MERCY HOSPITAL JEFFERSON: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL JEFFERSON (EIN 43-0687077)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-12
IRS object ID: 201342249349301969
Schema version: 2011v1.5
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-12T13:30:01-05:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	211 N BROADWAY SUITE 600	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	631022733	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	430687077	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON MEMORIAL HOSPITAL ASSOCIATION	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% DAN ECKENFELS	InCareOfName
Name Control	JEFF	NameControl
Phone	6369331136	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 350	AddressLine1
City	CRYSTAL CITY	City
State	MO	State
ZIP Code	63019	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAN ECKENFELS	Name
Title	CFO	Title
Phone	6369331136	Phone
Date Signed	2013-08-09	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Donna J Larson	Name
Phone	3142315544	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ERIC AMMONS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 350	AddressLine1
City	CRYSTAL CITY	City
State	MO	State
ZIP Code	63019	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	143934062	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MERCY.NET/CRYSTALCITYMO	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1953	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	A COMMUNITY BASED INTEGRATED HEALTHCARE SYSTEM CONSISTING OF A 251-BED LICENSED FACILITY WHICH PROVIDES A FULL RANGE OF DIAGNOSTIC, PREVENTA- TIVE AND HEALTHCARE SERVICES ALONG WITH 24 HOUR EMERGENCY ROOM CARE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	1599	TotalNbrEmployees
Total Nbr Volunteers	150	TotalNbrVolunteers
Total Gross UBI	24082	TotalGrossUBI
Net Unrelated Business Txbl Income	-134731	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	578787	ContributionsGrantsPriorYear
Contributions Grants Current Year	921436	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	130893395	ProgramServiceRevenuePriorYear
Program Service Revenue CY	136248754	ProgramServiceRevenueCY
Investment Income Prior Year	1469559	InvestmentIncomePriorYear
Investment Income Current Year	1163275	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2449029	OtherRevenuePriorYear
Other Revenue Current Year	4321523	OtherRevenueCurrentYear
Total Revenue Prior Year	135390770	TotalRevenuePriorYear
Total Revenue Current Year	142654988	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	181815	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	218725	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	66932861	SalariesEtcPriorYear
Salaries Etc Current Year	66768876	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	172061	TotalFundrsngExpCurrentYear
Other Expense Prior Year	66190595	OtherExpensePriorYear
Other Expenses Current Year	72584519	OtherExpensesCurrentYear
Total Expenses Prior Year	133305271	TotalExpensesPriorYear
Total Expenses Current Year	139572120	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2085499	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	3082868	RevenuesLessExpensesCY
Total Assets BOY	138256518	TotalAssetsBOY
Total Assets EOY	139049656	TotalAssetsEOY
Total Liabilities BOY	64150346	TotalLiabilitiesBOY
Total Liabilities EOY	62515421	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	74106172	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	76534235	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	NONE	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	103807487	Expense
Grants	218725	Grants
Revenue	128180578	Revenue
Description	JEFFERSON REGIONAL MEDICAL CENTER CONSISTS OF A 251-BED LICENSED FACILITY WHICH PROVIDES A WIDE RANGE OF SERVICES. IN FISCAL YEAR 2012, THE FOLLOWING SERVICES WERE PROVIDED - 11,059 ADMISSIONS, 40,494 PATIENT DAYS, 508 DELIVERIES, 32,379 EMERGENCY ROOM VISITS, 2,380 INPATIENT SURGERIES INCLUDING 90 OPEN HEARTS, 4,040 MINOR AND AMBULATORY SURGERY PROCEDURES AND 51,666 REFERRED OUTPATIENT PROCEDURES. IT IS THE POLICY OF JEFFERSON REGIONAL MEDICAL CENTER TO PROVIDE UNCOMPENSATED CARE TO PATIENTS IN NEED OF FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE HOSPITAL'S ESTABLISHED GUIDELINES AND WITHOUT REGARD TO RACE, RELIGION, SEX, AGE OR NATIONAL ORIGIN. CHARITY AND UNCOMPENSATED CARE FOR THE YEAR TOTALED $17,154,129. JEFFERSON REGIONAL MEDICAL CENTER IS COMMITTED TO PROVIDING EDUCATIONAL PROGRAMS TO THE COMMUNITY. FREE SEMINARS AND PRESENTATIONS ARE PROVIDED ON A WIDE VARIETY OF HEALTH ISSUES WHICH IMPACT PATIENTS AND THEIR FAMILIES. FREE SERVICES ARE ALSO OFFERED TO THE COMMUNITY SUCH AS LIPID, CHOLESTEROL, BONE DENSITY AND GLUCOSE SCREENINGS AS WELL AS HEARING AND MEMORY SCREENINGS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	5564924	Expense
Revenue	6530273	Revenue
Description	JEFFERSON REGIONAL MEDICAL CENTER IS FURTHER COMPLIMENTED BY THE SUPPORTIVE CARE SERVICE DEPARTMENTS WHICH PROVIDE HOME CARE SERVICES. THE HOME HEALTH AGENCY PROVIDED 18,952 VISITS AND THE HOSPICE AGENCY PROVIDED 17,606 DAYS OF SERVICE FOR THE FISCAL YEAR.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	4792821	Expense
Revenue	4329264	Revenue
Description	JEFFERSON PHYSICIAN NETWORK WAS ADDED TO THE HEALTHCARE SYSTEM IN FISCAL YEAR 2009. THE NETWORK EMPLOYS PHYSICIANS TO FURTHER OUR SERVICES THROUGHOUT THE HOSPITAL AND COMMUNITY. AT THE END OF THE FISCAL YEAR, THERE WERE 11 PHYSICIANS WHO MADE UP THE NETWORK, WHICH INCLUDED PHYSICIANS IN FAMILY PRACTICE, ENDOCRINOLOGY, RHEUMATOLOGY, HOSPITALISTS AND WOUND CARE. THE PHYSICIAN NETWORK IS TO EXPAND WITH THE RECRUITING OF MORE PHYSICIANS IN THE FUTURE.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	114165232	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	true	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	134	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1599	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DAN ECKENFELS	NamePerson
Telephone Number	6369331107	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 350	AddressLine1
City	CRYSTAL CITY	City
State	MO	State
ZIP Code	63019	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
JAMES MUEHLHAUSER
PRESIDENT & CEO	40.0	X	X	359983	0	26901
BILL MCKENNA
BOARD PRESIDENT	0.5	X		0	0	0
TONDA BREEZE
BOARD VICE PRESIDENT	0.5	X		0	0	0
DENNIS GANNON
BOARD SECRETARY	0.5	X		0	0	0
RON RAVENSCRAFT
BOARD TREASURER	0.5	X		0	0	0
LINDELL CARTER
BOARD MEMBER	0.5	X		0	0	0
MARTHA REED MD
BOARD MEMBER	0.5	X		33586	0	0
JEFF DRAVES MD
BOARD MEMBER	0.5	X		0	0	0
DAVID STANSFIELD
BOARD MEMBER	0.5	X		9600	0	0
TIMOTHY PATTERSON
BOARD MEMBER	0.5	X		0	0	0
JACK KING
BOARD MEMBER	0.5	X		0	0	0
BENJAMIN ALBANO MD
BOARD MEMBER	0.5	X		0	0	0
ROY BURNSIDE
BOARD MEMBER	0.5	X		0	0	0
STOKE WISCHMEIER
BOARD MEMBER	0.5	X		0	0	0
ASHUTOSH PATEL MD
BOARD MEMBER	0.5	X		48763	0	0
DAN ECKENFELS
CFO	40.0		X	73630	0	9275
BEVERLY JOHNSON
VP PATIENT CARE SVCS	40.0		X	206771	0	17504
BLAKE TEMPLE
VP OF BUSINESS DEVELOPMENT	40.0		X	228191	0	34640
MICHELE MEYER
VP OF OPERATIONS	40.0		X	123696	0	168
TIMOTHY PIGG
VP FACILITIES/SUPPORT SVCS	39.5		X	123991	0	28692
JEFFREY BUCK
INTERIM COO	40.0		X	123184	0	0
CLARENCE TEMPLE
PHYSICIAN	40.0			551227	0	12644	X
WILLIAM KENNEN
PHYSICIAN	40.0			588800	0	15533	X
BENJAMIN ALBANO JR
PHYSICIAN	40.0			323197	0	21026	X
DONN RICHARDS
PHYSICIAN	21.0			260393	0	9355	X
BHUPESH KHADKA
PHYSICIAN	40.0			247123	0	25824	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3302135	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	201562	TotalOtherCompensation
Number Individuals GT100 K	22	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ACUITY ANESTHESIOLOGY LLC
1734 CLARKSON RD SUITE 147	CHESTERFIELD	MO	63017	ANESTHESIOLOGISTS	3600789
REHABCARE GROUP INC
PO BOX 502096	ST LOUIS	MO	63150	THERAPISTS	1713233
SODEXO INC AFFILIATES
4880 PAYSPHERE CIRCLE	CHICAGO	IL	60674	DIETARY SERVICES	1546883
PHILIPS MEDICAL SYSTEM NA CO
PO BOX 100355	ATLANTA	GA	30384	SERVICE CONTRACTS	1469103
EXECUTIVE HEALTH RESOURCES
PO BOX 822688	PHILADELPHIA	PA	19182	COMPLIANCE SERVICES	573644

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	35	NumberOfContractorsGT100K
Fundraising Events	61437	FundraisingEvents
Government Grants	97750	GovernmentGrants
All Other Contributions	762249	AllOtherContributions
Total Contributions	921436	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
NET PATIENT SERVICE REVENUE	621110	131206504	131206504
NET PATIENT SERVICE REVENUE FOR PHYSICIAN NETWORK	621110	5016555	5016555
LAB SERVICES	621500	25695		21291	$4,404

Field	Value	IRS element (for citing)
Total Program Service Revenue	136248754	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1160069	TotalRevenueColumn
Exclusion	$1,160,069	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	968961	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	906584	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	62377	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	62377	TotalRevenueColumn
Exclusion	$62,377	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	3206	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	3206	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3206	TotalRevenueColumn
Exclusion	$3,206	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	19360	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	61437	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	19360	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	5631	GrossIncomeGaming
Gaming Direct Expenses	3270	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	2361	TotalRevenueColumn
Exclusion	$2,361	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	466851	GrossSalesOfInventory
Cost Of Goods Sold	349860	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	116991	TotalRevenueColumn
Unrelated Business Revenue	2791	UnrelatedBusinessRevenue
Exclusion	$114,200	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
EHR MEANINGFUL USE - ELECTRONIC HLTH REC	519100	2817056	2817056
CAFE & VENDING	722210	813050		$813,050
THERAPY & AUDIO	900099	65317		$65,317

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	444371	TotalRevenueColumn
Exclusion	$444,371	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	4139794	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	142654988	TotalRevenueColumn
Related Or Exempt Function Income	139040115	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	24082	UnrelatedBusinessRevenue
Exclusion	$2,669,355	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	218725	Total
Program Services	218725	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1682720	Total
Program Services	229744	ProgramServices
Management And General	1452976	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	596632	Total
Program Services	596632	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	50451968	Total
Program Services	43220446	ProgramServices
Management And General	7119566	ManagementAndGeneral
Fundraising	111956	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1919197	Total
Program Services	1606529	ProgramServices
Management And General	312668	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	8418005	Total
Program Services	7032600	ProgramServices
Management And General	1368708	ManagementAndGeneral
Fundraising	16697	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3700354	Total
Program Services	3102375	ProgramServices
Management And General	589780	ManagementAndGeneral
Fundraising	8199	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	977585	Total
Program Services	977585	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1003947	Total
Management And General	1003947	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	74825	Total
Management And General	74825	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	14356784	Total
Program Services	11117169	ProgramServices
Management And General	3237869	ManagementAndGeneral
Fundraising	1746	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	900714	Total
Program Services	94521	ProgramServices
Management And General	804266	ManagementAndGeneral
Fundraising	1927	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	25460097	Total
Program Services	24484701	ProgramServices
Management And General	972748	ManagementAndGeneral
Fundraising	2648	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1257590	Total
Program Services	117382	ProgramServices
Management And General	1140208	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2475358	Total
Program Services	2218036	ProgramServices
Management And General	257322	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	438643	Total
Program Services	367115	ProgramServices
Management And General	71449	ManagementAndGeneral
Fundraising	79	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	70189	Total
Program Services	58754	ProgramServices
Management And General	11435	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1818148	Total
Program Services	1521942	ProgramServices
Management And General	296206	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	7694897	Total
Program Services	6464594	ProgramServices
Management And General	1230303	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1229937	Total
Program Services	164704	ProgramServices
Management And General	1065233	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT EXPENSE	10411724	10411724
LOSS ON LOAN IMPAIRMENT	2064308		2064308
LOSS ON ASSET IMPAIRMENT	923753		923753
RECRUITING	452287	125724	326563

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	973733	Total
Program Services	34230	ProgramServices
Management And General	910694	ManagementAndGeneral
Fundraising	28809	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	139572120	Total
Program Services	114165232	ProgramServices
Management And General	25234827	ManagementAndGeneral
Fundraising	172061	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	22354470	BOY
EOY	23598538	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	20280228	BOY
EOY	20797125	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	19244341	BOY
EOY	19311343	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	13431903	BOY
EOY	12288906	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3035311	BOY
EOY	2775295	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2459378	BOY
EOY	5622235	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	144854086	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	99520613	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	46909231	BOY
EOY	45333473	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	6584261	BOY
EOY	5338678	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3957395	BOY
EOY	3984063	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	138256518	BOY
EOY	139049656	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	16337300	BOY
EOY	16389652	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	38514031	BOY
EOY	36169184	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	9299015	BOY
EOY	9956585	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	64150346	BOY
EOY	62515421	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	73888345	BOY
EOY	76385979	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	117827	BOY
EOY	148256	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	100000	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	74106172	BOY
EOY	76534235	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	138256518	BOY
EOY	139049656	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	3082868	ReconcilationRevenueExpenses
Reconcilation Other Changes	-654805	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Other	X	MethodOfAccountingOther
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$17,703	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	17703	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	28618971	BeginningOfYearBalance
Contributions	141510	Contributions
Investment Earnings Or Losses	-429893	InvestmentEarningsOrLosses
End Of Year Balance	28330588	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	25931959	BeginningOfYearBalance
Contributions	112679	Contributions
Investment Earnings Or Losses	2574333	InvestmentEarningsOrLosses
End Of Year Balance	28618971	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	22878750	BeginningOfYearBalance
Contributions	143208	Contributions
Investment Earnings Or Losses	2910001	InvestmentEarningsOrLosses
End Of Year Balance	25931959	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	22353994	BeginningOfYearBalance
Contributions	178727	Contributions
Investment Earnings Or Losses	346029	InvestmentEarningsOrLosses
End Of Year Balance	22878750	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.99000	BoardDesignatedEOYBalance
Term Endowment EOY Balance	0.01000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	316660	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	866656	OtherCostOrOtherBasis
Book Value	1183316	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	13003622	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	47217526	OtherCostOrOtherBasis
Depreciation	37749968	Depreciation
Book Value	22471180	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	633989	OtherCostOrOtherBasis
Depreciation	114897	Depreciation
Book Value	519092	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	8203747	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	67978195	OtherCostOrOtherBasis
Depreciation	57990569	Depreciation
Book Value	18191373	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1093439	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	5540252	OtherCostOrOtherBasis
Depreciation	3665179	Depreciation
Book Value	2968512	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	45333473	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
AMOUNTS DUE TO AFFILIATES - JPN	$8,493,833
AMOUNTS DUE TO AFFILIATES - ICH	$1,029,552
AMOUNTS DUE TO AFFILIATES - LAND CO	$433,200

Field	Value	IRS element (for citing)
Total Of Amounts	9956585	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS	SCHEDULE D, PART V, LINE 4	THE ORGANIZATION INTENDS TO USE THE ENDOWMENT FUNDS FOR VARIOUS CAPITAL PROJECTS.
FIN 48 DISCLOSURE	SCHEDULE D, PART X	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.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	MARDI GRAS GALA	NameOfEvent1
Gross Receipts Event1	51891	GrossReceiptsEvent1
Charitable Contributions Event1	35893	CharitableContributionsEvent1
Gross Revenue Event1	15998	GrossRevenueEvent1
Rent Facility Costs Event1	242	RentFacilityCostsEvent1
Food And Beverage Event1	10907	FoodAndBeverageEvent1
Entertainment Event1	4500	EntertainmentEvent1
Other Direct Expenses Event1	349	OtherDirectExpensesEvent1
Name Of Event2	GOLF TOURNAMENT	NameOfEvent2
Gross Receipts Event2	28338	GrossReceiptsEvent2
Charitable Contributions Event2	24975	CharitableContributionsEvent2
Gross Revenue Event2	3363	GrossRevenueEvent2
Rent Facility Costs Event2	3000	RentFacilityCostsEvent2
Food And Beverage Event2	363	FoodAndBeverageEvent2
Total Number Of Other Events	3	TotalNumberOfOtherEvents
Gross Receipts Other Events	569	GrossReceiptsOtherEvents
Charitable Contrib Other Events	569	CharitableContribOtherEvents
Gross Receipts Total	80798	GrossReceiptsTotal
Charitable Contributions Total	61437	CharitableContributionsTotal
Gross Revenue Total Events	19361	GrossRevenueTotalEvents
Rent Facility Costs Total Events	3242	RentFacilityCostsTotalEvents
Food And Beverage Total Events	11270	FoodAndBeverageTotalEvents
Entertainment Total Events	4500	EntertainmentTotalEvents
Other Direct Expenses Total Events	349	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	19361	DirectExpenseSummaryEvents

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3832620	TotalCommunityBenefitExpense
Net Community Benefit Expense	3832620	NetCommunityBenefitExpense
Percent Of Total Expense	0.03130	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23160469	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14198978	DirectOffsettingRevenue
Net Community Benefit Expense	8961491	NetCommunityBenefitExpense
Percent Of Total Expense	0.06940	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	26993089	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14198978	DirectOffsettingRevenue
Net Community Benefit Expense	12794111	NetCommunityBenefitExpense
Percent Of Total Expense	0.10070	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	32476	TotalCommunityBenefitExpense
Net Community Benefit Expense	32476	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	250599	TotalCommunityBenefitExpense
Net Community Benefit Expense	250599	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	186278	TotalCommunityBenefitExpense
Net Community Benefit Expense	186278	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	469353	TotalCommunityBenefitExpense
Net Community Benefit Expense	469353	NetCommunityBenefitExpense
Percent Of Total Expense	0.00360	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	27462442	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14198978	DirectOffsettingRevenue
Net Community Benefit Expense	13263464	NetCommunityBenefitExpense
Percent Of Total Expense	0.10430	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	100	TotalCommunityBuildingExpense
Net Community Building Expense	100	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	285524	TotalCommunityBuildingExpense
Net Community Building Expense	285524	NetCommunityBuildingExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	285624	TotalCommunityBuildingExpense
Net Community Building Expense	285624	NetCommunityBuildingExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$10,411,724	BadDebtExpenseAmount
Amount Attributable To	8912921	AmountAttributableTo
Amount Reimbursed By Medicare	53576520	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	58655869	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-5079349	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON REGIONAL MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	PO BOX 350	AddressLine1
City	CRYSTAL CITY	City
State	MO	State
ZIP Code	63019	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	150.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	6	NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
JMH REHABILITATION UNIT
PO BOX 350	CRYSTAL CITY	MO	63019	REHABILITATION SERVICES
JMH PSYCHIATRIC UNIT
PO BOX 350	CRYSTAL CITY	MO	63019	PSYCHIATRIC SERVICES
JEFFERSON REGIONAL HOME CARE
5 INDUSTRIAL DRIVE	FESTUS	MO	62028	HOME CARE SERVICES
JEFFERSON REGIONAL HOSPICE
5 INDUSTRIAL DR	FESTUS	MO	63028	HOSPICE SERVICES
JEFFERSON MULTI-SPECIALTY GROUP
1400 HIGHWAY 61 SOUTH	CRYSTAL CITY	MO	63019	OUTPATIENT PHYSICIAN CLINIC
JEFFERSON REGIONAL OUTPATIENT FACILITIES
1400 HIGHWAY 61 SOUTH	CRYSTAL CITY	MO	63019	URGENT CARE SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
COMMUNITY BENEFIT PERCENTAGE OF TOTAL COST	PART I, LINE 7 COLUMN F	THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $10,411,724 REPORTED ON FORM 990, PART IX, LINE 25; HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
COMMUNITY BENEFIT COST	PART I, LINE 7	THE COSTS REPORTED IN THE TABLE ON PART I, LINE 7 USED A RATIO OF PATIENT CARE COSTS TO CHARGES COMPUTED IN WORKSHEET 2 OF THE FORM INSTRUCTIONS. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS.
COMMUNITY BUILDING ACTIVITIES	PART II	JEFFERSON REGIONAL MEDICAL CENTER COORDINATES AND/OR ASSISTS PATIENTS IN THEIR TRANSPORTATION NEEDS TO IMPROVE ACCESS TO HEALTHCARE SERVICES. JEFFERSON REGIONAL RECRUITS NEW PHYSICIANS TO SERVE THE RESIDENTS OF JEFFERSON AND SURROUNDING COUNTIES.
BAD DEBT EXPENSE	PART III, LINE 4	ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM 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 SYSTEM 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 SYSTEM 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 (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.
MEDICARE	PART III, LINE 8	THE ORGANIZATION'S SHORTFALL ON LINE 7 REPRESENTS UNREIMBURSED MEDICARE SERVICES PROVIDED TO MEMBERS OF THE COMMUNITY WHO MIGHT OTHERWISE NOT BE ABLE TO AFFORD ADEQUATE HEALTH CARE SERVICES.
COLLECTION PRACTICES	PART III, LINE 9	JEFFERSON REGIONAL MEDICAL CENTER CONTINUES TO OFFER AND PROCESS FINANCIAL ASSISTANCE TO PATIENTS WHO ARE IDENTIFIED AS CANDIDATES THROUGHOUT THE DEBT COLLECTION PROCESS. ALL COLLECTION AGENCY LETTERS AND BILLS STATE FINANCIAL ASSISTANCE IS AVAILABLE. COLLECTION AGENCY REPRESENTATIVES ALSO COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE TO PATIENTS AS THEY RECOGNIZE A FINANCIAL NEED. THEY NOTIFY THE MEDICAL CENTER OF THESE PATIENTS. WE THEN FOLLOW UP ON THESE ACCOUNTS AND SEND A FINANCIAL ASSISTANCE PACKET TO THE PATIENT.
CHARGES FOR MEDICAL CARE	PART V, LINE 19D	THE HOSPITAL FACILITY USES THE AVERAGE RATE OF ALL PAYERS FOR THOSE SERVICES AT THE HOSPITAL FACILITY.
NEEDS ASSESSMENT	PART VI, LINE 2	JEFFERSON REGIONAL MEDICAL CENTER IS CURRENTLY CONDUCTING A 2-YEAR COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT OF CERTAIN CITIES AND TOWNS IN ITS PRIMARY SERVICE AREA. THE OVERALL GOAL OF THE ASSESSMENT IS TO PROVIDE JEFFERSON REGIONAL WITH THE ABILITY TO CLARIFY THE HEALTH NEEDS AND PRIORITIES OF THE COMMUNITIES IT SERVES. THE PROJECT WILL CONSIST OF TWO PHASES. PHASE 1, CONSISTS OF A THOROUGH REVIEW OF EXISTING DATA FROM THE MISSOURI DEPARTMENT OF PUBLIC HEALTH. THE ANTICIPATED COMPLETION OF PHASE I IS DECEMBER 2012. IN PHASE II, A COMPREHENSIVE COMMUNITY SURVEY WILL BE DISTRIBUTED TO A RANDOM SAMPLE OF 2,400 HOUSEHOLDS IN OUR PRIMARY AREA. IN ADDITION, A SERIES OF COMMUNITY INTERVIEWS WILL BE CONDUCTED TO HELP DETERMINE LEADING HEALTH NEEDS AND PRIORITIES. THIS IS TO BE COMPLETED BY APRIL 2013. THE FINAL REPORT WILL PROVIDE A NEEDS ASSESSMENT PREPARED FROM ALL THE DATA COLLECTED IN BOTH PHASES OF THE PROJECT.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI, LINE 3	JEFFERSON REGIONAL MEDICAL CENTER FINANCIAL COUNSELORS VISIT SELF-PAY PATIENTS WITH MINIMAL INSURANCE BENEFITS AND OTHER REFERRED PATIENTS INCLUDING EMERGENCY DEPARTMENT AND OUTPATIENTS TO ASSIST WITH MEDICAID ELIGIBILITY, SSI, TPL, CRIME VICTIMS, VA, CHAMPUS, COBRA, MEDICAL HARDSHIP CASES, AND OTHERS. IF NO POTENTIAL ELIGIBILITY FOR THIRD PARTY PAYMENT IS DETERMINED, THE PATIENT IS PROVIDED WITH A FINANCIAL ASSISTANCE PACKET AND AN EXPLANATION OF THE FINANCIAL ASSISTANCE PROCESS. OUR FINANCIAL COUNSELOR ALSO ASSISTS PATIENTS WITH ANY HELP THEY MAY NEED IN COMPLETING REQUIRED PAPERWORK AND FOLLOW UP. INFORMATIONAL POSTERS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE DISPLAYED ON EVERY LEVEL OF THE FACILITY NEAR MAIN ENTRANCE LOCATIONS, REGISTRATION AREAS, THE EMERGENCY DEPARTMENT, EACH INDIVIDUAL EMERGENCY TREATMENT ROOM AND THE PATIENT ACCOUNTS DEPARTMENT CASHIERING OFFICE. BUSINESS CARDS FOR THE FINANCIAL ASSISTANCE COUNSELOR ARE AVAILABLE AT ALL REGISTRATION AREAS AND ARE GIVEN TO POTENTIAL APPLICANTS BY REGISTRATION PERSONNEL AND DURING IN-HOUSE VISITS. ALL MEDICAL CENTER PATIENT ACCOUNT LETTERS AND BILLS, AS WELL AS COLLECTION AGENCY LETTERS AND BILLS, STATE THE AVAILABILITY OF FINANCIAL ASSISTANCE. BRIGHTLY COLORED INSERTS ARE ENCLOSED WITH THE FIRST SELF-PAY COLLECTION LETTER INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. PATIENT ACCOUNTS DEPARTMENT INFORMATION ALONG WITH FINANCIAL ASSISTANCE INFORMATION AND APPLICATIONS ARE AVAILABLE ON THE JEFFERSON REGIONAL MEDICAL CENTER WEBSITE. PATIENT ACCOUNT REPRESENTATIVES COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE AND EXPLAIN ELIGIBILITY CRITERIA UPON LEARNING OF PATIENT FINANCIAL NEED. FINANCIAL ASSISTANCE PROGRAM IN-SERVICES ARE PROVIDED TO ADMITTING AND SOCIAL SERVICES STAFF. ALSO, NEW EMPLOYEES ARE INFORMED ON THE FINANCIAL ASSISTANCE PROGRAM DURING ORIENTATION. FINANCIAL ASSISTANCE ANNOUNCEMENTS/REMINDERS ARE MADE PERIODICALLY DURING LEADERSHIP MEETINGS AND VIA OUR MEDICAL CENTER EMPLOYEE NEWSLETTER.
COMMUNITY INFORMATION	PART VI, LINE 4	AS ONE OF THE FASTEST GROWING COUNTIES IN MISSOURI, JEFFERSON COUNTY BENEFITS FROM ITS PROXIMITY TO THE AMENITIES OF ST. LOUIS COMBINED WITH THE SEMI-RURAL ATMOSPHERE OF SMALL TOWN LIVING. LOCATED IN THE "TWIN CITIES" OF CRYSTAL CITY AND FESTUS, JEFFERSON REGIONAL MEDICAL CENTER REACHES BEYOND THE CITY LIMITS TO THE NEIGHBORING COMMUNITIES OF DESOTO, HERCULANEUM, HILLSBORO AND PEVELY, ALONG WITH MANY OTHER SMALLER TOWNS AND VILLAGES. THE HOSPITAL ALSO SERVES NEARBY STE. GENEVIEVE AND ST. FRANCOIS COUNTIES. POSITIONED NEAR THE INTERSECTION OF INTERSTATE 55 AND US HIGHWAYS 61 AND 67, JEFFERSON REGIONAL IS AT THE PRIMARY HUB FOR SOUTHERN JEFFERSON COUNTY AND IS EASILY ACCESSIBLE FROM THE ST. LOUIS AREA AS WELL AS SOUTHEASTERN MISSOURI. ACCORDING TO 2010 U.S. CENSUS DATA, JEFFERSON COUNTY AS A WHOLE GREW MORE THAN 10% ADDING 20,634 RESIDENTS FOR A TOTAL POPULATION OF 218,733. CRYSTAL CITY AND FESTUS RECORDED GROWTH PERCENTAGES OF 14 AND 20% RESPECTIVELY, WHILE OTHER NEARBY CITIES - WITH SMALLER BASE POPULATIONS - GREW EVEN MORE DRAMATICALLY INCLUDING HILLSBORO AT 68%, PEVELY WITH 46% AND HERCULANEUM AT 24%. THE POPULATIONS ARE BASED ON "CENSUS DESIGNATED PLACE" WHICH DOES NOT NECESSARILY CORRESPOND WITH POSTAL ZIP CODE OR MUNICIPAL BOUNDARIES. MOST JEFFERSON COUNTY RESIDENTS - ABOUT 73% - LIVE OUTSIDE THE CITY LIMITS IN UNINCORPORATED AREAS OF THE COUNTY. STILL THOSE CITIES ARE THE PRIMARY CENTERS OF COMMERCE AND COMMUNITY, WITH THE MAJORITY OF BUSINESSES, CHURCHES, AND SCHOOLS LOCATED WITHIN THE CITY LIMITS. FOUNDED AS A "COMPANY TOWN" AROUND THE GLASS FACTORY THAT WAS BUILT ON THE BANKS OF THE MISSISSIPPI RIVER IN THE MID 1800'S, CRYSTAL CITY CELEBRATED ITS CENTENNIAL IN 2011, MARKING 100 YEARS OF INCORPORATION. JEFFERSON REGIONAL OWES SIGNIFICANT GRATITUDE TO THE GLASS FACTORY AND THE COMMUNITY OF CRYSTAL CITY FOR THE FUND-RAISING DRIVE THAT BUILT THE COMMUNITY HOSPITAL IN 1957. THE CITY OF DESOTO IS A RAILROAD TOWN AND THE LARGEST CITY IN JEFFERSON COUNTY SOUTH OF THE HOSPITAL. WITH 6,400 RESIDENTS, ACCORDING TO THE 2010 CENSUS, IT ALSO PLAYED A SIGNIFICANT ROLE IN THE FUND-RAISING DRIVE THAT BUILT THE HOSPITAL. THE CITY OF FESTUS IS THE LARGEST COMMUNITY IN SOUTHERN JEFFERSON COUNTY WITH A 2010 POPULATION OF 11,602. IN COMBINATION WITH THE THREE ADJACENT COMMUNITIES OF CRYSTAL CITY, HERCULANEUM AND PEVELY THE POPULATION WITHIN A FIVE-MILE RADIUS OF JEFFERSON REGIONAL MEDICAL CENTER IS MORE THAN 25,000. DEMOGRAPHICALLY, AS A WHOLE, JEFFERSON COUNTY'S POPULATION IS LESS THAN 5% NON-WHITE WITH VERY SMALL ETHNIC COMMUNITIES LOCATED PRIMARILY IN THE CITIES OF CRYSTAL CITY, DESOTO AND FESTUS. ABOUT 11% OF THE COUNTY POPULATION IS OVER AGE 65 WITH THE HIGHEST PERCENTAGES OCCURRING IN THE HOSPITAL'S PRIMARY SERVICE AREA: 17.3% IN CRYSTAL CITY, 13.5% IN DESOTO, 13.8% IN FESTUS, 15.4% IN HERCULANEUM, 11% IN HILLSBORO AND 10.8% IN PEVELY. THE MEDIAN INCOME FOR THE FIVE-CITY BASE (EXCLUDING HILLSBORO) IS $46,652, WHILE THE MEDIAN INCOME COUNTYWIDE IS $53,939. A TOTAL OF 84.6% OF PERSONS AGE 25 AND OLDER ARE HIGH SCHOOL GRADUATES AND 16.8% HAVE A BACHELOR'S DEGREE OR HIGHER EDUCATION.
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5	AS THE AREA'S LARGEST EMPLOYER, JEFFERSON REGIONAL MEDICAL CENTER IS COMMITTED TO COMMUNITY BUILDING ACTIVITIES INCLUDING COLLABORATIVE EFFORTS THAT FOCUS ON HEALTH EDUCATION, ACCESS TO CARE, AND COMMERCIAL DEVELOPMENT. THE HOSPITAL HOSTS COMMUNITY RESIDENTS AND PARTICIPATES IN HEALTH FAIR ACTIVITIES THAT BRING CRITICAL HEALTHCARE INFORMATION TO THE COMMUNITIES IT SERVES. EVENTS HELD ON THE MEDICAL CENTER CAMPUS, AT LOCAL BUSINESSES, AND IN SCHOOL SETTINGS INCLUDE MULTIPLE HEALTHCARE PROVIDERS OFFERING INFORMATION AND SCREENINGS IN A HEALTH FAIR FORMAT. THE ANNUAL FAMILY HEALTH FAIR HELD AT JEFFERSON REGIONAL ATTRACTS HUNDREDS OF AREA RESIDENTS EACH YEAR AND PROVIDES LOW-COST, FULL-LIPID PANEL SCREENINGS, FREE HEALTH ASSESSMENTS, AND DISCOUNT-PRICED CHILDREN'S BICYCLE HELMETS. THE MEDICAL CENTER OFFERS FREE TRANSPORTATION FOR AREA RESIDENTS VISITING THE HOSPITAL FOR APPOINTMENTS. A VIP CARE SERVICE COORDINATES THE TRANSPORTATION AND OFFERS A LOUNGE AREA FOR PATIENTS TO WAIT BETWEEN APPOINTMENTS AND TESTS. PATIENTS' HEALTH CAN BE MONITORED DURING THEIR STAY IN THE VIP CARE LOUNGE, ALL AT NO CHARGE. JEFFERSON REGIONAL HAS EARNED NATIONAL ACCREDITATION FOR ITS ACUTE REHAB PROGRAM, CHEST PAIN CENTER AND STROKE CENTER. DURING THE OCTOBER 1, 2011 THROUGH SEPTEMBER 30, 2012 REPORTING PERIOD, JEFFERSON REGIONAL HAS RECRUITED NEW PHYSICIAN SPECIALISTS TO SERVE THE RESIDENTS OF JEFFERSON AND SURROUNDING COUNTIES.
AFFILIATED HEALTH CARE SYSTEM	PART VI, LINE 6	NOT APPLICABLE.
STATE FILING OF COMMUNITY BENEFIT REPORT	PART VI, LINE 7	NOT APPLICABLE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
AMERICAN HEART ASSOCIATION
460 N LINDBERGH	ST LOUIS	MO	63141	135613797	501(C)(3)	125000	GENERAL SUPPORT
DE SOTO PUBLIC SCHOOLS
731 AMVETS	DE SOTO	MO	63020	436001005	SCHOOL DISTRICT	6850	GENERAL SUPPORT
JEFFERSON COLLEGE
1000 VIKING DRIVE	HILLSBORO	MO	63050	431611153	501(C)(3)	6250	GENERAL SUPPORT
JEFFERSON REORGANIZED SCHOOL DISTRICT
501 WESTWIND DR	FESTUS	MO	63028	436002980	SCHOOL DISTRICT	5200	GENERAL SUPPORT
YMCA OF GREATER ST LOUIS
1528 LOCUST ST	ST LOUIS	MO	430653616	430653616	501(C)(3)	5020	GENERAL SUPPORT
JEFFERSON COLLEGE
1000 VIKING DRIVE	HILLSBORO	MO	63050	431611153	501(C)(3)		GENERAL SUPPORT	9300	BOOK	LOWERY ORGAN

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	5	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES	Identifier
Return Reference	SCHEDULE I, PART I, LINE 2	ReturnReference
Explanation	THE ORGANIZATION AWARDS ASSISTANCE TO PREAPPROVED LOCAL CHARITY-BASED ORGANIZATIONS. THE AMOUNTS OF $5,000 TO $20,000 ARE APPROVED BY THE CFO AND AMOUNTS OVER $20,000 ARE APPROVED BY THE CEO.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs
JAMES MUEHLHAUSER
347333	0	10500	0	2150	0	12250	0	14651	0	386884	0
BEVERLY JOHNSON
197471	0	6000	0	3300	0	10244	0	7260	0	224275	0
BLAKE TEMPLE
220841	0	6600	0	750	0	11604	0	23036	0	262831	0
TIMOTHY PIGG
119641	0	3600	0	750	0	6419	0	22273	0	152683	0
CLARENCE TEMPLE
551227	0	0	0	0	0	12250	0	394	0	563871	0
WILLIAM KENNEN
588800	0	0	0	0	0	6125	0	9408	0	604333	0
BENJAMIN ALBANO JR
280447	0	42750	0	0	0	7500	0	13526	0	344223	0
DONN RICHARDS
260393	0	0	0	0	0	8646	0	709	0	269748	0
BHUPESH KHADKA
175153	0	71970	0	0	0	12250	0	13574	0	272947	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
HEALTH & EDUCATIONAL FACILITIES AUTHR OF MISSOURI
431178966	60635RN45	2004-05-27	37340504	VARIOUS CAPITAL PROJECTS	false	false	false
HEALTH & EDUCATIONAL FACILITIES AUTHR OF MISSOURI
431178966	60635RU47	2005-04-27	7410212	VARIOUS CAPITAL PROJECTS	false	false	false
INDUSTRIAL DEVELOPMENT AUTHORITY OF JEFFERSON CO
431281572		2010-12-16	3000000	EQUIPMENT ACQUISITION	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
37275000	3410131	25558528	969141	6280000	2006	true	true	true	true
7440000	696952	4715486	165894	1703748	2010	true	false	true	true
3000000	0	0	14666	2963143	2012	false	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true
false	false	false	false	true
false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	false	false	false	0	false	false
0
false	false	false	false	0	false	false
0
false	false	false	false	0	false	false

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	THE DIFFERENCE IN ISSUE PRICE AND BOND PROCEEDS FOR A IS $65,504 FOR NET	Identifier
Return Reference	0	ReturnReference
Explanation	OF ORIGINAL ISSUE DISCOUNT AND ORIGINAL ISSUE PREMIUM. THE DIFFERENCE IN ISSUE PRICE AND BOND PROCEEDS FOR B IS $29,787 FOR NET ORIGINAL ISSUE DISCOUNT.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CLARENCE TEMPLE MD
FATHER OF VP	134106	EMPLOYED PHYSICIAN	false
BENJAMIN ALBANO JR MD
SON OF BOARD MEMBER	446327	EMPLOYED PHYSICIAN	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (29 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
VALUE OF GOODS OR SERVICES	FROM 990, PART V, LINE 7B	THE ORGANIZATION SUPPLIES THE INFORMATION IF REQUESTED BY THE DONOR. THE ORGANIZATION WILL BE IMPLEMENTING THE NECESSARY PROCEDURES TO ENSURE NOTIFICATIONS ARE PROVIDED IN THE FUTURE FOR DONATIONS. FAMILY AND BUSINESS RELATIONSHIPS AMONGST OFFICERS, DIRECTORS, OR TRUSTEES FORM 990, PART VI, LINE 2 BOARD MEMBERS LINDELL CARTER AND TONDA BREEZE HAVE A BUSINESS RELATIONSHIP.
MEMBERS OF THE ORGANIZATION	FORM 990, PART VI, LINE 6	UNDER THE ARTICLES OF INCORPORATION, ARTICLE VI STATES THAT THE CORPORATION SHALL HAVE ONE MEMBER, JEFFERSON HEALTH SYSTEM.
POWER TO ELECT MEMBERS OF THE GOVERNING BODY	FORM 990, PART VI, LINE 7A	IN ESTABLISHING NEW BYLAWS, JEFFERSON MEMORIAL HOSPITAL ASSOCIATION'S MEMBERS OF THE INITIAL BOARD SHALL BE REDUCED TO NINE MEMBERS, AS MEMBERS LEAVE THE BOARD AND ARE NOT TO BE REPLACED. ONCE THE BOARD OF DIRECTORS IS REDUCED TO NINE MEMBERS, MEMBERS SHALL BE APPOINTED AS NECESSARY BY THE SOLE MEMBER, JEFFERSON HEALTH SYSTEM, FROM AMONG ITS 15 MEMBER BOARD OF DIRECTORS.
GOVERNANCE DECISIONS	FORM 990, PART VI, LINE 7B	JEFFERSON HEALTH SYSTEM, AS THE SOLE MEMBER OF JEFFERSON MEMORIAL HOSPITAL ASSOCIATION SHALL MAINTAIN CERTAIN RESERVED POWERS OF DECISIONS OVER THE SALE OF ASSETS, LONG-TERM DEBT OVER A CERTAIN DOLLAR AMOUNT, ALL DECISIONS DEALING WITH THE ASSETS AND DEBTS AND ANY OTHER DECISIONS RESERVED FOR THE MEMBER. JEFFERSON MEMORIAL HOSPITAL ASSOCIATION'S BOARD OF DIRECTORS SHALL REPORT TO THE BOARD OF DIRECTORS OF JEFFERSON HEALTH SYSTEM.
PROCESS TO REVIEW FORM 990	FORM 990, PART VI, LINE 11B	THE COMPLETED TAX FORM 990 AND ITS RELATED SCHEDULES ARE REVIEWED BY BOTH THE MANAGER OF FINANCE AND THE VICE-PRESIDENT OF FINANCE. THE FINAL TAX RETURN IS PROVIDED TO EACH BOARD MEMBER.
MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY	FORM 990, PART VI, LINE 12C	JEFFERSON MEMORIAL HOSPITAL ASSOCIATION REQUIRES ALL BOARD MEMBERS AND SENIOR MANAGEMENT TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, WHICH SHOULD DISCLOSE ALL POTENTIAL AND EXISTING CONFLICTS OF INTEREST. AN ANNUAL REPORT SUMMARIZING THE COMMENTS FROM THE QUESTIONNAIRE IS APPROVED BY THE BOARD. AS CONFLICTS ARISE, MEMBERS ARE REQUIRED TO DISCLOSE OR ABSTAIN FROM VOTING AND EXCUSE THEMSELVES FOR THE DISCUSSION.
PROCESS TO REVIEW PRESIDENT, OFFICER, AND KEY EMPLOYEE COMPENSATION	FORM 990, PART VI, LINE 15A & 15B	EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY AN OUTSIDE CONTRACTED INDIVIDUAL WHO IS RESPONSIBLE FOR BRINGING RECOMMENDATIONS TO THE FINANCIAL COMMITTEE AND THEN TO THE FULL BOARD. THIS PROCEDURE ESTABLISHES SALARY LIMITS AS WELL AS ANNUAL STRATEGIC GOALS AND RELATED BONUSES.
AVAILABILITY OF GOVERNING DOCUMENTS, COI POLICY, AND FINANCIAL STATEMENTS	FORM 990, PART VI, LINE 19	THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 5	CHANGE IN UNRESTRICTED FOR ENDOWMENT: $ (70,106) CHANGE IN UNREALIZED GAINS AND LOSSES: 16,269 INCREASE IN ENDOWMENT REVENUE TO RECORD CONTRIBUTIONS: (108,290) TRANSFER OF AUXILIARY BALANCE SHEET: (392,686) CHANGE IN DONOR RESTRICTION: (100,000) ROUNDING: 8 ---------- $ (654,805)
ACCOUNTING METHOD USED TO PREPARE THE FORM 990	FORM 990, PART XII, LINE 1	THE ORGANIZATION USES THE MODIFIED ACCRUAL METHOD OF ACCOUNTING.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES MUEHLHAUSER TITLE:PRESIDENT & CEO HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:BILL MCKENNA TITLE:BOARD PRESIDENT HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:TONDA BREEZE TITLE:BOARD VICE PRESIDENT HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DENNIS GANNON TITLE:BOARD SECRETARY HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RON RAVENSCRAFT TITLE:BOARD TREASURER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LINDELL CARTER TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARTHA REED, MD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JEFF DRAVES, MD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID STANSFIELD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:TIMOTHY PATTERSON TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JACK KING TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:BENJAMIN ALBANO, MD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ROY BURNSIDE TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STOKE WISCHMEIER TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ASHUTOSH PATEL, MD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAN ECKENFELS TITLE:CFO HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:TIMOTHY PIGG TITLE:VP FACILITIES/SUPPORT SVCS HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JEFFREY BUCK TITLE:INTERIM COO HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DONN RICHARDS TITLE:PHYSICIAN HOURS:19

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
JEFFERSON HOSPITAL COMPANY ICH LLC
1400 HIGHWAY 61 SOUTH	CRYSTAL CITY	MO	63019	263754189	MANAGEMENT CO	MO	55781	148908	JMHA
JEFFERSON PHYSICIAN NETWORK
1400 HIGHWAY 61 SOUTH	CRYSTAL CITY	MO	63019	263753905	PHYSCN OFFICE	MO	5262803	1686846	JMHA

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
JEFFERSON LAND COMPANY INC
PO BOX 350	CRYSTAL CITY	MO	63019	431330360	TITLE HOLD CO	MO	501(C)(2)	NA	false
JEFFERSON HEALTH SYSTEM
1400 HIGHWAY 61 SOUTH	CRYSTAL CITY	MO	63019	263920271	SUPPORT ORG	MO	501(C)(4)	NA	false

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	APOTHECARY SERVICES INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 350	AddressLine1
City	CRYSTAL CITY	City
State	MO	State
ZIP Code	63019	ZIPCode

Field	Value	IRS element (for citing)
EIN	431627267	EIN
Primary Activity	RETAIL PHARMACY	PrimaryActivity
Legal Domicile State	MO	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JHS	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C CORP	TypeOfEntity
Share Of Total Income	699963	ShareOfTotalIncome
Share Of EOY Assets	679594	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
APOTHECARY SERVICES INC
A	29316	ACTUAL
APOTHECARY SERVICES INC
R	858005	ACTUAL
APOTHECARY SERVICES INC
P	2025000	ACTUAL
APOTHECARY SERVICES INC
N	441555	ACTUAL
APOTHECARY SERVICES INC
O	2462842	ACTUAL
JEFFERSON HEALTH SYSTEM
N	776940	ACTUAL
JEFFERSON HEALTH SYSTEM
O	265818	ACTUAL
JEFFERSON HEALTH SYSTEM
P	1500000	ACTUAL
JEFFERSON HEALTH SYSTEM
Q	85655	ACTUAL