2013-08-12T13:30:01-05:00 2012-09-30 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2011-10-01 430687077 JEFFERSON MEMORIAL HOSPITAL ASSOCIATION % DAN ECKENFELS JEFF 6369331136 PO BOX 350 CRYSTAL CITY MO 63019 DAN ECKENFELS 6369331136 2013-08-09 true Donna J Larson 3142315544 2011 2016-02-24 21:20:13Z JEFFERSON REGIONAL MEDICAL CENTER ERIC AMMONS PO BOX 350 CRYSTAL CITY MO 63019 143934062 false X WWW.MERCY.NET/CRYSTALCITYMO X 1953 MO 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. 14 10 1599 150 24082 -134731 578787 921436 130893395 136248754 1469559 1163275 2449029 4321523 135390770 142654988 181815 218725 0 0 66932861 66768876 0 0 172061 66190595 72584519 133305271 139572120 2085499 3082868 138256518 139049656 64150346 62515421 74106172 76534235 X NONE false false 103807487 218725 128180578 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. 5564924 6530273 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. 4792821 4329264 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. 114165232 true true false true false false false false false true true false false false true false false true false false false false false false true false true true true false true true false false false false false false false false true false false false false false true true true true true false true X 134 0 true 1599 true true true false false false false true false false false false false X 14 10 true false false false true true true true true false false true true true true true true true true true true X DAN ECKENFELS 6369331107 PO BOX 350 CRYSTAL CITY MO 63019 X JAMES MUEHLHAUSER 40.0 X X 359983 0 26901 BILL MCKENNA 0.5 X 0 0 0 TONDA BREEZE 0.5 X 0 0 0 DENNIS GANNON 0.5 X 0 0 0 RON RAVENSCRAFT 0.5 X 0 0 0 LINDELL CARTER 0.5 X 0 0 0 MARTHA REED MD 0.5 X 33586 0 0 JEFF DRAVES MD 0.5 X 0 0 0 DAVID STANSFIELD 0.5 X 9600 0 0 TIMOTHY PATTERSON 0.5 X 0 0 0 JACK KING 0.5 X 0 0 0 BENJAMIN ALBANO MD 0.5 X 0 0 0 ROY BURNSIDE 0.5 X 0 0 0 STOKE WISCHMEIER 0.5 X 0 0 0 ASHUTOSH PATEL MD 0.5 X 48763 0 0 DAN ECKENFELS 40.0 X 73630 0 9275 BEVERLY JOHNSON 40.0 X 206771 0 17504 BLAKE TEMPLE 40.0 X 228191 0 34640 MICHELE MEYER 40.0 X 123696 0 168 TIMOTHY PIGG 39.5 X 123991 0 28692 JEFFREY BUCK 40.0 X 123184 0 0 CLARENCE TEMPLE 40.0 X 551227 0 12644 WILLIAM KENNEN 40.0 X 588800 0 15533 BENJAMIN ALBANO JR 40.0 X 323197 0 21026 DONN RICHARDS 21.0 X 260393 0 9355 BHUPESH KHADKA 40.0 X 247123 0 25824 3302135 0 201562 22 false true false 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 35 61437 97750 762249 921436 NET PATIENT SERVICE REVENUE 621110 131206504 131206504 NET PATIENT SERVICE REVENUE FOR PHYSICIAN NETWORK 621110 5016555 5016555 LAB SERVICES 621500 25695 21291 4404 136248754 1160069 1160069 0 0 968961 906584 62377 62377 62377 3206 0 3206 3206 3206 19360 61437 19360 0 0 5631 3270 2361 2361 466851 349860 116991 2791 114200 EHR MEANINGFUL USE - ELECTRONIC HLTH REC 519100 2817056 2817056 CAFE & VENDING 722210 813050 813050 THERAPY & AUDIO 900099 65317 65317 444371 444371 4139794 142654988 139040115 24082 2669355 218725 218725 0 0 0 1682720 229744 1452976 596632 596632 50451968 43220446 7119566 111956 1919197 1606529 312668 8418005 7032600 1368708 16697 3700354 3102375 589780 8199 977585 977585 1003947 1003947 74825 74825 0 0 0 14356784 11117169 3237869 1746 900714 94521 804266 1927 25460097 24484701 972748 2648 1257590 117382 1140208 0 2475358 2218036 257322 438643 367115 71449 79 0 70189 58754 11435 1818148 1521942 296206 0 7694897 6464594 1230303 1229937 164704 1065233 BAD DEBT EXPENSE 10411724 10411724 LOSS ON LOAN IMPAIRMENT 2064308 2064308 LOSS ON ASSET IMPAIRMENT 923753 923753 RECRUITING 452287 125724 326563 973733 34230 910694 28809 139572120 114165232 25234827 172061 22354470 23598538 20280228 20797125 0 0 19244341 19311343 0 0 0 0 13431903 12288906 3035311 2775295 2459378 5622235 144854086 99520613 46909231 45333473 6584261 5338678 0 0 0 0 0 0 3957395 3984063 138256518 139049656 16337300 16389652 0 0 0 0 38514031 36169184 0 0 0 0 0 0 0 0 9299015 9956585 64150346 62515421 X 73888345 76385979 117827 148256 100000 0 74106172 76534235 138256518 139049656 X 3082868 -654805 X X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 17703 false false false 17703 false 28618971 141510 -429893 28330588 25931959 112679 2574333 28618971 22878750 143208 2910001 25931959 22353994 178727 346029 22878750 0.99000 0.01000 false false 316660 866656 1183316 13003622 47217526 37749968 22471180 633989 114897 519092 8203747 67978195 57990569 18191373 1093439 5540252 3665179 2968512 45333473 0 AMOUNTS DUE TO AFFILIATES - JPN 8493833 AMOUNTS DUE TO AFFILIATES - ICH 1029552 AMOUNTS DUE TO AFFILIATES - LAND CO 433200 9956585 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. MARDI GRAS GALA 51891 35893 15998 242 10907 4500 349 GOLF TOURNAMENT 28338 24975 3363 3000 363 3 569 569 80798 61437 19361 3242 11270 4500 349 19361 true true true X true X true true false true true 3832620 3832620 0.03130 23160469 14198978 8961491 0.06940 26993089 14198978 12794111 0.10070 32476 32476 0.00030 250599 250599 0.00190 186278 186278 0.00140 469353 469353 0.00360 27462442 14198978 13263464 0.10430 100 100 285524 285524 0.00220 285624 285624 0.00220 true 10411724 8912921 53576520 58655869 -5079349 X true true 1 1 JEFFERSON REGIONAL MEDICAL CENTER

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URGENT CARE SERVICES 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. true 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) 9300 BOOK LOWERY ORGAN GENERAL SUPPORT 5 PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES SCHEDULE I, PART I, LINE 2 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. X X X X false false false false false false false false false 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 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 0 0 37275000 3410131 0 25558528 969141 0 0 6280000 0 0 2006 true true true true 0 0 7440000 696952 0 4715486 165894 0 0 1703748 0 0 2010 true false true true 0 0 3000000 0 0 0 14666 0 0 2963143 0 0 2012 false false false true false false false false 0 true false false false false 0 true false false false false 0 true false false false 0 false 0 false false false false false 0 false 0 false false false false false 0 false 0 false false THE DIFFERENCE IN ISSUE PRICE AND BOND PROCEEDS FOR A IS $65,504 FOR NET 0 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. CLARENCE TEMPLE MD FATHER OF VP 134106 EMPLOYED PHYSICIAN false BENJAMIN ALBANO JR MD SON OF BOARD MEMBER 446327 EMPLOYED PHYSICIAN false 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 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 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 APOTHECARY SERVICES INC PO BOX 350 CRYSTAL CITY MO 63019 431627267 RETAIL PHARMACY MO JHS C CORP 699963 679594 1.00000 true false false true false false false false true false false false false true true true true true 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