FURP.ORG / PUBLIC DATA EXPLORER

RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN (EIN 43-0666765)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-06
IRS object ID
201541269349300024
Schema version
2013v4.0
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)
Return2015-05-06T09:29:19-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN431001367PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BROWN SMITH WALLACE LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16 CITYPLACE DRIVE SUITE 900AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430666765EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE RANKEN-JORDAN HOME FOR CONVALESCENTBusinessNameLine1
Business Name Line2CRIPPLED CHILDRENBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlRANKBusinessNameControlTxt
Phone3148726400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111365 DORSETT ROADAddressLine1
CityMARYLAND HEIGHTSCity
StateMOState
ZIP Code63043ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLAUREEN K TANNERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3148726400PhoneNum
Signature2015-04-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNIFER M VACHAPreparerPersonNm
PTINP01251998PTIN
Phone3149831200PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLAUREEN K TANNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line111365 DORSETT ROADAddressLine1
CityMARYLAND HEIGHTSCity
StateMOState
ZIP Code63043ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$39,545,592GrossReceiptsAmt
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 Independent28VotingMembersIndependentCnt
Total Employee386TotalEmployeeCnt
Total Volunteers193TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,564,750PYContributionsGrantsAmt
CY Contributions Grants$3,643,384CYContributionsGrantsAmt
PY Program Service Revenue$26,892,043PYProgramServiceRevenueAmt
CY Program Service Revenue$24,319,795CYProgramServiceRevenueAmt
PY Investment Income$694,369PYInvestmentIncomeAmt
CY Investment Income$1,306,893CYInvestmentIncomeAmt
PY Other Revenue-$33,738PYOtherRevenueAmt
CY Other Revenue-$96,808CYOtherRevenueAmt
PY Total Revenue$34,117,424PYTotalRevenueAmt
CY Total Revenue$29,173,264CYTotalRevenueAmt
PY Grants And Similar Paid$65,845PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$57,137CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,012,432PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$17,992,524CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$41,000PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$660,161CYTotalFundraisingExpenseAmt
PY Other Expenses$10,281,249PYOtherExpensesAmt
CY Other Expenses$10,280,069CYOtherExpensesAmt
PY Total Expenses$28,400,526PYTotalExpensesAmt
CY Total Expenses$28,329,730CYTotalExpensesAmt
PY Revenues Less Expenses$5,716,898PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$843,534CYRevenuesLessExpensesAmt
Total Assets BOY$64,613,383TotalAssetsBOYAmt
Total Assets EOY$64,546,564TotalAssetsEOYAmt
Total Liabilities BOY$24,253,080TotalLiabilitiesBOYAmt
Total Liabilities EOY$22,685,440TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$40,360,303NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$41,861,124NetAssetsOrFundBalancesEOYAmt
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$20,911,518ExpenseAmt
Grant$57,137GrantAmt
Revenue$22,170,908RevenueAmt
DescDURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 10,262 DAYS OF MEDICAL CARE FOR INPATIENTS. OF THOSE DAYS, 83% 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$966,619ExpenseAmt
Revenue$2,153,101RevenueAmt
DescDURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 32,917 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$223,786ExpenseAmt
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 3,925 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$22,101,923TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee386EmployeeCnt
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 Member28IndependentVotingMemberCnt
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 ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Phone3148726400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111365 DORSETT ROADAddressLine1
CityMARYLAND HEIGHTSCity
StateMOState
ZIP Code63043ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEVE CORTOPASSI
CHARIMAN OF THE BOARD10.00Yes (X)Yes (X)$0$0$0
GEORGE R EDINGER SR
VICE CHARIMAN OF THE BOARD3.00Yes (X)Yes (X)$0$0$0
THOMAS J MINOGUE
SECRETARY OF THE BOARD5.00Yes (X)Yes (X)$0$0$0
SONDRA M DENK
TREASURER OF THE BOARD10.00Yes (X)Yes (X)$0$0$0
LAUREEN K TANNER
PRESIDENT/CEO50.00Yes (X)Yes (X)$356,171$0$42,321
NICHOLAS A HOLEKAMP MD
CHIEF MEDICAL OFFICER50.00Yes (X)Yes (X)$353,521$0$42,186
BEVERLY BATES
BOARD MEMBER3.00Yes (X)$0$0$0
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
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
NITA FOWLER JOHNSON DDS
BOARD MEMBER3.00Yes (X)$0$0$0
NOREEN LAFFEY
BOARD MEMBER3.00Yes (X)$0$0$0
KEN MARX
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
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
MICHAEL TUCKEY
BOARD MEMBER3.00Yes (X)$0$0$0
RICHARD A VANDEGRIFT
BOARD MEMBER3.00Yes (X)$0$0$0
BILL WILLHITE
BOARD MEMBER3.00Yes (X)$0$0$0
NICK WILLIAMSON
BOARD MEMBER3.00Yes (X)$0$0$0
JEAN BARDWELL
VICE PRESIDENT & CFO50.00Yes (X)$218,578$0$11,483
R BRETT MOOREHOUSE
VICE PRESIDENT & COO50.00Yes (X)$203,357$0$6,935
MATTHEW WHITE
VICE PRESIDENT & CDO50.00Yes (X)$1,231$0$0
JEANNIE A BATSON
PHARMACY DIRECTOR40.00$139,266$0$9,906Yes (X)
SUSAN CONGER MD
MEDICAL STAFF ADMINISTRATOR40.00$223,617$0$13,087Yes (X)
EUGENE EVRA MD
PHYSICIAN40.00$201,971$0$11,273Yes (X)
SUZANNE N L'ECUYER MD
PHYSICIAN40.00$198,778$0$10,809Yes (X)
AMY ZIMMERMANN MD
PHYSICIAN40.00$202,374$0$10,742Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,098,864TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$158,742TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K19IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
BKD LLP
211 N BROADWAY SUITE 600ST LOUISMO63102ACCOUNTING SERVICES$128,214
THOMPSON COBURN
PO BOX 18379MST LOUISMO63195LEGAL SERVICES$126,329
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Fundraising$641,162FundraisingAmt
Government Grants$43,225GovernmentGrantsAmt
All Other Contributions$2,958,997AllOtherContributionsAmt
Total Contributions$3,643,384TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT CARE621110$22,167,073$22,167,073
OUTPATIENT CARE621110$2,152,722$2,152,722
FieldValueIRS element (for citing)
Total Program Service Revenue$24,319,795TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$408,960TotalRevenueColumnAmt
Exclusion$408,960ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,041,123SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,143,190SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$897,933SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$897,933TotalRevenueColumnAmt
Exclusion$897,933ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$105,915FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$641,162ContriRptFundraisingEventAmt
Fundraising Direct Expenses$229,138FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$123,223TotalRevenueColumnAmt
Exclusion-$123,223ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS REVENUE900099$22,201$22,201
MEDICAL RECORDS561000$4,214$4,214
FieldValueIRS element (for citing)
Other Revenue Total$26,415OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,173,264TotalRevenueColumnAmt
Related Or Exempt Func Income$24,324,009RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,205,871ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$57,137TotalAmt
Program Services$57,137ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,526,872TotalAmt
Management And General$1,103,385ManagementAndGeneralAmt
Fundraising$423,487FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,281,219TotalAmt
Program Services$10,971,225ProgramServicesAmt
Management And General$2,264,727ManagementAndGeneralAmt
Fundraising$45,267FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$175,672TotalAmt
Program Services$145,117ProgramServicesAmt
Management And General$29,956ManagementAndGeneralAmt
Fundraising$599FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,954,793TotalAmt
Program Services$1,512,129ProgramServicesAmt
Management And General$395,020ManagementAndGeneralAmt
Fundraising$47,644FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,053,968TotalAmt
Program Services$806,512ProgramServicesAmt
Management And General$207,998ManagementAndGeneralAmt
Fundraising$39,458FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$118,022TotalAmt
Management And General$118,022ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$85,150TotalAmt
Management And General$85,150ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$675,945TotalAmt
Program Services$655,337ProgramServicesAmt
Management And General$15,456ManagementAndGeneralAmt
Fundraising$5,152FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$203,666TotalAmt
Program Services$195,519ProgramServicesAmt
Management And General$6,110ManagementAndGeneralAmt
Fundraising$2,037FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,009,759TotalAmt
Program Services$1,774,253ProgramServicesAmt
Management And General$229,796ManagementAndGeneralAmt
Fundraising$5,710FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$694,305TotalAmt
Program Services$666,533ProgramServicesAmt
Management And General$20,829ManagementAndGeneralAmt
Fundraising$6,943FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$479,576TotalAmt
Program Services$460,073ProgramServicesAmt
Management And General$14,627ManagementAndGeneralAmt
Fundraising$4,876FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$39,058TotalAmt
Program Services$37,967ProgramServicesAmt
Management And General$818ManagementAndGeneralAmt
Fundraising$273FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$108,278TotalAmt
Program Services$103,947ProgramServicesAmt
Management And General$3,248ManagementAndGeneralAmt
Fundraising$1,083FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$916,918TotalAmt
Management And General$916,918ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,548,814TotalAmt
Program Services$1,474,835ProgramServicesAmt
Management And General$55,484ManagementAndGeneralAmt
Fundraising$18,495FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$507,105TotalAmt
Program Services$466,537ProgramServicesAmt
Management And General$25,355ManagementAndGeneralAmt
Fundraising$15,213FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
FRA ASSESSMENT$1,425,623$1,311,573$71,281$42,769
LABORATORY FEES AND PHA$1,134,639$1,134,639
BAD DEBT EXPENSE$217,676$217,676
DUES AND SUBSCRIPTIONS$115,535$110,914$3,466$1,155

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,329,730TotalAmt
Program Services$22,101,923ProgramServicesAmt
Management And General$5,567,646ManagementAndGeneralAmt
Fundraising$660,161FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$25,785BOYAmt
EOY$25,535EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$297,765BOYAmt
EOY$206,554EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,803,660BOYAmt
EOY$3,315,205EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,256,356BOYAmt
EOY$3,381,151EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,505,425BOYAmt
EOY$1,667,588EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$35,967,552LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,260,093LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,566,087BOYAmt
EOY$26,707,459EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$25,843,422BOYAmt
EOY$28,941,509EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$314,883BOYAmt
EOY$301,563EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$64,613,383BOYAmt
EOY$64,546,564EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,295,975BOYAmt
EOY$2,703,897EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$201,419BOYAmt
EOY$161,060EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,857,981BOYAmt
EOY$18,401,905EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,897,705BOYAmt
EOY$1,418,578EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,253,080BOYAmt
EOY$22,685,440EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,995,059BOYAmt
EOY$34,052,858EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,365,244BOYAmt
EOY$7,808,266EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$40,360,303BOYAmt
EOY$41,861,124EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$64,613,383BOYAmt
EOY$64,546,564EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$843,534ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$657,287NetUnrlzdGainsLossesInvstAmt
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

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$72,000OtherActivitiesAmt
Total Lobbying Expenditures$72,000TotalLobbyingExpendituresAmt
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.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,966,179BeginningYearBalanceAmt
Contributions$10,778,953ContributionsAmt
Investment Earnings Or Losses$1,195,390InvestmentEarningsOrLossesAmt
Other Expenditures$12,180,423OtherExpendituresAmt
Administrative Expenses$63,930AdministrativeExpensesAmt
End Year Balance$21,696,169EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,868,160BeginningYearBalanceAmt
Contributions$6,724,788ContributionsAmt
Investment Earnings Or Losses$616,258InvestmentEarningsOrLossesAmt
Other Expenditures$6,219,110OtherExpendituresAmt
Administrative Expenses$23,917AdministrativeExpensesAmt
End Year Balance$21,966,179EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,507,511BeginningYearBalanceAmt
Contributions$5,378,092ContributionsAmt
Investment Earnings Or Losses-$179,792InvestmentEarningsOrLossesAmt
Other Expenditures$2,699,858OtherExpendituresAmt
Administrative Expenses$137,793AdministrativeExpensesAmt
End Year Balance$20,868,160EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,070,629BeginningYearBalanceAmt
Contributions$3,690,757ContributionsAmt
Investment Earnings Or Losses$1,354,101InvestmentEarningsOrLossesAmt
Other Expenditures$2,550,504OtherExpendituresAmt
Administrative Expenses$57,472AdministrativeExpensesAmt
End Year Balance$18,507,511EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,096,841BeginningYearBalanceAmt
Contributions$3,500,494ContributionsAmt
Investment Earnings Or Losses$372,077InvestmentEarningsOrLossesAmt
Other Expenditures$1,854,247OtherExpendituresAmt
Administrative Expenses$44,536AdministrativeExpensesAmt
End Year Balance$16,070,629EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.70250BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.29750TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

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$20,817,406OtherCostOrOtherBasisAmt
Depreciation$4,946,297DepreciationAmt
Book Value$15,871,109BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,205,034OtherCostOrOtherBasisAmt
Depreciation$2,851,422DepreciationAmt
Book Value$1,353,612BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,585,935OtherCostOrOtherBasisAmt
Depreciation$1,462,374DepreciationAmt
Book Value$7,123,561BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$26,707,459TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OTHER LIABILITIES$310,860
CERNER LONG-TERM LIABILITY$1,107,718
FieldValueIRS element (for citing)
Total Liability$1,418,578TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$29,838,551TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$657,287NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$8,000DonatedServicesAndUseFcltsAmt
Revenue Not Reported$665,287RevenueNotReportedAmt
Revenue Subtotal$29,173,264RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$29,173,264TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$28,337,730TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$8,000DonatedServicesUseFcltsAmt
Expenses Not Reported$8,000ExpensesNotReportedAmt
Expenses Subtotal$28,329,730ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$28,329,730TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE FUNDS ARE TO BE USED FOR DEBT SERVICE RESERVE, FUTURE CAPITAL IMPROVEMENTS, AND PURCHASE OF EQUIPMENT OR USE IN ORGANIZATION'S OPERATIONS.
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.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1DINNER AUCTIONNameOfEvent1Amt
Gross Receipts Event1$314,408GrossReceiptsEvent1Amt
Charitable Contri Event1$261,728CharitableContriEvent1Amt
Gross Revenue Event1$52,680GrossRevenueEvent1Amt
Food And Beverage Event1$74,227FoodAndBeverageEvent1Amt
Entertainment Event1$2,750EntertainmentEvent1Amt
Other Direct Expenses Event1$50,145OtherDirectExpensesEvent1Amt
Name Of Event2GOLF TOURNAMENTNameOfEvent2Amt
Gross Receipts Event2$169,207GrossReceiptsEvent2Amt
Charitable Contri Event2$124,516CharitableContriEvent2Amt
Gross Revenue Event2$44,691GrossRevenueEvent2Amt
Rent Facility Costs Event2$27,870RentFacilityCostsEvent2Amt
Food And Beverage Event2$25,841FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$13,998OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$263,462GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$254,918CharitableContriOtherEventsAmt
Gross Revenue Other Events$8,544GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$15,544RentFcltyCostsOtherEventsAmt
Oth Direct Expnss Other Events$18,763OthDirectExpnssOtherEventsAmt
Gross Receipts Total$747,077GrossReceiptsTotalAmt
Charitable Contributions Tot$641,162CharitableContributionsTotAmt
Gross Revenue Total Events$105,915GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$43,414RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$100,068FoodAndBeverageTotalEventsAmt
Entertainment Total Events$2,750EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$82,906OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$229,138DirectExpenseSummaryEventsAmt
Net Income Summary-$123,223NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free Care0FPGReferenceFreeCareInd
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
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$330,861TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$330,861NetCommunityBenefitExpnsAmt
Total Expense0.01170TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,409,747TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,194,382DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,215,365NetCommunityBenefitExpnsAmt
Total Expense0.04290TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,738,430TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,977,990DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,760,440NetCommunityBenefitExpnsAmt
Total Expense0.06210TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served3PersonsServedCnt
Total Community Benefit Expns$31,479,038TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,172,372DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,306,666NetCommunityBenefitExpnsAmt
Total Expense0.11670TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs157ActivitiesOrProgramsCnt
Persons Served1887PersonsServedCnt
Total Community Benefit Expns$41,292TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$41,292NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served800PersonsServedCnt
Total Community Benefit Expns$68,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$68,500NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served1471PersonsServedCnt
Total Community Benefit Expns$7,592TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,592NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs170ActivitiesOrProgramsCnt
Persons Served4158PersonsServedCnt
Total Community Benefit Expns$117,384TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$117,384NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs170ActivitiesOrProgramsCnt
Persons Served4161PersonsServedCnt
Total Community Benefit Expns$31,596,422TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,172,372DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,424,050NetCommunityBenefitExpnsAmt
Total Expense0.12090TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served648PersonsServedCnt
Total Community Benefit Expns$92,608TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$92,608NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served756PersonsServedCnt
Total Community Benefit Expns$17,934TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,934NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served1404PersonsServedCnt
Total Community Benefit Expns$110,542TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$110,542NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$217,676BadDebtExpenseAmt
Bad Debt Expense Attributable$217,676BadDebtExpenseAttributableAmt
Reimbursed By Medicare$250,982ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$421,153CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$170,171MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection Policy0WrittenDebtCollectionPolicyInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RANKEN JORDAN HOME FOR CONVALESCENT CRIPBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line111365 DORSETT ROADAddressLine1
CityMARYLAND HEIGHTSCity
StateMOState
ZIP Code63043ZIPCode
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 CRIPBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
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 Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.RANKENJORDAN.ORGOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (1)AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free Care0FPGUsedDeterEligFreeCareInd
FPG Used Determ Elig Dscnt Care0FPGUsedDetermEligDscntCareInd
Explained BasisYes (1)ExplainedBasisInd
Other FactorsYes (X)OtherFactorsInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
RANKEN JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDPART V, SECTION B, LINE 3: 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 10: IF A PATIENT DOES NOT HAVE COMMERCIAL INSURANCE AND DOES NOT QUALIFY FOR MEDICAID, THEY WOULD BE ELIGIBLE FOR CHARITY CARE.
RANKEN JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDPART V, SECTION B, LINE 11: IF A PATIENT DOES NOT HAVE COMMERCIAL INSURANCE AND DOES NOT QUALIFY FOR MEDICAID, THEY WOULD BE ELIGIBLE FOR CHARITY CARE.
RANKEN JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDPART V, SECTION B, LINE 12I: RANKEN JORDAN HAS NO INPATIENTS THAT LEAVE WITH A BALANCE, SO THERE IS NO PATIENT CHARGE FOR OUTPATIENTS. RANKEN JORDAN CHARGES PATIENTS ONLY WHAT THEIR INSURANCE COMPANY WOULD HAVE PAID IF THEY HAD BENEFITS.
RANKEN JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDPART V, SECTION B, LINE 18E: 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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. 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
Recipient86RecipientCnt
Cash Grant$57,137CashGrantAmt

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 (8 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$321,171$0$35,000$0$0$0$37,982$0$4,339$0$398,492$0$0$0
NICHOLAS A HOLEKAMP MD
CHIEF MEDICAL OFFICER$318,521$0$35,000$0$0$0$39,474$0$2,712$0$395,707$0$0$0
JEAN BARDWELL
VICE PRESIDENT & CFO$191,078$0$27,500$0$0$0$6,690$0$4,793$0$230,061$0$0$0
R BRETT MOOREHOUSE
VICE PRESIDENT & COO$175,857$0$27,500$0$0$0$6,115$0$820$0$210,292$0$0$0
SUSAN CONGER MD
MEDICAL STAFF ADMINISTRATOR$223,617$0$0$0$0$0$6,895$0$6,192$0$236,704$0$0$0
EUGENE EVRA MD
PHYSICIAN$201,971$0$0$0$0$0$6,211$0$5,062$0$213,244$0$0$0
SUZANNE N L'ECUYER MD
PHYSICIAN$198,778$0$0$0$0$0$6,017$0$4,792$0$209,587$0$0$0
AMY ZIMMERMANN MD
PHYSICIAN$202,374$0$0$0$0$0$6,207$0$4,535$0$213,116$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 (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
IDA OF THE COUNTY OF ST LOUIS MISSOURI
A43117014579130GFG12003-07-31$19,294,554ORIGINAL ISSUE FOR BUILDING CONSTRUCTIONYes (1)Yes (1)0
IDA OF THE COUNTY OF ST LOUIS MISSOURI
B43117014579130GGZ82007-04-12$21,082,299REFUNDING ORG ISSUE SERIES 2003A-C0Yes (1)0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$19,294,554$19,294,554$15,781,813$863,845$17,491,494$1,417,169200700Yes (1)Yes (1)
B$21,082,299$399,583$20,760,31020070Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: IDA OF THE COUNTY OF ST. LOUIS, MISSOURI DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012 ISSUER NAME: IDA OF THE COUNTY OF ST. LOUIS, MISSOURI DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012ExplanationTxt

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 G. EDINGERRelationshipDescriptionTxt
Transaction$100,538TransactionAmt
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 THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT AND THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.