAN40.00$222,320$0$19,837Yes (X)
SUZANNE N L'ECUYER MD
PHYSICIAN40.00$220,148$0$19,727Yes (X)
AMY ZIMMERMANN MD
PHYSICIAN40.00$224,907$0$19,827Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,429,206TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$194,338TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K27IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THOMPSON COBURNBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 18379MAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63195ZIPCd
FieldValueIRS element (for citing)
ServicesLEGAL SERVICESServicesDesc
Compensation$145,452CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$535,724FundraisingAmt
Government Grants$49,730GovernmentGrantsAmt
All Other Contributions$3,628,606AllOtherContributionsAmt
Total Contributions$4,214,060TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT CARE621110$24,751,394$24,751,394
OUTPATIENT CARE621110$1,771,314$1,771,314
FieldValueIRS element (for citing)
Total Program Service Revenue$26,522,708TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$441,183TotalRevenueColumnAmt
Exclusion$441,183ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,224,131SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,747,992SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$476,139SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$476,139TotalRevenueColumnAmt
Exclusion$476,139ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$207,209FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$535,724ContriRptFundraisingEventAmt
Fundraising Direct Expenses$234,174FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$26,965TotalRevenueColumnAmt
Exclusion-$26,965ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS REVENUE900099$20,361$20,361
MEDICAL RECORDS561000$6,376$6,376
FieldValueIRS element (for citing)
Other Revenue Total$26,737OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,653,862TotalRevenueColumnAmt
Related Or Exempt Func Income$26,529,084RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$910,718ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$45,373TotalAmt
Program Services$45,373ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,487,267TotalAmt
Management And General$1,115,451ManagementAndGeneralAmt
Fundraising$371,816FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,139,059TotalAmt
Program Services$10,802,555ProgramServicesAmt
Management And General$2,967,035ManagementAndGeneralAmt
Fundraising$369,469FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$172,893TotalAmt
Program Services$132,094ProgramServicesAmt
Management And General$36,281ManagementAndGeneralAmt
Fundraising$4,518FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,031,908TotalAmt
Program Services$1,623,617ProgramServicesAmt
Management And General$385,071ManagementAndGeneralAmt
Fundraising$23,220FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,040,001TotalAmt
Program Services$797,304ProgramServicesAmt
Management And General$192,827ManagementAndGeneralAmt
Fundraising$49,870FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$86,086TotalAmt
Management And General$86,086ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$66,625TotalAmt
Management And General$66,625ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$97,908TotalAmt
Program Services$97,908ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,394,899TotalAmt
Program Services$1,379,866ProgramServicesAmt
Management And General$11,275ManagementAndGeneralAmt
Fundraising$3,758FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$282,670TotalAmt
Program Services$271,363ProgramServicesAmt
Management And General$8,480ManagementAndGeneralAmt
Fundraising$2,827FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,306,524TotalAmt
Program Services$1,087,656ProgramServicesAmt
Management And General$213,770ManagementAndGeneralAmt
Fundraising$5,098FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$725,966TotalAmt
Program Services$674,773ProgramServicesAmt
Management And General$38,395ManagementAndGeneralAmt
Fundraising$12,798FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$520,768TotalAmt
Program Services$499,937ProgramServicesAmt
Management And General$15,623ManagementAndGeneralAmt
Fundraising$5,208FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$34,222TotalAmt
Program Services$33,242ProgramServicesAmt
Management And General$735ManagementAndGeneralAmt
Fundraising$245FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$82,545TotalAmt
Program Services$79,244ProgramServicesAmt
Management And General$2,476ManagementAndGeneralAmt
Fundraising$825FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$868,970TotalAmt
Management And General$868,970ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,719,412TotalAmt
Program Services$1,650,636ProgramServicesAmt
Management And General$51,582ManagementAndGeneralAmt
Fundraising$17,194FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$523,841TotalAmt
Program Services$502,888ProgramServicesAmt
Management And General$15,715ManagementAndGeneralAmt
Fundraising$5,238FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
FRA ASSESSMENT$1,517,016$1,517,016
LABORATORY FEES AND PHA$698,252$698,252
DUES AND SUBSCRIPTIONS$93,352$89,301$3,038$1,013
BAD DEBT EXPENSE$25,155$25,155

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,960,712TotalAmt
Program Services$22,008,180ProgramServicesAmt
Management And General$6,079,435ManagementAndGeneralAmt
Fundraising$873,097FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$25,273BOYAmt
EOY$25,010EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$668,063BOYAmt
EOY$41,529EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,669,424BOYAmt
EOY$3,182,805EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,273,761BOYAmt
EOY$4,942,632EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,376,507BOYAmt
EOY$1,547,583EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,091,542LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,582,241LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$25,379,231BOYAmt
EOY$25,509,301EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$29,824,272BOYAmt
EOY$28,642,693EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$288,244BOYAmt
EOY$274,925EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$63,504,775BOYAmt
EOY$64,166,478EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,331,839BOYAmt
EOY$1,989,589EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$127,585BOYAmt
EOY$237,375EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,932,547BOYAmt
EOY$17,443,189EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$940,679BOYAmt
EOY$484,123EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,332,650BOYAmt
EOY$20,154,276EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,155,278BOYAmt
EOY$33,418,991EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,016,847BOYAmt
EOY$10,593,211EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$42,172,125BOYAmt
EOY$44,012,202EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$63,504,775BOYAmt
EOY$64,166,478EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,693,150ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$853,073NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,493,847CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,564,750CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,643,384CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,865,887CurrentTaxYearMinus1YearAmt
Current Tax Year$4,214,060CurrentTaxYearAmt
Total$20,781,928TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,493,847CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,564,750CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,643,384CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,865,887CurrentTaxYearMinus1YearAmt
Current Tax Year$4,214,060CurrentTaxYearAmt
Total$20,781,928TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$4,674,568SubstantialContributorsTotAmt
Public Support Total170$16,107,360PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$372,784CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$378,478CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$408,960CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$467,076CurrentTaxYearMinus1YearAmt
Current Tax Year$441,183CurrentTaxYearAmt
Total$2,068,481TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$334,201CurrentTaxYearMinus4YearsAmt
Total$334,201TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,221CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,720CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,415CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,116CurrentTaxYearMinus1YearAmt
Current Tax Year$26,737CurrentTaxYearAmt
Total$104,209TotalAmt
FieldValueIRS element (for citing)
Total Support$23,288,819TotalSupportAmt
Gross Receipts Rltd Activities$129,962,944GrossReceiptsRltdActivitiesAmt
Public Support CY1700.69160PublicSupportCY170Pct
Public Support PY1700.68450PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$97,908OtherActivitiesAmt
Total Lobbying Expenditures$97,908TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationRANKEN JORDAN USES THE SERVICES OF A LOCAL LAW FIRM, THOMPSON COBURN, TO PROVIDE LEGISLATIVE SERVICES FOR THE HOSPITAL. IN ADDITION, RANKEN JORDAN PAYS DUES TO OTHER ORGANIZATIONS OF WHICH A PORTION IS SPENT ON LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$759,000InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,600,177OtherCostOrOtherBasisAmt
Book Value$2,359,177BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,740,704OtherCostOrOtherBasisAmt
Depreciation$5,747,537DepreciationAmt
Book Value$13,993,167BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,315,258OtherCostOrOtherBasisAmt
Depreciation$6,510,174DepreciationAmt
Book Value$5,805,084BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,676,403OtherCostOrOtherBasisAmt
Depreciation$324,530DepreciationAmt
Book Value$3,351,873BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,509,301TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER LIABILITIESDesc
Amt$484,123Amt
FieldValueIRS element (for citing)
Total Liability$484,123TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$30,775,634TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$853,073NetUnrealizedGainsInvstAmt
Revenue Not Reported-$853,073RevenueNotReportedAmt
Revenue Subtotal$31,628,707RevenueSubtotalAmt
Other Revenues Not Included$25,155OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$25,155RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$31,653,862TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$28,935,557TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$28,935,557ExpensesSubtotalAmt
Other Expenses Not Included$25,155OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$25,155ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$28,960,712TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE HOSPITAL HAS ADDRESSED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, ACCOUNTING FOR INCOME TAXES. IN THAT REGARD, THE HOSPITAL HAS EVALUATED ITS TAX POSITIONS, EXPIRING STATUTES OF LIMIATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS AND BELIEVES THAT NO PROVISION FOR INCOME TAXES IS NECESSARY, AT THIS TIME TO COVER ANY UNCERTAIN TAX POSITIONS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR UNCOLLECTIBLE ACCOUNTS NETTED AGAINST REVENUE ON FS 25,155.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR UNCOLLECTIBLE ACCOUNTS NETTED AGAINST REVENUE ON FS 25,155.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINNER AUCTIONEvent1Nm
Gross Receipts Event1$453,304GrossReceiptsEvent1Amt
Charitable Contri Event1$325,583CharitableContriEvent1Amt
Gross Revenue Event1$127,721GrossRevenueEvent1Amt
Food And Beverage Event1$82,320FoodAndBeverageEvent1Amt
Entertainment Event1$16,650EntertainmentEvent1Amt
Other Direct Expenses Event1$54,867OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$207,522GrossReceiptsEvent2Amt
Charitable Contri Event2$128,034CharitableContriEvent2Amt
Gross Revenue Event2$79,488GrossRevenueEvent2Amt
Cash Prizes Event2$1,900CashPrizesEvent2Amt
Non Cash Prizes Event2$12,534NonCashPrizesEvent2Amt
Rent Facility Costs Event2$29,017RentFacilityCostsEvent2Amt
Food And Beverage Event2$24,514FoodAndBeverageEvent2Amt
Entertainment Event2$3,000EntertainmentEvent2Amt
Other Direct Expenses Event2$9,372OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$82,107GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$82,107CharitableContriOtherEventsAmt
Gross Receipts Total$742,933GrossReceiptsTotalAmt
Charitable Contributions Tot$535,724CharitableContributionsTotAmt
Gross Revenue Total Events$207,209GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,900CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$12,534NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$29,017RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$106,834FoodAndBeverageTotalEventsAmt
Entertainment Total Events$19,650EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$64,239OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$234,174DirectExpenseSummaryEventsAmt
Net Income Summary-$26,965NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served3PersonsServedCnt
Total Community Benefit Expns$237,564TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$237,564NetCommunityBenefitExpnsAmt
Total Expense0.00820TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,273,153TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,195,757DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,077,396NetCommunityBenefitExpnsAmt
Total Expense0.17550TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,433,258TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,086,044DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,347,214NetCommunityBenefitExpnsAmt
Total Expense0.11570TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served3PersonsServedCnt
Total Community Benefit Expns$32,943,975TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,281,801DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,662,174NetCommunityBenefitExpnsAmt
Total Expense0.29940TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs173ActivitiesOrProgramsCnt
Persons Served2332PersonsServedCnt
Total Community Benefit Expns$38,045TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$38,045NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served1090PersonsServedCnt
Total Community Benefit Expns$66,470TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$66,470NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served184PersonsServedCnt
Total Community Benefit Expns$38,663TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$38,663NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs177ActivitiesOrProgramsCnt
Persons Served3606PersonsServedCnt
Total Community Benefit Expns$143,178TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$143,178NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs177ActivitiesOrProgramsCnt
Persons Served3609PersonsServedCnt
Total Community Benefit Expns$33,087,153TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,281,801DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,805,352NetCommunityBenefitExpnsAmt
Total Expense0.30430TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served3PersonsServedCnt
Total Community Benefit Expns$382TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$382NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served861PersonsServedCnt
Total Community Benefit Expns$93,475TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$93,475NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served243PersonsServedCnt
Total Community Benefit Expns$9,275TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,275NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served1107PersonsServedCnt
Total Community Benefit Expns$103,132TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$103,132NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$25,155BadDebtExpenseAmt
Bad Debt Expense Attributable$25,155BadDebtExpenseAttributableAmt
Reimbursed By Medicare$25,860ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$49,907CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$24,047MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RANKEN JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDRENBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111365 DORSETT ROADAddressLine1Txt
CityMARYLAND HEIGHTSCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63043ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
Childrens HospitalYes (X)ChildrensHospitalInd
OtherPEDIATRIC SPECIALTY HOSPITALOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1RANKEN JORDAN HOME FOR CONVALESCENT CRIPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.RANKENJORDAN.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.RANKENJORDAN.ORGStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care400.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Lowest Negotiated RatesYes (X)LowestNegotiatedRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
RANKEN JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDPART V, SECTION B, LINE 5: IN CONDUCTING THE CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY THROUGH THE USE OF A FOCUS GROUP. IN JANUARY 2013, RANKEN JORDAN FOUNDED ITS PATIENT AND FAMILY ADVISORY COUNCIL (PFAC) CONSISTING OF STAFF, PRESENT AND FORMER PATIENTS AND FAMILY MEMBERS. PFAC'S VISION IS TO BE A TRANSFORMATIONAL FORCE IN THE EVOLUTION AND ADVANCEMENT OF PATIENT AND FAMILY-CENTERED CARE THROUGH COLLABORATION AND TEAMWORK. WHILE ESTABLISHING A VENUE TO GATHER NEEDS ASSESSMENT INFORMATION, PFAC ALSO WORKS TO CREATE A PATIENT AND FAMILY-CENTERED ENVIRONMENT WHICH PROMOTES THE BEST POSSIBLE MEDICAL AND EMOTIONAL OUTCOMES FOR RANKEN JORDAN PATIENTS AND FAMILY MEMBERS. GOALS OF PFAC INCLUDE: A) ENHANCE COMMUNICATIONS BETWEEN PATIENTS, FAMILY MEMBERS, AND THE RANKEN JORDAN TEAM; B) EMPOWER PATIENTS, FAMILY MEMBERS AND STAFF THROUGH CONTINUOUS EDUCATION; C) IDENTIFY AND ADDRESS PATIENT AND FAMILY NEEDS IN ALL ASPECTS (BODY, MIND, AND SPIRIT) THROUGHOUT THEIR RANKEN JORDAN JOURNEY AND DURING THE TRANSITION HOME; D) PROMOTE THE BEST POSSIBLE MEDICAL AND EMOTIONAL OUTCOMES FOR PATIENTS AND FAMILY MEMBERS. INITIALLY MEETING BI-MONTHLY, PFAC IS SCHEDULED TO MEET ONCE A MONTH FOR APPROXIMATELY 2 HOURS. PARTICIPATION IS VOLUNTARY. IN APRIL 2013, PFAC WAS RESOURCED TO FACILITATE A FOCUS GROUP. IN TOTAL, 8 COMMUNITY PERSONS PARTICIPATED. DISCUSSION WAS HELD IN AN ORGANIC CONVERSATIONAL SETTING. A STAFF FACILITATOR PROMPTED THE FOCUS GROUP WITH THE BROAD QUESTION OF "WHAT DO MEMBERS OF THE COMMUNITY NEED AND ALLOWED THE GROUP TO DISCUSS AND VET THOUGHTS AND OPINIONS. ULTIMATELY, THE FOCUS GROUP IDENTIFIED SEVERAL NEEDS THAT FALL INTO THE OVERARCHING CATEGORY OF QUALITY OF LIFE.
RANKEN JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDPART V, SECTION B, LINE 11: RANKEN JORDAN IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA THROUGH COMMUNITY PROGRAMMING AND WORKING WITH LOCAL PARTNERS.
RANKEN JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDPART V, SECTION B, LINE 20E: NO COLLECTION ACTIONS ARE TAKEN AGAINST OUR PATIENTS. RANKEN JORDAN HAS NO AFFILIATION WITH ANY COLLECTION AGENCY OR ORGANIZATION. COLLECTION ACTIVITIES WOULD GO AGAINST THE MISSION OF RANKEN JORDAN, TO CARE FOR CHILDREN "REGARDLESS OF THEIR ABILITY TO PAY".

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LN 7 COL(F):BAD DEBT IS RECORDED FOR PATIENTS THAT ARE ELIGIBLE FOR HEALTH INSURANCE BUT THE SERVICE IS NOT COVERED. BAD DEBT IS RECORDED AT THE NET REALIZABLE AMOUNT.
PART III, LINE 2:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY.) FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT CERTAIN PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 3:BAD DEBT IS RECORDED FOR PATIENTS THAT ARE ELIGIBLE FOR HEALTH INSURANCE BUT THE SERVICE IS NOT COVERED AND DEEMED TO BE A MEDICAL BENEFIT AND PROVIDED WITHOUT COST TO THE PATIENT. BAD DEBT IS DETERMINED BY TAKING THE GROSS CHARGES, LESS ANY CONTRACTUAL ALLOWANCE AGREEMENT WITH THE PAYER. BAD DEBT IS THEN RECORDED AT THE NET REALIZABLE AMOUNT. THE AMOUNTS SHOULD BE INCLUDED IN COMMUNITY BENEFIT BECAUSE EFFORTS WERE NOT MADE TO COLLECT THE AMOUNT FROM THE PATIENT'S FAMILY.
PART III, LINE 4:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY.) FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT CERTAIN PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:THE AMOUNT OF SHORTFALL REPORTED ON LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT DUE TO THE FACT THAT THE COST OF TREATING MEDICARE PATIENTS EXCEEDS THE AMOUNT OF REIMBURSEMENT FROM THE GOVERNMENT. THE ORGANIZATION IS PROVIDING A SERVICE TO PATIENTS IN NEED FROM THEIR OWN FUNDS. THE METHOD USED TO DETERMINE THE AMOUNT OF MEDICARE COSTS IS THE TOTAL CHARGES FOR ALL THE MEDICARE PATIENTS AS RECORDED ON THE ORGANIZATION'S CHARGES LOG.
PART III, LINE 9B:RANKEN JORDAN DOES NOT HAVE A FORMAL WRITTEN COLLECTION POLICY BECAUSE NO COLLECTION ACTION IS TAKEN AGAINST OUR PATIENTS. RANKEN JORDAN HAS NO AFFILIATION WITH ANY COLLECTION AGENCY OR ORGANIZATION. RANKEN JORDAN INTERNALLY IDENTIFIES THE TIME PERIOD FOR WHICH UNPAID PATIENT ACCOUNTS WILL REMAIN OPEN AND AVAILABLE TO COLLECT. FORMAL COLLECTION ACTIVITIES WOULD GO AGAINST THE MISSION OF RANKEN JORDAN, TO CARE FOR CHILDREN "REGARDLESS OF THEIR ABILITY TO PAY".
PART VI, LINE 2:RANKEN JORDAN IS A MEMBER OF THE MISSOURI HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS. THROUGH THESE AFFILIATIONS, RANKEN JORDAN IS ABLE TO MONITOR AND PARTICIPATE IN PROGRAMS THAT HAVE BEEN DETERMINED TO MEET THE NEEDS OF THE COMMUNITY ON THE LOCAL LEVEL. RANKEN JORDAN PARTNERS WITH DISABLED ATHLETES SPORTS ASSOCIATION (DASA), ST. LOUIS ARC, AND THE CITY OF MARYLAND HEIGHTS TO PROVIDE PROGRAMMING THAT MEETS THE NEEDS OF CHILDREN WITH COMPLEX MEDICAL ISSUES.
PART VI, LINE 3:ALL RANKEN JORDAN PATIENTS AND FAMILIES ARE ASSIGNED A SOCIAL WORKER UPON ADMISSION. THAT PERSON WORKS DIRECTLY WITH THE PATIENT AND THE FAMILY TO MAKE SURE THAT THEIR FINANCIAL RESPONSIBILITIES ARE FULLY EXPLAINED. RANKEN JORDAN HAS THE ABILITY TO ASSIST FAMILIES IN APPLYING FOR MEDICAID/MEDICARE COVERAGE IF THEY HAVE NOT ALREADY DONE SO. DUE TO THE SPECIAL NATURE OF THE PATIENTS RANKEN JORDAN SERVICES AND THE MISSION OF THE ORGANIZAITON, NO INPATIENT RECEIVES A BILL FOR CARE RECEIVED. RANKEN JORDAN DOES NOT WORK WITH OR TURN ANY PATIENT'S ACCOUNTS OVER FOR COLLECTION.
PART VI, LINE 4:RANKEN JORDAN SERVES THE METROPOLITAN ST LOUIS AREA. PATIENTS ARE ACCEPTED BASED ON ADMISSION CRITERIA FOR SPECIALTY HOSPITALS. THE SERVICES PROVIDED ARE UNIQUE IN THAT THEY ARE ONLY AVAILABLE IN A LIMITED AMOUNT OF LOCATIONS THROUGHOUT THE COUNTRY. CARE IS PROVIDED FOR CHILDREN WITH COMPLEX MEDICAL NEEDS, WITH THE GOAL OF SEEING THEM RETURN TO A SAFE HOME ENVIRONMENT.
PART VI, LINE 5:RANKEN JORDAN PROVIDES THE COMMUNITY WITH MANY OPPORTUNITES FOR CHILDREN WITH COMPLEX MEDICAL NEEDS AND THEIR FAMILIES TO BE ABLE TO BECOME ACTIVE IN THE COMMUNITY. PROGRAMS ARE OFFERED SUCH AS "CHALLENGER BASEBALL AND "POWER SOCCER" THAT ALLOW CHILDREN TO PARTICIPATE IN SPORTS DESPITE THEIR PHYSICAL LIMITAITONS. EDUCATION OPPORTUNITIES ARE PROVIDED FOR THESE CHILDREN THAT INCLUDE COOKING, MARTIAL ARTS, CAMP, AND SOCIAL GATHERING PROGRAMS. ALL PROGRAMS ARE PROVIDED FREE OF CHARGE TO FAMILIES AND ARE OPEN TO THE GENERAL PUBLIC.
PART VI, LINE 6:RANKEN JORDAN IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeMEDICAL SERVICES FOR INDIVIDUALSGrantTypeTxt
Recipient139RecipientCnt
Cash Grant$45,373CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HAS POLICIES IN PLACE TO RECEIVE REQUESTS FOR ASSISTANCE. ALL REQUESTS FOR ASSISTANCE ARE EVALUATED BY THE SOCIAL SERVICES DEPARTMENT AND EVALUATED AGAINST SET POLICIES. ALL REQUESTS ARE THOROUGHLY DOCUMENTED IN THE PATIENT'S FILE. THE ORGANIZATION TAKES CARE TO ENSURE THAT PATIENTS RECEIVING GRANT ASSISTANCE MEET ESTABLISHED CRITERIA. ANY GRANT ASSISTANCE PROVIDED TO INDIVIDUALS IS HANDLED INTERNALLY AND THE INDIVIDUALS DO NOT RECEIVE DIRECT PAYMENT OF THE FUNDS AWARDED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LAUREEN K TANNER
PRESIDENT/CEO$397,278$0$30,000$0$0$0$23,704$0$8,518$0$459,500$0$0$0
NICHOLAS A HOLEKAMP MD
CHIEF MEDICAL OFFICER$365,794$0$30,000$0$0$0$24,493$0$9,111$0$429,398$0$0$0
JEAN L BARDWELL
VICE PRESIDENT & CFO$240,459$0$30,000$0$0$0$7,206$0$13,440$0$291,105$0$0$0
R BRETT MOOREHOUSE
VICE PRESIDENT & COO$212,556$0$30,000$0$0$0$6,504$0$5,308$0$254,368$0$0$0
ELIZABETH SUGARBAKER AKRE MD
PHYSICIAN$179,540$0$0$0$0$0$2,590$0$13,440$0$195,570$0$0$0
SUSAN CONGER MD
MEDICAL STAFF ADMINISTRATOR$246,204$0$0$0$0$0$7,193$0$13,440$0$266,837$0$0$0
EUGENE EVRA MD
PHYSICIAN$222,320$0$0$0$0$0$6,397$0$13,440$0$242,157$0$0$0
SUZANNE N L'ECUYER MD
PHYSICIAN$220,148$0$0$0$0$0$6,287$0$13,440$0$239,875$0$0$0
AMY ZIMMERMANN MD
PHYSICIAN$224,907$0$0$0$0$0$6,565$0$13,262$0$244,734$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHERE IS A MEMBERSHIP TO NORWOOD HILLS COUNTRY CLUB THAT IS IN LAUREEN K. TANNER'S (CEO) NAME. THE MEMBERSHIP IS PAID FOR BY RANKEN JORDAN. ANY PERSONAL EXPENSES CHARGED TO THE ACCOUNT ARE REIMBURSED TO RANKEN JORDAN.
PART I, LINE 4BLAUREEN K. TANNER AND NICHOLAS HOLEKAMP ARE PARTICIPANTS IN A 457(F) PLAN. CONTRIBUTIONS WERE MADE ON THEIR BEHALF.
PART I, LINE 7INCENTIVES PAID BY THE ORGANIZATION ARE DISCRETIONARY. THE BOARD DETERMINES IF/WHEN INCENTIVES WILL BE PAID AT THE END OF THE FISCAL YEAR. THEY RESEARCH CURRENT EXECUTIVE SALARIES OF LIKE ORGANIZATIONS, RESULTS OF THE YEAR, AND BENEFITS PACKAGES, TO COME TO A DETERMINATION. THERE IS NO WRITTEN AGREEMENT OR GUARANTEE INCENTIVES WILL BE PAID ANNUALLY. THE FOLLOWING INDIVIDUALS RECEIVED THE NON-FIXED PAYMENT: LAUREEN K. TANNER, NICHOLAS HOLEKAMP, JEAN BARDWELL, AND R. BRETT MOOREHOUSE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1IDA OF THE COUNTY OF ST LOUIS MISSOURIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN431170145BondIssuerEIN
CUSIP79130GGZ8CUSIPNum
Bond Issued2007-04-12BondIssuedDt
Issue Price$21,082,299IssuePriceAmt
PurposeREFUNDING ORG ISSUE SERIES 2003A-CPurposeDesc
Defeased0DefeasedInd
On Behalf Of IssuerYes (1)OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$21,082,299TotalProceedsAmt
Issuance Costs From Proceeds$399,583IssuanceCostsFromProceedsAmt
Other Spent Proceeds$20,760,310OtherSpentProceedsAmt
Substantial Completion2007SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance RefundingYes (1)AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: IDA OF THE COUNTY OF ST. LOUIS, MISSOURI DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012
PART 1, 2007 BOND ISSUE CUSIPS CONTINUED:79130GGY1 79130GGX3 79130GGW5 79130GGV7 79130GGU9

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
LISA MONTELEONE
DAUGHTER OF BOARD MEMBER GEORGE EDINGER$118,442EMPLOYEE0
ELLEN SIMONS
DAUGHTER OF BOARD MEMBER THAD SIMONS$48,847EMPLOYEE0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2JOHN PROSPERI (BOARD MEMBER) AND ELIZABETH PROSPERI (BOARD MEMBER) HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11THE INITIAL FORM 990 IS ORIGINALLY PRESENTED TO THE FINANCE COMMITTEE BY OUR INDEPENDENT AUDITORS. ONCE APPROVED BY THE FINANCE COMMITTEE, IT WILL BE MADE AVAILABLE ELECTRONICALLY TO THE FULL BOARD FOR FINAL APPROVAL. ONCE FINAL APPROVAL IS RECEIVED, THE FORM 990 WIL BE FILED ELECTRONICALLY BY OUR INDEPENDENT AUDITORS.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY COVERS ALL EMPLOYEES, OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE ORGANIZATION. THE GOVERNANCE COMMITTEE HAS OVERSIGHT RESPONSIBILITIES FOR THE PROGRAM AND SHALL REPORT TO THE BOARD PERIODICALLY, AS DETERMINED BY THE BOARD, BUT NOT LESS THAN ANNUALLY. THE COMPLIANCE OFFICER CONDUCTS THE DAY-TO-DAY OPERATIONS OF THE COMPLIANCE PROGRAM, INCLUDING COORDINATION OF THE RECEIPT OF REPORTS OF NONCOMPLIANCE. THE ORGANIZATION ADDED THE POSITION OF COMPLIANCE OFFICER/RISK MANAGER AS A FULL-TIME POSITION DURING FISCAL YEAR 6/30/14.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE, UNDER THE ADVISEMENT OF ALEXANDER-SIEFERT CONSULTING GROUP, LLC, MEETS ANNUALLY TO REVIEW THE COMPENSATION OF TOP MANAGEMENT OFFICIALS. THE MEETINGS ARE HELD ANNUALLY IN MAY. THE EXECUTIVE COMPENSATION COMMITTEE FINDINGS ARE APPROVED BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.

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