2015-08-17T13:41:24-05:00 2014-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2013-10-01 431696258 PHELPS COUNTY HOSPITAL FOUNDATION % EDWARD CLAYTON PHEL 5733648899 1000 WEST 10TH STREET Suite ROLLA MO 65401 EDWARD CLAYTON CEO 5733648899 2015-04-20 true Brian D Todd P00422601 5733648899 2013 2016-02-25 16:41:14Z EDWARD CLAYTON 1000 WEST 10TH STREET ROLLA MO 65401 1059346 false X WWW.PCRMC.COM X 1994 MO SERVES AS THE PHILANTHROPIC ORGANIZATION THAT FACILITATES CHARITABLE DONATIONS TO SUPPORT AND ASSIST PCRMC IN PROVIDING HEALTHCARE. SEE SCHEDULE O FOR MORE DETAIL. 14 10 6 38 0 0 713973 1037781 0 0 1292 839 -25337 -13297 689928 1025323 196355 99037 0 0 349595 429335 86585 33052 404006 264839 351516 897374 912940 -207446 112383 1391627 1936483 1750212 2182685 -358585 -246202 OUR MISSION IS TO SERVE AS THE PHILANTHROPIC ORGANIZATION THAT FACILITATES CHARITABLE DONATIONS TO SUPPORT AND ASSIST THE MISSIONS OF PHELPS COUNTY REGIONAL MEDICAL CENTER IN PROVIDING FOR THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. false false 436249 99037 THE ORGANIZATION FACILITATES CHARITABLE DONATIONS TO HELP SUPPORT THE MISSIONS AND ACTIVITIES OF PHELPS COUNTY REGIONAL MEDICAL CENTER. CONTRIBUTIONS ARE RECEIVED BY THE ORGANIZATION AND DISTRIBUTED TO PCRMC FOR USE IN ITS MISSION TO PROVIDE FOR THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. 436249 true true false false false false false false false false true false false true true false false false false false false false false true true false false true false true false false false false false false false false false false false false false true false false false true 12 0 true 6 true false false false false false true true false false false false false X 14 10 false false false false false false false true true false false false true true true true true false false false X EDWARD CLAYTON 5733648899 1000 WEST 10TH STREET ROLLA MO 65401 X DEBORAH SCHUETZ TREASURER END 12/13/MEMBER 1.0 0.0 X X MARK RIEFER MEMBER 1.0 0.0 X JOHN DENBO CEO/MEMBER 1.0 40.0 X X 0 278495 23529 TED DAY PRESIDENT END 12/13/TREASURER 1.0 1.0 X X PATRICIA LEADERS SECRETARY 1.0 1.0 X X LORRIE HARTLEY DIRECTOR 1.0 40.0 X 0 124143 20280 KATHY NICKASON MEMBER 1.0 1.0 X MARY GRAHAM MD MEMBER 1.0 40.0 X 52796 0 OLLIE JACKSON MEMBER 1.0 1.0 X CINDY BEGER MEMBER END 12/13/VP 1.0 1.0 X X DWIGHT LOOK MEMBER 1.0 40.0 X 50852 0 VIRGINIA LOMAX MEMBER 1.0 1.0 X CANDACE CONNELL VP END 12/13/PRESIDENT 1.0 1.0 X X SAMMY AUXIER MEMBER, BEG 12/13 1.0 1.0 X 0 506286 43809 0 false true false 0 106484 30000 901297 1037781 0 839 839 0 0 0 0 0 0 20726 106484 34023 -13297 -13297 0 0 0 1025323 -12458 99037 99037 0 0 0 0 0 312781 149462 24903 138416 14286 6827 1137 6322 81614 38999 6498 36117 20654 9870 1644 9140 0 825 825 1000 1000 0 33052 33052 0 89420 27000 7559 54861 0 188206 75933 24410 87863 30797 30797 0 0 2213 2213 0 17924 14553 3371 0 0 13693 6544 1090 6059 0 MISCELLANEOUS 3875 2248 248 1379 LICENSES, DUES, SUBSCRIPTIONS 3563 3563 912940 436249 72685 404006 0 0 1227996 1707937 0 0 0 0 0 0 0 0 0 0 0 0 9654 45472 70962 41335 25819 29627 0 0 0 0 0 0 0 0 128158 153447 1391627 1936483 6213 7080 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1743999 2175605 1750212 2182685 X -358585 -246202 0 0 0 0 -358585 -246202 1391627 1936483 112383 X false false false X X X false false false PCRMC 436004435 03 true true true 98656 1 98656 SCHEDULE A, PART I, LINE 11H, COLUMN I NAME OF SUPPORTED ORGANIZATION: THE FULL NAME OF THE SUPPORTED ORGANIZATION IS PHELPS COUNTY REGIONAL MEDICAL CENTER. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 17500 17500 53462 41335 12127 29627 DUE FROM HOME HEALTH 142612 DUE FROM PMGI 9973 DUE FROM BOND CLINIC 862 153447 0 DUE TO PCRMC 2175605 2175605 true COPLEY RAFF INC CAMPAIGN false 436135 33052 403083 436135 33052 403083 MO GOLF TOURNAMENT 100199 84097 16102 9123 9668 6519 1564 HEART TO HEART 27011 22387 4624 4624 2525 0 127210 106484 20726 9123 9668 11143 4089 34023 -13297 true PHELPS COUNTY REGIONAL MEDICAL CENTER 1000 W 10TH STREET ROLLA MO 65401 436004435 PHELPS CO RMC 98656 SUPPORT PROGRAMS 1 SCHEDULE I, PART I, LINE 2 MONITORING OF GRANT FUNDS: GRANTS ARE PROVIDED TO A RELATED ORGANIZATION AS PART OF THE FOUNDATION'S MISSION. GRANT SPENDING IS MONITORED MONTHLY BY PCRMC ACCOUNTING DEPARTMENT AND FINANCIAL INFORMATION IS FORWARDED TO DIRECTOR OF FOUNDATION TO DETERMINE IF ADDITIONAL GRANT FUNDS ARE NEEDED. false false false false false false false false false JOHN DENBO CEO/MEMBER 0 278495 0 0 0 0 0 16868 0 6661 0 302024 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION DETERMINATION: PHELPS COUNTY REGIONAL MEDICAL CENTER, A RELATED ORGANIZATION, USES A WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE IN DETERMINING THE COMPENSATION OF THE CEO. FORM 990, PART I, LINE 1 ORGANIZATION'S SIGNIFICANT ACTIVITIES: THE JOY OF CARING CANCER FUND OFFERS FINANCIAL ASSISTANCE FOR CANCER PATIENTS WHO MAY HAVE DIFFICULTY MANAGING THEIR DAILY ACTIVITIES AND CAPITAL NEEDS RELATED TO CANCER SERVICES. APPROXIMATELY 240 PEOPLE RECEIVED BENEFITS FROM THIS FUND THIS YEAR. COMPREHENSIVE BREAST CENTER PROVIDES WOMEN WITH A CHANCE AGAINST BREAST CANCER, THROUGH MANY COMMUNITY LEADERS' COMMITMENT. A KEY ELEMENT OF THE CENTER IS MAMMOGRAMS. SEVENTEEN PEOPLE WERE SERVED THIS YEAR. THE GUARDIAN ANGEL FUND PROVIDES A PHILANTHROPIC OPPORTUNITY FOR GRATEFUL PATIENTS TO RECOGNIZE A SPECIAL CAREGIVER WHO THEY BELIEVE MADE A DIFFERENCE IN THEIR STAY OR VISIT. THROUGH THIS PROGRAM, OVER 80 EMPLOYEES HAVE BEEN RECOGNIZED BY APPROXIMATELY 200 PATIENTS. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON INTERNAL FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM IS REVIEWED BY THE CFO AND CONTROLLER OF THE ORGANIZATION BEFORE BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: ALL EMPLOYEES, DIRECTORS, OFFICERS AND TRUSTEES ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. EACH INDIVIDUAL IS REQUIRED TO SUBMIT ANY POTENTIAL CONFLICTS FOR REVIEW BY THE BOARD AND, IF NECESSARY, GENERAL COUNSEL SO THAT A DETERMINATION OF CONFLICT CAN BE ISSUED. IF A CONFLICT DOES EXIST, THE AFFECTED INDIVIDUAL IS NOT ALLOWED TO VOTE WITH REGARDS TO TRANSACTIONS THAT INVOLVE THE ORGANIZATION AND POTENTIALLY THE CONFLICTED PARTY AND WILL BE EXCUSED FROM THE BOARD SESSION DURING THE VOTING PERIOD. IN ADDITION, THE BOARD MAINTAINS THE RIGHT TO APPOINT AN INDEPENDENT THIRD PARTY TO RESEARCH THE POTENTIAL TRANSACTION AND ANY POSSIBLE ALTERNATIVES. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION REVIEW: THE TOP MANAGEMENT OFFICIAL OF THE ORGANIZATION IS COMPENSATED BY PHELPS COUNTY REGIONAL MEDICAL CENTER, A RELATED ORGANIZATION. HUMAN RESOURCES CONDUCTS AN ORGANIZATION-WIDE COMPENSATION REVIEW BASED ON MARKET DATA COLLECTED FROM COMPETITIVE MARKETS. RECOMMENDED ADJUSTMENTS ARE BASED ON THE DATA COLLECTED AND THE FINANCIAL POSITION OF THE ORGANIZATION. PAY RAISES ARE APPROVED BY THE BOARD OF DIRECTORS, AND DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: DWIGHT LOOK AND MARY GRAHAM, BOARD MEMBERS, RECEIVE 1099 COMPENSATION FROM PHELPS COUNTY REGIONAL MEDICAL CENTER FOR SERVICES PERFORMED. JOHN DENBO, CEO, AND LORRIE HARTLEY, DIRECTOR, RECEIVE W-2 COMPENSATION FROM PHELPS COUNTY REGIONAL MEDICAL CENTER FOR THEIR SERVICES AS EMPLOYEES. NO BOARD MEMBERS ARE COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. PHELPS COUNTY REGIONAL MEDICAL CENTER 1000 W 10TH STREET ROLLA MO 65401 436004435 HEALTH CARE MO 501(C)(3) 3 NA false false true true false true false false false false false false true false true true true true false false