2015-11-13T13:49:47-06:00 2014-12-31 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2014-01-01 320346004 St Louis Regional Psychiatric Stabilization Center % JOHN EILER STLO 3149327110 5355 Delmar Blvd St Louis MO 631123146 JOHN EILER PRESIDENT 3149327110 2015-11-09 true Troy A Lindsey P01041237 3142315544 2014 2016-03-07 17:11:31Z JOHN M EILER 5355 DELMAR BLVD ST LOUIS MO 631123146 6761039 false X www.stlpsc.org X 2011 MO ADDRESSING THE COMMUNITY NEED FOR MORE SHORT-TERM MENTAL HEALTH SERVICES BY SERVING PATIENTS SUFFERING FROM MENTAL ILLNESS AND PSYCHIATRIC DISORDERS IN ST. LOUIS, MO METRO AREA. 7 7 112 0 0 0 2103044 2075872 4843169 4679031 -30 1308 726 4828 6946909 6761039 0 0 0 0 4802303 4727268 0 0 0 2144606 2033771 6946909 6761039 0 1896431 2131929 1729373 1964871 167058 167058 ADDRESSING THE COMMUNITY NEED FOR MORE SHORT-TERM MENTAL HEALTH SERVICES BY SERVING PATIENTS SUFFERING FROM MENTAL ILLNESS AND PSYCHIATRIC DISORDERS IN THE ST. LOUIS, MO METROPOLITAN AREA. false false 5365636 4683859 THE ORGANIZATION WAS ESTABLISHED TO STEM THE FLOW OF CONSUMERS IN PSYCHIATRIC CRISIS INTO EMERGENCY ROOMS, TO PROVIDE A TREATMENT FACILITY FOR CONSUMERS THAT MAY BENEFIT FROM SHORT TERM CARE AND TO OFFER PSYCHIATRIC CARE TO CONSUMERS IN NEED. THE ORGANIZATION SEEKS TO PROVIDE CONSUMER FOCUSED CARE THROUGH OUR 24 HOUR CRISIS ACCESS CENTER AND BRIEF TREATMENT UNIT WITH LICENSED AND ACCREDITED STAFF THAT IS ABLE TO DIRECT THE CONSUMER TO FURTHER MEDICAL, SOCIAL AND PSYCHIATRIC SERVICES. 5365636 true true false false false false false false false false true false false true true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 18 0 true 112 true false false false false false false false false false false X 7 7 false false false false true true true true true false false true true true true true true true false false X JOHN EILER 3149327110 5355 DELMAR BLVD St Louis MO 631123146 X RICHARD J LIEKWEG CHAIRMAN 1.0 0.0 X X 0 0 0 DANIEL J BODY SECRETARY 1.0 0.0 X X 0 0 0 MARK E STANSBERRY TREASURER 1.0 0.0 X X 0 0 0 MARK D LEVINE MD BOARD MEMBER 1.0 0.0 X 0 0 0 JOSEPH YANCEY BOARD MEMBER 1.0 0.0 X 0 0 0 WILLIAM F SIEDHOFF BOARD MEMBER 1.0 0.0 X 0 0 0 LEE A BERNSTEIN BOARD MEMBER 1.0 0.0 X 0 0 0 JOHN M EILER PRESIDENT 40.0 0.0 X 156454 0 19892 GARY L BOZEMAN DIRECTOR OF FINANCE 40.0 0.0 X 85598 0 6783 SHANNON JENNINGS MD PHYSICIAN 40.0 0.0 X 171432 0 0 VADIM BARAM MD PHYSICIAN 25.0 0.0 X 408600 0 0 ZAHIRUL HAQUE MD PHYSICIAN 40.0 0.0 X 174693 0 17482 STACY LYONS APRN 40.0 0.0 X 142628 0 2967 1139405 0 47124 5 false true false MPC 5351 DELMAR ST LOUIS MO 63112 DIETARY SERVICES 297419 PHARMACY SYSTEMS INC 5050 BRADENTON AVENUE DUBLIN OH 43017 PHARMACY SERVICES 199981 NETSMART TECHNOLOGIES INC PO BOX 823519 PHILADELPHIA PA 19182 IT SERVICES 152898 3 1090923 984949 2075872 NET PATIENT SERVICE REVENUE 621110 4679031 4679031 4679031 3 3 0 0 0 0 0 1305 0 1305 1305 1305 0 0 0 OTHER REVENUE 900099 4828 4828 4828 6761039 4683859 1308 X 0 0 0 0 268727 268727 0 0 3716987 3353368 363619 0 440667 397558 43109 300887 253150 47737 0 31922 31922 72781 72781 0 0 0 989704 816703 173001 25 25 228799 185375 43424 107663 31 107632 0 314915 224002 90913 12602 10071 2531 0 16 16 7754 7754 0 129999 92469 37530 106643 18683 87960 RECRUITMENT 1690 1690 DUES & SUBSCRIPTIONS 21354 4393 16961 OTHER EXPENSE 7904 389 7515 6761039 5365636 1395403 0 65438 353766 0 0 0 0 1455227 1329888 0 0 0 0 0 0 52193 48657 35033 4320 577687 416840 288540 160847 0 0 0 0 0 0 0 0 0 234451 1896431 2131929 529452 551858 0 0 199921 677013 0 0 0 0 0 0 1000000 520000 0 0 0 216000 1729373 1964871 X 167058 167058 0 0 0 0 167058 167058 1896431 2131929 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 28898 9195 19703 548789 407645 141144 160847 EST AMOUNTS DUE FROM MEDICARE 23434 OTHER RECEIVABLES 211017 234451 0 EST PROF LIABILITY CLAIMS 216000 216000 6759734 6759734 1305 1305 6761039 6759734 6759734 1305 1305 6761039 PART X, LINE 2 UNCERTAIN TAX POSITIONS UNDER FIN 48 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. PART XI, LINE 4B RECONCILIATION OF REVENUE PER AFS WITH REVENUE PER RETURN GAIN ON SALE OF ASSETS: $1,305 PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AFS WITH EXPENSES PER RETURN GAIN ON SALE OF ASSETS: $1,305 true true true X true X true true false false 2196607 2196607 0.32490 2447221 3485974 -1038753 0.15360 4643828 3485974 1157854 0.17130 4643828 3485974 1157854 0.17130 true 563767 0 1242128 1355210 -113082 X true true 1 1 STL REGIONAL PSYCHIATRIC STAB CENTER 5355 DELMAR BLVD ST LOUIS MO 63112 WWW.STLPSC.ORG 521-2 X 1 STL REGIONAL PSYCHIATRIC STAB CENTER 1 false false true X X X X X X X X X 14 true false false true X SEE PART V, SECTION C true 14 true SEE PART V, SECTION C false false true X 200. 400. X true true X true X X X X X X X X X X X false false X X X X true X false false PART V, SECTION B, LINE 5 INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY IN CONDUCTING ITS CHNA, THE HOSPITAL OBTAINED INPUT FROM KEY STAKEHOLDERS THROUGH THE EASTERN REGION BEHAVIORAL HEALTH INITIATIVE AND REGIONAL PSYCHIATRIC CAPACITY ANALYSIS. PERSONS CONSULTED INCLUDED PRESIDENTS, CEOS, EXECUTIVE DIRECTORS, ETC. OF AREA HEALTH CENTERS AND ASSOCIATIONS. PLEASE REFER TO THE HOSPITAL'S CHNA FOR A COMPLETE LIST OF KEY STAKEHOLDERS. PART V, SECTION B, LINE 7A CHNA URL HTTP://WWW.STLPSC.ORG/WP-CONTENT/UPLOADS/2015/03/PSC-CHNA-FINAL-SIGNED-12- 23-2014.PDF PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY URL HTTP://WWW.STLPSC.ORG/WP-CONTENT/UPLOADS/2015/03/PSC-CHNA-FINAL-SIGNED-12- 23-2014.PDF PART V, SECTION B, LINE 11 ADDRESSING SIGNIFICANT NEEDS THE NEED FOR MENTAL HEALTH SERVICES IS INCREASING IN THE ST. LOUIS REGION AND RECENT ASSESSMENTS AND ANALYSIS CONDUCTED BY THE ST. LOUIS REGIONAL HEALTH COMMISSION IDENTIFIED NEEDS SPECIFIC TO BEHAVIORAL HEALTH WHICH ARE SUMMARIZED IN KEY FINDINGS IN THE INPUT FROM KEY STAKEHOLDERS SECTION OF THIS REPORT. ADDRESSING THESE NEEDS IS IMPORTANT TO THE COMMUNITY. AS NOTED THROUGHOUT THIS REPORT, ST. LOUIS REGIONAL HEALTH COMMISSION, THROUGH ASSESSMENTS, ANALYSIS AND PLANNING, RECOMMENDED THE DEVELOPMENT OF A "PSYCHIATRIC ACUTE ACCESS CENTER/"BRIEF TREATMENT" UNIT" TO PROVIDE SERVICES IN EASTERN REGION OF MISSOURI. BASED ON THIS RECOMMENDATION, PSC WAS FOUNDED TO PROVIDE PSYCHIATRIC STABILIZATION SERVICES TO PATIENTS DURING TIMES OF CRISIS. THE FORMATION AND OPERATIONS OF THE PSC HAS BEEN A KEY STRATEGY OF THE EASTERN REGION PSYCHIATRIC ACUTE CARE TRANSFORMATION INITIATIVE. AS DESCRIBED IN THE INPUT FROM KEY STAKEHOLDERS SECTION OF THIS REPORT, THIS INITIATIVE HAS HAD SIGNIFICANT INPUT FROM MANY KEY STAKEHOLDERS IN THE COMMUNITY. DUE TO THE UNIQUENESS OF PSC'S SERVICES AND MISSION IN ADDITION TO THE FACT THAT THE HOSPITAL WAS FORMED WITHIN THE LAST THREE YEARS, HOSPITAL MANAGEMENT HAS DETERMINED THE PRIORITY FOR THE HOSPITAL HAS NOT CHANGED FROM ITS ORIGINAL MISSION OR PURPOSE WITHIN THE REGIONAL DELIVERY OF PSYCHIATRIC CARE TO THE COMMUNITY. PART V, SECTION B, LINE 16A FAP WEBSITE HTTP://WWW.STLPSC.ORG/HOME/FINANCIAL-ASSISTANCE/ PART V, SECTION B, LINE 16B FAP APPLICATION HTTP://DSS.MO.GOV/FSD/FORMSMANUAL/PDF/IM1MA.PDF PART V, SECTION B, LINE 16C FAP SUMMARY WEBSITE HTTP://WWW.STLPSC.ORG/HOME/FINANCIAL-ASSISTANCE/ PART I, LINE 7, COLUMN F COMMUNITY BENEFIT PERCENTAGE OF TOTAL COST THE ORGANIZATION'S BAD DEBT EXPENSE, IF ANY, AS REPORTED ON PART IX, LINE 25 HAS BEEN SUBTRACTED FOR THE PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. PART I, LINE 7 COMMUNITY BENEFIT COST THE COSTS REPORTED IN THE TABLE IN PART I, LINE 7, USED A RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM INSTRUCTIONS. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS. PART III, LINE 4 BAD DEBT EXPENSE THE CENTER RECORDS ITS PATIENT ACCOUNTS RECEIVABLE AT ITS ANTICIPATED NET COLLECTIBLE AMOUNT. THE CENTER TAKES AN ADJUSTMENT TO CONTRACTUAL ALLOWANCES FOR ALL PAYERS AT THE TIME OF BILLING TO GET PATIENT ACCOUNTS RECEIVABLE TO THE ESTIMATED NET REALIZABLE AMOUNT. IN ADDITION, ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS TO ACCOUNT FOR SELF-PAY PATIENTS AND POTENTIAL CHANGES IN FINANCIAL CLASS, E.G., MEDICAID PENDING THAT REVERTS TO SELF-PAY, OR OTHER POTENTIAL DIFFERENCES BETWEEN ANTICIPATED AND ACTUAL COLLECTION ON OUTSTANDING PATIENT ACCOUNTS RECEIVABLE. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CENTER 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 CENTER ANALYZES THE AVERAGE PER DIEM AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY AND CERTAIN OUT-OF-STATE MEDICAID 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 CENTER RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES 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 MEDICARE THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS ESTIMATED BY USING THE PERCENT OF OPERATING EXPENSE TO PATIENT REVENUE. PART III, LINE 9B COLLECTION PRACTICES UNDER THE ORGANIZATION'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICY, FOR PATIENTS WHO QUALIFY FOR CHARITY AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED BILL, THE ORGANIZATION MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. THE ORGANIZATION WILL NOT IMPOSE EXTRAORDINARY COLLECTION ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES, OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. PART VI, LINE 2 NEEDS ASSESSMENT THE ORGANIZATION HAS PARTNERED WITH OTHER LOCAL HOSPITALS TO ASSESS THE NEEDS OF INPATIENT PSYCHIATRIC CARE AFTER A TREND OF COMPLETE AND PARTIAL CLOSURES OF EMERGENCY PSYCHIATRIC CARE UNITS. THE ASSESSMENTS ARE BASED ON THE EXTREMELY LONG WAIT TIMES AND THE LACK OF SUITABLE ENVIRONMENTS TO SAFELY PROVIDE EMERGENCY PSYCHIATRIC CARE TO PATIENTS. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS RECEIVE AN INITIAL SOCIAL WORK ASSESSMENT. DURING THIS ASSESSMENT, THE ELIGIBILITY AND ASSISTANCE POLICY IS REVIEWED WITH THE PATIENT. PART VI, LINE 4 COMMUNITY INFORMATION THE ORGANIZATION'S PRIMARY SERVICE AREA IS THE ST. LOUIS, MO METROPOLITAN AREA CONSISTING OF THE FOLLOWING COUNTIES: ST. LOUIS CITY, ST. LOUIS, ST. CHARLES, FRANKLIN, JEFFERSON, WARREN, AND LINCOLN IN MISSOURI, AND MADISON, ST. CLAIR, MONROE, JERSEY, AND CLINTON IN ILLINOIS. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING ATTORNEY ASSIGNMENTS FOR ALL INVOLUNTARY COMMITMENT PROCEDURES IN THE ST. LOUIS REGION AND ACTIVELY PARTICIPATING IN ST. LOUIS REGIONAL HEALTH COMMISSION AND BEHAVIORAL HEALTH NETWORK OF GREATER ST. LOUIS. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM NOT APPLICABLE PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT NOT APPLICABLE PART III, LINE 2 THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 WAS THE AMOUNT OF THE EXPENSE REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, WHICH IS VALUED AT BILLED CHARGES. X X X false false false false false false false false false JOHN M EILER PRESIDENT 156454 0 0 0 0 0 0 0 19892 0 176346 0 0 0 SHANNON JENNINGS MD PHYSICIAN 171432 0 0 0 0 0 0 0 0 0 171432 0 0 0 VADIM BARAM MD PHYSICIAN 408600 0 0 0 0 0 0 0 0 0 408600 0 0 0 ZAHIRUL HAQUE MD PHYSICIAN 174693 0 0 0 0 0 0 0 17482 0 192175 0 0 0 FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS THE MEMBERS OF THE ORGANIZATION ARE BJC HEALTHCARE AND SSM HEALTH CARE ST. LOUIS. FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY EACH MEMBER OF THE ORGANIZATION HAS THE POWER TO APPOINT TWO MEMBERS OF THE BOARD OF DIRECTORS. IN ADDITION, BOTH MEMBERS MUST JOINTLY SELECT A MEMBER OF THE BOARD OF DIRECTORS WHO REPRESENTS AN EMERGENCY MEDICAL SERVICES PROVIDER IN THE GREATER ST. LOUIS METROPOLITAN AREA. FORM 990, PART VI, LINE 7B GOVERNANCE DECISIONS CERTAIN POWERS WITH RESPECT TO THE ORGANIZATION ARE RESERVED TO THE MEMBERS. ALL POWERS RESERVED TO THE MEMBERS SHALL BE EXERCISED BY THE UNANIMOUS DECISION OF THE MEMBERS. THE RESERVED POWERS ARE AS FOLLOWS: 1. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS; 2. TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE ORGANIZATION; 3. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE ORGANIZATION; 4. TO APPROVE ANY MERGER OR CONSOLIDATION TO WHICH THE ORGANIZATION IS A PARTY; 5. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; 6. TO APPROVE THE DISSOLUTION OF THE ORGANIZATION; 7. TO APPROVE THE ANNUAL BUDGET OF THE ORGANIZATION AND ANY AMENDMENT TO, MODIFICATION OF OR DEVIATION FROM THE ANNUAL BUDGET OF THE ORGANIZATION; AND 8. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE ORGANIZATION FORM 990, PART VI, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE AND EMAILED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY THE ORGANIZATION DISTRIBUTES ANNUAL CONFLICT OF INTEREST STATEMENTS THAT MUST BE SIGNED AND RETURNED BY ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS AND OFFICERS. THERE HAVE BEEN NO CONFLICTS TO DATE. FORM 990, PART VI, LINE 15A & 15B PROCESS FOR DETERMINING COMPENSATION OF THE TOP MANAGEMENT OFFICIALS THE PRESIDENT'S COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS IN CONJUNCTION WITH HUMAN RESOURCES CONSULTANTS AND MISSOURI HOSPITAL ASSOCIATION COMPENSATION DATA. THE COMPENSATION FOR THE OTHER TOP MANAGEMENT OFFICERS IS REVIEWED WITH HUMAN RESOURCES CONSULTANTS AND MISSOURI HOSPITAL ASSOCIATION COMPENSATION DATA. FORM 990, PART VI, LINE 19 AVAILABILITY OF THE ORGANIZATION'S GOVERNING DOCUMENTS THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G FEES FOR OTHER SERVICES MEDICAL SERVICES 679,132 BILLING, PAYROLL & HR 164,123 HOUSEKEEPING & LINEN 85,612 CONSULTING SERVICES 52,296 OTHER FEES 8,541 --------- TOTAL OTHER FEES FOR SERVICES 989,704