FURP.ORG / PUBLIC DATA EXPLORER

RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN (EIN 43-0666765)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-02-19
IRS object ID
201600509349300315
Schema version
2014v6.0
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)
Return2016-02-19T09:03:00-06:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

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 Begin2014-07-01TaxPeriodBeginDt

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
Signature2016-01-26SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNIFER M VACHAPreparerPersonNm
PTINP01251998PTIN
Phone3149831200PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

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$35,633,308GrossReceiptsAmt
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 Body31VotingMembersGoverningBodyCnt
Voting Members Independent29VotingMembersIndependentCnt
Total Employee395TotalEmployeeCnt
Total Volunteers192TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,643,384PYContributionsGrantsAmt
CY Contributions Grants$3,865,887CYContributionsGrantsAmt
PY Program Service Revenue$24,319,795PYProgramServiceRevenueAmt
CY Program Service Revenue$25,548,335CYProgramServiceRevenueAmt
PY Investment Income$1,306,893PYInvestmentIncomeAmt
CY Investment Income$1,033,874CYInvestmentIncomeAmt
PY Other Revenue-$96,808PYOtherRevenueAmt
CY Other Revenue-$67,200CYOtherRevenueAmt
PY Total Revenue$29,173,264PYTotalRevenueAmt
CY Total Revenue$30,380,896CYTotalRevenueAmt
PY Grants And Similar Paid$57,137PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$58,451CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,992,524PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$18,865,072CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$707,540CYTotalFundraisingExpenseAmt
PY Other Expenses$10,280,069PYOtherExpensesAmt
CY Other Expenses$10,418,590CYOtherExpensesAmt
PY Total Expenses$28,329,730PYTotalExpensesAmt
CY Total Expenses$29,342,113CYTotalExpensesAmt
PY Revenues Less Expenses$843,534PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,038,783CYRevenuesLessExpensesAmt
Total Assets BOY$64,546,564TotalAssetsBOYAmt
Total Assets EOY$63,504,775TotalAssetsEOYAmt
Total Liabilities BOY$22,685,440TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,332,650TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$41,861,124NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$42,172,125NetAssetsOrFundBalancesEOYAmt
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$20,508,855ExpenseAmt
Grant$56,697GrantAmt
Revenue$23,629,647RevenueAmt
DescDURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 10,034 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$1,256,474ExpenseAmt
Grant$1,754GrantAmt
Revenue$1,926,762RevenueAmt
DescDURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 28,792 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$235,265ExpenseAmt
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 4,876 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$22,000,594TotalProgramServiceExpensesAmt
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
Employee395EmployeeCnt
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 Members31GoverningBodyVotingMembersCnt
Independent Voting Member29IndependentVotingMemberCnt
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 (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEVE CORTOPASSI
CHARIMAN OF THE BOARD15.00Yes (X)Yes (X)$0$0$0
BILL WILLHITE
VICE CHAIRMAN OF THE BOARD10.00Yes (X)Yes (X)$0$0$0
THOMAS J MINOGUE
SECRETARY OF THE BOARD5.00Yes (X)Yes (X)$0$0$0
KEN MARX
TREASURER OF THE BOARD5.00Yes (X)Yes (X)$0$0$0
LAUREEN K TANNER
PRESIDENT/CEO50.00Yes (X)Yes (X)$388,134$0$41,539
NICHOLAS A HOLEKAMP MD
CHIEF MEDICAL OFFICER50.00Yes (X)Yes (X)$359,661$0$44,714
WALTER BAZAN JR
BOARD MEMBER3.00Yes (X)$0$0$0
CHRIS CIOFFI
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 MEMBER3.00Yes (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
JEREMY MICHELMAN
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
PAUL SCHWETZ
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 MEMBER3.00Yes (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)$247,899$0$12,224
R BRETT MOOREHOUSE
VICE PRESIDENT & COO50.00Yes (X)$216,293$0$7,360
ELIZABETH AKRE MD
PHYSICIAN40.00$165,863$0$7,567Yes (X)
SUSAN CONGER MD
MEDICAL STAFF ADMINISTRATOR40.00$233,121$0$13,838Yes (X)
EUGENE EVRA MD
PHYSICIAN40.00$208,079$0$11,540Yes (X)
SUZANNE N L'ECUYER MD
PHYSICIAN40.00$204,668$0$11,182Yes (X)
AMY ZIMMERMANN MD
PHYSICIAN40.00$214,199$0$11,209Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,237,917TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$161,173TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K23IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER CORPORATION
2800 ROCKCREEK PARKWAYKANSAS CITYMO64117COMPUTER SUPPORT$873,011
MB TECHNOLOGY SOLUTIONS
225 S MERAMEC SUITE 621ST LOUISMO63105IT HELP DESK SUPPORT$202,189
THOMPSON COBURN
ONE US BANK PLAZAST LOUISMO63101LEGAL SERVICES$191,201
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Fundraising$527,784FundraisingAmt
Government Grants$43,945GovernmentGrantsAmt
All Other Contributions$3,294,158AllOtherContributionsAmt
Total Contributions$3,865,887TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT CARE621110$23,621,573$23,621,573
OUTPATIENT CARE621110$1,926,762$1,926,762
FieldValueIRS element (for citing)
Total Program Service Revenue$25,548,335TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$467,076TotalRevenueColumnAmt
Exclusion$467,076ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,625,493SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,058,358SecuritiesAmt
Other$337OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$567,135SecuritiesAmt
Other-$337OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$566,798TotalRevenueColumnAmt
Exclusion$566,798ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$112,401FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$527,784ContriRptFundraisingEventAmt
Fundraising Direct Expenses$193,717FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$81,316TotalRevenueColumnAmt
Exclusion-$81,316ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MEDICAL RECORDS561000$8,074$8,074
MISCELLANEOUS REVENUE900099$6,042$6,042
FieldValueIRS element (for citing)
Other Revenue Total$14,116OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,380,896TotalRevenueColumnAmt
Related Or Exempt Func Income$25,556,409RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$958,600ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$58,451TotalAmt
Program Services$58,451ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,254,396TotalAmt
Management And General$940,797ManagementAndGeneralAmt
Fundraising$313,599FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,120,940TotalAmt
Program Services$10,432,033ProgramServicesAmt
Management And General$3,488,803ManagementAndGeneralAmt
Fundraising$200,104FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$216,689TotalAmt
Program Services$160,082ProgramServicesAmt
Management And General$53,536ManagementAndGeneralAmt
Fundraising$3,071FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,220,418TotalAmt
Program Services$1,721,259ProgramServicesAmt
Management And General$445,307ManagementAndGeneralAmt
Fundraising$53,852FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,052,629TotalAmt
Program Services$812,340ProgramServicesAmt
Management And General$204,812ManagementAndGeneralAmt
Fundraising$35,477FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$11,579TotalAmt
Management And General$11,579ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,268TotalAmt
Management And General$57,268ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$82,554TotalAmt
Program Services$10,554ProgramServicesAmt
Management And General$72,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,389,395TotalAmt
Program Services$1,374,362ProgramServicesAmt
Management And General$11,275ManagementAndGeneralAmt
Fundraising$3,758FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$316,285TotalAmt
Program Services$303,633ProgramServicesAmt
Management And General$9,489ManagementAndGeneralAmt
Fundraising$3,163FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,489,052TotalAmt
Program Services$1,252,796ProgramServicesAmt
Management And General$230,746ManagementAndGeneralAmt
Fundraising$5,510FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$886,175TotalAmt
Program Services$834,982ProgramServicesAmt
Management And General$38,395ManagementAndGeneralAmt
Fundraising$12,798FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$482,414TotalAmt
Program Services$463,118ProgramServicesAmt
Management And General$14,472ManagementAndGeneralAmt
Fundraising$4,824FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$29,443TotalAmt
Program Services$28,662ProgramServicesAmt
Management And General$586ManagementAndGeneralAmt
Fundraising$195FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$85,737TotalAmt
Program Services$82,308ProgramServicesAmt
Management And General$2,572ManagementAndGeneralAmt
Fundraising$857FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$902,026TotalAmt
Management And General$902,026ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,631,272TotalAmt
Program Services$1,557,725ProgramServicesAmt
Management And General$55,160ManagementAndGeneralAmt
Fundraising$18,387FundraisingAmt

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$1,395,655$75,851$45,510
LABORATORY FEES AND PHA$868,764$868,764
DUES AND SUBSCRIPTIONS$109,126$104,339$3,590$1,197
BAD DEBT EXPENSE$36,643$36,643

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,342,113TotalAmt
Program Services$22,000,594ProgramServicesAmt
Management And General$6,633,979ManagementAndGeneralAmt
Fundraising$707,540FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$25,535BOYAmt
EOY$25,273EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$206,554BOYAmt
EOY$668,063EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,315,205BOYAmt
EOY$2,669,424EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,381,151BOYAmt
EOY$3,273,761EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,667,588BOYAmt
EOY$1,376,507EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$36,256,021LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,876,790LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,707,459BOYAmt
EOY$25,379,231EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$28,941,509BOYAmt
EOY$29,824,272EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$301,563BOYAmt
EOY$288,244EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$64,546,564BOYAmt
EOY$63,504,775EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,703,897BOYAmt
EOY$2,331,839EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$161,060BOYAmt
EOY$127,585EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,401,905BOYAmt
EOY$17,932,547EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,418,578BOYAmt
EOY$940,679EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,685,440BOYAmt
EOY$21,332,650EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$34,052,858BOYAmt
EOY$33,155,278EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,808,266BOYAmt
EOY$9,016,847EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$41,861,124BOYAmt
EOY$42,172,125EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$64,546,564BOYAmt
EOY$63,504,775EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,038,783ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$727,782NetUnrlzdGainsLossesInvstAmt
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$1,566,011CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,493,847CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,564,750CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,643,384CurrentTaxYearMinus1YearAmt
Current Tax Year$3,865,887CurrentTaxYearAmt
Total$18,133,879TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,566,011CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,493,847CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,564,750CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,643,384CurrentTaxYearMinus1YearAmt
Current Tax Year$3,865,887CurrentTaxYearAmt
Total$18,133,879TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$3,675,234SubstantialContributorsTotAmt
Public Support Total170$14,458,645PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$396,733CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$372,784CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$378,478CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$408,960CurrentTaxYearMinus1YearAmt
Current Tax Year$467,076CurrentTaxYearAmt
Total$2,024,031TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$86,661CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$334,201CurrentTaxYearMinus3YearsAmt
Total$420,862TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$466,820CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,221CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,720CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,415CurrentTaxYearMinus1YearAmt
Current Tax Year$14,116CurrentTaxYearAmt
Total$544,292TotalAmt
FieldValueIRS element (for citing)
Total Support$21,123,064TotalSupportAmt
Gross Receipts Rltd Activities$125,441,125GrossReceiptsRltdActivitiesAmt
Public Support CY1700.68450PublicSupportCY170Pct
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$82,554OtherActivitiesAmt
Total Lobbying Expenditures$82,554TotalLobbyingExpendituresAmt
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$5,240,274DepreciationAmt
Book Value$14,500,430BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,713,146OtherCostOrOtherBasisAmt
Depreciation$5,369,265DepreciationAmt
Book Value$6,343,881BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,442,994OtherCostOrOtherBasisAmt
Depreciation$267,251DepreciationAmt
Book Value$2,175,743BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,379,231TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OTHER LIABILITIES$386,820
CERNER LONG-TERM LIABILITY$553,859
FieldValueIRS element (for citing)
Total Liability$940,679TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$29,616,471TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$727,782NetUnrealizedGainsInvstAmt
Revenue Not Reported-$727,782RevenueNotReportedAmt
Revenue Subtotal$30,344,253RevenueSubtotalAmt
Other Revenues Not Included$36,643OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$36,643RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$30,380,896TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$29,305,470TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$29,305,470ExpensesSubtotalAmt
Other Expenses Not Included$36,643OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$36,643ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$29,342,113TotalExpensesPerForm990Amt

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 36,643.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR UNCOLLECTIBLE ACCOUNTS NETTED AGAINST REVENUE ON FS 36,643.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINNER AUCTIONEvent1Nm
Gross Receipts Event1$442,527GrossReceiptsEvent1Amt
Charitable Contri Event1$375,258CharitableContriEvent1Amt
Gross Revenue Event1$67,269GrossRevenueEvent1Amt
Rent Facility Costs Event1$16,144RentFacilityCostsEvent1Amt
Food And Beverage Event1$67,650FoodAndBeverageEvent1Amt
Entertainment Event1$12,200EntertainmentEvent1Amt
Other Direct Expenses Event1$26,806OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$170,567GrossReceiptsEvent2Amt
Charitable Contri Event2$125,435CharitableContriEvent2Amt
Gross Revenue Event2$45,132GrossRevenueEvent2Amt
Non Cash Prizes Event2$10,220NonCashPrizesEvent2Amt
Rent Facility Costs Event2$37,370RentFacilityCostsEvent2Amt
Food And Beverage Event2$19,424FoodAndBeverageEvent2Amt
Entertainment Event2$750EntertainmentEvent2Amt
Other Direct Expenses Event2$2,053OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$27,091GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$27,091CharitableContriOtherEventsAmt
Cash Prizes Other Events$200CashPrizesOtherEventsAmt
Oth Direct Expnss Other Events$900OthDirectExpnssOtherEventsAmt
Gross Receipts Total$640,185GrossReceiptsTotalAmt
Charitable Contributions Tot$527,784CharitableContributionsTotAmt
Gross Revenue Total Events$112,401GrossRevenueTotalEventsAmt
Cash Prizes Total Events$200CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$10,220NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$53,514RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$87,074FoodAndBeverageTotalEventsAmt
Entertainment Total Events$12,950EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$29,759OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$193,717DirectExpenseSummaryEventsAmt
Net Income Summary-$81,316NetIncomeSummaryAmt

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$174,122TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$174,122NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,806,399TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,767,403DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,038,996NetCommunityBenefitExpnsAmt
Total Expense0.06960TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,871,562TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,965,637DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,905,925NetCommunityBenefitExpnsAmt
Total Expense0.16740TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served3PersonsServedCnt
Total Community Benefit Expns$32,852,083TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,733,040DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,119,043NetCommunityBenefitExpnsAmt
Total Expense0.24290TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs198ActivitiesOrProgramsCnt
Persons Served2587PersonsServedCnt
Total Community Benefit Expns$36,194TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$36,194NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served782PersonsServedCnt
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 Programs8ActivitiesOrProgramsCnt
Persons Served722PersonsServedCnt
Total Community Benefit Expns$56,467TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$56,467NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs208ActivitiesOrProgramsCnt
Persons Served4091PersonsServedCnt
Total Community Benefit Expns$159,131TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$159,131NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs208ActivitiesOrProgramsCnt
Persons Served4094PersonsServedCnt
Total Community Benefit Expns$33,011,214TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,733,040DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,278,174NetCommunityBenefitExpnsAmt
Total Expense0.24830TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served771PersonsServedCnt
Total Community Benefit Expns$92,095TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$92,095NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served608PersonsServedCnt
Total Community Benefit Expns$15,256TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,256NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served1379PersonsServedCnt
Total Community Benefit Expns$107,351TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$107,351NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$36,643BadDebtExpenseAmt
Bad Debt Expense Attributable$36,643BadDebtExpenseAttributableAmt
Reimbursed By Medicare$1,442ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,121CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,679MedicareSurplusOrShortfallAmt

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 Conducted12CHNAConductedYr
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
Recipient93RecipientCnt
Cash Grant$58,451CashGrantAmt

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$363,134$0$25,000$0$0$0$38,870$0$2,669$0$429,673$0$0$0
NICHOLAS A HOLEKAMP MD
CHIEF MEDICAL OFFICER$334,661$0$25,000$0$0$0$39,865$0$4,849$0$404,375$0$0$0
JEAN L BARDWELL
VICE PRESIDENT & CFO$222,899$0$25,000$0$0$0$7,206$0$5,018$0$260,123$0$0$0
R BRETT MOOREHOUSE
VICE PRESIDENT & COO$191,293$0$25,000$0$0$0$6,504$0$856$0$223,653$0$0$0
ELIZABETH AKRE MD
PHYSICIAN$165,863$0$0$0$0$0$2,590$0$4,977$0$173,430$0$0$0
SUSAN CONGER MD
MEDICAL STAFF ADMINISTRATOR$230,121$0$3,000$0$0$0$7,193$0$6,645$0$246,959$0$0$0
EUGENE EVRA MD
PHYSICIAN$208,079$0$0$0$0$0$6,397$0$5,143$0$219,619$0$0$0
SUZANNE N L'ECUYER MD
PHYSICIAN$204,668$0$0$0$0$0$6,287$0$4,895$0$215,850$0$0$0
AMY ZIMMERMANN MD
PHYSICIAN$214,199$0$0$0$0$0$6,565$0$4,644$0$225,408$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 79130GGT2

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonLISA MONTELEONEPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionDAUGHTER OF BOARD MEMBER GEORGE EDINGERRelationshipDescriptionTxt
Transaction$140,461TransactionAmt
TransactionEMPLOYEETransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

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.